Management’s Discussion and Analysis of Financial Condition and Results of Operations
−Removed: investors should read the following discussion and analysis of our financial condition and results of operations together with our financial
−Removed: statements and the related notes and other financial information included elsewhere in this Report.
−Removed: Some of the information contained
−Removed: in this discussion and analysis or set forth elsewhere in this report, including information with respect to our plans and strategy for
−Removed: our business and related financing, includes forward-looking statements that involve risks and uncertainties.
−Removed: You should review the “Risk
−Removed: Factors” section of this Report for a discussion of important factors that could cause actual results to differ materially from
−Removed: the results described in or implied by the forward-looking statements contained in the following discussion and analysis .
−Removed: are a medical device company focused on the design, development and commercialization of novel technologies for use by people with diabetes.
−Removed: Our mission is to become a leader in diabetes management by bringing to market innovative and cost-effective technologies that address
−Removed: multiple verticals within the diabetes market.
−Removed: We are developing an implantable CBGM.
−Removed: This product is designed to have a 2-year implant
−Removed: longevity without the requirement for any wearable components.
−Removed: Accounting Policies
−Removed: Management’s Discussion and Analysis of Financial Condition and Results of Operations discuss our financial statements, which have
−Removed: been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S.
−Removed: In connection with the preparation of our financial statements, we are required to make assumptions and estimates about future events,
−Removed: and apply judgments that affect the reported amounts of assets, liabilities, revenue, expenses and the related disclosures.
−Removed: assumptions, estimates and judgments on historical experience, current trends and other factors that management believes to be relevant
−Removed: at the time our consolidated financial statements are prepared.
−Removed: On a regular basis, management reviews the accounting policies, assumptions,
−Removed: estimates and judgments to ensure that our financial statements are presented fairly and in accordance with U.S.
−Removed: However, because
−Removed: future events and their effects cannot be determined with certainty, actual results could differ from our assumptions and estimates,
−Removed: and such differences could be material.
−Removed: significant accounting policies are discussed in Note 2, Summary of Significant Accounting Policies, of the Notes to Consolidated Financial
−Removed: Statements included elsewhere in this report.
−Removed: Accounting Estimates
−Removed: discussion and analysis of our financial condition and results of operations are based upon our consolidated financial statements, which
−Removed: have been prepared in accordance with U.S.
−Removed: The preparation of our consolidated financial statements and related disclosures requires
−Removed: us to make estimates, assumptions and judgments that affect the reported amounts of assets, liabilities and expenses and related disclosures.
−Removed: Management believes that there are no critical accounting estimates in these financial statements.
−Removed: Accounting Pronouncements
−Removed: November 2023, the Financial Standards Accounting Board (FASB) issued Accounting Standards Update (ASU) 2023-07 “Segment Reporting
−Removed: Improvements to Reportable Segment Disclosures”, which expands annual and interim disclosure requirements for reportable
−Removed: segments, primarily through enhanced disclosures about significant segment expenses.
−Removed: ASU 2023-07 is effective for the Company’s
−Removed: annual periods beginning January 1, 2024, and for interim periods beginning January 1, 2025, with early adoption permitted.
−Removed: December 2023, the FASB issued ASU 2023-09 “Income Taxes (Topics 740):
−Removed: Improvements to Income Tax Disclosures” to expand
−Removed: the disclosure requirements for income taxes, specifically relating to the rate reconciliation and income taxes paid.
−Removed: ASU 2023-09 is
−Removed: effective for the Company’s annual periods beginning January 1, 2025, with early adoption permitted.
−Removed: Company is currently evaluating the potential effects that ASU 2023-07 and ASU 2023-09 will have on the consolidated financial statement
−Removed: of Operations
−Removed: following discussion of our operating results explains material changes in our results of operations for the years ended December 31,
−Removed: 2023 and December 31, 2022.
−Removed: The discussion should be read in conjunction with the financial statements and related notes included elsewhere
−Removed: in this report.
−Removed: Ended December 31, 2023 Compared to Year Ended December 31, 2022
−Removed: and development expenses
−Removed: and development expenses were $4,704 for the year ended December 31, 2023, as compared to $1,967 for the prior-year period.
−Removed: increase is attributable to professional fees we accrued during the year.
+Added: discussion in this section contains forward-looking statements.
+Added: These statements relate to future events, our future operations or our
+Added: future financial performance.
+Added: We have attempted to identify forward-looking statements by terminology such as “anticipate,”
+Added: “believe,” “can,” “continue,” “could,” “estimate,” “expect,”
+Added: “intend,” “may,” “plan,” “potential,” “predict,” “should,” “would”
+Added: or “will” or the negative of these terms or other comparable terminology, but their absence does not mean that a statement
+Added: is not forward-looking.
+Added: These statements are only predictions and involve known and unknown risks, uncertainties and other factors, which
+Added: could cause our actual results to differ from those projected in any forward-looking statements we make.
+Added: Several risks and uncertainties
+Added: we face are discussed in more detail under “Risk Factors” in Part I, Item 1A of this Annual Report or in the discussion and
+Added: analysis below.
+Added: You should, however, understand that it is not possible to predict or identify all risks and uncertainties and you should
+Added: not consider the risks and uncertainties identified by us to be a complete set of all potential risks or uncertainties that could materially
+Added: You should not place undue reliance on the forward-looking statements we make herein because some or all of them may turn
+Added: out to be wrong.
+Added: We undertake no obligation to update any of the forward-looking statements contained herein to reflect future events
+Added: and developments, except as required by law.
