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COMPANY
A. HISTORY AND DEVELOPMENT OF THE COMPANY
History
Our legal and commercial name is Compugen Ltd. We were incorporated on February 10,
1993, as an Israeli corporation and operate under the Companies Law. Our principal offices are located at 26 Harokmim Street, Holon 5885849,
Israel, and our telephone number is +972-3-765-8585. Our web address is www.cgen.com. Information
contained on our website does not constitute a part of this Annual Report. The SEC maintains an internet site, http://www.sec.gov that
contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC. Neither
such internet addresses are a part of this Annual Report.
Our agent for service of process in the United States is Compugen USA, Inc., our wholly
owned U.S. subsidiary located at 101 Montgomery Street, San Francisco, CA 94104, which was incorporated in Delaware in March 1997 and
is qualified to do business in California. This subsidiary did not have any significant operations from 2008 to March 2012.
Principal Capital Expenditures
In the years ended December 31, 2025, 2024 and 2023, our capital expenditures were
$0.3 million, $0.1 million and $0.2 million, respectively. As of December 31, 2025, we had no significant commitments for capital expenditures.
B. BUSINESS OVERVIEW
Summary
We are a clinical-stage therapeutic discovery and development company utilizing Unigen™,
our AI/ML powered computational discovery platform, to identify novel drug targets and to develop therapeutics in the field of cancer
immunotherapy. Our innovative immuno-oncology pipeline consists of four clinical-stage programs: COM701, COM902, rilvegostomig and GS-0321
(previously COM503). COM701, a potential first-in-class anti-PVRIG antibody, and COM902, a potential best-in-class therapeutic anti-TIGIT
antibody, have been evaluated for the treatment of solid tumors as monotherapy and in combinations of dual (PVRIG/PD-1, PVRIG/TIGIT) and
triple (PVRIG/PD-1/TIGIT) blockade. The last patient in the clinical trial evaluating the triple combination treatment of COM701, COM902
and pembrolizumab (initiated in 2023), received the last dose in January 2026. Currently, the only clinical trial we sponsor and are conducting
is 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) and we expect an interim analysis from this trial in the first quarter of 2027. Rilvegostomig, a
PD-1/TIGIT bispecific antibody with a TIGIT component that is derived from our COM902 program, is being developed by AstraZeneca pursuant
to an exclusive license agreement between us and AstraZeneca and is being evaluated in multiple Phase 3, Phase 2 and Phase 1 clinical
trials. GS-0321 (previously COM503) our potential first-in-class high affinity antibody, which blocks the interaction between IL-18 binding
protein and IL-18, is licensed to Gilead and is being evaluated in a Phase 1 clinical trial that we sponsor and are conducting by us.
In addition, we have an early-stage immuno-oncology therapeutic pipeline that consists of research programs aiming to address various
mechanisms to enhance anti-cancer immunity.
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Our business model is to selectively enter into collaborations for our novel targets
and drug product candidates at various stages of research and development under various revenue-sharing arrangements. Integrating cutting
edge computational capabilities with ground-breaking immuno-oncology research and drug development expertise is our differentiator and
has enabled us to advance drug targets from computer prediction through successful preclinical studies to the clinic. Therefore, we believe
that we are uniquely positioned to discover and develop innovative treatment options for cancer patients.
Our Strategy
We aim to transform patient lives by developing innovative therapeutics in the field
of cancer immunotherapy based on Unigen, our AI/ML powered computational discovery platform. We employ and leverage our key differentiator,
the integration of cutting edge computational capabilities with groundbreaking immuno-oncology research and drug development expertise,
in the competitive landscape of immuno-oncology to build our pipeline with innovative drugs:
• We discover novel drug targets with the potential to address the unmet need of patients non-responsive to current cancer immunotherapies
• We harness our Unigen capabilities to inform our target experimental validation and drug development process; and
• We apply our capabilities to inform on the program’s mechanism of action, relevant indication/patient population, drug combinations and potential biomarker that may fit for future patient selection.
We believe that the totality of these capabilities uniquely positions us in the discovery
and the development of innovative drugs for cancer immunotherapy.
In our clinical therapeutic pipeline, our most advanced programs are:
• COM701 is our internal lead immuno-oncology pipeline program. COM701 is a humanized antibody that binds with high affinity to PVRIG, a novel immune checkpoint target candidate discovered by us that blocks the interaction with its ligand, PVRL2. Our data suggest that PVRIG has a unique biology, differentiated from other checkpoints. PVRIG is dominantly expressed in stem-like memory T cells (TSCM) and PVRL2 is expressed in dendritic cells as well as tumor cells. Therefore, PVRIG blockade might induce potent induction of T cell numbers in tumors and unleash antitumor immunity also in indications less responsive to other checkpoint inhibitors, such as ovarian cancer. Phase 1 clinical trials for COM701 were initiated in September 2018. In 2025 we initiated 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). We expect an interim analysis from this trial in the first quarter of 2027.
• COM902 is a high affinity, fully human antibody developed by us, targeting TIGIT, an immune checkpoint discovered computationally by us. COM902 blocks the interaction of TIGIT with PVR, its ligand. COM902 is potential best-in-class antibody with a non-active Fc tail. COM902 prevents depletion of major TIGIT+ expressing lymphocytes (NK, CD4 and CD8 T cells), supporting rationale for selecting a high affinity anti-TIGIT antibody with an IgG4 backbone and low Fc effector function. Phase 1 clinical trials for COM902 were initiated in March 2020. 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 and 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.
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• Rilvegostomig is a PD-1/TIGIT bispecific antibody with a TIGIT component that is derived from COM902 and is being developed by AstraZeneca pursuant to an exclusive license agreement with AstraZeneca. AstraZeneca initiated its first Phase 3 clinical trial at the end of 2023, dosing its first patient in December 2023 and rilvegostomig is currently being evaluated in multiple Phase 3, Phase 2 and Phase 1 clinical trials.
