What the changes say
- Entera Bio faces severe going concern doubts with cash runway only into mid-third quarter 2026.
- Net losses worsened to $11.4 million in 2025, with an accumulated deficit of $125.4 million.
- Clinical development relies heavily on the oral N-Tab platform and partnerships with OPKO.
What changed since the prior 10-K
New
- NewRisks Related to Our Business and the Development of Our Product Candidates
An element of our strategy is to combine our N-Tab ® platform with a variety of peptides and therapeutic proteins to build a pipeline of product candidates and progress these product candidates through clinical development for the treatment of a variety of different types of diseases
We depend heavily on successfully commercializing our oral PTH product candidates using our N-Tab platform and expanding it to other peptides like GLP-1 and GLP-2.
- NewRisks Related to Regulatory Approval of Our Product Candidates
In February 2026, we submitted a clinical amendment to the FDA providing a streamlined Phase 3 protocol, statistical analysis plan (SAP), and open-label extension synopsis to the IND 505(b)(2) submission. We anticipate FDA feedback within 60 days
We submitted a streamlined Phase 3 protocol for EB613 to the FDA in February 2026 and expanded our collaboration with OPKO for an LA-PTH program targeting an IND in late 2026.
- NewRisks Relating to Our Incorporation and Location in Israel
How long and how severe the current conflicts in Gaza, Northern Israel, Lebanon, Iran or the broader region become is unknown at this time and any continued clash among Israel, Hamas, Hezbollah, Iran or other countries or militant groups in the region may escalate in the future into a greater regional conflict
Ongoing regional conflicts involving Israel, Hamas, Hezbollah, and Iran could potentially disrupt our operations and research facilities located in Israel.
Dropped
- DroppedRisks Related to Our Business and the Development of Our Product Candidates
We may not be successful in our efforts to use and expand our N-Tab™ platform, to other product candidates
- DroppedRisks Related to Our Ordinary Shares
the limited trading volume of our Ordinary Shares; and
Reworded
- 64% rewrittenRisks Related to Regulatory Approval of Our Product Candidates
The commencement and completion of clinical trials can be delayed or prevented for a number of reasons
Updated clinical trial descriptions and status regarding the EB613 Phase 3 study design.
- 61% rewrittenRisks Relating to Our Incorporation and Location in Israel
Security, political and economic instability in the Middle East may harm our business
Updated resident officer and director counts in Israel amid ongoing regional security and political instability.
- 45% rewrittenRisks Related to Our Financial Position
We have incurred significant losses since our inception and anticipate that we will continue to incur substantial losses for the next several years
Updated net losses to $11.4 million for 2025, accumulated deficit to $125.4 million, and cash runway extended through the middle of the third quarter of 2026.
- 35% rewrittenRisks Related to Our Financial Position
Management has performed an analysis of our ability to continue as a going concern. In addition, our independent registered public accounting firm has raised substantial doubt as to our ability to continue as a going concern
Updated cash and cash equivalents to $12.6 million as of March 23, 2026, with $7.8 million designated for the OPKO collaboration.
- 30% rewrittenRisks Related to Our Financial Position
Due to our limited resources and access to capital, we must and have in the past decided to prioritize development of certain product candidates; these decisions may prove to have been wrong and may adversely affect our current and any potential future revenues
Updated references to the 2025 Collaboration Agreement with OPKO concerning the Oral GLP-1/Glucagon program.
- 27% rewrittenRisks Related to Our Intellectual Property
Changes in U.S. patent law could diminish the value of our future patents, if issued, thereby impairing our ability to protect our product candidates
Clarified that the U.S. patent reform legislation was enacted in 2013 and added warning of potential future patent reforms.
- 25% rewrittenRisks Related to Our Financial Position
our need to implement additional internal systems and infrastructure, including financial and reporting systems to support our current operations as a public company
Adjusted cash runway wording to through the middle of the third quarter of 2026 and re-emphasized going concern doubts.
- 23% rewrittenRisks Related to Our Intellectual Property
If trademarks and trade names related to our product candidates are not adequately protected, then we may not be able to build name recognition in our markets of interest and our business may be adversely affected
Updated N-Tab trademark registration status as of March 23, 2026, and added risks regarding expensive enforcement against infringers.
All 72 risk factors
Headings as the filing states them, in filing order.