+Added: The following discussion should be read in conjunction with the consolidated financial statements
+Added: and the notes to those statements included elsewhere in this Annual Report.
+Added: otherwise noted, all information in this Item 7 regarding share amounts of our Common Stock and prices per share of our Common Stock
+Added: 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,
+Added: 2024 and the one-for-twenty reverse stock split of our Common Stock that we effected on February 3, 2025, as further described below,
+Added: on a retroactive basis.
+Added: Company was incorporated on May 18, 2010 under the laws of the State of Delaware.
+Added: We are currently developing an implantable CBGM,
+Added: the Glucotrack CBGM, for persons with Type 1 diabetes and insulin-dependent Type 2 diabetes.
+Added: Company was founded with a mission to develop Glucotrack®, a non-invasive glucose monitoring device designed to help people with
+Added: diabetes and pre-diabetics obtain glucose level readings without the pain, inconvenience, cost and difficulty of conventional (invasive)
+Added: spot finger stick devices.
+Added: The first generation Glucotrack, which successfully received CE Mark approval, obtained glucose measurements
+Added: via a small sensor clipped onto one’s earlobe.
+Added: A limited release beta test in Europe and the Middle East demonstrated the need
+Added: for an updated product with improved accuracy and human factors.
+Added: As the glucose monitoring landscape rapidly moved away from point-in-time
+Added: measurement to continuous measurement since then, the Company recently determined that it would focus its efforts on developing its Glucotrack
+Added: As such, we have since withdrawn our CE Mark for Glucotrack and are no longer pursuing commercialization of this product or development
+Added: of any further iterations.
+Added: Company is currently developing the Glucotrack CBGM for use by Type 1 diabetes patients as well as insulin-dependent Type 2 patients.
+Added: Implant longevity is key to the success of such a device.
+Added: We have continued to evolve our sensor chemistry following our successful in-vitro
+Added: feasibility study demonstrating that a minimum two-year implant life is highly probable with the current sensor design.
+Added: Recently we announced
+Added: a 3-year longevity is feasible leveraging both in-vitro and in-silico test results.
+Added: We have also completed four animal studies with evolving
+Added: prototype systems, all four of which consistently demonstrated a simple implant procedure, good functionality, and safety.
+Added: has also successfully demonstrated continuous glucose sensing in the epidural space via two additional animal trials, both of which demonstrated
+Added: a simple implant procedure, good functionality, and safety.
+Added: This latter approach is of importance for patients with painful diabetic
+Added: neuropathy contemplating spinal cord stimulation therapy for their condition.
+Added: The results of these animal trials were recently presented
+Added: in poster form at the American Diabetes Association, the Diabetes Technology Society, and the DiabetesMine annual conferences.
+Added: regulatory submission has been made for a first in human study outside of the United States.
+Added: This will be an acute study intended to
+Added: demonstrate device performance and safety.
+Added: All preparatory clinical activities and applicable regulatory approvals are complete.
+Added: 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.
+Added: believe our technology, if successful, has the potential to be more accurate, more convenient and have a longer duration than other implantable
+Added: glucose monitors that are either in the market or currently under development.
+Added: executive management team consists of our Chief Executive Officer and President, Paul V.
+Added: Goode PhD, an experienced executive with a 25+
+Added: year career developing innovative medical technologies, including at Dexcom and MiniMed (now Medtronic Diabetes) and Chief Financial
+Added: Officer, Peter C.
+Added: Wulff, who has over 35 years of experience as a chief financial officer and chief operating officer in both public
+Added: and private entities.
+Added: Our senior management team consists of:
+Added: Mark Tapsak PhD, Chief Scientific Officer, a medical research scientist
+Added: who brings over 25 years of experience in the diabetes industry, including previous senior roles at Dexcom and Medtronic ;
+Added: Thrower PhD, Vice President of Advanced Technologies, a seasoned engineering executive with 20 years’ experience formerly of
+Added: Sterling Medical Devices, Mindray DS USA and Dexcom;
+Added: Drinda Benjamin, Vice President of Marketing, a medical device professional
+Added: with over 20 years of experience in the medical device and diabetes industry with senior roles at Intuity Medical, Senseonics, Abbott
+Added: Diabetes, and Medtronic Diabetes;
+Added: Vincent Wong, Vice President of Operations, a medical device professional with 15 years of experience
+Added: in quality system for implantable medical device manufacturing with senior roles at Cirtec Medical and TOMZ;
+Added: Sandie Martha, Vice President
+Added: Clinical Operations, a medical device professional with over 20 years of experience in the medical device and diabetes industry with
+Added: senior roles at Dexcom and GlySens;
+Added: and Ted Williams, Vice President Regulatory, a medical device professional with over 20 years of
+Added: experience in the biotech and diabetes industry with a senior role at GlySens.
+Added: and Development
+Added: of Preclinical Study
+Added: May 16, 2024, we announced that our implantable continuous glucose monitor successfully completed 30 days of a 60-day long-term preclinical
+Added: study on measuring glucose in the epidural space.
+Added: The Glucotrack sensor, implanted in the epidural space of animals, closely tracked
+Added: both blood glucose and a commercially available subcutaneous CGM throughout the 30-day period.
+Added: The implantation procedure took approximately
+Added: 20 minutes, and the animals recovered without complications.
+Added: No abnormal clinical signs or findings in the spinal cord or surrounding
+Added: tissues were observed at the 30-day mark.
