← Back to CGEN filing summaryThis is the extracted source text from the SEC filing. Formatting may differ from the original document.
INFORMATION
A. [RESERVED]
B. CAPITALIZATION AND INDEBTEDNESS
Not applicable.
C. REASONS FOR THE OFFER AND USE OF PROCEEDS
Not applicable.
D. RISK FACTORS
An investment in our ordinary shares involves a high
degree of risk and many factors could affect our results, financial condition, cash flows and results of operations. You should carefully
consider the following risk factors, as well as the other information in this Annual Report. If we do not, or cannot, successfully address
the risks to which we are subject, we could experience a material adverse effect on our business, results of operations and financial
condition, which could include the need to limit or even discontinue our business operations, and accordingly our share price may decline,
and you could lose all or part of your investment. We can give no assurance that we will successfully address any of these risks. The
principal risks we face are described below.
Summary Risk Factors
Our business is subject to a number of risks of which you should
be aware of before making an investment decision. These risks are discussed more fully under the caption “Item 3. Key Information
- D. Risk Factors” section of this Annual Report. These risks include, but are not limited to, the following:
• We have a history of losses and we expect to incur future losses and may never achieve or sustain profitability.
• We expect to raise additional funds in the future, and if we are unable to raise such additional funds, we may need to limit, curtail or cease operations. To the extent any such funding is based on the sale of equity, our existing shareholders would experience dilution of their shareholdings.
• We cannot provide assurance that our business model will succeed in generating substantial revenues.
• Our dependence on collaboration agreements with third parties presents a number of risks.
• In the near-term, we are highly dependent on the success of COM701, COM902, GS-0321 (previously COM503) and rilvegostomig.
• Clinical trials of any product candidates that we, or any current or future collaborators may conduct, may fail to satisfactorily demonstrate safety and/or efficacy, and we, or any collaborator, may incur additional costs or experience delays in completing, or ultimately be unable to complete the development and commercialization of these product candidates.
• Clinical development involves a lengthy and expensive process, with an uncertain outcome. We may encounter substantial delays or even an inability to begin clinical trials for any specific product or may not be able to conduct or complete our trials on the timelines we expect.
• From time to time, we publicly disclose preliminary data from our ongoing clinical trials. As more patient data become available, the data and the interpretation of the data may change.
• We rely and expect to continue to rely on third parties to conduct our clinical trials. These third parties may not successfully or professionally carry out their contractual duties, comply with regulatory requirements or meet expected deadlines, and we may experience significant delays in the conduct of our clinical trials as well as significant increased expenditures.
1
• Serious adverse events or undesirable side effects or lack of efficacy, may emerge in clinical trials conducted by other companies running clinical trials investigating the same target as us, which could adversely affect our development programs or our capability to enroll patients or partner the program for further development and commercialization.
• We are subject to certain manufacturing risks, any of which could either result in additional costs or delays in completing, or ultimately make us unable to complete, the development and commercialization of our product candidates.
• There are risks that are inherent in the development and commercialization of novel therapeutic products.
• Our approach to the discovery of therapeutic products is based on Unigen™, our AI/ML powered computational discovery platform, that is not yet fully proven clinically, and we do not know whether we will be able to discover and develop additional potential product candidates or products of commercial value.
• We are focusing our discovery and therapeutic development activities on therapeutic product candidates for use in immuno-oncology. Our current candidates may fail, and we may fail to continue to discover and develop therapeutic product candidates of industry interest in this field.
• We depend significantly on third parties (including partners) to carry out the research, development and commercialization of our therapeutic product candidates. If we are unable to maintain our existing agreements or to enter into additional agreements with such third parties, mainly collaborators, in the future, our business will likely be materially harmed.
• We rely on and expect to continue to rely on third parties to conduct our clinical trials. These third parties may not successfully or professionally carry out their contractual duties, comply with regulatory requirements or meet expected deadlines, and we may experience significant delays in the conduct of our clinical trials as well as significant increased expenditures.
• We rely on and expect to continue to rely completely on third parties to manufacture and supply our preclinical and clinical drug supplies. Our business could be harmed if those third parties fail to provide us with sufficient quantities of drug product or fail to do so at acceptable quality and quantity levels, prices or timelines.
• Our reliance on third parties to conduct our clinical trials and other key development activities, which heightens the risks faced by our business.
• We operate in a highly competitive and rapidly changing industry which may result in others discovering, developing or commercializing competing products ahead of us or more successfully than we do.
• Our information technology systems, or those of the third parties upon whom we rely, including our cloud and SaaS providers, CROs or other contractors or consultants, may fail or suffer security breaches, which could result in a material disruption to our business, as well as to regulatory investigations or actions; litigation; fines and penalties; reputational harm; loss of revenue and other adverse consequences.
• We are subject to stringent and changing obligations related to data privacy and security. Failure or perceived failure to comply with current or future obligations could lead to government enforcement actions (which could include civil or criminal penalties), private litigation, and/or adverse publicity and could negatively affect our operating results and business.
• If the scope of any patent protection we obtain is not sufficiently broad, or if we lose any of our patent protection, our ability to prevent our competitors from commercializing similar or identical product candidates would be adversely affected.
• We may need to obtain additional licenses of third-party technology or other rights that may not be available to us or are available only on commercially unreasonable terms, and which may cause us to operate our business in a more costly or otherwise adverse manner that was not anticipated.
• We, or potential collaborators and licensees, may infringe third-party rights and may become involved in litigation, which may materially harm our business.
2
• We may become involved in lawsuits to protect or enforce our patents or other intellectual property, which could be expensive, time consuming and unsuccessful.
• Conditions in Israel and in the Middle East may adversely affect our operations.
• Our results of operations may be adversely affected by the exchange rate fluctuations between the dollar and the New Israeli Shekel.
• Future sales of our ordinary shares or securities convertible or exchangeable for our ordinary shares may depress our share price.
• If we sell ordinary shares in future financings, shareholders may experience immediate dilution and, as a result, our share price may decline.
• Our share price and trading volume have been volatile and may be volatile in the future and that could limit investors’ ability to sell our shares at a profit and could limit our ability to successfully raise funds.
• If we are a passive foreign investment company, or PFIC, our U.S. shareholders may be subject to adverse U.S. federal income tax consequences.
Risks Related to our Business, Financial Results and Financing Needs
We have a history of losses and we expect to
incur future losses and may never achieve or sustain profitability.
As of December 31, 2025, we had an accumulated deficit of approximately $453.4 million.
Although we generated a net profit of approximately $35.3 million in 2025, we have incurred approximately $14.2 million and $18.8 million,
for the years ended December 31, 2024 and December 31, 2023, respectively, in large part due to the expenditures associated with our ongoing
research and development and limited revenues received to date. In addition, we expect to continue to incur net losses in the future due
to our anticipated costs and expenses, primarily associated with our research and development and preclinical and clinical activities.
We currently have two therapeutic program-based partnership agreements in effect, one with AstraZeneca plc, or AstraZeneca, and the second
with Gilead Sciences, Inc., or Gilead. In 2025, we received $65 million as an additional upfront payment from AstraZeneca in connection
with an amendment to our previously existing exclusive license agreement with MedImmune Limited, the global biologics research and development
arm of AstraZeneca. In 2024, we received an aggregate of $76.5 million from upfront and milestone payments from Gilead (after $13.5 million
tax withheld at source) and $5 million as milestone payments from AstraZeneca. We cannot be certain that we will receive additional revenues
under any of these partnership agreements or that we will enter into additional arrangements for any of our current or any future therapeutic
pipeline programs or with respect to Unigen, our AI/ML powered computational discovery platform, or that such additional arrangements,
if any, will provide sufficient revenues to achieve profitability.
We expect to raise additional funds in the
future, and if we are unable to raise such additional funds, we may need to limit, curtail or cease operations. To the extent any such
funding is based on the sale of equity, our existing shareholders would experience dilution of their shareholdings.
We believe that our current existing cash and cash equivalents, short-term bank deposits
and investment in marketable securities will be sufficient to fund operations into 2029, based on our current plans without considering
the possible receipt of any additional funds, such as proceeds from existing or additional licensing and/or collaborative agreements,
or from financings. However, if our plans change or if our burn-rate increases, our cash balances may only be sufficient for a shorter
period of time. We cannot predict with any degree of certainty when, or even if, we will generate significant revenues or achieve profitability,
and therefore we expect to need additional funds in the future to continue financing our operations. We may seek additional capital for
various reasons, including for our ongoing operations or strategic considerations, even if we believe we have sufficient funds for our
current and future operating plans. Additional funds, including proceeds from license or collaborative agreements, or from other financings,
may not be available to us on acceptable terms, or at all. In addition, the terms of any financing may adversely affect the holdings or
the rights of our existing shareholders. For example, if we raise additional funds by issuing equity securities, our existing shareholders
will experience dilution of their shareholdings. Debt financing, if available, may involve restrictive covenants that could limit our
flexibility in conducting future business activities.
Any failure to raise funds as and when needed would materially harm our business,
financial condition and results of operations, and may result in us having to significantly reduce our operations and thereby limiting
our ability to pursue some or all of our research and development and clinical therapeutic product candidates.
3
We cannot provide assurance that our business
model will succeed in generating substantial revenues.
Our business model is primarily based on expected future revenues in various forms,
including upfront fees, research funding, in-kind funding, milestone payments, license fees, royalties on product sales and other revenue
sharing payments from development and commercialization of products by third parties, pursuant to various forms of collaborations for
our novel targets and related drug product candidates at various stages of research and development. Our primary focus in immuno-oncology
utilizes our Unigen platform to identify novel drug targets and develop innovative therapeutics in the field of cancer immunotherapy.
Drug target candidates discovered by our Unigen platform undergo initial target validation studies and, in selected cases, are advanced
to the discovery and development of the therapeutic product candidate. Such drug target candidates and their related therapeutic product
candidates may serve as the basis for licensing and other forms of third-party collaborations, though there can be no guarantee that we
enter into any collaborations following the identification of such drug target candidates or that our Unigen platform will yield any additional
drug target candidates or therapeutic product candidates. While we currently have two collaborations in effect, one with AstraZeneca and
the second with Gilead, the termination of either or both existing collaborations or any future collaboration agreements may have varying
impacts on our financial position and, specifically, our ability to generate revenue. For example, the termination of our agreement with
Bristol Myers Squibb in 2022 had different effects on our operations and caused us to lose free access to PD-1 immune checkpoint inhibitor,
which has an adverse impact on our expenditure thereby requiring us to purchase PD-1 inhibitor for our clinical studies. The main effect
of the termination of the collaboration agreement with Bayer in 2023 was extinguishing our potential to achieve future revenues from such
collaboration. The inability to derive adequate revenues, or any, from our business model would materially harm our business, financial
condition and results of operations and could result in the need to limit or even discontinue our business operations.
We have a limited operating
history with respect to the partnering and commercialization aspects of our business model upon which investors can base an investment
decision or upon which to predict future revenues.
Our ability to generate revenues from partnerships for our novel drug targets and
related therapeutic product candidates at various stages of research and development has been limited. To date, we have entered into four
partnership agreements with respect to our therapeutic pipeline programs (of which we currently have two collaborations in effect) under
which we have received a total amount of $247.2 million (after $13.5 million withholding taxes), of which $32.0 million was in the form
of an equity investment. We recognized revenue of approximately $72.8 million in 2025, approximately $27.9 million in 2024 and approximately
$33.5 million in 2023 from our partnerships. There can be no guarantee that we will achieve the same level of revenue in the future.
We cannot be certain that our focus on discovery, research and drug development in
the field of immuno-oncology, will generate a stable or significant revenue stream. Additionally, financial terms for agreements by other
companies, to the degree disclosed, vary greatly and therefore financial terms that may be available for our candidates at the various
R&D stages may vary greatly. The inability to derive adequate revenues from our specific drug targets or product candidates would
materially harm our business, financial condition and results of operations and could result in the need to limit or even discontinue
our business operations. Moreover, our operating history with respect to the partnering and commercialization aspects of our model provides
a limited basis to assess our ability to generate significant fees, research revenues, milestone payments, royalties or other revenue
sharing payments from the licensing, development and anticipated future commercialization of our programs based on our existing and future
novel drug targets and related therapeutic products and any future product candidates.
Our dependence on collaboration agreements
with third parties presents a number of risks.
The risks that we face in connection with our existing collaborations
and other business alliances as well as those that we may enter into in the future include, among others, the following:
• we may be unable to reach mutually agreeable terms and conditions with respect to potential new collaborations;
4
• we or our current and/or future collaborators may be unable to comply or fully comply with the obligations under collaboration agreements to which we are (or will become) a party, and as a result, we may not generate milestone payments or royalties from such agreements, and our ability to enter into additional agreements may be harmed;
• our obligations under existing or future collaboration agreements may harm our ability to enter into additional collaboration agreements;
• collaborators generally have significant discretion in electing whether to pursue any of the planned activities and the manner in which it will be done, including the amount and nature of the resources to be devoted to the development and commercialization of our product candidates;
• collaborators generally have significant discretion in terminating the collaborations or exercise different rights for scientific, clinical, financial, business or other reasons;
• if our current and/or future collaborators breach or terminate an agreement with us, the development and commercialization of our therapeutic product candidates could be adversely affected because at such time we may not have sufficient financial or other resources or capabilities or access to the other partner’s data and drug(s) to successfully develop and commercialize these therapeutics on our own or find other partners or enforce our rights under breached or terminated agreement;
• our current and/or future collaborators may require us to change or adopt the trial design to fit their business priorities, standards and other objectives;
• changes in a collaborator’s business strategy may negatively affect its willingness or ability to complete its obligations under its arrangement or to continue with its collaboration with us;
• our current and/or future collaborators may terminate the program or the agreement and then compete against us in the development or commercialization of similar therapeutics;
• disagreements between us and our current and/or future collaborators may lead to delays in, or termination of, the collaboration;
• our current and/or future collaborations may face internal competition by their internal pipelines;
• prospective collaborators may hesitate to pursue collaborations on novel target candidates that lack robust validation to serve as a basis for the development of therapeutics; and
• our current and/or future collaborators may be acquired by, acquire, or merge with, another company, and the resulting entity may have different priorities or competitive products to the collaboration product being developed previously by these collaborators.
If any of these risks should materialize, our business, financial condition and results of operations may
be materially harmed.
Our existing partnership agreement with AstraZeneca
is subject to many risks.
In March 2018, we entered into an exclusive license agreement with MedImmune Limited,
the global biologics research and development arm of AstraZeneca, which is currently part of AstraZeneca. Under the terms of the license
agreement, as amended (including most recently as December 16, 2025), we provided an exclusive license to AstraZeneca to use our monospecific
antibodies that bind to TIGIT, including COM902, for the development of bi-specific and multi-specific antibody products, excluding such
bi-specific and multi-specific antibodies that also bind to PVRIG, PVRL2 and/or TIGIT. In connection with such license agreement, AstraZeneca
developed rilvegostomig, a PD-1/TIGIT bi-specific antibody with a TIGIT component that is derived from our COM902.
Subject to termination rights for material breach, bankruptcy or by us for patent
challenge by AstraZeneca, the term of the license agreement continues until the expiration of the last royalty term in the territory as
further specified in the license agreement. In addition, AstraZeneca may terminate the agreement for convenience upon prior written notice.
While rilvegostomig is currently being evaluated in multiple Phase 3, Phase 2 and
Phase 1 clinical trials, recent failures in the TIGIT field, including that of Arcus Biosciences, or Arcus, and Gilead, which disclosed
that their Phase 3 STAR-221 study evaluating a domvanalimab-based combination in upper gastrointestinal cancers will be discontinued due
to futility, may be reflected in the rilvegostomig trials.
Therefore, if significant adverse unforeseen safety events occur in rilvegostomig
trials or lack of efficacy is observed or the collaboration with AstraZeneca is terminated for whatever reason, particularly prior to
our signing additional collaboration agreements at that scale, our business and financial condition may be materially harmed.
5
Our existing partnership agreement with Gilead
is subject to many risks.
In December 2023, we entered into an exclusive license agreement with Gilead. Under
the terms of the license agreement, we granted Gilead an exclusive license under our preclinical antibody program against IL-18 binding
protein and all intellectual property rights subsisting therein, to use, research, develop, manufacture and commercialize products, including
GS-0321 (previously COM503), and additional products that may be so developed by Gilead, together with GS-0321 (previously COM503), or
the Licensed Products.
Pursuant to the License Agreement, we are responsible for conducting a Phase 1 clinical
trial for GS-0321 (previously COM503), including handling the regulatory matters in connection therewith, and will bear the costs of such
trial (including the GS-0321 (previously COM503) drug supply), with Gilead having the obligation to provide zimberelimab antibody for
such trial. Nevertheless, in certain circumstances, Gilead may require us to transfer to them the role of conducting the Phase 1 clinical
trial, before the Phase 1 clinical trial is completed. In such case our business and financial condition may be harmed.
Gilead may terminate the agreement for material breach, bankruptcy and even for convenience.
If this agreement is terminated, particularly prior to our signing additional collaboration agreement at that scale, our business and
financial condition may be materially harmed.
While the Phase 1 clinical trial of GS-0321 (previously COM503) is ongoing, if significant
adverse unforeseen events occur in the trial or lack of efficacy is observed or the collaboration is terminated for whatever reason, our
business and financial condition may be materially harmed.
Our failure to establish
and maintain effective internal control over financial reporting could result in material misstatements in our financial statements or
a failure to meet our reporting obligations. This may cause investors to lose confidence in our reported financial information, which
could result in the trading price of our shares to decline.
Our management is responsible for establishing and maintaining adequate internal control
over financial reporting, as such term is defined in Rule 13a-15(f) of the Exchange Act. Under the supervision and with the participation
of our management, including the Chief Executive Officer and the Chief Financial Officer, we carried out an evaluation of the effectiveness
of our internal control over financial reporting as of December 31, 2025, using the criteria established in “Internal Control
- Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the COSO
criteria). Based on our assessment under that framework and the criteria established therein, our management concluded that the Company’s
internal control over financial reporting was effective as of December 31, 2025, in providing reasonable assurance regarding the reliability
of the Company’s financial reporting.
However, if we conclude in the future that our internal controls over financial reporting
are not effective, we may fail to meet our future reporting obligations on a timely basis, our financial statements may contain material
misstatements, our operating results may be negatively impacted, and we may be subject to litigation and regulatory actions, causing investor
perceptions to be adversely affected and potentially resulting in a decline in the market price of our shares. Even if we conclude that
our internal controls over financial reporting are adequate, any internal control or procedure, no matter how well designed and operated,
can only provide reasonable assurance of achieving desired control objectives and cannot prevent all mistakes or intentional misconduct
or fraud.
Risks Related to Development, Manufacturing, Clinical Trials and Government Regulation
In the near-term, we are
highly dependent on the success of COM701, COM902, GS-0321 (previously COM503) and rilvegostomig.
Our pipeline currently consists of four clinical-stage programs, which are at various
stages of clinical development - rilvegostomig, COM701, COM902 and GS-0321 (previously COM503).
We currently have no products approved for commercialization and are investing a significant
portion of our efforts and financial resources into the clinical development of COM701 and GS-0321 (previously COM503) (which is licensed
to Gilead). Our near-term prospects are substantially dependent on our ability, or that of any existing and future partners, as applicable,
to manufacture, develop, obtain marketing approval for and successfully commercialize any of COM701, COM902, rilvegostomig, and GS-0321
(previously COM503).
6
With respect to COM701, we have reported favorable safety and toxicity profile and
preliminary signals of antitumor activity in our Phase 1 clinical trials with COM701 monotherapy, COM701 combination with nivolumab, and
in the triplet combination of COM701, nivolumab and BMS-986207 (anti-TIGIT antibody) and with triple combination of COM701, COM902 and
pembrolizumab and we are currently conducting a blinded randomized ovarian cancer platform trial evaluating COM701 as a single agent in
maintenance therapy in relapsed platinum sensitive ovarian cancer (named MAIA-ovarian trial). The preliminary clinical results on COM701
reported to date may not predict the final results of our on-going MAIA-ovarian clinical trial or future clinical trials or otherwise
be sufficient to attract a partner or support further development or a future path to registration or drug approval. Even if our clinical
trials results are successful, regulatory authorities may require additional preclinical studies or clinical trials, which could be costly
and time-consuming, or may ultimately decline to approve our product candidates altogether. Many companies in the pharmaceutical, biopharmaceutical
and biotechnology industries have suffered significant setbacks or failures in clinical trials after achieving positive results, and we
cannot be certain that we will not face similar setbacks or failures. See “- From time to time, we publicly disclose preliminary
data from our ongoing clinical trials. As more patient data become available, the data and the interpretation of the data may change.
While we have reported preliminary signals of antitumor activity from our Phase 1
dose escalation monotherapy trial of COM902 with a best response of stable disease, based on recent negative data in the TIGIT field,
including the announcement by Arcus and Gilead on December 12, 2025 that the Phase 3 STAR-221 study evaluating a domvanalimab-based combination
in upper gastrointestinal cancers will be discontinued due to futility, we currently believe that COM902 has a limited potential to create
near-term value to us. We therefore do not plan to initiate new clinical trials with COM902. This decision may be revisited pending further
data disclosure regarding TIGIT by other companies.
Rilvegostomig is currently being evaluated by our collaborator, AstraZeneca,in multiple
Phase 3, Phase 2 and Phase 1 clinical trials.
GS-0321 (previously COM503), which we licensed to Gilead, is currently being evaluated
in a Phase 1 clinical trial that we sponsor and are conducting.
If we advance our programs throughout the different clinical development phases (where
with respect to GS-0321 (previously COM503), we are only responsible for Phase 1 clinical development), we will need to expand our personnel
and operational capabilities to support these activities. We expect to need to raise additional capital in such event. In part because
of our limited infrastructure, limited experience in conducting clinical trials and limited experience in interacting with regulatory
authorities, we cannot be certain that our planned clinical trials will be initiated on time, that our clinical trials will be completed
on time, if at all, that our planned development programs and development path forward will be designed well or would be acceptable to
the U.S. Food and Drug Administration, or FDA, or other comparable foreign regulatory authorities, or that, even if approval is obtained,
such products can be successfully commercialized.
