UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
10-K
(Mark
One)
☒
ANNUAL
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the fiscal year ended December 31 , 2024
OR
☐
TRANSITION
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the transition period from _______ to ______
Commission
file number 001-42374
GLUCOTRACK,
INC.
(Exact
name of registrant as specified in its charter)
Delaware
98-0668934
(State
or other jurisdiction of incorporation or organization)
(I.R.S.
Employer Identification No.)
301
Route 17 North , Suite 800
Rutherford ,
NJ
07070
(Address
of Principal Executive Offices)
(Zip
Code)
(201)
842-7715
Registrant’s
telephone number, including area code
Securities
registered pursuant to Section 12(b) of the Act:
Title
of each class
Trading
Symbol(s)
Name
of each exchange on which registered
Common
Stock, par value $0.001 per share
GCTK
The
Nasdaq Stock Market LLC
Securities
registered pursuant to section 12(g) of the Act: None
Indicate
by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate
by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒
Indicate
by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2)
has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate
by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule
405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant
was required to submit such files). Yes ☒ No ☐
Indicate
by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting
company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,”
“smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large
accelerated filer
☐
Accelerated
filer
☐
Non-accelerated
filer
☒
Smaller
reporting company
☒
Emerging
growth company
☐
If
an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate
by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness
of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered
public accounting firm that prepared or issued its audit report. ☐
If
securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant
included in the filing reflect the correction of an error to previously issued financial statements. ☐
Indicate
by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation
received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐
Indicate
by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ☐ No ☒
As
of June 28, 2024, the last business day of the registrant’s last completed second quarter, the aggregate market value of the
common stock held by non-affiliates of the registrant was approximately $ 8.6 million based on the closing price per share of the
registrant’s common stock, par value $0.001 per share (the “Common Stock”), on June 28, 2024, as reported by the
Nasdaq Stock Market. For the purposes of this disclosure, shares of Common Stock held by each executive officer, director and
affiliate based on public filings and other information known to the registrant have been excluded since such persons may be deemed
affiliates. This determination of affiliate status is not necessarily a conclusive determination for other purposes.
As
of March 31, 2025, there were 25,585,853 shares of Common Stock, par value $ 0.001 per share, of the registrant issued and outstanding.
DOCUMENTS
INCORPORATED BY REFERENCE
None .
Table
of Contents
Page
PART I
Item 1. Business
4
Item 1A. Risk Factors
15
Item 1B. Unresolved Staff Comments
29
Item 1C. Cybersecurity
29
Item 2. Properties
30
Item 3. Legal Proceedings
30
Item 4. Mine Safety Disclosures
30
PART II
Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
31
Item 6. [Reserved]
35
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
35
Item 7A. Quantitative and Qualitative Disclosures About Market Risk
45
Item 8. Financial Statements and Supplementary Data
45
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
45
Item 9A. Controls and Procedures
45
Item 9B. Other Information
46
Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
46
PART III
Item 10. Directors, Executive Officers and Corporate Governance
47
Item 11 Executive Compensation
50
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
52
Item 13. Certain Relationships and Related Transactions, and Director Independence
58
Item 14. Principal Accountant Fees and Services
61
PART IV
Item 15. Exhibits and Financial Statement Schedules
62
Item 16. Form 10-K Summary
63
Signatures
64
2
Cautionary
Note Regarding Forward-Looking Statements
This
Annual Report on Form 10-K (the “Annual Report”) includes statements that express our opinions, expectations, beliefs, plans,
objectives, assumptions or projections regarding future events or future results and therefore are, or may be deemed to be, “forward-looking
statements.” All statements other than statements of historical facts contained in this Annual Report may be forward-looking statements.
These forward-looking statements can generally be identified by the use of forward-looking terminology, including the terms “believes,”
“estimates,” “continues,” “anticipates,” “expects,” “seeks,” “projects,”
“intends,” “plans,” “may,” “will,” “would” or “should” or, in
each case, their negative or other variations or comparable terminology. They appear in a number of places throughout this Annual Report,
and include statements regarding our intentions, beliefs or current expectations concerning, among other things, our results of operations,
financial condition, liquidity, prospects, growth, strategies, future acquisitions and the industry in which we operate.
By
their nature, forward-looking statements involve risks and uncertainties because they relate to events and depend on circumstances that
may or may not occur in the future. We believe that these risks and uncertainties include, but are not limited to, those described in
the “ Risk Factors ” section of this Annual Report, which include, but are not limited to, risks related
to the following:
●
our
ability to manufacture, market and sell our products;
●
our
ability to launch and penetrate markets;
●
our
dependency upon effective operation with operating systems, devices, networks and standards that we do not control and on our continued
relationships with mobile operating system providers, device manufacturers and mobile software application stores on commercially
reasonable terms or at all;
●
our
ability to hire and retain key personnel;
●
the possibility of security and privacy breaches in our systems and in the third-party software and/or systems that we use, damaging client relations and inhibiting our ability to grow;
●
our ability to internally develop new inventions and intellectual property;
●
the existence of undetected software defects in our products and our failure to resolve detected defects in a timely manner;
●
our
ability to remain a going concern;
●
our
ability to raise additional capital and the risk of such capital not being available to us at commercially reasonable terms or at
all;
●
our ability to be profitable;
●
interpretations of current laws and the passages of future laws;
●
acceptance of our business model by investors;
●
intense
competition in our industry and the markets in which we operate, and our ability to successfully compete;
●
the risks inherent with international operations;
●
the
impact of evolving information security and data privacy laws on our business and industry;
●
the impact of governmental regulations on our business and industry;
●
our
ability to protect our intellectual property and our ability to operate our business without infringing on the rights of others;
●
the
risk of being delisted from Nasdaq Capital Market (“Nasdaq”) if we fail to meet any of its applicable listing requirements;
●
the
difficulty of predicting our revenues and operating results and the chance of such revenues and results falling below analyst or
investor expectations, which could cause the price of our Common Stock to fall
●
the
other factors described in the “ Risk Factors ” section of this Annual Report.
These
factors should not be construed as exhaustive and should be read with the other cautionary statements in this Annual Report.
Readers
are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date this report is filed with
the Securities and Exchange Commission (“SEC”). We cannot guarantee the accuracy of any such forward-looking statements contained
in this Annual Report, and we do not intend to publicly update or revise any forward-looking statements, whether as a result of new information,
future events, or otherwise. For further information regarding risks and uncertainties associated with our business, and important factors
that could cause our actual results to vary materially from those expressed or implied in such forward-looking statements, please refer
to the factors listed and described in this Annual Report and in our other SEC filings.
3
PART
I
Item
1. Business
Unless
the context otherwise requires, the terms “we”, “our”, “ours” “us”,
“Company” and “Glucotrack” refer to Glucotrack, Inc., a Delaware corporation.
Overview
The
Company was incorporated on May 18, 2010 under the laws of the State of Delaware. We are a medical device company focused on the
development of an implantable continuous blood glucose monitor (“CBGM”) for persons with Type 1 diabetes and insulin-dependent Type 2
diabetes (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 recently determined that it would focus its efforts on developing the Glucotrack
CBGM. As such, we have since withdrawn our CE Mark for Glucotrack and are 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 insulin-dependent
Type 2 diabetes market.
The
Company is currently developing the Glucotrack CBGM for use by Type 1 diabetes patients as well as insulin-dependent Type 2
patients. Implant longevity is key to the success of such a device. We have continued to evolve our sensor chemistry following our successful
in-vitro feasibility study demonstrating that a minimum two-year implant life is highly probable with the current sensor design. Recently
we announced that a 3-year longevity is feasible leveraging both in-vitro and in-silico test results. We have 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.
Further
to the above progress on the Glucotrack CBGM, we have 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.
We believe our 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.
The
Company has recently completed a first in human study. 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.
A
regulatory submission has recently been made for a first in human study of the planned commercial version of the Glucotrack CBGM
system: fully implantable sensor and electronics with no on-body wearable. This will be a long-term study intended to demonstrate
device performance and safety over a period of at least one year. Most of the preparatory clinical activities are complete and the
study is expected to initiate late in the second quarter of 2025, pending regulatory approval. In parallel, the Company is also
preparing for pre-submission discussions with the U.S. Food and Drug Administration (FDA) regarding our planned multi-center United
States (“U.S.”) clinical trial we hope to launch before the end of 2025.
As
part of this effort, the Company has recently obtained ISO13485 certification, an internationally agreed-upon standard of quality
system requirements for the design, production, distribution, and sale of medical devices. The Company has successfully completed
all necessary audits without any major nonconformities. Certification of compliance to the standard is recognized and accepted by
the FDA, the European Medicines Agency (EMA), and many other regulatory authorities worldwide.
4
Our
executive management team consists of our Chief Executive Officer and President, Paul V. Goode PhD, an experienced executive with a
25+ year career developing innovative medical technologies, including at Dexcom, Inc. (“Dexcom”) and MiniMed (now
Medtronic Diabetes) and Chief Financial Officer, Peter C. Wulff, who has over 35 years of experience as a chief financial officer
and chief operating officer in both public and private entities. Our senior management team consists of: Mark Tapsak PhD, Chief
Scientific Officer, a medical research scientist who brings over 25 years of experience in the diabetes industry, including previous
senior roles at Dexcom and Medtronic; James P. Thrower PhD, Vice President of Advanced Technologies, a seasoned engineering
executive with 20 years’ experience formerly of Sterling Medical Devices, Mindray DS USA and Dexcom.; Drinda Benjamin, Vice
President of Marketing, a medical device professional with over 20 years of experience in the medical device and diabetes industry
with senior roles at Intuity Medical, Senseonics, Incorporated, Abbott Diabetes, and Medtronic Diabetes; Vincent Wong, Vice
President of Operations, a medical device professional with 15 years of experience in quality system for implantable medical device
manufacturing with senior roles at Cirtec Medical and TOMZ Corporation (“TOMZ”); Sandie Martha, Vice President Clinical Operations, a medical device
professional with over 20 years of experience in the medical device and diabetes industry with senior roles at Dexcom and GlySens Incorporated (“GlySens”);
and Ted Williams, Vice President Regulatory, a medical device professional with over 20 years of experience in the biotech and
diabetes industry with a senior role at GlySens.
Our
Board of Directors (the “Board” or “Board of Directors”) includes the Chairman Luis J. Malavé, formerly
of Insulet Corp, Medtronic and MiniMed (now Medtronic Diabetes); Andy Balo, formerly of Dexcom and St Jude Medical (now Abbott), Erin
Carter, formerly of Medtronic and Boston Scientific; John Ballantyne, formerly of Aldeveron; Robert Fischell, formerly of Pacesetter
(now Abbott), NeuroPace, and IsoStent, Inc.; and Allen Danzig, formerly of L3-Harris Technologies and Celanese.
Market
Opportunity
Diabetes
Diabetes
is a chronic, life-threatening disease for which there is no known cure. Diabetes is caused by the body’s inability to produce
or effectively utilize the hormone insulin. This inability prevents the body from adequately regulating blood glucose levels. Glucose,
the primary source of energy for cells, must be maintained at certain concentrations in the blood in order to permit optimal cell function
and health. Normally, the pancreas provides control of blood glucose levels by secreting the hormone insulin to decrease blood glucose
levels when concentrations are too high. In people with diabetes, blood glucose levels fluctuate between very high levels, a condition
known as hyperglycemia, and very low levels, a condition known as hypoglycemia. Hyperglycemia can lead to serious long-term complications,
such as blindness, kidney disease, nervous system disease, amputations, stroke and cardiovascular disease. Hypoglycemia can lead to confusion,
loss of consciousness or death.
Diabetes
is typically classified into two major groups: Type 1 and Type 2. Type 1 diabetes is characterized by the body’s inability to produce
insulin, resulting from destruction of the insulin producing cells of the pancreas. Individuals with Type 1 diabetes must rely on frequent
insulin injections in order to regulate and maintain blood glucose levels. Type 1 diabetes is frequently diagnosed during childhood or
adolescence, although disease onset can occur at any age. Type 2 diabetes, the more common form of diabetes, is a metabolic disorder
that is characterized by the body’s inability to either properly utilize insulin or produce enough insulin. Type 2 diabetes is
associated with older age, obesity, family history of diabetes, history of gestational diabetes, impaired glucose metabolism, physical
inactivity and race or ethnicity. Depending on the severity of Type 2 diabetes, individuals may require diet and nutrition management,
exercise, oral medications or insulin injections to regulate blood glucose levels.
According
to the Diabetes Atlas (Ninth Edition) published by the International Diabetes Federation in 2021, approximately 537 million adults
worldwide, between the ages of 20 and 79, or approximately 10% of the world’s adult population, were estimated to suffer from
diabetes in 2021 (not including those persons who suffer from impaired glucose tolerance or gestational diabetes, diabetic
conditions first arising during pregnancy). The International Diabetes Federation estimates that this number will grow to
approximately 784 million adults worldwide by 2045. The Centers for Disease Control and Prevention in its 2023 National Diabetes
Statistics Report provided crude estimates for 2021 that there are approximately 38 million people with diabetes in the U.S.,
of which 29.7 million have diagnosed diabetes. Among US adults ages 18 years or older, there were 1.2 million new cases of diabetes
diagnosed in 2021.
5
Glucose
Monitoring
Blood
glucose levels can be affected by many factors, including the carbohydrate and fat content of meals, exercise, stress, illness or impending
illness, hormonal releases, medications, variability in insulin absorption and changes in the effects of insulin in the body. Given the
many factors that affect blood glucose levels, maintaining glucose within a normal range can be difficult. People with diabetes generally
manage their blood glucose levels by administering insulin or ingesting carbohydrates throughout the day to maintain blood glucose within
normal ranges. Normal ranges vary from person to person. In order to maintain blood glucose levels within normal ranges, people with
diabetes must first measure their blood glucose levels so that they can make the proper therapeutic adjustments. As adjustments are made,
additional blood glucose measurements may be necessary to gauge the individual’s response to the adjustments. More frequent testing
of blood glucose levels provides these individuals with information that can be used to better understand and manage their diabetes.
Testing of blood glucose levels should be performed (at a minimum) before meals, after meals and before going to sleep. People with diabetes
who take insulin usually need to test more often than those who do not take insulin.
Until
recently, spot finger stick devices known as blood glucose monitors (“BGM”) have been the most prevalent devices for blood
glucose monitoring. These devices require users to insert a strip into a glucose meter, take a blood sample with a finger stick and place
a drop of blood on a test strip that yields a single point in time blood glucose measurement. Despite continued developments in the field
of BGMs, the routine measurement of glucose levels remains invasive, painful, inconvenient, difficult and costly. Moreover, the American
Diabetes Association updated guidelines (released 2023) indicated there is no clinical evidence of benefit for non-insulin dependent
Type 2 diabetes patients; and recommended CGM as the standard of care for those patients.
Continuous glucose monitor (“CGM”)
systems involve the insertion of sensors into the body to measure glucose levels in the interstitial fluid throughout the day and night,
providing real-time data that shows trends in glucose measurements. Many published clinical studies demonstrate that CGMs improve glycemic
control in people with Type 1 diabetes or people with insulin-requiring Type 2 diabetes. As a result, CGM use is rapidly increasing and
has become the clinically recommended standard of care for these patients.
Despite
the benefits in glycemic control and significant insurance coverage, almost half of the people with diabetes still have not adopted CGM.
We believe that a significant market opportunity exists for an innovative CGM device that addresses the remaining barriers to adoption.
According to a 2017 Diabetes Care study, these barriers include the inconvenience of wearing devices all the time, discomfort
and inconvenience of bi-weekly device replacement, dislike for having diabetes devices on the body, and dislike for how diabetes devices
look on the body. Additionally, the study reported that reasons that people discontinued using a CGM included the device being uncomfortable
or painful and the belief that the device is not accurate. 1 The Company conducted its own market research study in 2024 to
validate these findings as still being relevant. The results on over 750 patients demonstrated that patients with diabetes still have
the same issues as expressed in 2017. 2 We believe that improved CGM devices that address these barriers could provide significant
benefits to patients, healthcare providers and payors, thereby increasing overall CGM adoption and ongoing satisfaction. The Company
is developing a long-term implantable blood-based CGM that will allow continuous monitoring of blood glucose levels, which the Company
believes is a significant improvement in quality compared to spot finger stick devices and CGM.
1 Tanenbaum
ML, Hanes SJ, Miller KM, Naranjo D, Bensen R, Hood KK. Diabetes device use in adults with type 1 diabetes: barriers to uptake and potential
intervention targets. Diabetes Care 2017 Feb 1;40(2):181-7.
2
“Evaluating Acceptance of a Continuous Blood Glucose Monitor for People with Insulin Requiring Diabetes”, Presented
at 2024 ADCES annual conference.
6
Our
Product
The
Company is currently developing a long-term implantable CBGM with no requirement for an additional
wearable component with maintained calibration status (the “Glucotrack CBGM”). The Glucotrack CBGM utilizes
an intravascular approach, in which the device is implanted subcutaneously and connected to a lead that is placed directly into a blood
vessel. This facilitates continuous blood glucose measurements with zero lag time. In comparison, all other CGM systems of which we are
aware measure glucose in the interstitial fluid, which lags behind blood glucose. Our approach is based on design elements, implant techniques,
and implant tools commonly used for active implantable devices in the cardiovascular space. As a result, it employs a recognized, established,
and widely utilized implant procedure and device form factor.
In
the second quarter of 2023, we completed the laboratory-based feasibility study demonstrating that the CBGM sensor is capable of measuring
glucose for at least two years post-implant. By the end of 2023 we completed our initial preclinical in vivo animal study. This initial
preclinical study produced very strong results, demonstrating at least three months of well-sustained sensor life while also demonstrating
that the sensor is safe for animals. The study also indicated the CBGM is capable of a high level of measurement accuracy as compared
with conventional CGM technologies on the market.
In
the fourth quarter of 2023, we initiated a human clinical device/system design and development program. The objective was to complete
this effort in time to initiate regulatory filings for a first-in-human acute (“FIH-A”) study in the second quarter of 2024.
In
the first quarter of 2024, we advanced the program of the commercial device/system design and development program with our contract manufacturing
partner, Cirtec Medical. The objective was to complete this effort in time to initiate regulatory filings for a first-in-human chronic
(“FIH-C”) study in the fourth quarter of 2024.
During
the second quarter of 2024, we announced that the Glucotrack CBGM successfully completed 30 days of a 60-day long-term preclinical
study on measuring glucose in the epidural space. The Glucotrack CBGM sensor, implanted in the epidural space of animals,
closely tracked both blood glucose and a commercially available subcutaneous CGM throughout the 30-day period. The implantation
procedure took approximately 20 minutes, and the animals recovered without complications. No abnormal clinical signs or findings in
the spinal cord or surrounding tissues were observed at the 30-day mark. We subsequently announced that the 60-day long-term study
was completed, demonstrating the feasibility of glucose monitoring in the epidural space. No abnormal clinical signs were observed
throughout the study period, and no abnormal findings were observed in the spinal cord or surrounding tissues during post-explant
analysis. The study also confirmed that the implanted sensor did not cause any delayed latent effects over the long-term period,
which is particularly important as a complete healing process in animal studies with implanted devices may take several weeks. With
the completion of this study, the durability of the epidural approach for continuous glucose monitoring has now been confirmed over
the 60-day period.
Also
in the second quarter of 2024, a regulatory submission was prepared and eventually submitted for the FIH-A study to be performed in Sao
Paulo, Brazil. This study was a small cohort of up to 10 patients evaluated in-hospital for 4 days. The goals of the study were to prove
the implant and removal procedures were safe and reasonable, the device was safe and functional, and the overall experience was well-tolerated.
The trial began in December 2024 and was completed in late January 2025. The study successfully met all objectives.
During
the third quarter of 2024, we presented data at the Diabetes Technology Society annual meeting that demonstrated a sensor longevity of
3 years. Using in silico modeling to iterate membrane parameter design changes and further validated by in vitro bench testing, we were
able to improve our projected sensor longevity from 2 years to 3 years.
During
the fourth quarter of 2024, a regulatory submission was prepared and eventually submitted for the FIH-C study to be performed in Melbourne,
Australia. This study is to be up to 30 patients across up to 3 centers evaluated in daily life for one year, with the option to extend
the study longer. The goals of the study are to collect data for sensor characterization and algorithm development, along with implant
procedure characterization and refinement. These results will drive any necessary refinements to the system. Upon incorporation of any
required refinements, we intend to conduct a U.S. Pilot Study. Initial regulatory feedback from the Australian regulatory body is expected
in first quarter 2025 with trial start expected in second quarter 2025.
7
With
respect to clinical trials, we are targeting the second quarter of 2025 for initiation of the FIH-C trial. This trial is expected to
use the commercial version of the implantable system products (device and sensor), along with the scaled mobile app and cloud. Throughout
2025, we will identify potential clinical sites, obtain regulatory approval, and prepare the sites for trial initiation. We will also
be working with key physician partners to refine the implant, explant, and replacement procedures and associated tool set. We will also
request our first pre-submission meeting with the FDA. The goal of this is to initiate
discussions culminating in an Investigational Device Exemption (“IDE”) submission in the third quarter of 2025. The IDE submission
will be for a U.S. Pilot Study targeting up to 40 patients across up to 3 U.S. clinical centers; however, the FDA may limit number of patients
and/or clinical centers. The primary goal of this study is to be a ‘dry run’ for the eventual FDA pivotal trial for FDA approval.
In
the first quarter of 2025, we received ISO 13485:2016 certification from the British Standards Institute (“BSI”). We successfully
completed Stage I and Stage II Assessments performed by the notified body, BSI, to verify the Company has established, and is maintaining,
a quality management system that meets all requirements of the ISO 13485:2016 standard for design and development of our products.
We
do not have commercial manufacturing facilities and do not intend to build commercial manufacturing facilities of our own in the foreseeable
future. Our strategy has been to select leaders in the manufacturing of similar or complementary products. We recently announced a development
and manufacturing agreement with Cirtec Medical (Brooklyn Park, MN), one of the leading medical device solutions providers of implantable
therapies. We require our critical suppliers and their manufacturing facilities to comply with applicable regulations in the jurisdictions
in which our devices are to be marketed (including ISO 13485 in the European Union (“EU”)), current quality system regulations,
which include current good manufacturing practices, and to the extent laboratory analysis is involved, current good laboratory practices.
There can be no assurance that our manufacturing partners will perform as expected.
Research
and Development
See
“ Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operation – Results
of Operation ” below for a discussion of the research and development expenses for the fiscal years ended December 31, 2024 and
2023.
Regulatory
Considerations
Healthcare
is heavily regulated by federal, state and local governments in the United States, and by similar authorities in other countries. Any
product that we develop must receive all relevant regulatory approvals or clearances, as the case may be, before it may be marketed in
a particular country. The laws and regulations affecting healthcare change regularly, thereby increasing the uncertainty and risk associated
with any healthcare related venture. The United States government has in the past considered, is currently considering and may in the
future consider healthcare policies and proposals intended to curb rising healthcare costs, including those that could significantly
and adversely affect reimbursement for healthcare products such as our devices. These policies have included and may in the future include:
basing reimbursement policies and rates on clinical outcomes, the comparative effectiveness and costs of different treatment technologies
and modalities; imposing price controls and taxes on medical device providers; and other measures. Future significant changes in the
healthcare systems in any jurisdiction in which our devices, may be cleared for sale could also have a negative impact on the demand
for our devices. These include changes that may reduce reimbursement or payment rates for such products.
In
the United States, the federal government regulates healthcare through various agencies, including but not limited to the following:
(i) the FDA, which administers the Food, Drug, and Cosmetic Act (the “FDCA”) as well as other relevant laws; (ii) the Centers
for Medicare & Medicaid Services (“CMS”), which administers the Medicare and Medicaid programs; (iii) the Office of Inspector
General, which enforces various laws aimed at curtailing fraudulent or abusive practices including, by way of example, the Anti-Kickback
Law, the Anti-Physician Referral Law, commonly referred to as the Stark Law, the Anti-Inducement Law, the Civil Money Penalty Law, and
the laws that authorize the Office of Inspector General to exclude health care providers and others from participating in federal healthcare
programs; and (iv) the Office of Civil Rights which administers the privacy and security aspects of the Health Insurance Portability
and Accountability Act of 1996 (“HIPAA”). All of the aforementioned are agencies within the Department of Health and Human
Services. Healthcare is also provided or regulated, as the case may be, by the Department of Defense through its TriCare program, the
Department of Veterans Affairs under, among other laws, the Veterans Health Care Act of 1992, the Public Health Service within the Department
of Health and Human Services under the Public Health Service Act, the Department of Justice through the federal False Claims Act (the
“FCA”) and various criminal statutes, and state governments under the Medicaid program and their internal laws regulating
all healthcare activities. If and when we receive FDA approval to market our devices in the United States, we will be subject to regulation
by some or all of the foregoing agencies.
8
The
applicable regulatory schemes in the EU are significantly more diverse than those in the United States and do not lend themselves to
similar summary. Although the CE Mark system and the Medical Device Regulation (“MDR”) require a minimum level of harmonization
in the EU, each EU member country may impose additional regulatory requirements. Because there are numerous EU member countries with
distinct legal systems, the scope of potential regulatory requirements in each of the EU countries (additional to the harmonized EU requirements)
is difficult to summarize or predict.
Regulation
of the Design, Manufacture and Distribution of Medical Devices
Any
product that we develop must receive all relevant regulatory clearances or approvals, as the case may be, before it may be marketed in
a particular country.
Sales
of medical devices outside the United States are subject to foreign regulatory requirements that vary widely from country to country.
These laws and regulations range from simple product registration requirements in some countries to complex clearance and production
controls in others. As a result, the processes and time periods required to obtain foreign marketing approval may be longer or shorter
than those necessary to obtain FDA approval (as described below). These differences may affect the efficiency and timeliness of international
market introduction of our devices. For countries in the EU, medical devices must display a CE Mark before they may be imported or sold
and must comply with the requirements of the MDR. However, although the MDR is applicable throughout the EU, in practice it does not
ensure uniform regulation throughout the EU. Rather, the MDR requires only a minimum level of harmonization in the EU. Accordingly, member
countries may apply and enforce the MDR’s terms differently, and certain EU member countries may request or require performance
and/or safety data in addition to the MDR’s requirements from time to time, on a case-by-case basis. The CE Mark also permits the
sale in countries that have an MDR Mutual Recognition Agreement with the EU.
In
the United States, under Section 201(h) of the FDCA, a medical device is an article which, among other things, is intended for use in
the diagnosis of disease or other conditions or in the cure, mitigation, treatment or prevention of disease in man or other animals.
We believe that our devices will be classified as medical devices and subject to regulation by numerous agencies and legislative bodies,
including the FDA and its foreign counterparts. Devices are subject to varying levels of regulatory control, the most comprehensive of
which requires that a clinical evaluation be conducted before a device receives approval for commercial distribution. The FDA classifies
medical devices into one of three classes. Class I devices are relatively simple and can be manufactured and distributed with general
controls. Class II devices are somewhat more complex and require greater scrutiny. Class III devices are new and frequently help sustain
life.
In
the United States, a company generally can obtain permission to distribute a new device in two ways – through a so-called
“510(k)” premarket notification application or through a Section 515 premarket approval (“PMA”) application.
The 510(k) submission applies to any device that is substantially equivalent to a device first marketed prior to May 28, 1976 or to
another device marketed after that date, but which was substantially equivalent to a pre-May 28, 1976 device. These devices are
either Class I or Class II devices. Under the 510(k) submission process, the FDA will issue an order finding substantial equivalence
to a predicate device (pre-May 28, 1976 or post-May 28, 1976 device that was substantially equivalent to a pre- May 28, 1976 device)
and permitting commercial distribution of that device for its intended use. A 510(k) submission must provide information supporting
its claim of substantial equivalence to the predicate device. The FDA permits certain low risk medical devices to be marketed
without requiring the manufacturer to submit a premarket notification. In other instances, the FDA may require that a premarket
notification not only be submitted, but also be accompanied by clinical data. If clinical data from human experiments are required
to support the 510(k) submissions, these data must be gathered in compliance with investigational device exemption regulations for
investigations performed in the United States. The FDA review process for premarket notifications submitted pursuant to section
510(k) should take about 90 days, but it can take substantially longer if the FDA has concerns, and there is no guarantee that the
FDA will clear the device for marketing, in which case the device cannot be lawfully distributed in the United States. If the FDA
finds that the device subject to the premarket notification is substantially equivalent to a proper predicate device, then the FDA
may “clear” that device for marketing. These devices are not “approved” by the FDA. It is very unlikely,
however, that the FDA will deem our Glucotrack CBGM subject to the 510(k) process, as opposed to the more time-consuming, resource
intensive and problematic PMA application process described below.
9
The
more comprehensive PMA process applies to a new device that either is not substantially equivalent to a pre-May 28, 1976 product or is
to be used in supporting or sustaining life or preventing impairment. These devices are normally Class III devices and can only be marketed
following approval of a PMA application. For example, most implantable devices are subject to the PMA approval process. Two steps of
FDA approval generally are required before a company can market a product in the U.S. that is subject to Section 515 PMA approval, as
compared to a Section 510(k) clearance. First, a company must comply with investigational device exemption regulations in connection
with any human clinical investigation of the device; however, those regulations permit a company to undertake a clinical study of a “non-significant
risk” device without formal FDA approval. Prior express FDA approval is required if the device is a significant risk device. If
there is any doubt as to whether a device is a “non-significant risk” device, companies normally seek prior approval from
the FDA. Normally, clinical studies of new diagnostic products are conducted in tandem with a cleared or approved device and treatment
decisions are based on the results from the existing diagnostic device. In such a setting, the FDA may consider the clinical trial as
one not posing a significant risk. However, FDA action is always uncertain and dependent on the contours of the design of the clinical
trial and the device and there is no assurance that the FDA would consider any proposed clinical trial as one posing a non-significant
risk. Moreover, before undertaking any clinical trial, the company sponsoring the trial and the investigator conducting the trial are
required by federal law to seek and obtain the approval of institutional review boards (“IRB”). An IRB weighs the risks and
benefits of a proposed trial to ensure that the human subjects are not exposed to unnecessary risk and reviews the informed consent form
to ensure that it meets federal requirements and accurately describes the risks and benefits, if any, of the clinical trial. IRB review
occurs annually, and annual re-approval is required. University medical centers as well as other entities maintain and operate IRB. Second,
the FDA must review a company’s PMA, which contains, among other things, clinical information acquired under the investigational
device exemption. The FDA will approve the PMA if it finds there is reasonable assurance that the device is safe and effective for its
intended use. The premarket approval process takes substantially longer than the 510(k) process.
The
Glucotrack CBGM is still under development and has not yet been approved for commercial sale in or outside the United States. Given
the implantable nature of our CBGM, it is most likely that the device will be assigned a Class III designation and need to follow
the PMA process for regulatory approval. We are preparing for this approach.
Even
when a clinical study has been approved or cleared by the FDA or a notified body or deemed approved, the study is subject to factors
beyond a manufacturer’s control, including, but not limited to the fact that the IRB at a given clinical site might not approve
the study, might decline to renew approval which is required annually, or might suspend or terminate the study before the study has been
completed. Also, the interim results of a study may not be satisfactory, in which case the sponsor may terminate or suspend the study
on its own initiative or the FDA or a notified body may terminate or suspend the study. There is no assurance that a clinical study at
any given site will progress as anticipated; there may be an insufficient number of patients who qualify for the study or who agree to
participate in the study, or the investigator at the site may have priorities other than the study. Also, there can be no assurance that
the clinical study will provide sufficient evidence to assure the FDA or a notified body that the product is safe and effective, a prerequisite
for FDA approval of a PMA. Even if the FDA or a notified body approves or clears a device, it may limit its intended uses in such a way
that manufacturing and distributing the device may not be commercially feasible.
After
approval to market is given, the FDA and foreign regulatory agencies, upon the occurrence of certain events, are authorized under various
circumstances to withdraw the clearance or approval or require changes to a device, its manufacturing process or its labeling or additional
proof that regulatory requirements have been met.
A
manufacturer of a device approved through the PMA process is not permitted to make changes to the device which affects its safety or
effectiveness without first submitting a supplement application to its PMA and obtaining FDA approval for that supplement. In some instances,
the FDA may require clinical trials to support a supplement application. Any change in the intended uses of a PMA device or a 510(k)
device requires an approval supplement. Exported devices are subject to the regulatory requirements of each country to which the device
is exported, as well as certain FDA export requirements.
10
The
Company plans to leverage the De Novo/PMA clinical trial data, if successful, along with the associated development and manufacturing information,
for CE Mark certification. The Company will choose a notified body and submit via the MDR regulations to obtain this necessary clearance
for marketing in EU member states. Upon approval, if granted, the Company may consider alternative markets that can leverage both the
FDA and CE Mark approvals.
Reimbursement
Considerations
In
the U.S. market, coverage and reimbursement from Medicare, Medicaid or other governmental healthcare programs or systems, and private
third-party healthcare payors is critical to the success of a medical device company. CGM systems have been broadly accepted by Medicare
and commercial third-party payors. Currently, Medicare covers CGM systems, which includes supplies necessary for the use of the device
under the Durable Medical Equipment (DME), benefit category. Previously, Medicare coverage for CGM was only available to Medicare patients
who take at least three doses of insulin a day. The Local Coverage Determination (LCD), that the Medicare Administrative Contractors
(MACs) released in April 2023 extended Medicare CGM coverage to all patients using insulin. The LCD also allows coverage for patients
not taking insulin if the patient has a history of problematic hypoglycemia.
There
is currently one commercially available implantable CGM product and the current reimbursement landscape includes coverage for the product
itself, coverage for the implantation process and coverage for the removal and reinsertion process. Additionally, an LCD was recently
released (NGS ICGM LCD - Effective 4/1/2024) allowing for expanded access of this product to include all people with diabetes using insulin,
removing the previous requirement for at least three doses of insulin a day. Like non-implantable CGM, the LCD also allows coverage for
patients not taking insulin if the patient has a history of problematic hypoglycemia.
Even
though CGM coverage is broad, we anticipate that sales volumes and prices of the Glucotrack CBGM will depend in large part on
the availability of adequate reimbursement from Medicare and third-party payors. Medicare reimburses medical devices in a variety of
ways depending on where and how the device is used. However, Medicare only provides reimbursement if CMS determines that the device should
be covered and that the use of the device is consistent with the coverage criteria. A coverage determination can be made at the national
level by CMS or at the local level by the Medicare administrative contractor (formerly called carriers and fiscal intermediaries) or
a private contractor that processes and pays claims on behalf of CMS for the geographic area where the services were rendered. Obtaining
a coverage determination, whether local or national, is a time-consuming, expensive and highly uncertain proposition, especially for
a new technology, and inconsistent local determinations are possible. Our inability to obtain a favorable coverage determination for
our CBGM product may adversely affect our ability to market the product and thus, the commercial viability of the product.
Additionally,
we believe that the overall escalating cost of medical products and services has led to and will continue to lead to increased pressures
on the healthcare industry to reduce the costs of products and services. There can be no assurance that third-party reimbursement and
coverage will be available or adequate, or that future legislation, regulation, or reimbursement policies of third-party payors will
not adversely affect the demand for our products or our ability to sell these products on a profitable basis. The unavailability or inadequacy
of third-party payor coverage or reimbursement could have a material adverse effect on our business, operating results, and financial
condition. Until adequate reimbursement or insurance coverage is established, patients may have to bear the financial cost of our products.
To
mitigate these risks, we are starting our reimbursement planning process early, well in advance of obtaining regulatory approval. We
have engaged a leading reimbursement consultancy to complete an analysis of the current landscape for CGM technologies.
Additionally, since our product is an implantable device and very similar in form factor and procedure to commercially available
cardiovascular devices, we are also assessing the current reimbursement landscape for those technologies. This will enable us to
craft a reimbursement strategy that is best suited to our Glucotrack CBGM and reflects the different healthcare providers
that may be involved in utilizing the product.
Our
reimbursement strategy also incorporates coverage for the product, the implantation procedure, and the removal and reinsertion procedures.
While we are proactively preparing our reimbursement strategy, some activities such as coding applications, if needed, are not able to
be executed until FDA approval is obtained.
11
Outside
the United States, availability of reimbursement from third parties varies widely from country to country. Within the EU member countries,
healthcare reimbursement, coverage regulations, and systems differ significantly. An EU reimbursement analysis and strategy may begin
if and when we decide to enter the EU market.