+Added: On June 13, 2024, we announced that the 60-day long-term study was completed, demonstrating
+Added: the feasibility of glucose monitoring in the epidural space.
+Added: No abnormal clinical signs were observed throughout the study period, and
+Added: no abnormal findings were observed in the spinal cord or surrounding tissues during post-explant analysis.
+Added: The study also confirmed that
+Added: the implanted sensor did not cause any delayed latent effects over the long-term period, which is particularly important as a complete
+Added: healing process in animal studies with implanted devices may take several weeks.
+Added: With the completion of this study, the durability of
+Added: the epidural approach for continuous glucose monitoring has now been confirmed over the 60-day period.
+Added: These developments mark another
+Added: potential use of the Glucotrack technology by combining the technology with a conventional spinal cord stimulator for treating patients
+Added: who have chronic lower back and lower limb pain, a significant proportion of which have diabetes.
+Added: February 4, 2025, we announced the successful completion of our first in-human clinical study, marking a significant milestone in continuous
+Added: glucose monitoring.
+Added: This study represents the first real-time CBGM placed in the subclavian vein,
+Added: offering the potential for direct blood glucose measurement without the limitations often seen with traditional continuous glucose monitors
+Added: that measure glucose levels in interstitial fluid.
+Added: prospective single arm study was a short-term in-hospital study over a period of four days, focusing on the safety and procedural
+Added: aspects of the Glucotrack CBGM sensor lead placement, use, and removal.
+Added: The sensor lead was placed intravascularly via a
+Added: percutaneous procedure and connected to a prototype sensor electronics component that was placed on the skin.
+Added: The six study
+Added: participants had been previously diagnosed with diabetes mellitus requiring glucose monitoring and intensive insulin
+Added: results established safety of the placement, usage and removal of the CBGM sensor lead.
+Added: While neither the study nor prototype system
+Added: was designed to evaluate sensor accuracy, the system performed as expected with similar accuracy results as previously seen in our animal
+Added: study met its primary endpoint with no procedure or device related serious adverse events reported from implant through seven days post-removal
+Added: of the CBGM sensor lead.
+Added: The study also confirmed the function of the CBGM sensor lead in the subclavian vein.
+Added: Placement and removal
+Added: procedures were successfully performed by interventional cardiologists.
+Added: 13485:2016 Certification
+Added: January 21, 2025, we announced that we received ISO 13485:2016 certification from the British Standards Institute
+Added: We successfully completed Stage I and Stage II Assessments performed by the notified body, BSI, to verify the
+Added: Company has established, and is maintaining, a quality management system that meets all requirements of the ISO 13485:2016 standard
+Added: for design and development of its products.
+Added: ISO 13485 is an internationally recognized standard for quality management systems,
+Added: created by the International Organization for Standardization to ensure the safety and effectiveness of medical devices.
+Added: on the ISO 9001 standard with additional regulatory requirements specific to medical devices.
+Added: In 2024, the FDA issued the Quality Management System Regulation Final Rule, which harmonizes U.S.
+Added: requirements with global standards
+Added: through the adoption of ISO 13485 for medical devices.
+Added: ISO 13485 is also strongly recommended and widely used in the European
+Added: and Regulatory
+Added: Listing Status
+Added: Listing Rule 5550(b)(1) requires companies listed on Nasdaq to maintain a minimum of $2,500,000 in stockholders’ equity for continued
+Added: On May 21, 2024, Nasdaq notified us that our Quarterly Report
+Added: on Form 10-Q for the period ended March 31, 2024, indicated that we no longer met the Minimum Stockholders’ Equity Requirement.
+Added: Failure to meet the Minimum Stockholders’ Equity Requirement was a basis for delisting our Common Stock.
+Added: we were not in compliance with the Bid Price Rule at the time we were notified about the non-compliance with the Minimum
+Added: Stockholders’ Equity Requirement, we were not eligible to submit a plan to regain compliance with the Staff.
+Added: However, we timely
+Added: requested a hearing before the Nasdaq Hearings Panel and paid the fee, which resulted in a stay of any suspension or delisting action
+Added: pending the hearing.
+Added: The hearing took place on July 9, 2024, and on August 5, 2024, we received the decision of the Panel, and they granted
+Added: us an extension until November 18, 2024 to regain compliance with the Minimum Stockholders’ Equity Requirement.
+Added: November 19, 2024, the Company received a Compliance Letter from Nasdaq, informing the Company that it had regained compliance with
+Added: the Minimum Stockholders’ Equity Requirement.
+Added: The Compliance Letter noted, that because the Company’s bid price has
+Added: closed below the minimum required by the Bid Price Rule following the 2024 November Offering (defined below), the Panel had
+Added: determined to impose on the Company a Discretionary Panel Monitor, pursuant to Listing Rule 5815(d)(4)(B), for a period of one year
+Added: from the date of the Compliance Letter, to ensure that the Company maintains long-term compliance with the Minimum
+Added: Stockholders’ Equity Requirement, the Bid Price Rule, and all of Nasdaq’s continued listing requirements.
+Added: December 31, 2024, we received a notification from Nasdaq that for at least the last 30 consecutive business days, the Company was not
+Added: 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
+Added: days, or until June 30, 2025, to regain compliance with the Bid Price Rule.
+Added: If at any time before June 30, 2025, the bid price of our
+Added: 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
+Added: confirmation of compliance with the Bid Price Rule and the matter will be deemed closed.
+Added: 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.
