UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

Form 6-K

 

Report of Foreign Private Issuer

Pursuant to Rule 13a-16 or 15d-16

under the Securities Exchange Act of 1934

 

For the month of: May 2021

 

Commission file number: 001-36578

 

ENLIVEX THERAPEUTICS LTD.

(Translation of registrant’s name into English)

 

14 Einstein Street, Nes Ziona, Israel 7403618

(Address of principal executive offices)

 

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

 

Form 20-F ☒        Form 40-F ☐

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulations S-T Rule 101(b)(1): ☐

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulations S-T Rule 101(b)(7): ☐ 

 

 

 

 

 

 

Financial Statements

 

The unaudited condensed consolidated financial statements for Enlivex Therapeutics Ltd., a company organized under the laws of the State of Israel (“Enlivex”), as of and for the three-month periods ended March 31, 2021 and 2020, and the Operating and Financial Review and Prospects of Enlivex for the corresponding periods are furnished as Exhibits 99.1 and Exhibit 99.2, respectively, to this Report on Form 6-K and incorporated by reference into Enlivex’s registration statements on Forms F-3 and F-3MEF (File No. 333-232413, File No. 333-232009 and File No. 333-252926), filed with the Securities and Exchange Commission.

  

Exhibit No.    
     
99.1   Unaudited condensed consolidated financial statements for Enlivex as of March 31, 2021 and December 31, 2020 and for the three-month periods ended March 31, 2021 and 2020.
99.2   Operating and Financial Review and Prospects as of and for the three month periods ended March 31, 2021 and 2020.

  

1

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

  Enlivex Therapeutics Ltd.
  (Registrant)
   
  By: /s/ Oren Hershkovitz
 

Name: 

Title:

Oren Hershkovitz
Chief Executive Officer

 

Date: May 28, 2021

 

 

2

 

Exhibit 99.1

 

ENLIVEX THERAPEUTICS LTD.

 

CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

AS OF MARCH 31, 2021 AND DECEMBER 31, 2020

AND FOR THE THREE-MONTH PERIODS ENDED MARCH 31, 2021 AND 2020

 

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

 

  Page
Condensed Consolidated Balance Sheets F-2
Condensed Consolidated Statements of Operations and Comprehensive Loss F-3
Condensed Consolidated Cash Flow Statements F-4
Notes to the Condensed Consolidated Financial Statements F-5

 

F-1

 

 

ENLIVEX THERAPEUTICS LTD.

 

CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)

U.S. dollars in thousands (except share data)

 

    March 31,     December 31,  
    2021     2020  
             
ASSETS            
Current Assets            
Cash and cash equivalents   $ 4,089     $ 5,673  
Short term deposits     20,030       30,034  
Marketable securities     67,547       -  
Prepaid expenses and other receivables     885       1,164  
Restricted cash     79       79  
Cash held with respect to CVR Agreement     1,146       1,171  
Receivables for the sale of Trehalose     -       -  
Total Current Assets      93,776       38,121  
                 
Non-Current Assets                 
Property and equipment, net     1,483       1,481  
Other assets     703       756  
Total Non-Current Assets      2,186       2,237  
TOTAL ASSETS    $ 95,962     $ 40,358  
                 
LIABILITIES AND SHAREHOLDERS' EQUITY                 
Current Liabilities                 
Accounts payable trade   $ 347     $ 463  
Accrued expenses and other liabilities     3,415       2,738  
CVR holders     1,146       1,171  
Total Current Liabilities      4,908       4,372  
                 
Non-Current Liabilities                 
Other long-term Liabilities     449       499  
Total Non-Current Liabilities      449       499  
                 
Commitments and Contingent Liabilities                
                 
TOTAL LIABILITIES      5,357       4,871  
                 
SHAREHOLDERS' EQUITY                
Ordinary shares of NIS 0.40 ($0.11) par value:
Authorized: 45,000,000 shares as of March 31, 2021 and December 31, 2020;
Issued and outstanding:18,305,811 and 14,587,934 as of March 31, 2021 and December 31, 2020;
    2,104       1,646  
Additional paid in capital     131,009       70,361  
Foreign currency translation adjustments     (1,811 )     977  
Accumulated deficit     (40,697 )     (37,497 )
TOTAL SHAREHOLDERS' EQUITY       90,605       35,487  
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY   $ 95,962     $ 40,358  

  

The accompanying notes are an integral part of the condensed consolidated financial statements.

 

F-2

 

 

ENLIVEX THERAPEUTICS LTD.

        

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (UNAUDITED)

U.S. dollars in thousands (except shares and per share data)

 

    For the three months ended  
    March 31,  
    2021     2020  
             
Revenues   $ -     $ -  
                 
Operating expenses:                
Research and development expenses     2,497       1,263  
General and administrative expenses     1,305       633  
      3,802       1,896  
                 
Operating loss     (3,802 )     (1,896 )
                 
Other income, net     602       1,102  
                 
Net (loss)     (3,200 )     (794 )
                 
Other comprehensive (loss)                
Exchange differences arising from translating financial statements from functional to presentation currency     (2,788 )     (1,016 )
Total other comprehensive (loss)     (2,788 )     (1,016 )
Total comprehensive (loss)   $ (5,988 )   $ (1,810 )
                 
Basic & diluted (loss) per share   $ (0.19 )   $ (0.07 )
Weighted average number of shares outstanding     16,479,750       11,398,000  

 

The accompanying notes are an integral part of the condensed consolidated financial statements.

 

F-3

 

 

ENLIVEX THERAPEUTICS LTD.

 

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

U.S. dollars in thousands

 

    For the three months ended
March 31,
 
    2021     2020  
Cash flows from operating activities            
Net (loss)   $ (3,200 )   $ (794 )
Adjustments required to reflect net cash used in operating activities:                
Income and expenses not involving cash flows:                
Depreciation     117       54  
Non-cash operating lease expenses     52       33  
Share-based compensation     190       132  
Income on marketable securities     (388 )     -  
Changes in operating asset and liability items:                
Decrease (increase) in prepaid expenses and other receivables     245       1,853  
(Decrease) increase in accounts payable trade     (101 )     (99 )
(Decrease) increase in accrued expenses and other liabilities     798       (395 )
Operating lease liabilities     (53 )     (30 )
(Decrease) increase in related parties     -       25  
Net cash (used in)  provided by operating activities     (2,340 )     779  
                 
Cash flows from investing activities                
Purchase of property and equipment     (173 )     (39 )
Release (investment) in short-term bank deposits     9,113       (2,000 )
Purchases of marketable securities     (69,755 )     -  
Proceeds from sales of marketable securities     1,226       -  
Net cash used in investing activities     (59,589 )     (2,039 )
                 
