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: 001-38556

ENTERA BIO LTD.
(Exact Name of Registrant as Specified in Its Charter)

Kiryat Hadassah
Minrav Building – Fifth Floor
Jerusalem, Israel
(Address of principal executive office)
_____________________

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 Regulation S-T Rule 101(b)(1): ☐ 

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




CONTENTS

This report on Form 6-K of the registrant consists of a press release issued by the registrant on May 20, 2021, attached hereto as an exhibit and incorporated by reference herein.

This report on Form 6-K and Exhibit 99.1 hereto shall be deemed to be incorporated by reference into the registration statements on Form F-3 (Registration Number: 333-238988) and Form F-3 (Registration Number: 333-239843) of Entera Bio Ltd. and to be a part thereof from the date on which this report is filed, to the extent not superseded by documents or reports subsequently filed or furnished.

Exhibit




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.

 
ENTERA BIO LTD.
(Registrant)
 
       
 
By:
/s/ Spiros Jamas, Sc.D
 
   
Name: Spiros Jamas, Sc.D
 
   
Title: Chief Executive Officer
 
       
Date: May 20, 2021




















































Exhibit 99.1

ENTERA BIO LTD.
CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
(UNAUDITED)
AS OF MARCH 31, 2021



ENTERA BIO LTD.
CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
(UNAUDITED)
AS OF MARCH 31, 2021

TABLE OF CONTENTS

 
Page
   
CONDENSED CONSOLIDTED FINANCIAL STATEMENTS (Unaudited) - U.S DOLLARS IN THOUSANDS ($):
 
2
3
4
5 - 6
7 - 12




ENTERA BIO LTD.
CONDENSED CONSOLIDATED INTERIM STATEMENTS OF FINANCIAL POSITION
(UNAUDITED)

   
March 31
   
December 31
 
   
2021
   
2020
 
   
U.S. dollars in thousands
 
A  s  s  e  t  s
           
CURRENT ASSETS:
           
Cash and cash equivalents
   
16,381
     
8,593
 
Accounts receivable
   
15
     
255
 
Other current assets
   
1,038
     
261
 
TOTAL CURRENT ASSETS
   
17,434
     
9,109
 
NON-CURRENT ASSETS:
               
Property and equipment
   
182
     
192
 
Right of use assets
   
306
     
356
 
Intangible assets
   
605
     
605
 
TOTAL NON-CURRENT ASSETS
   
1,093
     
1,153
 
TOTAL ASSETS
   
18,527
     
10,262
 
Liabilities and shareholders' equity
               
CURRENT LIABILITIES:
               
Accounts payable:
               
Trade
   
440
     
164
 
Other
   
1,444
     
1,330
 
Current maturities of lease liabilities
   
182
     
189
 
Warrants to purchase ordinary shares
   
8,535
     
1,432
 
Contract liabilities
   
15
     
158
 
TOTAL CURRENT LIABILITIES
   
10,616
     
3,273
 
NON-CURRENT LIABILITIES:
               
Lease liabilities
   
220
     
243
 
Severance pay obligations, net
   
78
     
81
 
TOTAL NON-CURRENT LIABILITIES
   
298
     
324
 
TOTAL LIABILITIES
   
10,914
     
3,597
 
COMMITMENTS AND CONTINGENCIES
               
SHAREHOLDERS' EQUITY:
               
Ordinary Shares, NIS 0.0000769 par value:
               
   Authorized - as of March 31, 2021 and December
   31, 2020, 140,010,000 shares; issued and
   outstanding: as of March 31, 2021, and December
   31, 2020 23,776,785 and 21,057,922
               
   shares, respectively
   
*
     
*
 
Accumulated other comprehensive income
   
41
     
41
 
Other reserves
   
9,128
     
8,924
 
Additional paid in capital
   
80,827
     
70,595
 
Accumulated deficit
   
(82,383
)
   
(72,895
)
TOTAL SHAREHOLDERS' EQUITY
   
7,613
     
6,665
 
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY
   
18,527
     
10,262
 

* Represents an amount less than one thousand US dollars.

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

2


ENTERA BIO LTD.
CONDENSED CONSOLIDATED INTERIM STATEMENTS OF COMPREHENSIVE LOSS
(UNAUDITED)

   
Three months ended
 
   
March 31
 
   
2021
   
2020
 
   
U.S. dollars in thousands
 
REVENUE
   
157
     
42
 
COST OF REVENUE
   
58
     
42
 
RESEARCH AND DEVELOPMENT EXPENSES, net
   
1,159
     
1,605
 
GENERAL AND ADMINISTRATIVE EXPENSES
   
1,309
     
1,290
 
OTHER INCOME
   
10
     
-
 
OPERATING LOSS
   
2,359
     
2,895
 
FINANCIAL EXPENSES (INCOME):
               
Loss  from change in fair value of financial liabilities at fair value
   
7,103
     
46
 
  Other financial income, net
   
(12
)
   
(23
)
FINANCIAL EXPENSES, NET
   
7,091
     
23
 
LOSS BEFORE TAXES
   
9,450
     
2,918
 
TAXES ON INCOME
   
38
     
-
 
NET COMPREHENSIVE LOSS FOR THE PERIOD
   
9,488
     
2,918
 

   
U.S. dollars
 
LOSS PER ORDINARY SHARE -
           
Basic and Diluted
   
0.43
     
0.16
 
WEIGHTED AVERAGE NUMBER OF SHARES OUTSTANDING -        
               
Basic and Diluted
   
21,890,100
     
18,048,827
 

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

3


ENTERA BIO LTD.
CONDENSED CONSOLIDATED INTERIM STATEMENTS OF SHAREHOLDERS' EQUITY (UNAUDITED)

