Filed pursuant to Rule 424(b)(5)
Registration No. 333-269306
PROSPECTUS SUPPLEMENT
(To prospectus dated January 30, 2023)
NeuroSense Therapeutics Ltd.
Up to $2,524,437
Ordinary Shares
We have entered into a Capital
on Demand™ Sales Agreement with JonesTrading Institutional Services LLC, or Jones, dated August 16, 2024, or the Sales Agreement,
relating to the sale of our ordinary shares, no par value per share, offered by this prospectus supplement and the accompanying prospectus.
In accordance with the terms of the Sales Agreement, we may offer and sell our ordinary shares, having an aggregate offering price of
up to $2,524,437 from time to time through or to Jones as sales agent or principal.
Sales of our ordinary shares,
if any, under this prospectus supplement may be made in sales deemed to be “at the market offerings” as defined in Rule 415
promulgated under the Securities Act of 1933, as amended, or the Securities Act. Jones is not required to sell any specific number or
dollar amount of securities but will act as a sales agent and will use commercially reasonable efforts consistent with its normal trading
and sales practices, on mutually agreed terms between Jones and us. There is no arrangement for funds to be received in any escrow, trust
or similar arrangement.
Jones will be entitled to
compensation at a commission rate of 3.0% of the aggregate gross sales price per share sold pursuant to the terms of the Sales Agreement.
See “Plan of Distribution” beginning on page S-17 for additional information regarding the compensation to be paid
to Jones, in connection with the sale of the ordinary shares on our behalf, Jones will be deemed to be an “underwriter” within
the meaning of the Securities Act, and the compensation of Jones will be deemed to be underwriting commissions or discounts. We also
have agreed to provide indemnification and contribution to Jones with respect to certain liabilities, including liabilities under the
Securities Act or the Exchange Act of 1934, as amended, or the Exchange Act.
Our ordinary shares and publicly-listed
warrants, each warrant exercisable for one ordinary share, are traded on the Nasdaq Capital Market, or Nasdaq, under the symbols “NRSN”
and “NRSNW,” respectively. The last reported sale price for our ordinary shares on August 15, 2024 as quoted on Nasdaq was
$0.74 per share, and the last reported sale price for our warrants on August 15, 2024 as quoted on Nasdaq was $0.1499 per warrant.
The highest aggregate market value of our outstanding ordinary shares
held by non-affiliates within the 60 days prior to this prospectus supplement was approximately $20.2 million, based on 19,471,006 ordinary
shares outstanding, of which 4,171,287 are held by non-affiliates, and the closing sale price of our ordinary shares on Nasdaq of $1.32
on July 3, 2024. Pursuant to General Instruction I.B.5 of Form F-3, in no event will we sell, pursuant to the registration statement of
which this prospectus supplement forms a part, securities with a value exceeding one-third of the aggregate market value of our outstanding
ordinary shares held by non-affiliates in any 12 calendar month period, so long as the aggregate market value of our ordinary shares held
by non-affiliates is less than $75.0 million. During the 12 calendar-month period that ends on, and includes, the date of this prospectus
supplement, we have sold approximately $4.2 million of our securities pursuant to General Instruction I.B.5 of Form F-3.
We are an “emerging
growth company” and a “foreign private issuer” as defined under the U.S. federal securities laws, and as such, will
be eligible for reduced public company disclosure requirements. See “About the Company—Implications of Being an Emerging Growth
Company” and “About the Company—Implications of Being a Foreign Private Issuer” for additional information.
Investing in the
ordinary shares involves a high degree of risk. Please carefully consider the risks discussed in this prospectus supplement under
“Risk Factors” beginning on page S-6 and the “Risk Factors” in “Item 3. Key Information—D. Risk
Factors” of our most recent Annual Report on Form 20-F incorporated by reference in this prospectus supplement and in any
applicable prospectus supplement for a discussion of the factors you should consider carefully before deciding to purchase the
ordinary shares.
Neither the Securities
and Exchange Commission nor any state securities commission has approved or disapproved of the ordinary shares being offered by this prospectus
supplement, or determined if this prospectus supplement is truthful or complete. Any representation to the contrary is a criminal offense.
The date of this prospectus supplement is August
16, 2024
TABLE OF CONTENTS
Prospectus Supplement
Prospectus
ABOUT THIS PROSPECTUS SUPPLEMENT
A registration statement on
Form F-3 (File No. 333-269306) utilizing a shelf registration process relating to the securities described in this prospectus supplement
was declared effective on January 30, 2023. Under that shelf registration statement, of which this prospectus supplement is a part, we
may, from time to time, sell up to an aggregate of $100 million of ordinary shares, warrants, debt securities, subscription rights and/or
units of the foregoing securities. We sometimes refer to the ordinary shares as the “securities” throughout this prospectus.
This document contains two
parts. The first part is this prospectus supplement, which describes the terms of this offering of the ordinary shares and also adds,
updates and changes information contained in the accompanying prospectus and the documents incorporated herein and therein by reference.
This prospectus supplement relates only to an offering of up to $2,524,437 of our ordinary shares through or to JonesTrading Institutional
Services LLC, or Jones, at prices and on terms to be determined by market conditions at the time
of the offering. These sales, if any, will be made pursuant to the terms of the Capital on Demand™ Sales Agreement with Jones,
dated August 16, 2024, or the Sales Agreement, a copy of which will be incorporated by reference into this prospectus supplement. The
second part is the accompanying prospectus, which gives more general information about us, some of which may not apply to this offering.
You should read both this prospectus supplement and the accompanying prospectus, including the information incorporated by reference herein
and therein. To the extent the information contained in this prospectus supplement differs or varies from the information contained in
the accompanying prospectus or any document filed prior to the date of this prospectus supplement and incorporated herein or therein by
reference, the information in this prospectus supplement will control; provided, that if any statement in one of these documents is inconsistent
with a statement in another document having a later date, the statement in the document having the later date modifies or supersedes the
earlier statement. In addition, this prospectus supplement and the accompanying prospectus do not contain all of the information provided
in the registration statement that we filed with the Securities and Exchange Commission, or the SEC, that contains the accompanying prospectus
(including the exhibits to the registration statement). For further information about us, you should refer to that registration statement,
which you can obtain from the SEC as described elsewhere in this prospectus supplement under “Where You Can Find More Information”
and “Incorporation of Certain Information by Reference.” You may obtain a copy of this prospectus supplement, the accompanying
prospectus and any of the documents incorporated by reference without charge by requesting it from us in writing or by telephone at the
following address or telephone number: NeuroSense Therapeutics Ltd., 11 Hamenofim Street, Building B, Herzliya, Israel, Tel: +972-9-7996183.
You should rely only on the
information contained in or incorporated by reference into this prospectus supplement, the accompanying prospectus or
in any free writing prospectus prepared by or on behalf of us or to which we have referred you. We have not, and Jones has not,
authorized anyone to provide you with information that is different. No dealer, salesperson or other person is authorized to give any
information or to represent anything not contained in or incorporated by reference into this prospectus supplement and the accompanying
prospectus, and you must not rely upon any information or representation not contained in or incorporated by reference into this prospectus
supplement or the accompanying prospectus. This prospectus supplement and the accompanying prospectus do not constitute an offer to sell
or solicitation of an offer to buy these securities in any circumstances under which the offer or solicitation is unlawful. We are offering
to sell, and seeking offers to buy, our securities offered hereby only in jurisdictions where offers and sales are permitted. You should
not assume that the information we have included in this prospectus supplement, the accompanying prospectus, or
any free writing prospectus is accurate as of any date other than as of the respective dates thereof, or that any information we
have incorporated by reference is accurate as of any date other than the date of the document incorporated by reference, regardless of
the time of delivery of this prospectus supplement and the accompanying prospectus or of any of our securities. Our business, financial
condition, results of operations and prospects may have changed since those dates.
In this prospectus, “we,”
“us,” “our,” the “Company” and “NeuroSense Therapeutics” refer to NeuroSense Therapeutics
Ltd.
Our financial statements are
prepared and presented in accordance with United States generally accepted accounting principles, or U.S. GAAP. Our historical results
do not necessarily indicate our expected results for any future periods.
Our reporting currency and
functional currency is the U.S. dollar. All references to “dollars” or “$” are to United States dollars, the lawful
currency of the United States.
PROSPECTUS SUPPLEMENT SUMMARY
This summary highlights
information contained elsewhere or incorporated by reference into this prospectus supplement and the accompanying prospectus. This summary
does not contain all of the information that you should consider before investing in our securities. You should carefully read the entire
prospectus supplement and the accompanying prospectus, including the “Risk Factors” section, starting on page S-6 of this
prospectus supplement and in the documents incorporated by reference into this prospectus supplement and the accompanying prospectus,
as well as the financial statements and notes thereto and the other information incorporated by reference herein and therein, before
making an investment decision.
Overview
We are a clinical-stage biotechnology
company focused on discovering and developing treatments for people living with neurodegenerative diseases, including ALS AD and PD. We
believe these diseases represent some of the most significant unmet medical needs of our time, with limited effective therapeutic options
available. The burden of these diseases on both patients and society is substantial. For example, the average annual cost of ALS alone
is $180,000 per patient, and its estimated annual burden on the U.S. healthcare system is greater than $1 billion. Due to the
complexity of neurodegenerative diseases, our strategy is utilizing a combined therapeutic approach to target multiple disease-related
pathways.
Our lead therapeutic candidate,
PrimeC, is a novel extended-release oral formulation, fixed-dose combination of two FDA-approved drugs, ciprofloxacin and celecoxib. PrimeC
is designed to treat ALS by modulating microRNA synthesis, iron accumulation, and neuroinflammation, all of which are hallmarks of ALS
pathology. The U.S. Food and Drug Administration, or the FDA and the European Medicines Agency, or the EMA have granted PrimeC orphan
drug designation for the treatment of ALS. In addition, the EMA has granted PrimeC the Small and Medium-Sized Enterprise, or SME,
status, which offers significant potential benefits leading up to and following drug regulatory approval. We believe PrimeC’s multifunctional
mechanism of action has the potential to significantly prolong lifespan and improve ALS patients’ quality of life, thereby reducing
the burden of this debilitating disease on both patients and healthcare systems.
PrimeC is currently being
evaluated in PARADIGM, a Phase IIb randomized, multi-center, multinational, prospective, double-blind, placebo-controlled study,
to evaluate safety, tolerability, and efficacy of PrimeC in 68 people living with ALS. Participants were being administered PrimeC
or placebo at a 2:1 ratio, respectively, for the six-month double-blind part. Study participants were allowed to continue standard of
care treatment of approved products. The primary endpoints of the study are an evaluation of ALS-biomarkers as well as safety and tolerability
assessment. Secondary and exploratory endpoints are the evaluation of clinical efficacy (ALS Functional Rating Scale — Revised,
or ALSFRS-R, and slow vital capacity), survival, and improvement in quality of life. All subjects who completed the six-month double-blind,
placebo-controlled dosing period had the opportunity to be transferred to the PrimeC active arm for a 12-month open label extension. The
study completed enrollment in May 2023, enrolling 69 participants, in which 68 are living with ALS and one participant who was misdiagnosed
for ALS and was excluded from the evaluations. Four ALS clinical centers participated in the study in 3 territories: Israel, Italy, and
Canada. In December 2023, we reported that we met the primary safety and tolerability endpoints and achieved secondary clinical efficacy
endpoints in the top-line results of our 6-month double-blind phase of PARADIGM. In May 2024, we announced new positive data analysis
from PARADIGM clinical trial demonstrating statistically significant slowing of disease progression in high-risk ALS patients. In July
2024, we announced results from the 12-month analysis of the PARADIGM clinical trial which showed a significant improvement in the rate
of decline of ALS Functional Rating Scale-Revised (ALSFRS-R) scores and survival rates for subjects who received PrimeC from the start
of the trial compared to those who started on placebo. In August 2024, we announced positive 12-month biomarker data from the PARADIGM
clinical trial, which showed a significant decrease in ferritin levels and a corresponding increase in transferrin levels, both indicating
alleviation of the pathology.
Following the FDA’s
recommendation for additional non-clinical data to support long term use of Ciprofloxacin (as PrimeC is intended for long-term administration
in treating ALS) a long-term tox study was initiated. Results from this study are expected in Q3 towards the initiation of Phase III study
in the US. We plan to have a meeting with the FDA and EMA in the fourth quarter of 2024 and to subsequently commence a pivotal clinical
trial for PrimeC in ALS treatment in the first half of 2025. Additionally, in November 2023, we concluded a successful Type D meeting
with the FDA regarding CMC development plans for the expected Phase 3 pivotal study and subsequent marketing approval. The FDA endorsed
our proposed CMC development plan.
PrimeC was previously evaluated
in a Phase IIa clinical trial, or NST002, in 15 people living with ALS, conducted at the Tel Aviv Sourasky Medical Center, Israel.
The primary endpoint of the NST002 trial, which was safety and tolerability, was met. In this trial, the safety profile observed was consistent
with known safety profiles of ciprofloxacin and celecoxib. Side effects were mild and transient in nature. There were no new or unexpected
safety signals detected during the trial.
Additionally, we observed
positive clinical signals in comparison to virtual controls, and a serum biomarker analysis showed significant changes following treatment,
indicating biological activity of the drug in comparison to untreated matched ALS patients. All 12 patients who completed the NST002 trial
elected to continue into an extension study with PrimeC, that was conducted as an Investigator Initiated Study. To date, we are still
supporting the drug supply for a few of the participants in this study, which is over than 40 months since NST002 was initiated.
We completed three additional
studies in 2022 as part of our drug development program to further support our future regulatory submissions. In April 2022, we initiated
a pharmacokinetic, or PK, study, or NCT05232461, of PrimeC. The PK open-label, randomized, single-dose, three-treatment, three-period
crossover study evaluated the effect of food on the bioavailability of PrimeC as compared to the bioavailability of co-administered ciprofloxacin
tablets and celecoxib capsules in adult subjects in the U.S. under an FDA cleared IND protocol.
In August 2022, we completed
enrollment and dosing of all subjects in a multi-dose PK study, or NCT05436678. On September 28, 2022, we released the results of
the NCT05436678 study. Based on results, we believe the PK profile of PrimeC supports the formulation’s extended-release properties,
as the concentrations of the active components have been synchronized, aiming to potentially maximize the synergism between the two compounds.
In June 2022, we reported the successful completion of the “in-life” phase of its 90-day GLP toxicology study. In this
study, the components of PrimeC, celecoxib and ciprofloxacin, were administered to rodents at doses 4x the maximal clinical dose. All
animals appeared normal, with no significant findings observed. We intend to present the data from these studies to the FDA as part of
PrimeC’s drug development plan.
We believe we have a strong
patent estate, including patents on method of use, combination, and formulation. We have secured U.S. Patent 10,980,780 relating to methods
for treatment of ALS using ciprofloxacin and celecoxib, the components of PrimeC, which expires in 2038. Equivalent patents also have
been issued in the European Patent Office, Canada, Australia, Israel and Japan. The patent estate also includes US Patent Application
18/047,289, which relates to Prime C formulations. This application was allowed by the United States Patent and Trademark Office in June
2024, and once granted, will expire in October 2042. Equivalent applications are pending in many jurisdictions worldwide. We also expect
to take advantage of orphan drug exclusivity for PrimeC, if approved, for seven years in the United States and ten years in the European
Union. In addition, U.S. patent application 16/623,467, which relates to methods of treatment of neurodegenerative disease using combinations
of ciprofloxacin and celecoxib, is currently pending. This patent application is expected to expire on June 20, 2038.
Our organization is built
around a management team with extensive experience in the pharmaceutical industry, with a particular focus on ALS research and clinical
trials. We believe that our leadership team is well-positioned to lead us through clinical development, regulatory approval and commercialization
of our product candidates. Furthermore, we maintain steadfast and extensive communication and collaboration with patient advocacy groups
and associations, underscoring the importance of patient perspectives in advancing therapeutic strategies.
In addition to PrimeC, we
extended our pipeline and conducted research and development efforts for AD and PD, with a similar strategy of combined products. The
following chart represents our current product development pipeline:
Recent Developments
April 2024 Registered Direct Offering
On April 10, 2024, we entered
into a securities purchase agreement, or the Purchase Agreement, pursuant to which we issued and sold to an institutional purchaser in
a registered direct offering, (i) an aggregate of 1,732,000 ordinary shares, at an offering price of $1.50 per share; and (ii) an aggregate
of 1,248,000 pre-funded warrants, each representing the right to acquire one ordinary share, or the Pre-Funded Warrants, at an offering
price of $1.4999 per Pre-Funded Warrant, for gross proceeds of approximately $4.47 million before deducting the placement agent fee and
related offering expenses, which included in part the placement agent shares (the “April 2024 Financing”). Each Pre-Funded Warrant represented the right to purchase one ordinary
share at an exercise price of $0.0001 per share and were exercised in full. In a concurrent private placement, pursuant to the Purchase
Agreement, we issued and sold to such purchaser warrants, which are exercisable immediately upon issuance at an exercise price of $1.50
per ordinary share, and will expire on the fifth anniversary of the original issuance date.
