Item 1. Business
ITEM 1.
BUSINESS.
Overview
We are a biotechnology company
with an advanced cell-based technology platform. We have developed a unique three-dimensional, or 3D, technology platform for cell expansion
with an industrial scale in-house Good Manufacturing Practice, or GMP, cell manufacturing facility. We are utilizing our technology in
the field of regenerative medicine and food tech and plan to utilize it in other industries and verticals that have a need for our mass
scale and cost-effective cell expansion platform.
We use our advanced cell-based
technology platform in the field of regenerative medicine to develop placenta-based cell therapy product candidates for the treatment
of inflammatory, muscle injuries and hematologic conditions. Our PLX cells are adherent stromal cells that are expanded using our 3D
platform. Our PLX cells can be administered to patients off-the-shelf, without blood or tissue matching or additional manipulation
prior to administration. PLX cells are believed to release a range of therapeutic proteins in response to the patient’s condition.
Our operations are focused
on the research, development and manufacturing of cells and cell-based products, conducting clinical studies and the business development
of cell therapeutics and cell-based technologies, such as our collaboration with Tnuva Food Industries – Agricultural Cooperative
in Israel Ltd., through its fully owned subsidiary, Tnuva Food-Tech Incubator (2019), Limited Partnership, or Tnuva, to use our technology
to establish a cultivated food platform, as well as the collaboration agreement we signed in 2022 with a leading European manufacturer
of active pharmaceutical ingredients, or APIs, to use our expansion technology, which aims to revolutionize the production of biologics
by enabling a cost-effective, sustainable and cruelty-free ingredient.
In the pharmaceutical area,
we have focused on several indications utilizing our product candidates, including, but not limited to, muscle recovery following surgery
for hip fracture, incomplete recovery following bone marrow transplantation, critical limb ischemia, or CLI, Chronic Graft versus Host
Disease and a potential treatment for Hematopoietic Acute Radiation Syndrome, or H-ARS. Some of these studies have been completed while
others are still ongoing. We believe that each of these indications is a severe unmet medical need.
In July 2023, we announced
that we signed a three year $4.2 million contract with the U.S. National Institute of Allergy and Infectious Diseases, or NIAID, which
is part of the NIH. Pluri will collaborate with the U.S. Department of Defense’s Armed Forces Radiobiology Research Institute,
or AFRRI, and the Uniformed Services University of Health Sciences, or USUHS, in Maryland, U.S.A., to further advance the development
of its PLX-R18 cell therapy as a potential novel treatment for H-ARS, a deadly disease that can result from nuclear disasters and radiation
exposure.
In the food tech field, we
established a new venture with Tnuva, Ever After Foods Ltd., or Ever After Foods, (previously Plurinuva Ltd.), which is incorporated under
the laws of the State of Israel. Ever After Foods is developing cultivated meat products based on Pluri’s platform 3D cell expansion
technology.
We were incorporated in Nevada
on May 11, 2001. Pluri Inc. has a wholly owned subsidiary, Pluri Biotech Ltd., or the Subsidiary, which is incorporated under the laws
of the State of Israel. In January 2020, the Subsidiary established a wholly owned subsidiary, Pluristem GmbH, which is incorporated
under the laws of Germany.
1
Scientific Background – Cell Therapy
Cell therapy is an established
field within the regenerative medicine area. The characteristics and properties of cells vary as a function of tissue source and growth
conditions. The human placenta from which our PLX cells are derived provides a unique source of non-embryonic, adult cells and represents
an innovative approach in the cell therapy field. The different factors that PLX cells release suggest that the cells can be used therapeutically
for a variety of ischemic, inflammatory, autoimmune and hematological deficiencies.
Our Technology
Our technology platform, a
patented and validated state-of-the-art 3D cell expansion system, aims to advance novel cell-based solutions for a range of industries,
including, but not limited to pharmaceuticals, food, agricultural, and biologics. Our method is uniquely accurate, scalable, cost-effective,
and consistent from batch to batch. Our technology is currently implemented in the fields of regenerative medicine and food tech.
Our system utilizes a synthetic
scaffold to create an artificial 3D environment where cells can grow. Our automated proprietary 3D, Current Good Manufacturing Practice,
or cGMP, approved process enables the large-scale monitored and controlled production of reproducible, high quality cell products and
in mass quantities. Additionally, our current manufacturing process, which has scaled up during the years, has demonstrated batch-to-batch
consistency, an important manufacturing challenge for biological products.
We developed a new cell manufacturing
process for industrial scale cell manufacturing called PluriMatrix, which we announced in April 2023, and which is built upon our platform
3D cell expansion technology, scaling high-quality cell production. PluriMatrix is also used by Ever After Foods, for producing cultivated
meat.
Product Candidates
We believe that our technology
will continue to fuel medical research and develop pharmaceuticals, while also being used to potentially create novel cell-based solutions
for other innovative initiatives—such as food tech, cellular agriculture and biologics. We aim to establish partnerships that leverage
our 3D cell-based technology to additional industries that require effective, mass cell production and will enable us to accelerate the
time to market.
Pluri Health
Our primary objective is
to be the leading provider of allogeneic placenta-based cell therapy products that are true off-the-shelf products that do not require
any matching or additional manipulation prior to administration. Currently, our PLX products are administered intramuscular, or IM, using
a standard needle and syringe.
PLX-PAD
Our first product candidate,
PLX-PAD, is composed of maternal mesenchymal stromal cell, or MSC, like cells originating from the placenta.
PLX-R18
Our second product candidate,
PLX-R18, is composed of fetal MSC like cells originating from the placenta.
Modified PLX cells
As a platform technology
company, we are also developing additional product candidates, which are modified or induced PLX cells:
Induced PLX cells: we are
using cells from the placenta, induced with cytokines, to transiently alter their secretion profile.
Modified PLX cells using
CRISPR, or other gene editing technology: CRISPR is a unique technology which allows precise gene editing of cells. Using this technology,
we can initiate the next evolution in cell therapy by allowing the reprograming of cells for specific needs. Our aim is to incorporate
the genetic engineering techniques into our cell manufacturing platform in order to develop large scale allogenic engineered PLX products
designed for specific indications.
We believe that using the
placenta as a unique cell source, combined with our innovative research, development and high-quality manufacturing capabilities, will
be the “engine” that drives this platform technology towards the successful development of additional PLX cell therapy products
and indications.
2
Our Clinical Development Product Candidates
Orthopedic Indications .
Following U.S. Food and Drug Administration, or FDA, and European Medicine Agency, or EMA, clearance, a multinational Phase III study
was conducted and completed in the United States, Europe and Israel. The primary endpoint of this study was the Short Physical Performance
Battery, or SPPB, a test for lower limb performance and functional status. We completed enrollment of 240 patients and the study was designed
to assess the efficacy at six months and a year, as well as safety for up to two years.