Cash flows from financing activities                
Proceeds from issuance of shares and warrants net of $4,455 and $2,294 issuance expenses, respectively     53,174       22,456  
Proceeds from exercise of warrants     7,702       -  
Proceeds from exercise of options     40       -  
Net cash provided by financing activities     60,916       22,456  
                 
Increase (decrease) in cash and cash equivalents     (1,013 )     21,196  
Cash and cash equivalents - beginning of period     7,012       5,524  
Exchange rate differences on cash and cash equivalents     (599 )     (1,053 )
Cash and cash equivalents - end of period   $ 5,400     $ 25,667  
             
Non-cash transactions:            
Warrants issued in settlement of issuance costs to a placement agent   $ 2,095     $ 563  
             
Supplemental disclosures of cash flow information:            
Cash paid for taxes   $ -     $ -  
Cash received for interest, net   $ 46     $ 42  

 

The accompanying notes are an integral part of the condensed consolidated financial statements.

 

F-4

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

NOTE 1 - GENERAL

 

a. Enlivex Therapeutics Ltd. (the “Parent” and, including its consolidated subsidiaries, “we”, “us”, “our” or the “Company”) is a clinical-stage immunotherapy company originally incorporated on January 22, 2012 under the laws of the State of Israel.

 

The Company is a clinical stage immunotherapy company, developing AllocetraTM, a universal, off-the-shelf cell therapy designed to reprogram macrophages into their homeostatic state. Resetting non-homeostatic macrophages into their homeostatic state is critical for immune system rebalancing and resolution of life-threatening conditions. Non-homeostatic macrophages contribute significantly to the severity of the certain diseases, which include solid tumors, sepsis, COVID-19, and others.

 

The AllocetraTM concept is based on the discoveries of Professor Dror Mevorach, an expert on immune activity, macrophage activation and clearance of dying (apoptotic) cells, in his laboratory in the Hadassah University Hospital located in the State of Israel.

 

Enlivex Therapeutics R&D Ltd. (“Enlivex R&D”, formerly known as Enlivex Therapeutics Ltd.) was incorporated in September 2005 under the laws of the State of Israel. On March 26, 2019, upon consummation of a merger transaction between the Parent and Enlivex R&D, pursuant to which a wholly owned subsidiary of the Parent merged with and into Enlivex R&D, the Parent changed its name to Enlivex Therapeutics Ltd.

 

In January 2015, Bioblast Pharma Inc. was established in the State of Delaware as a wholly owned subsidiary of the Parent. On July 1, 2020 Bioblast Pharma Inc changed its name to Enlivex Therapeutics Inc.

 

The Company’s ordinary shares, NIS 0.40 per share (“Ordinary Shares” or “ordinary shares”), are traded under the symbol “ENLV” on both the Nasdaq Capital Market and the Tel Aviv Stock Exchange.

 

b. Financial Resources

 

The Company devotes substantially all of its efforts toward research and development activities and raising capital to support such activities. The Company’s activities are subject to significant risks and uncertainties, including failing to secure additional funding before the Company achieves sustainable revenues and profit from operations.

 

Research and development activities have required significant capital investment since the Company’s inception. The Company expects its operations to continue to require cash investment to pursue the Company’s research and development activities, including preclinical studies, formulation development, clinical trials and related drug manufacturing. The Company has not generated any revenues or product sales and has not achieved profitable operations or positive cash flow from operations. The Company has experienced net losses since its inception, and, as of March 31, 2021, had an accumulated deficit of $40,697.

 

During the first quarter of 2021 the Company raised a net aggregated amount of $53.2 million in cash in connection with the issuance and sale of 2,848,629 of its ordinary shares and an additional amount of $7.7 million from the exercise of 855,813 warrants and 13,435 options. However, the Company expects to continue to incur losses for at least the next several years and over that period the Company will need to raise additional debt or equity financing or enter into partnerships to fund its development. If the Company is not able to achieve its funding requirements, it may be required to reduce discretionary spending, may not be able to continue the development of its product candidates or may be required to delay part of its development programs, which could have a material adverse effect on the Company’s ability to achieve its intended business objectives. There can be no assurances that additional financing will be secured or, if secured, will be on favorable terms. The ability of the Company to transition to profitability in the longer term is dependent on developing products and product revenues to support its expenses.

 

F-5

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

The Company’s management and board of directors are of the opinion that its current financial resources will be sufficient to continue the development of the Company’s product candidates for at least twelve months from the filing of these financial statements on Form 6-K. The Company may determine, however, to raise additional capital during such period as its board of directors deems prudent. The Company’s management plans to finance its operations with issuances of the Company’s equity securities and, in the longer term, revenues. There are no assurances, however, that the Company will be successful in obtaining an adequate level of financing needed for its long-term development. The Company’s ability to continue to operate in the long term is dependent upon additional financial support.

 

In addition to the foregoing, based on the Company’s current assessment, the Company does not expect any material impact on its development timeline or its liquidity due to the worldwide spread of the COVID-19 virus. The full extent to which the COVID-19 pandemic will directly or indirectly impact the Company’s business, results of operations and financial condition, will depend on future developments that are highly uncertain as of the date of issuance of these unaudited condensed consolidated financial statements. Actual results could differ from the Company’s estimates.

 

NOTE 2 –SIGNIFICANT ACCOUNTING POLICIES

 

Basis of Presentation

 

These unaudited consolidated financial statements include the accounts of the Company and have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information. Accordingly, certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation have been made.

 

These unaudited consolidated financial statements should be read in conjunction with the Company’s audited annual financial statements and notes thereto included in the Company’s 2020 Annual Report on Form 20-F, as filed with the SEC on April 30, 2021. The results of operations for these interim periods are not necessarily indicative of the operating results for any future period. The December 31, 2020 financial information has been derived from the Company’s audited financial statements.

 

Use of Estimates

 

The preparation of interim financial statements in conformity with GAAP requires management to make certain estimates, judgments and assumptions that affect the reported amounts in the consolidated balance sheets and statements of operations, it also requires that management exercise its judgment in applying the Company’s accounting policies. On an ongoing basis, management evaluates its estimates, including estimates related to its stock-based compensation expense, and implicit interest rate on new lease liabilities. Significant estimates in these interim financial statements include estimates made for accrued research and development expenses, stock-based compensation expenses.