The success of each of COM701, COM902 and GS-0321 (previously COM503) (for which we
are only responsible for Phase 1 clinical development) and rilvegostomig which is developed by AstraZeneca, is dependent upon several
factors, including the following:
• the successful clinical trial design (and implementation thereof) and results;
• ability to fund clinical trials designed to obtain regulatory approval and to become commercially successful;
• ability to design trials required to allow for a path for registration or obtain regulatory approval;
• the success of trials designed to support for a path for registration/approval by regulatory authorities;
• selected regulatory strategy;
• timely initiation, enrollment and completion of clinical trials;
• the enrolled patient population’s demographics, prior therapy/ies and other patients characteristics, even if they meet the inclusion/exclusion enrollment criteria;
• the availability of the patient population selected for enrollment;
7
• the safety, tolerability and efficacy profile, alone or in combination with other approved or investigational products, that is satisfactory for receiving marketing approval by the FDA or comparable foreign regulatory authorities;
• the safety, tolerability and efficacy profile, alone or in combination with other approved or investigational products, that fits the competitive treatment landscape/ unmet patients’ need;
• adequate selection of drug dosing;
• adequate selection of indications;
• adequate selection of patient populations and patients’ eligibility within such populations;
• adequate selection of comparator trial arm(s);
• adequate selection of drug(s) for combinations;
• access to drugs required for combination studies or approval;
• successful identification of biomarkers, including for patient selection;
• timely receipt of marketing approvals from applicable regulatory authorities;
• the performance of our current and future collaborators, if any;
• the extent of any required post-marketing approval commitments to applicable regulatory authorities;
• establishment, management and monitoring of CRO arrangements and processes with third-party service providers for conducting the clinical trial;
• ability to convince clinical investigators in the potential of our clinical drug candidates and their interest in enrolling patients to our studies, pace of opening sites and actual enrollment;
• establishment and monitoring of manufacturing arrangements and processes with third-party service providers and clinical manufacturing organizations for manufacturing drug substance and drug product;
• establishment and monitoring of arrangements with third-party suppliers of raw materials and service for fill-finish, packaging and labeling;
• adequate stability of our drug substance and drug products;
• supply of our drugs in sufficient quantities and quality for our clinical trials;
• establishment of arrangements with third-party manufacturers and processes monitoring to obtain commercial quality drug product that is appropriately packaged for sale;
• adequate ongoing availability of raw materials and drug product for clinical development and any commercial sales;
• protection of our rights in our intellectual property portfolio;
• successful launch of commercial sales following any marketing approval and the size of the potential patient population;
• a continued acceptable safety profile following any marketing approval;
• commercial acceptance by patients, the medical community and third-party payors; and
• the success or failure of other anti-PVRIG, anti-TIGIT and anti-IL-18 binding protein pathway molecules.
Many of these factors are beyond our or our partners’ control, including clinical
development by us, our partners and our competitors, the regulatory submission and review process, potential threats to intellectual property
rights and the manufacturing, marketing and sales efforts of any current and future third party. If we are unable to develop, receive
marketing approval for and successfully commercialize COM701, COM902 and GS-0321 (previously COM503), on our own or with any collaborator,
or AstraZeneca is unable to do so with respect to rilvegostomig or experience delays as a result of any of these factors or otherwise,
our business could be substantially harmed.
8
We depend on enrollment
of patients in our clinical trials in order to continue development of our product candidates.
We are currently enrolling patients for our MAIA-ovarian trial and expect an interim
analysis from this trial in the first quarter of 2027. In addition, we are enrolling patients for our Phase 1 clinical trial to assess
the safety and tolerability of GS-0321 (previously COM503) as monotherapy and in combination with zimberelimab in participants with advanced
solid tumors. Our anticipated time to data in these trials is subject to our ability to enroll a sufficient number of patients that meet
our inclusion and exclusion criteria,that such number of eligible patients is sufficient for observing clinical activity, if at all and
the time needed to observe events and clinical activity. There can be no assurance that we will complete enrollment or have data from
the trial when we anticipate or at all or that our data will support the further development of our potential product candidates.
We may experience difficulties in patient enrollment in our clinical trials for a
variety of reasons. Patient enrollment is affected by many factors including the size and nature of the patient population, the eligibility
criteria for the trial, the design of the clinical trial (including being a randomized trial), the complexity in managing a large number
of sites in different geographies, the size of the patient population required for analysis of the trial’s primary endpoints, the
proximity of patients to clinical trial sites, our ability to recruit clinical trial investigators with the appropriate competencies and
experience, the number of enrolling clinical sites and time to activate the sites, our ability to obtain and maintain patient consents,
the risk that patients enrolled in clinical trials will drop out of the trials before completion or even before any/sufficient imaging
assessment, the willingness of patients to participate in our study or attend clinic visits for various reasons, including epidemic and
pandemic concerns, and competing clinical trials (including other clinical trials that we are conducting or will conduct in the future)
and clinicians’ and patients’ perceptions as to the potential advantages of the drug being studied in relation to other available
therapies, or competing drugs against the same target as well as a changing treatment landscape, including any new drugs that may be approved
for the indications we are investigating and any other changes in the regulatory landscape in the indications of interest to us. For example,
several pharmaceutical companies are conducting clinical trials with some or all of the arms in the same patient population as in our
MAIA-ovarian clinical trial and their molecules might have better clinical efficacy and/or a superior safety profile in such trials. Examples
of such studies are Abbvie’s Phase 3 clinical trial of mirvetuximab + bevacizumab (GLORIOSA), Merck’s Phase 3 trial of sacituzumab
tirumotecan maintenance treatment with or without bevacizumab (TroFuse-022/ENGOT-ov84/GOG-3103), and Genmab’s Phase 3 trial of Rina-S
Plus Standard of Care (RAINFOL-04). Also, after the successful results of Antibody-Drug Conjugates (ADCs), in the platinum resistant ovarian
patient population and of pembrolizumab in the KEYNOTE-B96 trial, some of the companies with these agents might also start clinical studies
in the maintenance setting in platinum sensitive ovarian patients.
Many pharmaceutical companies are conducting clinical trials in
patients with the disease indications that COM701, COM902, GS-0321 (previously COM503) and our future potential drug products may target.
Additionally, other pharmaceutical companies are already clinically investigating their own therapeutic candidates against PVRIG, the
target of COM701, or against TIGIT, the target of COM902, and the IL-18 pathway, which GS-0321 (previously COM503) is targeting, which
may hamper the enrollment of patients in our trials for COM701, or GS-0321 (previously COM503) and may present a higher bar for success.
For example, in the case of COM701, there are currently several PVRIG antibodies in clinical studies and several in Phase 1 clinical
trials, such as Biotheus’s (now BioNTech) PM-1009, a PVRIG/TIGIT bi-specific, Simcere’s SIM0348 a TIGIT/PVRIG bispecific antibody,
and Hefei TG ImmunoPharma’s NM1F anti PVRIG Ab.
In the IL-18 pathway field, the programs that are more advanced than GS-0321 (previously
COM503) and are in clinical-stage as of 2025 include Simcha Therapeutics’ ST-067 (DR-18), a decoy-resistant IL-18 cytokine in Phase
1/2 trials for solid and hematologic malignancies; Bright Peak Therapeutics’ BPT-567, a bifunctional PD-1/IL-18 immunocytokine in
Phase 1/2a for solid tumors; and four IL-18–armored CAR-T therapies: TmCD19-IL18 by the University of Pennsylvania in collaboration
with Kite/Gilead (Phase 1 for CD19⁺ cancers), EU-307, a GPC3-targeted IL-18–secreting CAR-T by Eutilex (Phase 1 for hepatocellular
carcinoma), huCART19-IL18 (also known as 19-28z/IL-18 CAR T cells) by the University of Pennsylvania (Phase 1 completed in B-cell lymphomas),
and CD371-YSNVZ-IL18 by Memorial Sloan Kettering Cancer Center (Phase 1 for relapsed/refractory AML).
As a result, we must compete with these competitors for clinical sites, clinicians’
interest and the limited number of patients who fulfill the stringent requirements for participation in clinical trials in general as
well as on the clinical value of our data. Our clinical trials may be delayed or terminated due to the inability to enroll enough patients
or lack of successful drug performance. The delay or inability to meet planned patient enrollment or successful results may result in
increased costs and delay or termination of our trials, which could have a harmful effect on our ability to develop products and would
materially harm our business, financial condition and results of operations and could result in the need to limit or even discontinue
our business operations.
9
Clinical trials of any product
candidates that we, or any current or future collaborators may conduct, may fail to satisfactorily demonstrate safety and/or efficacy,
and we, or any collaborator, may incur additional costs or experience delays in completing, or ultimately be unable to complete the development
and commercialization of these product candidates.
We, and any current or future collaborators, are not permitted to commercialize, market,
promote or sell any therapeutic product candidate in any jurisdiction without obtaining marketing approval from the relevant regulatory
authority, such as the FDA in case of the United States. We, and any collaborators, must complete clinical trials to demonstrate the safety
and efficacy of our therapeutic product candidates in humans before we will be able to obtain these approvals.
Clinical testing is expensive, difficult to design and implement, can take many years
to complete and is inherently uncertain as to outcome. We cannot guarantee that any clinical trials will be conducted as planned or completed
on schedule, if at all. The clinical development of our therapeutic product candidates is susceptible to the risk of failure inherent
at any stage of product development, including failure to demonstrate efficacy in a clinical trial or across population of patients, the
occurrence of adverse events that are severe or medically or commercially unacceptable, failure to comply with protocols or applicable
regulatory requirements and determination by the FDA that a therapeutic product candidate may not continue development or is not approvable.
The outcome of preclinical studies and early clinical trials may not predict the success of later clinical trials and interim results
of a clinical trial do not necessarily predict final results. A number of companies in the pharmaceutical and biotechnology industries
have suffered significant setbacks in advanced clinical trials due to lack of efficacy or unacceptable safety profiles, notwithstanding
promising results in earlier trials. Despite the preliminary safety and anti-tumor activity results reported to date from our ongoing
Phase 1 clinical trials for COM701 and COM902, we do not know whether the clinical trials we or our partners may conduct will demonstrate
adequate efficacy and safety to result in the further advancement of clinical development or regulatory approval to market COM701 and/or
COM902, or any other of our product candidates when they reach the clinic, in any particular jurisdiction or jurisdictions. The same applies
to GS-0321 (previously COM503), which entered the clinic in the beginning of 2025 and to rilvegostomig which is in multiple Phase 3, Phase
2 and Phase 1 clinical trials. It is also possible that, even if one or more of our therapeutic product candidates has a beneficial effect,
that effect will not be detected during clinical evaluation as a result of one or more of a variety of factors, including the size, patient
population, duration, design, measurements, conduct or analysis of our clinical trials, patient monitoring, the dosing we choose and other
factors.
Any inability to successfully complete clinical development could result in additional
costs to us, or any collaborators, and impair our ability to generate revenues from product sales, development, regulatory and commercialization
milestones and royalties. Moreover, if we, or any collaborators, are required to conduct additional clinical trials or repeat clinical
trials or other testing of our product candidates beyond the trials and testing that we or they contemplate, or if we, or they, are unable
to successfully complete clinical trials of our product candidates or other testing, or the results of these trials or tests are unfavorable,
uncertain or are only modestly favorable, or there are unacceptable safety concerns associated with our product candidates, we, or any
collaborators, may, among others:
• cease the development of the product candidates;
• incur additional unplanned costs;
• terminate or amend the respective collaboration, if applicable;
• not obtain approval to proceed to next development phase;
• be delayed in obtaining marketing approval for our product candidates;
• not obtain marketing approval at all;
• obtain approval for indications or patient populations that are not as broad as intended or desired;
• obtain approval with labeling that includes significant use or distribution restrictions or significant safety warnings, including boxed warnings;
• be subject to additional post-marketing testing or other requirements; or
• be required to remove the product from the market after obtaining marketing approval.
Our failure or failure of any of our collaborators, to successfully initiate and complete
clinical trials of our product candidates and to demonstrate the efficacy and safety necessary to obtain regulatory approval to market
any of our product candidates or those of our collaborators, and to successfully market these products, if approved, would significantly
harm our business, could further result in significant harm to our financial position and results of operations and could result in the
need to limit or even discontinue our business operations.
10
Clinical development involves a lengthy and
expensive process, with an uncertain outcome. We may encounter substantial delays or even an inability to begin clinical trials for any
specific product or may not be able to conduct or complete our trials on the timelines we expect.
Obtaining marketing approval from regulatory authorities for the
sale of any therapeutic product requires substantial preclinical development and then extensive human clinical trials to demonstrate the
safety and efficacy of such product candidates. It is impossible to predict when or if any of our programs or those of our collaborators
based on our target discoveries will yield products that will be approved for human testing, or if such testing is proven sufficiently
safe and effective for further development or to receive regulatory approval for marketing. Preclinical and clinical testing are expensive,
time consuming, and subject to uncertainty and require significant financial and management resources. As a company, we have limited experience
in conducting clinical trials and have never progressed a product candidate through to regulatory approval. In part because of this lack
of experience, our clinical trials may require more time and incur greater costs than we anticipate. We cannot guarantee that any of our
therapeutic drug candidates from our pipeline will be advanced into clinical trials or that our clinical trials will be conducted as planned
or completed on schedule, if at all. The outcome of preclinical testing and early clinical trials may not be predictive of the success
of later clinical trials, and interim results of a clinical trial do not necessarily predict final results. Moreover, preclinical and
clinical data are often susceptible to varying interpretations and analyses, and many companies that have believed their product candidates
performed satisfactorily in preclinical studies and clinical trials have nonetheless failed to continue to achieve such successes at later
stages of the clinical studies or to obtain marketing approval for such products.
There can be no assurance that our clinical trials will begin at
any predicted date or will be completed on schedule, if at all. We are also conducting clinical trials in additional jurisdictions outside
the United States, currently in Israel and France. The FDA or other regulatory authorities could require us to conduct additional preclinical
studies or added clinical evaluation under any IND, clinical trial application or similar regulatory filing, which may lead to delays
and increase the costs of our preclinical and clinical development programs. There may be unforeseen cultural, legal, and operational
issues that could arise in clinical trials outside of the United States impacting the timely and successful completion of our clinical
trials in new territories. These factors could lead to increased costs or delays, or even the inability to complete our clinical trials
as planned, which could adversely affect our development timelines and could cause us material harm. Moreover, even if these clinical
trials begin on time, issues may arise that could result in the suspension of or termination of such clinical trials. A failure of one
or more clinical trials can occur at any stage of testing. Events that may prevent successful or timely commencement and completion of
clinical development include:
• inability to generate sufficient preclinical, toxicology, or other data to support the initiation of clinical trials;
• lack of authorization from regulators or institutional review boards, or IRBs, or ethics committees to allow us or our investigators to amend a clinical trial or commence a clinical trial or conduct a clinical trial at a prospective trial site or continue such clinical trial;
• delays in sufficiently developing, characterizing, or controlling a manufacturing process suitable for clinical trials;
• inability to generate sufficient quantities or quality of our drug substance or drug product to support the initiation or continuation of clinical trials;
• delays in reaching a consensus with collaborators or regulatory agencies on trial design or trial amendment;
• delays in reaching agreement on acceptable terms with prospective CROs, and clinical trial sites, the terms of which can be subject to extensive negotiation and may vary significantly among different CROs and clinical trial sites;
• significantly increased spendings required by our CROs as compared to our forecasts/projected spendings;
11
• imposition of a temporary or permanent clinical hold by the FDA, or a similar delay imposed by foreign regulatory agencies for a number of reasons, including after review of an IND, other application or amendment; (i) as a result of a new safety finding that presents unreasonable risk to clinical trial participants; (ii) a negative finding from an inspection of our clinical trial operations or trial sites; (iii) developments on trials conducted by competitors for related technology that raises FDA concerns about risk to patients of the technology broadly; or (iv) if FDA finds that the investigational protocol or plan is clearly deficient to meet its stated objectives;
• failure of clinical trials of any product candidates to show safety or efficacy, which may result in additional preclinical studies or clinical trials or abandonment of product candidates development programs;
• difficulty collaborating with patient groups and investigators;
• failure by our CROs, other third parties, or us to adhere to clinical trial and related regulatory requirements;
• failure to perform in accordance with the FDA’s Good Clinical Practice, or GCP, requirements, or similar applicable regulatory guidelines in other countries;
• failure to perform in accordance with the FDA’s Good Manufacturing Practice, or GMP, requirements, or similar applicable regulatory guidelines in other countries;
• the number of patients required for clinical trials of any product candidates may be larger than we anticipate or can financially support, site activation or enrollment in these clinical trials may be more time consuming than we anticipate, or participants may drop out of these clinical trials or fail to return for post-treatment follow-up at a higher rate than we anticipate;
• delays in having patients complete their participation in a trial or return for post-treatment follow-up;
• occurrence of adverse events associated with the product candidate that are viewed to outweigh its potential benefits;
• changes in regulatory requirements and guidance that require amending or submitting new clinical protocols;
• changes in the standard of care or in the regulatory landscape on which a clinical development plan was based, which may require new or additional trials;
• the cost of clinical trials of our product candidates being greater than we anticipate;
• clinical trials of our product candidates producing negative or inconclusive results, or early results that will not be repeated in larger or future cohorts or randomized studies, which may result in our decision, or regulators requiring us, to conduct additional clinical trials or abandon product development programs;
• choosing the wrong dosing regimen and/or wrong drug combination and/or wrong patient population;
• delays or failure to secure supply agreements with suitable reagent suppliers, or any failures by suppliers to meet our quantity or quality requirements for necessary reagents; and
• delays in manufacturing, testing, releasing, validating, or importing/exporting sufficient stable quantities of our product candidates for use in clinical trials or the inability to do any of the foregoing.
Any delays in our preclinical or clinical development programs may harm our business,
financial condition and prospects significantly.
From time to time, we publicly disclose preliminary
data from our ongoing clinical trials. As more patient data become available, the data and the interpretation of the data may change.
From time to time, we publish preliminary or interim investigator assessed data from
our ongoing clinical trials. Preliminary data remain subject to audit confirmation and verification procedures that may result in the
final data being materially different from the preliminary data we previously published. Preliminary data are also subject to the risk
that one or more of the clinical outcomes may materially change as time goes by and cutoff date changes, patient enrollment continues
and with further patient monitoring where more patient data become available. As a result, preliminary data should be viewed with caution
until clinical trial completion where the final data are available. Also, data may also change upon further assessment in additional studies.
Material adverse changes in the data along the clinical development process could significantly harm our business prospects, financial
condition and results of operations.
12
Serious adverse events or undesirable side
effects or lack of efficacy may emerge in clinical trials conducted by other companies running clinical trials investigating the same
drug target as us, which could adversely affect our development programs or our capability to enroll patients or partner the program for
further development and commercialization.
We initiated a Phase 1 clinical trial for COM902, which targets TIGIT, in March 2020
at the time that additional companies had programs targeting TIGIT in advanced clinical trials, such as Roche and BeiGene (both closed
their TIGIT programs, since then) Gilead/Arcus and AstraZeneca. We have no control over their clinical trials or development programs,
and lack of or insufficient efficacy such as recently reported by Arcus and Gilead for their Phase 3 STAR-221 study evaluating a domvanalimab-based
combination in upper gastrointestinal cancers, which will be discontinued due to futility, has impact on the potential development of
COM902 and its potential to be partnered for further development and commercialization and generate revenues for us.The negative outcomes
of TIGIT trials in the recent years affects the potential development of COM902 and its potential to be partnered for further development
and commercialization and generate revenues for us.
The same risk applies to COM701 and GS-0321 (previously COM503),
both of which are in the clinic, and could also apply to any future product candidates that we may seek to develop. For a list of companies
that have programs targeting PVRIG and IL-18/IL-18BP see “Item 3. Key Information - D. Risk Factors – Risks Related to Development,
Manufacturing, Clinical Trials and Government Regulation - We depend on enrollment of patients in our clinical trials in order to continue
development of our product candidates.”
We are subject to certain manufacturing risks,
any of which could either result in additional costs or delays in completing, or ultimately make us unable to complete, the development
and commercialization of our product candidates.
The process of manufacturing biologics, in addition to the shipment and storage thereof,
is susceptible to product loss or unavailability due to contamination, degradation, instability, equipment failure, lack of critical reagents
or disposables, improper installation or operation of equipment, vendor or operator error leading to process deviations or any other factor.
Even minor deviations from normal manufacturing processes could result in reduced production yields, product defects and other supply
disruptions up to supply termination. If microbial, viral or other contaminations are discovered in our products or in the manufacturing
facilities in which our products are made, the products may need to be manufactured again and/or such manufacturing facilities may need
to be closed for an extended time to investigate and remediate the contamination. In addition, the product manufactured may be determined
at a later stage to be insufficiently stable or qualified as a therapeutic agent, even following treatment.
We have not contracted with alternate suppliers to support us in the event we experience
any problems with our current manufacturers and we believe that even if we purchase an insurance to cover financial loss, such insurance
may not suffice and even if such insurance would cover the financial loss, the result of such events may have an adverse effect which
is beyond our financial loss. If we are unable to arrange for alternative third-party manufacturing sources or are unable to reserve another
manufacturing slot with our current manufacturers or are unable to do so on commercially reasonable terms or in a timely manner, or are
unable to provide backup drug, we may incur additional costs or be delayed in the development or delivery of our current and future product
candidates, and even fail to supply drug to patients on trial treatment on time or at all, or meet other obligations, each event of which
can cause us material harm.
It may be difficult to manufacture therapeutic products addressing
our drug target candidates.
Our clinical-stage pipeline is focused mainly on therapeutic antibodies,
generated against our discovered targets. These types of therapeutics can be difficult to manufacture in the quantity and quality needed
for preclinical, clinical and commercial use. The production of therapeutic antibodies must be conducted pursuant to a well-controlled
and reproducible process and the resulting product testing must conform to defined quality standards. Should it prove to be difficult
to manufacture or repeat manufacturing, of any therapeutics addressing our drug candidates in sufficient quantities or commercial scale,
meeting the required quality standards or in an economical manner to conduct clinical trials and to commercialize any approved therapeutic
candidate, our business, financial condition and results of operations would be materially harmed.
