Item 2. Management’s Discussion and Analysis
Item 2. Management’s Discussion and Analysis
of Financial Condition and Results of Operations.
Cautionary Note Regarding Forward-Looking Statements
This Quarterly Report on Form
10-Q contains forward-looking statements. These forward-looking statements include statements about our expectations, beliefs or intentions
regarding our product development efforts, business, financial condition, results of operations, strategies and prospects. All statements
other than statements of historical fact included in this Quarterly Report on Form 10-Q, including statements regarding our future activities,
events or developments, including such things as future revenues, capital raising and financing, product development, clinical trials,
regulatory approval, market acceptance, responses from competitors, capital expenditures (including the amount and nature thereof), business
strategy and measures to implement strategy, competitive strengths, goals, expansion and growth of our business and operations, plans,
references to future success, projected performance and trends, and other such matters, are forward-looking statements. The words “believe,”
“expect,” “anticipate,” “intend,” “estimate,” “plan,” “may,” “will,”
“could,” “would,” “should” and other similar words and phrases, are intended to identify forward-looking
statements. The forward-looking statements made in this Quarterly Report on Form 10-Q are based on certain historical trends, current
conditions and expected future developments as well as other factors we believe are appropriate in the circumstances. These statements
relate only to events as of the date on which the statements are made and we undertake no obligation to update publicly any forward-looking
statements, whether as a result of new information, future events or otherwise, except as required by law. All of the forward-looking
statements made in this Quarterly Report on Form 10-Q are qualified by these cautionary statements and there can be no assurance that
the actual results anticipated by us will be realized or, even if substantially realized, that they will have the expected consequences
to or effects on us or our business or operations. Whether actual results will conform to our expectations and predictions is subject
to a number of risks and uncertainties that may cause actual results to differ materially. Risks and uncertainties, the occurrence of
which could adversely affect our business, include the risks identified under the caption “Risk Factors” included in our Annual
Report on Form 10-K for the year ended December 31, 2024. The following discussion should be read in conjunction with the condensed consolidated
financial statements and the notes thereto included in Item 1 of this Quarterly Report on Form 10-Q.
Overview
We are a medical device company focused on the design,
development and commercialization of novel technologies for use by people with diabetes. We are currently developing an implantable continuous
blood glucose monitor (“CBGM”), the Glucotrack CBGM, for those 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. We have
continued to evolve the 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 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.
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, we are 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.
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Recent Events
2025 Reverse Stock Split and Increase in Authorized
Common Stock
We filed with the Delaware
Secretary of State a Certificate of Amendment to its Certificate of Incorporation which became effective at 4:30 p.m. on February 3, 2025,
to implement a reverse stock split at a ratio of 1-for-20 (the “2025 Reverse Stock Split”) of the shares of our Common Stock.
The 2025 Reverse Stock Split was approved by our stockholders at the special meeting of stockholders held on January 3, 2025 (the “Special
Meeting”). All shares and per share numbers in the consolidated financial statements have been retroactively adjusted and are reflected
on a post-reverse share split basis.
On January 3, 2025, we filed
an amendment to our Certificate of Incorporation, as to increase the Company’s authorized shares of Common Stock from 100,000,000
to 250,000,000. On February 3, 2025, the stockholders approved at the Special Meeting the increase in our authorized shares of Common
Stock from 100,000,000 to 250,000,000, as well as the full issuance of shares of Common Stock issuable by us upon the exercise of Series
A Warrants and Series B Warrants (defined herein).
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”).
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. 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 us pursuant to a prospectus
supplement dated December 17, 2024, and accompanying prospectus dated October 3, 2024, which forms a part of our registration statement
on Form S-3 (Registration No. 333-282297) (the “S-3 Registration Statement”), which was declared effective by the Securities
and Exchange Commission, on October 3, 2024.
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 net proceeds to us 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 us pursuant to a prospectus supplement dated February 4, 2025, and accompanying
prospectus dated October 3, 2024, which forms a part of our S-3 Registration Statement. Dawson James acted as the placement agent for
the offerings pursuant to a placement agency agreement, dated February 4, 2025, by and between us and Dawson James.
Warrant Exchange
Beginning on January 6, 2025, through March 15, 2025,
we received exchange notices from certain holders of the Series B Warrants, with respect to an aggregate of 3,241,240 of the Series B
Warrants, requiring the delivery of 9,723,724 shares of Common Stock according to the alternative cashless exercise, as applicable to
the Series B Warrants under the November 2024 registered direct offering. The remaining 646 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).
Appointment of Peter C. Wulff as Chief Financial
Officer
Mr. Cardwell’s resigned as Chief Financial Officer
of the Company, and on January 28, 2025, our board of directors (the “Board”) appointed Peter C. Wulff as Chief Financial
Officer of the Company.
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Financial Overview
Operating Expenses
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.
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 the 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, development of new Glucotrack CBGM models and other product candidates.