 

Functional Currency and Translation to The Reporting Currency

 

The functional currency of the Company is the New Israeli Shekel (“NIS”), which is the local currency in which it operates. The financial statements of the Company were translated into U.S. dollars in accordance with ASC 830, “Foreign Currency Matters”.  Accordingly, assets and liabilities were translated from NIS to U.S. dollars using period -end exchange rates, equity items were translated at the exchange rates of the date of the equity transaction, and income and expense items were translated at average exchange rates during the period.

 

Gains or losses resulting from translation adjustments (which result from translating an entity’s financial statements into U.S. dollars if its functional currency is other than the U.S. dollar) are reported in other comprehensive income (loss) and are reflected in equity, under “accumulated other comprehensive income (loss)”.

 

F-6

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

Balances denominated in, or linked to foreign currencies are stated on the basis of the exchange rates prevailing at the balance sheet date.  For foreign currency transactions included in the statement of income, the exchange rates applicable on the relevant transaction dates are used.  Transaction gains or losses arising from changes in the exchange rates used in the translation of such balances are carried to financing income or expenses as applicable.

 

1 U.S. $ = 3.334 NIS and 3.215 NIS as of March 31, 2021 and December 31, 2020, respectively.

The U.S. $ increased against the NIS 3.7% and 3.15% in the three months ended March 31, 2021 and 2020, respectively.

 

Reclassification of Prior Year Presentation

 

Certain prior year amounts have been reclassified for consistency with the current year presentation. These reclassifications had no effect on the reported results of operations.

 

Recent Accounting Pronouncements

 

Effective January 1, 2021, the Company adopted ASU No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes, which removes specific exceptions to the general principles in Topic 740 and simplifies the accounting for income taxes. The adoption of this standard did not have a significant impact on the Company’s consolidated financial statements.

 

Effective January 1, 2021, the Company adopted ASU No. 2020-10, Codification Improvements, which amends a variety of topics in the Accounting Standards Codification to improve consistency and clarify guidance. The adoption of this standard did not have a significant impact on the Company’s consolidated financial statements.

 

There have been no other material changes to the significant accounting policies previously disclosed in the Company’s Annual Report on Form 20-F for the year ended December 31, 2020.

 

Marketable Securities.

 

The Company has an investment policy that includes guidelines on acceptable investment securities, minimum credit quality, maturity parameters, and concentration and diversification. The Company invests its excess cash primarily in mutual funds that are classified based on the nature of the securities and their availability for use in current operations. The Company’s marketable equity securities are measured at fair value with gains and losses recognized in other income/(expense), net.

 

Net gain recognized on equity securities for the three months ended March 31, 2021 was $388 thousand of which $392 thousand were not realized.

 

F-7

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

NOTE 3 – CASH, CASH EQUIVALENTS AND RESTRICTED CASH

 

    March 31,     December 311,  
(in thousands)   2021     2020  
             
Cash held in banks   $ 4,089     $ 1,173  
Bank deposits in U.S.$ (annual average interest rates 0% and 0.32%)     -       4,500  
Total cash and cash equivalents     4,089       5,673  
Cash held with respect to CVR Agreement     1,146       1,171  
Short-term restricted cash     79       79  
Long-term restricted cash     86       89  
Total cash, cash equivalents and restricted cash shown in the statement of cash flows   $ 5,400     $ 7,012  

 

NOTE 4 – SHORT TERM DEPOSITS

 

     March 31,     December 31,  
(in thousands)   2021     2020  
             
Bank deposits in U.S.$ (annual average interest rates 0.56% and 0.6%)     20,030       30,034  
Total short-term deposits   $ 20,030     $ 30,034  

  

NOTE 5 – PROPERTY AND EQUIPMENT

 

Property and equipment, net consists of the following:

 

    March 31,     December 31,  
(in thousands)   2021     2020  
             
Cost:            
Laboratory equipment   $ 1,360     $ 1,256  
Computers     178       169  
Office furniture & equipment     102       102  
Leasehold improvements     690       712  
Total cost     2,330       2,239  
             
Accumulated depreciation:            
Laboratory equipment     642       588  
Computers     95       87  
Office furniture & equipment     7       5  
Leasehold improvements     103       78  
Total accumulated depreciation     847       758  
Depreciated cost   $ 1,483     $ 1,481  

 

Depreciation expenses for the three months ended March 31, 2021 and 2020 were $117 thousands and $54 thousands, respectively.

 

NOTE 6 – OTHER ASSETS

 

    March 31,     December 31,  
(in thousands)   2021     2020  
             
Restricted cash   $ 86     $ 89  
Long-term prepaid expenses     5       8  
Right-of-Use assets, net     612       659  
    $ 703     $ 756  

 

 

1 Shouldn’t the “unaudited” title in the 3/31 column be deleted or otherwise added to the 12/31 column? The 12/31 numbers are derived from the audited figures, but they are not audited as presented here. Comment applies to all tables in which this appears.

 

F-8

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

NOTE 5 – ACCRUED EXPENSES AND OTHER LIABILITIES

 

    March 31,     December 31,  
(in thousands)   2021     2020  
             
Vacation, convalescence and bonus accruals   $ 393     $ 684  
Employees and payroll related     662       352  
Short term operating lease liabilities     205       203  
Accrued expenses and other     2,155       1,499  
    $ 3,415     $ 2,738  

 

NOTE 6 – LEASES

 

The Company is a party to operating leases for its corporate offices, laboratory space and vehicles. The Company's operating leases have remaining lease terms of up to 4.5 years, some of which include options to extend the leases for up to five years.

 

    March 31,  
(in thousands)   2021     2020  
                 
The components of lease expense were as follows:                
Operating leases expenses   $ 70     $ 47  
Supplemental consolidated cash flow information related to operating leases follows:                
Cash used in operating activities   $ 68     $ 44  
Non-cash activity:                
Right of use assets obtained in exchange for new operating lease liabilities   $ 28     $ -  

 

    March 31,     December 31,  
(in thousands)   2021     2020  
Supplemental information related to operating leases, including location of amounts reported in the accompanying consolidated balance sheets, follows:                
Other assets - Right-of-Use assets   $ 916     $ 920  
Accumulated amortization     304       261  
Operating lease Right-of-Use assets, net   $ 612     $ 659  
Lease liabilities – current - Accounts payable and accrued liabilities   $ 205     $ 203  
Lease liabilities – noncurrent - Other long-term liabilities     449       499  
Total operating lease liabilities   $ 654     $ 702  
Weighted average remaining lease term in years     3.39       3.64  
Weighted average annual discount rate     11.9 %     11.9 %

 

Maturities of operating lease liabilities as of March 31, 2021, were as follows:      
2021 (after March 31)     194  
2022     241  
2023     176  
2024     92  
2025     53  
Total undiscounted lease liability     756  
Less: Imputed interest     (102 )
Present value of lease liabilities   $ 654  

 

F-9

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

NOTE 7 – COMMITMENTS AND CONTINGENT LIABILITIES

 

The Company is required to pay royalties to the State of Israel (represented by the Israeli Innovation Authority (the “IIA”)), computed on the basis of proceeds from the sale or license of products for which development was supported by IIA grants. In accordance with the terms of the financial participation, the IIA is entitled to royalties on the sale or license of any product for which development was supported with IIA participation. These royalties are generally 3% - 5% of sales until repayment of 100% of the grants (linked to the dollar) received by the Company plus annual interest at the LIBOR rate.

