You should read the following discussion and analysis of our financial condition
and results of operations together with our financial statements and related
notes appearing elsewhere in this Annual Report. This discussion contains
forward-looking statements that involve risks and uncertainties, including those
described in the section titled "Special Note Regarding Forward Looking
Statements." Our actual results and the timing of selected events could differ
materially from those discussed below. Factors that could cause or contribute to
such differences include, but are not limited to, those identified below and
those set forth under the section titled "Risk Factors" included elsewhere in
this report.

Overview

We are a clinical-stage biopharmaceutical company leveraging our proprietary
technology platform to design and develop a pipeline of novel oral biologic
product candidates. Our proprietary technology platform allows us to exploit
existing natural cellular trafficking pathways to facilitate the active
transport of diverse therapeutic payloads across epithelial barriers, such as
the intestinal epithelium (IE) and the respiratory epithelium (RE). Active
transport is an efficient mechanism that uses the cell's own machinery to
transport materials across epithelial barriers. We believe that our ability to
exploit this mechanism is a key differentiator of our approach. We currently
have two oral biologics in clinical development. Our most advanced product
candidate, AMT-101, has completed a Phase 2 clinical trial in patients with
chronic pouchitis and is in Phase 2 development for patients with rheumatoid
arthritis (RA). Our second product candidate, AMT-126, is in Phase 1 development
for diseases related to IE barrier function defects.

As of December 31, 2022, we had cash and cash equivalents of $61.1 million.
Based on our available cash resources, there is substantial doubt about our
ability to continue as a going concern within one year after the date the
financial statements included in this Annual Report on Form 10-K are issued. If
we are unable to obtain additional funding, we will be forced to delay, reduce
in scope or eliminate some of our research and development programs, including
related clinical trials and operating expenses, potentially delaying the time to
market for, or preventing the marketing of, any of our product candidates, which
could adversely affect our business prospects and our ability to continue
operations, and would have a negative impact on our financial condition and our
ability to pursue our business strategies. If we are unable to continue as a
going concern, we may have to cease operations and liquidate our assets. We may
receive less than the value at which those assets are carried on our audited
financial statements, and it is likely that investors will lose all or a part of
their investment. The report from our independent registered public accounting
firm issued in connection with this Annual Report on Form 10-K contains
statements expressing substantial doubt about our ability to continue as a going
concern. If we seek additional financing to fund our business activities in the
future and there remains substantial doubt about our ability to continue as a
going concern, investors or other financing sources may be unwilling to provide
funding to us on commercially reasonable terms, if at all. To the extent that
money is raised through the sale of our securities, the issuance of those
securities could result in dilution to our existing security holders. If we
raise money through debt financing or bank loans, we may be required to secure
the financing with some or all our business assets, which could be sold or
retained by the creditor should we default on our payment obligations. If we
fail to raise sufficient funds, we will likely need to curtail or cease
operations.

We are developing oral biologic product candidates in patient-friendly dosage
forms that are designed for either targeting local gastrointestinal (GI) tissue
or entering systemic circulation to precisely address the relevant biology of a
disease. We are building a portfolio of oral product candidates based on our
technology platform including our most advanced product candidate, AMT-101, a
gastrointestinal-selective oral fusion of interleukin 10 (IL-10) and our
proprietary carrier molecule that has been designed for active transport across
the IE barrier into local gastrointestinal (GI) tissue. IL-10 is a potent
immunomodulatory cytokine that is known to be the master regulator of immune
homeostasis, including within GI mucosal tissue. We have designed AMT-101 to
cross the IE barrier, but not enter the bloodstream, which we believe may offer
significant efficacy and safety benefits compared to systemic IL-10
administration.

Since the date of our incorporation in Delaware on November 21, 2016, we have
devoted substantial resources to research and development activities, including
research activities such as drug discovery, preclinical studies, and clinical
trials as well as development activities such as the manufacturing of clinical
and research material, establishing and maintaining our intellectual property
portfolio, hiring personnel, raising capital, and providing general and
administrative support for these operations.