   
Number of Ordinary Shares
   
Ordinary Shares-Amount
   
Accumulated other comprehensive income
   
Other reserve
   
Additional paid in capital
   
Accumulated deficit
   
Total
 
         
U.S dollars in thousands
 
BALANCE AT JANUARY 1, 2020
                                         
CHANGES FOR THREE MONTHS
       ENDED MARCH 31, 2020:
   
17,864,684
     
*
     
41
     
11,398
     
63,392
     
(62,912
)
   
11,919
 
Net loss for the period
   
-
     
-
     
-
     
-
     
-
     
(2,918
)
   
(2,918
)
Exercise of options to ordinary shares
   
31,954
     
*
     
-
     
(35
)
   
103
     
-
     
68
 
Issuance of shares and warrant due to
a private placement, net of issuance costs
   
337,553
     
*
     
-
     
-
     
573
     
-
     
573
 
Reclassification due to share-based
compensation and warrants expired
   
-
     
-
     
-
     
(138
)
   
138
     
-
     
-
 
Share-based compensation
   
-
     
-
     
-
     
373
     
-
     
-
     
373
 
BALANCE AT MARCH 31, 2020
   
18,234,191
     
*
     
41
     
11,598
     
64,206
     
(65,830
)
   
10,015
 
                                           
BALANCE AT JANUARY 1, 2021
                                         
CHANGES FOR THREE MONTHS
     ENDED MARCH 31, 2021:
   
21,057,922
     
*
     
41
     
8,924
     
70,595
     
(72,895
)
   
6,665
 
      Net loss for the period
           
-
     
-
     
-
     
-
     
(9,488
)
   
(9,488
)
Exercise of warrants to ordinary shares
   
94,218
     
*
     
-
     
-
     
24
     
-
     
24
 
Exercise of options to ordinary shares
   
71,380
     
*
     
-
     
(110
)
   
337
     
-
     
227
 
Issuance of shares under the ATM program, net of issuance costs
   
2,546,265
     
*
     
-
     
-
     
9,858
     
-
     
9,858
 
      Vested restricted share units
   
7,000
     
*
     
-
     
(13
)
   
13
     
-
     
-
 
     Share-based compensation
   
-
     
-
     
-
     
327
     
-
     
-
     
327
 
BALANCE AT MARCH 31, 2021
   
23,776,785
     
*
     
41
     
9,128
     
80,827
     
(82,383
)
   
7,613
 

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

4


ENTERA BIO LTD.
CONDENSED CONSOLIDATED INTERIM CASH FLOW STATEMENTS
(UNAUDITED)

   
Three months ended
March 31
 
   
2021
   
2020
 
   
(Unaudited)
 
   
U.S dollars in thousands
 
CASH FLOWS USED IN OPERATING ACTIVITIES:
           
Net loss for the period
   
(9,488
)
   
(2,918
)
Adjustments required to reflect net cash
               
used in operating activities (see appendix A)
   
7,212
     
262
 
Net cash used in operating activities
   
(2,276
)
   
(2,656
)
                 
CASH FLOWS USED IN INVESTING ACTIVITIES:
               
Purchase of property and equipment
   
-
     
(29
)
Net cash used in investing activities
   
-
     
(29
)
                 
CASH FLOWS PROVIDED BY FINANCING ACTIVITIES:
               
Principle element of lease payments
   
(45
)
   
(37
)
      Issuance of ordinary shares and warrants, net of issuance costs
   
-
     
797
 
Issuance of shares due to the ATM program, net of issuance costs
   
9,858
     
-
 
Proceeds from exercise of options and warrants
   
251
     
68
 
Net cash provided by  financing activities
   
10,064
     
828
 
                 
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
   
7,788
     
(1,857
)
CASH AND CASH EQUIVALENTS AT BEGINNING OF THE YEAR
   
8,593
     
15,185
 
CASH AND CASH EQUIVALENTS AT END OF THE PERIOD
   
16,381
     
13,328
 

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

5


ENTERA BIO LTD.
CONDENSED CONSOLIDATED INTERIM CASH FLOW STATEMENTS
(UNAUDITED)

   
Three months ended March 31
 
   
2021
   
2020
 
   
(Unaudited)
 
   
U.S dollars in thousands
 
APPENDIX A:
           
Adjustments required to reflect net cash used in operating activities:
           
Depreciation
   
91
     
50
 
Change in fair value of financial liabilities at fair value through profit or loss
   
7,103
     
46
 
                 
Financial expenses (income), net
   
(7
)
   
4
 
Net changes in severance pay obligation
   
(3
)
   
3
 
Share-based compensation
   
327
     
373
 
     
7,511
     
476
 
Changes in working capital:
               
Decrease in accounts receivables
   
240
     
278
 
Increase in other current assets
   
(777
)
   
(613
)
Increase in accounts payable and accruals:
               
Trade
   
276
     
97
 
Other
   
114
     
73
 
             Decrease in contract liabilities
   
(143
)
   
(42
)
     
(290
)
   
(207
)
Cash used for operating activities:
               
Interest paid
   
(9
)
   
(7
)
     
7,212
     
262
 
                 
APPENDIX B:
               
Supplementary information on investing and financing activities not involving cash flows:
               
  Right of use assets obtained in exchange for new operating lease liabilities
   
31
     
23
 
  Cashless exercise of warrants
   
*
     
-
 
  Vested restricted shares units
   
*
     
-
 
 
The accompanying notes are an integral part of the condensed consolidated financial statements.

