Foreign Filer Report • Nov 24, 2025
Foreign Filer Report
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Report of Foreign Private Issuer Pursuant to Rule 13a-16 or 15d-16 under the Securities Exchange Act of 1934
For the month of: November 2025
Commission file number: 001-36578
(Translation of registrant's name into English)
(Address of principal executive offices)
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F ☒ Form 40-F ☐
On November 24, 2025, Enlivex Therapeutics Ltd., a company organized under the laws of the State of Israel ("Enlivex"), issued a press release announcing six-month topline data from the Phase IIa stage of ENX-CL-05-001, a multi-center, two-stage Phase I/II double-blind, randomized, placebo-controlled clinical trial evaluating Allocetra™ in patients with moderate-to-severe knee osteoarthritis. A copy of such press release is furnished as Exhibit 99.1 to this Report on Form 6-K and incorporated herein by reference. Also attached as Exhibit 99.2 to this Report on Form 6-K and incorporated herein by reference is a copy of Enlivex's investor presentation in respect of such six-month topline data. The information (i) in the four bullets immediately under the heading "Summary of the 6-month Topline Data" in such press release and (ii) in slides 12 through 25, inclusive, contained in such investor presentation is incorporated by reference into Enlivex's registration statements on Forms S-8, F-3 and F-3MEF (File No. 333-256799, File No. 333-232413, File No. 333-232009, File No. 333-252926 and File No. 333-286956), filed with the Securities and Exchange Commission.
99.1 Press Release Issues by Enlivex Therapeutics Ltd. on November 24, 2025
99.2 Investor Presentation
1
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
Enlivex Therapeutics Ltd. (Registrant)
By: /s/ Oren Hershkovitz Name: Oren Hershkovitz Title: Chief Executive Officer
Date: November 24, 2025