For information regarding our product candidates and clinical trial programs,
refer to "Overview" within Part I, Item 1. Business in this Annual Report on
Form 10-K.

We do not currently have any products approved for sale, and we have not
generated any revenue from product sales. Our ability to generate product
revenue sufficient to achieve profitability, if ever, will depend on the
successful development of one or more of our product candidates which we expect
will take a number of years. Given our stage of development, we have not yet
established a commercial organization or distribution capabilities. We intend to
build a commercial infrastructure to support sales
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of our product candidates. We expect to manage sales, marketing and distribution
through internal resources and third-party relationships. While we may commit
significant financial and management resources to commercial activities, we may
also consider collaborating with one or more pharmaceutical companies to enhance
our commercial capabilities.

Manufacturing of protein therapeutics is a complex process and represents a
critical path to creating oral biologic therapeutics and a key component of our
long-term success. We have spent significant resources to date on developing our
current manufacturing processes and know-how to produce sufficient supply and
optimize functionality. We now manufacture clinical supply at our new facility
located in South San Francisco. While we have successfully manufactured clinical
supply at our internal facility, we may need to scale our manufacturing
operations to manufacture sufficient quantity needed to advance any of our
product candidates in preclinical studies and clinical trials. Accordingly, we
will be required to make significant investments to expand our manufacturing
facilities in the future, and our efforts to scale our internal manufacturing
capabilities are subject to risks.

In addition, despite having our in-house manufacturing facility, we expect to
continue to rely on third parties for the manufacture of our product candidates
for preclinical and clinical testing, as well as for commercial manufacture if
any of our product candidates obtain marketing approval. We also rely, and
expect to continue to rely, on third parties to package, label, store and
distribute our product candidates, as well as for our commercial products if
marketing approval is obtained. We believe that this strategy allows us to
maintain a more efficient infrastructure by eliminating the need for us to
invest in our own manufacturing facilities, equipment and personnel while also
enabling us to focus our expertise and resources on the development of our
product candidates.

Strategic Plan Announcement

In May 2022, we implemented a strategic plan to focus the business on our clinical program for AMT-101 (Strategic Plan). The Strategic Plan is intended to preserve capital, ensuring that we are appropriately resourced to advance AMT-101 through key development milestones.



Under the Strategic Plan, we reduced our then current workforce by approximately
40%. Impacted employees were eligible to receive severance benefits and
company-funded COBRA premiums, contingent upon an impacted employee's execution
(and non-revocation) of a customary separation agreement, which included a
general release of claims against us.

In connection with the Strategic Plan, we recognized restructuring charges of
approximately $3.8 million for the year ended December 31, 2022. These
restructuring charges were primarily related to severance payments and other
employee-related separation costs of $3.3 million, contract termination fees of
$0.5 million, a lease termination fee of $0.3 million, impairment of property
and equipment of $0.1 million and insignificant legal expenses, partially offset
by a $0.4 million reduction in stock-based compensation expense as a result of
applying modification accounting for accelerated vesting of RSUs. As of December
31, 2022, accrued contract termination fees of $0.4 million remained unpaid and
are expected to be paid within one year.

COVID-19 and Current Economic Environment



Our financial results could be affected by the COVID-19 pandemic in various
ways. As a result of the COVID-19 pandemic, we have experienced and could
experience disruptions that could severely impact our business, current and
planned clinical trials and preclinical studies. For example, the COVID-19
pandemic could result in delays to our clinical trials and preclinical studies
for numerous reasons including difficulties in enrolling patients or healthy
volunteers, diversion of healthcare resources away from the conduct of clinical
trials, delays in receiving regulatory authorities to initiate clinical trials,
and delays in receiving supplies to conduct clinical trials and preclinical
studies. Moreover, there has been an increase in infections from COVID-19
variants which has impacted patient recruitment at certain of our clinical trial
sites and could result in increased costs and delays. In addition, as a result
of ongoing COVID-19 research and the current global supply chain issues, there
is currently limited availability for certain resources required to conduct some
of our preclinical studies and clinical trials, which may result in longer lead
times, increased costs, and delays in completing preclinical studies and
clinical trials. As a result, research and development expenses and general and
administrative expenses may vary significantly if there is an increased impact
from COVID-19 on the costs and timing associated with the conduct of the
clinical trial and other related business activities.

