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A. [Reserved]
B. Capitalization and Indebtedness
Not applicable.
C. Reasons for the Offer and Use of Proceeds
Not applicable.
D. Risk Factors
You should carefully consider the risks we describe below, in addition
to the other information set forth elsewhere in this Annual Report on Form 20-F, including our consolidated financial statements and the
related notes beginning on page F-1, before deciding to invest in our ordinary shares and ADSs. These material risks could adversely impact
our results of operations, possibly causing the trading price of our ordinary shares and ADSs to decline, and you could lose all or part
of your investment.
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Summary Risk Factors
Investing in our securities involves a high degree of risk, as
fully described below. The principal factors and uncertainties that make investing in our ordinary shares risky include, among others:
Risks Related to Our Financial Condition and Capital Requirements
• We have incurred significant losses since inception and expect to incur additional losses in the future and may never be profitable.
• We cannot assure investors that our existing cash and investment balances will be sufficient to meet our future capital requirements.
• If we default under our secured loan agreement with BlackRock EMEA Venture and Growth Lending (previously Kreos Capital VII Aggregator SCSP), or BlackRock, all or a portion of our assets could be subject to forfeiture.
• Management has concluded that there is substantial doubt about our ability to continue as a going concern, which could prevent us from obtaining new financing on reasonable terms or at all.
Risks Related to Our Business and Regulatory Matters
• We have earned limited revenues to date and we may never achieve profitability.
• GLIX1, motixafortide, or any other therapeutic candidate that may receive marketing approval in the future, may fail to achieve the degree of market acceptance by physicians, patients, third-party payors and others in the medical community necessary for commercial success and the market opportunity for GLIX1, motixafortide or any other therapeutic candidate may be smaller than our estimates.
• If we, our licensees or our collaborators are unable to obtain and/or maintain U.S. and/or foreign regulatory approval for our therapeutic candidates, in a timely manner or at all, we will be unable to commercialize our therapeutic candidates.
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• We, our licensees, and our collaborators may not obtain additional marketing approvals for motixafortide in other indications or initial approval for GLIX1 or any other therapeutic candidates we may develop in the future.
• Clinical trials involve a lengthy and expensive process with an uncertain outcome, and results of earlier studies and trials may not be predictive of future trial results.
• Even if we obtain regulatory approvals, GLIX1, motixafortide and any other therapeutic candidate that we may develop in the future will be subject to ongoing regulatory review and if we fail to comply with continuing U.S. and applicable foreign regulations, we could lose those approvals and our business would be seriously harmed.
• We generally rely on third parties to conduct our preclinical studies and clinical trials and to provide other services, and those third parties may not perform satisfactorily, including by failing to meet established deadlines for the completion of such services.
• We recently entered into and may in the future rely on out-licensing arrangements for late-stage development, marketing or commercialization of our therapeutic candidates.
• If we cannot meet requirements under our in-license agreements, we could lose the rights to our therapeutic candidates, which could have a material adverse effect on our business.
• We have partnered with and may seek to partner with third-party collaborators with respect to the development and commercialization of motixafortide, and we may not succeed in establishing and maintaining collaborative relationships, which may significantly limit our ability to develop and commercialize our therapeutic candidates successfully, if at all.
• If competitors develop and market therapeutics that are more effective, safer or less expensive than our current or future therapeutic candidates, our prospects will be negatively impacted.
• GLIX1, motixafortide, or any other therapeutic candidate that we, our licensees are able to commercialize, may become subject to unfavorable pricing regulations, third-party payor reimbursement practices or healthcare reform initiatives, any of which could harm our business.
• We rely upon third-party manufacturers to produce therapeutic supplies for the clinical trials, and commercialization, of GLIX1 and motixafortide. If we manufacture any therapeutic candidates in the future, we will be required to incur significant costs and devote significant efforts to establish and maintain manufacturing capabilities.
Risks Related to Our Industry
• Healthcare reforms and related reductions in pharmaceutical pricing, reimbursement and coverage by government authorities and third-party payors may adversely affect our business.
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• If third-party payors do not adequately reimburse customers for any of our therapeutic candidates that are approved for marketing, they might not be purchased or used, and our revenues and profits will not develop or increase.
• Our business has a substantial risk of clinical trial and product liability claims. If we are unable to obtain and maintain appropriate levels of insurance, a claim could adversely affect our business.
• Significant disruptions of our information technology systems or breaches of our data security could adversely affect our business.
• We deal with hazardous materials and must comply with environmental, health and safety laws and regulations, which can be expensive and restrict how we do business.
• We have in the past, and may in the future, become subject to litigation or claims arising in or outside the ordinary course of business that could negatively affect our business operations and financial condition.
Risks Related to Intellectual Property
• Our access to most of the intellectual property associated with our therapeutic candidates results from in-license and collaboration agreements with biotechnology companies and a university, the termination of which would prevent us from commercializing the associated therapeutic candidates.
Risks Related to our Ordinary Shares and ADSs
• Our business, operating results and growth rates may be adversely affected by current or future unfavorable economic and market conditions and adverse developments with respect to financial institutions and associated liquidity risk.
• The market prices of our ordinary shares and ADSs are subject to fluctuation, which could result in substantial losses by our investors.
• Future sales of our ordinary shares or ADSs could reduce the market price of our ordinary shares and ADSs.
• Raising additional capital by issuing securities may cause dilution to existing shareholders.
• If we fail to comply with the continued listing requirements of the Nasdaq, our ADSs may be delisted and the price of our ADSs and our ability to access the capital markets could be negatively impacted.
Risks Related to our Operations in Israel
• We conduct a substantial part of our operations in Israel and therefore our results may be adversely affected by political, economic and military instability in Israel and its region.
• Provisions of Israeli law may delay, prevent or otherwise impede a merger with, or an acquisition of, our company, which could prevent a change of control, even when the terms of such a transaction are favorable to us and our shareholders.
• It may be difficult to enforce a U.S. judgment against us and our officers and directors in Israel or the United States, or to serve process on our officers and directors.
• Your rights and responsibilities as a shareholder will be governed by Israeli law, which may differ in some respects from the rights and responsibilities of shareholders of U.S. companies.
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Risks Related to Our Financial Condition and Capital Requirements
We have incurred significant losses since inception
and expect to incur additional losses in the future and may never be profitable.
We are a biopharmaceutical company pursuing life-changing therapies
in oncology and rare diseases. Our first approved product is APHEXDA (motixafortide), a novel peptide for the treatment of stem-cell mobilization
and solid tumors which, on September 8, 2023, was approved by the FDA for use in combination with filgrastim (G-CSF) to mobilize hematopoietic
stem cells to the peripheral blood for collection and subsequent autologous transplantation in patients with multiple myeloma. In October
2023, we out-licensed the rights to motixafortide for all indications in substantially all of Asia and in November 2024, we out-licensed
the global rights (other than in Asia) to motixafortide for all indications, other than solid tumors. As a result of the November 2024
transaction, we shut down our independent commercialization activities in the United States and refocused our operations on development
activities in Israel in the fields of oncology and rare diseases, at a significantly reduced annual cash burn rate. In September 2025
we entered into a collaboration with Hemispherian for the development, clinical evaluation and commercialization of GLIX1, a first-in-class,
oral, small molecule targeting DNA damage response in glioblastoma and other solid tumors.
Since our incorporation, we have been mainly focused on research
and development. We have incurred losses since inception, principally as a result of research and development and general administrative
expenses and, between 2022 and 2024, sales and marketing in support of the launch and direct commercialization of APHEXDA. We recorded
net losses of $60.6 million in 2023, $9.2 million in 2024, and $2.0 million in 2025. As of December 31, 2025, we had an accumulated deficit
of $401 million. While we generate revenue from royalties on product sales of APHEXDA and have the potential to generate additional revenue
from milestone payments, these have not been at a level to sustain our operations and there can be no assurance that significant revenue
from product sales of APHEXDA will ever be generated or that milestones will be met. As a result, we expect to continue to incur significant
expenses and sustain net losses for the foreseeable future as we continue our planned development activities for GLIX1 and motixafortide
in other indications.
We cannot assure investors
that our existing cash and investment balances will be sufficient to meet our future capital requirements.
As of December 31, 2025, we held $20.9 million of cash, cash equivalents
and short-term bank deposits. Based on our current projected cash requirements, we believe that our existing cash and investment balances
will be sufficient to meet our capital requirements into the first half of 2027. We have funded our operations primarily through public
and private offerings of our securities, payments received under our strategic licensing and collaboration arrangements and interest earned
on investments. The adequacy of our available funds to meet our operating and capital requirements will depend on many factors, including:
royalty and milestone payments from our license agreements with Ayrmid and Gloria, the number, breadth, progress and results of our research,
product development and clinical programs; the costs and timing of obtaining regulatory approvals for any of our therapeutic candidates;
the terms and conditions of in-licensing and out-licensing therapeutic candidates; and costs incurred in enforcing and defending our patent
claims and other intellectual property rights.
While we expect to continue to explore alternative financing sources,
including the possibility of future securities offerings and government funding, we cannot be certain that in the future these liquidity
sources will be available when needed on commercially reasonable terms or at all, or that our actual cash requirements will not be greater
than anticipated. We expect to also continue to seek to finance our operations through other sources, including out-licensing arrangements
for the development and commercialization of our therapeutic candidates or other partnerships or joint ventures, as well as grants from
government agencies and foundations. If we are unable to obtain future financing through the methods we describe above or through other
means, we may be unable to complete our business objectives and may be unable to continue operations, which would have a material adverse
effect on our business and financial condition.
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If we default under our
secured loan agreement with BlackRock, all or a portion of our assets could be subject to forfeiture.
In September 2022, we entered into a secured loan agreement, or
the Loan Agreement, with BlackRock, under which BlackRock agreed to provide the Company with access to term loans in an aggregate principal
amount of up to $40 million in three tranches as follows: (a) a loan in the aggregate principal amount of up to $10 million, (b) a loan
in the aggregate principal amount of up to $20 million, available for drawdown upon achievement of certain milestones and until April
1, 2024, and (c) a loan in the aggregate principal amount of up to $10 million, available for drawdown upon achievement of certain milestones
and until October 1, 2024. We drew down the initial tranche of $10 million following execution of the agreement in September 2022 and
we drew down the second tranche of $20 million in April 2024, following fulfilment of the requisite milestones. We did not draw down the
third tranche.
In November 2024, in connection with the Ayrmid License Agreement
(as defined below), we entered into an amendment, or the Amendment, to the Loan Agreement with BlackRock, pursuant to which, (i) we agreed
to make aggregate payments of $16.5 million, as partial repayment of the loan to BlackRock and in lieu of future revenue-based payments,
which were fully cancelled, (ii) effective December 1, 2024, we agreed to pay the remaining amounts outstanding under the loan (in principal
and interest) over a three year period ending December 1, 2027, and (iii) our minimum cash balance requirement under the Loan Agreement
was reduced to $4 million. In addition, pursuant to the Amendment, 10% of any future milestone payments received by us from the out-licensing
agreements through December 1, 2027 will be used to repay outstanding loan principal, and the repayments in (ii) above will be adjusted
accordingly. All other terms of the Loan Agreement remain the same.
Our ability to make the scheduled payments under the Loan Agreement
or to refinance our debt obligations with BlackRock depends on numerous factors including, but not limited to, the amount of our cash
reserves, our capital requirements and our ability to raise additional capital. We may be unable to maintain a level of cash reserves
sufficient to permit us to pay the principal and accrued interest on the loan. If our cash reserves, cash flows and capital resources
are insufficient to fund our debt obligations to BlackRock, we may be required to seek additional capital, restructure or refinance our
indebtedness, or delay or abandon our research and development projects or other capital expenditures, which could have a material adverse
effect on our business, financial condition, prospects or results of operations. There is no assurance that we would be able to take any
of such actions, or that such actions would permit us meet our scheduled debt obligations under the BlackRock loan agreement. If we default
on the Loan Agreement and are unable to cure the default pursuant to the terms of the Loan Agreement or are unable to repay or refinance
the loan when due, BlackRock could take possession of any or all assets in which it holds a security interest, and dispose those assets
to the extent necessary to pay off the debts, which would have a material adverse effect on our business, financial condition, prospects
or results of operations.
Management has concluded
that there is substantial doubt about our ability to continue as a going concern, which could prevent us from obtaining new financing
on reasonable terms or at all.
We have incurred significant losses and negative cash flows from
operations and have an accumulated deficit that raises substantial doubt about our ability to continue as a going concern. Our audited
consolidated financial statements for the year ended December 31, 2025 were prepared under the assumption that we would continue our operations
as a going concern. Our independent registered public accounting firm has included a “going concern” explanatory paragraph
in its report on our financial statements for the year ended December 31, 2025. If we are unable to improve our liquidity position, by,
among other things, raising capital through public or private offerings or reducing our expenses, we may exhaust our cash resources and
will be unable to continue our operations. If we cannot continue as a viable entity, our shareholders would likely lose most or all of
their investment in us.