Anti-Fraud
and Abuse Rule
There
are extensive United States federal and state laws and regulations prohibiting fraud and abuse in the healthcare industry that can result
in significant criminal and civil penalties that can materially affect us, if and when we receive FDA approval to market our products
in the United States. These federal laws include, by way of example, the following:
●
The
anti-kickback statute (Section 1128B(b) of the Social Security Act), which prohibits certain business practices and relationships
that might affect the provision and cost of healthcare services reimbursable under Medicare, Medicaid and other federal healthcare
programs, including the payment or receipt of remuneration for the referral of patients whose care will be paid by Medicare or other
governmental programs;
●
The
physician self-referral prohibition (Ethics in Patient Referral Act of 1989, as amended, commonly referred to as the Stark Law, Section
1877 of the Social Security Act), which prohibits referrals by physicians of Medicare or Medicaid patients to providers of a broad
range of designated healthcare services in which the physicians (or their immediate family members) have ownership interests or with
which they have certain other financial arrangements;
●
The
anti-inducement provisions of the Civil Monetary Penalties Law (Section 1128A(a)(5) of the Social Security Act), which prohibit providers
from offering anything to a Medicare or Medicaid beneficiary to induce that beneficiary to use items or services covered by either
program;
●
The
FCA (31 U.S.C. § 3729 et seq.), which prohibits any person from knowingly presenting or causing to be presented false or fraudulent
claims for payment to the federal government (including the Medicare and Medicaid programs); and
●
The
Civil Monetary Penalties Law (Section 1128A of the Social Security Act), which authorizes the United States Department of Health
and Human Services to impose civil penalties administratively for fraudulent or abusive acts.
Sanctions
for violating these federal laws include criminal and civil penalties that range from punitive sanctions, damage assessments, monetary
penalties, imprisonment and/or denial of Medicare and Medicaid payments or exclusion from the Medicare and Medicaid programs, or both.
These laws also impose an affirmative duty on those receiving Medicare or Medicaid funding to ensure that they do not employ or contract
with persons excluded from the Medicare and other government programs.
Many
states have adopted or are considering legislative proposals similar to the federal fraud and abuse laws, some of which extend beyond
the Medicare and Medicaid programs, to prohibit the payment or receipt of remuneration for the referral of patients and physician self-referrals
regardless of whether the service was reimbursed by Medicare or Medicaid. Many states have also adopted or are considering legislative
proposals to increase patient protections, such as limiting the use and disclosure of patient specific health information. These state
laws also impose criminal and civil penalties similar to the federal laws.
12
Similarly,
the EU and EU member countries may have similar fraud and abuse laws which would regulate our business in those jurisdictions. However,
given the diversity of legal systems within the EU, it is difficult to predict with specificity what anti-fraud legislation and regulations
may be implemented and the penalties that they impose.
In
the ordinary course of their business, medical device manufacturers and suppliers have been and are subject regularly to inquiries, investigations
and audits by federal and state agencies that oversee these laws and regulations. Recent federal and state legislation has greatly increased
funding for investigations and enforcement actions, which have increased dramatically over the past several years. This trend is expected
to continue. Private enforcement of healthcare fraud also has increased due in large part to amendments to the civil FCA that were designed
to encourage private persons to sue on behalf of the government. These whistleblower suits by private persons, known as qui tam relators,
may be filed by almost anyone, including present and former patients or nurses and other employees, as well as competitors. HIPAA, in
addition to its privacy provisions, created a series of new healthcare-related crimes.
As
federal and state budget pressures continue, federal and state administrative agencies may also continue to escalate investigation and
enforcement efforts to root out waste and to control fraud and abuse in governmental healthcare programs. A violation of any of these
federal and state fraud and abuse laws and regulations could have a material adverse effect on a supplier’s liquidity and financial
condition. An investigation into the use of a device by physicians may dissuade physicians from recommending that their patients use
the device. This could have a material adverse effect on our ability to commercialize our products.
The
Privacy Provisions of HIPAA
In
the United States, HIPAA, among other things, protects the privacy and security of individually identifiable health information by
limiting its use and disclosure. HIPAA directly regulates “covered entities,” such as healthcare providers, insurers and
clearinghouses, and regulates “business associates,” with respect to the privacy of patients’ medical information.
All entities that receive and process protected health information are required to adopt certain procedures to safeguard the
security of that information. It is uncertain whether we would be deemed to be a covered entity under HIPAA and, owing to changes in
the law, it is uncertain, based on our current business model, whether we would be a business associate. Nevertheless, we will
likely be contractually required to physically safeguard the integrity and security of any patient information that we receive,
store, create or transmit in the United States. If we fail to adhere to our contractual commitments, then our physician, hospital or
insurance customers may be subject to civil monetary penalties, which could adversely affect our ability to market our devices.
Changes in the law wrought by the provisions of Health Information Technology for Economic and Clinical Health
(“HITECH”) Act, enacted as part of the American Recovery and Reinvestment Act of 2009 (“ARRA”), increase the
duties of business associates and covered entities with respect to protected health information that thereby subject them to direct
government regulation, increasing its compliance costs and exposure to civil monetary penalties and other government sanctions.
While HITECH does not alter the definition of a business associate, it makes it more likely that covered entities with whom we are
likely to do business in the United States, if and when we receive FDA approval to market the Glucotrack CBGM in the United States,
will require us to enter into business associate agreements.
Intellectual
Property
We
are pursuing a proactive intellectual property strategy, which includes patent filings in multiple jurisdictions, including the United
States and other commercially significant markets. We understand the importance of obtaining patent and trade secret protection for new
technologies, products and processes. Our success will depend in large part on our ability to file for and obtain patent protection of
our principal products and procedures, to defend existing or future patents, to maintain trade secrets and to operate without infringing
upon the proprietary rights of others.
The
Company’s U.S. patent application, US20230079720A1, titled ‘Methods and Systems for Continuously Monitoring the Glucose Level
of a Patient,’ is currently under review. Two related international applications, EP4401635A1 and WO2023044347A1, have been published
and are also pending review. Additionally, the Company has filed during 2024 four new provisional patent applications: US63/563,880,
‘Systems and Methods for Integrated Spinal Cord Stimulation and Glucose Monitoring’; US63/633,647, ‘Methods and Systems
for Continuously Monitoring the Glucose Level of a Patient’; US63/661,648, ‘Methods and Systems for Continuously Monitoring
the Glucose Level of a Patient’ ; and US63/661,526, ‘Amperometric Electrochemical Enzyme Oxidase Sensor’. We have trademark
registrations for Glucotrack® in the U.S. and Europe and various other jurisdictions.
13
We
believe that our intellectual property and products do not and will not infringe patents or violate proprietary rights of others, although
it is possible that our existing patent rights may not be valid or that infringement of existing or future patents or proprietary rights
may occur. Litigation may be necessary to defend or enforce our patent rights or to determine the scope and validity of the proprietary
rights of others. Defense and enforcement of patent claims can be expensive and time consuming, even in those instances in which the
outcome is favorable and could result in the diversion of substantial resources and management time and attention from our other activities.
An adverse outcome could subject us to significant liability to third parties, require us to obtain licenses from third parties, require
us to alter our products or processes, or require that we cease altogether any related research and development activities or product
sales.
Patent
protection is highly uncertain and involves complex legal and factual questions and issues. The patent application and issuance process
can be expected to take several years and entails considerable expense. There can be no assurance that patents will be issued as a result
of any applications or that any patents resulting from such applications, or our existing patents will be sufficiently broad to afford
protection against competitors with similar or competing technology. Patents that we obtain may be challenged, invalidated or circumvented,
or the rights granted under such patents may not provide us with any competitive advantages.
Competition
The
market for CGM devices is intensely competitive, subject to rapid change and significantly affected by new product introductions. Three
companies, Abbott Laboratories (“Abbott”), DexCom and Medtronic currently account for substantially all of the worldwide
sales of CGM systems. These products are all transcutaneous systems with sensor longevities of 7-15 days. These systems have a sensor
that is worn on the back of the upper arm or the abdomen, depending on the system. The sensor measures glucose in the interstitial fluid,
which lags glucose in the blood, so the CGM readings may lag about 15-20 minutes behind blood glucose readings. Depending on the system,
the sensor provides glucose readings every one to five minutes and streams directly to the users’ compatible smartphone. Following
the insertion of a new Abbott FreeStyle Libre 3 or DexCom G7 sensor, there is a warm-up period of 30-60 minutes, depending on the system,
during which time no readings are available. After that period, both systems are factory-calibrated, which means that no fingersticks
(blood glucose measurements using a glucometer) are required for calibration. For the Medtronic Guardian 4 system, there is a 2-hour
warm-up period; after that period, no fingersticks are required for calibration when using as a part of the MiniMed 780G insulin pump
system.
There
is currently one implantable CGM that is commercially available in the US and Europe: Senseonics Holdings, Inc. The sensor is inserted
by a doctor under the skin of the upper arm and lasts up to 365 days. The wearable smart transmitter provides on-body vibe alerts and
is worn over the sensor using a daily adhesive. There is a 24-hour warm up period with this system and, after that period, fingersticks
are required for calibration twice a day for the 1st 21 days and then once daily. Similar to the transcutaneous systems, this system
also measures glucose in the interstitial fluid. All four competitors are either publicly traded or are divisions of publicly traded
companies, and they enjoy several competitive advantages, including:
●
significantly
greater name recognition;
●
established
relations with healthcare professionals, customers and third-party payors;
●
established
distribution networks;
●
additional
lines of products, and the ability to offer rebates or bundle products to offer higher discounts or incentives to gain a competitive
advantage;
●
greater
experience in conducting research and development, manufacturing, clinical trials, obtaining regulatory approval for products and
marketing approved products; and
●
greater
financial and human resources for product development, sales and marketing, and patent litigation.
As
a result, we cannot ensure that we will be able to compete effectively against these companies or their products.
There
are several new and smaller players that have obtained clearance to market in EU or Asia. Their systems are transcutaneous systems with
similar form factors and longevity as the Abbott, DexCom and Medtronic systems. None of these companies has yet achieved a significant
user base.
Additionally,
Medtronic and other companies have developed or are developing, insulin pumps integrated with CGM systems that provide, among other things,
the ability to suspend insulin administration while the user’s glucose levels are low and to automate basal or bolus insulin dosing.
Both Abbott and DexCom have received FDA clearance to integrate certain versions of their sensors into automated insulin delivery systems.
Although
we face potential competition from many different sources, we believe that our technology, experience and scientific knowledge provide
us with competitive advantages of accuracy, longevity, discretion and usability, though our technology is not in any way integrated with
an automatic insulin delivery system.
14
Corporate
Information
Our
principal offices are located at 301 17 North, Suite 800, Rutherford NJ 07070, and our telephone number is 201-842-7715. Our website
address is http://www.glucotrack.com; the reference to such website address does not constitute incorporation by reference of the information
contained on the website and such information should not be considered part of this Annual Report.
Board
and Committees
We
have seven members on our Board, five of whom are independent. The Board has an audit committee (the “Audit Committee”),
a compensation committee and a nominating and corporate governance committee. Each of our committees consist solely of independent
directors.
Employees
As
of December 31, 2024, we had eleven full-time employees. None of our employees are represented by a collective bargaining agreement.
In addition, as of December 31, 2024, we had three significant consultants.
Item
1A. Risk Factors
An
investment in our Common Stock involves a high degree of risk. You should carefully consider the following risks and all of the other
information contained in this Annual Report before deciding whether to invest in our Common Stock. If any of the following risks are
realized, our business, financial condition and results of operations could be materially and adversely affected. In that event, the
trading price of our Common Stock could decline, and you could lose all or part of your investment in our Common Stock. Additional risks
of which we are not presently aware or that we currently believe are immaterial may also harm our business and results of operations.
Some statements in this Annual Report, including such statements in the following risk factors, constitute forward-looking statements.
See the section entitled “Cautionary Note Regarding Forward-Looking Statements.”
Risks
Related to our Business and Industry
We
have a history of operating losses, and there is no assurance that we will generate material revenues or become profitable in the near
future.
We
are a medical device company with a limited operating history. We are not profitable and have incurred losses since our inception. To
date we have not generated material revenue from the sale of products, and we do not anticipate that we will report operating income
in the foreseeable future. Our initial product, Glucotrack CBGM, has not been approved for marketing in the United States and is currently
under preclinical development. We continue to incur research and development and selling, marketing and general and administrative expenses
related to our operations, development and commercialization of our first product. Our operating losses for the years ended December
31, 2024 and 2023 were approximately $22.6 million and $7.1 million, respectively, and we had an accumulated deficit of approximately
$132.0 million as of December 31, 2024. We expect to continue to incur losses for the foreseeable future, and these losses will likely
increase as we develop and prepare to commercialize Glucotrack CBGM. If we are not successful in developing, manufacturing and distributing
Glucotrack CBGM, or if Glucotrack CBGM does not achieve market acceptance, we may never become profitable. Even if we achieve profitability
in the future, we may not be able to sustain profitability in subsequent periods.
As
we continue to evolve from a company primarily involved in development to a company also involved in commercialization, we may encounter
difficulties in managing our growth and expanding our operations successfully.
We
anticipate that, as our operations expand and, assuming that our development, testing, studies and trials are successful, we will need
to expand our manufacturing, marketing and sales capabilities by contracting with third parties. Maintaining these relationships and
managing our future growth will impose significant added responsibilities on members of our management team. We must be able to manage
our development efforts effectively; manage our clinical trials effectively; hire, train and integrate additional management, development,
administrative and sales and marketing personnel; improve managerial, development, operational and finance systems; and expand our facilities,
all of which may impose a strain on our administrative and operational infrastructure.
15
We
may have future capital needs and may not be able to obtain additional financing on acceptable terms.
Economic
and credit market conditions, the performance of our industry and our financial performance, as well as other factors, may constrain
our financing abilities. Our ability to secure additional financing, if available, and to satisfy our financial obligations under indebtedness
outstanding from time to time will depend upon our future operating performance, the availability of credit, economic conditions and
financial, business and other factors, many of which are beyond our control.
We
may require additional financing to fund our operations and growth. The failure to secure additional financing could have an adverse
effect on our continued development or growth. None of our officers, directors or stockholders is required to provide any financing to
us.
Raising
additional capital may cause dilution to our existing stockholders and investors, restrict our operations, or require us to relinquish
rights to our products and/or product candidates on unfavorable terms to us.
We
will seek additional capital through a variety of means, including through private and public equity offerings and debt financings, collaborations,
strategic alliances and marketing, distribution or licensing arrangements. To the extent that we raise additional capital through the
sale of equity or convertible debt securities, or through the issuance of shares under other types of contracts, or upon the exercise
or conversion of outstanding options, warrants, convertible debt or other similar securities, the ownership interests of our stockholders
will be diluted, and the terms of such financings may include liquidation or other preferences, anti-dilution rights, conversion and
exercise price adjustments and other provisions that adversely affect the rights of our stockholders, including rights, preferences and
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.
In addition, debt financing, if available, could include covenants limiting or restricting our ability to take certain actions, such
as incurring additional debt, making capital expenditures, entering into licensing arrangements or declaring dividends and may require
us to grant security interests in our assets. If we raise additional funds through collaborations, strategic alliances or marketing,
distribution or licensing arrangements with third parties, we may have to relinquish valuable rights to our technologies, future revenue
streams, product or product candidates or grant licenses on terms that may not be favorable to us. If we are unable to raise additional
funds through equity or debt financing when needed, we may need to curtail or cease our operations.
Our
independent registered public accounting firm’s report contains an explanatory paragraph that expresses substantial doubt about
our ability to continue as a “going concern.”
We
may not have sufficient liquidity to meet our anticipated obligations over the next year from the issuance of the financial
statements contained in this Annual Report. We have incurred net losses and negative cash flows from our operations and
comprehensive loss since our inception and as of December 31, 2024, we had an accumulated deficit of $132.5 million. These
conditions raise substantial doubt about the Company’s ability to continue as a going concern.
Economic
crises and market instability may materially and adversely affect the demand for our products, as well as our ability to obtain credit
or secure funds through sales of our stock, which may materially and adversely affect our business, financial condition and ability to
fund our operations.
Economic
crises may reduce the demand for new and innovative medical devices, resulting in delayed market acceptance of our products, if and
when they are approved. Such a delay could have a material adverse impact on our business, expected cash flows, results of
operations and financial condition. Additionally, we have funded our operations to date primarily through public and private sales
of securities, including Common Stock and other securities convertible into or exercisable for shares of our Common Stock. Economic
turmoil and instability in the world’s equity and credit markets may materially adversely affect our ability to sell
additional securities and/or borrow cash. There can be no assurance that we will be able to raise additional working capital on
acceptable terms or at all, and any failure to do so may materially adversely affect our ability to continue operations.
Glucotrack
CBGM is not approved for sale in the United States or other jurisdictions.
We
will likely be required to undertake significant clinical trials to demonstrate to the FDA that Glucotrack CBGM is safe and
effective for its intended use (refer to “ Business – Regulatory Considerations ”). We may also be required to
undertake similar clinical trials by non-U.S. regulatory agencies, particularly for the European Union (CE Mark). Clinical trials
for implantable medical devices are expensive and uncertain processes that take years to complete. Failure can occur at any point in
the process and early positive results do not ensure that the entire clinical trial will be successful. Product candidates in
clinical trials may fail to show desired efficacy and safety traits despite early promising results. A number of companies in the
medical device industry have suffered significant setbacks in advanced clinical trials, even after their product candidates
demonstrated promising results at earlier points.
16
Positive
results from the limited safety and performance pre-clinical trials and first-in-human acute clinical studies that we have conducted
should not be relied upon as evidence that early-stage or large-scale clinical trials will succeed. Despite efforts to choose the
proper animal model reflecting our intended use, our pre-clinical animal trials and first-in-human acute clinical studies cannot be
a guarantee of clinical trial success because human physiology and anatomy are different. Because 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. We will be required to demonstrate through well-controlled clinical trials that Glucotrack CBGM or future product
candidates, if any, are safe and effective for their intended uses.
Further,
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
data are satisfactory and support, in our view, its or their clearance or approval. The FDA or other non-U.S. regulatory authorities
may disagree with our trial design or interpretation of the clinical data. In addition, any of these regulatory authorities may change
requirements for the clearance or approval of a product candidate even after reviewing and providing comment on a protocol for a pivotal
clinical trial that has the potential to result in FDA approval. In addition, any of these regulatory authorities may also clear or approve
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
or desirable for the successful commercialization of Glucotrack CBGM or our future product candidates, if any.
We
are highly dependent on the success of our product candidate, Glucotrack CBGM, and cannot give any assurance that it will receive regulatory
approval or clearance or be successfully commercialized.
We
are highly dependent on the success of our product candidate, Glucotrack CBGM. We cannot give any assurance that the FDA will permit
us to clinically test the device, nor can we give any assurance that the clinical trials will be successful or that Glucotrack CBGM will
receive regulatory clearance or approval or be successfully commercialized, for a number of reasons, including, without limitation, the
potential introduction by our competitors of more clinically-effective or cost-effective alternatives, failure in our sales and marketing
efforts, or the failure to obtain positive coverage determinations or reimbursement. Any failure to obtain approval to conduct
clinical trials, favorable clinical data, clearance or approval of or to successfully commercialize Glucotrack CBGM would have a material
adverse effect on our business.
If
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.
The
life sciences industry is highly competitive, and we face significant competition from many medical device companies that are researching
and marketing products designed to address the needs of people suffering from diabetes. We are currently developing medical devices that
will compete with other medical devices that currently exist or are being developed. Some of our competitors have significantly greater
financial, manufacturing, marketing and product development resources than we do. Large medical device companies, in particular, have
extensive experience in clinical testing and in obtaining regulatory clearances or approvals for medical devices. These companies also
have significantly greater research and marketing capabilities than us. Some of the medical device companies that we expect to compete
with include Abbott Laboratories, DexCom, Medtronic, and Senseonics. In addition, many universities and private and public research institutions
are or may become active in research involving blood glucose measurement devices.
We
believe that our ability to successfully compete will depend on, among other things:
●
our
ability to have partners manufacture and sell commercial quantities of any approved products to the market;
●
acceptance
of product candidates by physicians and other health care providers;
●
the results of our clinical trials;
●
our
ability to recruit and enroll patients for our clinical trials;
●
the
efficacy, safety, performance and reliability of our product candidates;
●
the speed at which we develop product candidates;
17
●
our
ability to obtain prompt and favorable IRB review and approval at each of our clinical sites;
●
our ability to commercialize and market any of our product candidates that may receive regulatory clearance or approval;
●
our ability to design and successfully execute appropriate clinical trials;
●
the
timing and scope of regulatory clearances or approvals;
●
appropriate coverage and adequate levels of reimbursement under private and governmental health insurance plans, including Medicare; and
●
our
ability to protect intellectual property rights related to our products.
If
our competitors market products that are more effective, safer, easier to use or less expensive than Glucotrack CBGM or our future product
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. In addition, the medical device industry is characterized by rapid technological change. It may be difficult for
us to stay abreast of the rapid changes in each technology. If we fail to stay at the forefront of technological change, we may be unable
to compete effectively. Technological advances or products developed by our competitors may render our technologies or product candidates
obsolete or less competitive.
A
number of medical device companies, medical researchers and pharmaceutical companies are also pursuing new delivery technologies, procedures,
drugs and other therapies for the monitoring, treatment and prevention of diabetes. If successful, these technologies could render glucose
monitoring devices, like the Glucotrack CBGM, obsolete. Technological breakthroughs in diabetes treatment or prevention could reduce
the potential market for Glucotrack CBGM, making it less competitive or obsolete altogether.
The
diabetes market is currently seeing increasing use of GLP-1 drugs for the treatment of obesity and Type 2 diabetes. While we believe
that GLP-1s are a companion product and can be used in conjunction with CGM systems, such drugs could potentially compete with the Glucotrack
CBGM and impact successful commercialization.
Our
product development activities could be delayed or stopped.
We
do not know whether our future clinical trials will begin on time, or at all, and whether ongoing and/or future clinical trials will
be completed on schedule, or at all.
The
commencement of future clinical trials could be substantially delayed or prevented by several factors, including:
●
the failure to obtain sufficient funding to pay for all necessary clinical trials;
●
limited
number of, and competition for, suitable patients that meet the protocol’s inclusion criteria and do not meet any of the exclusion
criteria;
●
limited number of, and competition for, suitable sites to conduct the clinical trials, and delay or failure to obtain FDA approval, if necessary, to commence a clinical trial;
●
delay
or failure to obtain sufficient supplies of the product candidate for clinical trials;
●
requirements to provide the medical device required in clinical trials at cost, which may require significant expenditures that we are unable or unwilling to make;
●
delay or failure to reach agreement on acceptable clinical trial agreement terms or clinical trial protocols with prospective sites or investigators; and
●
delay
or failure to obtain IRB approval or renewal of such approval to conduct a clinical trial at a prospective or accruing site, respectively.
18
The
completion of clinical trials in connection with our application for FDA approval could also be substantially delayed or prevented by
several factors, including:
●
slower
than expected rates of patient recruitment and enrollment;
●
failure of patients to complete the clinical trial;
●
unforeseen safety issues;
●
lack
of efficacy evidenced during clinical trials;
●
termination of clinical trials by one or more clinical trial sites;
●
inability
or unwillingness of patients or medical investigators to follow clinical trial protocols; and
●
inability to monitor patients adequately during or after treatment.
Our
clinical trials may be suspended or terminated at any time by the FDA, other regulatory authorities, the IRB for any given site or us.
Any failure or significant delay in completing clinical trials for Glucotrack® or future product candidates, if any, could
materially harm our financial results and the commercial prospects for our product candidates.
The
regulatory approval process is expensive, time-consuming and uncertain and may prevent us from obtaining approvals for the commercialization
of Glucotrack CBGM or our future product candidates, if any.
The
research, testing, manufacturing, labeling, approval, selling, marketing and distribution of medical devices are subject to
extensive regulation by the FDA and other non-U.S. regulatory authorities, with regulations that differ from country to country. We
are not permitted to market our product candidates in the United States until we receive a clearance letter under Section 515
premarket approval from the FDA. We have not submitted an application or premarket notification for or received marketing clearance
or approval for our current product candidate. Obtaining approval of any premarket approval can be a lengthy, expensive and
uncertain process, particularly for Class III devices under which our product candidate falls. In lieu of acting on a premarket
notification, the FDA may seek additional information or additional data which would further delay our ability to market the
product candidate. In addition, failure to comply with FDA, non-U.S. regulatory authorities or other applicable U.S. and non-U.S. regulatory
requirements may, either before or after product clearance or approval, if any, subject us to administrative or judicially imposed
sanctions, including:
●
restrictions
on the products, manufacturers or manufacturing process;
●
adverse
inspectional observations (Form 483), warning letters or non-warning letters incorporating inspectional observations, i.e., so-called
“untitled letter”;
●
civil
and criminal penalties;
●
injunctions;
●
suspension
or withdrawal of regulatory clearances or approvals;
●
product
seizures, detentions or import bans;
●
voluntary
or mandatory product recalls and publicity requirements;
●
total or partial suspension of production;
●
imposition
of restrictions on operations, including costly new manufacturing requirements; and
●
refusal to clear or approve pending applications or premarket notifications.
19
Regulatory
approval of a PMA or PMA supplement is not guaranteed, and the approval will take several years when factoring in clinical trial timelines.
The FDA also has substantial discretion in the medical device clearance or approval processes. Despite the time and expense exerted,
failure can occur at any stage, and we could encounter problems that cause us to abandon clinical trials or to repeat or perform additional
pre-clinical studies and clinical trials. The number of pre-clinical studies and clinical trials that will be required for FDA clearance
or approval varies depending on the medical device candidate, the disease or condition that the medical device candidate is designed
to address and the regulations applicable to any particular medical device candidate. The FDA can delay, limit or deny clearance or approval
of a medical device candidate for many reasons, including:
●
a
medical device candidate may not be deemed safe or effective;
●
FDA
officials may not find the data from the clinical trials sufficient;
●
the
FDA might not approve our third-party manufacturer’s processes or facilities; or
●
the
FDA may change its clearance or approval policies or adopt new regulations.
Failure
to recruit and enroll patients for clinical trials may cause the development of our product candidates to be delayed.
We
may encounter delays if we are unable to recruit, enroll and retain enough patients to complete clinical trials. Patient enrollment depends
on many factors, including the size of the patient population, the nature of the protocol, the proximity of patients to clinical sites
and the eligibility criteria for the trial. Delays in patient enrollment are not unusual. Any such delays in planned patient enrollment
may result in increased costs, which could harm our ability to develop products.
The
terms of clearances or approvals and ongoing regulation of our products may limit how we manufacture and market our product candidates,
which could materially impair our ability to generate anticipated revenues.
Once
regulatory clearance or approval has been granted, the cleared or approved product and its manufacturer are subject to continual review.
Any cleared or approved product may only be promoted for its indicated uses. In addition, if the FDA or other non-U.S. regulatory authorities
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. We, and the manufacturers of our products
also will be required to comply with the FDA’s Quality System Regulation, which includes requirements relating to quality control
and quality assurance, as well as the corresponding maintenance of records and documentation. Moreover, device manufacturers are required
to report adverse events by filing Medical Device Reports with the FDA, which are publicly available. Further, regulatory agencies must
approve our manufacturing facilities before they can be used to manufacture products, and these facilities are subject to ongoing regulatory
inspection. If we fail to comply with the regulatory requirements of the FDA and other non-U.S. regulatory authorities, or if previously
unknown problems with our products, manufacturers or manufacturing processes are discovered, we could be subject to administrative or
judicially imposed sanctions, including:
●
restrictions on the products, manufacturers or manufacturing process;
●
adverse
inspectional observations (Form 483), warning letters, or non-warning letters incorporating inspectional observations;
●
civil
or criminal penalties or fines;
●
injunctions;
●
product
seizures, detentions or import bans;
●
voluntary or mandatory product recalls and publicity requirements;
●
suspension or withdrawal of regulatory clearances or approvals;
●
total or partial suspension of production;
●
imposition of restrictions on operations, including costly new manufacturing requirements; and
●
refusal
to clear or approve pending applications or premarket notifications.
In
addition, the FDA and other non-U.S. regulatory authorities, including the EU and each of the EU member countries individually, may change
their policies and enact additional regulations that could prevent or delay regulatory clearance or approval of our product candidates.
We cannot predict the likelihood, nature or extent of government regulation that may arise from future legislation or administrative
action, either in the United States or abroad. If we are not able to maintain regulatory compliance, we will likely not be permitted
to market future product candidates and may not achieve or sustain profitability.
20
Even
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.
Even
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. We believe that the degree of market acceptance
will depend on a number of factors, including:
●
timing of market introduction of competitive products;
●
safety
and efficacy of our product;
●
prevalence
and severity of any side effects;
●
potential
advantages or disadvantages over alternative treatments;
●
strength of marketing and distribution support;
●
price of our product candidates, both in absolute terms and relative to alternative treatments; and
●
availability
of coverage and reimbursement from government and other third-party payors.
If
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.
The
coverage and reimbursement status of newly cleared or approved medical devices is uncertain, and failure to obtain adequate coverage
and adequate reimbursement could limit our ability to market Glucotrack CBGM or future product candidates, if any, and may inhibit our
ability to generate revenue from Glucotrack CBGM or our future product candidates, if any, that may be cleared or approved.
There
is significant uncertainty related to the third-party coverage and reimbursement of newly cleared or approved medical devices. The commercial
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
Medicaid programs, managed care organizations and other third-party payors. Government and other third-party payors are increasingly
attempting to contain health care costs by limiting both coverage and the level of reimbursement for new products and, as a result, they
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
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. Furthermore, deficit reduction and austerity measures in the United States and abroad may put further pressure
on governments to limit coverage of, and reimbursement for, our products. The failure to obtain coverage and adequate reimbursement for
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.
We
may not obtain insurance coverage to adequately cover all significant risk exposures.
We
will be exposed to liabilities that are unique to the products we provide. We currently maintain commercial general liability and property insurance, but there can be
no assurance that we will acquire or maintain insurance for certain risks, that the amount of our insurance coverage will be adequate
to cover all claims or liabilities or that we will not be forced to bear substantial costs resulting from risks and uncertainties of
business. It is also not possible to obtain insurance to protect against all operational risks and liabilities. The failure
to obtain adequate insurance coverage on terms favorable to us, or at all, could have a material adverse effect on our business, financial
condition and results of operations.
21
If
product liability lawsuits are brought against us, we may incur substantial liabilities.
We
face a potential risk of product liability as a result of any of the products that we offer for sale. For example, we may be sued if
any product we sell allegedly causes injury or is found to be otherwise unsuitable during product testing, manufacturing, marketing or
sale. Any such product liability claims may include allegations of defects in manufacturing, defects in design, a failure to warn of
dangers inherent in the product, negligence, strict liability and a breach of warranties. Claims could also be asserted under state or
federal consumer protection laws or regulations. If we cannot successfully defend ourselves against product liability claims, we may
incur substantial liabilities. Even successful defense would require significant financial and managerial resources. Regardless of the
merits or eventual outcome, liability claims may result in:
●
decreased demand for products that we may offer for sale;
●
injury
to our reputation;
●
costs
to defend the related litigation;
●
a
diversion of management’s time and our resources;
●
substantial
monetary awards to trial participants or patients;
●
product recalls, withdrawals or labeling, marketing or promotional restrictions; and
●
a
decline in our stock price.
Our
inability to obtain and retain sufficient product liability insurance at an acceptable cost to protect against potential product liability
claims could prevent or inhibit the commercialization of products we develop. We currently maintain product liability insurance up to
$5,000 per claim and in the aggregate. Although we have product liability coverage, we may have to pay amounts awarded by a court or
negotiated in a settlement that exceed our coverage limitations or that are not covered by our insurance, and we may not have, or be
able to obtain, sufficient capital to pay such amounts.
If
we fail to attract and retain key management and scientific personnel, we may be unable to successfully develop or commercialize Glucotrack
CBGM or our future product candidates, if any.
We
will need to expand and effectively manage our managerial, operational, financial, development and other resources in order to
successfully pursue our research, development and commercialization efforts for Glucotrack CBGM or our future product candidates, if
any. Our success depends on our continued ability to attract, retain and motivate highly qualified management and pre-clinical and
clinical personnel. The loss of the services of any of our executive and senior management could delay or prevent the development or
commercialization of Glucotrack CBGM or our future product candidates, if any. At present, we do not have executive insurance
policies with respect to any of our employees. We will need to hire additional personnel as we continue to expand our research and
development activities and build a sales and marketing function.
We
may not be able to attract or retain qualified management and scientific personnel in the future due to the intense competition for
qualified personnel among medical device and other businesses. If we are not able to attract and retain the necessary personnel to
accomplish our business objectives, we may experience constraints that will significantly impede the achievement of our research and
development objectives, our ability to raise additional capital and our ability to implement our business strategy. In particular,
if we lose any members of our executive or senior management teams, we may not be able to find suitable replacements in a timely
fashion or at all and our business may be harmed as a result.
We
rely on third parties to manufacture and supply our product.
We
do not own or operate manufacturing facilities for clinical or commercial production of Glucotrack CBGM, other than a prototype lab.
We have no experience in medical device manufacturing and lack the resources and the capability to manufacture the Glucotrack CBGM on
a commercial scale.
If
our manufacturing partners are unable to produce our products in the amounts, timing or pricing that we require, we may not be able to
establish a contract and obtain a sufficient alternative supply from another supplier on a timely basis and in the quantities or pricing
we require. We expect to depend on third-party contract manufacturers for the foreseeable future.
22
Glucotrack
CBGM does, and our future product candidates, if any, likely will require precise, high quality manufacturing. Any of our contract manufacturers
will be subject to ongoing periodic unannounced inspections by the FDA and other non-U.S. regulatory authorities to ensure strict compliance
with quality system regulations, including current good manufacturing practices and other applicable government regulations and corresponding
standards. If our contract manufacturers fail to achieve and maintain high manufacturing standards in compliance with quality system
regulations, we may experience manufacturing errors resulting in patient injury or death, product recalls or withdrawals, delays or interruptions
of production or failures in product testing or delivery, delay or prevention of filing or approval of marketing applications for our
products, cost overruns or other problems that could seriously harm our business.
Any
performance failure on the part of our third-party manufacturers could delay clinical development or regulatory clearance or
approval of our product candidates or commercialization of our future product candidates, if any, depriving us of potential product
revenue and resulting in additional losses. In addition, our dependence on a third-party for manufacturing may adversely affect our
future profit margins. Our ability to replace an existing manufacturer may be difficult because the number of potential
manufacturers is limited and the FDA must approve any replacement manufacturer before it can begin manufacturing our product
candidates. Such approval would require additional non-clinical testing and compliance inspections. It may be difficult or
impossible for us to identify and engage a replacement manufacturer on acceptable terms in a timely manner, or at all.
Independent
clinical investigators and contract research organizations that we may engage to conduct our clinical trials may not be diligent, careful
or timely.
We
will depend on independent clinical investigators to conduct our clinical trials. Contract research organizations may also assist us
in the collection and analysis of data. These investigators and contract research organizations will not be our employees and we will
not be able to control, other than by contract, the amount of resources spent on our endeavors, including time that they devote to products
that we develop. If independent investigators fail to devote sufficient resources to the clinical trials, or if their performance is
substandard, it will delay the approval or clearance and commercialization of any products that we develop. Further, the FDA requires
that we comply with standards, commonly referred to as good clinical practice, for conducting, recording and reporting clinical trials
to assure that data and reported results are credible and accurate and that the rights, integrity and confidentiality of trial subjects
are protected. If our independent clinical investigators and contract research organizations fail to comply with good clinical practice,
the results of our clinical trials could be called into question and the clinical development of our product candidates could be delayed.
Failure of clinical investigators or contract research organizations to meet their obligations to us or comply with federal regulations
could adversely affect the clinical development of our product candidates and harm our business.
Our
business may become subject to economic, political, regulatory and other risks associated with international operations, which could
harm our business.
Our
business is subject to risks associated with conducting business internationally. Accordingly, our future results could be harmed by
a variety of factors, including:
●
difficulties
in compliance with non-U.S. laws and regulations;
●
changes
in non-U.S. regulations and customs;
●
changes in non-U.S. currency exchange rates and currency controls;
●
changes in a specific country or region’s political or economic environment;
●
trade
protection measures, import or export licensing requirements or other restrictive actions by U.S. or non-U.S. governments;
●
negative consequences from changes in tax laws; and
●
difficulties
associated with staffing and managing foreign operations, including differing labor relations.
23
The
funding that we received through the Israeli Innovation Authority (“IIA”) for research and development activities restricts
our ability to manufacture products or to transfer technology outside of Israel.