On July 13, 2022, we announced
topline results from our Phase III study of muscle regeneration following hip fracture surgery. PLX-PAD was demonstrated to be an effective
accelerator of muscle strength and regeneration. A significant increase in Hip Abduction Strength (HAS) was observed at week 26 and week
52 for patients treated with PLX-PAD (n=120), in the injured leg (p=0.047, p=0.0022) and uninjured leg (p=0.073, p=0.0046) compared to
placebo (n=120). The study did not meet the primary endpoint, which was the SPPB test at week 26. On October 26, 2022, a 52-week follow
up of all patients was completed.
Our Phase III study protocol
and design was based on our phase I/II, randomized, double-blind, placebo-controlled study (n=20) to assess the safety and efficacy of
IM injections of allogeneic PLX-PAD cells for the regeneration of injured gluteal musculature after total hip replacement had been conducted
in Germany under the approval of Paul Ehrlich Institute, or PEI. In this study, PLX-PAD cells or placebo were administered into the traumatized
gluteal muscle during total hip replacement surgery. The study results met its primary efficacy endpoint, change in maximal voluntary
isometric contraction force of the gluteal muscle at six months after total hip replacement. Patients treated with PLX-PAD had a significantly
greater improvement of maximal voluntary muscle contraction force than the placebo group (p=0.0067). In addition, the study demonstrated
that PLX-PAD was safe and well tolerated by patients.
COVID-19 Complicated by
Acute Respiratory Distress Syndrome, or ARDS . In May 2020, the FDA cleared our Investigational New Drug Application, or IND, for
a Phase II study of our PLX-PAD cells for treatment of severe COVID-19 cases complicated by ARDS and we initiated the study in June 2020.
The U.S. study is a randomized, double-blind, placebo-controlled, multicenter, parallel-group intended to evaluate the efficacy and safety
of IM injections of PLX-PAD for the treatment of severe COVID-19 cases complicated by ARDS. The primary endpoint is the number of ventilator
free days, or VFD, from day 1 through day 28 of the study. Secondary efficacy endpoints include all-cause mortality, duration of mechanical
ventilation, intensive care unit, or ICU, free-days, and hospitalization free-days. Safety and survival follow-up will be conducted until
week 52. In addition, the FDA has cleared our Expanded Access Program, or EAP, for the use of our PLX-PAD cells to treat ARDS caused
by COVID-19 outside of the Phase II COVID-19 complicated by ARDS study in the United States. The EAP approval was for up to 100 patients.
In August 2020, the PEI cleared
our Phase II study in Germany titled, “A Randomized, Controlled, Multicenter, Parallel-Group Phase II Study to Evaluate the Efficacy
and Safety of Intramuscular Injections of PLX PAD for the Treatment of severe COVID-19,” relating to the treatment of patients
hospitalized with severe cases of COVID-19 complicated by ARDS. The primary efficacy endpoint of the study is the number of ventilator
free days during the 28-days from day one through day 28 of the study. Secondary efficacy endpoints include all-cause mortality, duration
of mechanical ventilation, ICU free-days, and hospitalization free-days. Safety and survival follow-up will be conducted until week 52.
We enrolled patients in Europe and Israel under this protocol.
On July 8, 2021, we announced
that we were bringing our COVID-19 complicated by ARDS Phase II studies in the United States, Europe and Israel to clinical readout.
The analysis was based on 89 patients enrolled.
On December 27, 2021, we
announced topline results for our COVID-19 studies based on 89 patients enrolled. The studies did not meet the primary efficacy endpoint
of statistically significant improvement of VFD at 28 days. Taking into consideration the baseline risk factors of the ARDS patients,
no differences in the safety profile were observed between PLX-PAD and placebo. The U.S., Europe, and Israel studies are complete and
the clinical study reports have been submitted to the relevant regulatory agencies.
3
Recovery Following HCT .
This Phase I study of PLX-R18 in HCT was completed in the United States and Israel. The study assessed the safety of PLX-R18 by assessing
adverse events, safety labs and vital signs in patients receiving different doses of PLX-R18. One year follow up for all patients was
completed in September 2021 and the results of the study were announced on March 23, 2022. PLX-R18 was well-tolerated with a favorable
safety profile. Patients treated with PLX-R18 showed a mean increase in all three blood cell types compared to baseline with platelets
(p<0.001), hemoglobin (p=0.01) and neutrophils (p=0.15) levels increasing as early as 1 month following PLX-R18 administration and
enduring up to 12 months following treatment. Additionally, the number of transfused units decreased from a mean monthly number of 5.09
for platelets and 2.91 for red blood cells at baseline to 0.55 for platelets (p=0.045) and 0 for red blood cells (p=0.0005) at 12 months.
Peripheral and Cardiovascular
Diseases . We investigated the use of PLX-PAD cells for the treatment of peripheral arterial disease, or PAD, including intermittent
claudication, or IC, and CLI. We completed two Phase I safety/dose-escalating clinical studies for CLI, one in the United States and
one in Germany. These CLI studies demonstrated that no blood type or human leukocyte antigen matching is required, and that the administration
of PLX-PAD cells is safe, even if two doses are administered to a patient on two different occasions. We completed a Phase II study in
IC which was conducted in the United States, Germany, South Korea and Israel. A total of 172 patients were treated in this study. IM
administration of PLX-PAD cells was concluded to be safe and well tolerated. We completed a pivotal Phase III study of PLX-PAD cells
in the treatment of CLI for patients with minor tissue loss (Rutherford Category 5) who are unsuitable for revascularization. This multinational
Phase III study was conducted in the United States, Europe and Israel and enrolled 213 patients in total. In December 2020, the independent
Data Monitoring Committee, or DMC, issued its recommendation letter following an interim analysis relating to the CLI Phase III study.
A clinical dataset was reviewed by the independent DMC for safety and analysis of the primary endpoint of amputation-free survival, defined
as time to occurrence of major amputation of the index leg or death. Based on the review, the DMC concluded that the CLI study was unlikely
to meet the primary endpoint by the time of the final analysis. Following the DMC’s recommendation, we decided to terminate the
CLI study.
ARS . On July 11, 2023,
we signed a three-year $4.2 million contract with the NIAID, which is part of the NIH. Pluri will collaborate with the U.S. Department
of Defense’s, or DoD’s, AFRRI and USUHS to further advance the development of its PLX-R18 cell therapy as a potential novel
treatment for H-ARS. H-ARS is a deadly disease that can result from nuclear disasters and radiation exposure. The period of performance
of this contract will be from July 1, 2023 through June 30, 2024, which may be extended for an additional two year period.