Enlivex Announces Positive 6-Month Topline Data –Demonstrating Durable and Persistent Pain Reduction and Improved Function in Primary Age-Related Patients with Moderate to Severe Knee Osteoarthritis
Nes-Ziona, Israel, November 24, 2025 (GLOBE NEWSWIRE) -- Enlivex Therapeutics Ltd. ( Nasdaq: ENLV, the "Company"), a clinical-stage macrophage reprogramming immunotherapy company, today announced positive six-month efficacy data from the Phase IIa stage of its randomized, multi-country Phase I/II Allocetra™ trial (ENX-CL-05- 001) in patients with moderate to severe knee osteoarthritis (OA). The six-month follow-up has now been completed for all patients. The results re-affirm the three-month data reported previously and substantiate the identification of an age-related primary OA responder population.
Professor Philip Conaghan, MBBS, PhD, FRACP, FRCP, is an internationally renowned leader in osteoarthritis and musculoskeletal imaging, and the Consultant Rheumatologist and Director of the NIHR Leeds Biomedical Research Centre. Prof. Conaghan has authored more than 700 publications and chaired multiple global guidelines and trial initiatives and is a member of the Clinical Advisory Board of Enlivex.
Prof. Conaghan commented "The toll of knee osteoarthritis continues to grow with the increasing burden of aging and obesity, and subsequently the need for effective therapies is becoming a major need undertaking. With the understanding that inflammatory mediators play a central role in the progression of knee pain and dysfunction, new treatment strategies can be proposed. I am encouraged by the results demonstrated in the study so far and continue to follow the clinical development of Allocetra™ as an immune modulating agent that could potentially pioneer a new therapeutic approach."
Oren Hershkovitz, Ph.D., CEO of Enlivex, stated: "We believe the six-month results provide strong evidence that Allocetra™ delivers a durable and clinically meaningful benefit for patients with age-related primary knee osteoarthritis. A single treatment cycle producing at least six months of sustained efficacy represents not only a potentially transformative therapeutic option for patients but also supports a compelling and scalable commercial opportunity for Enlivex."
Einat Galamidi, M.D., CMO of Enlivex, added: "We are highly encouraged by the durable clinical improvements observed in this patient population. These results pave the way for our upcoming Phase IIb trial evaluating Allocetra™ in age-related primary knee osteoarthritis. We plan to initiate this study in the first half of 2026 and are committed to advancing Allocetra™ as a potential novel treatment to improve the quality of life for millions of patients affected by knee osteoarthritis."
In-depth analysis of the 6-month results is provided in a separate presentation, available as part of the Companiy's SEC filings and can be downloaded from its website.
ENX-CL-05-001 is a multi-center Phase I/II clinical trial consisted of two stages. The first stage was a Phase I safety run-in, open-label dose escalation phase to characterize the safety and tolerability of Allocetra™ injections to the target knee, in order to identify the dose and injection regimen or the subsequent Phase IIa stage. The Phase IIa stage is a double-blind, randomized, placebo-controlled multi-centered trial. In addition to evaluating safety, the study protocol was designed to efficiently find a strong signal in a responder population to guide future development, and includes an interim statistical evaluation, conducted by an independent third party and blinded to the Company, to assess the potential value of enrollment of up to 50 patients in addition to the original randomized sample size of 130, and its marginal impact on the p-value of the statistical estimation of the total group and specifically to identify a potential responder sub-group. The trial's key efficacy endpoints evaluate joint-pain and joint-function in comparison to placebo at three months, six months and 12 months post treatment.
Osteoarthritis is by far the most common form of arthritis, affecting more than 32.5 million Americans and more than 300 million individuals worldwide. About half of knees with ACL injuries develop osteoarthritis within 5 to 15 years. 78 million Americans are projected to have osteoarthritis by the year 2040. Symptomatic knee osteoarthritis is particularly prevalent and disabling, with 40% of men and 47% of women developing knee osteoarthritis in their lifetimes. Osteoarthritis accounts for over one million hospitalizations annually in the United States, primarily for total joint replacement. The burden of osteoarthritis is enormous, and the need for treatments that reduce pain and attendant disability for persons with osteoarthritis is critical. There are currently no medications approved by either the U.S. Food and Drug Administration (FDA) or the European Medicines Agency (EMA) that have been demonstrated to arrest, slow or reverse progression of structural damage in the joint.
Enlivex is a clinical stage macrophage reprogramming immunotherapy company developing Allocetra™, a universal, off-the-shelf cell therapy designed to reprogram macrophages into their homeostatic state. Resetting non-homeostatic macrophages into their homeostatic state is critical for immune system rebalancing and resolution of lifethreatening and life debilitating conditions. For more information, visit https://enlivex.com/.
Safe Harbor Statement: This press release contains forward-looking statements, which may be identified by words such as "expects," "plans," "projects," "will," "may," "anticipates," "believes," "should," "would," "could," "intends," "estimates," "suggests," "has the potential to" and other words of similar meaning, including statements regarding expected cash balances, expected clinical trial results, market opportunities for the results of current clinical studies and preclinical experiments, the effectiveness of, and market opportunities for, ALLOCETRATM programs. All such forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Investors are cautioned that forward-looking statements involve risks and uncertainties that may affect Enlivex's business and prospects, including the risks that Enlivex may not succeed in generating any revenues or developing any commercial products; that the products in development may fail, may not achieve the expected results or effectiveness and/or may not generate data that would support the approval or marketing of these products for the indications being studied or for other indications; that ongoing studies may not continue to show substantial or any activity; and other risks and uncertainties that may cause results to differ materially from those set forth in the forward-looking statements. The results of clinical trials in humans may produce results that differ significantly from the results of clinical and other trials in animals. The results of early-stage trials may differ significantly from the results of more developed, later-stage trials. The development of any products using the ALLOCETRATM product line could also be affected by a number of other factors, including unexpected safety, efficacy or manufacturing issues, additional time requirements for data analyses and decision making, the impact of pharmaceutical industry regulation, the impact of competitive products and pricing and the impact of patents and other proprietary rights held by competitors and other third parties. In addition to the risk factors described above, investors should consider the economic, competitive, governmental, technological and other factors discussed in Enlivex's filings with the Securities and Exchange Commission, including in the Company's most recent Annual Report on Form 20-F filed with the Securities and Exchange Commission. The forward-looking statements contained in this press release speak only as of the date the statements were made, and we do not undertake any obligation to update forward-looking statements, except as required under applicable law.
Shachar Shlosberger, CFO Enlivex Therapeutics, Ltd. [email protected]
IR Contact:
KCSA Strategic Communications Jack Perkins [email protected]


These slides and the accompanying oral presentation contain forward-looking statements and information. Forward-looking statements are subject to known and unknown risks, uncertainties, and other factors that may cause our or our industry's actual results, levels or activity, performance or achievements to be materially different from those anticipated by such statements. The use of words such as "may", "might", "will", "should", "could", "expect", "plan", "anticipate", "believe", "estimate", "project", "intend", "future", "potential" or "continue", and other similar expressions are intended to identify forward looking statements. For example, all statements we make regarding (i) the initiation, timing, cost, progress and results of our preclinical and clinical studies and our research and development programs, (ii) our ability to advance product candidates into, and successfully complete, clinical studies, (iii) the timing or likelihood of regulatory filings and approvals, (iv) our ability to develop, manufacture and commercialize our product candidates and to improve the manufacturing process, (v) the rate and degree of market acceptance of our product candidates, (vi) the size and growth potential of the markets for our product candidates and our ability to serve those markets.
and (vii) our expectations regarding our ability to obtain and maintain intellectual property protection for our product candidates, are forward looking. All forward-looking statements are based on current estimates, assumptions and expectations by our management that, although we believe to be reasonable, are inherently uncertain. All forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those that we expected. Any forward-looking statement speaks only as of the date on which it was made. We undertake no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events or otherwise, except as required by law. This presentation is not, and nothing in it should be construed as, an offer, invitation or recommendation in respect of our securities, or an offer, invitation or recommendation to sell, or a solicitation of an offer to buy, any of our securities in any jurisdiction. Neither this presentation nor anything in it shall form the basis of any contract or commitment. This presentation is not intended to be relied upon as advice to investors or potential investors.

