Item 2. Management’s Discussion and Analysis
Item 2. Management’s Discussion and Analysis
of Financial Condition and Results of Operations
References in this Quarterly
Report to “the Company”, “BiomX”, “we”, “us” or “our”, mean BiomX Inc. and
its consolidated subsidiaries unless otherwise expressly stated or the context indicates otherwise.
The following discussion and
analysis of our financial condition and results of operations should be read in conjunction with our financial statements and the notes
thereto contained elsewhere in this Quarterly Report. The analysis of the financial condition and results of operations includes Adaptive
Phage Therapeutics LLC, a Delaware limited liability company (formerly Adaptive Phage Therapeutics Inc., a Delaware corporation), or APT,
from the date that we acquired it on March 15, 2024. Certain information contained in the discussion and analysis set forth below includes
forward-looking statements that involve risks and uncertainties. Our actual results may differ materially from those discussed in any
forward-looking statement because of various factors discussed in this Quarterly Report and in our other filings with the U.S. Securities
and Exchange Commission, or the SEC.
General
We are a clinical stage product
discovery company developing products using both natural and engineered phage technologies designed to target and kill specific harmful
bacteria associated with chronic diseases, such as cystic fibrosis, or CF and diabetic foot osteomyelitis, or DFO. Bacteriophage or phage
are bacterial, species-specific, strain-limited viruses that infect, amplify and kill the target bacteria and are considered inert to
mammalian cells. By utilizing proprietary combinations of naturally occurring phage and by creating novel phage using synthetic biology,
we develop phage-based therapies intended to address both large-market and orphan diseases.
Based on the urgency of treating
the infection (whether acute or chronic), the susceptibility of the target bacteria to phage (e.g. the ability to identify a phage cocktail
that would target a broad range of bacterial strains) and other considerations, we offer two phage-based product types:
(1) Fixed
cocktail therapy – in this approach a single product containing a fixed number of selected phage is developed to cover a wide range
of bacterial strains, thus allowing treatment of broad patient populations with the same product. Fixed cocktails are developed using
our proprietary BOLT platform, in which high throughput screening, directed evolution, and bioinformatic approaches are leveraged to
produce an optimal phage cocktail.
(2)
Personalized therapy – in this approach a large library of phage is developed, of which a single optimal phage is personally matched to treat specific patients. Matching optimal phage with patients is carried out using a proprietary phage susceptibility testing, where multiple considerations are analyzed simultaneously – allowing for an efficient screen of the phage library while maintaining short turnaround times.
In our therapeutic programs,
we focus on using phage therapy to target specific strains of pathogenic bacteria that are associated with diseases. Our phage-based product
candidates are developed utilizing our proprietary research and development platform named BOLT. The BOLT platform is unique, employing
cutting edge methodologies and capabilities across disciplines including computational biology, microbiology, synthetic engineering of
phage and their production bacterial hosts, bioanalytical assay development, manufacturing and formulation, to allow agile and efficient
development of natural or engineered phage combinations, or cocktails. The cocktail contains phage with complementary features and is
optimized for multiple characteristics such as broad target host range, ability to prevent resistance, biofilm penetration, stability
and ease of manufacturing.
Our goal is to develop multiple
products based on the ability of phage to precisely target harmful bacteria and on our ability to screen, identify and combine different
phage, both naturally occurring and created using synthetic engineering, to develop these treatments.
2
On March 6, 2024, we entered
into a merger agreement with APT and certain other parties, as a result of which APT became our wholly-owned subsidiary, effective as
of March 15, 2024, or the Acquisition. The Acquisition was structured as a stock-for-stock transaction whereby all outstanding equity
interests of APT were exchanged in a merger for an aggregate of 9,164,968 shares of BiomX common stock, 40,470 shares of Series X Preferred
Stock, or Redeemable Convertible Preferred Shares, convertible upon stockholder approval into 4,047,000 shares of BiomX common stock,
and warrants, or the Merger Warrants, exercisable for 216,650 shares of BiomX common stock. Upon the consummation of the Acquisition,
a successor-in-interest of APT became a wholly-owned subsidiary of BiomX. The Merger Warrants are exercisable at any time after July 9,
2024 at an exercise price of $50.00 per share and will expire on January 28, 2027.