• GS-0321 (previously COM503) is a potential first-in-class high affinity antibody, which blocks the interaction between interleukin-18 binding protein (IL18BP) and interleukin-18 (IL-18). The inflammasome-induced pro-inflammatory cytokine, IL-18, is present at high levels in the tumor microenvironment, where it is expected to naturally activate anti-tumor effector cells, such as T and NK cells. Nevertheless, IL-18 is one of the rare cytokines that is naturally blocked by an endogenous high affinity inhibitor, called IL-18BP. GS-0321 (previously COM503) was designed to free natural IL-18 activity in the tumor microenvironment by releasing it from IL-18BP, thereby increasing the local concentrations of IL-18 within the tumor where it can potentiate anti-tumor immune responses, potentially overcoming the limitations of systemically administered cytokines. GS-0321 (previously COM503) is licensed to Gilead and is being developed by us in a Phase 1 clinical trial. The Phase 1 clinical trial is designed to assess the safety and tolerability of GS-0321 (previously COM503) as monotherapy and in combination with zimberelimab in participants with advanced solid tumors.
Research Focus - Immuno-Oncology
Our research and development efforts focus on identifying novel drug targets and developing
innovative therapeutics in the field of cancer immunotherapy.
Cancer immunotherapies continue to represent a rapidly expanding commercial market.
According to Precedence Research, the global immune checkpoint inhibitors market size is estimated at $58.53 billion in 2025 and is projected
to reach approximately $229.60 billion by 2034, reflecting a compound annual growth rate (CAGR) of 16.40% from 2025 to 2034.
The immune system is naturally programmed to seek out and destroy abnormal cells.
Cancer is believed to thrive, in part, because of a number of cellular mechanisms that aid in the evasion of immune response. Such mechanisms
of immune system evasion include masking or reducing the expression of tumor antigens to avoid detection, recruiting T-cell suppressor
cells or expressing inhibitory molecules that suppress immune activation, inducing conditions in the tumor microenvironment that promote
tumor cell proliferation and survival, and a number of other factors. Immuno-oncology therapies that overcome immune suppression by stimulating
responses directed to cancer cells have emerged as a powerful means of counteracting the cellular mechanisms that enable the growth and
spread of tumors. Immuno-oncology agents are expanding as a potential path to durable and long-lasting responses in certain patients.
Our discovery strategy is focused on the discovery of novel drug targets which may
provide new cancer immunotherapies for enhancing anti-tumor immune responses in cancer patients.
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Therapeutic Pipeline
• COM701 - a therapeutic antibody targeting PVRIG
Pathway expression and preclinical data
COM701 is a potentially first-in-class humanized antibody that
binds with high affinity to PVRIG, a novel immune checkpoint target candidate discovered by us, blocking the interaction with its ligand,
PVRL2. Blockade of PVRIG by COM701 has demonstrated potent, reproducible enhancement of T cell activation, consistent with the desired
mechanism of action of activating T cells in the tumor microenvironment to generate anti-tumor immune responses. In addition, COM701 combined
with PD-1 pathway blockers have demonstrated synergistic effects in enhancing human T cell stimulation and inhibiting tumor growth in
murine models, supporting the suggested intersection of the PVRIG and PD-1 inhibitory pathways and the potential of these combinations
to further enhance immune response against tumors.
Furthermore, our data show that PVRIG is expressed in stem-like
memory T cells (TSCM) and PVRL2 is expressed in dendritic cells, as well as in PD-L1 low less inflamed tumors. Therefore, this unique
expression pattern and resulting biology might enable PVRIG blockade to be active in patients with less inflamed tumors, such as ovarian
cancer. In addition, expression studies showed that PVRIG and its ligand, PVRL2, are expressed in a broad variety of tumor types, with
ovarian cancer having one of the highest expressions of the pathway. We are currently conducting a blinded randomized ovarian cancer platform
trial evaluating COM701 as a single agent as maintenance therapy in relapsed platinum sensitive ovarian cancer (named MAIA-ovarian trial).
We expect an interim analysis for the MAIA-ovarian trial in the first quarter of 2027.
COM701 Clinical Programs
In September 2018, we dosed our first patient in the Phase 1 clinical
trial of COM701 and through December 31, 2025, we conducted multiple Phase 1 studies across tumor types, patient populations and combinations.
Below is a table showing key COM701 expansion cohorts efficacy data as monotherapy and in combinations disclosed in scientific conferences.
Tumor Treatment Median prior lines Best Response Description Reference
Platinum resistant ovarian cancer COM701 6 across indications 1/6 ORR (16.6%) 4/6 DCR (66%) 1 PR >18 months~* in immune desert TME ASCO 2021
COM701 + nivolumab 6 2/20 ORR (10%) 9/20 DCR (45%) 1 PR in patient refractory to nivolumab ESMO IO 2022
COM701 + nivolumab + BMS-986207 4 4/20 ORR (20%) 9/20 DCR (45%) 3 PR >16 months* ESMO IO 2022 SITC 2023
COM701 + pembrolizumab +COM902 4 4/24 ORR (17%) 11/24 DCR (46%) 5 patients on treatment for >200 days SITC 2024
MSS CRC with liver metastases COM701 + nivolumab 4 2/17 ORR (12%) 4/17 DCR (24%) 1 PR in patient with immune desert TME 1 PR >11 months SITC 2022
COM701+ COM902+ pembrolizumab 3 1/15 ORR (7%) 6/15 DCR (40%) 1 PR > 9 months* in patient who had PD on chemo + bev (post data cut patient reassessed as non- target liver lesion of uncertain etiology at baseline) 2 SD >7 months* ASCO 2024
ICI experienced NSCLC COM701 ± nivolumab 6, ≥ 2 prior ICI 5/7 DCR (71%) 3 SD on COM701 monotherapy ESMO IO 2022
Recurrent metastatic MSS endometrial cancer COM701 + nivolumab + BMS-986207 2, 33% prior PD1x 2/9 ORR (22%) 4/9 DCR (44%) 1 PR in patient refractory to lenvatinib/ pembrolizumab ASCO 2023
Metastatic breast cancer COM701 + nivolumab 5 2/17 ORR (12%) 5/17 DCR (30%) 1 CR > 21 months*, low immunogenic HER2 negative tumor SITC 2023
In connection with the table above, BMS-986207 is Bristol Myers
Squibb anti-TIGIT; ICI is Immune checkpoint inhibitor; CR is Complete Response; PR is Partial Response; SD is Stable Disease; PD is Progressed
Disease; ORR is Overall Response Rate; DCR is Disease Control Rate. *Ongoing at time of data cut-off; ~ means that patient had primary
peritoneal cancer.