13
We or any of our collaborators, or third-party
manufacturers, may fail to comply with regulatory and legal requirements, and we or they could be subject to enforcement or other regulatory
actions.
If we or any of our collaborators or third-party manufacturers
with whom we work or with whom we may enter into agreements in the future fail to comply with applicable federal, state or foreign laws
or regulations, or other legal obligations we or they could be subject to enforcement or other regulatory actions. These actions may include:
• warning letters;
• clinical trial holds;
• recalls, product seizures or medical product safety alerts;
• data lock or order to destroy or not use personal data;
• restrictions on, or prohibitions against, marketing such products;
• restrictions on importation of such products;
• suspension of review or refusal to accept or approve new or pending applications;
• withdrawal of product approvals;
• injunctions;
• civil and criminal penalties and fines; or
• debarment or other exclusions from government programs.
If we or our collaborators become subject to such enforcement actions, these enforcement
actions could affect the ability to successfully develop, market and sell therapeutic products based on our discoveries and could significantly
harm our financial status and/or reputation and lead to reduced acceptance of such products by the market. In addition, we may be
subject to significant civil, criminal and administrative penalties, damages, fines, disgorgement or imprisonment.
We may require companion or complementary diagnostics
and/or biomarkers for our clinical trials, or a portion of our clinical trials, and may be required to have such in order to obtain marketing
approval or commercialization of our therapeutic programs. Failure to successfully discover, develop, validate and obtain regulatory clearance
or approval for such tests could harm our patients’ selection strategy and may harm our clinical outcome.
Companion or complementary diagnostics are subject to regulation by the FDA and comparable
foreign regulatory authorities and may require separate regulatory authorization prior to commercialization. We may require for our clinical
trials or for certain portions of our clinical programs, companion diagnostics and/or biomarkers to correctly identify the right patients
for treatment. We rely on access to patient clinical and demographics data, tumor, blood samples for analysis of protein, DNA, and RNA
biomarkers. We may rely on third parties for the tumor and blood samples’ handling, processing, and analysis, discovery, development,
and validation of these potential biomarker candidates, biomarkers and/or companion diagnostics, as well as the application for and receipt
of any required regulatory authorization. If we, or the third parties we engage for this purpose, are unable to successfully discover,
validate and/or develop the required companion diagnostics and/or biomarkers for our clinical programs, or experience delays in doing
so, the development of our clinical candidates may be adversely affected and this can harm our patient selection and our clinical outcome,
as well as obtaining marketing authorization for these product candidates.
From time to time, we may also publish preliminary
biomarker data from our ongoing clinical trials. As more patient data become available, the data and the interpretation of the data may
change.
Preliminary biomarker data are subject to the risk that it may materially change as
patient enrollment continues, as assay or reagents conditions change, as selected signal cutoff changes and it remains subject to audit
confirmation and verification procedures that may result in the final data being materially different from the preliminary data we previously
published. As a result, preliminary data should be viewed with caution. Material adverse changes in the biomarker data along the clinical
development process could modify or harm our patient selection strategies, the success of our studies and could cause other damages and
could eventually significantly harm our business prospects, financial condition and results of operations.
14
Risks Related to our Discovery and Development Activities
There are risks that are inherent in the development
and commercialization of novel therapeutic products.
We and our collaborators face a number of risks of failure that are inherent in the
lengthy and costly process of developing and commercializing novel therapeutic products. These risks, which typically result in very high
failure rates even for successful biopharmaceutical companies, include, among others, the possibility that:
• we will not be able to discover additional drug targets;
• our novel target candidates will prove to be inappropriate for treatment of cancer;
• our novel target candidates will prove to be inappropriate for therapeutic product candidates;
• our novel target candidates will prove to be inappropriate for immunotherapy;
• we will not succeed in selecting the appropriate tumor type, indication or patient population for the therapeutic product candidate;
• we will not succeed in developing or choosing the appropriate monoclonal antibody, or mAb, for these targets, or the appropriate mAb isotype, or the appropriate therapeutic lead;
• we will not succeed in identifying, validating or developing a biomarker or companion diagnostic for our therapeutic product candidates;
• we will not succeed in choosing or developing the appropriate drug modality for these targets or we will not have the expertise to do so;
• our therapeutic product candidates will fail to progress to preclinical studies or clinical trials;
• our therapeutic product candidates will be found to be therapeutically ineffective;
• we will not choose or have access to the right drug combination for our therapeutic product candidates;
• we will not select or find the appropriate dosing regimen;
• our therapeutic product candidates will be found to be toxic or to have other unacceptable side effects or negative consequences;
• our therapeutic product candidates will be inferior, or not show added value, compared to competing products or the standard of care;
• our products covered by our collaborations may face internal competition from our partners’ internal pipeline;
• we or our collaborators will fail to receive required regulatory approvals;
• the discovery of drug targets and the discovery, development or commercialization of our therapeutic product candidates will infringe third-party intellectual property rights;
• the development, marketing or sale of our therapeutic product candidates will fail because of our inability or failure to protect or maintain our own intellectual property rights;
• once a product is commercially available, there will be little or no demand for it for a number of possible reasons, including lack of acceptance by the medical community or by patients, a very small patient population size, lack of or insufficient coverage and payment by third-party payors, inefficient or insufficient marketing and sales activities or as a result of there being more attractive, less risky or less expensive, products available for the same use; and
• the product will be withdrawn from the market, or sales limited due to side effects observed in clinical practice.
If one or more of these risks or any similar risks should materialize, our business,
financial condition and results of operations may be materially harmed.
15
Our computational drug target discovery activities
are primarily focused on the discovery of novel drug target candidates and our therapeutic pipeline is based on our discovered targets.
While we believe that our drug target programs represent a compelling and unique opportunity
to generate innovative therapeutics in the field of cancer immunotherapy, they require significant investment in the research and validation
of the drug target candidate and in the discovery and development of the respective therapeutic product candidate and bear high risk.
Our Unigen platform is a source for the development of innovative therapeutics in the field of cancer immunotherapy, but the inherent
lack of sufficient published scientific and clinical data to support the potential of these novel drug targets candidates to serve as
therapeutic opportunities, increases the risk of failure. Although we have built AI/ML powered computational discovery platform, branded
as Unigen, that we believe is required to scientifically validate our novel drug targets and to later translate them into therapeutic
antibody development programs, we cannot be assured that our investment in such novel discoveries will result in validated drug targets
that will enable the development of effective cancer immunotherapies, nor that we will realize success in product development or our ability
to partner and commercialize such opportunities and generate revenues.
Our approach to the discovery of therapeutic
products is based on Unigen, our AI/ML powered computational discovery platform, that is not yet fully proven clinically, and we do not
know whether we will be able to discover and develop additional potential product candidates or products of commercial value.
We utilize Unigen, our AI/ML powered computational discovery platform to identity
potential novel drug targets. It involves first identifying unmet needs in the field of cancer immunotherapy, where we believe its capabilities
would be relevant or could be developed to be relevant. We focus on the discovery of drug targets that could serve as the basis for the
development of possible treatments for patients non-responsive, refractory or relapsing to existing cancer immunotherapies. In this field,
we apply our computational discovery capabilities, or develop new capabilities, to identify novel drug targets for addressing such unmet
patient need.
While we believe that using Unigen to identify novel drug targets may potentially
enable the development of innovative therapeutics in the field of cancer immunotherapy, Unigen is not yet fully proven clinically and
our efforts may not result in the discovery and development of therapeutic products, or commercially viable or successful therapeutic
products. Moreover, AI/ML powered models may provide biased decisions, errors, or security weaknesses, create issues related to model
drift and explainability and could negatively affect Unigen and its output (and perspective by potential collaborators). Although our
approach has resulted in the discovery of several novel drug targets and their related potential first-in-class or best-in-class therapeutic
product candidates in the field of cancer immunotherapy, they are in early stages of research and development or in clinical-stage. Our
approach may not result in time savings, higher success rates or reduced costs, or clinically meaningful programs and if not, we may not
attract collaborators or develop new drugs as quickly or cost effectively or at all and therefore we may not be able to partner and commercialize
our products as expected.
We are focusing our discovery and therapeutic
development activities on therapeutic product candidates for use in immuno-oncology. Our current candidates may fail, and we may fail
to continue to discover and develop therapeutic product candidates of industry interest in this field.
The focus of our discovery and therapeutic development activities is on therapeutics
antibodies in the field of immuno-oncology for treatment of cancer. As a result, we are not undertaking internal discovery and development
activities in other therapeutic areas, and presently we only pursue activities in our area of focus. If our current candidates fail, or
if the interest in this field continue to decrease, or if the pharma interest in immuno-oncology shifts, or if the pharma interest in
drug modalities that we are not developing increases, or if we fail to continue to discover and develop therapeutic product candidates
of clinical value and medical interest in this field, or if we fail to discover therapeutic product candidates in a timely manner and
generate a sustainable clinical-stage pipeline, or if we are unable to discover drug targets, our business will likely be materially harmed.
16
There can be no assurance that our therapeutic product candidates or our earlier stage
immuno-oncology target candidates in our pipeline will provide clinical advantages or interest, that no long-term adverse effects will
be seen, or that other classes of targets or other products or modalities will not be discovered and developed with comparable or superior
attributes or clinical activity. In the event of any of these occurrences, the actual and/or perceived value of our pipeline would likely
be reduced in which case our business may be materially harmed. To date, we have signed four partnership agreements involving our therapeutic
product candidates, two of which, one with AstraZeneca and one with Gilead, are in effect. There is no assurance that we will be able
to enter into additional collaborations or agreements on reasonable terms, if at all. In addition, if we fail to continue to discover
and validate drug targets or develop product candidates of industry interest in our field of focus, our business will likely be materially
harmed. There are many risks associated with our decision to focus on immuno-oncology that include, among others:
• industry interest in this area or in specific classes/families of drug targets within this area of focus would decrease over time;
• the continued fatigue impacting the checkpoint inhibitors field;
• other modalities, such as ADCs, will continue to show beneficial clinical results in indications in which checkpoint inhibitors have failed;
• not being able to discover novel drug targets in this field;
• our full scope of target discovery capabilities may not be adequate;
• having chosen a therapeutic area with a very high degree of competition;
• having chosen a therapeutic area of great biological complexity and with very high failure rates in product development;
• long development time to meet endpoints;
• not choosing the appropriate drug modality; and
• not having sufficient knowledge, expertise, personnel or capabilities in our chosen therapeutic area to identify the right unmet medical needs, or drug targets or drug candidates, or to timely, properly and efficiently validate the targets and/or select the appropriate therapeutic antibody for further development as therapeutic product candidates, or to timely, properly or efficiently further them in development.
In each case, our failure could be due to lack of experience and expertise, delays
in our internal research programs or applying the wrong criteria or experimental systems and procedures, or selecting an inappropriate
drug modality, or unanticipated scientific, safety, activity or efficacy issues with our selected drug targets or product candidates,
with the possible result that none of our product candidates result in licensed or marketable products. If any of these risks should materialize,
our business, financial condition and results of operations would be materially harmed.
Risks Related to Our Dependence on Third Parties
We rely and expect to continue to rely on third
parties to conduct our clinical trials. These third parties may not successfully or professionally carry out their contractual duties,
comply with regulatory requirements or meet expected deadlines, and we may experience significant delays in the conduct of our clinical
trials as well as significant increased expenditures.
We do not have the ability to independently conduct clinical trials. We rely and will
continue to rely on medical institutions, clinical investigators, contract manufacturing research organizations, contract laboratories,
outsourced preclinical and clinical service providers and other third party vendors, such as CROs and advisors, to conduct or otherwise
support our clinical trials. We rely heavily and will continue to rely heavily on these parties for execution of clinical trials for COM701
and COM902, GS-0321 (previously COM503) and any other future product candidates we may take to the clinic, and we control only certain
aspects of their activities. Nevertheless, we are responsible for ensuring that each of the clinical trials we pursue is conducted in
accordance with the applicable protocol, legal and regulatory requirements and scientific standards, and our reliance on these third parties,
including our CROs, will not relieve us of our regulatory and sponsor responsibilities. For any violations of laws and regulations during
the conduct of our clinical trials, we could be subject to untitled and warning letters or enforcement action that may include civil penalties
up to and including criminal prosecution.
We believe that our financial results and the commercial prospects for COM701, COM902,
GS-0321 (previously COM503) and any other future therapeutic product candidates we may take to the clinic, would be harmed, our costs
could materially increase and our ability to conduct our clinical trials and generate revenue could be significantly adversely impacted,
if our clinical investigators, CROs or other third parties providing us services fail to successfully carry out their contractual duties
or obligations diligently and in a professional manner or fail to meet their expected deadlines.
17
We depend significantly on third parties (including
partners) to carry out the research, development and commercialization of our therapeutic product candidates. If we are unable to maintain
our existing agreements or to enter into additional agreements with such third parties, mainly collaborators, in the future, our business
will likely be materially harmed.
Our primary strategy for the development and commercialization
of products based on our drug targets and therapeutic product candidates depends on third parties to carry out and/or finance, the research,
development and commercialization of such products, principally by pharmaceutical and biotechnology companies and other healthcare related
organizations and CROs, either on their own or in collaboration with us. To date, we have entered into four partnership agreements with
respect to our drug target candidates, two of which, one with AstraZeneca and one with Gilead, are in effect. We cannot be sure that the
partnership agreements with AstraZeneca or Gilead will result in the successful development or commercialization of any product. Further,
we cannot provide assurance that we will succeed in identifying additional suitable parties or entering into any other additional agreements
on satisfactory terms or at all for the discovery, research, development and/or commercialization of our drug target or therapeutic product
candidates. If we are unable to identify such additional suitable parties or enter into new agreements on satisfactory terms, or at all,
our business will likely be materially harmed.
We rely on and expect to continue to rely completely
on third parties to manufacture and supply our preclinical and clinical drug supplies. Our business could be harmed if those third parties
fail to provide us with sufficient quantities of drug product or fail to do so at acceptable quality and quantity levels, prices or timelines.
We do not currently have, nor do we plan to acquire, the infrastructure or capability
internally to manufacture our preclinical and clinical drug supplies for use in the conduct of preclinical testing and our clinical trials,
and we lack the resources and the capability to manufacture any of our product candidates on a clinical or commercial scale. In order
to develop products, apply for regulatory approvals and commercialize our products, we need to develop, contract for, or otherwise arrange
for access to the necessary manufacturing capabilities. We rely on and expect to continue to rely on contract manufacturing organizations,
or CMOs, and other third-party contractors to manufacture formulations and produce larger scale amounts and/or commercial scale of drug
substance and drug products required for any clinical trials that we initiate and other related services. Such third parties may not be
able to deliver in a timely manner, or at all, or may fail to comply with the FDA’s current Good Manufacturing Practice, or cGMP,
to manufacture our drugs in the required quality or quantity. We have entered into manufacturing and supply agreements with third parties
for the manufacturing and respective analytics of each of COM701, COM902 and GS-0321 (previously COM503).
If we are unable to obtain or maintain adequate manufacturing sources for these product
candidates, or to do so on commercially reasonable terms and adequate timeline, quality and quantity, we may not be able to successfully
develop and commercialize our products.
We are also dependent upon these third parties with respect to critical reagents supply,
supplies required for our manufacturing and quality control, packaging, labelling, storage and others. The failure of a third-party manufacturer
or supplier to perform its obligations as expected could adversely affect our business.
If a third-party manufacturer or supplier with whom we contract fails to perform its
obligations, we may be forced to manufacture or otherwise obtain the materials ourselves, for which we do not currently and may not in
the future have the capabilities or resources, or identify and qualify a different third-party manufacturer, which we may not be able
to do timely or on reasonable terms, if at all. In some cases, the technical skills or processes required to manufacture our product may
be unique to the original manufacturer, or specific to a certain manufacturing site of the same manufacturer, and we may have difficulty
transferring such skills or processes to a back-up or alternate manufacturer or supplier, or we may be unable to transfer such skills
or processes at all. In addition, if we are required to change manufacturers for any reason, we will be required to verify that the new
manufacturer maintains facilities and procedures that comply with quality standards and with all applicable regulations and guidelines.
We will also be required to demonstrate that the newly manufactured material is similar to the previously manufactured material, or we
may need to repeat clinical trials with the newly manufactured material. The delays associated with the verification of a new manufacturer,
or the inability to repeat the manufacturing process, could negatively affect our ability to develop product candidates or commercialize
approved products in a timely manner or within budget. Furthermore, a manufacturer may possess technology related to the manufacture of
our product candidate that such manufacturer owns independently, which would increase our reliance on such manufacturer or require us
to obtain a license from such manufacturer in order to have another third-party manufacture our products.
18
Our reliance on third parties to conduct our
clinical trials and other key development activities, which heightens the risks faced by our business.
We outsource many of our clinical trials activities and other key development activities
to third parties, including major preclinical activities, clinical activities, drug development activities, research, validation, discovery,
data analytics, quality assurance and others. We do not control the third parties to whom we outsourced these functions and have limited
internal expertise to appropriately manage their activities, however, we are materially dependent on them to undertake these activities
and provide services. These third parties are not our employees and we have limited control over the amount of time and resources that
they dedicate to our programs. These third parties may have contractual relationships with other entities, some of which may be our competitors,
which may draw time and resources from our programs. The third parties with which we may contract might not be diligent, careful or timely
in conducting our preclinical studies or clinical trials, resulting in the preclinical studies or clinical trials being delayed or unsuccessful.
In addition, we may contract with third parties outside the United States, which parties may be impacted by among other things, war, political
unrest or unstable economic conditions where activities are conducted by such third parties. If these third parties fail to properly or
timely perform these activities or provide us with incorrect or incomplete services, this could lead to significant delays in the program
or even program failure, along with significant additional costs and damage. In addition, should any of these third parties fail to comply
with the applicable laws and regulations and/or research and development or manufacturing accepted standards in the course of their performance
of services for us, there is a risk that we could be held responsible for such violations of law as well. Any such failures by third parties
could have a material adverse effect on our business, financial condition or results of operations.
Moreover, we rely on vendors with whom we engage to verify the results obtained by
such third parties and in some cases, primarily with respect to clinical data, we have to rely upon the data provided by the third parties.
If we fail to identify and obtain accurate and quality data, services and/or technologies from such third parties, or if the contractual
demands of such third parties become unreasonable and we are not able to reach satisfactory agreements with such third parties, we may
lose our investment in these services, fail to receive the expected benefits from our discoveries, and our validation and development
capabilities, clinical trials or other activities or our final products, may be significantly harmed, delayed or terminated.
We may need to obtain third-party drugs for
combination with our clinical programs that may not be available to us or are available only on commercially unreasonable terms or may
not serve us as well as other drugs.
We may need to obtain certain drugs from third parties or to acquire
marketed drugs to further develop our drug candidates to work in combinations with other drugs for selected indications. If we fail
to obtain these drugs or license thereof, our drug candidates may not be sufficiently efficient, and we may not be able to pursue them
through development. We will also need to obtain certain drugs from third parties to register and commercialize our drug
candidates. If we fail to enter into collaboration with the marketing authorization holder, we may not be able to pursue our combination
drugs through registration and commercialization. Furthermore, if we pursue clinical trials with third parties to further develop our
drug candidates to work in combinations with such other drugs for selected indications and those third parties’ drugs have not received
regulatory approval for an indication of interest to us, such clinical trials may not provide us a path for registration and therefore
may not serve us best as other drug(s) in the relevant indication.
Risks Related to Competition and Commercialization
Our business model is challenging to implement
and to date has not yielded significant revenues.
Our discovery and development capabilities are designed to identify and develop novel
products in the field of immuno-oncology and enter into collaborations with potential partners with respect to such novel products in
different stages of development. Our objective under our current and any potential future collaborations is that under these collaborations,
we will have the right to receive various forms of revenues from such products or product candidates. To date, we have entered into four
collaboration agreements with respect to our pipeline programs, only two of which are currently in effect. There can be no assurance that
our current or any future agreements for novel targets based on our discoveries and associated product candidates will be successful and
thus provide significant revenues to us, nor can there be any assurance that we will be able to enter into additional future agreements.
If we are unable to succeed in securing additional license agreements or other collaboration arrangements related to our discoveries and
product candidates, our business may be materially harmed.
Currently we have an ongoing collaboration with AstraZeneca, pursuant to which rilvegostomig,
a PD-1/TIGIT bispecific antibody with a TIGIT component that is derived from our COM902 program, is currently in multiple Phase 3, Phase
2 and Phase 1 clinical trials, and a collaboration with Gilead, pursuant to which we granted Gilead an exclusive license under our preclinical
antibody program against IL-18 binding protein and all intellectual property rights subsisting therein, to use, research, develop, manufacture
and commercialize products, including our GS-0321 (previously COM503) product candidate, which is currently in a Phase 1 clinical trial,
and additional products that may be so developed by Gilead. In addition, we have two clinical programs fully owned by us, COM701 and COM902,
that are available for partnering arrangements.
19
There can be no assurance that we will be able to establish collaborations for COM701
or COM902 or any collaboration for our early-stage programs or maintain our existing collaborations. Failure to enter into new collaborations
may materially harm our business. The research and validation data generated to date for our early-stage pipeline and the clinical data
generated for COM701 and COM902 (together with additional data generated by others with respect to PVRIG and TIGIT immune checkpoints),
may fail to draw interest of potential partners or may even harm our efforts with negative data. Furthermore, our drug target candidates
or therapeutic product candidates may not fit potential partners’ corporate or clinical strategy or may present an insufficient
market competitive edge, or not at all. These companies may require more data, including their independent testing of our early-stage
therapeutic product candidate, before considering a collaboration. We are therefore dependent on the potential fit of our programs with
individual pharmaceutical company strategies and there can be no assurance that we will be able to identify additional partners interested
in our programs at their current stages. This may adversely affect our ability to enter into additional agreements for the research, development,
license or other form of collaborative arrangements of our therapeutic product candidates, and as a result may harm our business.
We operate in a highly competitive and rapidly
changing industry which may result in others discovering, developing or commercializing competing products ahead of us or more successfully
than we do.