Risks Related to Our Financial Position
- 01We have incurred significant losses since our inception and anticipate that we will continue to incur substantial losses for the next several years45% rewritten
- 02Management has performed an analysis of our ability to continue as a going concern. In addition, our independent registered public accounting firm has raised substantial doubt as to our ability to continue as a going concern35% rewritten
- 03Due to our limited resources and access to capital, we must and have in the past decided to prioritize development of certain product candidates; these decisions may prove to have been wrong and may adversely affect our current and any potential future revenues30% rewritten
- 04We will require substantial additional funding, which may not be available to us on acceptable terms, or at all, and, if not available, may require us to delay, reduce or cease our product development activities and operations
- 05our need to implement additional internal systems and infrastructure, including financial and reporting systems to support our current operations as a public company25% rewritten
- 06We have a limited operating history and no history of late stage clinical studies and commercializing pharmaceutical products, which may make it difficult to evaluate the prospects for our future viability and making an investment in our Ordinary Shares unsuitable for many investors
- 07Raising additional capital may cause dilution to our shareholders, and these financings, or disputes with shareholders in connection therewith, may restrict our operations or require us to relinquish substantial rights or result in unanticipated legal or other costs
- 08The requirements of being a public company may strain our resources and distract our management, which could make it difficult to manage our business, particularly after we are no longer a non-accelerated filer
Risks Related to Our Business and the Development of Our Product Candidates
- 09All of our product candidates are in preclinical or clinical development and we have not yet successfully completed the development of any product candidates
- 10attracting, hiring and retaining qualified personnel
- 11We depend on enrollment of patients in our clinical trials for our product candidates. If we are unable to enroll an adequate number of volunteers or patients in our clinical trials, our research and development efforts could be materially adversely affected
- 12An element of our strategy is to combine our N-Tab ® platform with a variety of peptides and therapeutic proteins to build a pipeline of product candidates and progress these product candidates through clinical development for the treatment of a variety of different types of diseasesNew
- 13We manage our business and develop our technology with a small number of employees and key advisors with deep functional domain expertise, and, in the event of their loss or unavailability, we may not be able to grow our business or develop and commercialize our products
- 14We expect to grow our organization to supplement and expand our senior management, clinical development and regulatory capabilities and marketing infrastructure, and we may experience difficulties in managing these changes and this growth, which could disrupt our operations
- 15Our employees may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements and insider trading
- 16We are subject to risks related to restrictive data privacy regulations governing the collection, use, processing and cross-border transfer of personal information
- 17Global economic conditions may negatively affect us and may magnify certain risks that affect our business
Risks Related to Regulatory Approval of Our Product Candidates
- 18Clinical drug development is expensive, time consuming and uncertain. Development programs are subject to regulatory requirements, unanticipated delays and we may ultimately not be able to obtain regulatory approvals for the commercialization of our product candidates
- 19the approval policies or regulations of such authorities may significantly change in a manner rendering our or any of our future development partners’ clinical data insufficient for approval
- 20our competitors may develop therapeutics or other treatments that are superior to or less costly than our own with the result that our products, even if they are successfully developed, manufactured and approved, may not generate significant revenues
- 21The commencement and completion of clinical trials can be delayed or prevented for a number of reasons64% rewritten
- 22In February 2026, we submitted a clinical amendment to the FDA providing a streamlined Phase 3 protocol, statistical analysis plan (SAP), and open-label extension synopsis to the IND 505(b)(2) submission. We anticipate FDA feedback within 60 daysNew
- 23inaccurate interpretations by us of the FDA’s guidance for the clinical and regulatory path for our product candidates
- 24upon a breach or pursuant to the terms of any agreement with, or for any other reason by, current or future collaborators that have responsibility for the clinical development of any of our product candidates
- 25The results of previous clinical trials may not be predictive of future results, our progress in trials for one product candidate may not be indicative of progress in trials for other product candidates, and our trials may not be designed so as to support regulatory approval
- 26Even if regulatory approvals are obtained for our product candidates, we will be subject to ongoing government regulation. If we fail to comply with applicable current and future laws and government regulations, it could delay or prevent the promotion, marketing or sale of our products
- 27refuse to allow us to enter into supply contracts, including government contracts
- 28Healthcare legislative changes may harm our business and future prospects
- 29Because of the breadth of these laws and the narrowness of the statutory exceptions and safe harbors available, it is possible that some of our future business activities could be subject to challenge under one or more of such laws
Risks Related to Commercialization of Our Product Candidates
- 30We are likely to face significant competition, and if our competitors’ products are more effective, safer or less expensive than ours, our commercial opportunities will be negatively affected. Our lead product candidates, if approved, would compete with existing products
- 31We are subject to manufacturing risks that could substantially increase our costs and limit supply of our products
- 32Even if approved, if any of our product candidates do not achieve broad market acceptance among physicians, patients, the medical community and third-party payors, our revenue generated from their sales will be limited
- 33potential product liability claims
- 34Even if we obtain regulatory approval of any of our product candidates in a major pharmaceutical market such as the United States or the EU, we may never obtain approval or commercialize our products in other major markets, which would limit our ability to realize their full market potential