Before signing the contract,
we conducted several animal studies for the evaluation of PLX-R18 for the treatment of ARS, in collaboration with NIAID.
The NIH funded and conducted
a pilot study in non-human primates, or NHPs, to evaluate the therapeutic effect of PLX-R18 on hematological aspects of ARS. In 2017,
we announced results of the NHPs pilot study for PLX-R18 as a treatment for ARS. Although study size was not designed to show significance,
results showed a trend toward improved survival of PLX-R18 treated animals compared to control, placebo treated animals. The study, conducted
and funded by the NIAID, was designed to assess the safety and efficacy of PLX-R18 following IM injection into irradiated and non-irradiated
NHPs. Efficacy measures included survival as well as hematological parameters which are affected by exposure to high levels of radiation
as may occur in a nuclear accident or attack. These data will help the design of a pivotal study to fulfill the requirements for a Biologics
License Application, or BLA, submission under the FDA’s Animal Rule regulatory pathway.
In October 2017, we announced
that the FDA granted us an orphan drug designation for our PLX-R18 cell therapy for the prevention and treatment of ARS. In April 2018,
we announced that the FDA approved our Investigational New Drug, or IND, application for PLX-R18 cell therapy in the treatment of ARS.
The IND allows us to treat victims who may have been acutely exposed to high dose radiation due to nuclear attack or accident. In July
2019, we presented positive results from a series of studies of our PLX-R18 cell therapy product conducted by the DoD Armed Forces Radiobiology
Research Institute, part of the USUHS. The studies were designed to evaluate PLX-R18 as a potential prophylactic countermeasure against
ARS administered prior to radiation exposure. These animal studies demonstrate that PLX-R18, administered 24 hours before radiation exposure,
and again 72 hours after exposure, resulted in a significant increase in survival rates, from 4% survival rate in the placebo group to
74% in the treated group. In addition, the data show an increase in recovery of blood lineages and a favorable safety profile. Furthermore,
histopathological analysis and hematopoietic progenitor clonogenic assay of tissues collected show a significant increase in bone marrow
cell numbers and improved regenerative capability into all blood lineages.
4
Steroid-Refractory cGVHD .
In September 2017, we signed an agreement with Tel Aviv Sourasky Medical Center (Ichilov Hospital) to conduct a Phase I/II clinical study
of PLX-PAD cell therapy for the treatment of Steroid-Refractory cGVHD. This study is an investigator-initiated study. As such, Tel Aviv
Sourasky Medical Center supports the study and is responsible for its design and implementation. 17 patients have been treated in this
study to date.
Regulatory and Clinical Affairs Strategy
Our cell therapy development
strategy is to hold open and frequent discussions with regulators at all stages of development from preclinical studies to more advanced
regulatory stages. We utilize this strategy in working with the FDA, the EMA, Germany’s PEI as well as other European national
competent authorities, the Minister of Health, or MOH, Japan’s Pharmaceuticals and Medical Devices Agency, or PMDA, and also the
Ministry of Food and Drug Safety, or MFDS, of South Korea.
Our Activities in the Food Tech Sector - Ever
After Foods
On January 5, 2022, we signed
definitive collaboration agreements with Tnuva through the Subsidiary. Under the definitive collaboration agreements, or the Joint Venture
Agreement, we established a new company, Ever After Foods, with the purpose of developing cultivated meat products of all types and kinds.
Ever After Foods is engaged in the development, manufacturing and commercialization of technology, know-how and products that will be
based on licensed products, or the Licensed Products, relating to the field of cultivated meat, or the Field.
Pursuant to the Joint Venture
Agreement, Tnuva entered into a share purchase agreement, or the SPA, with Ever After Foods and the Subsidiary, pursuant to which Ever
After Foods issued on the closing date of the SPA, or the Closing Date, 187,500 ordinary shares, representing 15.79% of its share capital,
to Tnuva, as well as a warrant to purchase additional shares of Ever After Foods, in consideration of an aggregate of $7.5 million in
cash, which expired unexercised.
In December 2022, we reported
that our joint venture successfully completed proof of concept in its development of cultivated meat based on our cell-based technology
platform. Ever After Foods is also using PluriMatrix for producing cultivated meat.
Technology Collaboration the Biologics
Field
In September 2022, we entered
into a collaboration agreement, or API Collaboration, with a leading European manufacturer of APIs, among others, used to treat liver
diseases and gallstones. As part of our collaboration, we utilize our platform to develop and manufacture a unique biologic API. The
current source of this API is derived from animals that are sacrificed during the extraction process. The joint goal of the collaboration
is to grow the specific cells needed for this API in our 3D cell expansion bioreactor systems which in return will secrete the biological
molecule without harming animals. As of June 30, 2023, we recorded revenues of $270,000 related to API Collaboration.
We believe that proof of
concept with API derived from animals will open opportunities for us to serve additional API manufacturers in the rapidly growing biologics
markets.
5
Intellectual Property
We understand that our success
will depend, in part, on maintaining our intellectual property, and therefore we are committed to protecting our technology and product
candidates with patents and other methods described below.
We are the sole owner of
142 issued patents and approximately 55 pending patent applications in the United States, Europe, China, Japan and Israel, as well as
in additional countries worldwide, including countries in the Far East and South America (in calculating the number of issued patents,
each European patent validated in multiple jurisdictions was counted as a single patent).
Based on the well-established
understanding that the characteristics and therapeutic potential of a cell product are largely determined by the source of the cells
and by the methods and conditions used during their culturing, our patent portfolio includes different types of claims that protect the
various unique aspects of our technology.
Our multi-national portfolio of patent and patent
applications includes the following claims:
● our
proprietary 3D expansion methods for adherent cells including placental stromal
cells plant cells;
● composition
of matter claims covering the cells;
● our
proprietary 3D expansion methods for cells in suspension including immune cells;
● the
therapeutic and cosmetic use of PLX cells for the treatment of a variety of conditions; and
● cell-culture,
harvest, thawing and formulation devices.
Through our experience with
the development of adherent stromal cell-based products, we have gained expertise and know-how in this field and have established procedures
for manufacturing clinical-grade PLX cells in our facilities. Certain aspects of our manufacturing process are covered by patents and
patent applications. In addition, specific aspects of our technology are retained as know-how and trade secrets that are protected by
our confidentiality agreements with our employees, consultants, contractors, manufacturers and advisors. These agreements generally provide
for protection of confidential information, restrictions on the use of materials, and obligations to assign to us inventions created
during the course of performing services for us.
The following table sets
forth our key patents and patent applications and is not intended to represent an assessment of claims, limitations or scope. In some
cases, a jurisdiction is listed as both pending and granted for a single patent family. This is due to pending continuation or divisional
applications of the granted case.