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Clinical data disclose
from COM701 related studies in 2025 (covered in the table above as well):
On October 18, 2025, at the European Society of Medical Oncology
(ESMO) in Berlin, Germany, we presented a poster of pooled analysis of previously presented data reflected in the table above (with an
additional year of follow-up), supporting the anti-tumor activity and safety profile of COM701 in heavily pre-treated patients with platinum
resistant ovarian cancer (PROC).
Conclusions from the poster provided that:
• The pooled analysis demonstrates that COM701 was well tolerated and showed consistent, durable responses in patients with heavily pretreated platinum-resistant ovarian cancer - particularly in those without liver metastases, representing patients with lower disease burden and potentially less immunosuppressive tumor microenvironment.
• The results of the analysis support the rationale for evaluating COM701 as maintenance therapy in earlier lines of treatment.
• COM902 - a therapeutic antibody targeting TIGIT
Pathway expression and preclinical data
COM902 is a high affinity, fully human and a potentially best-in-class
antibody targeting TIGIT with a non-active Fc tail. COM902 was shown to have superior binding affinity to T cells with similar and or
greater in vitro function compared to several clinical anti-TIGIT antibodies. COM902 is a mouse-cross reactive Ab and inhibited tumor
growth and increased survival when combined with anti-PVRIG or anti-PD-L1 antibodies in in-vivo studies. Preclinical data demonstrated
that TIGIT inhibition, either alone or in combination with other checkpoint inhibitors, can enhance T cell activation and increase
anti-tumor immune responses. In preclinical studies, parallel inhibition of TIGIT and PVRIG, two coinhibitory arms of the DNAM-1 axis,
resulted in synergistic effects on effector T cell function and tumor growth inhibition in various model systems that can be further
increased with the addition of PD-1 blockade. Based on preclinical data these combinations may be clinically important for enhancing anti-tumor
immune response and expanding the patient population responsive to checkpoint inhibition.
We discovered TIGIT in 2009 with our immune checkpoint computational
discovery capabilities through which PVRIG was also discovered. The TIGIT discovery was published by us in October 2009 in the Proceedings
of the National Academy of Sciences (PNAS).
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Clinical Development
In March 2020, we dosed our first patient in the Phase 1 clinical
trial of COM902. COM902 was primarily evaluated in combination with COM701.
For information regarding the evaluation of COM902 in combination
with COM701, see “COM701 Clinical Programs” above.
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 and 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 - a therapeutic PD-1/TIGIT bi-specific antibody with a TIGIT component that is derived from our COM902
Rilvegostomig is a PD-1/TIGIT bi-specific antibody with a TIGIT
component that is derived from our COM902 being developed by AstraZeneca pursuant to an exclusive license between us and AstraZeneca.
In March 2018, we entered into an exclusive license agreement with
AstraZeneca, pursuant to which, we granted to AstraZeneca an exclusive license 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.
Rilvegostomig is currently being evaluated by AstraZeneca in multiple
Phase 3, Phase 2 and Phase 1 clinical trials, with the first patient dosed in the first Phase 3 clinical trial in December 2023.
• GS-0321 (previously COM503) - a therapeutic antibody targeting IL-18 binding protein
GS-0321 (previously COM503) is a potential first-in-class high
affinity antibody, which blocks the interaction between interleukin-18 binding protein (IL18BP) and interleukin 18 (IL-18). The inflammasome-induced
pro-inflammatory cytokine, IL-18, is present at high levels in the tumor microenvironment, where it is expected to naturally activate
anti-tumor effector cells, such as T and NK cells. Nevertheless, IL-18 is one of the rare cytokines that is naturally blocked by an endogenous
high affinity inhibitor, called IL-18BP. GS-0321 (previously COM503) was designed to free natural IL-18 activity in the tumor microenvironment
by releasing it from IL-18BP, where it can potentiate anti-tumor immune responses, potentially overcoming the limitations of systemically
administered cytokines. GS-0321 (previously COM503) is licensed to Gilead and is being developed by us in a Phase 1 clinical trial.
In January 2025, we dosed the first patient in the dose escalation
monotherapy cohort of the Phase 1 clinical trial, which is expected to enroll up to 200 participants, to evaluate GS-0321 (previously
COM503) as monotherapy and in combination with zimberelimab in patients with advanced solid tumors.
On November 7, 2025, at the Annual Meeting of the Society for Immunotherapy
of Cancer (SITC), in National Harbor, Maryland, USA, we presented a trial in progress poster of the first in human clinical trial to assess
the anti-IL18BP antibody, COM503 (GS-0321) in participants with advanced solid malignancies.
Biomarker Driven Strategy
We recognize that one of the major limitations of current immunotherapy approaches
is the lack of tools to help predict patient responses. By applying the integration of Unigen with our ground-breaking immuno-oncology
research and drug development expertise, we aim to identify biomarkers that can help us predict which patients are most likely to respond
to our novel therapies. This long-term approach also seeks to improve the probability of success of our clinical studies.
We currently apply these capabilities in three different areas.
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Firstly, we are computationally analyzing omics data using our Unigen platform to
identify tumor indications in which the pathway of our target plays a role. This analysis is thereafter validated experimentally, and
the validated data is used for indication selection for our clinical trials.
Secondly, the identification of potential biomarkers for future patient selection.
In this approach, we are using various cutting-edge technologies and methodologies on both biopsies, liquid biopsies, and blood samples.
The different technologies may include immunohistochemistry, transcriptomic, genomic and proteomic analysis. The generated data is added
to the Unigen platform databases and then analyzed
computationally to identify potential biomarkers for patient selection and used in discovery projects aimed at uncovering potential novel
drug targets.
Thirdly, we apply a pharmacodynamic biomarker approach where we measure immune modulation
induced by our drug candidates in peripheral and tumor patient samples obtained before and during treatment in our clinical trials. In
this analysis we may measure both protein and sequence analytics, such as cytokine analysis, immune phenotyping, proteomic changes, transcriptomics
analysis, and TCR clonality. This again may serve for the identification of potential biomarkers and may also inform us on the suggested
mechanism of action of our drug candidates.