August 2024 Private Placement
On August 6, 2024, we
entered into a securities purchase agreement with certain investors, which include members of our senior management and existing
investors, pursuant to which we issued and sold in a private placement offering an aggregate of 800,000 ordinary shares and warrants
to purchase an aggregate of 800,000 ordinary shares at a combined purchase price of $0.75 per share and warrant (the “August 2024 Financing”). Each warrant is
exercisable immediately upon issuance at an exercise price of $0.75 per ordinary share, and will expire on the fifth anniversary of
the original issuance date.
Nasdaq Non-Compliance
To continue to be listed on
the Nasdaq, we need to satisfy a number of conditions, including a minimum closing bid price per share of $1.00 for 30 consecutive business
days (the “Minimum Bid Price Rule”) and shareholders’ equity of at least $2.5 million. On December 21, 2023, we received
a notice from the Listing Qualifications staff (the “Staff”) of The Nasdaq Stock Market LLC indicating that we failed to comply
with the continued listing requirement that we maintain either a minimum of $2,500,000 in shareholders’ equity or $35,000,000 market
value of listed securities or $500,000 of net income from continuing operations for the most recently completed fiscal year or two of
the three most recently completed fiscal years, as set forth in Nasdaq Listing Rule 5550(b)(1) (the “Minimum Equity Rule”).
On February 5, 2024, we submitted to the Staff a plan to regain compliance with the Minimum Equity Rule. After submitting a plan to regain
compliance, Nasdaq granted us an extension to regain compliance. Under the terms of the extension, we were required to complete a fundraising
of $20 million on or before April 30, 2024, and if we were unable to demonstrate compliance by then, we were required to advise the Staff
in advance of that date to request a further extension. In any case, if we failed to evidence compliance upon the filing with the SEC
of our periodic report for the period ending June 30, 2024, we may be subject to delisting. We were unable to evidence compliance and
in June 2024, we received a delisting notice from Nasdaq. We subsequently requested a hearing before the Nasdaq Hearings Panel which automatically
stayed any suspension or delisting action pending the hearing, On August 1, 2024, we had a hearing before the Nasdaq Hearings Panel and
are currently awaiting the decision of the Panel. Pursuant to the Nasdaq Listing Rules, the Panel has the discretion to grant the Company
an additional extension not to exceed December 18, 2024.
Previously on September 5,
2023, we received notice from the Staff that we did not meet the minimum bid requirement for continued listing however during February
2024, we regained compliance with the Minimum Bid Price Rule.
No assurance can be given
that we will be able to regain compliance with the Minimum Equity Rule or comply with the other standards that we are required to meet
in order to maintain a listing on such exchange, such as the Minimum Bid Price Rule, and no assurance can be given that even if we regain
compliance with the Minimum Equity Rule we will maintain sufficient shareholders’ equity or the price of the ordinary shares will
not again be in violation of Nasdaq’s Minimum Bid Price Rule in the future. Our failure to meet these requirements may result in
our securities being delisted from Nasdaq.
Corporate Information
Our legal and commercial
name is NeuroSense Therapeutics Ltd. We were incorporated on February 13, 2017 and were registered as a private company limited by
shares under the laws of the State of Israel. We completed our initial public offering on the Nasdaq in December 2021. Our ordinary
shares and warrants to purchase our ordinary shares are traded on the Nasdaq under the symbol “NRSN” and “NRSNW,”
respectively.
Our principal executive offices
are located at 11 HaMenofim Street, Building B, Herzliya, 4672562 Israel, and our telephone number is +972-9-7996183. Our website address
is www.neurosense-tx.com. The information on our website does not constitute a part of this prospectus. Our agent for service
of process in the United States is Cogency Global Inc., 122 East 42nd Street, 18th Floor, New York,
NY 10168.
THE OFFERING
Ordinary shares offered by us |
|
Ordinary shares, having an aggregate offering price of up to $2,524,437. |
|
|
|
Ordinary shares outstanding prior to the offering |
|
19,471,006 ordinary shares as of August 15, 2024. |
|
|
|
Ordinary shares to be outstanding after this offering |
|
23,295,911 ordinary shares, assuming sales of $2,524,437 of ordinary shares in this offering at an offering price of $0.66 per share, which is the last reported sale price of the ordinary shares on the Nasdaq Capital Market on August 9, 2024. The actual number of ordinary shares will vary, depending on the sales price in this offering. |
|
|
|
Manner of Offering |
|
“At the market offering”
that may be made from time to time through or to Jones, as sales agent or principal. See “Plan of Distribution” on
page S-17 of this prospectus supplement. |
|
|
|
Use of proceeds |
|
We currently intend to use the net proceeds from
the sale of securities to advance the clinical development of our lead product candidate, PrimeC for ALS, for the clinical development
and preclinical research and development in support of potential investigational new drug applications for, CogniC for AD, StabiliC for
PD, and for other indications, for future research and development of new product candidates and for working capital and general corporate
purposes.
See “Use of Proceeds”
on page S-12 of this prospectus supplement. |
|
|
|
Risk factors |
|
Investing in the ordinary
shares involves a high degree of risk. See “Risk Factors” beginning on page S-6 of this prospectus supplement and
in the documents incorporated by reference into this prospectus supplement and the accompanying prospectus for a discussion of the risks
you should carefully consider before deciding to invest in the ordinary shares. |
|
|
|
Nasdaq Capital Market symbol for our ordinary shares |
|
“NRSN” |
Unless otherwise stated, all information in this prospectus supplement,
is based on 19,471,006 ordinary shares outstanding as of August 15, 2024, and does not include the following as of that date:
|
● |
1,078,128 ordinary shares issuable upon the exercise of options outstanding, at a weighted average exercise price of $2.31 per share under our 2018 Employee Share Option Plan; |
|
● |
76,000 ordinary shares issuable upon the vesting of restricted share units outstanding, some of which are under our 2018 Share Incentive Plan; |
|
● |
848,705 ordinary shares reserved for issuance and available for future grant under our 2018 Share Incentive Plan; and |
|
|
|
|
● |
8,535,002 ordinary shares underlying warrants with a weighted average exercise price of $2.38 per share. |
RISK FACTORS
Investing in our securities
involves significant risks. Before making an investment decision, you should carefully consider the risks described below and under the
section titled “Item 3. Key Information—D. Risk Factors” in our Annual Report on Form 20-F for the year ended December
31, 2023, as well as the information included or incorporated by reference in this prospectus supplement and the accompanying prospectus,
together with all of the other information appearing in this prospectus supplement or the accompanying prospectus or incorporated by reference
herein or therein, including in light of your particular investment objectives and financial circumstances. The risks so described are
not the only risks we face. Additional risks not presently known to us or that we currently deem immaterial may also impair our business
operations and become material. Our business, financial condition and results of operations could be materially adversely affected by
any of these risks. The trading price of our securities could decline due to any of these risks, and you may lose all or part of your
investment. The discussion of risks includes or refers to forward-looking statements; you should read the explanation of the qualifications
and limitations on such forward-looking statements discussed elsewhere in this prospectus supplement under the caption “Cautionary
Statement Regarding Forward-Looking Statements” below.
Risks Related to this Offering
Since we have broad discretion in how we
use the proceeds from this offering, we may use the proceeds in ways with which you disagree.
We currently intend to use
the net proceeds of this offering to advance the clinical development of our lead product candidate, PrimeC for ALS, for the clinical
development and preclinical research and development in support of potential investigational new drug applications for, CogniC for AD,
StabiliC for PD, and for other indications, for future research and development of new product candidates and for working capital and
general corporate purposes. Accordingly, our management will have significant flexibility in applying the net proceeds of this offering.
You will be relying on the judgment of our management with regard to the use of these net proceeds, and you will not have the opportunity,
as part of your investment decision, to assess whether the proceeds are being used in ways with which you would agree. It is possible
that the net proceeds will be invested in a way that does not yield us a favorable, or any, return. The failure of our management to use
the net proceeds effectively could have a material adverse effect on our business, financial condition, operating results and cash flow.
Investors in this offering may incur immediate
dilution from the public offering price.
The offering price per share
in this offering may exceed the net tangible book value per ordinary share outstanding prior to this offering. Assuming that an aggregate
of 3,824,905 ordinary shares are sold during the term of the Sales Agreement with Jones, at a price of $0.66 per ordinary share (the last
reported sale price of our ordinary shares on the Nasdaq Capital Market on August 9, 2024) for aggregate gross proceeds of approximately
$2,524,437, and after deducting sales agents fees and estimated offering expenses payable by us, you will experience immediate and substantial
dilution of $0.49 per ordinary share, with respect to the net tangible book value of the ordinary shares. See “Dilution”
for a more detailed discussion of the dilution you will incur in this offering.
The actual number of ordinary shares we
will sell under the Sales Agreement with Jones, as well as the price at which we may sell such ordinary shares, at any one time or in
total, is uncertain.
Subject to certain limitations
in the Sales Agreement with Jones and compliance with applicable law, we have the discretion to deliver placement notices to Jones at
any time throughout the term of the Sales Agreement. The number of ordinary shares that are sold by Jones after delivering a placement
notice will fluctuate based on the market price of the ordinary shares during the sales period and limits we set with Jones In addition,
the price at which ordinary shares are sold by Jones, from time to time, will be dependent on the market price of our ordinary shares
and, as a result, purchasers of our ordinary shares that are sold under the Sales Agreement may purchase such ordinary shares at different
prices. Because the price per share of each ordinary share sold will fluctuate during this offering, it is not currently possible to predict
the number of shares that will be sold or the gross proceeds to be raised in connection with those sales.
A substantial number of our ordinary shares
will be sold in this offering, and we may sell or issue additional ordinary shares in the future, which could cause the price of the ordinary
shares to decline.
Assuming we will sell an aggregate
of 3,824,905 ordinary shares during the term of the Sales Agreement with Jones, the underlying ordinary shares represented thereby will
equal approximately 19.6% of our outstanding ordinary shares as of the date of this prospectus supplement. This sale and any future
issuances or sales of a substantial number of ordinary shares or ordinary shares in the public market or otherwise, including during this
offering, or the perception that such issuances or sales may occur, could adversely affect the price of the ordinary shares. We may issue
a substantial number of ordinary shares in connection with the exercise of warrants and options to purchase our ordinary shares, which
are eligible for, or may become eligible for, unrestricted resale. Any sales or registration of such shares in the public market or otherwise
could reduce the prevailing market price for the ordinary shares, as well as make future sales of equity securities by us less attractive
or not feasible, thus limiting our capital resources.
You may experience future dilution as a
result of future equity offerings.
In order to raise additional
capital, we may in the future offer additional ordinary shares or other securities convertible into or exchangeable for our ordinary shares,
including during this offering. We cannot assure you that we will be able to sell ordinary shares or other securities in any other offering
at a price per share that is equal to or greater than the price per share paid by investors in this offering, and investors purchasing
ordinary shares or other securities in the future could have rights superior to existing shareholders. The price per ordinary share at
which we sell additional ordinary shares or other securities convertible into or exchangeable for our ordinary shares in future transactions
may be higher or lower than the price per ordinary share in this offering.
The price of the ordinary shares may be
volatile.
The market price of the ordinary
shares has fluctuated in the past. Consequently, the current market price of the ordinary shares may not be indicative of future market
prices, and we may be unable to sustain or increase the value of your investment in the ordinary shares.
The ordinary shares offered hereby will
be sold in “at the market offerings,” and investors who buy shares at different times will likely pay different prices.
Investors who purchase ordinary
shares in this offering at different times will likely pay different prices, and so they may experience different levels of dilution and
different outcomes in their investment results. We will have discretion, subject to market demand, to vary the timing, prices, and numbers
of ordinary shares sold in this offering. In addition, subject to the final determination by our board of directors, there is no minimum
or maximum sales price for ordinary shares to be sold in this offering. Investors may experience a decline in the value of the ordinary
shares they purchase in this offering as a result of sales made at prices lower than the prices they paid.
We conduct some of our
operations in Israel. Conditions in Israel, including the recent attack by Hamas and other terrorist organizations from the Gaza Strip
and Israel’s war against them, may affect our operations.
Our corporate headquarters
is located in Herzliya, Israel. Because we are incorporated under the laws of the State of Israel, and most of our officers and fourteen
out of sixteen of our employees are residents of Israel, our business and operations are directly affected by economic, political, geopolitical
and military conditions in Israel. Since the establishment of the State of Israel in 1948, a number of armed conflicts have occurred between
Israel and its neighboring countries and terrorist organizations active in the region. These conflicts have involved missile strikes,
hostile infiltrations and terrorism against civilian targets in various parts of Israel, which have negatively affected business conditions
in Israel.
In October 2023, Hamas terrorists
infiltrated Israel’s southern border from the Gaza Strip and conducted a series of attacks on civilian and military targets. Hamas
also launched extensive rocket attacks on Israeli population and industrial centers located along Israel’s border with the Gaza
Strip and in other areas within the State of Israel. These attacks resulted in thousands of deaths and injuries, and Hamas additionally
kidnapped many Israeli civilians and soldiers. Following the attack, Israel’s security cabinet declared war against Hamas and
a military campaign against these terrorist organizations commenced in parallel to their continued rocket and terror attacks. In parallel,
border clashes between Israel and the Hezbollah terrorist group on Israel’s northern border with Lebanon intensified and may escalate
into a greater regional conflict.
In addition, since the commencement
of these events, there have been continued hostilities along Israel’s northern border with Lebanon (with the Hezbollah terror organization)
and southern border (with the Houthi movement in Yemen). It is possible that hostilities with Hezbollah in Lebanon will continue escalate,
and that other terrorist organizations, including Palestinian military organizations in the West Bank as well as other hostile countries
will join the hostilities. In addition, in April 2024 Iran (in concert with other regional actors) launched a direct attack on Israel
involving hundreds of drones and missiles and has threatened to continue to attack Israel and is widely believed to be developing nuclear
weapons. Such attacks may continue due to continuing tensions in the region. Iran is also believed to have a strong influence among extremist
groups in the region, such as Hamas in Gaza, Hezbollah in Lebanon, the Houthi movement in Yemen and various rebel militia groups in Syria
and Iraq. These situations may potentially escalate in the future to more violent events which may affect Israel and us. Additionally,
Yemeni rebel group, the Houthis, launched series of attacks on global shipping routes in the Red Sea, causing disruptions of supply chain.
These geopolitical developments may adversely affect our ability to continue carrying out various administrative, research, operational
and commercial functions and activities both in Israel and globally. Furthermore, as a result of the war, the international rating
agencies, Moody’s and S&P and Fitch, have cut Israel’s credit rating and maintain a negative outlook for Israel, meaning
that further downgrades in the future are possible. Lowered credit rating of Israel could materially impact our ability to raise
capital and ability to secure loans, if needed, in each case on reasonable terms.
Any hostilities, armed conflicts,
terrorist activities involving Israel or the interruption or curtailment of trade between Israel and its trading partners, or any political
instability in the region could directly or indirectly adversely affect business conditions and our results of operations and could make
it more difficult for us to raise capital and could adversely affect the market price of our ordinary share. An escalation of tensions
or violence might result in a significant downturn in the economic or financial condition of Israel, which could have a material adverse
effect on our operations in Israel and our business. Parties with whom we do business have sometimes declined to travel to Israel during
periods of heightened unrest or tension, forcing us to make alternative arrangements when necessary in order to meet our business partners
face to face. In addition, the political and security situation in Israel may result in parties with whom we have agreements involving
performance in Israel claiming that they are not obligated to perform their commitments under those agreements pursuant to force majeure
provisions in such agreements.
The Israel Defense Force,
or IDF, the national military of Israel, is a conscripted military service, subject to certain exceptions. Since October 7, 2023, the
IDF has called up several hundred thousand of its reserve forces to serve. Fourteen out of our current 16 employees are resident in Israel.
Three of our five executive officers and the 11 other non-management employees of the Company reside in Israel. Currently none of our
executive officers nor non-management employees have been called up to perform reserve military service, however, some employees may be
called for service in the current or future wars or other armed conflicts with Hamas, Hezbollah or other regional threat actors, and such
persons may be absent for an extended period of time. As a result, our operations in Israel may be disrupted by such absences, which disruption
may materially and adversely affect our business, prospects, financial condition and results of operations.