6
The expiration dates of these
patents, based on filing dates, range from 2027 to 2043. Actual expiration dates will be determined according to extensions received
based on the Drug Price Competition and Patent Term Restoration Act of 1984 (P.L. 98-417), commonly known as the “Hatch-Waxman”
Act, which permits extensions of pharmaceutical patents to reflect regulatory delays encountered in obtaining FDA market approval. The
Hatch-Waxman Act is based on a U.S. federal law and therefore only relevant to U.S. patents.
There is a risk that our patents
will be invalidated, and that our pending patent applications will not result in issued patents. We also cannot be certain that we will
not infringe on any patents that may be issued to others. See “Risk Factors – The patent approval process is complex, and
we cannot be sure that our pending patent applications or future patent applications will be approved”
Our Patent Portfolio
Patent Name/ Int. App. No.
Pending
Jurisdictions
Granted
Jurisdictions
Expiry Date
METHODS FOR CELL EXPANSION AND USES OF CELLS AND CONDITIONED
MEDIA PRODUCED THEREBY FOR THERAPY
PCT/IL2007/000380
Australia, Canada, China, Hong Kong, Europe, Israel, India, Japan, South Korea, Mexico, Russia,
Singapore
March 23, 2027
ADHERENT CELLS FROM PLACENTA TISSUE AND USE THEREOF IN THERAPY
PCT/IL2008/001185
United States
Brazil, Canada, China, Europe, Hong Kong, Israel, India, Japan, Mexico, Russia, United States,
South Korea
September 2, 2028
METHODS OF TREATING INFLAMMATORY COLON DISEASES
PCT/IL2009/000527
United States, Israel, Russia
May 26, 2029
METHODS OF SELECTION OF CELLS FOR TRANSPLANTATION
PCT/IL2009/000844
Europe, Israel
September 1, 2029
ADHERENT CELLS FROM PLACENTA TISSUE AND USE THEREOF IN THERAPY
PCT/IL2009/000846
Australia, Canada, China, Europe, Hong Kong, Israel, India, Mexico, Singapore, United States
September 1, 2029
ADHERENT CELLS FROM PLACENTA TISSUE AND USE THEREOF IN THERAPY
PCT/IL2009/000845
United States, Europe, Israel
September 1, 2029
ADHERENT STROMAL CELLS DERIVED FROM PLANCENTAS OF MULTIPLE
DONORS AND USES THEREOF
PCT/IB2011/001413
Israel
Israel: April 21, 2031
ADHERENT CELLS FROM PLACENTA AND USE OF SAME IN DISEASE TREATMENT
PCT/IB2010/003219
United States, Israel
Australia, Canada, China, Hong Kong, Europe, Israel, Mexico, New Zealand, United States
November 29, 2030
7
METHODS AND SYSTEMS FOR HARVESTING ADHERENT STROMAL CELLS
PCT/IB2012/000933
China, Israel
Australia, Canada, Europe, Israel, India, South Korea, Mexico, Singapore, United
States
April 15, 2032
METHODS FOR TREATING RADIATION OR CHEMICAL INJURY
PCT/IB2012/000664
United States
Europe, Hong Kong, Israel, Japan, South Korea, United States
March 22, 2032
SKELETAL MUSCLE REGENERATION USING MESENCHYMAL STEM CELLS
PCT/EP2011/058730
United States, Europe, Israel
May 27, 2031
GENE AND PROTEIN EXPRESSION PROPERTIES OF ADHERENT STROMAL
CELLS CULTURED IN 3D
PCT/IB2014/059114
Israel, United States
February 20, 2034
METHODS FOR PREVENTION AND TREATMENT OF PREECLAMPSIA
PCT/IB2013/058186
China, Hong Kong, Europe, Israel, Japan, South Korea, United States
August 31, 2033
METHOD AND DEVICE FOR THAWING BIOLOGICAL MATERIAL
PCT/IB2013/059808
Australia, China, Europe, Hong Kong, Israel, India, Japan, South Korea, Russia, Singapore, United
States
October 31, 2033
SYSTEMS AND METHODS FOR GROWING AND HARVESTING CELLS
PCT/IB2015/051559
Israel, United States
March 3, 2035
METHODS AND COMPOSITIONS FOR TREATING AND PREVENTING MUSCLE
WASTING DISORDERS
PCT/IB2015/059763
Israel, United States
December 18, 2035
USE OF ADHERENT STROMAL CELLS FOR ENHANCING HEMATOPOIESIS IN
A SUBJECT IN NEED THEREOF
PCT/IB2016/051585
Israel
March 21, 2036
ALTERED ADHERENT STROMAL CELLS AND METHODS OF PRODUCING AND
USING SAME
PCT/IB2016/053310
Europe, United States, Israel
June 6, 2036
METHODS AND COMPOSITIONS FOR TREATING CANCERS AND NEOPLASMS
PCT/IB2017/050868
Canada
Europe, Japan, Israel
February 16, 2037
METHODS AND COMPOSITIONS FOR TREATING NEUROLOGICAL DISORDERS
PCT/IB2018/052806
Israel, United States
April 23, 2038
8
METHODS AND COMPOSITIONS FOR TUMOR ASSESSMENT
PCT/IB2018/050984
Israel
February 18, 2038
METHODS AND COMPOSITIONS FOR TREATING ADDICTIONS
PCT/IB2018/055473
Israel, United States
July 23, 2038
METHODS AND COMPOSITIONS FOR DETACHING ADHERENT CELLS
Germany 10 2018 115 360.0
Germany
June 25-July 3, 2038
METHODS AND COMPOSITIONS FOR PRODUCING CANNABINOIDS
PCT/IL2020/050477
Canada, Europe, Hong Kong, Israel, Japan, United States
April 28, 2040
METHODS FOR EXPANDING ADHERENT STROMAL CELLS AND CELLS OBTAINED
THEREBY
PCT/IB2019/052569
Israel, Singapore, United States
March 28, 2039
METHODS AND COMPOSITIONS FOR TREATING SUBJECTS EXPOSED TO VESICANTS
AND OTHER CHEMICAL AGENTS
PCT/IB2019/055074
Israel, United States
June 18, 2039
METHODS AND COMPOSITIONS FOR FORMULATING AND DISPENSING PHARMACEUTICAL
FORMULATIONS
PCT/IB2019/053115
United States
Israel
United States: April 16, 2039
Israel: April 26, 2038
THERAPEUTIC DOSAGE REGIMENS COMPRISING ADHERENT STROMAL CELLS
PCT/IB2019/054828
Israel, United States
June 10, 2039
MODULAR BIOREACTOR
PCT/IB2019/058429
Europe, Israel, Hong Kong, South Korea, Singapore, United States
October 3, 2039
THERAPEUTIC METHODS AND COMPOSITIONS
PCT/IB2019/059544
Israel, United States
November 6, 2039
9
METHODS AND COMPOSITIONS FOR TREATING VIRAL INFECTIONS AND
SEQUELAE THEREOF
PCT/IL2021/050268
United States, Europe,
Israel, Mexico
Israel
First Israeli application: May 14, 2040
Other applications: March 11, 2041
METHODS AND COMPOSITIONS FOR AESTHETIC AND COSMETIC TREATMENT
AND STIMULATING HAIR GROWTH
PCT/IL2020/050363
United States, Europe,
Canada, China, Israel, Australia
March 26, 2040
METHODS FOR EXPANDING ADHERENT STROMAL CELLS AND CELLS OBTAINED
THEREBY
IL277560
Israel
September 23, 2040
METHODS AND COMPOSITIONS FOR
ENRICHMENT OF TARGET CELLS
PCT/IL2021/020514
United States, Israel
May 05, 2041
PLACENTAL CELL TREATMENT FOR CRITICAL LIMB ISCHEMIA PATIENT
SUBPOPULATIONS
PCT/IL2022/050937
Patent Cooperation Treaty, or PCT
August 29, 2042
SYSTEM AND METHODS FOR IMMUNE CELLS EXPANSION AND ACTIVATION
IN LARGE SCALE
PCT/IL2023/050529
PCT, United States
May 23, 2043
On January 8, 2022, we entered
into a definitive license agreement with Takeda Pharmaceuticals International AG, or Takeda, a company based in Switzerland, which operates
in the field of adipose-derived cells, pursuant to which we granted Takeda a global, non-exclusive license to use several of our patents
(EP2591789, EP3103463, and 3091071), limited to adipose fat cells only, in the field of therapeutics, in exchange for Takeda ceasing
its opposition with regards to said patents and paying us a lump sum of $200,000. The license covers methods for expanding adherent stromal
cells and specified second medical uses.