Early-Stage Pipeline
Immuno-oncology had made a breakthrough in the treatment of cancer, and biological
drugs blocking immune checkpoint targets or directly activating immune cells have resulted in long-term patient survival in certain cancer
types. Despite their potential, current immuno-oncology agents are limited to a few targets and are only effective in certain patients
and in certain cancers. We believe that the identification of novel drug targets with a unique and differentiated mechanism of action
has the potential to broaden the reach of cancer immunotherapies to more types of cancer and many more patients.
Our early-stage research programs are supported by our Unigen platform and consist
of drug targets which may provide new cancer immunotherapies for patients.
Our AI/ML powered Computational Discovery Approach
Our target discovery is a proprietary, data driven computational process that we initiate
based on an unmet medical and therapeutic strategy, which dictates the target discovery approach, the appropriate tools and most relevant
data to be analyzed. We have developed drug target discovery capabilities that leverage the power of AI/ML based computational algorithms,
guided by our scientific expertise and extensive public and proprietary datasets, to identify novel drug targets towards the development
of new cancer immunotherapy treatments. Our multi-omics datasets and analysis are designed to identify novel drug target candidates, which
are generally difficult to identify using traditional experimental approaches or literature mining. We believe that our cutting-edge
AI/ML powered computational capabilities integrated with our ground-breaking immuno-oncology research and drug development expertise is
a key differentiator from others employing computational discovery approaches.
Our broadly applicable computational drug target discovery capabilities employ a suite
of cloud-based solutions and purpose-built algorithms to sort through both public and proprietary datasets encompassing genomics, single
cell RNA sequencing, proteomics and spatial transcriptomics, combined with machine learning based analysis of tissue spatial images. From
these massive datasets, our platforms analyze characteristics, such as gene structure, protein domains, predicted cellular localization,
expression pattern, as well as other characteristics to identify potential druggable targets and predict their expression pattern and
biological functions. Over the past decade, we have continued to refine our analysis by incorporating new public and in-house experimental
data and adding AI/ML powered tools under the Unigen platform. The platform uses computational methods that learn patterns from large,
diverse biological and experimental datasets to enhance our ability to identify, assess, and prioritize novel drug targets. It combines
advanced analytical capabilities with our scientific expertise to streamline discovery workflows and strengthen the value and impact of
our computational discovery platform.
We have demonstrated the applicability of our computationally discovery approach in
identifying multiple drug targets, including PVRIG, TIGIT, IL-18BP and ILDR2, the first three now serve as the targets
for therapeutic antibodies currently being evaluated in the clinic by us and others. The antibodies designed to block these targets are
or have been evaluated in clinical trials by us (COM701, COM902 and GS-0321 (previously COM503)) or by our partners (bapotulimab and rilvegostomig).
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Business Strategy and Partnerships
Our business strategy includes entering into various forms of revenue-sharing collaborations
with pharmaceutical or biotechnology partners for our novel drug targets and product candidates at various stages of research and development.
Such collaborations or other types of partnering arrangements might include one or more of our therapeutic pipeline programs. Through
these collaborations we seek to generate, further develop and commercialize our therapeutic product candidates. Additionally, our discovery
capabilities designed to feed our internal pipeline may allow for future research and discovery collaborations aimed at harnessing our
capabilities towards a potential partner’s pipeline needs. Potential revenue sources in line with this business strategy could include
upfront fees, research funding, in-kind funding, milestones payments, license fees, royalties and other revenue sharing payments. We may
also seek co-development arrangements pursuant to which we would further advance partnered programs under any such partnership in order
to potentially retain a higher share of proceeds from future collaborations.
Gilead License Agreement
On December 18, 2023, we entered into the license agreement, 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 GS-0321 (previously COM503), and
additional products that may be so developed by Gilead, together with GS-0321 (previously COM503), referred to herein as the Licensed
Products.
Pursuant to the license agreement, Gilead paid us a $60 million upfront license payment
($51 million net after $9 million were withheld at source) in January 2024 and additional $30 million ($25.5 million net after $4.5 million
were withheld at source) as a milestone payment upon clearance of the IND application for GS-0321 (previously COM503) in the third quarter
of 2024. We are also eligible to receive up to approximately $758 million in additional milestone payments upon the achievement of certain
development, regulatory and commercial milestones. We are further eligible to receive single-digit to low double-digit tiered royalties
on worldwide net sales of Licensed Products. We are required to make certain upstream payments to certain service providers with respect
to the Licensed Products.
We are responsible for conducting the Phase 1 clinical trial for GS-0321 (previously
COM503), including handling the regulatory matters in connection therewith, and are bearing the costs of such trial (including the GS-0321
(previously COM503) drug supply), with Gilead having the obligation to provide us its anti-PD-1 antibody, zimberelimab, for such trial.
In certain circumstances, Gilead may assume the role of conducting the Phase 1 clinical trial.
Upon completion of the Phase 1 clinical trial for GS-0321 (previously COM503), we
are required to initiate the transfer of development activities related to GS-0321 (previously COM503) to Gilead, following which, Gilead
will have sole responsibility to develop and commercialize the Licensed Products. Such transfer may also take place under certain circumstances
prior to the completion of the Phase 1 clinical trial.
During the term of the license agreement, we are prohibited from researching, developing,
making and commercializing any compounds, molecules, products or treatment methods that are directed to IL-18 or any companion diagnostics
for an IL-18 product.
Unless terminated early by a party pursuant to its terms, the license agreement will
continue in effect on a Licensed Product-by-Licensed Product and country-by-country basis until the expiration of the last royalty term
in such country.
Gilead withheld at source 15% from the upfront payment and the milestone payment amount
paid to us in January 2024 and in September 2024, respectively, and is expected to continue to withhold at source all taxes required by
law from all payments payable to us under the license agreement.
The license agreement contains customary representations, warranties, covenants, and
terms governing the prosecution and enforcement of certain intellectual property and issues related to technology transfer, manufacturing
transfer, provisions with respect to establishment of joint steering committee and its governance covenants with respect change of control
and others.
AstraZeneca License
In March 2018, we entered into an exclusive license agreement with AstraZeneca, to
enable the development of bi-specific and multi-specific immuno-oncology antibody products.
