2025
Annual
Report
Letter to Stockholders
2026 Proxy Statement
2025 Annual Report on Form 10-K
DEAR GERON STOCKHOLDER,
2025 was a year of strategic alignment for Geron. Since joining Geron as President
and Chief Executive Officer in August 2025, the team and I made deliberate
choices to evolve the Company into a more commercially focused organization by
strengthening our leadership team and increasing our engagement with the U.S.
hematology community while sharpening our financial discipline. We attracted
leaders with extensive commercial-stage biotechnology experience and took
deliberate actions to streamline the organization to increase our effectiveness
and align our resources with our highest priorities. These changes position us to
best deliver value to patients, shareholders and our employees by maximizing
the value of RYTELO® (imetelstat), a first-in-class therapy to eligible patients living
with lower-risk myelodysplastic syndromes (LR-MDS).
The progress we achieved in 2025 positions us for growth in 2026. We expect 2026
RYTELO net product revenue in the range of $220 million to $240 million, reflecting
continued adoption and expanding use across all eligible LR-MDS patients. At the
same time, we remain focused on disciplined execution, with 2026 total operating
expenses projected to be between $230 million and $240 million, representing an
approximate $20 million reduction in operating expenses year-over-year.
These expectations reinforce our path toward becoming a leading, sustainable
hematology company.
Opportunity in U.S. LR-MDS
We see meaningful opportunities to improve outcomes for patients living with
LR-MDS, particularly those with transfusion-dependent anemia who continue to
face significant unmet need. In our first full calendar year of commercialization,
we delivered $183.6 million in RYTELO net product revenue in 2025, including $48
million in the fourth quarter, reflecting growing demand, expanding adoption and
strong early commercial momentum across treatment centers.
This momentum is supported by broad market access and increasing prescriber
adoption. Demand for RYTELO grew 9% in fourth quarter of 2025 compared to the
third quarter of 2025, and prescribing accounts expanded by 13% to approximately
1,300 accounts. In addition, first- and second-line patient starts reached 30% on a
rolling 12-month basis, reflecting continued uptake across lines of therapy.
As we move through our second full year of RYTELO commercialization, we are
focused on driving adoption across eligible LR-MDS patients, expanding access, and
reinforcing appropriate use in clinical practice. We are increasing awareness and
education among U.S. healthcare professionals with a more refined engagement
approach to help identify appropriate second-line patients earlier, while broadening
our presence across key hematology forums to complement our field efforts.
Our focus remains on targeted commercial execution to drive sustained growth.
We are prioritizing eligible second-line LR-MDS patients, which we estimate to be
~8,000 patients in the United States and many more across the globe. We believe
RYTELO is well-positioned to address the needs of this patient population based
on its clinical profile, U.S. FDA label, and inclusion in the National Comprehensive
Cancer Network® (NCCN®) Clinical Practice Guidelines in Oncology (NCCN
Guidelines) for the treatment of Myelodysplastic Syndromes.
Importantly, our medical and scientific efforts continue to deepen understanding
of imetelstat’s clinical profile and role in the treatment landscape. The IMerge
Phase 3 trial remains a rich and evolving source of evidence, with analyses beyond
the primary endpoint helping to inform clinical practice. This expanding body of
evidence was further supported by data presented at the 2025 American Society
of Hematology (ASH) Annual Meeting, which provided additional insights into
treatment-emergent cytopenias observed with imetelstat, suggesting these
effects may reflect on-target telomerase inhibition and may be associated with
meaningful clinical outcomes, including increases in hemoglobin and achievement
of transfusion independence in patients with LR-MDS.
We are also expanding our real-world evidence (RWE) and investigator-sponsored
trial (IST) programs, with more than 10 studies underway across mechanistic
research, combination approaches, sequencing strategies, earlier-line use and
new treatment settings. We are seeing increasing interest both in academic and
Sincerely,
Harout Semerjian
President and Chief Executive Officer
April 7, 2025
For important information regarding the use of forward-looking statements in this
letter to stockholders, please refer to the inside back cover of this annual report.
community centers to participate in evidence generation and expect initial RWE
data in the second half of 2026.
Opportunity in JAK Inhibitor Relapsed/Refractory Myelofibrosis (JAKi R/R
MF)
Beyond LR-MDS, we are advancing imetelstat for the treatment of other myeloid
hematologic malignancies, including relapsed/refractory myelofibrosis (MF),
where patients have limited treatment options and poor survival outcomes.
Our pivotal Phase 3 IMpactMF clinical trial is evaluating imetelstat versus best
available therapy in patients with intermediate-2 or high-risk myelofibrosis
(MF) who have relapsed after or are refractory to treatment (R/R) with a janus
kinase inhibitor (JAKi). Notably, IMpactMF is the first and only Phase 3 MF trial
with overall survival as the primary endpoint, reflecting our focus on addressing
critical unmet need in this patient population. Our confidence in the designation
of this endpoint is supported by encouraging survival outcomes observed in the
Phase 2 IMbark trial which informed the design of the IMpactMF trial.
In September 2025, we completed the enrollment of 320 patients, randomized
2:1, into the IMpactMF Phase 3 trial. This data is maturing and based on our
projections, we anticipate reaching the interim analysis for the IMpactMF trial in
the second half of 2026. Our base case remains progression to the final analysis,
which we project to occur in the second half of 2028. An earlier positive outcome
at the interim analysis would represent a potential upside for patients.
We believe success in MF could expand imetelstat’s clinical impact and
commercial potential.
Strong Financial Position
We also maintain a strong financial position. 2025 total operating expenses
were $248 million, coming in below our guidance and reflecting our focus on
operational discipline. We ended 2025 with approximately $401 million in cash,
cash equivalents, restricted cash, and marketable securities. Our balance sheet
was further strengthened with the recent amendment to our Pharmakon loan
agreement, extending potential access to an additional $125 million in capital
through July 2026.
We believe our current resources, together with anticipated revenues from
RYTELO, provide us with the flexibility to execute our strategy while maintaining
financial discipline.
Looking Ahead
As we look ahead, our priorities remain clear: drive RYTELO commercial growth
in the U.S., pursue pathways to bring RYTELO to LR-MDS patients outside the U.S.,
advance our Phase 3 IMpactMF trial, remain financially disciplined, and evaluate
opportunistic innovation.
We expect continued RYTELO growth in 2026, supported by focused
commercial execution and an expanding body of clinical and real-world
evidence. At the same time, we will continue engaging closely with the
hematology community to support education, evidence generation, and
appropriate use of RYTELO.
We believe we are building a sustainable hematology company – grounded
in science and focused on delivering meaningful outcomes for patients and
stockholders.
Thank you for your continued support.
919 E. Hillsdale Blvd., Suite 250 Foster City, CA 94404
To The Stockholders
Notice of 2026
Annual Meeting of
Stockholders
Date:
May 20, 2026
Time:
2:00 p.m., Eastern Daylight
Time
You are cordially invited to attend the 2026 Annual Meeting of Stockholders (the “Annual Meeting”) of
GERON CORPORATION, a Delaware corporation (the “Company”), to be held on Wednesday, May 20,
2026, at 2:00 p.m., Eastern Daylight Time. To facilitate stockholder participation in the Annual Meeting,
we have determined that the Annual Meeting will be held in a virtual meeting format only, via the
Internet, with no physical in-person meeting. You can attend the virtual Annual Meeting online, vote your
shares electronically and submit your questions for consideration during the virtual Annual Meeting, by
visiting www.virtualshareholdermeeting.com/GERN2026. You may log-in to the Annual Meeting
beginning at 1:30 p.m. Eastern Daylight Time, on May 20, 2026. You will need to have your 16-Digit
Control Number included in the Notice of Internet Availability of Proxy Materials, on your proxy card or
on the instructions that accompanied your proxy materials to join the virtual Annual Meeting.
The Annual Meeting will be held for the following purposes:
Place:
www.virtualshareholder
meeting.com/GERN2026
To elect the three nominees for director named in the accompanying proxy statement (the
“Proxy Statement”) to hold office as Class III members of the Board of Directors until the 2029
annual meeting of stockholders;
To approve the amendment and restatement of the Company's 2018 Equity Incentive Plan to
increase the aggregate number of shares of common stock available for issuance thereunder
by 4,500,000 shares and to make certain other changes thereto as described further in the
accompanying Proxy Statement;
To approve, on an advisory basis, the compensation of our named executive officers, as
disclosed in the accompanying Proxy Statement;
To ratify the selection by the Audit Committee of the Board of Directors of Ernst & Young LLP
as our independent registered public accounting firm for the fiscal year ending December 31,
2026; and
To transact such other business as may properly come before the Annual Meeting or any
postponement or adjournment thereof.
The foregoing items of business are more fully described in the Proxy Statement accompanying this
Notice.
The Board of Directors has fixed the close of business on March 26, 2026 as the record date for the
determination of stockholders entitled to notice of and to vote at the virtual Annual Meeting and at any
adjournment or postponement thereof. Each stockholder is entitled to one vote for each share of
common stock held at that time.
As permitted by the rules of the Securities and Exchange Commission, we are pleased to furnish our
proxy materials to stockholders primarily over the Internet. Consequently, most stockholders will receive
a Notice of Internet Availability of Proxy Materials (the “Notice”) that contains instructions for accessing
proxy materials and voting via the Internet, instead of paper copies of our proxy materials. We believe
that this process will allow us to provide our stockholders with the information they need in a more timely
manner, while reducing the environmental impact and lowering the costs of printing and distributing our
proxy materials. However, this Notice will provide information on how stockholders may obtain paper
copies of proxy materials if they choose. Stockholders who elect to continue to receive hard copies of
proxy materials may help us reduce costs by opting to receive future proxy materials by e-mail. We
intend to distribute the Notice and the proxy materials on or about April 7, 2026, to all stockholders of
record entitled to vote at the Annual Meeting.
TABLE OF CONTENTS
Your vote is important, and we encourage all stockholders to attend the Annual Meeting online. Whether or not you plan to attend the Annual
Meeting online, we encourage you to read this proxy statement and submit your proxy or voting instructions as promptly as possible either
via the Internet or by telephone as instructed by these materials, or, if you have requested and received a paper proxy card by mail, by
completing, signing, dating and returning the proxy card mailed to you. Please review the instructions on each of your voting options
described in the accompanying Proxy Statement. Stockholders who plan to attend the virtual Annual Meeting should follow the instructions
at www.virtualshareholdermeeting.com/GERN2026 to submit questions and vote during the virtual Annual Meeting.
Thank you for your ongoing support and continued interest in Geron Corporation.
By Order of the Board of Directors,
Michelle Robertson
Executive Vice President,
Chief Financial Officer, Treasurer and Interim Secretary
Foster City, California
April 7, 2026
Important Notice Regarding the Availability of Proxy Materials for the Annual Meeting to Be Held on May 20, 2026 at
www.virtualshareholdermeeting.com/GERN2026
The 2026 Proxy Statement and 2025 Annual Report on Form 10-K
are available at www.proxyvote.com.
YOUR VOTE IS VERY IMPORTANT, REGARDLESS OF THE NUMBER OF SHARES YOU OWN.
WHETHER OR NOT YOU EXPECT TO ATTEND THE VIRTUAL ANNUAL MEETING, WE URGE YOU TO VOTE BY PROXY PROMPTLY
IN ORDER TO ASSURE THAT A QUORUM IS PRESENT. EVEN IF YOU HAVE VOTED BY PROXY BEFORE THE VIRTUAL ANNUAL
MEETING. YOU MAY STILL ATTEND AND VOTE YOUR SHARES AT THE VIRTUAL ANNUAL MEETING ONLINE. YOU WILL NEED
TO HAVE YOUR 16-DIGIT CONTROL NUMBER INCLUDED IN THE NOTICE OF INTERNET AVAILABILITY OF PROXY MATERIALS,
ON YOUR PROXY CARD OR ON THE INSTRUCTIONS THAT ACCOMPANIED YOUR PROXY MATERIALS TO JOIN AND VOTE AT
THE VIRTUAL ANNUAL MEETING.
TABLE OF CONTENTS
Table of Contents
Questions and Answers about these Proxy Materials and Voting
1
Proposal 1: Election of Directors
10
Board Leadership and Governance
19
Other Corporate Governance Matters
26
Compensation of Directors
31
Proposal 2: Approval of an Amendment to Our 2018 Equity Incentive Plan
35
Proposal 3: Advisory Vote to Approve Named Executive Officer
Compensation
50
Compensation Discussion and Analysis
51
Compensation Committee Report
71
Executive Compensation Tables and Related Narrative Disclosure
72
Pay Versus Performance
87
Proposal 4: Ratification of Selection of Independent Registered Public
Accounting Firm
93
Principal Accountant Fees and Services
94
Audit Committee Report
95
Equity Compensation Plan Information
96
Security Ownership of Certain Beneficial Owners and Management
97
Delinquent Section 16(a) Reports
99
Certain Transactions
99
Other Matters
100
Appendix A
A-1
TABLE OF CONTENTS
Proxy Statement for the Annual Meeting
of Stockholders to be Held on May 20,
2026
Questions and Answers about these Proxy Materials and Voting
Why am I receiving these materials?
You are receiving these materials from us because you owned shares of common stock, par value $0.001 per share
(“Common Stock”), of Geron Corporation, a Delaware corporation (“Geron,” the “Company,” “we” or “us”), as of March 26,
2026, the record date for our 2026 Annual Meeting of Stockholders (the “Annual Meeting”). The Geron Board of Directors
(the “Board of Directors” or the “Board”) has made these materials available to you in connection with the Board’s solicitation
of proxies for use at the Annual Meeting. You may vote by proxy over the Internet or by phone, or by mail if you requested
printed copies of the proxy materials.
As permitted by the rules of the Securities and Exchange Commission (the “SEC”), we are providing our stockholders
access to proxy materials via the Internet. Accordingly, we are sending by mail only a Notice of Internet Availability of Proxy
Materials (the “Notice”) to certain of our stockholders of record and posting our proxy materials online at
www.proxyvote.com. Stockholders who previously requested to receive hard copies of proxy materials will receive a full set
of proxy materials, instead of the Notice. We intend to distribute the Notice and the proxy materials on or about April 7, 2026,
to all stockholders of record entitled to vote at the Annual Meeting.
Please note that, while our proxy materials are available at the website referenced herein and in the Notice, and our Notice
of Annual Meeting, Proxy Statement and Annual Report are available on our website, all references to websites are inactive
textual references only and no other information or content contained on our website or the other websites referenced herein
is incorporated by reference in or considered to be a part of this document.
What does it mean if I receive more than one set of proxy materials or more than one Notice, or combination
thereof?
If you receive more than one set of proxy materials, or more than one Notice or a combination thereof, your shares may be
registered in more than one name or may be registered in different accounts. Please follow the voting instructions on each
set of proxy materials or Notices to ensure that all of your shares are voted.
Will I receive any proxy materials by mail other than the Notice?
No, you will not receive any other proxy materials by mail other than the Notice unless you request paper copies. Pursuant
to rules adopted by the SEC, we have elected to use the Internet as the primary means of furnishing proxy materials to our
stockholders. This method allows us to deliver the proxy materials to you more quickly, lowers our costs significantly, and
helps to conserve natural resources. We encourage stockholders to take advantage of the option to receive proxy materials
electronically by email to help reduce the environmental impact of our annual meeting and to reduce costs associated with
the physical printing and mailing of materials. This Proxy Statement and our Annual Report on Form 10-K for the year ended
December 31, 2025 are also available at www.proxyvote.com. You may request a full set of proxy materials be sent to your
specified postal or email address as follows:
•
by telephone: call 1-800-579-1639 free of charge and follow the instructions;
•
by Internet: go to www.proxyvote.com and follow the instructions; or
•
by e-mail: send an e-mail message to sendmaterial@proxyvote.com. Please send a blank e-mail and insert the 16-
Digit Control Number located in your Notice in the subject line. Please make any such request on or before May 6,
2026 to facilitate timely delivery.
To sign up for electronic delivery of proxy materials, please follow the instructions provided with your proxy materials and on
your proxy card or voting instruction card, to vote using the Internet and, when prompted, indicate that you agree to receive
or access future stockholder communications electronically. Alternatively, you can go to www.proxyvote.com and enroll for
TABLE OF CONTENTS
Geron Corporation 1 2026 Proxy Statement
online delivery of proxy materials. A stockholder’s election to receive proxy materials by mail or electronically by email will
remain in effect until the stockholder terminates such election.
What is the purpose of the Annual Meeting?
At our Annual Meeting, stockholders will act upon the matters described in this Proxy Statement. In addition, management
will report on current events at Geron and respond to questions from stockholders.
How can I participate in the Annual Meeting?
To facilitate stockholder participation in the Annual Meeting, we will be holding our Annual Meeting virtually, on Wednesday
May 20, 2026, at 2:00 p.m., Eastern Daylight Time, via the Internet at www.virtualshareholdermeeting.com/GERN2026.
Online check-in will begin at 1:30 p.m. Eastern Daylight Time and you should allow ample time for the check-in procedures.
At our virtual Annual Meeting, stockholders will be able to attend, vote and submit questions via the Internet. Whether or not
you plan to attend the virtual Annual Meeting, we urge you to vote and submit your proxy in advance of the meeting by one
of the methods described in these proxy materials.
You will not be able to attend the virtual Annual Meeting in person.
How do I ask questions at the virtual Annual Meeting?
Our virtual Annual Meeting allows stockholders to submit questions and comments before and during the virtual Annual
Meeting. You may submit questions before the virtual Annual Meeting at www.virtualshareholdermeeting.com/GERN2026.
During the virtual Annual Meeting, you may only submit questions in the question box provided at
www.virtualshareholdermeeting.com/GERN2026. In both cases, stockholders must have available their 16-Digit Control
Number provided in the Notice or your proxy card (if you received a printed copy of the proxy materials). We will respond to
as many inquiries at the virtual Annual Meeting as time allows.
What if during the check-in time or during the virtual Annual Meeting I have technical difficulties or trouble
accessing the virtual meeting website?
We will have technicians ready to assist you with any technical difficulties you may have accessing the virtual meeting
website. If you encounter any difficulties accessing the virtual Annual Meeting during the check-in or meeting time, please
call the technical support number that will be posted on the virtual Annual Meeting website log-in page.
What if I cannot virtually attend the Annual Meeting?
You may vote your shares electronically before the virtual Annual Meeting by Internet, or by telephone or by mail as
described below. You do not need to access the virtual Annual Meeting to vote if you submitted your vote by Internet, by
telephone or by mail in advance of the virtual Annual Meeting.
The virtual Annual Meeting will be archived for one year after the date of the virtual Annual Meeting at
www.virtualshareholdermeeting.com/ GERN2026.
Who can vote at the virtual Annual Meeting?
Only stockholders of record at the close of business on March 26, 2026 (the “Record Date”) will be entitled to notice of and
to vote at the virtual Annual Meeting or any adjournment or postponement thereof. At the close of business on the Record
Date, we had 640,900,330 shares of Common Stock outstanding. Each share of Common Stock that you own as of the
Record Date will be entitled to one vote on each matter to be voted upon at the virtual Annual Meeting.
Stockholder of Record: Shares Registered In Your Name
As a stockholder of record, you may vote at the virtual Annual Meeting, or prior to the virtual Annual Meeting, vote through
the Internet or by telephone, or by mail using a proxy card that you received or that you may request. Whether or not you
plan to attend the virtual Annual Meeting, we urge you vote by proxy through the Internet or by telephone as instructed
below, or by completing a proxy card that you may request or that we may elect to deliver at a later time. Stockholders who
TABLE OF CONTENTS
Geron Corporation 2 2026 Proxy Statement
attend the virtual Annual Meeting should follow the instructions at www.virtualshareholdermeeting.com/GERN2026 to vote
during the virtual Annual Meeting.
For the ten days ending the day prior to the virtual Annual Meeting, a list of our stockholders of record as of the Record Date
will be available for examination by any stockholder of record for any purpose germane to the virtual Annual Meeting at our
corporate headquarters during regular business hours. To access the list of record stockholders during the ten days ending
the day prior to the Annual Meeting, stockholders should email investor@geron.com.
Beneficial Owner: Shares Registered In the Name of a Broker or Bank
If on the Record Date your shares were held, not in your name, but rather in an account at a brokerage firm, bank, dealer or
other similar organization, then you are the beneficial owner of shares held in “street name,” and the Notice is being
forwarded to you by that organization. The organization holding your account is considered to be the stockholder of record
for purposes of voting during the virtual Annual Meeting. As a beneficial owner, you have the right to direct your broker or
other agent regarding how to vote the shares in your account. You are also invited to attend the virtual Annual Meeting. You
can attend the virtual Annual Meeting online by visiting www.virtualshareholdermeeting.com/GERN2026. You will need to
have your 16-Digit Control Number included in the Notice, on your proxy card or on the instructions that accompanied your
proxy materials to join the virtual Annual Meeting. Once you join the virtual Annual Meeting, you should follow the
instructions on the virtual Annual Meeting platform to vote during the virtual Annual Meeting. If you did not receive a 16-digit
control number via email or on your Notice or voting instruction form, and you wish to vote prior to or at the virtual Annual
Meeting, you must follow the instructions from your broker or other agent.
What is the quorum requirement?
A quorum of stockholders is necessary to hold a valid meeting. In order to constitute a quorum and to transact business at
the virtual Annual Meeting, the holders of a majority of the voting power of the Common Stock issued and outstanding and
entitled to vote at the virtual Annual Meeting must be present in person or represented by proxy. Virtual attendance at our
Annual Meeting constitutes presence in person for purposes of a quorum at the meeting. Shares represented by proxies that
reflect abstentions or “broker non-votes” will be counted for purposes of determining the presence of a quorum.
What am I voting on at the virtual Annual Meeting? What is the Board’s recommendation on each of the proposals?
You are being asked to vote on four proposals, as follows:
Proposal
Number
Proposal
Board
Recommends
To elect the three nominees for director named in this Proxy Statement to hold office as Class III
members of our Board of Directors until the 2029 annual meeting of stockholders.
FOR EACH
director
nominees
FOR
To approve the amendment and restatement of the Company’s 2018 Equity Incentive Plan to increase
the aggregate number of shares of common stock available for issuance thereunder by 4,500,000 shares
and to make certain other changes thereto as described further in this Proxy Statement.
FOR
To approve, on an advisory basis, the compensation of our named executive officers, as disclosed in this
Proxy Statement.
FOR
To ratify the selection by the Audit Committee of the Board of Directors of Ernst & Young LLP as our
independent registered public accounting firm for the fiscal year ending December 31, 2026.
TABLE OF CONTENTS
Geron Corporation 3 2026 Proxy Statement
How many votes are needed to approve each proposal? What is the effect of abstentions and broker non-votes on
each of the proposals?
The following table summarizes the minimum vote needed to approve each proposal and the effect of abstentions and
broker non-votes on each of the proposals:
Proposal
Number
Proposal
Votes Required to Approve Proposal(1)
Effect of
Abstentions
Effect of
Broker
Non-
Votes
To elect the three nominees for director
named in this Proxy Statement to hold
office as Class III members of our Board
of Directors until the 2029 annual
meeting of stockholders.
Nominees receiving a plurality of the votes cast
will be elected as directors This means that the
nominees receiving the highest number of
“FOR” votes at the virtual Annual Meeting will be
elected, even if those votes do not constitute a
majority of the votes cast. Only votes “FOR” will
affect the outcome of the vote; “WITHHOLD”
votes will have no effect on the outcome of the
vote. However, under our Corporate
Governance Guidelines, any nominee for
director who receives a greater number of
“WITHHOLD” votes from his or her election than
votes “FOR” such election is required to submit
an offer of resignation for consideration by the
Nominating and Corporate Governance
Committee. In such case, the Nominating and
Corporate Governance Committee will then
consider all of the relevant facts and
circumstances and recommend to the Board the
action to be taken with respect to such offer of
resignation.
Not
applicable
No effect
To approve the amendment and
restatement of the Company’s 2018
Equity Incentive Plan to increase the
aggregate number of shares of common
stock available for issuance thereunder
by 4,500,000 shares and to make
certain other changes thereto as
described further in this Proxy
Statement.
The affirmative vote of the holders of a majority
of the voting power, present in person or
represented by proxy.
Against
No effect
To approve, on an advisory basis, the
compensation of our named executive
officers, as disclosed in this Proxy
Statement.
The affirmative vote of the holders of a majority
of the voting power, present in person or
represented by proxy.
Against
No effect
To ratify the selection by the Audit
Committee of the Board of Directors of
Ernst & Young LLP as our independent
registered public accounting firm for the
fiscal year ending December 31, 2026.
The affirmative vote of the holders of a majority
of the voting power, present in person or
represented by proxy.
Against
Not
applicable(2)
(1)
Virtual attendance at our Annual Meeting constitutes presence in person for purposes of the votes.
(2)
This proposal is considered to be a “routine” matter under NYSE rules. Accordingly, if you hold your shares in street name and do not provide
voting instructions to your broker, bank or other agent that holds your shares, your broker, bank or other agent has discretionary authority
under applicable NYSE rules to vote your shares on this proposal. For more information, see “If I am a beneficial owner of shares held in street
name and I do not provide my broker or bank with my voting instructions, what happens?” and “What are broker non-votes?” below.
What are the choices in voting?
For Proposal 1, you may either vote “FOR” all nominees to the Board of Directors or you may “WITHHOLD” your vote for
one or more nominees that you specify. For proposals 2, 3, and 4, you may vote “FOR” the proposal or “AGAINST” the
proposal, or “ABSTAIN” from voting on the proposal.
TABLE OF CONTENTS
Geron Corporation 4 2026 Proxy Statement
Could other matters be decided at the virtual Annual Meeting?
The Board does not know of any other matters to be brought before the virtual Annual Meeting. Our bylaws require that we
receive advance notice of any proposal to be brought before the Annual Meeting by our stockholders, and we have not
received notice of any such proposals. If any other matters were to be properly submitted for a vote at the virtual Annual
Meeting, the proxy holders appointed by the Board will have the discretion to vote on those matters for you as they see fit.
How do I vote my shares and what are the voting deadlines?
Please refer to the proxy card for instructions on, and access information for, voting by telephone, over the Internet or by
mail.
Stockholder of Record: Shares Registered in Your Name
You are a stockholder of record if, on the Record Date, your shares were registered directly in your name with our transfer
agent, Computershare Trust Company, N.A. As a stockholder of record, there are several ways for you to vote your shares.
•
Via the Internet Before the Virtual Annual Meeting. You may vote by Internet at www.proxyvote.com, 24 hours a
day, seven days a week. You will need the 16-Digit Control Number included on your Notice, your proxy card (if
you received a printed copy of the proxy materials) or the instructions that accompanied your proxy materials to
join the virtual Annual Meeting. Votes submitted through the Internet must be received by 11:59 p.m., Eastern
Daylight Time, on May 19, 2026.
•
By Telephone. You may vote using a touch-tone telephone by calling 1-800-690-6903, 24 hours a day, seven
days a week. You will need the 16-Digit Control Number included on your Notice, your proxy card (if you received a
printed copy of the proxy materials) or the instructions that accompanied your proxy materials to join the virtual
Annual Meeting. Votes submitted by telephone must be received by 11:59 p.m., Eastern Daylight Time, on May 19,
2026.
•
By Mail. If you received printed proxy materials, you may submit your vote by completing, signing, and dating each
proxy card received and returning it in the postage-paid envelope. Sign your name exactly as it appears on the
proxy card. Proxy cards submitted by mail must be received no later than close of business Eastern Daylight Time
on May 19, 2026, to be voted at the virtual Annual Meeting.
•
Via the Internet During the Virtual Annual Meeting. Stockholders who attend the virtual Annual Meeting should
follow the instructions at www.virtualshareholdermeeting.com/GERN2026 to vote during the virtual Annual
Meeting. You will need the 16-Digit Control Number included on your Notice, your proxy card (if you received a
printed copy of the proxy materials) or the instructions that accompanied your proxy materials to join the virtual
Annual Meeting.
The Internet and telephone voting procedures described above, which comply with Delaware law, are designed to
authenticate stockholders’ identities, to allow stockholders to vote their shares, and to confirm that their instructions have
been properly recorded. However, please be aware that you must bear any costs associated with your Internet access, such
as usage charges from Internet access providers and telephone companies.
Beneficial Owner: Shares Registered In the Name of a Broker or Bank
You are a beneficial owner, if on the Record Date, your shares were held in an account at a brokerage firm, bank, dealer, or
other similar organization and not in your name. The organization holding your account is considered to be the stockholder
of record for purposes of voting at the virtual Annual Meeting. Being a beneficial owner means that, like most stockholders,
your shares are held in “street name” and these proxy materials are being forwarded to you by that organization.
As a beneficial owner, you should have received a Notice or voting instructions from the broker or other nominee holding
your shares. You should follow the instructions in the Notice or voting instructions provided by your broker or nominee in
order to instruct your broker or other nominee on how to vote your shares. The availability of telephone and Internet voting
will depend on the voting process of the broker or nominee. Please contact your bank, broker or other agent if you have
questions about their instructions on how to vote your shares. Please also note that since you are not the stockholder of
record, you may only vote your shares during the virtual Annual Meeting if using the 16-Digit Control Number included on
your Notice. Beneficial owners who attend the virtual Annual Meeting should follow the instructions at
www.virtualshareholdermeeting.com/GERN2026 to participate in and vote during the virtual Annual Meeting. You will need
the 16-Digit Control Number included on your Notice, your proxy card (if you received a printed copy of the proxy materials)
or the instructions that accompanied your proxy materials to join the virtual Annual Meeting.
The ratification of the selection of Ernst & Young LLP as our independent registered public accounting firm for the fiscal year
ending December 31, 2026 (Proposal 4) is considered to be a “routine” matter under NYSE rules. Accordingly, if you do not
provide your broker or bank with instructions on how to vote your shares, your broker or bank would be able to vote your
TABLE OF CONTENTS
Geron Corporation 5 2026 Proxy Statement
shares under applicable NYSE rules on Proposal 4. For more information, see “If I am a beneficial owner of shares held in
street name and I do not provide my broker or bank with my voting instructions, what happens?” and “What are broker non-
votes?” below.
Geron Plan Participants
If you own shares of Common Stock as a participant in the Geron 401(k) Plan (the “Plan”), your proxy card serves to direct
Fidelity Management Trust Company (“Fidelity”) how to direct the shares credited to your account in the Plan. Unless
otherwise required by law, Fidelity will follow your instructions. If your proxy card is not received by May 17, 2026, the shares
allocated to your account will not be voted.
If you purchased shares through the 2014 Employee Stock Purchase Plan, as amended, and your shares are held in the
name of a broker, please refer to the discussion above under “Beneficial Owner: Shares Registered in the Name of a Broker
or Bank.”
If I am a stockholder of record and I do not vote, or if I return a proxy card or otherwise vote without giving specific
voting instructions, what happens?
If you are a stockholder of record and you do not specify your vote on each proposal individually when voting via the
Internet, over the telephone or if you sign and return a proxy card without giving specific voting instructions, then your shares
will be voted in line with the Board’s recommendations above as described under “What am I voting on at the virtual Annual
Meeting? What is the Board’s recommendation on each of the proposals?” If any other matter is properly presented at the
virtual Annual Meeting, your proxyholder (one of the individuals named on your proxy card) will vote your shares using his or
her best judgment.
If I am a beneficial owner of shares held in street name and I do not provide my broker or bank with my voting
instructions, what happens?
If you are a beneficial owner of shares registered in the name of your broker, bank or other agent, and you do not instruct
your broker, bank or other agent how to vote your shares, your broker, bank or other agent may still be able to vote your
shares in its discretion. In this regard, under the rules of the NYSE, brokers, banks and other securities intermediaries that
are subject to NYSE rules may use their discretion to vote your “uninstructed” shares with respect to matters considered to
be “routine” under NYSE rules, but not with respect to “non-routine” matters. Proposals 1, 2 and 3 are considered to be
“non-routine” under NYSE rules, meaning that, under applicable NYSE rules, your broker would not be able to vote your
shares on those proposals in the absence of your voting instructions. Proposal 4 is considered to be a “routine” matter under
NYSE rules, meaning that if you do not return voting instructions to your broker by its deadline, under applicable NYSE
rules, your shares may be voted by your broker in its discretion on Proposal 4.
If you are a beneficial owner of shares held in street name, in order to ensure your shares are voted in the way you
would prefer, you must provide voting instructions to your broker, bank or other agent by the deadline provided in
the proxy materials you receive from your broker, bank or other agent.
What are broker non-votes?
