Item 2. Management’s Discussion and Analysis
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Cautionary
Note Regarding Forward-Looking Statements
This
Quarterly Report on Form 10-Q (the “Quarterly Report”) contains forward-looking statements. These forward-looking statements
include statements about our expectations, beliefs or intentions regarding our product development efforts, business, financial condition,
results of operations, strategies and prospects. All statements other than statements of historical fact included in this Quarterly Report,
including statements regarding our future activities, events or developments, including such things as future revenues, capital raising
and financing, product development, clinical trials, regulatory approval, market acceptance, responses from competitors, capital expenditures
(including the amount and nature thereof), business strategy and measures to implement strategy, competitive strengths, goals, expansion
and growth of our business and operations, plans, references to future success, projected performance and trends, and other such matters,
are forward-looking statements. The words “believe,” “expect,” “anticipate,” “intend,”
“estimate,” “plan,” “may,” “will,” “could,” “would,” “should”
and other similar words and phrases, are intended to identify forward-looking statements. The forward-looking statements made in this
Quarterly Report are based on certain historical trends, current conditions and expected future developments as well as other factors
we believe are appropriate in the circumstances. These statements relate only to events as of the date on which the statements are made
and we undertake no obligation to update publicly any forward-looking statements, whether as a result of new information, future events
or otherwise, except as required by law. All of the forward-looking statements made in this Quarterly Report are qualified by these cautionary
statements and there can be no assurance that the actual results anticipated by us will be realized or, even if substantially realized,
that they will have the expected consequences to or effects on us or our business or operations. Whether actual results will conform
to our expectations and predictions is subject to a number of risks and uncertainties that may cause actual results to differ materially.
Risks and uncertainties, the occurrence of which could adversely affect our business, include the risks identified under the caption
“Risk Factors” included in our Annual Report on Form 10-K for the year ended December 31, 2025, filed with the U.S. Securities
and Exchange Commission (the “SEC”) on March 30, 2026 (the “Annual Report”). The following discussion should
be read in conjunction with the condensed consolidated financial statements and the notes thereto included in Item 1 of this Quarterly
Report.
Overview
The
Company was incorporated on May 18, 2010 under the laws of the State of Delaware. The Company is a medical device company focused on
the development of an implantable continuous blood glucose monitor (“CBGM”) for persons with Type 1 diabetes and Type 2 diabetes
using insulin or at risk for hypoglycemia (the “Glucotrack CBGM”).
The
Company was founded with a mission to develop Glucotrack®, a non-invasive glucose monitoring device designed to help people with
diabetes and pre-diabetics obtain glucose level readings without the pain, inconvenience, cost and difficulty of conventional (invasive)
spot finger stick devices. The first generation Glucotrack, which successfully received CE Mark approval, obtained glucose measurements
via a small sensor clipped onto one’s earlobe. A limited release beta test in Europe and the Middle East demonstrated the need
for an updated product with improved accuracy and human factors. As the glucose monitoring landscape has since rapidly moved away from
point-in-time measurement to continuous measurement, the Company determined in 2023 that it would focus its efforts on developing the
Glucotrack CBGM. As such, the Company withdrew the CE Mark for Glucotrack and is no longer pursuing commercialization of this product
or development of any further iterations.
On
October 7, 2022, the Company acquired certain intellectual property related to the Glucotrack CBGM from Paul V. Goode, the Company’s
Chief Executive Officer and intends to develop the technology to address the growing Type 1 and Type 2 diabetes market.
The
Company is currently developing the Glucotrack CBGM for use by Type 1 diabetes patients as well as Type 2 diabetes patients using insulin
or at risk for hypoglycemia. Implant longevity is key to the success of such a device. The Company has demonstrated that a 3-year longevity
is feasible leveraging both in-vitro and in-silico test results. The Company has also completed multiple animal studies with initial
prototype systems which demonstrated a simple implant procedure with good safety and functionality. The results of both were presented
in poster form at the 2024 American Diabetes Association annual conference. During the period, two peer-reviewed scientific articles
were published related to the CBGM technology. One article, published in the IEEE Sensors Journal, characterized the long-term in-vitro
stability of electrochemical glucose sensors of the type used in the CBGM system, including the first year-long measurements of glucose
oxidase enzyme decay reported in the literature. A second peer-reviewed article, published in The Journal of Diabetes Research, evaluated
the long-term accuracy and stability of the CBGM system in an in-vivo ovine model, providing externally validated evidence supporting
the long-term performance of the technology. The Company believes its technology, if successful, has the potential to be more accurate,
more convenient and have a longer duration than other implantable glucose monitors that are either in the market or currently under development.