Under the terms of the license agreement, as amended, we granted 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. AstraZeneca has
the right to create multiple products under this license agreement and is solely responsible for all research, development and commercial
activities under the license agreement. In connection with such license agreement, AstraZeneca developed rilvegostomig, a novel PD-1/TIGIT
bi-specific antibody with a TIGIT component that is derived from our COM902 and entered the clinic in September 2021 and initiated Phase
3 with first patient dosing in December 2023.
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From the date of the license agreement until the recent amendment thereto dated December
16, 2025, we received a $10 million upfront payment and were eligible to receive up to $200 million in development, regulatory and
commercial milestones for the first product as well as mid-single-digit tiered royalties on future product sales, out of which we accrued
$2 million in 2020 as a preclinical milestone, $6 million in 2021 as a clinical milestone (triggered by the dosing of the first patient
in a Phase 1/2 clinical trial evaluating rilvegostomig), an additional $7.5 million in 2022 as a clinical milestone (triggered by the
dosing of the first patient in its ARTEMIDE Phase 2 clinical trial evaluating rilvegostomig), an additional $10 million in 2023 as a clinical
milestone (triggered by the dosing of the first patient in its ARTEMIDE-Bil01 Phase 3 clinical trial evaluating rilvegostomig), and
an additional $5 million in 2024 (triggered by dosing of the first patient in the second Phase 3 clinical trial evaluating rilvegostomig).
If additional products are developed, additional milestones and royalties would be due to us for each product. In 2024, AstraZeneca provided
a non-risk adjusted peak year revenue target for rilvegostomig of over $5 billion.
On December 16, 2025, we amended the license agreement and sold to AstraZeneca a portion
of our existing royalty interest in rilvegostomig for a $65 million upfront payment which was paid in December 2025 and for an addition
of $25 million to the next milestone payment to be paid to us, which is the first acceptance of the Biologics License Application (“BLA”).
Following the amendment, we remain eligible for potential future regulatory and commercial milestones of up to $195 million (including
the $25 million stated above) for rilvegostomig. In addition, we maintained the majority of our royalties, being eligible for tiered royalties
of up to mid-single digit on future sales, also after the amendment.
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,
each as defined in the license agreement. In addition, AstraZeneca may terminate the agreement for convenience upon prior written notice.
Bristol Myers Squibb Collaboration
On October 10, 2018, we entered into a master clinical trial collaboration agreement,
or the MCTC, with Bristol Myers Squibb to evaluate the safety and tolerability of COM701 in combination with Bristol Myers Squibb’s
PD-1 immune checkpoint inhibitor Opdivo® (nivolumab), in patients with advanced solid tumors.
The collaboration was also designed to address potential future combinations. The
parties agreed that Bristol Myers Squibb and Compugen will each supply the other company with its own compound for the other party’s
trial, and otherwise each party will be responsible for all costs associated with the trial that it is conducting.
Pursuant to the terms of MCTC, as amended from time to time, we conducted triple combination
clinical trials to evaluate the safety, tolerability and antitumor activity of COM701 in combination with Opdivo® (nivolumab), and
Bristol Myers Squibb’s investigational antibody targeting TIGIT known as BMS-986207, in patients with advanced solid tumors, and
dual combination clinical trials to evaluate the dual combination of COM701 and Opdivo® in patients with advanced solid tumors. In
all these clinical trials we were responsible for and sponsored all the clinical trials and Bristol Myers Squibb provided us with Opdivo®
and BMS-986207 at no cost to us.
The MCTC provided Bristol Myers Squibb a right to negotiate a license for commercialization
and further provided Bristol Myers Squibb with certain exclusivity rights.
In conjunction with the signing of the MCTC in October 2018, Bristol Myers Squibb
made a $12 million investment in us and in conjunction with the signing one of the amendments to the MCTC in November 2021, Bristol
Myers Squibb made additional $20 million investment in us. In both investments, the share price paid by Bristol Myers Squibb represented
a 33% premium over the closing price of our ordinary shares on the last trading day immediately prior to the execution of the applicable
securities purchase agreement. In these two investments, we issued Bristol Myers Squibb 4,757,058 ordinary shares aggregately.
On August 3, 2022, we entered into a letter agreement with Bristol Myers Squibb pursuant
to which the MCTC between the parties was terminated as of such date and all ongoing clinical trials at the time of the termination entered
into a winding down process. Please see “Item 5. Operating and Financial Review and Prospects - B. Liquidity and Capital Resources.”
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Competition
The biotechnology and pharmaceutical industries are highly competitive and characterized
by the rapid evolution of new technologies and the adoption of new therapies. Additionally, the oncology therapeutic space, represents
the therapeutic area with what we believe to be one of the highest industry focus and investment. In addition, in recent years, computational
approaches and systems are being integrated into multiple life science aspects, including the formation of new companies focusing on computational
drug target discovery. Our competitors include biotechnology and pharmaceutical companies both small and large, the research and discovery
groups within pharmaceutical companies, computational discovery and development companies, academic and research institutions, newly founded
companies and governmental and other publicly funded agencies.
Any product candidates that we successfully develop will compete with currently approved
therapies and new therapies that may become available in the future. We face, and expect to continue to face, ongoing competition from
entities that discover novel targets and develop novel products, and that have therapeutic product candidates or products that address
the same drug targets or act by similar, or possibly identical, mechanism of action as well as by different mechanisms but address the
same drug target or patient population or unmet clinical need. Our potential competitors are also comprised of companies that discover
and develop monoclonal antibody therapies and/or therapeutic proteins to novel targets, and/or other modalities, including bi-specifics
and tri-specifics antibodies, T cell engagers (TCE), cell therapies, ADCs, small molecules such as protein degraders, molecular glues,
and oligonucleotides based mRNA therapeutics. Specifically, in the field of immune checkpoints for cancer immunotherapy, there are several
leading pharmaceutical and biotechnology companies as well as smaller biotechnology companies and academic institutions that are developing
cancer immunotherapies to enhance immune response towards tumors, some of which may be based on the same targets we pursue. For examples
of the competition we face, see “Item 3. Key Information - D. Risk Factors - 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.” and “Item 3. Key Information –
D. Risk Factors - Risks Related to Competition and Commercialization - 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 discovery programs depend, in large part, on our computational discovery capabilities
in integration with our immuno-oncology experimental capabilities and drug development capabilities as well as our proprietary data to
make inventions and establish intellectual property rights in our drug target candidates and product candidates. There are additional
companies exploring computational approaches and systems for drug target discovery and other means by which such inventions and intellectual
property can be generated. We believe that our computational capabilities, and specifically our Unigen platform, provide us with a competitive
advantage in predicting protein functions and expression and linking proteins to specific mechanisms and diseases, and as a result, predicting
novel immuno-oncology drug targets. We believe that this advantage is made possible by building an integrated immuno-oncology platform
for discovery based on cutting-edge AI/ML powered computational capabilities integrated with our ground-breaking immuno-oncology research
and drug development expertise, as well as our unique team of multidisciplinary research scientists, who have vast experience in computational
discovery, including developing and handling advance data science approaches, and who over time discovered several drug targets that entered
clinical trials and have generated peer reviewed publications in scientific journals.