We are carefully monitoring the pandemic and the potential length and depth of
the resulting economic impact on our financial condition, including our cash
flows and results of operations. We intend to continue to execute on our
strategic plans and operational initiatives during the COVID-19 pandemic.
However, the extent to which the COVID-19 pandemic impacts our business will
depend on future developments, which are highly uncertain and cannot be
predicted. Accordingly, management is carefully monitoring the impact of the
COVID-19 pandemic on our business. As of December 31, 2022, we were not aware of
any significant contingencies and no estimates were recorded on our financial
statements related to COVID-19.
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The extent of the ongoing impact of macroeconomic events on our business and on
global economic activity is uncertain and the related financial impact cannot be
reasonably estimated with any certainty at this time, although the impacts are
expected to continue and may significantly affect our business. We expect that
the impacts on our business will continue through this period of economic
uncertainty as supply chain issues, inflation and other factors continue to
worsen or emerge. Accordingly, management is carefully evaluating our liquidity
position, communicating with and monitoring the actions of our suppliers and
continuing to review our near-term operating expenses as the uncertainty related
to these factors continues to unfold. The risks related to our business,
including further discussion of the impact and possible future impacts of the
COVID-19 pandemic and current economic conditions on our business, are further
described in the section titled "Risk Factors" in Part I, Item 1A of this Annual
Report on Form 10-K.

Components of Results of Operations

Revenue

We have not generated any revenue from product sales or otherwise and do not expect to generate any revenue for the foreseeable future.

Operating Expenses

We classify operating expenses into two main categories: (i) research and development expenses and (ii) general and administrative expenses.

Research and Development Expenses



Our research and development expenses consist primarily of external and internal
expenses incurred in connection with our research activities and development
programs.

These expenses include, but are not limited to:

External expenses, consisting of:

•clinical trials-expenses associated with CROs for managing and conducting clinical trials and sample analysis;

•materials-expenses associated with laboratory supplies and other materials;

•preclinical studies-expenses associated with preclinical studies performed by vendors;

•contract manufacturing-expenses associated with manufacturing clinical trial materials including under agreements with CDMOs and other vendors; and

•other research and development-expenses associated with consulting and other external expenses.

Internal expenses, consisting of:

•personnel-personnel expenses including salaries, bonuses, benefits, and stock-based compensation expense; and



•equipment, depreciation, and facility-expenses associated with service and
repair of equipment, equipment depreciation, and allocated facility costs for
research and development occupied space.

To date, the vast majority of these expenses have been incurred to advance our
most advanced product candidate, AMT-101. We expect that significant additional
spending will be required to progress AMT-101 through the remainder of the
clinical development phases. These expenses will primarily consist of expenses
for the administration of clinical trials as well as manufacturing costs for
clinical material supply.

In addition, we have incurred minimal expenses in connection with our second
product candidate, AMT-126, including expenses for internal animal studies and
preclinical studies performed at contract research organizations. We expect that
significant additional spending will be required as we progress AMT-126 through
clinical trials. We have also incurred minimal expenses to expand our
development pipeline and for general discovery research. We expect spending for
these early-stage research and development activities to increase for the
foreseeable future. We deploy our personnel, equipment, and facility resources
across all our research and development activities.
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Research and development expenses are recognized as they are incurred. If deposits are required by external vendors, the non-current portion of the deposit is included as a prepaid expense until the related services are provided.



At this time, we cannot reasonably estimate or know the nature, timing, and
estimated costs of the efforts that will be necessary to complete the
development of, and obtain regulatory approval for, any of our product
candidates. We expect our research and development expenses to increase
significantly in the foreseeable future as we continue to invest in research and
development activities related to developing our product candidates, as our
product candidates advance into later stages of development, as we begin to
conduct larger clinical trials, as we seek regulatory approvals for any product
candidates that successfully complete clinical trials, and incur expenses
associated with hiring additional personnel to support our research and
development efforts. The process of conducting the necessary clinical research
to obtain regulatory approval is costly and time-consuming, the successful
development of our product candidates is highly uncertain, and we may never
succeed in achieving regulatory approval for any of our product candidates.

