12 unchanged sentences
date we have not generated material revenue from the sale of products, and we do not anticipate that we will report operating income
−Removed: in the near future.
−Removed: Our initial product, GlucoTrack® 1.0, has not been approved for marketing in the United States and may not be
−Removed: sold or marketed without FDA clearance or approval in the United States.
−Removed: Our next generation product, GlucoTrack® 2.0 is currently
−Removed: under development.
−Removed: We continue to incur research and development and selling, marketing and general and administrative expenses related
−Removed: to our operations, development and commercialization of our first product.
+Added: in the foreseeable future.
+Added: Our initial product, Glucotrack CBGM, has not been approved for marketing in the United States and is currently
+Added: under preclinical development.
+Added: We continue to incur research and development and selling, marketing and general and administrative expenses
+Added: related to our operations, development and commercialization of our first product.
Our operating losses for the years ended December
−Removed: and 2021 were approximately $4.4 million and $4.0 million, respectively, and we had an accumulated deficit of approximately $101.9 million
−Removed: as of December 31, 2022.
−Removed: We expect to continue to incur losses for the foreseeable future, and these losses will likely increase as we
−Removed: develop and prepare to commercialize GlucoTrack® 2.0.
−Removed: If we are not successful in developing, manufacturing and distributing GlucoTrack®
−Removed: 2.0, or if GlucoTrack® 2.0 does not achieve market acceptance, we may never become profitable.
−Removed: Even if we achieve profitability in
−Removed: the future, we may not be able to sustain profitability in subsequent periods.
+Added: 31, 2023 and 2022 were approximately $7.1 million and $4.4 million, respectively, and we had an accumulated deficit of approximately
+Added: $109.8 million as of December 31, 2023.
+Added: We expect to continue to incur losses for the foreseeable future, and these losses will likely
+Added: increase as we develop and prepare to commercialize Glucotrack CBGM.
+Added: If we are not successful in developing, manufacturing and distributing
+Added: Glucotrack CBGM, or if Glucotrack CBGM does not achieve market acceptance, we may never become profitable.
+Added: Even if we achieve profitability
+Added: in the future, we may not be able to sustain profitability in subsequent periods.
+Added: we continue to evolve from a company primarily involved in development to a company also involved in commercialization, we may encounter
+Added: difficulties in managing our growth and expanding our operations successfully.
+Added: anticipate that, as our operations expand and, assuming that our development, testing, studies and trials are successful, we will need
+Added: to expand our manufacturing, marketing and sales capabilities by contracting with third parties.
+Added: Maintaining these relationships and
+Added: managing our future growth will impose significant added responsibilities on members of our management.
+Added: We must be able to manage our
+Added: development efforts effectively;
+Added: manage our clinical trials effectively;
+Added: hire, train and integrate additional management, development,
+Added: administrative and sales and marketing personnel;
+Added: improve managerial, development, operational and finance systems;
+Added: and expand our facilities,
+Added: all of which may impose a strain on our administrative and operational infrastructure.
+Added: may have future capital needs and may not be able to obtain additional financing on acceptable terms.
+Added: and credit market conditions, the performance of our industry and our financial performance, as well as other factors, may constrain
+Added: our financing abilities.
+Added: Our ability to secure additional financing, if available, and to satisfy our financial obligations under indebtedness
+Added: outstanding from time to time will depend upon our future operating performance, the availability of credit, economic conditions and
+Added: financial, business and other factors, many of which are beyond our control.
+Added: may require additional financing to fund our operations and growth.
+Added: The failure to secure additional financing could have an adverse
+Added: effect on our continued development or growth.
+Added: None of our officers, directors or stockholders is required to provide any financing to
+Added: additional capital may cause dilution to our existing stockholders and investors, restrict our operations, or require us to relinquish
+Added: rights to our products and/or product candidates on unfavorable terms to us.
+Added: will seek additional capital through a variety of means, including through private and public equity offerings and debt financings, collaborations,
+Added: strategic alliances and marketing, distribution, or licensing arrangements.
+Added: To the extent that we raise additional capital through the
+Added: sale of equity or convertible debt securities, or through the issuance of shares under other types of contracts, or upon the exercise
+Added: or conversion of outstanding options, warrants, convertible debt or other similar securities, the ownership interests of our stockholders
+Added: will be diluted, and the terms of such financings may include liquidation or other preferences, anti-dilution rights, conversion and
+Added: exercise price adjustments and other provisions that adversely affect the rights of our stockholders, including rights, preferences and
+Added: privileges that are senior to those of our holders of common stock in terms of the payment of dividends or in the event of a liquidation.
+Added: In addition, debt financing, if available, could include covenants limiting or restricting our ability to take certain actions, such
+Added: as incurring additional debt, making capital expenditures, entering into licensing arrangements, or declaring dividends and may require
+Added: us to grant security interests in our assets.
+Added: If we raise additional funds through collaborations, strategic alliances, or marketing,
+Added: distribution, or licensing arrangements with third parties, we may have to relinquish valuable rights to our technologies, future revenue
+Added: streams, product or product candidates or grant licenses on terms that may not be favorable to us.
+Added: If we are unable to raise additional
+Added: funds through equity or debt financing when needed, we may need to curtail or cease our operations.
+Added: independent registered public accounting firm’s report contains an explanatory paragraph that expresses substantial doubt about
+Added: our ability to continue as a “going concern.”
+Added: may not have sufficient liquidity to meet our anticipated obligations over the next year from the issuance of the financial statements
+Added: contained in this Report.
+Added: We have incurred net losses and negative cash flows from our operations and comprehensive loss since our inception
+Added: and as of December 31, 2023, there is an accumulated deficit of $109,853.
+Added: These conditions raise substantial doubt about the Company’s
+Added: ability to continue as a going concern.
+Added: Related to Owning our Common Stock
have never declared or paid any cash dividends on our Common Stock and do not anticipate paying any dividends on our Common Stock in
6 unchanged sentences
factors deemed relevant to our Board of Directors.
+Added: Common Stock may be delisted from Nasdaq if we fail to comply with continued listing standards.
+Added: Common Stock is currently traded on Nasdaq under the symbol “GCTK.” If we fail to meet any of the continued listing standards
+Added: of Nasdaq, for which we have one or more deficiencies, our Common Stock could be delisted from Nasdaq.
+Added: The continued listing standards
+Added: include specifically enumerated criteria, such as:
+Added: $1.00 minimum closing bid price;
+Added: Stockholders’
+Added: equity of $2,500;
+Added: shares of publicly held Common Stock with a market value of at least $1,000;
+Added: round-lot stockholders;
+Added: with Nasdaq’s corporate governance requirements, as well as additional or more stringent criteria that may be applied in the
+Added: exercise of Nasdaq’s discretionary authority.
+Added: May 26, 2023, we received a notice from the Staff of Nasdaq that we no longer complied with Nasdaq Listing Rule 5550(a)(2), which requires
+Added: listed securities to maintain a minimum bid price of $1.00 per share.
+Added: The Nasdaq letter stated that we had 180 days, or until November
+Added: 22, 2023, to regain compliance with the Bid Price Rule.