The biotechnology and biopharmaceutical industries are highly competitive, characterized
by rapid and significant technological advancements. Our success is highly dependent upon our ability to identify, research and develop
innovative therapeutic products based on novel drug targets. In doing so, we face and will continue to face intense competition from a
variety of businesses, including large, fully integrated, well-established pharmaceutical companies, specialty pharmaceutical and biopharmaceutical
companies, biotech companies, academic institutions, government agencies and other private and public companies and research institutions.
Many of the companies against which we are competing or against which we may compete
in the future have significantly greater resources and expertise in research and development, manufacturing, preclinical testing, conducting
clinical trials, obtaining regulatory approvals and marketing approved drugs than we do. These competitors and others may develop competing
products targeting the same mechanisms, the same drug targets and pathways as our products, or the same therapeutic indications and they
can leverage their resources or use different approaches than we do to receive marketing approval before our products.
While in the cancer immunotherapies space there have been positive clinical results
reported by others resulting in some products obtaining approval from the FDA, such as clinical results reported for other drug modalities,
specifically ADCs there have been several failures recently, such as Roche’s TIGIT failures in SKYSCRAPER‑06/07/03/14, Merck’s
TIGIT failures in Keyvibe-008/010/002, Arcus/Gilead’s TIGIT failure in STAR‑221, and pembrolizumab failure in KEYNOTE-867.
This contrasts with some of the positive clinical results reported for other drug modalities, specifically ADCs.
These third parties also compete with us in recruiting and retaining qualified scientific,
drug development and management personnel and advisors, establishing clinical trial sites and patient enrollment for clinical trials,
as well as in acquiring technologies complementary to, or necessary for, our programs. Mergers and acquisitions in the biopharmaceutical
industry could result in even more resources being concentrated among a small number of our competitors or a change in potential acquirers’
preferences.
In addition to the competition we face in the drug target space, we also face competition
in the drug modality field. Technological breakthroughs in new modalities will be a key driver of growth for the biopharma industry
over the next decade. Drug discovery and development have undergone an impressive transformation over recent years driven by the emergence
of new drug modalities. This expansion in innovative drug modalities has provided an impressive drug modality toolbox to enhance the drug
effectiveness and also allow to enhance the potential from such targets that the efficacy of a naked antibody targeting these drug targets
has been limited. Such drug modalities include, among others, bi-specifics and tri-specifics antibodies, T cell engagers (TCE), cell therapies,
antibody drug conjugates (ADCs), small molecules such as protein degraders, molecular glues, and oligonucleotides based mRNA therapeutics.
An example of a drug modality gaining a lot of interest and attention are the ADCs, with fifteen (15) FDA approvals as of 2025 and more
than 100 ADCs drugs at different stages of clinical trials. Another field which has gained a lot of pharma interest is the T cell Engagers
(TCE) field, following the FDA approval for tarlatamab, a DDL3 TCE, for extensive-stage small cell lung cancer in May 2024.
20
Competition may further increase as a result of advances in the commercial applicability
of computational technologies similar to Unigen, our AI/ML powered computational discovery platform, and greater availability of capital
for investment in these AI/ML based industries. Over the last several years, there has been an increase in the interest of pharmaceutical
companies, the healthcare community and the investment community in applying computational advanced methodologies, mostly Artificial Intelligence
(AI) and Machine Learning (ML) algorithms, to the field of drug discovery, drug design, drug development, precision medicine, manufacturing,
clinical trials and digital health. This interest may be seen in the increase in the number of companies within the pharmaceutical and
biotech industries which focus on this area, including by establishing internal AI and/or ML capabilities or receiving investments or
entering into partnerships or acquisitions in furtherance thereof. Several companies that utilize AI/ML for target discovery in the field
of immuno-oncology/cancer and have done recent deals over the past 2 years on target discovery include Cartography, Caris Life Sciences,
TrexBio, OBT, AITIA, InSilico Medicine, Disco Pharmaceuticals, InduPro Therapeutics, and Noetik. Our competitors may succeed in discovering
targets and therefore also develop product candidates that are competitive with ours either with or without the use of advanced technologies
such as AI and ML, which could have a material adverse impact on our business, operations and financial results.
In addition, China’s biotech sector has emerged as a significant competitive
force in our industry, as a source of innovation, a hub for clinical trials, and a partner in global deals. This reflects a pivotal shift
(first seen in 2023) whereby China’s biotechs increasingly license out drug candidates, underscoring China’s role as a growing
source of novel therapies. At the same time, China has become a major hub for clinical trials. Global drug developers are increasingly
conducting trials in China to tap into its large patient populations, faster enrollment, and cost efficiencies. Furthermore, Chinese biotechs
have become indispensable partners in global biotech collaborations and deals. The total number of biopharma deals involving Chinese companies
reached 142 in 2025 (slightly above 2024’s volume), and the cumulative value of these China-related partnerships is increasing.
Notably, recent years saw multiple high-profile alliances, for instance, Pfizer’s $1.25 billion licensing of a cancer antibody
from China’s 3SBio, and a collaboration between GSK and Hengrui Pharmaceuticals valued up to $12 billion, demonstrating that
China is now a key player in advancing new therapeutics. This intensifying innovation output from, and engagement with, China’s
biotech industry heightens the competitive pressures we face.
In addition, there is a trend towards mergers and acquisitions in the pharmaceutical,
diagnostic and biotechnology industry, which may result in the remaining companies having greater financial resources and discovery and
technological capabilities, thus intensifying competition in our industry. Although overall deal volume declined in 2025, the total
value of pharma and life sciences M&A surged. In 2025, the number of M&A transactions fell by about 12% compared to 2024, but
total deal value climbed roughly by 81% (to around $240 billion globally) as companies pursued fewer but larger acquisitions.
Moreover, it is possible that because of adverse or volatile capital market conditions,
companies may be willing to enter into mergers and acquisition transactions or other sale of asset transactions on terms more favorable
to acquirer and thereby further intensify competition. This trend together with the surge in China based out-licensing deals as specified
above may also result in fewer potential collaborators or licensees for our therapeutic product candidates. Also, if a consolidating company
is already doing business with our competitors, we may lose existing or potential licensees or collaborators as a result of such consolidation.
Additionally, if a consolidating company is already doing business with us, we may lose the interest of the consolidating parties in partnering
with us as a result of a modified strategy, new priorities, competition and revised capabilities or portfolio of such consolidated entity.
This trend may adversely affect our ability to enter into agreements for the development and commercialization of our therapeutic product
candidates or to keep current collaboration in place or on-track and as a result may harm our business.
21
Established biopharmaceutical companies may invest heavily to accelerate discovery
and development of novel drug targets or therapeutic products or to in-license novel drug targets or therapeutic products that could make
our product candidates less competitive. In addition, any new product that competes with an approved product must demonstrate compelling
advantages in efficacy, compliance regimen, tolerability, safety and more in order to overcome price competition and to be commercially
successful. Accordingly, our competitors may succeed in obtaining patent protection, discovering, developing, receiving FDA approval for
or commercializing drugs before we do, which would have an adverse impact on our business and results of operations.
Potential collaborators, including major pharmaceutical
companies, might be hesitant to pursue target validation and preclinical and clinical development programs based on novel targets lacking
robust experimental scientific support, particularly those discovered through a computational discovery approach.
There is a need for new drug targets generating new treatment options for patients
who are non-responsive or refractory to current immunotherapies. Our business model includes selectively entering into collaborations
for novel targets and related therapeutic product candidates at various stages of research and development under various revenue-sharing
arrangements. Entering into collaborations with product candidates and targets at an early validation stage or drug discovery stage is
significantly more challenging than identifying partnerships for later-stage products that would have a more complete data package to
support their clinical, business and commercial potential. In addition, although we have demonstrated success in validating our computational
discovery capabilities with product candidates in human clinical trials, major pharmaceutical companies may be hesitant to enter into
early-stage collaborations based on novel discovered targets, more so if discovered by computer prediction and has no or limited published
scientific support, as opposed to drug targets backed with human clinical trial data, or product candidates with significant published
experimental validation and scientific support. Therefore, we cannot assure that our business model to enter into partnering arrangements
for our early-stage novel targets and product candidates will be successful.
The process relating to entering
into potential collaboration agreements is complex and long to implement and, if we are not able to establish collaborations on commercially
reasonable terms, we may expend substantial funds and management resources with no assurance of success.
In general, each potential license agreement or other form of collaboration we may
enter into will require negotiating with our potential collaborator, a large number of scientific, legal and business terms and conditions
that can vary significantly in each instance due to the specific drug target or therapeutic product candidate or candidates involved,
the program stage, the potential market opportunity, the potential collaborator’s licensing, development and business operations
and strategy, and competition in the partnering and business development space. The accommodation of these requirements mandates thorough
consideration of both the scientific and business aspects of each transaction.
Whether we reach a definitive agreement for new collaborations will depend, among
other things, upon our assessment of the collaborator’s resources, capabilities and expertise, the terms and conditions of the proposed
collaboration, the proposed collaborator’s evaluation of our business, drug targets and therapeutic product candidates, and the
competition in the business development space. We may not be successful in our efforts to establish a collaboration or other alternative
arrangements for future product candidates because they may be deemed to be at too early of a stage of development for collaborative effort
and third parties may not view them as having the requisite potential to demonstrate safety and efficacy or may find any other development
hurdles and challenges as a limiting factor. If we are unable to do so, we will need to expend substantial funds and substantial key personnel
time and other effort into these business development activities (including pursuing further development) with no assurance of successfully
entering into agreements with potential collaborators and this could harm our business.
We rely on our computational discovery capabilities
to identify drug targets. Our competitive position could be materially harmed if our competitors develop capabilities similar to ours
and identify and develop rival drug targets and product candidates.
We rely on know-how and other proprietary computational processes, data and tools
to maintain our competitive computational discovery position. We consider know-how to be our primary intellectual property with respect
to our computational discovery capabilities. Know-how can be difficult to protect and enforce. In particular, we anticipate that with
respect to our capabilities, this know-how may over time be disseminated within the industry through independent development and the movement
of skilled personnel.
22
We cannot rule out that our competitors may have or obtain the knowledge necessary
to identify and develop therapeutic products based on drug targets that could compete with the drug targets we identify. Our competitors
may have significantly greater experience in artificial intelligence, computer sciences, algorithmic tool development and alike to identify
targets and greater experience in using translational science to develop product candidates and may also have significantly greater financial,
product development, scientific, technical and human resources than we do to discover novel drug targets and develop product candidates.
We may not be able to prohibit our competitors from using methods to identify and
develop product candidates, including such methods that are the same as or similar to our own. Since our competitors develop products
that compete with COM701, COM902 or GS-0321 (previously COM503) or any future product candidates we develop, it may affect our ability
to develop and commercialize these product candidates substantially, which could have a material adverse effect on our business prospects,
financial condition, and results of operations.
The biotechnology and pharmaceutical industries
are highly competitive, and we may be unable to compete effectively.
The biotechnology and pharmaceutical industries in general, and the immuno-oncology
field in particular, are highly competitive. Numerous entities in the United States, Europe, China and elsewhere compete with our efforts
to discover, validate, develop and partner with licensees and/or collaborators to commercialize drug target and therapeutic products candidates.
Clinical trial failures of novel agents in the immuno-oncology field may adversely impact our ability to sign collaborations, and as a
result we may be required to advance our programs into clinical development and show clinical proof of concept before we may attract potential
collaborators, or we will need to discontinue the programs development. Our competitors include pharmaceutical and biotechnology companies,
academic and research institutions and governmental and other publicly funded agencies. We face, for COM701, COM902, and GS-0321 (previously
COM503), and expect to continue to face for our future therapeutic product candidates, competition from these entities to the extent they
develop products that have a function similar or identical to or competing with the function of our therapeutic product candidates in
the field of immuno-oncology that may attract our potential collaborators or that may reach the market sooner. We also face, and expect
to continue to face, competition from entities that seek to develop technologies that enable the discovery of novel targets and therapeutic
agents in the field of immuno-oncology. These competitors include traditional pharmaceutical and biotechnology companies and additionally,
an increasing number of new entities looking to apply computer science, bioinformatics, AI or ML technologies to the field of target discovery.
We also expect to face increasing competition from entities that develop new therapeutic modalities addressing the same drug targets or
clinical needs. Many of our competitors have one or more of the following:
• much greater financial, technical and human resources than we have at every stage of the discovery, development, manufacture and commercialization process;
• more extensive experience in computational discovery, preclinical testing, conducting clinical trials, obtaining regulatory approvals, and in manufacturing and marketing therapeutics;
• more extensive experience in oncology and immuno-oncology and in the fields of therapeutic antibodies;
• accessibility to enhanced technologies that may result in better products;
• access to and experience in the development of therapeutic modalities that are competitive to mAb therapeutics;
• more extensive experience in oncology and immuno-oncology and in the field of target discovery;
• more extensive experience in the research and development of biological or genetic markers to determine response of or responders to therapeutic agents or for patient selection;
• greater accessibility to data and proprietary data from patients;
• access to internally developed, proprietary technologies for the discovery, research, development, or manufacturing of therapeutic agents;
• greater resources and means to compete with us on target discovery and as well as in acquiring or generating technologies complementary to, or necessary for, our programs as well as in recruiting and retaining qualified scientific and management personnel and establishing clinical trial sites;
23
• products that have been approved or are in late stages of development and in many cases, PD-1 or PDL-1 inhibitors that are serving or will be serving as the backbone of cancer immunotherapy;
• reduced reliance on collaborations or partnerships with third parties in order to further develop and commercialize competitive therapeutic products; and
• collaborative arrangements in our target markets with leading companies and research institutions.
Since we are a small company with limited human and financial resources, we are not
able to work with a large number of collaborators in parallel and/or advance a large number of drug targets or therapeutic product candidates
in parallel. Our competitors may develop or commercialize products with significant advantages over any therapeutic products we, our collaborators
or third-party licensees, may develop. They may also obtain patents and other intellectual property rights before us, or broader than
ours, and thereby prevent us from pursuing the development and commercialization of our discoveries. They may also develop products faster
than us and therefore limit our market share. Our competitors may therefore be more successful in developing and/or commercializing products
than we, our collaborators, or third-party licensees are, which could adversely affect our competitive position and business. If we are
unable to compete successfully against existing or potential competitors, our financial results and business may be materially harmed.
Healthcare policy is volatile and changes in
healthcare policy could increase our expenses, decrease our revenues and impact sales of, and reimbursement for, our products.
Our ability to commercialize our future therapeutic product candidates successfully,
alone or with collaborators, will depend in part on the extent to which coverage and reimbursement for these product candidates will be
available from government health programs, such as Medicare and Medicaid in the United States, private health insurers and other third-party
payors. At present, significant changes in healthcare policy, in particular the continuing efforts of the U.S. and other governments,
insurance companies, managed care organizations and other payors to contain or reduce health care costs are being discussed, considered
and proposed. Drug prices in particular are under significant scrutiny and continue to be subject to intense political and societal
pressures, which we anticipate will continue and escalate on a global basis.
For example, in the United States, there have been several initiatives implemented
to achieve these aims. The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Affordability Reconciliation
Act, or collectively, the ACA, represents the biggest regulatory overhaul to the health care system in decades and substantially changes
the way health care is financed by both governmental and private insurers. Since its enactment, there have been congressional, judicial,
and executive challenges and amendments to the ACA, which have resulted in delays in the implementation of, and action taken to repeal
or replace, certain aspects of the ACA. For example, on July 4, 2025, the One Big Beautiful Bill Act, or the OBBBA, was signed into law,
which narrowed access to ACA marketplace exchange enrollment and declined to extend the ACA enhanced advanced premium tax credits that
expired at the end of 2025, which, among other provisions in the law, are anticipated to reduce the number of Americans with health insurance.
The OBBBA also is expected to reduce Medicaid spending and enrollment by implementing work requirements for some beneficiaries, capping
state-directed payments, reducing federal funding, and limiting provider taxes used to fund the program. Congress is considering proposed
legislation intended to further reduce healthcare costs with alternatives to replace the expired ACA subsidies. It is possible that the
ACA will be subject to judicial or congressional challenges or additional health reform measures of the Trump administration will impact
the ACA and our business.
The current administration is pursuing policies to reduce regulations and expenditures
across government agencies including at the U.S. Department of Health and Human Services, or HHS, the FDA, the Centers for Medicare &
Medicaid Services, and related agencies. These actions, presently directed by executive orders or memoranda from the Office of Management
and Budget, may propose policy changes that create additional uncertainty for our business. For example, the current administration has
announced agreements with several pharmaceutical companies that require the drug manufacturers to offer, through a direct-to-consumer
platform (TrumpRx), U.S. patients and Medicaid programs prescription drug Most-Favored Nation pricing equal to or lower than those paid
in other developed nations, with additional mandates for direct-to-patient discounts and repatriation of foreign revenues. Other recent
actions, for example, include (1) directing agencies to reduce agency workforce and cut programs; (2) directing HHS and other agencies
to lower prescription drug costs through a variety of initiatives; (3) imposing tariffs on imported pharmaceutical products; and (4) as
part of the Make America Healthy Again (MAHA) Commission’s Strategy Report released in September 2025, working across government
agencies to increase enforcement on direct-to-consumer pharmaceutical advertising. Additionally, the current administration recently called
on Congress to enact “The Great Healthcare Plan,” to codify and expand Most-Favored Nation pricing, lower government subsidies
to private insurance companies, increase healthcare price transparency, expand pharmaceutical drugs available for over-the-counter purchase,
and enact restrictions on pharmacy benefit manager (PBM) payment methodologies, among other things. These actions and policies may significantly
reduce U.S. drug prices, potentially impacting manufacturers’ global pricing strategies and profitability, while increasing their
operational costs and compliance risks. In June 2024, the U.S. Supreme Court’s Loper Bright decision greatly reduced judicial deference
to regulatory agencies, which could increase successful legal challenges to federal regulations affecting our operations. Congress may
introduce and ultimately pass health care related legislation that could impact the drug approval process.
24
At the state level, legislatures have increasingly passed legislation and implemented
regulations designed to control pharmaceutical and biological product pricing, including price or patient reimbursement constraints, discounts,
and restrictions on certain product access. In some cases, such legislation and regulations have been designed to encourage importation
from other countries and bulk purchasing.
We expect that any other healthcare reform measures that may be adopted in the future,
may result in additional reductions in Medicare and other healthcare funding, more rigorous coverage criteria, new payment methodologies
and additional downward pressure on the price that we receive for any approved product. Any reduction in reimbursement from Medicare or
other government programs may result in a similar reduction in payments from private payors. The implementation of cost containment measures
or other healthcare reforms may prevent us from being able to generate revenue, attain profitability or commercialize our product candidates,
if approved.
We also conduct clinical trials in France and Israel. Recent regulatory and policy
developments in these countries, such as the implementation of the EU Clinical Trials and Health Technology Assessment Regulations in
France, and Israel’s accelerated drug registration framework and evolving reimbursement criteria, may impact our clinical development
timelines, increase compliance costs, and affect pricing and market access for our products.
In addition, our current and future business operations, including, among other things,
our clinical research activities and our business and financial arrangements and relationships with healthcare providers, physicians and
other parties through which we may market, sell and distribute our products, once approved, may be subject to extensive U.S. federal,
U.S. state, Israel, France and foreign healthcare fraud and abuse, transparency, manufacturer/distributor licensing, and data privacy
and security laws. If we are found to be in violation of any of these laws, we could be subject to significant civil, criminal and administrative
penalties, including damages, fines, disgorgement, imprisonment, exclusion from participation in government healthcare programs, additional
integrity oversight and reporting obligations, contractual damages, reputational harm and the curtailment or restructuring of our operations.
The commercial success of our products depends
on the availability and sufficiency of third-party payor coverage and reimbursement.
Market acceptance of drug products is dependent on the extent to which coverage and
reimbursement is available from third-party payors. Significant uncertainty exists as to the coverage and reimbursement status of any
products for which we may obtain regulatory approval. Coverage decisions may not favor new products when more established or lower cost
therapeutic alternatives are already available. Even if we obtain coverage for a given product, the associated reimbursement rate may
not be adequate to cover our costs, including research, development, intellectual property, manufacture, sale and distribution expenses,
or may require co-payments that patients find unacceptably high. Patients are unlikely to use our products unless reimbursement is adequate
to cover all or a significant portion of the cost of our products.
Coverage and reimbursement policies for products can differ significantly from payor
to payor as there is no uniform policy of coverage and reimbursement for products among third-party payors in the United States. There
may be significant delays in obtaining coverage and reimbursement as the process of determining coverage and reimbursement is often time
consuming and costly which will require us to provide scientific and clinical support for the use of our products to each payor separately,
with no assurance that coverage or adequate reimbursement will be obtained. It is difficult to predict at this time what government authorities
and third-party payors will decide with respect to coverage and reimbursement for our drug products. Further, coverage policies and third-party
payor reimbursement rates may change at any time. Even if favorable coverage and reimbursement status is attained for a product for which
we receive regulatory approval, less favorable coverage policies and reimbursement rates may be implemented in the future.
25
Additionally, the containment of healthcare costs has become a priority of federal
and state governments, and the prices of drugs have been a focus in this effort. The U.S. government, state legislatures and foreign governments
have shown significant interest in implementing cost-containment programs, including price controls, restrictions on reimbursement and
requirements for substitution of generic drugs. For example, HHS imposes rebates on many Medicare Part B and Medicare Part D products
to penalize price increases that outpace inflation on an annual basis. In addition, HHS has been empowered to negotiate the price to negotiate
the price of certain single-source biologics that have been on the market for at least eleven (11) years covered under Medicare as part
of the Medicare Drug Price Negotiation Program. Each year up to twenty (20) products will be selected by HHS for the Medicare Drug Price
Negotiation Program. Products subject to the Medicare Drug Price Negotiation Program are expected to experience a significant reduction
in reimbursement from the Medicare program on a per unit basis.
Additionally, we or our collaborators may develop companion diagnostic tests for use
with our product candidates. We, or our collaborators, will be required to obtain coverage and reimbursement for these tests, separate
and apart from the coverage and reimbursement we seek for our product candidates, once approved. While we have not yet developed any companion
diagnostic test for our product candidates, if we or our collaborators do, there is significant uncertainty regarding our ability to obtain
coverage and adequate reimbursement for the same reasons applicable to our product candidates.