On
March 4, 2004, the IIA agreed to provide us with a grant of 420 New Israeli Shekels (“NIS”), or approximately $93 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 glucose
monitor (the “development plan”). This grant constituted 60% of our research and development budget for the development
plan at that time. Due to our acceptance of this grant, we are subject to the provisions of the Israeli Law for the Encouragement of
Industrial Research and Development, 1984 (the “R&D Law”). Among other things, the R&D Law restricts the ability
to sell or transfer 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 non-Israeli entities. The Industrial Research and Development Committee at the IIA (the “research
committee”) may, under special circumstances, approve the transfer outside of Israel of rights in technology or know-how
developed with IIA funding subject to certain conditions, including the condition that certain payments be made to the IIA.
Additionally, products developed with IIA funding outside of Israel cannot be manufactured without the approval of a research
committee. The restrictions regarding the sale or transfer of technology or manufacturing rights out of Israel could have a material
adverse effect on the ability to enter into strategic alliances or enter into merger or acquisition transactions in the future that
provide for the sale or transfer of technology or manufacturing rights.
In
late 2023, the Company abandoned pursuit of its Israeli originated first generation product development programs top focus solely on
its next generation CBGM product development efforts for FDA market approval.
Risks
Related to Owning our Common Stock
We
have never declared or paid any cash dividends on our Common Stock and do not anticipate paying any dividends on our Common Stock in
the foreseeable future.
We
have never declared or paid any cash dividends on our Common Stock and do not anticipate paying any dividends on our Common Stock in
the foreseeable future. Any cash that might be available for payment of dividends will be used to expand our business. Payments of any
cash dividends in the future will depend on our financial condition, results of operation and capital requirements, as well as other
factors deemed relevant to our Board of Directors.
If
we are unable to continue to satisfy the applicable continued listing requirements of Nasdaq, our Common Stock could be delisted, and
we and our stockholders could face significant material adverse consequences.
In
order to remain listed on Nasdaq, we must satisfy minimum financial and other continued listing requirements and standards, including
those regarding director independence and independent committee requirements, minimum stockholders’ equity, minimum share price,
and certain corporate governance requirements.
For
example, Nasdaq Listing Rule 5550(b)(1) requires companies listed on Nasdaq to maintain a minimum of $2,500,000 in stockholders’
equity for continued listing (the “Minimum Stockholders’ Equity Requirement”). On May 21, 2024, the Nasdaq Qualifications Listing Staff (the “Staff”)
notified us that our Form 10-Q for the period ended March 31, 2024, indicated that we no longer met the Minimum Stockholders’ Equity
Requirement. Failure to meet the Minimum Stockholders’ Equity Requirement is a basis for delisting our Common Stock.
Because
we were not in compliance with the requirement to maintain a minimum bid price of $1.00 per share for continued listing on Nasdaq as
set forth in Nasdaq Listing Rule 5550(a)(2) (the “Bid Price Rule”), at the time we were notified about the
non-compliance with the Minimum Stockholders’ Equity Requirement, we were not eligible to submit a plan to regain compliance
with the Staff. However, we timely requested a hearing before the Nasdaq Hearings Panel (the “Panel”) and paid the fee,
which resulted in a stay of any suspension or delisting action pending the hearing. The hearing took place on July 9, 2024, and on
August 5, 2024, we received the decision of the Panel, and they granted us an extension until November 18, 2024 to regain compliance
with the Minimum Stockholders’ Equity Requirement.
24
On
November 19, 2024, the Company received a compliance letter (the “Compliance Letter”) from Nasdaq, informing the Company
that it had regained compliance with the Minimum Stockholders’ Equity Requirement. The Compliance Letter noted, that because
the Company’s bid price has closed below the minimum required by the Bid Price Rule following the November Offering (defined blow), the
Panel has determined to impose on the Company a Discretionary Panel Monitor, pursuant to Listing Rule 5815(d)(4)(B), for a period of
one year from the date of the Compliance Letter, to ensure that the Company maintains long-term compliance with the Minimum
Stockholders’ Equity Requirement, the Bid Price Rule, and all of Nasdaq’s continued listing requirements.
There
can be no assurance that we will be able to continue to maintain compliance with Nasdaq’s continued listing requirements, the Bid
Price Rule, or other Nasdaq listing requirements. If we are not able to comply with applicable listing standards, our shares of Common
Stock will be subject to delisting.
If
Nasdaq delists our Common Stock from trading on its exchange for failure to meet comply with the Bid Price Rule, or any other listing
standards, we and our stockholders could face significant material adverse consequences including, but not limited to:
●
a limited availability of market quotations for our securities;
●
a reduction in liquidity and market price of our Common Stock;
●
a reduction in the number of investors willing to hold or acquire our Common Stock, which could negatively impact our ability to raise equity financing;
●
a determination that our Common Stock is a “penny stock,” which will require brokers trading in our Common Stock to adhere to more stringent rules, possibly resulting in a reduced level of trading activity in the secondary trading market for our Common Stock;
●
a limited amount of analyst coverage; and
●
a decreased ability to issue additional securities or obtain additional financing in the future.
We
had identified a material weakness in our internal control over financial reporting, and we may not be able to successfully implement
remedial measures.
We
identified material weaknesses related to our internal control over financial reporting as of December 31, 2024 and concluded that internal
control over financial reporting as at December 31, 2024 were not effective. The ineffectiveness of the Company’s internal control
over financial reporting was due to identification of material weaknesses related to lack of sufficient internal accounting personnel,
segregation of duties, and lack of sufficient internal controls (including IT general controls) that encompass the Company as a whole
with respect to entity and transaction level controls in order to ensure complete documentation of complex and non-routine transactions
and adequate financial reporting.
Further,
there can be no assurance that we will not suffer from other material weaknesses or significant deficiencies in the future. If we fail
to remediate these material weaknesses or fail to otherwise maintain effective internal controls over financial reporting in the future,
such failure could result in a material misstatement of our annual or quarterly financial statements that would not be prevented or detected
on a timely basis and which could cause investors and other users to lose confidence in our financial statements, limit our ability to
raise capital and have a negative effect on the trading price of our Common Stock. Additionally, failure to remediate the material weakness
or otherwise maintain effective internal controls over financial reporting may also negatively impact our operating results and financial
condition, impair our ability to timely file our periodic and other reports with the SEC, subject us to additional litigation and regulatory
actions and cause us to incur substantial additional costs in future periods relating to the implementation of remedial measures.
25
The
market price of our Common Stock has been volatile and may continue to be volatile due to numerous circumstances beyond our control,
and stockholders could lose all or part of their investment.
The
market price of our Common Stock has been and may continue to be highly volatile. Our stock price could be subject to wide fluctuations
in response to a variety of factors, including, without limitation:
●
results of trials or studies;
●
the announcement of new products or product enhancements by us or our competitors;
●
developments
concerning intellectual property rights and regulatory approvals;
●
variations
in our and our competitors’ results of operations;
●
changes
in earnings estimates or recommendations by securities analysts, if the Common Stock is covered by analysts;
●
developments
in the medical device industry;
●
the results of product liability or intellectual property lawsuits;
●
sales,
or the perception that future sales may occur, of equity securities or issuance of debt;
●
future
issuances of Common Stock or other securities;
●
the
addition or departure of key personnel;
●
changes
in state, provincial, or federal regulations affecting us and our industry;
●
economic,
political, and other external factors;
●
announcements
by us or our competitors of acquisitions, investments or strategic alliances; and
●
general
market conditions and other factors, including factors unrelated to our operating performance.
In
addition, the stock market in general, and the market for medical device companies in particular, have experienced extreme price and
volume fluctuations. Continued or renewed market fluctuations could result in extreme volatility in the price of our Common Stock, which
could cause a decline in the value of the Common Stock.
Risks
Related to Intellectual Property
If
we are unable to obtain and enforce patent protection for our products, our business could be materially harmed.
Our
success depends, among other things, on our ability to protect proprietary methods and technologies that we develop under the patent
and other intellectual property laws of the United States and other countries, so that we can prevent others from unlawfully using our
inventions and proprietary information. However, we may not hold proprietary rights to some patents required for us to commercialize
proposed products. For this and other reasons, we may be unable to secure desired patent rights, thereby losing desired exclusivity.
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. If such licenses are not available to
us on acceptable terms, we will not be able to market the affected products or conduct the desired activities, unless we successfully
challenge the validity, enforceability or infringement of the third-party patent or otherwise circumvent the third-party patent.
Our
strategy depends on our ability to rapidly identify and seek patent protection for our discoveries. The process of obtaining patent protection
is expensive and time-consuming. Despite our efforts to protect our proprietary rights, unauthorized parties may be able to obtain and
use information that we regard as proprietary.
The
issuance of a patent does not guarantee that it is valid or enforceable. Any patents we have obtained, or which we may obtain in the
future, may be challenged, invalidated, unenforceable or circumvented. Moreover, the United States Patent and Trademark Office (the “USPTO”)
may commence interference proceedings involving our patents or patent applications. Any challenge to, finding of unenforceability or
invalidation or circumvention of our patents or patent applications would be costly, would require significant time and attention of
our management and could have a material adverse effect on our business. In addition, court decisions may introduce uncertainty in the
enforceability or scope of patents owned by medical device companies.
26
Our
pending patent applications may not result in issued patents. The patent position of medical device companies, including us, is
generally uncertain and involves complex legal and factual considerations. The standards that the USPTO and its foreign counterparts
use to grant patents are not always applied predictably or uniformly and can change. There is also no uniform, worldwide policy regarding
the subject matter and scope of claims granted or allowable in medical device patents. Accordingly, we do not know the degree of future
protection for our proprietary rights or the breadth of claims that will be allowed in any patents issued to us or to others. The legal
systems of certain countries do not favor the aggressive enforcement of patents, and the laws of foreign countries may not protect our
rights to the same extent as the laws of the United States. Therefore, the enforceability or scope of our patents in the United States
or in foreign countries cannot be predicted with certainty, and, as a result, any patents that we own may not provide sufficient protection
against competitors. We may not be able to obtain or maintain patent protection for our pending patent applications or those we may file
in the future.
We
cannot assure you that any patents that will issue, that may issue or that may be licensed to us will be enforceable or valid or will
not expire prior to the commercialization of our product candidates, thus allowing others to more effectively compete with us. Therefore,
any patents that we own may not adequately protect our product candidates or our future products.
If
we are unable to protect the confidentiality of our proprietary information and know-how, the value of our technology and products could
be adversely affected.
In
addition to patent protection, we also rely on other proprietary rights, including protection of trade secrets, know-how and confidential
and proprietary information. To maintain the confidentiality of trade secrets and proprietary information, we will seek to enter into
confidentiality and non-disclosure agreements with our employees, consultants and collaborators upon the commencement of their relationships
with us. These agreements generally require that all confidential information developed by the individual or made known to the individual
by us during the course of the individual’s relationship with us be kept confidential and not disclosed to third parties. Our agreements
with employees also generally provide and will generally provide that any inventions conceived by the individual in the course of rendering
services to us shall be our exclusive property. However, we may not obtain these agreements in all circumstances, and individuals with
whom we have these agreements may not comply with their terms. In the event of unauthorized use or disclosure of our trade secrets or
proprietary information, these agreements, even if obtained, may not provide meaningful protection, particularly for trade secrets or
other confidential information. To the extent that our employees, consultants or contractors use technology or know-how owned by third
parties in their work for us, disputes may arise between us and those third parties as to the rights in related inventions.
Adequate
remedies may not exist in the event of unauthorized use or disclosure of our confidential information. The disclosure of trade secrets
would impair our competitive position and may materially harm our business, financial condition and results of operations.
Our
commercial success depends significantly on our ability to operate without infringing the patents and other proprietary rights of third
parties.
Other
entities may have or obtain patents or proprietary rights that could limit our ability to manufacture, use, sell, offer for sale or import
products or impair our competitive position. In addition, to the extent that a third party develops new technology that covers our products,
we may be required to obtain licenses to that technology, which licenses may not be available on commercially reasonable terms, if at
all. If licenses are not available on acceptable terms, we will not be able to market the affected products or conduct the desired activities
unless we successfully challenge the validity, enforceability or infringement of the third-party patent or circumvent the third-party
patent, which would be costly and would require significant time and attention of our management. Third parties may have or obtain valid
and enforceable patents or proprietary rights that could block us from developing products using our technology. Our failure to obtain
a license to any technology that we require may materially harm our business, financial condition and results of operations.
27
If
we become involved in patent litigation or other proceedings related to a determination of rights, we could incur substantial costs and
expenses, substantial liability for damages or be required to stop our product development and commercialization efforts.
Third
parties may sue us for infringing their patent rights. Likewise, we may need to resort to litigation to enforce a patent issued or licensed
to us or to determine the scope and validity of proprietary rights of others. In addition, a third party may claim that we have improperly
obtained or used our confidential or proprietary information. The cost to us of any litigation or other proceeding relating to intellectual
property rights, even if resolved in our favor, could be substantial, and the litigation would divert management’s efforts. Some
of our competitors may be able to sustain the costs of complex patent litigation more effectively than we can because they have substantially
greater resources. Uncertainties resulting from the initiation and continuation of any litigation could limit our ability to continue
our operations.
If
any parties successfully claim that our creation or use of proprietary technologies infringes upon their intellectual property rights,
we might be forced to pay damages, potentially including treble damages, if we are found to have willfully infringed on such parties’
patent rights. In addition to any damages we might have to pay, a court could require us to stop the infringing activity or obtain a
license. Any license required under any patent may not be made available on commercially acceptable terms, if at all. In addition, such
licenses are likely to be non-exclusive and, therefore, our competitors may have access to the same technology. If we fail to obtain
a required license and are unable to design technology that does not infringe upon a patent belonging to a third party, we may be unable
to effectively market some of our technology and products, which could limit our ability to generate revenues or achieve profitability
and possibly prevent us from generating revenue sufficient to sustain operations.
Security
threats to our information technology infrastructure could expose us to liability and damage our reputation and business.
It
is essential to our business strategy that our technology and network infrastructure remain secure and are perceived by our customers
and corporate partners to be secure. Despite security measures, however, any network infrastructure may be vulnerable to cyber-attacks
by hackers and other security threats. We may face cyber-attacks that attempt to penetrate our network security, sabotage or otherwise
disable our research, products and services, misappropriate our or our customers’ and partners’ proprietary information,
which may include personally identifiable information, or cause interruptions of our internal systems and services.
Additionally,
there are a number of state, federal and international laws protecting the privacy and security of health information and personal data.
For example, HIPAA imposes limitations on the use and disclosure of an individual’s healthcare information by healthcare providers,
healthcare clearinghouses and health insurance plans, or, collectively, covered entities, and also grants individuals rights with respect
to their health information. HIPAA also imposes compliance obligations and corresponding penalties for non-compliance on individuals
and entities that provide services to healthcare providers and other covered entities. As part of the ARRA, the privacy and security
provisions of HIPAA were amended. ARRA also made significant increases in the penalties for improper use or disclosure of an individual’s
health information under HIPAA and extended enforcement authority to state attorneys general. As amended by ARRA and subsequently by
the final omnibus rule adopted in 2013, HIPAA also imposes notification requirements on covered entities in the event that certain health
information has been inappropriately accessed or disclosed as well as notification requirements to individuals, federal regulators and
in some cases, notification to local and national media. Notification is not required under HIPAA if the health information that is improperly
used or disclosed is deemed secured in accordance with encryption or other standards developed by the U.S. Department of Health and Human
Services. Most states have laws requiring notification of affected individuals and/or state regulators in the event of a breach of personal
information, which is a broader class of information than the health information protected by HIPAA. Many state laws impose significant
data security requirements, such as encryption or mandatory contractual terms, to ensure ongoing protection of personal information.
Activities outside of the United States implicate local and national data protection standards, impose additional compliance requirements,
and generate additional risks of enforcement for non-compliance. We may be required to expend significant capital and other resources
to ensure ongoing compliance with applicable privacy and data security laws, to protect against security breaches and hackers or to alleviate
problems caused by such breaches.
If
we are not able to adequately prevent disclosure of trade secrets and other proprietary information, the value of our technology and
product could be significantly diminished.
We
also rely on trade secrets to protect our proprietary technologies, especially where we do not believe patent protection is appropriate
or obtainable. However, trade secrets are difficult to protect. We rely in part on confidentiality agreements with our employees, consultants,
outside scientific collaborators, sponsored researchers and other advisors to protect our trade secrets and other proprietary information.
These agreements may not effectively prevent disclosure of confidential information and may not provide an adequate remedy in the event
of unauthorized disclosure of confidential information. In addition, others may independently discover our trade secrets and proprietary
information. For example, the FDA, as part of its transparency initiative, is currently considering whether to make additional information
publicly available on a routine basis, including information that we may consider to be trade secrets or other proprietary information,
and it is not clear at the present time how the FDA’s disclosure policies may change in the future, if at all. Costly and time-consuming
litigation could be necessary to enforce and determine the scope of our proprietary rights, and failure to obtain or maintain trade secret
protection could adversely affect our competitive business position.
28
We
may be subject to claims that our employees or consultants have wrongfully used or disclosed alleged trade secrets.
As
is common in the biotechnology and pharmaceutical industries, we employ individuals who were previously employed at other biotechnology
or pharmaceutical companies, including our competitors or potential competitors. Although we try to ensure that our employees and consultants
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
or consultants have inadvertently or otherwise used or disclosed trade secrets or other proprietary information of their former employers.
Litigation may be necessary to defend against these claims. If we fail to defend any such claims, in addition to paying monetary damages,
we could lose valuable intellectual property rights or personnel, which could adversely impact our business. Even if we are successful
in defending against these claims, litigation could result in substantial costs and be a distraction to management.
Item
1B. Unresolved Staff Comments
None.
Item
1C. Cybersecurity
Risk
Management and Strategy
We
recognize the critical importance of developing, implementing, and maintaining robust cybersecurity measures to safeguard our information
systems and protect the confidentiality, integrity, and availability of our data. The Company considers its primary cybersecurity risks
to be theft of intellectual property, theft of other business data, fraud or extortion, lack of access to its information systems, harm
to employees, harm to business partners, violation of privacy laws, potential reputational risk, and litigation or other legal risk if
a cybersecurity incident were to occur. It is difficult to assign a monetary materiality assessment to these risks or to the impact if
the Company were to sustain a breach of its systems. The Company’s approach to cybersecurity is based on the premise that any cybersecurity
incident could result in material harm to the Company. We have a cybersecurity and risk management processes in place to oversee risks
associated with cybersecurity and respond to emerging threats in a timely and effective manner. We monitor our systems to assess cybersecurity risks and threats.
Managing
Material Risks & Integrated Overall Risk Management
We
have integrated cybersecurity risk management into our broader risk management framework. This integration ensures that cybersecurity
considerations are an integral part of our decision-making process. We conduct annual risk assessments and quarterly vulnerability scans
of risks posed by cybersecurity threats in conjunction with our insurance renewal cycles. As a result of these assessments, we have implemented
technical, administrative, and, where appropriate, physical controls and practices to proactively monitor our systems and user accounts
including, but not limited to, deploying solutions to constantly monitor users accessing systems, implementation of two factor authentication
for logins, and improved rules for password maintenance .
Like
many companies, we make use of cloud-based solutions provided by several large service providers for critical information technology
infrastructure such as email and file storage. We do not maintain stand-alone servers for our email, file storage or other business applications.
In the normal course of our relationships with the providers of these services, we regularly monitor their message boards and other formal
and informal communications channels for signs of breaches of their systems. We also survey available public information for indications
that they have suffered a breach of their systems.
Engage
Third Parties on Risk Management
Our
Audit Committee has been designated with oversight responsibility for cybersecurity risks and our Chief Financial Officer is responsible
for managing our efforts in this area. Neither the Chief Financial Officer nor any member of the Audit Committee has relevant expertise
in cybersecurity. Recognizing the complexity and evolving nature of cybersecurity threats, the Company has retained an third-party technical
expert to support its information technology systems including addressing cybersecurity risks. This relationship enables us to leverage
specialized knowledge and insights, to ensure our cybersecurity strategies and processes are aligned with industry best practices.
Oversee
Third Party Risk
We
utilize various third-party software applications in the functioning of our core business. We conduct assessments of all third-party
providers and maintain ongoing reviews to ensure compliance with our cybersecurity standards. Our assessment of risks associated with
the use of third-party providers is part of our overall cybersecurity framework . In addition, some of our business partners also
maintain data related to our trials and ongoing product development on servers they maintain. We require these partners to comply with
all HIPAA standards for maintaining security of their systems where this data resides.
29
Risks
from Cybersecurity Threats
We
face risk from cybersecurity threats that could have a material adverse effect on our business, financial condition, results of operations,
cash flows or reputation. For more information about the cybersecurity risks we face, see the risk factor entitled “ Security
threats to our information technology infrastructure could expose us to liability and damage our reputation and business .”
in Item 1A., Risk Factors .
Governance
Our
Board of Directors is aware of the critical nature of managing risks associated with cybersecurity threats, and recognizes the
significance of these threats to our operational integrity and stockholder confidence.
Risk
Management Personnel
We
utilize an out-sourced information technology (IT) network and cybersecurity compliance service provider, Windstar Technologies,
Inc. (“Windstar”) Windstar, under the supervision of our Chief Financial Officer, is responsible for developing and
implementing our information security program. Windstar provides managed IT network and cloud services, network, cyber and web
security services, cyber risk audits and compliance and penetration testing assessments.
Board
of Directors Oversight
Our Board is aware of the critical nature of managing risks associated with cybersecurity threats, and recognizes
the significance of these threats to our operational integrity and stockholder confidence . The
Audit Committee is central to the Board’s oversight of cybersecurity risks and bears the primary responsibility for this domain .
Management’s
Role Managing Risk and Reporting to the Board
We do not currently have an employee who has significant and demonstrated professional IT management experience.
Presently, our Chief Financial Officer with assistance from our third-party IT services provider, Windstar,
are primarily responsible for informing the Audit Committee regarding cybersecurity risks. They provide briefings to the Audit Committee
on a regular basis, with a minimum frequency of once per year .
In
addition to scheduled meetings, the Audit Committee and the Chief Financial Officer maintain an ongoing
dialogue regarding emerging or potential cybersecurity risks. Together, they receive updates on any significant developments in the
cybersecurity domain, ensuring the Board’s oversight is proactive and responsive. This involvement ensures that cybersecurity
considerations are integrated into the Company’s broader strategic objectives and helps in identify areas for improvement,
ensuring the alignment of cybersecurity efforts with the overall risk management framework.]
To
date, we have not experienced any previous cybersecurity incidents that have materially affected or are reasonably likely to materially
affect our business strategy, results of operations, or financial condition.
Item
2. Properties
The
following table describes our principal property leased as of the date of this Annual Report. We believe the facility described below is adequate for our current needs.
Purpose
Location
Square
Footage
Office
and Research Laboratory (1)
Front Royal, Virginia
2,700
(1)
Monthly
rental payments of $2,500 per month on a month-to-month basis. The lease expires on March 31, 2027.
Item
3. Legal Proceedings
We
are not presently a party to any material litigation. From time to time, may however, become involved in litigation matters arising in
the ordinary course of our business.
Item
4. Mine Safety Disclosures
Not
applicable.
30
PART
II
Item
5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Market
Information
Our
Common Stock is listed on the Nasdaq Capital Market under the symbol “GCTK.”
Holders
As
of March 31, 2025, there were 313 holders of record of our Common Stock. A substantially greater number of holders are “street
name” or beneficial holders, whose shares of record are held by banks, brokers, and other financial institutions.
Dividends
Since
our inception, we have not paid any dividends on our Common Stock, and we currently expect that, for the foreseeable future, all earnings,
if any, will be retained for use in the development and operation of our business. In the future, our Board may decide, at its discretion,
whether dividends may be declared and paid to holders of our Common Stock.
Securities
Authorized for Issuance under Equity Compensation Plans
The
information required by Item 5 of Form 10-K regarding equity compensation plans is incorporated herein by reference to Item 12 of Part
III of this Annual Report.
Unregistered
Sales of Equity Securities
Issuance
Under Intellectual Property Purchase Agreement
On
October 7, 2022, the Company entered into the Intellectual Property Purchase Agreement (the “IP Purchase Agreement”)
with Paul Goode, which is the Company’s Chief Executive Officer, pursuant to which Dr. Goode sold, assigned, transferred, conveyed
and delivered to the Company, all of his right, title and interest in and to the following assets, properties and rights
(collectively, the “Purchased Assets”): (a) all rights, title, interests in all current and future intellectual
property, including, but not limited to patents, trademarks, trade secrets, industry know-how and other IP rights relating to an
implantable continuous glucose sensor (collectively, the “Conveyed Intellectual Property”); and (b) all the goodwill
relating to the Purchased Assets.
In
consideration for the sale by Dr. Goode of the Purchased Assets to the Company, the Company paid to Dr. Goode cash in the amount of
one dollar and became obligated to issue up to 10,000 shares of Common Stock based upon specified performance milestones as set
forth in the IP Purchase Agreement (the “Purchase Price”). In addition, if upon the final issuance of Common Stock under the IP Purchase Agreement, the aggregate
10,000 shares represent less than 1.5% of the then outstanding Common Stock of the Company, the final issuance will include such
number of additional shares so that the total aggregate issuance equals 1.5% of the outstanding shares (the “True-Up
Shares”) of Common Stock of the Company. All shares of Common Stock to be issued under the IP Purchase Agreement shall be (i) restricted over a limited
period as defined in the IP Purchase Agreement and issued in transactions exempt from registration under Section 4(a)(2) of the
Securities Act of 1933, as amended and (ii) subject to the lockup provisions.
On
December 29, 2023, 1,000 shares of Common Stock were earned under the terms of the IP Purchase Agreement and were issued to Dr. Goode on
February 6, 2024. On May 1, 2024, 1,500 shares of Common Stock were earned under the terms of the IP Purchase Agreement. On March 26, 2025, the Board determined that the third milestone was met
and that an additional 2,500 shares of Common Stock have been earned under the terms of the IP Purchase Agreement.
February
2024 Exchange
On
February 13, 2024, the Company entered into an exchange agreement (the “February Exchange Agreement”) with certain
shareholders (the “February Holders”), pursuant to which the Company and the February Holders agreed to exchange (the
“February Exchange”) Common Stock purchase warrants (the “February Warrants”) owned by the Holders for
shares of Common Stock to be issued by the Company.
31
On
February 13, 2024, the Company closed the Exchange and issued to the February Holders an aggregate of 35,932 shares of Common Stock in exchange for 43,820 February Warrants.
The
issuance of the Common Stock to the February Holders was made pursuant to the exemption from registration contained in Section
3(a)(9) of the Securities Act and Regulation D promulgated thereunder.
April
Private Placement
On
April 22, 2024, the Company entered into a private placement agreement under which the Company issued 3,968 shares of its Common Stock
at a price of $126.0 per share for aggregate gross proceeds of $500. The Offering included participation of certain members of the Company’s
executive management, Board of Directors and existing shareholders. The shares were issued in reliance on the exemption from registration
requirements thereof provided by Section 4(a)(2) of the Securities Act and Regulation D promulgated under the Securities Act. The Company
relied on this exemption from registration based in part on representations made by the investors.
June 27 Private Placement
On
July 27, 2024, the Company entered into note and warrant purchase agreements with certain officers,
directors, and existing investors (the “June 27 Investors”), providing for the private placement of unsecured promissory notes
in the aggregate principal amount of $100,000 (the “June 27 Notes”) and warrants (the “June 27 Warrants”) to purchase
up to an aggregate of 15,000 shares of Common Stock. The closing of the private placement occurred on July
1, 2024.
The
June 27 Notes bore simple interest at the rate of three percent (3%) per annum and were due and payable in cash on the earlier of:
(a) twelve (12) months from the date of the June 27 Note; or (b) the date the Company raised third-party equity capital in an amount
equal to or in excess of $1,000,000 (the “June 27 Maturity Date”). The Company could prepay the June 27 Notes at any time
prior to the June 27 Maturity Date without penalty.
Each
June 27 Warrant has an exercise price of $99.0 per share. The June 27 Warrants are immediately exercisable and have a five-year term.
The
June 27 Notes and the June 27 Warrants were issued in reliance on the exemption from registration requirements thereof provided by Section
4(a)(2) of the Securities Act and Regulation D promulgated thereunder. The Company relied on this exemption from registration
based in part on representations made by the June 27 Investors.
July
18 Private Placement
On
July 18, 2024, the Company entered into a series of convertible promissory notes with certain officers and directors (the
“July 18 Investors”), providing for the private placement of unsecured convertible promissory notes in the aggregate
principal amount of $360,000 (the “July 18 Notes” and each a “July 18 Note”).
The
July 18 Notes bore simple interest at the rate of eight percent (8%) per annum and were due and payable in cash on the earlier of:
(a) the twelve (12) month anniversary of the July 18 Note, or (b) the date of closing of a Qualified Financing (defined below) (the
“July 18 Maturity Date”).
Except
with regard to conversion of the July 18 Notes as discussed below, the Company could not prepay the July 18 Notes without the
written consent of the holder. If not sooner repaid, all outstanding principal and accrued but unpaid interest on the July 18 Notes
(the “Note Balance”), as of the close of business on the day immediately preceding the date of the closing of the next
issuance and sale of capital stock of the Company, in a single transaction or series of related transactions, to investors resulting
in gross proceeds to the Company of at least $500,000 (excluding indebtedness converted in such financing) (a “Qualified
Financing”), would automatically be converted into that number of shares of equity securities of the Company sold in the
Qualified Financing equal to the number of shares calculated by dividing (X) the Note Balance by (Y) an amount equal to the price
per share or other unit of equity securities issued in such Qualified Financing, and otherwise on the same terms as the security
issued in the Qualified Financing, provided that the conversion price per share shall not be lower than $31.20 (the “Floor Price”).
32
The
July 18 Notes were issued in reliance on the exemption from registration requirements thereof provided by Section 4(a)(2) of the Securities
Act and Regulation D promulgated thereunder. The Company relied on this exemption from registration based in part on representations
made by the July 18 Investors.
July
30 Private Placement
On
July 30, 2024, the Company entered into a convertible promissory note and
three warrant agreements (the “July 30 Warrants”) with an existing investor (the “July 30 Holder”), providing
for the private placement of a secured convertible promissory note in the aggregate principal amount of $4,000,000 (the “July 30
Note”). The July 30 Note was not convertible until and unless approved at a meeting of the Company’s stockholders (“Stockholder
Approval”). Stockholder Approval was obtained on September 26, 2024. The July 30 Note bore simple interest at the rate of eight
percent (8%) per annum and was due and payable in cash on the earlier of: (a) the twelve (12) month anniversary of July 30 Note, or (b)
the date of closing of a Sale Transaction (defined below) (the “July 30 Maturity Date”). The July 30 Note was secured by a
first-priority security interest on all Company assets.
Except
with regard to conversion of the July 30 Note or a Sale Transaction as discussed below, the Company could not prepay the July 30 Notes
without the written consent of the July 30 Holder. The July 30 Note (i) was convertible at the discretion of the July 30 Holder at a
price equal to the closing price of the Common Stock on the date of conversion and, (ii) if the closing price of the Common Stock exceeds
$100.00 per share for a period of five (5) consecutive trading days, would automatically convert at a price equal to the five-day (5)
VWAP (subject to adjustment for any stock split, stock dividend, reverse stock split, combination or similar transaction). “VWAP”
means the daily volume weighted average price of the Common Stock.
In
the event of a Sale Transaction on or prior to the Maturity Date, the Company would repay the July 30 Holder, at the July 30 Holder’s
election, as follows: (a) cash equal to 200% of the Note balance, or (b) transaction consideration in the amount to be received by the
July 30 Holder in such Sale Transaction if the July 30 Note was converted pursuant to an optional conversion. “Sale Transaction”
means a merger or consolidation of the Company with or into any other entity, or a sale of all or substantially all of the assets of
the Company, or any other transaction or series of related transactions in which the Company’s stockholders immediately prior to
such transaction(s) receive cash, securities or other property in exchange for their shares and, immediately after such transaction(s),
own less than 50% of the equity securities of the surviving corporation or its parent.
Each
July 30 Warrant becomes exercisable 12 months after its issuance and has term of 10 years. The July 30 Warrants are exercisable for cash
only and have no price-based antidilution. The first July 30 Warrant is for 106,667 shares at $37.50 per share. The second July 30 Warrant
is for 76,191 shares at $52.50 per share. The third July 30 Warrant is for 59,260 shares at $67.50 per share.
The
July 30 Note and the July 30 Warrants were issued in reliance on the exemption from registration requirements thereof provided by Section
4(a)(2) of the Securities Act and Regulation D promulgated under the Securities Act. The Company relied on this exemption from registration
based in part on representations made by the July 30 Holder
33
August
23 Conversion
On
August 23, 2024, two of the June 27 Investors entered into conversion agreements (each an “August Conversion Agreements”)
with the Company, pursuant to which the Company agreed to convert the principal amount, plus any accrued but unpaid interest
pursuant to each of the June 27 Notes, totaling $20,076 each (the “August Conversion Debt”), held by the Investors to
Common Stock at a conversion price of $20.40 per share.
Also
in satisfaction of the August Conversion Debt and pursuant to the August Conversion Agreements, the Company issued to each of the two
June 27 Investors three warrants (each an “August 23 Warrant”). Each August 23 Warrant becomes exercisable on August 16,
2025 and has term of 10 years. The August 23 Warrants are exercisable for cash only and have no price-based antidilution. The first
August 23 Warrant is for 535 shares of Common Stock and is exercisable at $37.50 per share. The second August 23 Warrant is for 382
shares of Common Stock, exercisable at $52.50 per share. The third August 23 Warrant is for 297 shares of Common Stock, exercisable
at $67.50 per share.
The
August 23 Warrants and the shares issued in satisfaction of the Debt were issued in reliance on the exemption from registration requirements
thereof provided by Section 4(a)(2) of the Securities Act and Regulation D promulgated thereunder. The Company relied on
this exemption from registration based in part on representations made by the investors.
September
5 Conversion
On
September 5, 2024, another June 27 Investor entered into a Conversion Agreement with the Company (the September Conversion
Agreement”), pursuant to which the Company agreed to convert the principal amount, plus any accrued but unpaid interest
pursuant to the June 27 Investor’s June 27 Note, totaling $259,310.67 (the “September Conversion Debt”), held by the
June 27 Investor to Common Stock at a conversion price of $20.40 per share.
Also
in satisfaction of the September Conversion Debt and pursuant to the September Conversion Agreement, the Company issued to the June 27 Investor three warrants (each an “September 5 Warrant”). Each September 5 Warrant becomes exercisable on August 16,
2025 and has term of 10 years. The September 5 Warrants are exercisable for cash only and have no price-based antidilution. The
first September 5 Warrant is for 6,915 shares of Common Stock and is exercisable at $37.50 per share. The second September 5 Warrant
is for 4,940 shares of Common Stock, exercisable at $52.50 per share. The third September 5 Warrant is for 3,842 shares of Common
Stock, exercisable at $67.50 per share.
The
September 5 Warrants and the shares issued in satisfaction of the Debt were issued in reliance on the exemption from registration requirements
thereof provided by Section 4(a)(2) of the Securities Act and Regulation D promulgated thereunder. The Company relied on
this exemption from registration based in part on representations made by the investor.
Concurrent
Private Offering
In
a private placement offering completed concurrently with the November 2024 Offering (the “Concurrent Private Offering”),
the July 30 Holder, which is an existing investor controlled by a director of the Company, converted approximately $4,093,112 of
debt, which represented the then outstanding principal and accrued interest under the July 30 Note (the “July 30 Note
Debt”). The July 30 Note Debt was converted to Common Stock and Common Warrants on substantially the same terms as the
November 2024 Offering, resulting in the issuance of 132,036 shares of Common Stock, 132,036 accompanying Series A common warrants to purchase Common Stock (the “Series A Common
Warrants”), and 132,036 accompanying Series B common warrants to purchase Common Stock (the “Series A Common Warrants”,
and together with the Series A Common Warrants, the “Common Warrants”), based on a conversion price of $31.0 per share, which
is equal to the consolidated closing bid price of the Common Stock on the Nasdaq Capital Market on November 12, 2024.