6


ENTERA BIO LTD.
NOTES TO CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
(UNAUDITED)

NOTE 1 - GENERAL INFORMATION:


a.
General:


1)
Entera Bio Ltd. (collectively with its subsidiary, the "Company") was incorporated on September 30, 2009 and commenced operation on June 1, 2010. On January 8, 2018 the Company incorporated Entera Bio Inc., a fully owned subsidiary incorporated in Delaware USA. The Company is a leader in the development and commercialization of orally delivered large molecule therapeutics for use in areas with significant unmet medical need where adoption of injectable therapies is limited due to cost, convenience and compliance challenges for patients. The Company’s most advanced product candidates, EB613 for the treatment of osteoporosis and EB612 for the treatment of hypoparathyroidism, are based on its proprietary technology platform and are both in Phase 2 clinical development. The Company also licenses its technology to biopharmaceutical companies for use with their proprietary compounds and, to date, has completed one such collaboration with Amgen Inc.


2)
The Company's securities have been listed for trading on the Nasdaq Capital Market since the Company’s initial public offering in July 2018, where a total of 1,400,000 new ordinary shares were issued in consideration of net proceeds of $9.6 million, after deducting offering expenses.


b.
Since the Company is engaged in research and development activities, it has not derived significant income from its activities and has incurred accumulated losses in the amount of $82.4 million through March 31, 2021 and negative cash flows from operating activities. The Company's management is of the opinion that its available funds as of March 31, 2021 will allow the Company to operate under its current plans into the second quarter of 2022. These factors raise substantial doubt as to the Company's ability to continue as a going concern.

Management is in the process of evaluating various financing alternatives in the public or private equity markets, government grants or through license of the company's technology to additional external parties through partnerships or research collaborations as the Company will need to finance future research and development activities, general and administrative expenses and working capital through fund raising. However, there is no certainty about the Company's ability to obtain such funding.

7


ENTERA BIO LTD.
NOTES TO CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
(UNAUDITED)

NOTE 1 - GENERAL INFORMATION (Continued):

The financial information has been prepared on a going concern basis, which assumes the Company will continue to realize its assets and discharge its liabilities in the normal course of business. If the Company does not raise the requisite funds, it will need to curtail or cease operations. These financial statements do not include any adjustments that may be necessary should the Company be unable to continue as a going concern.


c.
Approval of financial statements

These financial statements were approved by the Company's Board of Directors on May 19, 2021.

NOTE 2 - BASIS OF PREPARATION
 
The Company’s condensed consolidated interim financial statements as of March 31, 2021 and for the three months then ended (the “interim financial statements”) have been prepared in accordance with International Accounting Standard No. 34, “Interim Financial Reporting” (“IAS 34”). These interim financial statements, which are unaudited, do not include all disclosures necessary for a complete presentation of financial position, comprehensive loss, changes in shareholders' equity and cash flows in conformity with generally accepted accounting principles. The condensed consolidated interim financial statements should be read in conjunction with the Company’s annual financial statements as of December 31, 2020 and for the year then ended and their accompanying notes, which have been prepared in accordance with International Financial Reporting Standards (“IFRS”) as issued by the IASB.

The results of operations for the three months ended March 31, 2021 are not necessarily indicative of the results that may be expected for the entire fiscal year or for any other interim period.


8


ENTERA BIO LTD.
NOTES TO CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
(UNAUDITED)

NOTE 3 - SIGNIFICANT ACCOUNTING POLICIES
 
The accounting policies and calculation methods applied in the preparation of the interim financial statements are consistent with those applied in the preparation of the annual financial statements as of December 31, 2020 and for the year then ended.

Loss per ordinary share

Basic and diluted loss per share is computed by dividing the loss for the period by the weighted average number of ordinary shares outstanding for each period.

All outstanding options and warrants have been excluded from the calculation of the diluted loss per share for the three months ended March 31, 2021 and 2020 since their effect was anti-dilutive. The total number of ordinary shares which were excluded from the calculation of diluted loss per share was 7,894,997 and 8,047,941 for the three months ended March 31, 2021 and 2020 respectively.

NOTE 4 - FINANCIAL RISK FACTORS
 
The Company's activities expose it to a variety of financial risks. The condensed interim financial statements do not include all financial risk information and disclosures required in the annual financial statements; they should be read in conjunction with the Company's annual financial statements as of December 31, 2020.

There have been no changes in the risk management policies since the year end.

NOTE 5 - FAIR VALUE MEASUREMENT

The Company measures fair value and discloses fair value measurements for financial assets. Fair value is based on the price that would be received to sell an asset in an orderly transaction between market participants at the measurement date. In order to increase consistency and comparability in fair value measurements, the guidance establishes a fair value hierarchy that prioritizes observable and unobservable inputs used to measure fair value into three broad levels, which are described as follows:
 
Level 1:          Quoted prices (unadjusted) in active markets that are accessible at the measurement date for assets or liabilities. The fair value hierarchy gives the highest priority to Level 1 inputs.
 
Level 2:          Observable prices that are based on inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly or indirectly.
 
Level 3:          Unobservable inputs are used when little or no market data is available. The fair value hierarchy gives the lowest priority to Level 3 inputs.

As of March 31, 2021 and December 31, 2020, the fair value of cash and cash equivalents, accounts receivable, other receivables and accounts payable approximates their carrying value.

9


ENTERA BIO LTD.
NOTES TO CONDENSED INTERIM CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)

NOTE 5 - FAIR VALUE MEASUREMENT (Continued):

   
Financial liabilities at fair value through profit or loss
   

Financial liabilities at amortized cost
   
Total
 
   
U.S. dollars in thousands
 
As of March 31, 2021:
                 
Trade and other payable
   
-
     
1,884
     
1,884
 
Warrants to purchase ordinary shares (level 1)
  (1)
   
698
     
-
     
698
 
Warrants to purchase ordinary shares (level 3)
  (2)
   
7,837
     
-
     
7,837
 
Lease liabilities
   
-
     
402
     
402
 
     
8,535
     
2,286
     
10,821
 
As of December 31, 2020:
                       
Trade and other payable
   
-
     
1,494
     
1,494
 
Warrants to purchase ordinary shares (level 1)
   
239
     
-
     
239
 
Warrants to purchase ordinary shares (level 3)
   
1,193
     
-
     
1,193
 
Lease liabilities
   
-
     
432
     
432
 
     
1,432
     
1,926
     
3,358
 


(1)
Tradable warrants presented above are valuated based on the market price (a level 1 valuation) as of March 31, 2021.