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Risks Related to Our Business and Regulatory Matters
We have earned limited revenues
to date. We may never achieve profitability.
We are a biopharmaceutical company pursuing life-changing therapies
in oncology and rare diseases. To date, we have generated only limited revenues from sales of APHEXDA. Our ability to generate revenues
from sales of APHEXDA and achieve profitability will be dependent on the ability of the licensees under the Gloria License Agreement (as
defined below) and the Ayrmid License Agreement to successfully commercialize the licensed products and the ability of any future partners
or licenses to successfully commercialize any other product candidates that we may develop, in-license or acquire in the future.
Our revenues from motixafortide or any product candidate for which
regulatory approval is obtained will be dependent, in part, upon the size of the markets in the territories for which we gain regulatory
approval, the accepted price for the product, the ability to get reimbursement at any price, and the terms and conditions of our commercialization
agreement with our partner for that territory. While we retain the right to potentially meaningful milestones or royalty payments under
the Gloria License Agreement and the Ayrmid License Agreement, it could take many years before such milestones are achieved, resulting
in such royalty payments being made, if at all.
The timing and amount of any milestone and royalty payments we
may receive from our licensees, as well as the commercial success of our products will depend on, among other things, the efforts, allocation
of resources, negotiation of pricing and reimbursement and successful commercialization of our products by our licensees. As a result,
even if we generate product revenues, we may not become profitable and may need to obtain additional funding to continue operations.
GLIX1, motixafortide, or
any other therapeutic candidate that may receive marketing approval in the future, may fail to achieve the degree of market acceptance
by physicians, patients, third-party payors and others in the medical community necessary for commercial success and the market opportunity
for GLIX1, motixafortide or any other therapeutic candidate may be smaller than our estimates.
GLIX1, motixafortide or any other therapeutic candidate that may
be approved in the future by the appropriate regulatory authorities for marketing and sale, may fail to gain sufficient market acceptance
by physicians, patients, third-party payors and others in the medical community. Physicians are often reluctant to switch their patients
from existing therapies even when new and potentially more effective or convenient treatments enter the market. APHEXDA competes with
the standard of care using stem cell mobilization and its generic versions.
Efforts to educate the medical community and third-party payors
on the benefits of APHEXDA over its competition have required significant resources and may not ultimately be successful. If GLIX1, motixafortide,
or any other therapeutic candidate that may be approved in the future for marketing and sale in the future, does not achieve an adequate
level of market acceptance, we may not generate significant revenues and we may not become profitable. The degree of market acceptance
of GLIX1, motixafortide, or any other therapeutic candidate that may be approved in the future, will depend on a number of factors, including:
• the advantages of the treatment compared to competitive therapies;
• the number of competitors approved for similar uses;
• the relative promotional effort and marketing success of us as compared with our competitors;
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• how the product is positioned in physician treatment guidelines and pathways;
• the prevalence and severity of any side effects;
• the efficacy and safety of the product;
• our ability to offer the product for sale at competitive reimbursement;
• the product’s tolerability, convenience and ease of administration compared to alternative treatments;
• the willingness of the target patient population to try, and of physicians to prescribe, the product;
• limitations or warnings, including use restrictions, contained in the product’s approved labeling;
• the strength of sales, marketing and distribution support;
• the timing of market introduction of our approved products as well as competitive products;
• adverse publicity about the product or favorable publicity about competitive products;
• potential product liability claims;
• changes in the standard of care for the targeted indications of the product; and
• availability and amount of coverage and reimbursement from government payors, managed care plans and other third-party payors.
In addition, the potential market opportunities for GLIX1, motixafortide
and any other therapeutic are difficult to estimate precisely. Our estimates of the potential market opportunities are predicated on many
assumptions, including industry knowledge and publications, third-party research reports and other surveys. While we believe that our
internal assumptions are reasonable, these assumptions involve the exercise of significant judgment on the part of our management, are
inherently uncertain and the reasonableness of these assumptions has not been assessed by an independent source. If any of the assumptions
prove to be inaccurate, the actual markets for our therapeutic candidate could be smaller than our estimates of the potential market opportunities.
Even if a therapeutic candidate
receives marketing approval, we or others may later discover that the product is less effective than previously believed or causes undesirable
side effects that were not previously identified, which could compromise our ability or that of any collaborators to market the product,
and could cause regulatory authorities to take certain regulatory actions.
It is possible that our clinical trials may indicate an apparent
positive effect of a therapeutic candidate that is greater than the actual positive effect, if any, or alternatively fail to identify
undesirable side effects. For example, despite the recent FDA marketing approval of APHEXDA in the United States, we, or others, including
our licensees, may discover that APHEXDA is less effective or tolerable than previously believed. If we, or others, discover that a product
is less effective than previously believed or causes undesirable side effects that were not previously identified, any of the following
adverse events could occur:
• regulatory authorities may withdraw their approval of the product or seize the product;
• we, or any of our licensees or collaborators, may be required to recall the product, change the way the product is administered or conduct additional clinical trials;
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• additional restrictions may be imposed on the marketing of, or the manufacturing processes for, the particular product;
• we, or any of our licensees or collaborators, may be subject to fines, injunctions or the imposition of civil or criminal penalties;
• regulatory authorities may require the addition of labeling or warning statements, such as a “black box” warning or a contraindication;
• we, or any of our collaborators, may be required to create a Medication Guide outlining the risks of the previously unidentified side effects for distribution to physicians, health care professionals and patients;
• we could be sued and held liable for harm caused to patients;
• physicians and patients may stop using our product; and
• our reputation may suffer.
Any of these events could harm our business and operations and could negatively impact
the market price of our ordinary shares and/or ADSs.
If we, our licensees or
our collaborators are unable to obtain and/or maintain U.S. and/or foreign regulatory approval for our therapeutic candidates in a timely
manner or at all, we will be unable to commercialize our therapeutic candidates.
While we recently shut down our independent commercialization activities
in the United States and refocused our operations on development activities in Israel in the fields of oncology and rare diseases, we
continue to advance the development of motixafortide in solid tumors for all territories other than Asia and are advancing the development
of GLIX1 under the Collaboration Agreement. GLIX1, motixafortide, and any other therapeutic candidate we develop will require additional,
time-consuming and costly development efforts, by us or by our collaborators, prior to commercial sale, including preclinical studies,
clinical trials and approval by the FDA and/or applicable foreign regulatory authorities. All therapeutic candidates are prone to the
risks of failure that are inherent in pharmaceutical product development, including the possibility that the therapeutic candidate will
not be shown to be sufficiently safe and/or effective for approval by regulatory authorities. In addition, we cannot assure you that any
such products that are approved will be manufactured or produced economically, successfully commercialized or widely accepted in the marketplace,
or will be more effective than other commercially available alternatives.
In the United States, we are required to submit a New Drug Application,
or NDA, to obtain FDA approval before marketing any of our current or future therapeutic candidates. An NDA must include extensive preclinical
and clinical data and supporting information to establish the therapeutic candidate’s safety, purity and potency, or efficacy, for
each desired indication. The NDA must also include information regarding the product’s pharmacology, toxicology, chemistry, manufacture
and manufacturing controls. Obtaining approval of an NDA is a lengthy, expensive and uncertain process, and approval may not be obtained.
Upon submission of an NDA, the FDA must make an initial determination that the application is sufficiently complete to accept the submission
for filing. We cannot be certain that any submissions will be accepted for filing and review by the FDA, or ultimately be approved. The
FDA may require that we conduct additional clinical or preclinical trials, or take other actions before it will approve or reconsider
any application we make. If the FDA requires additional studies or data, we will incur increased costs and delays in the marketing approval
process, which may require us to expend more resources than we have available. In addition, the FDA may not consider any additional information
to be complete or sufficient to support approval.
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Any delay in obtaining, or the failure to obtain, required regulatory
approvals will materially and adversely affect our ability to generate future revenues from a particular therapeutic candidate. Any regulatory
approval to market a product may be subject to limitations on the indicated uses for which we may market the product or may impose restrictive
conditions of use, including cautionary information, thereby limiting the size of the market for the product. We and our collaborators,
as applicable, also are, and will be, subject to numerous foreign regulatory requirements that govern the conduct of clinical trials,
manufacturing and marketing authorization, pricing and third-party reimbursement. The foreign regulatory approval process includes all
the risks associated with the FDA approval process that we describe above, as well as risks attributable to the satisfaction of foreign
requirements. Approval by the FDA does not ensure approval by regulatory authorities outside the United States. Foreign jurisdictions
may have different approval processes than those required by the FDA and may impose additional testing requirements for our therapeutic
candidates.
We, our licensees and our
collaborators may not obtain additional marketing approvals for motixafortide or initial approval for GLIX1 or any other therapeutic candidates
we may develop in the future.
We, our licensees or our collaborators may not obtain additional
marketing approvals for motixafortide or initial approval for GLIX1 or any other therapeutic candidate that we may develop in the future.
It is possible that the FDA or comparable foreign regulatory agencies may refuse to accept for substantive review any future application
that we, a licensee or a collaborator may submit to market and sell our therapeutic candidates, or that any such agency may conclude after
review of our, our licensee’s or collaborator’s data that such application is insufficient to obtain marketing approval of
our therapeutic candidate.
If the FDA or other comparable foreign regulatory agency does not
accept or approve any future application to market and sell any therapeutic candidate, such regulators may require that we conduct additional
clinical trials, preclinical studies or manufacturing validation studies and submit that data before they will reconsider our application.
Depending on the extent of these or any other required trials or studies, approval of any application that we submit may be delayed by
several years, or may require us, our licensee or our collaborator to expend more resources than we or they have available. It is also
possible that additional trials or studies, if performed and completed, may not be considered sufficient by the FDA or other foreign regulatory
agency to approve our applications for marketing and commercialization.
Any delay in obtaining, or an inability to obtain, marketing approvals
would prevent us, our licensees or collaborators from commercializing GLIX1 or motixafortide in other jurisdictions and indications or
any other therapeutic candidate that we may develop in the future and generating revenues. If any of these outcomes occur, we would not
be eligible for certain milestone and royalty revenue under our license agreements, our licensees could terminate our license agreements
and we may be forced to abandon our development efforts, any of which could significantly harm our business.
Clinical trials involve a lengthy and expensive
process with an uncertain outcome, and results of earlier studies and trials may not be predictive of future trial results.
Clinical trials are expensive and complex, can take many years
and have uncertain outcomes. We cannot necessarily predict whether we or any licensee will encounter problems with any of the completed,
ongoing or planned clinical trials that will cause us, any licensee or regulatory authorities to delay or suspend clinical trials, or
to delay the analysis of data from completed or ongoing clinical trials. In addition, because some of our clinical trials are investigator-initiated
studies (i.e., we are not the study sponsor), we may have less control over these studies. We estimate that certain of our clinical trials
will continue for several years, but they may take significantly longer to complete. Failure can occur at any stage of the testing, and
we may experience numerous unforeseen events during, or as a result of, the clinical trial process that could delay or prevent commercialization
of our current or future therapeutic candidates, including, but not limited to:
• delays in securing clinical investigators or trial sites for the clinical trials;
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• delays in obtaining institutional review board and other regulatory approvals to commence a clinical trial;
• slower-than-anticipated patient recruitment and enrollment;
• negative or inconclusive results from clinical trials;
• unforeseen safety issues;
• uncertain dosing issues;
• an inability to monitor patients adequately during or after treatment; and
• problems with investigator or patient compliance with the trial protocols.
A number of companies in the pharmaceutical and biotechnology industries,
including those with greater resources and experience than us, have suffered significant setbacks in advanced clinical trials, even after
seeing promising results in earlier clinical trials. Despite the results reported in earlier clinical trials for our therapeutic candidates,
we do not know whether any Phase 3 or other clinical trials we or our licensees may conduct will demonstrate adequate efficacy and safety
to result in regulatory approval to market any therapeutic candidate. For example, we previously investigated the treatment of motixafortide
for acute myeloid leukemia, AML, and following an interim analysis of a Phase 2b trial in which the investigational arm of motixafortide
combined with cytarabine did not demonstrate a statistically significant effect in the study’s primary endpoint, we terminated the
study. Nevertheless, we continue to believe in the relevance of CXCR4 as a viable target in other AML treatment lines, such as rr/AML
and induction treatment. If later-stage clinical trials of any therapeutic candidate do not produce favorable results, our ability to
obtain regulatory approval for the therapeutic candidate may be adversely impacted, which will have a material adverse effect on our business,
financial condition and results of operations.
Even if we obtain regulatory
approvals, GLIX1, motixafortide and any other therapeutic candidate that we may develop in the future will be subject to ongoing regulatory
review and if we fail to comply with continuing U.S. and applicable foreign regulations, we could lose those approvals and our business
would be seriously harmed.