+Added: To qualify, we would be required to meet the continued listing requirement for market value of publicly held shares and all other initial
+Added: listing standards for the Nasdaq Capital Market, with the exception of the Bid Price Rule, and would need to provide written notice of
+Added: our intention to cure the bid price deficiency during the second compliance period by effecting a reverse stock split, if necessary.
+Added: can be no assurance that we will be able to continue to maintain compliance with Nasdaq’s continued listing requirements, the Bid
+Added: Price Rule, or other Nasdaq listing requirements.
+Added: See “ Risk Factors — Our failure to maintain compliance with Nasdaq’s
+Added: continued listing requirements could result in the delisting of our Common Stock .”
+Added: Reverse Stock Split
+Added: filed with the Delaware Secretary of State a Certificate of Amendment (the “May Certificate of Amendment”), to our
+Added: Certificate of Incorporation, as amended (the “Certificate of Incorporation”), which became effective at 4:30 p.m.
+Added: May 17, 2024 (the “First Effective Time”) to implement a one-for-five (1:5) reverse stock split (the “2024 Reverse
+Added: Stock Split”) of the shares of our Common Stock.
+Added: The 2024 Reverse Stock Split was approved by our stockholders at the 2024
+Added: annual meeting of the stockholders on April 26, 2024.
+Added: a result of the 2024 Reverse Stock Split, every five (5) shares of issued and outstanding Common Stock were automatically combined into
+Added: one (1) issued and outstanding share of Common Stock, without any change in the par value per share.
+Added: No fractional shares were issued
+Added: 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
+Added: 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
+Added: such holder would otherwise be entitled, multiplied by the closing price per share of the Common Stock on Nasdaq at the close of business
+Added: on the date prior to the First Effective Time.
+Added: the 2024 Reverse Stock Split, the number of shares of Common Stock outstanding was proportionally reduced.
+Added: The shares of Common Stock
+Added: underlying the outstanding stock options and warrants were similarly adjusted along with corresponding adjustments to their exercise
+Added: The 2024 Reverse Stock Split also proportionally reduced the total number of authorized shares of Common Stock from 500,000,000
+Added: shares to 100,000,000 shares.
+Added: Reverse Stock Split
+Added: filed with the Delaware Secretary of State a Certificate of Amendment to our Certificate of Incorporation (the “2025
+Added: Certificate of Amendment”) which became effective at 4:30 p.m.
+Added: on February 3, 2025 (the “Second Effective Time”),
+Added: to implement a reverse stock split at a ratio of 1-for-20 (the “2025 Reverse Stock Split”) of the shares of our Common
+Added: The 2025 Reverse Stock Split was approved by our stockholders at the special meeting of our stockholders held on January 3,
+Added: 2025 (the “Special Meeting”).
+Added: As a result of the 2025 Reverse Stock Split, every twenty (20) shares of issued and outstanding Common Stock were
+Added: automatically combined into one (1) issued and outstanding share of Common Stock, without any change in the par value per share.
+Added: No fractional
+Added: shares were issued as a result of the 20254 Reverse Stock Split, and instead, stockholders who otherwise would have been entitled to receive
+Added: fractional shares because they held a number of shares not evenly divisible by the Reverse Stock Split ratio were entitled to receive
+Added: an additional fraction of a share of Common Stock to round up to the next whole share.
+Added: 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,
+Added: 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
+Added: described below).
+Added: in Authorized Common Stock
+Added: January 3, 2025, the Company filed an amendment to the Company’s Certificate of Incorporation, as to increase the Company’s
+Added: authorized shares of Common Stock from 100,000,000 to 250,000,000.
+Added: 2024 Exchange
+Added: February 13, 2024, we entered into the February Exchange Agreement with the February Holders, pursuant to which the Company and the
+Added: February Holders agreed to exchange the February
+Added: Warrants owned by the February Holders for shares of Common Stock to be issued by the Company.
+Added: 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.
+Added: Private Placement
+Added: 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
+Added: of $126.0 per share for aggregate gross proceeds of $500,000.
+Added: The Offering included participation of certain members of the Company’s executive management, Board
+Added: of Directors and existing shareholders.
+Added: 27 Private Placement
+Added: 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
+Added: aggregate principal amount of $100,000 and to purchase
+Added: up to an aggregate of 15,000 shares of Common Stock.
+Added: The closing occurred on June 27, 2024.
+Added: 18 Private Placement
+Added: 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
+Added: principal amount of $360,000.
+Added: August 23, 2024, two of the June 27 Investors entered into conversion agreements with the Company, pursuant to which the Company agreed
+Added: 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
+Added: investors into Common Stock at a conversion price of $20.40 per share.
+Added: On September 5, 2024, another June 27 Investor entered into a separate
+Added: conversion agreement with the Company, under which the Company agreed to convert
+Added: the principal amount, plus any accrued but unpaid interest, of the June 27 Note held by the investor, totaling $259,310, into Common
+Added: Stock at the same conversion price of $20.40 per share.
+Added: in satisfaction of the debt and pursuant to the August Conversion Agreement, the Company issued to each of the two June 27 Investors
+Added: that converted their notes in August, three August 23 Warrants.
+Added: Each August 23 Warrant becomes
+Added: exercisable on August 16, 2025 and has term of 10 years.
+Added: The August 23 Warrants are exercisable for cash only and have no
+Added: price-based antidilution.
+Added: The first August 23 Warrant is for 535 shares of Common Stock and is exercisable at $37.50 per share.