(2)
Warrants to purchase ordinary shares issued in December 2019 and February 2020 presented are valuated based on the Monte-Carlo pricing model (a level 3 valuation) as of March 31, 2021.

The main assumptions used are as follows:

 
March 31
 
2021
Price per share
3.81
Volatility
97%
Expected term (years)
0.16
Risk free interest rate
0.01-0.03
Expected dividend
-

10


ENTERA BIO LTD.
NOTES TO CONDENSED INTERIM CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
NOTE 6 - SHARE CAPITAL


1.
Equity transactions


a.
In February and March 2021, the Company issued additional 2,546,265 ordinary shares for net proceeds of $9.9 million at a weighted average price of $3.99 per ordinary share through the Company’s ATM Program established in July 2020.


b.
During the first quarter of 2021, two warrants holders exercised 174,052 warrants into 81,419 ordinary shares through cashless exercise mechanism in accordance with the subscription agreement signed in December 2019.

In addition, another warrants holder exercised 10,549 warrants into 10,549 ordinary shares of the Company for a total consideration of $11 thousand at an exercise price of $1.05.


c.
In March 2021, a service provider exercised 65,693 options into 65,693 ordinary shares of the Company for a total consideration of $204 thousand at an exercise price of $3.10.


d.
In March 2021, a former employee exercised 5,687 options into 5,687 ordinary shares of the Company for a total consideration of $23 thousand at an exercise price of $3.97.


e.
In March 2021, 4,500 tradable warrants were exercised into 2,250 ordinary shares of the Company for a total consideration of $13 thousand at an exercise price of $5.85.


2.
Options Grants

On January 4, 2021 options to purchase 1,314,218 ordinary shares were granted to the Chief Executive officer of the Company, with an exercise price of $1.24. The options vest over 4 years from the date of grant; 25% vest on the first anniversary of the date of grant and the remaining 75% of the option will vest in twelve equal quarterly installments following the first anniversary of the grant date. The grant was subject to the approval by the shareholders of the Company, which approved the grant in March 2021. The fair value of the options at the date of grant was $1,320 thousand.


11


ENTERA BIO LTD.
NOTES TO CONDENSED INTERIM CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)


NOTE 7 - SUBSEQUENT EVENTS


a)
On April 7, 2021, the Company’s Board of Directors approved the following option grants:


i)
Options grant to purchase 150,000 ordinary shares to the new US-based CFO, with an exercise price of $3.61 per share. The options vest over 4 years from the date of grant; 25% vest on the first anniversary of the date of grant and the remaining 75% of the option will vest in twelve equal quarterly installments following the first anniversary of the grant date.


ii)
Options grants to purchase 220,000 ordinary shares to certain employees and 70,000 options granted to service providers, with an exercise price of $3.61 per share. The options vest over 4 years from the date of grant; 25% vest on the first anniversary of the date of grant and the remaining 75% of the option will vest in twelve equal quarterly installments following the first anniversary of the grant date.


iii)
Options grant to purchase 33,368 ordinary shares to a non-executive director of the Company, with an exercise price of $3.61. The options will vest over 3 years in twelve equal quarterly instalments starting on the vesting commencement date.


b)
On April 21, 2021, options to purchase 345,000 ordinary shares were granted to several executive officers of the Company, with an exercise price of $3.15. The options vest over 4 years from the date of grant; 25% vest on the first anniversary of the date of grant and the remaining 75% of the option will vest in twelve equal quarterly installments following the first anniversary of the grant date. This grant is subject to shareholders approval.


c)
On April 21, 2021, upon satisfaction of the sale price condition pursuant to the subscription agreement signed in December 2019, the Company’s Board of Directors decided to accelerate the termination date of the Investors and Broker warrants issued in December 2019 and February 2020. In accordance with the terms of the agreement , as of the notice date and for a period of 30 calendar days (the “Early Termination Exercise Period”), the holders may exercise their warrants
 and following such Early Termination Exercise Period,  these warrants shall be deemed terminated.


d)
In April and May 2021, several Investor Warrant’s holders exercised 142,407 warrants into 142,407 ordinary shares for a total consideration of $150 thousand at an exercise price of $1.05.

12






Exhibit 99.2

MANAGEMENT’S DISCUSSION AND ANALYSIS
OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
 
This management’s discussion and analysis is designed to provide you with a narrative explanation of our financial condition and results of operations. We recommended that you read this in conjunction with our unaudited condensed consolidated financial statements for the three-month period ended March 31, 2021 and 2020 and the related notes to the condensed consolidated financial statements, which are included in this Report of Foreign Private Issuer on form 6-K. You should also read the following discussion in conjunction with the information contained in our annual report on Form 20-F for the year ended December 31, 2020 filed with the Securities and Exchange Commission on March 18, 2021. We have prepared our financial statements in accordance with IFRS as issued by IASB.
 
All references to “we,” “us,” “our,” “Entera”, “the Company” and “our Company” in this Report of Foreign Private Issuer on Form 6-K are to Entera Bio Ltd. and its U.S. subsidiary Entera Bio Inc., unless the context otherwise requires.
 
Overview
 
We are a clinical-stage biopharmaceutical company focused on the development and commercialization of orally delivered macromolecule therapeutics for use in areas with significant unmet medical need where adoption of injectable therapies is limited due to cost, convenience and compliance challenges for patients. Our current strategy for our lead product candidates is to use our technology to develop an oral formulation of human parathyroid hormone (1-34), or PTH, which has been approved in the United States in injectable form for over a decade. Our lead oral PTH product candidates are EB613 for the treatment of osteoporosis and EB612 for the treatment of hypoparathyroidism. In both of these indications, the leading products are daily injectable formulations of PTH. In total, more than 260 healthy volunteers and patients, have received multiple doses of various formulations of our oral PTH (1-34).