Since the war broke out on
October 7, 2023, our operations have not been adversely affected by this situation, and we have not experienced disruptions to our clinical
studies. As such, our clinical and business development activities remain on track. However, the intensity and duration of Israel’s
current war against Hamas and Hezbollah is difficult to predict at this stage, as are such war’s economic implications on our business
and operations and on Israel’s economy in general. If the war extends for a long period of time or expands to other fronts, such
as Iran, Lebanon, Syria and the West Bank, our operations may be adversely affected.
All of our clinical
and pre-clinical research and development is currently being conducted outside of Israel, other than our 12-month
open label-extension, or OLE, study of the PARADIGM trial, partially conducted in Tel Aviv, and a planned Phase
2 trial with PrimeC for AD that we plan to conduct in Haifa, Israel. The OLE has not been affected by the war, although
the quality of the study may be adversely affected if as a result of the war patients are unable to visit the study center or the study
coordinator is not able to conduct home visits and monitor the patients. In addition, in the event of a significant escalation of
hostilities in northern Israel, there may be a delay in the planned AD trial. We do not believe the planned AD trial will
be materially affected by the war and do not anticipate that any such delay as a result of the war would have a material impact on us.
We may also elect to set up a site in Israel for a Phase 3 pivotal ALS trial of PrimeC, but this would be in addition to numerous other
sites in Europe and the United States, and as a result we do not expect the timeline or quality of this trial to be adversely affected
by the war. Our manufacturing is conducted in India. We do not currently anticipate any disruption to the supply chain relevant to our
ongoing clinical trials and believe there are alternative sources of supply from whom we could obtain the necessary finished drug product
to conduct our clinical trials. In addition, we believe we have sufficient finished product in inventory to continue our ongoing clinical
trials for at least the next few months.
Our commercial insurance
does not cover losses that may occur as a result of an event associated with the security situation in the Middle East. Although the Israeli
government is currently committed to covering the reinstatement value of direct damages that are caused by terrorist attacks or acts of
war, there can be no assurance that this government coverage will be maintained, or if maintained, will be sufficient to compensate us
fully for damages incurred. Any losses or damages incurred by us could have a material adverse effect on our business, financial condition
and results of operations.
Finally, political conditions
within Israel may affect our operations. Israel has held five general elections between 2019 and 2022, and prior to October 2023, the
Israeli government pursued extensive changes to Israel’s judicial system, which sparked extensive political debate and unrest. To
date, these initiatives have been substantially put on hold. Actual or perceived political instability in Israel or any negative changes
in the political environment, may individually or in the aggregate adversely affect the Israeli economy and, in turn, our business, financial
condition, results of operations and growth prospects.
If we fail to maintain
compliance with NASDAQ’s continued listing requirements, our shares may be delisted from the NASDAQ Capital Market.
To continue to be listed on
the Nasdaq, we need to satisfy a number of conditions, including a minimum closing bid price per share of $1.00 for 30 consecutive business
days (the “Minimum Bid Price Rule”) and shareholders’ equity of at least $2.5 million. On December 21, 2023,
we received a notice from the Listing Qualifications staff (the “Staff”) of The Nasdaq Stock Market LLC indicating that we
failed to comply with the continued listing requirement that we maintain either a minimum of $2,500,000 in shareholders’ equity
or $35,000,000 market value of listed securities or $500,000 of net income from continuing operations for the most recently completed
fiscal year or two of the three most recently completed fiscal years, as set forth in Nasdaq Listing Rule 5550(b)(1) (the “Minimum
Equity Rule”). On February 5, 2024, we submitted to the Staff a plan to regain compliance with the Minimum Equity Rule. After submitting
a plan to regain compliance, Nasdaq granted us an extension to regain compliance. Under the terms of the extension, we were required to
complete a fundraising of $20 million on or before April 30, 2024, and if we were unable to demonstrate compliance by then, we were required
to advise the Staff in advance of that date to request a further extension. In any case, if we failed to evidence compliance upon the
filing with the SEC of our periodic report for the period ending June 30, 2024, we may be subject to delisting. We were unable to evidence
compliance and in June 2024, we received a delisting notice from Nasdaq. We subsequently requested a hearing before the Nasdaq Hearings
Panel which automatically stayed any suspension or delisting action pending the hearing, On August 1, 2024, we attended a hearing before
the Nasdaq Hearings Panel and are currently awaiting the decision of the Panel. Pursuant to the Nasdaq Listing Rules, the Panel has the
discretion to grant the Company an additional extension not to exceed December 18, 2024.
No assurance can be given
that we will be able to regain compliance with the Minimum Equity Rule or comply with the other standards that we are required to meet
in order to maintain a listing on such exchange, such as the Minimum Bid Price Rule, and no assurance can be given that even if we regain
compliance with the Minimum Equity Rule we will maintain sufficient shareholders’ equity or the price of our ordinary shares will
not again be in violation of Nasdaq’s Minimum Bid Price Rule in the future. Our failure to meet these requirements may result in
our securities being delisted from Nasdaq.
If our ordinary shares are
delisted from Nasdaq, we may seek to list them on other markets or exchanges or our ordinary shares may trade on the pink sheets. In the
event of such delisting, our shareholders’ ability to trade, or obtain quotations of the market value of, our ordinary shares would
be severely limited because of lower trading volumes and transaction delays. These factors could contribute to lower prices and larger
spreads in the bid and ask prices for our securities. In addition, the substantially decreased trading in our ordinary shares and decreased
market liquidity of our ordinary shares as a result of the loss of market efficiencies associated with Nasdaq and the loss of federal
preemption of state securities laws, which could materially adversely affect our ability to obtain financing on acceptable terms, if at
all, and may result in the potential loss of confidence by investors, suppliers, customers and employees and fewer business development
opportunities. Additionally, the market price of our ordinary shares may decline further and shareholders may lose some or all of their
investment. There can be no assurance that our ordinary shares, if delisted from the Nasdaq in the future, would be listed on another
national or international securities exchange or on a national quotation service, the Over-The-Counter Markets or the pink sheets.
CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING
STATEMENTS
This prospectus supplement,
the accompanying prospectus and certain information incorporated by reference in this prospectus supplement and the accompanying prospectus
contain “forward-looking statements” within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange
Act and other securities laws. Many of the forward-looking statements contained in this prospectus supplement, the accompanying prospectus
and the documents incorporated herein and therein can be identified by the use of forward-looking words such as “anticipate,”
“believe,” “could,” “estimate,” “expect,” “intend,” “may,” “might,”
“plan,” “potential,” “should,” “target,” “would” and other similar expressions
that are predictions of or indicate future events and future trends, although not all forward-looking statements contain these identifying
words.
Forward-looking statements
are based on our management’s beliefs and assumptions and on information currently available to our management. Such statements
are subject to substantial risks and uncertainties, and actual results may differ materially from those expressed or implied in the forward-looking
statements due to a variety of factors, including, but not limited to, those identified under the section titled “Risk Factors”
in this prospectus supplement, the accompanying prospectus or the documents incorporated herein or therein. These risks and uncertainties
include factors relating to:
|
● |
the going concern reference in our financial statements and our need for substantial additional financing to achieve our goals; |
|
● |
our limited operating history and history of incurring significant losses and negative cash flows since our inception, which we anticipate will continue for the foreseeable future; |
|
● |
our dependence on the success of our lead product candidate, PrimeC, including our obtaining of regulatory approval to market PrimeC in the United States; |
|
● |
our limited experience in conducting clinical trials and reliance on clinical research organizations and others to conduct them; |
|
● |
our ability to advance our preclinical product candidates into clinical development and through regulatory approval; |
|
● |
the results of our clinical trials, which may fail to adequately demonstrate the safety and efficacy of our product candidates; |
|
● |
our ability to achieve the broad degree of physician adoption and use and market acceptance necessary for commercial success; |
|
● |
our reliance on third parties in marketing, producing or distributing products and research materials for certain raw materials, compounds and components necessary to produce PrimeC for clinical trials and to support commercial scale production of PrimeC, if approved; |
|
● |
our receipt of regulatory clarity and approvals for our therapeutic candidates and the timing of other regulatory filings and approvals; |
|
● |
estimates of our expenses, revenues, capital requirements and our needs for additional financing; |
|
● |
our efforts to obtain, protect or enforce our patents and other intellectual property rights related to our product candidates and technologies; |
| ● | our ability to maintain the listing of our ordinary shares
on Nasdaq; |
| ● | the impact of the public health, political and security situation
in Israel, the U.S. and other countries in which we may obtain approvals for our products or our business; |
| ● | the impacts on our ongoing and planned trials and manufacturing
as a result of the war in Israel; and |
| ● | those
factors referred to in our most recent Annual Report on Form 20-F incorporated by reference herein in “Item 3. Key Information
— D. Risk Factors,” “Item 4. Information on the Company,” and “Item 5. Operating and Financial Review and
Prospects,” as well as in our most recent Annual Report on Form 20-F generally, which is incorporated by reference into this prospectus
supplement. |
The preceding list is not
intended to be an exhaustive list of all of our risks and uncertainties. As a result of these factors, we cannot assure you that the forward-looking
statements in this prospectus supplement, the accompanying prospectus or the documents incorporated herein or therein will prove to be
accurate. Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. In light of the significant
uncertainties in these forward-looking statements, you should not regard these statements as a representation or warranty by us or any
other person that we will achieve our objectives and plans in any specified time frame, or at all.
In addition, statements that
“we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon
information available to us as of the date of this prospectus supplement, accompanying prospectus or any document incorporated herein
or therein, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete,
and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all relevant information.
Unless otherwise required
by law, we do not undertake any obligation to update them in light of new information or future developments or to release publicly any
revisions to these statements in order to reflect later events or circumstances or to reflect the occurrence of unanticipated events.
You should read this prospectus
supplement and the accompanying prospectus, the documents incorporated herein and therein, completely and with the understanding that
our actual future results may be materially different from what we expect. We qualify all of our forward-looking statements by these cautionary
statements.
USE OF PROCEEDS
We may issue and sell our
ordinary shares having an aggregate sales price of up to $2,524,437 from time to time. Because there is no minimum offering price for
the ordinary shares that we may offer from time to time, the actual total public offering amount, commissions to Jones and proceeds to
us, if any, are not determinable at this time. There can be no assurance that we will sell any shares under or fully utilize the Sales
Agreement as a source of financing.
We currently intend to use
the net proceeds from the sale of securities to advance the clinical development of our lead product candidate, PrimeC for ALS, for the
clinical development and preclinical research and development in support of potential investigational new drug applications for, CogniC
for AD, StabiliC for PD, and for other indications, for future research and development of new product candidates and for working capital
and general corporate purposes. The timing and amount of our actual expenditures will be based on many factors, and we cannot specify
with certainty all of the particular uses of the net proceeds from this offering. Accordingly, our management will have significant discretion
and flexibility in applying the net proceeds of this offering. We have no current commitments or binding agreements with respect to any
material acquisition of or investment in any technologies, products or companies.
Pending our use of the net
proceeds from this offering, we may invest the net proceeds of this offering in a variety of capital preservation investments, including
but not limited to short-term, investment grade, interest bearing instruments and U.S. government securities.
DIVIDEND POLICY
We have never declared or
paid any cash dividends on our ordinary shares, and we anticipate that, for the foreseeable future, we will retain any future earnings
to support operations and to finance the growth and development of our business. Therefore, we do not expect to pay cash dividends for
at least the next several years.
The distribution of dividends
may also be limited by the Israeli Companies Law, 5759-1999, or the Israeli Companies Law. Pursuant to the Israeli Companies Law, subject
to certain exceptions with respect to the buyback by the Company of its ordinary shares, the distribution amount is limited to the greater
of retained earnings or earnings derived over the two most recent fiscal years, provided that there is no reasonable concern that payment
of a dividend will prevent a company from satisfying its existing and foreseeable obligations as they become due. If we do not meet such
criteria, then we may distribute dividends only with court approval. As of March 31, 2024, we did not have distributable earnings pursuant
to the Israeli Companies Law. Dividend distributions may be determined by our board of directors, as our amended and restated articles
of association do not provide that such distributions require shareholder approval.
CAPITALIZATION
The following table presents
our capitalization:
|
● |
on an actual basis as of March 31, 2024; |
|
● |
on a pro forma basis, giving effect to (i) the issuance in the April 2024
Financing of (w) 1,732,000 ordinary shares; (x) 1,248,000 ordinary shares upon exercise of certain pre-funded warrants; (y) 2,980,000
ordinary shares upon exercise of certain warrants resulting in net proceeds of $4.3 million; and (z) 70,964 ordinary shares that were
issued to a placement agent; (ii) the adjustments to the “Redemption Right” in certain warrants issued in 2023; and (iii)
of the issuance in the August 2024 Financing, which included investors that are related parties to the company, of 800,000 ordinary shares
and warrants to purchase an aggregate of 800,000 ordinary shares resulting in net proceeds of $0.6 million. |
|
|
|
|
● |
on a pro forma as
adjusted basis, giving further effect to the sale of an aggregate of 3,824,905 ordinary shares at an assumed price of $0.66 per ordinary
share, the last reported sale price of our ordinary shares on August 9, 2024, for aggregate net proceeds of approximately $2.3 million,
after deducting sales agent fees and estimated aggregate offering expenses payable by us. |
The pro forma and pro forma as
adjusted amounts shown below are unaudited, represent management’s estimate, and their accounting treatment has not completed. The
information in this table should be read in conjunction with and is qualified by reference to the financial statements and notes thereto
and other financial information incorporated by reference into this prospectus supplement.
| |
As of March 31, 2024 | |
| |
(Actual) | | |
(Pro Forma) | | |
(Pro Forma As Adjusted) | |
| |
(U.S.$ in thousands) | |
Long-term liabilities: | |
$ | 3,904 | | |
$ | 55 | | |
$ | 55 | |
| |
| | | |
| | | |
| | |
Shareholders’ equity: | |
| | | |
| | | |
| | |
Share premium and capital reserve | |
| 24,532 | | |
| 30,861 | | |
| 33,150 | |
Accumulated deficit | |
| (31,525 | ) | |
| (29,103 | ) | |
| (29,103 | ) |
Total shareholders’ equity | |
| (6,993 | ) | |
| 1,758 | | |
| 4,047 | |
Total capitalization (long-term liabilities and equity) | |
$ | (3,089 | ) | |
$ | 1,813 | | |
$ | 4,102 | |
The above table is based
on 15,582,042 ordinary shares outstanding as of March 31, 2024, and excludes as of such date the following:
|
● |
400,000 ordinary shares issuable upon the exercise of warrants outstanding as of such date, at an exercise price of $6.375 per share, which were issued to the underwriters of our initial public offering; |
|
● |
1,355,000 ordinary shares issuable upon the exercise of tradable warrants outstanding as of such date, at an exercise price of $6, which were issued as part of the units in our initial public offering; |
|
● |
1,069,128 ordinary shares issuable upon the exercise of options outstanding as of such date, at a weighted average exercise price of $2.3 under our 2018 Employee Share Option Plan; |
|
|
|
|
● |
114,000 ordinary shares issuable upon the vesting of restricted stock units outstanding as of such date; and |
|
● |
233,543 ordinary shares reserved for issuance and available for future grant under our 2018 Employee Share Option Plan as of such date. |
DILUTION
If you invest in our securities,
your ownership interest will be diluted to the extent of the difference between the offering price per ordinary share and the net
tangible book value per ordinary share after this offering. We calculate net tangible book value per ordinary share by dividing the
net tangible book value, which is tangible assets, less total liabilities, by the number of outstanding ordinary shares.
Our negative net tangible
book value as of March 31, 2024, was approximately $6.99 million, or approximately $0.45 per ordinary share. Net tangible book value per
ordinary share represents the amount of our total tangible assets less total liabilities divided by the total number of our ordinary shares
outstanding as of March 31, 2024.
After giving effect to the issuance of on a pro forma basis, giving
effect to (i) the issuance in the April 2024 Financing of (w) 1,732,000 ordinary shares; (x) 1,248,000 ordinary shares upon exercise of
certain pre-funded warrants; (y) 2,980,000 ordinary shares upon exercise of certain warrants; and (z) 70,964 ordinary shares that were
issued to a placement agent resulting in net proceeds of $4.3 million; (ii) the adjustments to the “Redemption Right” in certain
warrants issued in 2023; and (iii) of the issuance in the August 2024 Financing of 800,000 ordinary shares and warrants to purchase an
aggregate of 800,000 ordinary shares resulting in net proceeds of $0.6 million, our pro forma net tangible book value as of March 31,
2024, would have been $1.76 million, or $0.09 per ordinary share.