 

The gross amount of grants received by the Company from the IIA, including accrued ,interest as of March 31, 2021 was approximately $6.7 million. As of March 31, 2021, the Company had not paid any royalties to the IIA.

 

In January 2021, the Company submitted a new grant application to the IIA which was approved in May 2021 see Note 11

 

NOTE 8 – EQUITY

 

a. On October 22, 2020, the Company entered into an at the market offering agreement (the “Sales Agreement”), pursuant to which the Company may, from time to time and at the Company’s option, issue and sell ordinary shares having an aggregate offering price of up to $25 million through a sales agent, subject to certain terms and conditions. All shares sold pursuant to the Sales Agreement were sold pursuant to the Company’s effective shelf registration statement on Form F-3. The Company must pay the sales agent a cash commission of 3% of the gross proceeds of the sale of any shares sold through the sales agent under the Sales Agreement. Between February 5, 2021 and February 9, 2021, the Company received gross proceeds of $6,339,095 from the sale of 284,317 ordinary shares at an average gross price per share of $22.29 under the Sales Agreement. Issuance expenses totaled $192 thousand.

 

On February 9, 2021, the Company terminated the prospectus supplement related to the offer and sale of ordinary shares under the Sales Agreement, but the Sales Agreement remains in full force and effect. To that date, the Company had sold an aggregate of 476,983 ordinary shares under the Sales Agreement, having a gross aggregate offering price of $8,557,437 at a gross average price per share of $17.94. Until such time as the Company files with the SEC a new registration statement on Form F-3 and such registration statement becomes effective, the Company may not offer and sell any additional ordinary shares under the Sales Agreement.

 

b. On February 9, 2021, the Company entered into an amended and restated underwriting agreement (the “Underwriting Agreement”) with H.C. Wainwright & Co., LLC (“Wainwright”) with respect to the offer, issuance and sale (the “Offering”) of an aggregate of 2,296,107 ordinary shares, together with an option granted to Wainwright to purchase up to 344,416 additional ordinary shares. The ordinary shares were offered to the public at a price of $20 per share.

 

The Offering closed on February 12, 2021, on which date the Company completed the issuance of 2,296,107 ordinary shares to Wainwright at a price, including the underwriting discount but before other associated fees, of $18.60 per ordinary share, as set forth in the Underwriting Agreement.

 

On February 17, 2021, Wainwright exercised in part its option to purchase additional ordinary shares and purchased 268,205 ordinary shares at a price, including the underwriting discount but before other associated fees, of $18.60 per share, as set forth in the Underwriting Agreement.

 

In accordance with the Underwriting Agreement, the Company paid Wainwright underwriting discounts and commissions equal to 7% of the gross proceeds received by the Company from the sale of the ordinary shares in the Offering, as well as a management fee equal to 1% of the gross proceeds received by the Company from the sale of the ordinary shares in the Offering. In addition, the Company issued to Wainwright 179,501 warrants to purchase ordinary shares of the Company (the “Underwriter Warrants”). The Underwriter Warrants are exercisable for five years from commencement of the Offering and have an exercise price of $25 per ordinary share, subject to customary adjustments as provided in the Underwriter Warrants. The Company has also paid Wainwright approximately $126,000 for various expenses.

 

The placement agent warrants were valued at $2,095 thousand using a Black-Scholes model with the following assumptions: estimated weighted average volatility 78.4%; weighted average risk-free interest rate of 0.5%; no dividend; and a weighted average contractual life of 5 years.

 

The net proceeds from the Offering were $47,023 thousand after deducting Wainwright’s fees and other expenses relating to the Offering.

 

F-10

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

c. During February 2021, 855,813 warrants were exercised for an aggregate of 855,813 ordinary shares, which provided the Company with aggregate gross proceeds of $7.7 million.

 

All Company warrants are classified as a component of shareholders’ equity because such warrants are free standing financial instruments that are legally detachable, separately exercisable, do not embody an obligation for the Company to repurchase its own shares, and permit the holders to receive a fixed number of Ordinary Shares upon exercise, requires physical settlement and do not provide any guarantee of value or return.

 

   

Number

of Warrants

    Exercise price per share     Issuance date   Expiration date
Outstanding January 1, 2021     1,407,683            
Issued to placement agent     179,501     $ 25          
Exercised     (855,813 )   $ 9          
Outstanding March 31, 2021     731,371                  
                         
Comprised as follows:                        
      27,016     $ 180     March 22, 2016   September 22, 2021
      22,750     $ 10     February 26, 2020   February 24, 2025
      455,937     $ 9     March 5, 2020   March 5, 2022
      46,167     $ 10     March 4, 2020   March 4, 2022
      160,727     $ 25     February 12, 2021   February 9, 2026
      18,774     $ 25     February 17, 2021   February 9, 2026
      731,371                  

 

NOTE 9 – SHARE-BASED COMPENSATION

 

a) As of March 31, 2021, 2,350,704 Ordinary Shares were authorized for issuance to employees, directors and consultants under the 2019 Equity Incentive Plan, of which 129,757 shares were available for future grant. In addition, the Company has an obligation to grant to its Executive Chairman, in the aggregate, 250,000 options, with vesting schedule of straight-line over four years and an exercise price of $12.22, and this grant is expected to be delivered to the Executive Chairman during the second quarter of 2021.