We met with the FDA in the fourth quarter of 2018 to discuss the development and regulatory pathway for EB613 for the treatment of osteoporosis. In addition to discussing various aspects of the nonclinical and clinical development plan, the meeting focused on the use of the 505(b)(2) regulatory pathway and the use of BMD rather than fracture incidence as the primary endpoint to support an NDA. Based on the FDA’s response, we believe that we may be able to use BMD as the primary efficacy endpoint for a Phase 3 trial and that a fracture endpoint trial will not be required. In July 2019, we initiated a Phase 2 multi-center, placebo-controlled dose-ranging trial of EB613 in approximately 160 osteoporosis patients, at 4 leading osteoporosis centers in Israel. This trial, which includes a treatment period of 6 months, is being conducted to evaluate both the safety of EB613 and to identify the optimal dose that we will select to advance into a single Phase 3 pivotal trial. In this trial, we are evaluating, multiple bone markers, such as P1NP – a bone formation marker, CTX – a bone resorption marker, BMD, and various additional safety endpoints.

In May 2020, we announced limited interim biomarker data from the Phase 2 clinical trial of EB613. Based on the interim biomarker data, EB613 demonstrated a statistically significant increase on the P1NP biomarker after one month of treatment (p<0.001) compared to the placebo, and meaningful increases at months two and three compared to the placebo with the highest EB613 dose (1.5 mg). There was also a dose response at one month, with those trends continuing at two months. Based on the interim data, we amended the Phase 2 protocol in July 2020 and discontinued the two lower doses (0.5mg and 1.0mg) and added a 2.5mg dose of EB613. In November 2020, we completed the enrollment in the trial with 161 patients, including the new 2.5mg high-dose group. 

 In March 2021, we announced the final 3-month biomarker results.  The trials primary efficacy endpoint was met - the complete 3-month results from the trial showed a significant increase in the P1NP biomarker in the 2.5 mg dose group after 3 months of treatment (P <0.04) as compared to placebo. P1NP is a biomarker that indicates the rate of new bone formation and the change at 3-months is the primary endpoint in this Phase 2 trial.

Secondary endpoints in the trial comprised the effect of treatment on several additional serum bone biomarkers at 3-months including, Osteocalcin and CTX. Similar to P1NP, Osteocalcin is a biomarker for bone formation by osteoblasts, the cells that build new bone. CTX is a biomarker that indicates the rate of bone resorption by osteoclasts, the cells that remove old bone. An osteoanabolic, or bone building effect, is based on the difference in bone formation and bone resorption. An increase in P1NP or Osteocalcin, for example, associated with a smaller increase (or decrease) in CTX, usually indicates an increase in bone mass.

Similar to the increase in P1NP, a significant increase in Osteocalcin was also observed in the 2.5 mg group after 3 months (P <0.01). In line with a potential anabolic effect, a significant decrease in CTX was observed after 3 months of treatment (P <0.015). The decrease in CTX taken together with the increase in P1NP and Osteocalcin would indicate a potential positive impact on BMD and a reduced risk of fractures, which is the goal of an anabolic osteoporosis treatment.



Biomarker data from the Placebo and EB613 2.5mg dose group are summarized below:


A significant increase in P1NP from baseline versus placebo at month 3 (P <0.04) as well as significant increases at months 1 (P <0.0001) and 2 (P <0.003);
 

A significant increase in Osteocalcin from baseline versus placebo at month 3 (P<0.006) as well as significant increases at months 1 (P<0.0001) and 2 (P<0.0001);
 

A significant decrease in CTX from baseline versus placebo at month 3 (P <0.015) as well as a significant decrease at month 1 (P <0.001)
 
In parallel, we are conducting several nonclinical safety assessment studies to support our regulatory filings, including our  Investigational New Drug Application, or IND, with the FDA to facilitate various IND-enabling trials, and subsequently, to enable the start of a single Phase 3 clinical trial in osteoporosis patients using sites in, the United States, Israel and other territories, subject to positive data from our ongoing Phase 2 trial of EB613, pending the determination of any impact of COVID-19 on our ability to collect sufficient data from the trial. We believe that the study design to achieve the BMD endpoint, as discussed with the FDA, will have a much smaller number of patients and be significantly shorter in duration than a pathway that utilizes a placebo-controlled bone fracture endpoint.

Our lead product candidate for hypoparathyroidism, EB612, is an oral formulation of PTH (1-34). We believe that EB612, if approved, has the potential to become the standard of care for hypoparathyroidism. We have tested several formulations of our oral PTH (1-34) in multiple Phase 1 clinical trials to test different manufacturing technologies, formulations, administration parameters and dosing regimens. This data led to a number of Phase 2 studies evaluating different formulations of EB612 in hypoparathyroidism patients including a multicenter Phase 2a clinical trial of EB612 in hypoparathyroidism patients. The endpoints in the Phase 2trials, included examination of the PK/PD levels of EB612, as well as serum calcium, serum phosphate, urinary calcium and urinary phosphate. In these trials, EB612 was generally well tolerated and achieved the targeted blood levels of PTH, serum calcium, serum phosphate, and the hormonal metabolite of vitamin D (1,25- dihydroxyvitamin D).
 
In addition, we intend to use our technology as a platform for the oral delivery of other protein and large molecule therapeutics as well as novel therapeutics. For example, in the fourth quarter of 2018, we signed a license agreement with Amgen. We may sign additional licensing or collaboration agreements in the future.
 