As discussed above, when a beneficial owner of shares held in street name does not give voting instructions to his or her
broker, bank or other securities intermediary that is subject to NYSE rules holding his or her shares as to how to vote on
matters deemed to be “non-routine” under NYSE rules, the broker, bank or other such agent cannot vote the shares under
applicable NYSE rules. These un-voted shares are counted as “broker non-votes.” Proposals 1, 2 and 3 are considered to
be “non-routine” under NYSE rules; therefore, if you do not provide voting instructions with respect to your shares to your
bank, broker or other agent, your bank, broker or other agent will not vote with respect to these Proposals and such shares
will be counted as “broker non-votes,” unless you vote by attending the virtual Annual Meeting and following the instructions
at www.virtualshareholdermeeting.com/GERN2026 to vote during the virtual Annual Meeting. You will need the 16-Digit
Control Number included on your Notice, your proxy card (if you received a printed copy of the proxy materials) or the
instructions that accompanied your proxy materials to join the virtual Annual Meeting.
As a reminder, if you are a beneficial owner of shares held in street name, in order to ensure your shares are voted
in the way you would prefer, you must provide voting instructions to your broker, bank or other agent by the
deadline provided in the materials you receive from your broker, bank or other agent, or you may vote by attending
the virtual Annual Meeting by following the instructions at www.virtualshareholdermeeting.com/GERN2026 to vote
during the virtual Annual Meeting. You will need the 16-Digit Control Number included on your Notice, your proxy
card (if you received a printed copy of the proxy materials) or the instructions that accompanied your proxy
materials to join the virtual Annual Meeting.
TABLE OF CONTENTS
Geron Corporation 6 2026 Proxy Statement
Can I revoke or change my vote after I submit my proxy?
Stockholder of Record: Shares Registered in Your Name
If you are a stockholder of record, you may revoke or change your vote at any time before the final vote at the virtual Annual
Meeting by:
•
signing and returning a new proxy card with a later date;
•
submitting a later-dated vote by telephone or via the Internet — only your latest Internet or telephone vote received
by 11:59 p.m., Eastern Daylight Time, on May 19, 2026, will be counted. You will need the 16-Digit Control Number
included on your Notice, your proxy card (if you received a printed copy of the proxy materials) or the instructions
that accompanied your proxy materials;
•
attending the virtual Annual Meeting and voting again by following the instructions at
www.virtualshareholdermeeting.com/GERN2026 to vote during the virtual Annual Meeting. To virtually attend the
Annual Meeting, you will need the 16-Digit Control Number included on your Notice, your proxy card (if you
received a printed copy of the proxy materials) or the instructions that accompanied your proxy materials; or
•
delivering a written revocation to our Corporate Secretary at Geron’s offices, 919 E. Hillsdale Blvd., Suite 250,
Foster City, California 94404, before the virtual Annual Meeting.
Beneficial Owner: Shares Registered in the Name of a Broker or Bank
If you are a beneficial owner of your shares, you must contact the broker or other nominee holding your shares and follow
their instructions for revoking or changing your vote.
How will your proxy be counted?
Votes will be counted by the Inspector of Election appointed for the virtual Annual Meeting, who will separately count “FOR,”
“WITHHOLD” and broker non-votes with respect to Proposal 1 regarding the election of directors, and, with respect to
Proposals 2, 3, and 4 “FOR” and “AGAINST” votes, abstentions and, as applicable, broker non-votes.
In tabulating the voting result for any particular proposal, broker non-votes are not considered voting power present or votes
cast with respect to that proposal. Therefore, broker non-votes will not affect the outcome of any matter being voted on at
the virtual Annual Meeting, assuming that a quorum is present. Withhold votes are not considered votes cast and therefore
will have no effect on the outcome of the election of directors. Abstentions are considered voting power present and
therefore will have the same effect as a vote against Proposals 2, 3 and 4.
Is my vote confidential?
Yes. Proxy cards and voting tabulations that identify stockholders by name are kept confidential. There are exceptions for
contested proxy solicitations or when necessary to meet legal requirements. In addition, all comments written on a proxy
card or elsewhere will be forwarded to management, but your identity will be kept confidential unless you ask that your name
be disclosed.
How can I find out the results of the voting at the virtual Annual Meeting?
Preliminary voting results will be announced at the virtual Annual Meeting. Final voting results will be disclosed by Geron in a
Current Report on Form 8-K, filed with the SEC, that we expect to file within four business days after the virtual Annual
Meeting. If final voting results are not available to us in time to file a Current Report on Form 8-K within four business days
after the virtual Annual Meeting, we intend to file a Current Report on Form 8-K to disclose preliminary results and, within
four business days after the final results are known to us, file an additional Current Report on Form 8-K to disclose the final
results.
Who is paying for this proxy solicitation?
We will pay the entire cost of solicitation of proxies, including preparation, assembly, printing and mailing of this Proxy
Statement, the proxy card and any additional information furnished to stockholders. Copies of solicitation materials will be
furnished to banks, brokerage houses, fiduciaries and custodians holding in their names shares of Common Stock
beneficially owned by others to forward to such beneficial owners. In addition, we may reimburse persons representing
beneficial owners of Common Stock for their costs of forwarding solicitation materials to such beneficial owners. The original
TABLE OF CONTENTS
Geron Corporation 7 2026 Proxy Statement
solicitation of proxies by mail may be supplemented by solicitation by mail, telephone or other electronic means, or in
person, by our directors, officers, or other regular employees. No additional compensation will be paid to directors, officers or
other regular employees for such services, but we have retained Alliance Advisors for a fee, estimated to be $12,500 plus
certain out of pocket expenses, to render solicitation services.
When are stockholder nominations and proposals due for next year’s Annual Meeting?
See the sub-section entitled “Stockholder Nominations and Proposals for 2027 Annual Meeting” under the section entitled
“Other Matters.”
How can I obtain a copy of Geron’s Annual Report on Form 10-K?
We will mail to you without charge, upon written request, a copy of our Annual Report on Form 10-K for the year ended
December 31, 2025 filed with the SEC, as well as a copy of any exhibit specifically requested. Requests should be sent to:
Corporate Secretary, Geron Corporation, 919 E. Hillsdale Blvd., Suite 250, Foster City, California 94404. A copy of our
Annual Report on Form 10-K for the year ended December 31, 2025 has also been filed with the SEC and may be accessed
from the SEC’s homepage (www.sec.gov). You may also view and download our Annual Report on Form 10-K for the year
ended December 31, 2025 from our website at www.geron.com, as well as www.proxyvote.com.
What is householding and how does it affect me?
Some brokers and other nominee record holders may be participating in the practice of “householding” proxy statements.
This means that only one copy of this Proxy Statement and Annual Report on Form 10-K for the year ended December 31,
2025 or the Notice may have been sent to multiple stockholders in a stockholder’s household. Once you have received
notice from your broker that they will be “householding” communications to your address, “householding” will continue until
you are notified otherwise or until you revoke your consent. If, at any time, you no longer wish to participate in
“householding” and would prefer to receive separate copies of the proxy statement, annual report or the notice of internet
availability of proxy materials, please notify your broker or our Investor Relations department. We will promptly deliver copies
of the Proxy Statement and our Annual Report on Form 10-K for the year ended December 31, 2025 or the Notice to any
stockholder who contacts us by electronic mail addressed to investor@geron.com, or by mail addressed to Investor
Relations, Geron Corporation, 919 E. Hillsdale Blvd., Suite 250, Foster City, California 94404, requesting such copies. If you
receive multiple copies of the proxy statement and annual report at your household and would like to receive a single copy
of the proxy statement and annual report for your household in the future, you should contact your broker, other nominee
record holder, or our Investor Relations department to request a single copy of the proxy statement and annual report.
Forward-Looking Statements
Except for the historical information contained herein, this Proxy Statement contains forward-looking statements, including,
but not limited to: (a) statements relating to the continued development and commercialization of RYTELO® (imetelstat) by
Geron, including Geron’s plans to explore pathways to bring RYTELO to patients in Europe in 2026; (b) the therapeutic and
commercial potential of RYTELO; (c) expectations regarding the interim and final analyses in the Phase 3 Impact MF clinical
trial, and the anticipated timing thereof; (d) expectations regarding initial data in investigator-sponsored and real-world trials,
and the anticipated timing thereof; (e) plans, considerations, expectations and determinations regarding future compensation
decisions; (f) the goals and objectives of Geron’s ESG strategies and initiatives; and (g) other statements that are not
historical facts. These statements involve risks and uncertainties that can cause actual results to differ materially from those
in such forward-looking statements. These risks and uncertainties, include, without limitation, risks and uncertainties related
to: (i) whether we are successful in commercializing RYTELO (imetelstat) for the treatment of certain patients with lower-risk
myelodysplastic syndromes ("lower-risk MDS") with transfusion dependent anemia; (ii) whether the U.S. Food and Drug
Administration ("FDA") or European Commission will approve RYTELO for other indications on the timelines that may be
expected, or at all; (iii) our pursuit of paths to make RYTELO available to eligible patients with lower-risk MDS outside of the
U.S., including in the European Union; (iv) whether we overcome potential delays and other adverse impacts caused by
enrollment, clinical, safety, efficacy, technical, scientific, intellectual property, manufacturing and regulatory challenges in
order to have the financial resources for and meet expected timelines and planned milestones; (v) whether regulatory
authorities permit the further development of imetelstat on a timely basis, or at all, without any clinical holds; (vi) whether
RYTELO may cause, or have attributed to it, adverse events that could delay or prevent the commencement and/or
completion of clinical trials, impact its regulatory approval, or limit its commercial potential; (vii) whether the IMpactMF Phase
3 trial for relapsed/refractory myelofibrosis has a positive outcome and demonstrates safety and effectiveness to the
satisfaction of the FDA and international regulatory authorities, and whether our projected rates for death events differ from
actual rates, which may cause the planned interim and final analyses to occur later than anticipated; (viii) whether any future
safety or efficacy results of RYTELO treatment cause its benefit-risk profile to become unacceptable; (ix) whether imetelstat
actually demonstrates disease-modifying activity in patients and the ability to target the malignant stem and progenitor cells
TABLE OF CONTENTS
Geron Corporation 8 2026 Proxy Statement
of the underlying disease; (x) whether we meet our post-marketing requirements and commitments for RYTELO; (xi)
whether there are failures or delays in manufacturing or supplying sufficient quantities of RYTELO or other clinical trial
materials that impact commercialization of RYTELO or the continuation of the IMpactMF trial and other clinical trials; (xii)
whether we are able to establish and maintain effective sales, marketing and distribution capabilities, obtain adequate
coverage and third-party payor reimbursement, and achieve adequate acceptance in the marketplace; (xiii) whether we are
able to obtain and maintain the exclusivity terms and scopes provided by patent and patent term extensions, regulatory
exclusivity, and have freedom to operate; (xiv) that we may be unable to successfully commercialize RYTELO due to
competitive products, or otherwise; (xv) that we may not be able to establish partnerships to commercialize RYTELO in the
international markets where RYTELO may be approved for marketing; (xvi) whether we stay in compliance with and satisfy
our obligations under our debt and synthetic royalty agreements; (xvii) the aspirational nature of Geron’s ESG strategies and
initiatives, which are not guarantees or promises that such strategies and initiatives will be realized or will otherwise result in
the anticipated benefits to Geron and/or its stakeholders; and (xviii) the impact of general economic, industry or political
climate in the U.S. or internationally and the effects of macroeconomic conditions on our business and business prospects,
financial condition and results of operations. In addition, the actual executive compensation program that we adopt in the
future may differ materially from the current executive compensation program summarized in this Proxy Statement.
Additional information on the above-stated risks and uncertainties and additional risks, uncertainties and factors that could
cause actual results to differ materially from those in the forward-looking statements are contained in our periodic reports
filed with the Securities and Exchange Commission under the heading “Risk Factors,” including our Annual Report on Form
10-K for the year ended December 31, 2025 and in our future filings and reports. Undue reliance should not be placed on
forward-looking statements, which speak only as of the date of this Proxy Statement and the facts and assumptions
underlying the forward-looking statements may change. Except as required by law, we disclaim any obligation to update
these forward-looking statements to reflect future information, events or circumstances.
TABLE OF CONTENTS
Geron Corporation 9 2026 Proxy Statement
MATTERS TO BE CONSIDERED AT THE 2026 ANNUAL
MEETING
Proposal One
Election of Directors
Board Structure
Our Board currently consists of nine directors, eight of whom are “independent,” as that term is defined by Nasdaq Rule
5602(a)(2), and one of whom Harout Semerjian, is serving as our President and Chief Executive Officer. Our bylaws provide
for the classification of the Board into three classes with staggered terms of office so that one class of the Board is elected
annually, and each class of directors stands for election every three years.
The term of the current Class III directors, Patricia S. Andrews, Constantine Chinoporos, Susan M. Molineaux, Ph.D., and V.
Bryan Lawlis, Ph.D., will expire at the Annual Meeting. As we previously disclosed, V. Bryan Lawlis, Ph.D. will not be
standing for reelection as a Class III director at the Annual Meeting and as such, his term of office will expire at the Annual
Meeting. Accordingly, upon the recommendation of the Nominating and Corporate Governance Committee of the Board, the
Board approved a reduction in the number of directors constituting the full Board from nine to eight with a concomitant
reduction in the Class III director class to three, in each case effective immediately prior to the Annual Meeting. In this
regard, proxies may only be voted for the three Class III directors nominated for election at the Annual Meeting and named
below.
Proxies may only be voted for the three Class III directors nominated for election at the Annual Meeting.
The Class I directors, John F. McDonald, Harout Semerjian, and Robert J. Spiegel, M.D., FACP, have one year remaining on
their terms of office. The Class II directors, Dawn C. Bir and Elizabeth G. O’Farrell, have two years remaining on their terms
of office.
The following table provides summary information about each director nominee and directors who are serving terms that will
continue following the Annual Meeting:
Committee Memberships
Name and Principal Position
Independent
AC
CC
NG
Other Public
Boards
2026 Director Nominees
Susan M. Molineaux, Ph.D.
Yes
C
M
None
Patricia S. Andrews
Yes
M
2
Constantine Chinoporos
Yes
None
Continuing Directors
Dawn C. Bir(1)
Yes
M
C(2)
2
John F. McDonald
Yes
M
None
Elizabeth G. O'Farrell
Yes
C, FE
3
Harout Semerjian
No
None
Robert J. Spiegel, M.D., FACP
Yes
M
M
2
TABLE OF CONTENTS
Geron Corporation 10 2026 Proxy Statement
(1)
Ms. Bir was appointed as our Interim President and Chief Executive Officer on March 10, 2025 and served in that role until August 7, 2025 when
Mr. Semerjian was appointed as our President and Chief Executive Officer. Ms. Bir was not considered independent during her service as our
Interim President and Chief Executive Officer. However, our Board considered Ms. Bir’s service as our Interim President and Chief Executive
Officer and determined that, following completion of her service in such role, she was independent under Nasdaq listing standards, as the
interim service did not last longer than one year and the Board determined that such interim service did not otherwise interfere with the
exercise of independent judgment in carrying out the responsibilities of a director or affect her ability to be independent from management in
the connection with the duties of a compensation committee member.
(2)
In connection with her appointment as our Interim President and Chief Executive Officer on March 10, 2025, Ms. Bir stepped down as a member
of the Compensation Committee and as a member and Chair of the Nominating and Corporate Governance Committee. Following the
appointment of Mr. Semerjian as our President and Chief Executive Officer on August 1, 2025, effective August 7, 2025, and the end of Ms. Bir’s
service as our Interim President and Chief Executive Officer, the Board determined that Ms. Bir was independent as described in footnote (1)
above and she returned to serving as a member of the Compensation Committee and as a member of the Nominating and Corporation
Governance Committee, including as Chair.
AC: Audit Committee
C: Chair
CC: Compensation Committee
M: Member
NG: Nominating and Corporate Governance Committee
FE: Financial Expert
Strategic: Strategic Committee
Nominees for Election to the Board of
Directors
For a Three-Year Term Expiring at the 2029 Annual Meeting
The Board has selected three nominees for Class III directors: Patricia S. Andrews, Constantine Chinoporos and Susan M.
Molineaux, Ph.D. All three Class III director nominees were nominated for election by the Board upon the recommendation
of the Nominating and Corporate Governance Committee. Dr. Molineaux was previously elected to the Board by our
stockholders. Both of Ms. Andrews and Mr. Chinoporos were identified by a third-party search firm and joined the Board in
March 2026 after being considered and recommended by the Nominating and Corporate Governance Committee.
Set forth below is a brief biography of each nominee for Class III director, the periods during which they have served as a
director of Geron, and information furnished by them as to principal occupations and public company directorships held by
them. The biographies below also include a discussion of the specific experience, qualifications, attributes or skills of each
nominee that led the Nominating and Corporate Governance Committee and the Board to conclude, as of the date of this
Proxy Statement, that each nominee for Class III director should continue to serve as a director. Each person nominated for
election has consented to being named as a nominee in this Proxy Statement and has agreed to serve if elected, and the
Board has no reason to believe that any nominee will be unable to serve or, if elected, will decline to serve. In the event that
either of these nominees should become unavailable for election due to any presently unforeseen reason, proxies will be
voted for a substitute as designated by the Board, or alternatively, the Board may leave a vacancy on the Board or reduce
the size of the Board.
The Company believes it is beneficial for the Board to have expertise, skills, perspectives and experiences in areas that are
relevant to our business and the needs of the Board. Accordingly, as part of the director search process, our Nominating and
Corporate Governance Committee endeavors to consider qualified candidates with a broad range of personal and
professional backgrounds, perspectives, skills, and experience, in each case who meet relevant business and search criteria
set forth in our corporate governance guidelines. These criteria include the candidate’s reputation for personal and
professional integrity, ethics and values, experience in corporate management, operations, finance and other areas relevant
to the success of publicly traded companies, experience in the Company’s industry, and ability to exercise practical and
mature business judgment and independent analytical inquiries in a manner that is beneficial to the success of the Company
and the interests of its stockholders.
TABLE OF CONTENTS
Geron Corporation 11 2026 Proxy Statement
Class III Directors Nominees (Term Expiring at the 2026 Annual Meeting)
Susan M.
Molineaux,
Ph.D.
AGE: 72
DIRECTOR SINCE: 2012
Susan M. Molineaux, Ph.D. has served as a director of Geron since September 2012.
Dr. Molineaux currently serves as the Executive Chair of Seranova Bio Inc., an early
stage private therapeutics company, a position she has held since January 2026. Dr.
Molineaux also served as the Chief Executive Officer at Para Therapeutics, Inc., from
April 2023 to July 2025 and as a member of the board of directors of Repare
Therapeutics Inc., a clinical-stage precision oncology company, from June 2023 to
December 2025. Prior to her role at Para Therapeutics, Inc., Dr. Molineaux was Chief
Executive Officer, President, and a member of the board of directors of Calithera
Biosciences, Inc., since co-founding the company in June 2010 until March 2023. Dr.
Molineaux previously served as a member of the boards of directors of Cyteir
Therapeutics, Inc., a clinical-stage DNA repair and synthetic lethality company, from
December 2020 until May 2023, and Theravance Biopharma, Inc., a biopharmaceutical
company, from April 2015 to April 2022. Before she co-founded Calithera Biosciences, Dr.
Molineaux co-founded Proteolix, Inc., a privately-held oncology-oriented
biopharmaceutical company, where she served as Chief Scientific Officer from December
2003 to December 2005, Chief Executive Officer from January 2006 to January 2009,
and again as Chief Scientific Officer from February 2009 until Proteolix’s acquisition by
Onyx Pharmaceuticals, Inc., a global oncology-oriented biopharmaceutical company, in
November 2009. Previously, Dr. Molineaux held several senior management positions in
the biopharmaceutical industry, including Vice President of Biology at Rigel
Pharmaceuticals, Inc., a biopharmaceutical company focused on inflammatory and
autoimmune diseases; Vice President of Biology at Praelux, Inc., a biopharmaceutical
company; and Vice President of Drug Development at Praecis Pharmaceuticals, Inc., an
oncology-focused biopharmaceutical company. Dr. Molineaux also serves as a Scientific
Advisor to Lightstone Ventures, a private life sciences investment company, since
September 2016. Dr. Molineaux holds a B.S. in biology from Smith College, a Ph.D. in
molecular biology from Johns Hopkins University, and completed a postdoctoral
fellowship at Columbia University.
THE BOARD BELIEVES DR. MOLINEAUX’S EXTENSIVE EXPERIENCE IN
PHARMACEUTICAL AND ONCOLOGY DRUG DEVELOPMENT, HER EXPERTISE IN
MANAGING AND CONDUCTING CLINICAL TRIALS, AS WELL AS HER
KNOWLEDGE OF THE BIOTECHNOLOGY INDUSTRY AND BUSINESS, AND
HEALTHCARE RELATED ISSUES, COMBINED WITH HER EXPERIENCE AS AN
EXECUTIVE OFFICER AND DIRECTOR OF PUBLICLY TRADED BIOTECH AND
PHARMACEUTICAL COMPANIES, PROVIDES GREAT VALUE TO THE BOARD AND
CONTRIBUTES SIGNIFICANTLY TO DISCUSSIONS AND DECISION-MAKING,
WHICH QUALIFIES HER TO BE ELECTED AS A DIRECTOR.
TABLE OF CONTENTS
Geron Corporation 12 2026 Proxy Statement
Patricia S.
Andrews
AGE: 68
DIRECTOR SINCE: 2026
Patricia S. Andrews has served as a director of Geron since March 2026. Ms. Andrews
also serves as a member of the Board of Directors of Glenmark Pharmaceuticals Limited,
a global pharmaceutical company, and as a director of its wholly-owned subsidiary,
Ichnos Glenmark Innovation (IGI), a clinical-stage oncology research and development
company, positions she has held since August 2025. She has served as a member of the
Board of Directors of Oncolytics Biotech Inc., a clinical-stage oncology company, since
January 2024. She previously served as a member of the Board of Directors and as a
member
of
the
Audit
Committee
of
GlycoMimetics,
Inc.,
a
clinical-stage
biopharmaceutical company focused on oncology, from June 2017 until June 2025, when
GlycoMimetics was combined with Crescent Biopharma. Ms. Andrews served as Chief
Executive Officer of Sumitomo Pharma Oncology, Inc. (formerly Boston Biomedical, Inc.),
a clinical-stage biopharmaceutical company focused on the treatment of hematological
malignancies and solid tumors, and as an Executive Officer of its parent company,
Sumitomo Pharma Co., Ltd., from April 2017 to June 2023. Ms. Andrews was also the
Global Head of Oncology for Sumitomo Pharma Co., Ltd. from June 2020 to June 2023.
Prior to her appointment as Chief Executive Officer, Ms. Andrews joined Boston
Biomedical in November 2013 as Executive Vice President and Chief Commercial Officer,
and was promoted to Chief Operating Officer in 2015 before assuming the chief executive
role. Prior to joining Sumitomo Pharma Oncology and its predecessor, Ms. Andrews
served as Executive Vice President and Chief Commercial Officer at Incyte Corporation
from October 2008 to August 2012. Prior to Incyte, Ms. Andrews held roles of increasing
responsibility at Pfizer Inc. from 1991 to 2008, including as Vice President and General
Manager of the U.S. Oncology Business Unit and Vice President, Specialty Markets. Ms.
Andrews holds an M.B.A. with a focus on Finance from the University of Michigan (Ann
Arbor) and a B.A. in History and Political Science from Brown University.
THE BOARD BELIEVES MS. ANDREWS' EXTENSIVE EXPERIENCE AS AN
EXECUTIVE
OFFICER
IN
ONCOLOGY-FOCUSED
BIOPHARMACEUTICAL
ORGANIZATIONS, HER EXPERTISE IN BUILDING AND LEADING COMMERCIAL
OPERATIONS AND EXECUTING MAJOR LICENSING TRANSACTIONS, AS WELL
AS
HER
KNOWLEDGE
OF
DRUG
DEVELOPMENT,
CLINICAL
TRIAL
MANAGEMENT, AND HEALTHCARE-RELATED ISSUES, COMBINED WITH HER
EXPERIENCE
AS
A
DIRECTOR
OF
MULTIPLE
PUBLICLY
TRADED
BIOPHARMACEUTICAL COMPANIES, PROVIDES GREAT VALUE TO THE BOARD
AND QUALIFIES HER TO BE ELECTED AS A DIRECTOR.
TABLE OF CONTENTS
Geron Corporation 13 2026 Proxy Statement
Constantine
Chinoporos
AGE: 59
DIRECTOR SINCE: 2026
Constantine Chinoporos has served as a director of Geron since March 2026. Mr.
Chinoporos served as Chief Operating Officer and Chief Business Officer at Applied
Therapeutics, Inc., a biopharmaceutical company focused on the treatment of rare
metabolic and neuropathic diseases, from December 2023 to February 2026, until the
sale of the company to Cycle Pharmaceuticals. Prior to his role at Applied Therapeutics,
Mr. Chinoporos served as Chief Business Officer at Albireo Pharmaceuticals, Inc., a rare
disease company focused on the treatment of liver diseases, from December 2021 until
Albireo's acquisition by Ipsen S.A. in March 2023. Prior to joining Albireo, Mr. Chinoporos
served as Chief Business Officer at Boston Pharmaceuticals, Inc., a clinical-stage
biopharmaceutical company, from November 2015 to October 2021. Prior to that, he held
senior positions in worldwide licensing, business development, corporate development,
corporate finance and alliance management at Sanofi S.A., Genzyme Corporation, and
Eli Lilly and Company. Mr. Chinoporos currently serves as a strategic advisor to Apollo
Therapeutics Ltd., a role he has held since February 2023. He served as a member of
the Board of Directors and Chair of the Compensation Committee of Elektrofi, Inc., a
private drug delivery company acquired by Halozyme Therapeutics, Inc., from December
2019 to November 2025. Mr. Chinoporos holds an M.B.A. from the Johnson Graduate
School of Management at Cornell University and a B.A. in History from Cornell University.
THE BOARD BELIEVES MR. CHINOPOROS' EXTENSIVE EXPERIENCE IN
BIOPHARMACEUTICAL BUSINESS DEVELOPMENT, CORPORATE STRATEGY,
AND MAJOR STRATEGIC TRANSACTIONS, HIS EXPERTISE IN SOURCING,
STRUCTURING, AND CLOSING LICENSING AND ACQUISITION TRANSACTIONS
ACROSS BOTH LARGE PHARMACEUTICAL AND EMERGING BIOTECHNOLOGY
ORGANIZATIONS,
AS
WELL
AS
HIS
KNOWLEDGE
OF
COMMERCIAL
OPERATIONS, ALLIANCE MANAGEMENT, AND HEALTHCARE-RELATED ISSUES,
PROVIDES GREAT VALUE TO THE BOARD AND QUALIFIES HIM TO BE ELECTED
AS A DIRECTOR.
VOTE
The Board of Directors unanimously recommends that stockholders vote FOR the
election of each of the Class III director nominees named herein to the Board of
Directors.
TABLE OF CONTENTS
Geron Corporation 14 2026 Proxy Statement
Members of the Board of Directors
Continuing in office after the Annual
Meeting
Set forth below is a brief biography of each continuing director composing the remainder of the Board with terms expiring as
shown, including the periods during which they have served as a director of Geron, and information they have provided as to
their principal occupations and public company directorships. The biographies below also include a discussion of the specific
experience, qualifications, attributes or skills of each continuing director that led the Nominating and Corporate Governance
Committee and the Board to conclude, as of the date of this Proxy Statement, that the applicable director should continue to
serve as a director.
Class I Directors (Term Expiring at the 2027 Annual Meeting)
John F.
McDonald
AGE: 65
DIRECTOR SINCE: 2022
John F. McDonald has served as a director of Geron since September 2022. Since
October 2018, Mr. McDonald has served as Vice President, Business Development and
Mergers and Acquisitions, for Novo Nordisk A/S, a global pharmaceutical company,
where he leads business development and merger and acquisition activities, investment
strategies and participates in the creation of research, early development, and
therapeutic pipeline diversification and augmentation strategies. From 2011 to 2018, Mr.
McDonald was Vice President, Business Development, at Biogen Inc., a
biopharmaceutical company, where he led business development and negotiated
numerous strategic alliances, licenses and acquisitions. From 2006 to 2011, Mr.
McDonald served as Managing Director at MPM Capital LP, an investment firm, where he
served as the primary business development and asset strategy resource for multiple
portfolio companies. Prior to 2006, Mr. McDonald held business development, corporate
strategy, and legal roles of increasing responsibility at various biopharmaceutical
companies, including at Millennium Pharmaceuticals Inc., a biotechnology company (now
a Takeda Oncology Company, a pharmaceutical company), Genzyme Corp., a
biopharmaceutical company (now part of Sanofi, a pharmaceutical company) and
Genentech, Inc., a biopharmaceutical company (now a member of the Roche Group, a
pharmaceutical company). In those roles, Mr. McDonald developed relationships with
numerous academic institutions, as well as biotechnology and pharmaceutical companies
of all stages. Mr. McDonald holds a J.D. from the University of California College of the
Law, San Francisco and an M.B.A. and B.S. from the Haas School of Business,
University of California, Berkeley.
THE BOARD BELIEVES MR. MCDONALD’S EXTENSIVE EXPERIENCE IN
BUSINESS DEVELOPMENT RELATED TO PHARMACEUTICAL PRODUCTS, AS
WELL AS HIS DEEP UNDERSTANDING OF CREATING STRATEGIC
RELATIONSHIPS IN THE PHARMACEUTICAL INDUSTRY, QUALIFIES MR.
MCDONALD TO SERVE AS A DIRECTOR.
TABLE OF CONTENTS
Geron Corporation 15 2026 Proxy Statement
Harout
Semerjian
AGE: 55
DIRECTOR SINCE: 2025
Harout Semerjian, has served as director of Geron and as our President and Chief
Executive Officer since August 2025. Since October 2023, Mr. Semerjian has also
served as a member of the board of directors at the Biotechnology Innovation
Organization. Previously, Mr. Semerjian served as President and Chief Executive Officer
of GlycoMimetics, Inc., a late-stage clinical biotechnology company subsequently
merged with Crescent Biopharma, Inc., from August 2021 until February 2025. He also
previously served on the board of directors of GlycoMimetics. From June 2020 to July
2021, Mr. Semerjian served as an independent healthcare consultant at Emerge Bio
Consulting, advising private equity firms on healthcare investment projects. Mr.
Semerjian served as President and Chief Executive Officer of Immunomedics Inc., a
biotechnology company specializing in antibody-drug conjugates for cancer treatment,
from April 2020 to May 2020, prior to its acquisition by Gilead Sciences, Inc. From March
2018 to April 2020, Mr. Semerjian served as Executive Vice President, Chief Commercial
Officer of Ipsen Pharma, a global, pharmaceutical company focusing on areas of high
unmet medical need, leading and executing Ipsen’s global commercial strategy and
functions across oncology, neurosciences and rare diseases. From February 2017 to
February 2018, he served as President and Head of Ipsen’s Specialty Care International
Region & Global Franchises. From 1994 to January 2017, Mr. Semerjian held several
commercial, marketing and sales positions of increasing responsibility within Novartis
Pharmaceuticals, a global pharmaceutical company, including serving as Senior Vice
President and Global Launch Leader for KISQALI®, in regional vice president
hematology and oncology roles in the U.S., MENA and the Nordics, and as global brand
director for Gleevec®, as well as for Merck, a global pharmaceutical company, and
Solvay, a multinational chemical and materials company. Mr. Semerjian holds an MBA
from Cornell University and Queen's University in Canada, and a B.S. in Biology from
Lebanese American University.
THE BOARD BELIEVES MR. SEMERJIAN’S DEEP COMMERCIAL AND
HEMATOLOGY EXPERTISE, BROAD LEADERSHIP EXPERIENCE, AND GLOBAL
PERSPECTIVE QUALIFY MR. SEMERJIAN TO SERVE AS A DIRECTOR.
Robert J.
Spiegel, M.D.,
FACP
AGE: 76
DIRECTOR SINCE: 2010
Robert J. Spiegel, M.D., FACP, has served as a director of Geron since May 2010. Dr.