On January 10, 2022, we entered
into a definitive license agreement with Novadip Biosciences, or Novadip, a company based in Belgium, which operates in the field of
adipose-derived stem cells for cell therapy and cell-free therapy in respect of medical or cosmetic conditions, under which we granted
Novadip a global, non-exclusive, royalty free license to use two of our patents (EP2591789, EP3103463), limited to non-placental cells
and cell-derived therapies, sub-licensable only to Novadip’s customers.
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In April 2016, the Subsidiary
entered into a licensing agreement with TES Holdings Co., Ltd., a venture company derived from the University of Tokyo, to obtain a key
patent in Japan to cover the treatment of ischemic diseases with placental cell therapy. This license is subject to future single low-digit
royalties from sales of our product for treatment in the field of ischemic diseases in Japan, until expiry of the patent in 2023. This
license is in addition to the grant of 13 patents to us by the Japanese Patent Office, which address 3D methods for expanding placental
and adipose cells, and specified cell therapies produced from placental tissue using these methods and bedside thawing devices. The patent
in Japan expired in March 2023; and therefore, the licensing agreement expired.
Research and Development
Foundational Research
Our initial technology, the
PluriX™ Bioreactor system, was invented at the Technion – Israel Institute of Technology’s Rappaport Faculty of Medicine,
in collaboration with researchers from the Weizmann Institute of Science. This technology was acquired by us and has been further significantly
developed by our research and development teams over the ensuing years.
Ongoing Collaborations
EIB Agreement
In
April 2020, we and our subsidiaries, Pluri Biotech Ltd. and Pluristem GmbH, executed a finance agreement executed with the EIB, or the
EIB Finance Agreement, for non–dilutive funding of up to €50 million in the aggregate, payable in three tranches. The proceeds
from the EIB Finance Agreement were intended to support our research and development in the EU to further advance our regenerative cell
therapy platform, and to bring the products in our pipeline to market. The term of the project was three years commencing on January 1,
2020.
During June 2021, we received
the first tranche in the amount of €20 million pursuant to the EIB Finance Agreement. The amount received is due to be repaid on
June 1, 2026, and bears annual interest of 4% to be paid together with the principal of the loan. As of June 30, 2023, the interest accrued
was in the amount of €1,665,000. In addition to the interest payable, the EIB is also entitled to royalty payments, pro-rated to
the amount disbursed from the EIB loan, on our consolidated revenues beginning in the fiscal year 2024 up to and including its fiscal
year 2030, in an amount equal to up to 2.3% of our consolidated revenues below $350 million, 1.2% of our consolidated revenues between
$350 million and $500 million and 0.2% of our consolidated revenues exceeding $500 million. As the project term ended on December 31,
2022, we do not expect to receive additional funds pursuant to the EIB Finance Agreement. The EIB Finance Agreement contains certain
limitations that we must adhere to such as the use of proceeds received from the EIB, the disposal of assets, substantive changes in
the nature of our business, our potential execution of mergers and acquisitions, changes in our holding structure, distributions of future
potential dividends and our engaging with other banks and financing entities for other loans.
Charité Agreement
In July 2007, we entered
into a five-year collaborative research agreement with the Berlin-Brandenburg Center for Regenerative Therapies at Charité –
University Medicine Berlin, or Charité, which was extended from time to time through June 2027. We and Charité are collaborating
on a variety of indications utilizing PLX cells. According to the agreement, we will be the exclusive owner of the technology and any
products produced as a result of the collaboration. Charité will receive between 1% to 2% royalties from net sales of new developments
that have been achieved during the joint development.
U.S. Department of Defense
In August 2017, we announced
that a pilot study of our PLX-R18 cell therapy was initiated by the DoD. The study examined the effectiveness of PLX-R18 as a treatment
for ARS prior to, and within the first 24 hours of exposure to radiation. In July 2019, we presented positive results from a series of
studies of our PLX-R18 cell therapy product conducted by the DoD.
11
NIAID Agreement
On July 11, 2023 we signed
a three year $4.2 million contract with the NIAID, which is part of the NIH. Pluri will collaborate with the U.S. DoD’s AFRRI and
USUHS to further advance the development of its PLX-R18 cell therapy as a potential novel treatment for H-ARS. H-ARS is a deadly disease
that can result from nuclear disasters and radiation exposure. The period of performance of this contract will be from July 1, 2023 through
June 30, 2024, which may be extended for additional two years period.
If at any time during performance
of this contract, the contracting officer determines, in consultation with the Office of Laboratory Animal Welfare (OLAW), NIH, that we
are not in compliance with any of the requirements and standards stated in the agreement, the contracting officer may immediately suspend,
in whole or in part, work and further payments under this contract until we correct the noncompliance. If we fail to complete corrective
action within the period of time designated in the contracting officer’s written notice of suspension, the contracting officer may, in
consultation with OLAW, NIH, terminate this contract in whole or in part.