34
July
18 Note Conversion
In
addition, concurrently with the November 2024 Offering, the Company converted on substantially the same terms as the November
Offering, the three outstanding July 18 Notes, with an aggregate outstanding principal and accrued interest in the amount
of $304,494. As previously disclosed in the Form 8-K filed by the Company with the SEC on July 22, 2024, that disclosed the entry
into the July 18 Notes, the July 18 Notes were to automatically convert upon a Qualified Financing, into a number of equity
securities of the Company sold in the Qualified Financing, equal to a number of shares calculated by dividing (X) the Note Balance
by (Y) an amount equal to the price per share or other unit of equity securities issued in such Qualified Financing, and otherwise
on the same terms as the security issued in the Qualified Financing, provided that the conversion price per share shall not be lower
than the Floor Price. The three outstanding July 18 Notes automatically converted in connection with the closing of the
November 2024 Offering at a conversion price of $31.20, which is equal to the Floor Price as defined in the July 18 Notes, for an
aggregate of 9,760 shares of Common Stock, 9,760 Series A Common Warrants, and 9,760 Series B Common Warrants (the “July 18
Note Conversion”).
The
Common Stock and the Common Warrants issued in connection with the Concurrent Private Offering and the July 18 Note Conversion were not
registered under the Securities Act and were offered pursuant to the exemption from registration provided in Section 4(a)(2) under the
Securities Act and Rule 506(b) promulgated thereunder. The Company relied on this exemption from registration based in part on representations made by the investors.
Item
6. [Reserved]
Item
7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The
discussion in this section contains forward-looking statements. These statements relate to future events, our future operations or our
future financial performance. We have attempted to identify forward-looking statements by terminology such as “anticipate,”
“believe,” “can,” “continue,” “could,” “estimate,” “expect,”
“intend,” “may,” “plan,” “potential,” “predict,” “should,” “would”
or “will” or the negative of these terms or other comparable terminology, but their absence does not mean that a statement
is not forward-looking. These statements are only predictions and involve known and unknown risks, uncertainties and other factors, which
could cause our actual results to differ from those projected in any forward-looking statements we make. Several risks and uncertainties
we face are discussed in more detail under “Risk Factors” in Part I, Item 1A of this Annual Report or in the discussion and
analysis below. You should, however, understand that it is not possible to predict or identify all risks and uncertainties and you should
not consider the risks and uncertainties identified by us to be a complete set of all potential risks or uncertainties that could materially
affect us. You should not place undue reliance on the forward-looking statements we make herein because some or all of them may turn
out to be wrong. We undertake no obligation to update any of the forward-looking statements contained herein to reflect future events
and developments, except as required by law. The following discussion should be read in conjunction with the consolidated financial statements
and the notes to those statements included elsewhere in this Annual Report.
Unless
otherwise noted, all information in this Item 7 regarding share amounts of our Common Stock and prices per share of our Common Stock
has been adjusted to reflect the application of the one-for-five reverse stock split of our Common Stock that we effected on May 27,
2024 and the one-for-twenty reverse stock split of our Common Stock that we effected on February 3, 2025, as further described below,
on a retroactive basis.
Overview
The
Company was incorporated on May 18, 2010 under the laws of the State of Delaware. We are currently developing an implantable CBGM,
the Glucotrack CBGM, for persons with Type 1 diabetes and insulin-dependent Type 2 diabetes.
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 rapidly moved away from point-in-time
measurement to continuous measurement since then, the Company recently determined that it would focus its efforts on developing its Glucotrack
CBGM. As such, we have since withdrawn our CE Mark for Glucotrack and are no longer pursuing commercialization of this product or development
of any further iterations.
35
The
Company is currently developing the Glucotrack CBGM for use by Type 1 diabetes patients as well as insulin-dependent Type 2 patients.
Implant longevity is key to the success of such a device. We have continued to evolve our sensor chemistry following our successful in-vitro
feasibility study demonstrating that a minimum two-year implant life is highly probable with the current sensor design. Recently we announced
a 3-year longevity is feasible leveraging both in-vitro and in-silico test results. We have also completed four animal studies with evolving
prototype systems, all four of which consistently demonstrated a simple implant procedure, good functionality, and safety. The Company
has also successfully demonstrated continuous glucose sensing in the epidural space via two additional animal trials, both of which demonstrated
a simple implant procedure, good functionality, and safety. This latter approach is of importance for patients with painful diabetic
neuropathy contemplating spinal cord stimulation therapy for their condition. The results of these animal trials were recently presented
in poster form at the American Diabetes Association, the Diabetes Technology Society, and the DiabetesMine annual conferences.
A
regulatory submission has been made for a first in human study outside of the United States. This will be an acute study intended to
demonstrate device performance and safety. All preparatory clinical activities and applicable regulatory approvals are complete. In parallel,
the Company is also preparing for a long-term clinical trial outside the United States that is expected to begin in the second quarter of 2025.
We
believe our 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.
Our
executive management team consists of our Chief Executive Officer and President, Paul V. Goode PhD, an experienced executive with a 25+
year career developing innovative medical technologies, including at Dexcom and MiniMed (now Medtronic Diabetes) and Chief Financial
Officer, Peter C. Wulff, who has over 35 years of experience as a chief financial officer and chief operating officer in both public
and private entities. Our senior management team consists of: Mark Tapsak PhD, Chief Scientific Officer, a medical research scientist
who brings over 25 years of experience in the diabetes industry, including previous senior roles at Dexcom and Medtronic ; James
P. Thrower PhD, Vice President of Advanced Technologies, a seasoned engineering executive with 20 years’ experience formerly of
Sterling Medical Devices, Mindray DS USA and Dexcom; Drinda Benjamin, Vice President of Marketing, a medical device professional
with over 20 years of experience in the medical device and diabetes industry with senior roles at Intuity Medical, Senseonics, Abbott
Diabetes, and Medtronic Diabetes; Vincent Wong, Vice President of Operations, a medical device professional with 15 years of experience
in quality system for implantable medical device manufacturing with senior roles at Cirtec Medical and TOMZ; Sandie Martha, Vice President
Clinical Operations, a medical device professional with over 20 years of experience in the medical device and diabetes industry with
senior roles at Dexcom and GlySens; and Ted Williams, Vice President Regulatory, a medical device professional with over 20 years of
experience in the biotech and diabetes industry with a senior role at GlySens.
Recent
Developments
Research
and Development
Completion
of Preclinical Study
On
May 16, 2024, we announced that our implantable continuous glucose monitor successfully completed 30 days of a 60-day long-term preclinical
study on measuring glucose in the epidural space. The Glucotrack sensor, implanted in the epidural space of animals, closely tracked
both blood glucose and a commercially available subcutaneous CGM throughout the 30-day period. The implantation procedure took approximately
20 minutes, and the animals recovered without complications. No abnormal clinical signs or findings in the spinal cord or surrounding
tissues were observed at the 30-day mark. On June 13, 2024, we announced that the 60-day long-term study was completed, demonstrating
the feasibility of glucose monitoring in the epidural space. No abnormal clinical signs were observed throughout the study period, and
no abnormal findings were observed in the spinal cord or surrounding tissues during post-explant analysis. The study also confirmed that
the implanted sensor did not cause any delayed latent effects over the long-term period, which is particularly important as a complete
healing process in animal studies with implanted devices may take several weeks. With the completion of this study, the durability of
the epidural approach for continuous glucose monitoring has now been confirmed over the 60-day period. These developments mark another
potential use of the Glucotrack technology by combining the technology with a conventional spinal cord stimulator for treating patients
who have chronic lower back and lower limb pain, a significant proportion of which have diabetes.
On
February 4, 2025, we announced the successful completion of our first in-human clinical study, marking a significant milestone in continuous
glucose monitoring. This study represents the first real-time CBGM placed in the subclavian vein,
offering the potential for direct blood glucose measurement without the limitations often seen with traditional continuous glucose monitors
that measure glucose levels in interstitial fluid.
36
The
prospective single arm study was a short-term in-hospital study over a period of four days, focusing on the safety and procedural
aspects of the Glucotrack CBGM sensor lead placement, use, and removal. The sensor lead was placed intravascularly via a
percutaneous procedure and connected to a prototype sensor electronics component that was placed on the skin. The six study
participants had been previously diagnosed with diabetes mellitus requiring glucose monitoring and intensive insulin
therapy.
The
results established safety of the placement, usage and removal of the CBGM sensor lead. While neither the study nor prototype system
was designed to evaluate sensor accuracy, the system performed as expected with similar accuracy results as previously seen in our animal
studies.
The
study met its primary endpoint with no procedure or device related serious adverse events reported from implant through seven days post-removal
of the CBGM sensor lead. The study also confirmed the function of the CBGM sensor lead in the subclavian vein. Placement and removal
procedures were successfully performed by interventional cardiologists.
ISO
13485:2016 Certification
On
January 21, 2025, we announced that we received ISO 13485:2016 certification from the British Standards Institute
(“BSI”). We successfully completed Stage I and Stage II Assessments performed by the notified body, BSI, to verify the
Company has established, and is maintaining, a quality management system that meets all requirements of the ISO 13485:2016 standard
for design and development of its products. ISO 13485 is an internationally recognized standard for quality management systems,
created by the International Organization for Standardization to ensure the safety and effectiveness of medical devices. It builds
on the ISO 9001 standard with additional regulatory requirements specific to medical devices. In 2024, the FDA issued the Quality Management System Regulation Final Rule, which harmonizes U.S. requirements with global standards
through the adoption of ISO 13485 for medical devices. ISO 13485 is also strongly recommended and widely used in the European
Union.
Corporate
and Regulatory
Nasdaq
Listing Status
Nasdaq
Listing Rule 5550(b)(1) requires companies listed on Nasdaq to maintain a minimum of $2,500,000 in stockholders’ equity for continued
listing. On May 21, 2024, Nasdaq notified us that our Quarterly Report
on Form 10-Q for the period ended March 31, 2024, indicated that we no longer met the Minimum Stockholders’ Equity Requirement.
Failure to meet the Minimum Stockholders’ Equity Requirement was a basis for delisting our Common Stock.
Because
we were not in compliance with the Bid Price Rule at the time we were notified about the non-compliance with the Minimum
Stockholders’ Equity Requirement, we were not eligible to submit a plan to regain compliance with the Staff. However, we timely
requested a hearing before the Nasdaq Hearings Panel and paid the fee, which resulted in a stay of any suspension or delisting action
pending the hearing. The hearing took place on July 9, 2024, and on August 5, 2024, we received the decision of the Panel, and they granted
us an extension until November 18, 2024 to regain compliance with the Minimum Stockholders’ Equity Requirement.
On
November 19, 2024, the Company received a Compliance Letter from Nasdaq, informing the Company that it had regained compliance with
the Minimum Stockholders’ Equity Requirement. The Compliance Letter noted, that because the Company’s bid price has
closed below the minimum required by the Bid Price Rule following the 2024 November Offering (defined below), the Panel had
determined to impose on the Company a Discretionary Panel Monitor, pursuant to Listing Rule 5815(d)(4)(B), for a period of one year
from the date of the Compliance Letter, to ensure that the Company maintains long-term compliance with the Minimum
Stockholders’ Equity Requirement, the Bid Price Rule, and all of Nasdaq’s continued listing requirements.
37
On
December 31, 2024, we received a notification from Nasdaq that for at least the last 30 consecutive business days, the Company was not
in compliance with the Bid Price Rule and, in accordance with Nasdaq Listing Rule 5810(c)(3)(A), we have a compliance period of 180 calendar
days, or until June 30, 2025, to regain compliance with the Bid Price Rule. If at any time before June 30, 2025, the bid price of our
Common Stock closes at $1.00 per share or more for a minimum of ten consecutive business days, Nasdaq will provide us with a written
confirmation of compliance with the Bid Price Rule and the matter will be deemed closed.
If
we do not regain compliance with the Bid Price Rule by June 30, 2025, we may be eligible for an additional 180-day compliance period.
To qualify, we would be required to meet the continued listing requirement for market value of publicly held shares and all other initial
listing standards for the Nasdaq Capital Market, with the exception of the Bid Price Rule, and would need to provide written notice of
our intention to cure the bid price deficiency during the second compliance period by effecting a reverse stock split, if necessary.
There
can be no assurance that we will be able to continue to maintain compliance with Nasdaq’s continued listing requirements, the Bid
Price Rule, or other Nasdaq listing requirements. See “ Risk Factors — Our failure to maintain compliance with Nasdaq’s
continued listing requirements could result in the delisting of our Common Stock .”
Reverse
Stock Splits
2024
Reverse Stock Split
We
filed with the Delaware Secretary of State a Certificate of Amendment (the “May Certificate of Amendment”), to our
Certificate of Incorporation, as amended (the “Certificate of Incorporation”), which became effective at 4:30 p.m. on
May 17, 2024 (the “First Effective Time”) to implement a one-for-five (1:5) reverse stock split (the “2024 Reverse
Stock Split”) of the shares of our Common Stock. The 2024 Reverse Stock Split was approved by our stockholders at the 2024
annual meeting of the stockholders on April 26, 2024.
As
a result of the 2024 Reverse Stock Split, every five (5) shares of issued and outstanding Common Stock were automatically combined into
one (1) issued and outstanding share of Common Stock, without any change in the par value per share. No fractional shares were issued
as a result of the 2024 Reverse Stock Split, and any person who would otherwise be entitled to a fractional share of Common Stock as
a result of the 2024 Reverse Stock Split was entitled to receive a cash payment equal to the fraction of a share of Common Stock to which
such holder would otherwise be entitled, multiplied by the closing price per share of the Common Stock on Nasdaq at the close of business
on the date prior to the First Effective Time.
Following
the 2024 Reverse Stock Split, the number of shares of Common Stock outstanding was proportionally reduced. The shares of Common Stock
underlying the outstanding stock options and warrants were similarly adjusted along with corresponding adjustments to their exercise
prices. The 2024 Reverse Stock Split also proportionally reduced the total number of authorized shares of Common Stock from 500,000,000
shares to 100,000,000 shares.
2025
Reverse Stock Split
We
filed with the Delaware Secretary of State a Certificate of Amendment to our Certificate of Incorporation (the “2025
Certificate of Amendment”) which became effective at 4:30 p.m. on February 3, 2025 (the “Second Effective Time”),
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 our stockholders held on January 3,
2025 (the “Special Meeting”).
As a result of the 2025 Reverse Stock Split, every twenty (20) shares of issued and outstanding Common Stock were
automatically combined into one (1) issued and outstanding share of Common Stock, without any change in the par value per share. No fractional
shares were issued as a result of the 20254 Reverse Stock Split, and instead, stockholders who otherwise would have been entitled to receive
fractional shares because they held a number of shares not evenly divisible by the Reverse Stock Split ratio were entitled to receive
an additional fraction of a share of Common Stock to round up to the next whole share.
In
addition, the stockholders approved at the Special Meeting an 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 (further
described below).
38
Increase
in Authorized Common Stock
On
January 3, 2025, the Company filed an amendment to the Company’s Certificate of Incorporation, as to increase the Company’s
authorized shares of Common Stock from 100,000,000 to 250,000,000.
Financing
February
2024 Exchange
On
February 13, 2024, we entered into the February Exchange Agreement with the February Holders, pursuant to which the Company and the
February Holders agreed to exchange the February
Warrants owned by the February Holders for shares of Common Stock to be issued by the Company.
On
February 13, 2024, the Company closed the February Exchange and issued to the February Holders an aggregate of 35,932 shares of Common Stock in exchange for 43,820 February Warrants.
April
Private Placement
On
April 22, 2024, we entered into a private placement agreement under which the Company issued 3,968 shares of its Common Stock at a price
of $126.0 per share for aggregate gross proceeds of $500,000. The Offering included participation of certain members of the Company’s executive management, Board
of Directors and existing shareholders.
June
27 Private Placement
On
June 27, 2024, we entered into note and warrant purchase agreements with the June 27 Investors, providing for the private placement of unsecured promissory notes in the
aggregate principal amount of $100,000 and to purchase
up to an aggregate of 15,000 shares of Common Stock. The closing occurred on June 27, 2024.
July
18 Private Placement
On
July 18, 2024, we entered into a series of convertible promissory notes with the July 18 Investors, providing for the private placement of unsecured convertible promissory notes in the aggregate
principal amount of $360,000.
On
August 23, 2024, two of the June 27 Investors entered into conversion agreements with the Company, pursuant to which the Company agreed
to convert the principal amount, plus any accrued but unpaid interest, of each of the June 27 Notes, totaling $20,076 each, held by the
investors into Common Stock at a conversion price of $20.40 per share. On September 5, 2024, another June 27 Investor entered into a separate
conversion agreement with the Company, under which the Company agreed to convert
the principal amount, plus any accrued but unpaid interest, of the June 27 Note held by the investor, totaling $259,310, into Common
Stock at the same conversion price of $20.40 per share.
Also
in satisfaction of the debt and pursuant to the August Conversion Agreement, the Company issued to each of the two June 27 Investors
that converted their notes in August, three August 23 Warrants. Each August 23 Warrant becomes
exercisable on August 16, 2025 and has term of 10 years. The August 23 Warrants are exercisable for cash only and have no
price-based antidilution. The first August 23 Warrant is for 535 shares of Common Stock and is exercisable at $37.50 per share. The
second August 23 Warrant is for 382 shares of Common Stock, exercisable at $52.50 per share. The third August 23 Warrant is for 297
shares of Common Stock, exercisable at $67.50 per share. The June 27 Investor that converted his note in September was issued three September 5 Warrants on the same terms as the August 23 Warrants. The first September 5 Warrant is
for 6,915 shares of Common Stock and is exercisable at $37.50 per share. The second September 5 Warrant is for 4,940 shares of
Common Stock, exercisable at $52.50 per share. The third September 5 Warrant is for 3,842 shares of Common Stock, exercisable at
$67.50 per share.
39
July
30 Private Placement
On
July 30, 2024, we entered into the July 30 Note and three July 30 Warrants with the July 30 Holder, providing for the private placement
of a secured convertible promissory note in the aggregate principal amount of $4,000,000. The July 30
Note bore simple interest at the rate of eight percent (8%) per annum and is due and payable in cash on the earlier of: (a) the twelve
(12) month anniversary of July 30 Note, or (b) the date of closing of a Sale Transaction. The July 30 Note was secured by a first-priority security interest on all Company assets.
$10.0
Million Public Offering and Concurrent Private Placement
On
November 13, 2024, the Company entered into a Securities Purchase Agreement (the “Purchase Agreement”) with certain
purchasers identified on the signature pages therein, pursuant to which the Company sold in a “best efforts” public
offering (the “2024 November Offering”), pursuant to an effective registration statement on Form S-1 (File No. 333-
282158) under the Securities Act, an aggregate of (i) 121,867 shares of its
Common Stock (the “Shares”), (ii) 237,845 pre-funded warrants to purchase up to an aggregate of 237,845 shares of Common
Stock in lieu of Shares (the “Pre-Funded Warrants”), (iii) 359,712 Series A Common Warrants, and (iv) 359,712 Series B
Common Warrants. The public offering price for each Share and accompanying Common Warrants was $27.80, and the public offering price
for each Pre-Funded Warrant and accompanying Common Warrants was $27.78 (the “Offering Price”).
In
a private placement offering completed concurrently with the Offering (the “Concurrent Private Offering”), the July 30
Holder, converted approximately $4,093,112 of debt, which represented the then outstanding principal and accrued interest under a
convertible promissory note dated July 30, 2024 (the “July 30 Note Debt”). The July 30 Note Debt was converted to Common
Stock and Series A Common Warrants and Series B Common Warrants on substantially the same terms as the November 2024 Offering,
resulting in the issuance of 132,036 shares of Common Stock, 132,036 accompanying Series A Common Warrants, and 132,036 accompanying
Series B Common Warrants, based on a conversion price of $31.00 per share, which is equal to the consolidated closing bid price of
the Common Stock on the Nasdaq Capital Market on November 12, 2024.
In
addition, concurrently with the November 2024 Offering, the Company completed the July 18 Note Conversion of the outstanding July 18
Notes. The July 18 Notes, which represented an aggregate outstanding principal and accrued interest in the amount of $304,494 were converted
at a conversion price of $31.20, which is equal to the Floor Price as defined in the July 18 Notes, for an aggregate of 9,760 shares
of Common Stock, 9,760 Series A Common Warrants, and 9,760 Series B Common Warrants.
ATM
Sales Agreement
On
December 17, 2024, we entered into an ATM sales agreement (the “Sales Agreement”) with Dawson James Securities, Inc. (“Dawson
James”), pursuant to which we have agreed to issue and sell shares of Common Stock, having an aggregate offering price of up to
$8.23 million, from time to time, through an “at-the-market” equity offering program under which Dawson James will act as
sales agent (the “Agent”). As of December 31, 2024, no sales of Common Stock had been made pursuant to the Sales Agreement.
On March 21, 2025, we sold
12,377,967 shares of Common Stock at an average offering price of $0.304 per share pursuant to the Sales Agreement (the “March
ATM Sale”). We received net proceeds of approximately $3,643,000, after deducting fees owed to the placement agent from such
sale.
February
2025 Registered Direct Offering
On
February 4, 2025, we entered into a securities purchase agreement with certain institutional investors, relating to the registered direct
offering and sale of an aggregate of 2,638,042 shares of Common Stock at an offering price of $1.15 per share. The shares of Common Stock
were offered by the Company pursuant to a prospectus supplement dated February 4, 2025, and accompanying prospectus dated October 3,
2024, in connection with a takedown from the Company’s shelf registration statement on Form S-3 (Registration No. 333-282297),
which was declared effective by the SEC, on October 3, 2024 (the “February 2025 Offering” and, together with the March ATM Sale, the “2025 Offerings”). Dawson James acted as
the placement agent for the offering pursuant to a placement agency agreement, dated February 4, 2025, by and between the Company and
Dawson James. The net proceeds to the Company from the offering were approximately $2,706,000, after deducting fees owed to Dawson
James and other offering expenses. The February 2025 Offering closed on February
5, 2025.
40
Warrant
Exchange
Beginning
on January 6, 2025, through March 13, 2025, the Company received exchange notices from certain holders of the Series B Warrants, with
respect to an aggregate of 359,612 of the Series B Warrants, requiring the delivery of 9,721,782 shares of Common Stock. The remaining
100 Series B Warrants are exchangeable for an aggregate of approximately 1,940 shares of Common Stock (subject to adjustment in the event
of any stock dividend and split, reverse stock split, recapitalization, reorganization or similar transaction).
Pro Forma Impact of Registered Direct Offerings,
Warrant Exchange, and Series A Warrant Revaluation
The following financial information
has been developed by application of pro forma adjustments to the historical financial statements of the Company appearing elsewhere in
this Annual Report. The unaudited pro forma information gives effect to the 2025 Offerings, the exchange of Series B Warrants to common
stock, and the revaluation of Series A Warrants.
The unaudited pro forma
financial information is presented for informational purposes only and does not purport to represent what the results of operations or
financial position of the Company would have been had the transactions described above actually occurred on the dates indicated, nor do
they purport to project the financial condition of the Company for any future period or as of any future date. The unaudited pro forma
financial information should be read in conjunction with the Company’s financial statements and notes thereto included elsewhere in this
Annual Report.
Unaudited
Pro Forma Balance Sheet
Year Ended December 31, 2024
Adjustments
As Reported
Series B Warrant Exercise
2025 Offerings
Revaluation of Series A Warrants
Pro Forma as Adjusted
Current Assets
Cash and cash equivalents
5,617
6,300
11,917
Other current assets
151
151
Total current assets
5,768
12,068
Operating lease right-of-use asset, net
59
59
Property and equipment, net
95
95
Restricted cash
10
10
TOTAL ASSETS
5,932
12,232
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current Liabilities
Accounts payable
992
992
Operating lease liability
26
26
Convertible promissory notes
5
5
Other current liabilities
252
252
Total current liabilities
1,275
1,275
Non-Current Liabilities
Derivative financial liabilities
17,421
(14,877
)
(2,452 )
92
Operating lease liability, non-current
33
33
Loans from stockholders
203
203
Total liabilities
18,932
1,603
Commitments and contingent liabilities
Stockholders’ (Deficit) Equity
Common Stock of $0.001 par value
100,000,000 shares authorized as of December 31, 2024 and 2023; 791,609 and 208,914 shares issued and outstanding as of December 31, 2024 and 2023, respectively
1
1
Additional paid-in capital
119,229
14,877
6,300
2,452
142,858
Receipts on account of shares
228
228
Accumulated other comprehensive income
(8 )
(8 )
Accumulated deficit
(132,450 )
(132,450 )
Total stockholders’ (deficit) equity
(13,000 )
10,629
TOTAL LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
5,932
12,232
41
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 2025 and beyond,
primarily due to expanding clinical trial activities, hiring additional personnel, as well 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
and accounting 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 – Comparison of the Years Ended December 31, 2024 and 2023
All information below is stated in thousands of US dollars.
The
following discussion of our operating results explains material changes in our results of operations for the years ended December 31,
2024 and December 31, 2023. The discussion should be read in conjunction with the financial statements and related notes included elsewhere
in this Annual Report.
Research
and Development Expense
Research
and development expenses were $9,499 for the year ended December 31, 2024, as compared to $4,704 for the prior-year period. The increase
of $4,795 was primarily attributable to increased expenses related to product design, development and manufacturing activities and pre-clinical
animal studies.
General
and Administrative Expense
General
and administrative expenses were $4,655 for the year ended December 31, 2024, as compared to $2,278 for the prior-year period. The increase
of $2,377 is primarily attributable to increased legal and professional fees, personnel costs and placement agent fees.
Share-based
compensation expense included in research and development and general and administrative expense, for the fiscal years ended December
31, 2024 and 2023, was comprised as follows:
December
31,
2024
December
31,
2023
Research and development
307
176
General and administrative
364
159
671
335
The
increase in share-based compensation expense is attributable to the current year vesting of equity awards granted to employees, directors
and consultants supporting our research and development and general and administrative functions.
42
Other
(Income) Expense, net
Other
expense was $8,050 for the year ended December 31, 2024, as compared to other income $7 for the prior-year period. The increase in other
expense is primarily attributed to recognized losses on the settlement of debt and the issuance of warrants containing derivative features.
Net
Loss
Net
loss was $22,597 for the year ended December 31, 2024, as compared to a net loss of $7,097 for the prior-year period. The increase in
net loss is attributable primarily to the expense classifications discussed above.
Liquidity
and Capital Resources
As
of December 31, 2024, we had $5,617 in cash and cash equivalents compared with $4,492 in cash and cash equivalents as of December 31,
2023. The net increase in cash and cash equivalents was attributable to the $13,743 received from financing activities offset by cash
used in operating and investing activities of $12,594.
We
have a history of recurring losses, and as of December 31, 2024, we have a stockholders’ deficiency of $13,000. During the fiscal
year ended December 31, 2024, we recorded a net loss of $22,597. Our primary requirements for liquidity have been to fund product and
clinical development activities and to satisfy our general corporate and working capital needs.
Subsequent
to December 31, 2024, we received approximately $6,349 through the February 2025 Offering and the March ATM Sale. In addition,
as noted above, the impact of the subsequent financings, the exercise of Series B Warrants and the revaluation of Series A warrants
has resulted in Stockholders’ Equity of $10,629 as of December 31, 2024, on a pro forma basis.
Based
on our operating plans, we do not expect that our current cash and cash equivalents as of December 31, 2024, will be sufficient to fund
our operating, investing, and financing 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, the Company has 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 financing, 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 at 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.
Going
Concern Uncertainty
To
date, we have not yet commercialized the Glucotrack CBGM. Further development and commercialization efforts are expected to
require substantial additional expenditure. Therefore, we are dependent upon external sources for financing our operations. As of December
31, 2024, we have incurred a stockholders’ deficiency of $13,000, which includes an accumulated deficit of $132,450. In addition,
we have generated operating losses and negative operating cash flow for all reported periods. As of December 31, 2024, the balance of
cash and cash equivalents amounted to $5,617.
During
the year ended December 31, 2024, we received approximately $13,734 through public offerings and debt issuances which were
subsequently converted to equity. In addition, subsequent to the balance sheet date, we received $6,349 through the sale of
shares of Common Stock. We plan to finance our operations through the sale of debt or equity securities (including the shelf
registration statement on Form S-3 that was declared effective on October 3, 2024 by the SEC which allows us to register up to
$30,000 of certain equity and/or debt securities of the Company through prospectus supplement). There can be no assurance that we
will succeed in obtaining the necessary financing or generating sufficient revenue from sale of the Glucotrack CBGM in order to
continue our operations as a going concern.
43
Management
has considered the significance of such conditions in relation to our ability to meet current obligations and to achieve our business
targets and determined that these conditions raise substantial doubt about our ability to continue as a going concern.
Critical
Accounting Policies and Estimates
The
discussion and analysis of our financial condition and results of operations are based on our audited consolidated financial statements,
which have been prepared in accordance with accounting principles generally accepted in the United States, or GAAP. The preparation of
these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues,
expenses, and related disclosures. We evaluate our estimates on an ongoing basis. We base our estimates on historical experience and
on other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments
about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from
these estimates under different assumptions or conditions.
We
believe the following accounting policies and estimates are critical to aid you in understanding and evaluating our reported financial
results.
Share-Based
Compensation
We
grant equity-based awards under share-based compensation plans. We estimate the fair value of share-based payment awards using the Black-Scholes
option valuation model. This fair value is then amortized over the requisite service periods of the awards. The Black-Scholes option
valuation model requires the input of subjective assumptions, including price volatility of the underlying stock, risk-free interest
rate, dividend yield, and expected life of the option. Share-based compensation expense is based on awards ultimately expected to vest
and therefore is reduced by expected forfeitures. Changes in assumptions used under the Black-Scholes option valuation model could materially
affect our net loss and net loss per share.
Derivative
Financial Instruments
We
review the terms of the Common Stock, warrants and convertible debt we issue to determine whether there are derivative instruments, including
embedded conversion options that are required to be bifurcated and accounted for separately as derivative financial instruments. In circumstances
where the host instrument contains more than one embedded derivative instrument, including a conversion option, that is required to be
bifurcated, the bifurcated derivative instruments are accounted for as a single, compound derivative instrument.
Derivatives
are initially recorded at fair value and are then revalued at each reporting date with changes in the fair value reported as non-operating
income or expense. When the equity or convertible debt instruments contain embedded derivative instruments that are to be bifurcated
and accounted for as liabilities, the total proceeds received are first allocated to the fair value of all the bifurcated derivative
instruments. The remaining proceeds, if any, are then allocated to the host instruments themselves, usually resulting in those instruments
being recorded at a discount from their face value.
44
Recent
Accounting Pronouncements
Information
regarding recent accounting pronouncements is contained in Note 2 to the Consolidated
Financial Statements, included elsewhere in this report.
Off
Balance Sheet Arrangements
We
do not have any off-balance sheet arrangements.
Item
7A. Quantitative and Qualitative Disclosure About Market Risk
As
a smaller reporting company, we have elected not to provide the disclosure required by this item.
Item
8. Financial Statements and Supplementary Data
Reference
is made to pages F-1 through F-31 comprising a portion of this Annual Report on Form 10-K, which are incorporated by reference
under this Item.
Item
9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
None.
Item
9A. Controls and Procedures
Evaluation
of Disclosure Controls and Procedures
Management,
under the supervision and with the participation of the Chief Executive Officer and Chief Financial Officer, have conducted an evaluation
of the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e)
under the Exchange Act). Disclosure controls and procedures are designed to ensure that information required to be disclosed by a company
in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods
specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures
designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange
Act is accumulated and communicated to our management, including our principal executive and principal financial officers, as appropriate
to allow timely decisions regarding required disclosure. Based on that evaluation, our Chief Executive Officer and our Chief Financial
Officer, concluded that as of the end of the period covered by this Annual Report, (i) the Company’s disclosure controls and procedures
were not effective to ensure that material information relating to the Company is recorded, processed, summarized, and reported within
the time periods specified in the rules and forms of the SEC, and (ii) the Company’s controls and procedures have not been designed
to ensure that information required to be disclosed by the Company in the reports that it files or submits under the Exchange Act, is
accumulated and communicated to the Company’s management, including its principal executive and principal financial officers, or
persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.
45
Management’s
Report on Internal Controls Over Financial Reporting
Management
is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange
Act Rules 13a-15(f) and 15d-15(f). Under the supervision and with the participation of management including our Chief Executive Officer
and our Chief Financial Officer, the Company conducted an evaluation of the effectiveness of its internal control over financial reporting
based principally on the framework and criteria established in Internal Control - Integrated Framework (2013) issued by the Committee
of Sponsoring Organizations of the Treadway Commission as of the end of the period covered by this Annual Report. Based on the
foregoing evaluation, management concluded that the Company’s internal controls over financial reporting were not effective because
of the material weaknesses discussed below.
This
Annual Report does not include an attestation report of the Company’s registered public accounting firm regarding internal control
over financial reporting because the attestation report requirement has been removed for “smaller reporting companies” under
the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010.
The
Company has identified material weaknesses in its internal control over financial reporting. As defined in Regulation 12b-2 under the
Exchange Act, a “material weakness” is a deficiency, or combination of deficiencies, in internal control over financial reporting,
such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented,
or detected on a timely basis. The Company identified material weaknesses in its internal controls in the following areas: general IT
controls; lack of sufficient accounting personnel and inadequate segregation of duties consistent with control objectives. None of these
deficiencies resulted in a material misstatement to the Company’s annual or interim Consolidated Financial Statements for the year
ended December 31, 2024.
Management’s
Remediation Measures
Management
has identified corrective actions to remediate such material weaknesses, which includes the implementation of proper IT system access
controls and the proper backup of the Company’s IT architecture. In addition, the Company has outsourced certain accounting functions
to ensure proper segregation of duties over financial reporting and hired additional accounting personnel. Management intends to continue
the implementation of procedures to remediate such material weaknesses during the fiscal year 2025; however, the implementation of these
initiatives may not fully address any material weaknesses that we may have in our internal control over financial reporting.
The
Company will continue to review and improve its internal controls over financial reporting to address the underlying causes of the material
weaknesses and control deficiencies. Such material weaknesses and control deficiencies will not be remediated until the Company’s
remediation plan has been fully implemented, and it has concluded that its internal controls are operating effectively for a sufficient
period of time.
Changes
in Internal Control over Financial Reporting
Except
for the material weaknesses and the remediation efforts described above, no other change in our internal control over financial reporting
(as defined by Rules 13a-15(f) and 15d-15(f) under the Exchange Act) occurred during the quarter ended December 31, 2024, that has materially
affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.
Item
9B. Other Information
None .
Item
9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
Not
applicable.
46
PART
III
Item
10. Directors, Executive Officers and Corporate Governance
Information
Regarding Directors and Executive Officers
The following table sets forth
information regarding our executive officers and non-employee directors.
Name
Age
Position
Paul V. Goode
57
Chief Executive Officer, President, and Director
Peter C. Wulff
65
Chief Financial Officer
Luis Malave
63
Director
Erin Carter
55
Director
Dr. Robert Fischell
96
Director
Andrew K. Balo
77
Director
Allen Danzig
69
Director
John Ballantyne
55
Director
Paul V. Goode, PhD – Chief Executive Officer,
President and Director
Dr. Goode
has served as the Company’s Chief Executive Officer since November 2021. He most recently served as Vice President of Product Development
at Orchestra Biomed where he oversaw development of its implantable cardiac stimulator system for hypertension. Prior to Orchestra, from
2010 until July 2019 Dr. Goode served in several executive roles at EndoStim, including Senior Vice President of R&D, Chief Technology
Officer, and Interim Chief Executive Officer. From 2006 through 2010 he served as Vice President of Research and Development at Metacure
and from 2004 through 2006 Mr. Goode served as Director of Engineering at Impulse Dynamics. Prior to that, Mr. Goode was employed as Director
of Engineering at DexCom and as Senior Engineer at MiniMed. Dr. Goode received his BS, MS and PhD degrees from North Carolina State University.
Dr. Goode’s extensive experience in the medical device space qualifies him to serve on our Board of Directors.
Peter C. Wulff – Chief Financial Officer,
Treasurer and Corporate Secretary
Mr. Wulff has served as the Company’s
Chief Financial Officer since January 2025. Mr. Wulff has over 40 years’ experience in financial and operating management in the
emerging growth life sciences industry, having served most recently as Chief Financial Officer of Biological Dynamics, Inc., a life science
research organization focused on early cancer detection, from January 2023 to June 2024. Prior to his time at Biological Dynamics, Inc.,
he served as the Chief Financial Officer at JenaValve Technology, Inc., a heart valve technology medical device company, from August 2015
to April 2022. Mr. Wulff has served as the executive financial officer of various other medical technology companies, including PURE Bioscience,
Inc. from November 2012 to July 2015, Alphatec Spine Holdings from June 2008 to April 2011, Artes Medical Inc. from January 2005 to May
2008, and CryoCor, Inc. from May 2001 to May 2004. In these roles, he directed and managed accounting and finance and investor relations.
Mr. Wulff earned his MBA in Finance and his bachelor’s degree in Economics and Germanic Languages from Indiana University.