Concurrently with the consummation
of the Acquisition, we entered into a securities purchase agreement, or the March 2024 PIPE, with certain investors, pursuant to which
such investors purchased an aggregate of 216,417 Redeemable Convertible Preferred Shares and warrants to purchase up to an aggregate of
10,820,850 shares of Common Stock, or the Private Placement Warrants, for aggregate gross proceeds of approximately $50 million.
Immediately following the
Acquisition, and without taking into account the Redeemable Convertible Preferred Shares issued in the March 2024 PIPE, and assuming conversion
of all of the Redeemable Convertible Preferred Shares into Common Stock, our stockholders (including holders of the Pre-Funded Warrants,
as defined below) prior to the Acquisition owned approximately 55% of the share capital of the Company and APT’s stockholders prior
to the Acquisition owned approximately 45% of the share capital of the Company.
On July 9, 2024, the stockholder
approved, among other things, the conversion of 256,887 Redeemable Convertible Preferred Shares into up to 25,688,700 shares of Common
stock. Subsequently, on July 15, 2024, 109,152 Redeemable Convertible Preferred Shares were converted into 10,915,200 shares of Common
Stock according to beneficial ownership limitations set by certain investors.
On July 9, 2024, the Company’s
stockholders approved a reverse stock split at a ratio within a range of 1-for-5 and 1-for-10 at such time as the Board of
Directors shall determine, in its sole discretion, at any time before July 9, 2025. On August 8, 2024, the Board of Directors approved
a 1-for-10 Reverse Stock Split of the Company’s shares of Common Stock, or the Reverse Stock Split. On August 20, 2024, the Company
filed the Certificate of Amendment with the Delaware Secretary of State to effect the Reverse Split, which became effective on August
26, 2024, or the Effective Date. The Company’s common stock began trading on a Reverse Stock Split-adjusted basis on the NYSE American
at the open of the markets on the Effective Date. Unless otherwise indicated, all issued and outstanding shares amounts in this Quarterly
Report on Form 10-Q have been adjusted to reflect the Reverse Stock Split for all periods presented. Proportional adjustments
also were made to shares underlying outstanding equity awards, warrants and Redeemable Convertible Preferred Shares, and to the number
of shares issued and issuable under the Company’s stock incentive plans and certain existing agreements.
Clinical and Pre-Clinical Developments
Ongoing Programs
Cystic Fibrosis
BX004 is our therapeutic phage
product candidate under development for chronic pulmonary infections caused by Pseudomonas aeruginosa, or P. aeruginosa , a main
contributor to morbidity and mortality in patients with CF. Enhanced resistance to antibiotics develops, particularly in CF patients,
due to extensive drug use consisting of prolonged and repeated broad-spectrum antibiotic courses often beginning in childhood, and leading
to the appearance of multidrug-resistant strains. In preclinical in vitro studies, BX004 was shown to be active against antibiotic resistant
strains of P. aeruginosa and demonstrated the ability to penetrate biofilm, an assemblage of surface-associated microbial cells enclosed
in an extracellular polymeric substance and one of the leading causes for antibiotic resistance.
The Phase 1b/2a trial in CF
patients with chronic respiratory infections caused by P. aeruginosa . is comprised of two parts. The study design is based on recommendations
from the Cystic Fibrosis Therapeutic Development Network.
In February 2023, we
announced positive results from Part 1 of the Phase 1b/2a trial evaluating BX004. Part 1 evaluated the safety, tolerability, pharmacokinetics,
and microbiologic activity of BX004 over a 7-day ascending treatment period in nine CF patients (7 on BX004, 2 on placebo) with chronic
P. aeruginosa pulmonary infection in a single ascending dose and multiple dose design.
Results from Part 1 of the
Phase 1b/2a trial included the following findings: No safety events related to treatment with BX004 occurred; Mean P. aeruginosa colony
forming units, at Day 15 (compared to baseline): -1.42 log (BX004) vs. -0.28 log (placebo). This reduction was seen on top of standard
of care inhaled antibiotics; Phage were detected in all patients treated with BX004 during the dosing period, including in several patients
up to Day 15 (one week after end of therapy); no phage were detected in patients receiving placebo; there was no evidence of treatment-related
resistance to BX004 during or after treatment, compared to placebo; and as expected due to the short duration of treatment, there was
no detectable effect on % predicted forced expiratory volume in 1 second, or FEV1.