Spiegel currently serves as an Associate Professor at the Weill Cornell Medical School, a
Senior Advisor to Warburg Pincus, a private equity firm, and an advisor to the Israel
Biotech Fund, a venture investment fund. He is also a member of the boards of directors
of Ayala Pharmaceuticals, a clinical-stage oncology company, since December 2017,
and RenovoRx, a clinical-stage oncology company, since April 2023. In the last five
years, he has previously served as a director for Athenex, a biopharmaceutical company,
from August 2020 to September 2023, and Cyclacel Pharmaceuticals, Inc., a
biopharmaceutical company developing targeted medicines for cancer and other
proliferative diseases, from September 2018 to January 2025. From March 2011 to April
2016, Dr. Spiegel served as Chief Medical Officer of PTC Therapeutics, Inc., a
biopharmaceutical company focused on discovering and developing treatments for rare
disorders. In 2009, after 26 years with the Schering-Plough Corporation (now Merck &
Co.), a global healthcare company, Dr. Spiegel retired as Chief Medical Officer and
Senior Vice President of the Schering-Plough Research Institute, the pharmaceutical
research arm of the Schering-Plough Corporation. His career at Schering-Plough
involved various positions, including Director of clinical research for oncology, Vice
President of clinical research, and Senior Vice President of worldwide clinical research.
Following a residency in internal medicine, Dr. Spiegel completed a fellowship in medical
oncology at the National Cancer Institute, and from 1981 to 1999 he held academic
positions at the National Cancer Institute and New York University Cancer Center. Dr.
Spiegel holds a B.A. from Yale University and an M.D. from the University of
Pennsylvania.
THE BOARD BELIEVES DR. SPIEGEL’S EXTENSIVE MEDICAL EXPERIENCE
DEVELOPING ONCOLOGY PRODUCTS, HIS DEEP UNDERSTANDING OF
PHARMACEUTICAL RESEARCH AND DEVELOPMENT, AND BROAD EXPERTISE
IN GAINING REGULATORY APPROVAL FOR DRUG CANDIDATES, ENHANCES
THE BOARD’S ABILITY TO CRITICALLY ASSESS THE PROGRESS AND
POTENTIAL OF RYTELO, AND QUALIFIES DR. SPIEGEL TO SERVE AS A
DIRECTOR.
TABLE OF CONTENTS
Geron Corporation 16 2026 Proxy Statement
Class II Directors (Term Expiring at the 2028 Annual Meeting)
Dawn C. Bir
AGE: 55
DIRECTOR SINCE: 2019
Dawn C. Bir has served as a director of Geron since March 2019 and as our Interim
President and Chief Executive Officer from March until August 2025. Ms. Bir
has served as a member of the board of directors of Cassava Sciences, Inc., a
biotechnology company focused on developing novel, investigational treatments for
central nervous system disorders, since October 2025, and of Soleno Therapeutics, Inc.,
a biopharmaceutical company developing novel therapeutics for the treatment of rare
diseases, since August 2024. Previously, Ms. Bir served as the Chief Commercial Officer
of Reata Pharmaceuticals, Inc., a biopharmaceutical company where she led marketing,
market access, sales, and commercial operations, from September 2016 until Reata’s
acquisition by Biogen, Inc. in September 2023. From February 2013 to September 2016,
Ms. Bir served as Vice President of Sales with Pharmacyclics LLC, an AbbVie company,
where she built and led their first hematology national sales organization, and was
responsible for the launch of IMBRUVICA® in the United States and Puerto Rico. From
October 2011 to February 2013, Ms. Bir served as Vice President of Sales & Marketing of
SKY Pharmaceuticals Packaging, Inc. & Rx Pak, a unit within the U.S. pharmaceutical
and specialty solutions division of McKesson Corporation, a global healthcare company,
where she was responsible for two companies and revenue centers, and led multiple
functions, including sales, marketing, contract management, project management and
customer service. From 1996 to October 2011, Ms. Bir held several commercial and sales
positions of increasing responsibility within Genentech, Inc., a member of the Roche
Group, a global pharmaceutical company, and Bristol Myers Squibb Company, a global
pharmaceutical company. Ms. Bir holds a B.S. in Biology from Binghamton University.
THE BOARD BELIEVES MS. BIR’S EXTENSIVE COMMERCIAL, SALES AND
MARKETING EXPERTISE, INCLUDING WITH HEMATOLOGY-ONCOLOGY
PRODUCTS, BROADENS THE BOARD’S ABILITY TO ADVISE ON, EVALUATE AND
ANALYZE THE COMPANY’S COMMERCIALIZATION ACTIVITIES FOR RYTELO,
ESPECIALLY IN THE UNITED STATES, AS WELL AS TO PROVIDE INSIGHTS INTO
THE COMPETITIVE LANDSCAPE OF OTHER HEMATOLOGY-ONCOLOGY
PRODUCTS. THIS KNOWLEDGE AND EXPERIENCE, TOGETHER WITH HER
STRONG LEADERSHIP ABILITY AS AN EXECUTIVE IN THE HEALTHCARE
INDUSTRY AND AS MANAGEMENT’S REPRESENTATIVE ON THE BOARD,
QUALIFY MS. BIR TO SERVE AS A DIRECTOR.
TABLE OF CONTENTS
Geron Corporation 17 2026 Proxy Statement
Elizabeth G.
O’Farrell
Elizabeth G. O’Farrell has served as a director of Geron since March 2019 and as Chair
of the Board since March 2025 and, prior to that time, as Lead Independent Director
since May 2023. Ms. O’Farrell also serves as a member of the boards of directors of
LENSAR, Inc., a global medical technology company, since February 2021, Genmab A/S,
a global oncology company, since March 2022 and SpyGlass Pharma, Inc., a global
ophthalmic therapeutics company, since August 2025. Previously, she served as a
member of the board of directors of Inhibikase Therapeutics, a pharmaceutical company
focused on treatments of neurological infections and neurodegenerative diseases, from
March 2019 to September 2022. Ms. O’Farrell also served as a board member of the
YMCA of Greater Indianapolis from 2006 until 2017, including as its chairperson from
2014 to 2016. In December 2017, Ms. O’Farrell retired from a 24-year career with Eli Lilly
and Company, a global pharmaceutical company, where she held several senior
management positions in finance and corporate governance, most recently serving as
Chief Procurement Officer and Head of Global Shared Services from January 2012 to
December 2017. Prior to that position, she also served as Senior Vice President, Policy
and Finance; Senior Vice President, Finance; Chief Financial Officer, Lilly USA; Chief
Financial Officer, Lilly Canada; and General Auditor. Before joining Eli Lilly, Ms. O’Farrell
was an accountant with Boise Cascade Office Products, and served as an auditor at
Whipple & Company, a professional accountancy firm, and Price Waterhouse, an
international public accounting firm. Ms. O’Farrell holds a B.S. in accounting with honors
and an M.B.A. in management information systems, both from Indiana University.
AGE: 61
DIRECTOR SINCE: 2019
MS. O’FARRELL’S SIGNIFICANT FINANCIAL, OPERATIONAL AND CORPORATE
GOVERNANCE EXPERTISE STRENGTHENS THE BOARD’S COLLECTIVE
KNOWLEDGE RELATED TO COMPLIANCE, FINANCIAL REPORTING AND
INTERNAL CONTROLS. IN ADDITION, MS. O’FARRELL’S MANAGEMENT AND
LEADERSHIP EXPERIENCE, GAINED THROUGH THE VARIOUS MANAGEMENT
ROLES SHE HAS HELD, ALSO PROVIDES UNIQUE AND VALUABLE INSIGHTS TO
THE BOARD REGARDING ORGANIZATIONAL DEVELOPMENT FOR A GROWING
COMPANY, AS GERON CONTINUES TO ADVANCE AS A COMMERCIAL-STAGE
COMPANY. THE BOARD BELIEVES MS. O’FARRELL’S KNOWLEDGE AND
EXPERIENCE AS A SENIOR EXECUTIVE WITH A LONG TENURE AT A LARGE
GLOBAL PHARMACEUTICAL COMPANY QUALIFY MS. O’FARRELL TO SERVE AS
A DIRECTOR.
TABLE OF CONTENTS
Geron Corporation 18 2026 Proxy Statement
Board Leadership and Governance
We have an ongoing commitment to excellence in corporate governance and business practices. In furtherance of this
commitment, we regularly monitor developments in the area of corporate governance and review our processes, policies
and procedures in light of such developments. Key information regarding our corporate governance initiatives can be found
on the Corporate Governance page under the Investors & Media section of our website at https://ir.geron.com, including our
Corporate Governance Guidelines, Code of Conduct, Insider Trading Policy and the charters for our Audit, Compensation,
and Nominating and Corporate Governance committees. We believe that our corporate governance policies and practices,
including the substantial percentage of independent directors on our Board and the leadership provided by our Chair of the
Board, Ms. O’Farrell, empower our independent directors to effectively oversee our management and provide an effective
and appropriately balanced board governance structure.
Corporate Governance Guidelines
Our Board has adopted Corporate Governance Guidelines that set forth key principles to guide the operation of the Board
and its committees in the exercise of their responsibilities to serve the interests of Geron and our stockholders. As stated in
our Nominating and Corporate Governance Committee Charter, we believe it is beneficial for the Board to have expertise,
skills, perspectives and experiences in areas that are relevant to the Company’s business and the needs of the Board from
time to time. Accordingly, as part of the director search process, the Committee will endeavor to consider qualified
candidates with a broad range of backgrounds, in each case who meet relevant business and search criteria beneficial to
the Company and its stockholders.
As noted above, our Corporate Governance Guidelines are available on our website and will be made available in print to
any stockholder who requests a copy. Please direct all requests to our Corporate Secretary, Geron Corporation, 919 E.
Hillsdale Blvd., Suite 250, Foster City, California 94404.
Board Independence
In accordance with Nasdaq listing standards and our Corporate Governance Guidelines, a majority of the members of our
Board must qualify as “independent” as defined by Nasdaq Rule 5605(a)(2). In keeping with these guidelines, a member of
our Board may serve as a director of another company only to the extent such position does not conflict or interfere with
such person’s service as a director of Geron. The Board consults with our legal counsel to ensure that the Board’s
determinations regarding Board independence are consistent with relevant securities and other laws and regulations
regarding the definition of “independent,” including those set forth in pertinent listing standards of Nasdaq, as in effect from
time to time.
Consistent with these considerations, our Board has determined affirmatively that each of Ms. Andrews, Ms. Bir, Mr.
Chinoporos, Dr. Lawlis, Dr. Molineaux, Ms. O’Farrell, Mr. McDonald and Dr. Spiegel are, and our former director Gaurav
Aggarwal, M.D., who resigned from the Board effective October 10, 2025, was, independent within the meaning of the
Nasdaq listing standards. With respect to Ms. Bir, who served as our Interim President and Chief Executive Officer from
March 10, 2025 to August 7, 2025, she was not considered to be independent during her service in such role. However, our
Board considered Ms. Bir’s service as our Interim President and Chief Executive Officer and determined that, following the
completion of her service in such role, she was independent within the meaning of the Nasdaq listing standards, as her
interim service did not last longer than one year and the Board determined that such interim service did not otherwise
interfere with the exercise of independent judgment in carrying out the responsibilities of a director or affect her ability to be
independent from management in connection with the duties of a compensation committee member. Mr. Semerjian, who is
our President and Chief Executive Officer, is the sole non-independent director, and the Board regularly meets in executive
sessions outside the presence of Mr. Semerjian.
There are no family relationships between any director and any member of our executive management team. There are no
arrangements or agreements relating to compensation provided by a third party to any member of our Board, including
current nominees for director, in connection with their candidacy or Board service to us.
Board Leadership Structure
The Company’s Corporate Governance Guidelines provide that the Board shall periodically assess the Board’s leadership
structure, including appointing a Chair of the Board. In the event the Chair appointed by the Board does not qualify as an
independent director, the Board will appoint a Lead Independent Director. The Chair of the Board has the authority, among
other things, to call and preside over all meetings of the Board, including executive sessions of the independent directors, to
set meeting agendas and to determine materials to be distributed to the Board. If the Chair of the Board is not independent
TABLE OF CONTENTS
Geron Corporation 19 2026 Proxy Statement
and a Lead Independent Director has been appointed, he or she shall preside at executive sessions of the independent
directors, serve as a liaison between the Chair and the independent directors, advise the Chair regarding the impression of
the independent directors as to the quality, quantity and timeliness of the flow of information from the Company that is
necessary for the Board to effectively perform its duties, and bear such further responsibilities as the Board may recommend
from time to time. The Board believes that this structure enables it to better fulfill its risk oversight responsibilities while
maintaining the flexibility to change its leadership structure from time to time as appropriate based on the Board’s
assessment of its leadership and the specific characteristics, circumstances or needs of the Company.
Previously, the Board determined it was appropriate to have a combined role of Chair and Chief Executive Officer. Prior to
March 2025, John A. Scarlett, M.D., our former President and Chief Executive Officer, served as Chair of the Board and Ms.
O’Farrell served as our Lead Independent Director. During Ms. O’Farrell’s tenure as Lead Independent Director, she
facilitated Board interactions and information flow and provided a clear communication path for the non-employee directors
to raise any issues or concerns that they had directly with the Lead Independent Director.
On March 10, 2025, Dr. Scarlett resigned as Chair of the Board and ceased to serve as our President and Chief Executive,
and Ms. Bir, a then-independent director, was appointed as Interim President and Chief Executive Officer. Since March
2025, the Board determined that the roles of Chair of the Board and Chief Executive Officer should be separate, with Ms.
O’Farrell serving as Chair and Ms. Bir serving as Interim Chief Executive Officer. On August 1, 2025, Mr. Semerjian was
appointed as our President and Chief Executive Officer, effective August 7, 2025. The Board believes this structure is most
appropriate for the current needs and circumstances of the Company at this time by allowing our President and Chief
Executive Officer to focus on the day-to-day business of the Company, while allowing the Chair to lead the Board in its
fundamental role of providing advice to and independent oversight of management.
Board Composition
As stated in our Nominating and Corporate Governance Committee Charter, the Company believes it is beneficial for our
Board of Directors to have expertise, skills, perspectives and experiences in areas that are relevant to the Company’s
business and the needs of the Board from time to time. Accordingly, as part of the director search process, the Committee
will endeavor to consider qualified candidates with a broad range of backgrounds, in each case who meet relevant business
and search criteria beneficial to the Company and its stockholders.
Effective March 26, 2026, our Board is comprised of four women and five men.
Board Meetings and Attendance
It is our policy to encourage directors to attend our annual meetings of stockholders.
All of our directors then in service in May 2025 attended our 2025 annual meeting of stockholders, which was conducted in a
virtual meeting format. During the year ended December 31, 2025, the Board held eight meetings. Of these, four meetings
were conducted by video conference and four meetings were conducted in-person. During the year ended December 31,
2025, each of our directors serving during such year attended at least 75% of the aggregate number of meetings of the
Board and the committees on which the director served during the portion of the year for which they were a director or
committee member.
Board Committees
The Board has established an Audit Committee, a Compensation Committee, a Nominating and Corporate Governance
Committee. Each of these committees operates under a written charter that satisfies the applicable standards of the SEC
and Nasdaq. A current copy of each committee’s charter is posted on the “Corporate Governance” section of the “Investors
& Media” section of our website, which is located at https://ir.geron.com.
Below is a description of each committee of the Board. Each of the committees has authority to engage and determine the
compensation for legal counsel or other experts or consultants, as it deems appropriate, to assist with fulfilling its
responsibilities. The Board has determined that each member of each committee meets the applicable Nasdaq and SEC
rules and regulations regarding “independence” and that each member is free of any relationship that would impair his or her
individual exercise of independent judgment in carrying out the responsibilities of a director.
TABLE OF CONTENTS
Geron Corporation 20 2026 Proxy Statement
Audit Committee
The Audit Committee held five meetings for the year ended December 31, 2025, all of which were conducted by video
conference. The Audit Committee’s responsibilities include:
•
appointing or terminating, approving the compensation of, and assessing the qualifications, performance and
independence of our independent registered public accounting firm;
•
pre-approving audit and permissible non-audit services and the terms of such services to be provided by our
independent registered public accounting firm;
•
reviewing the plan and scope of the annual audit of consolidated financial statements with the independent
registered public accounting firm and members of management;
•
reviewing and discussing with management and/or the independent registered public accounting firm, prior to
public disclosure, our annual and quarterly consolidated financial statements and related disclosures in our Forms
10-K, Forms 10-Q, and earnings press releases, including critical accounting policies and practices used by us and
information contained in “Management’s Discussion and Analysis of Financial Condition and Results of
Operations”;
•
recommending to the Board, based upon the Audit Committee’s review and discussions with management and the
independent registered public accounting firm, whether our audited consolidated financial statements shall be
included in our Annual Report on Form 10-K;
•
monitoring our internal control over financial reporting and disclosure controls and procedures and any significant
changes in our internal controls, including reviewing management’s assessment and disclosures related to any
significant changes, material weaknesses or significant deficiencies;
•
overseeing compliance with legal and regulatory requirements as they relate to our consolidated financial
statements and accounting matters;
•
establishing policies and procedures for the receipt and retention of whistleblower complaints and concerns and
overall compliance with our Code of Conduct;
•
overseeing our Insider Trading Compliance Program, including any material updates to such program, and
receiving a report, at least once annually, from our Insider Trading Compliance Officer;
•
preparing the audit committee report required by the SEC to be included in our annual proxy statement;
•
reviewing and approving or ratifying any related party transactions;
•
overseeing financial and operational risk exposures and the actions management has taken to limit, monitor and
control such exposures; and
•
reviewing risks relating to data privacy, technology and information security, including cybersecurity, and back-up of
information systems.
The current members of the Audit Committee are Ms. O’Farrell, Dr. Lawlis, Mr. McDonald, and Ms. Andrews. Ms. O’Farrell
chairs the Audit Committee. Dr. Lawlis is not standing for reelection at the Annual Meeting and his term will expire at the
Annual Meeting. The Board has determined that all of the members of the Audit Committee are “independent” under relevant
SEC and Nasdaq rules and are financially literate and that Ms. O’Farrell has accounting and financial management expertise
that qualifies her as an “Audit Committee Financial Expert,” as such term is defined in Item 407(d)(5) of Regulation S-K
promulgated by the SEC. See more information about the Audit Committee in the section entitled “Audit Committee Report.”
Compensation Committee
The Compensation Committee held five meetings for the year ended December 31, 2025, three of which were conducted by
videoconference, and two of which were conducted in-person. The charter of the Compensation Committee allows it to
delegate responsibilities to a subcommittee of the Compensation Committee, but only to the extent consistent with our
certificate of incorporation, bylaws and Nasdaq rules. The Compensation Committee’s responsibilities include:
•
establishing and overseeing our compensation philosophy and strategy;
•
reviewing and approving the terms of any employment agreements, severance arrangements, change in control
protections and other compensatory arrangements for our executive management team, including our Chief
Executive Officer;
•
annually reviewing and recommending to the Board corporate goals and objectives relevant to the compensation
of our executive management team, including our Chief Executive Officer;
•
reviewing and approving, or making recommendations to the Board with respect to, the compensation of our
executive management team, including our Chief Executive Officer, based upon an annual evaluation of each
individual’s performance;
TABLE OF CONTENTS
Geron Corporation 21 2026 Proxy Statement
•
overseeing and administering our cash and equity incentive plans, including establishing policies and procedures
for the grant of equity-based awards and approving, or making recommendation to the full Board with respect to,
the grant of such equity-based awards;
•
appointing, compensating and overseeing the work of any compensation and benefits consultants, legal counsel or
other experts or advisors retained by the Compensation Committee, including an independence assessment as
outlined by Nasdaq rules;
•
reviewing and discussing with management our compensation discussion and analysis disclosure included in our
annual proxy statement;
•
reviewing and making recommendations to our Board regarding non-employee director compensation and
benefits;
•
reviewing and assessing the potential impact of our compensation practices on enterprise risk;
•
reviewing and managing our Incentive Compensation Recoupment Policy (the “Clawback Policy”), as well as the
clawback provisions in our executive management employment agreements; and
•
meeting, on approximately a quarterly basis, with our Chief People Officer to receive updates on and review our
strategies, initiatives and programs with respect to our culture, talent recruitment, development, retention, and
employee engagement.
The current members of the Compensation Committee are Ms. Bir, Dr. Molineaux, and Dr. Spiegel. Dr. Molineaux chairs the
Compensation Committee. Dr. Aggarwal was a member of the Compensation Committee during the year ended December
31, 2025, until his resignation from the Board on October 10, 2025. Ms. Bir stepped down as a member of the
Compensation Committee on March 10, 2025 in connection with her appointment as our Interim President and Chief
Executive Officer. Following the appointment of Mr. Semerjian as our President and Chief Executive Officer on August 1,
2025, effective August 7, 2025, and the end of Ms. Bir’s service as our Interim President and Chief Executive Officer, the
Board determined that Ms. Bir was independent and she returned to serving as a member of the Compensation Committee.
The Board has determined that all of the current members of the Compensation Committee are “independent” under
relevant SEC and Nasdaq rules.
For information on the Compensation Committee’s processes and procedures on the consideration and determination of
executive compensation, see the sub-section entitled “Compensation Discussion and Analysis – Role of the Compensation
Committee.” For information on the Compensation Committee’s processes and procedures with respect to non-employee
director compensation matters, see the section entitled “Compensation of Directors.”
Compensation Committee Interlocks and Insider Participation
Drs. Aggarwal, Spiegel and Molineaux, and Ms. Bir, served on the Compensation Committee during the year ended
December 31, 2025. Ms. Bir stepped down as a member of the Compensation Committee in March 2025 in connection with
her appointment as our Interim President and Chief Executive Officer. Following the appointment of Mr. Semerjian as our
President and Chief Executive Officer in August 2025 and the end of Ms. Bir’s service as our Interim President and Chief
Executive Officer, the Board determined that Ms. Bir was independent and she returned to serving as a member of the
Compensation Committee. Except for Ms. Bir's service as our Interim President and Chief Executive Officer, none of the
current members of the Compensation Committee is a former or current officer or employee of Geron. None of our executive
officers serves, or during the year ended December 31, 2025 served, as a member of a compensation committee of any
entity that has one or more executive officers serving as a member of our Board or Compensation Committee.
Nominating and Corporate Governance Committee
The Nominating and Corporate Governance Committee held fourteen meetings for the year ended December 31, 2025,
twelve of which were conducted by videoconference, and two of which were conducted in-person. The Nominating and
Corporate Governance Committee’s responsibilities include:
•
developing, reviewing and recommending to the Board a set of corporate governance guidelines and principles;
•
reviewing and assessing risks related to succession planning for the Board and our Chief Executive Officer;
•
providing oversight with respect to the Company’s responsible business and good corporate citizenship efforts;
•
creating and recommending to the Board criteria for Board and committee membership;
•
establishing procedures for identifying and evaluating individuals qualified to become members of the Board;
•
recommending to the Board the persons to be nominated for election or re-election as directors;
•
recommending to the Board whether to accept or reject a director resignation, or take other action, where a
director fails to receive a majority vote as specified under our Corporate Governance Guidelines;
•
reviewing and recommending to the Board the functions, duties and compositions of the Board committees;
TABLE OF CONTENTS
Geron Corporation 22 2026 Proxy Statement
•
considering and selecting plans or programs for the continuing education of the Board;
•
considering and reporting to the Board any questions of possible conflicts of interest of Board members; and
•
assessing the performance of the Board, the Board committees and individual directors.
Specific qualifications and the process for recommending director candidates are provided in more detail under the sub-
sections entitled “Director Nominees Recommended by Stockholders” and “Director Qualifications.” Pursuant to the
Company’s Corporate Governance Guidelines, all directors are required to participate in continuing education related to
corporate governance practices and other topics pertinent to the Company’s business every three years, and the Company
is committed to providing educational opportunities for the Board through presentations by various speakers, including
outside law firms, at regularly scheduled Board meetings. In addition, in 2025, the Company provided all members of the
Board with paid membership and access to director education programs offered by the National Association of Corporate
Directors.
The current members of the Nominating and Corporate Governance Committee are Ms. Bir and Drs. Lawlis, Molineaux, and
Spiegel. In connection with her appointment as our Interim President and Chief Executive Officer on March 10, 2025, Ms. Bir
stepped down as a member and Chair of the Nominating and Corporate Governance Committee and Dr. Lawlis was
appointed as Chair of the Nominating and Corporate Governance Committee. Following the appointment of Mr. Semerjian
as our President and Chief Executive Officer on August 1, 2025, effective August 7, 2025, and the end of Ms. Bir’s service
as our Interim President and Chief Executive Officer, the Board determined that Ms. Bir was independent and she returned
to serving as a member of the Nominating and Corporate Governance Committee, including as Chair. The Board has
determined that all of the current members of the Nominating and Corporate Governance Committee, Ms. Bir and Drs.
Lawlis, Molineaux, and Spiegel, are “independent” under relevant SEC and Nasdaq rules. Dr. Lawlis is not standing for
reelection at the Annual Meeting and his term will expire at the Annual Meeting.
The Nominating and Corporate Governance Committee, to date, has not adopted a formal policy with regard to the
consideration of director candidates recommended by stockholders and will consider director candidates recommended by
stockholders on a case-by-case basis, as appropriate. Stockholders who wish to recommend individuals for consideration by
the Nominating and Corporate Governance Committee should send written notice to the Nominating and Corporate
Governance Committee Chair, Geron Corporation, 919 E. Hillsdale Blvd., Suite 250, Foster City, California 94404, within the
time periods set forth under the subsection entitled “Stockholder Nominations and Proposals for 2027 Annual Meeting”
under the section entitled “Other Matters.” Such notification should set forth all information relating to such nominee as is
required to be disclosed in solicitations of proxies for elections of directors pursuant to Regulation 14A under the Exchange
Act, including such person’s written consent to being named in a proxy statement as a nominee and to serving as a director
if elected, the name and address of such stockholder or beneficial owner on whose behalf the nomination is being made, the
class and number of shares of the Company owned beneficially and of record by such stockholder or beneficial owner, and
all information regarding the nominee that would be required to be included in the Company’s proxy statement by the rules
of the SEC, including the nominee’s age, business experience for the past five years and any directorships held by the
nominee during the past five years. The Nominating and Corporate Governance Committee does not intend to alter the
procedure by which it evaluates candidates based on whether the candidate was recommended by a stockholder or not.
Director Qualifications
The Nominating and Corporate Governance Committee believes that nominees for election to the Board must possess
certain minimum qualifications and attributes. The nominee:
•
must meet the objective independence requirements set forth by the SEC and Nasdaq;
•
must exhibit strong personal integrity, character and ethics, and a commitment to ethical business and accounting
practices;
•
must not be involved in on-going litigation with the Company or be employed by an entity which is engaged in such
litigation; and
•
must not be the subject of any on-going criminal investigations, including investigations for fraud or financial
misconduct.
In addition, the Nominating and Corporate Governance Committee may consider the following criteria, among others:
(i)
experience in corporate management, such as serving as an officer or former officer of a publicly held company,
and a general understanding of marketing, finance and other elements relevant to the success of a publicly traded
company in today’s business environment;
(ii)
experience in our industry;
(iii) experience as a board member of other publicly held companies;
TABLE OF CONTENTS
Geron Corporation 23 2026 Proxy Statement
(iv) expertise in an area of our operations;
(v)
practical and mature business judgment, including the ability to make independent analytical inquiries; and
(vi) diversity of personal background, perspective, skills, experience, and business and professional background
relevant to the success of the Company.
In general, the Nominating and Corporate Governance Committee aspires for the Board to be comprised of individuals that
represent a range of professional experiences and perspectives and who portray characteristics of diligence, commitment,
mutual respect and professionalism with an emphasis on consensus building. The Board does not follow any ratio or formula
to determine the appropriate mix. Rather, it uses its judgment to identify nominees whose backgrounds, attributes and
experiences, taken as a whole, will contribute to the high standards of board service at Geron. As stated in our Nominating
and Corporate Governance Committee Charter and our Corporate Governance Guidelines, as part of the director search
process, the Nominating and Corporate Governance Committee endeavors to consider qualified candidates who meet the
relevant business and search criteria.
Directors are expected to rigorously prepare for, attend and participate in Board meetings and meetings of the committees of
the Board on which they serve, to ask direct questions and require straight answers, and to spend the time needed and
meet as frequently as necessary to properly discharge their responsibilities and duties as directors. Each Board member is
expected to ensure that other existing and planned future commitments do not materially interfere with the member’s service
as an outstanding director.
Board’s Role in Risk Oversight
We are subject to a variety of risks, including those described under the section entitled “Risk Factors” in our Annual Report
on Form 10-K for the year ended December 31, 2025. Some risks may be readily perceived and even quantified, while
others are unexpected or unforeseeable. Risks can be external or can arise as a result of our internal business or financial
activities. Our Board, as a whole, is responsible for broad oversight of all existing and emerging enterprise risk (over the
short-, mid- and long-term) and of management’s development and execution of mitigation strategies designed to address
those risks. In this capacity, our Board has designated committees to assist in its oversight of particular key risks as
described below. Oversight of additional matters of potential risk not delegated remain the responsibility of the full Board.
While the Board and its committees oversee risk management, our senior management is responsible for identifying,
assessing and mitigating risk on a day-to-day basis. Each committee of our Board meets regularly with key management
personnel and, as desired by the applicable committee, outside advisors (including outside counsel, consultants and
experts) to oversee risks associated with their respective principal areas of focus. In turn, each committee reports to the
Board regularly, fostering awareness and communication of significant matters among all directors, and promoting a
coordinated and cohesive approach to enterprise risk oversight. It is management’s responsibility to identify various risks
facing the Company, bring the Board’s attention to material risks, and implement appropriate risk management policies and
procedures to manage risk exposure on a day-to-day basis.
Specific risks being overseen by Board committees are as follows:
•
The Audit Committee oversees management of financial risks. In addition to fulfilling its responsibilities for the
oversight of our financial reporting processes and annual audit of the Company’s consolidated financial
statements, the Audit Committee also reviews with the Company’s independent registered public accounting firm
and the Company’s management the adequacy and effectiveness of our policies and procedures to assess,
monitor and manage fraud risk and our ethical compliance program. The Audit Committee takes appropriate
actions to set the best practices and highest standards for quality financial reporting, sound business risk practices,
including practices related to ethical behavior.The Audit Committee is also responsible for overseeing our
cybersecurity risk management processes, including oversight and mitigation of risks from cybersecurity threats.
•
The Compensation Committee is responsible for overseeing the management of risks relating to our employment
policies and compensation plans and arrangements. In connection with structuring the compensation program, the
Compensation Committee, together with the Board, considers whether the elements of such program, individually
or in the aggregate, encourage our executive management team and Company personnel to take unnecessary
risks. For further information, see the sub-section entitled “Risk Assessment of Compensation Policies and
Practices.”
•
The Nominating and Corporate Governance Committee manages our corporate governance practices. The
Nominating and Corporate Governance Committee also reviews risks associated with the independence of the
Board, potential conflicts of interest and risks relating to management and Board succession planning.
TABLE OF CONTENTS
Geron Corporation 24 2026 Proxy Statement
Risk Assessment of Compensation Policies and Practices
The Compensation Committee maintains a pay for performance compensation philosophy, but also recognizes that
providing certain types of compensation incentives may inadvertently motivate individuals to act in ways that could be
detrimental to the Company in order to maximize individual compensation. To minimize such risk, the Compensation
Committee annually evaluates our compensation philosophy generally as it relates to all employees, as well as individual
compensation elements of base salary, annual performance-based bonuses, equity awards, severance and change in
control benefits and other benefits to ensure each is evaluated against appropriate standards and that such incentives
provide for the achievement of target goals that are balanced between short-term rewards and long-term enhancement of
stockholder value.
The Compensation Committee believes the following elements of our executive compensation program mitigate the risks
associated with our compensation practices:
•
setting annual base salaries consistent with the responsibilities of our executive management team and access to
market comparables to ensure that our executive management team is not motivated to take excessive risks to
achieve a reasonable level of financial security;
•
establishing corporate goals for our annual performance-based bonus program that are consistent with our annual
operating and strategic plans and are designed to achieve a proper risk/reward balance without excessive risk
taking;
•
requiring, under our Clawback Policy, that any incentive compensation received by a former or current executive
officer as a result of the Company’s attainment of a financial reporting measure, be returned to the Company in the
event that the Company is required to make an accounting restatement due to material noncompliance with an
accounting standard;
•
requiring, through our employment agreements with executives, any member of the executive management team
to forfeit his or her entire annual performance-based bonus if we determine that such individual has engaged in
any misconduct intended to affect the payment of his or her annual performance-based bonus, or has otherwise
engaged in any act or omission that would constitute cause for termination of his or her employment, as defined by
his or her employment agreement;
•
having a mix of fixed and variable, annual and long-term and cash and equity compensation elements to
encourage strategies and actions that balance short-term and long-term best interests;
•
granting long-term equity incentive compensation primarily in the form of stock option awards and restricted stock
units, which are typically subject to multi-year vesting based on continued services, the value of which depends on
the performance of our Common Stock price, in order to align the interests of our employees with those of our
stockholders over the longer-term and to encourage our executive management team to take a long-term view of
our business, and from time to time granting performance-based stock option awards that only vest upon the
attainment of specific strategic milestones;
•
maintaining our Insider Trading Compliance Program, which prohibits transactions in the Company’s securities
while any individual is in possession of material, non-public information relating to the Company’s securities and
during regularly scheduled quarterly blackout periods;
•
absence of employment agreements or contracts that contain multi-year guarantees of salary increases, or non-
performance-based bonuses or equity compensation;
•
emphasizing pay equity amongst our employees and with reference to external comparators; and
•
having available, to the Compensation Committee and the Board, the discretion to measure and calculate
achievement of corporate goals and other corporate performance measures, which prevents the compensation
program from being susceptible to manipulation by a single employee.