In February 2021 Entera announced a new research program for an oral glucagon-like peptide-2 (GLP-2) analog based on the Company’s platform technology. GLP-2, a peptide produced in the intestine and the central nervous system via the brainstem and hypothalamus, is known to enhance intestinal absorption, specifically the increased absorption of nutrients.
 
The only GLP-2 analog currently on the market, teduglutide, was approved in 2012 as a once daily injection for the treatment of short bowel syndrome in the U.S. and Europe, registering global sales of $574 million in 2019. In preclinical models, Entera’s oral formulation of a GLP-2 analog has shown a comparable pharmacokinetic profile to a subcutaneous injection. The ability of GLP-2 analogs to improve intestinal function, combined with new findings about the gut-bone and gut-brain connections, indicates these peptides may also have a role in the treatment of other diseases.
 
We intend to utilize future funds, as available, to advance EB613 and EB612 through clinical development and ultimately towards regulatory approval. To date, we have funded our operations through our sales of our Ordinary Shares under our Equity Distribution Agreement with Canaccord Genuity LLC in connection with the Company's ATM Program, sales of Ordinary Shares in our IPO, private placements of our Ordinary Shares and preferred shares, warrants, convertible debt, government grants and through revenues generated from research collaboration and our license agreement with Amgen. We have no products that have received regulatory approval and have never generated revenue from sales of any product.
 
Since inception, we have incurred significant losses. For the three months ended March 31, 2021 and 2020, our operating losses were $2.4 million and $2.9 million, respectively and we expect to continue to incur significant expenses and losses for the next several years. As of March 31, 2021, we had an accumulated deficit of $82.4 million. Our losses may fluctuate significantly from quarter to quarter and year to year, depending on the timing of our clinical trials, our expenditures on any other research and development activities, the receipt of government grants and payments under the collaboration with Amgen or any future collaborations into which we may enter.
 
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As a result of our recurring losses from operations, negative cash flows and lack of liquidity, management is of the opinion that there is substantial doubt as to the Company's ability to continue as a going concern. If we are unable to raise the requisite funds, we will need to curtail or cease operations. See “Item 3.D.–Risk Factors—Risks Related to Our Financial Position and Need for Additional Capital.” on our 2020 Annual Report on Form 20-F filed with the SEC on March 18, 2021.
 
As of May 10, 2021, we had cash and cash equivalents of $15.1 million. In order to fund further operations, we will need to raise additional capital. We may raise these funds through private and/or public equity offerings, including the sale of common stock through our ATM Agreement with B. Riley, debt financings, government grants, strategic collaborations and licensing arrangements. Additional financing may not be available when we need it or may not be available.
 
As of May 10, 2021, we had 19 employees and five consultants who provide services to us on a part-time basis. Our operations are located in Jerusalem, Israel and in the United States.
 
Patent Transfer, Licensing Agreements and Grant Funding
 
There have been no material changes to our patent transfer, licensing agreements and grant funding from those reported in “Item 5.A.– Results of Operations” our 2020 Annual Report on Form 20-F filed with the SEC on March 18, 2021.

Results of Operations
 
Comparison of Three Months period Ended March 31, 2021 and 2020
 
 
(unaudited)
Three Months Ended
March 31,
   
Increase (Decrease)
 
 
2021
   
2020
     $    

%
 
 
(In thousands, except for percentage information)
 
Revenues
 
$
(157
)
 
$
(42
)
 
$
(115
)
   
273.8
 
Cost of revenues
   
58
     
42
     
16
     
38.1
 
Operating expenses:
 
   
   
         
Research and development expenses, net
   
1,159
     
1,605
     
(446
)
   
(27.8
)
General and administrative expenses
 
1,309
   
1,290
   
19
     
1.15
 
Other income
   
(10
)
   
-
     
(10
)
   
100
 
Operating loss
 
2,359
   
2,895
   
(536)
     
(18.5
)
Financial expenses, net
 
7,091
   
23
   
7,068
     
30,730.4
 
Taxes on income
   
38
     
-
     
38
     
100
 
Net loss
 
$
9,488
   
$
2,918
   
$
6,570
     
2,252
 
 
Revenue
 
Revenues for the three months ended March 31, 2021 and 2020 were $157,000 and $42,000, respectively. In this period, the majority of our revenues were attributable to research and development, or R&D services provided to Amgen under our 2018 collaboration agreement.
 
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Cost of Revenue

The cost of revenues for the three months ended March 31, 2021 were $58,000 compared to $42,000 for the three months ended March 31, 2020 and were primarily attributed to salaries and related expenses in connection with the R&D services provided to Amgen.

Research and Development Expenses, net

Research and development expenses for the three months ended March 31, 2021 were $1.2 million, compared to $1.6 million for the three months ended March 31, 2020, a decrease of $0.4 million. The decrease was primarily due to a decrease of $0.2 in professional and consulting services expenses due to submission of the IND in 2020 and a decrease of $0.2 million in  EB613 clinical trial related expenses, including materials and production costs.
 
General and Administrative Expenses
 
     General and administrative expenses for the three months ended March 31, 2021 were $1.3 million, compared to $1.3 million for the three months ended March 31, 2020. The changes in General and administrative expenses for the three months ended March 31, 2021, compared to the same period previous year, were mainly attributed to a decrease of $0.2 million in professional fees which were offset by an increase of $0.1 million in legal fees and $0.1 million in insurance and investor relations expenses

Financial Expenses, Net
 
Financial expenses, net for the three months ended March 31, 2021 and 2020 are mainly resulting from the re-measurement of warrants issued in connection with our 2018 initial public offering and our private placement in December 2019 which included a second closing in February 2020. The increase of $7.1 million in the three months ended March 31, 2021, is attributed to the increase in the fair value of the warrants mainly due to an increase in our market share price.