We also face competition from companies that utilize AI/ML for target discovery in
the field of immuno-oncology/cancer, some of which besides utilizing a computational platform for target discovery, also perform the molecule
discovery. For more information on this matter, please see relevant information “Item 3. Key Information - D. Risk Factors - 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.” and “Item 3. Key Information – D. Risk Factors - Risks Related to Competition and Commercialization - 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.”
We anticipate that we will face intense and increasing competition as advanced technologies
or new therapy modalities become available.
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Intellectual Property Rights
Our intellectual property assets are our principal assets. These assets include the
intellectual property rights subsisting in our proprietary know-how and trade secrets underlying our biology capabilities and discovery
capabilities, our patents and patent applications, particularly with respect to our discovered proteins, therapeutic and diagnostic product
candidates. We seek to vigorously protect our rights and interests in our intellectual property. We expect that our commercial success
will depend on, among other things, our ability to obtain commercially valuable patents, especially for our therapeutic and diagnostic
product candidates, maintain the confidentiality of our proprietary know-how and trade secrets, and otherwise protect our intellectual
property. 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 seek patent protection for certain
promising inventions that relate to our therapeutic and diagnostic product candidates. As of February 1, 2026, we had a total of 78 issued
and allowed patents, of which 16 are U.S. patents, 7 are European patents and additional 55 patents in other territories. Our issued and
allowed patents expire between 2036 and 2038. As of February 1, 2026, we had over 142 pending patent applications that have been filed
in the United States, Europe and in other territories as well as pending patent applications that have been filed under the Patent Cooperation
Treaty for which we have not yet designated the countries of filing. The patents issued in the U.S. and Europe for COM701 and COM902 were
issued between 2017 and 2025 and should expire no earlier than 2036. These patents include issued claims directed to, among others, the
composition of these product candidates and/or methods of using the same to treat cancer by activating T cells and/or NK cells, and/or
combinations of our product candidates with other checkpoint inhibitors. Our general policy is to continue patent filings and maintenance
for our therapeutic and diagnostic product candidates, only with respect to candidates or programs that are being actively pursued internally
or with partners, or that we believe to have future commercial value. We routinely abandon patent applications and may choose to abandon
maintenance of patents supporting candidates or programs that do not meet these criteria.
We also seek protection for our proprietary know-how and trade secrets that are not
protectable or protected by patents, by way of safeguarding them against unauthorized disclosure. This is done through the extensive use
of confidentiality agreements and assignment agreements with our employees, consultants and third parties as well as by technological
means. We use license agreements both to access third-party technologies and to grant licenses to third parties to exploit our intellectual
property rights.
We are currently facing an appeal before the board of appeal of the EPO with respect
to our granted European broad patent relating to anti-PVRIG antibodies. For information about our oppositions, see “Item 3. Key
Information – D. Risk Factors - 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.”
Manufacturing
We currently rely on contract manufacturers or our collaborative partners to produce
and control materials, drug substances and drug products required for the research and development activities. We do not currently own
or operate manufacturing facilities for the production of clinical or commercial quantities of our therapeutic drug candidates. We do
not have, and we do not currently plan to acquire or develop the facilities or capabilities to manufacture bulk drug substance or filled
drug product for use in human clinical trials. We rely on CMOs, advisors and third-party contractors to generate formulations and produce
small scale and larger scale amounts of GLP, cGMP clinical and commercial drug substance and the drug product required for our clinical
trials for the foreseeable future. We also contract with CMOs and third-party contractors for the labeling, packaging, storage and distribution
of investigational drug products.
We entered into agreements with certain CMOs for the manufacturing and respective
analytics of COM701, COM902 and GS-0321 (previously COM503). Our manufacturing strategy is currently structured to support the current
clinical development of COM701 and COM902 and GS-0321 (previously COM503) (for which we are responsible for the Phase 1 clinical development).
Although we believe the general manufacturing strategy developed for the United States or in Europe will be applicable in other geographies,
specific strategies for other geographies will be developed, if required, as part of our clinical and commercial plans for such other
geographies. See “Item 3. Key Information - D. Risk Factors - Risks Related to Our Dependence on Third Parties - 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.”
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Government Regulation
Regulation of Therapeutic Product Candidates
In the United States, the FDA regulates pharmaceutical and biologic products under
the Federal Food, Drug, and Cosmetic Act, or FDCA, the Public Health Service Act, other statutes and regulations and implementing
regulations. We anticipate that our product candidates will be regulated as biologics. The process of obtaining regulatory approvals and
the subsequent compliance with applicable federal, state and local statutes and regulations require the expenditure of substantial time
and financial resources. Failure to comply with the applicable United States requirements at any time during the product development process,
approval process or after approval, may subject an applicant to administrative or judicial sanctions. The process required by the FDA
before a biologic may be marketed in the United States generally involves the following:
• completion of preclinical laboratory tests and animal studies in compliance with the FDA’s GLP or other applicable regulations;
• submission to the FDA of an IND, which must become effective before human clinical trials may begin;
• performance of adequate and well-controlled human clinical trials in accordance with GCPs to establish the safety and efficacy of the product for its intended use;
• submission of annual reports to regulatory authorities;
• submission to the FDA of a biologics license application, or BLA;
• satisfactory completion of an FDA inspection of the manufacturing facility or facilities at which the drug or biologic is produced to assess compliance with current Good Manufacturing Practice, or cGMP, to assure that the facilities, methods and controls are adequate to preserve the product’s identity, strength, quality and purity; and
• FDA review and approval of the BLA.