In November 2023, we announced
positive topline results from Part 2 of the Phase 1b/2a trial evaluating BX004. The objectives of Part 2 of the Phase 1b/2a trial were
to evaluate the safety and tolerability of BX004 in a larger number of CF patients dosed for a longer treatment duration than Part 1 of
the study. In Part 2, 34 CF patients were randomized in a 2:1 ratio with 23 CF patients receiving BX004 and 11 patients receiving placebo
via nebulization twice daily for 10 days.
3
Highlights from the Part 2
data of the Phase 1b/2a study included:
● Study
drug was safe and well-tolerated, with no related SAEs (serious adverse events) or related APEs (acute pulmonary exacerbations) to study
drug.
●
In the BX004 arm, 3 out of 21 (14.3%) patients converted to sputum culture negative for P. aeruginosa after 10 days of treatment (including 2 patients after 4 days) compared to 0 out of 10 (0%) in the placebo arm (In patients that had quantitative colony-forming unit levels at study baseline).
●
BX004 vs. placebo showed a clinical effect in a predefined subgroup of patients with reduced baseline lung function (FEV1<70%). Difference between groups at Day 17: relative FEV1 improvement of 5.67% (change from baseline +1.46 vs. -4.21) and +8.87 points in CFQR respiratory symptom scale (change from baseline +2.52 vs. -6.35).
In August 2023, the FDA granted
BX004 Fast Track designation for the treatment of chronic respiratory infections caused by P. aeruginosa bacterial strains in patients
with CF. In addition, in December 2023, BX004 received orphan drug designation from the FDA.
BiomX expects to initiate
a randomized, double blind, placebo-controlled, multi-center Phase 2b study in CF patients with chronic P. aeruginosa pulmonary
infections in the fourth quarter of 2024. The study is designed to enroll approximately 60 patients randomized at a 2:1 ratio to BX004
or placebo. Treatment is expected to be administered via inhalation twice daily for a duration of 8 weeks. The study is designed to monitor
the safety and tolerability of BX004 and is designed to demonstrate improvement in microbiological reduction of P. aeruginosa
burden and evaluation of effects on clinical parameters such as lung function measured by FEV1 and patient reported outcomes. During the
third quarter of 2024, we experienced manufacturing delays for BX004. As a result of these delays, study results are now expected in the
first half of 2026.
BX211 – Treatment of Diabetic Foot Osteomyelitis,
or DFO
BX211 is a personalized phage
therapy for the treatment of DFO associated with Staphylococcus aureus, or S. aureus, a bacterium associated with the development and
exacerbation of inflammation in atopic dermatitis. The personalized phage treatment tailors a specific phage selected from a proprietary
phage-bank according to the specific strain of S. aureus biopsied and isolated from each patient. DFO is a bacterial infection of the
bone that usually develops from an infected foot ulcer and is a leading cause of amputation in patients with diabetes. We believe that
scientific literature demonstrating the potential benefit in treating osteomyelitis using phage in animal models as well as numerous successful
compassionate cases using phage therapy to treat DFO patient support our approach of using phage therapy to treat DFO.
The ongoing randomized, double-blind,
placebo-controlled, multi-center Phase 2 trial investigating the safety, tolerability, and efficacy of BX211 for subjects with DFO associated
with S. aureus has finished enrollment for a randomized at a 2:1 ratio to BX211 or placebo. BX211 or placebo is designed to be administered
weekly, by topical and IV route at week 1 and by the topical route only at each of weeks 2-12. Over the 12-week treatment period, all
subjects are expected to continue to be treated in accordance with standard of care which will include antibiotic treatment as appropriate.