After giving further effect to the sale of an aggregate of 3,824,905
ordinary shares in this offering at an assumed price of $0.66 per ordinary share, the last reported sale price of our ordinary shares
on Nasdaq on August 9, 2024, for aggregate gross proceeds of approximately $2.5 million and after deducting sales agents fees and estimated
offering expenses payable by us, our pro forma as adjusted net tangible book value as of March 31, 2024, would have been approximately
$4.05 million, or approximately $0.17 per ordinary share. This represents an immediate increase in net tangible book value of approximately
$0.62 per ordinary share to our existing shareholders, compared to the value as of March 31, 2024 and an immediate dilution in net tangible
book value of approximately $0.49 per ordinary share to purchasers of the ordinary shares in this offering, as illustrated by the following
table:
Assumed Public offering price per ordinary share |
|
|
|
|
|
$ |
0.66 |
|
Pro forma net tangible book value per ordinary share as of March 31, 2024 |
|
$ |
0.09 |
|
|
|
|
|
Increase in pro forma net tangible book value per ordinary share attributable to investors purchasing ordinary shares in this offering |
|
$ |
0.08 |
|
|
|
|
|
Pro forma as adjusted net tangible book value per ordinary share as of March 31, 2024, after giving effect to this offering |
|
|
|
|
|
$ |
0.17 |
|
Dilution per ordinary share to investors purchasing ordinary shares in the offering |
|
|
|
|
|
$ |
0.49 |
|
The table above assumes for illustrative purposes that an aggregate
of 3,824,905 ordinary shares are sold pursuant to this prospectus supplement at a price of $0.66 per share, the last reported sale price
of our ordinary shares on the Nasdaq Capital Market on August 9, 2024, for aggregate gross proceeds of $2,524,437. The ordinary shares
sold in this offering, if any, will be offered or sold from time to time pursuant to the terms of the Sales Agreement. A $0.10 increase
in the assumed public offering price of $0.66 per share, the last reported sale price of our ordinary shares on the Nasdaq Capital Market
on August 9, 2024, for aggregate gross proceeds of approximately $2.91 million, would increase our pro forma as adjusted net tangible
book value per share to $0.19, resulting in dilution to investors purchasing ordinary shares in this offering of $0.57 per share, after
deducting commissions and estimated offering expenses payable by us. A $0.10 decrease in the assumed public offering price of $0.66 per
share, the last reported sale price of our ordinary shares on the Nasdaq Capital Market on August 9, 2024, for aggregate gross proceeds
of approximately $2.14 million, would decrease our as pro forma as adjusted net tangible book value per share to $0.16, resulting in dilution
to investors purchasing ordinary shares in this offering of $0.40 per share, after deducting commissions and estimated offering expenses
payable by us.
Unless otherwise stated, all
information in this prospectus supplement, is based on 15,582,042 ordinary shares outstanding as of March 31, 2024, and does not include
the following as of that date:
|
● |
400,000 ordinary shares issuable upon the exercise of warrants outstanding as of such date, at an exercise price of $6.375 per share, which were issued to the underwriters of our initial public offering; |
|
● |
1,355,000 ordinary shares issuable upon the exercise of tradable warrants outstanding as of such date, at an exercise price of $6, which were issued as part of the units in our initial public offering; |
|
● |
1,069,128 ordinary shares issuable upon the exercise of options outstanding as of such date, at a weighted average exercise price of $2.3 under our 2018 Employee Share Option Plan; |
|
|
|
|
● |
114,000 ordinary shares issuable upon the vesting of restricted stock units outstanding as of such date; and |
|
● |
233,543 ordinary shares reserved for issuance and available for future grant under our 2018 Employee Share Option Plan as of such date. |
To the extent that outstanding
options or warrants are exercised, investors purchasing shares in this offering could experience further dilution. In addition, we may
choose to raise additional capital due to market conditions or strategic considerations, even if we believe we have sufficient funds for
our current or future operating plans. To the extent that additional capital is raised through the sale of equity or equity-based securities,
the issuance of these securities could result in further dilution to our stockholders.
PLAN OF DISTRIBUTION
We have entered into the Sales
Agreement with Jones under which we may issue and sell ordinary shares from time to time through or to Jones,
acting as sales agent or principal. Sales of our ordinary shares, if any, under this prospectus supplement will be made at market prices
by any method deemed to be an “at the market offering” as defined in Rule 415(a)(4) under the Securities Act.
Each time that we wish to
issue and sell our ordinary shares under the Sales Agreement, we will provide Jones with a placement notice describing the amount of ordinary
shares to be sold, the time period during which sales are requested to be made, any limitation on the amount of ordinary shares that may
be sold in any single day, any minimum price below which sales may not be made or any minimum price requested for sales in a given time
period and any other instructions relevant to such requested sales. Upon receipt of a placement notice, Jones, acting as our sales agent,
will use commercially reasonable efforts, consistent with its normal trading and sales practices and applicable state and federal laws,
rules and regulations and the rules of the Nasdaq Stock Market LLC, to sell our ordinary shares under the terms and subject to the conditions
of the placement notice and the Sales Agreement. We or Jones may suspend the offering of ordinary shares pursuant to a placement notice
upon notice and subject to other conditions.
Unless the parties agree
otherwise, settlement for sales of ordinary shares will occur on the second trading day following the date on which any sales are made
in return for payment of the net proceeds to us. There are no arrangements to place any of the proceeds of this offering in an escrow,
trust or similar account. Sales of our ordinary shares as contemplated in this prospectus supplement will be settled through the facilities
of The Depository Trust Company or by such other means as we and Jones may agree upon.
We will pay Jones commissions
for its services in acting as our sales agent in the sale of our ordinary shares pursuant to the Sales Agreement. Jones will be entitled
to compensation at a fixed commission rate of 3.0% of the gross proceeds from the sale of our ordinary shares on our behalf pursuant to
the Sales Agreement. We have also agreed to reimburse Jones for the fees and expenses of its legal counsel) in an amount not to exceed
(a) $50,000 in connection with the Sales Agreement, (b) in an amount not to exceed $2,500 per calendar quarter thereafter payable in
connection with each Representation Date (as defined in the Sales Agreement) with respect to which we are obligated to deliver a bringdown
certificate (for which no waiver is applicable), and (c) in an amount not to exceed $15,000 for each program “refresh” executed
pursuant to the Sales Agreement.
We estimate that the total
expenses for this offering, excluding compensation payable to Jones and certain expenses reimbursable to Jones under the terms of the
Sales Agreement, will be approximately $145,000. The remaining sales proceeds, after deducting any expenses payable by us and any transaction
fees imposed by any governmental, regulatory, or self-regulatory organization in connection with the sales, will equal our net proceeds
for the sale of such ordinary share.
Because there are no minimum
sale requirements as a condition to this offering, the actual total public offering price, commissions and net proceeds to us, if any,
are not determinable at this time. The actual dollar amount and number of ordinary shares we sell through this prospectus supplement will
be dependent, among other things, on market conditions and our capital raising requirements.
In
connection with the sale of the ordinary shares on our behalf, Jones will be deemed to be an “underwriter” within the meaning
of the Securities Act, and the compensation of Jones will be deemed to be underwriting commissions or discounts. We have agreed to provide
indemnification and contribution to Jones against certain civil liabilities, including liabilities under the Securities Act.
Jones
will not engage in any market making activities involving our ordinary shares while the offering is ongoing under this prospectus supplement
if such activity would be prohibited under Regulation M or other anti-manipulation rules under the Securities Act. As our sales agent,
Jones will not engage in any transactions that stabilizes our ordinary shares.
The
offering pursuant to the Sales Agreement will terminate upon the earlier of (i) termination of the Sales Agreement as permitted therein,
or (ii) mutual agreement by the parties. We may terminate the Sales Agreement in our sole discretion at any time by giving three days’
prior notice to Jones. Jones may terminate the Sales Agreement under the circumstances specified in the Sales Agreement and in its sole
discretion at any time by giving three days’ prior notice to us.
The
Sales Agreement has been filed as an exhibit to a Report of Foreign Private Issuer on Form 6-K that we filed with the SEC in connection
with this offering and is incorporated into this prospectus supplement by reference.
Jones
and/or its affiliates have provided, and may in the future provide, various investment banking and other financial services for us, for
which services they have received and may in the future receive customary fees.
This
prospectus supplement in electronic format may be made available on a website maintained by Jones, and Jones may distribute this prospectus
supplement electronically.
LEGAL MATTERS
Certain legal matters with
respect to Israeli law and with respect to the validity of the offered securities under Israeli law will be passed upon for us by Goldfarb
Gross Seligman & Co. Certain legal matters with respect to U.S. law will be passed upon for us by Greenberg Traurig, P.A. Certain
legal matters will be passed upon for the sales agent by Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., New York, New York.
EXPERTS
The consolidated financial
statements of NeuroSense Therapeutics Ltd. as of December 31, 2023 and 2022, and for each of the years in the three-year period ended
December 31, 2023, have been incorporated by reference herein in reliance upon the report of Somekh Chaikin, a member firm of KPMG International,
independent registered public accounting firm, incorporated by reference herein, and upon the authority of said firm as experts in accounting
and auditing. The audit report covering the December 31, 2023 consolidated financial statements contains an explanatory paragraph that
states that the Company’s recurring losses and its expectation to incur significant additional losses raise substantial doubt about
the entity’s ability to continue as a going concern. The consolidated financial statements do not include any adjustments that might
result from the outcome of that uncertainty.
WHERE YOU CAN FIND MORE INFORMATION
This prospectus
supplement is part of the registration statement on Form F-3 we filed with the SEC under the Securities Act, with respect to the
securities offered by this prospectus supplement. However, as is permitted by the rules and regulations of the SEC, this prospectus
supplement, which is part of our registration statement on Form F-3, omits certain non-material information, exhibits, schedules and
undertakings set forth in the registration statement. For further information about us, and the securities offered by this
prospectus supplement, please refer to the registration statement and the exhibits and schedules filed as a part of the registration
statement. You should rely only on the information contained in this prospectus supplement or incorporated by reference. We have not
authorized anyone else to provide you with different information. We are not making an offer of these securities in any state where
the offer is not permitted.
We are subject to the reporting
requirements of the Exchange Act that are applicable to a foreign private issuer. In accordance with the Exchange Act, we file reports,
including annual reports on Form 20-F by April 30 of each year. We also furnish to the SEC under cover of Form 6-K material information
required to be made public in Israel, filed with and made public by any stock exchange or distributed by us to our shareholders.
The SEC maintains an Internet
site that contains reports, proxy and information statements, and other information regarding issuers, such as us, that file electronically
with the SEC (http://www.sec.gov).
As a foreign private issuer,
we are exempt from the rules under the Exchange Act prescribing the furnishing and content of proxy statements to shareholders and our
officers, directors and principal shareholders are exempt from the “short-swing profits” reporting and liability provisions
contained in Section 16 of the Exchange Act and related Exchange Act rules.
INCORPORATION OF CERTAIN INFORMATION BY REFERENCE
We file annual and
special reports and other information with the SEC (File Number 001-41084). These filings contain important information which does
not appear in this prospectus supplement. The SEC allows us to “incorporate by reference” information into this
prospectus supplement, which means that we can disclose important information to you by referring you to other documents which we
have filed or will file with the SEC. We are incorporating by reference in this prospectus supplement the documents listed below and
all amendments or supplements we may file to such documents, as well as any future filings we may make with the SEC on Form 20-F
under the Exchange Act before the time that all of the securities offered by this prospectus supplement have been sold or
de-registered:
|
● |
our Annual Report on Form 20-F for the year ended December 31, 2023, filed on April 4, 2024; and |
|
|
|
|
● |
our Reports on Form 6-K filed with the SEC on April 12, 2024, May 7, 2024, May 23, 2024, May 28, 2024, June 17, 2024, June 21, 2024, June 24, 2024, June 27, 2024, July 1, 2024, July 3, 2024, July 9, 2024, August 1, 2024 and August 7, 2024 (in each case, to the extent expressly incorporated by reference into our effective registration statements filed by us under the Securities Act); and |
|
● |
the description of our ordinary shares contained under the heading “Item 1. Description of Registrant’s Securities to be Registered” in our registration statement on Form 8-A, as filed with the SEC on November 18, 2021, including any subsequent amendment or any report filed for the purpose of updating such description. |
All subsequent Annual Reports
filed by us pursuant to the Exchange Act on Form 20-F prior to the termination of this offering shall be deemed to be incorporated by
reference to this prospectus supplement and the accompanying prospectus and to be a part hereof and thereof from the date of filing of
such documents. We may also incorporate any Form 6-K subsequently submitted by us to the SEC prior to the termination of this offering
by identifying in such Forms 6-K that they are being incorporated by reference herein and in the accompanying prospectus, and any Forms
6-K so identified shall be deemed to be incorporated by reference in this prospectus supplement and the accompanying prospectus and to
be a part hereof from the date of submission of such documents.
Certain statements in
and portions of this prospectus supplement update and replace information in the above listed documents incorporated by reference.
Likewise, statements in or portions of a future document incorporated by reference in this prospectus supplement may update and
replace statements in and portions of this prospectus supplement or the above listed documents.
We will provide each
person, including any beneficial owner to whom a prospectus is delivered, without charge, upon a written or oral request, a copy of
any of the documents incorporated by reference in this prospectus supplement, other than exhibits to such documents which are not specifically
incorporated by reference into such documents. Please direct your written or telephone requests to NeuroSense Therapeutics Ltd., 11
HaMenofim Street, Building B, Herzliya, 4672562, Israel, Attn: Or Eisenberg, telephone number +972587531153. You may also obtain
information about us by visiting our website at www.neurosense-tx.com. Information contained in our website is not part of this
prospectus supplement.
EXPENSES
The
following table sets forth costs and expenses, other than any sales agent fees and expenses, we expect to incur in connection with the
offering.
Legal fees and expenses | |
$ | 125,000 | * |
Accounting fees and expenses | |
$ | 10,000 | * |
Printing expenses | |
$ | 5,000 | * |
Miscellaneous fees and expenses | |
$ | 5,000 | * |
| |
| | |
Total | |
$ | 145,000 | * |
PROSPECTUS
$100,000,000
Ordinary Shares
Warrants
Debt Securities
Subscription Rights and/or Units
Offered by the Company
NEUROSENSE THERAPEUTICS LTD.
We may offer and sell to
the public from time to time in one or more series or issuances up to $100,000,000 in the aggregate of ordinary shares, warrants to purchase
ordinary shares and/or debt securities, debt securities (including convertible debt securities), subscription rights and/or units consisting
of two or more of these classes or series of securities.
We refer to the ordinary
shares, warrants, debt securities, subscription rights and units collectively as “securities” in this prospectus.
Each time we offer to sell
securities pursuant to this prospectus, we will provide a supplement to this prospectus that contains specific information about the
offering and the specific terms of the securities offered. We may also authorize one or more free writing prospectuses to be provided
to you in connection with these offerings. This prospectus may not be used to consummate a sale of securities by us unless accompanied
by the applicable prospectus supplement. You should carefully read this prospectus, the applicable prospectus supplement and any applicable
free writing prospectuses, as well as any documents incorporated by reference, before you invest in our securities.
We
may, from time to time, offer to sell the securities, through public or private transactions, directly or through underwriters, agents
or dealers, on or off the Nasdaq Capital Market, as applicable, at prevailing market prices or at privately negotiated prices. If any
underwriters, agents or dealers are involved in the sale of any of these securities, the applicable prospectus supplement will set forth
the names of the underwriter, agent or dealer and any applicable fees, commissions or discounts. For additional information on the methods
of sale, you should refer to the section titled “Plan of Distribution” in this prospectus and in the applicable prospectus
supplement.
Our
ordinary shares and warrants, each warrant exercisable for one ordinary share, are traded on the Nasdaq Capital Market under the symbols
“NRSN” and “NRSNW,” respectively. The last reported sale price for our ordinary shares on January 18, 2023 as
quoted on the Nasdaq Capital Market was $1.26 per share, and the last reported sale price for our warrants on January 18, 2023 as quoted
on the Nasdaq Capital Market was $0.235 per warrant.