Selling and Marketing
Selling and marketing expenses consist primarily of
personnel-related expenses and professional service costs.
Other (Income) Expense
Other income expense, consist primarily of the change
in fair value of derivative liabilities, finance (income) expense and other (income) expense.
Results of Operations
The following discussion of our operating results
explains material changes in our results of operations for the three-months ended March 31, 2024 compared with the same periods ended
March 31, 2023. The discussion should be read in conjunction with the financial statements and related notes included elsewhere in this
report.
Consolidated Results of Operations for the Three
Months ended March 31, 2025 and 2024
General and administrative expenses
General and administrative expenses were approximately
$1,499 for the three-month period ended March 31, 2025, as compared to approximately $733, for the prior-year period. The increase is
primarily attributable to increased legal and professional fees, personnel costs and placement agent fees.
Research and development expenses
Research and development expenses were approximately
$1,871 for the three-month period ended March 31, 2025, as compared to approximately $2,148 for the prior-year period. The decrease is
attributable to a reduction in product and manufacturing fees we accrued during the period related to the development of the Glucotrack CBGM model.
Selling and marketing expenses
Selling and marketing expenses were approximately
$128 for the three-month period ended March 31, 2025, as compared to $70 for the prior-year period.
This increase is primarily attributable to increased professional marketing services.
Change in Derivative Liability
Change in derivative liability for the three months
ended March 31, 2025, was an increase of $3,376. The change is primarily due to adjustments of the estimated fair value of the Series
A Warrants, and the settlement of Series B Warrants exercised during the current quarter. See Note 3B to the condensed consolidated financial
statements.
Financing income (expenses), net
Financing income, net was approximately $37 for the
three-month period ended March 31, 2025, as compared to financing income of approximately $24 for the prior-year period. The increase
is attributable to interest income received during the period.
Net Loss
Net loss was approximately $6,833 million for the
three-months’ period ended March 31, 2025, as compared to approximately $2,927 million for the prior-year period. The increase in net loss
is primarily attributed to the increase in general and administrative expenses and the fair value change of the derivative liability, as
described above.
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Liquidity and Capital Resources
As of March 31, 2025, we had $9,100 in cash and cash
equivalents compared with $5,617 in cash and cash equivalents as of December 31, 2024. The net increase in cash and cash equivalents was
attributable to the $6,395 received from financing activities offset by cash used in operating and investing activities of $2,928.
We have a history of recurring losses, and as of March
31, 2025, we have an accumulated deficit of $139,283. During the three months ended March 31, 2025, we recorded a net loss of $6,833. 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 March 31, 2025, we sold 3,056,956 shares
of Common Stock through the ATM Sales Agreement at an average offering price of $0.183 per share for net proceeds of $543, after deducting
fees owed to the Agent from such sale.
Based on our operating plans, we do not expect that our current cash and
cash equivalents as of March 31, 2025, 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. The Company estimates it will require approximately $15.0
million in cash to fund operations over this period. 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 March 31, 2025, we have incurred an accumulated deficit of $139,283.
In addition, we have generated operating losses and negative operating cash flow for all reported periods. As of March 31, 2025, the balance
of cash and cash equivalents amounted to $9,100.
During the three months ended March 31, 2025, we received
approximately $6,396 through public offerings. In addition, subsequent to the balance sheet date, we received $261 through the sale of
shares of Common Stock. We plan to finance our operations through the sale of debt or equity securities (including the S-3 Registration
Statement). 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.
Critical Accounting Policies
This Management’s Discussion and Analysis of
Financial Condition and Results of Operations discuss our financial statements, which have been prepared in accordance with accounting
principles generally accepted in the United States of America (“U.S. GAAP”). In connection with the preparation of our financial
statements, we are required to make assumptions and estimates about future events and apply judgments that affect the reported amounts
of assets, liabilities, expenses and the related disclosures. We base our assumptions, estimates and judgments on historical experience,
current trends and other factors that management believes to be relevant at the time our condensed consolidated financial statements are
prepared. On a regular basis, management reviews the accounting policies, assumptions, estimates and judgments to ensure that our financial
statements are presented fairly and in accordance with U.S. GAAP. However, because future events and their effects cannot be determined
with certainty, actual results could differ from our assumptions and estimates, and such differences could be material.
The summary of our significant accounting policies
is included under Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations of our Annual
Report on Form 10-K for the year ended December 31, 2024, filed with the SEC on March 31, 2025. An accounting policy is deemed to be critical
if it requires an accounting estimate to be made based on assumptions about matters that are highly uncertain at the time the estimate
is made, if different estimates reasonably could have been used, or if changes in the estimate that are reasonably possible could materially
impact the financial statements. There have been no material changes to the critical accounting policies and estimates as filed in such
report.
Off Balance Sheet Arrangements
We do not have any off balance sheet agreements.
Item 3. Quantitative and Qualitative Disclosures
About Market Risk.
As a smaller reporting company, we are not required
to provide the information required by this Item.
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