Even if therapeutics we or any licensee or collaborator develops
receive regulatory approval, we or any licensee, as applicable, will be subject to ongoing reporting obligations, and any approved products
and the manufacturing operations for such products will be subject to continuing regulatory review, including FDA inspections. The outcome
of this ongoing review may result in the withdrawal of a product from the market, the interruption of the manufacturing operations and/or
the imposition of labeling and/or marketing limitations. Since many more patients are exposed to a drug product following its marketing
approval, serious but infrequent adverse reactions that were not observed in clinical trials may be observed during the commercial marketing
of the product. In addition, the manufacturer and the manufacturing facilities we or our licensees, as applicable, will use to produce
any therapeutic candidate will be subject to periodic review and inspection by the FDA and other similar foreign regulators. Later discovery
of previously unknown problems with any product, manufacturer or manufacturing process, or failure to comply with regulatory requirements,
may result in actions such as:
• restrictions on such product, manufacturer or manufacturing process;
• warning letters from the FDA or other regulatory authorities;
• withdrawal of the product from the market;
• suspension or withdrawal of regulatory approvals;
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• refusal to approve pending applications or supplements to approved applications that we or our licensees submit;
• voluntary or mandatory recall;
• fines;
• refusal to permit the import or export of our products;
• product seizure or detentions;
• injunctions or the imposition of civil or criminal penalties; or
• adverse publicity.
If we, or any licensee, supplier, third-party contractor, partner
or clinical investigator is slow to adapt, or are unable to adapt, to changes in existing regulatory requirements or the adoption of new
regulatory requirements or policies, we or any licensee may lose marketing approval for any of our products, if any of our therapeutic
products are approved, resulting in decreased or lost revenue from milestones, product sales or royalties.
We generally rely on third
parties to conduct our preclinical studies and clinical trials and to provide other services, and those third parties may not perform
satisfactorily, including by failing to meet established deadlines for the completion of such services.
We do not have the ability to conduct certain preclinical studies
and clinical trials independently for GLIX1 and motixafortide, and we rely on third parties, such as contract laboratories, contract research
organizations, medical institutions, clinical investigators and other collaborators to conduct these studies and clinical trials. Our
reliance on these third parties limits our control over these activities. The collaborators may not assign as great a priority to our
clinical development programs or pursue them as diligently as we would if we were undertaking such programs directly. Accordingly, these
collaborators may not complete activities on schedule, or may not conduct the studies or our clinical trials in accordance with regulatory
requirements or with our trial design. If these third parties do not successfully carry out their contractual duties or meet expected
deadlines, or if their performance is substandard, we may be required to replace them or add more sites to the studies. Although we believe
that there are a number of other third-parties that we could engage to continue these activities, replacement of these third parties will
result in delays and/or additional costs. As a result, our efforts to obtain regulatory approvals for, and to commercialize GLIX1, motixafortide
and any other therapeutic candidate that we may develop in the future may be delayed. The collaborators may also have relationships with
other commercial entities, some of whom may compete with us. If the collaborators assist our competitors, our competitive position may
be harmed.
In addition, our ability to bring future products to market depends
on the quality and integrity of data that we present to regulatory authorities in order to obtain marketing authorizations. Although we
attempt to audit and control the quality of third-party data, we cannot guarantee the authenticity or accuracy of such data, nor can we
be certain that such data has not been fraudulently generated. The failure of these third parties to carry out their obligations would
materially adversely affect our ability to develop and market new products and implement our strategies.
We entered into out-licensing
arrangements with Gloria and Ayrmid and may in the future rely on additional out-licensing or collaboration arrangements for later-stage
development, marketing or commercialization.
We entered into out-licensing arrangements with Gloria and Ayrmid
and may in the future rely on additional out-licensing arrangements for
later-stage development, marketing or commercialization. Dependence on out-licensing arrangements subjects us to a number of risks, including
the risk that:
• we have limited control over the amount and timing of resources that a licensee devotes to our therapeutic candidate;
12
• a licensee or collaborator may experience financial difficulties;
• a licensee may fail to secure adequate commercial supplies of our therapeutic candidate upon marketing approval, if at all;
• our future revenues depend heavily on the efforts of a licensee;
• business combinations or significant changes in a licensee’s business strategy may adversely affect the licensee’s willingness or ability to complete its obligations under any arrangement with us;
• a licensee could move forward with a competing therapeutic candidate developed either independently or in collaboration with others, including our competitors; and
• out-licensing arrangements are often terminated or allowed to expire, which would delay the development and may increase the development costs of our therapeutic candidates.
Under the Gloria License Agreement, the planned stud of motixafortide
in China under the Gloria License Agreement for PDAC is currently not advancing according to schedule and it is unclear when such study
will be initiated, if at all.
If we or any licensee breaches or terminates its agreement with
us, or if any licensee otherwise fails to conduct its development and commercialization activities in a timely manner or there is a dispute
about their obligations, we may need to seek other licensees or collaborators, or we may have to develop our own internal sales and marketing
capability.
Our dependence on a licensee’s experience and the rights
of a licensee or collaborator will limit our flexibility in considering alternative out-licensing or collaborator arrangements for any
therapeutic candidate. Any failure to successfully develop these arrangements or failure by a licensee or collaborator to successfully
develop or commercialize any therapeutic candidate in a competitive and timely manner will have a material adverse effect on the commercialization
of any therapeutic candidate.
We have partnered with and
may seek to partner with third-party collaborators with respect to the development and commercialization of both GLIX1 and motixafortide
and for any other therapeutic candidate and we may not succeed in establishing and maintaining collaborative relationships, which may
significantly limit our ability to develop and commercialize our therapeutic candidates successfully, if at all.
We collaborate with third parties with respect to the development
of motixafortide for certain indications and may in the future seek a partner for other indications or other therapeutic candidates. In
September 2025, we entered into a collaboration with Hemispherian for the development, clinical evaluation and commercialization of GLIX1.
We may compete with many other companies if we seek additional partners for GLIX1 and motixafortide and for any other therapeutic candidate
and we may not be able to compete successfully against those companies. If we are not able to enter into additional collaboration arrangements
for GLIX1 and motixafortide and for any other therapeutic candidate, we would be required to undertake and fund further development, clinical
trials, manufacturing and commercialization activities solely at our own expense and risk. If we are unable to finance and/or successfully
execute those expensive activities, or we delay such activities due to capital availability, our business could be materially and adversely
affected, and potential future product launch could be materially delayed, be less successful, or we may be forced to discontinue clinical
development of these therapeutic candidates. Furthermore, if we are unable to enter into a commercial agreement for the development and
commercialization of GLIX1 and motixafortide and for any other therapeutic candidate, then this could have a material adverse effect on
our business, financial condition or results of operations.
13
The process of establishing and maintaining collaborative relationships
is difficult, time-consuming and involves significant uncertainty, including:
• a collaboration partner may shift its priorities and resources away from our therapeutic candidates due to a change in business strategies, or a merger, acquisition, sale or downsizing;
• a collaboration partner may seek to renegotiate or terminate their relationships with us due to unsatisfactory clinical results, manufacturing issues, a change in business strategy, a change of control or other reasons;
• a collaboration partner may cease development in therapeutic areas which are the subject of our strategic collaboration;
• a collaboration partner may not devote sufficient capital or resources towards our therapeutic candidates;
• a collaboration partner may change the success criteria for a therapeutic candidate, thereby delaying or ceasing development of such candidate;
• a significant delay in initiation of certain development activities by a collaboration partner will also delay payment of milestones tied to such activities, thereby impacting our ability to fund our own activities;
• a collaboration partner could develop a product that competes, either directly or indirectly, with our therapeutic candidate;
• a collaboration partner with commercialization obligations may not commit sufficient financial or human resources to the marketing, distribution or sale of a product;
• a collaboration partner with manufacturing responsibilities may encounter regulatory, resource or quality issues and be unable to meet demand requirements;
• a partner may exercise a contractual right to terminate a strategic alliance;
• a dispute may arise between us and a partner concerning the research, development or commercialization of a therapeutic candidate resulting in a delay in milestones, royalty payments or termination of an alliance and possibly resulting in costly litigation or arbitration which may divert management attention and resources; and
• a partner may use our products or technology in such a way as to invite litigation from a third party.
Any collaborative partners may in the future shift their priorities
and resources away from our therapeutic candidates or seek to renegotiate or terminate their relationships with us. If any collaborator
fails to fulfill its responsibilities in a timely manner, or at all, our research, clinical development, manufacturing or commercialization
efforts related to that collaboration could be delayed or terminated, or it may be necessary for us to assume responsibility for expenses
or activities that would otherwise have been the responsibility of our collaborator. If we are unable to establish and maintain collaborative
relationships on acceptable terms or to successfully transition terminated collaborative agreements, we may have to delay or discontinue
further development of one or more of our therapeutic candidates, undertake development and commercialization activities at our own expense
or find alternative sources of capital.
14
If we cannot meet requirements
under our in-license and collaboration agreements, we could lose the rights to any of our therapeutic candidates, which could have a material
adverse effect on our business.
We depend on in-licensing and collaboration agreements with third
parties to maintain the intellectual property rights to some of our therapeutic candidates. We have in-licensed rights from Biokine Therapeutics
Ltd., or Biokine, with respect to our motixafortide therapeutic candidate; and from Innovative Pharmaceutical Concepts, Inc., or IPC,
with respect to our BL-5010 therapeutic candidate. Additionally, we entered into a collaboration with Hemispherian for the development,
clinical evaluation and commercialization of GLIX1. See “Item 4.B. Information on the Company - Business Overview - In-Licensing
Agreements.” Our in-license and collaboration agreements require us to make payments and satisfy performance obligations in order
to maintain our rights under these agreements. For example, under the Collaboration Agreement with Hemispherian, we are required to invest
$5 million in Tetragon Biosciences Ltd., or Tetragon, a newly created company formed to develop GLIX1, within 36 months of the entry into
of the Collaboration Agreement, and failure to do so may result in a reduction of our equity interest or trigger repurchase rights in
favor of Hemispherian. Our in-license agreements generally remain in effect until the expiration, under the applicable agreement, of all
the licensing, royalty and sublicense revenue obligations to the applicable licensors, determined on a product-by-product and country-by-country
basis while our collaboration agreement with Hemispherian is based on specific business, financial, or procedural milestones. In addition,
we are responsible for the cost of filing and prosecuting certain patent applications and maintaining certain issued patents licensed
to us. Previously, in June 16, 2024, Biokine filed a complaint with the District Court of Jerusalem against us. The complaint alleged
breach of contract and a purported failure to make certain payments to Biokine under our in-licensing agreement with Biokine for motixafortide.
The lawsuit sought compensatory damages in the amount of approximately $7.2 million and declaratory judgment. The parties agreed to address
the matter through binding arbitration and in February 2026, the arbitrator issued a final award in our favor denying all claims asserted
against us and awarding us expenses, including legal fees. See “Item 8. Financial Information - Biokine Claim.” If we do not
meet our obligations under our in-license and collaboration agreements in a timely manner, we could lose the rights to our proprietary
technology, which could have a material adverse effect on our business, financial condition and results of operations. For more information,
see “Item 3.D - Key Information - Risks Related to our Intellectual Property - Our access to most
of the intellectual property associated with our therapeutic candidates results from in-license and collaboration agreements with biotechnology
companies, the termination of which would prevent us from commercializing the associated therapeutic candidates.
We depend on our ability
to identify and in-license technologies and therapeutic candidates.
We employ a number of methods to identify therapeutic candidates
that we believe are likely to achieve commercial success. In certain instances, disease-specific third-party advisors evaluate therapeutic
candidates as we deem necessary. However, there can be no assurance that our internal research efforts or our screening system will accurately
or consistently select among various therapeutic candidates those that have the highest likelihood to achieve, and that ultimately achieve,
commercial success. As a result, we may spend substantial resources developing therapeutic candidates that will not achieve commercial
success, and we may not advance those therapeutic candidates with the greatest potential for commercial success. For example, we terminated
development of AGI-134 and in connection therewith, in June 2025, we sold our wholly-owned subsidiary, Agalimmune, to a third party for
future potential royalty consideration, in the event that such third party successfully brings an Agalimmune product to the market in
the future.
An important element of our strategy is maintaining relationships
with universities, medical institutions and biotechnology companies in order to in-license potential therapeutic candidates. We may not
be able to maintain relationships with these entities, and they may elect not to enter into in-licensing agreements with us or to terminate
existing agreements. The existence of global companies with significantly greater resources than we have may increase the competition
with respect to the in-licensing of promising therapeutic candidates. We may not be able to acquire licenses on commercially reasonable
terms or at all. Failure to license or otherwise acquire necessary technologies could materially and adversely affect our business, financial
condition and results of operations.