As
of January 18, 2023, the aggregate market value worldwide of our outstanding voting and non-voting common equity held by non-affiliates
was approximately $10.64 million, based on 11,781,963 ordinary shares outstanding, of which 8,444,108 ordinary shares were held by non-affiliates,
and a per ordinary share price of $1.26 based on the closing sale price of our ordinary shares on the Nasdaq Capital Market on January
18, 2023. Pursuant to General Instruction I.B.5 of Form F-3, in
no event will we sell, pursuant to the registration statement of which this prospectus forms a part, securities with a value exceeding
one-third of the aggregate market value of our outstanding ordinary shares held by non-affiliates in any 12-month period, so long as the
aggregate market value of our ordinary shares held by non-affiliates is less than $75.0 million. We have not offered or sold any securities
pursuant to General Instruction I.B.5 on Form F-3 during the prior 12 calendar month period that ends on and includes the date of this
prospectus.
We are an “emerging
growth company” and a “foreign private issuer” as defined under the U.S. federal securities laws, and as such, will
be eligible for reduced public company disclosure requirements. See “About the Company—Implications of Being an Emerging
Growth Company and a Foreign Private Issuer” for additional information.
Investing in these securities
involves a high degree of risk. Please carefully consider the risks discussed in this prospectus under “Risk Factors” beginning
on page 4 and the “Risk Factors” in “Item 3. Key Information—D. Risk Factors” of our most recent Annual
Report on Form 20-F incorporated by reference in this prospectus and in any applicable prospectus supplement for a discussion of the
factors you should consider carefully before deciding to purchase these securities.
Neither the Securities
and Exchange Commission nor any state securities commission has approved or disapproved of the securities being offered by this prospectus,
or determined if this prospectus is truthful or complete. Any representation to the contrary is a criminal offense.
The date of this prospectus is January 30, 2023
TABLE OF CONTENTS
ABOUT THIS PROSPECTUS
This prospectus is part
of a registration statement that we filed with the Securities and Exchange Commission (the “SEC”), utilizing a “shelf”
registration process.
Under this shelf process,
we may sell the securities described in this prospectus in one or more offerings up to a total price to the public of $100,000,000. The
offer and sale of securities under this prospectus may be made from time to time, in one or more offerings, in any manner described under
the section in this prospectus entitled “Plan of Distribution.”
This prospectus provides
you with a general description of the securities we may offer. Each time we sell securities we will provide a prospectus supplement that
will contain specific information about the terms of that offering. We may also authorize one or more free writing prospectuses to be
provided to you that may contain material information relating to these offerings. The prospectus supplement and any related free writing
prospectus that we may authorize to be provided to you may also add, update or change information contained in this prospectus or in
the documents we have incorporated by reference herein, and may also contain information about any material federal income tax considerations
relating to the securities covered by the prospectus supplement. You should read both this prospectus, the applicable prospectus supplement
and any related free writing prospectuses we have authorized for use in connection with a specific offering, together with additional
information under the headings “Where You Can Find More Information” and “Incorporation of Certain Documents by Reference.”
This prospectus may not
be used to consummate a sale of securities unless it is accompanied by a prospectus supplement.
We have not authorized any
other person to provide you with different or additional information other than that contained in or incorporated by reference into this
prospectus or any applicable prospectus supplement. We do not take any responsibility, and can make no assurance as to the reliability
of, any other information that others may give you. We will not make an offer to sell these securities in any jurisdiction where the
offer or sale is not permitted. You should assume that the information appearing in this prospectus, the applicable prospectus supplement
and any free writing prospectus being used in connection with the offering is accurate only as of the date on its respective cover, and
that any information incorporated by reference is accurate only as of the date of the document incorporated by reference, unless we indicate
otherwise. Our business, financial condition, results of operations and prospects may have changed since those dates.
You should read this entire
prospectus, including the financial statements and related notes and other financial data incorporated by reference in this prospectus,
any applicable prospectus supplement and free writing prospectus, and the documents incorporated herein and therein, before making an
investment decision. This prospectus and the documents incorporated by reference herein contain forward-looking statements that involve
risks and uncertainties. Our actual results may differ significantly from the results discussed in the forward-looking statements. Factors
that might cause or contribute to such differences include those discussed in “Risk Factors” and “Forward-Looking Statements.”
Unless otherwise indicated
or the context otherwise requires, in this prospectus, “NeuroSense,” the “Company,” “we,” “us”
and “our” refer to NeuroSense Therapeutics Ltd. and its consolidated subsidiaries.
ABOUT THE COMPANY
Overview
We
are a clinical-stage biotechnology company focused on discovering and developing treatments for patients suffering from neurodegenerative
diseases, including Amyotrophic Lateral Sclerosis (“ALS”), Alzheimer’s disease (“AD”) and Parkinson’s
disease (“PD”). We believe these diseases represent some of the most significant unmet medical needs of our time, with limited
effective therapeutic options available. The burden of these diseases on both patients and society is substantial. For example, the average
annual cost of ALS alone is $180,000 per patient, and its estimated annual burden on the U.S. healthcare system is greater than $1 billion.
Due to the complexity of neurodegenerative diseases, our strategy is utilize a combined therapeutic approach to target multiple disease-related
pathways.
Our
lead therapeutic candidate, PrimeC, is a novel extended-release oral formulation, fixed-dose combination of two FDA-approved drugs,
ciprofloxacin and celecoxib. PrimeC is designed to treat ALS by modulating microRNA synthesis, iron accumulation, and neuroinflammation,
all of which are hallmarks of ALS pathology. The U.S. Food and Drug Administration (“FDA”) and the European Medicines Agency
(“EMA”), have granted PrimeC orphan drug designation for the treatment of ALS. We believe PrimeC’s multifactorial mechanism
of action has the potential to significantly prolong lifespan and improve ALS patients’ quality of life, thereby reducing the burden
of this debilitating disease on both patients and healthcare systems.
In
addition to PrimeC, we have conducted research and development efforts in AD and PD, with a similar strategy of combined products. The
following chart represents our current product development pipeline:
PrimeC
has been evaluated at the Tel Aviv Sourasky Medical Center, Israel in a Phase 2a clinical trial in 15 people living with ALS (NST002).
The primary endpoint of the NST002 trial, which was safety and tolerability, was met. In this trial, the safety profile observed was
consistent with known safety profiles of ciprofloxacin and celecoxib. Side effects were mild and transient in nature. There were no new
or unexpected safety signals detected during the trial.
In
addition, NST002 efficacy data demonstrated slower decline per month in both ALS Functional Rating Scale (“ALSFRS-R”) score
and pulmonary vital capacity endpoint evaluations in ALS patients who were administered with PrimeC compared to matched controls from
the PRO-ACT database (virtual controls). The analysis of key ALS pathology markers in neuron-derived exosomes (“NDEs”) indicated
that there was a statistically significant reduction in the levels of TDP-43, a key protein in ALS pathology, and PgJ2, representing
neuroinflammation, when compared to baseline measurements over 12 months following PrimeC treatment. Levels of LC3, a marker of autophagy,
which has been shown to be impaired in ALS, were increased from baseline measurements to 12 months. The statistically significant changes
following treatment of PrimeC in the biomarker analysis suggest early evidence of biological activity of the drug, which correlated to
the clinical outcomes observed.
PrimeC
is currently being evaluated in Paradigm, a Phase 2b randomized, multi-center, multinational, prospective, double-blind, placebo-controlled
study, with an open label extension, to evaluate safety, tolerability, and efficacy of PrimeC in 69 people living with ALS. The study
commenced recruitment of patients in Israel in May 2022 and is currently ongoing. To date, over 50% of the study participants have been
enrolled. With new sites anticipated to be opening in Q1 2023, we expect to report top-line results in the second half of 2023.
On October 14, 2022, we submitted an amendment to our Investigational New Drug Application for Paradigm to the FDA. On December 13, 2022,
the FDA provided a comment that the data submitted do not support the entire study duration. We determined that we will not commence
patient enrollment in the U.S. until we have addressed to satisfaction the FDA’s trial duration concern.
We continue to develop our
pipeline. In January 2023, we reported positive final results from our Alzheimer’s Biomarker Study, which suggested that a novel
biomarker, TDP-43, may be associated with AD. These findings indicate that NeuroSense’s platform technology has the potential to
treat people who suffer from AD. NeuroSense intends to initiate a Phase 2 proof-of-concept study to assess its therapeutic potential in
people who suffer from Alzheimer’s disease in H1 2023. TDP-43 has been observed to colocalize with senile plaques and neurofibrillary tangles, suggesting a direct interaction
between TDP-43 and amyloid-β (Aβ) or tau, which are known to be hallmark biomarkers in AD. TDP-43 has been found in up to 57%
of AD cases and aggregates of TDP-43 have been shown to be cytotoxic both in vitro and in vivo.
Corporate Information
Our legal and commercial
name is NeuroSense Therapeutics Ltd. We were incorporated on February 13, 2017 and were registered as a private company limited by shares
under the laws of the State of Israel. Our ordinary shares and warrants are traded on the Nasdaq Capital Market under the symbol “NRSN”
and “NRSNW,” respectively.
Our
principal executive offices are located at 11 HaMenofim Street, Building B, Herzliya, 4672562 Israel, and our telephone number is +972-9-7996183.
Our website address is www.neurosense-tx.com. The information on our website does not constitute a part of this prospectus. Our agent
for service of process in the United States is Cogency Global Inc., c/o The Corporation Trust Company, located at 1180 Avenue of the
Americas, Suite 210, New York, New York 10036.
Implications of Being
an Emerging Growth Company and a Foreign Private Issuer
Emerging Growth
Company
As
a company with less than $1.235 billion in revenue during our last fiscal year, we are an “emerging growth company”
as defined in the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”). As such, we may take advantage of certain
exemptions from various reporting requirements that are applicable to other publicly traded entities that are not emerging growth companies.
These exemptions include:
| ● | the option to present only two years of audited financial
statements and a discussion of only two years of our Operating Financial Review and Prospects in our Annual Report on Form 20-F; |
| ● | not being required to have our registered independent public
accounting firm attest to management’s assessment of our internal control over financial reporting; |
| ● | not being required to comply with any requirement that may
be adopted by the Public Company Accounting Oversight Board (“PCAOB”), regarding mandatory audit firm rotation or a supplement
to the auditor’s report providing additional information about the audit and the financial statements (i.e., an auditor discussion
and analysis); |
| ● | not being required to submit certain executive compensation
matters to stockholder advisory votes, such as “say-on-pay,” “say-on-frequency” and “say-on-golden parachutes”;
and |
not
being required to disclose certain executive compensation related items such as the correlation between executive compensation and performance
and comparisons of the chief executive officer’s compensation to median employee compensation.
As
a result, the information contained in this prospectus, the prospectus supplement and the documents incorporated by reference herein
and therein may be different from the information you receive from other public companies in which you hold shares. We may take advantage
of these provisions for up until we are no longer an emerging growth company. We would cease to be an emerging growth company upon the
earliest to occur of: (i) the last day of the first fiscal year in which our annual gross revenues exceed $1.235 billion; (ii) the
date on which we have issued more than $1 billion in non-convertible debt securities during the previous three years; (iii) the
date on which we are deemed to be a “large accelerated filer” as defined in Rule 12b-2 under the Exchange Act; or (iv)
the last day of the fiscal year following the fifth anniversary of this offering.
Foreign Private
Issuer
We
are also a non-U.S. company with foreign private issuer status. Even after we no longer qualify as an emerging growth company, as long
as we continue to qualify as a foreign private issuer under the Exchange Act, we will be exempt from certain provisions of the Exchange
Act that are applicable to U.S. domestic public companies, including:
| ● | the rules under the Exchange Act requiring domestic filers
to issue financial statements prepared under U.S. GAAP; |
| ● | the sections of the Exchange Act regulating the solicitation
of proxies, consents or authorizations in respect of a security registered under the Exchange Act; |
| ● | the sections of the Exchange Act requiring insiders to file
public reports of their share ownership and trading activities and liability for insiders who profit from trades made in a short period
of time; and |
| ● | the rules under the Exchange Act requiring the filing with
the SEC of quarterly reports on Form 10-Q containing unaudited financial statements and other specified information, and current
reports on Form 8-K upon the occurrence of specified significant events. |
Notwithstanding
these exemptions, we will file with the SEC, within four months after the end of each fiscal year, or such applicable time as required
by the SEC, an annual report on Form 20-F containing financial statements audited by an independent registered public accounting
firm.
We
may take advantage of these exemptions until such time as we are no longer a foreign private issuer. We would cease to be a foreign private
issuer at such time as more than 50% of our outstanding voting securities are held by U.S. residents and any of the following three circumstances
applies: (i) the majority of our executive officers or directors are U.S. citizens or residents; (ii) more than 50% of our
assets are located in the United States; or (iii) our business is administered principally in the United States.
Both
foreign private issuers and emerging growth companies also are exempt from certain more stringent executive compensation disclosure rules.
Thus, even if we no longer qualify as an emerging growth company, but remain a foreign private issuer, we will continue to be exempt
from the more stringent compensation disclosures required of companies that are neither an emerging growth company nor a foreign private
issuer.
RISK FACTORS
An investment in our securities
involves a high degree of risk. Our business, financial condition or results of operations could be adversely affected by any of these
risks. You should carefully consider the risk factors discussed under the caption “Item 3: Key Information—D. Risk
Factors” in our Annual Report on Form 20-F for the year ended December 31, 2021, and any updates to those risk factors in our reports
on Form 6-K incorporated by reference herein, together with all of the other information appearing or incorporated by reference in this
prospectus and any applicable prospectus supplement or free writing prospectus, before making your investment decision. The risks and
uncertainties we have described are not the only ones we face. Additional risks and uncertainties not presently known to us or that we
currently deem immaterial may also affect our operations. Past financial performance may not be a reliable indicator of future performance,
and historical trends should not be used to anticipate results or trends in future periods. If any of these risks actually occurs, our
business, business prospects, financial condition or results of operations could be seriously harmed. This could cause the trading price
of our ordinary shares to decline, resulting in a loss of all or part of your investment. Please also read carefully the section below
entitled “Forward-Looking Statements.”
Risks Related to our Financial Position
Our recurring operating losses have raised
substantial doubt regarding our ability to continue as a going concern.
Our recurring operating
losses and our expectation to incur additional significant losses raise substantial doubt about our ability to continue as a going concern.
We have no current source of revenue to sustain our present activities and we do not expect to generate revenue until, and unless, the
FDA or other regulatory authorities approve, and we successfully commercialize, our product candidates. Accordingly, our ability to continue
as a going concern will require us to obtain additional financing to fund our operations. The perception that we might be unable to continue
as a going concern may make it more difficult for us to obtain financing for the continuation of our operations and could result in the
loss of confidence by investors, suppliers and employees. As a result, for the year ended December 31, 2022, we expect that our financial
statements will include a going concern reference.
OFFER STATISTICS AND EXPECTED TIMETABLE
We may sell from time to
time pursuant to this prospectus (as may be detailed in a prospectus supplement) an indeterminate number of ordinary shares, warrants
to purchase ordinary shares and/or debt securities, subscription rights and/or units comprised of any of the foregoing securities as
shall have a maximum aggregate offering price of $100,000,000. The actual price per share or per security of the securities that we will
offer pursuant hereto will depend on a number of factors that may be relevant as of the time of offer. See “Plan of Distribution.”
FORWARD-LOOKING STATEMENTS
We make forward-looking
statements in this prospectus and the documents incorporated by reference herein that are subject to risks and uncertainties. These forward-looking
statements include information about possible or assumed future results of our business, financial condition, results of operations,
liquidity, plans and objectives. In some cases, you can identify forward-looking statements by terminology such as “believe,”
“may,” “estimate,” “continue,” “anticipate,” “intend,” “should,”
“plan,” “expect,” “predict,” “potential,” or the negative of these terms or other similar
expressions. Forward-looking statements are based on information we have when those statements are made or our management’s good
faith belief as of that time with respect to future events, and are subject to risks and uncertainties that could cause actual performance
or results to differ materially from those expressed in or suggested by the forward-looking statements. These risks and uncertainties
include factors relating to:
| ● | our limited operating history and history of incurring significant
losses and negative cash flows since our inception, which we anticipate will continue for the foreseeable future; |
| ● | our dependence on the success of our lead product candidate,
PrimeC, including our obtaining of regulatory approval to market PrimeC in the United States; |
| ● | our limited experience in conducting clinical trials and reliance
on clinical research organizations and others to conduct them; |
| ● | our ability to advance our preclinical product candidates
into clinical development and through regulatory approval and commercialization; |
| ● | the results of our clinical trials, which may fail to adequately
demonstrate the safety and efficacy of our product candidates; |
| ● | our ability to achieve the broad degree of physician adoption
and use and market acceptance necessary for commercial success; |
| ● | our reliance on third parties in marketing, producing or distributing
products and research materials for certain raw materials, compounds and components necessary to produce PrimeC for clinical trials and
to support commercial scale production of PrimeC, if approved; |
| ● | our receipt of regulatory clarity and approvals for our therapeutic
candidates and the timing of other regulatory filings and approvals; |
| ● | estimates of our expenses, revenues, capital requirements
and our needs for additional financing; |
| ● | our efforts to obtain, protect or enforce our patents and
other intellectual property rights related to our product candidates and technologies; and |
| ● | the impact of the public health, political and security situation
in Israel, the U.S. and other countries in which we may obtain approvals for our products or our business. |
The preceding list is not
intended to be an exhaustive list of all of our risks and uncertainties. As a result of these factors, we cannot assure you that the
forward-looking statements in this prospectus, any applicable prospectus supplement and free writing prospectus will prove to be accurate.
Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. In light of the significant uncertainties
in these forward-looking statements, you should not regard these statements as a representation or warranty by us or any other person
that we will achieve our objectives and plans in any specified time frame, or at all. In addition, statements that “we believe”
and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon information available
to us as of the date of this prospectus, and while we believe such information forms a reasonable basis for such statements, such information
may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or
review of, all relevant information.
You should review carefully
the risks and uncertainties described under the heading “Risk Factors” in this prospectus, any applicable prospectus supplement
and free writing prospectus, and under similar headings in the other documents that are incorporated by reference into this prospectus
for a discussion of these and other risks that relate to our business and investing in our ordinary shares. The forward-looking statements
contained in this prospectus, any applicable prospectus supplement and free writing prospectus, and the documents incorporated by reference
herein and therein are expressly qualified in their entirety by this cautionary statement. Except as required by law, we undertake no
obligation to update publicly any forward-looking statements after the date of this prospectus to conform these statements to actual
results or to changes in our expectations.
CAPITALIZATION
The table below sets forth
our total capitalization as of September 30, 2022. The financial data in the following table should be read in conjunction with our financial
statements and notes thereto incorporated by reference herein.
| |
As of
September 30,
2022 | |
| |
(in thousands) | |
Ordinary shares, no par value per share | |
$ |
- | |
Share premium and capital reserve | |
| 25,482 | |
Accumulated deficit | |
| (17,636 | ) |
Total shareholders’ equity | |
| 7,846 | |
Total capitalization | |
$ | 9,230 | |
OFFER AND LISTING DETAILS
The Company’s ordinary
shares and warrants began trading on the Nasdaq Capital Market on December 9, 2021 under the ticker symbol “NRSN” and “NRSNW,”
respectively.
USE OF PROCEEDS
Unless otherwise indicated
in an applicable prospectus supplement, we currently intend to use the net proceeds from the sale of securities to advance the clinical
development of our lead product candidate, PrimeC for ALS, for the clinical development and preclinical research and development in support
of potential investigational new drug applications for, CogniC for AD, StabiliC for PD, and for other indications, for future research
and development of new product candidates and for working capital and general corporate purposes. We will retain broad discretion over
the use of the net proceeds from the sale of our securities offered by this prospectus and the applicable prospectus supplement.
DESCRIPTION OF ORDINARY SHARES
Our authorized share capital
consists of 60,000,000 ordinary shares, no par value per share, of which 11,781,963 shares were issued and outstanding as of September
30, 2022.
All of our outstanding ordinary
shares are validly issued, fully paid and non-assessable. Our ordinary shares are not redeemable and do not have any preemptive rights.
A description of our ordinary
shares can be found under the heading “Description of Registrant’s Securities to be Registered” in our Registration
Statement on Form 8-A as filed with the SEC on November 18, 2021.
History of Share Capital
Since January 1, 2020, our
issued share capital has changed as provided below.
On February 18, 2020, we
entered into a crowd-funding transaction in which we issued 370,356 ordinary shares to 536 different investors for total net consideration
of $447 thousand (net of $52 thousand issuance cost).
On April 26 2020, we entered
into another crowd-funding transaction in which we issued 47,688 shares to 161 different investors for total net consideration of $61
thousand (net of $8 thousand issuance cost).
In February, May, June and
July 2021, we entered into Simple Agreements for Future Equity (each, a “SAFE”) with four separate investors for aggregate
proceeds of $800 thousand. Pursuant to the terms of each SAFE, upon consummation of an equity financing, we were required to issue to
each investor the number of ordinary shares equal to the purchase amount divided by the SAFE price, which was defined as the price per
share equal to 80% of the equity financing valuation (to be no less than $25,000 thousand). The SAFE Agreements also provide the investor
the right to automatically receive ordinary shares in the case of a liquidity event, defined as a change of control event or an initial
public offering. In the case of a liquidity event the investors are entitled to the number of ordinary shares equal to the investment
amount divided by the liquidity price. The liquidity price is defined as the price per share equal to the Company’s valuation at
the time of the liquidity event, multiplied by 80%, and divided by the Company’s capitalization (to be no less than $25,000 thousand).
As part of our initial public offering, the SAFEs were converted at a price per share of $2.892 into 276,672 ordinary shares.
In May and October 2021,
we issued 240,000 and 45,000 ordinary shares, respectively, pursuant to the exercise of options at an exercise price of $0.033 per share.
In August and September
2021, we issued 1,837,500 ordinary shares pursuant to the exercise of warrants at a weighted average price of $0.67 per share.
On November 9, 2021, we
implemented a 1-for-3 split of our share capital, resulting in an increase of the issued and outstanding ordinary
shares.
On December 13, 2021, we
completed our initial public offering and issued 2,000,000 units, each consisting of one ordinary share and a warrant representing the
right to purchase one ordinary share with an exercise price of $6.00 per share, at an initial public offering price of $6.00 per unit.
In connection with the closing
of our initial public offering, on December 13, 2021, we issued 961,440 ordinary shares pursuant to the exercise of options at a weighted
average exercise price of $0.079 per share.
In March 2022, we issued
645,000 ordinary shares upon exercise of warrants issued in our initial public offering at a price per share of $6.00.
In December 2022, we issued
72,000 ordinary shares pursuant to vesting of RSUs that were granted to our officers in November 2021.
DESCRIPTION OF WARRANTS
We may issue warrants to
purchase ordinary shares and/or debt securities. Warrants may be issued independently or together with any other securities and may be
attached to, or separate from, such securities. Each series of warrants will be issued under a separate warrant agreement to be entered
into between us and a warrant agent. The warrant agent will act solely as our agent and will not assume any obligation or relationship
of agency for or with holders or beneficial owners of warrants. We may also choose to act as our own warrant agent. The terms of any
warrants to be issued and a description of the material provisions of the applicable warrant agreement will be set forth in the applicable
prospectus supplement. The description in the applicable prospectus supplement of the warrants we offer will not necessarily be complete
and will be qualified in its entirety by reference to the applicable warrant agreement, which will be filed with the SEC if we offer
warrants.
The applicable prospectus
supplement will describe, among other things, the following terms of any warrants in respect of which this prospectus is being delivered:
| ● | the
title of such warrants; |
| ● | the
aggregate number of such warrants; |
| ● | the
price or prices at which such warrants will be issued and exercised, either for ordinary shares or for debt securities; |
| ● | the
currency or currencies in which the price of such warrants will be payable; |
| ● | the
type and number of securities purchasable upon exercise of such warrants; |
| ● | the
date on which the right to exercise such warrants shall commence and the date on which such right shall expire; |
| ● | if
applicable, the minimum or maximum amount of such warrants which may be exercised at any one time; |
| ● | if
applicable, the designation and terms of the securities with which such warrants are issued and the number of such warrants issued with
each such security; |
| ● | if
applicable, the date on and after which such warrants and the related securities will be separately transferable; |
| ● | information
with respect to book-entry procedures, if any; |
| ● | any
material Israeli and United States federal income tax consequences; |
| ● | the
anti-dilution or other adjustment provisions of the warrants, if any; |
| ● | any
circumstances that will cause the warrants to be deemed to be automatically exercised or required to be exercised in order not to terminate
by their terms; and |
| ● | any
other terms of such warrants, including terms, procedures and limitations relating to the exchange and exercise of such warrants. |
As of September 30, 2022,
1,755,000 of our warrants, each exercisable for one ordinary share, were outstanding and had an average exercise price of $6.09.
Amendments and Supplements to Warrant Agreement
We and the warrant agent
may amend or supplement the warrant agreement for a series of warrants without the consent of the holders of the warrants issued thereunder
to effect changes that are not inconsistent with the provisions of the warrants and that do not materially and adversely affect the interests
of the holders of the warrants.
DESCRIPTION OF DEBT SECURITIES
We may issue debt securities
from time to time, in one or more series, as either senior or subordinated debt or as senior or subordinated convertible debt. While
the terms we have summarized below will apply generally to any debt securities that we may offer under this prospectus, we will describe
the particular terms of any debt securities that we may offer in more detail in the applicable prospectus supplement. The terms of any
debt securities offered under a prospectus supplement may differ from the terms described below. Unless the context requires otherwise,
whenever we refer to the indenture, we also are referring to any supplemental indentures that specify the terms of a particular series
of debt securities.
We will issue the debt securities
under the indenture that we will enter into with the trustee named in the indenture. The indenture will be qualified under the Trust
Indenture Act of 1939, as amended (the “Trust Indenture Act”). We have filed the form of indenture as an exhibit to the registration
statement of which this prospectus is a part, and supplemental indentures and forms of debt securities containing the terms of the debt
securities being offered will be filed as exhibits to the registration statement of which this prospectus is a part or will be incorporated
by reference from reports that we file with the SEC.
The following summary of
material provisions of the debt securities and the indenture is subject to, and qualified in its entirety by reference to, all of the
provisions of the indenture applicable to a particular series of debt securities. We urge you to read the applicable prospectus supplements
and any related free writing prospectuses related to the debt securities that we may offer under this prospectus, as well as the complete
indenture that contains the terms of the debt securities.
General
The indenture does not limit
the amount of debt securities that we may issue. It provides that we may issue debt securities up to the principal amount that we may
authorize and may be in any currency or currency unit that we may designate. Except for the limitations on consolidation, merger and
sale of all or substantially all of our assets contained in the indenture, the terms of the indenture do not contain any negative covenants
or other provisions designed to give holders of any debt securities protection against changes in our operations, financial condition
or transactions involving us.
We may issue the debt securities
issued under the indenture as “discount securities,” which means they may be sold at a discount below their stated principal
amount. These debt securities, as well as other debt securities that are not issued at a discount, may be issued with “original
issue discount” (“OID”), for U.S. federal income tax purposes because of interest payment and other characteristics
or terms of the debt securities. Material U.S. federal income tax considerations applicable to debt securities issued with OID will be
described in more detail in any applicable prospectus supplement.
We will describe in the
applicable prospectus supplement the terms of the series of debt securities being offered, including:
| ● | the
title of the series of debt securities; |
| ● | any
limit upon the aggregate principal amount that may be issued; |
| ● | the
maturity date or dates; |
| ● | the
form of the debt securities of the series; |
| ● | the
applicability of any guarantees; |
| ● | whether
or not the debt securities will be secured or unsecured, and the terms of any secured debt; |
| ● | whether
the debt securities rank as senior debt, senior subordinated debt, subordinated debt or any combination thereof, and the terms of any
subordination; |
| ● | if
the price (expressed as a percentage of the aggregate principal amount thereof) at which such debt securities will be issued is a price
other than the principal amount thereof, the portion of the principal amount thereof payable upon declaration of acceleration of the
maturity thereof, or if applicable, the portion of the principal amount of such debt securities that is convertible into another security
or the method by which any such portion shall be determined; |
| ● | the
interest rate or rates, which may be fixed or variable, or the method for determining the rate and the date interest will begin to accrue,
the dates interest will be payable and the regular record dates for interest payment dates or the method for determining such dates; |
| ● | our
right, if any, to defer payment of interest and the maximum length of any such deferral period; |
| ● | if
applicable, the date or dates after which, or the period or periods during which, and the price or prices at which, we may, at our option,
redeem the series of debt securities pursuant to any optional or provisional redemption provisions and the terms of those redemption
provisions; |
| ● | the
date or dates, if any, on which, and the price or prices at which we are obligated, pursuant to any mandatory sinking fund or analogous
fund provisions or otherwise, to redeem, or at the holder’s option to purchase, the series of debt securities and the currency
or currency unit in which the debt securities are payable; |
| ● | the
denominations in which we will issue the series of debt securities, if other than denominations of $1,000 and any integral multiple thereof; |
| ● | any
and all terms, if applicable, relating to any auction or remarketing of the debt securities of that series and any security for our obligations
with respect to such debt securities and any other terms which may be advisable in connection with the marketing of debt securities of
that series; |
| ● | whether
the debt securities of the series shall be issued in whole or in part in the form of a global security or securities; the terms and conditions,
if any, upon which such global security or securities may be exchanged in whole or in part for other individual securities; and the depositary
for such global security or securities; |
| ● | if
applicable, the provisions relating to conversion or exchange of any debt securities of the series and the terms and conditions upon
which such debt securities will be so convertible or exchangeable, including the conversion or exchange price, as applicable, or how
it will be calculated and may be adjusted, any mandatory or optional (at our option or the holders’ option) conversion or exchange
features, the applicable conversion or exchange period and the manner of settlement for any conversion or exchange; |
| ● | if
other than the full principal amount thereof, the portion of the principal amount of debt securities of the series which shall be payable
upon declaration of acceleration of the maturity thereof; |
| ● | additions
to or changes in the covenants applicable to the particular debt securities being issued, including, among others, the consolidation,
merger or sale covenant; |
| ● | additions
to or changes in the events of default with respect to the securities and any change in the right of the trustee or the holders to declare
the principal, premium, if any, and interest, if any, with respect to such securities to be due and payable; |
| ● | additions
to or changes in or deletions of the provisions relating to covenant defeasance and legal defeasance; |
| ● | additions
to or changes in the provisions relating to satisfaction and discharge of the indenture; |
| ● | additions
to or changes in the provisions relating to the modification of the indenture both with and without the consent of holders of debt securities
issued under the indenture; |
| ● | the
currency of payment of debt securities if other than U.S. dollars and the manner of determining the equivalent amount in U.S. dollars; |
| ● | whether
interest will be payable in cash or additional debt securities at our or the holders’ option and the terms and conditions upon
which the election may be made; |
| ● | the
terms and conditions, if any, upon which we will pay amounts in addition to the stated interest, premium, if any and principal amounts
of the debt securities of the series to any holder that is not a “United States person” for federal tax purposes; |
| ● | any
restrictions on transfer, sale or assignment of the debt securities of the series; and |
| ● | any
other specific terms, preferences, rights or limitations of, or restrictions on, the debt securities, any other additions or changes
in the provisions of the indenture, and any terms that may be required by us or advisable under applicable laws or regulations. |
Conversion or Exchange Rights
We will set forth in the
applicable prospectus supplement the terms on which a series of debt securities may be convertible into or exchangeable for our common
stock or our other securities. We will include provisions as to settlement upon conversion or exchange and whether conversion or exchange
is mandatory, at the option of the holder or at our option. We may include provisions pursuant to which the number of shares of our common
stock or our other securities that the holders of the series of debt securities receive would be subject to adjustment.
Consolidation, Merger or Sale
Unless we provide otherwise
in the prospectus supplement applicable to a particular series of debt securities, the indenture will not contain any covenant that restricts
our ability to merge or consolidate, or sell, convey, transfer or otherwise dispose of our assets as an entirety or substantially as
an entirety. However, upon any such consolidation or merger (in each case, if we are not the survivor of such transaction) or any such
sale, conveyance, transfer or other disposition (other than a subsidiary of ours) the successor or acquiror must assume all of our obligations
under the indenture or the debt securities, as appropriate.