Fukushima Medical University
We signed a memorandum of
understanding for a collaboration with Fukushima Medical University, Fukushima Global Medical Science Center, or Fukushima. The purpose
of the collaboration is to develop our PLX-R18 cells for the treatment of ARS, and for morbidities following radiotherapy in cancer patients.
The collaboration will proceed alongside research supported by the NIH, which is studying PLX-R18 as a potential treatment for the hematologic
component of ARS. The MOU for a collaboration with Fukushima will be renewed automatically on a yearly basis. Each party is entitled
to terminate the agreement for convenience upon providing the other party 30 days prior notice.
CHA Agreement
On June 26, 2013, we entered
into an exclusive out-licensing and commercialization agreement, or the CHA Agreement, with CHA Biotech for conducting clinical studies
and commercialization of our PLX-PAD product candidate in South Korea in connection with two indications: the treatment of CLI and IC.
We will continue to retain rights to our proprietary manufacturing technology and cell-related intellectual property.
The first clinical study
that was performed as part of the CHA Agreement was a Phase II study in IC. Upon the first regulatory approval for a PLX product in South
Korea, if granted, for the specified indications, we and CHA will establish an equally owned joint venture with the purpose of commercializing
PLX cell products in South Korea. Additionally, we will be able to use the data generated by CHA to pursue the development of PLX product
candidates outside of South Korea.
The term of the CHA Agreement
extends from June 24, 2013 until the later of the expiration, lapse, cancellation, abandonment or invalidation of the last valid patent
claim covering the development of the product indications. The CHA Agreement contains customary termination provisions, including in
the event that the parties do not reach an agreement upon a development plan for conducting the clinical studies.
Upon termination of the CHA
Agreement, the license granted thereunder will terminate, and all rights included therein will revert to us, whereupon we will be free
to enter into agreements with any other third parties for the granting of a license in or outside South Korea or to deal in any other
manner with such rights as it shall see fit in our sole discretion.
12
Horizon 2020
The Phase III study of PLX-PAD
in CLI was conducted as a collaborative project carried out by an international consortium led by the Berlin-Brandenburg Center for Regenerative
Therapies, together with the Company and with the participation of additional third parties.
Our Phase III study of PLX-PAD
cell therapy in the treatment of muscle recovery following surgery for hip fracture is a collaborative project carried out by an international
consortium led by Charité, together with us and with the participation of additional third parties.
In October 2017, we entered
into a collaborative project, the nTRACK, carried out by an international consortium led by Leitat Technological Center. The aim of this
project is to examine gold nano particles labeling of stem cells to enable assessment of cells’ in vivo persistence and distribution
in correlation to biological efficacy. Under the project, PLX cells, labeled and non-labeled will be characterized and examined in animal
models for muscle injury.
All of our collaborative projects
under the Horizon 2020 program ended as of June 30, 2023.
Horizon Europe - PROTO
On September 6, 2022, we
announced that a €7.5 million non-dilutive grant from the European Union, or EU’s, Horizon program has been awarded to PROTO
(Advanced PeRsOnalized Therapies for Osteoarthritis), an international collaboration led by Charité Berlin Institute of Health
Center for Regenerative Therapies. The goal of the PROTO project is to utilize our PLX-PAD cells in a Phase I/IIA study for the treatment
of mild to moderate knee osteoarthritis. Final approval of the grant is subject to completion of the consortium and Horizon Europe grant
agreements, or Horizon Europe. The funds from the grant are expected to be allocated between us and other members of the consortium in
accordance with budget and work packages which will be determined by the consortium.
The Phase I/IIa study will
be carried out by Charité. We, together with an international consortium under the leadership of Professor Tobias Winkler, Principal
Investigator, at the Berlin Institute of Health Center of Regenerative Therapies, Julius Wolff Institute and Center for Musculoskeletal
Surgery will be carrying out the study.
Indiana University
In April 2018, NIAID awarded
a $2.5 million grant to Indiana University to conduct, together with us, studies of our PLX-R18 cell therapy in the treatment of ARS.
The goal of this project is to extend the PLX-R18 ARS studies to include examination of survival in pediatric and geriatric populations
as well as the ability of PLX-R18 to alleviate delayed effects of radiation in survivors. The grant period ended during fiscal year 2023.
Chart Industries
In November 2018, we entered
into a license agreement with a subsidiary of Chart Industries, Inc., or Chart, regarding our thawing device for cell-based therapies.
Pursuant to the terms of the agreement, Chart obtained the exclusive rights to manufacture and market the thawing device in all territories
worldwide, excluding Greater China, and we are to receive royalties from sales of the product and supply of an agreed upon number of thawing
devices. Royalties shall commence on the date of Chart’s first commercial sale of the thawing device. As of the date of this annual
report, we have not received any royalties from Chart that relate to the sale of the thawing device.
13
CRISPR-IL
In June 2020, we announced
that we were selected as a member of the CRISPR-IL consortium, a group funded by the IIA. CRISPR-IL brings together the leading experts
in life science and computer science from academia, medicine, and industry, to develop Artificial Intelligence, or AI, based on end-to-end
genome-editing solutions. These next-generation, multi-species genome editing products for human, plant, and animal DNA, have applications
in the pharma, agriculture, and aquaculture industries. CRISPR-IL is funded by the IIA with a total budget of approximately $10,000,000
of which, an amount of approximately $480,000 was a direct grant allocated to us, for an initial period of 18 months, with a potential
for extension of an additional 18 months, or the Second Period, with additional budget from the IIA.
In October 2021, we received
approval for an additional grant of approximately $583,000 from the IIA pursuant to the CRISPR-IL consortium program, for an additional
period of eighteen months.
The CRISPR-IL consortium
program which ended on June 30, 2023 does not require us to pay royalties to the IIA.
United Arab Emirates-based Abu Dhabi Stem Cells
Center
In August 2020, we signed
a non-binding MOU with the United Arab Emirates-based Abu Dhabi Stem Cells Center, a specialist healthcare center focused on cell therapy
and regenerative medicine. The aim of the collaboration is to capitalize on each party’s respective areas of expertise in cell
therapies. The parties have agreed to exchange research results, share samples, join usage of equipment and testing, and other essential
activities related to advancing the treatment and research of cell therapies for a broad range of medical conditions.
In-House Clinical Manufacturing
We have the in-house capability
to perform clinical cell manufacturing. Our state-of-the-art Good GMP grade manufacturing facility in Haifa has been in use since February
2013 for the main purpose of clinical grade, large-scale manufacturing. The facility’s new automated manufacturing process and
products were approved for production of PLX-PAD for clinical use by the FDA, EMA, MFDS, PMDA and the MOH. Our second product, PLX-R18,
was cleared by the FDA and the MOH for clinical use. Furthermore, the site was inspected and approved by a European Union qualified person
(European accreditation body), approving that the site and production processes meet the current GMP for the purpose of manufacturing
clinical grade products.