Cash Flows
 
Comparison of Three Months period Ended March 31, 2021 and March 31, 2020
 
The following table sets forth the primary sources and uses of cash for each of the periods set forth below:
 
 
(unaudited)
three months ended March 31,
 
 
2021
   
2020
 
 
(in thousands)
 
Cash used in operating activities
 
$
(2,267
)
 
$
(2,656
)
Cash used in investing activities
   
-
     
(29
)
Cash provided by financing activities
   
10,055
     
828
 
Net increase (decrease) in cash and cash equivalents
 
$
7,788
   
$
(1,857
)
 
Net Cash Used in Operating Activities
 
Net Cash used in operating activities for the three months ended March 31, 2021 was $2.3 million consisting primarily of our operating loss of $2.4 million and an increase of $0.3 million in working capital which were partially offset by $0.3 million of share-based compensation expense and $0,1 in depreciation expenses.
 
Net Cash used in operating activities for the three months ended March 31, 2020 was $2.7 million consisting primarily of our operating loss of $2.9 million and an increase of $0.2 million in working capital which were partially offset by $0.4 million of share-based compensation expense and $0.1 million of depreciation expense.
 
The decrease in cash used in operating activities for the three months ended March 31, 2021 compared to the same period in 2020, was mainly attributed to a decrease of payments to suppliers and services providers and increase in revenue recognized from services provided to Amgen, which were partially offset by an increase in payments to D&O insurance.

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Net Cash Used in Investing Activities
 
    Net Cash used in investing activities for the three months ended March 31, 2020 were attributed to purchase of property and equipment. For the three months ended March 31, 2021, no cash was used in or provided by investing activities.
 
Net Cash Provided by Financing Activities
 
Net Cash provided by financing activities for the three months ended March 31, 2021 consisted primarily of the net proceeds of $9.9 million from the issuance of Ordinary shares under our ATM Program, exercise of options and warrants.
 
Net Cash provided by financing activities for the three months ended March 31, 2020 consisted primarily of the net proceeds of $0.8 million from the issuance of the Ordinary Shares and Warrants in the final closing of our December 2019 private placement offering.
 
Liquidity and Capital Resources
 
Since our inception through March 31, 2021, we have funded our operations primarily through private and public offerings, including through our ATM program, convertible loans, grants from governmental authorities and payments under our collaboration with Amgen.
 
Our cash and cash equivalents as of March 31, 2021 were approximately $16.4 million, compared to approximately $8.6 million as of December 31, 2020.
 
Since inception, we have incurred significant losses. As a result of our recurring losses from operations, negative cash flows and lack of liquidity, management is of the opinion that there is substantial doubt as to the Company's ability to continue as a going concern. Our independent registered public accounting firm included an explanatory paragraph in its report on our financial statements as of, and for the year ended, December 31, 2020, expressing the existence of substantial doubt about our ability to continue as a going concern on our Annual Report on Form 20-F filed with the SEC on March 18, 2021. For the three months ended March 31, 2021 and March 31, 2020, our operating losses were $2.4 million and $2.9 million, respectively. We expect to continue to incur significant expenses and losses for the next several years. As of March 31, 2021, we had an accumulated deficit of $82.4 million. Our losses may fluctuate significantly from quarter to quarter and year to year, depending on the timing of our clinical trials, our expenditures on any other research and development activities, the receipt of government grants and payments under our collaboration with Amgen or any future collaborations into which we may enter.

Funding Requirements
 
We believe that our existing capital resources, not including potential milestone payments, will be sufficient to meet our projected operating requirements into the second quarter of 2022.
 
We have based these estimates on assumptions that may prove to be wrong, and we may use our available capital resources sooner than we currently project. Because of the numerous risks and uncertainties associated with the development of our product candidates, and the extent to which we may enter into collaborations with third parties for development of these or other product candidates, we are unable to estimate the amounts of increased capital outlays and operating expenses associated with completing the development of our current and future product candidates. Our future capital requirements will depend on many factors, including:
 

the costs, timing and outcome of clinical trials for, and data and regulatory review of, EB613, EB612 and any other product candidates we may develop.
 

the costs of development activities for any other product candidates we may pursue.
 

the costs of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and defending intellectual property-related claims.
 

the impact of COVID-19, once known, on our clinical trials, regulatory timelines, business operations and financial stability; and
 

our ability to establish collaborations on favorable terms, if at all.
 
We continue to evaluate various financing alternatives in the public or private equity markets, government grants or through the license of our technology to additional external parties through partnerships or research collaborations as we will need to finance future research and development activities, general and administrative expenses and working capital. However, there is no certainty about our ability to obtain such financing.

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We do not have any committed external sources of funds. To the extent that we raise additional capital through the sale of equity or convertible debt securities, the ownership interest of our then-existing shareholders will be diluted, and the terms of these securities may include liquidation or other preferences that may adversely affect their rights as a shareholder. Debt financing, if available, may involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends and may include requirements to hold minimum levels of funding. If we raise additional funds through collaborations, strategic alliances or licensing arrangements with third parties, we may have to relinquish valuable rights to our technologies, future revenue streams or research programs or grant licenses on terms that may not be favorable to us. If we are unable to raise additional funds through equity or debt financings or collaborations, when needed, we may be required to delay, limit, reduce or terminate our product development efforts or grant rights to develop and market our oral PTH product candidates and any other product candidates that we would otherwise prefer to develop and market ourselves.
 
Our unaudited condensed consolidated financial statements for the three months ended March 31, 2021, included on Report of Foreign Private Issuer on form 6-K, note that there is substantial doubt about our ability to continue as a going concern as of such date; This means that our management expressed substantial doubt about our ability to continue our operations without an additional infusion of capital from external sources. The condensed consolidated financial statements have been prepared on a going concern basis and do not include any adjustments that may be necessary should we be unable to continue as a going concern. If we are unable to finance our operations, our business would be in jeopardy and we might not be able to continue operations and might have to liquidate our assets. In that case, investors might receive less than the value at which those assets are carried on our financial statements, and it is likely that investors would lose all or a part of their investment.
 