Risks Related to our Operations
Given our level of managerial, operational,
financial and other resources, our current activities and future growth may be limited.
We manage our operations, including research and development, clinical trials and
preclinical development activities with a limited workforce, which is spread globally, and by using third parties to provide us with services
that we do not possess in-house. Our personnel, systems and facilities currently in place may not be adequate to support our current activities
or future growth.
If we are unable to maintain or expand our managerial, operational, financial and
other resources to the extent required to manage our current and planned activities, our business may be materially adversely affected.
We may be unable to hire or retain key personnel
or sufficiently qualified management, clinical and scientific personnel.
Our business is highly dependent upon the continued services of our senior management
and key scientific and clinical personnel. While members of our senior management and other key personnel have entered into employment
or consulting agreements and non-competition and non-disclosure agreements with us, they can terminate these agreements at any time without
cause. We cannot be sure that these key personnel and others will not leave us or compete with us, which could harm our business activities
and operations.
It can also be difficult for us to find employees with appropriate experience for
our business, which difficulty is further heightened when seeking experienced personnel in Israel and particularly considering the current
instability and heightened tensions in Israel and the Middle East. We require a multidisciplinary approach and some of our researchers
require an understanding of both exact and biological sciences. In addition, we require experience in drug and clinical development and
immuno-oncology, for which there is significant competition for highly qualified personnel in these fields. As a result, and taking into
consideration the ongoing situation in Israel and the middle East and the effect thereof outside of Israel, we may face higher than average
employee turnover or challenges in hiring due to such competition.
The competition for qualified personnel in the pharmaceutical and biotech industry
is intense. The loss of service of any of our key personnel could harm our business. Due to our limited resources, we may not be able
to effectively retain our existing key personnel or attract and recruit additional qualified key personnel.
26
Our information technology systems, or those
of the third parties upon whom we rely, including our cloud and SaaS providers, CROs or other contractors or consultants, may fail or
suffer security breaches, which could result in a material disruption to our business, as well as to regulatory investigations or actions;
litigation; fines and penalties; reputational harm; loss of revenue and other adverse consequences.
We, and the third parties upon whom we rely, process, collect,
receive, store, generate, use, transfer, disclose, make accessible, protect, secure, dispose of, transmit, and share (collectively, process)
proprietary, confidential, and sensitive data, including personal data (such as health-related data and clinical trial data), intellectual
property, trade secrets and other sensitive data (collectively, sensitive information). Our business is increasingly dependent on critical,
complex and interdependent information technology systems to support business processes as well as internal and external communications.
Despite the implementation of security measures, our information technology systems, cloud-based computers and those of the third parties
upon whom we rely, including without limitation our CROs and other contractors and consultants, are vulnerable to damage.
Cyber-attacks, malicious internet-based activity, online and offline fraud, and other
similar activities threaten the confidentiality, integrity, and availability of our sensitive information and information technology systems,
and those of the third parties upon which we rely. Such threats are prevalent and continue to rise, are increasingly difficult to detect,
and come from a variety of sources, including traditional computer “hackers,” threat actors, “hacktivists,” organized
criminal threat actors, personnel (such as through theft or misuse), sophisticated nation states, and nation-state-supported actors. Some
actors now engage and are expected to continue to engage in cyber-attacks, including without limitation nation-state actors for geopolitical
reasons and in conjunction with military conflicts and defense activities. During times of war and other major conflicts, including the
current situation in Israel, we or the third parties upon which we rely may be vulnerable to a heightened risk of these attacks, including
retaliatory cyber-attacks, that could materially disrupt our systems and operations. For example, we have operations in Israel, where
businesses have experienced an increase in cyberattacks in relation to the Israel/Hamas, Hezbollah and Iran conflict.
Our information technology systems, and those of the third parties upon which we rely,
are vulnerable to a variety of evolving threats including, but are not limited to, social-engineering attacks (including through deep
fakes, which may be increasingly more difficult to identify as fake, and phishing attacks), malicious code (such as viruses), malware,
denial-of-service attacks, credential stuffing attacks, credential harvesting, personnel misconduct or error, ransomware attacks, supply-chain
attacks, server malfunctions, software or hardware failures, attacks enhanced or facilitated by artificial intelligence, or other disruptive
events including but not limited to natural disasters such as fire, storm, flood, power loss, earthquakes, telecommunications failures,
physical or software break-ins or similar events.
In particular, severe ransomware attacks are becoming increasingly prevalent and can
lead to significant interruptions in our operations, loss of sensitive information, reputational harm, and diversion of funds. Extortion
payments may alleviate the negative impact of a ransomware attack, but we may be unwilling or unable to make such payments due to, for
example, applicable laws or regulations prohibiting such payments.
Remote work has increased risks to our information technology systems and sensitive
information, as more of our employees utilize network connections, computers and devices outside our premises or network, including working
at home, while in transit and in public locations.
We rely on certain third parties, including service providers, vendors, and partners,
and their technologies to operate critical business systems to process sensitive information in a variety of contexts, including, without
limitation, cloud-based infrastructure, data center facilities, encryption and authentication technology, employee email and other communication
functions, and other functions, and to provide other services necessary to operate our business, including our CROs and to keep our financial
and corporate records. Our ability to monitor these third parties’ information security practices is limited, and these third parties
may not have adequate information security measures in place. If the third parties upon which we rely experience a security incident or
other interruption, which has occurred in the past, we could experience adverse consequences. While we may be entitled to damages if the
third parties upon which we rely fail to satisfy their privacy or security-related obligations to us, any award may be insufficient to
cover our damages, or we may be unable to recover such award. In addition, supply-chain attacks have increased in frequency and severity,
and we cannot guarantee that third parties’ infrastructure in our supply chain or the third parties’ upon whom we rely supply
chains have not been or will not be compromised.
27
It may be difficult or costly to detect, investigate, mitigate, contain, and remediate
a security incident. Our efforts to do so may not be successful. Actions taken by us or the third parties upon whom we rely to detect,
investigate, mitigate, contain, and remediate a security incident could result in outages, data losses, and disruptions of our business.
Threat actors may also gain access to other networks and systems after a compromise of our networks and systems.
Any of the previously identified or similar threats have in the past and may in the
future cause a security incident or other interruption that have in the past and may in the future result in unauthorized, unlawful, or
accidental acquisition, modification, destruction, loss, alteration, encryption, disclosure of, or access to our data or data held by
us or the third parties upon whom we rely (including personally identifiable information, personal data, other confidential information,
or other sensitive information). For example, we have been the target of phishing attacks in the past, and expect such attacks will continue
in the future. A security incident or other interruption could disrupt our ability (and that of third parties upon whom we rely) to continue
our operations.
While we have implemented security measures designed to protect against security incidents,
there can be no assurance that these measures will be effective. We take steps designed to detect, mitigate, and remediate vulnerabilities
in our information systems (such as our hardware and/or software, including that of third parties with whom we work). We have not and
may not in the future, however, detect and remediate all such vulnerabilities, including on a timely basis. Further, we may experience
delays in developing and deploying remedial measures and patches designed to address identified vulnerabilities. Vulnerabilities could
be exploited and result in a security incident.
We may expend significant resources or modify our activities to try to protect against
security incidents. Certain data privacy and security obligations may require us to implement and maintain specific security measures
or industry-standard or reasonable security measures to protect our information technology systems and sensitive information. Applicable
data privacy and security obligations may require us, or we may voluntarily choose, to notify relevant stakeholders, including affected
individuals, customers, regulators, and investors, of security incidents, or take other actions. Such disclosures are costly, and the
disclosure or the failure to comply with applicable requirements could lead to adverse consequences.
If we or the third parties upon whom we rely experience (or are perceived to have
experienced) a security breach or other incident or disruption, which has occurred in the past, we may experience material adverse consequences,
including but not limited to, government enforcement actions (e.g., investigations, fines, penalties, audits, and inspections), federal,
state and/or foreign data breach notification obligations, additional reporting requirements and/or oversight, restrictions on processing
data (including clinical trial data and other personal data), litigation, indemnification obligations, loss of data (including clinical
trial data and other sensitive information) or damage to the integrity of that data, negative publicity, reputational harm, monetary fund
diversions, interruptions in our operations, financial loss, and other similar harms. Such attendant consequences may interrupt our clinical
trials, reduce demand for our product candidates, and delay or negatively impact the development and commercialization of our product
candidates and ability to grow and operate our business. For example, the loss of clinical trial data from the clinical trials of our
therapeutic product candidates could result in delays in our regulatory approval efforts and significantly increase our costs to recover
or reproduce the data. Furthermore, our contracts may not contain limitations of liability, and even where they do, there can be no assurances
that limitations of liability in our contracts are sufficient to protect us from liabilities, damages, or claims related to our data privacy
and security obligations. We cannot be sure that our insurance coverage will be adequate or sufficient to protect us from or to mitigate
liabilities arising out of our privacy and security practices, that such coverage will continue to be available on commercially reasonable
terms or at all, or that such coverage will pay future claims.
We are subject to stringent and changing obligations
related to data privacy and security. Failure or perceived failure to comply with current or future obligations could lead to government
enforcement actions (which could include civil or criminal penalties), private litigation, and/or adverse publicity and could negatively
affect our operating results and business.
We and the third parties upon whom we rely process sensitive information and are subject
to numerous data privacy and security obligations, such as various federal, state, local and foreign data laws, regulations, guidance,
industry standards, external and internal privacy and security policies, contracts, and other obligations that govern the processing of
personal data by us and on our behalf. In addition to existing privacy regulations, the emergence of new regulatory frameworks, such as
those addressing artificial intelligence, increasingly intersect with privacy and data protection requirements. These regulations may
impose additional compliance obligations related to using, storing, and processing personally identifiable information.
28
In the United States, numerous federal, state, and local laws and regulations, including
federal health information privacy laws, state data breach notification laws, state health information privacy laws and federal and state
consumer protection laws, that govern the collection, use, disclosure and protection of health-related and other personal data may apply
to our operations or the operations of the third parties upon which we rely. For example, the federal Health Insurance Portability and
Accountability Act of 1996, or HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act, or HITECH,
imposes specific requirements relating to privacy, security, and transmission of individually identifiable health information. As another
example, the Controlling the Assault of Non-Solicited Pornography and Marketing Act of 2003, or the CAN-SPAM imposes specific requirements
on our correspondence with subscribers for email communication.
Numerous U.S. states have enacted comprehensive privacy laws that impose certain obligations
on covered businesses, including providing specific disclosures in privacy notices and affording residents with certain rights concerning
their personal data. As applicable, such rights may include the right to access, correct, or delete certain personal data, and to opt-out
of certain data processing activities, such as targeted advertising, profiling, and automated decision-making. The exercise of these rights
may impact our business and ability to provide our products and services. Certain states also impose stricter requirements for processing
certain personal data, including sensitive information, such as conducting data privacy impact assessments. These state laws allow for
statutory fines for noncompliance. For example, the California Consumer Privacy Act of 2018, or CCPA, applies to personal data of consumers,
business representatives, and employees who are California residents, and requires businesses to provide specific disclosures in privacy
notices and honor requests of such individuals to exercise certain privacy rights. The CCPA provides for fines and allows private litigants
affected by certain data breaches to recover significant statutory damages. The CCPA and other comprehensive U.S. state privacy laws exempt
some data processed in the context of clinical trials, but these developments may further complicate compliance efforts, and increase
legal risk and compliance costs for us and the third parties with whom we work. Similar laws are being considered in several other states,
as well as at the federal and local levels, and we expect more states to pass similar laws in the future.
Additionally, an increasing number of foreign data protection laws may also apply
to health-related and other personal data obtained from individuals outside of the United States. For example, the European Union’s
General Data Protection Regulation, or EU GDPR, imposes strict introduced new data protection requirements across the EU, including potential
fines for noncompliant companies of up to the greater of €20 million or 4% of annual global revenue, temporary or definitive bans
on data processing, and other corrective actions. Additionally, private litigation related to processing of personal data can be brought
under the EU GDPR by classes of data subjects or consumer protection organizations authorized by law to represent their interests. In
addition, the Israeli Privacy Protection Law 5741-1981, as amended, and the regulations promulgated thereunder, or the PPL,
impose obligations with respect to the manner personal data is processed, maintained, transferred, disclosed, accessed and secured, as
well as severe fines and penalties, stringent notice requirements, and mandatory appointments of certain privacy and information security-related
roles. In August 2025, a comprehensive amendment to the PPL entered into effect. This amendment enhanced the enforcement powers of the
Israeli Privacy Protection Authority, granting it significant authority to impose administrative fines for non-compliance. The amendment
also introduced broader oversight capabilities and mechanisms for monitoring adherence to privacy guidelines, thereby increasing the compliance
requirements for organizations handling personal data in Israel. As a result, there has been a noticeable increase in enforcement activity
by the Privacy Protection Authority in this area.
Furthermore, Europe and other jurisdictions have enacted data localization laws and
cross-border personal data transfer laws, which could make it more difficult to transfer information across jurisdictions (such as transferring
or receiving personal data that originates in the European Economic Area). Other jurisdictions may adopt or have already adopted similarly
stringent data localization and cross-border data transfer laws. In particular, the European Economic Area (EEA) and the United Kingdom
(UK) have significantly restricted the transfer of personal data to the United States and other countries whose privacy laws it generally
believes are inadequate. Although there are currently various mechanisms that may be used to transfer personal data from the EEA and UK
to the United States in compliance with law, such as the EEA standard contractual clauses, the UK’s International Data Transfer
Agreement / Addendum, and the EU-U.S. Data Privacy Framework and the UK extension thereto (which allows for transfers to relevant U.S.-based
organizations who self-certify compliance and participate in the Framework), these mechanisms are subject to legal challenges, and there
is no assurance that we can satisfy or rely on these measures to lawfully transfer personal data to the United States. If there is no
lawful manner for us to transfer personal data from the EEA, the UK or other jurisdictions to the United States, or if the requirements
for a legally-compliant transfer are too onerous, we could face significant adverse consequences, including the interruption or degradation
of our operations, the need to relocate part of or all of our business or data processing activities to other jurisdictions (such as Europe)
at significant expense, increased exposure to regulatory actions, substantial fines and penalties, the inability to transfer data and
work with partners, vendors and other third parties, and injunctions against our processing or transferring of personal data necessary
to operate our business. Additionally, companies that transfer personal data out of the EEA and UK to other jurisdictions, particularly
to the United States, are subject to increased scrutiny from regulators, individual litigants, and activist groups. Some European regulators
have ordered certain companies to suspend or permanently cease certain transfers out of Europe for allegedly violating the GDPR’s
cross-border data transfer limitations.
29
Additionally, the U.S. Department of Justice issued a rule entitled the Preventing
Access to U.S. Sensitive Personal Data and Government-Related Data by Countries of Concern or Covered Persons, which places additional
restriction on certain data transactions involving countries of concern (e.g., China, Russia, Iran) and covered persons (i.e., individuals
and entities who are designated as such by the U.S. Attorney General or considered “foreign persons” and are majority owned
by, organized under the laws of, a primary resident in, or a contractor of, a covered person or country of concern, as applicable) that
may impact certain business activities such as vendor engagements, sale or sharing of data, employment of certain individuals, and investor
agreements. Violations of the rule could lead to significant civil and criminal fines and penalties. The rule applies regardless of whether
data is anonymized, key-coded, pseudonymized, de-identified or encrypted, which presents particular challenges for companies like ours
and may impact our ability to engage in certain transactions or agreements.
Conducting clinical operations in Israel and France have increased our exposure and
heightened regulatory scrutiny.
We are also exposed to the risk that employees, independent contractors, consultants,
and vendors may fail to comply with applicable privacy and data protection laws. Such misconduct or negligence could result in unauthorized
access, misuse, or disclosure of sensitive information, leading to regulatory penalties, lawsuits, and reputational harm. Despite our
efforts to implement preventive measures, we cannot guarantee full compliance at all times, which could adversely impact our business
operations.
We maintain privacy policies and other statements regarding data privacy and security.
Regulators in the United States, Europe Israel and other territories are increasingly scrutinizing these statements. If these policies
or statements are found to be deficient, lacking in transparency, deceptive, unfair, misleading, or misrepresentative of our practices,
we may be subject to investigation, enforcement actions by regulators or other adverse consequences.
Our obligations related to privacy and security are quickly changing in an increasingly
stringent fashion, creating some uncertainty as to the effective future legal framework. Additionally, these obligations may be subject
to differing applications and interpretations, which may be inconsistent or in conflict among jurisdictions. Preparing for and complying
with these obligations requires us to devote significant resources (including, without limitation, financial and time-related resources).
These obligations may necessitate changes to our practices and to those of any third parties upon whom we rely. In addition, these obligations
may require us to change our business model. Compliance with privacy and security obligations could require us to take on more onerous
obligations in our contracts, restrict our ability to collect, use and disclose sensitive information, or in some cases, impact our ability
to operate in certain jurisdictions. Failure or perceived failure by us or the third parties upon whom we rely to comply with U.S., European,
Israel and foreign data privacy or security obligations could result in government enforcement actions (which could include civil or criminal
penalties), private litigation or mass arbitration demands, bans on processing personal data, additional reporting requirements or oversight,
orders to destroy or not use personal data, and/or adverse publicity and could negatively affect our operating results and business. Claims
that we have violated individuals’ privacy rights or failed to comply with privacy or security obligations, even if we are not found
liable, could be expensive and time consuming to defend, could result in adverse publicity and could have a material adverse effect on
our business, financial condition, results of operations and prospects.
We are exposed to risks associated with integrating
artificial intelligence tools into our operations.
We use machine learning and artificial intelligence, including generative AI, automated
decision-making technologies, or AI/ML, in certain aspects of our organizational operations. For example, our employees and personnel
use AI/ML to perform certain tasks in their work. The integration of AI/ML introduces inherent risks such as data privacy, intellectual
property disputes, cybersecurity vulnerabilities, confidentiality concerns, and regulatory non-compliance that may arise from the deployment
or misuse of AI/ML systems.
30
The disclosure and use of personal data in AI/ML technologies is subject to various
privacy laws and obligations, as well as increasing regulation and scrutiny. Several jurisdictions around the globe have proposed, enacted,
or are considering laws governing AI/ML technologies, such as the EU’s AI Act. Additionally, certain privacy laws extend rights
to individuals (such as the right to delete certain personal data) and regulate automated decision making involving certain personal data,
which may be incompatible with certain of our uses of AI/ML technologies. These obligations may make it harder for us to operate our business,
lead to regulatory fines or penalties, prevent or limit our use of AI/ML technologies, or otherwise harm our business. For example, the
Federal Trade Commission has required other companies to turn over (or disgorge) valuable insights or trainings generated through the
use of AI/ML technologies where they allege the company has violated privacy and consumer protection laws. If we cannot use AI/ML technologies
or that use is restricted, our business may be less efficient, or we may be at a competitive disadvantage.
Additionally, the complexity and opacity of AI/ML algorithms can lead to unintended
consequences or outcomes. Due to inaccuracies or flaws in the inputs, outputs, or logic of the AI/ML technologies, the model could be
biased and could lead us to make decisions that could bias certain individuals (or classes of individuals), and adversely impact their
rights, employment, and ability to obtain certain pricing, products, services, or benefits.
Our use of AI/ML technologies models hosted or developed by third party providers
also presents certain information security risks. For example, any sensitive information that we input into such AI/ML technology platforms
could be leaked or disclosed to others, including if sensitive information is used to train third party AI/ML technologies. Where AI/ML
technologies ingest sensitive information and make connections using such data, those technologies may reveal other sensitive information
generated by the model. AI/ML technologies may create flawed, incomplete, or inaccurate outputs, some of which may appear correct. This
may happen if the inputs that the model relied on were inaccurate, incomplete or flawed (including if a bad actor “poisons”
the AI/ML technologies with bad inputs or logic), or if the logic of the AI/ML technologies is flawed (a so-called “hallucination”).
Adopting and maintaining AI/ML technologies may increase operational costs due to
computing demands and specialized expertise requirements, and even if we are successful in maintaining such technologies, our competitors
or other third parties may incorporate AI/ML technologies into their businesses more quickly or more successfully than us, which could
impair our ability to compete effectively and adversely affect our results of operations. If our technologies (including those of our
vendors and subcontractors) fail to perform as intended, our business, financial condition, and results of operations could be adversely
affected.
Changes in legal or regulatory frameworks surrounding AI/ML usage may further pose
compliance risks or limit the development and application of these technologies. For example, many U.S. federal and state and foreign
government bodies and agencies have introduced and/or are currently considering additional laws and regulations governing the use of AI/ML
technologies. Any such changes could require us to expend significant resources to modify our products, services, or operations to
ensure compliance or remain competitive.
If a successful liability claim or other claim
for damages or series of claims is brought against us for uninsured liabilities or in excess of insured liabilities, we could be forced
to pay substantial damage awards.
The use of any of our therapeutic product candidates in clinical trials might expose
us to liability. We have obtained clinical trial insurance coverage in amounts that we believe are reasonable and customary in our industry
based on the size and design of our clinical trials. However, there can be no assurance that such insurance coverage will fully protect
us against some or all of the claims to which we might become subject. We might not be able to maintain adequate insurance coverage at
a reasonable cost or in sufficient amounts or scope to protect us against potential losses. For example, we will need to increase our
insurance coverage if we conduct clinical trials in additional countries or of additional product candidates or if we commence commercialization
of any product candidates. Insurance coverage is increasingly expensive. We may not be able to maintain insurance coverage at a reasonable
cost or at an amount adequate to satisfy any liability that may arise. In the event a claim is brought against us, we might be required
to pay legal and other expenses to defend the claim, as well as uncovered damage awards resulting from a claim brought successfully against
us and retention amounts. Furthermore, whether or not we are ultimately successful in defending any such claims, we might be required
to direct financial and managerial resources to such defense and be subject to adverse publicity, all of which could harm our business.
31
If we fail to comply with laws regulating the
protection of the environment and health and human safety, our business could be adversely affected.