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Further
to the above progress on the Glucotrack CBGM, the Company has also successfully demonstrated continuous glucose sensing in the epidural
space. This latter approach is of importance for patients with diabetes already contemplating spinal cord stimulation therapy for their
condition. The Company believes this approach may enable integrated chronic disease management with one system that provides dual benefits
of pain relief and glucose monitoring.
The
Company completed a first in human study in 2025. This study was an acute study intended to demonstrate device performance and safety,
as well as safety of the implant and removal procedures. The study used the planned commercial version of the implantable sensor connected
to an externalized prototype electronics device. Patients were monitored in hospital for 4 days. Results of the study were positive,
meeting the endpoints of no serious safety events while demonstrating similar performance and accuracy as observed in longer-term animal
studies. Initial results were presented in poster form at the 2025 Advanced Technologies & Treatments for Diabetes annual meeting
and final results were presented in poster form at the 2025 American Diabetes Association annual conference.
The
Company initiated a long-term, multicenter feasibility study in Australia to evaluate the CBGM product performance and safety. The first
phase of the clinical study provided early product learnings about how the complexity of certain health conditions may impact study eligibility
as well as identified certain product improvements. Following a reassessment of the study in light of planned product updates and anticipated
protocol modifications, the Company determined that continuation of the study in its current form was no longer practical and elected
to close the study.
Subsequent
to March 31, 2026, the Company submitted an Investigational Device Exemption (“IDE”) application to the U.S. Food and Drug
Administration (“FDA”) to initiate a U.S. clinical study of its CBGM technology. The IDE submission represents an important
milestone for the Company and reflects progress in its preclinical development and underlying technical foundation. The Company has also
engaged a clinical research organization and identified trial sites in preparation for study commencement.
The
Company initially obtained ISO13485 certification in 2024 and successfully passed the 2025 annual audit, both efforts without any major
nonconformities. ISO 13485 is an internationally agreed-upon standard of quality system requirements for the design, production, distribution,
and sale of medical devices. Certification of compliance to the standard is recognized and accepted by the FDA, the European Medicines
Agency (EMA), and many other regulatory authorities worldwide.
Recent
Events
2025
Reverse Stock Split and Increase in Authorized Common Stock
We
filed with the Delaware Secretary of State a Certificate of Amendment to its Certificate of Incorporation which became effective at 4:30
p.m. on February 3, 2025, to implement a reverse stock split at a ratio of 1-for-20 (the “2025 Reverse Stock Split”) of the
shares of our Common Stock. The 2025 Reverse Stock Split was approved by our stockholders at the special meeting of stockholders held
on January 3, 2025 (the “Special Meeting”). All shares and per share numbers in the consolidated financial statements have
been retroactively adjusted and are reflected on a post-reverse share split basis.
On
February 3, 2025, the stockholders approved at the Special Meeting the increase in our authorized shares of Common Stock from 100,000,000
to 250,000,000, as well as the full issuance of shares of Common Stock issuable by us upon the exercise of Series A Warrants and Series
B Warrants (defined herein). On January 3, 2025, we filed an amendment to our Certificate of Incorporation, as to increase the Company’s
authorized shares of Common Stock from 100,000,000 to 250,000,000.
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ELOC
Financing
On
March 12, 2026, the Company received stockholder approval to issue Purchase Shares in excess of the “Exchange Cap,” as defined
in the ELOC. On March 27, 2026, the Company sold 580,000 shares of Common Stock at an average offering price of $1.03 per share pursuant
to the ELOC for net proceeds of $590, after deducting fees from such sale.
Resignation
of Peter C. Wulff as Chief Financial Officer
Mr.
Wulff resigned as Chief Financial Officer of the Company on March 31, 2026.
Financial
Overview
Operating
Expenses
Research
and Development
Research
and development expenses consist primarily of salaries and other personnel-related expenses, including stock-based compensation expenses,
materials, travel expenses, clinical trials and other expenses. We expect research and development expenses to increase in 2026 and beyond,
primarily due to expanding clinical trial activities, hiring additional personnel, as well as the development of Glucotrack CBGM; however,
we may adjust or allocate the level of our research and development expenses based on available financial resources and based on our
commercial needs, including the FDA registration process, specific requirements from customers, development of new Glucotrack CBGM models
and other product candidates.
General
and Administrative
General
and administrative expenses consist primarily of professional services, salaries, travel expenses and other related expenses for executive,
finance and administrative personnel, including stock-based compensation expenses. Other general and administrative costs and expenses
include facility-related costs not otherwise included in research and development costs and expenses, and professional fees for legal,
accounting, media, and public and investor relation services.