For more information as to the risks associated with our future funding needs, see “Risk Factors” in our Annual Report on Form 20-F filed with the SEC on March 18, 2021.

Contractual Obligations and Commitments
 
As of the date of this discussion and analysis, there are no material changes to our contractual obligations from those reported under “Item 5.F.–Contractual Obligations” in our Annual Report on Form 20-F filed with the SEC on March 18, 2021.

Off-Balance Sheet Arrangements
 
As of the date of this discussion and analysis, we do not have any, and during the periods presented we did not have any, off-balance sheet arrangements other than operating leases as described under “Item 5.E.– Off-Balance Sheet Arrangements” in our Annual Report on Form 20-F filed with the SEC on March 18, 2021.
 
Critical Accounting Policies Estimates
 
There have been no material changes to the significant accounting policies and estimates described in “Item 5.A.– Results of Operations–Critical Accounting Policies and Estimates” in our Annual Report on Form 20-F filed with the SEC on March 18, 2021.
 
Cautionary Statement Regarding Forward Looking Statements
 
This Report of Foreign Private Issuer on Form 6-K of Entera Bio Ltd. includes forward looking statements that relate to future events or our future financial performance and involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to differ materially from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. Forward-looking statements include all statements that are not historical facts and can be identified by words such as, but not limited to, “believe,” “expect,” “anticipate,” “estimate,” “intend,” “plan,” “targets,” “likely,” “will,” “would,” “could,” and similar expressions or phrases. We have based these forward-looking statements largely on our management’s current expectations and future events and financial trends that we believe may affect our financial condition, results of operations, business strategy and financial needs forward-looking statements include, but are not limited to, statements about:


the scope, progress and costs of developing our product candidates such as EB613 for Osteoporosis and EB612 for Hypoparathyroidism, including without limitation any changes to the design of the ongoing Phase 2 clinical trial of EB613 or the need for additional clinical trials or development work based on further analysis of the interim data from the ongoing EB613 Phase 2 clinical trial;

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the accuracy of our estimates regarding expenses, capital requirements, the sufficiency of our cash resources and the need for additional financing;


our ability to raise additional funds on commercially reasonable terms, including via our At The Market, or ATM, Program;


our ability to develop, advance product candidates into, and successfully complete, clinical studies such as our ongoing Phase 2 clinical trial of EB613 in osteoporosis;


our reliance on third parties to conduct our clinical trials and on third-party suppliers to supply or produce our product candidates;


our interpretation of FDA feedback and guidance and how such guidance may impact our clinical development plans, specifically our ability to utilize the 505(b)(2) pathway for the development and potential approval of EB613 and any other product candidates we may develop;


our expectations regarding licensing, business transactions and strategic collaborations, including our ongoing collaboration with Amgen;


our ability to use and expand our drug delivery technology to additional product candidates;


our operation as a development stage company with limited operating history and a history of operating losses and our ability to fund our operations going forward;


our ability to continue as a going concern absent access to sources of liquidity;


our ability to obtain and maintain regulatory approval for any of our product candidates;


our competitive position, especially with respect to Forteo® and other products on the market or in development for the treatment of osteoporosis;


our ability to establish and maintain development and commercialization collaborations;


any potential commercial launch of current or future product candidates, and the timing, cost or other aspects of such commercialization;


our ability to manufacture and supply sufficient amounts of material to support our clinical trials and any potential future commercial requirements;


the safety and efficacy of therapeutics marketed by competitors that are targeted toward indications for which we are developing product candidates;


the size of any market we may target and the adoption of our product candidates, if approved, by physicians and patients;


our ability to obtain, maintain and protect our intellectual property and operate our business without infringing misappropriating or otherwise violating any intellectual property rights of others;

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our ability to retain key personnel and recruit additional qualified personnel;


the possibility that competing products or technologies may make any product candidates we may develop and commercialize or our oral delivery technology obsolete;


the pricing and reimbursement of our product candidates, if approved;


our ability to develop a sales, marketing and distribution infrastructure, if any;


our ability to manage growth;


the duration and severity of the recent coronavirus (COVID-19) outbreak, the actions that may be required to contain the Coronavirus or treat its impact, and its impact on our operations and workforce, including our research and development, preclinical studies and clinical trials; and


other risk factors discussed under “Risk Factors" in our Annual report on Form 20-F for the year ended December 31, 2020.

All forward-looking statements in this Report of Foreign Private Issuer on Form 6-K involve risks, assumptions and uncertainties and are made as of the date of this Report of Foreign Private Issuer on Form 6-K. You should not rely upon forward-looking statements as predictors of future events. The occurrence of the events described, and the achievement of expected results, depend on many events, some or all of which are not predictable or within our control. Actual results may differ materially from expected results. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations” below and “Risk Factors” in our Form 20-F for the year ended December 31, 2020 for a more complete discussion of these risks, assumptions and uncertainties and for other risks and uncertainties. These risks, assumptions and uncertainties are not necessarily all of the important factors that could cause actual results to differ materially from those expressed in any of our forward-looking statements. Other unknown or unpredictable factors also could harm our results. All of the forward-looking statements we have included in this Report of Foreign Private Issuer on Form 6-K are based on information available to us on the date of this Report of Foreign Private Issuer on Form 6-K. We undertake no obligation, and specifically decline any obligation, to update publicly or revise any forward-looking statements, whether as a result of new information, future events or otherwise. In light of these risks, uncertainties and assumptions, the forward-looking events discussed in this Report of Foreign Private Issuer on Form 6-K or in our Prospectus might not occur.

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