A first readout of study topline results is expected at week 13 evaluating healing of the wound associated with osteomyelitis, followed
by a second readout at week 52 evaluating amputation rates and resolution of osteomyelitis based on X-ray, clinical assessments, and established
biomarkers (Erythrocyte Sedimentation Rate and C-Reactive Protein). These readouts are expected in the first quarter of 2025 and the first
quarter of 2026, respectively.
Non-CF Bronchiectasis, or NCFB
Chronic P. aeruginosa infections
in NCFB patients are a main contributor to morbidity and mortality in this disease. Pending positive data of BX004 in our cystic fibrosis
Phase 2B study, we expect to look to initiate studies into NCFB as an additional indication for BX004.
National Institutes of Health, or NIH, study
in Cystic Fibrosis
We are supporting a study
conducted by the NIH and The Antibacterial Resistance Leadership Group targeting P. Aeruginosa infections in CF patients under
FDA emergency Investigational New Drug allowance. Phase 1b/2, multi-centered, randomized, double-blind, placebo-controlled trial is assessing
the safety and microbiological activity of a single IV dose of bacteriophage therapy in cystic fibrosis subjects colonized with P. aeruginosa.
4
Programs on hold
Prosthetic Joint Infections, or PJI
Our personalized phage therapy
for treating PJI targets multiple bacterial organisms such as Staphylococcus aureus, Staphylococcus epidermidis and Enterococcus faecium.
This treatment was granted Orphan-drug designation by the FDA in July 2020. As of the date of this Quarterly Report, we have paused development
efforts of this program due to prioritizing resources towards our CF and DFO programs, and we cannot provide guidance on resuming its
development.
Discontinued programs
BX005 – Treatment of Atopic Dermatitis,
or AD
BX005 is our topical phage
product candidate targeting S. aureus. S. aureus is more abundant on the skin of AD patients than on the skin of healthy individuals
and on lesional skin than non-lesional skin. It also increases in abundance, becoming the dominant bacteria, when patients experience
flares. By reducing the load of S. aureus , BX005 is designed to shift the skin microbiome composition to its ‘pre-flare’
state and potentially provide a clinical benefit. In preclinical in vitro studies, BX005 was shown to eradicate over 90% of strains,
including antibiotic resistant strains, from a panel of S. aureus strains (120 strains isolated from skin of subjects from the
U.S. and Europe). On April 8, 2022, the FDA approved the Company’s IND application for BX005.
In 2024, we discontinued
the development of BX005, choosing instead to focus our resources on our Cystic Fibrosis and DFO programs.
Consolidated Results of Operations
Comparison of the Three Months Ended September
30, 2024 and 2023
The following table summarizes
our consolidated results of operations for the three months ended September 30, 2024 and 2023:
Three Months ended
September 30,
2024
2023
USD in thousands
Research and development (“R&D”) expenses, net
7,279
5,641
General and administrative expenses
3,248
2,154
Goodwill impairment
801
-
Operating loss
11,328
7,795
Other income
(84 )
(89 )
Interest expenses
5
574
Income from change in fair value of Private Placement Warrants
20,559 )
-
Finance income, net
(332 )
(382 )
Loss (income) before tax
(9,642 )
7,898
Tax expenses
-
8
Net loss (income)
9,642
7,906
Basic loss (income) per share of Common Stock
(0.31 )
1.30
Diluted loss (income) per share of Common Stock
(0.31 )
1.30
Weighted average number of shares of Common Stock outstanding, basic
16,366,122
6,058,774
Weighted average number of shares of Common Stock outstanding, diluted
16,387,633
6,058,774
5
R&D expenses, net (net
of grants received from the Israel Innovation Authority (“IIA”) and the Medical Technology Enterprise Consortium (“MTEC”),
and consideration from research collaborations) were $7.3 million for the three months ended September 30, 2024, compared to $5.6 million
for same period in 2023. The increase of $1.7 million, or 30%, is primarily due to the following factors:
● preparations
for Phase 2b in the clinical trial of our CF product candidate, BX004,
●
an increase in expenses relating to the clinical trial of our DFO product candidate, BX211; and
●
an increase in rent and related expenses following the APT Acquisition.