Our research and development activities involve the use of hazardous materials and
chemicals, and we maintain quantities of microbial agents, various flammable and toxic chemicals in our facilities. Although we believe
our safety and other procedures for storing, handling and disposing these materials in our facilities comply with applicable governmental
and local regulations and guidelines, the risk to our employees or others of accidental contamination or injury from these materials cannot
be eliminated. If an accident occurs, we could be held liable for resulting damages, which may exceed our financial resources and may
seriously harm our business. We are also subject to numerous environmental, health and workplace safety laws and regulations, including
those governing laboratory procedures, exposure to blood-borne pathogens and the handling of biohazardous materials. We may be subject
to liability and may be required to comply with new or existing laws and regulations regulating pharmaceuticals or be subject to substantial
fines or penalties if we violate any of these laws or regulations.
Risks Related to Intellectual Property.
If the scope of any patent protection we obtain
is not sufficiently broad, or if we lose any of our patent protection, our ability to prevent our competitors from commercializing similar
or identical product candidates would be adversely affected.
We have applied for patents covering proteins, therapeutic and diagnostic product
candidates and their method of use, and the success of our business depends, to a large extent, on our ability to obtain and maintain
such patents and any additional patents covering our future product candidates. We design our patent strategy to fit the business competitive
landscape and continual legislative changes. In addition, we periodically analyze and examine our patent portfolio to align it with our
pipeline strategy and business needs. We have issued patents and pending patent applications that are related to our product candidates
in the U.S., Europe, and other territories. We plan to continue to apply for patent protection for our therapeutic and diagnostic inventions,
but we cannot be sure that any of our patent applications will be accepted, or that they will be accepted to the extent that we seek or
that they will not be challenged. Additionally, we file for patent protection in selected countries and not in all countries of the world.
Therefore, we are exposed to competition in those countries in which we have no patent protection. Also, due to our early-stage pipeline
and various business considerations, we may be required to seek patent protection at a very early-stage. This may cause us to file with
insufficient supportive data, possibly making it difficult to obtain patents in jurisdictions that do not accept post filing evidence
to support the claims, and thus enabling others to compete with us. This may also cause issuance of a patent at an earlier stage, creating
a shorter commercialization period under patent protection, possibly enabling others to compete with us. Delays in filing patents may
preclude us from obtaining protection on some or all of our product candidates due to others filing ahead of us. Patent applications filed
before us, but yet unpublished, may cause us to spend significant resources in areas that due to these previously filed patents or applications
we will not be able to obtain patent protection, practice the claimed invention without infringing upon such earlier patents (if granted),
or will only be able to obtain a narrower scope of protection than contemplated.
Because the patent position of biopharmaceutical companies involves complex legal
and factual questions, we cannot predict the validity, scope or enforceability of patents with certainty. The issuance of a patent is
not conclusive as to its inventorship, scope, validity or enforceability and our patents may be subject to a third party pre issuance
submission of prior art to the patent authorities or become involved in opposition, derivation, revocation, reexamination, post-grant
and inter partes review, or other similar proceedings challenging our patent rights in the United
States and other jurisdictions which may result in such patents being narrowed, invalidated, or held unenforceable, and thus could limit
our ability to stop competitors from marketing related products or limit the length of the term of patent protection that we may have
for our product candidates. Such proceedings may also result in substantial cost and require our pending patent applications, and those
we may file in the future may not result in patents being issued. Furthermore, even if our patents do issue, and even if they are unchallenged,
our patents may not adequately protect all our intellectual property or prevent others from designing their products in a way to avoid
being covered by our claims. If the breadth or strength of protection provided by the patents we hold is threatened, this could dissuade
companies from collaborating with us to develop and could threaten our ability to commercialize product candidates and expose us to unexpected
competition that could have a material adverse impact on our business. For example, in October 2020, two parties, one being GSK (following
an assignment), filed oppositions in the European Patent Office, or EPO, requesting revocation of our granted European patent relating
to anti-PVRIG antibodies and following different proceedings, on July 11, 2023 in an oral proceedings hearing, the opposition division
of the European Patent Office ruled in favor of maintaining the broad claims in the patent as granted to us. The opposition division’s
written decision was received on January 18, 2024, and thereafter, on March 18, 2024, the opponents filed an appeal. Statement of grounds
of appeal was filed on May 17, 2024 and we filed a response to the appeal on September 26, 2024. An oral hearing before the board of appeal
of the EPO is planned to take place on May 28, 2026. In January 2023, another opposition was filed by GSK, requesting revocation of our
granted European patent relating to method of screening for inhibitors of the binding association of PVRIG polypeptide with PVRL2. Following
different proceedings, on January 14, 2025, in an oral proceedings hearing, the opposition division of the European Patent Office
ruled in favor of maintaining the patent in its amended form, with the amended patent recites method of screening for anti-PVRIG antibodies
that are inhibitors of the binding association of PVRIG polypeptide with PVRL2. Since the time for appeal has passed, this decision is
final. In May 2023, two other European oppositions were filed by GSK and another party, with respect to anti-PVRIG antibodies competing
with COM701. The summons to attend oral proceedings in these oppositions and preliminary opinion by the opposition division were received
on October 21, 2024. On October 2, 2025, we filed a written response to the preliminary opinion and on the same date one of the opponents
filed its response with respect to the preliminary opinion issued by the opposition division. Since that time, GSK withdrew from the opposition.
At the oral proceedings that took place between December 3 to December 5, 2025, the opposition division of the EPO upheld the patent in
an amended form. The amended claims of the patent now cover the portion of anti-PVRIG antibodies competing with COM701, which are functional
monoclonal anti-PVRIG antibodies for cancer treatment. The opponent may appeal this decision. There can be no guarantee that we will be
successful with this or any other opposition proceeding.
32
Furthermore, changes in either the patent laws or interpretation of the patent laws
in the United States or other jurisdictions could weaken our ability to obtain new patents or to enforce our existing patents and patents
that we might obtain in the future and increase the uncertainties and costs surrounding the prosecution of patent applications, and the
enforcement or defense of our issued patents. Such changes could diminish the value of our patents and applications, thereby impairing
our ability to protect our product candidates, and could have a material adverse effect on our business, financial condition, results
of operations and prospects. For example, the U.S. Supreme Court has ruled on several patent cases in recent years, either narrowing the
scope of patent protection available in certain circumstances or weakening the rights of patent owners in certain situations. In October
2017, in Amgen v. Sanofi, the Federal Circuit overturned the “newly characterized antigen”
test, which permitted patentees to claim a genus of antibodies by describing the structure of a corresponding antigen, on the grounds
that it failed to satisfy the requirements found in Section 112 of the Patent Act, 35 U.S.C. § 112. In doing so, the Federal Circuit
called into question the validity of numerous existing patents. On May 18, 2023, the United States Supreme Court affirmed the Federal
Circuit’s judgement in Amgen v. Sanofi, holding that a functionally-claimed genus was invalid
for failing to comply with the enablement requirement of the Patent Act. Thus, in the current IP environment in the U.S., we may not be
able to obtain or defend broad patent protection on our antibody inventions. In addition, recent U.S. court decisions raise questions
regarding the award of patent term adjustment (PTA) for patents in families where related patents have issued without PTA. Thus, it cannot
be said without certainty how PTA will/will not be viewed in the future and whether patent expiration dates may be impacted. Similarly,
changes in patent law and regulations in other countries or jurisdictions or changes in the governmental bodies that enforce them or changes
in how the relevant governmental authority enforces patent laws or regulations may weaken our ability to obtain new patents or to enforce
patents. For example, the complexity and uncertainty of European patent laws have increased in recent years. In Europe, a new unitary
patent system took effect June 1, 2023, which will significantly impact European patents, including those granted before introduction
of the system. Under the unitary patent system, European applications have the option, upon receipt of a patent, of becoming a Unitary
Patent subject to the jurisdictions of the Unitary Patent Court (UPC). As the UPC is a new court system, there is no precedent for the
court, increasing the uncertainty of any litigation. Patents granted before implementation of the UPC have the option of opting out of
the jurisdiction of the UPC and remaining as national patents in the UPC countries. Patents that remain under jurisdiction of the UPC
will be potentially vulnerable to a single UPC-based revocation challenge that, if successful, could invalidate the patent in all countries
who are signatories to the UPC. All our patents and patent applications for which a request for opt out was available in the sunrise period
were opted out. We cannot predict with certainty the long-term effects of any potential changes.
Moreover, because of the extensive time required for development, testing and regulatory
review of a potential product, it is possible that, before any particular product candidate can be commercialized, any related patent
may expire or remain in force for only a short period following commercialization, thereby reducing any advantage of the patent protection.
33
The process of obtaining patents for inventions that cover our products is uncertain
for a number of reasons, including but not limited to:
• the patenting of inventions involves complex legal issues relating to intellectual property laws, prosecution and enforcement of patent claims across a number or patent jurisdictions, many of which have not yet been settled;
• legislative and judicial changes, or changes in the examination guidelines of governmental patent offices may negatively affect our ability to obtain patent claims to certain biological molecules- and/or use of certain therapeutic targets;
• if we are not the first to file a patent application on one of our inventions, we may not be able to obtain a patent on our invention, and may not be able to protect one or more of our therapeutic product candidates;
• competition from other biotechnology and pharmaceutical companies who have already sought patent protection relating to proteins and protein based products, as well as therapeutic antibodies or other modulators specifically binding these proteins, and their utility based discoveries that we may intend to develop and commercialize; such prior patents may negatively affect our ability to obtain patent claims on antibodies or certain proteins or other biologic modulators, or may hinder our ability to obtain sufficiently broad patent claims for our inventions, and/or may limit our freedom to operate;
• publication of data on gene products or proteins by non-commercial and commercial entities may hinder our ability to obtain sufficiently broad patent claims for our inventions;
• even if we succeed in obtaining patent protection, such protection may not be sufficient to prevent third parties from circumventing our patent claims;
• even if we succeed in obtaining patent protection, we may face freedom to operate issues;
• even if we succeed in obtaining patent claims protecting our inventions and product candidates, our patents could be subject to challenge and litigation by our competitors, and may be partially or wholly invalidated as a result of such legal/judicial challenges and in connection with such challenges;
• significant costs that may need to be incurred in registering and filing patents;
• insufficient data to support our claims and/or may support others in strengthening their patents;
• seeking patent protection at an early stage may prevent us from providing comprehensive data supporting the patent claims and may prevent allowance of certain patent claims or limit the scope of patent claim coverage;
• we may not be able to supply sufficient data to support our claims, within the legally prescribed time following our initial filing in order to support our patent claims and this may harm our ability to get appropriate patent protection or protection at all;
• our claims may be too broad and not have sufficient enablement, in which case such claims might be rejected by patent offices or invalidated in court; and
• we might fail to demonstrate a unique technical feature for our antibodies as compared to existing prior art, in which case our claims might be rejected by the respective patent office, requiring superiority over prior art.
If we fail in obtaining patent protection for our inventions (should it be discoveries,
drug targets candidates and product candidates) to the fullest extent for which we seek protection, or if we fail to select the best inventions
to seek such protection, our business and financial results could be materially harmed.
We may not be able to protect
our intellectual property rights throughout the world.
Patents are of national or regional effect, and filing, prosecuting and defending
patents on all of our investigational products throughout the world would be extremely expensive. Thus, we may not be able to prevent
third parties from practicing or from selling or importing products made using our inventions in all countries. Further, the legal systems
of certain countries, particularly certain developing countries, do not favor the enforcement of patents and other intellectual property
protection, which could make it difficult for us to stop the infringement of our patents or marketing of competing products in violation
of our proprietary rights generally. In addition, certain countries have compulsory licensing laws under which a patent owner may be compelled
to grant licenses to third parties. In those countries, we and our licensors may have limited remedies if patents are infringed or if
we or our licensors are compelled to grant a license to a third party, which could materially diminish the value of those patents. This
could limit our potential revenues. Accordingly, our efforts to enforce our intellectual property rights around the world may be inadequate
to obtain a significant commercial advantage from the intellectual property that we develop or license.
34
The existence of third-party
intellectual property rights may prevent us from developing our discoveries and/or discoveries we licensed to partners or require us to
expend financial and other resources to be able to continue to do so.
In selecting a drug target or a therapeutic product candidate for
development, we consider, among other considerations, the existence of third-party intellectual property rights that may hinder our right
to develop and commercialize that product candidate. To our knowledge, third parties, including our competitors, have been filing patent
applications covering an increasing portion of the human proteome or antibodies directed thereto. As a result of the existence of third-party
intellectual property rights, we may be further required to:
• forgo the research, development and commercialization of certain drug target candidates and product candidates that we discover, notwithstanding their promising scientific and commercial merits; or
• invest substantial management and financial resources to either challenge or in-license such third-party intellectual property, and we cannot be sure that we will succeed in doing so on commercially reasonable terms, if at all.
We do not always have available to us, in a timely manner, information
of the existence of third-party intellectual property rights related to our own discoveries. The content of U.S. and other patent applications
remains unavailable to the public for a period of approximately 18 months from the filing date and therefore we cannot be certain that
we were the first to file any patent application related to our product candidate. In some instances, the content of U.S. patent applications
remains unavailable to the public until the patents are issued. Moreover, when patents ultimately are issued, the claims may be substantially
different from those that were originally published and may vary from country to country. Furthermore, there may be issued patents or
pending patent applications that we are aware of, but that we believe are irrelevant to our therapeutic product candidates, but which
may ultimately be found to be infringed by the manufacture, sale, or use of such product candidates. As a result, we can never be certain
that programs that we commence will be free of third-party intellectual property rights. If we become aware of the existence of third-party
intellectual property rights only after we have commenced a particular program, we may have to forgo such project after having invested
substantial resources in it or, to the extent such third-party right has not expired, obtain a license which may involve substantial financial
resources.
We may need to obtain additional
licenses of third-party technology or other rights that may not be available to us or are available only on commercially unreasonable
terms, and which may cause us to operate our business in a more costly or otherwise adverse manner that was not anticipated.
We may be required to license technology or other rights from third
parties to further develop or commercialize our investigational products. Should we be required to obtain licenses for any third-party
technology, such licenses may not be available to us on commercially reasonable terms, or at all. The inability to obtain any third-party
license required to develop or commercialize any of our products could cause us to abandon any related efforts, which could seriously
harm our business and operations.
We, or potential collaborators
and licensees, may infringe third-party rights and may become involved in litigation, which may materially harm our business.
If a third-party accuses us, our collaborators or a potential collaborator
and licensee of infringing its intellectual property rights or if a third-party commences litigation against us, our collaborators or
a potential collaborator and licensee for the infringement of patent or other intellectual property rights, we may incur significant costs
in obtaining a license or defending such action, whether or not we ultimately prevail. We are aware of U.S. and foreign issued patents
and pending patent applications controlled by third parties that may relate to the areas in which we are developing therapeutic products.
Because all issued patents are entitled to a presumption of validity in many countries, including the United States and many European
countries, issued patents held by others with claims related to products, may limit our freedom to operate unless and until these patents
expire or are declared invalid or unenforceable in a court of applicable jurisdiction, if we do not obtain a license or other right to
practice the claimed inventions. Typically, patent litigation in the pharmaceutical and biotechnology industry is expensive and prolonged.
Some claimants may have substantially greater resources than we do and may be able to sustain the costs of complex intellectual property
litigation to a greater degree and for longer periods of time than we could. Costs that we may incur in defending third-party infringement
actions would also result in the diversion of management’s and technical personnel’s time. In addition, parties making claims
against us may be able to obtain injunctive or other equitable relief that could prevent us or our collaborators and licensees from further
developing our discoveries or commercializing our products.
35
In the event of a successful claim of infringement against us or
a potential collaborator and licensee, we may be required to pay damages, including treble damages and attorney’s fees if we are
found to be willfully infringing a third-party’s patent, or obtain one or more licenses from the prevailing third-party (if not
obtained prior to such litigation), which may not be available to us on commercially reasonable terms, if at all. Even if we were able
to obtain a license, the rights may be nonexclusive, which would give our competitors access to the same intellectual property. If we
are not able to obtain such a license or not able to obtain such a license at a reasonable cost, we could be prevented from commercializing
a product until the relevant patents expired, or we could be forced to redesign our products, or to cease some aspect of our business
operations, and we could encounter delays in product introductions and loss of substantial resources while we attempt to develop alternative
products. Defense of any lawsuit or failure to obtain any such license could prevent us or our partners from commercializing available
products and could cause us to incur substantial expenditures and would divert management’s attention from our core business.
We may become involved in
lawsuits to protect or enforce our patents or other intellectual property, which could be expensive, time consuming and unsuccessful.
Competitors may infringe, misappropriate or otherwise violate our
patents, trademarks, copyrights or other intellectual property, or those of our licensors. To counter infringement, misappropriation,
unauthorized use or other violations, we may be required to file legal claims, which can be expensive and time consuming and divert the
time and attention of our management and scientific personnel.
Additionally, after a patent is granted, it can be annulled, or
its scope of protection restricted through an appeal, revocation or invalidation procedure. Such procedures are lengthy, expensive and
time consuming, and may have an adverse effect on us.
We may not be able to prevent, alone or with our licensees or any
future licensees, infringement, misappropriation or other violations of our intellectual property rights, particularly in countries where
the laws may not protect those rights as fully as in the United States. Any claims we assert against perceived infringers could provoke
these parties to assert counterclaims against us, alleging that we infringe their patents. In addition, in a patent infringement or opposition
proceeding, there is a risk that a court will decide that a patent of ours is invalid or unenforceable, in whole or in part, and that
we do not have the right to stop the other party from using the invention at issue. In this respect, as stated above, we are currently
facing an appeal before the boards of appeal of the EPO with respect to our granted European broad patent relating to anti-PVRIG antibodies.
There is also a risk that, even if the validity of such patents is upheld, the court will construe the patent’s claims narrowly
or decide that we do not have the right to stop the other party from using the invention at issue on the grounds that our patents do not
cover the invention. An adverse outcome in litigation or proceeding involving our patents could limit our ability to assert our patents
against those parties or other competitors and may curtail or preclude our ability to exclude third parties from making and selling similar
or competitive products. Any of these occurrences could adversely affect our competitive business position, business prospects and financial
condition. Similarly, if we assert trademark infringement claims, a court may determine that the marks we have asserted are invalid or
unenforceable, or that the party against whom we have asserted trademark infringement has superior rights to the marks in question. In
this case, we could ultimately be forced to cease using such trademarks.
In any infringement, misappropriation or other intellectual property
litigation, any award of monetary damages we receive may not be commercially valuable. Even if we establish infringement, the court may
decide not to grant an injunction against further infringing activity and instead award only monetary damages, which may or may not be
an adequate remedy. Furthermore, because of the substantial amount of discovery required in connection with intellectual property litigation,
there is a risk that some of our confidential information could be compromised by disclosure during litigation. The results of hearings,
motions or other interim proceedings or developments are public. If securities analysts or investors perceive these results to be negative,
it could have an adverse effect on our share price. Moreover, there can be no assurance that we will have sufficient financial or other
resources to file and pursue such infringement claims, which typically last for years before they are concluded. Even if we ultimately
prevail in such claims, the monetary cost of such litigation and the diversion of the attention of our management and scientific personnel
could outweigh any benefit we receive as a result of the proceedings.
36
Increased progress in our scientific and technological
environment may reduce our chances of obtaining a patent.
In order to obtain a patent to protect one of our therapeutic product candidates,
we must show that the underlying invention (that is, the product candidate itself or its use) is inventive. As an increasing amount of
scientific knowledge is becoming available regarding genes, proteins, biological mechanisms, and the relevance of the genes and proteins
to various clinical indications, the bar is increasingly raised to show sufficient inventiveness, as inventiveness is judged against all
publicly available information available prior to filing of the patent application (the exact date may vary by country or due to other
circumstances). As an increasing amount of scientific knowledge is becoming available for various proteins and their potential use as
drug targets, with time we may be limited or may not be able to obtain patents for our product candidates due to the increased information
published in this area. Our own published patent applications and other publications also serve as prior art against our new inventions
and patent applications and may prevent us from obtaining new patents.
We may become subject to claims for remuneration or royalties for
assigned service invention rights by our employees, which could result in litigation and adversely affect our business.
We enter into assignment of invention agreements with our employees pursuant to which
such individuals agree to assign to us all rights to any inventions created in the scope of their employment or engagement with us. A
significant portion of our intellectual property has been developed by our employees in the course of their employment for us. Under the
Israeli Patent Law, 5727-1967, or the Patent Law, inventions conceived by an employee due to and during his or her employment with a company
are regarded as “service inventions”, which belong to the employer, unless the employee and employer have entered into a specific
agreement stating otherwise, except if the employer waived the service invention within six months of receipt of a notice by the employee
regarding the creation of the service invention (in accordance with provisions of the Patent Law). The Patent Law also provides that if
there is no agreement with respect to whether the employee is entitled to remuneration for his or her service invention, to what extent
and under what conditions, such entitlement and terms shall be determined by the Israeli Compensation and Royalties Committee, or the
Committee, a body constituted under the Patent Law. Decisions by the Committee and Israeli courts have created some uncertainty in this
area. Although our employees have agreed to assign to us service invention rights and have waived any rights for additional compensation
for such service inventions, we may still face claims demanding remuneration in consideration for assigned service inventions. As a consequence
of such claims, we could be required to pay additional remuneration or royalties to our current and/or former employees, or be forced
to litigate such claims, which could negatively affect our business.
Obtaining and maintaining our patent protection
depends on compliance with various procedural, document submission, fee payment and other requirements imposed by governmental patent
agencies, and our patent protection could be reduced or eliminated for non-compliance with these requirements.
The USPTO and various foreign patent agencies require compliance with a number of
procedural, documentary, fee payment and other provisions to maintain patent applications and issued patents. Noncompliance with these
requirements can result in abandonment or lapse of a patent or patent application, resulting in partial or complete loss of patent rights
in the relevant jurisdiction. In such an event, competitors might be able to enter the market earlier than would otherwise have been the
case.
We may be subject to claims that we or our
employees or consultants have infringed, misappropriated or otherwise violated the intellectual property of a third-party, or claiming
ownership of what we regard as our own intellectual property.