- 35The successful commercialization of our product candidates, if approved, will depend in part on the extent to which governmental authorities and third-party payors establish adequate coverage and reimbursement levels and pricing policies
- 36neither experimental nor investigational
- 37We may become exposed to costly and damaging liability claims, either when testing our product candidates in the clinic or at the commercial stage; and our product liability insurance may not cover all damages from such claims
- 38the inability to commercialize any products we develop
Risks Related to Our Dependence on Third Parties
- 39We are highly dependent upon our ability to enter into agreements with collaborators to develop, commercialize and market our products
- 40The Israel-Hamas War may cause us to fail to meet contractually obligated deadlines with our collaboration partners or otherwise strain our relationships with current collaborators or other business partners
- 41We may not be able to secure and maintain research institutions to conduct our clinical trials
- 42Independent clinical investigators and CROs that we engage to conduct our clinical trials may not devote sufficient time or attention to our clinical trials or be able to repeat their past success
- 43the possibility that we may not be able to secure a manufacturer or manufacturing capacity in a timely manner and on satisfactory terms in order to meet our manufacturing needs
- 44We maintain our cash at financial institutions, often in balances that exceed federally insured limits
Risks Related to Our Intellectual Property
- 45If we fail to establish, maintain, defend and enforce intellectual property rights with respect to our technology, our business, prospects, financial condition and results of operations may be materially adversely affected
- 46We may become involved in proceedings to protect or enforce our proprietary rights, which could be expensive and time consuming, and may ultimately be unsuccessful
- 47Our commercial success depends significantly on our ability to operate without infringing the patents and other proprietary rights of third parties. We may face claims that we are violating the intellectual property rights of others
- 48We may not be able to protect and enforce our intellectual property rights throughout the world
- 49Changes in U.S. patent law could diminish the value of our future patents, if issued, thereby impairing our ability to protect our product candidates27% rewritten
- 50Intellectual property litigation may lead to unfavorable publicity that harms our reputation and causes the market price of our Ordinary Shares to decline
- 51Obtaining and maintaining our patent protection depends on compliance with various procedural, document submission, fee payment and other requirements imposed by government patent agencies, and our patent protection could be reduced or eliminated for non-compliance with these requirements
- 52We may not be able to protect the confidentiality of our technology, which, if disseminated, could negatively impact our plan of operations
- 53We may be subject to claims by third parties asserting that we or our employees, consultants or contractors have misappropriated their intellectual property, or claiming ownership of what we regard as our own intellectual property
- 54If trademarks and trade names related to our product candidates are not adequately protected, then we may not be able to build name recognition in our markets of interest and our business may be adversely affected23% rewritten
Risks Related to Our Ordinary Shares
- 55The price of our Ordinary Shares may be volatile, and holders of our Ordinary Shares could lose all or part of their investment
- 56We do not know whether a market for our Ordinary Shares will be sustained and as a result, it may be difficult for holders of our Ordinary Shares to sell their securities
- 57Future sales by our shareholders may adversely affect our stock price and our ability to raise funds in new stock offerings
- 58The market price of our Ordinary Shares could be negatively affected by future sales of our securities
- 59We have never paid, and we currently do not intend to pay dividends
- 60We may not have sufficient insurance to cover our liability in any current or future litigation claims either due to coverage limits or as a result of insurance carriers seeking to deny coverage of such claims
- 61We cannot predict whether investors will find our Ordinary Shares less attractive as a result of our reliance on these exemptions. If some investors find our Ordinary Shares less attractive as a result, there may be a less active trading market for our Ordinary Shares and our stock price may be more volatile
- 62Our Ordinary Shares may be delisted from the Nasdaq Capital Market if we are unable to maintain compliance with Nasdaq’s continued listing standards
- 63If securities or industry analysts do not publish research or reports or publish unfavorable research about our business, our share price and trading volume could decline
Risks Relating to Our Incorporation and Location in Israel
- 64Legislative developments in Israel may have an adverse effect on the Company’s business
- 65Security, political and economic instability in the Middle East may harm our business61% rewritten
- 66How long and how severe the current conflicts in Gaza, Northern Israel, Lebanon, Iran or the broader region become is unknown at this time and any continued clash among Israel, Hamas, Hezbollah, Iran or other countries or militant groups in the region may escalate in the future into a greater regional conflictNew
- 67Our operations may be disrupted by the obligations of personnel to perform military service
- 68Our business is subject to currency exchange risk and fluctuations between the U.S. dollar and other currencies may negatively affect our earnings and results of operations
- 69Provisions of Israeli law and our Articles may give rise to withholding obligations or delay, prevent or make difficult a change of control and therefore depress the price of our shares
- 70Our Articles provide that our directors are elected on a staggered basis such that a potential acquirer cannot readily replace our entire Board at a single general shareholders meeting
- 71Your rights and responsibilities as a shareholder are governed by Israeli law, which may differ in some respects from the rights and responsibilities of shareholders of U.S. companies
- 72Our business could be negatively affected as a result of actions of activist shareholders, and such activism could impact the trading value of our securities
Other Entera Bio 10-Ks
- FY2024 10-K risk factors71 risks
Entera Bio faces substantial going concern doubt with an accumulated deficit of $113.9 million as of December 31, 2024. Operations are concentrated on advancing the lead osteoporosis candidate EB613 and the N-Tab platform. The Israel-Hamas War poses a specific threat to meeting contractual collaboration obligations and business relationships.
Filed Mar 28, 2025
About this page
The headings are the filing's own. The one-line readings and the overview are automated and can be wrong: read Item 1A of the 10-K for the exact wording.