General and Administrative Expenses



General and administrative expenses consist primarily of personnel-related costs
(including salaries, bonuses, benefits, and stock-based compensation expense)
for personnel in executive, finance, accounting, corporate development, and
other administrative functions. General and administrative expenses also include
legal fees, professional fees paid for accounting, auditing, consulting, tax,
and investor relations services, insurance costs, and facility costs not
otherwise included in research and development expenses, and public company
expenses such as costs associated with compliance with the rules and regulations
of the SEC and those of Nasdaq.

We expect that our general and administrative expenses will continue to increase
significantly in the foreseeable future as additional administrative personnel
and services are required to manage these functions of a public company and as
our pipeline of product candidates expands.

Interest Income, Net and Other Expense, Net



Interest income, net consists of interest income earned on our cash and cash
equivalents, net of interest expense on our finance leases. Other expense, net
primarily consists of gains and losses resulting from foreign currency
denominated transactions with foreign vendors.

Results of Operations



A discussion regarding our financial condition and results of operations for the
year ended December 31, 2022 compared to the year ended December 2021 is
presented below. A discussion regarding our financial condition and results of
operations for the year ended December 31, 2021 compared to the year ended
December 31, 2020 can be found in "Management's Discussion and Analysis of
Financial Condition and Results of Operations" in our Annual Report on Form 10-K
filed with the SEC on February 24, 2022.

Comparison of the Years Ended December 31, 2022 and 2021



                                 Year Ended December 31,
(in thousands)                    2022              2021          Change
Operating expenses:
Research and development     $      89,826      $   71,448      $  18,378
General and administrative          37,393          29,341          8,052
Total operating expenses           127,219         100,789         26,430
Loss from operations              (127,219)       (100,789)       (26,430)
Interest income, net                   898             626            272
Other expense, net                      (4)           (124)           120
Net loss                     $    (126,325)     $ (100,287)     $ (26,038)

Research and Development Expenses



Research and development expenses increased by $18.4 million for the year ended
December 31, 2022 compared to the year ended December 31, 2021. The following
table sets forth the primary external and internal research and development
expenses for the periods indicated (in thousands):
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                                                Year Ended December 31,
                                                   2022                2021         Change
External expenses:
Clinical trials                           $      18,866             $ 16,558      $  2,308
Materials                                         8,497                6,852         1,645
Preclinical studies                               4,870                2,975         1,895
Other research and development                    8,124                2,021         6,103
Contract manufacturing                            1,718                1,699            19
Internal expenses:
Personnel                                        33,483               29,159         4,324
Equipment depreciation and facilities            14,268               12,184         2,084
Total research and development expenses   $      89,826             $ 

71,448 $ 18,378




The overall increase in research and development expenses was primarily driven
by external costs for CROs, CMOs, consultants and laboratory supplies related to
the advancement of our product candidates through preclinical studies and
clinical trials as our FILLMORE, LOMBARD and MARKET clinical trials reported
top-line data during 2022. The increase in internal costs was primarily due to
an increase of $4.3 million in personnel-related expenses, including a $2.6
million increase related to employee separation costs related to our Strategic
Plan, which was implemented in May 2022, as well as an increase in stock-based
compensation expense. In addition, increased lease expense associated with our
new corporate headquarters, which we fully occupied in October 2021, as well as
depreciation for our research and development equipment also contributed to the
increase in internal costs.

General and Administrative Expenses



General and administrative expenses increased by $8.1 million for the year ended
December 31, 2022 compared to the year ended December 31, 2021. The increase in
general and administrative expenses was primarily due to an increase of $6.2
million in personnel-related expenses, including an increase of $4.2 million in
stock-based compensation expense and $0.7 million of employee separation costs
related to our Strategic Plan. The remaining increase was primarily attributable
to increased lease expense associated with our new corporate headquarters, which
we fully occupied in October 2021.