We may be subject to claims that we or our employees or consultants have inadvertently
or otherwise used or disclosed confidential information of former employers, competitors or other third-parties. We may be further subject
to ownership disputes in the future arising, for example, from conflicting obligations of consultants or others who are involved in developing
our product candidates, resulting, among others, in disputes regarding ownership interest in our patents or other intellectual property.
Although we have implemented reasonable measures to ensure that our employees and consultants do not use the intellectual property of
others in their work for us, we may become subject to claims that we caused an employee or consultant to breach, among others, the terms
of his or her non-competition, or that we or these individuals have, inadvertently or otherwise, used or disclosed the alleged proprietary
information of a former employer, competitor or other third-party.
37
While we may litigate to defend ourselves against these claims, even if we are successful,
litigation could result in substantial costs and could distract the attention of our management. If our defenses against these claims
fail, in addition to requiring us to pay monetary damages, a court could deprive our rights in such technologies or features that are
essential to our investigational products, if such technologies or features are found to incorporate or be derived from the proprietary
information of third parties and prohibit us from using them. Moreover, any such litigation may adversely affect our ability to form strategic
alliances, engage with scientific advisors or hire employees or consultants.
In addition, while we typically require our employees, consultants and contractors
who may be involved in the development of intellectual property to execute agreements assigning such intellectual property to us, we may
be unsuccessful in executing such an agreement with each party who in fact develops intellectual property. To the extent that we fail
to obtain such assignments, or such assignments do not contain a self-executing assignment of intellectual property rights, or such assignments
are breached, we may be forced to bring claims against third parties, or defend claims they may bring against us, to determine the ownership
of what we regard as our intellectual property. If we fail in prosecuting or defending any such claims, in addition to paying monetary
damages, we may lose valuable intellectual property rights. Such intellectual property rights could be awarded to a third party, and we
could be required to obtain a license from such third-party to commercialize our technology or products. Such a license may not be available
on commercially reasonable terms or at all. Even if we are successful in prosecuting or defending against such claims, litigation could
result in substantial costs and be a distraction to our management and scientific personnel.
We may become subject to claims challenging
the inventorship or ownership of our patents.
We may be subject to claims that former employees, collaborators or other third parties
have an interest in our patents as co-inventors. The failure to name the proper inventors on a patent application can result in the patents
issuing thereon being unenforceable. Inventorship disputes may arise from conflicting views regarding the contributions of different individuals,
the effects of foreign laws where foreign nationals are involved in the development of the subject matter of the patent, conflicting obligations
of third parties involved or as a result of questions regarding co-ownership of potential joint inventions. Litigation may be necessary
to resolve claims challenging inventorship and/or ownership. If we fail in defending any such claims, in addition to paying monetary damages,
we may lose valuable intellectual property rights, such as exclusive ownership of, or right to use, valuable intellectual property. Such
an outcome could have a material adverse effect on our business. Even if we are successful in defending against such claims, litigation
could result in substantial costs and be a distraction to management and other employees.
Patent terms may be inadequate to protect our
competitive position on our product candidates for an adequate amount of time.
Patents have a limited lifespan. In the United States, if all maintenance fees are
timely paid, the natural expiration of a patent is generally 20 years from its earliest U.S. non-provisional filing date. Various extensions
may be available, but the life of a patent, and the protection it affords, is limited. Even if patents covering our product candidates
are obtained, once the patent life has expired, we may be open to competition from competitive products, including generics or biosimilars.
Given the amount of time required for the development, testing and regulatory review of new product candidates, patents protecting such
candidates might expire before or shortly after such candidates are commercialized. As a result, our owned and licensed patent portfolio
may not provide us with sufficient rights to exclude others from commercializing products similar or identical to ours and may cause a
significant reduction to our potential future revenues.
We may rely on trade secrets and proprietary
know-how which can be difficult to trace and enforce.
In addition to seeking patent protection for some of our technology and investigational
products, we also rely on trade secrets, including unpatented know-how, technology and other proprietary information, to maintain our
competitive position. Trade secrets and know-how can be difficult to protect. Any disclosure, either intentional or unintentional, by
our employees or third-party consultants and vendors that we engage to perform research, clinical trials or manufacturing activities,
or misappropriation by third parties (such as through a security breach) of our trade secrets or proprietary information could enable
competitors to duplicate or surpass our technological achievements, thus eroding our competitive position in our market.
38
We require our employees to enter into written employment agreements containing provisions
of confidentiality and obligations to assign to us any inventions generated in the course of their employment. We further seek to protect
our potential trade secrets and proprietary know-how by entering into non-disclosure and confidentiality agreements with any third parties
who are given access to them, including our collaborators, contract manufacturers, consultants, advisors and other third parties. With
our consultants, contractors, and collaborators, these agreements typically include invention assignment obligations. Despite these efforts,
any of these parties may breach the agreements and disclose our proprietary information or assign our inventions to third parties, which
may be difficult to trace, and we may not be able to obtain adequate remedies for such breaches. Enforcing a claim that a party illegally
disclosed or misappropriated a trade secret is difficult, expensive and time-consuming, and the outcome is unpredictable.
If we are unable to adequately protect our proprietary know-how and trade secrets,
competitors may be able to develop technologies and resulting discoveries and inventions that are identical, similar to or better than
our own discoveries and inventions, which could materially harm our business, financial condition and results of operations. Costly and
time-consuming litigation could be necessary to enforce and determine the scope of our proprietary rights, and failure to maintain trade
secret protection could adversely affect our competitive business position. In addition, others may independently discover or develop
our trade secrets and proprietary information, and the existence of our own trade secrets affords no protection against such independent
discovery.
Risks Related to Operations in Israel
Conditions in Israel and in the Middle East may adversely affect
our operations.
Our headquarters and research and development facilities are located in Israel. Accordingly,
we are directly influenced by the political, economic and military conditions affecting Israel.
Since the establishment of the State of Israel in 1948 and in recent years, armed
conflicts between Israel and its neighboring countries and terrorist organizations active in the region have involved missile strikes,
hostile infiltrations, and terrorism against civilian targets in various parts of Israel.
On October 7, 2023, the “Swords of Iron” war broke between Israel and
the terrorist organizations in the Gaza Strip, following a surprise attack on Israel led by certain armed groups in the Gaza Strip that
included massacres, terrorism and crimes against humanity. As of the date hereof, the broader regional security environment remains unstable,
with periodic exchanges of fire involving Iran-backed groups in Lebanon, Syria, Iraq and Yemen, elevated threats against Israeli and U.S.
targets, and episodic direct strikes between Israel and Iran during 2024 and 2025 that have not resolved underlying tensions. In June
2025, Israel and Iran engaged in direct hostilities, including Iranian launches of drones and ballistic missiles against Israel and Israeli
operations against Iranian air defenses and missile production sites with the United States also carrying out strikes on Iranian nuclear
facilities before a ceasefire took effect. On February 28, 2026, Israel and the United States commenced a joint operation
against Iran, which has led Iran to launch ballistic missiles and drones against Israel and other countries in the region, including the
United Arab Emirates, Bahrain and Qatar, as well as against U.S. targets in the Middle East. In addition, Iran may close the Strait of
Hormuz, leading to disruption of the global supply chain, including in oil and gas, which could potentially destabilize the Israeli and
global economies. As of the date of this Annual Report, this operation is undergoing and its outcome and the effect that it may have are
uncertain.
Hostilities and threats connected to Iran’s regional network, comprising Hezbollah
in Lebanon, militias in Syria and Iraq, and the Houthis in Yemen, have included attacks affecting Israel and disruptions to regional maritime
routes.
In addition, since late 2025 and into 2026, Iran has faced renewed domestic protests;
in parallel, U.S. and European sanctions actions and enforcement have intensified. These factors can influence regional escalation, with
potential impacts on Israel’s security and the operating environment for companies based in Israel.
Our headquarters and research and development facilities are located in Holon, which is about 50 kilometers
from the Gaza Strip and about 150 kilometers from the western border with Lebanon. As of the date hereof, the situation in Israel
and in the region does not have a material effect on our operations and business and our facilities did not sustain any damage. We monitor
closely the directives of the Israeli National Emergency Management Authority and where needed, make required adjustments to our operations
in accordance with such directives, including by instructing our workforce to work remotely.
All of the above raise a concern as to the stability in the region which may affect the security, social,
economic and political landscape in Israel and therefore could adversely affect our business, financial condition and results of operations,
especially since we conduct clinical trials in Israel.
39
Furthermore, certain countries, primarily in the Middle East but also in Malaysia
and Indonesia, as well as certain companies and organizations in different parts of the world, continue to participate in a boycott of
Israeli brands and others doing business with Israel and Israeli companies. Further deterioration of Israel’s relationship with
the Palestinians or countries in the Middle East could expand the disruption of international trading activities in Israel, may materially
and negatively affect our business conditions, could harm our results of operation and adversely affect the share price of our Company.
The foregoing efforts by countries, activists and organizations, particularly if they become more widespread, and other international
tribunals, may adversely impact our ability to cooperate with research institutions and collaborate with other third parties.
Our business may also be disturbed by the obligation of personnel to perform military
service. Our employees who are Israeli citizens are generally subject to a periodic obligation to perform reserve military service, until
they reach the age of 40 (or 41, in some cases, or older, for reservists with certain occupations), but during military conflicts, these
employees may be called to active duty for long periods of time. In case of further regional instability such employees, who may include
one or more of our key employees, may be absent for extended periods of time, which may materially adversely affect our business.
In addition, ongoing political and civil actions in Israel which began in early 2023,
resulting from, among other things, proposed changes to certain Israeli constitutional legislation, have had and may continue to have
an adverse effect on the Israeli social, economic and political landscape and in turn, on us. However, it is difficult to predict at this
time what the effect of such actions will be, if any.
Moreover, after several credit rating downgrades in recent years, on November 7, 2025,
S&P Global Ratings revised its outlook on Israel to “stable” from “negative”, while affirming the “A”
rating and on January 30, 2026, Moody’s also revised its outlook on Israel to “stable” from “negative, while affirming
Israel’s Baa1 long-term local and foreign-currency issuer ratings. Despite this stabilization in outlook by S&P, and Moody’s,
other agencies, Fitch Ratings, continued to maintain a negative outlook as of early 2026, citing persistent exposure to geopolitical risks
and a polarized political system.
We can give no assurance that the political, economic and security situation in Israel
will not have a material adverse impact on our business in the future.
Furthermore, our insurance does not cover any loss arising from events related to
the security situation in the Middle East. While the Israeli government generally covers the reinstatement value of direct damages caused
by acts of war or terror attacks, we cannot be certain that such coverage will be maintained or that it will sufficiently cover our damages.
Our results of operations may be adversely
affected by the exchange rate fluctuations between the dollar and the New Israeli Shekel.
We hold most of our cash, cash equivalents and short-term and long-term bank deposits
in dollars but incur a significant portion of our expenses, principally salaries and related personnel expenses and administrative expenses
for our Israeli based operations, in NIS. As a result, we are exposed to exchange rate fluctuations between the dollar and the NIS, which
may have a material adverse effect on our financial condition. For example, if the dollar significantly devaluates against the NIS, then
the dollar cost of our operations in Israel would increase and our results of operations would be adversely affected. In 2025 the
dollar depreciated against the NIS by 12.5%, and in 2024 and 2023 the dollar appreciated against the NIS by 0.6% and 3.1%, respectively.
As a result of these fluctuations, our NIS denominated expenses were affected. Since a considerable portion of our expenses is in NIS,
depreciation in the dollar against the NIS has an adverse effect on us.
The dollar cost of our operations in Israel
will increase to the extent increases in the rate of inflation in Israel are not offset by a devaluation of the NIS in relation to the
dollar, which would harm our results of operations.
Inflation in Israel, was 2.6% and 3.2% in 2025 and 2024, respectively,
and has affected us by increasing the costs of materials and labor needed to operate our business and could continue to adversely affect
us in future periods. Additionally, since a considerable portion of our expenses such as employees’ salaries are linked to an extent
to the rate of inflation in Israel, the dollar cost of our operations is influenced by the extent to which any increase in the rate of
inflation in Israel is or is not offset by the depreciation of the NIS in relation to the dollar. As a result, we are exposed to the risk
that the NIS, after adjustment for inflation in Israel, will appreciate in relation to the dollar. In that event, the dollar cost of our
operations in Israel will increase and our dollar-measured results of operations will be adversely affected. We cannot predict whether
the NIS will appreciate against the dollar or vice versa in the future, though during 2025 it appreciated at a rate of 14.3%. Any increase
in the rate of inflation in Israel, unless the increase is offset on a timely basis by a devaluation of the NIS in relation to the dollar,
will increase labor and other costs, which will increase the dollar cost of our operations in Israel and harm our results of operations.
40
We may not be entitled to certain Israeli tax
benefits.
In the future, we may be entitled to benefit from certain Israeli government programs
and enjoy certain tax benefits resulting from the ‘Preferred Enterprise’ status, or Preferred Enterprise, we are entitled
to under the Israel Law for Encouragement of Capital Investments, 1959, or the Investment Law. The availability of these tax benefits,
however, is subject to us meeting certain conditions under the Investment Law. The tax benefits that we anticipate receiving under the
Preferred Enterprise program may not be continued in the future at their current levels or at all. To date, we have not actually received
any such tax benefits because we have not yet generated any taxable income.
It may be difficult to enforce certain U.S.
judgments against us, or our officers and directors or to assert U.S. Securities law claims in Israel.
We are incorporated under the laws of the State of Israel. Service of process upon
our directors and officers, the majority of whom reside outside the United States, may be difficult to obtain within the United States.
Furthermore, because the majority of our assets and investments, and a majority of our directors and officers are located outside the
United States, any judgment obtained in the United States against us or any of them may not be collectible within the United States.
Furthermore, it may be difficult for an investor, or any other person or entity, to
assert U.S. securities law claims in original actions instituted in Israel or obtain a judgment based on the civil liability provisions
of U.S. federal securities laws. Israeli courts may refuse to hear a claim based on an alleged violation of U.S. securities laws
against us or our officers and directors reasoning that Israel is not the most appropriate forum to bring such a claim. In addition, even
if an Israeli court agrees to hear such a claim, it is not certain whether Israeli law or U.S. law will be applicable to the claim. If
U.S. law is found to be applicable, the content of applicable U.S. law must be proven as a fact, which can be a time consuming and costly
process. Certain matters of procedure will also be governed by Israeli law. There is little binding case law in Israel that addresses
the matters described above. Under certain circumstances, Israeli courts might not enforce judgments rendered outside Israel, which may
make it difficult to collect on judgments rendered against us or our non-U.S. officers and directors.
Moreover, an Israeli court will not enforce a non-Israeli judgment if it was given
in a state whose laws do not provide for the enforcement of judgments of Israeli courts (subject to exceptional cases), if its enforcement
is likely to prejudice the sovereignty or security of the State of Israel, if it was obtained by fraud or in the absence of due process,
if it is at variance with another valid judgment that was given in the same matter between the same parties, or if a suit in the same
matter between the same parties was pending before a court or tribunal in Israel at the time the foreign action was brought.
Our amended and restated Articles of Association
provide that unless we consent to an alternative forum, the federal district courts of the United States shall be the exclusive forum
of resolution of any claims arising under the Securities Act which may impose additional litigation costs on our shareholders.
Our amended and restated Articles of Association, or Articles, provide that unless
we consent in writing to the selection of an alternative forum, the federal district courts of the United States shall be the exclusive
forum for the resolution of any complaint asserting a cause or causes of action, or a claim or claims arising under the Securities Act,
including all causes of action or claims asserted against any defendant to such complaint and that such provision may be enforced by us,
our officers and directors, the underwriters to any offering giving rise to such complaint, and any other professional or entity whose
profession gives authority to a statement made by that person or entity and who has prepared or certified any part of the documents underlying
the offering. Section 22 of the Securities Act creates concurrent jurisdiction for federal and state courts over all such Securities
Act actions. Accordingly, both U.S. state and federal courts have jurisdiction to entertain such claims. This choice of forum provision
may limit a shareholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors,
officers or other employees and may increase the costs associated with such lawsuits, which may discourage such lawsuits against us and
our directors, officers and employees. Alternatively, if a court were to find these provisions of our Articles inapplicable to, or unenforceable
in respect of, one or more of the specified types of actions or proceedings, we may incur additional costs associated with resolving such
matters in other jurisdictions, which could adversely affect our business and financial condition. Any person or entity purchasing or
otherwise acquiring any interest in our share capital shall be deemed to have a notice of and to have consented to the choice of forum
provisions of our Articles described above. This provision does not apply to causes of action arising under the Exchange Act.
41
Our Articles of Association provide that unless
the Company consents otherwise, the competent courts of Tel Aviv, Israel shall be the sole and exclusive forum for substantially all disputes
between the Company and its shareholders under the Companies Law and the Israeli Securities Law, which could limit its shareholders ability
to bring claims and proceedings against, as well as obtain favorable judicial forum for disputes with the Company, its directors, officers
and other employees.
Our Articles provide that unless we consent in writing to the selection of an alternative
forum, the competent courts of Tel Aviv, Israel shall be the exclusive forum for (i) any derivative action or proceeding brought on behalf
of the Company, (ii) any action asserting a claim of breach of fiduciary duty owed by any director, officer or other employee of the Company
to the Company or the Company’s shareholders, or (iii) any action asserting a claim arising pursuant to any provision of the Companies
Law, 5759-1999, as amended together with all regulations promulgated thereunder, or the Companies Law, or the Securities Law, 5728-1968,
as amended and the regulations promulgated thereunder, or the Israeli Securities Law. Such exclusive forum provision in our Articles will
not relieve the Company of its duties to comply with federal securities laws and the rules and regulations thereunder, and shareholders
of the Company will not be deemed to have waived the Company’s compliance with these laws, rules and regulations. Any person or
entity purchasing or otherwise acquiring any interest in our share capital shall be deemed to have a notice of and to have consented to
the choice of forum provisions of our Articles described above. This exclusive forum provision may limit a shareholder’s ability
to bring a claim in a judicial forum of its choosing for disputes with the Company or its directors or other employees which may discourage
lawsuits against the Company, its directors, officers and employees.
Provisions of Israeli law may delay, prevent
or make undesirable an acquisition of all or a significant portion of our shares or assets.
Israeli corporate law regulates mergers and acquisitions and requires that a tender
offer be affected when certain thresholds of percentage ownership of voting power in a company are exceeded (subject to certain conditions),
which may have the effect of delaying, preventing or making more difficult a merger with, or acquisition of, us. See “Item 10. Additional
Information – B. Memorandum and Articles of Association.” Further, Israeli tax considerations may make potential transactions
undesirable to us or to some of our shareholders whose country of residence does not have a tax treaty with Israel granting tax relief
to such shareholders from Israeli tax. With respect to mergers, Israeli tax law allows for tax deferral in certain circumstances but makes
the deferral contingent on the fulfillment of numerous conditions, including a holding period of two years from the date of the transaction
during which certain sales and dispositions of shares of the participating companies are restricted. Moreover, with respect to certain
share swap transactions, the tax deferral is limited in time, and when such time expires, the tax becomes payable even if no actual disposition
of the shares has occurred. See “Item 10. Additional Information – E. Taxation – Israeli Taxation.”
In addition, in accordance with the Restrictive Trade Practices Law, 1988 and under
the Israeli Law for the Encouragement of Industrial Research and Development of 1984 and regulations promulgated thereunder, together,
the R&D Law, approvals regarding a change in control (such as a merger or similar transaction) may be required in certain circumstances.
For more information regarding such required approvals please see “Item 5. Operating and Financial Review and Prospects - C. Research
and Development, Patents and Licenses – The Israel Innovation Authority.” In addition, as a corporation incorporated under
the laws of the State of Israel, we are subject to the Israeli Economic Competition Law, 1988 and the regulations promulgated thereunder
(formerly known as the Israeli Antitrust Law, 1988), under which we may be required in certain circumstances to obtain the approval of
the Israel Competition Authority (formerly known as the Israel Antitrust Authority) in order to consummate a merger or a sale of all or
substantially all of our assets.
These provisions of Israeli law could have the effect of delaying
or preventing a change in control and may make it more difficult for a third-party to acquire us, even if doing so would be beneficial
to our shareholders and may limit the price that investors may be willing to pay in the future for our ordinary shares.
42
We received grants from the IIA that may require
us to pay royalties and restrict the transfer of know-how that we develop.
We have received governmental grants from the Israeli Innovation
Authority, or the IIA, for the financing of certain activities within the framework of our research and development expenditures. Accordingly,
we are obligated to repay the grants by way of royalty payments from revenues generated by the sale of products and/or services developed
in the framework of the approved R&D program using financing from such grants, or Financed Know-How or as otherwise designated by
the applicable IIA programs, approvals and the R&D Law. Such royalties are payable until 100% of the amount of the grant (as adjusted
for fluctuation in the USD/NIS exchange rate) is repaid with applicable interest (as long as we do not grant licenses thereunder nor transfer
production or development outside of the State of Israel). Even following full repayment of any IIA grants (together with the applicable
interest), and unless agreed otherwise by the applicable authority of the IIA, we must continue to comply with the requirements of the
R&D Law with respect to the Financed Know-How. In addition to the obligation to pay royalties to the IIA, the R&D Law requires
that products which incorporate Financed Know-How be manufactured in Israel and prohibits the transfer of the Financed Know-How and any
right derived therefrom to third parties, unless otherwise approved in advance by the IIA; Such prior approval, to the extent given by
the IIA, can be conditioned upon the payment of increased royalties and an increase in the overall repayment obligation. Failure to comply
with the requirements under the R&D Law may subject us to financial sanctions, to mandatory repayment of grants received by us (together
with interest and penalties), as well as expose us to criminal proceedings. Although such restrictions do not apply to the export from
Israel of Company’s products developed with such Financed Know-How, they may prevent us, unless preapproval is obtained as detailed
above, from engaging in transactions involving the sale, licensing, outsourcing of development activities, transfer, the grant of access
rights and the like, with respect to such Financed Know-How or of manufacturing activities with respect to any product or technology based
on Financed Know-How, outside of Israel, which might otherwise be beneficial to us. Furthermore, the consideration received, and if applicable,
available to our shareholders in a transaction involving the transfer outside of Israel of Financed Know-How (such as a merger or similar
transaction) may be reduced by any amounts that we are required to pay to the IIA up to six times the amount of the grant (as adjusted
for fluctuation in the USD/NIS exchange rate) with applicable interest. Moreover, the government of Israel may, from time to time, audit
sales of products which it claims incorporate Financed Know-How and this may lead to royalties being payable on additional products, and
may subject such products to the restrictions and obligations specified hereunder. During 2025 we received a grant from the IIA under
a specific “Maagad” in the amount of approximately 58% of a total budget of approximately $130 thousands. While the terms
of the royalty payments to the IIA do not apply to such grant, all other terms of the R&D Law do apply to it. For more information
regarding such restrictions please see “Item 5. Operating and Financial Review and Prospects - C. Research and Development, Patents
and Licenses - The Israel Innovation Authority.”