15
If competitors develop and
market products that are more effective, safer or less expensive than our current or future therapeutic candidates, our prospects will
be negatively impacted.
The life sciences industry is highly competitive, and we and our
licensees face significant competition from many pharmaceutical, biopharmaceutical and biotechnology companies that are researching and
marketing products designed to address the indications for which we are currently developing GLIX1 or motixafortide or for which we may
develop therapeutic candidates in the future. Specifically, we are aware of other companies that currently market and/or are in the process
of developing products that address stem cell mobilization, solid malignancies and skin lesions. In particular, during 2023, the last
to expire patent for Mozobil and uses thereof, the standard of care for stem cell mobilization expired and as a consequence there are
several generic versions on the market. Successful commercialization of APHEXDA will in part require that our licensees are able to overcome
competition from Mozobil and its generic versions.
Any therapeutic candidates that we successfully develop and commercialize
will compete with existing therapies and new therapies that may become available in the future. The key competitive factors affecting
the success of each therapeutic candidate, if approved, is likely to be their safety, efficacy, convenience, price, the level of proprietary
and generic competition, and the availability of coverage and reimbursement from government and other third‑party payors. APHEXDA
sales will suffer, or the commercial opportunity may be reduced or eliminated if competitors develop and commercialize products that are
safer or more effective, have fewer or less severe side effects, or are more convenient or less expensive than any products that we may
develop. Competitors may also obtain FDA or other regulatory approval for their therapeutic candidates more rapidly than we or our licensees
may be able to do so for any existing or new therapeutic candidates of ours, which could result in their establishing a strong market
position before we are able to enter the market.
Mergers and acquisitions in the biotechnology and pharmaceutical
industries may result in even more resources being concentrated in favor of our competitors. Additionally, many competitors have greater
experience in product discovery and development, obtaining FDA and other regulatory approvals and commercialization capabilities, which
may provide them with a competitive advantage. If we or our licensees are not able to compete effectively, our business will not grow
and our financial condition and operations will suffer.
An important element of our strategy for identifying future products
is maintaining relationships with universities, medical institutions and biotechnology companies in order to in-license potential therapeutic
candidates, and we compete with respect to this in-licensing with a number of global pharmaceutical companies. The presence of these global
companies with significantly greater resources than we have may increase the competition with respect to the in-licensing of promising
therapeutic candidates. Our failure to license or otherwise acquire necessary technologies could materially and adversely affect our business,
financial condition and results of operations.
GLIX1, motixafortide or
any other therapeutic candidate that we or our licensees are able to commercialize, may become subject to unfavorable pricing regulations,
third-party payor reimbursement practices or healthcare reform initiatives, any of which could harm our business.
The commercial success of GLIX1, motixafortide and any other therapeutic
candidate will depend substantially, both domestically and abroad, on the extent to which product costs will be paid by third-party payors,
including government health care programs and private health insurers. There is significant uncertainty related to third-party payor coverage
and reimbursement of newly approved drugs. Marketing approvals, pricing and reimbursement for new drug products vary widely from country
to country. Some countries require approval of the sale price of a drug before it can be marketed. In many countries, the pricing review
period begins after marketing or product licensing approval is granted. In some foreign markets, prescription pharmaceutical pricing remains
subject to continuing governmental control even after initial approval is granted. As a result, we or our licensees might obtain marketing
approval for a product in a particular country but then be subject to price regulations that delay commercial launch of the product, possibly
for lengthy time periods, which may negatively impact the revenues we are able to generate from the sale of the product in that country.
Adverse pricing limitations may hinder our ability to recoup our or their investment in one or more therapeutic candidates, even if our
therapeutic candidates obtain marketing approval.
16
Patients who are provided with medical treatment for their conditions
generally rely on third-party payors to reimburse all or part of the costs associated with their treatment. Therefore, our ability, and
the ability of any licensees to successfully commercialize any of our therapeutic candidates will depend in part on the extent to which
coverage and adequate reimbursement for these products and related treatments will be available from third-party payors. Third-party payors
decide which medications they will cover and establish reimbursement levels. The healthcare industry is acutely focused on cost containment,
both in the United States and elsewhere. Government authorities and other third-party payors have attempted to control costs by limiting
coverage and the amount of reimbursement for particular medications, which could affect the ability to sell APHEXDA profitably. These
payors may not view APHEXDA as cost-effective, and coverage and reimbursement may not be available to customers or may not be sufficient
to allow our products to be marketed on a competitive basis. Cost-control initiatives could cause us or our licensees to decrease the
price we might establish, which could result in lower than anticipated product revenues. If the prices for our products, if any, decrease
or if governmental and other third-party payors do not provide coverage or adequate reimbursement, our prospects for revenue and profitability
will suffer.
There may also be delays in obtaining coverage and reimbursement
for newly approved drugs, such as APHEXDA, and coverage may be more limited for APHEXDA than for other drug products with similar indications
approved by the FDA or comparable foreign regulatory authorities. Moreover, eligibility for reimbursement does not imply that any therapeutic
will be paid for in all cases or at a rate that covers our costs, including research, development, manufacture, sale and distribution.
Reimbursement rates may vary, for example, according to the use of the product and the clinical setting in which it is used. Reimbursement
rates may also be based on reimbursement levels already set for lower cost treatments or may be incorporated into existing payments for
other services.
In addition, increasingly, third-party payors are requiring higher
levels of evidence of the benefits and clinical outcomes of new technologies and are challenging the prices charged. We cannot be sure
that coverage will be available for any therapeutic candidate that we, or third parties, commercialize and, if available, that the reimbursement
rates will be adequate. Further, the net reimbursement for products may be subject to additional reductions if there are changes to laws
that presently restrict imports of products from countries where they may be sold at lower prices than in the United States. An inability
to promptly obtain coverage and adequate payment rates from both government-funded and private payors for any therapeutic candidate for
which we obtain regulatory approval could significantly harm our operating results and our overall financial condition.
We rely upon third-party
manufacturers to produce therapeutic supplies of GLIX1 and motixafortide. If we manufacture any therapeutic candidates in the future,
we will be required to incur significant costs and devote significant efforts to establish and maintain manufacturing capabilities.
We do not currently have laboratories that are compliant with cGMP
and therefore cannot independently manufacture drug products for our current clinical trials or commercialization. We rely on third-party
manufacturers, including Ayrmid if it takes over manufacturing, to produce the therapeutic supplies that enable us to perform clinical
trials and supply commercial scale product. We have limited personnel with experience in drug product manufacturing and we lack the resources
and capabilities to manufacture any of our therapeutic candidates on a commercial scale. The manufacture of pharmaceutical products requires
significant expertise and capital investment, including the development of advanced manufacturing techniques and process controls. Manufacturers
of pharmaceutical products often encounter difficulties in production, particularly in scaling up initial production. These problems include
difficulties with production costs and yields and quality control, including stability of the therapeutic candidate.
We do not currently have any long-term agreements with third-party
manufacturers that guarantee the supply of therapeutic supplies and we rely on single source suppliers. When we require additional supplies
to complete our clinical trials or for commercialization, we may be unable to enter into agreements for clinical or commercial supply,
as applicable, with third-party manufacturers, or may be unable to do so on acceptable terms.
17
Reliance on third-party manufacturers entails risks to which we
would not be subject if we manufactured therapeutic candidates ourselves, including:
• reliance on the third party for regulatory compliance and quality assurance;
• limitations on supply availability resulting from capacity and scheduling constraints of the third parties;
• impact on our reputation in the marketplace if manufacturers of our products, once commercialized, fail to meet customer demands;
• the possible breach of the manufacturing agreement by the third party because of factors beyond our control; and
• the possible termination or nonrenewal of the agreement by the third party, based on its own business priorities, at a time that is costly or inconvenient for us.
The failure of any of our contract manufacturers to maintain high manufacturing standards
could result in injury or death of clinical trial participants or patients being treated with our products. Such failure could also result
in product liability claims, product recalls, product seizures or withdrawals, delays or failures in testing or delivery, cost overruns
or other problems, which would have a material adverse effect on our business, financial condition and results of operations.
Our contract manufacturers
are, and will be, subject to FDA and other comparable agency regulations.
Our contract manufacturers are, and will be, required to adhere
to FDA regulations setting forth current good manufacturing practices, or cGMP, for drugs. These regulations cover all aspects of the
manufacturing, testing, quality control and recordkeeping relating to our therapeutic candidates. Our manufacturers may not be able to
comply with applicable regulations. Our manufacturers are and will be subject to unannounced inspections by the FDA, state regulators
and similar regulators outside the United States. The failure of our third-party manufacturers to comply with applicable regulations could
result in the imposition of sanctions on us, including fines, injunctions, civil penalties, failure of regulatory authorities to grant
marketing approval of our therapeutic candidates, delays, suspension or withdrawal of approvals, license revocation, seizures or recalls
of our candidates or products, operating restrictions and criminal prosecutions, any of which could significantly and adversely affect
regulatory approval and supplies of our therapeutic candidates, and materially and adversely affect our business, financial condition
and results of operations.
Our business could suffer
if we are unable to attract and retain key employees.
Our success depends upon the continued service and performance
of our senior management and other key personnel. The loss of the services of these personnel could delay or prevent the successful completion
of our planned clinical trials or the commercialization of our therapeutic candidates or otherwise affect our ability to manage our company
effectively and to carry out our business plan. We do not maintain key-man life insurance. Although we have entered into employment agreements
with all of the members of our senior management team, members of our senior management team may resign at any time subject to prior notice
as applicable. High demand exists for senior management and other key personnel in the pharmaceutical industry. There can be no assurance
that we will be able to continue to retain and attract such personnel.
Our growth and success also depend on our ability to attract and
retain highly qualified scientific, technical, sales, managerial and finance personnel. We experience intense competition for qualified
personnel, and the existence of non-competition agreements between prospective employees and their former employers may prevent us from
hiring those individuals or subject us to suit from their former employers. While we attempt to provide competitive compensation packages
to attract and retain key personnel, many of our competitors are likely to have greater resources and more experience than we have, making
it difficult for us to compete successfully for key personnel. If we cannot attract and retain sufficiently qualified technical employees
on acceptable terms, we may not be able to develop competitive products. Further, any failure to effectively integrate new personnel could
prevent us from successfully growing our company.
18
Scrutiny of sustainability
and environmental, social, and governance, or ESG, initiatives could increase our costs or otherwise adversely impact our business.
Public companies have recently faced scrutiny related to ESG practices
and disclosures from certain investors, capital providers, shareholder advocacy groups, other market participants and other stakeholder
groups. Such scrutiny may result in increased costs, enhanced compliance or disclosure obligations, or other adverse impacts on our business,
financial condition or results of operations. If our ESG practices and reporting do not meet investor or other stakeholder expectations,
we may be subject to investor or regulator engagement regarding such matters. Our failure to comply with any applicable ESG rules or regulations
could lead to penalties and adversely impact our reputation, access to capital and employee retention. Such ESG matters may also impact
our third-party contract manufacturers and other third parties on which we rely, which may augment or cause additional impacts on our
business, financial condition, or results of operations.
Risks Related to Our Industry
Healthcare reforms and related
reductions in pharmaceutical pricing, reimbursement and coverage by governmental authorities and third-party payors may adversely affect
our business.
The continuing increase in expenditures for healthcare has been
the subject of considerable government attention, particularly as public resources have been stretched by financial and economic crises
in the United States, Western Europe and elsewhere. Both private health insurance funds and government health authorities continue to
seek ways to reduce or contain healthcare costs, including by reducing or eliminating coverage for certain products and lowering reimbursement
levels. In many countries and regions, including the United States, Western Europe, Israel, Russia, certain countries in Central and Eastern
Europe and several countries in Latin America, pharmaceutical prices are subject to new government policies designed to reduce healthcare
costs. These changes frequently adversely affect pricing and profitability and may cause delays in market entry. We cannot predict which
additional measures may be adopted or the impact of current and additional measures on the marketing, pricing and demand for our approved
products, if any of our therapeutic products are approved.
Significant developments that may adversely affect pricing in the
United States include (i) the enactment of federal healthcare reform laws and regulations, including the Medicare Prescription Drug Improvement
and Modernization Act of 2003 and the ACA, and (ii) trends in the practices of managed care groups and institutional and governmental
purchasers, including the impact of consolidation of our customers. In 2022, the IRA, established the Medicare Drug Price Negotiation
Program which permits the government to negotiate “maximum fair” drug prices for certain high expenditure, single source drugs
and biologics. As of January 1, 2026, 10 drugs now have Medicare-negotiated pricing with a second set of 15 drugs selected for price negotiation,
and whose prices will take effect in 2027. However, the IRA’s impact on the pharmaceutical industry in the United States remains
uncertain, in part because multiple large pharmaceutical companies and other stakeholders have initiated federal lawsuits against CMS
arguing the program is unconstitutional for a variety of reasons, among other complaints. Those lawsuits are currently ongoing.