+Added: On November 24, 2023, we received a letter from the Staff of Nasdaq notifying
+Added: us that we have been granted an additional 180 calendar days, or until May 20, 2024, to regain compliance with the Bid Price Rule.
+Added: at any time during the Extended Compliance Period, the closing bid price of our Common Stock is at least $1.00 per share for a minimum
+Added: of 10 consecutive business days, the Staff of Nasdaq will provide written confirmation that we have achieved compliance with the Bid
+Added: If we cannot demonstrate compliance during the Extended Compliance Period, then the Staff of Nasdaq will provide notice that
+Added: our Common Stock will be subject to delisting.
+Added: At that time, we may appeal the Staff’s determination to a hearings panel.
+Added: price on March 19, 2024 was $0.32, and, as such, we are not currently in compliance with the Bid Price Rule.
+Added: Nasdaq delists our Common Stock from trading on its exchange for failure to meet the Bid Price Rule or any other listing standards, we
+Added: and our stockholders could face significant material adverse consequences including:
+Added: limited availability of market quotations for our securities;
+Added: determination that our common stock is a “penny stock,” which will require brokers trading in our common stock to adhere
+Added: to more stringent rules, possibly resulting in a reduced level of trading activity in the secondary trading market for our common
+Added: limited amount of analyst coverage;
+Added: decreased ability to issue additional securities or obtain additional financing in the future.
+Added: had identified a material weakness in our internal control over financial reporting, and we may not be able to successfully implement
+Added: remedial measures.
+Added: identified material weaknesses related to our internal control over financial reporting as of December 31, 2023 and concluded that internal
+Added: control over financial reporting as at December 31, 2023 were not effective.
+Added: The ineffectiveness of the Company’s internal control
+Added: over financial reporting was due to identification of material weaknesses related to lack of sufficient internal accounting personnel,
+Added: segregation of duties, and lack of sufficient internal controls (including IT general controls) that encompass the Company as a whole
+Added: with respect to entity and transactions level controls in order to ensure complete documentation of complex and non-routine transactions
+Added: and adequate financial reporting.
+Added: there can be no assurance that we will not suffer from other material weaknesses or significant deficiencies in the future.
+Added: to remediate these material weaknesses or fail to otherwise maintain effective internal controls over financial reporting in the future,
+Added: such failure could result in a material misstatement of our annual or quarterly financial statements that would not be prevented or detected
+Added: on a timely basis and which could cause investors and other users to lose confidence in our financial statements, limit our ability to
+Added: raise capital and have a negative effect on the trading price of our Common Stock.
+Added: Additionally, failure to remediate the material weakness
+Added: or otherwise maintain effective internal controls over financial reporting may also negatively impact our operating results and financial
+Added: condition, impair our ability to timely file our periodic and other reports with the SEC, subject us to additional litigation and regulatory
+Added: actions and cause us to incur substantial additional costs in future periods relating to the implementation of remedial measures.
+Added: market price of our Common Stock may fluctuate significantly.
+Added: market price of the Common Stock may fluctuate significantly in response to numerous factors, some of which are beyond our control, such
+Added: of trials or studies;
+Added: announcement of new products or product enhancements by us or our competitors;
+Added: concerning intellectual property rights and regulatory approvals;
+Added: in our and our competitors’ results of operations;
+Added: in earnings estimates or recommendations by securities analysts, if the Common Stock is covered by analysts;
+Added: in the medical device industry;
+Added: results of product liability or intellectual property lawsuits;
+Added: issuances of Common Stock or other securities;
+Added: addition or departure of key personnel;
+Added: announcements
+Added: by us or our competitors of acquisitions, investments or strategic alliances;
+Added: market conditions and other factors, including factors unrelated to our operating performance.
+Added: in recent years, the stock market in general, and the market for medical device companies in particular, have experienced extreme price
+Added: and volume fluctuations.
+Added: Continued or renewed market fluctuations could result in extreme volatility in the price of our Common Stock,
+Added: which could cause a decline in the value of the Common Stock.
+Added: Related to our Business and Industry
crises and market instability may materially and adversely affect the demand for our products, as well as our ability to obtain credit
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failure to do so may materially adversely affect our ability to continue operations.
−Removed: may not be approved for sale in the United States or other (non-CE Mark) jurisdictions.
−Removed: will likely be required to undertake significant clinical trials to demonstrate to the FDA that GlucoTrack® is either safe and effective
−Removed: for its intended use or is substantially equivalent in terms of safety and effectiveness to an existing, lawfully marketed non-Section
−Removed: 515 premarket approval (PMA) device (refer to “ Management Discussion and Analysis - Government Regulatory ”).
−Removed: also be required to undertake clinical trials by non-U.S.
−Removed: regulatory agencies in non-CE Mark jurisdictions.
−Removed: Clinical trials are expensive
−Removed: and uncertain processes that may take years to complete.
−Removed: Failure can occur at any point in the process and early positive results do
−Removed: not ensure that the entire clinical trial will be successful.
−Removed: Product candidates in clinical trials may fail to show desired efficacy
−Removed: and safety traits despite early promising results.
−Removed: A number of companies in the medical device industry have suffered significant setbacks
−Removed: in advanced clinical trials, even after their product candidates demonstrated promising results at earlier points.
−Removed: results from the limited pre-clinical trials and safety and performance clinical trial that we have conducted should not be relied upon
−Removed: as evidence that later-stage or large-scale clinical trials will succeed.
−Removed: These trials involved limited patient populations and there
−Removed: is no assurance that the experimental protocol or protocols, as the case may be, used in these informal trials will be methodologically
−Removed: similar to ones submitted to the FDA or any other regulatory body for its approval.
−Removed: Because of the sample size, possible variation in
−Removed: methodology, differences in exclusion/inclusion criteria, or differences in endpoints, the results of these pre-clinical trials may not
+Added: CBGM is not approved for sale in the United States or other jurisdictions.
+Added: will likely be required to undertake significant clinical trials to demonstrate to the FDA that Glucotrack CBGM is safe and effective
+Added: for its intended use (refer to “ Management Discussion and Analysis - Government Regulatory ”).
+Added: We may also be required
+Added: to undertake similar clinical trials by non-U.S.
+Added: regulatory agencies, particularly for the European Union (CE Mark).
+Added: Clinical trials
+Added: for implantable medical devices are expensive and uncertain processes that take years to complete.
+Added: Failure can occur at any point in
+Added: the process and early positive results do not ensure that the entire clinical trial will be successful.
+Added: Product candidates in clinical
+Added: trials may fail to show desired efficacy and safety traits despite early promising results.
+Added: A number of companies in the medical device
+Added: industry have suffered significant setbacks in advanced clinical trials, even after their product candidates demonstrated promising results
+Added: at earlier points.
+Added: results from the limited safety and performance pre-clinical trials that we have conducted should not be relied upon as evidence that
+Added: early-stage or large-scale clinical trials will succeed.