Events of Default under the Indenture
Unless we provide otherwise
in the prospectus supplement applicable to a particular series of debt securities, the following are events of default under the indenture
with respect to any series of debt securities that we may issue:
| ● | if
we fail to pay any installment of interest on any series of debt securities, as and when the same shall become due and payable, and such
default continues for a period of 90 days; provided, however, that a valid extension of an interest payment period by us in accordance
with the terms of any indenture supplemental thereto shall not constitute a default in the payment of interest for this purpose; |
| ● | if
we fail to pay the principal of, or premium, if any, on any series of debt securities as and when the same shall become due and payable
whether at maturity, upon redemption, by declaration or otherwise, or in any payment required by any sinking or analogous fund established
with respect to such series; provided, however, that a valid extension of the maturity of such debt securities in accordance with the
terms of any indenture supplemental thereto shall not constitute a default in the payment of principal or premium, if any; |
| ● | if
we fail to observe or perform any other covenant or agreement contained in the debt securities or the indenture, other than a covenant
specifically relating to another series of debt securities, and our failure continues for 90 days after we receive written notice of
such failure, requiring the same to be remedied and stating that such is a notice of default thereunder, from the trustee or holders
of at least 25% in aggregate principal amount of the outstanding debt securities of the applicable series; and |
| ● | if
specified events of bankruptcy, insolvency or reorganization occur. |
If an event of default with
respect to debt securities of any series occurs and is continuing, other than an event of default specified in the last bullet point
above, the trustee or the holders of at least 25% in aggregate principal amount of the outstanding debt securities of that series, by
notice to us in writing, and to the trustee if notice is given by such holders, may declare the unpaid principal of, premium, if any,
and accrued interest, if any, due and payable immediately. If an event of default specified in the last bullet point above occurs with
respect to us, the principal amount of and accrued interest, if any, of each issue of debt securities then outstanding shall be due and
payable without any notice or other action on the part of the trustee or any holder.
The holders of a majority
in principal amount of the outstanding debt securities of an affected series may waive any default or event of default with respect to
the series and its consequences if we have paid or deposited with the trustee a sum sufficient to pay all matured installments of principal
and interest upon all the debt securities of that series that shall have become due otherwise than by acceleration, except defaults or
events of default regarding payment of principal, premium, if any, or interest, unless we have cured the default or event of default
in accordance with the indenture. Any waiver shall cure the default or event of default.
Subject to the terms of
the indenture, if an event of default under an indenture shall occur and be continuing, the trustee will be under no obligation to exercise
any of its rights or powers under such indenture at the request or direction of any of the holders of the applicable series of debt securities,
unless such holders have offered the trustee reasonable indemnity. The holders of a majority in principal amount of the outstanding debt
securities of any series will have the right to direct the time, method and place of conducting any proceeding for any remedy available
to the trustee, or exercising any trust or power conferred on the trustee, with respect to the debt securities of that series, provided
that:
| ● | the
direction so given by the holder is not in conflict with any law or the applicable indenture; and |
| ● | subject
to its duties under the Trust Indenture Act, the trustee need not take any action that might involve it in personal liability or might
be unduly prejudicial to the holders not involved in the proceeding. |
A holder of the debt securities
of any series will have the right to institute a proceeding under the indenture or to appoint a receiver or trustee, or to seek other
remedies only if:
| ● | the
holder has given written notice to the trustee of a continuing event of default with respect to that series; |
| ● | the
holders of at least 25% in aggregate principal amount of the outstanding debt securities of that series have made written request, |
| ● | such
holders have offered to the trustee indemnity satisfactory to it against the costs, expenses and liabilities to be incurred by the trustee
in compliance with the request; and |
| ● | the
trustee does not institute the proceeding, and does not receive from the holders of a majority in aggregate principal amount of the outstanding
debt securities of that series other conflicting directions within 90 days after the notice, request and offer. |
These limitations do not
apply to a suit instituted by a holder of debt securities if we default in the payment of the principal, premium, if any, or interest
on, the debt securities.
We will periodically file
statements with the trustee regarding our compliance with specified covenants in the indenture.
Modification of Indenture; Waiver
We and the trustee may change
an indenture without the consent of any holders with respect to specific matters:
| ● | to
cure any ambiguity, defect or inconsistency in the indenture or in the debt securities of any series; |
| ● | to
comply with the provisions described above under “Description of Debt Securities—Consolidation, Merger or Sale;” |
| ● | to
provide for uncertificated debt securities in addition to or in place of certificated debt securities; |
| ● | to
add to our covenants, restrictions, conditions or provisions such new covenants, restrictions, conditions or provisions for the benefit
of the holders of all or any series of debt securities, to make the occurrence, or the occurrence and the continuance, of a default in
any such additional covenants, restrictions, conditions or provisions an event of default or to surrender any right or power conferred
upon us in the indenture; |
| ● | to
add to, delete from or revise the conditions, limitations, and restrictions on the authorized amount, terms, or purposes of issue, authentication
and delivery of debt securities, as set forth in the indenture; |
| ● | to
make any change that does not adversely affect the interests of any holder of debt securities of any series in any material respect; |
| ● | to
provide for the issuance of and establish the form and terms and conditions of the debt securities of any series as provided above under
“Description of Debt Securities—General” to establish the form of any certifications required to be furnished pursuant
to the terms of the indenture or any series of debt securities, or to add to the rights of the holders of any series of debt securities; |
| ● | to
evidence and provide for the acceptance of appointment under any indenture by a successor trustee; or |
| ● | to
comply with any requirements of the SEC in connection with the qualification of any indenture under the Trust Indenture Act. |
In addition, under the indenture,
the rights of holders of a series of debt securities may be changed by us and the trustee with the written consent of the holders of
at least a majority in aggregate principal amount of the outstanding debt securities of each series that is affected. However, unless
we provide otherwise in the prospectus supplement applicable to a particular series of debt securities, we and the trustee may make the
following changes only with the consent of each holder of any outstanding debt securities affected:
| ● | extending
the fixed maturity of any debt securities of any series; |
| ● | reducing
the principal amount, reducing the rate of or extending the time of payment of interest, or reducing any premium payable upon the redemption
of any series of any debt securities; or |
| ● | reducing
the percentage of debt securities, the holders of which are required to consent to any amendment, supplement, modification or waiver. |
Discharge
The indenture provides that
we can elect to be discharged from our obligations with respect to one or more series of debt securities, except for specified obligations,
including obligations to:
| ● | register
the transfer or exchange of debt securities of the series; |
| ● | replace
stolen, lost or mutilated debt securities of the series; |
| ● | pay
principal of and premium and interest on any debt securities of the series; |
| ● | maintain
paying agent agreements; |
| ● | recover
excess money held by the trustee; |
| ● | compensate
and indemnify the trustee; and |
| ● | appoint
any successor trustee. |
In order to exercise our
rights to be discharged, we must deposit with the trustee money or government obligations sufficient to pay all the principal of, any
premium, if any, and interest on, the debt securities of the series on the dates payments are due.
Form, Exchange and Transfer
We will issue the debt securities
of each series only in fully registered form without coupons and, unless we provide otherwise in the applicable prospectus supplement,
in denominations of $1,000 and any integral multiple thereof. The indenture provides that we may issue debt securities of a series in
temporary or permanent global form and as book-entry securities that will be deposited with, or on behalf of, The Depository Trust Company
(“DTC”), or another depositary named by us and identified in the applicable prospectus supplement with respect to that series.
To the extent the debt securities of a series are issued in global form and as book-entry, a description of terms relating to any book-entry
securities will be set forth in the applicable prospectus supplement.
At the option of the holder,
subject to the terms of the indenture and the limitations applicable to global securities described in the applicable prospectus supplement,
the holder of the debt securities of any series can exchange the debt securities for other debt securities of the same series, in any
authorized denomination and of like tenor and aggregate principal amount.
Subject to the terms of
the indenture and the limitations applicable to global securities set forth in the applicable prospectus supplement, holders of the debt
securities may present the debt securities for exchange or for registration of transfer, duly endorsed or with the form of transfer endorsed
thereon duly executed if so required by us or the security registrar, at the office of the security registrar or at the office of any
transfer agent designated by us for this purpose. Unless otherwise provided in the debt securities that the holder presents for transfer
or exchange, we will impose no service charge for any registration of transfer or exchange, but we may require payment of any taxes or
other governmental charges.
We will name in the applicable
prospectus supplement the security registrar, and any transfer agent in addition to the security registrar, that we initially designate
for any debt securities. We may at any time designate additional transfer agents or rescind the designation of any transfer agent or
approve a change in the office through which any transfer agent acts, except that we will be required to maintain a transfer agent in
each place of payment for the debt securities of each series.
If we elect to redeem the
debt securities of any series, we will not be required to:
| ● | issue,
register the transfer of, or exchange any debt securities of that series during a period beginning at the opening of business 15 days
before the day of mailing of a notice of redemption of less than all outstanding debt securities of the same series that may be selected
for redemption and ending at the close of business on the day of the mailing; or |
| ● | register
the transfer of or exchange any debt securities so selected for redemption, in whole or in part, except the unredeemed portion of any
debt securities we are redeeming in part. |
Information Concerning the Trustee
The trustee, other than
during the occurrence and continuance of an event of default under an indenture, undertakes to perform only those duties as are specifically
set forth in the applicable indenture. Upon an event of default under an indenture, the trustee must use the same degree of care as a
prudent person would exercise or use in the conduct of his or her own affairs. Subject to this provision, the trustee is under no obligation
to exercise any of the powers given it by the indenture at the request of any holder of debt securities unless it is offered reasonable
security and indemnity against the costs, expenses and liabilities that it might incur.
Payment and Paying Agents
Unless we otherwise indicate
in the applicable prospectus supplement, we will make payment of the interest on any debt securities on any interest payment date to
the person in whose name the debt securities, or one or more predecessor securities, are registered at the close of business on the regular
record date for the interest.
We will pay principal of
and any premium and interest on the debt securities of a particular series at the office of the paying agents designated by us, except
that unless we otherwise indicate in the applicable prospectus supplement, we will make interest payments by check that we will mail
to the holder or by wire transfer to certain holders. Unless we otherwise indicate in the applicable prospectus supplement, we will designate
the corporate trust office of the trustee as our sole paying agent for payments with respect to debt securities of each series. We will
name in the applicable prospectus supplement any other paying agents that we initially designate for the debt securities of a particular
series. We will maintain a paying agent in each place of payment for the debt securities of a particular series.
All money we pay to a paying
agent or the trustee for the payment of the principal of or any premium or interest on any debt securities that remains unclaimed at
the end of two years after such principal, premium or interest has become due and payable will be repaid to us, and the holder of the
debt security thereafter may look only to us for payment thereof.
Governing Law
The indenture and the debt
securities will be governed by and construed in accordance with the internal laws of the State of New York, except to the extent that
the Trust Indenture Act is applicable.
DESCRIPTION OF SUBSCRIPTION RIGHTS
We may issue subscription
rights to purchase our ordinary shares. These subscription rights may be issued independently or together with any other security offered
hereby and may or may not be transferable by the shareholder receiving the subscription rights in such offering. In connection with any
offering of subscription rights, we may enter into a standby arrangement with one or more underwriters or other purchasers pursuant to
which the underwriters or other purchasers may be required to purchase any securities remaining unsubscribed for after such offering.
The prospectus supplement
relating to any subscription rights we offer, if any, will, to the extent applicable, include specific terms relating to the offering,
including some or all of the following:
|
● |
the price, if any, for
the subscription rights; |
|
|
|
|
● |
the exercise price payable
for each ordinary share upon the exercise of the subscription rights; |
|
|
|
|
● |
the number of subscription
rights to be issued to each shareholder; |
|
|
|
|
● |
the number and terms of
the ordinary shares which may be purchased per each subscription right; |
|
|
|
|
● |
the extent to which the
subscription rights are transferable; |
|
|
|
|
● |
any other terms of the
subscription rights, including the terms, procedures and limitations relating to the exchange and exercise of the subscription rights; |
|
|
|
|
● |
the date on which the right
to exercise the subscription rights shall commence, and the date on which the subscription rights shall expire; |
|
|
|
|
● |
the extent to which the
subscription rights may include an over-subscription privilege with respect to unsubscribed securities; and |
|
|
|
|
● |
if applicable, the material
terms of any standby underwriting or purchase arrangement which may be entered into by us in connection with the offering of subscription
rights. |
The description in the applicable
prospectus supplement of any subscription rights we offer will not necessarily be complete and will be qualified in its entirety by reference
to the applicable subscription right agreement, which will be filed with the SEC if we offer subscription rights. For more information
on how you can obtain copies of the applicable subscription right agreement if we offer subscription rights, see “Where You Can
Find More Information” and “Incorporation of Information by Reference.” We urge you to read the applicable subscription
right agreement and any applicable prospectus supplement in their entirety.
DESCRIPTION OF UNITS
We may issue units comprised
of one or more of the other securities that may be offered under this prospectus, in any combination. Each unit will be issued so that
the holder of the unit is also the holder of each security included in the unit. Thus, the holder of a unit will have the rights and
obligations of a holder of each included security. The unit agreement under which a unit is issued may provide that the securities included
in the unit may not be held or transferred separately at any time, or at any time before a specified date.
The prospectus supplement
relating to any units we offer, if any, will, to the extent applicable, include specific terms relating to the offering, including some
or all of the following:
| ● | the
material terms of the units and of the securities comprising the units, including whether and under what circumstances those securities
may be held or transferred separately; |
| ● | any
material provisions relating to the issuance, payment, settlement, transfer or exchange of the units or of the securities comprising
the units; and |
| ● | any
material provisions of the governing unit agreement that differ from those described above. |
The description in the applicable
prospectus supplement of any units we offer will not necessarily be complete and will be qualified in its entirety by reference to the
applicable unit agreement, which will be filed with the SEC if we offer units. For more information on how you can obtain copies of the
applicable unit agreement if we offer units, see “Where You Can Find More Information” and “Incorporation of Information
by Reference”. We urge you to read the applicable unit agreement and any applicable prospectus supplement in their entirety.
PLAN OF DISTRIBUTION
The securities being offered
by this prospectus and any applicable prospectus supplement may be sold, from time to time, in one or more transactions:
| ● | to
or through one or more underwriters on a firm commitment or agency basis; |
| ● | through
put or call option transactions relating to the securities; |
| ● | directly
to a single purchaser or several purchasers, through a specific bidding or auction process, on a negotiated basis or otherwise; |
| ● | through
any other method permitted pursuant to applicable law; or |
| ● | through
a combination of any such methods of sale. |
We may also sell equity
securities covered by this registration statement in an “at-the-market offering” as defined in Rule 415 under the Securities
Act. Such offering may be made into an existing trading market for such securities in transactions at other than a fixed price, either:
| ● | on
or through the facilities of The Nasdaq Stock Market LLC (“Nasdaq”), or any other securities exchange or quotation or trading
service on which such securities may be listed, quoted or traded at the time of sale; and/or |
| ● | other
than on Nasdaq or such other securities exchanges or quotation or trading services. |
Such at the market offerings,
if any, may be conducted by underwriters acting as principal or agent.
At the time a particular
offer of the securities covered by this prospectus is made, a revised prospectus or prospectus supplement (and any related free writing
prospectus that we may authorize to be provided to you), if required, will be distributed which will set forth the terms of the offering,
including:
| ● | the
name or names of any underwriters, dealers, brokers or agents; |
| ● | the
method of distribution; |
| ● | the
public offering price or purchase price of the securities and any discounts, commissions, concessions and other items constituting compensation
from us and any discounts, commissions or concessions allowed or reallowed or paid to dealers; |
| ● | any
options under which underwriters may purchase additional securities from us; |
| ● | any
securities exchange or market on which the securities may be listed; and |
| ● | the
group of investors targeted potential investors, if any. |
Such prospectus supplement,
and, if necessary, a post-effective amendment to the registration statement of which this prospectus is a part, will be filed with the
SEC to reflect the disclosure of additional information with respect to the distribution of the securities covered by this prospectus.
In order to comply with the securities laws of certain states, if applicable, the securities sold under this prospectus may only be sold
through registered or licensed broker-dealers. In addition, in some states the securities may not be sold unless they have been registered
or qualified for sale in the applicable state or an exemption from registration or qualification requirements is available and is complied
with.
The distribution of securities
may be effected from time to time in one or more transactions, including block transactions and transactions on the Nasdaq Capital Market
or any other organized market where the securities may be traded. The securities may be sold at a fixed price or prices, which may be
changed, or at market prices prevailing at the time of sale, at prices relating to the prevailing market prices or at negotiated prices.
The consideration may be cash or another form negotiated by the parties. Agents, underwriters or broker-dealers may be paid compensation
for offering and selling the securities. That compensation may be in the form of discounts, concessions or commissions to be received
from us or from the purchasers of the securities. Any dealers and agents participating in the distribution of the securities may be deemed
to be underwriters, and compensation received by them on resale of the securities may be deemed to be underwriting discounts. If any
such dealers or agents were deemed to be underwriters, they may be subject to statutory liabilities under the Securities Act of 1933,
as amended (the “Securities Act”).
Agents may from time to
time solicit offers to purchase the securities. If required, we will name in the applicable prospectus supplement any agent involved
in the offer or sale of the securities and set forth any compensation payable to the agent. Unless otherwise indicated in the prospectus
supplement, any agent will be acting on a best efforts basis for the period of its appointment. Any agent selling the securities covered
by this prospectus may be deemed to be an underwriter, as that term is defined in the Securities Act, of the securities.