Luis Malavé – Director
Mr. Malavé has served
as a director of the Company since June 22, 2021 and serves on our Audit Committee and Nominating, Governance and Compensation Committee.
Mr. Malavé brings more than 30 years of leadership experience in the MedTech industry, primarily in diabetes management, spanning
all company stages, from private startups to large-cap publicly listed companies. He has extensive expertise in product development, operations,
marketing, strategic partnerships, and US FDA regulatory strategy. Since October 2017, Mr. Malavé has served as President of EOFLOW
CO. Ltd., a company listed on the Korea Stock Exchange that has developed a wearable disposable insulin pump. From October 2014 to June
2016, he was COO of Mikroscan Technologies. Prior to that, Mr. Malavé was the President and CEO of Palyon Medical, maker of an
implantable drug-delivery system that spun out from German medical-technology giant Fresenius SE. Prior to Palyon, he spent nearly a decade
at insulin pump maker Insulet Corp., including as its Senior Vice President of Research, Development and Engineering, and as Chief Operating
Officer. He also held various senior positions at Medtronic and MiniMed, overseeing product development of various diabetes management
devices. Mr. Malavé earned his Bachelor’s degree in Mathematics and Computer Science from the University of Minnesota, a
Master’s degree in Software Engineering from the University of St. Thomas, and an MBA from the University of Maryland. Mr. Malavé’s
extensive experience in the medical device space and public company experience qualify him to serve on our Board of Directors.
47
Erin Carter – Director
Ms. Carter has served as a director
of the Company since August 25, 2023, and is the Chair of its Audit Committee. Ms. Carter brings 30 years of executive level finance experience
in the medical device industry. Ms. Carter (since July of 2024) currently serves as the Chief Financial Officer for the Mayo Collaborative Services,
at the Mayo Clinic. Mayo Collaborative Services facilitates access to the Mayo Clinic diagnostic expertise and services with revenues
exceeding $1B. From 2012 until March of 2023, she held various senior roles with Medtronic, most recently serving as
Chief Financial Officer and Vice President of Finance for their $9B Neuroscience division. In addition, during her tenure at Medtronic
she grew the Gastrointestinal Solutions division from early tech start-up acquisition of $36M to revenue of $450M in 5 years through organic
growth and multiple acquisitions. Prior to Medtronic, Ms. Carter served as Director of Finance at Boston Scientific and as VP of Accounting
and Reporting at UnitedHealth Group. Prior to that, she served as Assistant Controller for Arterial Vascular Engineering, where she was
instrumental in guiding the rapid growth of the company from 200 employees to over 4,000 in under five years. During this time, she managed
the integration of two acquisitions and subsequently that company’s sale to Medtronic. Ms. Carter holds a B.S. in Business Administration
from California Polytech State University and is a Certified Public Accountant (inactive) in the State of California. Ms. Carter’s extensive
executive finance experience, including leadership roles in the medical device space, makes her qualified to serve on our Board of Directors.
Dr. Robert Fischell –Director
Dr. Fischell
has served as a director of the Company since 2010. He also serves on the Company’s Nominating, Governance and Compensation Committee
and on the Audit Committee. Dr. Fischell is an inventor and serial entrepreneur with over 160 issued U.S. patents. Starting in 1959, Dr.
Fischell spent over 30 years with the Johns Hopkins University Applied Physics Laboratory, which resulted in 53 patents in both aerospace
and biomedical technology. His interests at Johns Hopkins then turned to the invention of new medical devices such as pacemakers and implantable
heart defibrillators. Starting in 1969, Dr. Fischell began the formation of 14 private companies that licensed his patents on medical
devices. These companies include Pacesetter Systems, Inc. (purchased by Siemens and now part of St. Jude Medical, Inc.), IsoStent, Inc.
(merged with Cordis Company, a Johnson and Johnson Company), NeuroPace, Inc., Neuralieve, Inc., Angel Medical Systems, Inc., and Svelte
Medical Systems, Inc. As it relates to diabetes management devices, he was the inventor of the first implantable insulin pump (which became
Minimed, which was sold to Medtronic). Dr. Fischell’s honors include Inventor of the Year for the USA in 1984, election to the National
Academy of Engineering in 1989, the Distinguished Physics Alumnus Award of the University of Maryland, and several medals for distinguished
accomplishments in science, engineering and innovation. In 2004, Discover magazine gave Dr. Fischell their annual Technology for Humanity
award. In 2008, Dr. Fischell received the honorary degree of Doctor of Humane Letters from the Johns Hopkins University in recognition
of his many lifesaving inventions. From June 2009 until March 2011, Dr. Fischell was a director of InspireMD, Inc. (OTCBB: NSPR), a medical
device company focusing on the development and commercialization of its proprietary stent system, MGuard. Dr. Fischell received his BSME
degree from Duke University and MS and Sc.D. degrees from the University of Maryland. At the White House on May 16, 2016, President Obama
presented to Dr. Fischell the National Medical of Technology and Innovation, the highest award in the USA for achievements in innovative
technology. Dr. Fischell is suited to serve as a member of the Board of Directors due to his extensive diabetes and medical device experience.
Andrew K. Balo – Director
Mr.
Balo has served as a director of the Company since June 2024. Mr. Balo joined DexCom International, Ltd. as part of the original executive
team in 2002 and played a critical role in shaping the company’s future. During his tenure, he was responsible for numerous glucose
monitoring regulatory submissions and clinical trials worldwide and coordinated quality activities across multiple manufacturing facilities.
From February 2022 until his retirement on March 24, 2024, Mr. Balo served as Executive Vice President of Clinical, Global Access, and
Medical Affairs. Prior to joining Dexcom, Mr. Balo held several leadership positions at St. Jude Medical, including Corporate Vice President
of Regulatory, Clinical, and Quality, and also served in executive roles at Baxter, Pacesetter and Endocardial Solutions.
Mr. Balo’s extensive leadership experience in clinical and regulatory affairs makes him qualified
to serve on the Board of Directors.
48
Allen Danzig – Director
Mr. Danzig has served on our
Board since October 31, 2019 and is the Chair of our Nominating, Governance and Compensation Committee. Mr. Danzig most recently served
as Vice President, Assistant General Counsel and Assistant Secretary of L3Harris Technologies, Inc., a global aerospace and defense technology
contractor, with $17 billion in annual revenue. Prior to its merger with Harris Corporation in June 2019, Mr. Danzig served as Vice President,
Assistant General Counsel and Assistant Secretary at L3 Technologies, Inc. where he had been employed since 2006. Prior to his employment
at L3, Mr. Danzig served in management positions with Celanese Corporation, a global chemical and specialty materials company, and The
Hertz Corporation, one of the world’s largest vehicle and equipment rental companies. He received his undergraduate degree from
Adelphi University and law degree from Pace University School of Law and is a member of the New York State Bar. Mr. Danzig’s extensive
legal and corporate governance experience makes him qualified to serve on the Board of Directors.
John Ballantyne – Director
Mr. Ballantyne has served on our Board since September 2024. Mr. Ballantyne
brings over 20 years of experience on the executive team at the global biotechnology contract development and manufacturing organization,
Aldevron. He co-founded the company in 1998 and served as its Chief Science Officer through its acquisition by Danaher, and until December
2021. A leader in advancing biological science, Aldevron’s custom development and manufacturing services have provided scientists
around the world with the essential components to accelerate research within their laboratories for groundbreaking science and breakthrough
discoveries. Due to Aldevron’s significant presence in the biotechnology sector, Mr. Ballantyne has developed relationships across
a continuum of focus areas maintained through investments, Board and Scientific Advisory Board roles and co-founding of multiple companies.
Mr. Ballantyne holds undergraduate degrees in Pharmacy from the Central Institute of Technology (Heretaunga, NZ) and University of Otago
(Dunedin, NZ) and his Doctorate in Pharmaceutical Sciences from North Dakota State University (Fargo, ND). Mr. Ballantyne’s extensive
experience in healthcare research and innovation, strategic growth, and other key business functions makes him a valuable addition to
the Board.
Compliance
with Section 16(a) of the Exchange Act
Section 16(a) of the Securities Exchange Act of 1934, requires our directors,
executive officers and persons who own more than 10% of our common stock to file with the SEC initial reports of ownership and reports
of changes in ownership of common stock and other of our equity securities.
Based
solely upon a review of those reports and written representations provided to us by all of our directors and executive officers, we believe
that during the year ended December 31, 2024, our directors, executive officers and greater than 10% stockholders did not report
the following transactions on a timely basis: a Form 3 filing for Luis Malave that was due on June 22, 2021, which was filed on March
28, 2025; a Form 3 filing for Andrew Balo that was due on June 14, 2024, which was filed on March 28, 2025; a Form 3 filing for the John
A. Ballantyne Revocable Trust 08/01/2017 (the “Ballantyne Trust”) that was due on July 30, 2024, which was filed on March
28, 2025; Forms 4 for Allen Danzig reporting the acquisition of Common Stock on each of October 4, 2022 and April 8, 2024, both of which
were not filed (both of the aforementioned acquisitions by Allen Danzig were subsequently reported on a Form 4 filed on March 28, 2025);
Forms 4 for Robert Fischell reporting the acquisition of Common Stock on each of August 24, 2021 and April 8, 2024, each of which were
not filed (both of the aforementioned acquisitions by Robert Fischell were subsequently reported on a Form 4 filed on March 28, 2025);
a Form 4 for Paul Goode disclosing an option grant that was made on June 14, 2024, was not filed; a Form 4 for Paul Goode disclosing
the purchase of a warrant on July 1, 2024, was not filed; a Form 4 for Paul Goode reporting the purchase of a convertible promissory
note on July 18, 2024, was not filed; a Form 4 for Paul Goode reporting the conversion of a promissory note on November 14, 2024, was
not filed; a Form 4 for Paul Goode reporting the acquisition of Series A Common Warrants and Series B Common Warrants on November 14,
2024, was not filed; a Form 4 for Paul Goode reporting the acquisition of Common Stock pursuant to the IP Purchase Agreement, was not
filed (each of the aforementioned transactions by Paul Goode were subsequently reported on a Form 4 filed on March 28, 2025); Forms 4
for Erin Carter reporting the acquisition of Common Stock on each of December 31, 2023 and April 8, 2024, both of which were not filed;
a Form 4 for Erin Carter reporting the purchase of a convertible promissory note on July 18, 2024, was not filed; a Form 4 for Erin Carter
reporting the conversion of a promissory note on November 14, 2024, was not filed; a Form 4 for Erin Carter reporting the acquisition
of Series A Common Warrants and Series B Common Warrants on November 14, 2024, was not filed (each of the aforementioned transactions
by Erin Carter were subsequently reported on a Form 4 filed on March 28, 2025); a Form 4 for John Ballantyne reporting the purchase of
three warrants on July 30, 2024, was not filed; a Form 4 for John Ballantyne reporting the conversion of a promissory note on November
14, 2024, was not filed; a Form 4 for John Ballantyne reporting the acquisition of Series A Common Warrants and Series B Common Warrants
on November 14, 2024, was not filed; (each of the aforementioned transactions by John Ballantyne were subsequently reported on a Form
4 filed on March 31, 2025); a Form 4 for the Ballantyne Trust reporting the purchase of three warrants on July 30, 2024, was not filed;
a Form 4 for the Ballantyne Trust reporting the conversion of a promissory note on November 14, 2024, was not filed; a Form 4 for the
Ballantyne Trust reporting the acquisition of Series A Common Warrants and Series B Common Warrants on November 14, 2024, was not filed
(each of the aforementioned transactions by the Ballantyne Trust were subsequently reported on a Form 4 filed on March 31, 2025); Forms
4 for Luis Malave reporting the acquisition of Common Stock on each of August 31, 2021, December 31, 2021, March 31, 2022, June 30, 2022,
October 4, 2022, January 9, 2023, August 20, 2023, December 31, 2024 and April 8, 2024, each of which were not filed; a Form 4 for Luis
Malave reporting the purchase of a convertible promissory note on July 18, 2024, was not filed; a Form 4 for Luis Malave reporting the
conversion of a promissory note on November 14, 2024, was not filed; and a Form 4 for Luis Malave reporting the acquisition of Series
A Common Warrants and Series B Common Warrants on November 14, 2024, was not filed; (each of the aforementioned transactions by Luis
Malave were subsequently reported on a Form 4 filed on March 31, 2025).
Code
of Ethics and Business Conduct
In
accordance with the information required by this Item 10 relating to the code of ethics required by Item 406 of Regulation S-K, the
Company has a Code of Ethics and Business Ethics (the “Code of Ethics”), which applies to its directors, officers, and
employees, including its principal executive officer, principal financial officer, principal accounting officer or controller, or
persons performing similar functions (collectively, the “Covered Persons” and each a “Covered Person”). The
full text of the Code of Ethics is available on the “Investors” section of our website, which is located at www.glucotrack.com .
The Company intends to satisfy the SEC’s requirements regarding amendments to, or waivers from, the Code of Ethics by posting
such information on its website or by filing a Current Report on Form 8-K to disclose such information.
Procedures
for Stockholders to Recommend Director Nominees
There
have been no material changes to the procedures by which security holders may recommend nominees to our Board.
49
Audit
Committee Information
The
Company’s Board has a standing Audit Committee. Our Audit Committee
is chaired by Erin Carter and its other members are Luis Malave and Dr. Robert Fischell. Our Board has determined that each of these directors
is “independent” as defined by the rules of the SEC and the Nasdaq Listing Rules. The Board has determined that Ms. Carter
is an “audit committee financial expert” as that term is defined in Item 407(d)(5)(ii) of Regulation S-K.
Insider
Trading Policy
The
Company has an insider trading policy (the “Insider Trading Policy”) which prohibits Covered Persons from buying or selling the Company’s securities while the
Covered Person is aware of material nonpublic information about the Company. The Company believes that its Insider Trading Policy is
reasonably designed to promote compliance with insider trading laws, rules and regulations, and any applicable listing standards. A copy
of the Insider Trading Policy is filed as Exhibit 19.1 to this Annual Report.
Item
11. Executive Compensation
The following discussion contains
forward-looking statements that are based on our current plans, considerations, expectations and determinations regarding future compensation
programs. The actual amount and form of compensation and the compensation policies and practices that we adopt in the future may differ
materially from currently planned programs as summarized in this discussion.
We are
currently considered a “smaller reporting company” within the meaning of the Securities Act for purposes of the SEC’s
executive compensation disclosure rules. Accordingly, we are required to provide a Summary Compensation Table, as well as limited narrative
disclosures regarding executive compensation for our last two completed fiscal years and an Outstanding Equity Awards at Fiscal Year End
Table for our last completed fiscal year. These reporting obligations extend only to “named executive officers.” Individuals
we refer to as our “named executive officers” include (i) all individuals serving as our Chief Executive Officer during the
fiscal year ended December 31, 2024 and (ii) our two most highly compensated executive officers, as defined in Exchange Act Rule 3b-7,
other than our Chief Executive Officer, who were serving as executive officers at the end of the fiscal year ended December 31, 2024,
whose salary and bonus for services rendered in all capacities exceeded $100,000 during the fiscal year ended December 31, 2024.
This section
discusses material components of the executive compensation programs for the Company’s “named executive officers” who
area named in the “Summary Compensation Table” below. In 2024, the Company’s “named executive officer” was
Paul V. Goode, the Company’s Chief Executive Officer. No other executive officer of the Company received total compensation during
the fiscal year ended December 31, 2024 in excess of $100,000, and thus disclosure is not required for any other person.
Summary Compensation Table
The following table sets forth
total compensation paid to our named executive officer for the years ended December 31, 2024, and 2023.
Name and Position
Year
Salary ($)
Bonus ($)
Stock Awards ($)
Option Awards ($) (1)
Non-Equity Incentive Plan Compensation ($)
Non-qualified Deferred Compensation Earnings ($)
All Other Compensation ($)
Total ($)
Paul V Goode
2024
350,000
—
—
2,096
—
—
—
352,096
Chief Executive Officer
2023
225,000
—
—
258,243
—
—
—
356,237
50
Narrative to the Summary Compensation Table
Annual Base Salary
We pay
our named executive officer a base salary to compensate him for services rendered to our company. The base salary payable to our named
executive officers is intended to provide a fixed component of compensation reflecting the executive’s skill set, experience, role
and responsibilities.
Equity Compensation
We have
granted stock options to our employees, including our named executive officer, in order to attract and retain them, as well as to align
their interests with the interests of our shareholders. In order to provide a long-term incentive, these stock options vest over three
years subject to continued service.
Executive Compensation Arrangements
Employment Agreement
Set forth
below is a summary of the material terms of the employment agreement of our current named executive officer.
Paul Goode
On October
19, 2021, Paul V. Goode was appointed as President and Chief Operating Officer of the Company, effective November 1, 2021 (the “Goode
Effective Date”) and currently serves as the Chief Executive Officer.
In this
role, Goode leads the Company’s operations, overseeing strategy, design, manufacturing, business and product development and helps
to build the U.S. infrastructure in preparation for the U.S. clinical trials of the Company. He devotes such time as necessary to perform
his duties but is able to pursue other professional opportunities at the same time. His base salary shall be $175,000 per year, and he
is entitled to a cash bonus of up to 20% of his annual base salary as determined by the Company’s Compensation Committee and was
granted options to purchase up to one-and-a-half percent (1.5%) of the fully diluted Common Stock as of the Goode Effective Date, with
a per share exercise price equal to $49.00 per share, which vests in equal monthly installments over a three-year period following the
Goode Effective Date.
The bonus
and equity incentives are subject to clawback rights if there is a misstatement of financials which changes any metrics upon which a bonus
or incentives are based and the clawback will be pro rata based upon the changes in the financials with respect to the effect on any underlying
metrics.
Outstanding Equity Awards as of December 31, 2024
The following
table sets forth for the Company’s named executive officer certain information regarding unexercised options as of December 31,
2024:
Number of Securities Underlying Unexercised Options
Number of Securities Underlying Unexercised Options
Option
Exercise
Option
Expiration
Name
(#) Exercisable
(#) Unexercisable
Price
Date
Paul V. Goode
3,277
—
$
49.00
10/31/31
Director Compensation
Decisions regarding the compensation
to be paid to the members of our Board of Directors, if any, are determined and/or ratified by the Board with recommendations given by
the Compensation Committee. Non-employee directors are compensated with a combination of cash and shares. Additionally, we provide reimbursement
to our non-employee directors for their reasonable expenses incurred in attending meetings of our Board of Directors and its committees.
Directors may also receive equity awards from time to time. The directors who also serve as an employee of the Company do not receive
additional compensation for their service as a director.
51
The following
table sets forth information with respect to the compensation of our directors as of December 31, 2024:
Name
Fees Earned or Paid in Cash
Stock Awards ($)
Options
Awards ($)
All Other Compensation ($)
Total
Allen Danzig
$ 70,000
$ 30,000
$ —
$ —
$ 100,000
Luis Malave
$ 64,750
$ 55,250
$ —
$ —
$ 120,000
Dr. Robert Fischell
$ 70,000
$ 30,000
$ —
$ —
$ 100,000
Erin Carter
$ 45,000
$ 55,000
$ —
$ —
$ 100,000
John Ballantyne
$ —
$ 34,783
$ —
$ —
$ 34,783
Andrew Balo
$ —
$ 53,022
$ —
$ —
$ 53,022
Shimon Rapps (1)
$ 43,333
$ 15,000
$ —
$ —
$ 58,333
Andrew Sycoff (1)
$ —
$ 58,333
$ —
$ —
$ 58,333
$ 293,083
$ 331,388
$ —
$ —
$ 624,471
(1)
On July 29, 2024, the director resigned from the board of directors.
Item
12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Securities
Authorized for Issuance under Share-Based Compensation Plans
Equity Compensation Plan Information
The following
table sets forth, as of December 31, 2024, information regarding awards previously granted and outstanding, and securities authorized
for future issuance, under the Company’s equity compensation plans.
Plan Category
Number of Securities
to be Issued Upon Exercise of Outstanding Options, Warrants or Rights
Weighted-Average
Exercise Price of Outstanding Options, Warrants or Rights
Number of Securities
Remaining Available for Future Issuance Under Equity Compensation Plans (Excluding Outstanding Options, Warrants, or Rights)
Equity compensation plans approved by shareholders
16,436
$
49.72
10,321
Equity compensation plans not approved by
shareholders
-
-
-
Summary of Material Terms
of the 2024 Equity Incentive Plan
The following
is a summary of the material features of the Glucotrack, Inc. 2024 Equity Incentive Plan (the “2024 Plan”), which was adopted
by the stockholders on April 26, 2024. This summary is qualified in its entirety by the full text of the 2024 Plan, a copy of which is
filed as an exhibit to this Annual Report.
52
Purpose
The purpose
of the 2024 Plan is to provide employees, directors, and consultants with opportunities to acquire the Company’s shares, or to receive
monetary payments based on the value of such shares. Equity awards and equity-linked compensatory opportunities are intended to assist
in further aligning the interests of directors, employees, and consultants with those of our stockholders.
Eligibility
Persons
eligible to participate in the 2024 Plan will be employees, directors, and consultants of the Company and its subsidiaries as selected
from time to time by the plan administrator in its discretion, including prospective officers, employees, non-employee directors and
consultants. Any awards granted to such a prospect before the individual’s start date may not become vested or exercisable, and
no shares may be issued to such individual, before the date the individual first commences performance of services with the Company.
As of the date of this Annual Report, approximately 13 individuals are eligible to participate in the 2024 Plan.
Administration
The 2024
Plan will be administered by the Compensation Committee of our Board of Directors, our Board of Directors, or such other similar committee
pursuant to the terms of the 2024 Plan. The plan administrator, which initially will be the Compensation Committee of our Board of Directors,
will have full power to select, from among the individuals eligible for awards, the individuals to whom awards will be granted, to make
any combination of awards to participants, and to determine the specific terms and conditions of each award, subject to the provisions
of the 2024 Plan. The plan administrator may delegate to one or more officers of the Company, the authority to grant awards to individuals
who are not subject to the reporting and other provisions of Section 16 of the Exchange Act.
Share Reserve
Up
to 26,756 shares of our Common Stock may be issued under the 2024 Plan. Following stockholder approval of the 2024 Plan, no new awards
will be made under the 2010 Plan.
Shares
issuable under the 2024 Plan may be authorized, but unissued, or reacquired shares of Common Stock. Shares underlying any awards under
the 2024 Plan that are forfeited, cancelled, held back upon exercise of an option or settlement of an award to cover the exercise price
or tax withholding satisfied without the issuance of stock or otherwise terminated (other than by exercise) will be added back to the
shares available for issuance under the 2024 Plan, although shares shall not again become available for issuance as incentive stock options.
Annual Limitation on Awards to Non-Employee Directors
The 2024
Plan contains a limitation whereby the value of all awards under the 2024 Plan and all other cash compensation paid by the Company to
any non-employee director may not exceed $750,000 for the first calendar year a non-employee director is initially appointed to the Company’s
Board of Directors, and $500,000 in any other calendar year.
Types of Awards
The 2024
Plan provides for the grant of stock options, stock appreciation rights, restricted stock, restricted stock units, and other stock-based
awards (collectively, “awards”). Unless otherwise set forth in an individual award agreement, each award shall vest over a
three (3) year period, with one-third (1/3) of the award vesting on the first annual anniversary of the date of grant and the remaining
portion of the award vesting monthly thereafter.
Stock Options .
The 2024 Plan permits the granting
of both options intended to qualify as incentive stock options under Section 422 of the Internal Revenue Code of 1986, as amended (the
“Code”) and options that do not so qualify. Options granted under the 2024 Plan will be nonqualified options if they fail
to qualify as incentive stock options or exceed the annual limit on incentive stock options. Incentive stock options may only be granted
to employees of the Company and its subsidiaries. Nonqualified options may be granted to any persons eligible to receive awards under
the 2024 Plan.
53
The exercise price of each option
will be determined by the plan administrator, but such exercise price may not be less than 100% of the fair market value of one share
of Common Stock on the date of grant or, in the case of an incentive stock option granted to a 10% or greater stockholder, 110% of such
share’s fair market value. The term of each option will be fixed by the plan administrator and may not exceed ten (10) years from
the date of grant (or five years for an incentive stock option granted to a 10% or greater stockholder). The plan administrator will determine
at what time or times each option may be exercised, including the ability to accelerate the vesting of such options.
Upon exercise
of an option, the exercise price must be paid in full either in cash, check or, with approval of the plan administrator, by delivery (or
attestation to the ownership) of the shares of Company Common Stock that are beneficially owned by the optionee free of restrictions or
were purchased in the open market. Subject to applicable law and approval of the plan administrator, the exercise price may also be made
by means of a broker-assisted cashless exercise. In addition, the plan administrator may permit nonqualified options to be exercised using
a “net exercise” arrangement that reduces the number of shares issued to the optionee by the largest whole number of shares
with fair market value that does not exceed the aggregate exercise price.
Stock Appreciation Rights.
The plan
administrator may award stock appreciation rights subject to such conditions and restrictions as it may determine. Stock appreciation
rights entitle the recipient to shares of Common Stock or cash, equal to the value of the appreciation in the Company’s stock price
over the exercise price, as set by the plan administrator. The term of each stock appreciation right will be set by the plan administrator
and may not exceed ten years from the date of grant. The plan administrator will determine at what time or times each stock appreciation
right may be exercised, including the ability to accelerate the vesting of such stock appreciation rights.
Restricted Stock.
A restricted
stock award is an award of shares of Common Stock that vests in accordance with the terms and conditions established by the plan administrator.
The plan administrator will determine the persons to whom grants of restricted stock awards are made, the number of restricted shares
to be awarded, the price (if any) to be paid for the restricted shares, the time or times within which awards of restricted stock may
be subject to forfeiture, the vesting schedule and rights to acceleration thereof, and all other terms and conditions of restricted stock
awards. Unless otherwise provided in the applicable award agreement, a participant generally will have the rights and privileges of a
stockholder as to such restricted shares, including without limitation the right to vote such restricted shares and the right to receive
dividends, if applicable.
Restricted Stock Units .
Restricted stock units are the
right to receive shares of Common Stock at a future date in accordance with the terms of such grant upon the attainment of certain conditions
specified by the plan administrator. Restrictions or conditions could include, but are not limited to, the attainment of performance goals,
continuous service with the Company or its subsidiaries, the passage of time or other restrictions or conditions. The plan administrator
determines the persons to whom grants of restricted stock units are made, the number of restricted stock units to be awarded, the time
or times within which awards of restricted stock units may be subject to forfeiture, the vesting schedule, and rights to acceleration
thereof, and all other terms and conditions of the restricted stock unit awards. The value of the restricted stock units may be paid in
shares of Common Stock, cash, other securities, other property, or a combination of the foregoing, as determined by the plan administrator.
The holders
of restricted stock units will have no voting rights. Prior to settlement or forfeiture, restricted stock units awarded under the 2024
Plan may, at the plan administrator’s discretion, provide for a right to dividend equivalents. Such right entitles the holder to
be credited with an amount equal to all dividends paid on one share of Common Stock while each restricted stock unit is outstanding. Dividend
equivalents may be converted into additional restricted stock units. Settlement of dividend equivalents may be made in the form of cash,
shares of Common Stock, other securities, other property, or a combination of the foregoing. Prior to distribution, any dividend equivalents
shall be subject to the same conditions and restrictions as the restricted stock units to which they are payable.
54
Other Stock-Based Awards .
Other stock-based
awards may be granted either alone, in addition to, or in tandem with, other awards granted under the 2024 Plan and/or cash awards made
outside of the 2024 Plan. The plan administrator shall have authority to determine the persons to whom and the time or times at which
other stock-based awards will be made, the amount of such other stock-based awards, and all other conditions, including any dividend and/or
voting rights.
Repricing
The 2024
Plan authorizes the plan administrator to take the following repricing actions without stockholder approval: (i) modify the purchase price
or the exercise price of any outstanding award or (ii) cancel any award in exchange for cash or another award.
Tax Withholding
Participants
in the 2024 Plan are responsible for the payment of any federal, state, or local taxes that the Company or its subsidiaries are required
by law to withhold upon the exercise of options or stock appreciation rights or vesting of other awards. The plan administrator may cause
any tax withholding obligation of the Company or its subsidiaries to be satisfied, in whole or in part, by the applicable entity withholding
from the shares of Common Stock to be issued pursuant to an award a number of shares with an aggregate fair market value that would satisfy
the withholding amount due. The plan administrator may also require any tax withholding obligation of the Company or its subsidiaries
to be satisfied, in whole or in part, by an arrangement whereby a certain number of shares issued pursuant to any award are immediately
sold and proceeds from such sale are remitted to the Company or its subsidiaries in an amount that would satisfy the withholding amount
due.
Equitable Adjustments
In the
event of a merger, consolidation, recapitalization, stock split, reverse stock split, reorganization, split-up, spin-off, combination,
repurchase or other change in corporate structure affecting shares of Common Stock, the maximum number and kind of shares reserved for
issuance or with respect to which awards may be granted under the 2024 Plan will be adjusted to reflect such event, and the plan administrator
will make such adjustments as it deems appropriate and equitable in the number, kind, and exercise price of shares of Common Stock covered
by outstanding awards made under the 2024 Plan.
Change in Control
In the
event of any proposed change in control (as defined in the 2024 Plan), the plan administrator will take any action as it deems appropriate,
which action may include, without limitation, the following: (i) the continuation of any award, if the Company is the surviving corporation;
(ii) the assumption of any award by the surviving corporation or its parent or subsidiary; (iii) the substitution by the surviving corporation
or its parent or subsidiary of equivalent awards; (iv) accelerated vesting of the award, with all performance objectives and other vesting
criteria deemed achieved at targeted levels, and a limited period during which to exercise the award prior to closing of the change in
control, or (v) settlement of any award for the change in control price (less, to the extent applicable, the per share exercise price).
Unless determined otherwise by the plan administrator, in the event that the successor corporation refuses to assume or substitute for
the award, a participant shall fully vest in and have the right to exercise the award as to all shares of Common Stock, including those
that would not otherwise be vested or exercisable, all applicable restrictions will lapse, and all performance objectives and other vesting
criteria will be deemed achieved at targeted levels.
Transferability of Awards
Unless
determined otherwise by the plan administrator, an award may not be sold, pledged, assigned, hypothecated, transferred, or disposed of
in any manner, except to a participant’s estate or legal representative, and may be exercised, during the lifetime of the participant,
only by the participant. If the plan administrator makes an award transferable, such award will contain such additional terms and conditions
as the plan administrator deems appropriate.
55
Term
The 2024
Plan became effective when approved by our shareholders, and, unless terminated earlier, the 2024 Plan will continue in effect for a term
of ten (10) years.
Amendment and Termination
Our Board
may amend or terminate the 2024 Plan at any time. Any such termination will not affect outstanding awards. No amendment or termination
of the 2024 Plan will materially impair the rights of any participant, unless mutually agreed otherwise between the participant and the
Company. Approval of the stockholders shall be required for any amendment, where required by applicable law, as well as (i) to increase
the number of shares available for issuance under the 2024 Plan and (ii) to change the persons or class of persons eligible to receive
awards under the 2024 Plan.
Recoupment Policy
All awards
granted under the 2024 Plan, all amounts paid under the 2024 Plan, and all shares of Common Stock issued under the 2024 Plan shall be
subject to reduction, recoupment, clawback, or recovery by the Company in accordance with applicable laws and with Company policy.
Form S-8
The Company
intends to file with the SEC a registration statement on Form S-8 covering the shares of Common Stock issuable under the 2024 Plan.
Material United States Federal Income Tax Considerations
The following
is a general summary under current law of the material U.S. federal income tax considerations related to awards and certain transactions
under the 2024 Plan, based upon the current provisions of the Code and regulations promulgated thereunder. This summary deals with the
general federal income tax principles that apply and is provided only for general information. It does not describe all federal tax consequences
under the 2024 Plan, nor does it describe state, local, or foreign income tax consequences or federal employment tax consequences. The
rules governing the tax treatment of such awards are quite technical, so the following discussion of tax consequences is necessarily general
in nature and is not complete. In addition, statutory provisions are subject to change, as are their interpretations, and their application
may vary in individual circumstances. This summary is not intended as tax advice to participants, who should consult their own tax advisors.
The 2024
Plan is not qualified under the provisions of Section 401(a) of the Code and is not subject to any of the provisions of the Employee Retirement
Income Security Act of 1974, as amended. The Company’s ability to realize the benefit of any tax deductions described below depends
on the Company’s generation of taxable income as well as the requirement of reasonableness and the satisfaction of the Company’s
tax reporting obligations.
Incentive Stock Options .
No taxable
income is generally realized by the optionee upon the grant or exercise of an incentive stock option. If shares of Common Stock issued
to an optionee pursuant to the exercise of an incentive stock option are sold or transferred after two years from the date of grant and
after one year from the date of exercise, then generally (i) upon sale of such shares, any amount realized in excess of the option exercise
price (the amount paid for the shares) will be taxed to the optionee as a long-term capital gain, and any loss sustained will be a long-term
capital loss, and (ii) neither the Company nor its subsidiaries will be entitled to any deduction for federal income tax purposes; provided
that such incentive stock option otherwise meets all of the technical requirements of an incentive stock option. The exercise of an incentive
stock option will give rise to an item of tax preference that may result in alternative minimum tax liability for the optionee.
56
If the
shares of Common Stock acquired upon the exercise of an incentive stock option are disposed of prior to the expiration of the two-year
and one-year holding periods described above (a “disqualifying disposition”), generally (i) the optionee will realize ordinary
income in the year of disposition in an amount equal to the excess (if any) of the fair market value of the shares of Common Stock at
exercise (or, if less, the amount realized on a sale of such shares of Common Stock) over the option exercise price thereof, and (ii)
the Company or its subsidiaries will be entitled to deduct such amount. Special rules will apply where all or a portion of the exercise
price of the incentive stock option is paid by tendering shares of Common Stock.
If an incentive
stock option is exercised at a time when it no longer qualifies for the tax treatment described above, the option is treated as a nonqualified
option. Generally, an incentive stock option will not be eligible for the tax treatment described above if it is exercised more than three
months following termination of employment (or one year in the case of termination of employment by reason of disability). In the case
of termination of employment by reason of death, the three-month rule does not apply.
Nonqualified Options .
No income
is generally realized by the optionee at the time a nonqualified option is granted. Generally, (i) at exercise, ordinary income is realized
by the optionee in an amount equal to the difference between the option exercise price and the fair market value of the shares of Common
Stock issued on the date of exercise, and the Company or its subsidiaries receive a tax deduction for the same amount, and (ii) at disposition,
appreciation or depreciation after the date of exercise is treated as either short-term or long-term capital gain or loss depending on
how long the shares of Common Stock have been held. Special rules will apply where all or a portion of the exercise price of the nonqualified
option is paid by tendering shares of Common Stock. Upon exercise, the optionee will also be subject to Social Security taxes on the excess
of the fair market value of the shares of Common Stock over the exercise price of the option.
Stock Appreciation Rights,
Restricted Stock, Restricted Stock Units, and Other Stock-Based Awards .
The current
federal income tax consequences of other awards authorized under the 2024 Plan generally follow certain basic patterns: (i) stock appreciation
rights are taxed and deductible in substantially the same manner as nonqualified options; (ii) nontransferable restricted stock subject
to a substantial risk of forfeiture results in income recognition equal to the excess of the fair market value of the shares of Common
Stock over the price paid, if any, only at the time the restrictions lapse (unless the recipient elects to accelerate recognition as of
the date of grant through a Section 83(b) election); and (iii) restricted stock units, dividend equivalents, and other stock or cash based
awards are generally subject to tax at the time of payment. The Company or its subsidiaries generally should be entitled to a federal
income tax deduction in an amount equal to the ordinary income recognized by the participant at the time the participant recognizes such
income.
The participant’s
basis for the determination of gain or loss upon the subsequent disposition of shares of Common Stock acquired from a stock appreciation
right, restricted stock, restricted stock unit, or other stock-based award will be the amount paid for such shares plus any ordinary income
recognized when the shares were originally delivered, and the participant’s capital gain holding period for those shares will begin
on the day after they are transferred to the participant.
Parachute Payments .
The vesting
of any portion of an award that is accelerated due to the occurrence of a change in control (such as a sale event) may cause all or a
portion of the payments with respect to such accelerated awards to be treated as “parachute payments” as defined in the Code.
Any such parachute payments may be non-deductible to either the Company or its subsidiaries, in whole or in part, and may subject the
recipient to a non-deductible 20% federal excise tax on all or a portion of such payment (in addition to other taxes ordinarily payable).