There have also been several recent U.S. Congressional inquiries
and proposed and enacted federal and state legislation designed to, among other things, bring more transparency to drug pricing, review
the relationship between pricing and manufacturer patient programs, reduce the cost of drugs under Medicare, and reform government program
reimbursement methodologies for drugs. On September 24, 2020, the FDA released a final rule providing guidance for states to build and
submit importation plans for drugs from Canada. In 2025, HHS began implementation of “Most Favored Nation” drug pricing by
setting the Medicare price of single-source brand drugs without generic or biosimilar competition to the lowest price available in wealthy
countries with a per capita GDP of at least 60% of that in the United States.
19
Changes to the healthcare system enacted as part of healthcare
reform in the United States, as well as the increased purchasing power of entities that negotiate on behalf of Medicare, Medicaid, and
private sector beneficiaries, may result in increased pricing pressure by influencing, for instance, the reimbursement policies of third-party
payors. Healthcare reform legislation has increased the number of patients who would have insurance coverage for our approved products,
if any of our therapeutic products are approved, but provisions such as the assessment of a branded pharmaceutical manufacturer fee and
an increase in the amount of the rebates that manufacturers pay for coverage of their drugs by Medicaid programs may have an adverse effect
on us. It is uncertain how current and future reforms in these areas will influence the future of our business operations and financial
condition, as federal, state and foreign governmental authorities are likely to continue efforts to control the price of drugs and reduce
overall healthcare costs. These efforts could have an adverse impact on our ability to market products and generate revenues in the United
States and foreign countries.
If third-party payors do
not adequately reimburse customers for any of our therapeutic candidates that are approved for marketing, they might not be purchased
or used, and our revenues and profits will not develop or increase.
Our revenues and profits will depend heavily upon the availability
of adequate reimbursement for the use of our approved candidates, if any, from governmental or other third-party payors, both in the United
States and in foreign markets. Reimbursement by a third-party payor may depend upon a number of factors, including the third-party payor’s
determination that the use of an approved product is:
• a covered benefit under its health plan;
• safe, effective and medically necessary;
• appropriate for the specific patient;
• cost-effective; and
• neither experimental nor investigational.
Obtaining reimbursement approval for a product from each government
or other third-party payor is a time-consuming and costly process that could require us or our licensees to provide supporting scientific,
clinical and cost-effectiveness data for the use of our products to each payor. Even when a payor determines that a product is eligible
for reimbursement, the payor may impose coverage limitations that preclude payment for some uses that are approved by the FDA or comparable
foreign regulatory authorities. Reimbursement rates may vary according to the use of the product and the clinical setting in which it
is used, may be based on payments allowed for lower-cost products that are already reimbursed, may be incorporated into existing payments
for other products or services, and may reflect budgetary constraints and/or imperfections in Medicare, Medicaid or other data used to
calculate these rates.
Regardless of the impact of the ACA on us, the U.S. government,
other governments and commercial payors have shown significant interest in pursuing healthcare reform and reducing healthcare costs. Any
government-adopted reform measures could cause significant pressure on the pricing of healthcare products and services, including those
biopharmaceuticals currently being developed by us or our licensees, in the United States and internationally, as well as the amount of
reimbursement available from governmental agencies or other third-party payors. The continuing efforts of the U.S. and foreign governments,
insurance companies, managed care organizations and other payors to contain or reduce healthcare costs may compromise our ability to set
prices at commercially attractive levels for our products that we may develop, which in turn could adversely impact how much or under
what circumstances healthcare providers will prescribe or administer our products, if approved. Changes in healthcare policy, such as
the creation of broad limits for diagnostic products, could substantially diminish the sale of or inhibit the utilization of diagnostic
tests, increase costs, divert management’s attention and adversely affect our ability to generate revenues and achieve consistent
profitability. This could materially and adversely impact our business by reducing our ability to generate revenue, raise capital, obtain
additional collaborators and market our products, if approved.
20
Further, the Centers for Medicare and Medicaid Services, or CMS,
frequently change product descriptors, coverage policies, product and service codes, payment methodologies and reimbursement values. The
IRA will modify selected drugs and biologics through negotiation of a fair maximum pricing for CMS. Third-party payors often follow Medicare
coverage policy and payment limitations in setting their own reimbursement rates, and both CMS and other third-party payors may have sufficient
market power to demand significant price reductions.
Our business has a substantial
risk of clinical trial and product liability claims. If we are unable to obtain and maintain appropriate levels of insurance, a claim
could adversely affect our business.
Our business exposes us to significant potential clinical trial
and product liability risks that are inherent in the development, manufacturing and sales and marketing of human therapeutic products.
Claims could be made against us based on the use of our therapeutic candidates in clinical trials and in marketed products. In addition,
we have a cyber insurance policy with a coverage amount of $5.0 million per each claim and in the aggregate. However, our insurance may
not provide adequate coverage against potential liabilities. Furthermore, clinical trial and product liability insurance are becoming
increasingly expensive. As a result, we may be unable to maintain current amounts of insurance coverage or to obtain additional or sufficient
insurance at a reasonable cost to protect against losses that could have a material adverse effect on us. If a claim is brought against
us, we might be required to pay legal and other expenses to defend the claim, as well as damage awards beyond the coverage of our insurance
policies resulting from a claim brought successfully against us. Furthermore, whether or not we are ultimately successful in defending
any claims, we might be required to direct significant financial and managerial resources to such defense, and adverse publicity is likely
to result.
Significant disruptions
of our information technology systems or breaches of our data security could adversely affect our business.
A significant invasion, interruption, destruction or breakdown
of our information technology systems and/or infrastructure by persons with authorized or unauthorized access could negatively impact
our business and operations. We could experience business interruption, information theft and/or reputational damage from cyber-attacks
or cyber-intrusions over the Internet, computer viruses, malware, natural disasters, terrorism, war, telecommunication and electrical
failures, and attachments to emails. Any of the foregoing may compromise our systems and lead to data leakage either internally or at
our third-party providers. The risk of a security breach or disruption, particularly through cyber-attacks or cyber-intrusion, including
by computer hackers, foreign governments and cyber terrorists, has generally increased as the number, intensity and sophistication of
attempted attacks and intrusions from around the world have increased. If such an event were to occur and cause interruptions in our operations,
it could result in a material disruption of our product development programs. For example, the loss of clinical trial data from completed
or ongoing or planned clinical trials could result in delays in our regulatory approval efforts and significantly increase our costs to
recover or reproduce the data. Our systems have been, and are expected to continue to be, the target of malware and other cyber-attacks.
Although we have invested in measures to reduce these risks, we cannot assure you that these measures will be successful in preventing
compromise and/or disruption of our information technology systems and related data.
21
We deal with hazardous materials
and must comply with environmental, health and safety laws and regulations, which can be expensive and restrict how we do business.
Our activities and those of our third-party manufacturers on our
behalf involve the controlled storage, use and disposal of hazardous materials, including microbial agents, corrosive, explosive and flammable
chemicals, as well as cytotoxic, biologic, radio-labeled and other hazardous compounds. We and our manufacturers are subject to U.S. federal,
state, local, Israeli and other foreign laws and regulations governing the use, manufacture, storage, handling and disposal of these hazardous
materials. Although we believe that our safety procedures for handling and disposing of these materials comply with the standards prescribed
by these laws and regulations, we cannot eliminate the risk of accidental contamination or injury from these materials. In addition, if
we develop a manufacturing capacity, we may incur substantial costs to comply with environmental regulations and would be subject to the
risk of accidental contamination or injury from the use of hazardous materials in our manufacturing process.
In the event of an accident, government authorities may curtail
our use of these materials and interrupt our business operations. In addition, we could be liable for any civil damages that result, which
may exceed our financial resources and may seriously harm our business. Although our Israeli insurance program covers certain unforeseen
sudden pollutions, we do not maintain a separate insurance policy for any of the foregoing types of risks. In addition, although the general
liability section of our life sciences policy covers certain unforeseen, sudden environmental issues, pollution in the United States and
Canada is excluded from the policy. In the event of environmental discharge or contamination or an accident, we may be held liable for
any resulting damages, and any liability could exceed our resources. In addition, we may be subject to liability and may be required to
comply with new or existing environmental laws regulating pharmaceuticals or other medical products in the environment.
We have in the past, and
may in the future, become subject to litigation or claims arising in or outside the ordinary course of business that could negatively
affect our business operations and financial condition.
We have in the past, and may in the future, become subject to litigation
or claims arising in or outside the ordinary course of business (other than intellectual property infringement actions) that could negatively
affect our business operations and financial condition, including securities class actions which are typically expensive to defend. Such
claims and litigation proceedings may be brought by third parties, including our competitors, advisors, service providers, partners or
collaborators, employees, and governmental or regulatory bodies. Any claims and lawsuits, and the disposition of such claims and lawsuits,
could be time-consuming and expensive to resolve, divert management attention and resources, and lead to attempts on the part of other
parties to pursue similar claims. We may not be able to determine the amount of any potential losses and other costs we may incur due
to the inherent uncertainties of litigation and settlement negotiations. In the event we are required or decide to pay amounts in connection
with any claims or lawsuits, such amounts could be significant and could have a material adverse impact on our liquidity, business, financial
condition and results of operations. In addition, depending on the nature and timing of any such dispute, a resolution of a legal matter
could materially affect our future operating results, our cash flows or both. Additionally, we may be unable to maintain our existing
directors’ and officers’ liability insurance in the future at satisfactory rates or adequate coverage amounts and may incur
significant increases in insurance costs.
Risks Related to Intellectual Property
Our access to most of the
intellectual property associated with our therapeutic candidates results from in-license and collaboration agreements with biotechnology
companies, the termination of which would prevent us from commercializing the associated therapeutic candidates.
We do not conduct our own initial research with respect to the
identification of our therapeutic candidates. Instead, we rely upon research and development work conducted by third parties as the primary
source of our therapeutic candidates. As such, we have obtained our rights to our therapeutic candidates through in-licensing and collaboration
agreements entered into with biotechnology companies that invent and own or jointly own with us the intellectual property underlying our
candidates. There is no assurance that such agreements or rights will not be terminated or expire due to a material breach of the agreements,
such as a failure on our part to achieve certain progress milestones, funding obligations or other requirements set forth in the terms
of the agreements, or due to the loss of the rights to the underlying intellectual property by any of our licensors or collaborators.
For example, under the Collaboration Agreement with Hemispherian, we are required to invest $5 million in Tetragon within 36 months of
the entry into of the Collaboration Agreement, and failure to do so may result in a reduction of our equity interest or trigger repurchase
rights in favor of Hemispherian. There is no assurance that we will be able to renew or renegotiate an in-licensing agreement on acceptable
terms if and when the agreement terminates. We cannot guarantee that any agreement is enforceable or will not be terminated or converted
into a non-exclusive license in the future. The termination of any in-license or collaboration agreement or our inability to enforce our
rights under any such agreement would materially and adversely affect our ability to commercialize certain of our therapeutic candidates.
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We currently have in-licensing and collaboration agreements relating
to our therapeutic candidates that are in development or are being commercialized. In 2012, we in-licensed the rights to motixafortide
under a license agreement from Biokine. Under the license agreement for motixafortide, we are obligated to make commercially reasonable,
good faith efforts to sublicense or commercialize motixafortide for fair consideration. In 2007, we in-licensed the rights to BL-5010
under a license agreement with IPC. Under the BL-5010 license agreement, we are obligated to use commercially reasonable efforts to develop
the licensed technology in accordance with a specified development plan, including meeting certain specified diligence goals. In 2025,
we entered into a Collaboration Agreement with Hemispherian for the development of GLIX1 via Tetragon. Under the Collaboration Agreement,
we are responsible for managing and implementing Tetragon’s activities and overseeing its operations, budget, and expenses.
Each of the foregoing in-licensing agreements, or the obligation
to pay royalties thereunder, will generally remain in effect until the expiration, under the applicable agreement, of all the licensing,
royalty and sublicense revenue obligations to the applicable licensors, determined on a product-by-product and country-by-country basis.
We may terminate the motixafortide in-licensing agreement upon 90 days’ prior written notice to Biokine. We may terminate the BL-5010
in-licensing agreement upon 30 days’ prior written notice to IPC. Any party to any of the foregoing in-licensing agreements may
terminate the respective agreement for material breach by the other party if the breaching party is unable to cure the breach within an
agreed-upon period, generally 30 days to 90 days, after receiving written notice of the breach from the non-breaching party. With
respect to GLIX1, the Collaboration Agreement may be terminated under certain circumstances, including cessation of operations or failure
to meet funding obligations. The termination or expiration of any of these agreements, or our inability to enforce our rights thereunder,
could prevent us from commercializing the associated therapeutic candidates and would have a material adverse effect on our business,
financial condition, and results of operations.
Patent protection for our
products is important and uncertain.