+Added: Despite efforts to choose the proper animal model reflecting our intended use,
+Added: our pre-clinical animal trials cannot be a guarantee of clinical trial success because human physiology and anatomy are different.
+Added: of the sample size, possible variation in methodology, or differences in physiology, the results of these pre-clinical trials may not
be indicative of future results.
−Removed: We will likely be required to demonstrate through well-controlled clinical trials that GlucoTrack®
−Removed: or future product candidates, if any, are safe and effective for their intended uses.
−Removed: In the event that the FDA deems GlucoTrack®
−Removed: to be a Class II device, which we do not believe is likely at this point, then we would be required to demonstrate that it is substantially
−Removed: equivalent in terms of safety and effectiveness to a device lawfully marketed either through a premarket notification or prior to May
−Removed: Additionally,
−Removed: although we have received our CE Mark approval for GlucoTrack® 1.0, EU member countries may request or require additional performance
−Removed: and/or safety data from time to time, on a case-by-case basis.
−Removed: GlucoTrack® 2.0 is currently under development.
−Removed: GlucoTrack® or our future product candidates, if any, may not be cleared or approved, as the case may be, even if the clinical data
−Removed: are satisfactory and support, in our view, its or their clearance or approval.
+Added: We will be required to demonstrate through well-controlled clinical trials that Glucotrack CBGM or future
+Added: product candidates, if any, are safe and effective for their intended uses.
+Added: the Glucotrack CBGM or our future product candidates, if any, may not be cleared or approved, as the case may be, even if the clinical
+Added: data are satisfactory and support, in our view, it’s or their clearance or approval.
The FDA or other non-U.S.
−Removed: regulatory authorities may disagree
−Removed: with our trial design or interpretation of the clinical data.
−Removed: In addition, any of these regulatory authorities may change requirements
−Removed: for the clearance or approval of a product candidate even after reviewing and providing comment on a protocol for a pivotal clinical
−Removed: trial that has the potential to result in FDA approval.
−Removed: In addition, any of these regulatory authorities may also clear or approve a
−Removed: product candidate for fewer or more limited uses than we request or may grant clearance or approval contingent on the performance of
+Added: regulatory authorities
+Added: may disagree with our trial design or interpretation of the clinical data.
+Added: In addition, any of these regulatory authorities may change
+Added: requirements for the clearance or approval of a product candidate even after reviewing and providing comment on a protocol for a pivotal
+Added: clinical trial that has the potential to result in FDA approval.
+Added: In addition, any of these regulatory authorities may also clear or approve
+Added: a product candidate for fewer or more limited uses than we request or may grant clearance or approval contingent on the performance of
costly post-marketing clinical trials.
In addition, the FDA or other non-regulatory authorities may not approve the labeling claims necessary
−Removed: or desirable for the successful commercialization of GlucoTrack® or our future product candidates, if any.
−Removed: are highly dependent on the success of our next generation product candidate, GlucoTrack® 2.0, and cannot give any assurance that
−Removed: it will receive regulatory approval or clearance or be successfully commercialized.
−Removed: are highly dependent on the success of our next generation product candidate, GlucoTrack® model 2.0.
−Removed: We cannot give any assurance
−Removed: that the FDA will permit us to clinically test the device, nor can we give any assurance that the clinical trials will be successful
−Removed: or that GlucoTrack® 2.0 will receive regulatory clearance or approval or be successfully commercialized, for a number of reasons,
−Removed: including, without limitation, the potential introduction by our competitors of more clinically-effective or cost-effective alternatives,
−Removed: failure in our sales and marketing efforts, or the failure to obtain positive coverage determinations or reimbursement.
−Removed: Any failure to
−Removed: obtain approval to conduct clinical trials, favorable clinical data, clearance or approval of or to successfully commercialize GlucoTrack®
−Removed: 2.0 would have a material adverse effect on our business.
−Removed: our competitors develop and market products that are more effective, safer or less expensive than GlucoTrack® or our future product
+Added: or desirable for the successful commercialization of Glucotrack CBGM or our future product candidates, if any.
+Added: are highly dependent on the success of our product candidate, Glucotrack CBGM, and cannot give any assurance that it will receive regulatory
+Added: approval or clearance or be successfully commercialized.
+Added: are highly dependent on the success of our product candidate, Glucotrack CBGM.
+Added: We cannot give any assurance that the FDA will permit
+Added: us to clinically test the device, nor can we give any assurance that the clinical trials will be successful or that GluctTrack CBGM will
+Added: receive regulatory clearance or approval or be successfully commercialized, for a number of reasons, including, without limitation, the
+Added: potential introduction by our competitors of more clinically-effective or cost-effective alternatives, failure in our sales and marketing
+Added: efforts, or the failure to obtain positive coverage determinations or reimbursement.
+Added: Any failure to obtain approval to conduct clinical
+Added: trials, favorable clinical data, clearance or approval of or to successfully commercialize Glucotrack CBGM would have a material adverse
+Added: effect on our business.
+Added: our competitors develop and market products that are more effective, safer or less expensive than Glucotrack CBGM or our future product
candidates, if any, our commercial opportunities will be adversely affected.
−Removed: life sciences industry is highly competitive and we face significant competition from many medical device companies that are researching
−Removed: and marketing products designed to address the needs of persons suffering from diabetes.
−Removed: We are currently developing medical devices
−Removed: that will compete with other medical devices that currently exist or are being developed.
−Removed: Some of our competitors have significantly
−Removed: greater financial, manufacturing, marketing and product development resources than we do.
−Removed: Large medical device companies, in particular,
−Removed: have extensive experience in clinical testing and in obtaining regulatory clearances or approvals for medical devices.
−Removed: These companies
−Removed: also have significantly greater research and marketing capabilities than us.
+Added: life sciences industry is highly competitive;
+Added: and we face significant competition from many medical device companies that are researching
+Added: and marketing products designed to address the needs of people suffering from diabetes.
+Added: We are currently developing medical devices that
+Added: will compete with other medical devices that currently exist or are being developed.
+Added: Some of our competitors have significantly greater
+Added: financial, manufacturing, marketing and product development resources than we do.
+Added: Large medical device companies, in particular, have
+Added: extensive experience in clinical testing and in obtaining regulatory clearances or approvals for medical devices.
+Added: These companies also
+Added: have significantly greater research and marketing capabilities than us.
Some of the medical device companies that we expect to compete
−Removed: with include Roche;
−Removed: LifeScan, Inc., a division of Johnson & Johnson;
−Removed: the MediSense and TheraSense divisions of Abbott Laboratories;
−Removed: Ascensia, a spin off from Bayer Corporation;
−Removed: and Medtronic, Inc.
−Removed: In addition, many other universities and private and public
−Removed: research institutions are or may become active in research involving blood glucose measurement devices.
+Added: with include Abbott Laboratories, DexCom, Medtronic, and Senseonics.
+Added: In addition, many universities and private and public research institutions
+Added: are or may become active in research involving blood glucose measurement devices.
believe that our ability to successfully compete will depend on, among other things:
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ability to protect intellectual property rights related to our products.