+Added: second August 23 Warrant is for 382 shares of Common Stock, exercisable at $52.50 per share.
+Added: The third August 23 Warrant is for 297
+Added: shares of Common Stock, exercisable at $67.50 per share.
+Added: 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.
+Added: The first September 5 Warrant is
+Added: for 6,915 shares of Common Stock and is exercisable at $37.50 per share.
+Added: The second September 5 Warrant is for 4,940 shares of
+Added: Common Stock, exercisable at $52.50 per share.
+Added: The third September 5 Warrant is for 3,842 shares of Common Stock, exercisable at
+Added: $67.50 per share.
+Added: 30 Private Placement
+Added: 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
+Added: of a secured convertible promissory note in the aggregate principal amount of $4,000,000.
+Added: Note bore simple interest at the rate of eight percent (8%) per annum and is due and payable in cash on the earlier of:
+Added: (a) the twelve
+Added: (12) month anniversary of July 30 Note, or (b) the date of closing of a Sale Transaction.
+Added: The July 30 Note was secured by a first-priority security interest on all Company assets.
+Added: Million Public Offering and Concurrent Private Placement
+Added: November 13, 2024, the Company entered into a Securities Purchase Agreement (the “Purchase Agreement”) with certain
+Added: purchasers identified on the signature pages therein, pursuant to which the Company sold in a “best efforts” public
+Added: offering (the “2024 November Offering”), pursuant to an effective registration statement on Form S-1 (File No.
+Added: 282158) under the Securities Act, an aggregate of (i) 121,867 shares of its
+Added: Common Stock (the “Shares”), (ii) 237,845 pre-funded warrants to purchase up to an aggregate of 237,845 shares of Common
+Added: Stock in lieu of Shares (the “Pre-Funded Warrants”), (iii) 359,712 Series A Common Warrants, and (iv) 359,712 Series B
+Added: Common Warrants.
+Added: The public offering price for each Share and accompanying Common Warrants was $27.80, and the public offering price
+Added: for each Pre-Funded Warrant and accompanying Common Warrants was $27.78 (the “Offering Price”).
+Added: a private placement offering completed concurrently with the Offering (the “Concurrent Private Offering”), the July 30
+Added: Holder, converted approximately $4,093,112 of debt, which represented the then outstanding principal and accrued interest under a
+Added: convertible promissory note dated July 30, 2024 (the “July 30 Note Debt”).
+Added: The July 30 Note Debt was converted to Common
+Added: Stock and Series A Common Warrants and Series B Common Warrants on substantially the same terms as the November 2024 Offering,
+Added: resulting in the issuance of 132,036 shares of Common Stock, 132,036 accompanying Series A Common Warrants, and 132,036 accompanying
+Added: Series B Common Warrants, based on a conversion price of $31.00 per share, which is equal to the consolidated closing bid price of
+Added: the Common Stock on the Nasdaq Capital Market on November 12, 2024.
+Added: addition, concurrently with the November 2024 Offering, the Company completed the July 18 Note Conversion of the outstanding July 18
+Added: The July 18 Notes, which represented an aggregate outstanding principal and accrued interest in the amount of $304,494 were converted
+Added: 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
+Added: of Common Stock, 9,760 Series A Common Warrants, and 9,760 Series B Common Warrants.
+Added: Sales Agreement
+Added: December 17, 2024, we entered into an ATM sales agreement (the “Sales Agreement”) with Dawson James Securities, Inc.
+Added: James”), pursuant to which we have agreed to issue and sell shares of Common Stock, having an aggregate offering price of up to
+Added: $8.23 million, from time to time, through an “at-the-market” equity offering program under which Dawson James will act as
+Added: sales agent (the “Agent”).
+Added: As of December 31, 2024, no sales of Common Stock had been made pursuant to the Sales Agreement.
+Added: On March 21, 2025, we sold
+Added: 12,377,967 shares of Common Stock at an average offering price of $0.304 per share pursuant to the Sales Agreement (the “March
+Added: We received net proceeds of approximately $3,643,000, after deducting fees owed to the placement agent from such
+Added: 2025 Registered Direct Offering
+Added: February 4, 2025, we entered into a securities purchase agreement with certain institutional investors, relating to the registered direct
+Added: offering and sale of an aggregate of 2,638,042 shares of Common Stock at an offering price of $1.15 per share.
+Added: The shares of Common Stock
+Added: were offered by the Company pursuant to a prospectus supplement dated February 4, 2025, and accompanying prospectus dated October 3,
+Added: 2024, in connection with a takedown from the Company’s shelf registration statement on Form S-3 (Registration No.
+Added: 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”).
+Added: Dawson James acted as
+Added: the placement agent for the offering pursuant to a placement agency agreement, dated February 4, 2025, by and between the Company and
+Added: Dawson James.
+Added: The net proceeds to the Company from the offering were approximately $2,706,000, after deducting fees owed to Dawson
+Added: James and other offering expenses.
+Added: The February 2025 Offering closed on February
+Added: on January 6, 2025, through March 13, 2025, the Company received exchange notices from certain holders of the Series B Warrants, with
+Added: respect to an aggregate of 359,612 of the Series B Warrants, requiring the delivery of 9,721,782 shares of Common Stock.
+Added: The remaining
+Added: 100 Series B Warrants are exchangeable for an aggregate of approximately 1,940 shares of Common Stock (subject to adjustment in the event
+Added: of any stock dividend and split, reverse stock split, recapitalization, reorganization or similar transaction).