Once a pharmaceutical candidate is identified for development, it enters the preclinical
testing stage. Preclinical tests include, among others, laboratory evaluations of product function, toxicity and formulation as well as
animal studies. An IND sponsor must submit the results of the preclinical tests, together with manufacturing information and analytical
data, among other information, to the FDA as part of the IND. The sponsor will also include a clinical protocol detailing, among other
things, the objectives of the first phase of the clinical trial, the parameters to be used in monitoring safety, and the effectiveness
criteria to be evaluated, if the first phase lends itself to an efficacy evaluation. The IND automatically becomes effective 30 days after
receipt by the FDA, unless the FDA, within the 30-day time period, places the clinical trial on a clinical hold. In such a case, the IND
sponsor and the FDA must resolve any outstanding concerns before the clinical trial can begin. Clinical holds also may be imposed by the
FDA at any time before or during a clinical trial due to, among other things, safety concerns or non-compliance with applicable requirements.
All clinical trials must be conducted under the supervision of one or more qualified
investigators in accordance with GCPs. An IRB at each institution participating in the clinical trial must review and approve the trial
plan for any clinical trial before it commences at that institution. An IRB considers, among other things, whether the risks to individuals
participating in the trials are minimized and are reasonable in relation to anticipated benefits. The IRB also reviews the information
regarding the trial, participant recruiting materials and the informed consent form that must be provided to each trial subject or his
or her legal representative before participating in the trial. In addition, the IRB will monitor the trial until completed.
Each new clinical trial protocol must be submitted to the FDA, and to the IRBs. Protocols
detail, among other things, the objectives of the trial, dosing procedures, subject selection and exclusion criteria, and the parameters
to be used to monitor subject safety and determine efficacy.
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Human clinical trials are typically conducted in three phases that may overlap or
be combined:
• Phase 1: The product candidate is initially introduced into healthy human subjects and tested for safety, dosage tolerance, absorption, metabolism, distribution and excretion. In the case of some products, usually for severe or life-threatening diseases, especially when the product may be too inherently toxic to ethically administer to healthy volunteers, the initial human testing may be conducted in patients.
• Phase 2: Involves studies in a limited patient population to identify possible adverse effects and safety risks, to preliminarily evaluate the efficacy of the product for specific targeted diseases and to determine dosage tolerance and optimal dosage.
• Phase 3: Involves studies undertaken to further evaluate dosage, clinical efficacy and safety in an expanded patient population at geographically dispersed clinical trial sites. These studies are intended to establish the overall risk-benefit ratio of the product and provide an adequate basis for product labeling and approval.
Progress reports detailing the results of the clinical trials must be submitted at
least annually to the FDA and safety reports for serious and unexpected adverse events must be submitted to the FDA and the investigators
more frequently. The FDA or the sponsor may suspend or terminate a clinical trial at any time on various grounds, including a finding
that the research subjects or patients are being exposed to an unacceptable health risk. Similarly, an IRB can suspend or terminate approval
of a clinical trial at its institution if the clinical trial is not being conducted in accordance with the applicable regulations or IRB
requirements or if the drug has been associated with unexpected serious harm to patients.
Concurrent with clinical trials, companies usually complete additional nonclinical
studies and must also finalize a process for manufacturing the product in commercial quantities in accordance with cGMP requirements.
The manufacturing process must be capable of consistently producing quality batches of the product within required specifications and,
among other things, the manufacturer must develop methods for testing the identity, strength, quality and purity of the product. Additionally,
appropriate packaging must be selected and tested, and stability studies must be conducted to demonstrate that the product does not undergo
unacceptable deterioration over its shelf life.
United States Review and Approval Processes
The results of product development, nonclinical studies and clinical trials, along
with descriptions of the manufacturing process, analytical tests, proposed labeling, and other relevant information are submitted to the
FDA as part of a BLA requesting approval to market the product for one or more indications. The FDA initially reviews all BLAs submitted
to ensure that they are sufficiently complete for substantive review before it accepts them for filing. The FDA may request additional
information rather than accept a BLA for filing. Once the submission is accepted for filing, the FDA begins an in-depth substantive review.
The FDA may refer the BLA to an advisory committee for review, evaluation and recommendation as to whether the application should be approved
and under what conditions. The FDA is not bound by the recommendation of an advisory committee.
The review process is lengthy, and the FDA may issue a complete response letter rather
than approve a BLA if the applicable regulatory criteria are not satisfied or may require the submission of additional clinical or other
data and information. Even if such data and information are submitted, the FDA may ultimately decide that the BLA does not satisfy the
criteria for approval.
If a product receives regulatory approval, the approval will be limited to specific
diseases and dosages or the approved indications for use may otherwise be limited, which could restrict the commercial value of the product.
In addition, the FDA may require a company to conduct post-approval testing and clinical trials, to further assess a product’s safety
and effectiveness after BLA approval and may require testing and surveillance programs to monitor the safety of approved products which
have been commercialized including Risk Evaluation and Mitigation Strategy (REMS) programs to ensure that the benefits of a product outweigh
its risks.
Post-approval Requirements
Approved biologics are subject to extensive and continuing regulation by the FDA,
including, among other things, cGMP compliance, record-keeping requirements, reporting of adverse experiences, providing the FDA with
updated safety and efficacy information, and complying with FDA promotion and advertising requirements. After an approval is granted,
the FDA may withdraw the approval if compliance with regulatory requirements is not maintained or if serious problems occur after the
product reaches the market. Biologics may be promoted for use only for the approved indication or indications and in accordance with the
provisions of the approved label. The FDA and other federal and state agencies actively enforce the laws and regulations prohibiting the
promotion of off-label uses, and a company that is found to have improperly promoted off-label uses may be subject to criminal and civil
penalties. However, physicians may, in their independent medical judgment, prescribe legally
available products for off-label uses. The FDA does not regulate the behavior of physicians in their choice of treatments, but the FDA
does restrict manufacturer’s communications on the subject of off-label use of their products.