The Compensation Committee has reviewed our compensation policies and practices as they relate to all employees and
has determined that such policies and practices do not present any risks that are reasonably likely to have a material
adverse effect on Geron, and instead, encourage behaviors that support sustainable value generation.
TABLE OF CONTENTS
Geron Corporation 25 2026 Proxy Statement
Other Corporate Governance Matters
Responsible Business and Corporate Citizenship Strategy
Our Board of Directors and management team believe that responsible business practices, strong governance, and
supporting our people and communities are important to our business strategy and drive the long-term growth of the
business. Our responsible business and good corporate citizenship efforts are shaped by our values and aim to make a
positive impact in the world through our people and our first approved medicine, RYTELO, which we are commercializing in
the U.S. and exploring pathways to bring RYTELO to eligible LR-MDS patients in Europe. As we move forward, we plan to
continue to focus on our impact beyond product development and commercialization, to support our communities and meet
our responsibilities to society as a whole. Our key responsible business and corporate citizenship pillars include Healthier
People, Human Capital and Governance.
Oversight. Our Nominating and Corporate Governance Committee oversees matters related to the Company’s responsible
business and good corporate citizenship efforts and makes recommendations to the Board regarding governance matters.
We also have a management committee consisting of employees from various business functions that meets as needed to
develop and support our responsible business and corporate citizenship priorities across our business operations and
provide updates to the Nominating and Corporate Governance Committee. In addition, our Compensation Committee meets
approximately quarterly with our Chief People Officer to review our human capital management activities. Our Audit
Committee is responsible for reviewing the adequacy and effectiveness of our information and cybersecurity policies and
internal controls regarding information security, and meets periodically with the head of our information technology function
to understand the information and cybersecurity risks we face. Each of the Committees reports on their activities to the
Board, which maintains oversight on these key elements of our corporate governance.
Commitment to Purpose & Healthier People. The foundation of our business is to provide improved treatments for
patients with hematologic malignancies. Currently, we are commercializing RYTELO in the U.S. for certain patients with
lower-risk MDS. To enable access to RYTELO in the U.S., we have established a patient support program that offers many
resources to support access and affordability for eligible RYTELO patients. We also engage government and commercial
payors and maintain prescriber resources intended to facilitate patient access to RYTELO. In addition, to enable paid access
to RYTELO to patients outside the U.S. through approved Named Patient Programs, in 2025, we partnered with Tanner
Pharma, a distributor with broad global reach to support patient access. Imetelstat is also in late-stage development for
patients with Intermediate-2 or High-Risk myelofibrosis who have relapsed after or are refractory to treatment with a janus
associate kinase inhibitor, or JAK inhibitor, or relapsed/refractory MF. Our commitment to health does not stop with RYTELO.
In 2025 we participated in MDS Foundation, Inc.’s #MoveforMDS walks in four cities across the country — New York,
Tampa, Chicago and Boston. We are committed to positively impacting our communities and society, and we demonstrate
our commitment through our compassion for patients, service to the community and through our corporate values of
Pioneering Pathways, Better Together, Always Authentic and Purpose Driven.
Social Responsibility.
Corporate Values
Fostering and maintaining a strong, healthy culture is a key strategic focus. We recognize and value the strengths of each of
our team members, and the impact and contributions of every employee.
Our corporate values are the foundational principles of our organization. These values reflect who we are, how we work and
the way our employees interact with one another, our partners, our communities, and our shareholders. They are the
essential tenets that guide our business decisions, govern our relationships, both internally and externally, and articulate
TABLE OF CONTENTS
Geron Corporation 26 2026 Proxy Statement
what we stand for and who we are. These values dictate the ways in which we interact, work, and communicate, how we
resolve conflicts and ultimately, how we strive to make Geron successful.
We encourage our employees to live out our core values and to discuss our core values with potential candidates looking to
join our team. We believe that this is an important step in helping our culture stay strong and unique.
Human Capital Management
Our team of talented professionals is the foundation of our company and fuels our historical and prospective achievements
for patients. We consider the intellectual capital of our employees to be an essential driver of our business and key to our
future opportunities. As of December 31, 2025, we had 258 full-time employees. However, in December 2025, we
announced a strategic restructuring plan that is intended to position us for long-term value creation and improve our financial
discipline. The restructuring plan resulted in a reduction in headcount of approximately one-third of our workforce. Every
employee plays a vital role in furthering our business goals and advancing the development and delivery of our novel
medicine to patients.
To succeed in our mission, we must attract, recruit, retain, develop and motivate qualified clinical, nonclinical, commercial,
scientific, manufacturing, regulatory, management and other personnel needed to support our business and operations. As a
biotechnology company with office locations in the San Francisco Bay Area and northern New Jersey, and with remote
employees throughout the U.S., we operate in a highly competitive industry and geographies for employee talent.
We maintain a comprehensive dashboard of measurements, including recruitment productivity, employee engagement
scores, total rewards benchmarking, participation rates and satisfaction scores for internal training, turnover rates and exit
interview results, to guide our human capital management efforts.
To that end, we continue to invest resources and energy into being an employer of choice – attracting and engaging
individuals who are innovative, curious, driven, diligent, collaborative and of the highest integrity and ethics. Some of our key
efforts in this area and management of human capital generally are described here.
Compensation and Benefits
Our compensation philosophy is to provide pay and benefits that are competitive in the biotechnology and pharmaceutical
industry where we compete for talent. We monitor our compensation programs closely and review them annually to provide
what we consider to be a competitive mix of compensation and health, welfare and retirement benefits for all our employees.
Our compensation package for all employees includes market-competitive base salaries, eligibility for annual performance
bonuses or incentive compensation for certain field-based roles, and equity grants. Annual cash bonus opportunity and
equity compensation increase as a percentage of total compensation based on level of responsibility. Actual bonus payouts
for annual performance bonus are generally based on a combination of achievement of our annual corporate goals and
individual performance, with our CEO’s annual performance bonus being based entirely on the level of achievement of our
annual corporate goals. All regular-status, full-time employees are eligible to participate in our comprehensive benefit
program, pursuant to plan terms and conditions. Plan choices include medical, dental, vision, life insurance, flexible
TABLE OF CONTENTS
Geron Corporation 27 2026 Proxy Statement
spending accounts, short and long-term disability insurance, a 401(k) retirement savings plan with a discretionary matching
employer contribution, and an employee stock purchase plan. We also provide regular-status, full-time employees with a
generous time off program that includes vacation, sick, holiday, and paid leave for certain life events.
Every year, we undertake a detailed review of our compensation by position and level and make adjustments necessary to
ensure that we continue to provide competitive compensation. We publish pay ranges in all job postings for jobs as required
by various states’ pay disclosure requirements.
Communication and Engagement
We believe that part of what sets us apart from other companies is our culture and, in particular, our focus on providing
timely and transparent communications and creating a strong sense of belonging and inclusiveness. We engage in periodic
in-office meetings and in-person meetings and interactions, as well as in-office and in-person training and development
opportunities, to encourage cross-functional team-building and collaboration, in conjunction with which many of our teams
engage in group lunch and dinners. We held a summer contest that encouraged our employees to share summer travel
experiences and special events, building rapport and strengthening employee relationships, and we conduct organizational
and team-specific holiday events to promote connectivity among our employees. We share information and news with
employees through quarterly all-hands meetings, monthly newsletters to employees, social media posts on our intranet and
outward facing social media sites, such as LinkedIn, and regular employee chats with our Chief Executive Officer and other
members of senior management. We survey our employees each year to measure their level of engagement at the
Company. Our employee engagement scores have remained relatively steady over the past three years. These surveys
provide rich feedback each year that helps us to continue to grow our culture and make Geron a great place to work.
Health, Wellness and Safety
In addition, we offer benefits that promote our employees’ whole health and wellness, including reimbursement for certain
wellness costs, external support from our employee assistance programs and mental wellness services, which covers
therapy and/or coaching for our employees and their dependents, including high school and college-aged children.
Corporate Culture
Our vision is to create a workplace where we celebrate unique perspectives and all of our employees can thrive
professionally and personally and feel like they can belong. Our hybrid workforce program provides a variety of virtual and
in-person collaboration opportunities, such as leadership training and coaching resources. We utilize a peer-centric
employee recognition program to empower employees to champion our workplace culture and values, and promote direct
praise to peers. In addition, we have implemented a reward program that enables managers to recognize employees who
have demonstrated exceptional performance.
In addition, we pride ourselves on an open culture that respects co-workers, values employees’ health and well-being and
fosters professional development. We support employee growth and development in a variety of ways, including with group
training, individual mentoring and coaching, conference attendance and tuition reimbursement. Our management conducts
annual employee engagement surveys and reports to our Board on human capital management topics, including corporate
culture, employee development and retention, and compensation and benefits. Similarly, our Board regularly provides input
on important decisions relating to these matters, including with respect to employee compensation and benefits, talent
retention and development.
Corporate Governance
We are committed to excellence in corporate governance, risk management and business practices, and we frequently
review our practices. We believe that good corporate governance promotes the long-term interests of our stockholders and
strengthens our Board and management accountability. Highlights of our corporate governance practices include the
following:
•
Stockholder Rights and Accountability
◦
Although directors are elected by a plurality of votes cast, we maintain a director resignation policy that
requires any director nominee who receives more withhold votes than for votes in an election to submit an
offer of resignation for consideration by the Nominating and Corporate Governance Committee and thereafter,
the Board determines whether or not to accept the director’s resignation.
•
Board Independence
◦
All of our current directors and nominees for director are independent as that term is defined by Nasdaq Rule
5602(a)(2), other than Mr. Semerjian, who was appointed as our President and Chief Executive Officer on
August 1, 2025, effective August 7, 2025.
TABLE OF CONTENTS
Geron Corporation 28 2026 Proxy Statement
◦
Our Audit Committee meets regularly, including meeting with the independent registered public accounting
firm serving as our independent auditors, outside the presence of our executive management team.
◦
100% of our Board committee members are independent.
◦
Our Board and committees may engage outside advisors independently of management.
•
Board Practices
◦
Members of the Board and each Board committee annually perform anonymous self-evaluations which are
reviewed by the Nominating and Corporate Governance Committee.
◦
Our full Board and individual Board committees provide risk oversight.
◦
Our Board annually approves annual corporate budget spend, as well as reviews and approves individual
purchases over a specified dollar threshold.
•
Insider Trading Compliance
◦
Our insider trading policy prohibits short sales, transactions in put or call options, or other inherently
speculative transactions in our stock, and further prohibits hedging transactions, pledging our common stock
as collateral for a loan or other inherently speculative transactions in our stock or engaging in margin activities
with respect to our stock.
◦
Our insider trading policy prohibits “shadow trading” in the securities of any publicly traded company with
respect to which an individual covered by our insider trading policy may, in the course of his or her
relationship with Geron, learn of any confidential information that is material to such publicly traded company.
◦
Our insider trading policy prohibits trading during regularly scheduled quarterly blackout periods (and any
special blackout periods), subject to limited exceptions, and, for designated insiders, including all members of
our executive leadership team and the Board, requires preclearance in writing of all transactions in Geron’s
securities, even during an open trading window, with limited exceptions.
◦
Our insider trading policy includes Rule 10b5-1 Trading Plan Guidelines that comply with SEC rules and
require all directors and executive officers to adopt a 10b5-1 trading plan to govern all trades in Geron
securities, with limited exceptions.
•
Robust Compensation-Setting Process
◦
Our Compensation Committee utilizes an independent compensation consultant that reports directly to the
Compensation Committee.
◦
Employment agreements for each member of our executive management team, including our Named
Executive Officers, contain clawback provisions, and we have adopted a Clawback Policy in compliance with
Nasdaq rules that applies to our executive officers.
Environmental Impact. We endeavor to conduct our business in an environmentally sound manner. Although we do not
own or operate any manufacturing facilities, our San Francisco Bay Area headquarters are located in a multi-tenant building
that is energy efficient, and our office suites are environmentally friendly in their use of electricity, water and power. Travel to
our San Francisco Bay Area and northern New Jersey offices is voluntary, and we have provided equipment and access
tools to ensure our employees can be productive, as well as a monthly stipend to cover expenses related to working from
home. Our increased use of technology has enabled our employees to lessen the need to print and distribute paper
documents, reducing the environmental impact of our business, and resulting in far fewer employees driving to the office,
thus taking cars off the road and reducing greenhouse gases.
Code of Conduct
We believe our Code of Conduct reflects current industry and public company best practices, and it sets forth guiding
principles and policies related to (i) compliance with health care laws and regulations, (ii) product quality, pharmacovigilance
and regulatory compliance, and (iii) privacy and information security policies. Our Code of Conduct is available in its entirety
on the Corporate Governance page in the Investors & Media section of our website at http://ir.geron.com and to any
stockholder otherwise requesting a copy. All our directors, employees and members of our executive management team,
including our Chief Executive Officer and Chief Financial Officer, are required to adhere to the Code of Conduct in
discharging their work-related responsibilities. Employees are required to report any conduct they believe in good faith to be
an actual or apparent violation of the Code of Conduct. Amendments to the Code of Conduct, and any waivers from the
Code of Conduct granted to our directors or members of our executive management team, will be made available through
our website as they are adopted. Accordingly, we intend to satisfy the disclosure requirement under Item 5.05 of Form 8-K
regarding an amendment to, or waiver from, a provision of the Code of Conduct by posting such information on our website.
TABLE OF CONTENTS
Geron Corporation 29 2026 Proxy Statement
Insider Trading Policy
We have adopted an Insider Trading Policy governing the purchase, sale, and/or other dispositions of our securities by
directors, officers and employees that is designed to promote compliance with insider trading laws, rules and regulations, as
well as procedures designed to further the foregoing purpose. It is our policy to comply with applicable laws and regulations
relating to insider trading when engaging in transactions in our securities. A copy of our insider trading policy is filed as an
exhibit to our Annual Report on Form 10-K for our fiscal year ended December 31, 2025 and is available on the Corporate
Governance page in the Investors & Media section of our website at http://ir.geron.com. In addition, it is our intent to comply
with applicable laws and regulations relating to insider trading.
Whistleblower Policy
In keeping with the Sarbanes-Oxley Act of 2002, the Audit Committee has established procedures for the receipt and
handling of complaints received by us regarding accounting, internal accounting controls, auditing matters, questionable
financial practices or violations of our Code of Conduct (“complaints”). Contact information for an external hotline that is
maintained by an independent third party has been distributed to all employees and consultants to allow for the confidential,
anonymous submission of complaints by our employees and consultants. Any complaints received by this hotline are
reviewed by the Audit Committee and our Chief Financial Officer.
Prohibitions on Derivative, Hedging, Monetization and Other Transactions
We maintain an insider trading compliance program that applies to all directors and employees, including members of our
executive management team, and certain consultants and contractors, which prohibits certain transactions in our Common
Stock, including short sales, puts, calls or other transactions involving derivative securities on an exchange or in any other
organized market, hedging or monetization transactions, purchases of our Common Stock on margin or borrowing against
an account in which our Common Stock is held, or pledging our Common Stock as collateral for a loan. Our Audit Committee
oversees compliance with our insider trading compliance program, including approval of any material updates to the insider
trading compliance program. Our Chief Financial Officer (and any designee) currently serves as our insider trading
compliance officer and reports, at least once annually, to the Audit Committee on her monitoring of the insider trading
compliance program. In addition, the Audit Committee has the opportunity to meet with the insider trading compliance officer
outside of the presence of any other member of the executive management team.
Communications with the Board
Stockholders wishing to communicate with the Board, or with a specific Board member, may do so by writing to the Board, or
to the individual Board member, and delivering the communication in person or mailing it to: Board of Directors, c/o
Corporate Secretary, Geron Corporation, 919 E. Hillsdale Blvd., Suite 250, Foster City, California 94404. Any such
communication is promptly distributed to the director or directors named therein unless such communication is considered,
either presumptively or in the reasonable judgment of the Company’s Corporate Secretary, to be improper for submission to
the intended recipient or recipients. Examples of communications that would presumptively be deemed improper for
submission include, without limitation, solicitations, communications that raise grievances that are personal to the sender,
communications that relate to the pricing of the Company’s products, communications that do not relate directly or indirectly
to the Company and communications that are frivolous in nature. From time to time, the Board may change the process by
which stockholders may communicate with the Board or its members. Please refer to our website for any changes to this
process.
TABLE OF CONTENTS
Geron Corporation 30 2026 Proxy Statement
Compensation of Directors
The Compensation Committee determines non-employee director compensation, which the full Board reviews and approves
upon recommendation from the Compensation Committee. When considering non-employee director compensation
decisions, the Compensation Committee believes it is important to be informed as to current compensation practices of
comparable publicly-held companies in the life sciences industry, especially to understand the demand and competitiveness
for attracting and retaining an individual with each of the non-employee director’s specific expertise and experience. Our
compensation arrangements for non-employee directors are set forth in our Non-Employee Director Compensation Policy
(the “Director Compensation Policy”). The Director Compensation Policy outlines cash and equity compensation
automatically payable to non-employee directors of the Board unless such non-employee director declines receipt of such
cash or equity compensation by written notice to us. Historically, the Compensation Committee has reviewed our non-
employee director compensation relative to industry practices every other year.
Cash Compensation
The following table describes the annual cash compensation applicable to each role performed by non-employee directors
as outlined in the Director Compensation Policy in effect for the year ended December 31, 2025 (“2025 fiscal year”):
Non-Employee Director Role
Base
Retainer
Additional
Retainer
Board member
$50,000
N/A
Chair of the Board
N/A
$40,000
Lead Independent Director
N/A
$30,000
Audit Committee Chair(1)
N/A
$25,000
Compensation Committee Chair(1)
N/A
$15,000
Nominating and Corporate Governance Committee Chair(1)
N/A
$10,000
Strategic Committee Chair(1)
N/A
$15,000
Audit Committee member
N/A
$12,500
Compensation Committee member
N/A
$7,500
Nominating and Corporate Governance Committee member
N/A
$5,000
Strategic Committee member
N/A
$7,500
(1)
Committee Chair does not also receive additional Committee member compensation.
Under the Director Compensation Policy, annual non-employee director cash compensation is paid quarterly in arrears in
cash, or, at each director’s election, in fully vested shares of our Common Stock. In 2025, such Common Stock was issued
under the Directors’ Market Value Stock Purchase Plan (the “Directors Market Value Plan”), which the Board adopted in
October 2018, based on the “market value” on the purchase date (which generally means the consolidated closing bid price
per share of our Common Stock as reported by Nasdaq on the purchase date).
Additionally, under the Director Compensation Policy, non-employee directors are eligible to receive equity grants, as more
fully described below under the sub-section entitled “Equity Compensation.” Non-employee directors also receive
reimbursement for out-of-pocket expenses incurred in connection with attendance at meetings of the Board.
Director Compensation Table
The following table provides compensation information for the 2025 fiscal year for each non-employee director of the Board
who served in such capacity during the 2025 fiscal year, except for Ms. Bir. Dr. Scarlett served as our President and Chief
TABLE OF CONTENTS
Geron Corporation 31 2026 Proxy Statement
Executive Officer and Chairman of the Board and until March 10, 2025. Dr. Scarlett did not receive any compensation for his
Board service. Ms. Bir was appointed as our Interim President and Chief Executive officer on March 10, 2025 and served in
such capacity until Mr. Semerjian was appointed President and Chief Executive Officer on August 1, 2025, effective August
7, 2025. Ms. Bir did not receive separate compensation for her service as a director during the time that she was serving as
Interim President and Chief Executive Officer. All compensation received by Ms. Bir during the 2025 fiscal year for her
service as a non-employee director and our Interim President and Chief Executive Officer is reported in the sub-section
entitled “Summary Compensation Table.” Mr. Semerjian does not receive any compensation for his Board service.
Non-Employee Director
Fees Earned or
Paid in Cash
($)(1)
Option
Awards
($)(2)
Total
($)
Aggarwal, Gaurav
55,938
163,674
219,612
Lawlis, V. Bryan
69,558
163,674
233,232
McDonald, John
68,125
163,674
231,799
Molineaux, Susan
70,000
163,674
233,674
O'Farrell, Elizabeth
118,736
163,674
282,410
Spiegel, Robert
62,500 (3)
163,674
226,174
(1)
Consists of the annual retainer fee for service as a member of the Board of Directors or any Board committee. For further information
concerning such fees, see the sub-section above entitled “Cash Compensation.”
(2)
Amounts do not reflect dollar amounts actually received by our non-employee directors and instead, in accordance with SEC rules, represent
the aggregate grant date fair value of stock option awards granted to our non-employee directors during the 2025 fiscal year, as calculated in
accordance with Financial Accounting Standards Board Accounting Standards Codification Topic 718 (“FASB ASC Topic 718”). Refer to Note
11 of the consolidated financial statements in our Annual Report on Form 10-K for the 2025 fiscal year regarding assumptions underlying the
valuation of stock option awards and the calculation method. For information regarding the aggregate number of stock option awards held by
the non-employee directors of the Board as of December 31, 2025, see the sub-section entitled “Outstanding Equity Awards at Fiscal Year-
End” below.
(3)
Includes fees paid in stock in lieu of cash through the issuance of an aggregate 22,073 shares of Common Stock under the Directors Market
Value Plan.
Equity Compensation
Terms of Awards
Pursuant to the Director Compensation Policy, each individual who first becomes a non-employee director receives an initial
stock option grant and thereafter each non-employee director is eligible to receive stock option grants on an annual basis,
and such stock options are currently granted pursuant to our 2018 Equity Incentive Plan. Commencing in 2025, the
aggregate value of all compensation granted or paid to any non-employee director in any calendar year, including equity
grants and cash fees, will not exceed (1) $750,000 in total value or (2) in the event such non-employee director is first
appointed or elected to the Board during such calendar year, $1,000,000 in total value.
The following describes the equity compensation arrangements as outlined in the Director Compensation Policy:
•
Initial Grant. Each individual who first becomes a non-employee director, whether by election by Geron’s
stockholders or by appointment by the Board to fill a vacancy, automatically will be granted an option to purchase
shares of Common Stock on the date such individual first becomes a non-employee director (the “Initial Grant”),
which such Initial Grant covers 270,000 shares of Common Stock. The Initial Grant vests annually over three years
upon each anniversary of the date of appointment to the Board, subject to the non-employee director’s continuous
service through each applicable vesting date.
•
Annual Grant. On the date of each annual meeting of our stockholders, each non-employee director (other than
any director receiving (i) an Initial Grant on the date of such annual meeting or (2) who was elected or appointed to
the Board less than four calendar months prior to the date of such annual meeting) who is then serving as a non-
employee director and who will continue as a non-employee director following the date of such annual meeting
automatically will be granted an option to purchase shares of our Common Stock (the “Annual Grant”), which
Annual Grant covered 180,000 shares of Common Stock during the year ended December 31, 2025. The Annual
Grant vests in full on the earlier of (i) the date of the next annual meeting of our stockholders or (ii) the first
TABLE OF CONTENTS
Geron Corporation 32 2026 Proxy Statement
anniversary of the date of grant, subject to the non-employee director’s continuous service through such applicable
vesting date In January 2026, the Board, upon recommendation of the Compensation Committee, amended the
Director Compensation Policy to increase the number of shares of Common Stock subject to the Annual Grant
from 180,000 shares to 220,000 shares to generally align with the 50th percentile of our peer group market data.
•
Exercise Price and Term of Options. The exercise price of all stock options granted under our 2018 Equity
Incentive Plan is equal to the fair market value of a share of our Common Stock as determined under our 2018
Equity Incentive Plan. Stock options granted under our 2018 Equity Incentive Plan have a term of ten years from
the date of grant, unless terminated earlier.
•
Exercise Period Post-Termination. The stock options granted to non-employee directors pursuant to our 2018
Equity Incentive Plan remain exercisable until the earlier of the original expiration date of the stock option or 36
months following the optionee’s termination of service as our non-employee director.
Effect of Certain Corporate and Termination Events
As set forth in each stock option agreement under our 2018 Equity Incentive Plan, the vesting for each Initial Grant and
Annual Grant will accelerate in full in the event of a Change in Control of Geron (as defined in our 2018 Equity Incentive
Plan and described below under the sub-section entitled “Potential Payments Upon Termination or Change in Control”). In
addition, in the event a non-employee director experiences a termination of service as a result of such director’s total and
permanent disability (as defined in Section 22(e)(3) of the Internal Revenue Code of 1986, as amended (the “Code”)) or
death, the portion of each outstanding stock option held by such director that would have vested during the 36 months after
the date of such director’s termination of service, will automatically vest.
Stock Option Grants to Non-Employee Directors in 2025
The table below sets forth the following information with respect to each non-employee director of the Board who served in
such capacity during the 2025 fiscal year: (i) stock options granted under our 2018 Equity Incentive Plan; and (ii) the grant
date fair value of stock options granted. Dr. Scarlett, Ms. Bir and Mr. Semerjian did not receive any equity compensation for
his or her service as a director during the time that he or she was serving as our President and Chief Executive Officer or, in
the case of Ms. Bir, our Interim President and Chief Executive Officer.
Non-Employee Director
Grant Date
Option Awards
Granted
During 2025
(#)
Grant Date Fair
Value of
Option Awards
Granted
During 2025
($)(1)
Aggarwal, Gaurav
5/21/25
180,000
(2)
163,674
Lawlis, V. Bryan
5/21/25
180,000
(2)
163,674
McDonald, John
5/21/25
180,000
(2)
163,674
Molineaux, Susan
5/21/25
180,000
(2)
163,674
O'Farrell, Elizabeth
5/21/25
180,000
(2)
163,674
Spiegel, Robert
5/21/25
180,000
(2)
163,674
(1)
Amounts do not reflect dollar amounts actually received by our non-employee directors and instead, in accordance with SEC rules, represent
the grant date fair value of each stock option granted in the 2025 fiscal year calculated in accordance with FASB ASC Topic 718. Refer to Note
11 of the consolidated financial statements in our Annual Report on Form 10-K for the year ended December 31, 2025 regarding assumptions
underlying the valuation of stock option awards and the calculation method.
(2)
Stock options vest on the earlier of: (i) the date of the next annual meeting or (ii) the first anniversary of the date of grant of such stock option,
subject to the non-employee director’s continuous service to the Company through such applicable vesting date.
TABLE OF CONTENTS
Geron Corporation 33 2026 Proxy Statement
Outstanding Equity Awards at Fiscal Year-End
The following table sets forth stock options outstanding for each non-employee director who served in such capacity during
the 2025 fiscal year, except for Ms. Bir. Stock options outstanding for Ms. Bir are reported in the sub-section entitled
“Executive Compensation - Outstanding Equity Awards at Fiscal Year End.”
Non-Employee Director
Option Awards Outstanding
as of December 31, 2025
Aggarwal, Gaurav
246,667
Lawlis, V. Bryan
1,016,000
McDonald, John
685,000
Molineaux, Susan
1,016,000
O'Farrell, Elizabeth
966,000
Spiegel, Robert
1,016,000
TABLE OF CONTENTS
Geron Corporation 34 2026 Proxy Statement
Proposal Two
Approval of the Amendment and
Restatement of Our 2018 Equity
Incentive Plan
We are asking our stockholders to approve the amendment and restatement of our 2018 Equity Incentive Plan (the “2018
Plan”) at the Annual Meeting to (i) increase the aggregate number of shares issuable under the 2018 Plan by 4,500,000
shares of our Common Stock and (ii) increase the aggregate maximum number of shares of our Common Stock available
for issuance under the 2018 Plan pursuant to the exercise of incentive stock options by 9,000,000 shares of our Common
Stock (such increases, together, the “Share Increase.”) We refer to the amendment and restatement of our 2018 Plan in this
Proposal Two as the “Amended 2018 Plan,” attached hereto as Appendix A.
A description of the material terms of the Amended 2018 Plan are summarized below. The key differences between the
terms of the 2018 Plan and Amended 2018 Plan are as follows:
• Increase Share Reserve. Subject to adjustment for certain changes in our capitalization, the aggregate number of
shares of our Common Stock that may be issued under the Amended 2018 Plan will not exceed 109,955,419 shares, which
is an increase of 4,500,000 shares over the current aggregate number of shares of that may be issued under the 2018 Plan.
• Increase ISO Limit. Subject to adjustment for certain changes in our capitalization, the aggregate maximum number
of shares of our Common Stock that may be issued upon exercise of incentive stock options (“ISOs”) under the Amended
2018 Plan will be 219,910,838, which is an increase of 9,000,000 shares over the current maximum under the 2018 Plan.
In March 2026, the Compensation Committee approved the Amended 2018 Plan, subject to approval of the Amended 2018
Plan from stockholders at this Annual Meeting, the Amended 2018 Plan will ensure that we can continue to grant equity
awards in order to provide long-term incentives to current and future employees, non-employee directors and consultants.
Our continued ability to offer equity awards under the 2018 Plan is critical to our ability to attract, motivate and retain
qualified employees, non-employee directors and consultants, particularly as we continue to commercialize RYTELO and in
light of the highly competitive market for talent in which we operate.
Shares Available for Future Awards
The Board believes that additional shares are necessary to meet our anticipated equity compensation needs. The proposed
increase is expected to last approximately one year, although the actual duration may vary based on changes in factors
such as stock price fluctuation, estimated headcount, and projected stock option and RSU cancellations in 2026. This
estimate is based on a forecast that takes into account our anticipated rate of growth in hiring, required stock option grants
under the Director Compensation Policy, and our historical forfeiture rates.
The 2018 Plan was initially adopted by the Board in March 2018 and approved by our stockholders in May 2018.
Upon adoption, the 2018 Plan had an initial new share reserve of 10,000,000 shares of Common Stock. The aggregate
number of shares of our Common Stock that may be issued under the 2018 Plan also included, as of the effective date of
the 2018 Plan: (i) 2,895,419 unallocated shares that were remaining available for the grant of awards under our 2011 Equity
Incentive Plan (the “2011 Plan”) as of the effective date of the 2018 Plan in May 2018; and (ii) certain shares subject to
outstanding awards granted under the 2011 Plan and our 1992 Stock Option Plan, our 1996 Directors’ Stock Option Plan
and our Amended and Restated 2002 Equity Incentive Plan (together, the “Prior Plans”) that may become available for grant
under the 2018 Plan as such shares become available from time to time (as further described below under “Summary of the
Amended 2018 Plan – Authorized Shares”).
In June 2020, May 2021, May 2022, May 2023 and May 2025, our stockholders approved amendments to the 2018 Plan to
increase the share reserve by 5,700,000 shares, 12,500,000 shares, 11,000,000, 43,360,000 and 20,000,000 shares,
respectively. As of March 26, 2026, only 40,415,247 shares remained available for grant under the 2018 Plan (plus the Prior
Plans’ Returning Shares (as defined and further described below under “Summary of the Amended 2018 Plan – Authorized
Shares”) as such shares become available from time to time).
Why We are Asking our Stockholders to Approve the Amended 2018 Plan
Equity Awards Are a Key Component of Our Compensation Philosophy
Our Board believes that the issuance of equity awards is a key element underlying our ability to attract, retain and motivate
key personnel, non-employee directors and consultants because of the strong competition for highly trained and
experienced individuals among biotechnology companies. In addition, because of the highly regulated and complex industry
TABLE OF CONTENTS
Geron Corporation 35 2026 Proxy Statement
that we operate in, our success depends on our ability to attract and retain individuals with deep experience in our industry.
Without such key personnel, non-employee directors and consultants, we might not achieve our development and
commercialization plans. Therefore, the Board believes that the Amended 2018 Plan providing for the Share Increase is in
the best interests of the Company and its stockholders and recommends a vote in favor of this Proposal 2.