 

b) The following table contains information concerning options granted under the existing equity incentive plans:

 

    Three months ended March 31,  
    2021     2020  
    Number of options    

Weighted

average

exercise price

    Number of
options
    Weighted average
exercise price
 
Outstanding at beginning of  period     1,884,420     $ 5.52       1,625,042     $ 5.72  
Granted (Restricted shares )     -     $ -       70,000     $ 4.68  
Forfeited and expired     (500 )   $ 4.68       (364 )   $ 8.15  
Exercised     (13,435 )   $ 2.94       -     $ -  
Outstanding at end of  period     1,870,485     $ 5.54       1,694,678     $ 5.63  
Exercisable at end of  period     1,326,322     $ 5.19       1,119,473     $ 3.93  
                                 
Non-vested at beginning of period     601,227     $ 5.93       526,351     $ 7.03  
Granted     -     $ -       70,000     $ 4.68  
Vested     (56,564 )   $ 4.85       (21,146 )   $ 6.03  
Forfeited     (500 )   $ 4.68       -     $ -  
Non-vested at the end of period     544,163     $ 6.04       575,205     $ 7.05  

  

During the three months ended March 31, 2021 and 2020, the Company recognized $175 thousand and $132 thousand, respectively, of share-based compensation expenses related to stock options. As of March 31, 2021, the total unrecognized estimated compensation cost related to outstanding non-vested stock options was $1,389 thousand which is expected to be recognized over a weighted average period of 1.75 years.

 

F-11

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

c) Set forth below is data regarding the range of exercise prices and remaining contractual life for all options outstanding at March 31, 2021:

 

Exercise
price
   

Number of options

outstanding

   

Remaining contractual

Life (in years)

    Intrinsic Value of Options
Outstanding
    No. of options
exercisable
 
                          (in thousands)          
$ 2.69       673,525       4.26     $ 5,658       673,525  
$ 3.66       250,000       9.09       1,857       76,389  
$ 4.68       62,500       9.00       401       15,625  
$ 6.22       658,893       6.80       3,206       498,043  
$ 8.19       150,000       8.63       435       37,500  
$ 9.02       40,500       9.63       84       -  
$ 10.12       12,126       7.68       12       7,274  
$ 12.21       2,421       7.99       -       1,211  
$ 21.4       5,020       8.32       -       1,255  
$ 90.16       15,500       0.40       -       15,500  
          1,870,485             $ 11,653       1,326,322  

 

d) The following table contains information concerning restricted stock units granted under the existing equity incentive plans:

 

    Three months ended March 31,  
    2021     2020  
    Number of shares     Weighted average grant date fair value    

Number

of shares

    Weighted average grant date fair value  
Nonvested at beginning of period     -     $   -            -     $        -  
Granted     48,375     $ 14.67       -     $ -  
Vested     -     $ -             $ -  
Forfeited     -     $ -       -     $ -  
Nonvested at end of period     48,375     $ 14.67       -     $ -  

 

The Company estimates the fair value of restricted stock units based on the closing sales price of the Company’s ordinary shares on the date of grant (or the closing bid price, if no sales were reported). During the three months ended March 31, 2021 and 2020, the Company recognized $15 thousand and $0, respectively, of share-based compensation expense related to restricted stock units. Total share-based compensation expense related to restricted stock units not yet recognized as of March 31, 2021 was $688 thousand, which is expected to be recognized over a weighted average period of 3.9 years.

 

e) The following table summarizes share-based compensation expenses related to grants under the existing equity incentive plans included in the statements of operations:

 

    Three months ended
March 31,
 
 (in thousands)   2021     2020  
Research & development   $ 88     $ 96  
General & administrative     102       36  
Total   $ 190     $ 132  

 

F-12

 

 

ENLIVEX THERAPEUTICS LTD.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 2021 (UNAUDITED)

 

 

NOTE 10 – FAIR VALUE MEASUREMENT

 

The Company’s financial assets and liabilities measured at fair value on a recurring basis, consisted of the following types of instruments as of March 31, 2021 and December 31, 2020:

 

(in thousands)   March 31, 2021  
    Total     Level 1     Level 2     Level 3  
Cash and cash equivalents   $ 4,089     $ 4,089     $      -     $      -  
Short term deposits     20,030       20,030                  
Marketable securities     67,547       67,547                  
Restricted cash     165       165       -       -  
Cash held with respect to CVR Agreement     1,146       1,146       -       -  
Total financial assets   $ 92,977     $ 92,977     $ -     $ -  

 

(in thousands)   December 31, 2020  
    Total     Level 1     Level 2     Level 3  
Cash and cash equivalents   $ 5,673     $ 5,673     $      -     $      -  
Short term deposits     30,034       30,034       -       -  
Cash held with respect to CVR Agreement     1,171       1,171       -       -  
Restricted cash     168       168       -       -  
Total financial assets   $ 37,046     $ 37,046     $ -     $ -  

 

NOTE 11 – EVENT SUBSEQUENT TO THE BALANCE SHEET DATE

 

The Company evaluated all events and transactions that occurred subsequent to the balance sheet date and prior to the date on which these financial statements were issued, and determined that the following subsequent event necessitates disclosure:

 

In January 2021, the Company submitted a new non-dilutive grant application to the IIA for reimbursement by the IIA of certain expenses associated with its clinical development program of prevention of cytokine storms and organ dysfunction associated with Sepsis for a period commencing January 1, 2021 and ending December 31, 2021 (the “2021 Sepsis Grant Application”). In May 2021 the IIA approved the 2021 Sepsis Grant Application in the total amount of NIS 3.8 million ($1.13 million).

 

 

F-13

 

Exhibit 99.2

 

OPERATING AND FINANCIAL REVIEW AND PROSPECTS

 

This Operating and Financial Review and Prospects contains forward-looking statements, which may be identified by words such as “expects,” “plans,” “projects,” “will,” “may,” “anticipates,” “believes,” “should,” “would”, “could”, “intends,” “estimates,” “suggests,” “has the potential to” and other words and phrases of similar meaning, including, without limitation, statements regarding expected cash balances, market opportunities for the results of current clinical studies and preclinical experiments, and the effectiveness of, and market opportunities for, ALLOCETRATM programs, all of which statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995.  Investors are cautioned that forward-looking statements involve risks and uncertainties that may affect Enlivex’s business and prospects, including the risks that Enlivex may not succeed in generating any revenues or developing any commercial products; that the products in development may fail, may not achieve the expected results or effectiveness and/or may not generate data that would support the approval or marketing of these products for the indications being studied or for other indications; that ongoing studies may not continue to show substantial or any activity; and other risks and uncertainties that may cause results to differ materially from those set forth in the forward-looking statements. The results of clinical trials in humans may produce results that differ significantly from the results of clinical and other trials in animals. The results of early-stage trials may differ significantly from the results of more developed, later-stage trials. The development of any products using the ALLOCETRATM product line could also be affected by a number of other factors, including unexpected safety, efficacy or manufacturing issues, additional time requirements for data analyses and decision making, the impact of pharmaceutical industry regulation, the impact of competitive products and pricing and the impact of patents and other proprietary rights held by competitors and other third parties.  In addition to the risk factors described above, investors should consider the economic, competitive, governmental, technological and other factors discussed in Enlivex’s filings with the Securities and Exchange Commission, including in its Annual Report on Form 20-F for the year ended December 31, 2020.  The forward-looking statements contained in this Operating and Financial Review and Prospects speak only as of the date the statements were made, and we do not undertake any obligation to update forward-looking statements, except as required under applicable law.