Interest Income, Net



Interest income, net increased by $0.3 million during the year ended December
31, 2022 compared to the year ended December 31, 2021, primarily due to higher
interest rate yields on our money market funds, which invests all of its assets
in direct obligations of the U.S. Treasury.

Liquidity and Capital Resources



As of December 31, 2022, we had approximately $61.1 million in cash and cash
equivalents. Based on our available cash resources, there is substantial doubt
about our ability to continue as a going concern within one year after the date
the financial statements included in this Annual Report on Form 10-K are issued.
If we are unable to obtain additional funding, we will be forced to delay,
reduce in scope or eliminate some of our research and development programs,
including related clinical trials and operating expenses, potentially delaying
the time to market for, or preventing the marketing of, any of our product
candidates, which could adversely affect our business prospects and our ability
to continue operations, and would have a negative impact on our financial
condition and our ability to pursue our business strategies. If we are unable to
continue as a going concern, we may have to cease operations and liquidate our
assets. We may receive less than the value at which those assets are carried on
our audited financial statements, and it is likely that investors will lose all
or a part of their investment. The report from our independent registered public
accounting firm issued in connection with this Annual Report on Form 10-K
contains statements expressing substantial doubt about our ability to continue
as a going concern. If we seek additional financing to fund our business
activities in the future and there remains substantial doubt about our ability
to continue as a going concern, investors or other financing sources may be
unwilling to provide funding to us on commercially reasonable terms, if at all.
To the extent that money is raised through the sale of our securities, the
issuance of those securities could result in dilution to our existing security
holders. If we raise money through debt financing or bank loans, we may be
required to secure the financing with some
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or all our business assets, which could be sold or retained by the creditor should we default on our payment obligations. If we fail to raise sufficient funds, we will likely need to curtail or cease operations.



We have invested significant financial resources in research and development
activities and have historically financed our operations primarily through the
private placements of convertible preferred stock and the issuance of common
stock upon the completion of our IPO. We completed our IPO in June 2020 and
received net proceeds of approximately $160.6 million after deducting
underwriting discounts and commissions and offering costs, net of offering costs
of $0.2 million paid in 2019. On April 6, 2021, we completed a follow-on
offering and received net proceeds of approximately $112.8 million after
deducting underwriting discounts and commissions and offering costs.

In January 2022, we entered into a Sales Agreement with SVB Securities LLC and
JMP Securities LLC, as our sales agents (Agents), pursuant to which we may offer
and sell from time to time through the Agents up to $150.0 million in shares of
our common stock through an "at-the-market" program (ATM Facility). The shares
will be offered and sold pursuant to our shelf registration statement on Form
S-3 (File No. 333-263501) and the final prospectus supplement, which was filed
on March 11, 2022. For so long as our non-affiliate public float does not exceed
$75 million, the amount of securities that we may sell pursuant to registration
statements on Form S-3 will be limited to the equivalent of one-third of our
public float, which will limit our ability to raise capital. As of December 31,
2022, we have not yet sold any shares under the ATM facility.


Summary Statement of Cash Flows

The following table sets forth the primary sources and uses of cash, cash equivalents, and restricted cash for the periods indicated (in thousands):



                                                                   Year 

Ended December 31,


                                                          2022               2021               2020
Net cash used in operating activities                 $ (93,900)         $ 

(82,609) $ (58,894) Net cash (used in) provided by investing activities (4,152) 122,206

           (109,286)

Net cash (used in) provided by financing activities (733) 115,298

            161,296

Net (decrease) increase in cash, cash equivalents and restricted cash

$ (98,785)         $ 

154,895 $ (6,884)

Cash Used in Operating Activities



For the year ended December 31, 2022, net cash used in operating activities of
$93.9 million reflected a net loss of $126.3 million, a net change of $2.3
million in our net operating assets and liabilities, partially offset by
aggregate non-cash charges of $34.7 million. The net change in our operating
assets and liabilities was primarily due to decreases of $6.9 million in
operating lease liabilities, partially offset by decreases of $4.9 million in
prepaids and other current and non-current assets. The non-cash charges
primarily consisted of stock-based compensation expense of $23.2 million,
non-cash operating lease expense of $8.3 million and depreciation and
amortization expense of $3.1 million.