If underwriters are used
in a sale, securities will be acquired by the underwriters for their own account and may be resold from time to time in one or more transactions,
including negotiated transactions, at a fixed public offering price or at varying prices determined at the time of sale, or under delayed
delivery contracts or other contractual commitments. Securities may be offered to the public either through underwriting syndicates represented
by one or more managing underwriters or directly by one or more firms acting as underwriters. If an underwriter or underwriters are used
in the sale of securities, an underwriting agreement will be executed with the underwriter or underwriters, as well as any other underwriter
or underwriters, with respect to a particular underwritten offering of securities, and will set forth the terms of the transactions,
including compensation of the underwriters and dealers and the public offering price, if applicable. The prospectus, the applicable prospectus
supplement and any free writing prospectus authorized for use in connection with an offering will be used by the underwriters to resell
the securities.
If a dealer is used in the
sale of the securities, we or an underwriter will sell the securities to the dealer, as principal. The dealer may then resell the securities
to the public at varying prices to be determined by the dealer at the time of resale. To the extent required, we will set forth in the
prospectus supplement the name of the dealer and the terms of the transactions. Any public offering price and any discounts or concessions
allowed or re-allowed or paid to dealers may be changed from time to time.
We may directly solicit
offers to purchase the securities and may make sales of securities directly to institutional investors or others. These persons may be
deemed to be underwriters within the meaning of the Securities Act with respect to any resale of the securities. To the extent required,
the applicable prospectus supplement and any free writing prospectus authorized for use in connection with an offering will describe
the terms of any such sales, including the terms of any bidding or auction process, if used.
Agents, underwriters and
dealers may be entitled under agreements which may be entered into with us to indemnification by us against specified liabilities, including
liabilities incurred under the Securities Act, or to contribution by us to payments they may be required to make in respect of such liabilities.
If required, the prospectus supplement will describe the terms and conditions of the indemnification or contribution. Some of the agents,
underwriters or dealers, or their affiliates may be customers of, engage in transactions with or perform services for us or our subsidiaries.
Any person participating
in the distribution of securities registered under the registration statement that includes this prospectus will be subject to applicable
provisions of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and the applicable SEC rules and regulations,
including, among others, Regulation M, which may limit the timing of purchases and sales of any of our securities by that person. Furthermore,
Regulation M may restrict the ability of any person engaged in the distribution of our securities to engage in market-making activities
with respect to our securities. These restrictions may affect the marketability of our securities and the ability of any person or entity
to engage in market-making activities with respect to our securities.
Certain persons participating
in an offering may engage in over-allotment, stabilizing transactions, short-covering transactions, penalty bids and other transactions
that stabilize, maintain or otherwise affect the price of the offered securities. These activities may maintain the price of the offered
securities at levels above those that might otherwise prevail in the open market, including by entering stabilizing bids, effecting syndicate
covering transactions or imposing penalty bids, each of which is described below.
| ● | A
stabilizing bid means the placing of any bid, or the effecting of any purchase, for the purpose of pegging, fixing or maintaining the
price of a security. |
| ● | A
syndicate covering transaction means the placing of any bid on behalf of the underwriting syndicate or the effecting of any purchase
to reduce a short position created in connection with the offering. |
| ● | A
penalty bid means an arrangement that permits the managing underwriter to reclaim a selling concession from a syndicate member in connection
with the offering when offered securities originally sold by the syndicate member are purchased in syndicate covering transactions. |
These transactions may be
effected on an exchange or automated quotation system, if the securities are listed on that exchange or admitted for trading on that
automated quotation system, or in the over-the-counter market or otherwise.
If so indicated in the applicable
prospectus supplement, we will authorize agents, underwriters or dealers to solicit offers from certain types of institutions to purchase
offered securities from us at the public offering price set forth in such prospectus supplement pursuant to delayed delivery contracts
providing for payment and delivery on a specified date in the future. Such contracts will be subject only to those conditions set forth
in the prospectus supplement and the prospectus supplement will set forth the commission payable for solicitation of such contracts.
In addition, ordinary shares
may be issued upon conversion of or in exchange for debt securities or other securities.
Any underwriters to whom
offered securities are sold for public offering and sale may make a market in such offered securities, but such underwriters will not
be obligated to do so and may discontinue any market making at any time without notice. The offered securities may or may not be listed
on a national securities exchange. No assurance can be given that there will be a market for the offered securities.
Any securities that qualify
for sale pursuant to Rule 144 or Regulation S under the Securities Act, may be sold under Rule 144 or Regulation S rather than pursuant
to this prospectus.
To the extent that we make
sales to or through one or more underwriters or agents in at-the-market offerings, we will do so pursuant to the terms of a distribution
agreement between us and the underwriters or agents. If we engage in at-the-market sales pursuant to a distribution agreement, we will
sell our ordinary shares to or through one or more underwriters or agents, which may act on an agency basis or on a principal basis.
During the term of any such agreement, we may sell ordinary shares on a daily basis in exchange transactions or otherwise as we agree
with the underwriters or agents. The distribution agreement will provide that any ordinary shares sold will be sold at prices related
to the then prevailing market prices for our ordinary shares. Therefore, exact figures regarding proceeds that will be raised or commissions
to be paid cannot be determined at this time and will be described in a prospectus supplement. Pursuant to the terms of the distribution
agreement, we also may agree to sell, and the relevant underwriters or agents may agree to solicit offers to purchase, blocks of our
ordinary shares or warrants. The terms of each such distribution agreement will be set forth in more detail in a prospectus supplement
to this prospectus.
In connection with offerings
made through underwriters or agents, we may enter into agreements with such underwriters or agents pursuant to which we receive our outstanding
securities in consideration for the securities being offered to the public for cash. In connection with these arrangements, the underwriters
or agents may also sell securities covered by this prospectus to hedge their positions in these outstanding securities, including in
short sale transactions. If so, the underwriters or agents may use the securities received from us under these arrangements to close
out any related open borrowings of securities.
We may enter into derivative
transactions with third parties or sell securities not covered by this prospectus to third parties in privately negotiated transactions.
If the applicable prospectus supplement indicates, in connection with those derivatives, such third parties (or affiliates of such third
parties) may sell securities covered by this prospectus and the applicable prospectus supplement, including in short sale transactions.
If so, such third parties (or affiliates of such third parties) may use securities pledged by us or borrowed from us or others to settle
those sales or to close out any related open borrowings of shares, and may use securities received from us in settlement of those derivatives
to close out any related open borrowings of shares. The third parties (or affiliates of such third parties) in such sale transactions
will be underwriters and, if not identified in this prospectus, will be identified in the applicable prospectus supplement (or a post-effective
amendment).
We may loan or pledge securities
to a financial institution or other third party that in turn may sell the securities using this prospectus. Such financial institution
or third party may transfer its short position to investors in our securities or in connection with a simultaneous offering of other
securities offered by this prospectus and any applicable prospectus supplement or in connection with a simultaneous offering of other
securities offered by this prospectus and any applicable prospectus supplement.
TAXATION
The material U.S. federal
and Israeli income tax consequences, if any, relating to the purchase, ownership and disposition of our securities offered by this prospectus
will be set forth in the prospectus supplement pertaining to the offering of such securities.
LEGAL MATTERS
Certain legal matters with
respect to Israeli law and with respect to the validity of the offered securities under Israeli law will be passed upon for us by Gross
& Co. Certain legal matters with respect to U.S. law will be passed upon for us by Covington & Burling LLP, New York, New
York
EXPERTS
The financial statements
of NeuroSense Therapeutics Ltd. as of December 31, 2021 and 2020, and for each of the years in the three-year period ended December 31,
2021, have been incorporated by reference herein in reliance upon the report of Somekh Chaikin, a member firm of KPMG International,
independent registered public accounting firm, incorporated by reference herein, and upon the authority of said firm as experts in accounting
and auditing.
WHERE YOU CAN FIND MORE INFORMATION
This prospectus is part
of the registration statement on Form F-3 we filed with the SEC under the Securities Act, with respect to the securities offered by this
prospectus. However, as is permitted by the rules and regulations of the SEC, this prospectus, which is part of our registration statement
on Form F-3, omits certain non-material information, exhibits, schedules and undertakings set forth in the registration statement. For
further information about us, and the securities offered by this prospectus, please refer to the registration statement and the exhibits
and schedules filed as a part of the registration statement. You should rely only on the information contained in this prospectus or
incorporated by reference. We have not authorized anyone else to provide you with different information. We are not making an offer of
these securities in any state where the offer is not permitted.
We are subject to the reporting
requirements of the Exchange Act that are applicable to a foreign private issuer. In accordance with the Exchange Act, we file reports,
including annual reports on Form 20-F by April 30 of each year. We also furnish to the SEC under cover of Form 6-K material information
required to be made public in Israel, filed with and made public by any stock exchange or distributed by us to our shareholders.
The SEC maintains an Internet
site that contains reports, proxy and information statements, and other information regarding issuers, such as us, that file electronically
with the SEC (http://www.sec.gov).
As a foreign private issuer,
we are exempt from the rules under the Exchange Act prescribing the furnishing and content of proxy statements to shareholders and our
officers, directors and principal shareholders are exempt from the “short-swing profits” reporting and liability provisions
contained in Section 16 of the Exchange Act and related Exchange Act rules.
INCORPORATION OF CERTAIN
DOCUMENTS BY REFERENCE
We file annual and special
reports and other information with the SEC (File Number 001-41084). These filings contain important information which does not appear
in this prospectus. The SEC allows us to “incorporate by reference” information into this prospectus, which means that we
can disclose important information to you by referring you to other documents which we have filed or will file with the SEC. We are incorporating
by reference in this prospectus the documents listed below and all amendments or supplements we may file to such documents, as well as
any future filings we may make with the SEC on Form 20-F under the Exchange Act before the time that all of the securities offered by
this prospectus have been sold or de-registered:
| ● | our
Annual Report on Form 20-F
for the fiscal year ended on December 31, 2021, filed with the SEC on April 14, 2022; |
| ● | our
reports on Form 6-K furnished to the SEC on May
31, 2022, June 27, 2022,
June 30, 2022, July
13, 2022, September 20, 2022,
September 28, 2022 and December
1, 2022 and our report on Form
6-K/A furnished to the SEC on January 19, 2023 (with respect to Exhibit 99.1, only the text under the headings “Business Update”
(first two paragraphs), “Financial Summary”, “Forward-Looking Statements” and financial tables); and |
| ● | the
description of our ordinary shares contained under the heading “Item 1. Description of Registrant’s Securities to be Registered”
in our registration statement on Form
8-A, as filed with the SEC on November 18, 2021, including any subsequent amendment or any report filed for the purpose of updating
such description. |
In addition, any reports
on Form 6-K submitted to the SEC by the registrant pursuant to the Exchange Act after the date of the initial registration statement
and prior to effectiveness of the registration statement that we specifically identify in such forms as being incorporated by reference
into the registration statement of which this prospectus forms a part and all subsequent annual reports on Form 20-F filed after the
effective date of this registration statement and prior to the termination of this offering, shall be considered to be incorporated into
this prospectus by reference and shall be considered a part of this prospectus from the date of filing or submission of such documents.
Certain statements in and
portions of this prospectus update and replace information in the above listed documents incorporated by reference. Likewise, statements
in or portions of a future document incorporated by reference in this prospectus may update and replace statements in and portions of
this prospectus or the above listed documents.
We will provide each person,
including any beneficial owner to whom a prospectus is delivered, without charge, upon a written or oral request, a copy of any of the
documents incorporated by reference in this prospectus, other than exhibits to such documents which are not specifically incorporated
by reference into such documents. Please direct your written or telephone requests to NeuroSense Therapeutics Ltd., 11 HaMenofim Street,
Building B, Herzliya, 4672562, Israel, Attn: Or Eisenberg, telephone number +972587531153. You may also obtain information about us by
visiting our website at www.neurosense-tx.com. Information contained in our website is not part of this prospectus.
ENFORCEABILITY OF CIVIL LIABILITIES
We are incorporated under
the laws of the State of Israel. Service of process upon us and upon our directors and officers and the Israeli experts named in this
prospectus, substantially all of whom reside outside the United States, may be difficult to obtain within the United States. Furthermore,
because substantially all of our assets and substantially all of our directors and officers are located outside the United States, any
judgment obtained in the United States against us or any of our directors and officers may not be collectible within the United States.
We have irrevocably appointed
Cogency Global Inc. as our agent to receive service of process in any action against us in any U.S. federal or state court arising out
of this offering or any purchase or sale of securities in connection with this offering. The address of our agent is 1180 Avenue of the
Americas, Suite 210, New York, New York 10036.
We have been informed by
our legal counsel in Israel, Gross & Co., that it may be difficult to initiate an action with respect to U.S. securities law in Israel.
Israeli courts may refuse to hear a claim based on an alleged violation of U.S. securities laws reasoning that Israel is not the most
appropriate forum to hear such a claim. In addition, even if an Israeli court agrees to hear a claim, it may determine that Israeli law
and not U.S. law is applicable to the claim. If U.S. law is found to be applicable, the content of applicable U.S. law must be proved
as a fact by expert witnesses which can be a time-consuming and costly process. Certain matters of procedure may also be governed by
Israeli law.
Subject to certain time limitations
and legal procedures, Israeli courts may enforce a U.S. judgment in a civil matter which, subject to certain exceptions, is non-appealable,
including judgments based upon the civil liability provisions of the Securities Act and the Exchange Act and including a monetary or
compensatory judgment in a non-civil matter, provided that:
| ● | the
judgment was rendered by a court which was, according to the laws of the state of the court, competent to render the judgment; |
| ● | the
obligation imposed by the judgment is enforceable according to the rules relating to the enforceability of judgments in Israel and the
substance of the judgment is not contrary to public policy; and |
| ● | the
judgment is executory in the state in which it was given. |
Even if these conditions are
met, an Israeli court will not declare a foreign civil judgment enforceable if:
| ● | the
judgment was given in a state whose laws do not provide for the enforcement of judgments of Israeli courts (subject to exceptional cases); |
| ● | the
enforcement of the judgment is likely to prejudice the sovereignty or security of the State of Israel; |
| ● | the
judgment was obtained by fraud; |
| ● | the
opportunity given to the defendant to bring its arguments and evidence before the court was not reasonable in the opinion of the Israeli
court; |
| ● | the
judgment was rendered by a court not competent to render it according to the laws of private international law as they apply in Israel; |
| ● | the
judgment is contradictory to another judgment that was given in the same matter between the same parties and that is still valid; or |
| ● | at
the time the action was brought in the foreign court, a lawsuit in the same matter and between the same parties was pending before a
court or tribunal in Israel. |
If a foreign judgment is
enforced by an Israeli court, it generally will be payable in Israeli currency, which can then be converted into non-Israeli currency
and transferred out of Israel. The usual practice in an action before an Israeli court to recover an amount in a non-Israeli currency
is for the Israeli court to issue a judgment for the equivalent amount in Israeli currency at the rate of exchange in force on the date
of the judgment, but the judgment debtor may make payment in foreign currency. Pending collection, the amount of the judgment of an Israeli
court stated in Israeli currency ordinarily will be linked to the Israeli consumer price index plus interest at the annual statutory
rate set by Israeli regulations prevailing at the time. Judgment creditors must bear the risk of unfavorable exchange rates.
EXPENSES ASSOCIATED WITH
THE REGISTRATION
The following is a statement
of expenses in connection with the distribution of the securities registered. All amounts shown are estimates except the SEC registration
fee. The estimates do not include expenses related to offerings of particular securities. Each prospectus supplement describing an offering
of securities will reflect the estimated expenses related to the offering of securities under that prospectus supplement.
SEC registration fee | |
$ | 11,020 | |
FINRA filing fee | |
| 15,500 | |
Legal fees and expenses | |
| * | |
Accountants’ fees and expenses | |
| 10,000 | |
Trustee fees and expenses | |
| * | |
| |
| | |
Miscellaneous | |
| * | |
Total | |
$ | * | |
* | The calculation of these
fees and expenses is dependent on the number of issuances and amount and types of securities
offered and, accordingly, cannot be estimated at this time. |
NeuroSense Therapeutics Ltd.
Up to $2,524,437
Ordinary Shares
PROSPECTUS SUPPLEMENT
August 16, 2024
NeuroSense Therapeutics (NASDAQ:NRSN)
Historical Stock Chart
From Nov 2024 to Dec 2024
NeuroSense Therapeutics (NASDAQ:NRSN)
Historical Stock Chart
From Dec 2023 to Dec 2024