+Added: Pro Forma Impact of Registered Direct Offerings,
+Added: Warrant Exchange, and Series A Warrant Revaluation
+Added: The following financial information
+Added: has been developed by application of pro forma adjustments to the historical financial statements of the Company appearing elsewhere in
+Added: this Annual Report.
+Added: The unaudited pro forma information gives effect to the 2025 Offerings, the exchange of Series B Warrants to common
+Added: stock, and the revaluation of Series A Warrants.
+Added: The unaudited pro forma
+Added: financial information is presented for informational purposes only and does not purport to represent what the results of operations or
+Added: financial position of the Company would have been had the transactions described above actually occurred on the dates indicated, nor do
+Added: they purport to project the financial condition of the Company for any future period or as of any future date.
+Added: The unaudited pro forma
+Added: financial information should be read in conjunction with the Company’s financial statements and notes thereto included elsewhere in this
+Added: Annual Report.
+Added: Pro Forma Balance Sheet
+Added: Year Ended December 31, 2024
+Added: Series B Warrant Exercise
+Added: 2025 Offerings
+Added: Revaluation of Series A Warrants
+Added: Pro Forma as Adjusted
+Added: Current Assets
+Added: Cash and cash equivalents
+Added: Other current assets
+Added: Total current assets
+Added: Operating lease right-of-use asset, net
+Added: Property and equipment, net
+Added: Restricted cash
+Added: LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
+Added: Current Liabilities
+Added: Accounts payable
+Added: Operating lease liability
+Added: Convertible promissory notes
+Added: Other current liabilities
+Added: Total current liabilities
+Added: Non-Current Liabilities
+Added: Derivative financial liabilities
+Added: Operating lease liability, non-current
+Added: Loans from stockholders
+Added: Total liabilities
+Added: Commitments and contingent liabilities
+Added: Stockholders’ (Deficit) Equity
+Added: Common Stock of $0.001 par value
+Added: 100,000,000 shares authorized as of December 31, 2024 and 2023;
+Added: 791,609 and 208,914 shares issued and outstanding as of December 31, 2024 and 2023, respectively
+Added: Additional paid-in capital
+Added: Receipts on account of shares
+Added: Accumulated other comprehensive income
+Added: Accumulated deficit
+Added: Total stockholders’ (deficit) equity
+Added: TOTAL LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY
+Added: and Development
and development expenses consist primarily of salaries and other personnel-related expenses, including stock-based compensation expenses,
1 unchanged sentence
We expect research and development expenses to increase in 2025 and beyond,
−Removed: primarily due to hiring additional personnel, as well the development of Glucotrack CBGM;
−Removed: however, we may adjust or allocate the level
−Removed: of our research and development expenses based on available financial resources and based on our commercial needs, including the FDA
−Removed: registration process, specific requirements from customers, development of new Glucotrack CBGM models and others.
−Removed: and administrative expenses
−Removed: and administrative expenses were $2,278 for the year ended December 31, 2023, as compared to $2,465 for the prior-year period.
−Removed: is primarily attributable to the decrease in stock based compensation expense in 2023 versus 2022.
+Added: primarily due to expanding clinical trial activities, hiring additional personnel, as well the development of Glucotrack CBGM;
+Added: we may adjust or allocate the level of our research and development expenses based on available financial resources and based on our
+Added: commercial needs, including the FDA registration process, specific requirements from customers, development of new Glucotrack CBGM models
+Added: and other product candidates.
+Added: and Administrative
and administrative expenses consist primarily of professional services, salaries, travel expenses and other related expenses for executive,
3 unchanged sentences
and accounting services.
−Removed: Financing Income, net
−Removed: income, net was $7 for the year ended December 31, 2022, as compared to $11 for the prior-year period.
−Removed: decrease in the financing income is attributed to the reduction in the company’s
−Removed: cash balance over the year.
+Added: (Income) Expense
+Added: income expense, consist primarily of the change in fair value of derivatives liabilities, loss on the issuance of equity, loss on settlement
+Added: of debt to equity and finance income.
+Added: of Operations – Comparison of the Years Ended December 31, 2024 and 2023
+Added: All information below is stated in thousands of US dollars.
+Added: following discussion of our operating results explains material changes in our results of operations for the years ended December 31,
+Added: 2024 and December 31, 2023.
+Added: The discussion should be read in conjunction with the financial statements and related notes included elsewhere
+Added: in this Annual Report.
+Added: and Development Expense
+Added: and development expenses were $9,499 for the year ended December 31, 2024, as compared to $4,704 for the prior-year period.
+Added: of $4,795 was primarily attributable to increased expenses related to product design, development and manufacturing activities and pre-clinical
+Added: animal studies.
+Added: and Administrative Expense
+Added: and administrative expenses were $4,655 for the year ended December 31, 2024, as compared to $2,278 for the prior-year period.
+Added: of $2,377 is primarily attributable to increased legal and professional fees, personnel costs and placement agent fees.
+Added: compensation expense included in research and development and general and administrative expense, for the fiscal years ended December
+Added: 31, 2024 and 2023, was comprised as follows:
+Added: Research and development
+Added: General and administrative
+Added: increase in share-based compensation expense is attributable to the current year vesting of equity awards granted to employees, directors
+Added: and consultants supporting our research and development and general and administrative functions.
+Added: (Income) Expense, net
+Added: expense was $8,050 for the year ended December 31, 2024, as compared to other income $7 for the prior-year period.