−Removed: our competitors market products that are more effective, safer, easier to use or less expensive than GlucoTrack® or our future product
−Removed: candidates, if any, or that reach the market sooner than GlucoTrack® or our future product candidates, if any, we may not achieve
+Added: our competitors market products that are more effective, safer, easier to use or less expensive than Glucotrack CBGM or our future product
+Added: candidates, if any, or that reach the market sooner than Glucotrack CBGM or our future product candidates, if any, we may not achieve
commercial success.
6 unchanged sentences
obsolete or less competitive.
+Added: number of medical device companies, medical researchers and pharmaceutical companies are also pursuing new delivery technologies, procedures,
+Added: drugs and other therapies for the monitoring, treatment and prevention of diabetes.
+Added: If successful, these technologies could render glucose
+Added: monitoring devices, like the Glucotrack CBGM, obsolete.
+Added: Technological breakthroughs in diabetes treatment or prevention could reduce
+Added: the potential market for Glucotrack CBGM, making it less competitive or obsolete altogether.
+Added: diabetes market is currently seeing increasing use of GLP-1 drugs for the treatment of obesity and type 2 diabetes.
+Added: While we believe
+Added: that GLP-1s are a companion product and can be used in conjunction with CGM systems, such drugs could potentially compete with the Glucotrack
+Added: CBGM and impact successful commercialization.
product development activities could be delayed or stopped.
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regulatory approval process is expensive, time-consuming and uncertain and may prevent us from obtaining approvals for the commercialization
−Removed: of GlucoTrack® or our future product candidates, if any.
+Added: of Glucotrack CBGM or our future product candidates, if any.
research, testing, manufacturing, labeling, approval, selling, marketing and distribution of medical devices are subject to extensive
2 unchanged sentences
We are not permitted
−Removed: to market our product candidates in the United States until we receive a clearance letter under the 510(k)-premarket notification process
−Removed: or approval of a Section 515 premarket approval, from the FDA, depending on the nature of the device.
−Removed: We have not submitted an application
−Removed: or premarket notification for or received marketing clearance or approval for any of our product candidates.
−Removed: Obtaining approval of any
−Removed: premarket approval can be a lengthy, expensive and uncertain process.
−Removed: While the FDA normally reviews, and clears a premarket notification
−Removed: in three months, there is no guarantee that our products will qualify for this more expeditious regulatory process, which is reserved
−Removed: for Class I and II devices, nor is there any assurance that, even if a device is reviewed under the 510(k)-premarket notification process,
−Removed: the FDA will review it expeditiously or determine that the device is substantially equivalent to a lawfully marketed non-premarket approval
−Removed: If the FDA fails to make this finding, then we cannot market the device.
−Removed: In lieu of acting on a premarket notification, the FDA
−Removed: may seek additional information or additional data which would further delay our ability to market the product.
−Removed: In addition, failure
−Removed: to comply with FDA, non-U.S.
−Removed: regulatory authorities or other applicable U.S.
−Removed: regulatory requirements may, either before
−Removed: or after product clearance or approval, if any, subject us to administrative or judicially imposed sanctions, including:
+Added: to market our product candidates in the United States until we receive a clearance letter under Section 515 premarket approval, from
+Added: We have not submitted an application or premarket notification for or received marketing clearance or approval for any of our
+Added: product candidates.
+Added: Obtaining approval of any premarket approval can be a lengthy, expensive and uncertain process, particularly those
+Added: for Class III devices under which our product falls.
+Added: In lieu of acting on a premarket notification, the FDA may seek additional information
+Added: or additional data which would further delay our ability to market the product.
+Added: In addition, failure to comply with FDA, non-U.S.
+Added: authorities or other applicable U.S.
+Added: regulatory requirements may, either before or after product clearance or approval,
+Added: if any, subject us to administrative or judicially imposed sanctions, including:
on the products, manufacturers or manufacturing process;
8 unchanged sentences
to clear or approve pending applications or premarket notifications.
−Removed: approval of a PMA or PMA supplement or clearance pursuant to a 510(k)-premarket notification is not guaranteed, and the approval or clearance
−Removed: process, as the case may be, is expensive and may, especially in the case of the PMA, take several years.
−Removed: The FDA also has substantial
−Removed: discretion in the medical device clearance or approval processes.
−Removed: Despite the time and expense exerted, failure can occur at any stage
−Removed: and we could encounter problems that cause us to abandon clinical trials or to repeat or perform additional pre-clinical studies and
−Removed: clinical trials.
−Removed: The number of pre-clinical studies and clinical trials that will be required for FDA clearance or approval varies depending
−Removed: on the medical device candidate, the disease or condition that the medical device candidate is designed to address, and the regulations
−Removed: applicable to any particular medical device candidate.
−Removed: The FDA can delay, limit or deny clearance or approval of a medical device candidate
−Removed: for many reasons, including:
−Removed: medical device candidate may not be deemed safe or effective, in the case of a PMA;
−Removed: medical device candidate may not be deemed to be substantially equivalent to a lawfully marketed non-premarket approval device in
−Removed: the case of a 510(k)-premarket notification;
+Added: approval of a PMA or PMA supplement is not guaranteed, and the approval will take several years when factoring in clinical trial timelines.
+Added: The FDA also has substantial discretion in the medical device clearance or approval processes.
+Added: Despite the time and expense exerted,
+Added: failure can occur at any stage and we could encounter problems that cause us to abandon clinical trials or to repeat or perform additional
+Added: pre-clinical studies and clinical trials.
+Added: The number of pre-clinical studies and clinical trials that will be required for FDA clearance
+Added: or approval varies depending on the medical device candidate, the disease or condition that the medical device candidate is designed
+Added: to address, and the regulations applicable to any particular medical device candidate.
+Added: The FDA can delay, limit or deny clearance or
+Added: approval of a medical device candidate for many reasons, including:
+Added: medical device candidate may not be deemed safe or effective;
officials may not find the data from the clinical trials sufficient;
1 unchanged sentence
FDA may change its clearance or approval policies or adopt new regulations.
−Removed: while we have received CE Mark approval for GlucoTrack® 1.0, the MDD requires only minimum harmonization.
−Removed: In practice, uniform regulation
−Removed: throughout the EU is not ensured.
−Removed: Rather, member countries may apply and enforce the MDD’s terms differently, and certain EU member
−Removed: countries may request or require performance and/or safety data additional to the MDD’s requirements from time to time, on a case-by-case
−Removed: Therefore, we cannot predict whether we will be able to successfully commercialize GlucoTrack® or our future product candidates,
−Removed: if any, in the EU.
to recruit and enroll patients for clinical trials may cause the development of our product candidates to be delayed.
12 unchanged sentences
regulatory authorities
−Removed: clear or approve GlucoTrack® or our future product candidates, if any, the labeling, packaging, adverse event reporting, storage,
+Added: clear or approve Glucotrack CBGM or our future product candidates, if any, the labeling, packaging, adverse event reporting, storage,
advertising and promotion for the product will be subject to extensive regulatory requirements.
27 unchanged sentences
to market future product candidates and may not achieve or sustain profitability.