 

Overview

 

Enlivex Therapeutics, Ltd., a company organized under the laws of the State of Israel (including its consolidated subsidiaries, “we”, “us”, “our” or the “Company”), is a clinical stage immunotherapy company, developing AllocetraTM, a universal, off-the-shelf cell therapy designed to reprogram macrophages into their homeostatic state. Resetting non-homeostatic macrophages into their homeostatic state is critical for immune system rebalancing and resolution of life-threatening conditions. Non-homeostatic macrophages contribute significantly to the severity of the respective diseases, which include solid tumors, sepsis, novel strain of coronavirus (“COVID-19”) patients in severe or critical condition, and others.

 

The Company’s primary innovative immunotherapy, AllocetraTM, represents a paradigm shift in macrophage reprogramming, moving from a binary classification of M1 (pro-inflammatory macrophages) or M2 (anti-inflammatory macrophages) status, to a fundamental view of macrophage homeostasis. Restoring macrophage homeostasis may induce the immune system to rebalance itself to normal levels of operation, thereby promoting disease resolution.

 

The Company is focused on three main clinical verticals, including sepsis, COVID-19, and solid malignant tumors (the “Indications”). The Company believes that negatively-reprogrammed macrophages may be key contributors to disease severity across all these three indications, and thus effective reprogramming of these previously negative-reprogrammed macrophages into their respective homeostatic state may provide diseases resolution to these Indications, some of which are considered “unmet medical needs”, such as preventing or treating complications associated with sepsis.

 

 

 

 

Financing During First Quarter 2021

 

During February 2021, we received gross proceeds of approximately $6,339,000 from the sale of 284,317 ordinary shares under an at the market offering agreement (the “Sales Agreement”), dated as of October 22, 2020, by and between the Company and H.C. Wainwright & Co., LLC (“Wainwright”), pursuant to which we could elect to sell, through the sales agent party to the Sales Agreement, up to an aggregate of $25 million of our ordinary shares. On February 9, 2021, we terminated the prospectus supplement related to the offering of sales under the Sales Agreement, but the Sales Agreement remains in effect.

 

On February 9, 2021, we entered into an underwriting agreement with Wainwright with respect to our offer, issuance and sale (the “February 2021 offering”) of an aggregate of 2,296,107 ordinary shares, together with an option granted to Wainwright to purchase up to 344,416 additional ordinary shares. The ordinary shares were offered to the public at a price of $20 per share. The February 2021 offering closed on February 12, 2021, on which date the Company completed the issuance of 2,296,107 ordinary shares to Wainwright at a price of $18.60 per share, including underwriting discounts. We paid Wainwright underwriting discounts and commissions equal to 7% of the gross proceeds from the sale of ordinary shares to the public in the February 2021 offering, as well as a management fee equal to 1% of the gross proceeds from the sale of the ordinary shares in the February 2021 offering. In addition, the Company issued to Wainwright 179,501 five-year warrants to purchase ordinary shares at an exercise price of $25 per ordinary share, subject to customary adjustments. The Company also reimbursed Wainwright approximately $126,000 for various expenses.

 

The net proceeds from the February 2021 offering were approximately $42 million after deducting Wainwright’s fees and other estimated expenses relating to the February 2021 offering. On February 17, 2021, Wainwright exercised in part its option to purchase additional ordinary shares, and purchased 268,205 ordinary shares at a price of $18.60 per share, after underwriting discounts. The net proceeds from the purchase of additional ordinary shares by Wainwright were approximately $5.0 million after deducting Wainwright’s fees.

 

During February 2021, 855,813 warrants issued in the two registered direct offerings that occurred in February 2020 and March 2020 (collectively the “2020 registered direct offerings”) were exercised for an aggregate of 855,813 ordinary shares, providing the Company with aggregate gross proceeds of $7.7 million.

 

Impact of COVID-19

 

Based on the Company’s current assessment, the Company does not expect any material impact on its liquidity due to the worldwide spread of the SARS-CoV-2 coronavirus. However, the timelines for the Company’s clinical development programs may be extended due to direct and indirect impacts of the COVID-19 pandemic. For example, there has been a delay in recruiting patients for the Company’s randomized, controlled Phase IIb clinical trial of AllocetraTM in patients with severe sepsis due to a lower number of pneumonic septic patients, as a result of the COVID-19 pandemic environment. As previously reported in the Company’s Annual Report on Form 20-F, the Company still expects to obtain interim results from this Phase IIb during 2021 or early 2022 followed by top-line results later in 2022. The full extent to which the COVID-19 pandemic will directly or indirectly impact the Company’s business, results of operations and financial condition will depend on future developments that are highly uncertain as of the date of issuance of this Operating and Financial Review and Prospects. Actual results could differ materially from the Company’s estimates.

 

Financial Overview

 

Since inception, we have incurred significant losses in connection with our research and development and have not generated any revenue. We have funded our operations primarily through grants from the Israel Innovation Authority and pursuant to the sale of equity and equity-linked securities in both private and registered equity offerings to our affiliates, shareholders and third-party investors. As of March 31, 2021, we had $91.6 million in cash and cash equivalents, short-term bank deposits and marketable securities. As of March 31, 2021, we had an accumulated deficit of approximately $41 million. Although we provide no assurance, we believe that our existing funds will be sufficient to continue our business and operations as currently conducted through the fourth quarter of 2023. We expect that we will continue to incur operating losses, which may be substantial, over at least the next several years, and we will likely need to obtain additional funds to further develop our research and development programs. Our ability to generate revenue and become profitable depends upon the clinical success of our product candidates, regulatory approvals and our ability to successfully commercialize products.

 

2

 

 

Costs and Operating Expenses

 

Our current costs and operating expenses consist of two components: (i) research and development expenses; and (ii) general and administrative expenses.

 

Research and Development Expenses

 

Our research and development expenses consist primarily of research and development activities at our laboratory in Israel, including drug and laboratory supplies and costs for facilities and equipment, outsourced development expenses, including the costs of regulatory consultants and certain other service providers, salaries and related personnel expenses (including stock based compensation) and fees paid to external service providers and the costs of preclinical studies and clinical trials. We charge all research and development expenses to operations as they are incurred. We expect our research and development expenses to remain our primary expenses in the near future as we continue to develop our product candidates. Increases or decreases in research and development expenditures are attributable to the number and duration of our preclinical and clinical studies.