+Added: The increase in other
+Added: expense is primarily attributed to recognized losses on the settlement of debt and the issuance of warrants containing derivative features.
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
−Removed: net loss is attributable primarily to the increase in our general and administrative expenses and development expenses as described above.
+Added: net loss is attributable primarily to the expense classifications discussed above.
and Capital Resources
−Removed: the years ended December 31, 2023 and December 31, 2022, our net losses were $7,097 million and $4,435, respectively.
−Removed: As of December
−Removed: 31, 2023, we had an accumulated deficit of $109,853.
−Removed: Our primary requirements for liquidity have been to fund our clinical trial activity
−Removed: and general corporate and working capital needs.
−Removed: April 13, 2023, the Company completed an underwritten public offering under which the Company received gross proceeds of approximately
−Removed: $10 million for issuance of (i) 5,376,472 shares of common stock and (ii) 1,976,470 pre-funded warrants at a price to the public of $1.36
+Added: 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,
+Added: The net increase in cash and cash equivalents was attributable to the $13,743 received from financing activities offset by cash
+Added: used in operating and investing activities of $12,594.
+Added: have a history of recurring losses, and as of December 31, 2024, we have a stockholders’ deficiency of $13,000.
+Added: During the fiscal
+Added: year ended December 31, 2024, we recorded a net loss of $22,597.
+Added: Our primary requirements for liquidity have been to fund product and
+Added: clinical development activities and to satisfy our general corporate and working capital needs.
+Added: to December 31, 2024, we received approximately $6,349 through the February 2025 Offering and the March ATM Sale.
+Added: as noted above, the impact of the subsequent financings, the exercise of Series B Warrants and the revaluation of Series A warrants
+Added: has resulted in Stockholders’ Equity of $10,629 as of December 31, 2024, on a pro forma basis.
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
3 unchanged sentences
to our ability to continue as a going concern.
−Removed: We have and believe we will continue to be able to raise additional capital through debt
−Removed: financing, private or public equity financings, license agreements, collaborative agreements or other arrangements with other companies,
+Added: We have raised and believe we will continue to be able to raise additional capital through
+Added: debt financing, private or public equity financings, license agreements, collaborative agreements or other arrangements with other companies,
or other sources of financing.
5 unchanged sentences
Our future capital requirements and the adequacy of available funds will depend on many factors, including those described
−Removed: in the section titled “Risk Factors.” Depending on the severity and direct impact of these factors on us, we may be unable
−Removed: to secure additional financing to meet our operating requirements on commercially acceptable terms favorable to us, or at all.
+Added: in the section titled “ Risk Factors .” Depending on the severity and direct impact of these factors on us, we may be
+Added: unable to secure additional financing to meet our operating requirements on commercially acceptable terms favorable to us, or at all.
Concern Uncertainty
−Removed: of December 31, 2023, cash on hand was $4,492.
−Removed: The development and commercialization of non-invasive glucose monitoring devices for use
−Removed: by people, are expected to require substantial further expenditures.
−Removed: We remain dependent upon external sources for financing our operations.
−Removed: Since inception, we have incurred substantial accumulated losses and negative operating cash flow and have a significant accumulated
−Removed: These factors raise substantial doubt about our ability to continue as a going concern.
−Removed: The financial statements do not include
−Removed: any adjustments that might result from the outcome of this uncertainty.
−Removed: We plan to finance our operations through the sale of equity
−Removed: (including shelf registration statement on Form S-3 was declared effective on September 27, 2021 by the Securities and Exchange Commission
−Removed: (SEC) which allows the Company to register up to $90,000 of certain equity and/or debt securities of the Company through prospectus supplement).
−Removed: There can be no assurance that we will succeed in obtaining the necessary financing to continue our operations.
−Removed: the years 2003-2004, Integrity Israel received loans from stockholders (four separate lenders).
−Removed: The loans are indexed to the Israeli
−Removed: Consumer Price Index from their origination date and bear no interest.
−Removed: The Company will be required to pay the loans, in quarterly installments,
−Removed: commencing on the first quarter following the first fiscal year in which the Company reports net profit in its annual report.
−Removed: 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
−Removed: repaid in full.
−Removed: Notwithstanding the repayment mechanism, the Company will not be required to repay the loans during any period in which
−Removed: such payment would cause a deficit in the Company’s working capital.
−Removed: As of December 31, 2023, the Company does not expect to make
−Removed: any material repayments during the following 12-month period, if any, and accordingly the balance of $196 of the loans from stockholders,
−Removed: have been presented as long-term liabilities.
−Removed: are required to pay royalties to the IIA at a rate ranging between 3-5% of the proceeds from the sale of the Company’s
−Removed: products arising from the development plan up to an amount equal to $93, plus interest at LIBOR from the date of grant.
−Removed: replacement of the LIBOR benchmark rate, even though the IIA has not declared the alternative benchmark rate to replace the LIBOR,
−Removed: we do not believe it will have a significant impact.
−Removed: As of December 31, 2023, the contingent liability with respect to royalty
−Removed: payment on future sales equals to approximately $73, excluding interest.
−Removed: Ended December 31, 2023 Compared to Year Ended December 31, 2022
−Removed: Cash Used in Operating Activities for the Years Ended December 31, 2023 and December 31, 2022
−Removed: cash used in operating activities was $6,558 and $3,729 for the years ended December 31, 2023 and 2022, respectively.