Our success depends, in part, on our ability, and the ability of
our licensees and licensors to obtain patent protection for any therapeutic candidate, maintain the confidentiality of our trade secrets
and know-how, operate without infringing on the proprietary rights of others and prevent others from infringing our proprietary rights.
We try to protect our proprietary position by, among other things,
filing U.S., European, Japanese, Chinese, Israeli and other patent applications related to our proprietary products, technologies, inventions
and improvements that may be important to the continuing development of our therapeutic candidates. As of March 8, 2026, we owned or exclusively
licensed for use within our field of business 20 patent families that collectively contain 141 granted patents, 3 allowed patent applications
and 97 pending patent applications relating to motixafortide, BL-5010 and GLIX1.
Because the patent position of biopharmaceutical companies involves
complex legal and factual questions, we cannot predict the validity and enforceability of patents with certainty. Our issued patents and
the issued patents of our licensees or licensors may not provide us with any competitive advantages or may be held invalid or unenforceable
as a result of legal challenges by third parties. Thus, any patents that we own or license from others may not provide any protection
against competitors. Our pending patent applications, those we may file in the future or those we may license from third parties may not
result in patents being issued. If these patents are issued, they may not provide us with proprietary protection or competitive advantages
against competitors with similar technology. The degree of future protection to be afforded by our proprietary rights is uncertain because
legal means afford only limited protection and may not adequately protect our rights or permit us to gain or keep our competitive advantage.
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Patent rights are territorial; thus, the patent protection we do
have will only extend to those countries in which we have issued patents. Even so, the laws of certain countries do not protect our intellectual
property rights to the same extent as do the laws of the United States. For example, the patent laws of China and India are relatively
new and are not as developed as are older, more established patent laws of other countries. Competitors may successfully challenge our
patents, produce similar drugs or products that do not infringe our patents, or produce drugs in countries where we have not applied for
patent protection or that do not respect our patents. Furthermore, it is not possible to know the scope of claims that will be allowed
in published applications and it is also not possible to know which claims of granted patents, if any, will be deemed enforceable in a
court of law.
Our technology may infringe the rights of third parties. The nature
of claims contained in unpublished patent filings around the world is unknown to us and it is not possible to know which countries patent
holders may choose for the extension of their filings under the Patent Cooperation Treaty, or other mechanisms. Any infringement by us
of the proprietary rights of third parties may have a material adverse effect on our business, financial condition and results of operations.
If we are unable to protect the confidentiality of our trade secrets
or know-how, such proprietary information may be used by others to compete against us.
We rely on a combination of patents, trade secrets, know-how, technology,
trademarks and regulatory exclusivity to maintain our competitive position. We generally try to protect trade secrets, know-how and technology
by entering into confidentiality or non-disclosure agreements with parties that have access to it, such as our licensees, employees, contractors
and consultants. We also enter into agreements that purport to require the disclosure and assignment to us of the rights to the ideas,
developments, discoveries and inventions of our employees, advisors, research collaborators, contractors and consultants while we employ
or engage them. However, these agreements can be difficult and costly to enforce or may not provide adequate remedies. Any of these parties
may breach the confidentiality agreements and willfully or unintentionally disclose our confidential information, or our competitors might
learn of the information in some other way. The disclosure to, or independent development by, a competitor of any trade secret, know-how
or other technology not protected by a patent could materially adversely affect any competitive advantage we may have over any such competitor.
To the extent that any of our employees, advisors, research collaborators,
contractors or consultants independently develop, or use independently developed, intellectual property in connection with any of our
projects, disputes may arise as to the proprietary rights to this type of information. If a dispute arises with respect to any proprietary
right, enforcement of our rights can be costly and unpredictable, and a court may determine that the right belongs to a third party.
Legal proceedings or third-party
claims of intellectual property infringement may require us to spend substantial time and money and could prevent us from developing or
commercializing products.
The development, manufacture, use, offer for sale, sale or importation
of therapeutic candidates may infringe on the claims of third-party patents. A party might file an infringement action against us. The
cost to us of any patent litigation or other proceeding, even if resolved in our favor, could be substantial. Some of our competitors
may be able to sustain the costs of such litigation or proceedings more effectively because of their substantially greater financial resources.
Uncertainties resulting from the initiation and continuation or defense of a patent litigation or other proceedings could have a material
adverse effect on our ability to compete in the marketplace. Patent litigation and other proceedings may also absorb significant management
time. Consequently, we are unable to guarantee that we will be able to manufacture, use, offer for sale, sell or import our therapeutic
candidates in the event of an infringement action. At present, we are not aware of pending or threatened patent infringement actions against
us.
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In the event of patent infringement claims, or to avoid potential
claims, we may choose or be required to seek a license from a third party and would most likely be required to pay license fees or royalties
or both. These licenses may not be available on acceptable terms, or at all. Even if we were able to obtain a license, the rights may
be non-exclusive, which could potentially limit our competitive advantage. Ultimately, we could be prevented from commercializing a therapeutic
candidate or be forced to cease some aspect of our business operations if, as a result of actual or threatened patent infringement claims,
we are unable to enter into licenses on acceptable terms. This inability to enter into licenses could harm our business significantly.
At present, we have not received any written demands from third parties that we take a license under their patents nor have we received
any notice form a third party accusing us of patent infringement.
Our license agreements with our licensees contain, and any contract
that we enter into with licensees in the future will likely contain, indemnity provisions that obligate us to indemnify the licensee against
any losses arising from infringement of third-party intellectual property rights. In addition, our in-license agreements contain provisions
that obligate us to indemnify the licensors against any damages arising from the development, manufacture and use of products developed
on the basis of the in-licensed intellectual property.
We may be subject to other
patent-related litigation or proceedings that could be costly to defend and uncertain in their outcome.
In addition to infringement claims against us, we may in the future
become a party to other patent litigation or proceedings, including interference or re-examination proceedings filed with the U.S. Patent
and Trademark Office or opposition proceedings in other foreign patent offices regarding intellectual property rights with respect to
our products and technology, as well as other disputes regarding intellectual property rights with licensees, licensors or others with
whom we have contractual or other business relationships. Post-issuance oppositions are not uncommon and we, our licensee or our licensor
will be required to defend these opposition procedures as a matter of course. Opposition procedures may be costly, and there is a risk
that we may not prevail.
We may be subject to damages resulting from claims that we or our
employees or contractors have wrongfully used or disclosed alleged trade secrets of their former employers.
Many of our employees and contractors were previously employed
at universities or other biotechnology or pharmaceutical companies, including our competitors or potential competitors. Although no claims
against us are currently pending, we may be subject to claims that we or any employee or contractor has inadvertently or otherwise used
or disclosed trade secrets or other proprietary information of his or her former employers. Litigation may be necessary to defend against
these claims. If we fail in defending such claims, in addition to paying monetary damages, we may lose valuable intellectual property
rights or personnel. A loss of key research personnel or their work product could hamper or prevent our ability to commercialize certain
therapeutic candidates, which could severely harm our business, financial condition and results of operations. Even if we are successful
in defending against these claims, litigation could result in substantial costs and be a distraction to management.
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Risks Related to Our Ordinary Shares and ADSs
There can be no assurance
that we will not be classified as a “passive foreign investment company,” or PFIC, for U.S. federal income tax purposes in
the current taxable year or may become one in any subsequent taxable year. There generally would be negative tax consequences for U.S.
taxpayers that are holders of our ordinary shares if we are or were to become a PFIC.
We will be treated as a PFIC for U.S. federal income tax purposes
in any taxable year in which either (i) at least 75% of our gross income is “passive income” or (ii) on average at least 50%
of our assets by value produce passive income or are held for the production of passive income. Passive income for this purpose generally
includes, among other things, certain dividends, interest, royalties, rents and gains from commodities and securities transactions and
from the sale or exchange of property that gives rise to passive income. Passive income also includes amounts derived by reason of the
temporary investment of funds, including those raised in a public offering. In determining whether a non-U.S. corporation is a PFIC, a
proportionate share of the income and assets of each corporation in which it owns, directly or indirectly, at least a 25% interest (by
value) is taken into account. We believe that we may have been a PFIC for the year ended December 31, 2025. Although we have not determined
whether we will be a PFIC for our taxable year ending December 31, 2026, or in any subsequent year, our operating results for any such
years may cause us to be a PFIC. Because PFIC status is determined annually and is based on our income, assets and activities for the
entire taxable year, it is not possible to determine with certainty whether we will be characterized as a PFIC for the 2026 taxable year
until after the close of the year, and there can be no assurance that we will not be classified as a PFIC in any future year. If we are
a PFIC for our taxable year ending December 31, 2025, or any subsequent year, and a U.S. Investor (as defined below) does not make an
election to treat us as a “qualified electing fund,” or QEF, or make a “mark-to-market” election, then “excess
distributions” to a U.S. Investor, and any gain realized on the sale or other disposition of our ordinary shares or ADSs will be
subject to special rules. Under these rules: (i) the excess distribution or gain would be allocated ratably over the U.S. Investor’s
holding period for the ordinary shares (or ADSs, as the case may be); (ii) the amount allocated to the current taxable year and any period
prior to the first day of the first taxable year in which we were a PFIC would be taxed as ordinary income; and (iii) the amount allocated
to each of the other taxable years would be subject to tax at the highest rate of tax in effect for the applicable class of taxpayer for
that year, and an interest charge for the deemed deferral benefit would be imposed with respect to the resulting tax attributable to each
such other taxable year. In addition, if the U.S. Internal Revenue Service, or the IRS, determines that we are a PFIC for a year with
respect to which we have determined that we were not a PFIC, it may be too late for a U.S. Investor to make a timely QEF or mark-to-market
election. U.S. Investors who hold our ordinary shares or ADSs during a period when we are a PFIC will be subject to the foregoing rules,
even if we cease to be a PFIC in subsequent years, subject to exceptions for U.S. Investors who made a timely QEF or mark-to-market election.
A U.S. Investor can make a QEF election by completing the relevant portions of and filing IRS Form 8621 in accordance with the instructions
thereto. A QEF election generally may not be revoked without the consent of the IRS. Upon request, we intend to annually furnish U.S.
Investors with information needed in order to complete IRS Form 8621 (which form would be required to be filed with the IRS on an annual
basis by the U.S. Investor) and to make and maintain a valid QEF election for any year in which we are a PFIC. There is no assurance,
however, that we will have timely knowledge of our status as a PFIC, or that the information that we provide will be adequate to allow
U.S. Investors to make a QEF election. See also “Item 10. Additional Information-E. Taxation-Certain Material U.S. Federal Income
Tax Considerations.”
Our business, operating
results and growth rates may be adversely affected by current or future unfavorable economic and market conditions and adverse developments
with respect to financial institutions and associated liquidity risk.
Our business depends on the economic health of the global economies.
If the conditions in the global economies remain uncertain or continue to be volatile, or if they deteriorate, including as a result of
the impact of military conflict, terrorism or other geopolitical events, our business, operating results and financial condition may be
materially adversely affected. Economic weakness, inflation and increases in interest rates, limited availability of credit, liquidity
shortages and constrained capital spending have at times in the past resulted, and may in the future result, in challenging and delayed
sales cycles, slower adoption of new technologies and increased price competition, and could negatively affect our ability to forecast
future periods, which could result in an inability to satisfy demand for our products and a loss of market share.
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In addition, increases in inflation raise our costs for commodities,
labor, materials and services and other costs required to grow and operate our business, and failure to secure these on reasonable terms
may adversely impact our financial condition. Additionally, increases in inflation, along with the uncertainties geopolitical developments
and global supply chain disruptions, have caused, and may in the future cause, global economic uncertainty and uncertainty about the interest
rate environment, which may make it more difficult, costly or dilutive for us to secure additional financing. A failure to adequately
respond to these risks could have a material adverse impact on our financial condition, results of operations or cash flows.
There can be no assurance that future credit and financial market
instability and a deterioration in confidence in economic conditions will not occur. Our general business strategy may be adversely affected
by any such economic downturn, liquidity shortages, volatile business environment or continued unpredictable and unstable market conditions.
If the current equity and credit markets deteriorate, or if adverse developments are experienced by financial institutions, it may cause
short-term liquidity risk and also make any necessary debt or equity financing more difficult, more costly, more onerous with respect
to financial and operating covenants and more dilutive. Failure to secure any necessary financing in a timely manner and on favorable
terms could have a material adverse effect on our growth strategy, financial performance and market price of our ordinary shares and ADSs
and could require us to alter our operating plans. In addition, there is a risk that one or more of our service providers, financial institutions,
manufacturers, suppliers and other partners may be adversely affected by the foregoing risks, which could directly affect our ability
to attain our operating goals on schedule and on budget.
The market prices of our
ordinary shares and ADSs are subject to fluctuation, which could result in substantial losses by our investors.