−Removed: if we receive regulatory clearance or approval to market GlucoTrack® or our future product candidates, if any, the market may not
+Added: if we receive regulatory clearance or approval to market Glucotrack CBGM or our future product candidates, if any, the market may not
be receptive to our products.
−Removed: if GlucoTrack® or our future product candidates, if any, obtain regulatory clearance or approval, resulting products may not gain
+Added: if Glucotrack CBGM or our future product candidates, if any, obtain regulatory clearance or approval, resulting products may not gain
market acceptance among physicians, patients, health care payors or the medical community.
8 unchanged sentences
of coverage and reimbursement from government and other third-party payors.
−Removed: the GlucoTrack® or our future product candidates, if any, fail to achieve market acceptance, we may not be able to generate significant
+Added: the Glucotrack CBGM or our future product candidates, if any, fail to achieve market acceptance, we may not be able to generate significant
revenue or achieve or sustain profitability.
coverage and reimbursement status of newly cleared or approved medical devices is uncertain, and failure to obtain adequate coverage
−Removed: and adequate reimbursement could limit our ability to market GlucoTrack® or future product candidates, if any, and may inhibit our
−Removed: ability to generate revenue from GlucoTrack® or our future product candidates, if any, that may be cleared or approved.
+Added: and adequate reimbursement could limit our ability to market Glucotrack CBGM or future product candidates, if any, and may inhibit our
+Added: ability to generate revenue from Glucotrack CBGM or our future product candidates, if any, that may be cleared or approved.
is significant uncertainty related to the third-party coverage and reimbursement of newly cleared or approved medical devices.
The commercial
−Removed: success of GlucoTrack® or our future product candidates, if any, in both domestic and international markets will depend in part on
+Added: success of Glucotrack CBGM or our future product candidates, if any, in both domestic and international markets will depend in part on
the availability of coverage and adequate reimbursement from third-party payors, including government payors, such as the Medicare and
2 unchanged sentences
attempting to contain health care costs by limiting both coverage and the level of reimbursement for new products and, as a result, they
−Removed: may not cover or provide adequate payment for GlucoTrack® or our future product candidates, if any.
+Added: may not cover or provide adequate payment for Glucotrack CBGM or our future product candidates, if any.
These payors may conclude that
our products are not as safe or effective as existing devices or that the overall cost of using one of our devices exceeds the overall
−Removed: cost of the competing device, and third-party payors may not approve GlucoTrack® or our future product candidates, if any, for coverage
+Added: cost of the competing device, and third-party payors may not approve Glucotrack CBGM or our future product candidates, if any, for coverage
and adequate reimbursement.
2 unchanged sentences
The failure to obtain coverage and adequate reimbursement for
−Removed: GlucoTrack® or our future product candidates, if any, or health care cost containment initiatives that limit or restrict reimbursement
+Added: Glucotrack CBGM or our future product candidates, if any, or health care cost containment initiatives that limit or restrict reimbursement
for such products may reduce any future product revenue.
30 unchanged sentences
We currently maintain product liability insurance up to
−Removed: $5,000 thousand per claim and in the aggregate.
−Removed: Although we have product liability coverage, we may have to pay amounts awarded by a
−Removed: court or negotiated in a settlement that exceed our coverage limitations or that are not covered by our insurance, and we may not have,
−Removed: or be able to obtain, sufficient capital to pay such amounts.
+Added: $5,000 per claim and in the aggregate.
+Added: Although we have product liability coverage, we may have to pay amounts awarded by a court or
+Added: negotiated in a settlement that exceed our coverage limitations or that are not covered by our insurance, and we may not have, or be
+Added: able to obtain, sufficient capital to pay such amounts.
we fail to attract and retain key management and scientific personnel, we may be unable to successfully develop or commercialize Glucotrack
−Removed: or our future product candidates, if any.
+Added: CBGM or our future product candidates, if any.
will need to expand and effectively manage our managerial, operational, financial, development and other resources in order to successfully
−Removed: pursue our research, development and commercialization efforts for GlucoTrack® or our future product candidates, if any.
+Added: pursue our research, development and commercialization efforts for Glucotrack CBGM or our future product candidates, if any.
depends on our continued ability to attract, retain and motivate highly qualified management and pre-clinical and clinical personnel.
−Removed: The loss of the services of any of our senior management could delay or prevent the development or commercialization of GlucoTrack®
+Added: The loss of the services of any of our senior management could delay or prevent the development or commercialization of Glucotrack CBGM
or our future product candidates, if any.
8 unchanged sentences
our senior management team, we may not be able to find suitable replacements in a timely fashion or at all and our business may be harmed
−Removed: we continue to evolve from a company primarily involved in development to a company also involved in commercialization, we may encounter
−Removed: difficulties in managing our growth and expanding our operations successfully.
−Removed: anticipate that, as our operations expand, we will need to expand our manufacturing, marketing and sales capabilities by contracting
−Removed: with third parties.
−Removed: Maintaining these relationships and managing our future growth will impose significant added responsibilities on
−Removed: members of our management.
−Removed: We must be able to manage our development efforts effectively;
−Removed: manage our clinical trials effectively;
−Removed: train and integrate additional management, development, administrative and sales and marketing personnel;
−Removed: improve managerial, development,
−Removed: operational and finance systems;
−Removed: and expand our facilities, all of which may impose a strain on our administrative and operational infrastructure.
rely on third parties to manufacture and supply our product.
−Removed: do not own or operate manufacturing facilities for clinical or commercial production of GlucoTrack®, other than a prototype lab.
−Removed: We have no experience in medical device manufacturing and lack the resources and the capability to manufacture the GlucoTrack® on
+Added: do not own or operate manufacturing facilities for clinical or commercial production of Glucotrack CBGM, other than a prototype lab.
+Added: We have no experience in medical device manufacturing and lack the resources and the capability to manufacture the Glucotrack CBGM on
a commercial scale.
−Removed: To date we have manufactured GlucoTrack® with a third-party manufacturer in Israel.
+Added: To date we have manufactured Glucotrack CBGM with a third-party manufacturer in Israel.
our manufacturing partners are unable to produce our products in the amounts, timing or pricing that we require, we may not be able to
1 unchanged sentence
We expect to depend on third-party contract manufacturers for the foreseeable future.
−Removed: does, and our future product candidates, if any, likely will require precise, high quality manufacturing.
+Added: CBGM does, and our future product candidates, if any, likely will require precise, high quality manufacturing.
Any of our contract manufacturers
16 unchanged sentences
on acceptable terms in a timely manner, or at all.
−Removed: clinical investigators and contract research organizations that we may engage to conduct our clinical trials may not be diligent,
−Removed: careful or timely.
+Added: clinical investigators and contract research organizations that we may engage to conduct our clinical trials may not be diligent, careful
will depend on independent clinical investigators to conduct our clinical trials.
12 unchanged sentences
affect the clinical development of our product candidates and harm our business.
+Added: business may become subject to economic, political, regulatory and other risks associated with international operations, which could
+Added: harm our business.
+Added: business is subject to risks associated with conducting business internationally.