The increase was partly offset
by higher grants received. During the three months ended September 30, 2024, the Company recorded $0.9 million of MTEC grants, compared
to $0.2 million of IIA grants recorded in the same period in 2023.
General and administrative
expenses were $3.2 million for the three months ended September 30, 2024, compared to $2.2 million for the three months ended September
30, 2023. The increase of $1.0 million, or 45%, is primarily attributed to a full quarter consolidation of expenses following the Acquisition,
incorporating the combined workforce, increased professional services, and additional subcontractor expenses.
Goodwill impairment was
$0.8 million for the three months ended September 30, 2024, following an impairment of the Company’s goodwill that resulted from
the Acquisition. The Company’s market capitalization as of September 30, 2024, was lower in comparison to its stockholders’
equity and triggered an impairment assessment that concluded that the entire goodwill should be impaired.
Other income was $0.1 million
for each of the three months ended September 30, 2024 and September 30, 2023 and consisted proceeds from a sublease agreement for a portion
of our office space in Ness Ziona, Israel.
Interest expenses were $5,000
for the three months ended September 30, 2024, compared to $574,000 for the three months ended September 30, 2023. The decrease of $569,000,
or 99%, is due to repayment of the loan under the Loan and Security Agreement, or the Hercules Loan Agreement, with Hercules Capital,
Inc., or Hercules, in March 2024.
Income from change in fair
value of Private Placement Warrants reflects the revaluation that resulted from the accounting of the Private Placement Warrants issued
under the March 2024 PIPE.
There was no material change
to Finance income that impacted earnings for the three months ended September 30, 2024 compared to the three months ended September 30,
2023.
Basic and diluted earnings
per share of Common Stock was $0.31 for the three months ended September 30, 2024, compared to loss per share of $1.30 for the three months
ended September 30, 2023. The increase of $1.61 resulted from the revaluation of the Private Placement Warrants. Such increase was partly
offset due to share issuances as part of the Acquisition and the Redeemable Convertible Preferred Shares’ conversion into shares
of Common Stock.
6
Comparison of the Nine Months Ended September
30, 2024 and 2023
The following table summarizes
our consolidated results of operations for the nine months ended September 30, 2024 and 2023:
Nine Months ended
September 30,
2024
2023
USD in thousands
R&D expenses, net
18,281
14,023
General and administrative expenses
8 ,756
6,053
Goodwill impairment
8 01
-
Operating loss
27,838
20,076
Other income
(2,189 )
(270 )
Interest expenses
868
1,884
Income from change in fair value of Private Placement Warrants
(24,417 )
-
Finance expense (income), net
1,104
(1,034 )
Loss before tax
3,204
20,656
Tax expenses
10
22
Net loss
2,214
20,678
Basic loss per share of Common Stock
0.32
4.29
Diluted loss per share of Common Stock
2.45
4.29
Weighted average number of shares used in computing basic loss (earnings) per share of Common Stock
9,944,267
4,819,658
Weighted average number of shares used in computing
diluted loss (earnings) per share of Common Stock
11,294,880
4,819,658
R&D expenses, net (net
of grants received from IIA and MTEC, and consideration from research collaborations) were $18.3 million for the nine months ended September
30, 2024, compared to $14.0 million for the nine months ended September 30, 2023. The increase of $4.3 million, or 31%, is primarily due
to the following factors:
● Increased
expenses relating to the clinical trial of our DFO product candidate, BX211; and
● Increased
expenses relating to the combined workforce and rent expenses following the Acquisition
Such increase was partly offset
by completing the enrollment and follow-up period of patients in the clinical trial of our CF product candidate, BX004. During the nine
months ended September 30, 2024, the Company recorded $1.8 million of MTEC grants, compared to $1.3 million of IIA grants for the same
period in 2023.