The stock market in general and the market prices of our ordinary
shares on the TASE, and ADSs on Nasdaq, in particular, are subject to fluctuation, and changes in these prices may be unrelated to our
operating performance. We expect that the market prices of our ordinary shares and ADSs will continue to be subject to wide fluctuations.
The market price of our ordinary shares and ADSs are and will be subject to a number of factors, including:
• announcements of technological innovations or new products by us or others;
• announcements by us of significant acquisitions, strategic partnerships, in-licensing, out-licensing, joint ventures or capital commitments;
• expiration or terminations of licenses, research contracts or other collaboration agreements;
• public concern as to the safety of drugs we, our licensees or others develop;
• general market conditions;
• the volatility of market prices for shares of biotechnology companies generally;
• success of research and development projects;
• departure of key personnel;
• developments concerning intellectual property rights or regulatory approvals;
• variations in our and our competitors’ results of operations;
27
• changes in earnings estimates or recommendations by securities analysts, if our ordinary shares or ADSs are covered by analysts;
• statements about the Company made in the financial media or by bloggers on the Internet;
• statements made about drug pricing and other industry-related issues by government officials;
• changes in government regulations or patent decisions;
• developments by our licensees; and
• general market conditions and other factors, including factors unrelated to our operating performance.
These factors and any corresponding price fluctuations may materially
and adversely affect the market price of our ordinary shares and ADSs, and result in substantial losses by our investors. See also Risk
Factors-Risks Related to our Ordinary Shares and ADSs - “Our business, operating results and growth
rates may be adversely affected by current or future unfavorable economic and market conditions and adverse developments with respect
to financial institutions and associated liquidity risk.”
Additionally, market prices for securities of biotechnology and
pharmaceutical companies historically have been very volatile. The market for these securities has from time to time experienced significant
price and volume fluctuations for reasons unrelated to the operating performance of any one company. Following periods of market volatility,
shareholders have often instituted securities class action litigation, and in the past, we have been party to securities class action
litigations. See “Item 8.A-Financial Information-Legal Proceedings” for additional information. Such securities litigation
or any additional securities litigation could have a substantial cost and divert resources and attention of management from our business,
even if we are successful.
Our ordinary shares are traded on the TASE and our ADSs are listed
on Nasdaq. Trading in our securities on these markets takes place in different currencies (dollars on Nasdaq and NIS on the TASE), and
at different times (resulting from different time zones, and different public holidays in the United States and Israel). The trading prices
of our securities on these two markets may differ due to these factors, the factors listed above, or other factors. Any decrease in the
price of our securities on one of these markets could cause a decrease in the trading price of our securities on the other market.
Future sales of our ordinary
shares or ADSs could reduce the market price of our ordinary shares and ADSs.
Substantial sales of our ordinary shares or ADSs, either on the
TASE or on Nasdaq, may cause the market price of our ordinary shares or ADSs to decline. Sales by us or our securityholders of substantial
amounts of our ordinary shares or ADSs, or the perception that these sales may occur in the future, could cause a reduction in the market
price of our ordinary shares or ADSs.
As of March 8, 2026, as a result of previous financings, we had
(A) warrants outstanding (i) for the purchase of 1,596 ADSs at an exercise price of $564.00 per ADS, (ii) for the purchase of 277,273
ADSs at an exercise price of $46.00 per ADS, (iii) for the purchase of 17,045 ADSs at an exercise price of $55.00 per ADS, (iv) for the
purchase of 187,500 ADSs at an exercise price of $32.00 per ADS, (v) for the purchase of 205,893 ADSs at an exercise price of $23.60 per
ADS, (vi) for the purchase of 1,250,000 ADSs at an exercise price of $8.00 per ADS, and (vii) for the purchase of 62,500 ADSs at an exercise
price of $10.00 per ADS, and (B) pre-funded warrants outstanding for the purchase of 82,357 ADSs at an exercise price of $0.004 per ADS.
On September 3, 2021, we entered into an offering agreement, or
the HCW Offering Agreement, with H.C. Wainwright & Co., LLC, or HCW, pursuant to which we may offer and sell, at our option, up to
$25.0 million of our ADSs through an “at-the-market” equity program under which HCW agreed to act as sales agent. As of March
8, 2026, we have sold 825,010 of our ADSs for total gross proceeds of approximately $9.6 million under the ATM program. Under General
Instruction I.B.5 to Form F-3 (also known as the baby shelf rule), we may currently sell up to $4.5 million under the ATM program.
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As of March 8, 2026, in the framework of our Share Incentive Plan,
there are outstanding options, restricted share units, or RSUs, and performance share units, or PSUs, (granted to directors, employees
and consultants) for the purchase of 326,293,200 ordinary shares (equivalent to 543,822 ADSs) with a weighted average exercise price of
$0.03 per ordinary share (equivalent to $20.35 per ADS).
The issuance of any additional ordinary shares, any additional
ADSs, or any securities that are exercisable for or convertible into our ordinary shares or ADSs, may have an adverse effect on the market
price of our ordinary shares and ADSs and will have a dilutive effect on our shareholders.
Raising additional capital
by issuing securities may cause dilution to existing shareholders.
We expect that we will need to raise substantial future capital
to continue to complete clinical development and commercialize our products and therapeutic candidates and to conduct the research and
development and clinical and regulatory activities necessary to bring our therapeutic candidates to market. Our future capital requirements
will depend on many factors, including:
• the failure to obtain regulatory approval, in a timely manner or at all, or achieve commercial success of our therapeutic candidates;
• our success in effecting out-licensing arrangements with third parties;
• our success in establishing other out-licensing or co-development arrangements;
• the success of our licensees in selling products that utilize our technologies;
• the results of our preclinical studies and clinical trials for our earlier-stage therapeutic candidates, and any decisions to initiate clinical trials if supported by the preclinical results;
• the costs, timing and outcome of regulatory review of our therapeutic candidates that progress to clinical trials;
• the costs of establishing or acquiring specialty sales, marketing and distribution capabilities, if any of our therapeutic candidates are approved, and we decide to commercialize them ourselves;
• the costs of preparing, filing and prosecuting patent applications, maintaining and enforcing our issued patents and defending intellectual property-related claims;
• the extent to which we acquire or invest in businesses, products or technologies and other strategic relationships; and
• the costs of financing unanticipated working capital requirements and responding to competitive pressures.
If we raise additional funds through licensing arrangements with
third parties, we may have to relinquish valuable rights to our therapeutic candidates or grant licenses on terms that are not favorable
to us. If we raise additional funds by issuing equity or convertible debt securities, we will reduce the percentage ownership of our then-existing
shareholders, and these securities may have rights, preferences or privileges senior to those of our existing shareholders. See also “-
Future sales of our ordinary shares or ADSs could reduce the market price of our ordinary shares and ADSs.”
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As a foreign private issuer,
we follow certain home country corporate governance practices instead of applicable Nasdaq requirements, which may result in less protection
than is accorded to investors under rules applicable to domestic issuers.
As a foreign private issuer, we are permitted to follow certain
home country corporate governance practices instead of those otherwise required under the Listing Rules of the Nasdaq Stock Market, or
the Nasdaq Rules, for U.S. domestic issuers. For instance, we follow home country practice in Israel with regard to, among other things,
director nomination procedure, approval of compensation of officers, and quorum at shareholders’ meetings. In addition, we will
follow our home country law, instead of the Nasdaq Rules, which require that we obtain shareholder approval for certain dilutive events,
such as for the establishment or amendment of certain equity-based compensation plans, an issuance that will result in a change of control
of the company, certain transactions other than a public offering involving issuances of a 20% or more interest in the company and certain
acquisitions of the stock or assets of another company. Following our home country governance practices as opposed to the requirements
that would otherwise apply to a U.S. company listed on Nasdaq may provide less protection than is accorded to investors under the Nasdaq
Rules applicable to U.S. domestic issuers. See “Item 16G - Corporate Governance - Nasdaq Listing Rules and Home Country Practices.”
In addition, as a foreign private issuer, we are exempt from the
rules and regulations under the U.S. Securities Exchange Act of 1934, as amended, or the Exchange Act, related to the furnishing and content
of proxy statements. While our officers and directors are, effective March 18, 2026, required to make insider reports under Section 16(a)
of the Exchange Act, our principal shareholders are exempt from the reporting under Section 16(a) of the Exchange Act, and our directors,
officers and principal shareholders continue to be exempt from the short-swing profit recovery provisions contained in Section 16(b) of
the Exchange Act. In addition, we are not required under the Exchange Act to file annual, quarterly and current reports and financial
statements with the SEC as frequently or as promptly as domestic companies whose securities are registered under the Exchange Act.
If we fail to comply
with the continued listing requirements of the Nasdaq Capital Market, our ADSs may be delisted and the price of our ADSs and our ability
to access the capital markets could be negatively impacted.
Our ADSs are listed on the Nasdaq Capital Market. As such, we are
required to meet the continued listing requirements of the Nasdaq Capital Market and other Nasdaq rules, including minimum bid price,
minimum market value of publicly held shares, minimum shareholders’ equity (or other financial metrics), corporate governance requirements,
and timely filing of periodic reports with the SEC. In particular, we are required to maintain a minimum bid price for our ADSs of $1.00
per ADS and in the past, we have fallen out of compliance with this listing standard although we subsequently regained compliance.
On January 26, 2026, Nasdaq filed a rule proposal with the SEC
that would permit the immediate suspension and delisting of a company listed on the Nasdaq Capital Market if its market value of listed
securities remains below $5 million for 30 consecutive business days. As of the date of this Annual Report, our market value of listed
securities is above $5 million; however, if this rule were to go into effect and we are unable to maintain our market value of listed
securities above $5 million, we would become subject to immediate suspension and delisting.
If we do not meet the minimum bid price requirement or other continued
listing requirements, our ADSs could be delisted. A delisting of our ADSs from Nasdaq could materially reduce the liquidity of our ADSs
and result in a corresponding material reduction in the price of our ADSs. In addition, delisting could harm our ability to raise capital
through alternative financing sources on terms acceptable to us, or at all, and may result in the potential loss of confidence by investors,
employees and fewer business development opportunities and strategic alternatives. There can be no assurance that our ADSs, if delisted
from the Nasdaq Capital Market in the future, would be listed on a national securities exchange, a national quotation service, the Over-The-Counter
Markets or the pink sheets. Delisting from the Nasdaq Capital Market, or even the issuance of a notice of potential delisting, would also
result in negative publicity, make it more difficult for us to raise additional capital, adversely affect the market liquidity of our
ADSs, reduce security analysts’ coverage of us and diminish investor, supplier and employee confidence. Additionally, the threat
of delisting or the delisting of our ADSs from the Nasdaq Capital Market could reduce the number of investors willing to hold or acquire
our ADSs, thereby further restricting our ability to obtain equity financing, and it could reduce our ability to retain, attract and motivate
our directors, officers and employees. In addition, as a consequence of any such delisting, our ADS price could be negatively affected
and our shareholders would likely find it more difficult to sell, or to obtain accurate quotations as to the prices of, our ADSs.
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Risks Related to Our Operations in Israel
We conduct our operations
in Israel and therefore, may be adversely affected by political, geopolitical, economic and military instability in Israel and its region.
Our headquarters and principal executive offices, development,
and some of our suppliers and third-party contractors are located in central Israel. In addition, all of our employees and officers and
the majority of our directors are residents of Israel. Accordingly, political, geopolitical, economic and military conditions in Israel
and the surrounding region may directly affect our business could harm our results of operations and could make it more difficult for
us to raise capital.
Since the establishment of the State of Israel in 1948, a number
of armed conflicts have occurred between Israel and its neighboring countries and militia groups, including Hamas (an Islamist terrorist
militia and political group that controls the Gaza Strip) and Hezbollah (an Islamist terrorist militia and political group based in Lebanon)
and other terrorist organizations active in the region. These conflicts have involved missile strikes, hostile infiltrations and terrorism
against civilian targets in various parts of Israel, which have negatively affected business conditions in Israel.
In October 7, 2023, Hamas terrorists infiltrated Israel’s
southern border from the Gaza Strip and conducted a series of attacks on civilian and military targets. Hamas also launched extensive
rocket attacks on the Israeli population and industrial centers located along Israel’s border with the Gaza Strip and in other areas
within the State of Israel. These attacks resulted in extensive deaths, injuries and kidnapping of civilians and soldiers. Following the
attack, Israel’s security cabinet declared war against Hamas and, as a result of attacks by Hezbollah along Israel’s northern
border with Lebanon that commenced following the commencement of the war with Hamas, launched attacks against Hezbollah in Lebanon. Israel
was subsequently involved in military conflicts with Hamas, Hezbollah, and Iran, both directly and through Iranian proxies such as the
Houthi movement in Yemen and armed groups in Iraq and other terrorist organizations. Additionally, following the fall of the Assad regime
in Syria, Israel conducted limited military operations targeting the Assad-led Syrian army, Iranian military assets, and infrastructure
linked to Hezbollah and other Iran-supported groups. In November 2024, a ceasefire agreement was reached with Hezbollah in Lebanon.