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Other Healthcare Laws
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 and
foreign healthcare fraud and abuse, transparency, and data privacy and security laws. For example, U.S. federal civil and criminal laws
and regulations prohibit, among other things: knowingly and willfully soliciting, receiving, offering or providing remuneration, directly
or indirectly, to induce or reward either the referral of an individual, or the furnishing, recommending or arranging for a good or service,
for which payment may be made under a federal healthcare program, such as the Medicare and Medicaid programs; knowingly presenting or
causing to be presented, a false or fraudulent claim for payment by a federal healthcare program; and knowingly and willfully executing,
or attempting to execute, a scheme to defraud any healthcare benefit program (including a private payor), or knowingly and willfully falsifying,
concealing or covering up a material fact or making any materially false statement in connection with the delivery of, or payment for,
healthcare benefits, items or services. Many U.S. states and foreign countries have analogous prohibitions that may be broader in scope
and apply regardless of payor. Additionally, some state and local laws require certain regulatory licenses to manufacture or distribute
our products commercially and/or the registration of pharmaceutical sales representatives in the jurisdiction. In addition, we may be
subject to U.S. federal, U.S. state and foreign laws that require us to report information related to certain payments and other transfers
of value to certain health care professionals, as well as ownership and investment interests in our company held by those health care
professionals and their immediate family members, and data security and privacy laws that restrict our practices with respect to the use
and storage of certain data.
Efforts to ensure that our current and future business arrangements with third parties
comply with applicable healthcare laws and regulations may involve substantial costs. 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.
Healthcare Policy and Reform
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, collectively, the ACA, substantially changed the way healthcare is financed by both governmental and private insurers and significantly
affects the pharmaceutical industry. With regard to biopharmaceutical products, the ACA has, among other things, expanded and increased
industry rebates for products covered under Medicaid programs and changed the coverage requirements under the Medicare Part D program.
There have been congressional, judicial, and executive branch challenges and amendments to the ACA, which has 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.
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In addition, other legislative changes have been proposed and adopted since the ACA
was enacted. The Budget Control Act of 2011, triggered automatic reduction to several government programs, including reductions to Medicare
payments to providers, which went into effect in April 2013 and will remain in effect until 2032, unless additional congressional action
is taken.
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 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. 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. 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. 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.
We cannot predict what healthcare reform initiatives may be adopted in the future.
However, we anticipate that Congress, state legislatures, and third-party payors may continue to review and assess alternative healthcare
delivery and payment systems and may in the future propose and adopt legislation or policy changes or implementations effecting additional
fundamental changes in the healthcare delivery system. We also expect ongoing legislative and regulatory initiatives to increase pressure
on drug pricing.
Coverage and Reimbursement
Market acceptance of 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. 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. 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, the
U.S. Department of Health and Human Services, or 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. 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. Additionally, we, or our collaborators, may
develop companion diagnostic tests for use with our product candidates, once approved. 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.
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Non-U.S. Regulations
In addition to regulations in the United States, biologics are subject to a variety
of foreign laws and regulations governing clinical trials and commercial sales and distribution before they may be sold outside the United
States. Whether or not we obtain FDA approval for a product, we must obtain the necessary approvals from comparable regulatory authorities
of foreign countries before we can commence clinical trials or marketing of the product in those countries. The approval process varies
from country to country and the time may be longer or shorter than that required for FDA approval. In some countries, we will also have
to get pricing approval.
Environmental Regulation
Some of our research and development activities involve the controlled use of biological
and chemical materials, a small amount of which could be considered to be hazardous. We are subject to laws and regulations in the U.S.,
European Union and Israel governing the use, storage, handling and disposal of all these materials and resulting waste products. We store
relatively small amounts of biological and chemical materials. To our knowledge, we substantially comply with these laws and regulations.
However, the risk of accidental contamination or injury from these materials cannot be entirely eliminated. In the event of an accident,
we could be held liable for any resulting damages, and any liability could exceed our resources.
Regulation of Use of Human Tissue
We need to access and use various human or non-human tissue samples for the purpose
of research, development and/or validation of some of our product candidates. Our access and use of these samples are subject to government
regulation, in the United States, Israel and elsewhere and may become subject to further regulation. The use of clinical data associated
with human tissue samples is also heavily regulated in the United States, Israel and elsewhere. United States and other governmental agencies
may also impose restrictions on the use of data derived from human or other tissue samples.
Regulations Concerning the Use of Animals in Research
We also are subject to various laws and regulations regarding laboratory practices
and the use of animals in our research. In the United States, the FDA regulations describe good laboratory practices, or GLPs, for various
types of nonclinical laboratory studies that support or are intended to support applications for research or marketing permits for products
regulated by the FDA, including INDs. Nonclinical animal studies conducted by us or third parties on our behalf may be subject to the
U.S. Animal Welfare Act, the U.S. Public Health Service Policy on Humane Animal Care and Use, U.S. Department of Agriculture regulations
for certain animal species or applicable laws and regulations of other countries where we or third parties on our behalf conduct these
studies. In Israel, the Council on Animal Experimentation has regulatory and enforcement powers, including the ability to suspend, change
or withdraw approvals, among other powers. To our knowledge, we and the third-party service providers we work with, as applicable, substantially
comply with these regulatory requirements.
Regulation of Products Developed with the Support of Research and
Development Grants
For a discussion of regulations governing products developed with research and development
grants from the Government of Israel, see “Item 5. Operating and Financial Review and Prospects - C. - Research and Development,
Patents and Licenses - The Israel Innovation Authority.”
C. ORGANIZATIONAL STRUCTURE
We were incorporated under the laws of the State of Israel on February 10, 1993, as
Compugen Ltd., which is both our legal and commercial name. Compugen USA, Inc., our wholly owned subsidiary, was incorporated in Delaware
in March 1997 and is qualified to do business in California.
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D. PROPERTY, PLANTS AND EQUIPMENT
In December 2015, we moved to our facilities in Holon, Israel where we leased an aggregate
of approximately 35,250 square feet of office, biology laboratory facilities and warehouse. Following the exercise of our first and second
option, we lease 30,140 square feet under that lease that will expire on March 14, 2031. Compugen USA, Inc. no longer leases office space.
To our knowledge, there are no environmental issues that affect our use of the properties
that we lease.