General and administrative expenses were $8.8 million for the nine
months ended September 30, 2024, compared to $6.1 million for the same period in 2023. The increase of $2.7 million, or 44%, is primarily
due to issuance costs and legal services expenses related to the Acquisition and the March 2024 PIPE agreement. as well as due to increased
salaries and related expenses resulting from the combined workforce following the Acquisition.
Goodwill impairment was $0.8 million for the nine months ended September
30, 2024, following an impairment of the Company’s goodwill resulted from the Acquisition. The Company’s market capitalization
as of September 30, 2024, was lower in comparison to its stockholders’ equity and triggered an impairment assessment that concluded
that the entire goodwill should be impaired.
Other income was $2.2 million
for the nine months ended September 30, 2024, compared to $0.3 million for the nine months ended September 30, 2023. The increase of $1.9
million, or 633%, is primarily due to the reversion of the contract liability associated with the Company’s AD program which has
been paused.
Interest expenses were $0.9
million for the nine months ended September 30, 2024, compared to $1.9 million for the nine months ended September 30, 2023. The decrease
of $1.0 million, or 53%, is due to the repayment of the loan under the Loan and Security Agreement in March 2024.
Income from change in fair
value of Private Placement Warrants reflects the revaluation that resulted from the accounting of the Private Placement Warrants issued
under the March 2024 PIPE.
7
Finance expenses, net were
$1.1 million for the nine months ended September 30, 2024, compared to Finance income, net of $1.0 million for the nine months ended September
30, 2023. The increase of $2.1 million resulted mainly from the Private Placement Warrants transaction costs.
Basic loss per share of Common
Stock was $0.27 for the nine months ended September 30, 2024, compared to $4.29 for the nine months ended September 30, 2023. The decrease
in loss per share of $4.02, or 94%, is primarily attributable to an increase in outstanding shares resulting from the share issuance as
part of the Acquisition and the Redeemable Convertible Preferred Shares’ conversion into shares of Common Stock. In addition, the
income resulting from the Private Placement Warrants revaluation has led to a decreased net loss.
Diluted loss per share of
Common Stock was $2.45 for the nine months ended September 30, 2024, compared to diluted loss per share of $4.29 for the nine months ended
September 30, 2023. The decrease of $1.84 resulted from the increased number of potential shares of Common Stock that would have been
issued upon exercises of the Private Placement Warrants from the March 2024 PIPE.
Liquidity and Capital Resources
We believe our cash and cash equivalents and short-term deposits on
hand will be sufficient to meet our working capital and capital expenditure requirements into the fourth quarter of 2025. We currently
plan to continue to focus primarily on the development of BX004, our product candidate for treating CF and BX211, our product candidate
for treating DFO. Although we recently completed the 2024 March PIPE, in the future we will likely require or desire additional funds
to support our operating expenses and capital requirements. Accordingly, we are implementing cost cutting measures, and exploring and
expect to further explore, raising such additional funds through public or private equity, debt financing, loans, government or other
grants or collaborative agreements or from other sources, as well as under the 2023 ATM Agreement discussed below. If we are unable to
obtain adequate financing or financing on terms satisfactory to us, when we require it, our ability to continue to grow or support our
business and to respond to business challenges could be significantly limited. If there are increases in operating costs for facilities
expansion, research and development and clinical activity, we will need to use mitigating actions such as to seek additional financing
or postpone expenses that are not based on firm commitments. If certain disruptions due to, for instance, the war with Hamas and Hezbollah,
or Israeli political instability persists and deepens, we could experience an inability to access additional capital, which could in the
future negatively affect our capacity to support our operating expenses and capital requirements. As a result of these factors, management
believes that there is substantial doubt as to the Company’s ability to continue as a going concern.
Cash Flows
The following table summarizes
our sources and uses of cash for the nine months ended September 30, 2024 and 2023:
Nine Months Ended
September 30,
2024
2023
USD in thousands
Net cash used in operating activities
(30,690 )
(15,044 )
Net cash provided by investing activities
716
1,957
Net cash provided by financing activities
38,772
4,223
Net increase (decrease) in cash and cash equivalents
8,798
(8,864 )
Effect of exchange rate changes on cash and cash equivalents and restricted cash
(11 )
(37 )
Operating Activities
Net cash used in operating
activities for the nine months ended September 30, 2024 was $30.7 million, primarily driven by our R&D, general and administrative
expenses, as well as changes in our operating assets and liabilities of $4.0 million, offset by non-cash charges of $23.5 million.