Other
(Income) Expense
Other
income expense, consist primarily of the change in fair value of derivatives liabilities, loss on the issuance of equity, loss on settlement
of debt to equity and finance income.
Results
of Operations
The
following discussion of our operating results explains material changes in our results of operations for the three months ended March
31, 2026 compared with the same period ended March 31, 2025. The discussion should be read in conjunction with the financial statements
and related notes included elsewhere in this report.
Consolidated
Results of Operations for the Three Months Ended March 31, 2026 and 2025
All
information below is stated in thousands of U.S. dollars.
Research
and Development Expense
Research
and development expenses were $2,132 for the three months ended March 31, 2026, as compared to $1,871 for the prior-year period. The
increase of $261 was primarily attributable to increased expenses related to product design, development and manufacturing activities
and pre-clinical animal studies.
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General
and Administrative Expense
General
and administrative expenses were $2,071 for the three months ended March 31, 2026, as compared to $1,627 for the prior-year period. The
increase of $444 is primarily attributable to increased professional fees and personnel costs.
Other
(Income) Expense, net
Other
expense was $131 for the three months ended March 31, 2026, as compared to $3,335 for the prior-year period. The decrease in other expense
is primarily attributed to the current year reduction in the change of derivative liabilities.
Net
Loss
Net
loss was $4,334 for the three months ended March 31, 2026, as compared to a net loss of $6,833 for the prior-year period. The decrease
in net loss is attributable primarily to the reduction in other expense discussed above.
Liquidity
and Going Concern
As
of March 31, 2026, we had $3,929 in cash and cash equivalents compared with $7,383 in cash and cash equivalents as of December 31, 2025.
The net decrease in cash and cash equivalents was attributable to $4,048 of cash used in operating activities offset by net proceeds
received from financing activities of $591.
We
have a history of recurring losses, and as of March 31, 2026, we have an accumulated deficit of $156,172. During the three months ended
March 31, 2026, we recorded a net loss of $4,334. Our primary requirements for liquidity have been to fund product and clinical development
activities and to satisfy our general corporate and working capital needs.
Based
on our operating plans, we do not expect that our current cash and cash equivalents as of March 31, 2026, will be sufficient to fund
our operating cash flow needs for at least the next twelve months, assuming our programs advance as currently contemplated. Based upon
this review and our current financial condition, we have concluded that substantial doubt exists as to our ability to continue as a going
concern. We have raised and believe we will continue to be able to raise additional capital through debt financings, private or public
equity financings, license agreements, collaborative agreements or other arrangements with other companies, or other sources of financing.
However, there can be no assurances that such financing will be available or will be on terms acceptable to us, or at all. If we are
unable to raise capital when needed or on attractive terms, we would be forced to delay, reduce, or eliminate our clinical trials or
other operations. If any of these events occur, our ability to achieve our operational goals would be adversely affected. Our future
capital requirements and the adequacy of available funds will depend on many factors, including those described in the section titled
“ Risk Factors .” Depending on the severity and direct impact of these factors on us, we may be unable to secure additional
financing to meet our operating requirements on commercially acceptable terms favorable to us, or at all.
Critical
Accounting Policies
This
Management’s Discussion and Analysis of Financial Condition and Results of Operations discuss our financial statements, which have
been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”).
In connection with the preparation of our financial statements, we are required to make assumptions and estimates about future events
and apply judgments that affect the reported amounts of assets, liabilities, expenses and the related disclosures. We base our assumptions,
estimates and judgments on historical experience, current trends and other factors that management believes to be relevant at the time
our condensed consolidated financial statements are prepared. On a regular basis, management reviews the accounting policies, assumptions,
estimates and judgments to ensure that our financial statements are presented fairly and in accordance with U.S. GAAP. However, because
future events and their effects cannot be determined with certainty, actual results could differ from our assumptions and estimates,
and such differences could be material.
The
summary of our significant accounting policies is included under Item 7 – Management’s Discussion and Analysis of Financial
Condition and Results of Operations of our Annual Report. An accounting policy is deemed to be critical if it requires an accounting
estimate to be made based on assumptions about matters that are highly uncertain at the time the estimate is made, if different estimates
reasonably could have been used, or if changes in the estimate that are reasonably possible could materially impact the financial statements.
There have been no material changes to the critical accounting policies and estimates as filed in such report.
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Off
Balance Sheet Arrangements
We
do not have any off balance sheet agreements.
Item
3. Quantitative and Qualitative Disclosures About Market Risk.
As
a smaller reporting company, we are not required to provide the information required by this Item.
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