 

We expect that a large percentage of our research and development expenses in the future will be incurred in support of our current and future preclinical and clinical development projects. Due to the inherently unpredictable nature of preclinical and clinical development processes, we are unable to estimate with any certainty the costs we will incur in the continued development of our product candidates in our pipeline for potential commercialization. Furthermore, although we expect to obtain additional grants from the Israel Innovation Authority, we cannot be certain that we will do so. Clinical development timelines, the probability of success and development costs can differ materially from expectations. We expect to continue to test our product candidates in preclinical studies for toxicology, safety and efficacy and to conduct additional clinical trials for our product candidates.

 

While we are currently focused on advancing our product development, our future research and development expenses will depend on the clinical success of our product candidates, as well as ongoing assessments of each candidate’s commercial potential. As we obtain results from clinical trials, we may elect to discontinue or delay clinical trials for our product candidates in certain indications in order to focus our resources on more promising indications for any such product candidate. Completion of clinical trials may take several years or more, but the length of time generally varies according to the type, complexity, novelty and intended use of a product candidate.

 

We expect our research and development expenses to increase in the future as we continue the advancement of our clinical product development for our current indications and as we potentially pursue additional indications. The lengthy process of completing clinical trials and seeking regulatory approval for our product candidates requires the expenditure of substantial resources. Any failure or delay in completing clinical trials, or in obtaining regulatory approvals, could cause a delay in generating product revenue and cause our research and development expenses to increase and, in turn, have a material adverse effect on our operations.

 

General and Administrative Expenses

 

General and administrative expenses consist primarily of compensation (including stock-based compensation) for employees in executive and operational roles, including accounting, finance, investor relations, information technology and human resources. Our other significant general and administrative expenses include facilities costs, professional fees for outside accounting and legal services including legal work in connection with patent applications, travel costs and insurance premiums. We expect that our general and administrative expenses will increase over time, as we currently expect increases in the number of our executive, accounting and administrative personnel due to our anticipated growth.

 

3

 

 

Other income, net

 

Other income consist of bank fees, exchange rate differences and gains and losses resulting from our investments in marketable equity securities.

 

Other Comprehensive income (Loss)

 

Our functional currency is the New Israeli Shekel (“NIS”), while our presentation currency is the U.S. dollar. Gains or losses resulting from the translation from our functional currency to our presentation currency are recognized in other comprehensive income (loss).

 

Critical Accounting Policies and Estimate

 

The preparation of financial statements in accordance with United States generally accepted accounting principles (“GAAP”) requires management to make estimates and assumptions that affect the amounts reported in our financial statements and accompanying notes. Management bases its estimates on historical experience, market and other conditions, and various other assumptions it believes to be reasonable. Although these estimates are based on management’s best knowledge of current events and actions that may impact us in the future, the estimation process is, by its nature, uncertain given that estimates depend on events over which we may not have control. If market and other conditions change from those that we anticipate, our financial statements may be materially affected. In addition, if our assumptions change, we may need to revise our estimates, or take other corrective actions, either of which may also have a material effect in our financial statements. We review our estimates, judgments, and assumptions used in our accounting practices periodically and reflect the effects of revisions in the period in which they are deemed to be necessary. We believe that these estimates are reasonable; however, our actual results may differ from these estimates.

 

We believe the following accounting policies to be the most critical to the judgments and estimates used in the preparation of our financial statements. For additional detail regarding our significant accounting policies, please see the notes to our audited consolidated financial statements contained in our Annual Report on Form 20-F for the period ended December 31, 2020 as filed with the SEC on April 30, 2021.

 

Share-Based Compensation and Fair Value of Ordinary Shares

 

ASC 718 - “Compensation-stock Compensation”- (“ASC 718”) requires companies to estimate the fair value of equity-based payment awards on the date of grant using an Option Pricing Model. The value of the portion of the award that is ultimately expected to vest is recognized as an expense over the requisite service periods.

 

We estimate the fair value of our share-based awards using Black-Scholes, which requires the input of assumptions, some of which are highly subjective, including:

  

expected volatility of our ordinary shares;

 

expected term of the award;

 

  risk-free interest rate;

 

  expected dividends; and

 

  estimated fair value of our ordinary shares on the measurement date.

  

Prior the consummation of our merger transaction that closed on March 26, 2019 (the “Merger”), there was no active external or internal market for our ordinary shares. Thus, it was not possible to estimate the expected volatility of our share price in estimating fair value of options granted with respect to periods preceding the Merger. Accordingly, as a substitute for such volatility, we used the historical volatility of comparable companies in our industry. The expected term of options granted represents the period of time that options granted are expected to be outstanding, we use management’s estimates for the expected term of options due to insufficient readily available historical exercise data.

   

4

 

 

Results of Operations

 

Three-Months Ended March 31, 2021 Compared to Three-Months Ended March 31, 2020

 

The table below provides our results of operations for the three months ended March 31, 2021 and March 31, 2020:

  

    Three Months Ended
March 31
 
    2021     2020  
    (In thousands, except
per share data)
(unaudited)
 
Research and development expenses   $ 2,497     $ 1,263  
General and administrative expenses     1,305       633  
Operating loss     (3,802 )     (1,896 )
Other income, net     602       1,102  
Operating income (loss) post-finance expense & other income, net     (3,200 )     (794 )
Taxes on income     -       -  
Net income (loss)     (3,200 )     (794 )
Other comprehensive income (loss)     (2,788 )     1,016 ))
Total comprehensive income (loss)   $ (5,988 )   $ (1,810 )
Basic income (loss) per share   $ (0.19 )   $ (0.07 )
Diluted income (loss) per share   $ (0.19 )   $ (0.07 )

 

5

 

 

Research and Development Expenses

 

For the three months ended March 31, 2021 and 2020, we incurred research and development expenses in the aggregate of $2,497,000 and $1,263,000, respectively. The increase of $1,234,000, or 98%, in research and development expenses for 2021 as compared to 2020 was primarily due to a $475,000 increase in salaries and a $485,000 increase in clinical studies and consumption of materials, offset by a decrease of $198,000 in grants from the Israel Innovation Authority at 30% participation of an approved clinical development program of prevention of cytokine storm and organ dysfunction associated with sepsis and COVID-19.

 

General and Administrative Expenses

 

For the three months ended March 31, 2021 and 2020, we incurred general and administrative expenses in the aggregate of $1,305,000 and $633,000, respectively. The increase of $672,000, or 106%, in general and administrative expenses for 2021 as compared to 2020 was primarily due to a $435,000 increase in compensation to directors, a $66,000 increase in stock based compensation, a $91,000 increase in professional fees and a $61,000 increase in insurance expenses.