+Added: Accordingly, our future results could be harmed by
+Added: a variety of factors, including:
+Added: in compliance with non-U.S.
+Added: laws and regulations;
+Added: regulations and customs;
+Added: currency exchange rates and currency controls;
+Added: in a specific country’s or region’s political or economic environment;
+Added: protection measures, import or export licensing requirements or other restrictive actions by U.S.
+Added: consequences from changes in tax laws;
+Added: associated with staffing and managing foreign operations, including differing labor relations.
+Added: may not be able to enforce covenants not-to-compete under current Israeli law, which might result in added competition for our products.
+Added: have non-competition agreements or provisions with all of our employees and executive officers, all of which are governed by Israeli
+Added: These agreements or provisions prohibit our employees from competing with us or working for our competitors, generally during, and
+Added: for up to nine months after termination of, their employment with us.
+Added: However, Israeli courts are reluctant to enforce non-compete undertakings
+Added: of former employees and tend, if at all, to enforce those provisions for only relatively brief periods of time or in restricted geographical
+Added: In addition, Israeli courts typically require the presence of additional circumstances, such as a demonstration of an employer’s
+Added: legitimate interest which was damaged;
+Added: breach of fiduciary duties, loyalty and acting not in good faith;
+Added: a payment of a special consideration
+Added: for employee’s non-compete obligation;
+Added: material concern for disclosing employer’s trade secrets;
+Added: or a demonstration that
+Added: an employee has unique value to the employer specific to that employer’s business, before enforcing a non-competition undertaking
+Added: against such employee.
+Added: funding that we received through the Israeli Innovation Authority (“IIA”) for research and development activities restricts
+Added: our ability to manufacture products or to transfer technology outside of Israel.
+Added: March 4, 2004, the IIA agreed to provide us with a grant of 420 New Israeli Shekels (“NIS”), or approximately $93 at an exchange
+Added: rate of 4.502 NIS/dollar (the exchange rate in effect on such date), for our plan to develop a non-invasive blood glucose monitor (the
+Added: “development plan”).
+Added: This grant constituted 60% of our research and development budget for the development plan at that time.
+Added: Due to our acceptance of this grant, we are subject to the provisions of the Israeli Law for the Encouragement of Industrial Research
+Added: and Development, 1984 (the “R&D Law”).
+Added: Among other things, the R&D Law restricts our ability to sell or transfer
+Added: rights in technology or know-how developed with IIA funding or transfer any Means of Control (as defined in the R&D Law) of us to
+Added: non-Israeli entities.
+Added: The Industrial Research and Development Committee at the IIA (the “research committee”) may, under
+Added: special circumstances, approve the transfer outside of Israel of rights in technology or know-how developed with IIA funding subject
+Added: to certain conditions, including the condition that certain payments be made to the IIA.
+Added: Additionally, we may not manufacture products
+Added: developed with IIA funding outside of Israel without the approval of the research committee.
+Added: The restrictions regarding the sale or transfer
+Added: of technology or manufacturing rights out of Israel could have a material adverse effect on our ability to enter into strategic alliances
+Added: or enter into merger or acquisition transactions in the future that provide for the sale or transfer of our technology or manufacturing
+Added: Related to Intellectual Property
we are unable to obtain and enforce patent protection for our products, our business could be materially harmed.
5 unchanged sentences
For this and other reasons, we may be unable to secure desired patent rights, thereby losing desired exclusivity.
−Removed: Although we do not believe that we need any licenses for GlucoTrack®, we may need to obtain licenses in the future for other products
+Added: Although we do not believe that we need any licenses for Glucotrack CBGM, we may need to obtain licenses in the future for other products
or in certain circumstances, such as if one of our patents were declared invalid in the future.
58 unchanged sentences
would impair our competitive position and may materially harm our business, financial condition and results of operations.
−Removed: jurisdictions may require us to grant licenses to third parties.
−Removed: Such compulsory licenses could be extended to include some of our product
−Removed: candidates, which may limit potential revenue opportunities.
−Removed: countries, including certain countries in Europe, have compulsory licensing laws under which a patent owner may be compelled to grant
−Removed: licenses to third parties.
−Removed: In addition, most countries limit the enforceability of patents against government agencies or government
−Removed: In these countries, the patent owner may be limited to monetary relief and may be unable to enjoin infringement, which could
−Removed: materially diminish the value of the patent.
−Removed: Compulsory licensing of life-saving products is also becoming increasingly popular in developing
−Removed: countries, either through direct legislation or international initiatives.
−Removed: Such compulsory licenses could be extended to include some
−Removed: of our product candidates, which may limit our potential revenue opportunities.
commercial success depends significantly on our ability to operate without infringing the patents and other proprietary rights of third
34 unchanged sentences
to sustain operations.
−Removed: governments often impose strict price controls, which may adversely affect our future profitability.
−Removed: intend to seek approval to market GlucoTrack® and our future product candidates, if any, in both the U.S.
−Removed: and in non-U.S.
−Removed: jurisdictions.
−Removed: If we obtain approval in one or more non-U.S.
−Removed: jurisdictions, we will be subject to rules and regulations in those jurisdictions relating
−Removed: to our products.
−Removed: In some countries, particularly countries of the EU, each of which has developed its own rules and regulations, pricing
−Removed: may be subject to governmental control under certain circumstances.
−Removed: In these countries, pricing negotiations with governmental authorities
−Removed: can take considerable time after the receipt of marketing approval for a medical device candidate.
−Removed: Each of the EU member states has its
−Removed: own unique legal system and thus it is difficult to predict the particular requirements to which we may be subject.
−Removed: To obtain reimbursement
−Removed: or pricing approval in some countries, we may be required to conduct a clinical trial that compares the cost-effectiveness of our product
−Removed: to other available products.
−Removed: If reimbursement of our product candidates is unavailable or limited in scope or amount, or if pricing is
−Removed: set at unsatisfactory levels, we may be unable to achieve or sustain profitability.
−Removed: business may become subject to economic, political, regulatory and other risks associated with international operations, which could
−Removed: harm our business.
−Removed: business is subject to risks associated with conducting business internationally.
−Removed: Accordingly, our future results could be harmed by
−Removed: a variety of factors, including:
−Removed: in compliance with non-U.S.
−Removed: laws and regulations;
−Removed: regulations and customs;
−Removed: currency exchange rates and currency controls;
−Removed: in a specific country’s or region’s political or economic environment;
−Removed: protection measures, import or export licensing requirements or other restrictive actions by U.S.
−Removed: consequences from changes in tax laws;
−Removed: associated with staffing and managing foreign operations, including differing labor relations.
−Removed: may not be able to enforce covenants not-to-compete under current Israeli law, which might result in added competition for our products.
−Removed: have non-competition agreements or provisions with all of our employees and executive officers, all of which are governed by Israeli
−Removed: These agreements or provisions prohibit our employees from competing with us or working for our competitors, generally during, and
−Removed: for up to nine months after termination of, their employment with us.