For the year ended December 31, 2021, net cash used in operating activities of
$82.6 million reflected a net loss of $100.3 million, a net change of $6.6
million in our net operating assets and liabilities, partially offset by $24.3
million in non-cash charges. The net change in our operating assets and
liabilities was primarily due to decreases of $5.6 million in prepaid expenses
and other current assets and $3.6 million in operating lease liabilities,
partially offset by increases of $2.4 million in accounts payable and accrued
expenses and $0.2 million in other liabilities. The non-cash charges primarily
consisted of stock-based compensation expense of $16.7 million, non-cash
operating lease expense of $4.4 million and depreciation and amortization
expenses of $3.2 million.

Cash Provided by or Used in Investing Activities

For the year ended December 31, 2022, cash used in investing activities was $4.2 million, consisting of purchases of property and equipment.



For the year ended December 31, 2021, cash provided by investing activities was
$122.2 million related primarily to the sales and maturities of investments of
$124.1 million, partially offset by the purchase of property and equipment of
$1.9 million.
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Cash Provided by Financing Activities



For the year ended December 31, 2022, cash used by financing activities was
$0.7 million, consisting primarily of payments of issuance costs related to our
ATM facility of $0.9 million and principal payments for finance lease
liabilities of $0.2 million, offset by proceeds received from the issuance of
common stock under our employee stock purchase plan of $0.3 million and proceeds
received from stock option exercises of $0.1 million.

For the year ended December 31, 2021, cash provided by financing activities was
$115.3 million, consisting primarily of net proceeds from the follow-on offering
of $113.5 million, proceeds received from the stock option exercises of $2.1
million, and proceeds from issuance of common stock from employee stock purchase
plan of $0.6 million. These proceeds were partially offset by payments for
issuance costs related to the follow-on offering of $0.7 million and principal
payments for finance lease liabilities of $0.2 million.

Material Cash Requirements from Contractual Obligations



Our material cash requirements from known contractual obligations as of December
31, 2022 consisted of operating lease liabilities including our lease of
approximately 84,321 square feet of space in South San Francisco, California for
a lease term ending in September 2029. For additional information regarding the
terms of our operating leases, see Note 5 to the financial statements included
in Part IV, Item 15 of this Annual Report on Form 10-K.

Future Funding Requirements and Going Concern



Management has concluded that there is substantial doubt about our ability to
continue as a going concern within one year after the date the financial
statements included in this Annual Report on Form 10-K are issued. Our primary
uses of cash are to fund our operations, which consist primarily of research and
development expenses related to our programs, and to a lesser extent, general
and administrative expenses. We expect to continue to incur expenses and
operating losses for the foreseeable future in connection with our ongoing
activities, if and as we:

•advance product candidates through preclinical studies and clinical trials;

•pursue regulatory approval of product candidates;

•continue to invest in our technology platform;

•seek marketing approvals for any product candidates that successfully complete clinical trials;

•implement operational, financial and management information systems;

•hire additional personnel;

•build out and expand our in-house manufacturing capabilities;

•continue to operate as a public company;

•expand our pipeline of product candidates;

•obtain, maintain, expand, and protect our intellectual property portfolio; and



•establish a sales, marketing, and distribution infrastructure to commercialize
any product candidate for which we may obtain marketing approval and related
commercial manufacturing build-out.