 

Operating Loss

 

Due to an increase in research and development and general and administrative expenses for the three months ended March 31, 2021, our operating loss was $3,802,000, representing an increase of $1,906,000, or 101%, as compared to our operating loss of $1,896,000 for the three months ended March 31, 2020. This increase primarily resulted from research and development salaries, the costs of clinical studies and material consumption and an increase in accounting and legal expenses, and compensation to directors.

 

Other Income (Expenses), Net

 

Other income (expenses), net consist of the following:

 

Interest earned on our cash and cash equivalents; and

 

  Expenses or income resulting from fluctuations of the U.S. dollar and Euro, in which a portion of our assets and liabilities are denominated, against the NIS; and
     
 

Gain and losses from marketable equity securities.

 

For the three months ended March 31, 2021 and 2020, we recorded net financial income of $602,000 and $1,102,000 respectively. The decrease in financial income for the three months ended March 31, 2021 as compared to the three months ended March 31, 2020 was primarily due to a decrease in income from currency fluctuations on cash and cash equivalents and deposits denominated in currencies other than the NIS, changes in the fair value of marketable equity securities and from interest earned on our cash and cash equivalents.

 

Net Loss

 

For the three months ended March 31, 2021, our net loss was $3,200,000, representing an increase of $2,406,000 as compared to our net loss of $794,000 for the comparable prior year period. This increase primarily resulted from an increase in research and development expenses, including salaries, the costs of clinical studies and material consumption and an increase in accounting and legal expenses, compensation to directors and by a decrease in financial income.

 

6

 

 

Other Comprehensive Income (Loss)

 

As a result of an increase of 3.70% in the U.S. dollar against the NIS in three months ended March 31, 2021, as compared to an increase of 3.15% in the comparable prior year period, we recorded losses of $2,788,000 from exchange rate differences arising from translating our unaudited condensed consolidated financial statements from functional to presentation currency, as compared to losses of $1,016,000 for the comparable prior year period.

 

Cash Flows

 

Three Months Ended March 31, 2021 Compared to Three Months Ended March 31, 2020

 

For the three months ended March 31, 2021 and 2020, net cash (used in) provided by operations was $(2,340,000) and $779,000 respectively. The increase in net cash used in operations for 2021 was primarily due to an increase in research and development expenses and general and administrative expenses as a result of increases in salaries, clinical studies and consumption of materials, directors compensation fees, professional services fees and insurance expenses.

 

For the three months ended March 31, 2021 and 2020, net cash used in investing activities was $(59,589,000) and $(2,039,000), respectively. The increase in net cash used in investing activities for 2021 as compared to 2020 resulted primarily from our investments in marketable equity securities.

 

For the three months ended March 31, 2021 and 2020, net cash provided by financing activities was $60,916,000 and $22,456,000, respectively. This increase in cash provided by financing activities for 2021 as compared to 2020 resulted primarily from net proceeds of $53,174,000 from our issuance of ordinary shares and warrants in the February 2021 offering and proceeds of $7,702,000 from the exercise of warrants.

 

Liquidity and Capital Resources

 

We have incurred substantial losses since our inception. As of March 31, 2021, we had an accumulated deficit of approximately $41 million and working capital (current assets minus current liabilities) of approximately $88.8 million. We expect to incur losses from operations for the foreseeable future, and we expect to incur increasing research and development expenses, including expenses related to the hiring of personnel, conducting preclinical studies and clinical trials and outsourcing of certain development activities. We expect that general and administrative expenses will also increase as we expand our finance and administrative staff and add infrastructure.

 

Developing product candidates, conducting clinical trials and commercializing products are expensive, and we will need to raise substantial additional funds to achieve our strategic objectives. We believe that our existing cash resources, due to our 2021 financing activity, as described above, will be sufficient to fund our projected cash requirements approximately through the fourth quarter of 2023. Nevertheless, we will require significant additional financing in the future to fund our operations, including if and when we progress into additional clinical trials, obtain regulatory approval for any of our product candidates and commercialize the same. We believe that we will need to raise significant additional funds before we have any cash flow from operations, if at all. Our future capital requirements will depend on many factors, including:

 

the progress and costs of our preclinical studies, clinical trials and other research and development activities;

 

  the scope, prioritization and number of our clinical trials and other research and development programs;

 

  the amount of revenues and contributions we receive under future licensing, development and commercialization arrangements with respect to our product candidates;

 

  the costs of the development and expansion of our operational infrastructure;

 

7

 

 

  the costs and timing of obtaining regulatory approval for our product candidates;

 

  the costs of filing, prosecuting, enforcing and defending patent claims and other intellectual property rights;

 

  the costs and timing of securing manufacturing arrangements for clinical or commercial production;

 

  the costs of contracting with third parties to provide sales and marketing capabilities for us;

 

  the costs of acquiring or undertaking development and commercialization efforts for any future products, product candidates or platforms;

 

  the magnitude of our general and administrative expenses; and

 

 

any cost that we may incur under future in- and out-licensing arrangements relating to our product candidates.

 

We currently do not have any commitments for future external funding. In the future, we will need to raise additional funds, and we may decide to raise additional funds even before we need such funds if the conditions for raising capital are favorable. Until we can generate significant recurring revenues, we expect to satisfy our future cash needs through debt or equity financings, credit facilities or by out-licensing applications of our product candidates. The sale of equity or convertible debt securities may result in dilution to our existing shareholders. The incurrence of indebtedness would result in increased fixed obligations and could also subject us to covenants that restrict our operations. We cannot be certain that additional funding, whether through grants from the Israel Innovation Authority, financings, credit facilities or out-licensing arrangements, will be available to us on acceptable terms, if at all. If sufficient funds are not available, we may be required to delay, reduce the scope of or eliminate research or development plans for, or commercialization efforts with respect to, one or more applications of our product candidates, or obtain funds through arrangements with collaborators or others that may require us to relinquish rights to certain potential products that we might otherwise seek to develop or commercialize independently.

 

 Foreign Currency Exchange Risk

 

Our foreign currency exposures give rise to market risk associated with exchange rate movements of the NIS mainly against the U.S. dollar, and vice versa, because most of our expenses are denominated in NIS and the U.S. dollar. Our NIS and U.S. dollar expenses consist principally of payments made to employees, sub-contractors and consultants for preclinical studies, clinical trials and other research and development activities. We anticipate that a sizable portion of our expenses will continue to be denominated in the NIS and U.S. dollar. Our financial position, results of operations and cash flow are, therefore, subject to fluctuations due to changes in foreign currency exchange rates and may be adversely affected in the future due to changes in foreign exchange rates.

 

 

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