Non-cash charges for the nine months ended September 30, 2024 consisted primarily of income from change in fair value of the Private Placement
Warrants of $24.4 million and income from change in contract liability in amount of $2.0 million resulting from pausing the Company’s
AD program. Additionally, there were depreciation and amortization expenses of $0.9 million, Private Placement Warrants issuance costs
of $0.7 million and Goodwill impairment of $0.8 million. Net changes in our operating assets and liabilities consisted primarily of a
decrease in trade account payable of $2.7 million, as well as a decrease in other accounts payable of $0.9 million and a decrease in other
current and non-current assets of $0.2 million.
Net cash used in operating
activities for the nine months ended September 30, 2023 was $15.0 million primarily due to a net loss of $20.7 million, mostly due to
our R&D and general and administrative expenses, and due to changes in our operating assets and liabilities of $4.2 million, offset
by non-cash charges of $1.4 million. Non-cash charges for the nine months ended September 30, 2023 consisted primarily of depreciation
and amortization expenses of $0.7 million, stock-based compensation expenses of $0.6 million and amortization of debt issuance costs
of $0.4 million, partly offset by finance income of $0.3 million. Net changes in our operating assets and liabilities consisted primarily
of an increase in other accounts payable of $3.3 million, due to expenses related to conducting the clinical trial of our CF product
candidate, BX004, and an increase in trade account payables of $0.2 million, partially offset by a decrease in other current assets in
the amount of $0.7 million.
8
Investing Activities
During the nine months ended
September 30, 2024, net cash provided by investing activities was $0.7 million, mainly consisting of cash and restricted cash acquired
from the Acquisition.
During the nine months ended
September 30, 2023, net cash provided by investing activities was $2.0 million, mainly consisting of proceeds from short-term deposits
of $2.0 million.
We have invested, and plan
to continue to invest, our existing cash in short-term investments in accordance with our investment policy. These investments may include
money market funds and investment securities consisting of U.S. Treasury notes, and high quality, marketable debt instruments of corporations
and government sponsored enterprises. We use foreign exchange contracts (mainly options and forward contracts) to hedge balance sheet
items from currency exposure. These foreign exchange contracts are not designated as hedging instruments for accounting purposes. In connection
with these foreign exchange contracts, we record gains or losses that offset the revaluation of the balance sheet items under financial
income, net in our condensed consolidated statements of operations. As of September 30, 2024, we had outstanding foreign exchange
contracts for the exchange of USD to NIS in the amount of approximately $3.4 million with a fair value asset of $15,000. As of September
30, 2023, we had outstanding foreign exchange contracts for the exchange of USD to NIS in the amount of approximately $3.8 million with
a fair value of $33,000.
Financing Activities
During the nine months ended
September 30, 2024, net cash provided by financing activities was $39.0 million, mainly consisting of the issuance of Redeemable Convertible
Preferred Shares and the Private Placement Warrants in the March 2024 PIPE in the amount of $20.8 million, net of issuance costs and $28.7
million, respectively. This was partially offset by the prepayment of the long-term debt in the amount of $10.7 million under the Hercules
Loan Agreement.
During the nine months ended
September 30, 2023, net cash provided by financing activities was $4.2 million, mainly consisting of the issuance of Common Stock under
the Securities Purchase Agreement we entered into in February 2023, of $7.2 million net of issuance costs, partially offset by the repayment
of long-term debt of $2.9 million under the Hercules Loan Agreement.