−Removed: However, Israeli courts are reluctant to enforce non-compete undertakings
−Removed: of former employees and tend, if at all, to enforce those provisions for only relatively brief periods of time or in restricted geographical
−Removed: In addition, Israeli courts typically require the presence of additional circumstances, such as a demonstration of an employer’s
−Removed: legitimate interest which was damaged;
−Removed: breach of fiduciary duties, loyalty and acting not in good faith;
−Removed: a payment of a special consideration
−Removed: for employee’s non-compete obligation;
−Removed: material concern for disclosing employer’s trade secrets;
−Removed: or a demonstration that
−Removed: an employee has unique value to the employer specific to that employer’s business, before enforcing a non-competition undertaking
−Removed: against such employee.
−Removed: funding that we received through the Israeli Innovation Authority (IIA) for research and development activities restricts our ability
−Removed: to manufacture products or to transfer technology outside of Israel.
−Removed: March 4, 2004, the OCS agreed to provide us with a grant of 420 thousand New Israeli Shekels (“NIS”), or approximately $93
−Removed: thousand at an exchange rate of 4.502 NIS/dollar (the exchange rate in effect on such date), for our plan to develop a non-invasive blood
−Removed: glucose monitor (the “development plan”).
−Removed: This grant constituted 60% of our research and development budget for the development
−Removed: plan at that time.
−Removed: Due to our acceptance of this grant, we are subject to the provisions of the Israeli Law for the Encouragement of
−Removed: Industrial Research and Development, 1984 (the “R&D Law”).
−Removed: Among other things, the R&D Law restricts our ability
−Removed: to sell or transfer rights in technology or know-how developed with OCS funding or transfer any Means of Control (as defined in the R&D
−Removed: Law) of us to non-Israeli entities.
−Removed: The Industrial Research and Development Committee at the OCS (the “research committee”)
−Removed: may, under special circumstances, approve the transfer outside of Israel of rights in technology or know-how developed with OCS funding
−Removed: subject to certain conditions, including the condition that certain payments be made to the OCS.
−Removed: Additionally, we may not manufacture
−Removed: products developed with OCS funding outside of Israel without the approval of the research committee.
−Removed: The restrictions regarding the
−Removed: sale or transfer of technology or manufacturing rights out of Israel could have a material adverse effect on our ability to enter into
−Removed: strategic alliances or enter into merger or acquisition transactions in the future that provide for the sale or transfer of our technology
−Removed: or manufacturing rights.
−Removed: are subject to certain employee severance obligations, which may result in an increase in our expenditures.
−Removed: Israeli law, employers are required to make severance payments to dismissed employees and employees leaving employment in certain other
−Removed: circumstances, on the basis of the latest monthly salary for each year of service.
−Removed: This obligation results in an increase in our expenses,
−Removed: including accrued expenses.
−Removed: Integrity Israel currently makes monthly deposits to insurance policies and severance pay funds in order
−Removed: to provide for this liability.
−Removed: Company’s and its Israeli subsidiary’s agreements with all of their Israeli employees are in accordance with Section 14 of
−Removed: the Israeli Severance Pay Law -1963 (“Section 14”).
−Removed: Payments in accordance with Section 14 release the Company from any other
−Removed: future severance payments in respect of those employees.
−Removed: Deposits under Section 14 are not recorded as an asset in the Company’s
−Removed: balance sheet.
−Removed: Common Stock may be delisted from The Nasdaq Capital Market (“Nasdaq”) if we fail to comply with continued listing standards.
−Removed: Common Stock is currently traded on Nasdaq under the symbol “MARA”.
−Removed: If we fail to meet any of the continued listing standards
−Removed: of Nasdaq, for which we have one or more deficiencies, our Common Stock could be delisted from Nasdaq.
−Removed: The continued listing standards
−Removed: include specifically enumerated criteria, such as:
−Removed: $1.00 minimum closing bid price;
−Removed: Stockholders’
−Removed: equity of $2,500 thousand;
−Removed: shares of publicly held Common Stock with a market value of at least $1,000 thousand;
−Removed: round-lot stockholders;
−Removed: with Nasdaq’s corporate governance requirements, as well as additional or more stringent criteria that may be applied in the
−Removed: exercise of Nasdaq’s discretionary authority.
−Removed: had identified a material weakness in our internal control over financial reporting, and we may not be able to successfully implement
−Removed: remedial measures.
−Removed: identified material weaknesses related to our internal control over financial reporting as of December 31, 2022 and concluded that internal
−Removed: control over financial reporting as at December 31, 2022 were not effective.
−Removed: The ineffectiveness of the Company’s internal control
−Removed: over financial reporting was due to identification of material weaknesses related to lack of sufficient internal accounting personnel,
−Removed: segregation of duties, and lack of sufficient internal controls (including IT general controls) that encompass the Company as a whole
−Removed: with respect to entity and transactions level controls in order to ensure complete documentation of complex and non-routine transactions
−Removed: and adequate financial reporting.
−Removed: there can be no assurance that we will not suffer from other material weaknesses or significant deficiencies in the future.
−Removed: to remediate these material weaknesses or fail to otherwise maintain effective internal controls over financial reporting in the future,
−Removed: such failure could result in a material misstatement of our annual or quarterly financial statements that would not be prevented or detected
−Removed: on a timely basis and which could cause investors and other users to lose confidence in our financial statements, limit our ability to
−Removed: raise capital and have a negative effect on the trading price of our common stock.
−Removed: Additionally, failure to remediate the material weakness
−Removed: or otherwise maintain effective internal controls over financial reporting may also negatively impact our operating results and financial
−Removed: condition, impair our ability to timely file our periodic and other reports with the SEC, subject us to additional litigation and regulatory
−Removed: actions and cause us to incur substantial additional costs in future periods relating to the implementation of remedial measures.
−Removed: market price of our common stock may fluctuate significantly.
−Removed: market price of the common stock may fluctuate significantly in response to numerous factors, some of which are beyond our control, such
−Removed: announcement of new products or product enhancements by us or our competitors;
−Removed: concerning intellectual property rights and regulatory approvals;
−Removed: in our and our competitors’ results of operations;
−Removed: in earnings estimates or recommendations by securities analysts, if the common stock is covered by analysts;
−Removed: in the medical device industry;
−Removed: results of product liability or intellectual property lawsuits;
−Removed: issuances of common stock or other securities;
−Removed: addition or departure of key personnel;
−Removed: announcements
−Removed: by us or our competitors of acquisitions, investments or strategic alliances;
−Removed: market conditions and other factors, including factors unrelated to our operating performance.
−Removed: in recent years, the stock market in general, and the market for medical device companies in particular, have experienced extreme price
−Removed: and volume fluctuations.
−Removed: Continued or renewed market fluctuations could result in extreme volatility in the price of our common stock,
−Removed: which could cause a decline in the value of the common stock.
−Removed: with changing regulations concerning corporate governance and public disclosure may result in additional expenses.
−Removed: have been changing laws, regulations and standards relating to corporate governance and public disclosure, including the Sarbanes-Oxley
−Removed: Act of 2002, new regulations promulgated by the SEC and rules promulgated by the national securities exchanges.