The site was also inspected
and approved by the MOH and we received a cGMP Certification and manufacturer-importer authorization.
We obtain the human placentas
used for our research and manufacturing activities from various hospitals in Israel after receiving a written informed consent by the
mother and pathogen clearance. Any medical waste related to the use of placentas is treated in compliance with local environmental laws
and standards.
We have developed a serum-free
formulation to support the manufacturing of our cell therapy products. This serum-free formulation was developed using our deep understanding
in cell therapy industrial scale production standards, and the quality methods designed to support implementation in Phase III development
and marketing. Achieving this significant technological challenge is expected to provide us with large-scale, highly consistent production
capacity with operational independency from third party suppliers for standard serum, an expensive and quantity limited product. PLX-R18
is the first product candidate manufactured using the serum-free media.
14
Government Regulation – Pharma
The development, manufacturing,
and future marketing of our cell therapy product candidates are subject to the laws and regulations of governmental authorities in the
United States, Europe and Israel, as well as other countries in which our products may be marketed in the future like Japan, and South
Korea. In addition, the manufacturing conditions are specifically inspected by the MOH.
In the U.S. and European
Union, the FDA and the European Medicines Agency, or EMA, respectively, must approve products prior to marketing. Furthermore, various
governmental statutes and regulations also govern or influence testing, manufacturing, safety, labeling, storage and record keeping related
to such products and their marketing. Governments in other countries may have similar requirements for testing and marketing.
The process of obtaining
these approvals and the subsequent compliance with appropriate statutes and regulations require the expenditure of substantial time,
resources and money. There can be no assurance that our product candidates will ultimately receive marketing approval, or, if approved,
will be reimbursed by public and private health insurance.
There are several stages every drug undergoes
during its development process. Among these are:
●
Performance of nonclinical laboratory and animal studies
to assess a drug’s biological activity and to identify potential safety concerns, and to characterize and document the product’s
chemistry, manufacturing controls, formulation, and stability. In accordance with regulatory requirements, nonclinical safety and
toxicity studies are conducted under Good Laboratory Practice, requirements to ensure their quality and reliability;
●
The manufacture of the product according to cGMP regulations and standards;
●
Conducting adequate and well-controlled human clinical
studies in compliance with Good Clinical Practice, or GCP, to establish the safety and efficacy of the product for its intended indication;
and
●
Potential post-marketing clinical testing and surveillance
of the product after marketing approval, which can result in additional conditions on the approvals or suspension of clinical use.
Approval of a drug for clinical
studies in humans and approval of marketing are sovereign decisions of states, made by national, or, in case of the European Union, international
regulatory competent authorities.
15
The Regulatory Process in the United States
In the United States, our
product candidates are subject to regulation as a biological product under the Public Health Service Act and the Federal Food, Drug and
Cosmetic Act. The FDA, regulating the approval of clinical studies and marketing applications in the United States, generally requires
the following steps prior to approving a new biological product for use either for clinical studies or for commercial sale:
●
Submission of an IND Application, which must become effective
before clinical testing in humans can begin;
●
Obtaining approval of Institutional Review Boards, or IRBs,
of research institutions or other clinical sites to introduce the drug candidate into humans in clinical studies;
●
FDA may grant approval for EAP prior to the completion
of clinical studies, in order to allow access for the investigational drug, for patients that are excluded from the study;
●
FDA may grant priority review status to expedite the
BLA review process. Obtaining a Fast Track designation allows access for the request of priority review;
●
Submission of a BLA for marketing authorization of the
product, which must include adequate results of pre-clinical testing and clinical studies;
●
Submission of BLA with a proof of efficacy that is based
only on animal studies is feasible in instances where human efficacy studies cannot be conducted because the conduct of such studies
would not be ethical or feasible (such as H-ARS). In these cases, approval can be based on well controlled animal studies conducted
under the FDA Animal Rule;
●
FDA review of the BLA in order to determine, among other
things, whether the product is safe and effective for its intended uses; and
●
FDA inspection and approval of the product manufacturing
facility at which the product will be manufactured.
The Regulatory Process in Europe
In the European Union, our
investigational cellular products are regulated under the Advanced Therapy Medicinal Products regulation, a regulation specific to cell
and tissue products. Additionally, as of January 31, 2022, the Clinical Trials Regulation harmonizes the submission, assessment and supervision
processes of clinical trials in the European Union. This European Union regulation requires:
●
Filing a Central Clinical Trial Application utilizing the
Clinical Trials Information System, and obtaining an assessment and approval;
●
Obtaining approval of local and central ethics committees
as required to test the investigational product into humans in clinical studies;
●
Conducting adequate and well-controlled clinical studies
to establish the safety and efficacy of the investigational product for its intended use; and
●
Since our investigational cellular products are regulated
under the Advanced Therapy Medicinal Product regulation, the application for marketing authorization to the EMA is mandatory within
the 28 member states of the European Union. The EMA is expected to review and approve the MAA.
In May 2015, we were selected
by the EMA for development of PLX-PAD cells via the EMA Adaptive Pathways Project.
16
Government Regulations - Food Tech
Regulators around the world
are in the process of developing a regulatory approval process for cultivated meat. Although some companies have recently brought their
cultivated meat products to market in the United States, cultivated meat is not yet generally commercially available, but technologies
like the one being developed by Ever After Foods are anticipated to facilitate the imminent scaling up of cultivated meat production.
In general, cultivated meat production is subject to extensive regulatory laws and regulations in the United States and in other jurisdictions
such as Canada, Japan, the European Union and the United Kingdom. The FDA and the U.S. Department of Agriculture, or USDA, will be issuing
additional guidance and regulations applicable to cultivated meat. Additional details are being developed at the FDA and the USDA, pursuant
to a Memorandum of Understanding, or MOU, published by the FDA and USDA on March 7, 2019 entitled the “Formal Agreement to Regulate
Cell-Cultured Food Products from Cell Lines of Livestock and Poultry.”
Under the MOU, which is expected
to affect Ever After Food’s future customers producing cultivated meat, the two agencies will operate under a joint regulatory framework
wherein the FDA will oversee cell collection, cell banks and cell growth and differentiation. A transition from FDA to USDA oversight
will then occur during the cell harvest stage, at which point the USDA will oversee the production and labeling of cultivated meat. The
USDA will be advancing new labeling requirements. To the best of our knowledge, the regulatory approval details under development, including
the draft guidance on FDA premarket oversight, might apply to our business directly, but they are instructive as to the regulatory requirements
that our cultivated meat production customers are expected to face and their expectations of us, in the form of customer assurances, regarding
our products.