Enlivex is a clinical stage pharmaceutical company developing Allocetra™, a universal, off-the-shelf cell therapy designed to reprogram macrophages into their homeostatic state, for treatment of inflammatory diseases.

Novel therapeutic modality:
macrophage modulation.

Novel approach:
allogeneic cells to trigger macrophage reprogramming.

Substantial market:
unmet need in inflammatory and autoimmune diseases.

Cost-effective cell therapy:
simple manufacturing process yielding a ready-touse off-the-shelf cell therapy.

Macrophages, which are found in abundance throughout the body, are immune cells that reside in or infiltrate human tissue.

The current understanding among researchers is that disrupted inflammatory processes form the basis of many diseases, beyond "classical" inflammatory diseases.
Macrophages orchestrate inflammation and its resolution.


How apoptotic cells



The interaction between apoptotic cells and macrophages contributes to the pro-resolution and immune-modulating effects of Allocetra™, promoting macrophage and immune homeostasis.











The role of innate immunity in osteoarthritis: when our first line of defense goes on the offensive.
Eric W. Orlowsky and Virginia Byers Kraus
The Journal of Rheumatology 2015

Characterizing heterogeneity in the response of synovial mesenchymal progenitor cells to synovial macrophages in normal individuals and patients with osteoarthritis.
Akash Fichadiya, Karri L Bertram, Guomin Ren, Robin M Yates and Roman J Krawetz
Journal of Inflammation 2016


Imbalance of M1/M2 macrophages is linked to severity level of knee osteoarthritis.
Baolong Liu, Maoquan Zhang, Jingming Zhao, Mei Zheng and Hao Yang
Experimental and therapeutic medicine 2018

An emerging target in the battle against osteoarthritis: macrophage polarization.
Yulong Sun, Zhuo Zuo and Yuanyuan Kuang International Journal of Molecular Sciences 2020

Synovial macrophages in osteoarthritis: the key to understanding pathogenesis?
Amanda Thomson and Catharien M. U. Hilkens
Frontiers in Immunology 2021

• Rising geriatric population $\rightarrow$ increasing OA prevalence

$^1\,$ Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies, A. Cui et al. / EClinicalMedicine 2930 (2020) 100587
ENLIVEX
11 |
RESULTS FROM THE COMPLETED ENX-CL-05-001 – PHASE IIa IN PATIENTS WITH SYMPTOMATIC MODERATE TO SEVERE KNEE OA


ENLIVEX ©
ENX-CL-05-001 KNEE-OSTEOARTHRITIS PHASE IIa
RESULTS - 3 & 6-MONTH TOPLINE DATA ANALYSIS

ClinicalTrials.gov Registration: NCT06233474
NRS=numerical rating scale.
WOMAC= Standard knee questionnaire evaluating pain, stiffness & physical function

Phase I: Dose escalation & safety

15 patients
Independent safety committee $\rightarrow$ no negative safety signal, highest dose selected for Phase IIa

Phase IIa: Randomized, double-blind, placebo-controlled

134 patients
3 injections (in total) of AllocetraTM or Placebo, each injection 2 weeks from the previous injection

Primary
Safety and tolerability.

Change in pain and function assessments (NRS, WOMAC)