57
Section 409A .
The foregoing description assumes that Section 409A of the Code does not
apply to an award under the 2024 Plan. In general, stock options and stock appreciation rights are exempt from Section 409A if the exercise
price per share is at least equal to the fair market value per share of the underlying stock at the time the option or stock appreciation
right was granted. Restricted stock awards are not generally subject to Section 409A. Restricted stock units are subject to Section 409A
unless they are settled within two and one-half months after the end of the later of (1) the end of the Company’s fiscal year in
which vesting occurs or (2) the end of the calendar year in which vesting occurs. If an award is subject to Section 409A and the provisions
for the exercise or settlement of that award do not comply with Section 409A, then the participant would be required to recognize ordinary
income whenever a portion of the award vested (regardless of whether it had been exercised or settled). This amount would also be subject
to a 20% federal tax and premium interest in addition to the federal income tax at the participant’s usual marginal rate for ordinary
income.
Security
Ownership of Certain Beneficial Owners and Management
The
following table provides information regarding the beneficial ownership of our common stock as of March 31, 2025, or the Evaluation Date,
by: (i) each of our current directors, (ii) each of our named executive officers as set forth in Item 11 of this Annual Report, (iii)
all such directors and executive officers as a group and (iv) our five percent or greater stockholders. The table is based upon information
supplied by our officers, directors and principal stockholders and a review of Schedules 13D and 13G, if any, filed with the SEC. Unless
otherwise indicated in the footnotes to the table and subject to community property laws where applicable, we believe that each of the
stockholders named in the table has sole voting and investment power with respect to the shares indicated as beneficially owned.
Applicable
percentages are based on 25,585,853 shares outstanding as of the Evaluation Date, adjusted as required by rules promulgated by the SEC.
These rules generally attribute beneficial ownership of securities to persons who possess sole or shared voting power or investment power
with respect to those securities. In addition, the rules include shares of our common stock issuable pursuant to the exercise of stock
options or warrants or settlement of shares issued for services that are either immediately exercisable or exercisable within 60 days
of the Evaluation Date. These shares are deemed to be outstanding and beneficially owned by the person holding those securities for the
purpose of computing the percentage ownership of that person, but they are not treated as outstanding for the purpose of computing the
percentage ownership of any other person. Unless otherwise noted, the business address of each of the following entities or individuals
is 301 Rte. 17 North, Ste. 800, Rutherford, NJ 07070.
Name of Beneficial Owner
Number of
Shares
Beneficially
Owned
Percent of
Common
Stock
Named Executive Officers and Directors
Paul V. Goode
27,662 (1)
*
Peter C. Wulff
—
*
Luis Malave
150,502 (2)
*
Erin Carter
47,710 (3)
*
Dr. Robert Fischell
2,077 (4)
*
Andrew K. Balo
4,490 (5)
*
Allen Danzig
1,922 (6)
*
John A. Ballantyne
3,121,871 (7)
12.02 %
All of our named executive officers and directors as a group (8 individuals)
3,356,234 (8)
12.91 %
5% or Greater Stockholders
John A. Ballantyne Rev Trust 08/01/2017
3,117,745 (9)
11.82 %
*
Indicates less than one
percent of the outstanding shares of the Company’s common stock.
(1)
Includes (i) 3,277 shares
of common stock subject to options currently exercisable or exercisable within 60 days of the Evaluation Date, (ii) 2,896 warrants
currently exercisable, (iii) 2,500 shares earned under the IP Purchase Agreement and issuable within 60 days of the Evaluation Date
and (iv) 18,989 shares of common stock held directly by Mr. Goode.
(2)
Includes (i) 6,886 warrants
currently exercisable, (ii) 2,076 unissued shares earned in connection with Board service and issuable within 60 days of the Evaluation
Date and (iii) 141,540 shares of common stock held directly by Mr. Malave.
(3)
Includes (i) 2,078 warrants
currently exercisable, (ii) 1,896 unissued shares earned in connection with Board service and issuable within 60 days of the Evaluation
Date and (iii) 43,736 shares of common stock held directly by Ms. Carter.
(4)
Includes (i) 32 shares
of common stock subject to options currently exercisable or exercisable within 60 days of the Evaluation Date, (ii) 1,498 unissued
shares earned in connection with Board service and issuable within 60 days of the Evaluation Date and (iii) 547 shares of common
stock held directly by Dr. Fischell.
(5)
Includes 4,490 unissued
shares earned in connection with Board service and issuable within 60 days of the Evaluation Date.
(6)
Includes (i) 1,498 unissued
shares earned in connection with Board service and issuable within 60 days of the Evaluation Date and (ii) 424 shares of common stock
held directly by Mr. Danzig.
(7)
Includes (i) 4,126 unissued
shares earned in connection with Board service and issuable within 60 days of the Evaluation Date, (ii) 2,743,591 shares owned by
the John A. Ballantyne Revocable Trust 08/01/2017, and (iii) 374,154 warrants currently exercisable and owned by John A. Ballantyne
Revocable Trust 08/01/2017.
(8)
Includes (i) an aggregate
of 3,309 shares of common stock subject to options currently exercisable or exercisable within 60 days of the Evaluation Date, (ii)
386,014 warrants currently exercisable, (iii) 15,584 unissued shares earned in connection with Board service and issuable within
60 days of the Evaluation Date, (iv) 2,500 shares earned under the IP Purchase Agreement and issuable within 60 days of the Evaluation
Date and (v) 2,948,827 shares of common stock, held by all directors and executive officers as a group.
(9)
Includes
2,743,591 shares owned by the John A. Ballantyne Revocable Trust 08/01/2017 and 374,154 warrants currently exercisable and
owned by John A. Ballantyne Revocable Trust 08/01/2017. The address of John A. Ballantyne Rev Trust 08/01/2017 is 7410 Claire Drive
South, Fargo ND 58104. John A. Ballantyne has voting and investment control over the shares held by John A. Ballantyne Rev Trust
08/01/2017.
Changes in Control
Management of the Company knows of no arrangements, including any pledge
by any person or securities of the Company, the operation of which may at a subsequent date result in a change in control of the registrant.
Item
13. Certain Relationships and Related Transactions, and Director Independence
Other
than as listed below, during 2024 and 2023, we were not a participant in any transaction or series of transactions in which the amount
involved did exceed or may exceed the lesser of $120,000 or 1% of the average of our total assets at year-end for 2024 and 2023 in which
any directors, director nominees, executive officers, greater than 5% beneficial owners and their respective immediate family members
(each, a “Related Person”) had or will have a direct or indirect material interest, other than the compensation arrangements
(including with respect to equity compensation) described in “ Executive Compensation ” beginning on page 50
and “ Director Compensation ” on page 51.
We
intend to ensure that in accordance with the Audit Committee charter, that the Audit Committee shall conduct reasonable prior review
and oversight of all related party transaction for potential conflicts of interest, except for transactions involving the compensation
of executive officers or directors, which shall be overseen by the compensation committee.
58
Issuance
Under IP Purchase Agreement
On
October 7, 2022, the Company entered into the IP Purchase Agreement with
Paul Goode, which is the Company’s Chief Executive Officer, pursuant to which Dr. Goode sold, assigned, transferred, conveyed and
delivered to the Company the
Purchased Assets: (a) the Conveyed Intellectual Property and (b) all the goodwill relating to the Purchased Assets.
In
consideration for the sale by Dr. Goode of the Purchased Assets to the Company, the Company paid to Dr. Goode cash in the amount of one
dollar and became obligated to issue up to 10,000 shares of Common Stock based upon specified performance milestones as set forth in
the IP Purchase Agreement. In addition, if upon the final issuance of Common Stock under the IP Purchase
Agreement, the aggregate 10,000 shares represent less than 1.5% of the then outstanding Common Stock of the Company, the final issuance
will include such number of additional shares so that the total aggregate issuance equals 1.5% of the outstanding shares (the “True-Up
Shares”) of Common Stock of the Company. All shares of Common Stock to be issued under the IP Purchase Agreement shall be (i) restricted
over a limited period as defined in the IP Purchase Agreement and issued in transactions exempt from registration under Section 4(a)(2)
of the Securities Act of 1933, as amended and (ii) subject to the lockup provisions.
On
December 29, 2023, 1,000 shares of Common Stock were earned under the terms of the IP Purchase Agreement and were issued to Dr.
Goode on February 6, 2024. On May 1, 2024, 1,500 shares of Common Stock were earned under the terms of the IP Purchase Agreement. On March 26, 2025, the Board determined that the third milestone was met and that an additional 2,500 shares of Common
Stock have been earned under the terms of the IP Purchase Agreement.
April
Private Placement
On
April 22, 2024, the Company entered into a private placement agreement under which the Company issued 3,969 shares of its Common Stock
at a price of $126.0 per share for aggregate gross proceeds of $500. The Offering included participation of certain members of the Company’s
executive management, Board of Directors and existing shareholders.
June 27 Private Placement
On
June 27, 2024, the Company entered into note and warrant purchase agreements with certain officers, directors, and existing investors
(the “June 27 Investors”), providing for the private placement of unsecured promissory notes in the aggregate principal amount
of $100,000 (the “June 27 Notes”) and warrants (the “June 27 Warrants”) to purchase up to an aggregate of 15,000
shares of Common Stock. The closing of the private placement occurred on June 27, 2024.
The
June 27 Notes bore simple interest at the rate of three percent (3%) per annum and were due and payable in cash on the earlier of: (a)
twelve (12) months from the date of the June 27 Note; or (b) the date the Company raised third-party equity capital in an amount equal
to or in excess of $1,000,000 (the “June 27 Maturity Date”). The Company could prepay the June 27 Notes at any time prior to
the June 27 Maturity Date without penalty.
Each
June 27 Warrant has an exercise price of $99.0 per share. The June 27 Warrants are immediately exercisable and have a five-year term.
July
18 Private Placement
On
July 18, 2024, the Company entered into a series of convertible promissory notes with the July
18 Investors, providing for the private placement of unsecured convertible promissory notes in the aggregate principal amount
of $360,000.
The
July 18 Notes bore simple interest at the rate of eight percent (8%) per annum and were due and payable in cash on the earlier of: (a)
the twelve (12) month anniversary of the July 18 Note, or (b) the date of closing of a Qualified Financing (defined below) (the “July
18 Maturity Date”).
59
Except
with regard to conversion of the July 18 Notes as discussed below, the Company could not prepay the July 18 Notes without the written
consent of the holder. If not sooner repaid, all outstanding principal and accrued but unpaid interest on the July 18 Notes (the “Note
Balance”), as of the close of business on the day immediately preceding the date of the closing of the next issuance and sale of
capital stock of the Company, in a single transaction or series of related transactions, to investors resulting in gross proceeds to
the Company of at least $500,000 (excluding indebtedness converted in such financing) (a “Qualified Financing”), would automatically
be converted into that number of shares of equity securities of the Company sold in the Qualified Financing equal to the number of shares
calculated by dividing (X) the Note Balance by (Y) an amount equal to the price per share or other unit of equity securities issued in
such Qualified Financing, and otherwise on the same terms as the security issued in the Qualified Financing, provided that the conversion
price per share shall not be lower than $31.20 (the “Floor Price”).
July
30 Private Placement
On
July 30, 2024, the Company entered into the July 30 Notes and the July
30 Warrants with the July 30 Holder, providing for the private placement of a secured convertible promissory note in the aggregate principal
amount of 4,000,000. The July 30 Note was not convertible until and Stockholder Approval was obtained, which occurred on September
26, 2024. The July 30 Note bore simple interest at the rate of eight percent (8%) per annum and was due and payable in cash on the July
30 Maturity Date. The July 30 Note was secured by a first-priority security interest on all Company assets.
Except
with regard to conversion of the July 30 Note or a Sale Transaction as discussed below, the Company could not prepay the July 30 Notes
without the written consent of the July 30 Holder. The July 30 Note (i) was convertible at the discretion of the July 30 Holder at a
price equal to the closing price of the Common Stock on the date of conversion and, (ii) if the closing price of the Common Stock exceeds
$100.00 per share for a period of five (5) consecutive trading days, would automatically convert at a price equal to the five-day (5)
VWAP (subject to adjustment for any stock split, stock dividend, reverse stock split, combination or similar transaction). “VWAP”
means the daily volume weighted average price of the Common Stock.
In
the event of a Sale Transaction on or prior to the Maturity Date, the Company would repay the July 30 Holder, at the July 30 Holder’s
election, as follows: (a) cash equal to 200% of the Note balance, or (b) transaction consideration in the amount to be received by the
July 30 Holder in such Sale Transaction if the July 30 Note was converted pursuant to an optional conversion. “Sale Transaction”
means a merger or consolidation of the Company with or into any other entity, or a sale of all or substantially all of the assets of
the Company, or any other transaction or series of related transactions in which the Company’s stockholders immediately prior to
such transaction(s) receive cash, securities or other property in exchange for their shares and, immediately after such transaction(s),
own less than 50% of the equity securities of the surviving corporation or its parent.
Each
July 30 Warrant becomes exercisable 12 months after its issuance and has term of 10 years. The July 30 Warrants are exercisable for cash
only and have no price-based antidilution. The first July 30 Warrant is for 106,667 shares at $37.50 per share. The second July 30 Warrant
is for 76,191 shares at $52.50 per share. The third July 30 Warrant is for 59,260 shares at $67.50 per share.
Concurrent
Private Offering
In the Concurrent Private Offering,
the July 30 Holder, which is an existing investor controlled by a director of the Company, converted the July 30 Note Debt, equaling approximately $4,093,112 of debt, which represented the then outstanding principal and accrued interest
under the July 30 Note. The
July 30 Note Debt was converted to Common Stock and Common Warrants on substantially the same terms as the November 2024 Offering, resulting
in the issuance of 132,036 shares of Common Stock, 132,036 accompanying Series A Common Warrants, and 132,036 accompanying Series B Common
Warrants, based on a conversion price of $31.0 per share, which is equal to the consolidated closing bid price of the Common Stock on
the Nasdaq Capital Market on November 12, 2024.
60
July
18 Note Conversion
In
addition, concurrently with the November 2024 Offering, the Company converted on substantially the same terms as the November Offering,
the three outstanding July 18 Notes, with an aggregate outstanding principal and accrued interest in the amount of $304,494. As previously
disclosed in the Form 8-K filed by the Company with the SEC on July 22, 2024, that disclosed the entry into the July 18 Notes, the July
18 Notes were to automatically convert upon a Qualified Financing, into a number of equity securities of the Company sold in the Qualified
Financing, equal to a number of shares calculated by dividing (X) the Note Balance by (Y) an amount equal to the price per share or other
unit of equity securities issued in such Qualified Financing, and otherwise on the same terms as the security issued in the Qualified
Financing, provided that the conversion price per share shall not be lower than the Floor Price. The three outstanding July 18 Notes
automatically converted in connection with the closing of the November 2024 Offering at a conversion price of $31.20, which is equal
to the Floor Price as defined in the July 18 Notes, for an aggregate of 9,760 shares of Common Stock, 9,760 Series A Common Warrants,
and 9,760 Series B Common Warrants (the “July 18 Note Conversion”).
Item
14. Principal Accountant Fees and Services
Fahn Kanne
& Co. Grant Thornton Israel has served as the independent registered public accounting firm for the Company for 2024 and 2023. The
following table sets forth the fees billed to the Company by Fahn Kanne & Co. Grant Thornton Israel for 2024 and 2023.
2024
2023
(in thousands)
Audit Fees (1)
$ 113,152
145,000
Audit-Related Fees
71,000
-
All Other Fees
-
-
Total Fees
$ 184,152
145,000
(1) Represents,
for each year, fees for services related to the Company’s annual financial statement audit and quarterly reviews.
Under its charter, the Company’s Audit Committee must review and
pre-approve both audit and permitted non-audit services provided by the Company’s independent registered public accounting firm
and shall not engage the independent registered public accounting firm to perform any non-audit services prohibited by law or regulation.
The independent registered public accounting firm’s retention to audit the Company’s financial statements, including the associated
fee, is subject to approval each year by the Audit Committee. The Audit Committee does not regularly evaluate potential engagements of
the independent registered public accounting firm and approve or reject such potential engagements. At each Audit Committee meeting, the
Audit Committee receives updates on the services actually provided by the independent registered public accounting firm, and management
may present additional services for pre-approval.
61
PART
IV
Item
15. Exhibits and Financial Statement Schedules
(a)
Documents filed as part of this Annual Report
(1)
All financial statements
Report of Independent Registered Public Accounting Firm*
F-2
Consolidated Balance Sheets as of December 31, 2024 and 2023
F-4
Consolidated Statements of Operations for the Years Ended December 31, 2024, 2023, and 2022
F-5
Consolidated Statements of Changes in Stockholders’ Equity for the Years Ended December 31, 2024, 2023, and 2022
F-6
Consolidated Statements of Cash Flows for the Years Ended December 31, 2024, 2023, and 2022
F-7
Notes to Consolidated Financial Statements
F-8
*
Fahn Kanne & Co., PCAOB Firm ID No. 1375
(2)
Financial Statement Schedules
All
financial statement schedules are omitted because they are either inapplicable or not required, or because the required information is
included in the Consolidated Financial Statements or notes thereto contained in this Annual Report.
(3)
Exhibits required by Item 601 of Regulation S-K
The
following documents are filed as exhibits to this registration statement:
Exhibit
Number
Description
of Exhibit
2.1
Merger Agreement and Plan of Reorganization, dated as of May 25, 2010, by and among Integrity Applications, Inc., Integrity Acquisition Ltd. and A.D. Integrity Applications Ltd. (incorporated by reference to Exhibit 2.1 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on August 22, 2011)
3.1
Certificate of Incorporation of Integrity Applications, Inc. (incorporated by reference to Exhibit 3.1 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on August 22, 2011)
3.2
Certificate of Amendment to Certificate of Incorporation of Integrity Applications, Inc. (incorporated by reference to Exhibit 3.2 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on August 22, 2011)
3.3
Bylaws of Integrity Applications, Inc. (incorporated by reference to Exhibit 3.3 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on August 22, 2011)
3.4
Certificate of Amendment to Certificate of Incorporation of Integrity Applications, Inc. (incorporated by reference to Exhibit 99.1 to the Current Report on Form 8-K filed by Integrity Applications, Inc. on April 23, 2020)
3.5
Amendments to The Company’s Certificate of Incorporation (incorporated by reference to Exhibit 3.5 to the Annual Report on Form 10-K filed by Glucotrack, Inc. on March 28, 2024)
3.6
First Amendment to Bylaws dated June 14, 2024 (incorporated by reference to Exhibit 3.01 to the Current Report on Form 8-K filed by Glucotrack, Inc. on June 20, 2024)
3.7
Certificate of Amendment to Amended and Restated Certificate of Incorporation, as filed with the Secretary of State of the State of Delaware on May 17, 2024 (incorporated by reference to Exhibit 3.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on May 20, 2024)
3.8
Certificate of Amendment of Certificate of Incorporation of Glucotrack, Inc., dated January 3, 2025 (incorporated by reference to Exhibit 3.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on January 7, 2025)
3.9
Certificate of Amendment to Certificate of Incorporation, as filed with the Secretary of State of the State of Delaware on February 3, 2025 (incorporated by reference to Exhibit 3.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on February 4, 2025)
4.1*
Description of Registrant’s Securities
4.2
Specimen Certificate Evidencing Shares of Common Stock (incorporated by reference to Exhibit 4.1 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on August 22, 2011)
4.3
Form of Warrant (incorporated by reference to Exhibit 4.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on July 1, 2024)
4.4
Form of Warrant (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed by Glucotrack, Inc. on July 31, 2024)
4.5
Form of Pre-Funded Warrant (incorporated by reference to Exhibit 4.3 to the Current Report on Form 8-K filed by Glucotrack, Inc. on November 14, 2024)
4.6
Form of Series A Common Warrant (incorporated by reference to Exhibit 4.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on November 14, 2024)
4.7
Form of Series B Common Warrant (incorporated by reference to Exhibit 4.2 to the Current Report on Form 8-K filed by Glucotrack, Inc. on November 14, 2024)
10.1+
Integrity Applications, Inc. 2010 Incentive Compensation Plan (incorporated by reference to Exhibit 10.1 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on August 22, 2011)
10.2+
Amendment No. 1 to Integrity Applications, Inc. 2010 Incentive Compensation Plan (incorporated by reference to Exhibit 10.3 to the Current Report on Form 8-K filed by Integrity Applications, Inc. on March 23, 2016)
10.3+
Amendment No. 2 to Integrity Applications, Inc. 2010 Incentive Compensation Plan (incorporated by reference to Exhibit 10.4 to the Current Report on Form 8-K filed by Integrity Applications, Inc. on April 13, 2017)
10.4+
Form of Stock Option Agreement (incorporated by reference to Exhibit 10.14 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on August 22, 2011)
10.5+
Form of Stock Option Agreement (ESOP) (incorporated by reference to Exhibit 10.15 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on August 22, 2011)
10.6
Letter of Approval, addressed to Integrity Applications Ltd. from the Ministry of Industry, Trade and Employment of the State of Israel (incorporated by reference to Exhibit 10.16 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on November 10, 2011)
62
10.7
Letter of Undertaking, addressed to the Ministry of Industry, Trade and Employment of the State of Israel - Office of the Chief Scientist from Integrity Applications Ltd. (incorporated by reference to Exhibit 10.17 to the Registration Statement on Form S-1 filed by Integrity Applications, Inc. on November 10, 2011)
10.8+
Consulting Agreement, dated October 11, 2023, by and between GlucoTrack, Inc. and James S. Cardwell (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on October 12, 2024)
10.9†
Form of Exchange Agreement, dated February 13, 2024, by and among GlucoTrack, Inc. and certain holders thereof (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on February 16, 2024)
10.10+
Employment Agreement, dated October 19, 2021, by and between Integrity Applications, Inc. and Paul V. Goode (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Integrity Applications, Inc. on October 25, 2021)
10.11+
Employment Agreement, dated January 29, 2025, by and between Glucotrack, Inc. and Peter Wulff (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on January 29, 2025)
10.12
Form of Note and Warrant Purchase Agreement (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on July 1, 2024)
10.13
Form of Promissory Note (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed by Glucotrack, Inc. on July 1, 2024)
10.14
Form of Convertible Promissory Note (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on July 22, 2024)
10.15
Form of Convertible Promissory Note (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on July 31, 2024)
10.16
Placement Agent Agreement, dated November 13, 2024, between the Company and Dawson James Securities, Inc. (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on November 14, 2024)
10.17
Form of Securities Purchase Agreement (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed by Glucotrack, Inc. on November 14, 2024)
10.18+
Glucotrack, Inc. 2024 Equity Incentive Plan (incorporated by reference to Appendix A of Glucotrack, Inc.’s DEF 14A filed with the Commission on April 1, 2024)
10.19
Form of Lock-up Agreement (incorporated by reference to Exhibit 10.3 to the Current Report on Form 8-K filed by Glucotrack, Inc. on November 14, 2024)
10.20
Securities Purchase Agreement, dated November 13, 2024, by and between the Company and John A. Ballantyne Revocable Trust DTD 8/1/2017 (incorporated by reference to Exhibit 10.4 to the Current Report on Form 8-K filed by Glucotrack, Inc. on November 14, 2024)
10.21
Form of Support Agreement (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on November 18, 2024)
10.22
At-the-Market Sales Agreement, dated December 17, 2024, by and between Glucotrack, Inc. and Dawson James Securities, Inc. (incorporated by reference to Exhibit 1.1 to the Current Report on Form 8-K filed by Glucotrack, Inc. on December 17, 2024)
19.1
Insider Trading Policies and Procedures, adopted March 22, 2024 (incorporated by reference to Exhibit 19 to the Annual Report on Form 10-K filed by Glucotrack, Inc. on March 28, 2024)
21.1*
Subsidiaries of the Registrant
23.1*
Consent of Fahn Kanne & Co., an Independent Public Accounting Firm
97.1
Policy Related to Recovery of Erroneously Awarded Compensation, adopted November 30, 2023 (incorporated by reference to Exhibit 97.1 to the Annual Report on Form 10-K filed by Glucotrack, Inc. on March 28, 2024)
31.1*
Certification of Principal Executive Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2*
Certification of Principal Financial Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1*
Certification of Principal Executive Officer, pursuant to 18 U.S.C. Section 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002
32.2*
Certification of Principal Financial Officer, pursuant to 18 U.S.C. Section 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002
99.1*
Code of Ethics
101.INS
Inline
XBRL Instance Document - the instance document does not appear in the Interactive Data File because its Inline XBRL tags are embedded
within the Inline XBRL document
101.SCH
Inline
XBRL Taxonomy Extension Schema Document
101.CAL
Inline
XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF
Inline
XBRL Taxonomy Extension Definition Linkbase Document
101.LAB
Inline
XBRL Taxonomy Extension Label Linkbase Document
101.PRE
Inline
XBRL Taxonomy Extension Presentation Linkbase Document
104
Cover
Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)
+
Denotes a management contract or compensatory plan or arrangement.
*
Filed or furnished herewith
†
Certain of the exhibits and schedules to this Exhibit have been omitted in accordance with Regulation S-K Item 601(a)(5). The Registrant
agrees to furnish a copy of all omitted exhibits and schedules to the SEC upon its request.
Item
16. Form 10-K Summary
None.
63
INDEX
TO CONSOLIDATED FINANCIAL STATEMENTS
Contents
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM (Fahn Kanne & Co., PCAOB Firm ID No. 1375 )
F-2
Consolidated Financial Statements
Consolidated Balance Sheets as of December 31, 2024 and 2023
F-4
Consolidated Statements of Operations for the Years Ended December 31, 2024 and 2023
F-5
Consolidated Statements of Changes in Stockholders’ Equity for the Years Ended December 31, 2024 and 2023
F-6
Consolidated Statements of Cash Flows for the Years Ended December 31, 2024 and 2023
F-7
Notes to Consolidated Financial Statements
F-8
F- 1
REPORT
OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Fahn
Kanne & Co.
Head
Office
32
Hamasger Street
Tel-Aviv
6721118, ISRAEL
PO
Box 36172, 6136101
T
+972 3 7106666
F
+972 3 7106660
www.gtfk.co.il
Report
of Independent Registered Public Accounting Firm
Board
of Directors and the Stockholders of
GLUCOTRACK
INC.
Opinion
on the financial statements
We
have audited the accompanying consolidated balance sheets of Glucotrack Inc. a Delaware corporation (the “Company”) as
of December 31, 2024, and 2023, the related consolidated statements of operations and comprehensive loss, changes in
stockholders’ equity and cash flows for each of the two years in the period ended December 31, 2024, and the related notes
(collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial
statements present fairly, in all material respects, the financial position of the Company as of December 31, 2024, and 2023, and
the results of its operations and its cash flows for each of the two years in the period ended December 31, 2024, in conformity with
accounting principles generally accepted in the United States of America .
Going
Concern
The
accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As
discussed in Note 1B to the consolidated financial statements, the Company has incurred operating losses and negative cash flows from its
operations and comprehensive loss since its inception and as of December 31, 2024, there is an accumulated deficit of $132,450.
These conditions, along with other matters as set forth in Note 1B, raise substantial doubt about the Company’s ability to
continue as a going concern. Management’s plans regarding these matters are also described in Note 1B. The consolidated
financial statements do not include any adjustments that might result from the outcome of this uncertainty.
Basis
for opinion
These
consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an
opinion on the Company’s consolidated financial statements based on our audits. We are a public accounting firm registered
with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with
respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the
Securities and Exchange Commission and the PCAOB.
We
conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. The Company
is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits,
we are required to obtain an understanding of internal control over financial reporting but not for the purpose of expressing an opinion
on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion.
Our
audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error
or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding
the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant
estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits
provide a reasonable basis for our opinion.
Critical
Audit Matters
The
critical audit matters communicated below are matters arising from the current period audit of the consolidated financial statements that
were communicated or required to be communicated to the audit committee and that (1) relate to accounts or disclosures that are material
to the consolidated financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication
of critical audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are
not, by communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or
disclosures to which they relate.
F- 2
The accounting and valuation of warrant derivative
liability
As described further in Notes 4F, 4G and 4J to the
consolidated financial statements, the Series A warrants, and Series B warrants issued by the Company in November 2024, as part of a package
issuance (hereinafter – “the Warrants”), include certain features that management has determined to preclude such financial
instruments from being considered as indexed to the company’s own stock and accordingly, the Warrants are accounted for as warrant
derivative liability. In evaluating whether the Warrants are deemed indexed to the company’s own equity, the management used the
assistance of a third-party accounting expert. The Warrants were recognized upon initial recognition and on each reporting date at fair
value with changes in fair value reported in earnings. As the Warrants are not traded on a public exchange, the Company is required to
estimate their fair value based on a valuation technique.
Upon initial recognition and at each reporting date,
management, with the assistance of a third-party appraiser, performs a fair value measurement using option pricing model with inputs that
include the exercise price, share prices risk-free interest rates, term to expiration and volatility. Because certain inputs used to determine
the fair value of option contracts are unobservable (principally implied volatility) and require the management to use Judgments and assumptions,
the Company has categorized the warrant derivative liability as Level 3 fair value measure.
On December 31, 2024, the fair value of the Company’s warrant derivative liability was $17,421 thousands and, in the year, ended
December 31, 2024, the company recognized loss from changes in fair value in earnings in the amount of $798 thousands.
We identified the accounting and the valuation of the Warrants as a critical audit matter. The principal considerations for our determination
that the accounting and the valuation of the Warrants is a critical audit matter are due to the high degree of auditor judgment, effort
and subjectivity in performing procedures and evaluating management’s accounting analysis and the estimates and assumptions. Given
the complexity of the accounting of financial instruments involved, the subjective nature and judgment applied by management, auditing
these accounting treatment and estimates required a high degree of auditor judgment and an increased extent of effort including the use
of specialists.
Our audit procedures related to the accounting
and the valuation of the warrant derivative liability included the following, among others. We evaluated the appropriateness of the option
pricing model; tested the completeness, accuracy and relevance of underlying data used in the model; and evaluated the reasonableness
of significant assumptions used by management, including mainly implied volatility. Our evaluation involved evaluating whether the assumptions
used by management were reasonable. We utilized a valuation specialist and an accounting expert to assess the accounting analysis and
the appropriateness of the option pricing model used by the company and to assist us with testing the assumptions in the model.
Going
Concern
As
described further in Note 1B to the consolidated financial statements, the Company has not yet generated significant revenues from
its previous product and the development and commercialization of its current product is expected to require substantial additional
expenditures. Thus, it was determined by Company’s management that the Company is dependent upon external sources for
financing its operations. As of December 31, 2024, the Company has incurred an accumulated deficit of $132,450. Furthermore, the
Company has generated recurring operating losses and negative operating cash flow. As of December 31, 2024, the remaining balance of
cash was determined by the Company’s management as insufficient for the Company to realize its business
plans for the twelve-month period subsequent to the reporting period. Accordingly, the Company’s management has determined
that these conditions raise substantial doubt about the Company’s ability to continue as a going concern.
The
Company plans to finance its operations through the sale of equity and/or debt securities. However, Company’s management has concluded
that such plans do not alleviate the substantial doubt regarding to the Company’s ability to continue as a going concern as it
was determined by management that there can be no assurance that the Company will succeed in obtaining the necessary financing or generating
sufficient revenues from sales of its current product in order to continue its operations as a going concern.
We
identified the assessment of the Company’s ability to continue as a going concern as a critical audit matter. The principal considerations
for our determination are due to significant judgment required by management when assessing the Company’s ability to continue as
a going concern, taking into consideration management plans, the Company’s available funds, the ability of the Company to generate
revenues from sales of its current product and the risk of bias in management’s judgments and assumptions in their determination.
Our
audit procedures related to this matter included the following, among others. We reviewed and evaluated management’s plans for
dealing with the adverse effect of these conditions and events. We inquired Company management and reviewed the company records to assess
whether there are additional factors that might contribute to the uncertainties disclosed. We evaluated the reasonableness of significant
assumptions used by management in its determination. We assessed whether the Company’s determination that there is substantial
doubt about its ability to continue as a going concern was adequately disclosed.
/s/
FAHN KANNE & CO. GRANT THORNTON ISRAEL
Certified
Public Accountants (Isr.)
We
have served as the Company’s auditor since 2010.
Tel-Aviv,
Israel
March
31, 2025
F- 3
GLUCOTRACK
INC.
CONSOLIDATED
BALANCE SHEETS
December
31,
2024
December
31,
2023
In
thousands of US dollars
(except
stock data)
December
31,
2024
December
31,
2023
Current Assets
Cash and cash
equivalents (Note 2D)
5,617
4,492
Other
current assets
151
376
Total
current assets
5,768
4,868
Operating lease right-of-use asset, net (Note
6)
59
-
Property and equipment, net
95
27
Restricted cash (Note
2D)
10
10
TOTAL
ASSETS
5,932
4,905
LIABILITIES AND STOCKHOLDERS’
(DEFICIT) EQUITY
Current Liabilities
Accounts payable
992
839
Operating lease liability,
current (Note 6)
26
-
Convertible promissory
notes (Note 4E)
5
-
Other
current liabilities
252
673
Total current liabilities
1,275
1,512
Non-Current Liabilities
Derivative financial liabilities
(Note 4F, 4G and Note 4J)
17,421
-
Operating lease liability,
non-current (Note 6)
33
-
Loans
from stockholders (Note 3)
203
196
Total liabilities
18,932
1,708
Commitments and contingent liabilities (Note
5)
-
Stockholders’ (Deficit) Equity (Note
8)
Common Stock of $ 0.001 par value (“Common
Stock”):
100,000,000 shares authorized as of December
31, 2024 and 2023; 791,609 and 208,914 shares issued and outstanding as of December 31, 2024 and 2023, respectively
1
-
Common Stock of $0.001 par value (“Common
Stock”): 100,000,000 shares authorized as of December
31, 2024 and 2023; 802,609 and 208,914 shares issued and outstanding as of December 31, 2024 and 2023, respectively
1
-
Additional paid-in capital
119,229
112,986
Receipts on account of shares
228
48
Accumulated other comprehensive
income
( 8 )
16
Accumulated
deficit
( 132,450 )
( 109,853 )
Total
stockholders’ (deficit) equity
( 13,000 )
3,197
TOTAL LIABILITIES AND
STOCKHOLDERS’ (DEFICIT) EQUITY
5,932
4,905
The
accompanying notes are an integral part of these consolidated financial statements
F- 4
GLUCOTRACK
INC.
CONSOLIDATED
STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
2024
2023
In
thousands of US dollars
(except
stock and per stock amounts)
2024
2023
Research and development expenses
(Note 9)
9,499
4,704
Marketing expenses
393
122
General and administrative
expenses (Note 10)
4,655
2,278
Total operating expenses
14,547
7,104
Operating loss
14,547
7,104
Other (income) expense
( 14 )
-
Change in fair value of derivative liability
798
-
Loss on equity issuance
1,925
-
Loss on settlement of liabilities
4,758
-
Finance expense (income), net (Note
7)
583
( 7 )
Loss for the year
22,597
7,097
Other comprehensive loss:
Foreign currency translation
adjustment
( 24 )
1
Comprehensive
loss for the year
22,573
7,098
Basic and diluted loss per
share (Note 2O)
68.44
34.18
Weighted average number
of Common Stock outstanding used in computing basic and diluted net loss per share
330,171
207,603
The
accompanying notes are an integral part of the consolidated financial statements.
F- 5
GLUCOTRACK
INC.