In the United States, companies
manufacturing cultivated meat products are subject to regulation by various government agencies, including the FDA, USDA, and the U.S.
Federal Trade Commission, or FTC. Equivalent foreign regulatory authorities include the Canadian Food Inspection Agency, the Japanese
Food Safety Commission, the European Food Safety Authority and authorities of the EU member states, the State Food and Drug Administration
of China and the SFA. These agencies, among other things, prescribe the requirements and establish the standards for food quality and
safety, and regulate various food technologies, including alternative meat product composition, ingredients, manufacturing, labeling and
other marketing and advertising to consumers.
We expect that federal, state and foreign regulators
will have the authority to inspect our customers’ facilities to evaluate compliance with applicable food safety requirements. Federal,
state and foreign regulatory authorities also require that certain nutrition and product information appear on the product labels of
our customers’ food products and, more generally, that such labels, marketing and advertising be truthful, non-misleading and not
deceptive to consumers.
As the cell-based agriculture
industry is still developing, and its regulatory framework is emerging and evolving, legislation and regulation may evolve to raise barriers
to our go-to-market strategies.
In addition to federal regulatory
requirements in the United States, certain states impose their own manufacturing and labeling requirements. For example, states typically
require facility registration with the relevant state food safety agency, and those facilities are subject to state inspections as well
as federal inspections. Further, states can impose state-specific labeling requirements. In the United States, the USDA will be developing
new labeling requirements for foods under its jurisdiction produced through cell culture technology as noted in an Advance Notice of Proposed
Rulemaking, or ANPR, published in September 2021.
We are subject to labor and employment laws,
laws governing advertising, privacy laws, safety regulations and other laws, including consumer protection regulations that regulate
retailers or govern the promotion and sale of merchandise. Our operations are subject to various laws and regulations relating to environmental
protection and worker health and safety matters. We monitor changes in these laws and believe that we are in material compliance with
applicable laws.
17
Clinical Studies
Typically, in the United
States, as well as in the European Union, clinical development involves a series of clinical studies from early, small scale, Phase 1
studies to late-stage large, Phase 3 studies, although the phases may overlap. Phase I, clinical studies are conducted in a small
number of healthy volunteers, or patients with the disease or condition. These studies are designed to provide information about product
safety and dosage by gathering information on the drug interaction with the human body, its side effects as well as early preliminary
information on effectiveness.
Phase II clinical studies
are conducted in a homogenous group of patients afflicted with the specific target disease, to explore preliminary efficacy, optimal
dosages and confirm the safety profile. In some cases, an initial study is conducted in patients to assess both preliminary efficacy
and preliminary safety and patterns of drug metabolism and distribution, in which case it is referred to as a Phase I/II study.
Phase III clinical studies, sometimes known as pivotal studies, are generally large-scale, multi-center, controlled studies conducted
with a heterogeneous group of patients afflicted with the target disease, aiming to provide statistically significant support of efficacy,
as well as safety and potency. The Phase III studies are considered confirmatory for establishing the efficacy and safety profile of
the drug and are critical for approval. In some circumstances, a regulatory agency may require Phase IV, or post-marketing studies
in case additional information needs to be collected after the drug is on the market.
During all phases of clinical
development, regulatory agencies require extensive monitoring and auditing of all clinical activities, clinical data and clinical study
sites investigators to minimize risks and ensure high quality and integrity of the collected data. The sponsor of a clinical study is
required to submit an annual safety report to the relevant regulatory agencies, in which serious adverse events are reported, and also
to submit in an expedited manner any individual serious adverse events that are suspected to be related to the tested drug and are unexpected
with its use. An agency may, at its discretion, re-evaluate, alter, suspend, or terminate the clinical study based upon the data that
have been accumulated to that point and its assessment of the risk/benefit ratio to the patient.
Employees
As of June 30, 2023, we employed
a total of 123 full-time employees and 11 part-time employees, of whom, 97 full-time employees and 9 part-time employees are engaged in
cell research, development, and manufacturing including clinical and regulation affairs, excluding Ever After Foods.
Competition
Regenerative medicine:
The regenerative medicine
field is characterized by intense competition, as global and local pharma players are becoming more engaged in the cell therapy field
based on the advancements made in clinical studies and due to the favorable regenerative medicine legislation in certain regions. We
face competition from both allogeneic and autologous cell therapy companies, academic, commercial and research institutions, pharmaceutical
companies, biopharmaceutical companies, and governmental agencies. Some of the clinical indications we currently have under development
are also being investigated in preclinical and clinical programs by others.
While there are hundreds
of companies in the regenerative medicine space globally, there are multiple participants in the cell therapy field based in the United
States, Europe, Japan, Korea, and Australia such as Athersys Inc., Celularity Inc., Tigenix NV (acquired by Takeda), SanBio Inc. and
Mesoblast Ltd. Among other things, we expect to compete based upon our intellectual property portfolio, our in-house manufacturing efficiencies
and capabilities, and the potential efficacy of our products. Our ability to compete successfully will depend on our continued ability
to attract and retain experienced and skilled executives, scientific and clinical development personnel, to identify and develop viable
cellular therapeutic candidates and exploit these products commercially, and keep expanding and improving our unique technological capabilities.
Given the magnitude of the potential opportunity for cell therapy, we expect competition in this area to intensify.
18
Food Tech:
Competitors in the cultivated
meat domain include both producers of consumer-end-products, as well as those developing inputs for the production process. Ever After
Foods competes with companies that include Upside Foods, Believer Meats, GOOD Meat, Mosa Meat, Aleph Farms, Stakeholder 3D and Gourmey.
We believe that our ability
to compete in the cultivated food field will derive from our experienced team, our unique 3D technology platform, and our industrial
scale in-house GMP, cell manufacturing facility, together with our partner, Tnuva, which has vast experience in the food industry.
Available Information
Additional information about
us is contained on our Internet website at www.pluri-biotech.com. Information on our website is not incorporated by reference into this
Annual Report. Under the “Investors & ESG”, under the “Investors” and “Media” sections of our
website, we make available free of charge our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K,
and amendments to those reports filed or furnished pursuant to Section 13(a) of the Securities Exchange Act of 1934, as amended, or the
Exchange Act, as soon as reasonably practicable after we electronically file such material with, or furnish it to, the SEC. Our reports
filed with the SEC are also made available on the SEC’s website at www.sec.gov. The following Corporate Governance documents are
also posted on our website: Code of Business Conduct and Ethics, Anti Bribery and Corruption and Anti Money Laundering and Terrorist
Financing Compliance Policy, Trading Policy and the Charters for each of the Committees of our Board of Directors, or the Board.
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.