Approval of the Amended 2018 Plan by our stockholders will allow us to continue to attract and retain highly trained and
experienced individuals who are critical to our success, through the grant of equity awards at levels determined appropriate
by our Board or Compensation Committee. The Amended 2018 Plan will also allow us to utilize equity awards as long-term
incentives to secure and retain the services of current and future employees, non-employee directors and consultants,
consistent with our compensation philosophy and common compensation practice for companies in the biotechnology
industry. To date, we have relied significantly on equity awards in the form of stock option grants to attract and retain key
employees, non-employee directors and consultants, all of whom are critical to our success. We believe the use of stock
option grants strongly aligns the interests of our employees with those of our stockholders by placing a considerable
proportion of our employees’ total compensation “at risk” because their compensation, in the form of stock options, is
contingent on the appreciation in value of our Common Stock. In addition, we believe stock option grants encourage
employee ownership in the Company and promote retention through the reward of long-term value accretion.
Why You Should Vote to Approve the Amended 2018 Plan
The 2018 Plan Requires Additional Shares to Meet our Forecasted Equity Needs
We operate in a highly competitive industry and geographies for employee talent and do not expect required rates of
compensation to decline. One alternative to using equity awards would be to significantly increase cash compensation. We
do not believe this would be in our best interests or the best interests of our stockholders, because it would significantly
impact our financial resources to continue to commercialize and develop RYTELO (imetelstat). As a biotechnology company
with office locations in the San Francisco Bay Area and northern New Jersey and a significant employee presence in the
Boston area, we believe that a combination of equity and cash compensation is more appropriate and preferable and meets
the expected regional recruiting standards needed for us to attract, retain and motivate employees. Any significant increase
in cash compensation in lieu of equity awards would reduce the cash otherwise available for us to meet our current
operating plans, including the commercialization of RYTELO and continued development of imetelstat for additional
indications. Furthermore, we do not believe a cash-oriented compensation program would provide the same value to us or
our stockholders with respect to long-term employee retention or serve to align employees’ interests with those of our
stockholders, in comparison to a program that includes equity awards.
As described above, the 2018 Plan had 40,415,247 shares remaining available for grant as of March 26, 2026 (plus the
Prior Plans’ Returning Shares (as defined and further described below under “Summary of the Amended 2018 Plan –
Authorized Shares”) as such shares become available from time to time). Subject to adjustment for certain changes in our
capitalization, if this Proposal 2 is approved by our stockholders, then under the 2018 Plan, we will have 4,500,000 new
shares available for grant after our Annual Meeting for a total of approximately 44,915,247 shares available for grant after
our Annual Meeting (based on shares available under the 2018 Plan as of March 26, 2026) (plus the Prior Plans’ Returning
Shares (as defined and further described below under “Summary of the Amended 2018 Plan – Authorized Shares”) as such
shares become available from time to time).
In addition, our 2018 Inducement Award Plan (the “Inducement Plan”) allows us to grant equity awards to new employees as
a material inducement to their joining the Company. Such grants to new employees assist us in meeting a portion of our
equity compensation needs, but only with respect to a limited group. To meet our growing hiring needs, the Compensation
Committee approved increases to the Inducement Plan share reserve of 5,000,000 shares, 1,300,000 shares, 800,000
shares, 5,000,000 shares, 1,000,000 shares, 5,000,000 shares, 13,900,000 shares and 5,300,000 shares in January 2019,
February 2020, February 2021, May 2021, February 2022, July 2022, June 2023 and January 2025, respectively. We expect
to hire additional employees as we continue to commercialize RYTELO, including highly trained individuals with experience
in commercial functions, such as sales, marketing and analytics. As of March 26, 2026, 5,488,746 shares remained
available for grant under the Inducement Plan.
We currently intend to reserve the additional shares being requested under this Proposal 2 for issuance under our Amended
2018 Plan to meet our estimated near-term equity compensation needs for our current and future employees, non-employee
directors and consultants. This estimate is based on a forecast that takes into account our anticipated rate of growth in
hiring, required stock option grants under the Director Compensation Policy, and our historical forfeiture rates.
The Size of Our Share Reserve Increase Request is Reasonable
If this Proposal 2 is approved by our stockholders, then subject to adjustment for certain changes in our capitalization, we
will have 4,500,000 new shares available for grant under the Amended 2018 Plan after the Annual Meeting.
We Carefully Manage the Use of Equity Awards, and the Size of our Share Reserve is Reasonable
Our compensation philosophy reflects broad-based eligibility for equity awards, and we grant stock options to all of our
employees and non-employee directors. However, we recognize that stock options dilute existing stockholders, and,
therefore, we responsibly manage the growth of our equity compensation program. In 2025, for example, we granted our
employees a mix of restricted share units (“RSUs”) and stock options in order to reduce the dilutive effect of our equity
TABLE OF CONTENTS
Geron Corporation 36 2026 Proxy Statement
compensation program, with the number of RSUs granted equal to one-half of the amount of stock options that each
employee would have been granted. For our annual equity awards in February 2025, members of our executive
management team were granted a ratio of 75% options and 25% RSUs, while all our other employees were granted a ratio
of 50% options and 50% RSUs. We are committed to effectively monitoring the share reserves for our equity plans, including
our “burn rate,” to ensure that we maximize stockholders’ value by granting the appropriate number of stock options and
RSUs necessary to attract, reward, and retain employees, non-employee directors and consultants. Despite the fact that
many of our stock options have exercise prices greater than the closing price of our Common Stock, as reported by the
Nasdaq Global Select Market on March 26, 2025, we have not repriced any stock options, and the current burn rate and
stock options outstanding reflects the growth of the number of employees at the Company as we commercialize RYTELO,
as well as key changes to our leadership team in 2025, including hiring our new President and Chief Executive Officer and
our new Executive Vice President, Chief Commercial Officer, each of whom we would not have been able to recruit without
market-competitive equity-based incentives. In 2025, 2024, and 2023, we recruited highly qualified and experienced
professionals to drive each development function, including commercial, medical affairs, and market access to support the
commercialization of RYTELO, as well as functions such as clinical operations, regulatory affairs, clinical science, biometrics
and data management, manufacturing, quality, translational research, program management, to support the
commercialization and continued development of RYTELO.
The table below provides certain information regarding our equity incentive program.
Equity Awards Outstanding and Overhang
As of
March 26, 2026
Total number of shares of Common Stock subject to outstanding stock options
92,829,777
Weighted-average exercise price of outstanding stock options
$
1.99 ]
Weighted-average remaining term of outstanding stock options
6.38 years
Total number of shares of Common Stock subject to outstanding full value awards
2,157,934
Total number of shares of Common Stock available for grant under the 2018 Plan(1)
40,415,247
Total number of shares of Common Stock available for grant under the Inducement Plan(1)
5,488,746
Total number of shares of Common Stock outstanding
640,900,330
Per-share closing price of Common Stock as reported on the Nasdaq Global Select Market
$
1.54 ]
(1) As of March 26, 2026, there were no shares of Common Stock available for grant under any of our equity incentive plans, other than the 2018
Plan and the Inducement Plan,
Burn Rate
Our “burn rate” measures how quickly we use shares and is calculated by dividing (a) the number of shares subject to
equity-based awards granted in a fiscal year, by (b) the weighted average number of shares of Common Stock outstanding
for that year. The following table provides information regarding our burn rate for fiscal years 2025, 2024 and 2023.
Fiscal Year 2025 Fiscal Year 2024 Fiscal Year 2023
Total number of shares of Common Stock subject to stock options granted
35,540,000
29,603,740
20,855,230
Total number of shares of Common Stock subject to full value awards granted
5,336,250
—
—
Weighted-average number of shares of Common Stock outstanding
666,662,989
646,033,247
570,645,405
Burn rate
6.13%
4.58%
3.65%
TABLE OF CONTENTS
Geron Corporation 37 2026 Proxy Statement
The Amended 2018 Plan Incorporates Good Compensation and Governance Practices
The Amended 2018 Plan includes many provisions designed to protect our stockholders’ interests and to reflect corporate
governance best practices.
• Administration by the Board or an independent committee of the Board. The Amended 2018 Plan is administered
by our Board, which may delegate authority to administer the Amended 2018 Plan to an independent Board committee. The
Board has delegated authority to administer the Amended 2018 Plan to the Compensation Committee, which consists of
three “non-employee directors” within the meaning of Rule 16b-3 under the Securities Exchange Act of 1934, as amended
(the “Exchange Act”). The Board retains the authority to concurrently administer the Amended 2018 Plan and may, at any
time, revest in the Board some or all of the powers previously delegated to the Compensation Committee or any other
committee.
• Repricing is not allowed without stockholder approval. The Amended 2018 Plan prohibits the repricing of
outstanding stock options and stock appreciation rights, and the cancellation of any outstanding stock options or stock
appreciation rights that have an exercise or strike price greater than the then-current fair market value of our Common Stock
in exchange for cash or other stock awards under the Amended 2018 Plan, without prior stockholder approval.
• Stockholder approval is required for additional shares or any material amendment. The Amended 2018 Plan does
not contain an annual “evergreen” provision. The Amended 2018 Plan authorizes a fixed number of shares, so that
stockholder approval is required to reserve any additional shares, allowing our stockholders to have direct input on our
equity compensation program. Consistent with Nasdaq rules, the Amended 2018 Plan requires stockholder approval of any
material revisions to the Amended 2018 Plan. In addition, certain other amendments to the Amended 2018 Plan require
stockholder approval.
• Awards subject to forfeiture/clawback. Awards granted under the Amended 2018 Plan are subject to recoupment in
accordance with any clawback provisions in a participant’s employment agreement or other agreement with the Company, or
our Clawback Policy, which was adopted by our Compensation Committee in November 2023 in compliance with the
requirements of the SEC and the listing standards of the Nasdaq Stock Market. In addition, we may impose other clawback,
recovery or recoupment provisions in a stock award agreement, including a reacquisition right in respect of previously
acquired shares or other cash or property upon the occurrence of cause.
• No liberal change in control definition. The change in control definition in the Amended 2018 Plan is not a “liberal”
definition. A change in control transaction must actually occur in order for the change in control provisions in the 2018 Plan
to be triggered.
• No discounted stock options or stock appreciation rights. All stock options and stock appreciation rights granted
under the Amended 2018 Plan must have an exercise or strike price equal to or greater than the fair market value of our
Common Stock on the date the stock option or stock appreciation right is granted.
• No liberal share counting or recycling of appreciation awards. The following shares are not available again for
issuance under the Amended 2018 Plan: (i) shares underlying stock options or stock appreciation rights that are reacquired
or withheld (or not issued) by us to satisfy the exercise or purchase price of a stock award; (ii) shares underlying stock
options or stock appreciation rights that are reacquired or withheld (or not issued) by us to satisfy a tax withholding
obligation in connection with a stock award; and (iii) any shares repurchased by us on the open market with the proceeds of
the exercise or purchase price of a stock option or a stock appreciation right.
• Fungible share counting. The number of shares of our Common Stock available for issuance under the Amended
2018 Plan are reduced by (i) 1.0 share for each share issued pursuant to stock options or stock appreciation rights granted
under the Amended 2018 Plan and (ii) 1.3 shares for each share issued pursuant to a Full Value Award granted under the
Amended 2018 Plan. As part of such fungible share counting structure, the number of shares of our Common Stock
available for issuance under the Amended 2018 Plan will be increased by (i) 1.0 share for each share that becomes
available again for issuance under the terms of the 2018 Plan subject to a stock option or stock appreciation right award and
(ii) 1.3 shares for each share that becomes available again for issuance under the terms of the Amended 2018 Plan subject
to a Full Value Award.
• Termination of stock options and stock appreciation rights on a participant’s termination for cause. If a participant’s
service is terminated for cause, which is defined under the Amended 2018 Plan as (i) the participant’s conviction of any
crime involving fraud, dishonesty or moral turpitude; (ii) the participant’s attempted commission of or participation in a fraud
or act of dishonesty against the Company resulting in material harm to the business of the Company; (iii) the participant’s
intentional, material violation of any contract or agreement with the Company, or any statutory duty the participant owes to
the Company; or (iv) the participant’s conduct that constitutes gross misconduct, insubordination, incompetence or habitual
neglect of duties and that results in material harm to the business of the Company, the participant’s stock options and stock
appreciation rights terminate immediately, and the participant is prohibited from exercising his or her stock options and stock
appreciation rights.
• Restrictions on dividends. The Amended 2018 Plan provides that (i) no dividends or dividend equivalents may be
paid with respect to any shares of our Common Stock subject to a stock award before the date such shares have vested, (ii)
any dividends or dividend equivalents that are credited with respect to any such shares will be subject to all of the terms and
TABLE OF CONTENTS
Geron Corporation 38 2026 Proxy Statement
conditions applicable to such shares under the terms of the applicable stock award agreement (including any vesting
conditions), and (iii) any dividends or dividend equivalents that are credited with respect to any such shares will be forfeited
to us on the date such shares are forfeited to or repurchased by us due to a failure to vest.
• Non-Employee Director Compensation Limit. The aggregate value of all compensation granted or paid to any non-
employee director in any calendar year, including equity grants and cash fees, will not exceed (1) $750,000 in total value or
(2) in the event such non-employee director is first appointed or elected to the Board during such calendar year, $1,000,000
in total value.
Summary of the Amended 2018 Plan
The following is a summary of the principal features of the Amended 2018 Plan, together with the applicable tax implications
with respect to the Amended 2018 Plan. The summary is qualified by reference to the full text of the Amended 2018 Plan,
which is attached as Appendix A to this Proxy Statement.
General
The Amended 2018 Plan provides for grants to employees of our Company and any parent or subsidiary of our Company
(including officers and employee directors) of “incentive stock options” within the meaning of Section 422 of the Code, and
for grants of non-qualified stock options and stock purchase rights to employees (including officers and employee directors)
and consultants (including non-employee directors) of our Company or any parent or subsidiary of our Company. See
“Federal Income Tax Aspects” below for information concerning the tax treatment of incentive stock options, non-qualified
stock options and stock purchase rights.
The Amended 2018 Plan is not a qualified retirement plan under Section 401(a) of the Code, and is not subject to the
provisions of the Employee Retirement Income Security Act of 1974, as amended.
Purpose
The Amended 2018 Plan is designed to secure and retain the services of our employees, non-employee directors and
consultants, provide incentives for our employees, non-employee directors and consultants to exert maximum efforts for the
success of our Company and our affiliates, and provide a means by which our employees, non-employee directors and
consultants may be given an opportunity to benefit from increases in the value of our Common Stock. The Amended 2018
Plan is also designed to align employees’ interests with stockholder interests.
Administration
The Amended 2018 Plan is administered by our Board, which may in turn delegate authority to administer the Amended
2018 Plan to a committee of non-employee directors. The Board has delegated authority to administer the Amended 2018
Plan to the Compensation Committee of the Board. Our Board may, at any time, revest in itself some or all of the power
delegated to such a committee. The Board and any committee of non-employee directors to whom the Board may delegate
authority to administer the Amended 2018 Plan are each considered to be a Plan Administrator for purposes of this Proposal
2. Subject to the terms of the Amended 2018 Plan, the Plan Administrator may determine the recipients, the types of stock
awards to be granted, the number of shares of our Common Stock subject to or the cash value of stock awards, and the
terms and conditions of stock awards granted under the Amended 2018 Plan, including the period of their exercisability and
vesting. The Plan Administrator also has the authority to provide for accelerated exercisability and vesting of stock awards.
Subject to the limitations set forth below, the Plan Administrator also determines the fair market value applicable to a stock
award and the exercise or strike price of stock options and stock appreciation rights granted under the Amended 2018 Plan.
The Plan Administrator may also delegate to one or more persons the authority to designate employees who are not
executive officers to be recipients of certain stock awards and the number of shares of our Common Stock subject to such
stock awards. Under any such delegation, the Plan Administrator will specify the total number of shares of our Common
Stock that may be subject to the stock awards granted by such executive officer. The executive officer may not grant a stock
award to himself or herself.
Eligibility
Employees, non-employee directors, and consultants are eligible to participate in the Amended 2018 Plan. As of March 26,
2026, all of our approximately 171 employees (including 4 executive officers), 8 non-employee directors and approximately 5
consultants are currently eligible to participate in the 2018 Plan and may receive all types of stock awards other than
incentive stock options, under the Amended 2018 Plan. Incentive stock options may be granted under the Amended 2018
Plan only to our employees, including our members of our executive management team.
Authorized Shares
Subject to adjustment for certain changes in our capitalization, the aggregate number of shares of our Common Stock that
may be issued under the Amended 2018 Plan (the “Share Reserve”), if this Proposal 2 is approved by our stockholders, will
not exceed (A) 109,955,419 shares (which number is the sum of (i) 2,895,419 shares (which is the number of unallocated
shares that remained available for the grant of new stock awards under the 2011 Plan as of the effective date of the 2018
TABLE OF CONTENTS
Geron Corporation 39 2026 Proxy Statement
Plan), (ii) 10,000,000 shares (which is the number of new shares that were reserved as of the effective date of the 2018
Plan), (iii) the 5,700,000 shares approved by our stockholders in June 2020, (iv) the 12,500,000 shares approved by our
stockholders in May 2021, (v) the 11,000,000 shares approved by our stockholders in May 2022, (vi) the 43,360,000
approved by our stockholders in May 2023, (vii) the 20,000,000 shares approved by our stockholders in May 2025, and (viii)
4,500,000 newly-requested shares that are the subject of this Proposal 2), plus (B) any Prior Plans’ Returning Shares (as
defined below), as such shares become available from time to time.
The “Prior Plans’ Returning Shares” are shares subject to outstanding stock awards granted under the Prior Plans that, from
and after the effective date of the Amended 2018 Plan, (i) expire or terminate for any reason prior to exercise or settlement,
(ii) are forfeited, cancelled or otherwise returned to us because of the failure to meet a contingency or condition required for
the vesting of such shares, or (iii) other than with respect to outstanding stock options and stock appreciation rights granted
under the Prior Plans with an exercise or strike price of at least 100% of the fair market value of the underlying Common
Stock on the date of grant (“Prior Plans’ Appreciation Awards”), are reacquired or withheld (or not issued) by us to satisfy a
tax withholding obligation in connection with a stock award.
The number of shares of our Common Stock available for issuance under the 2018 Plan will be reduced by (i) one share for
each share of Common Stock issued pursuant to a stock option or stock appreciation right with an exercise or strike price of
at least 100% of the fair market value of the underlying Common Stock on the date of grant, and (ii) 1.3 shares for each
share of Common Stock issued pursuant to a Full Value Award (i.e., any stock award that is not a stock option or stock
appreciation right with an exercise or strike price of at least 100% of the fair market value of the underlying Common Stock
on the date of grant) granted on or after May 31, 2023 and (iii) 2.0 shares for each share of Common Stock issued pursuant
to a Full Value Award granted before May 31, 2023.
If (i) any shares of Common Stock subject to a stock award are not issued because the stock award expires or otherwise
terminates without all of the shares covered by the stock award having been issued or is settled in cash, (ii) any shares of
Common Stock issued pursuant to a stock award are forfeited back to or repurchased by us because of the failure to meet a
contingency or condition required for the vesting of such shares, or (iii) with respect to a Full Value Award, any shares of
Common Stock are reacquired or withheld (or not issued) by us to satisfy a tax withholding obligation in connection with the
award, then such shares will again become available for issuance under the 2018 Plan (collectively, the “2018 Plan
Returning Shares”). For each 2018 Plan Returning Share subject to a Full Value Award, or Prior Plans’ Returning Share
subject to a stock award other than a Prior Plans’ Appreciation Award, the number of shares of Common Stock available for
issuance under the 2018 Plan will increase by 1.3 shares (or 2.0 shares if the Full Value Award was granted prior to May 31,
2023).
Any shares of Common Stock reacquired or withheld (or not issued) by us to satisfy the exercise or purchase price of a
stock award will no longer be available for issuance under the Amended 2018 Plan, including any shares subject to a stock
award that are not delivered to a participant because the stock award is exercised through a reduction of shares subject to
the stock award. In addition, any shares reacquired or withheld (or not issued) by us to satisfy a tax withholding obligation in
connection with a stock option or stock appreciation right granted under the Amended 2018 Plan or a Prior Plans’
Appreciation Award, or any shares repurchased by us on the open market with the proceeds of the exercise or strike price of
a stock option or stock appreciation right granted under the Amended 2018 Plan or a Prior Plans’ Appreciation Award will no
longer be available for issuance under the Amended 2018 Plan.
Subject to adjustment, as described below, no more than 219,910,838 shares of our Common Stock may be delivered in
satisfaction of incentive stock options awarded under the 2018 Plan.
The Common Stock issuable under the Amended 2018 Plan may be shares of authorized but unissued or reacquired
Common Stock, including shares repurchased by our Company on the open market or otherwise. The closing price of our
Common Stock, as reported on the Nasdaq Global Select Market on March 26, 2026, was $1.54 per share.
Non-Employee Director Compensation Limit
The aggregate value of all compensation granted or paid to any non-employee director with respect to any calendar year,
including stock awards granted and cash fees paid by us to such non-employee director, will not exceed $750,000 in total
value, or, in the event such non-employee director is first appointed or elected to the board during such calendar year,
$1,000,000 in total value (in each case, calculating the value of any such stock awards based on the grant date fair value of
such stock awards for financial reporting purposes).
Repricing, Cancellation and Re-Grant of Stock Options or Stock Appreciation Rights
Under the Amended 2018 Plan, the Plan Administrator does not have the authority to reprice any outstanding stock option or
stock appreciation right by reducing the exercise or strike price of the stock option or stock appreciation right or to cancel
any outstanding stock option or stock appreciation right that has an exercise or strike price greater than the then-current fair
market value of our Common Stock in exchange for cash or other stock awards, without obtaining the approval of our
stockholders. Such approval must be obtained within 12 months prior to such an event.
TABLE OF CONTENTS
Geron Corporation 40 2026 Proxy Statement
Stock Options
Stock options may be granted under the Amended 2018 Plan pursuant to stock option agreements. The Amended 2018 Plan
permits the grant of stock options that are intended to qualify as incentive stock options (“ISOs”) and non-statutory stock
options (“NSOs”).
The exercise price of a stock option granted under the Amended 2018 Plan may not be less than 100% of the fair market
value of the Common Stock subject to the stock option on the date of grant and, in some cases (see “Limitations on
Incentive Stock Options” below), may not be less than 110% of such fair market value.
The term of stock options granted under the Amended 2018 Plan may not exceed ten years and, in some cases (see
“Limitations on Incentive Stock Options” below), may not exceed five years. Except as otherwise provided in a participant’s
stock option agreement or other written agreement with us, if a participant’s service relationship with us (referred to in this
Proposal 2 as “continuous service”) terminates (other than for cause or the participant’s death or disability), the participant
may exercise any vested stock options for up to three months following the participant’s termination of continuous service.
Except as otherwise provided in a participant’s stock option agreement or other written agreement with us, if a participant’s
continuous service terminates due to the participant’s disability or death (or the participant dies within a specified period, if
any, following termination of continuous service), the participant, or his or her beneficiary, as applicable, may exercise any
vested stock options for up to 24 months following the participant’s termination due to the participant’s disability or following
the participant’s death. Except as explicitly provided otherwise in a participant’s stock option agreement or other written
agreement with us, if a participant’s continuous service is terminated for cause (as defined in the Amended 2018 Plan), all
stock options held by the participant will terminate upon the participant’s termination of continuous service and the
participant will be prohibited from exercising any stock option from and after such termination date. Except as otherwise
provided in a participant’s stock option agreement or other written agreement with us, the term of a stock option may be
extended if the exercise of the stock option following the participant’s termination of continuous service (other than for cause
or the participant’s death or disability) would be prohibited by applicable securities laws or if the sale of any Common Stock
received upon exercise of the stock option following the participant’s termination of continuous service (other than for cause)
would violate our insider trading policy. In no event, however, may a stock option be exercised after its original expiration
date.
Acceptable forms of consideration for the purchase of our Common Stock pursuant to the exercise of a stock option under
the Amended 2018 Plan will be determined by the Plan Administrator and may include payment: (i) by cash, check, bank
draft or money order payable to us; (ii) pursuant to a program developed under Regulation T as promulgated by the Federal
Reserve Board; (iii) by delivery to us of shares of our Common Stock (either by actual delivery or attestation); (iv) by a net
exercise arrangement (for NSOs only); or (v) in other legal consideration approved by the Plan Administrator.
Stock options granted under the Amended 2018 Plan may become exercisable in cumulative increments, or “vest,” as
determined by the Plan Administrator at the rate specified in the stock option agreement. Shares covered by different stock
options granted under the Amended 2018 Plan may be subject to different vesting schedules as the Plan Administrator may
determine.
The Plan Administrator may impose limitations on the transferability of stock options granted under the Amended 2018 Plan
in its discretion. Generally, a participant may not transfer a stock option granted under the Amended 2018 Plan other than by
will or the laws of descent and distribution or, subject to approval by the Plan Administrator, pursuant to a domestic relations
order or an official marital settlement agreement. However, the Plan Administrator may permit transfer of a stock option in a
manner that is not prohibited by applicable tax and securities laws. In addition, subject to approval by the Plan Administrator,
a participant may designate a beneficiary who may exercise the stock option following the participant’s death.
Limitations on Incentive Stock Options
In accordance with current federal tax laws, the aggregate fair market value, determined at the time of grant, of shares of our
Common Stock with respect to ISOs that are exercisable for the first time by a participant during any calendar year under all
of our equity incentive plans may not exceed $100,000. The stock options or portions of stock options that exceed this limit
or otherwise fail to qualify as ISOs are treated as NSOs. No ISO may be granted to any person who, at the time of grant,
owns or is deemed to own stock possessing more than 10% of our total combined voting power unless the following
conditions are satisfied:
• the exercise price of the ISO must be at least 110% of the fair market value of the Common Stock subject to the
ISO on the date of grant; and
• the term of the ISO must not exceed five years from the date of grant.
Subject to adjustment for certain changes in our capitalization, the aggregate maximum number of shares of our Common
Stock that may be issued pursuant to the exercise of ISOs under the Amended 2018 Plan is 219,910,838 shares.
Stock Appreciation Rights
Stock appreciation rights may be granted under the Amended 2018 Plan pursuant to stock appreciation right agreements.
Each stock appreciation right is denominated in Common Stock share equivalents. The strike price of each stock
appreciation right will be determined by the Plan Administrator, but will in no event be less than 100% of the fair market
TABLE OF CONTENTS
Geron Corporation 41 2026 Proxy Statement
value of the Common Stock subject to the stock appreciation right on the date of grant. The Plan Administrator may also
impose restrictions or conditions upon the vesting of stock appreciation rights that it deems appropriate. The appreciation
distribution payable upon exercise of a stock appreciation right may be paid in shares of our Common Stock, in cash, in a
combination of cash and stock, or in any other form of consideration determined by the Plan Administrator and set forth in
the stock appreciation right agreement. Stock appreciation rights will be subject to the same conditions upon termination of
continuous service and restrictions on transfer as stock options under the Amended 2018 Plan.
Restricted Stock Awards
Restricted stock awards may be granted under the Amended 2018 Plan pursuant to restricted stock award agreements. A
restricted stock award may be granted in consideration for cash, check, bank draft or money order payable to us, the
participant’s services performed for us, or any other form of legal consideration acceptable to the Plan Administrator. Shares
of our Common Stock acquired under a restricted stock award may be subject to forfeiture to or repurchase by us in
accordance with a vesting schedule to be determined by the Plan Administrator. Rights to acquire shares of our Common
Stock under a restricted stock award may be transferred only upon such terms and conditions as are set forth in the
restricted stock award agreement. A restricted stock award agreement may provide that any dividends paid on restricted
stock will be subject to the same vesting conditions as apply to the shares subject to the restricted stock award. Upon a
participant’s termination of continuous service for any reason, any shares subject to restricted stock awards held by the
participant that have not vested as of such termination date may be forfeited to or repurchased by us.
Restricted Stock Unit Awards
Restricted stock unit awards may be granted under the Amended 2018 Plan pursuant to restricted stock unit award
agreements. Payment of any purchase price may be made in any form of legal consideration acceptable to the Plan
Administrator. A restricted stock unit award may be settled by the delivery of shares of our Common Stock, in cash, in a
combination of cash and stock, or in any other form of consideration determined by the Plan Administrator and set forth in
the restricted stock unit award agreement. Restricted stock unit awards may be subject to vesting in accordance with a
vesting schedule to be determined by the Plan Administrator. Dividend equivalents may be credited in respect of shares of
our Common Stock covered by a restricted stock unit award, provided that any additional shares credited by reason of such
dividend equivalents will be subject to all of the same terms and conditions of the underlying restricted stock unit award.
Except as otherwise provided in a participant’s restricted stock unit award agreement or other written agreement with us,
restricted stock units that have not vested will be forfeited upon the participant’s termination of continuous service for any
reason.
Performance Awards
The Amended 2018 Plan allows us to grant performance stock awards. A performance stock award is a stock award that is
payable (including that may be granted, may vest, or may be exercised) contingent upon the attainment of pre-determined
performance goals during a performance period. A performance stock award may require the completion of a specified
period of continuous service. The length of any performance period, the performance goals to be achieved during the
performance period, and the measure of whether and to what degree such performance goals have been attained will be
determined by the Plan Administrator in its discretion. In addition, to the extent permitted by applicable law and the
applicable stock award agreement, the Plan Administrator may determine that cash may be used in payment of performance
stock awards.
Performance goals under the Amended 2018 Plan will be based on any one or more of the following performance criteria: (i)
net earnings (either before or after one or more of the following: (A) interest, (B) taxes, (C) depreciation and (D)
amortization); (ii) gross or net sales or revenue; (iii) net income (either before or after taxes); (iv) adjusted net income; (v)
operating earnings or profit; (vi) cash flow (including, but not limited to, operating cash flow and free cash flow); (vii) return
on assets; (viii) return on capital; (ix) return on stockholders’ equity; (x) total stockholder return; (xi) return on sales; (xii)
gross or net profit or operating margin; (xiii) costs; (xiv) funds from operations; (xv) expenses; (xvi) working capital; (xvii)
earnings per share; (xviii) adjusted earnings per share; (xix) price per share; (xx) regulatory body approval for
commercialization of a product; (xxi) positive results from clinical trials; (xxii) initiation of clinical trials; (xxiii) implementation,
completion or maintenance of critical projects or relationships; (xxiv) closing of significant financing; (xxv) execution or
completion of strategic initiatives; (xxvi) market share; (xxvii) economic value; (xxviii) cash flow return on capital; (xxix) return
on net assets; and (xxx) other measures of performance selected by the Plan Administrator.
Performance goals may be based on a company-wide basis, with respect to one or more business units, divisions, affiliates
or business segments, and in either absolute terms or relative to the performance of one or more comparable companies or
the performance of one or more relevant indices. The Plan Administrator may, in its sole discretion, provide that one or more
objectively determinable adjustments shall be made to one or more of the performance goals. Such adjustments may
include one or more of the following: (i) items related to a change in accounting principles; (ii) items relating to financing
activities; (iii) expenses for restructuring or productivity initiatives; (iv) other non-operating items; (v) items related to
acquisitions; (vi) items attributable to the business operations of any entity acquired by the Company during the performance
period; (vii) items related to the disposal of a business or segment of a business; (viii) items related to discontinued
operations that do not qualify as a segment of a business under applicable accounting standards; (ix) items attributable to
any stock dividend, stock split, combination or exchange of stock occurring during the performance period; (x) any other
items of significant income or expense which are determined to be appropriate adjustments; (xi) items relating to unusual or
extraordinary corporate transactions, events or developments, (xii) items related to amortization of acquired intangible
TABLE OF CONTENTS
Geron Corporation 42 2026 Proxy Statement
assets; (xiii) items that are outside the scope of the Company’s core, on-going business activities; (xiv) items related to
acquired in-process research and development; (xv) items relating to changes in tax laws; (xvi) items relating to major
licensing or partnership arrangements; (xvii) items relating to asset impairment charges; (xviii) items relating to gains or
losses for litigation, arbitration and contractual settlements; (xix) items relating to any other unusual or nonrecurring events
or changes in applicable laws, accounting principles or business conditions; or (xx) any other items selected by the Plan
Administrator.
In addition, the Plan Administrator retains the discretion to reduce or eliminate the compensation or economic benefit due
upon the attainment of any performance goals and to define the manner of calculating the performance criteria it selects to
use for a performance period.
Other Stock Awards
Other forms of stock awards valued in whole or in part by reference to, or otherwise based on, our Common Stock may be
granted either alone or in addition to other stock awards under the Amended 2018 Plan. Subject to the terms of the
Amended 2018 Plan, the Plan Administrator will have sole and complete authority to determine the persons to whom and the
time or times at which such other stock awards will be granted, the number of shares of our Common Stock to be granted
and all other terms and conditions of such other stock awards.