In June 2025, in light of continued nuclear threats and intelligence
assessments, Israel launched a military operation directly targeting military and nuclear infrastructure inside Iran, aimed at disrupting
Iran's capacity to coordinate or launch further hostilities against Israel and to degrade its nuclear program. In response, Iran launched
multiple waves of drones and ballistic missiles at Israeli cities. While most of these attacks were intercepted, several caused civilian
deaths and casualties, as well as some damage to infrastructure and property. A ceasefire was declared between Israel and Iran in June
2025 after 12 days of hostilities.
In October 2025, a ceasefire in the conflict with Hamas came into
effect; however, the situation remains fragile, with isolated incidents of fighting.
On February 28, 2026, Israel and the United States commenced coordinated
military air strikes against targets in Iran, including military and strategic infrastructure in response to ongoing regional tensions
and recent escalations involving Iran’s nuclear and military activities. In response, Iran launched retaliatory attacks against
Israel, targeting major cities and strategic sites, which are ongoing. While most of these attacks have been intercepted to date, some
have resulted in civilian casualties and damage to property. Subsequently, Hezbollah launched attacks against Israel in retaliation
for the killing of Ali Hosseini Khamenei, the Supreme Leader of Iran, and in response, Israel launched attacks against Lebanon and Israeli
ground forces have entered into Southern Lebanon, and hostilities between Israel and Hezbollah are ongoing. Iran subsequently began
launching retaliatory strikes on U.S. and other targets in Kuwait, Qatar, Saudi Arabia, United Arab Emirates, Bahrain. The Israeli
government has declared a state of emergency, and the situation remains highly unstable, with ongoing exchanges of fire and heightened
risk of further escalation. Regional and international responses are ongoing, and the risk of broader conflict in the Middle East has
increased.
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In connection with the Israeli security cabinet’s declaration
of war against Hamas, several hundred thousand Israeli military reservists were drafted to perform immediate military service. None of
our employees were called up for active duty; however, any renewed military actions, restrictions, or government-imposed measures could
adversely affect our business, prospects, financial condition and results of operations. As of March 8, 2026, we had 20 full-time and
4 part-time employees, all of whom are located in Israel.
Our commercial insurance does not cover losses that may occur as
a result of events associated with war and terrorism. Although the Israeli government currently covers the reinstatement value of direct
damages that are caused by terrorist attacks or acts of war, we cannot assure you that this government coverage will be maintained or
that it will sufficiently cover our potential damages. Any losses or damages incurred by us could have a material adverse effect on our
business and financial condition. Any armed conflicts or political instability in the region would likely negatively affect business conditions
and could harm our results of operations.
The continuation of the war and the recent conflicts also led to
a deterioration of certain indicators of Israel’s economic standing, for instance, international credit rating agencies have lowered
Israel’s credit rating. Credit rating agencies could further lower Israel’s credit rating in the future, which could disrupt
the business environment in Israel and make investors hesitant to invest or transact business in Israel.
In addition, several organizations and countries may restrict doing
business with Israel and Israeli companies, including economic boycotts. The interruption or curtailment of trade between Israel and its
present trading partners could adversely affect our business, financial condition and results of operations.
Further, political instability in Israel or any negative changes
in the political environment, may individually or in the aggregate adversely affect the Israeli economy and, in turn, our business, financial
condition, results of operations and growth prospects.
The continued hostilities between Israel and its neighbors and
any future armed conflict, terrorist activity or political instability in Israel or the region could adversely affect our operations in
Israel and adversely affect the market price of our ordinary shares and ADSs.
Due to a significant portion
of our expenses and revenues being denominated in non-dollar currencies, our results of operations may be harmed by currency fluctuations.
Our reporting and functional currency is the U.S. dollar. However,
we pay a significant portion of our expenses in NIS, and we expect this to continue. If the dollar materially depreciates against the
NIS in the future, then the U.S. dollar cost of our operations in Israel would increase and our results of operations could be materially
and adversely affected. Although the revenues from our current out-licensing and co-development arrangements are payable in dollars and
we expect our revenues from any future licensing arrangements to be denominated primarily in dollars, we are exposed to currency fluctuation
risks relating to the recording of our revenues in currencies other than the U.S. dollar. From time to time, we engage in currency hedging
transactions to decrease the risk of financial exposure from fluctuations in the exchange rates of the currencies mentioned above in relation
to the dollar. These measures, however, may not adequately protect us from material adverse effects.
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Before we in-licensed motixafortide,
Biokine had received Israeli government grants for motixafortide research and development. Under our agreement with Biokine, we are required
to abide with terms of these grants, which require us, in addition to payment of royalties, to satisfy specified conditions in order to
transfer the manufacture of products and transfer technologies outside of Israel and to make additional payments in addition to repayment
of the grants.
Before we in-licensed motixafortide, Biokine had received $2.7
million in funding for the project from the Israel Innovation Authority, or the IIA (formerly the Office of the Chief Scientist of Israel’s
Ministry of Economy and Industry, or the OCS). As a condition for the IIA’s consent to our in-licensing of motixafortide, we were
required to agree to abide by any obligations resulting from such funding under the Israeli Encouragement of Industrial Research, Development
and Technological Innovation Law, 1984, and related regulations, as amended (the Research Law). Under the Research Law and the terms of
IIA grants, royalties on the revenues derived from sales of products (and associated services) developed with IIA funding are payable
to the Israeli government, generally at the rate of 3% (and at an increased rate under certain circumstances, as described below). The
obligation to make these royalty payments terminates upon repayment of the amount of grants, linked to the U.S. dollar, plus interest
(in accordance with IIA regulations), which amount may be increased under certain circumstances, as described below.
Under the Research Law, the transfer or license to third parties
outside of Israel of know-how or technologies developed under IIA-funded programs, or the transfer to third parties outside of Israel
of manufacturing or rights to manufacture based on IIA-funded know-how, requires the consent of the IIA in certain circumstances, and
may result in increased payments to the IIA. Specifically, for the transfer of manufacturing outside of Israel, royalty payments can be
up to three times the amount of the IIA grants received, linked, plus interest, and the royalty repayment rate may increase. For the transfer
of IIA-funded know-how outside of Israel, the payment may be up to six times the amount of the IIA grants, linked, plus interest. In connection
with the IIA’s approval of the out-licensing transactions with Gloria and Ayrmid, the IIA determined that we are required to pay
the IIA 3.9% on any sub-license consideration, up to six times the IIA grant, linked, plus interest. Additionally, in December 2024, we
received IIA approval to transfer the manufacturing of motixafortide outside of Israel, which requires us to pay the IIA 4% of proceeds
on any direct product sales, up to three times the IIA grant, linked plus interest. As of December 31, 2025, $1.3 million in aggregate
royalties had been paid to the IIA on account of the motixafortide program and there was a contingent liability to the IIA (including
interest) of $2.5 million (without taking into account the potential repayment requirement of up to six times the amount as detailed above).
In any event, under our agreement with Biokine, we have a full right of offset for amounts payable to the IIA for the motixafortide program
from any payments that we may owe to Biokine in the future.
Should we wish to further out-license motixafortide in the future,
there is no assurance that we will be able to obtain the IIA’s consent on terms acceptable to us, or at all. Even following the
full repayment of IIA grants, we must nevertheless continue to comply with the requirements of the Research Law. If we fail to comply
with any of the conditions and restrictions imposed by the Research Law and regulations and guidelines thereunder, or by the specific
terms of the IIA grants, we may be required to refund any IIA grants that Biokine previously received together with interest and penalties,
and, in certain circumstances, may be subject to criminal charges. In any event, under our agreement with Biokine, we have a full right
of offset for amounts payable to the IIA for the motixafortide program from any payments that we may owe to Biokine in the future.
Provisions of Israeli law
and our Articles of Association may delay, prevent or otherwise impede a merger with, or an acquisition of, our company, which could prevent
a change of control, even when the terms of such a transaction are favorable to us and our shareholders.
Israeli corporate law regulates mergers, requires tender offers
for acquisitions of shares above specified thresholds, requires special approvals for transactions involving directors, officers or significant
shareholders and regulates other matters that may be relevant to these types of transactions. For example, a merger may not be consummated
unless at least 50 days have passed from the date that a merger proposal was filed by each merging company with the Israel Registrar of
Companies and at least 30 days from the date that the shareholders of both merging companies approved the merger. In addition, a majority
of each class of securities of the target company must approve a merger. Moreover, a tender offer for all of a company’s issued
and outstanding shares can only be completed if the acquirer receives the approval of at least 95% of the issued share capital (provided
that a majority of the offerees that do not have a personal interest in such tender offer shall have approved the tender offer, except
that if the total votes to reject the tender offer represent less than 2% of the company’s issued and outstanding share capital,
in the aggregate, approval by a majority of the offerees that do not have a personal interest in such tender offer is not required to
complete the tender offer). Furthermore, the shareholders, including those who indicated their acceptance of such a tender offer, may,
at any time within six months following the completion of the tender offer, claim that the consideration for the acquisition of the shares
did not reflect their fair market value and petition an Israeli court to alter the consideration for the acquisition accordingly (unless
the acquirer stipulated in its tender offer that a shareholder that accepts the offer may not seek appraisal rights, and the acquirer
or the company published all required information with respect to the tender offer prior to the date indicated for response to the tender
offer).
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Furthermore, Israeli tax considerations may make potential transactions
unappealing to us or to our shareholders, such as for those whose country of residence does not have a tax treaty with Israel exempting
such shareholders from Israeli tax. For example, Israeli tax law does not recognize tax-free share exchanges to the same extent as U.S.
tax law. With respect to mergers, Israeli tax law allows for tax deferral in certain circumstances but makes the deferral contingent on
the fulfilment of numerous conditions, including, in some cases, a holding period of two years from the date of the transaction during
which sales and dispositions of shares of the participating companies are subject to certain restriction. 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.
Further, our Articles of Association, as amended and currently
in effect, or our Articles of Association provide that our directors (other than external directors, if any) are elected on a staggered
basis, such that a potential acquirer cannot readily replace our entire board of directors at a single annual general shareholder meeting;
rather, at least two annual meetings of shareholders will generally be required to effect a change in a majority of our board of directors.
Any amendment to the provision in our Articles of Association dividing our directors into three classes and certain related provisions
requires a vote of the holders of at least 65% of the shares represented at the meeting and voting on the matter.
These and other similar provisions could delay, prevent or impede
an acquisition of us or our merger with another company, even if such an acquisition or merger would be beneficial to us or to our shareholders.
It may be difficult
to enforce a U.S. judgment against us and our officers and directors in Israel or the United States, to
assert U.S. securities laws claims in Israel or to serve process on our officers and directors.
We are incorporated in Israel. All of our executive officers and
the majority of our directors reside outside of the United States, and a significant portion of our assets and most of the assets of such
executive officers and directors are located outside of the United States. Therefore, a judgment obtained against us or any of our executive
officers and directors in the United States, including a judgment based on the civil liability provisions of the U.S. federal securities
laws, may not be collectible in the United States. It also may be difficult for you to effect service of process on these persons in the
United States or 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 against us or our non-U.S. officers and
directors based on an alleged violation of U.S. securities laws reasoning that Israel is not the most appropriate forum in which to bring
such a claim. In addition, even if an Israeli court agrees to hear such a claim, it may determine that Israeli law and not U.S. law is
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 by expert
witnesses, 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. Additionally, Israeli courts might not enforce judgments
obtained in the United States against us or our non-U.S. directors and executive officers, which may make it difficult to collect on judgments
rendered against us or our non-U.S. officers and directors.
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Your rights and responsibilities
as a shareholder will be governed by Israeli law, which may differ in some respects from the rights and responsibilities of shareholders
of U.S. companies.
We are incorporated under Israeli law. The rights and responsibilities
of the holders of our ordinary shares are governed by our Articles of Association and Israeli law. These rights and responsibilities differ
in some respects from the rights and responsibilities of shareholders in typical U.S.-based corporations. In particular, pursuant to the
Companies Law, a shareholder of an Israeli company has a duty to act in good faith and in a customary manner toward 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 amendments to a company’s articles of association, increases in a company’s authorized share capital, mergers
and acquisitions and interested party transactions requiring shareholder approval under the Companies Law, as well as a general duty to
refrain from discriminating against other shareholders. In addition, a controlling shareholder and a shareholder who knows that it possesses
the power to determine the outcome of a shareholder vote or to appoint or prevent the appointment of a director or executive officer in
the company or has other powers toward the company, has a duty of fairness toward the 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 these duties or the implications
of these provisions. These provisions may be interpreted to impose additional obligations and liabilities on holders of our ordinary shares
that are not typically imposed on shareholders of U.S. corporations.