Our future funding requirements, both short-term and long-term, will depend on many factors, including:

•the progress, costs, trial design, results of and timing of our various clinical trials of our product candidates;

•the progress, costs and results of our research pipeline;



•the willingness of the U.S. Food and Drug Administration (FDA), European
Medicines Agency (EMA), or other regulatory authorities to accept our product
candidates, as well as data from our completed and planned clinical trials and
preclinical studies and other work, as the basis for review and approval of our
product candidates for various indications;

•the outcome, costs and timing of seeking and obtaining FDA, EMA, and any other regulatory approvals;

•the number and characteristics of product candidates that we pursue;

•our ability to manufacture sufficient quantities of our product candidates;

•our need to expand our research and development activities;


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•the costs associated with manufacturing our product candidates, including
building-out and expanding our own manufacturing facilities, and establishing
commercial supplies and sales, marketing, and distribution capabilities;

•the costs associated with securing and establishing commercialization;

•the costs of acquiring, licensing, or investing in businesses, product candidates, and technologies;



•our ability to maintain, expand, and defend the scope of our intellectual
property portfolio, including the amount and timing of any payments we may be
required to make, or that we may receive, in connection with the licensing,
filing, prosecution, defense, and enforcement of any patents or other
intellectual property rights;

•our need and ability to retain key management and hire scientific, technical, business, and medical personnel;

•the effect of competing drugs and product candidates and other market developments;

•the timing, receipt, and amount of sales from our potential products;

•our need to implement additional internal systems and infrastructure, including financial and reporting systems;

•the economic and other terms, timing of and success of any collaboration, licensing or other arrangements which we may enter in the future;

•the potential effects of inflation on our business operations;

•the volatility of our share price and our ability to maintain our listing on The Nasdaq Stock Market LLC; and

•the potential effects of the COVID-19 pandemic on our business operations.



If we raise additional funds by issuing equity securities, our stockholders will
experience dilution, which could be significant given the recent trading prices
for our common stock. If we raise additional capital through debt financing, we
may be subject to covenants that restrict our operations including limitations
on our ability to incur liens or additional debt, pay dividends, repurchase our
common stock, make certain investments, and engage in certain merger,
consolidation or asset sale transactions. Any debt financing or additional
equity that we raise may contain terms that are not favorable to us or our
stockholders. In addition, our ability to raise additional capital may be
adversely impacted by worsening global macroeconomic conditions and the recent
disruptions to and volatility in the credit and financial markets in the United
States and worldwide resulting from various factors, including the ongoing
COVID-19 pandemic and the conflict between Russia and Ukraine.

We do not currently have any products approved for sale, and we have not
generated any revenue from product sales. We have incurred net losses in each
reporting period since inception, including net losses of $126.3 million and
$100.3 million for the years ended December 31, 2022 and 2021, respectively,
resulting in an accumulated deficit of $366.0 million at December 31, 2022. We
anticipate we will continue to incur net losses for the foreseeable future.

We will need to obtain substantial additional funding in connection with our
continuing operations. Without additional funding, our current liquidity is not
sufficient to fund our projected operating requirements for a twelve-month
period. If we are unable to obtain sufficient funds on acceptable terms when
needed, we may be required to reduce operating expenses, delay or reduce the
scope of our development efforts, obtain funds through arrangements with others
that may require us to relinquish rights to certain of our technologies or
products that we would otherwise seek to develop or commercialize, or cease
operations.

Critical Accounting Estimates



Our financial statements have been prepared in accordance with accounting
principles generally accepted in the United States (GAAP). The preparation of
these financial statements requires us to make estimates and assumptions that
affect the reported amounts of assets and liabilities and the disclosure of
contingent assets and liabilities as of the date of the financial statements, as
well as the reported expenses incurred during the reporting periods. Our
estimates are based on our historical experience and on various other factors
that we believe are reasonable under the circumstances, the results of which
form the basis for making judgments about the carrying value of assets and
liabilities that are not readily apparent from other sources.

The economic uncertainty in the current environment caused by the COVID-19
pandemic could limit our ability to accurately make and evaluate our estimates
and judgments. Actual results may differ from these estimates under different
assumptions or conditions. We believe that the accounting policies discussed
below are critical to understanding our historical and future performance, as
these policies relate to the more significant areas involving management's
judgments and estimates.