Clawback Policy
Stock awards granted under the Amended 2018 Plan will be subject to recoupment in accordance with any clawback
provisions in a participant’s employment agreement or other agreement with the Company or our Clawback Policy, which
was adopted by our Compensation Committee in November 2023 in compliance with the requirements of the SEC and the
listing standards of the Nasdaq Stock Market. In addition, the Plan Administrator may impose other clawback, recovery or
recoupment provisions in a stock award agreement as the Plan Administrator determines necessary or appropriate,
including a reacquisition right in respect of previously acquired shares of our Common Stock or other cash or property upon
the occurrence of cause.
Changes to Capital Structure
In the event of certain capitalization adjustments, the Plan Administrator will appropriately adjust: (i) the class(es) and
maximum number of securities subject to the Amended 2018 Plan; (ii) the class(es) and maximum number of securities that
may be issued pursuant to the exercise of ISOs; and (iii) the class(es) and number of securities and price per share of stock
subject to outstanding stock awards.
Corporate Transaction
In the event of a corporate transaction (as defined in the Amended 2018 Plan and described below), the Board will have the
discretion to take one or more of the following actions with respect to outstanding stock awards (contingent upon the closing
or completion of such corporate transaction), unless otherwise provided in the stock award agreement or other written
agreement with the participant or unless otherwise provided by the Board at the time of grant:
• arrange for the surviving or acquiring corporation (or its parent company) to assume or continue the award or to
substitute a similar stock award for the award (including an award to acquire the same consideration paid to our
stockholders pursuant to the corporate transaction);
• arrange for the assignment of any reacquisition or repurchase rights held by us with respect to the stock award to
the surviving or acquiring corporation (or its parent company);
• accelerate the vesting (and, if applicable, the exercisability) of the stock award and provide for its termination prior
to the effective time of the corporate transaction;
• arrange for the lapse, in whole or in part, of any reacquisition or repurchase rights held by us with respect to the
award;
• cancel or arrange for the cancellation of the stock award, to the extent not vested or exercised prior to the
effective time of the corporate transaction, in exchange for such cash consideration, if any, as the Board may consider
appropriate; and
• make a payment, in such form as may be determined by the Board, equal to the excess, if any, of (i) the value of
the property the participant would have received upon the exercise of the stock award immediately prior to the effective time
of the corporate transaction, over (ii) any exercise price payable in connection with such exercise.
The Board is not obligated to treat all stock awards or portions of stock awards in the same manner. The Board may take
different actions with respect to the vested and unvested portions of a stock award.
For purposes of the Amended 2018 Plan, a corporate transaction generally will be deemed to occur in the event of the
consummation of: (i) a sale or other disposition of all or substantially all of our consolidated assets; (ii) a sale or other
disposition of at least 90% of our outstanding securities; (iii) a merger, consolidation or similar transaction following which we
are not the surviving corporation; or (iv) a reverse merger, consolidation or similar transaction following which we are the
TABLE OF CONTENTS
Geron Corporation 43 2026 Proxy Statement
surviving corporation but the shares of our Common Stock outstanding immediately prior to the transaction are converted or
exchanged into other property by virtue of the transaction.
Change in Control
Under the 2018 Plan, a stock award may be subject to additional acceleration of vesting and exercisability upon or after a
change in control (as defined in the 2018 Plan and described below) as may be provided in the participant’s stock award
agreement, in any other written agreement with us or in our Director Compensation Policy.
For purposes of the Amended 2018 Plan, a change in control generally will be deemed to occur upon the first to occur of an
event set forth in any one of the following: (i) as a result of any merger or consolidation, the voting securities of the Company
outstanding immediately prior thereto represent less than 49% of the combined voting power of the voting securities of the
Company or such surviving or acquiring entity outstanding immediately after such transaction; (ii) during any period of 24
consecutive calendar months, a majority of our Board becomes comprised of individuals whose nomination, appointment, or
election was not approved by at least two-thirds of the Board members or their approved successors; (iii) any individual,
entity or group becomes the beneficial owner of more than 20% of the then outstanding shares of Common Stock of the
Company; (iv) any sale of all or substantially all of the assets of the Company; or (v) the complete liquidation or dissolution
of the Company.
The acceleration of vesting of a stock award in the event of a corporate transaction or a change in control event under the
2018 Plan may be viewed as an anti-takeover provision, which may have the effect of discouraging a proposal to acquire or
otherwise obtain control of us.
Plan Amendments and Termination
The Plan Administrator will have the authority to amend or terminate the Amended 2018 Plan at any time. However, except
as otherwise provided in the Amended 2018 Plan or a stock award agreement, no amendment or termination of the
Amended 2018 Plan may materially impair a participant’s rights under his or her outstanding stock awards without the
participant’s consent. We will obtain stockholder approval of any amendment to the Amended 2018 Plan as required by
applicable law and listing requirements. No incentive stock options may be granted under the Amended 2018 Plan after the
tenth anniversary of the date the 2018 Plan was adopted by our Board.
U.S. Federal Income Tax Consequences
The following is a summary of the principal United States federal income tax consequences to participants and us with
respect to participation in the Amended 2018 Plan. This summary is not intended to be exhaustive and does not discuss the
income tax laws of any local, state or foreign jurisdiction in which a participant may reside. The information is based upon
current federal income tax rules and therefore is subject to change when those rules change. Because the tax
consequences to any participant may depend on his or her personal circumstances, each participant should consult the
participant’s tax adviser regarding the federal, state, local and other tax consequences of the grant or exercise of a stock
award or the disposition of stock acquired under the Amended 2018 Plan. The Amended 2018 Plan is not qualified under the
provisions of Section 401(a) of the Code and is not subject to any of the provisions of the Employee Retirement Income
Security Act of 1974. Our ability to realize the benefit of any tax deductions described below depends on our generation of
taxable income as well as the requirement of reasonableness and the satisfaction of our tax reporting obligations.
Non-statutory Stock Options
Generally, there is no taxation upon the grant of an NSO if the stock option is granted with an exercise price equal to the fair
market value of the underlying stock on the grant date. Upon exercise, a participant will recognize ordinary income equal to
the excess, if any, of the fair market value of the underlying stock on the date of exercise of the stock option over the
exercise price. If the participant is employed by us or one of our affiliates, that income will be subject to withholding taxes.
The participant’s tax basis in those shares will be equal to his or her fair market value on the date of exercise of the stock
option, and the participant’s capital gain holding period for those shares will begin on that date.
Subject to the requirement of reasonableness, the provisions of Section 162(m) of the Code (“Section 162(m)”), and the
satisfaction of a tax reporting obligation, we will generally be entitled to a tax deduction equal to the taxable ordinary income
realized by the participant.
Incentive Stock Options
The Amended 2018 Plan provides for the grant of stock options that are intended to qualify as “incentive stock options,” as
defined in Section 422 of the Code. Under the Code, a participant generally is not subject to ordinary income tax upon the
grant or exercise of an ISO. If the participant holds a share received upon exercise of an ISO for more than two years from
the date the stock option was granted and more than one year from the date the stock option was exercised, which is
referred to as the required holding period, the difference, if any, between the amount realized on a sale or other taxable
disposition of that share and the participant’s tax basis in that share will be long-term capital gain or loss.
TABLE OF CONTENTS
Geron Corporation 44 2026 Proxy Statement
If, however, a participant disposes of a share acquired upon exercise of an ISO before the end of the required holding
period, which is referred to as a disqualifying disposition, the participant generally will recognize ordinary income in the year
of the disqualifying disposition equal to the excess, if any, of the fair market value of the share on the date of exercise of the
stock option over the exercise price. However, if the sales proceeds are less than the fair market value of the share on the
date of exercise of the stock option, the amount of ordinary income recognized by the participant will not exceed the gain, if
any, realized on the sale. If the amount realized on a disqualifying disposition exceeds the fair market value of the share on
the date of exercise of the stock option, that excess will be short-term or long-term capital gain, depending on whether the
holding period for the share exceeds one year.
For purposes of the alternative minimum tax, the amount by which the fair market value of a share of stock acquired upon
exercise of an ISO exceeds the exercise price of the stock option generally will be an adjustment included in the participant’s
alternative minimum taxable income for the year in which the stock option is exercised. If, however, there is a disqualifying
disposition of the share in the year in which the stock option is exercised, there will be no adjustment for alternative
minimum tax purposes with respect to that share. In computing alternative minimum taxable income, the tax basis of a share
acquired upon exercise of an ISO is increased by the amount of the adjustment taken into account with respect to that share
for alternative minimum tax purposes in the year the stock option is exercised.
We are not allowed a tax deduction with respect to the grant or exercise of an ISO or the disposition of a share acquired
upon exercise of an ISO after the required holding period. If there is a disqualifying disposition of a share, however, we will
generally be entitled to a tax deduction equal to the taxable ordinary income realized by the participant, subject to the
requirement of reasonableness, the provisions of Section 162(m), and provided that either the employee includes that
amount in income or we timely satisfy our reporting requirements with respect to that amount.
Restricted Stock Awards
Generally, the recipient of a restricted stock award will recognize ordinary income at the time the stock is received equal to
the excess, if any, of the fair market value of the stock received over any amount paid by the recipient in exchange for the
stock. If, however, the stock is not vested when it is received (for example, if the employee is required to work for a period of
time in order to have the right to sell the stock), the recipient generally will not recognize income until the stock becomes
vested, at which time the recipient will recognize ordinary income equal to the excess, if any, of the fair market value of the
stock on the date it becomes vested over any amount paid by the recipient in exchange for the stock. A recipient may,
however, file an election with the Internal Revenue Service, within 30 days following his or her receipt of the restricted stock
award, to recognize ordinary income, as of the date the recipient receives the restricted stock award, equal to the excess, if
any, of the fair market value of the stock on the date the restricted stock award is granted over any amount paid by the
recipient for the stock.
The recipient’s basis for the determination of gain or loss upon the subsequent disposition of shares acquired from a
restricted stock award will be the amount paid for such shares plus any ordinary income recognized either when the stock is
received or when the stock becomes vested.
Subject to the requirement of reasonableness, the provisions of Section 162(m), and the satisfaction of a tax reporting
obligation, we will generally be entitled to a tax deduction equal to the taxable ordinary income realized by the recipient of
the restricted stock award.
Restricted Stock Unit Awards
Generally, the recipient of a restricted stock unit award structured to comply with the requirements of Section 409A of the
Code or an exception to Section 409A of the Code will recognize ordinary income at the time the stock is delivered equal to
the excess, if any, of the fair market value of the stock received over any amount paid by the recipient in exchange for the
stock. To comply with the requirements of Section 409A of the Code, the stock subject to a restricted stock unit award may
generally only be delivered upon one of the following events: a fixed calendar date (or dates), separation from service,
death, disability or a change in control. If delivery occurs on another date, unless the restricted stock unit award otherwise
complies with or qualifies for an exception to the requirements of Section 409A of the Code (including delivery upon
achievement of a performance goal), in addition to the tax treatment described above, the recipient will owe an additional
20% federal tax and interest on any taxes owed.
The recipient’s basis for the determination of gain or loss upon the subsequent disposition of shares acquired from a
restricted stock unit award will be the amount paid for such shares plus any ordinary income recognized when the stock is
delivered.
Subject to the requirement of reasonableness, the provisions of Section 162(m), and the satisfaction of a tax reporting
obligation, we will generally be entitled to a tax deduction equal to the taxable ordinary income realized by the recipient of
the restricted stock unit award.
Stock Appreciation Rights
Generally, if a stock appreciation right is granted with an exercise price equal to the fair market value of the underlying stock
on the grant date, the recipient will recognize ordinary income equal to the fair market value of the stock or cash received
upon such exercise. Subject to the requirement of reasonableness, the provisions of Section 162(m), and the satisfaction of
TABLE OF CONTENTS
Geron Corporation 45 2026 Proxy Statement
a tax reporting obligation, we will generally be entitled to a tax deduction equal to the taxable ordinary income realized by the
recipient of the stock appreciation right.
New Plan Benefits Under the Amended 2018 Plan
The following table sets forth certain information regarding future benefits under the Amended 2018 Plan:
Name and Position
Dollar Value
($)
Number of
Shares
Harout Semerjian
President and Chief Executive Officer
(1)
John A. Scarlett, M.D.
Former Chairman of the Board, President and Chief Executive Officer
N/A
Dawn C. Bir (2)
Director, Former Interim President and Chief Executive Officer
(3)
220,000 per year
(4)(5)
Michelle J. Robertson
Executive Vice President, Chief Financial Officer, Treasurer and Interim Secretary
(1)
Joseph Eid, M.D.
Executive Vice President, Research and Development, Chief Medical Officer
(1)
Ahmed ElNawawi
Executive Vice President, Chief Commercial Officer
(1)
Andrew J. Grethlein, Ph.D.
Former Executive Vice President, Chief Operating Officer
N/A
James Ziegler
Former Executive Vice President, Chief Commercial Officer
N/A
All current executive officers as a group
(1)
All current directors who are not executive officers as a group
(3)
1,540,000 per year
(4)(5)
All current employees who are not executive officers as a group
(1)
(1) Awards granted under the Amended 2018 Plan to our executive officers and other employees are discretionary and are not subject to set
benefits or amounts under the terms of the Amended 2018 Plan, and we have not granted any awards under the Amended 2018 Plan subject to
stockholder approval of this Proposal 2. Accordingly, the future benefits or amounts that will be received by or allocated to our executive officers
and other employees under the Amended 2018 Plan are not determinable.
(2) Ms. Bir returned to her non-employee director role upon Mr. Semerjian’s hire in August 2025. As more fully discussed in footnote (4) below,
pursuant to our current Director Compensation Policy, Ms. Bir will automatically be granted an Annual Grant on each annual meeting of our
stockholders, provided that she is then serving as a non-employee director and will continue as a non-employee director following the date of such
annual meeting.
(3) The dollar value of the Annual Grants to be granted in 2026 to each non-employee director (as more fully described in footnote (4) below) is not
determinable at this time. The value of the Annual Grants to be granted under our current Director Compensation Policy will be calculated based on
the grant date fair value of the stock options in accordance with FASB ASC Topic 718. Refer to Note 10 of the consolidated financial statements in
our Annual Report on Form 10-K for the year ended December 31, 2025 regarding assumptions underlying the valuation of stock options on awards
and the calculation method.
(4) Awards granted under the Amended 2018 Plan to our non-employee directors are discretionary and are not subject to set benefits or amounts
under the terms of the Amended 2018 Plan, and we have not granted any awards under the Amended 2018 Plan subject to stockholder approval of
this Proposal 2. However, pursuant to our current Director Compensation Policy, as described above in this Proxy Statement under “Compensation
TABLE OF CONTENTS
Geron Corporation 46 2026 Proxy Statement
of Directors,” on the date of each annual meeting of our stockholders, each non-employee director who is then serving as a non-employee director
and who will continue as a non-employee director following the date of such annual meeting automatically will be granted an Annual Grant in the
form of a stock option to purchase 220,000 shares of our Common Stock, provided that such individual is not receiving an Initial Grant at such
annual meeting and has served on the Board for at least four months prior to the date of such annual meeting. Based on the expected composition
of our Board as of the conclusion of the Annual Meeting, the aggregate number of shares of our Common Stock that will automatically be granted on
an annual basis to all our current non-employee directors as a group will be 1,540,000; provided, however, that such number of shares will be
1,100,000 at the Annual Meeting, given that Ms. Andrews and Mr. Chinoporos, each of whom joined the Board in March 2026, will not be eligible to
receive an Annual Grant at the Annual Meeting.
(5) Consistent with the current terms of our Director Compensation Policy and the 2018 Plan, the aggregate value of all compensation granted to
an individual for service as a non-employee director in any calendar year, including awards granted and cash fees, will not exceed (1) $750,000 in
total value or (2) $1,000,000 for directors who are first-time appointees in such calendar year, if this Proposal 2 is approved by our stockholders.
TABLE OF CONTENTS
Geron Corporation 47 2026 Proxy Statement
Options and Restricted Stock Units Granted Under 2018 Plan
The following table presents certain information with respect to cumulative stock options and restricted stock unit awards
that have been granted under the 2018 Plan as of March 26, 2026:
Name and Position
Cumulative
Number of
Shares
Subject to Stock
Options Granted
Under the 2018
Plan
Weighted
Average
Exercise Price
Per Share
Restricted
Stock
Units Granted
Under the 2018
Plan
Harout Semerjian(1)
President and Chief Executive Officer
—
—
—
John A. Scarlett, M.D.
Former Chairman of the Board, President and Chief Executive Officer
13,039,750
$1.84
410,000
Dawn C. Bir
Director, Former Interim President and Chief Executive Officer
966,000
$2.00
—
Michelle J. Robertson
Executive Vice President, Chief Financial Officer, Treasurer and Interim
Secretary
3,166,000
$2.18
110,000
Joseph Eid, M.D.
Executive Vice President, Research and Development, Chief Medical Officer
2,220,000
1.80
—
Ahmed ElNawawi(2)
Executive Vice President, Chief Commercial Officer
3,000,000
1.27
—
Andrew J. Grethlein, Ph.D.
Former Executive Vice President, Chief Operating Officer
5,070,844
$1.84
140,000
James Ziegler
Former Executive Vice President, Chief Commercial Officer
529,000
$2.63
89,000
All current executive officers as a group
9,352,000
$1.99
110,000
All current directors who are not executive officers as a group
3,483,000
$2.24
N/A
Each nominee for election as a director:
Susan M. Molineaux, Ph.D.
940,409
$1.61
N/A
Patricia S. Andrews(3)
270,000
$1.57
N/A
Constantine Chinoporos(3)
270,000
$1.57
N/A
Each associate of any current executive officers, current directors or director
nominees
—
—
—
Each other person who received or is to receive 5% of awards
—
—
—
All current employees who are not executive officers as a group
29,262,778
$2.00
1,235,250
TABLE OF CONTENTS
Geron Corporation 48 2026 Proxy Statement
(1) Mr. Semerjian received new hire options under the Inducement Plan in connection with his hire in August 2025. Under the terms of his
employment agreement, Mr. Semerjian is not eligible for an annual equity grant under the 2018 Plan until 2027.
(2) Mr. ElNawawi was not eligible to receive an annual equity grant under the 2018 Plan in 2026 due to the fact that his employment with the
Company commenced on October 20, 2025, and it is our practice not to award annual equity grants to employees, including Named Executive
Officers, who commence employment after October 1 of the applicable calendar year. Mr. ElNawawi received new hire options under the Inducement
Plan.
(3) Ms. Andrews and Mr. Chinoporos were each appointed to the Board on March 25, 2026. Pursuant to our current Director Compensation Policy,
as described above in this Proxy Statement under “Compensation of Directors,” Ms. Andrews and Mr. Chinoporos were each automatically granted
an Initial Grant on March 25, 2026 in the form of a stock option to purchase 270,000 shares of our Common Stock.
Equity Compensation Plan Information
Please see the section of this Proxy Statement entitled “Equity Compensation Plan Information” for certain information with
respect to compensation plans under which our equity securities are authorized for issuance.
Effectiveness of Plan Amendments
If this Proposal 2 is approved by our stockholders, the Amended 2018 Plan, which will provide for the Share Increase, will
become effective.
If this Proposal 2 is not approved by our stockholders, then the Amended 2018 Plan and Share Increase will not become
effective and the 2018 Plan will continue to be effective in accordance with its terms.
VOTE
The Board of Directors unanimously recommends that stockholders vote FOR
Proposal 2
TABLE OF CONTENTS
Geron Corporation 49 2026 Proxy Statement
Proposal Three
Advisory Vote to Approve
Named Executive Officer
Compensation
As required by Section 951 of the Dodd-Frank Wall Street Reform and Consumer Protection Act and Section 14A of the
Exchange Act, the Board is requesting stockholders to vote, on a non-binding advisory basis, to approve the compensation
paid to our Named Executive Officers (as defined under the section entitled, “Compensation Discussion and Analysis”), as
disclosed in this Proxy Statement. This proposal, commonly known as a “say-on-pay” proposal, gives stockholders the
opportunity to express their views on the compensation of our Named Executive Officers.
This vote is not intended to address any specific item of compensation, but rather the overall compensation of our Named
Executive Officers and our executive compensation philosophy, policies and practices described in this Proxy Statement.
The overall compensation of our Named Executive Officers subject to the vote is disclosed in this Proxy Statement in the
sections entitled “Compensation Discussion and Analysis” and “Executive Compensation Tables and Related Narrative
Disclosure.”
The Compensation Committee continually reviews our executive compensation program to determine whether such program
achieves our desired goals of aligning our executive compensation strategy and structure with our stockholders’ interests
and current market practices. In 2017 and again in 2023, when considering the say on pay frequency, our stockholders
approved an annual advisory vote. At the 2025 annual meeting of stockholders, approximately 91.2% of the votes cast were
to approve our executive compensation program. The Compensation Committee reviewed the result of this vote, and, in light
of the approval by a substantial majority of our stockholders of the compensation program described in our proxy statement
for the 2025 annual meeting of stockholders, did not implement any significant changes to our executive compensation
program as a result of the vote. As discussed in detail in the section entitled “Compensation Discussion and Analysis” of this
Proxy Statement, our executive compensation strategy and structure is designed to motivate our executive management
team to create long-term value for our stockholders through the achievement of strategic business objectives, while
effectively managing the risks and challenges inherent in an early commercial-stage biopharmaceutical company. As the
long-term success of Geron depends on the talents of our employees, our compensation structure plays a significant role in
our ability to attract, retain and motivate the highest quality workforce in a competitive biotechnology employment market,
while also promoting a high-performance culture. The Compensation Committee believes the emphasis on pay for
performance in our executive compensation program strongly aligns with the long-term interests of our stockholders. Please
read the “Compensation Discussion and Analysis” section of this Proxy Statement for additional details about our executive
compensation program, including information about the 2025 compensation of our Named Executive Officers.
Advisory Vote and Board Recommendation
We recommend stockholder approval of the compensation of our Named Executive Officers for the 2025 fiscal year as
disclosed in this Proxy Statement pursuant to the SEC’s compensation disclosure rules, which disclosure includes the
section entitled “Compensation Discussion and Analysis,” and the compensation tables and accompanying narrative
disclosures within the section entitled “Executive Compensation Tables and Related Narrative Disclosure” of this Proxy
Statement.
Accordingly, the Board recommends that stockholders vote in favor of the following resolution:
“RESOLVED, that the stockholders approve, on a non-binding advisory basis, the compensation of the
Company’s Named Executive Officers, as disclosed in the Compensation Discussion and Analysis
section, the tabular disclosure regarding such compensation and the accompanying narrative disclosure
set forth in the Proxy Statement.”
As this is an advisory vote, the outcome of the vote is non-binding on us with respect to future executive compensation
decisions, including those related to our Named Executive Officers, or otherwise. However, the Board and the
Compensation Committee will review the results of the vote and take them into account when considering future executive
compensation policies and decisions.
TABLE OF CONTENTS
Geron Corporation 50 2026 Proxy Statement
Unless the Board modifies its policy on the frequency of future advisory votes on the compensation of our Named Executive
Officers, the next advisory vote on the compensation of our Named Executive Officers will be held at next year’s annual
meeting of stockholders.
VOTE
The Board of Directors unanimously recommends that stockholders vote FOR
Proposal 3.
TABLE OF CONTENTS
Geron Corporation 51 2026 Proxy Statement
Compensation Discussion and Analysis
This Compensation Discussion and Analysis describes the philosophy, objectives and key elements of our executive
compensation program and explains how compensation decisions were made in 2025 for our named executive officers
(“Named Executive Officers”).
Our 2025 Named Executive Officers
Harout Semerjian
President and Chief Executive Officer, who joined the Company effective August 7, 2025
John A. Scarlett, M.D.
Former Chairman of the Board, President and Chief Executive Officer, who ceased serving in those roles on March 10,
2025
Dawn C. Bir
Former Interim President and Chief Executive Officer, who served in such role from March 10, 2025 until Mr. Semerjian’s
appointment in August 2025
Michelle J. Robertson
Executive Vice President, Chief Financial Officer, Treasurer and Interim Secretary
Joseph Eid, M.D.
Executive Vice President, Research and Development, Chief Medical Officer
Ahmed ElNawawi
Executive Vice President, Chief Commercial Officer, who joined the Company in October 2025
Andrew J. Grethlein, Ph.D.
Former Executive Vice President, Chief Operating Officer, who ceased serving in that role on October 15, 2025
James Ziegler
Former Executive Vice President, Chief Commercial Officer, who ceased serving in that role on October 15, 2025
EXECUTIVE SUMMARY
2025 Business Highlights
Overall, 2025 was a year of strategic alignment for our company, with the appointment of new leadership, the
implementation of a more focused U.S. RYTELO commercial strategy targeting appropriate second-line lower-risk
myelodysplastic syndrome (“LR-MDS”) patients, and improved financial discipline. In addition to progress we made in 2025
on our strategic alignment, we also made significant progress on our corporate goals, including the following factors that
influenced the executive compensation decisions made by the Compensation Committee and/or the Board for the 2025
compensation of our Named Executive Officers:
Commercial and Financial
• In December 2025, we implemented a strategic restructuring plan, from a position of strength, designed to
streamline our company and to support the RYTELO commercial strategy and opportunistic innovation to create long-term
value for patients and stockholders.
• To enable paid access to RYTELO to patients outside the U.S. through approved Named Patient Programs, in
2025, we partnered with Tanner Pharma, a distributor with broad global reach to support patient access.
• In February 2026, we reported net product revenue for RYTELO of $48.0 million in the fourth quarter of 2025 and
$183.6 million for the year ended December 31, 2025. For the fourth quarter of 2025, RYTELO demand grew by 9%
compared to the third quarter of 2025, and we increased ordering accounts by 150 in the fourth quarter of 2025 to
approximately 1,300.
• In March 2026, we also reported $247.7 million of total operating expenses for the year ended December 31,
2025, coming in below our guidance range for 2025 of $250 million to $260 million, which had been revised downward
earlier in the year from $260 million to $270 million.
• Ended 2025 with approximately $401.1 million in cash, cash equivalents, restricted cash and marketable
securities.
Pipeline and Development
• In March 2025, we were granted marketing authorization by the European Commission for RYTELO as a
monotherapy for the treatment of adult patients with transfusion-dependent anemia due to very low, low or intermediate risk
myelodysplastic syndromes without an isolated deletion 5q cytogenetic abnormality and who had an unsatisfactory response
TABLE OF CONTENTS
Geron Corporation 52 2026 Proxy Statement
to or are ineligible for erythropoietin-based therapy. We are exploring pathways to bring RYTELO to eligible LR-MDS
patients in Europe in 2026.
• In September 2025, we completed enrollment in our Phase 3 IMpactMF clinical trial evaluating imetelstat in
patients with intermediate-2 or high-risk MF who have relapsed after or are refractory to treatment with a JAK inhibitor or R/
R MF, with overall survival as the primary endpoint. Based on our current assumptions for event (death) rates in the trial, we
project the interim analysis for overall survival in IMpactMF may occur in the second half of 2026 and the final analysis may
occur in the second half of 2028.
• In December 2025, in our presentations at the 67th American Society of Hematology 2025 Annual Meeting, we
announced new data from our Phase 3 IMerge clinical trial that expanded the scientific body of evidence supporting the
potential of RYTELO in LR-MDS, reinforcing RYTELO as a differentiated new treatment option.
• Throughout 2025, we aligned to support over ten investigator-sponsored and real-world experience trials focusing
on RYTELO’s mechanistic studies, combinations and sequencing, earlier-line use and new settings, with initial data
expected in the second half of 2026.
People
• In August 2025, following an extensive search by the Board to identify a leader with deep commercial and
hematology expertise, a global perspective, and a steadfast commitment to improving patient lives, we announced the
appointment of Harout Semerjian as our President and Chief Executive Officer, who brings over 30 years of commercial
experience across hematology and oncology, including key leadership roles at Novartis, Ipsen and GlycoMimetics.
• In October 2025, we announced the appointment of four other seasoned executives to Geron’s leadership team,
bringing deep experience across oncology commercialization and leadership, technical operations, investor relations and
corporate affairs, and portfolio management, further strengthening our commercial, operational and development
capabilities.
Our 2026 priorities are to drive U.S. RYTELO sales growth, pursue pathways to bring RYTELO to patients outside the U.S.,
remain financially disciplined, and evaluate opportunistic innovation as we transform Geron into a leading, sustainable
hematology company.
Compensation Highlights
• Significant Portion of “At-Risk” Compensation: Approximately 97% of the 2025 total direct compensation for
Mr. Semerjian, our President and Chief Executive Officer, and approximately 84% of the average 2025 total direct
compensation for Ms. Robertson and Dr. Eid, our Named Executive Officers who served as executive officers for the entire
year, was composed of “at-risk” compensation in the form of an annual performance-based bonus and long-term equity
awards that, in the case of stock options, have value only if our stock price increases from the price of the grant date or, in
the case of restricted stock units (“RSUs”), have value that fluctuates based on our stock price performance. “Total direct
compensation,” as referred to in this Compensation Discussion and Analysis, means the sum of base salary paid, the actual
annual performance-based bonus paid and the grant date fair value of long-term equity awards granted, in each case as
reported in the Summary Compensation Table.
• Base Salaries: We approved modest base salary increases of 3.5% in February 2025 for each of our then-serving
Named Executive Officers (other than Dr. Eid, who joined the Company in November 2024), reflecting market-competitive
merit adjustments, and we established market-competitive base salaries for each of Mr. Semerjian and Mr. ElNawawi, who
joined the Company in August 2025 and October 2025, respectively, as part of their new hire compensation packages. See
“Compensation Decisions in 2025—2025 Base Salaries” below for more information.
• Annual Performance-Based Bonus: Achievement of our 2025 annual corporate goals resulted in a corporate goal
achievement factor of 125% of target, and for each of our eligible Named Executive Officers other than Dr. Scarlett whose
annual performance-based bonus was based entirely on the achievement of our annual corporate goals, their individual
performance and their contributions to our corporate values resulted in individual performance factors ranging from 125% to
130% of target and a corporate values performance factor of 100% of target, respectively. See “Compensation Decisions in
2025—2025 Annual Performance-Based Bonuses” below for more information.
• Annual Equity Awards: In 2025, our Named Executive Officers received long-term equity incentive awards in the
form of time-vesting stock options and/or time-vesting RSUs. See “Compensation Decisions in 2025—2025 Long-Term
Equity Incentive Awards” below for more information.
Executive Leadership Transitions and Appointments
On March 10, 2025, Dr. Scarlett, our former President and Chief Executive Officer and Chairman of the Board, ceased
serving as our President and Chief Executive Officer and resigned as a member of the Board. In connection with the
conclusion of Dr. Scarlett’s services in these roles, the Board appointed Ms. Bir, one of our directors, as the Company’s
Interim President and Chief Executive Officer while the Company conducted a search for a permanent Chief Executive
Officer.
TABLE OF CONTENTS
Geron Corporation 53 2026 Proxy Statement
On August 1, 2025, the Board appointed Mr. Semerjian as our President and Chief Executive Officer and as a director,
effective August 7, 2025. Upon Mr. Semerjian’s appointment, Ms. Bir ceased serving as our Interim President and Chief
Executive Officer and resumed her roles on the Compensation Committee and the Nominating and Corporate Governance
Committee, which she had stepped down from during her interim service. All compensation arrangements for Ms. Bir as our
Interim President and Chief Executive Officers are described below under “Dawn C. Bir’s Compensation as Interim
President and Chief Executive Officer.”
On October 15, 2025, Dr. Grethlein, our former Executive Vice President, Chief Operating Officer, and Mr. Ziegler, our former
Executive Vice President, Chief Commercial Officer, each departed the Company. To assist with the transition of his
responsibilities, Dr. Grethlein entered into a consulting agreement with the Company, effective as of October 16, 2025 (the
“Grethlein Consulting Agreement”). See “2025 Named Executive Officer Departures” below for information regarding the
Grethlein Consulting Agreement.
Effective October 20, 2025, Mr. ElNawawi was appointed as our Executive Vice President, Chief Commercial Officer.