Being a foreign private issuer exempts us from
certain SEC requirements and Nasdaq rules, which may result in less protection that is afforded to investors under rules applicable to
domestic issuers.
We are a “foreign private issuer” within the meaning of rules promulgated
by the SEC. As such, we are exempt from certain provisions under the Exchange Act, applicable
to U.S. domestic public companies, including:
• the rules under the Exchange Act requiring the filing with the SEC of annual reports on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K;
• the sections of the Exchange Act regulating the solicitation of proxies, consents or authorizations in respect of a security registered under the Exchange Act, including extensive disclosure of compensation paid or payable to certain of our highly compensated executives as well as disclosure of the compensation determination process;
• the provisions of Regulation FD aimed at preventing issuers from making selective disclosures of material information; and
• the sections of the Exchange Act establishing insider liability for profits realized from any “short-swing” trading transaction (a purchase and sale, or sale and purchase, of the issuer’s equity securities within less than six months).
In addition, we may follow home country corporate governance practices
and law instead of those rules and practices otherwise required by Nasdaq for domestic issuers. For instance, we have relied on the foreign
private issuer exemption with respect to shareholder approval requirements for equity-based incentive plans for our employees. For the
list of specific exemptions that we chose to adopt, please see “Item 16G – Corporate Governance.”
Following our home country corporate governance practices as opposed
to the requirements that would otherwise apply to a U.S. company listed on Nasdaq may provide less protection to investors than is afforded
to investors under the Nasdaq Listing Rules applicable to domestic issuers.
43
We may lose our status as
a foreign private issuer, which would increase our compliance costs and could negatively impact our operations results.
We may lose our foreign private issuer status if (a) a majority
of our outstanding voting securities are either directly or indirectly owned of record by residents of the United States and (b)(i) a
majority of our executive officers or directors are U.S. citizens or residents, (ii) more than 50% of our assets are located in the United
States or (iii) our business is administered principally in the United States. If we were to no longer qualify as a foreign private issuer,
we would be required to file periodic reports and registration statements on domestic issuer forms with the SEC, which are more extensive
than the forms available to a foreign private issuer. We would also be required to follow U.S. proxy disclosure requirements, including
the requirement to disclose, under U.S. law, more detailed information about the compensation of our senior executive officers on an individual
basis. We may also be required to modify certain of our policies to comply with accepted governance practices associated with U.S. domestic
issuers. Such conversion and modifications would involve increased costs. In addition, we would lose our ability to rely upon exemptions
from certain corporate governance requirements on U.S. stock exchanges that are available to foreign private issuers, as described in
the previous risk factor above. Additionally, the SEC is currently considering changes to the foreign private issuer reporting regime,
and such changes could either (i) cause us to lose our foreign private issuer status sooner than we otherwise would or (ii) result in
additional reporting obligations, either of which would result in increased compliance costs.
Our shareholders rights
and responsibilities are governed by Israeli law which differs in some material respects from the rights and responsibilities of shareholders
of U.S. companies.
Because we are incorporated under Israeli law, the rights and responsibilities of
our shareholders are governed by our Articles and Israeli law. These rights and responsibilities differ in some respects from the rights
and responsibilities of shareholders in U.S.-based corporations. In particular, a shareholder of an Israeli company has a duty to act
in good faith and in a customary manner in exercising its rights and performing its obligations towards the company and other shareholders
and to refrain from abusing its power in the company, including, among other things, in voting at the general meeting of shareholders
on certain matters, such as an amendment to a company’s articles of association, an increase of a company’s authorized share
capital, a merger of a company and approval of interested party transactions that require shareholder approval. A shareholder also has
a general duty to refrain from discriminating against other shareholders. In addition, a controlling shareholder or a shareholder who
knows that it possesses the power to determine the outcome of a shareholders’ vote or to appoint or prevent the appointment of an
office holder in a company or has another power with respect to a company, has a duty to act in fairness towards such company. Israeli
law does not define the substance of this duty of fairness and there is limited case law available to assist us in understanding the nature
of this duty or the implications of these provisions. These provisions may be interpreted to impose additional obligations and liabilities
on our shareholders that are not typically imposed on shareholders of U.S. corporations.
Risks Related to our Ordinary Shares
We may not be able to meet
the continued listing standards of Nasdaq, which require a minimum closing bid price of $1.00 per share, which could result in our delisting
and negatively impact the price of our ordinary shares and our ability to access the capital markets.
Our ordinary shares are listed on The Nasdaq Capital Market. The
Nasdaq Stock Market LLC, or the Nasdaq, provides various continued listing requirements that a company must meet in order for its shares
to continue trading on the exchange. Among these requirements is the requirement that our shares trade at a minimum bid price of $1.00
per share.
While currently we are in compliance with the applicable Nasdaq minimum bid price
rules, there is no assurance that our share price will trade at or above a minimum bid price of $1.00 per share and if we fail to
meet minimum listing requirements, there can be no assurance that we will be able to regain compliance with the applicable minimum
bid price rules or will otherwise be in compliance with other Nasdaq listing criteria. Any such delisting could adversely affect our ability
to obtain financing for the continuation of our operations and could result in the loss of confidence of investors, collaborators and
employees.
44
Future sales of our ordinary
shares or securities convertible or exchangeable for our ordinary shares may depress our share price.
If our existing shareholders or holders of our options sell, or indicate an intention
to sell, substantial amounts of our ordinary shares on the public market, the trading price of our ordinary shares could decline. The
perception in the market that these sales may occur could also cause the trading price of our ordinary shares to decline. As of December
31, 2025, we had a total of 94,553,191 ordinary shares outstanding.
Based on the number of shares subject to awards under our 2010 Share Incentive Plan,
as amended, or 2010 Plan, as of December 31, 2025, 9,915,124 ordinary shares that are subject to outstanding options and RSUs or reserved
for future issuance under our 2010 Plan were eligible for sale in the public market (with none under our 2021 Employee Shares Purchase
Plan, or ESPP), subject to vesting, and in the case of shares issued to directors, executive officers and other affiliates, the volume
limitations under Rule 144 under the Securities Act. If these additional ordinary shares are sold, or if it is perceived that they will
be sold, on the public market, the trading price of our ordinary shares could decline.
In addition, our directors, executive officers and other affiliates may establish,
and certain executive officers and directors have established, programmed selling plans under Rule 10b5-1 of the Exchange Act, for the
purpose of effecting sales of our ordinary shares. Any sales of securities by these shareholders, or the perception that those sales may
occur, including the entry into such programmed selling plans, could have a material adverse effect on the trading price of our ordinary
shares.
If we sell ordinary shares
in future financings, shareholders may experience immediate dilution and, as a result, our share price may decline.
In order to raise additional capital, we may at any time offer additional ordinary
shares or other securities convertible into or exchangeable for our ordinary shares, through our “at the market offering”
(ATM) facility pursuant to a sales agreement entered with Leerink Partners LLC, or Leerink, on January 31, 2023 or other manners, at prices
that may not be the same as the price paid for our ordinary shares by our shareholders. The price per share at which we sell additional
ordinary shares, or securities convertible or exchangeable into ordinary shares, in future transactions may be higher or lower than the
price per share paid by our existing shareholders. If we issue ordinary shares or securities convertible into ordinary shares, our shareholders
will experience additional dilution and, as a result, our share price may decline.
In addition, as opportunities present themselves, we may enter into financing or similar
arrangements in the future, including the issuance of debt securities or ordinary shares with or without additional securities convertible
or exchangeable into ordinary shares. Whether or not we issue additional shares at a discount, any issuance of ordinary shares will, and
any issuance of other equity securities or of options, warrants or other rights to purchase ordinary shares may result in additional dilution
of the percentage ownership of our shareholders and could cause our share price to decline. New investors could also gain rights, preferences
and privileges senior to those of our shareholders, which could cause the price of our ordinary shares to decline. Debt securities may
also contain covenants that restrict our operational flexibility or impose liens or other restrictions on our assets, which could also
cause the price of our ordinary shares to decline.
Our share price and trading
volume have been volatile and may be volatile in the future and that could limit investors’ ability to sell our shares at a profit
and could limit our ability to successfully raise funds.
During the 2025 calendar year, our closing share price on Nasdaq ranged from a low
of $1.18 to a high of $2.57 and trading volume was volatile. The volatile price of our shares and periodic volatile trading volume may
make it difficult for investors to predict the value of their investment, to sell shares at a profit at any given time, or to plan purchases
and sales in advance. A variety of factors may affect the market price of our ordinary shares, including:
• global or regional macroeconomic developments;
• general market, political and economic conditions in the countries in which Compugen operates, including Israel, outbreak of disease, boycotts, curtailment of trade and other business restrictions and implementation of tariffs and the different effects of the evolving nature of global or regional events, including the current instability in Israel and the Middle East;
• clinical data disclosed by us, our collaborators or our competitors;
• massive purchase or sell of our shares by a large shareholder;
45
• our success (or lack thereof) in entering into collaboration agreements and achieving certain research and developmental milestones thereunder;
• our need to raise additional capital and our success or failure in doing so;
• achievement or denial of regulatory approvals by us, our collaborators or our competitors;
• announcements of technological innovations or new commercial products by our competitors;
• trends in share price of companies in our field or industry;
• announcement of corporate transactions, merger and acquisition activities or other similar events by companies in our field or industry;
• changes and developments effecting our field or industry;
• developments concerning our existing or new collaborations;
• regulatory developments in the United States, Israel and other countries;
• changes in the structure of healthcare payment systems;
• delay or failure by us or our collaborators in initiating, completing or analyzing preclinical or clinical trials or the unsatisfactory design or results of such trials;
• period to period fluctuations in our results of operations;
• changes in estimates by securities analysts;
• changes in senior management or the board of directors or changes in the size or structure of the company;
• our ability (or lack thereof) to disclose the commercial terms of, or progress under, our collaborations; and
• transactions with respect to our ordinary shares by insiders or institutional investors.
We are not able to control many of these factors, and we believe that period-to-period
comparisons of our financial results will not necessarily be indicative of our future performance.
In addition, the stock market in general, and the market for biotechnology
companies in particular, may experience extreme price and volume fluctuations that may be unrelated or disproportionate to the operating
performance of individual companies. These broad market and industry factors may seriously harm the market price of our ordinary shares,
regardless of our operating performance.
Furthermore, the market prices of equity securities of companies
that have a significant presence in Israel may also be affected by the current and changing security situation in the Middle East and
particularly in Israel and the effect of the evolving nature of the current instability in Israel and the Middle East and the general
situation in the area. As a result, these companies may experience volatility in their stock prices and/or difficulties in raising additional
financing required to effectively operate and grow their businesses. Thus, market and industry-wide fluctuations and political, economic
and military conditions in the Middle East, but also in the United States and worldwide may adversely affect the trading price of our
ordinary shares, regardless of our actual operating performance.
As a result of the volatility of our share price, in addition to
other potential adverse effect on us, we could be subject to securities litigation, which could result in substantial costs and divert
management’s attention and company resources from our business.
Because we do not intend to declare cash dividends
on our ordinary shares in the foreseeable future, shareholders must rely on appreciation of the value of our ordinary shares for any return
on their investment and may not receive any funds without selling their ordinary shares.
We have never declared or paid cash dividends on our ordinary shares
and do not anticipate declaring or paying any cash dividends in the foreseeable future. In addition, the terms of any future debt agreements
may preclude us from paying dividends. As a result, we expect that only appreciation of the price of our ordinary shares, if any, could
provide a return to investors in the foreseeable future. In addition, because we do not intend to declare cash dividends on our ordinary
shares in the foreseeable future, if our shareholders want to receive funds in respect of our ordinary shares, they must sell their ordinary
shares to do so.
46
Our ordinary shares are traded in more than one market and this
may result in price variations.
In addition to being traded on The Nasdaq Capital Market, our ordinary shares are
also traded on the Tel Aviv Stock Exchange, or TASE. Trading in our ordinary shares on these markets take place in different currencies
(dollars on Nasdaq and NIS on the TASE), and at different times (resulting from different time zones, trading days due to public holidays
in the United States and Israel, even though the TASE recently moved to Monday through Friday trading days, instead on Sunday through
Thursday). The trading prices of our ordinary shares on these two markets may differ due to these and other factors. Any decrease in the
price of our ordinary shares on one market could cause a decrease in the trading price of our ordinary shares on the other market.
If we are a passive foreign investment company,
or PFIC, our U.S. shareholders may be subject to adverse U.S. federal income tax consequences.
For U.S. federal income tax purposes, we generally will be classified
as a PFIC for any taxable year in which, after the application of certain look-through rules with respect to our subsidiaries, either:
(i) 75% or more of our gross income is passive income or (ii) at least 50% of the average value (determined on the basis of a weighted
quarterly average) of our total assets for the taxable year produce or are held for the production of passive income. For purposes of
these tests, passive income includes, among other things, dividends, interest, and gains from the sale or exchange of investment property
and certain rents or royalties (excluding rents and royalties that are received from unrelated parties in connection with the active conduct
of a trade or business). Assets that produce or are held for the production of passive income may include cash (unless held in a non-interest
bearing account for short term working capital needs), marketable securities, and other assets that may produce passive income. Generally,
in determining whether a non-U.S. corporation is a PFIC, a non-U.S. corporation that directly or indirectly owns at least 25% by value
of the shares of another corporation is treated as holding and receiving directly its proportionate share of assets and income of such
corporation.
Based on our analysis of our estimated income, estimated assets,
activities and market capitalization, we believe that we were a PFIC for the taxable year ended December 31, 2025. However, the determination
of whether or not we are a PFIC is a fact-intensive determination made on an annual basis and because the applicable law is subject to
varying interpretations, we cannot provide any assurance regarding our PFIC status, and our U.S. counsel expresses no opinion with respect
to our PFIC status for any taxable year. If we are classified as a PFIC for any taxable year during which a U.S. shareholder holds our
ordinary shares, U.S. investors could be subject to adverse tax consequences regardless of whether we continue to qualify as a PFIC, including
the treatment of gains realized on the sale of our ordinary shares as ordinary income, rather than as capital gain, the loss of the preferential
rate applicable to dividends received on our ordinary shares by individuals who are U.S. holders (as defined in “Item 10. Additional
Information - E. Taxation - Certain Material U.S. Federal Income Tax Considerations to U.S. Holders”), the addition of interest
charges on certain taxes treated as deferred taxes, and additional reporting requirements. A U.S. shareholder of a PFIC generally may
mitigate these adverse U.S. federal income tax consequences by making a “qualified electing fund” election, or QEF election,
or, in some circumstances, a “mark to market” election. A U.S. holder can only make a QEF election with respect to our ordinary
shares if we agree to furnish such U.S. holder with certain tax information annually. For any taxable year in which we determine that
we are a PFIC, we intend to make available to U.S. holders, upon request and in accordance with applicable procedures, a PFIC Annual Information
Statement with respect to such taxable year. There can be no assurance, however, that we will have timely knowledge of our status as a
PFIC in the future or that we will timely provide such information for such years.
For further discussion of the PFIC rules and the adverse U.S. federal
income tax consequences in the event we are classified as a PFIC, as well as certain elections that may be available to U.S. holders,
see “Item 10. Additional Information - E. Taxation - Certain Material U.S. Federal Income Tax Considerations to U.S. Holders –
Passive Foreign Investment Company Rules”.
Shareholder activism can negatively affect our business.
In recent years, shareholder activists have become involved in
numerous public companies. Shareholder activists could propose involving themselves in the governance, strategic direction and operations
of a company. In general, shareholder activism, including potential proxy contests, diverts management’s and board of directors’
attention and resources from the company’s business, could give rise to perceived uncertainties as to the company’s future
direction and could result in the loss of potential business opportunities and make it more difficult to attract and retain qualified
personnel for positions in both management and on the board level and to raise funds. If nominees advanced by activist shareholders are
elected or appointed to our board of directors with a specific agenda, it may adversely affect our ability to effectively and timely implement
our strategic plans or to realize long-term value from our assets. Also, we may be required to incur significant expenses including legal
fees related to activist shareholder matters. Further, our share price could be subject to significant fluctuations or otherwise be adversely
affected by the events, risks and uncertainties of any shareholder activism.
47
General Risks
Unfavorable global political or economic conditions could adversely
affect our business, financial condition or results of operations.
The global economy continues to experience significant volatility,
and the economic environment may continue to be, or become, less favorable than that of past years. Higher costs for goods and services,
inflation, deflation, trade tensions, global geopolitical tensions, the imposition of tariffs or other measures that create barriers to
or increase the costs associated with international trade, overall economic slowdown or recession and other economic factors affecting
Israel, the United States or any other markets in which we operate could adversely affect our operations and operating results. A severe
or prolonged economic downturn, such as the global financial crisis, could result in a variety of risks to our business, including inability
to raise additional capital when needed on acceptable terms, if at all. A weak or declining economy could also strain our CDMOs and CROs,
possibly resulting in supply disruption. Any of the foregoing could harm our business and we cannot anticipate all of the ways in which
the current economic climate and financial market conditions could adversely impact our business.
Furthermore, although to date we have not been directly impacted
by global conflicts, such as the recent developments between the U.S. and Venezuela, the conflict between Russia and Ukraine, and the
inner tensions in Iran and their potential global impact, these conflicts, or any expansion thereof, could disrupt or otherwise adversely
impact our operations and those of third parties upon which we rely. Related sanctions, export controls or other actions have been or
may in the future be initiated by nations including the United States, the European Union, China or Russia (e.g., potential cyberattacks,
disruption of energy flows, etc.), which could adversely affect our business and/or our supply chain, our CROs, CMOs and other third parties
with whom we conduct business. Any of the foregoing could harm our business and we cannot anticipate all of the ways in which the current
economic climate and financial market conditions could adversely impact our business.
Environmental, social and governance matters may impact our business
and reputation.
In addition to financial performance, companies are frequently
judged on an environmental, social and governance, or ESG, matters, which some investors consider in assessing the long-term sustainability
of companies’ performance.
Investing in funds emphasizing ESG performance has grown, and some
institutional investors have publicly emphasized the importance of such ESG measures to their investment decisions. Topics in these assessments
may include, climate change, human rights, ethics and compliance with the law, and board oversight of sustainability issues. In the
healthcare industry, public access to a company’s medicines is also considered.
There can be no certainty that we will manage such issues successfully,
or meet society’s or investor’s expectations. Actual or perceived failures in our ESG matters performance could adversely
affect our brand and reputation, employees’ engagement, and the willingness of our partners to do business with us.
We are subject to U.S. and
certain foreign import and export controls, trade sanctions, tariffs, anti-corruption laws, and anti-money laundering laws and regulations.
Compliance with these legal standards could impair our ability to compete in domestic and international markets. We can face criminal
liability and other serious consequences for violations, which can harm our business.
We are subject to export control and import laws and regulations,
including the U.S. Export Administration Regulations, U.S. Customs regulations, various economic and trade sanctions regulations administered
by the U.S. Treasury Department’s Office of Foreign Assets Controls, the U.S. Foreign Corrupt Practices Act of 1977, as amended,
or FCPA, the U.S. domestic bribery statute contained in 18 U.S.C. § 201, the U.S. Travel Act, the USA PATRIOT Act, and other state
and national anti-bribery and anti-money laundering laws in the countries in which we conduct activities. Anti-corruption laws are interpreted
broadly and prohibit companies and their employees, agents, contractors, and other collaborators from authorizing, promising, offering,
or providing, directly or indirectly, improper payments or anything else of value to recipients in the public or private sector. We may
engage third parties to conduct clinical trials, and/or to obtain necessary permits, licenses, patent registrations, and other regulatory
approvals. We have direct or indirect interactions with officials and employees of government agencies or government-affiliated hospitals,
universities, and other organizations. We can be held liable for the corrupt or other illegal activities of our employees, agents, contractors
and other collaborators, even if we do not explicitly authorize or have actual knowledge of such activities. Any violations of the laws
and regulations described above may result in substantial civil and criminal fines and penalties, imprisonment, the loss of export or
import privileges, debarment, tax reassessments, breach of contract and fraud litigation, reputational harm, and other consequences.
48
There is inherent risk, based on the complex relationships among
the United States and the countries in which we conduct our business, that among other factors, political, diplomatic, and national security
factors can lead to global trade restrictions and changes in trade policies and export regulations that may adversely affect our business
and operations, such as the imposition of tariffs. The United States and other countries have imposed and may continue to impose new trade
restrictions and export regulations, have levied tariffs and taxes on certain goods, and could significantly increase tariffs on a broad
array of goods. While pharmaceutical products have customarily been granted exemptions from tariffs, recent proposals do not contemplate
such exemptions. Trade restrictions and export regulations, or increases in tariffs and additional taxes, including any retaliatory measures,
can negatively impact demand, increase our supply chain complexity and our manufacturing costs, decrease margins, reduce the competitiveness
of our products, or restrict our ability to sell products, provide services or purchase necessary equipment and supplies, any or all of
which could have a material and adverse effect on our business, results of operations, or financial condition.
Climate change, or
legal or regulatory measures to address climate change, may negatively affect us.
Climate change may increase the frequency or severity of extreme
weather events and could adversely affect our facilities, operations, or those of our vendors or collaborators. Extreme temperatures or
other weather-related events could disrupt our operations or supply chain or increase operating costs. In addition, evolving legal, regulatory,
or compliance requirements related to climate change may increase costs or require additional investments, which could adversely affect
our business or expected cash runway.