−Removed: These new or changed
−Removed: laws, regulations and standards are subject to varying interpretations in many cases due to their lack of specificity, and, as a result,
−Removed: their application in practice may evolve over time as new guidance is provided by regulatory and governing bodies, which could result
−Removed: in continuing uncertainty regarding compliance matters and higher costs necessitated by ongoing revisions to disclosure and governance
−Removed: As a result, our efforts to comply with evolving laws, regulations and standards are likely to continue to result in increased
−Removed: general and administrative expenses and a diversion of management time and attention from revenue-generating activities to compliance
−Removed: Our directors, Chief Executive Officer and Chief Financial Officer could face an increased risk of personal liability in
−Removed: connection with the performance of their duties.
−Removed: As a result, we may have difficulty attracting and retaining qualified directors and
−Removed: executive officers, which could harm our business.
−Removed: If our efforts to comply with new or changed laws, regulations and standards differ
−Removed: from the activities intended by regulatory or governing bodies, we could be subject to liability under applicable laws or our reputation
−Removed: may be harmed.
−Removed: a certain portion of our expenses is incurred in currencies other than the NIS, our results of operations may be harmed by currency fluctuations
−Removed: and inflation.
−Removed: functional currency of Integrity Israel is the NIS, and we pay a substantial portion of our expenses in NIS.
−Removed: However, we expect a portion
−Removed: of our future revenues to be denominated in U.S.
−Removed: dollars or in Euros.
−Removed: As a result, we will be exposed to the currency fluctuation risks
−Removed: relating to the recording of our revenues in NIS.
−Removed: For example, if the NIS strengthens against either the U.S.
−Removed: dollar or the Euro, our
−Removed: reported expenses in NIS may be higher than anticipated.
−Removed: The Israeli rate of inflation has not offset or compounded the effects caused
−Removed: by fluctuations between the NIS and the U.S.
−Removed: dollar or the Euro.
−Removed: To date, we have not engaged in hedging transactions.
−Removed: Although the Israeli
−Removed: rate of inflation has not had a material adverse effect on our financial condition to date, we may, in the future, decide to enter into
−Removed: currency hedging transactions to decrease the risk of financial exposure from fluctuations in the exchange rates of the currencies mentioned
−Removed: above in relation to the NIS.
−Removed: These measures, however, may not adequately protect us from material adverse effects.
−Removed: Unresolved Staff Comments.
+Added: threats to our information technology infrastructure could expose us to liability and damage our reputation and business.
+Added: is essential to our business strategy that our technology and network infrastructure remain secure and are perceived by our customers
+Added: and corporate partners to be secure.
+Added: Despite security measures, however, any network infrastructure may be vulnerable to cyber-attacks
+Added: by hackers and other security threats.
+Added: We may face cyber-attacks that attempt to penetrate our network security, sabotage, or otherwise
+Added: disable our research, products, and services, misappropriate our or our customers’ and partners’ proprietary information,
+Added: which may include personally identifiable information, or cause interruptions of our internal systems and services.
+Added: Additionally,
+Added: there are a number of state, federal and international laws protecting the privacy and security of health information and personal data.
+Added: For example, HIPAA imposes limitations on the use and disclosure of an individual’s healthcare information by healthcare providers,
+Added: healthcare clearinghouses, and health insurance plans, or, collectively, covered entities, and also grants individuals rights with respect
+Added: to their health information.
+Added: HIPAA also imposes compliance obligations and corresponding penalties for non-compliance on individuals
+Added: and entities that provide services to healthcare providers and other covered entities.
+Added: As part of the ARRA, the privacy and security
+Added: provisions of HIPAA were amended.
+Added: ARRA also made significant increases in the penalties for improper use or disclosure of an individual’s
+Added: health information under HIPAA and extended enforcement authority to state attorneys general.
+Added: As amended by ARRA and subsequently by
+Added: the final omnibus rule adopted in 2013, HIPAA also imposes notification requirements on covered entities in the event that certain health
+Added: information has been inappropriately accessed or disclosed, notification requirements to individuals, federal regulators, and in some
+Added: cases, notification to local and national media.
+Added: Notification is not required under HIPAA if the health information that is improperly
+Added: used or disclosed is deemed secured in accordance with encryption or other standards developed by the U.S.
+Added: Department of Health and Human
+Added: Most states have laws requiring notification of affected individuals and/or state regulators in the event of a breach of personal
+Added: information, which is a broader class of information than the health information protected by HIPAA.
+Added: Many state laws impose significant
+Added: data security requirements, such as encryption or mandatory contractual terms, to ensure ongoing protection of personal information.
+Added: Activities outside of the U.S.
+Added: implicate local and national data protection standards, impose additional compliance requirements, and
+Added: generate additional risks of enforcement for non-compliance.
+Added: We may be required to expend significant capital and other resources to
+Added: ensure ongoing compliance with applicable privacy and data security laws, to protect against security breaches and hackers or to alleviate
+Added: problems caused by such breaches.
+Added: we are not able to adequately prevent disclosure of trade secrets and other proprietary information, the value of our technology and
+Added: product could be significantly diminished.
+Added: also rely on trade secrets to protect our proprietary technologies, especially where we do not believe patent protection is appropriate
+Added: or obtainable.
+Added: However, trade secrets are difficult to protect.
+Added: We rely in part on confidentiality agreements with our employees, consultants,
+Added: outside scientific collaborators, sponsored researchers, and other advisors to protect our trade secrets and other proprietary information.
+Added: These agreements may not effectively prevent disclosure of confidential information and may not provide an adequate remedy in the event
+Added: of unauthorized disclosure of confidential information.
+Added: In addition, others may independently discover our trade secrets and proprietary
+Added: For example, the FDA, as part of its transparency initiative, is currently considering whether to make additional information
+Added: publicly available on a routine basis, including information that we may consider to be trade secrets or other proprietary information,
+Added: and it is not clear at the present time how the FDA’s disclosure policies may change in the future, if at all.
+Added: Costly and time-consuming
+Added: litigation could be necessary to enforce and determine the scope of our proprietary rights, and failure to obtain or maintain trade secret
+Added: protection could adversely affect our competitive business position.
+Added: may be subject to claims that our employees or consultants have wrongfully used or disclosed alleged trade secrets.
+Added: is common in the biotechnology and pharmaceutical industries, we employ individuals who were previously employed at other biotechnology
+Added: or pharmaceutical companies, including our competitors or potential competitors.
+Added: Although we try to ensure that our employees and consultants
+Added: do not use the proprietary information or know-how of others in their work for us, we may be subject to claims that we or our employees
+Added: or consultants have inadvertently or otherwise used or disclosed trade secrets or other proprietary information of their former employers.
+Added: Litigation may be necessary to defend against these claims.
+Added: If we fail to defend any such claims, in addition to paying monetary damages,
+Added: we could lose valuable intellectual property rights or personnel, which could adversely impact our business.
+Added: Even if we are successful
+Added: in defending against these claims, litigation could result in substantial costs and be a distraction to management.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.