−Removed: Net cash used in
−Removed: operating activities primarily reflects the net loss for those periods of $7,097 and $4,435, respectively, less reduction in stock-based compensation expenses and change in working
−Removed: Cash Provided by Investing Activities for the Years Ended December 31, 2023 and December 31, 2022
−Removed: cash provided by investing activities was $0 and $1 for the years ended December 31, 2023 and 2022, respectively, mainly consisting of
−Removed: equipment sales and purchases (such as computers, research and development and office equipment).
−Removed: Cash Provided by Financing Activities for the Years Ended December 31, 2023 and December 31, 2022
−Removed: cash provided by financing activities was $8,730 for the year ended December 31, 2023, due to the proceeds from the April 2023 public
−Removed: There were no financing activities during the year ended December 31, 2022.
−Removed: Sheet Arrangements
−Removed: of December 31, 2023, we did not have any off-balance sheet arrangements as defined in Item 303(a)(4) of Regulation S-K.
−Removed: Quantitative and Qualitative Disclosures About Market Risk.
−Removed: a smaller reporting company, we are not required to provide the information required by this Item.
+Added: date, we have not yet commercialized the Glucotrack CBGM.
+Added: Further development and commercialization efforts are expected to
+Added: require substantial additional expenditure.
+Added: Therefore, we are dependent upon external sources for financing our operations.
+Added: As of December
+Added: 31, 2024, we have incurred a stockholders’ deficiency of $13,000, which includes an accumulated deficit of $132,450.
+Added: we have generated operating losses and negative operating cash flow for all reported periods.
+Added: As of December 31, 2024, the balance of
+Added: cash and cash equivalents amounted to $5,617.
+Added: the year ended December 31, 2024, we received approximately $13,734 through public offerings and debt issuances which were
+Added: subsequently converted to equity.
+Added: In addition, subsequent to the balance sheet date, we received $6,349 through the sale of
+Added: shares of Common Stock.
+Added: We plan to finance our operations through the sale of debt or equity securities (including the shelf
+Added: registration statement on Form S-3 that was declared effective on October 3, 2024 by the SEC which allows us to register up to
+Added: $30,000 of certain equity and/or debt securities of the Company through prospectus supplement).
+Added: There can be no assurance that we
+Added: will succeed in obtaining the necessary financing or generating sufficient revenue from sale of the Glucotrack CBGM in order to
+Added: continue our operations as a going concern.
+Added: has considered the significance of such conditions in relation to our ability to meet current obligations and to achieve our business
+Added: targets and determined that these conditions raise substantial doubt about our ability to continue as a going concern.
+Added: Accounting Policies and Estimates
+Added: discussion and analysis of our financial condition and results of operations are based on our audited consolidated financial statements,
+Added: which have been prepared in accordance with accounting principles generally accepted in the United States, or GAAP.
+Added: The preparation of
+Added: these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues,
+Added: expenses, and related disclosures.
+Added: We evaluate our estimates on an ongoing basis.
+Added: We base our estimates on historical experience and
+Added: on other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments
+Added: about the carrying values of assets and liabilities that are not readily apparent from other sources.
+Added: Actual results may differ from
+Added: these estimates under different assumptions or conditions.
+Added: believe the following accounting policies and estimates are critical to aid you in understanding and evaluating our reported financial
+Added: grant equity-based awards under share-based compensation plans.
+Added: We estimate the fair value of share-based payment awards using the Black-Scholes
+Added: option valuation model.
+Added: This fair value is then amortized over the requisite service periods of the awards.
+Added: The Black-Scholes option
+Added: valuation model requires the input of subjective assumptions, including price volatility of the underlying stock, risk-free interest
+Added: rate, dividend yield, and expected life of the option.
+Added: Share-based compensation expense is based on awards ultimately expected to vest
+Added: and therefore is reduced by expected forfeitures.
+Added: Changes in assumptions used under the Black-Scholes option valuation model could materially
+Added: affect our net loss and net loss per share.
+Added: Financial Instruments
+Added: review the terms of the Common Stock, warrants and convertible debt we issue to determine whether there are derivative instruments, including
+Added: embedded conversion options that are required to be bifurcated and accounted for separately as derivative financial instruments.
+Added: In circumstances
+Added: where the host instrument contains more than one embedded derivative instrument, including a conversion option, that is required to be
+Added: bifurcated, the bifurcated derivative instruments are accounted for as a single, compound derivative instrument.
+Added: are initially recorded at fair value and are then revalued at each reporting date with changes in the fair value reported as non-operating
+Added: income or expense.
+Added: When the equity or convertible debt instruments contain embedded derivative instruments that are to be bifurcated
+Added: and accounted for as liabilities, the total proceeds received are first allocated to the fair value of all the bifurcated derivative
+Added: The remaining proceeds, if any, are then allocated to the host instruments themselves, usually resulting in those instruments
+Added: being recorded at a discount from their face value.
+Added: Accounting Pronouncements
+Added: regarding recent accounting pronouncements is contained in Note 2 to the Consolidated
+Added: Financial Statements, included elsewhere in this report.
+Added: Balance Sheet Arrangements
+Added: do not have any off-balance sheet arrangements.
+Added: Quantitative and Qualitative Disclosure About Market Risk
+Added: a smaller reporting company, we have elected not to provide the disclosure required by this item.
Financial Statements and Supplementary Data
−Removed: financial statements required by this Item 8 are filed herewith commencing on page F-1 hereto and are incorporated herein by reference.
−Removed: Change in and Disagreements with Accountants on Accounting and Financial Disclosure.
+Added: 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
+Added: under this Item.
+Added: Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.