CONSOLIDATED
STATEMENTS OF CHANGES IN STOCKHOLDERS’ (DEFICIT) EQUITY
In
thousands of US Dollars (except share data)
Common
Stock
Receipts
on
Accumulated
Total
Numbers
of
Shares
Amount
Additional
Paid-in
Capital
account of
shares
Other
Comprehensive
Income
Accumulated
Deficit
Stockholders’
(Deficit) Equity
Balance as of January 1, 2023
154,999
-
103,110
4
17
( 101,901 )
1,230
Loss for the year
-
-
-
-
-
( 7,097 )
( 7,097 )
Other comprehensive loss
-
-
-
-
( 1 )
-
( 1 )
Net proceeds received from underwritten U.S.
public offering
53,765
-
8,730
-
-
-
8,730
Deemed dividend resulted from trigger of down
round protection feature of certain warrants granted
-
-
855
-
-
( 855 )
-
Stock-based compensation
-
-
281
-
-
-
281
Issuance of restricted
shares as compensation to directors
150
- (* )
10
44
-
-
54
Balance as of December
31, 2023
208,914
-
112,986
48
16
( 109,853 )
3,197
Balance
208,914
-
112,986
48
16
( 109,853 )
3,197
Loss for the year
-
-
-
-
-
( 22,597 )
( 22,597 )
Other comprehensive loss
-
-
-
-
( 24 )
-
( 24 )
Stock-based compensation
-
-
173
-
-
-
173
Issuance of restricted shares as compensation
to directors
4,343
-
126
( 48 )
-
-
78
Restricted shares to be issued as compensation
towards directors
-
-
-
228
-
-
228
Issuance of restricted shares as payment for
achievement of milestone pursuant to purchase agreement (Note 5B)
2,500
-
192
-
-
-
192
Issuance of Common Stock upon private placement
transaction (Note 4C)
3,968
-
500
-
-
-
500
Exercise of prefunded warrants into shares
19,765
-
-
-
-
-
-
Issuance of Ordinary Shares upon completion
of public offering, net of offering expenses
121,867
-
-
-
-
-
-
Issuance of detachable warrants through private
placement transactions
237,845
-
-
-
-
-
-
Exchange of warrants into shares
35,932
1
( 1 )
-
-
-
-
Issuance of shares and warrants as settlement
of financial liabilities
156,475
-
2,618
-
-
-
2,618
Issuance of detachable
warrants through private placement transactions
-
-
2,635
-
-
-
2,635
Balance as of December
31, 2024
791,609
1
119,229
228
( 8 )
( 132,450 )
( 13,000 )
Balance
791,609
1
119,229
228
( 8 )
( 132,450 )
( 13,000 )
(*) Less than 1.
The
accompanying notes are an integral part of the consolidated financial statements.
F- 6
GLUCOTRACK
INC.
CONSOLIDATED
STATEMENTS OF CASH FLOWS
2024
2023
Cash flows from operating
activities:
Loss for the
year
( 22,597 )
( 7,097 )
Adjustments to reconcile
loss for the year to net cash used in operating activities:
Depreciation
36
13
Equity issuance costs
1,217
-
Stock-based compensation
173
281
Issuance of restricted
shares as compensation to directors
306
54
Shares issued to CEO for
achieving of IP Agreement milestones
192
-
Loss on settlement of liabilities
4,758
-
Loss on equity issuance
1,925
-
Change in fair value of
derivative liability
798
-
Discount amortization and interest expenses related to promissory notes
628
-
Linkage difference on principal
of loans from stockholders
7
1
Changes
in assets and liabilities:
Decrease (increase) in other current
assets
225
( 309 )
Increase in accounts payable
263
167
Increase
(decrease) in other current liabilities
( 421 )
332
Net cash used in operating
activities
( 12,490 )
( 6,558 )
Cash flows from investment
activities:
Purchase
of property and equipment
( 104 )
-
Net cash used in investment
activities
( 104 )
-
Cash flows from financing
activities
Issuance of promissory
notes and detachable warrants through private placement Transaction (Note 4E)
100
-
Net proceeds received from
underwritten U.S. public offering (Note 4J)
8,783
-
Issuance of convertible
promissory notes - related parties (Note 4G)
4,000
-
Issuance of convertible
promissory notes and bifurcated conversion feature through
private placement transaction (Note 4F)
360
-
Net
proceeds received from underwritten U.S. public offering (Note 4C)
500
8,730
Net cash provided by financing
activities
13,743
8,730
Effect of exchange rate
changes on cash and cash equivalents
( 24 )
( 1 )
Change in cash, cash equivalents, and restricted
cash
1,125
2,171
Cash, cash equivalents,
and restricted cash at beginning of the year
4,502
2,331
Cash, cash equivalents,
and restricted cash at end of the year
5,627
4,502
Supplemental
disclosure of cash flow activities:
(a) Net cash (received) paid during the year
for:
Interest
$ ( 62 )
$ -
(b) Non-cash investment and financing activities:
Deemed dividend upon
trigger of down round protection
$ -
$ 855
Recognition of right
for use asset against a lease liability (Note 6)
$ 79
$ -
Settlement of liabilities
with equity (Note 4H and 4I)
$ 1,743
$ -
Derivative liability
(Note 4G)
$ 35
$ -
Conversion of debt into
equity (Note 4F and 4G)
$ 2,284
$ -
The
accompanying notes are an integral part of the consolidated financial statements.
F- 7
GLUCOTRACK
INC.
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE
1 – GENERAL
A.
The
Company was incorporated on May 18, 2010 under the laws of the State of Delaware. The Company is currently developing an implantable
CBGM, the Glucotrack CBGM, for persons with Type 1 diabetes and insulin-dependent Type 2 diabetes.
The
Glucotrack CBGM is being developed for use by Type 1 diabetes patients as
well as insulin-dependent Type 2 patients. Implant longevity is key to the success of such
a device. The Company has continued to evolve its sensor chemistry following the successful
in-vitro feasibility study demonstrating that a minimum two-year implant life is highly probable
with the current sensor design. Recently the Company announced 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.
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.
A
regulatory submission has been made for a first in human study outside of the United States. This will be an acute study intended to
demonstrate device performance and safety. All preparatory clinical activities and applicable regulatory approvals are complete. In parallel,
the Company is also preparing for a long-term clinical trial outside the United States that is expected to begin in the second quarter
of 2025.
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.
B.
Liquidity
and capital resources
To
date, the Company has not yet commercialized the Glucotrack CBGM Product. Further development
and commercialization efforts are expected to require substantial additional expenditure.
Therefore, the Company is dependent upon external sources for financing its operations. As
of December 31, 2024, the Company has incurred an accumulated deficit of $ 132,450 . In addition,
the Company has generated operating losses and negative cash flow from operations since inception.
As of December 31, 2024, the balance of cash and cash equivalents amounted to $ 5,617 .
During
the year ended December 31, 2024, the Company raised approximately $ 15 million through public offerings and debt issuances which
were subsequently converted to equity. In addition, subsequent to the balance sheet date, the Company raised $ 6.3 million through the
sale of shares of Common Stock. See Note 4 and 14. The Company plans to finance its operations through the sale of equity
securities (and/or debt securities). There can be no assurance that the Company will succeed in obtaining the necessary financing
or generating sufficient revenue from sale of its Glucotrack CBGM Product in order to continue its operations as a going concern.
Management
has considered the significance of such conditions in relation to the Company’s ability to meet its current obligations and
to achieve its business targets and determined that these conditions raise substantial doubt about the Company’s ability to
continue as a going concern.
The
consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.
F- 8
NOTE
2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
The
consolidated financial statements were prepared in accordance with accounting principles generally accepted in the United States of America
(US GAAP).
A.
Use
of estimates in the preparation of financial statements
The
preparation of the consolidated financial statements in conformity with US GAAP requires management to make estimates and assumptions
that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the dates of
the financial statements, and the reported amounts of expenses during the reported periods. Actual results could differ from those
estimates. As applicable to these financial statements, the most significant estimates and assumptions relate to evaluation of going
concern, the classification of financial instruments as equity or liability, share based compensation and the determination of the fair value of derivative
liabilities.
B.
Functional
currency
The
functional currency of the Company is the US dollar, which is the currency of the primary economic environment in which it operates.
In accordance with ASC 830, “Foreign Currency Matters” (ASC 830), balances denominated in or linked to foreign currency
are stated on the basis of the exchange rates prevailing at the applicable balance sheet date. For foreign currency transactions
included in the statement of operations, the exchange rates applicable on the relevant transaction dates are used. Gains or losses
arising from changes in the exchange rates used in the translation of such transactions are carried as financing income or expenses.
The functional currency of the Israeli subsidiary is the New Israeli Shekel (“NIS”) and its financial statements are
included in consolidation, based on translation into US dollars. Accordingly, assets and liabilities were translated from NIS to
US dollars using year-end exchange rates, and expense items were translated at average exchange rates during the year. Gains or losses
resulting from translation adjustments are reflected in stockholders’ equity, under “accumulated other comprehensive
income”.
SCHEDULE OF OFFICIAL EXCHANGE RATE
2024
2023
Official exchange rate of NIS
1 to US dollar
0.274
0.272
Increase (Decrease) of the official exchange
rate of NIS 1 to US dollar during the year:
0.74 %
( 8.86 )%
C.
Principles
of consolidation
The
consolidated financial statements include the accounts of the Company and its subsidiary. All intercompany balances and transactions
have been eliminated in consolidation.
D.
Cash
and cash equivalents and restricted cash
The
Company considers all short-term investments, which are highly liquid investments with original
maturities of three months or less at the date of purchase, to be cash equivalents.
Restricted
cash is invested in certificates of deposit, which are used to secure Integrity Israel’s obligations in respect of its credit
card.
For
presentation of statement of cash flows purposes, restricted cash balances are included with cash and cash equivalents, when reconciling
the reported period total amounts.
The
Company’s cash is held with financial institutions in the United States and Israel. Management believes that the financial
institutions that hold the Company’s cash are financially sound and, accordingly, minimal credit risk exists with respect to
these investments. Account balances held in the Unites States may, at times, exceed the Federal Deposit Insurance Corporation (FDIC)
insurance limit. As of December 31, 2024 and 2023, the Company had $ 4,968 and $ 3,942 , respectively, in excess of the FDIC insurance
limit.
F- 9
SCHEDULE OF RESTRICT CASH BALANCES ARE INCLUDED WITH CASH AND CASH EQUIVALENTS
2024
2023
In
thousands of US dollars
December 31,
December 31,
2024
2023
Cash and cash equivalents
$ 5,617
$ 4,492
Restricted cash
$ 10
$ 10
Total cash, cash equivalents,
and restricted cash shown in the statement of cash flows
$ 5,627
$ 4,502
E.
Property
and equipment, net
1.
Property
and equipment are stated at cost, net of accumulated depreciation. Depreciation is calculated using the straight-line method over
the estimated useful lives of the assets. When an asset is retired or otherwise disposed of, the related carrying value and accumulated
depreciation are removed from the respective accounts and the net difference less any amount realized from disposition is reflected
in the statements of operations and comprehensive loss.
2.
Rates
of depreciation:
SCHEDULE OF PROPERTY AND EQUIPMENT, RATES OF DEPRECIATION
Years
Computers and equipment
3
Furniture and office equipment
7 - 15
F.
Impairment
of long-lived assets
The
Group’s long-lived assets are reviewed for impairment in accordance with ASC 360, “Property, Plant and Equipment”,
whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability
of assets to be held and used is measured by a comparison of the carrying amount of an asset to the future undiscounted cash flows
expected to be generated by the asset. If such asset is considered to be impaired, the impairment to be recognized is measured by
the amount by which the carrying amount of the asset exceeds its fair value. To date the Group did not incur any material impairment
losses related to long lived assets.
G.
Modification
of equity-classified contracts
The
modification or exchange of equity-classified contracts, such as warrants that were classified as equity before the modification or
exchange and remained eligible for equity classification after the modification, was accounted for in a similar manner to a
modification of stock-based compensation. Accordingly, the incremental fair value from the modification or exchange (the change in
the fair value of the instrument before and after the modification or exchange), due to the characteristics of the modification, was recognized as a reduction of retained earnings (or an increase of
accumulated deficit) as a deemed dividend. Modifications or exchanges that result in a decrease in the fair value of an
equity-classified share-based payment awards are not recognized. In addition, the amount of the deemed dividend is also recognized
as an adjustment to earnings available to common shareholders for purposes of calculating earnings per share.
H.
Convertible
Promissory Notes
Upon
initial recognition of convertible promissory notes and similar instruments, the Company considers the provisions of ASC 815-40,
“Derivatives and Hedging - Contracts in Entity’s Own Equity” (“ASC 815-40”) in order to determine whether
the conversion features embedded within the convertible instrument should be separated from the host instrument.
F- 10
When
it is determined that an embedded derivative required to be bifurcated (such as embedded
conversion feature that does not qualify for equity classification), the Company recognizes
the embedded derivative bifurcated as a separate derivative liability upon initial recognition
and on subsequent periods at fair value. The remaining consideration amount received or allocated
to the entire convertible instrument is allocated to the host debt instrument. The difference
between the face value of the host and the allocated amount represents a discount which is
amortized as finance expense to profit or loss using the effective interest method over the
term of the note until its stated maturity.
When
it is determined that the embedded conversion feature qualifies for equity classification (such when the embedded conversion option,
if it were freestanding, is not qualified as a derivative in accordance with the provisions of ASC 815-10, “Derivatives and
Hedging” since its terms did not require or permit net settlement or when the embedded conversion option is indexed to the
entity’s own stock), the conversion option is not bifurcated. When bifurcation is not required, the Company considers whether
the debt instrument involves a significant premium (i.e. when the proceeds received or allocated upon issuance exceed the principal
amount that will be paid at maturity). When it is determined that a substantial premium exists, the entire premium is allocated to
paid-in capital and when it is determined, otherwise no additional accounting is required and the convertible promissory note is
accounted for at amortized cost using the effective interest method over the term of the note until its stated maturity.
I.
Allocation
of proceeds and related issuance costs
When
multiple instruments are issued in a single transaction (package issuance), the total gross
proceeds from the transaction are allocated among the individual freestanding instruments
identified. The allocation occurs after identifying all freestanding instruments and the
subsequent measurement basis for those instruments.
Financial
instruments that are required to be subsequently measured at fair value (such as derivative liabilities) are measured at fair value
and the remaining consideration is allocated to other financial instruments that are not required to be subsequently measured at
fair value (such as liabilities measured at amortized cost, common shares and warrants eligible for equity classification), based
on the relative fair value basis for such instruments.
Issuance
costs allocated to financial instruments that are required to be subsequently measured at fair value are immediately expensed.
Issuance costs allocated to shares and warrants classified as equity components and are recorded as a reduction of additional
paid-in capital. Issuance costs allocated to financial liabilities measured at amortized cost are recorded as a discount and
accreted over the contractual term of the financial instrument using the effective interest method.
J.
Warrants
Equity
classified warrants
Certain
warrants that were determined to be freestanding financial instruments that are legally detachable and separately exercisable, do
not embody an obligation for the Company to repurchase its own shares, and permit the holders to receive a fixed number of Ordinary
Shares upon exercise for a fixed exercise price and thus, are considered as indexed to the Company’s own shares, were classified
as equity instruments. As such warrants were issued together with financial instruments that are not subsequently measured at fair
value, the warrants were measured based on allocation of the proceeds received by the Company in accordance with the relative fair
value basis. Direct issuance expenses that were allocated to such warrants were deducted from additional paid-in capital.
F- 11
Warrants
classified as derivative liabilities
Upon
initial recognition of Series A Warrants and Series B Warrants that were issued in November 2024 as part of an equity issuance and
debt conversions, management considered the provisions of ASC 815-40, Derivatives and Hedging — Contracts in Entity’s
Own Equity and determined that the settlement amount of Series A Warrants and Series B Warrants might not be based on an exchange
of a fixed number of shares for a fixed amount of consideration and thus such Warrants are not eligible to be considered as indexed
to the Company’s own shares. Accordingly, the Series A Warrants and Series B Warrants were accounted for as warrant derivative
liability at fair value and the changes in fair values are carried to profit or loss. In accordance with ASC 210-10-20, the warrant
derivative liability is presented as a noncurrent liability since its settlement will require the issuance of shares and not the
use of any resources that are properly classified as current assets.
K.
Leases
The
Company applies ASC Topic 842, “Leases” (“ASC 842”) under which the
Company determines if an arrangement is a lease at inception.
Leases
are classified as either finance leases or operating leases. A lease is classified as a finance lease if any one of the following
criteria are met: (i) the lease transfers ownership of the asset by the end of the lease term, (ii) the lease contains an option
to purchase the asset that is reasonably certain to be exercised, (iii) the lease term is for a major part of the remaining useful
life of the asset, (iv) the present value of the lease payments equals or exceeds substantially all of the fair value of the asset,
or (v) the underlying asset is of such a specialized nature that it is expected to have no alternative use to the lessor at the end
of lease term. A lease is classified as an operating lease if it does not meet any one of these criteria. Since all the Company’s
lease contracts for premises do not meet any of the criteria above, the Company concluded that all its lease contracts should be
classified as operating leases.
Right
of Use (“ROU”) assets and liabilities are recognized on the commencement date based on the present value of remaining
lease payments over the lease term. For this purpose, the Company considers only payments that are fixed and determinable at the
time of commencement. As most of the Company’s leases do not provide an implicit rate, the Company uses its Incremental Borrowing
Rate (“IBR”) based on the information available on the commencement date in determining the present value of lease payments.
The Company’s IBR is estimated to approximate the interest rate for collateralized borrowing with similar terms and payments
and in economic environments where the leased asset is located. The ROU asset also includes any lease payments made prior to commencement
and is recorded net of any lease incentives received. Moreover, the ROU asset may also include initial direct costs, which are incremental
costs of a lease that would not have been incurred if the lease had not been obtained. The Company uses the long-lived assets impairment
guidance in ASC 360-10, “Property, Plant, and Equipment - Overall”, to determine whether a ROU asset is impaired, and
if so, the amount of the impairment loss to recognize. Certain leases include options to extend or terminate the lease. An option
to extend the lease is considered in connection with determining the ROU asset and lease liability when it is reasonably certain
that the Company will exercise that option. An option to terminate is considered unless it is reasonably certain that the Company
will not exercise the option.
L.
Income
tax
The
Company accounts for income taxes in accordance with ASC 740, “Income Taxes”. Accordingly, deferred income taxes are
determined utilizing the asset and liability method based on the estimated future tax effects of differences between the financial
accounting and the tax bases of assets and liabilities under the applicable tax law. Deferred tax balances are computed using the
enacted tax rates expected to be in effect when these differences reverse. Valuation allowances in respect of deferred tax assets
are provided for, if necessary, to reduce deferred tax assets to amounts more likely than not to be realized.
F- 12
The
Company accounts for uncertain tax positions in accordance with ASC Topic 740-10, which prescribes detailed guidance for the financial
statement recognition, measurement and disclosure of uncertain tax positions recognized in an enterprise’s financial statements.
According to ASC Topic 740-10, tax positions must meet a more-likely-than-not recognition threshold. The Company’s accounting
policy is to classify interest and penalties relating to uncertain tax positions under income taxes, however the Company did not
recognize such items in its fiscal 2024 and 2023 financial statements and did not recognize any liability with respect to unrecognized
tax position in its balance sheet.
M.
Research
and development expenses
Research
and development expenses are charged to operations and comprehensive loss, as incurred.
N.
Royalty-bearing
grants
Royalty-bearing
grants from the Israeli Innovation Authority (IIA) to fund approved research and development projects are recognized at the time
Integrity Israel is entitled to such grants, on the basis of the costs incurred and reduce research and development costs. To date,
the cumulative research and development grants received by Integrity Israel from IIA amounted to $ 93 . See also Note 5A below.
O.
Basic
and diluted loss per share
Basic
loss per share for the year ended December 31, 2024 is computed by dividing the loss for the period applicable for Common Stockholders
and the holders of the pre-funded warrants divided by the weighted average number of shares of Common Stock outstanding and shares of
Common Stock to be issued upon the exercise of prefunded warrants during the period. Basic loss per share for December 31, 2023 is computed
by dividing the loss for the period applicable (after considering the effect of deemed dividend related to trigger of down round protection
feature) for Common Stockholders and the holders of the pre-funded warrants divided by the weighted average number of shares of Common
Stock outstanding and shares of Common Stock to be issued upon achievement of first performance milestone (see
Note 5B below) and upon exercise of pre-funded warrants (see Note 8B below) during
the period.
In
computing, diluted loss per share, basic earnings per share are adjusted to reflect the potential dilution that could occur upon the
exercise of options or warrants issued or granted using the “treasury stock method”, and using the if-converted method for
other financial instruments such as convertible liabilities and other share settled derivative liabilities, if the effect of each of
such financial instruments is dilutive.
In
computing diluted loss per share, the average stock price for the period is used in determining the number of Common Stock assumed to
be purchased from the proceeds to be received from the exercise of stock options or stock warrants.
Shares
that will be issued upon exercise of all stock options and stock warrants, have been excluded from the calculation of the diluted net
loss per share for all the reported periods for which net loss was reported because the effect of the common shares issuable as a result
of the exercise or conversion of these instruments was anti-dilutive
SCHEDULE OF ANTIDILUTIVE NET LOSS AND WEIGHTED AVERAGE
2024
2023
In thousands
of US dollars
(except
share data)
Year ended
December
31,
2024
2023
Numerator:
Net loss
$ 22,597
$ 7,097
Deemed
dividend related to trigger of down round protection feature (see Note 8C3 below)
-
855
Net loss attributable
to common stockholders
$ 22,597
$ 7,952
Denominator:
Shares of Common Stock
used in computing basic and diluted net loss per common stock
330,171
193,131
Shares of Common Stock
to be issued upon exercise of pre-funded warrants (see Note 8B1 below)
-
13,971
Shares
of Common Stock to be issued upon achievement of first performance milestone (see Note 5B below)
-
501
Weighted average number
of Common Stock outstanding used in computing basic and diluted net loss per share
330,171
207,603
Basic and diluted net loss
per common stock
$ 68.44
$ 34.18
See
Note 14 regarding a significant issuance of shares as part of the exercise of the Series B Warrants subsequent to the balance sheet date.
F- 13
P.
Stock-based
compensation
The
Company measures and recognizes the compensation expense for all equity-based payments to employees based on their estimated fair
values in accordance with ASC 718, “Compensation-Stock Compensation”. Share-based payments including grants of stock
options are recognized in the consolidated statement of operations and comprehensive loss as an operating expense based on the fair
value of the award at the date of grant. The fair value of stock options granted is estimated using the Black-Scholes option-pricing
model. The Company has expensed compensation costs, net of estimated forfeitures, applying the accelerated vesting method, over the
requisite service period or over the implicit service period when a performance condition affects the vesting, and it is considered
probable that the performance condition will be achieved. Share-based payments to non-employees are accounted for in accordance with
ASC 718.
Q.
Fair
value of financial instruments
ASC
Topic 825-10, “Financial Instruments” defines financial instruments and requires disclosure of the fair value of financial
instruments held by the Company. The Company considers the carrying amount of cash and cash equivalents, restricted cash, accounts
receivable, other current assets, accounts payable and other current liabilities balances, to approximate their fair values due to
the short-term maturities of such financial instruments. ASC Topic 825-10, establishes the following fair value hierarchy, which
prioritizes the inputs used in the valuation methodologies in measuring fair value:
Level
1 - Quoted prices (unadjusted) in active markets that are accessible at the measurement date for assets or liabilities. The fair
value hierarchy gives the highest priority to Level 1 inputs.
Level
2 - Observable prices that are based on inputs not quoted on active markets but corroborated by market data.
Level
3 - Unobservable inputs are used when little or no market data is available. Level 3 inputs are considered as the lowest priority
under the fair value hierarchy.
The
fair value of the financial instruments included in the working capital of the Company (cash and cash equivalents, accounts payable
and other current assets and liabilities) approximates their carrying value.
F- 14
The
Company did not estimate the fair value of the loans received from stockholders since their repayment schedule has not yet been determined.
There
were no Level 3 assets or liabilities for the year ended December 31, 2023. The following table presents changes in Level 3 assets and
liabilities measured at fair value for the year ended December 31, 2024:
SCHEDULE OF ASSETS AND LIABILITIES MEASURED AT FAIR VALUE
Liability
Balance – November 14, 2024
– Warrant issuance date
$ 16,626
Fair
value adjustments – Derivative financial liability
795
Balance – December 31, 2024
$ 17,421
The
following table sets forth the Company’s assets and liabilities which are measured at fair value on a recurring basis by level
within the fair value hierarchy:
SCHEDULE OF ASSETS AND LIABILITIES MEASURED AT FAIR VALUE ON A RECURRING BASIS
Fair
Value Measurements as of December 31, 2024
Level
I
Level
II
Level
III
Total
Liability:
Warrant derivative
liability
$ -
$ -
$ 17,421
$ 17,421
R.
Segment
reporting
Operating
segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation
by the chief operating decision maker, or (“CODM”). The Company has identified its Chief Executive Officer, Paul V. Goode, as the CODM who is responsible for making decisions regarding resource allocation and assessing performance. The Company views
its operations and manages its business as one operating segment. The Company’s long-lived assets consist primarily of property
and equipment, net, which are all held in the United States.
S.
Concentrations
of credit risk
Financial
instruments that potentially subject the Company to concentrations of credit risk consist primarily of cash and cash equivalents,
and restricted cash. Cash and cash equivalents and restricted cash are deposited with a major bank in the United States. Management
believes that such financial institutions are financially sound, accordingly, minimal credit risk exists with respect to these financial
instruments. The Company does not have any significant off-balance-sheet concentration of credit risk, such as foreign exchange contracts,
option contracts or other foreign hedging arrangements.
T.
Contingencies
The
Company records accruals for loss contingencies arising from claims, litigation and other sources when it is probable that a liability
has been incurred and the amount can be reasonably estimated. These accruals are adjusted periodically as assessments change or additional
information becomes available. Legal costs incurred in connection with loss contingencies are expensed as incurred.
U.
Warrants
with down-round protection
The
Company disregards the down round feature when assessing whether the instrument is indexed to its own stock, for purposes of determining
liability or equity classification in accordance with the provisions of ASU 2017-11, “Earnings Per Share” (ASU 2017-11).
Based on its evaluation, management has determined that such warrants with down-round protection feature are eligible for equity
classification.
F- 15
Accordantly,
upon the occurrence of an event that triggers a down round protection feature (i.e., when the exercise price of the warrants is adjusted
downward because of the down round feature), the effect is accounted for as a deemed dividend and as a reduction of income available
to common shareholders for purposes of basic earnings per share calculation. See also Note 2P above.
V.
Recently
adopted accounting pronouncements
In
November 2023, the FASB issued ASU No. 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU
2023-07”). This standard requires a public entity to disclose significant segment expenses and other segment items on an interim
and annual basis. Additionally, it requires a public entity to disclose the title and position of the Chief Operating Decision Maker.
ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after
December 15, 2024, with early adoption permitted. A public entity should apply the amendments in this ASU retrospectively to all
prior periods presented in the financial statements. The Company adopted ASU 2023-07 for the fiscal year ended December 31, 2024
and interim financial statements thereafter, on a retrospective basis for all prior periods presented in the financial statements.
The adoption of ASU 2023-07 did not change the way that the Company identifies its reportable segments and, as a result, did not
have a material impact on the Company’s financial position or results of operations. See (Note 13) - Segment Reporting for
further information.
W.
Recently
issued accounting pronouncements, not yet adopted
In
November 2024, the FASB issued ASU 2024-03, “Income Statement—Reporting Comprehensive Income—Expense Disaggregation
Disclosures” to require more detailed information about specified categories of expenses (purchases of inventory, employee
compensation, depreciation, amortization, and depletion) included in certain expense captions presented on the face of the income
statement. ASU 2024-03 is effective for fiscal years beginning after December 15, 2026 and for interim periods within fiscal years
beginning after December 15, 2027. Early adoption is permitted. The amendments may be applied either (1) prospectively to financial
statements issued for reporting periods after the effective date of this ASU or (2) retrospectively to all prior periods presented
in the financial statements. The Company is currently evaluating the impact of adopting this guidance on its consolidated financial
statements and related disclosures. The adoption of this pronouncement is not expected to have a material impact on the Company’s
consolidated financial statements.
In
December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures related to improvements
to income tax disclosures. The amendments in this update require enhanced jurisdictional and other disaggregated disclosures for
the effective tax rate reconciliation and income taxes paid. The amendments in this update are effective for fiscal years beginning
after December 15, 2024. The adoption of this pronouncement is not expected to have a material impact on the Company’s consolidated
financial statements.
NOTE
3 – LOANS FROM STOCKHOLDERS
During
the years 2003-2004, Integrity Israel received loans from stockholders (four separate lenders) in a total amount of approximately
$ 400 . However, following the repayment of the entire balance to certain lender in 2015, the remaining balance as of December 31,
2024 is approximately $ 203 . The loans are indexed to the Israeli consumer price index from their origination date and bear no interest.
The
Company will be required to pay the loans, in quarterly installments, commencing on the first quarter following the first fiscal
year in which the Company reports net profit in its annual report. At such time, the Company will be required to make quarterly payments
equal to 10 % of its total sales for each quarter until the loans have been repaid in full. Notwithstanding the repayment mechanism,
the Company will not be required to repay the loans during any period in which such payment would cause a deficit in the Company’s
working capital.
As
of December 31, 2024, the Company does not expect to make any material repayments during the following 12-month period, if any, and
accordingly the entire remaining balance of the loans from stockholders have been presented as non-current liability.
F- 16
NOTE
4 – SIGNIFICANT TRANSACTIONS
A.
Exercise
of pre-funded warrants
On
January 3, 2024, 19,765 pre-funded warrants granted through underwritten public offering in April 2023 have been fully exercised
into the same number of shares of Common Stock of the Company.
B.
Exchange
Agreement
On
February 13, 2024, the Company entered into an Exchange Agreement with certain warrant holders (the “Holders”), pursuant
to which the Company and the Holders agreed to exchange (the “Exchange”) warrants with down round protection feature
exercisable to common shares (the “Warrants”) owned by the Holders for shares of Common Stock to be issued by the Company.
On February 15, 2024, 35,932 shares of Common Stock have been issued in exchange for 43,820 Warrants (the “Shares”).
It
was also agreed that the Holders will not, during the period (“Lock-Up Period”)
(i) offer, pledge, announce the intention to sell, contract to sell, sell any option or contract
to purchase, purchase any option or contract to sell, grant any option, right or warrant
to purchase, or otherwise transfer or dispose of, directly or indirectly, any Shares, (ii)
enter into any swap or other agreement that transfers, in whole or in part, any of the economic
consequences of ownership of the Shares of, whether any such transaction described in clause
(i) or (ii) above is to be settled by delivery of Shares or such other securities, in cash
or otherwise, (iii) make any demand for or exercise any right with respect to, the registration
of any Shares or any security convertible into or exercisable or exchangeable for shares
of common stock, or (iv) publicly announce an intention to effect any transaction specific
in clause (i), (ii) or (iii) above, provided that the Holder, during the Lock-Up Period,
may (a) sell or contract to sell Shares at a price higher than $0.5 per Share on any trading
day up to 10% of the daily volume of Shares or (b) sell or contract to sell Shares at a price
higher than $0.8 per Share on any trading day with no volume limitation.
The
Lock-Up Period shall expire at the earliest of (i) 365 days after the date hereof or (ii) until the Shares traded above $ 100.00 per
Share for five consecutive trading days.
The
Company accounted for the Exchange of the aforesaid warrants with shares in a similar manner of a modification of shares-based payment as a deemed dividend which was calculated at the closing
date by the management using the assistance of external appraiser as the excess of fair value of the shares to be issued after taking
into consideration a discount for lack of marketability at a rate of 16.81% over the Lock-Up Period over the fair value of the original
equity instrument (i.e. warrants which included down round protection feature). However, since the fair value of the shares was estimated
as less than the fair value of the replaced equity instrument, deemed dividend was not recorded.
C.
Private
Placement Agreement
On
April 22, 2024, the Company entered into a private placement agreement under which the Company issued 3,968 shares of its common
stock at a price of $ 126 per share for aggregate gross proceeds of $ 500 (the “Offering”). The Offering included participation
of certain members of the Company’s executive management, Board of Directors and existing shareholders.
F- 17
D.
Adoption
of 2024 Equity Incentive Plan and Reverse Share Split
On
April 26, 2024, the Company held its Annual Meeting of Shareholders (the “Annual Meeting”)
under which the Company’s stockholders approved, inter alia, the following proposals:
(i) adoption of the Company’s 2024 Equity Incentive Plan and (ii) an amendment to Article
IV of the Company’s Certificate of Incorporation, to effect a reverse stock split of
the Company’s Common Stock at a ratio of between one-for-five and one-for-thirty, with
such ratio to be determined at the sole discretion of the Board of Directors. Following the
Annual Meeting, on April 30, 2024, the Company’s Board of Directors approved a one-for-five
reverse stock split of the Company’s issued and outstanding shares of common stock.
On May 17, 2024, the Company filed a Certificate of Amendment to the Company’s Certificate
of Incorporation with the Secretary of State of the State of Delaware which effected the
reverse stock split.
On
February 3, 2025, subsequent to the balance sheet date on December 31, 2024, the Company approved to effect an additional reverse
stock split of twenty-for-one (20 to 1). The reverse split did not impact the total number of authorized shares of common stock or
the par value per share.
For
accounting purposes, all shares, options and warrants to purchase shares of common stock and loss per share amounts have been adjusted
to give retroactive effect to both of the reverse splits for all periods presented in these consolidated financial statements. Any
fractional shares resulting from the reverse splits were rounded up to the nearest whole share.
E.
Note
and Warrant Purchase Agreements
On
June 27, 2024, the Company entered into note and warrant purchase agreements (the “Purchase
Agreement”) with certain investors (the “June 27 Investors”), providing
for the private placement of unsecured promissory notes in the aggregate principal amount
of $ 100 (the “June 27 Notes” and each a “June 27 Note”) and warrants
to purchase up to an aggregate of 15,000 shares of the Company’s Common Stock (the
“June 27 Warrants”).
The
June 27 Notes bear simple interest at a rate of 3% per annum and are due and payable in cash on the earlier of: (a) 12 months from
the date of the June 27 Note; or (b) the date the Company raises third-party equity capital in an amount equal to or in excess of
$1,000 (the “Maturity Date”). The Company may prepay the June 27 Notes at any time prior to the Maturity Date without
penalty. If an event of default occurs, the then-outstanding principal amount of the June 27 Notes plus any unpaid accrued interest
will accelerate and become immediately payable in cash.
Each
of June 27 Warrants has a fixed exercise price of $ 99 per share. The June 27 Warrants are immediately exercisable and have a 5 -year
term.
Upon
initial recognition, the management allocated the gross cash proceeds received based on the relative fair value of the June 27 Notes
and the detachable June 27 Warrants in total amount of $ 15 and $ 85 , respectively. The fair value of the June 27 Note was determined
based on a rating model using a debt discount rate of 28.65 % which represented the Company’s applicable rate of risk. The fair
value of the June 27 Warrants was determined by using Black-Scholes pricing model taking into account, inter alia, expected stock
price volatility of 245 % and risk-free interest rate of 4.52 %. The amount allocated to June 27 Warrants was classified as a component
of equity (as their terms permit the holders to receive a fixed number of shares of common stock upon exercise for a fixed exercise
price).
The
June 27 Notes were accounted for as a financial liability measured at amortized cost. In subsequent periods, the Company recognized
a discount and interest expense over the economic life of the June 27 Notes based on the effective interest rate method.
F- 18
The
following tabular presentation reflects the reconciliation of the carrying amount of the June 27 Notes during the period of years ended
December 31, 2024:
SCHEDULE OF RECONCILIATION OF THE CARRYING AMOUNT OF JUNE 27 NOTES
Year
ended
December 31, 2024
Opening balance
$ -
Total proceeds received
100
Total proceeds allocated to June 27 Warrants
at initial recognition
( 85 )
Discount amortization and interest expenses
related to June 27 Notes (Note 7 below)
16
Partial conversion June
27 Notes and accrued Interest (Note 4H and Note 4I below)
( 26 )
Balance December
$ 5
During
the period commencing the issuance date through December 31, 2024, none of the June 27 Warrants have been exercised.
F.
Convertible
Promissory Notes
On
July 18, 2024, the Company entered into a series of convertible promissory notes with three
directors, and one member of the Company’s executive management (the “July 18
Investors”), providing for the private placement of unsecured convertible promissory
notes in the aggregate principal amount of $ 360 (the “July 18 Notes” and each
a “July 18 Note”).
The
July 18 Notes bore simple interest at a rate of 8 % per annum. Upon initial date, the management measured the fair value of the embedded
conversion feature which is accounted for as embedded derivative liability. The difference between the total gross cash proceeds
received and the fair value of the embedded conversion feature is allocated to the host component of the July 18 Notes that are measured
at amortized cost under which in subsequent periods the Company recognizes a discount expense over the economic life of the July
18 Notes based on the effective interest rate method. However, the fair value of the embedded derivative liability related to the
conversion feature was determined by the management at an insignificant amount since upon closing of a Qualified Financing, the loan
will convert based on market conditions (i.e. conversion price will be equal to the fair value of the share upon conversion) and
thus all proceeds received of $ 360 were allocated to the July 18 Notes.
On
September 5, 2024, the Company and one of July 18 noteholders entered into a conversion agreement, under which the Company agreed
to convert his portion of the outstanding principal nominal amount plus any accrued but unpaid interest pursuant to the July 18 Note,
totaling $ 101 into 4,955 shares of Common Stock at a conversion price of $ 20.4 per share. Please see note 4I.