Under the Hercules Loan Agreement,
Hercules provided the Company with access to a term loan with an aggregate principal amount of up to $30 million, or the Term Loan Facility,
available in three tranches, subject to certain terms and conditions. The first tranche of $15 million was advanced to us on the date
the Hercules Loan Agreement was executed. The conditions for the second and third tranches were not reached and have expired. We were
required to make interest only payments through March 1, 2023, and started to then repay the principal balance and interest in equal monthly
installments. Interest on the Hercules Loan accrues at a per annum rate equal to the greater of (i) the Prime Rate as reported in The
Wall Street Journal plus 5.70% and (ii) 8.95%. On March 19, 2024, the Company prepaid all the term loan under the Term Loan Facility in
a total of $10,428,000. The prepayment included an end of term charge of $983,000 and accrued interest of $69,000. The Company received
a waiver regarding the prepayment charge that should have been 1% out of the prepaid principal amount, equaling $94,000.
On December 7, 2023, we filed
a shelf registration statement on Form S-3, which was declared effective by the SEC on January 2, 2024. In addition, on December 7, 2023,
we entered into an At the Market Offering Agreement, or the 2023 ATM Agreement, with H.C. Wainwright & Co., LLC, or Wainwright, with
Wainwright as manager, pursuant to which we may issue and sell shares of our Common Stock having an aggregate offering price of up to
$7.5 million from time to time through Wainwright. We are not obligated to make any sales of Common Stock under the 2023 ATM Agreement.
From January 1, 2024 through November 12, 2024, we issued 7,518 shares of Common Stock pursuant to the 2023 ATM Agreement for aggregate
gross proceeds of $19 thousand.
On March 15, 2024, concurrently
with the consummation of the Acquisition, we consummated the March 2024 PIPE with existing and new investors, resulting in aggregate gross
proceeds of approximately $50 million, in which the investors purchased (i) an aggregate of 216,417 Redeemable Convertible Preferred Shares,
convertible upon stockholder approval, which was obtained on July 9, 2024, into an aggregate of up to 21,641,700 shares of BiomX common
stock, and (ii) the Private Placement Warrants, to purchase up to an aggregate of 10,820,850 shares of BiomX common stock, at a combined
purchase price of $231.10 per share of Series X Preferred Stock and an accompanying Private Placement Warrant to purchase 50 shares of
BiomX common stock. The Private Placement Warrants are exercisable at an exercise price of $2.311 per share and will expire on July 9,
2026.
During the nine months ended
September 30, 2024, 533,031 Pre-Funded Warrants were exercised into 533,031 shares of Common Stock for total consideration of $6,000 at
an exercise price of $0.01 per share of Common Stock, and 928,041 Pre-Funded Warrants were exercised into 925,607 shares of Common Stock
through cashless mechanism with no consideration. As of September 30, 2024, there are no outstanding Pre-Funded Warrants.
9
Outlook
We have accumulated a deficit
of $166.2 million since our inception. To date, we have not generated revenue from our operations, and we do not expect to generate any
significant revenues from sales of products in the next twelve months. Our cash needs may increase in the foreseeable future. We expect
to generate revenues from the sale of licenses to use our technology or products, but in the short and medium terms any amounts generated
are unlikely to exceed our costs of operations. According to our estimates and based on our current operating plans, our liquidity resources
as of September 30, 2024, which consisted primarily of cash, cash equivalents, short-term deposits and restricted cash of approximately
$24.7 million will be sufficient to fund our operations into the fourth quarter of 2025.
Consistent with our ongoing
R&D activities, we expect to continue to incur additional losses in the foreseeable future. To the extent we require funds above our
existing liquidity resources in the medium and long term, we plan to fund our operations, as well as other development activities relating
to additional product candidates, through future issuances of public or private equity, including under our 2023 ATM Agreement, issuance
of debt securities, loans, and possibly additional grants from the IIA or other government or non-profit institutions. Our ability to
raise additional capital in the equity and debt markets is dependent on a number of factors including, but not limited to, the market
demand for our securities, which itself is subject to a number of development and business risks and uncertainties, as well as the uncertainty
that we would be able to raise such additional capital at a price or on terms that are favorable to us.
Item 3. Quantitative and Qualitative Disclosures
About Market Risk
As a smaller reporting company,
we are not required to make disclosures under this Item.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.