Important Features of Our Executive Compensation Program
The Compensation Committee has structured our executive compensation program to ensure that our executive
management team, including our Named Executive Officers, are compensated in a manner consistent with stockholder
interests, competitive pay practices and applicable requirements of regulatory bodies. To help us accomplish these important
objectives, we have adopted the following policies and practices over time:
What We Do:
What We Don’t Do:
✔
Emphasize pay for performance using a mix of annual and long-
term incentives
X
Approve automatic or guaranteed annual salary increases
✔
Conduct competitive review designed to ensure executive
compensation is aligned to market
X
Permit automatic or guaranteed bonuses or long-term
incentive awards
✔
Require recoupment (clawback) of certain incentive-based
compensation from specified members of our executive
management team, as provided under their executive
employment agreements and our Clawback Policy
X
Provide for tax gross-ups
✔
Appoint only independent directors to the Compensation
Committee
X
Reprice options without stockholder approval
✔
Engage an independent compensation consultant reporting
directly to the Compensation Committee
X
Allow hedging or pledging of Company stock
✔
Annually assess risk in our compensation programs and identify
mitigation strategies
X
Grant stock options with an exercise price less than fair
market value
✔
Conduct annual say-on-pay vote
X
Provide excessive perquisites without a compelling
business rationale
Say-on-Pay Vote
At our 2025 annual meeting of stockholders, we sought an advisory vote from our stockholders regarding the compensation
of our Named Executive Officers. The 2024 “say-on-pay” proposal was approved, with approximately 91.2% of the votes
cast supporting the proposal. While this vote is a non-binding advisory vote, our Compensation Committee considers the
results of the advisory vote as it completes its annual review of each pay element and the compensation packages provided
to our Named Executive Officers. In light of the strong level of support evidenced by last year’s say-on-pay vote, among
other factors, the Compensation Committee maintained its general approach to executive compensation and made no
material changes to our executive compensation program for 2025 as a result of the vote; however, the Compensation
Committee continues to monitor and evaluate our compensation program going forward in light of our stockholders’ views
and our evolving needs and business strategy to ensure our compensation program aligns with the interests of our
stockholders. We recognize the value of and are committed to engaging with our stockholders. As part of our stockholder
engagement efforts, our executive management team addresses a variety of topics through regular contact with investors in
a number of forums, including in quarterly earnings calls, investor and industry conferences and analyst meetings.
TABLE OF CONTENTS
Geron Corporation 54 2026 Proxy Statement
Our Executive Compensation Program
Philosophy and Objectives
We believe that the leadership of our current executive management team is critical as we execute on our U.S. RYTELO
commercial strategy and pursue paths to make RYTELO available to eligible LR-MDS patients outside of the U.S., including
in the EU. Our industry is highly scientific, clinical, regulated and dynamic, which requires an executive management team
that is exceptionally educated, dedicated and experienced. We also believe that the work of our executive officers, including
our continuing Named Executive Officers, toward accomplishing our corporate goals is highly collaborative and team-
oriented, and we strive to ensure that the total compensation levels for our executives are competitive with those of other
companies in our industry that compete with us for executive talent. When hiring new members of our executive
management team, we work with our independent compensation consultant to understand the current market conditions and
expectations based on the candidate’s experience and qualifications so that we can offer market-competitive compensation
to attract and retain high-performing executives with the necessary skills, values and experiences to contribute to our long-
term success. Given the highly competitive industry in which we operate and the benefit we believe is conveyed to the
Company by attracting, retaining and motivating highly qualified and talented executives, the Compensation Committee has
concluded that market-competitive compensation and retention are key factors in executive compensation decisions.
Our executive compensation program has the following general objectives:
Objectives
Description
Pay for Performance
We tie annual performance-based bonuses to the successful achievement of pre-established
corporate and individual goals tied to our strategy
Alignment to Stockholders’ Interests
We structure long-term incentives subject to multi-year vesting based on continued service,
such that value is realized based upon the appreciation of stock value and remaining in-
service at the Company
Competitiveness
We compare our practices with appropriate peer companies to ensure annual and long-term
compensation correspond with industry and market standards
We believe that these objectives align with our compensation philosophy and serve to help attract, motivate and retain our
executive officers, including our Named Executive Officers, who drive strategic clinical, commercial and business objectives
and build long-term stockholder value.
Pay for Performance/At-Risk Pay
Our executive compensation program is designed to reward achievement of the specific strategic goals that we believe will
advance our business strategy and create long-term value for our stockholders. Consistent with our goal of attracting,
motivating and retaining a high-caliber executive management team, our executive compensation program is designed to
pay for performance. We utilize compensation elements that meaningfully align our Named Executive Officers’ interests with
those of our stockholders to create long-term value. As such, a significant portion of our Chief Executive Officer’s and other
executive officers’ compensation is “at-risk”, performance-based compensation, in the form of long-term equity awards
(including, from time to time, performance-vesting equity awards) and annual cash incentives that are only earned if we
achieve measurable corporate goals.
In 2025, approximately 97% of our current Chief Executive Officer’s total direct compensation was composed of “at-risk”
compensation, and approximately 84% of the average total direct compensation for Ms. Robertson and Dr. Eid, our Named
Executive Officers who served as executive officers for the entire year, was composed of “at-risk” compensation, in each
case in the form of an annual performance-based bonus and long-term equity awards that, in the case of stock options, have
value only if our stock price increases from the price of the grant date or, in the case of restricted stock units (“RSUs”), have
value that fluctuates based on our stock price performance.
Compensation Components
The primary components of our executive compensation program consist of elements that are available to all employees,
including base salary, annual performance-based bonuses, long-term equity incentive compensation and broad-based
benefits. To help retain and motivate our executive officers, including our Named Executive Officers, we target total
compensation that is competitive with the biotechnology employment markets through the utilization of a mix of short- and
long-term compensation, fixed and variable pay and cash and equity-based compensation. We believe a mixture of these
components supports our objectives to (1) pay for performance, (2) align executive compensation with stockholders’
interests, and (3) remain competitive in the marketplace. “Total compensation,” as referred to in this Compensation
Discussion and Analysis, consists of annual base salary, annual performance-based bonus and long-term equity incentive
compensation.
TABLE OF CONTENTS
Geron Corporation 55 2026 Proxy Statement
In the table below, we describe the primary components of our executive compensation program, when it is paid, how we
determine the amount or size of each component, and why we pay each component.
/---------Fixed Pay ------- /
/-------------------Variable Pay (At Risk)---------------- /
Base Salary
Performance-Based Bonus(1)
Long-Term Incentives
Form
Cash
Cash
Equity
When
paid/vested
Ongoing, twice monthly
Annual
Time-Based Stock Options: Subject to
six-month cliff vesting for new-hire grants;
equity fully vested after four years of
continuous service
Time-based RSUs (for 2025): Subject to
annual vesting; equity fully vested after
four years of continuous service
How determined
• Competitive data
• Scope of responsibilities
• Work experience
• Critical skills
• Individual performance
• Target awards are set as a percent
of salary based on competitive
data
• Award payouts are based on
achievement of weighted
corporate and individual goals and
corporate values
• CEO bonus tied 100% to
corporate goal achievement
• Based on competitive data and industry
standards
• Takes into consideration potential
projected benefit upon stock price
appreciation
• Strategic company-level objectives (for
performance-based awards) when
granted
Why paid
Provides competitive levels
of fixed pay to attract and
retain executives
Motivates attainment of critical near-
term priorities by linking annual
company and individual performance
to an annual incentive
Promotes retention of key talent, aligns
executive and stockholder interests and
encourages employee ownership in
Geron
(1) Reported as non-equity incentive plan compensation in the Summary Compensation Table.
Allocating Amongst Compensation Components
The Compensation Committee does not have any formal policies for allocating total compensation among the various
components of our executive compensation program. Instead, the Compensation Committee uses its judgment, in
consultation with its independent compensation consultant, Aon (as defined below), to establish a mix of current, short-term
and long-term incentive compensation, and cash and equity compensation for each Named Executive Officer that our
Compensation Committee believes balances the needs of management in leading the business with those of our
stockholders to drive near-term and long-term company performance. The Compensation Committee evaluates market data
between the 25th and 75th percentiles of our peers to establish fair and equitable pay ranges and focuses on total
compensation, factoring in all aspects of pay to maintain a program that is competitive and consistent with common market
practices. Specifically, in setting the annual level of total compensation for our Named Executive Officers, the Compensation
Committee considers various factors, which typically include:
• market-competitive compensation based on defined peer group market data provided by Aon;
• corporate performance, including performance in light of current business challenges;
• our level of achievement of our corporate goals;
• each Named Executive Officer’s individual performance (other than our Chief Executive Officer, whose bonus is
based entirely on achievement of our corporate goals);
• the criticality of each Named Executive Officer’s skillset, and the need to retain such skills;
• the retention value of outstanding equity awards;
• analyses of historical compensation levels for each Named Executive Officer and current company-wide
compensation levels; and
• trends for executive compensation in our industry and in our local employment markets.
Each of these factors is considered in the context of our overall compensation philosophy and objectives in determining
executive compensation structure, as well as balancing against our financial resources and ability to award cash and equity
incentives.
TABLE OF CONTENTS
Geron Corporation 56 2026 Proxy Statement
Process for Setting Executive Compensation
Role of the Compensation Committee
Appointed by our Board, the members of our Compensation Committee are independent of our management and meet the
Nasdaq listing standards for independence. The Compensation Committee acts on behalf of the Board to oversee the
compensation policies and practices applicable to all of our employees, including the administration of our equity plans and
employee benefit plans. Typically, the Compensation Committee meets at least once quarterly, and may meet with greater
frequency if necessary. The Chair of the Compensation Committee typically develops the agenda for each meeting in
consultation with the Chief Executive Officer, other members of the executive management team, including the Chief People
Officer, and the Compensation Committee’s independent compensation consultant, Aon. The Compensation Committee also
meets in executive session without the presence of any employees. Historically, the Compensation Committee makes
decisions related to executive compensation after conducting multiple meetings during the fourth quarter of the calendar
year and the first quarter of the ensuing year.
Role of Independent Compensation Consultant
The Compensation Committee actively reviews and assesses our executive compensation program in light of the highly
competitive employment environment in the biotechnology industry, the challenges of recruiting, motivating and retaining our
executive officers, including our Named Executive Officers, in an industry such as ours, which has much longer business
cycles than other commercial industries, and evolving compensation governance and best practices. To assist with this
assessment, the Compensation Committee has the authority to retain special counsel and other experts, including
compensation consultants, to support their responsibilities in determining executive compensation and related benefits.
In 2025, the Compensation Committee continued to retain Aon as its independent compensation consultant due to its
extensive analytical and compensation expertise in the biotechnology and pharmaceutical industry. Although the Company
pays the costs of Aon’s services, the Compensation Committee has the sole authority to engage and terminate Aon’s
services, as well as to approve fees for Aon’s services. Aon makes recommendations to the Compensation Committee, but it
has no authority to make compensation decisions on behalf of the Compensation Committee or the Company. The
Compensation Committee, at its discretion, may communicate and meet with Aon with no Company employees present.
The Compensation Committee periodically evaluates the independence of its compensation consultant. In March 2025, the
Compensation Committee evaluated Aon’s independence and, based on this evaluation, concluded that the engagement of
Aon did not raise any conflicts of interest. In reaching this conclusion, the Compensation Committee considered various
factors, including the six factors set forth in the SEC and Nasdaq rules regarding compensation advisor independence and
conflicts of interest.
For 2025, Aon provided the following services to the Compensation Committee:
• reviewed emerging trends and topics regarding executive and non-employee director compensation;
• recommended the companies to comprise a defined peer group to reference in determining executive and non-
employee director compensation;
• provided compensation data and practices related to executive officers for the defined peer group based on data
from SEC filings and Aon’s Life Sciences Survey;
• conducted a competitive review of the compensation of our executive officers and non-employee directors,
including advising on the design and structure of compensation;
• provided an analysis with respect to non-executive compensation, including equity grants;
• prepared an analysis of share usage under our equity incentive plans in comparison to the defined peer group
based on data from SEC filings; and
• provided guidance on the size and structure of the new-hire compensation packages provided to senior executive
hires, including our new Chief Executive Officer.
Role of Management
To aid the Compensation Committee in its responsibilities, during the first quarter of each year, the Chief Executive Officer,
with assistance from other members of our executive management team, including the Chief People Officer, provides the
Compensation Committee with recommendations relating to the level of achievement the Company has attained with
respect to our annual corporate goals. In addition, the Chief Executive Officer provides the Compensation Committee with
his view of the prior-year performance and achievements of the other Named Executive Officers and recommends an
individual performance factor and corporate values performance factor for each other Named Executive Officer. The
Compensation Committee gives considerable weight to the Chief Executive Officer’s performance evaluations of the other
Named Executive Officers, since he has direct knowledge of the criticality of their work, performance and contributions. The
Compensation Committee does not consult with any other executive officer with regard to its decisions. The Compensation
Committee reviews the individual performance factor and the corporate values performance factor for each Named
Executive Officer (other than the Chief Executive Officer) and adjusts the factors as it deems appropriate prior to approval.
The Chief Executive Officer does not participate in the Compensation Committee’s or Board’s deliberations or decisions with
regard to the Chief Executive Officer’s own compensation, which is recommended by the Compensation Committee to, and
approved by, the independent members of the Board (together, the “Independent Board”).
TABLE OF CONTENTS
Geron Corporation 57 2026 Proxy Statement
Use of Market Data and Peer Group Analysis
When considering executive compensation, the Compensation Committee believes it is important to be informed as to
current compensation practices of comparable publicly traded companies in the life sciences industry and to understand the
demand and competition that the Company faces in attracting and retaining individuals with specific expertise and
experience. The Compensation Committee, therefore, actively reviews and assesses our executive compensation program
in light of the highly competitive employment environment in the biotechnology industry, the challenges of recruiting,
motivating and retaining our executive management team, including our Named Executive Officers, in an industry such as
ours, which has much longer business cycles than other commercial industries, and evolving compensation governance and
best practices.
In August 2024, based on the recommendation of Aon, the Compensation Committee determined that a defined peer group
was appropriate to reference in connection with making 2025 executive compensation decisions. With the assistance of Aon,
the Compensation Committee considered several factors in determining the companies to be included in the defined peer
group for 2025 executive compensation decisions, including: (i) sector and stage of development, with a primary focus on
publicly held pre-commercial or early-commercial U.S. biotechnology companies; (ii) market capitalizations within a
reasonable range of our own (approximately one-half to three times our market capitalization); (iii) revenues below $300
million; and (iv) as a secondary criteria, headcounts within a reasonable range of our own (approximately one-half to three
times our headcount). Based on this analysis, the Compensation Committee determined that the following companies would
be referenced when making 2025 executive compensation decisions:
2025 Peer Group(1)
1. ADMA Biologics (ADMA)
9. Dynavax Technologies (DVAX)
17. Rhythm Pharmaceuticals (RYTM)
2. Agios Pharmaceuticals (AGIO)
10. ImmunityBio (IBRX)
18. SpringWorks Therapeutics (SWTX)
3. Ardelyx (ARDX)
11. Iovance Biotherapeutics (IOVA)
19. Syndax Pharmaceuticals (SNDX)
4. Axsome Therapeutics (AXSM)
12. Krystal Biotech (KRYS)
20. TG Therapeutics (TGTX)
5. Blueprint Medicines (BPMC)
13. Ligand Pharmaceuticals (LGND)
21. Veracyte (VCYT)
6. Catalyst Pharmaceuticals (CPRX)
14. Madrigal Pharmaceuticals (MDGL)
22. Vericel (VCEL)
7. Cytokinetics (CYTK)
15. MannKind (MNKD)
23. Xenon Pharmaceuticals (XENE)
8. Day One Biopharmaceuticals (DAWN)
16. Mirum Pharmaceuticals (MIRM)
(1) The 2025 peer group reflects the following changes from our prior year peer group: (i) the removal of two companies that were acquired
(Deciphera Pharmaceuticals, Inc. and ImmunoGen, Inc.); (ii) the removal of five companies that no longer met the appropriate selection criteria for
inclusion (Amylyx Pharmaceuticals, Inc., Coherus Oncology, Inc., Revance Therapeutics, Inc., Seres Therapeutics, Inc. and Travere Therapeutics,
Inc.); and (iii) the addition of nine companies that met the appropriate selection criteria for inclusion (Agios Pharmaceuticals, Axsome Therapeutics,
Blueprint Medicines, Dynavax Technologies, Iovance Biotherapeutics, Ligand Pharmaceuticals, Madrigal Pharmaceuticals, Syndax Pharmaceuticals
and Xenon Pharmaceuticals).
At the time the 2025 peer group was selected, our 30-day average market capitalization approximated the 52nd percentile of
the 2025 peer group, our headcount was below the 25th percentile of the 2025 peer group, and because we had
commenced commercialization of RYTELO only two months earlier, our revenues were below the 25th percentile of the
2025 peer group.
TABLE OF CONTENTS
Geron Corporation 58 2026 Proxy Statement
In September 2025, with the assistance of Aon, the Compensation Committee evaluated our 2025 peer group and
considered AON’s recommended updates thereto that were intended to capture additional early-commercial stage
companies. Based on this analysis, which generally focused on the same factors as described above, with the revenue
range being updated to between $50 million and $500 million, the Compensation Committee determined that the companies
set forth in the table below would be referenced when making 2026 executive compensation decisions. This peer group was
also referenced by the Compensation Committee when determining the new hire compensation package awarded to Mr.
ElNawawi, who joined the Company in October 2025.
2026 Peer Group(1)
1. ADMA Biologics (ADMA)
9. Day One Biopharmaceuticals (DAWN)
17. Phathom Pharmaceuticals (PHAT)
2. Agios Pharmaceuticals (AGIO)
10. Dynavax Technologies (DVAX)
18. Rigel Pharmaceuticals (RIGL)
3. Akebia Therapeutics (AKBA)
11. ImmunityBio (IBRX)
19. Syndax Pharmaceuticals (SNDX)
4. Ardelyx (ARDX)
12. Iovance Biotherapeutics (IOVA)
20. UroGen Pharma (URGN)
5. ARS Pharmaceuticals (SPRY)
13. Kura Oncology (KURA)
21. Veracyte, Inc. (VCYT)
6. Axsome Therapeutics (AXSM)
14. Ligand Pharmaceuticals (LGND)
22. Vericel Corp. (VCEL)
7. Catalyst Pharmaceuticals (CPRX)
15. MannKind (MNKD)
8. Cytokinetics (CYTK)
16. Mirum Pharmaceuticals (MIRM)
(1) The 2026 peer group reflects the following changes from our 2025 peer group: (i) the removal of two companies that were acquired (Blueprint
Medicines and SpringWorks Therapeutics); (ii) the removal of five companies that no longer met the appropriate selection criteria for inclusion
(Krystal Biotech, Madrigal Pharmaceuticals, Rhythm Pharmaceuticals, TG Therapeutics and Xenon Pharmaceuticals); and (iii) the addition of six
companies that met the appropriate selection criteria for inclusion (Akebia Therapeutics, ARS Pharmaceuticals, Kura Oncology, Phathom
Pharmaceuticals, Rigel Pharmaceuticals and UroGen Pharma).
At the time the 2026 peer group was selected, our 30-day average market capitalization approximated the 18th percentile of
the 2026 peer group, our headcount approximated the 33rd percentile of the 2026 peer group, and our revenues
approximated the 37th percentile of the 2026 peer group.
Setting Base Salaries
The Compensation Committee (or the Independent Board with respect to the Chief Executive Officer, upon recommendation
from the Compensation Committee), in consultation with Aon, sets base salaries for our Named Executive Officers when
they join our Company or upon promotion. In addition, at the beginning of each calendar year, the Compensation
Committee, in consultation with Aon (or the Independent Board with respect to our Chief Executive Officer, upon
recommendation from the Compensation Committee), reviews and determines base salaries for our Named Executive
Officers. The Compensation Committee (or the Independent Board with respect to our Chief Executive Officer, upon
recommendation from the Compensation Committee) considers various factors, as noted above, in determining whether any
base salary adjustments are necessary. The Compensation Committee does not apply any specific formulas in determining
increases in base salaries for our Named Executive Officers and instead employs a holistic analysis of multiple relevant
factors using its professional judgement and experience in determining base salary increases. Increases in base salary
typically are effective as of January 1st of each calendar year.
Assessing Annual Corporate Performance
At the beginning of each calendar year, the Chief Executive Officer develops, with input from our other Named Executive
Officers, our annual corporate goals, including recommended weightings for each goal. The weighting for each corporate
goal depends on its importance and business value for Geron and our stockholders. In addition, each goal is established
with criteria to measure target goal accomplishment (100%), as well as criteria to measure stretch goal accomplishment (up
to an additional 50% in the aggregate in certain cases). The Chief Executive Officer submits the corporate goals and
recommended weightings to the Compensation Committee and the Independent Board for their review and approval. The
Compensation Committee and Independent Board review the corporate goals and weightings and modify them as they
deem appropriate prior to approval.
During the first quarter of the year, as part of the annual year-end performance review process, the Compensation
Committee evaluates our achievement of the corporate goals for the preceding year. To aid the Compensation Committee in
its responsibilities, the Chief Executive Officer, with assistance from other members of our executive management team,
including the Chief People Officer, provides the Compensation Committee with recommendations relating to the
achievement the Company has attained with respect to our annual corporate goals, known as the corporate goal
TABLE OF CONTENTS
Geron Corporation 59 2026 Proxy Statement
achievement factor. The Compensation Committee does not use a rigid formula to determine the corporate goal
achievement factor. Also, the Compensation Committee can take into account additional achievements by the Company not
originally set forth in the annual corporate goals. The corporate goal achievement factor generally ranges from 0% to 150%.
The Compensation Committee evaluates the corporate goal achievement factor and recommends the corporate goal
achievement factor to the Independent Board, who has the final approval. In assessing the corporate goal achievement
factor, the Compensation Committee and Independent Board consider the following:
• the degree of success in achieving each corporate goal;
• the degree of difficulty in achieving the corporate goal;
• whether significant unforeseen obstacles or favorable circumstances altered the expected difficulty of achieving
the desired results;
• other conditions that may have made the stated goal more or less important to our success; and
• any other significant company accomplishments not included in the formal goals, but nonetheless deemed
important to our near- and long-term success.
The Compensation Committee recommends the corporate goal achievement factor to the Independent Board, which
considers the recommendation of the Compensation Committee and may accept or modify such recommendation before
approval. The Independent Board has the discretion to approve a corporate goal achievement factor above the maximum
range in extraordinary circumstances where it determines such an increase is warranted. Calculation of annual
performance-based bonuses for all employees, including our Named Executive Officers, generally occurs at the beginning of
each calendar year based on performance of the prior year. Payment of annual performance-based bonuses typically occurs
in the first quarter of the calendar year.
Determining Equity Grants
The Compensation Committee (or the Independent Board with respect to our Chief Executive Officer, upon recommendation
from the Compensation Committee), in consultation with Aon, determines the size of any equity grants according to each
executive officer’s position. To do so, the Compensation Committee considers numerous factors, as outlined below under
“2025 Long-Term Equity Incentive Awards,” and has the discretion to give relative weight to each of these factors as it sets
the size of equity grants to appropriately create an opportunity for future reward based on increasing stockholder value.
There is no set formula for awarding equity grants to employees, including our Named Executive Officers; however, we
reference the grant ranges based on the market data provided by Aon for each position.
Stock Option Granting Practices
Our general policy is to grant stock options on fixed dates determined in advance. All required approvals are obtained in
advance of or on the actual grant date. The exercise price of all stock option grants, including to executive officers and
directors, is equal to the closing price of our Common Stock as reported by the Nasdaq Global Select Market on the grant
date. Our standard vesting schedule for the first stock option grant awarded to newly hired employees, including executive
officers, provides that 12.5% of the shares granted will vest six months after the vesting commencement date of the grant,
and the remaining shares will vest in equal monthly installments over the following 42 months, so that vesting is complete
four years from the grant date, provided the employee continues to provide services to the Company during that time.
Additional stock option grants made after an employee, including an executive officer, has provided services to the Company
for more than six months, generally vest monthly from the grant date over four years.
For more information about the timing of stock option grants, see the section entitled “Policies and Practices Related to the
Grant of Certain Equity Awards.”
Compensation Decisions in 2025
2025 Base Salaries
In February 2025, the Compensation Committee reviewed and adjusted the base salaries for our executive management
team, including our then-serving Named Executive Officers. In determining such adjustments, the Compensation Committee
considered a number of factors, including:
• the peer group market data provided by Aon at the 25th, 50th and 75th percentiles;
• the individual performance of each Named Executive Officer in 2024, including the breadth of their responsibilities
and the level of difficulty required to achieve the individual’s goals for 2025;
• tenure, experience, skills and breadth of responsibilities of each Named Executive Officer;
• managerial leadership exhibited by each Named Executive Officer;
• achievement of the 2024 corporate goals and the active engagement of each Named Executive Officer that
contributed to the achievement of the goals; and
TABLE OF CONTENTS
Geron Corporation 60 2026 Proxy Statement
• the anticipated level of difficulty in replacing a Named Executive Officer with someone of comparable experience
and skill, especially as the Company continues to develop as a commercial-stage company.
Based on this analysis, the Compensation Committee and, with respect to Dr. Scarlett, the Independent Board, approved
base salary increases of 3.5% for each of Dr. Scarlett, Ms. Robertson, Dr. Eid, Dr. Grethlein and Mr. Ziegler, reflecting
market-competitive merit adjustments. The 2025 base salary increases for these Named Executive Officers became
effective as of January 1, 2025.
The Compensation Committee approved base salaries for Mr. Semerjian and Mr. ElNawawi in connection with their
commencement of employment with the Company in August 2025 and October 2025, respectively. In determining such base
salaries, the Compensation Committee considered several factors, including the market data from our 2025 peer group (for
Mr. Semerjian) and our 2026 peer group (for Mr. ElNawawi), the competitive market for executive talent in our industry, and
the scope of their responsibilities. In addition, in March 2025, the Compensation Committee determined Ms. Bir’s annualized
base salary for her service as our Interim President and Chief Executive Officer, as described below under “Dawn C. Bir’s
Compensation as Interim President and Chief Executive Officer,” after considering the same factors.
The following were the approved annualized base salaries for each of our Named Executive Officers for 2025:
Named Executive Officer
2024
Base Salary ($)
2025
Base Salary ($)
Salary
Increase
(%)
Harout Semerjian
—
800,000 (1)
—
John A. Scarlett, M.D.
810,600
839,000
3.5%
Michelle J. Robertson
540,800
559,700
3.5%
Joseph Eid, M.D.
650,000
650,000
—
Ahmed ElNawawi
—
525,000 (2)
—
Andrew J. Grethlein, Ph.D.
600,000
621,000
3.5%
James Ziegler
525,000
543,400
3.5%
(1) Effective upon Mr. Semerjian’s commencement of employment with the Company on August 7, 2025.
(2) Effective upon Mr. ElNawawi’s commencement of employment with the Company on October 20, 2025.
2025 Annual Performance-Based Bonuses
In keeping with our pay-for-performance philosophy, the annual performance-based bonuses that can be earned by our
executive officers are variable and at risk due to their dependency on the Company’s performance against pre-established
corporate goals and (for each executive officer other than the Chief Executive Officer) the individual’s performance.
Consistent with prior years, for 2025, the Chief Executive Officer’s annual performance-based bonus was 100% contingent
upon the level of achievement of our corporate goals, and each of our other Named Executive Officer’s annual performance-
based bonus was contingent on the following: 50% upon the level of achievement of our corporate goals, 30% upon the
level of achievement of individual goals, and 20% upon individual support and manifestation of our corporate values. Mr.
Semerjian’s annual performance-based bonus was 100% contingent upon the level of achievement of our corporate goals
as was Dr. Scarlett’s; however, Dr. Scarlett was not eligible for, and he therefore did not receive, an annual performance-
based bonus for 2025 due to his departure in March 2025. Mr. ElNawawi was not eligible for, and he therefore did not
receive, an annual performance-based bonus for 2025, due to the fact that his employment with the Company commenced
in October 2025, and it is our practice to not award annual bonuses or base salary increases to employees, including
Named Executive Officers, who commence employment after October 1 of the applicable calendar year. Pursuant to his
employment agreement, Mr. ElNawawi’s annual performance-based bonus target is equal to 45% of his base salary.
TABLE OF CONTENTS
Geron Corporation 61 2026 Proxy Statement
The table below summarizes the 2025 annual performance-based bonus targets, expressed as a percentage of annual
salary, for each of our Named Executive Officers (other than Mr. ElNawawi). These bonus targets were generally aligned
with the 50th percentile of our peer group market data and remained unchanged from their prior year levels, except for Dr.
Scarlett’s bonus target, which was increased from 65% to 70% to align with the 50th percentile of our peer group data, and
Mr. Semerjian’s bonus target, which was established in August 2025 as part of his new hire compensation package. The
Compensation Committee determined that these bonus targets were appropriate for 2025 in light of the functions for which
our Named Executive Officers were accountable to ensure achievement of our 2025 corporate goals, and that they
strengthened our ability to retain our Named Executive Officers in a competitive job market.
Named Executive Officer
Annual Incentive Bonus
Target as a % of Salary
Harout Semerjian (1)
70%
John A. Scarlett, M.D.
70%
Michelle J. Robertson
45%
Joseph Eid, M.D.
55%
Andrew J. Grethlein, Ph.D.
50%
James Ziegler
45%
(1) Mr. Semerjian joined the Company in August 2025 and was eligible to receive a pro-rated bonus based on the period of his employment with
the Company during 2025.
Upon their respective departures from the Company in 2025, Dr. Scarlett, Dr. Grethlein and Mr. Ziegler were no longer
eligible to receive a 2025 annual performance-based bonus. Accordingly, the only Named Executive Officers who were
eligible to receive a 2025 annual performance-based bonus were Mr. Semerjian, Ms. Robertson, and Dr. Eid, whom we
collectively refer to as our bonus-eligible Named Executive Officers below. See “2025 Named Executive Officer Departures”
below for information regarding certain severance benefits provided to Dr. Scarlett, Dr. Grethlein and Mr. Ziegler pursuant to
their respective employment agreements.
2025 Corporate Goal Achievement Factor
In December 2024, the Independent Board, upon recommendation of the Compensation Committee, approved (a) 2025
corporate base goals representing up to 100% of the 2025 corporate goal achievement factor opportunity and (b) 2025
corporate stretch goals representing up to an additional 50% of such opportunity. The 2025 corporate goals were designed
to incentivize meaningful progress across key commercial, clinical, regulatory, medical, and other corporate objectives, with
a particular emphasis on driving revenue growth from U.S. commercial sales of RYTELO. The Independent Board
considered these goals to be rigorous and attainable only with strong performance, and they were designed to advance our
business strategy and enhance stockholder value.
The 2025 corporate goals included a heavily-weighted U.S. RYTELO net revenue goal, with a 40% weighted payout for
base achievement if 2025 U.S. net revenue of RYTELO reached $320 million, plus an additional 20% weighted payout for
stretch achievement if such revenue exceeded $368 million. The Compensation Committee and Independent Board
considered these weightings appropriate given the Company’s keen focus on the successful commercialization of RYTELO,
which is the Company’s first and only product approved by the FDA. The goal’s performance targets were established based
on the Company’s (a) internal 2025 U.S. RYTELO net revenue forecast as of December 2024, which forecast was generally
consistent with then-current external analyst consensus for 2025 U.S. RYTELO net revenue, and (b) 2025 budget, which
2025 budget was approved by the Board at the same time as the Independent Board approved the 2025 corporate goals in
December 2024.
In late February 2025, on the Company’s earnings call for the fiscal year ended December 31, 2024, the Company disclosed
that it had experienced flat RYTELO revenue trends over the prior few months, which continued into the first quarter of 2025.
Accordingly, first quarter U.S. RYTELO net revenues and the then-current demand trends were lower than the Company had
originally forecasted in December 2024, which caused management to lower its internal forecast for 2025 U.S. RYTELO net
revenue and which also resulted in a significant reduction in the external analyst consensus for 2025 U.S. RYTELO net
revenue. In May 2025, following a review of year-to-date sales performance and expected demand trends for the remainder
of the year, management presented a revised 2025 U.S. RYTELO net revenue forecast to the Board, which forecast was
also generally consistent with the then-updated external analyst consensus for 2025 U.S. RYTELO net revenue, and the
Board approved a revised budget for 2025 that reflected these significantly lower internal net revenue projections.
TABLE OF CONTENTS
Geron Corporation 62 2026 Proxy Statement
In September 2025, the Independent Board, upon recommendation of the Compensation Committee, adjusted the U.S.
RYTELO net revenue goal to reflect the revised 2025 U.S. RYTELO net revenue forecast presented to the Independent
Board in May 2025: the base performance target was reduced to $200 million (from $320 million) and the stretch
performance target was reduced proportionately to $230 million (from $368 million). At the same time, the corresponding
payout opportunities were cut in half, from 40% to 20% for achieving the base performance target and from 20% to 10% for
achieving the stretch performance target. By cutting both the performance targets and the payout opportunities, the
Compensation Committee and Independent Board sought to maintain meaningful performance incentives for our bonus-
eligible Named Executive Officers tied to RYTELO’s commercial success, while also recognizing that actual RYTELO sales
performance during 2025 was not meeting the Company’s expectations at the time the 2025 corporate goals were originally
approved in December 2024. No changes were made to any of the other 2025 corporate goals.