While our significant accounting policies are described in the notes to our
financial statements appearing elsewhere in this Annual Report, we believe that
the following critical accounting policies are most important to understanding
and evaluating our reported financial results.
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Research and Development Expenses



Research and development expenses are charged to expense as incurred. Research
and development expenses include personnel and labor costs related to clinical
trials, preclinical studies, contract manufacturing and facilities for
laboratory space used for research and development activities.

Accrued Research and Development Expenses



We accrue for estimated costs of research, preclinical studies, clinical trials,
and manufacturing development services performed but not yet invoiced and such
accruals are included within accrued expenses which are significant components
of research and development expenses. A substantial portion of our ongoing
research and development activities is conducted by third-party service
providers including CROs and CDMOs. Our contracts, amendments thereto,
statements of work and change orders with the CROs and CDMOs generally include
fees such as initiation fees, reservation fees, costs related to animal studies
and safety tests, verification run costs, materials and reagents expenses, and
taxes. Payments made to third parties under these arrangements in advance of the
performance of the related services are recorded as prepaid expenses and are
expensed as services are rendered. The financial terms of these arrangements are
subject to negotiations, which vary from contract to contract and may result in
the timing of payments that do not match the periods over which materials or
services are provided to us under such contracts. We accrue the costs incurred
under agreements with these third-parties and/or adjust the prepaid expenses
based on estimates of work completed in accordance with the respective
agreements. We determine the estimated costs through information obtained from
third-party providers as to the progress, or stage of completion or actual
timeline (start-date and end-date) of the services and the agreed-upon fees to
be paid for such services and corroboration with internal personnel responsible
for oversight of the research and development activities.

If the actual timing of the performance of services or the level of effort
varies from the estimate, we adjust accrued expenses or prepaid expenses
accordingly, which impact research and development expenses. Although we do not
expect our estimates to be materially different from amounts actually incurred,
our understanding of the status and timing of services performed relative to the
actual status and timing of services performed may vary and may result in
reporting amounts that are too high or too low in any particular period. To
date, there have not been any material adjustments to our prior estimates of
research and development expenses.

Stock-Based Compensation Expense



We account for stock-based compensation expense by measuring and recognizing
compensation expense for stock options and restricted stock units (RSUs) granted
to employees based on estimated grant-date fair values. We use the straight-line
method to allocate compensation cost to reporting periods over the requisite
service period, which is generally the vesting period. We recognize actual
forfeitures by reducing the stock-based compensation expense in the same period
as the forfeitures occur.

We estimate the fair value of stock option awards using the Black-Scholes
option-pricing valuation model. The Black-Scholes model requires the input of
subjective assumptions, including the expected term, expected volatility,
risk-free interest rate, and expected dividend yield, which are described in
greater detail below. The assumptions for expected term and expected volatility
are the two assumptions that significantly affect the grant date fair value. The
expected dividend yield and risk-free interest rate are not significant to the
calculation of fair value.

•Expected term-The expected term of the option awards represents the period of
time between the grant date of the option awards and the date the option awards
are either exercised, converted or canceled. We used the simplified method as we
do not have sufficient historical exercise data to provide a reasonable basis
upon which to estimate the expected term. Under the simplified method, the
expected term equals the average of the vesting term and the original
contractual term of the option award.

•Expected volatility-The expected stock price volatility for option awards
granted prior to the fourth quarter of 2022 was determined based on an average
of the historical volatilities of the common stock of several peer companies
with characteristics that are similar to us. The peer companies were chosen
based on their similar size, stage in the life cycle or area of specialty.
Beginning in the fourth quarter of 2022, we used a blended volatility estimate
consisting of our own historical stock price volatility (as we had at least two
years of historical stock price data) supplemented by historical volatilities of
peer companies such that the time period over which historical volatility data
used was at least equal to the expected term of the option award.

•Expected dividend yield-We have never paid dividends on our common stock and
have no plans to pay dividends on our common stock in the foreseeable future.
Therefore, we used an expected dividend yield of zero.

•Risk-free interest rate-The risk-free interest rate is based on the U.S. Treasury zero coupon issues in effect at the time of grant for periods corresponding with the expected term of the option award.


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The fair value of RSUs is measured on the grant date based on the closing fair market value of our common stock.

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