Efficacy: 3-month, 6-month Safety: 12-month follow-up
16 |

| Standardized Effect Size | |||||
|---|---|---|---|---|---|
| Efficacy Endpoint | mITT | ≥60 | ≥65 | ||
| NRS Pain Change from Baseline (scale 0-10) | |||||
| 3 Months | -0.22 | -0.41 | -0.76 | ||
| 6 Months | -0.08 | -0.30 | -0.80 | ||
| WOMAC Pain Change from Baseline (randomized 0-100) | |||||
| 3 Months | -0.20 | -0.53 | -1.05 | ||
| 6 Months | -0.05 | -0.25 | -0.88 | ||
| WOMAC Function Change from Baseline (randomized 0-100) | |||||
| 3 Months | -0.21 | -0.67 | -1.22 | ||
| 6 Months | -0.15 | -0.48 | -1.22 | ||
| WOMAC Total Change from Baseline (randomized 0-100) | |||||
| 3 Months | -0.19 | -0.62 | -1.20 | ||
| 6 Months | -0.11 | -0.41 | -1.14 |
Dobson et al. Osteoarthritis Cartilage. 2013;21(8):1042-52; Bannuru et al. Ann Intern Med. 2015;162(1):46-54; Conaghan et al. J. Bone Joint Surg Am. 2018;100(8):566-677; Katz et al. Postgrad Med. 2010;122(4):112-28; Berenbaum et al. Ann Rheum Dis. 2002(29)(6):800-810; Chrevalier et al. Ann Rheum Dis. 2010(59)(1):112-28;


Substantial and durable weekly pain NRS reduction compared to placebo, with increased effect trending with age.

ENLIVEX
Placebo Allocetra™
18 |
High responder rates compared to placebo, with increasing percentages trending with age
| Age thresh | nold | 3m | 6m |
|---|---|---|---|
| ≥ 60 | Placebo | 50% | 58% |
| Allocetra | 71% | 65% | |
| % better than placebo | 41% | 12% | |
| p-value | 0.0773 | 0.5604 | |
| ≥ 63 | Placebo | 37% | 44% |
| Allocetra | 68% | 64% | |
| % better than placebo | 83% | 45% | |
| p-value | 0.0219 | 0.1448 | |
| ≥ 65 | Placebo | 33% | 38% |
| Allocetra | 75% | 63% | |
| % better than placebo | 125% | 64% | |
| p-value | 0.0042 | 0.1069 |

Responders were defined as patients that met the OMERACT-OARSI criteria (Outcome Measures in Arthritis Clinical Trials-Osteoarthritis Research Society International)

<-- PDF CHUNK SEPARATOR -->
WOMAC pain change 3 months, Primary OA population

WOMAC pain change 6 months, Primary OA population

Results are normalized to 0-100 scale

WOMAC total change 3 months, Primary OA population

WOMAC total change 6 months, Primary OA population

Results are normalized to 0-100 scale

| Age cutoff |
Change from baseline - 3 months | Change from baseline - 6 months | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Allocetra™ Mean (SD) |
Placebo Mean (SD) |
Difference | % Better than placebo |
p-value | Allocetra™ Mean (SD) |
Placebo Mean (SD) |
Difference | % Better than placebo |
p-value | |
| ≥ 60 | -26.8 (±20.0) | -13.4 (±20.6) | -13.3 | 99% | 0.0083 | -25.3 (±18.6) | -16.6 (±21.6) | -8.7 | 52% | 0.0927 |
| ≥ 61 | -28.2 (±20.7) | -12.3 (±19.6) | -16.0 | 130% | 0.0024 | -27.8 (±18.3) | -15.5 (±21.0) | -12.3 | 80% | 0.0215 |
| ≥ 62 | -28.2 (±20.7) | -9.1 (±19.4) | -19.1 | 210% | 0.0005 | -27.8 (±18.3) | -12.9 (±21.9) | -14.9 | 116% | 0.0095 |
| ≥ 63 | -25.8 (±18.6) | -7.4 (±19.6) | -18.4 | 250% | 0.0010 | -24.9 (±14.6) | -9.7 (±22.3) | -15.2 | 156% | 0.0076 |
| ≥ 64 | -26.3 (±16.5) | -7.4 (±20.0) | -18.9 | 255% | 0.0008 | -26.5 (±13.4) | -7.9 (±21.1) | -18.6 | 235% | 0.0013 |
| ≥ 65 | -27.3 (±16.2) | - 5.7 (±19.2) | -21.6 | 379% | 0.0003 | - 26.5 (±13.8) | -9.6 (±15.1) | -16.9 | 175% | 0.0009 |
Results are normalized to 0-100 scale
ENLIVEX ©
Trending with age
ENLIVEX 🕙
25 |
ENLIVEX (*)
26 |
<sup>1 Chen et al., Global burden of knee osteoarthritis from 1990 to 2021, PLoS One 2025

Phase IIb: Randomized, double-blind, placebo-controlled

Allocetra™ (1 or 2 doses) vs. Placebo, 3 injections in total, each injection 2 weeks from the previous injection

Primary:
3-month change in WOMAC pain
3-month change in WOMAC pain & function
Safety and tolerability

Secondary:
3 & 6-month change in WOMAC total, NRS pain,
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Expected protection up to
2043
28 | Nasdaq: ENLV

29 | Nasdaq: ENLV


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