In
November 2024, the Company and the remaining July 18 noteholders entered into a conversion agreement under which the Company agreed
to convert their portion of the outstanding principal nominal amount plus any accrued but unpaid interest pursuant to the July 18
Note, totaling $ 305
to Common Stock and warrants at a conversion price of $ 31.2
per share. The July 18 noteholders received 9,760
shares of Common Stock, 9,760
Series A Warrants and 9,760
Series B Warrants. The fair value of the shares of Common Stock received was $ 60 .
The Series A and Series B Warrants are treated as derivative liabilities and at grant date were valued at $ 43
and $ 279 ,
respectively. As a result, the Company recorded a loss on the settlement of debt in the amount of $ 79
in the Statement of Operations. Please see Note 4J for the terms and valuation methodology of the Series A and Series B
Warrants.
G.
Convertible
Promissory Note and Warrant Agreements
On
July 30, 2024, the Company entered into a convertible promissory note and three warrant agreements (the “July 30 Warrants”)
with an existing investor (the “July 30 Holder”), providing for the private placement of a secured convertible promissory
note in the aggregate principal amount of $ 4,000 (the “July 30 Note”). The July 30 Note bore simple interest at a rate
of 8 % per annum and is due and payable in cash on earlier of: (i) 12 months anniversary of July 30 Note, or (ii) closing date of
a Sale Transaction (defined below) (the “Maturity Date”). The July 30 Note is secured by a first-priority security interest
on all Company’s assets.
F- 19
Each
July 30 Warrant becomes exercisable 12 months after its issuance and has term of 10 years. The July 30 Warrants are exercisable for cash
only and have no price-based antidilution. The first July 30 Warrant is for 106,667 shares at $ 37.50 per share. The second July 30 Warrant
is for 76,191 shares at $ 52.50 per share. The third July 30 Warrant is for 59,259 shares at $ 67.50 per share. Management has determined
that the warrants are eligible to be classified as a component of equity as their terms permit the holders to receive a fixed number
of shares of common stock upon exercise for a fixed exercise price.
At
the initial date, the Company has issued four freestanding instruments that include (i) a financial instrument that is considered as
“host” which comprised of July 30 Note and two embedded derivative financial instruments (i.e. an embedded conversion feature
and an embedded redemption feature to receive cash equals to 200 % of July 30 Note balance upon the occurrence of a Sale Transaction)
and (ii) three series of detachable warrants. At the initial date, the Company is required to estimate the fair value of the freestanding
instruments and allocate the total gross proceeds received between them based on that relative fair value identified. The fair value
of the embedded derivative financial instruments (i.e. the conversion right and the redemption right) should be bifurcated from the host
instrument and remeasured on recurring basis at each reporting period under marked to market approach, the July 30 Note was accounted
for at amortized cost whereby discount and interest expenses are recorded over the economic life of the July 30 Note based on the effective
interest rate method and the July 30 Warrants are classified into equity without any further subsequent measurement.
Upon
initial recognition, the management by using the assistance of an external appraiser allocated
the gross cash proceeds received based on the relative fair value of the July 30 Note and
the detachable July 30 Warrants in total amount of $ 1,450 and $ 2,550 , respectively. The fair
value of the convertible note was determined by using hybrid method that includes conversion
scenario and liquidation scenario taking into account, inter alia, a debt discount rate of
28.65 %. The fair value of the July 30 Warrants was determined by using Black-Scholes pricing
model taking into account, inter alia, expected stock price volatility of 122.8 % and risk-free
interest rate of 4.78 %. The amount allocated to July 30 Warrants was classified as a component
of equity.
Furthermore,
it was determined that the embedded conversion feature and embedded redemption feature are required to be bifurcated from the host
loan instrument. The fair value of the bifurcated derivatives was determined by the management using the assistance of an external
appraiser in a total amount of $ 35 upon initial recognition and in subsequent periods as derivative liability at fair value through
profit and loss. The remaining amount of $ 1,415 was allocated to the host loan instrument which in subsequent periods was accounted
for using the effective interest method over the term of the loan, until its stated maturity.
On
September 24, 2024, the Company held a special meeting of its stockholders under which shares of common stock issuable by the Company
upon conversion of the July 30 Note and exercise of the July 30 Warrants was approved. The July 30 Holder has not elected to trigger
the exercise of the July 30 Warrants into shares of common stock.
On
November 12, 2024, the Company and the July 30 Holder entered into an agreement for the settlement of the July 30 Note plus any accrued
but unpaid interest totaling $ 4,093 to Common Stock and warrants at a conversion price of $ 31.0 per share. The July 30 Holder received
132,036 shares of Common Stock, 132,036 Series A Warrants and 132,036 Series B Warrants. The fair value of the shares of Common Stock
received was $ 813 . The Series A and Series B Warrants are treated as derivative liabilities and at grant date were valued at $ 609 and
$ 3,768 , respectively. As of the settlement date, the carrying amount of the July 30 Note under the effective interest method was $ 1,978
and the fair value of the derivative liability relating to the conversion feature was $ 37 . Upon settlement, the total fair value of
the warrant related derivatives of $ 4,377 and the equity received of $ 813 exceeded the net book value of the July 30 Note of $ 1,978 and
the value of the debt conversion derivative that was settled of $ 37 . As a result, the Company recorded a loss on extinguishment of debt
in the amount of $ 3,175 in the Statement of Operations. Please see Note 4J for the terms and valuation methodology of the Series A and
Series B Warrants.
F- 20
H.
August
23 Conversion
On
August 23, 2024 (the “Commitment Date”), the Company and two of June 27 Investors entered into conversion agreement,
under which the Company agreed to convert the principal nominal amount plus any accrued but unpaid interest pursuant to each of June
27 Notes, with a face value of $ 20 each (the “Debt”), held by the Investors to Common Stock at a conversion price of
$ 20.4 per share. On October 15, 2024, the Company issued 985 shares of common stock for each of the two of the June 27 Investors
in respect of each respective Debt converted.
In
satisfaction of the Debt, the Company also issued to each of the two June 27 Investors three
warrants (each an “August 23 Warrant”). Each August 23 Warrant becomes exercisable
on August 16, 2025 and has term of 10 years . The August 23 Warrants are exercisable for cash
only and have no price-based antidilution. The first August 23 Warrant is for 535 shares
of Common Stock and is exercisable at $ 37.5 per share. The second August 23 Warrant is for
382 shares of Common Stock, exercisable at $ 52.5 per share. The third August 23 Warrant is
for 297 shares of Common Stock, exercisable at $ 67.5 per share.
The
above transaction was accounted for as a settlement of financial liabilities under which the instruments issued or to be issued to
the June 27 Investors (i.e. shares of common stock and August 23 Warrants) are eligible for equity classification and thus both have
been recorded as part of equity based on the total fair value of $ 238 at the Commitment Date. The difference between the fair value
of these equity instruments and the carrying amount of each of the respective Debt at the Commitment Date amounted to $ 11 was charged
immediately to the finance expenses (see also Note 7 below). Due to the above settlement, the Company recorded a loss on the settlement
on the amount of $ 216 .
During
the period commencing the issuance date through December 31, 2024, none of the August 23 Warrants have been exercised.
I.
September
5 Conversion
On
September 5, 2024 (the “Commitment Date”), the Company and one of June 27 Investors
and July 18 Investors entered into a conversion agreement, under which the Company agreed
to convert outstanding board fees amounted $ 113 and the principal nominal amount plus any
accrued but unpaid interest pursuant to June 27 Note and July 18 Note, totaling $ 146 (referring
together as a “Debt”), held by the Investor to Common Stock at a conversion price
of $ 20.4 per share. On October 15, 2024, the Company issued 12,712 shares of common stock
for the June 27 Investor in respect of the Debt converted.
In
satisfaction of the Debt, the Company also issued to June 27 Investor and July 18 Investor three warrants (each an “September
5 Warrant”). Each September 5 Warrant becomes exercisable on August 16, 2025 and has term of 10 years . The September 5 Warrants
are exercisable for cash only and have no price-based antidilution. The first September 5 Warrant is for 6,915 shares of Common Stock
and is exercisable at $ 37.5 per share. The second September 5 Warrant is for 4,940 shares of Common Stock, exercisable at $ 52.5 per
share. The third September 5 Warrant is for 3,842 shares of Common Stock, exercisable at $ 67.5 per share.
The
above transaction was accounted for as settlements of financial liabilities under which the instruments issued or to be issued to
the July 18 Investor (i.e. shares of common stock and September 5 Warrants) are eligible for equity classification and thus both
have been recorded as part of equity based on the total fair value of $ 1,505 at the Commitment Date. The carrying amount of the Debt
at the Commitment Date amounted to $ 227 and the difference was recorded as loss on settlement of debt in the Statement of Operations
in the amount of $ 1,278 (see also Note 7 below).
During
the period commencing the issuance date through December 31, 2024, none of the September 5 Warrants have been exercised.
F- 21
J.
November
12 Issuance
On
November 12, 2024, the Company completed a public offering (the “Offering”) under
which the Company received gross proceeds of $ 10,000 in exchange for issuance of an aggregate
of (i) 121,867 shares (the “Shares”) of its Common Stock, (ii) 237,845 pre-funded
warrants (the “Pre-Funded Warrants”) to purchase up to an aggregate of 237,845
shares of Common Stock (the “Pre-Funded Warrant Shares”) in lieu of Shares, (iii)
Series A Warrants (the “Series A Warrants”) to purchase up to 359,712 shares
of Common Stock (the “Series A Warrant Shares”) and (iv) Series B Warrants (the
“Series B Warrants” and, together with the Series A Warrants, the “Common
Warrants”) to purchase up to 359,712 shares of Common Stock (“the “Series
B Warrant Shares” together with the Series A Warrant Shares, the “Warrant Shares”).
Each Share or Pre-Funded Warrant, as applicable, was sold together with one Series A Warrant
to purchase one share of Common Stock and one Series B Warrant to purchase one Common Share.
The public offering price for each Share and accompanying Common Warrants was $ 27.80 , and
the public offering price for each Pre-Funded Warrant and accompanying Common Warrants was
$ 27.78 (the “Offering Price”).
The
Pre-Funded Warrants have an exercise price of $ 0.02 per share, are exercisable immediately and expire when exercised in full. Each
Series A Common Warrant will have an exercise price per share of $ 36.2 and will be exercisable beginning on the date on which Stockholder
Approval (as defined below) is received and deemed effective (the “Initial Exercise Date” or the “Stockholder Approval
Date”). The Series A Warrants will expire on the five-year anniversary of the Initial Exercise Date. The Series B Warrants
will have an exercise price per share of $ 36.2 and will be exercisable beginning on the Initial Exercise Date. The Series B Warrants
will expire on the two and one-half year anniversary of the Initial Exercise Date. The issuance of Common Warrant Shares upon exercise
of the Common Warrants is subject to stockholder approval under applicable rules and regulations of The Nasdaq Stock Market LLC (“Nasdaq”)
(“Stockholder Approval” and the date on which Stockholder Approval is received and deemed effective, the “Stockholder
Approval Date”).
The
exercise price of Series A Warrants and Series B Warrants is subject to certain adjustments. If at the time of exercise there is
no effective registration statement registering, or the prospectus is not available for the issuance of the Series A Warrants Shares
and Series B Warrant Shares to the holders, then the Series A Warrants and Series B Warrants may also be exercised, in whole or in
part, at such time by means of a “cashless exercise”. In addition, the holders are entitled to an option to require the
Company to purchase the Series A Warrants and Series B Warrants for cash in an amount equal to their Black-Scholes Option Pricing
Model value, in the event that certain fundamental transactions (which some of them are not considered solely within the control
of the Company) as defined in the Series B Warrants agreement, occur. Additionally, holders of Series B Warrants may also effect
an “alternative cashless exercise” at any time while the Series B Warrants are outstanding following the Initial Exercise
Date. Under the alternate cashless exercise option, the holder of the Series B Warrant has the right to receive an aggregate number
of shares equal to the product of (i) the aggregate number of shares of Common Stock that would be issuable upon a cashless exercise
of the Series B Warrant and (ii) 3.0. The Company analyzed the terms of the warrants in accordance with Accounting Standards Codification
No. 480, Distinguishing Liabilities from Equity (“ASC 480”) and determined that the Series A and Series B Warrants
are not eligible for equity classification and thus would be classified as derivative liabilities and recorded at fair value, with
changes in fair value recorded through profit or loss. The Company used the Monte Carlo Simulation method for determining the fair
value of the warrants. The Series A Warrant assumptions used in the Monte Carlo simulations are an expected term of 5 years, exercise
price of $ 36.2 , comparable company volatility of 96.3 %, risk-free interest rate of 4.32 % and share price of $ 6.17 . The Series B Warrant
assumptions used in the Monte Carlo simulations are an expected term of 2.5 years, exercise price of $ 36.2 , company historical volatility
of 378.6 %, risk-free interest rate of 4.30 % and share price of $ 6.17 .
Upon
initial recognition, the management allocated the gross cash proceeds to the detachable instruments included in the issuance, firstly
to Series A Warrants and Series B Warrants which were classified as financial instruments that are required to be subsequently measured
at fair value. The fair value at the issuance date of the Series A and Series B Warrants received was $ 1,659 and 10,266 , respectively.
Accordingly, there were no remaining proceeds to allocate to the equity instruments (the Shares and the Pre-Funded Warrants). Issuance
costs in the amount of $ 1,217 were recorded as expenses in the Statement of Operations.
In
addition, as the total fair value of the derivative liabilities amounting to $ 11,925 exceeded the $ 10,000 of cash raised in the issuance,
the Company recorded an immediate loss from the issuance of equity in the amount of $ 1,925 in the Statement of Operations.
See
Note 14 regarding a significant issuance of shares as a settlement of Series B Warrants subsequent to the balance sheet date.
F- 22
The
following tabular presentation reflects the reconciliation of the fair value of the Warrants during the period from their issuance through
December 31, 2024:
SCHEDULE OF RECONCILIATION OF THE
FAIR VALUE OF THE WARRANTS
Common Warrants
Series
A Warrants
Series
B Warrants
Total
Opening balance
July issuance
$
34
-
-
$ -
Settlement of July warrants
( 37
)
-
-
-
November issuance
-
1,659
10,266
11,925
Settlement of July 30 Convertible Promissory
Note
-
609
3,768
4,377
Settlement of July 18 Convertible Promissory
Note
-
45
279
324
Change in fair value
3
230
565
798
Balance as of December 31, 2024
$
-
2,544
14,877
$ 17,421
NOTE
5 - COMMITMENTS AND CONTINGENT LIABILITIES
A.
In
2004, the Israeli Innovation Authority (IIA) provided Integrity Israel with a grant of approximately $ 93 (NIS 420,000 ), for develop
a non-invasive blood glucose monitor (the “Development Plan”). Integrity Israel is required to pay royalties to IIA at
a rate ranging between 3 - 5 % of the proceeds from sale of the Company’s products arising from the Development Plan up to an
amount equal to $ 93 , plus interest at LIBOR from the grant date. Until December 31,2023 the Liability was subject to LIBOR interest
rate and commencing January 1,2024 the interest rate was replaced with Term SOFR (Secured Overnight Financing Rate). As of December
31, 2024, the remaining contingent liability with respect to royalty payment on future sales equals approximately $ 93 , excluding
interest. Such contingent obligation has no expiration date.
B.
On
October 7, 2022 (“the Closing Date”), the Company entered into Intellectual Property Purchase Agreement (the “Agreement”)
with Paul Goode, which is the Company’s Chief Executive Officer (the “Seller”), under which it was agreed that
on and subject to the terms and conditions of the Agreement, at the Closing Date, Seller sold and assigned to the Company, all of
Seller’s right, title and interest in and to the following assets, properties and rights (collectively, the “Purchased
Assets”): (i) all rights, title, interests in all current and future intellectual property, including, but not limited to patents,
trademarks, trade secrets, industry know-how and other IP rights relating to an implantable continuous glucose sensor (collectively,
the “Conveyed Intellectual Property”); and (ii) all the goodwill relating to the Purchased Assets.
In
consideration for the sale of the Purchased Assets to the Company, at the Closing Date, the
Company paid to Seller cash in the amount of one dollar and obligated to issue up to 10,000
shares of Common Stock to be issued based upon specified performance milestones as set forth
in the Agreement (the “Purchase Price”). In addition, if upon the final issuance,
the aggregate 10,000 shares represent less than 1.5 % of the then outstanding Common Stock
of the Company, the final issuance will include such number of additional shares so that
the total aggregate issuance equals 1.5 % of the outstanding shares (the “True-Up Shares”).
All shares of Common Stock of the Company that will be issued under the agreement shall be
(i) restricted over a limited period as defined in the Agreement and (ii) subject to the
lockup provisions.
When
the Company acquires net assets that do not constitute a business, as defined under ASU 2017-01 Business Combinations (Topic 805)
Clarifying the Definition of a Business (such when there is no substantive process in the acquired entity) the transaction is accounted
for as asset acquisition and no goodwill is recognized. The acquired In-Process Research and Development intangible asset (“IPR&D”)
to be used in research and development projects which have been determined not to have alternative future use at the acquisition
date, is expensed immediately.
At
the Closing Date, it was determined that the asset acquisition represents the purchase of IPR&D with no alternative future use.
However, the achievement of each of the performance milestones is considered as a contingent event outside the Company’s control
and thus the contingent consideration which is equal to the fair value of the Purchase Price as measured at the Closing Date will
be recognized when and if it becomes probable that each target will be achieved within the reasonable period. Such additional contingent
consideration will be recognized in subsequent periods if and when the contingency (the achievement of targets) is resolved.
F- 23
In
June 2023, the Company achieved the first performance milestone out of the five performance
milestones outlined in the Agreement executed between the Company and the Seller as of the
Closing Date. As a result, upon the date of the fulfilment of the first performance milestone
the Company was committed to issue 1,000 restricted shares to the Seller. Accordingly, the
Company recorded an amount of $ 131 as research and development expenses with a similar amount
as an increase to additional paid-in capital. The first performance milestone shares were
issued on February 6, 2024.
In
May 2024, the Company achieved the second performance milestone out of the five performance milestones outlined in the Agreement
executed between the Company and the Seller as of the Closing Date. As result, the Company is committed to issue 1,500 restricted
shares to the Seller. Accordingly, the Company recorded stock-based compensation expenses amounted to $ 192 which represents the quoted
price of its Common Stock at the Closing Date, after taking into consideration a discount for lack of marketability in a rate of
30 % over the applicable restriction period. The second performance milestone shares were issued on November 20, 2024, excluding 11,000
shares that were issued erroneously and were returned to the Company subsequent to the balance sheet date.
As
of December 31, 2024, the achievement of all other remaining performance milestones was not considered probable and thus no stock-based
compensation expenses were recorded with respect to thereof.
NOTE
6 - LEASE AGREEMENT
On
February 19, 2024, the Company entered into Lease Agreement (the “Agreement”) with Tapsak Enterprises LLC dba Virginia
Analytical (the “Landlord”) under which it was agreed that the Company will lease from the Landlord a premises located
in Front Royal, Virginia area for a monthly rental fee of $ 2.5 over a period of 3 -years commencing March 1, 2024 through February
28, 2027 (the “Initial Lease Period”). Security deposit of $ 2.5 which represents payment of one month is held by the
Landlord which will be return to the Company at the end of the Initial Lease Period.
In
addition, the Company has an option to renew the Initial Lease Period for another two additional
periods of 3-years each following the Initial Lease Period (the “Option Term”),
following advanced notice as defined in the Agreement. The monthly rental fee over the Option
Term shall be the fair market rate determined as what is a comparable cost for similar property
in Front Royal, Virginia area.
In
accordance with the provision of ASC 842, Leases, at the commencement date of the Agreement, the Company recognized the right to
use asset equals to lease liability in total amount of $ 79 . The lease liability was measured at the present value of the future lease
payments, which are discounted based on an estimate of the incremental interest rate that the Company would be required to pay to
borrow a similar amount for a similar period in order to obtain a similar amount on the initial recognition date of the lease.
As
part of the leasing period, the Company considered only the Initial Lease Period as the realization of the option to extend the period
was not considered as reasonably certain.
Operating
lease:
SCHEDULE OF OPERATING LEASE
December
31, 2024
Operating
right-of-use asset
$ 59
Current operating lease
liability
$ 26
Non-Current operating
lease liability
$ 33
F- 24
Maturity
analysis of the Company’s lease liability:
SCHEDULE OF MATURITY ANALYSIS OF LEASE LIABILITY
December
31, 2024
Less than one year
$ 30
Between 1-2 years
30
More than 2 years
5
Total operating lease
payments
$ 65
Less: imputed interest
$ 6
Present value of lease liabilities
$ 59
Additional
information on lease
The
following is a summary of the weighted average remaining lease terms and discount rate for the lease:
SCHEDULE OF WEIGHTED AVERAGE REMAINING LEASE TERMS AND DISCOUNT RATE
December
31, 2024
Lease term (years)
2.17
Weighted average discount rate
9.03 %
NOTE
7 - FINANCE (INCOME) EXPENSES, NET
SCHEDULE OF FINANCE EXPENSES
2024
2023
Year
ended
December 31,
2024
2023
Unaudited
Discount amortization and interest
expenses related to June 27 Notes
$ 21
$ -
Interest expenses related to July 18 Notes
44
-
Interest expense and debt discount amortization
related to July 30 Notes
563
Interest on bank deposits
( 62 )
( 17 )
Exchange rate differentials,
bank commissions and miscellaneous
17
10
Finance (income) expenses,
net
$ 583
$ ( 7 )
NOTE
8 – COMMON STOCK AND WARRANTS WITH-DOWN ROUND PROTECTION
A.
Description
of the rights attached to the Common Stock
Each
share of Common Stock entitles the holder to one vote, either in person or by proxy, on each matter submitted to the approval of
the Company’s stockholders. The holders of Common Stock are not permitted to vote their shares cumulatively.
B.
Equity
Issuances
1.
2023 Equity Issuances
On
April 13, 2023, the Company completed an underwritten public offering under which the Company received gross proceeds of approximately
$ 10 million for issuance of (i) 53,765 shares of common stock and (ii) 19,765 pre-funded warrants at a price to the public of $ 136
per share. The pre-funded warrants are exercisable for the same number of shares of common stock and may be exercised at any time
until exercised in full at an exercise price of $ 0.001 .
F- 25
Upon
satisfaction of customary closing conditions, the closing date of the above underwritten
public offering was April 17, 2023 (the “Closing Date”). The Company received
substantially all the pre-funded warrant’s proceeds upfront (without any conditions)
as part of the pre-funded warrant’s purchase price and in return the Company is obligated
to issue fixed number of 19,765 shares of Common Stock to the holders. Thus, pre-funded warrants
were accounted for and were classified as additional paid-in capital as part of the Company’s
stockholders’ equity.
Total
incremental and direct issuance costs amounted to $ 1,270 thousand. These expenses were deducted from additional paid-in capital as
they were allocated to shares of Common Stock and pre-funded warrants.
On
January 3, 2024, the above pre-funded warrants have been fully exercised to 19,765 shares of Common Stock of the Company.
2.
2024 Equity Issuances
See
Notes 4H, 4I and 4J relating to the issuances of shares during 2024.
3.
Subsequent event issuances
See
Note 14 regarding a significant issuance of shares as a settlement of Series B Warrants subsequent to the balance sheet date.
C.
Stock-based
compensation
1.
Plan
On
January 11, 2010, the Company’s Board of Directors approved and adopted the 2010 Share Incentive Plan (the “Plan”),
pursuant to which the Company’s Board of Directors may award share options to purchase the Company’s Common Stock as
well as restricted shares, Restricted Stock Units (the “RSU”) and other share-based awards to designated participants.
Subject to the terms and conditions of the Plan, the Company’s Board of Directors has full authority in its discretion, from
time to time and at any time, to determine (i) the designate participants; (ii) the terms and provisions of the respective award
agreements, including, but not limited to, the number of share options to be granted to each optionee, the number of shares to be
covered by each share option, provisions concerning the time and the extent to which the share options may be exercised and the nature
and duration of restrictions as to the transferability or restrictions constituting substantial risk of forfeiture and to cancel
or suspend awards, as necessary; (iii) determine the fair market value of the shares covered by each award; (iv) make an election
as to the type of approved 102 Option under Israeli tax law; (v) designate the type of share options; (vi) take any measures, and
to take actions, as deemed necessary or advisable for the administration and implementation of the Plan; (vii) interpret the provisions
of the Plan and to amend from time to time the terms of the Plan .
2.
Grant
of equity awards to employees
A.
In
August 2023, the Company granted Ms. Drinda Benjamin, the Vice President, Marketing of the Company, 2,220 options estimated at fair
value of $ 51 , to purchase the same number of Common Stock, with an exercise price per share equals to the greater of (A) $ 136 per
share or (B) the closing price of a share of Common Stock on the grant date, as reported by Bloomberg L.P., which shall vest in equal
monthly installments over a period of 3 -years following the grant date.
F- 26
B .
On
June 14, 2024, the Board of Directors approved the cancellation of all outstanding stock options previously granted to employees,
directors, and officers of the Company. Concurrently, the Board authorized the issuance of new stock options to the relevant parties.
The new stock options were issued in replacement with exercise price $ 245 .
C .
During
the years ended December 31, 2024 and 2023, the Company recorded stock-based compensation expenses of $ 173
and $ 281 ,
respectively.
D .
The
following table presents the Company’s stock options (excluding RSU) activity for employees and members of the Board of Directors
of the Company under the Plan, for the years ended December 31, 2024 and 2023:
SCHEDULE
OF SHARE OPTION ACTIVITY FOR EMPLOYEES AND MEMBERS
Number
of
Share
Options
Weighted
Average
Exercise
Price
Weighted
average
remaining
contractual
life
Intrinsic
value
$
(years)
$
Outstanding as of December 31, 2022
8,046
152
2.1
-
Granted
2,221
28
9.7
-
Forfeited or expired
( 269 )
1290
1.7
-
Outstanding as of December 31, 2023
9,998
90
8.0
-
Granted
6,438
49.72
9.37
-
Cancelled
-
-
-
-
Forfeited or expired
-
-
-
-
Outstanding as of December 31, 2024
16,436
49.72
9.37
-
Exercisable as of December 31, 2024
11,249
* 49.11
9.41
-
* After modification of exercise price
The
aggregate intrinsic value in the table above represents the total intrinsic value (the difference between the deemed fair value of
the Company’s Ordinary Shares on the last day of each of the applicable reported period and the exercise price, multiplied
by the number of in-the-money share options) that would have been received by the share option holders had all share options holders
exercised their share options on December 31 of each of the reported period. This amount is impacted by the changes in the fair market
value of the Company’s Ordinary Share.
E .
During
the years ended December 31, 2024 and 2023, stock options have not been exercised into Common Stock.
F .
The
following table presents the assumptions used to estimate the fair values of the share options granted in the reported periods presented:
SCHEDULE
OF ASSUMPTIONS USED TO VALUE OPTIONS
2024
2023
Years
ended
December
31
2024
2023
Volatility (%)
207 - 288 %
220 %
Risk-free interest rate (%)
3.51 - 4.64 %
4.7 %
Dividend yield (%)
-
-
Expected life (years)
3
3
Exercise price ($)
41 - 58
140
Share price ($)
49.0
30
F- 27
G .
As
of December 31, 2024, there was $ 298 of
unrecognized compensation expense related to unvested stock options. The Company recognizes compensation expense on an accelerated
vesting basis over the requisite service periods, which results in a weighted average period of approximately 1.9 years
over which the unrecognized compensation expense is expected to be recognized.
3.
Grant
of equity awards to non-employees
A.
Upon
closing of underwritten U.S. public offering in 2023 as noted in Note 8B above, a down round protection feature of certain
previously granted warrants, was triggered through the reduction of their original exercise prices from a price in a range of $ 335
-$ 7,020
to a price of $ 136
which represented the public offering price. Such reduction was accounted for in accordance with the provisions of ASU 2017-11 as a
deemed dividend estimated at a total amount of $ 855
thousand which was recorded as part of the additional paid-in capital versus increase of accumulated deficit. Regarding the effect
of the loss per share, see also Note 2O above.
B.
The
following table presents the Company’s warrants activity for the years ended December 31, 2024 and 2023:
SCHEDULE
OF WARRANTS ACTIVITY
Number
of
Share
Warrants
Weighted
Average
Exercise
Price
Weighted
average
remaining
contractual
life
Intrinsic
value
$
(years)
$
Outstanding as of December 31, 2023
-
-
-
-
Granted
1,278,259
39.66
9.31
-
Cancelled
-
-
-
-
Forfeited or expired
-
-
-
-
Outstanding as of December 31, 2024
1,278,259
39.66
9.31
-
Exercisable as of December 31, 2024
1,278,259
39.66
9.31
-
The
total compensation cost related to all of the Company’s equity-based awards recognized during the years ended December 31,
2024 and 2023 was comprised as follows:
SCHEDULE
OF TOTAL COMPENSATION COST EQUITY BASED AWARDS
In
thousands of US dollars
December
31,
2024
December
31,
2023
Research and development
307
176
General and administrative
364
159
Total compensation cost
671
335
F- 28
NOTE
9 – RESEARCH AND DEVELOPMENT EXPENSES
SCHEDULE
OF RESEARCH AND DEVELOPMENT EXPENSES
In
thousands of US dollars
Research and
Development
December
31,
2024
December
31,
2023
Salaries and related expenses
1,881
930
Professional fees
7,363
3,709
Depreciation
14
10
Other
241
55
Total Research and Development
Expense
9,499
4,704
NOTE
10 – GENERAL AND ADMINISTRATIVE EXPENSES
SCHEDULE
OF GENERAL AND ADMINISTRATIVE EXPENSES
In
thousands of US dollars
General and
Administrative
December
31,
2024
December
31,
2023
Salaries and related expenses
476
340
Professional fees (including directors’
fees)
3,724
1,527
Depreciation
22
3
Insurance
313
336
Other
120
72
Total general and administrative
expenses
4,655
2,278
NOTE
11 – INCOME TAX
A.
Measurement
of results for tax purposes under the Israeli Income Tax (Inflationary Adjustments) Law, 1985 (the “Inflationary Adjustment
Law”)
Commencing
January 1, 2008, the results of operations of Integrity Israel for tax purposes have been measured on a nominal basis.
B.
Tax
assessments
For
federal, state and local income tax purposes the Company remains open for examination by the tax authorities for the tax years from
2019 through 2022 under the general statute of limitations.
Notwithstanding,
pursuant and subject to the provisions of article 145 of the Income Tax Ordinance, Integrity Israel’s tax returns that were
filed with the tax authority up to and including 2018 are considered final.
C.
Loss
for the years ended December 31, 2024 and 2023 consists of the following:
SCHEDULE
OF INCOME TAX LOSS FOR THE YEAR
2024
2023
Year
ended
December
31
2024
2023
Domestic
$ 22,502
$ 6,945
Foreign entity (Integrity
Israel)
95
152
Total
loss for the year
22,597
7,097
D.
Net
Operating Losses (NOL) carryforward
As
of December 31, 2024, the Company had cumulative Net Operating Losses (NOL) carry forward for US federal purposes of approximately
$ 31.6 million to offset against future taxable income for an indefinite period of time. Integrity Israel has cumulative NOL carry
forward for Israeli income tax purposes of approximately $ 38.5 million to offset against future taxable income for an indefinite
period of time.
E.
For
the years ended December 31, 2024 and 2023, the main reconciling item is the recognition of valuation allowance in respect of deferred
taxes relating to accumulated net operating losses carried forward and other permanent and temporary differences due to the uncertainty
of the realization of such deferred taxes.
F- 29
F.
Deferred
taxes result principally from temporary differences in the recognition of certain revenue and expense items for financial and income
tax reporting purposes. Significant components of the Company’s future tax assets are as follows:
SCHEDULE
OF DEFERRED TAX ASSETS
As
of
December
31
Composition
of deferred tax assets:
2024
2023
Vacation accrual
208
66
Research and development credits
3,276
1,033
Net operating losses carry
forwards
16,981
12,368
Net deferred tax asset
before deferred tax liabilities and valuation allowance
20,465
13,467
Valuation allowance
( 20,465 )
( 13,467 )
Net deferred tax assets
-
-
NOTE
12 – RELATED PARTIES
A.
For
more information regarding the intellectual property purchase agreement from the company’s CEO - See Note 5B above.
B.
For
more information regarding loans received from certain Stockholders - See Note 3 above.
C.
Tapsak
Enterprises LLC, dba Virginia Analytical
On
October 25, 2022, the Company entered into agreement with Tapsak Enterprises LLC dba Virginia Analytical, which fully owned by Mark
Tapsak, who serves as the Vice President of Sensor Science of the Company, under which, Tapsak Enterprises LLC dba Virginia Analytical,
is providing laboratory space, equipment and materials to support the Company sensor development activities. During the years ended
December 31, 2024 and 2023, a total amount of $ 25 and $ 162 were recorded as part of the Company’s research and development
expenses, respectively.
For
more information regarding execution of lease agreement with Tapsak Enterprises LLC dba Virginia Analytical, see Note 6.
D.
Regarding
the issuances of notes, shares, warrants and settlement of notes, ee Note 4 above.
NOTE
13 – SEGMENT REPORTING :
ASC
280, “Segment Reporting” establishes standards for reporting information about operating segments on a basis consistent with
the Company’s internal organization structure as well as information about services categories, business segments and major customers
in financial statements. The Company has only one reportable segment, the Glucotrack CBGM Product Segment, as all their research and
development activities are related the development of the Glucotrack CBGM Product. Since the Company operates in one operating segment,
all required financial segment information can be found in the consolidated financial statements.
F- 30
The
Company adheres to the provisions of ASC 280, Segment Reporting, which establishes standards for the way public business enterprises
report information about operating segments in annual financial statements and requires that those enterprises report selected information
about operating segments in financial statements issued to shareholders. As the Company is currently involved in the development of one
product, the Platform, the Company has determined that it operates in a single reportable segment. The Company’s Chief Operating
Decision Maker (CODM), its Chief Executive Officer (CEO), reviews the consolidated results of operations when making decisions about
allocating resources and assessing the performance of the Company as a whole and, hence, the Company has only one reportable segment.
The Company’s assets are located in the United States of America.
NOTE
14 – SUBSEQUENT EVENTS
2025 Reverse Stock
Split and Increase in Authorized Common Stock
The Company 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 its Common Stock.
The 2025 Reverse Stock Split was approved by the Company’s 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
January 3, 2025, the Company filed an amendment to the Company’s Certificate of Incorporation, as to increase the Company’s
authorized shares of Common Stock from 100,000,000 to 250,000,000 . On February 3, 2025, the stockholders approved at the Special Meeting
the increase in the Company’s 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 the Company upon the exercise of Series A Warrants and Series B Warrants
(see below).
ATM Sales Agreement
On December 17, 2024, the Company entered
into an ATM sales agreement (the “Sales Agreement”) with Dawson James Securities, Inc. (“Dawson James”), pursuant
to which the Company have agreed to issue and sell shares of Common Stock, having an aggregate offering price of up to $ 8.23 million, from time
to time, through an “at-the-market” equity offering program under which Dawson James will act as sales agent (the “Agent”).
On March 21, 2025, the Company sold 12,377,967
shares of Common Stock at an average offering price of $ 0.304 per share pursuant to the Sales Agreement. for net proceeds of $ 3.6
million, after deducting fees owed to the Agent from such sale. The shares of Common Stock were offered by the Company pursuant
to a prospectus supplement dated December 17, 2024, and accompanying prospectus dated October 3, 2024, which forms a part of the Company’s
registration statement on Form S-3 (Registration No. 333-282297), which was declared effective by the Securities and Exchange Commission,
on October 3, 2024.
Registered Direct Offering
On February 4, 2025, the Company
entered into a securities purchase agreement with certain institutional investors, relating to the registered direct offering and sale
of an aggregate of 2,638,042 shares of Common Stock at an offering price of $ 1.15 per share. The net proceeds to the Company from the
offering were approximately $ 2.7 million, after deducting fees owed to placement agent and other offering expenses. The February 2025
offering closed on February 5, 2025.
The shares of Common Stock from
the February 2025 registered direct offering was offered by the Company pursuant to a prospectus supplement dated February 4, 2025, and
accompanying prospectus dated October 3, 2024, which forms a part of the Company’s registration statement on Form S-3 (Registration
No. 333-282297), which was declared effective by the Securities and Exchange Commission, on October 3, 2024. Dawson James acted as the
placement agent for the offerings pursuant to a placement agency agreement, dated February 4, 2025, by and between the Company and Da
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