The tables below summarize the corporate base and stretch goals approved by the Independent Board for 2025, including
assigned weightings, and the Compensation Committee’s and Independent Board’s assessments of the level of
achievement of those goals. Based on the achievements noted below, in January 2026, the Compensation Committee
recommended, and the Independent Board approved, an overall 2025 corporate goal achievement factor of 90%.
TABLE OF CONTENTS
Geron Corporation 63 2026 Proxy Statement
2025 Corporate Base Goals
(original)
2025 Corporate Base Goals
(revised)
Weighti
ng
(original
)
Weight
ing
(revise
d)
Highlights of
Company
Performance
Achieve
d?
Total
Percentag
e
Achieved
Achieve positive opinion from the
European Medicines Agency’s
Committee of Orphan Medicinal
Products (“COMP”) for RYTELO’s
orphan drug designation in the EU
Same
10 % Same
Achieved positive
opinion from COMP
for RYTELO’s orphan
drug designation in
the EU
Yes
10%
Advance all New Drug Application
(“NDA”) post-marketing
requirements and commitments for
RYTELO in alignment with FDA
timelines
Same
5 % Same
Advanced all NDA
post-marketing
requirements and
commitments for
RYTELO in alignment
with FDA timelines
Yes
5%
Complete patient enrollment in
Phase 3 IMpactMF trial in
relapsed/refractory MF
Same
10 % Same
Completed patient
enrollment in Phase 3
IMpactMF trial in
relapsed/refractory
MF
Yes
10 %
Achieve U.S. annual net revenue
for RYTELO of:
1)
$320 million (40%
weighted payout)
2)
$288-319.9 million (30%
weighted payout)
3)
$256-287.9 million (20%
weighted payout)
Achieve U.S. annual net
revenue for RYTELO of:
1)
$200 million (20%
weighted payout)
2)
$180-199.9 million
(15% weighted payout)
3)
$160-179.9 million
(10% weighted payout)
40 %
20 % Achieved U.S. annual
net revenue for
RYTELO of $183.6
million
Partially
achieve
d
15%
Finalize EU go-to-market strategy
in first half of 2025 and execute in
second half of 2025
Same
10 % Same
Finalized EU go-to-
market strategy in first
half of 2025 and
executed in second
half of 2025
Yes
10%
Advance key strategic supply
chain redundancy and
manufacturing capacity increase
programs
Same
10 % Same
Advanced key
strategic supply chain
redundancy and
manufacturing
capacity increase
programs
Yes
10%
Stay within 90-105% of Board-
approved operational expenditures
budget
Same
5 % Same
Stayed within
90-105% of Board-
approved operational
expenditures budget
Yes
5%
Achieve at least 95% of (i) all
employees attending at least one
Geron-conducted healthcare
compliance training session in
2025 and (ii) good practice
compliance (“GxP”) employees
attending at least one GxP training
session in 2025
Same
5 % Same
Over 95% of (i) all
employees attended
at least one Geron-
conducted healthcare
compliance training
session in 2025 and
(ii) GxP employees
attended at least one
GxP training session
in 2025
Yes
5%
Experience regrettable turnover
rate below 10%
Same
5 % Same
Limited regrettable
turnover rate to below
10%
Yes
5%
Total 2025 Base Goals Achieved
Potentia
l up to
100%
Poten
tial up
to
80%
Actual:
75%
TABLE OF CONTENTS
Geron Corporation 64 2026 Proxy Statement
2025 Corporate Stretch
Goals (original)
2025 Corporate
Stretch Goals
(revised)
Weighting
(original)
Weighting
(revised)
Highlights of Company
Performance
Achieved?
Total
Percentage
Achieved
In-license additional asset by
year-end 2025
Same
+10%
Same
Not achieved
No
—%
Identify a registrational
pathway for a third imetelstat
indication
Same
+5%
Same
Not achieved
No
—%
Advance at least one
program related to frontline
MF, relapsed/refractory acute
myelogenous leukemia/high-
risk myelodysplastic
syndrome, or next
generation telomerase
inhibitors to next
development stage
Same
+15%
Same
Yes
15%
Achieve U.S. annual net
revenue for RYTELO of:
1)
>$368 million
(20% weighted payout)
2)
$352-367.9 million
(10% weighted payout)
3)
$336-351.9 million
(5% weighted payout)
Achieve U.S. annual
net revenue for
RYTELO of:
1)
>$230
million (10% weighted
payout)
2)
$220-229.9
million (5% weighted
payout)
3)
$210-219.9
million (2.5%
weighted payout)
+20%
+10%
Not achieved
No
0%
Total 2025 Stretch Goals
Achieved
Potential
up to 50%
Potential
up to 40%
Actual: 15%
Total 2025 Corporate Goal
Achievement Factor
Potential
up to
150%
Potential
up to
120%
Actual: 90%
As summarized above, the Compensation Committee reviewed and recommended to the Independent Board, and the
Independent Board determined, that the Company achieved an overall 2025 corporate goal achievement factor of 90%.
2025 Individual Performance and Corporate Values Performance Factors
The 2025 individual performance factor for each bonus-eligible Named Executive Officer (other than Mr. Semerjian) was
assessed by the Compensation Committee subjectively on a holistic, non-formulaic basis considering personal performance
in accomplishing our corporate goals and the overall performance of the functional areas for which the executive officer has
responsibility. Each bonus-eligible Named Executive Officer’s individual corporate values performance factor was
subjectively determined by the Compensation Committee based on a demonstration of his or her full support and
manifestation of our corporate values. After taking into consideration input by the Chief Executive Officer, the Compensation
Committee determined the actual individual performance factor for our bonus-eligible Named Executive Officers (other than
the Chief Executive Officer) for 2025, which was 100%, and the actual corporate values performance factor, which was also
100%.
TABLE OF CONTENTS
Geron Corporation 65 2026 Proxy Statement
2025 Bonus Targets and Awards
Following are the annual performance-based bonus targets and weighting percentages for each of the factors used to
calculate the 2025 annual performance-based bonus for each of our bonus-eligible Named Executive Officers, as well as the
2025 actual bonus percentage awarded.
(A)
(B)
(C)
(D)
(E)
(F)
(G)
=
(A*B*C)
+
(A*D*E)
+
(A*F*G)
Annual
Incentive
Bonus
Awarded
as a % of
Salary
Named
Executive
Officer
Annual
Incentive
Bonus
Target
as a
% of
Salary
Corporate
Goal
Achievement
Weighting
2025
Corporate
Goal
Achievement
Factor
Individual
Performance
Weighting
2025
Individual
Performance
Factor
Corporate
Values
Weighting
2025
Corporate
Values
Performance
Factor
Harout
Semerjian (1)
70%
100%
90%
N/A
N/A
N/A
N/A
63.00%
Michelle J.
Robertson
45%
50%
90%
30%
100%
20%
100%
42.75%
Joseph Eid,
M.D.
55%
50%
90%
30%
100%
20%
100%
52.25%
(1) Mr. Semerjian’s 2025 bonus award was pro-rated based on the period of his employment with the Company during 2025.
2025 Long-Term Equity Incentive Awards
2025 Overview
Consistent with the objectives of our executive compensation program to link pay with performance, align the interests of
stockholders and employees and encourage employee ownership in Geron, the Compensation Committee (or the
Independent Board with respect to our Chief Executive Officer, upon recommendation from the Compensation Committee)
generally make annual equity grants to our executive officers and new hire equity grants to executive officers upon their
commencement of employment with the Company. These grants have historically been made in the form of stock options,
which deliver value only if our stock price increases from the price of the grant date, but as discussed below, we
incorporated RSUs into the 2025 annual equity grant mix for our executive officers (which was discontinued in 2026). The
following sections describe the annual equity grants that were made to Dr. Scarlett, Ms. Robertson, Dr. Eid, Dr. Grethlein
and Mr. Ziegler in February 2025, as well as the equity grants made to Mr. Semerjian and Mr. ElNawawi upon their
commencement of employment with the Company in August 2025 and October 2025, respectively.
2025 Annual Equity Grants
In February 2025, upon the recommendation of Aon and to be more consistent with competitive market practice among
commercial-stage biotechnology companies, the Compensation Committee and the Independent Board determined that the
annual equity grants awarded to our currently-serving Named Executive Officers for 2025 would consist of a mix of stock
options and RSUs, with stock options representing 75% of the target total value of each annual grant and RSUs
representing the remaining 25% of such target total value. In making such determination, the Compensation Committee also
considered that RSUs help build stock ownership, provide long-term retention value, and are less dilutive to our stockholders
than stock options. Our Compensation Committee and Independent Board determined, upon recommendation of Aon, to
grant RSUs in an amount equal to one-half of the amount that would be granted in stock options.
To determine the size of the 2025 annual equity grants, the Compensation Committee and the Independent Board
considered the following factors for each then-serving Named Executive Officer:
• overall corporate performance in the prior year;
• the individual’s recent performance history (if applicable) and his or her potential for future responsibility;
• criticality of the individual to the long-term success of the Company;
• equity grants previously awarded to the individual;
• the amount of actual versus theoretical equity value per year that has been derived to date by the individual;
• the current actual value of unvested equity grants for each individual;
TABLE OF CONTENTS
Geron Corporation 66 2026 Proxy Statement
• the percentage of stock option grants with exercise prices greater than Geron’s current stock price; and
• the number of stock option grants that have expired unexercised due to market conditions.
In addition to the above factors, the Compensation Committee and the Independent Board referenced the defined peer
group market data provided by Aon and, consistent with our philosophy to place greater emphasis on at-risk compensation
elements that align with the creation of long-term value for our stockholders, determined that generally targeting between the
50th and 75th percentiles of our peer group market data for total equity compensation was appropriate for determining the
level of equity grants for our then-serving Named Executive Officers.
In accordance with our equity grant practices, the exercise price for the 2025 stock option grants was equal to the closing
price of our Common Stock reported by the Nasdaq Global Select Market on the grant date, and the vesting schedule for
such grants is monthly over four years from the grant date, provided the Named Executive Officer continues to provide
services to Geron. In addition, the 2025 RSUs vest in equal annual installments over four years from the grant date,
provided the Named Executive Officer continues to provide services to Geron.
Pursuant to the terms of our equity incentive plans, the vesting of such stock options and RSUs are subject to acceleration
under certain termination or change in control circumstances as described under the sub-section entitled “Potential
Payments Upon Termination or Change in Control.”
The 2025 annual equity grants awarded in February 2025 to our then-serving Named Executive Officers are presented in
the table below. For additional information on each grant, see the “Outstanding Equity Awards at Fiscal Year-End” table.
Named Executive Officer
Annual
Time-Based
Stock Option Grant
(# of shares)
New Hire
Time-Based
Stock Option Grant
(# of shares)
John A. Scarlett, M.D. (1)
2,457,000
410,000
Michelle J. Robertson
656,000
110,000
Joseph Eid, M.D.(2)
—
—
Andrew J. Grethlein, Ph.D. (1)
839,000
140,000
James Ziegler (1)
529,000
89,000
(1) Dr. Scarlett, Dr. Grethlein and Mr. Ziegler each forfeited their 2025 RSUs and the unvested portion of their 2025 stock options upon their
respective departures from the Company.
(2) Dr. Eid joined the Company in November 2024 and therefore was not eligible to receive annual equity grants in 2025.
2025 New Hire Equity Grants
New President and Chief Executive Officer. Mr. Semerjian commenced serving as our President and Chief Executive Officer
in August 2025. When constructing his new hire compensation package, the Compensation Committee and the Independent
Board, in consultation with Aon, considered the competitive market for biotechnology talent, Mr. Semerjian’s extensive
commercial experience across hematology and oncology, and our pay-for-performance philosophy. The resulting
compensation package was designed to strongly align Mr. Semerjian’s interests with those of our stockholders and to
emphasize long-term value creation. As a result, approximately 97% of his 2025 total direct compensation was composed of
“at-risk” compensation, and more than 94% was delivered in the form of stock options that have value only if our stock price
increases from the price of the grant date.
Specifically, in connection with his hire, we granted Mr. Semerjian a stock option to purchase 11,000,000 shares of our
Common Stock (the “New CEO Options”). The New CEO Options will vest and become exercisable as follows: (i) 7,000,000
of the New CEO Options will vest as to 12.5% of the shares underlying the grant on the six-month anniversary of the grant
date, with the remaining shares vesting in equal monthly installments over the following 42 months; and (ii) 4,000,000 of the
New CEO Options will vest as to 25% of the shares underlying the grant on the first anniversary of the grant date, with the
remaining shares vesting in equal monthly installments over the following 36 months, in each case subject to Mr.
Semerjian’s continued service to the Company on the vesting dates.
The Compensation Committee and the Independent Board determined, in consultation with Aon and following consideration
of the factors outlined above, that the New CEO Options were essential to inducing Mr. Semerjian to join Geron and to
provide him with an opportunity to earn a significant ownership stake in the Company. In addition, it was determined that Mr.
Semerjian would not be eligible for an annual equity grant until 2027.
TABLE OF CONTENTS
Geron Corporation 67 2026 Proxy Statement
New Chief Commercial Officer. Mr. ElNawawi commenced serving as our Executive Vice President, Chief Commercial
Officer, in October 2025. In connection with his hire, we granted Mr. ElNawawi a stock option to purchase 3,000,000 shares
of our Common Stock (the “New CCO Options”), which will vest as to 12.5% of the shares underlying the grant on the six-
month anniversary of the grant date, with the remaining shares vesting in equal monthly installments over the following 42
months, subject to Mr. ElNawawi’s continued service to the Company on the vesting dates. The Compensation Committee
approved the New CCO Options after considering the same factors outlined above.
Except as otherwise noted above, the New CEO Options and New CCO Options are subject to the same terms as the stock
options awarded to the other Named Executive Officers as part of their 2025 annual equity grants.
New Hire Sign-On Bonus
In certain circumstances, we provide cash sign-on bonuses to attract executive talent. We determine whether to provide a
newly hired executive with a sign-on bonus on a case-by-case basis after considering the specific circumstances involving
hiring the executive, such as compensating the executive for certain bonus payments that the executive may forfeit from a
previous employer or creating an additional incentive for the executive to join us.
Mr. ElNawawi commenced serving as our Executive Vice President, Chief Commercial Officer, in October 2025. In
connection with his hire, Mr. ElNawawi received a one-time cash sign-on bonus of $400,000 as an inducement to join the
Company. The Compensation Committee determined that this bonus was essential to his recruitment, particularly given the
competitive biotechnology talent market and the fact that he was ineligible to receive a 2025 annual performance-based
bonus because he joined the Company after October 1, 2025. The sign-on bonus is payable in two equal installments, with
$200,000 paid in October 2025 and $200,000 scheduled to be paid in October 2026. If Mr. ElNawawi leaves the Company
before the first anniversary of his start date (with respect to the first installment) or the second anniversary of his start date
(with respect to the second installment), the applicable portion of his sign-on bonus will be subject to repayment.
Dawn C. Bir’s Compensation as Interim President and Chief Executive Officer
On March 14, 2025, in connection with Ms. Bir’s appointment as the Company’s Interim President and Chief Executive
Officer, the Board, acting upon the recommendation of the Compensation Committee, approved the following compensatory
arrangements for Ms. Bir as our Interim President and Chief Executive Officer: an annualized base salary of $750,000 and
an award to Ms. Bir of an option to purchase 180,000 shares of our Common Stock (the “Bir Option Award”) that was
granted on the date of our 2025 annual meeting of stockholders. While serving as Interim President and Chief Executive
Officer, Ms. Bir was not eligible to receive compensation under the Director Compensation Policy. The Bir Option Award was
intended to mirror the annual stock option grant Ms. Bir would have received automatically as a non-employee director on
the date of our 2025 annual meeting of stockholders under the Director Compensation Policy, but for her ineligibility to
receive such grant while serving as Interim President and Chief Executive Officer on that date. The Bir Option Award will
vest and become exercisable on the date of the Annual Meeting, provided that Ms. Bir continues to provide services to the
Company through the vesting date as either an employee, consultant or director, with the vesting and exercisability subject
to acceleration as set forth in the Director Compensation Policy. Because Ms. Bir served as President and Chief Executive
Officer in an interim capacity, she was not eligible to participate in our annual performance-based bonus program for 2025 or
in our Amended Severance Plan (as defined under “Employment Agreements and Potential Payments Upon Termination or
Change in Control” below).
2025 Named Executive Officer Departures
In connection with their respective departures from the Company, Dr. Scarlett, Dr. Grethlein and Mr. Ziegler were each
eligible for certain severance benefits under the terms of their respective employment agreements. Specifically, upon their
respective Covered Terminations (as defined under “Employment Agreements and Potential Payments Upon Termination or
Change in Control” below), and subject to a release of claims against Geron, each was entitled to (i) a lump-sum severance
payment equal to 12 months (24 months, with respect to Dr. Scarlett) of their base salary in effect as of such termination, (ii)
a lump-sum payment equal to the pro-rated portion of their target annual performance-based bonus for 2025 (other than Dr.
Scarlett, who was not eligible for such benefit), and (iii) continued COBRA coverage for a period of one year following the
Covered Termination. In addition, the vested portion of any stock options or other exercisable equity awards will remain
exercisable until the earlier of the second anniversary of the termination date and the original expiration date of such award.
In addition, to assist with the transition of Dr. Grethlein’s responsibilities, we entered into the Grethlein Consulting
Agreement, which provides, among other things, that Dr. Grethlein will serve as an independent consultant to the Company
for up to 12 months, at a specified hourly rate up to a maximum number of hours per month during the term. In 2025, Dr.
Grethlein earned $10,000 for his services provided under the Grethlein Consulting Agreement. In addition, pursuant to the
terms of the Grethlein Consulting Agreement, the annual stock option grant awarded to Dr. Grethlein in February 2022 was
modified to provide for its continued vesting during the term of the Grethlein Consulting Agreement.
TABLE OF CONTENTS
Geron Corporation 68 2026 Proxy Statement
Additional Compensation Information
Other Benefits
Prior to the conclusion of his service to the Company on March 10, 2025, and in accordance with his employment
agreement, Dr. Scarlett was eligible to receive reimbursement for up to $4,000 per month in housing expenses and up to
$20,000 for travel costs incurred over the course of the year, in connection with the commute from his personal residence in
Texas to our headquarters in Foster City, California. These commuting expense benefits were negotiated with Dr. Scarlett at
the time of his initial employment in 2011 and were deemed a reasonable expense and necessary inducement to his
commencement of employment with us. Dr. Scarlett ceased serving as our President and Chief Executive Officer and
resigned from our Board on March 10, 2025, and he did not receive separate compensation for serving as a member of our
Board.
Geron offers a comprehensive array of benefits to its employees, including our Named Executive Officers. These include:
• comprehensive medical, dental, vision coverage and life insurance;
• a “cafeteria” plan administered pursuant to Section 125 of the Code, which includes Geron’s medical and dental
insurance, medical reimbursement, and dependent care reimbursement plans;
• monthly stipend to reimburse for expenses associated with remote working;
• annual reimbursement allowance for health and wellness expenses;
• a 401(k) plan, which is a retirement savings defined contribution plan established in accordance with Section 401(a)
of the Code (in 2025, we provided a fully vested employer matching contribution in cash equal to 50% of each employee’s
annual contributions, up to a maximum of $10,000); and
• an Employee Stock Purchase Plan, which is implemented and administered pursuant to Section 423 of the Code.
Executive officers pay for 20% of their health premium cost, which is deducted from their gross salary. Other employees pay
either 10% or 15% of their health premium cost. We do not offer any defined benefit pension plans or health benefits during
retirement.
Employment Agreements and Potential Payments Upon Termination or Change in Control
We have entered into written employment agreements with each of our executive officers, including our Named Executive
Officers, that set forth the terms of their employment, including initial base salaries, and eligibility to participate in the
Company’s annual performance-based bonus program. In addition, each employment agreement includes restrictive
covenants, such as non-compete and non-solicitation provisions, that would apply in the event of termination, which our
Board believes helps to protect the value invested by the Company in its personnel and operations. Each of our executive
officers, including our Named Executive Officers, is employed “at will.”
Our executive officers, including our Named Executive Officers, are entitled to certain severance and change in control
benefits under the terms of our Amended Severance Plan (as defined below in the sub-section entitled “Amended
Severance Plan”), their employment agreements and our equity plans, as further described under the sub-section entitled
“Potential Payments Upon Termination or Change in Control.” Given the nature of the life sciences industry and the range of
strategic initiatives we may explore, the Compensation Committee believes these severance and change in control
provisions are essential elements of our executive compensation program and assist us in recruiting, retaining and
developing key management talent in the competitive biotechnology employment market. Our change in control benefits are
intended to allow employees, including our Named Executive Officers, to focus their attention on the business operations of
the Company in the face of the potentially disruptive impact of a rumored or actual change in control transaction, to assess
takeover bids objectively without regard to the potential impact on their own job security and to allow for a smooth transition
in the event of a change in control of the Company. In addition, our severance benefits provide reasonable protection to our
executive officers, including our Named Executive Officers, in the event that they are not retained. We do not provide for any
excise tax gross-ups in the Amended Severance Plan or in an individual employment agreement with any of our executive
officers, including our Named Executive Officers.
Clawback Policies
Our Compensation Committee has adopted an Incentive Compensation Recoupment Policy (the “Clawback Policy”), which
complies with Nasdaq’s listing standards that apply to incentive compensation earned after October 2, 2023. The Clawback
Policy provides that, in the event we are required to prepare an accounting restatement, we will be required to recover
incentive-based compensation received by any current or former executive officer based wholly or in part upon the
attainment of a financial reporting measure that was erroneously awarded during the three completed fiscal years
immediately preceding the date the restatement was required.
In addition to the Clawback Policy, as a public company subject to the provisions of Section 304 of the Sarbanes-Oxley Act
of 2002, if we are required as a result of misconduct to restate our financial results due to our material noncompliance with
any financial reporting requirements under the federal securities laws, our Chief Executive Officer and Chief Financial Officer
may be legally required to reimburse us for any bonus or other incentive-based or equity-based compensation they receive.
TABLE OF CONTENTS
Geron Corporation 69 2026 Proxy Statement
Each of our executive officers’ employment agreements also contains a “clawback provision” that requires the executive
officer to forfeit his or her entire annual performance-based bonus if we determine that such executive officer has engaged in
any misconduct intended to affect the payment of his or her annual performance-based bonus, or has otherwise engaged in
any act or omission that would constitute cause for termination of his or her employment, as defined by his or her
employment agreement.
Tax and Accounting Implications of Executive Compensation
Under Section 162(m), compensation paid to each of the Company’s “covered employees” that exceeds $1 million per
taxable year is generally non-deductible, unless the compensation qualifies for certain grandfathered exceptions (including
the “performance-based compensation” exception) for certain compensation paid pursuant to a written binding contract in
effect on November 2, 2017 and not materially modified on or after such date.
Although the Compensation Committee will continue to consider tax implications as one factor in determining executive
compensation, the Compensation Committee also looks at a number of other factors in making its decisions and retains the
flexibility to provide compensation to the Company’s Named Executive Officers in a manner consistent with the goals of our
executive compensation program and the best interests of the Company and its stockholders.
In addition to considering the tax consequences, the Compensation Committee considers the accounting consequences of
its decisions, including the impact of stock-based compensation expense being recognized in connection with stock option
grants, in determining the size and form of different equity awards.
TABLE OF CONTENTS
Geron Corporation 70 2026 Proxy Statement
Compensation Committee Report
The Compensation Committee of Geron’s Board of Directors has reviewed and discussed the Compensation Discussion
and Analysis required by Item 402(b) of Regulation S-K and contained within this Proxy Statement with management and,
based on such review and discussions, our Compensation Committee recommended to our Board that the Compensation
Discussion and Analysis be included in this Proxy Statement and incorporated into our Annual Report on Form 10-K for the
year ended December 31, 2025.
Submitted by the members of the Compensation Committee of the Board of Directors:
Susan M. Molineaux, Ph.D. (Chair)
Dawn C. Bir
Robert J. Spiegel, M.D., FACP
This Section is not “soliciting material,” is not deemed “filed” with the SEC and is not to be incorporated by reference in any
filing of the Company under the Securities Exchange Act of 1934, as amended, or the Securities Act of 1933, as amended,
other than in Geron’s Annual Report on Form 10-K where it shall be deemed to be furnished, whether made before or after
the date hereof and irrespective of any general incorporation language in any such filing.
TABLE OF CONTENTS
Geron Corporation 71 2026 Proxy Statement
Executive Compensation Tables and
Related Narrative Disclosure
Summary Compensation Table
The following table includes information concerning compensation for the years ended December 31, 2025, 2024 and 2023
with respect to our Named Executive Officers.
TABLE OF CONTENTS
Geron Corporation 72 2026 Proxy Statement
Name and Principal Position
Year
Salary
($)
Bonus
($)
Stock
Awards
($)(1)
Option
Awards
($)(1)
Non-Equity
Incentive Plan
Compensatio
n
($)(2)
All Other
Compensation
($)(3)
Total
($)
Harout Semerjian
President and Chief
Executive Officer
(as of August 7, 2025)
2025
321,538
—
—
9,695,400
203,000
1,817
10,221,755
John A. Scarlett, M.D.
Former Chairman of the
Board, President and Chief
Executive Officer
2025
309,781
—
1,078,300
4,308,104
—
1,726,569
7,422,754
2024
810,600
—
—
4,591,200
658,600
64,838
6,125,238
2023
787,000
17,906
—
3,563,000
493,694
62,492
4,924,092
Dawn C. Bir(4)
Former Interim President and
Chief Executive Officer
(as of March 17, 2025)
2025
318,190
—
—
163,674
—
40,258
522,122
Michelle J. Robertson
Executive Vice President,
Finance,
Chief Financial Officer,
Treasurer and Interim
Secretary
2025
559,800
—
289,300
1,150,230
239,300
11,452
2,250,082
2024
540,800
—
—
1,300,840
292,000
13,576
2,147,216
2023
141,346
126,194
—
2,128,680
67,006
6,433
2,469,659
Ahmed ElNawawi
Executive Vice President,
Chief Commercial Officer
(as of October 20, 2025)
2025
107,692
200,000 (5)
—
2,573,400
—
242
2,881,334
Joseph Eid, M.D.
Executive Vice President,
Research & Development,
Chief Medical Officer
(as of November 11, 2024)
2025
650,000
—
—
—
339,600
11,452
1,001,052
2024
93,750
200,000
—
6,902,500
—
10,348
7,762,848
Andrew J. Grethlein, Ph.D.
Former Executive Vice
President,
Chief Operating Officer
2025
563,276
—
368,200
1,474,253
—
910,715
3,316,444
2024
93,750
200,000
—
6,902,500
—
10,348
7,206,598
2023
525,000
5,007
—
1,588,080
281,093
15,911
2,415,091
James Ziegler
Former Executive Vice
President,
Chief Commercial Officer
(as of September 9, 2024)
2025
470,028
—
234,070
927,549
—
761,062
2,392,709
2024
163,221
—
—
5,154,400
88,300
1,044
5,768,744
(1)
Amounts do not reflect dollar amounts actually received by our Named Executive Officer and instead, in accordance with SEC rules, represent
the aggregate grant date fair value of stock option awards and restricted stock units ("RSUs") granted during the applicable fiscal year as
calculated in accordance with FASB ASC Topic 718. Refer to Note 11 of the consolidated financial statements in our Annual Report on Form
10-K for the year ended December 31, 2025 regarding assumptions underlying the valuation of stock option and RSU awards and the
calculation methods. Refer to the tables under the sub-section entitled “Outstanding Equity Awards at Fiscal Year-End” for information as to
each Named Executive Officers’ vested and unvested stock options and RSUs and under the sub-section entitled “Compensation Discussion
and Analysis - 2025 Long-Term Equity Incentive Awards” for the number of stock options and RSUs granted during 2025.The amount in the
“Option Awards” column for Dr. Grethlein includes $3,150 in incremental fair value associated with the modification of the annual stock option
grant awarded to Dr. Grethlein in February 2022 certain of Dr. Grethlein’s stock options to provide for its continued vesting during the term of
the Grethlein Consulting Agreement in connection with his termination of employment as our Executive Vice President, Chief Operating Officer
TABLE OF CONTENTS
Geron Corporation 73 2026 Proxy Statement
on October 15, 2025;see the sub-section entitled “Compensation Discussion and Analysis – 2025 Named Executive Officer Departures” for
more information.
(2)
Amounts disclosed under the “Non-Equity Incentive Plan Compensation” column represent the portion of the annual performance-based
bonuses earned pursuant to objective performance criteria established as part of our annual performance-based bonus plan for the indicated
year for the achievement of pre-established corporate and other goals. For further discussion on performance-based bonuses paid for 2025,
see the sub-section entitled “Compensation Discussion and Analysis - 2025 Annual Performance-Based Bonuses.” Annual performance-based
bonuses earned during the year are typically paid in February of the following year.
(3)
Amounts shown include, as applicable: (i) reimbursements for housing, travel expenses and working from home reimbursements; (ii) the
portion of life and disability insurance premiums paid by the Company; (iii) the matching contribution made to the Geron 401(k) Plan on behalf
of each Named Executive Officer; (iv) consulting services provided by the individual to Geron; (v) fees paid in connection with service on our
board of directors; and (vi) severance payments paid or accrued. Amounts for the 2025 fiscal year were as follows:
Named Executive
Officer
Housing
Allowance
($)
Commuter
Travel
Reimburse
ment ($)
Working
from Home
Reimburse
ment ($)
Life
Insurance
Premium
($)
Disability
Insurance
Premium
($)
401(k)
Match
($)(a)
Consulting
Services
($)
Fees
Earned for
Director
Services($)
Severance
($)
Total
($)
Harout Semerjian
—
—
—
484
—
1,333
—
—
—
1,817
John A. Scarlett,
M.D.
12,000
7,219
300
236
654
—
—
—
1,706,160 (b)
1,726,569
Dawn C. Bir
—
—
—
545
—
—
—
39,713 (e)
—
40,258
Michelle J. Robertson
—
—
—
1,452
—
10,000
—
—
—
11,452
Ahmed ElNawawi
—
—
—
242
—
—
—
—
—
242
Joseph Eid, M.D.
—
—
—
1,452
—
10,000
—
—
—
11,452
Andrew J. Grethlein,
Ph.D. (6)
—
—
—
1,150
—
10,000
10,000
—
889,565 (c)
910,715
James Ziegler (7)
—
—
—
1,150
—
—
—
—
759,912 (d)
761,062
(a)
Under Geron’s 401(k) Plan, all participating employees may contribute up to the annual Internal Revenue Service contribution limit. In
December 2025, the Compensation Committee approved a matching contribution equal to 50% of each employee’s annual contributions
during 2025, up to a maximum amount of $10,000. The matching contributions were paid in cash in February 2026.
(b)
Amount shown includes: (i) a lump-sum severance payment of $1,678,000 (equal to 24 months of his base salary in effect as of Dr.
Scarlett's termination of employment on March 31, 2025); and (ii) continued COBRA coverage for a period of one year following his
termination in the amount of $28,160.
(c)
Amount shown includes: (i) a lump-sum severance payment of $621,000 (equal to 12 months of his base salary in effect as of Dr.
Grethlein's termination of employment on October 15, 2025); (ii) continued COBRA coverage for a period of one year following his
termination in the amount of $23,568; and (iii) prorated 2025 annual performance-based bonus of $244,997.
(d)
Amount shown includes: (i) a lump-sum severance payment of $543,400 (equal to 12 months of his base salary in effect as of Mr. Ziegler's
termination of employment on October 15, 2025); (ii) continued COBRA coverage for a period of one year following his termination in the
amount of $23,568; and (iii) prorated 2025 annual performance-based bonus of $192,944.
(e)
Amount shown reflects $39,713 earned by Ms. Bir in connection with her service as a non-employee director. Ms. Bir did not receive
separate compensation for her service as a director during the time that she was serving as our Interim President and Chief Executive
Officer.
(4)
Amount disclosed under the "Total" column for Ms. Bir consist of $482,409 earned in connection with Ms. Bir's employment as our former
Interim Chief Executive Officer from March 10, 2025 to August 1, 2025, and $39,713 earned for her service as a non-employee director. Ms. Bir
did not receive separate compensation for her service as a director during the time that she was serving as our Interim President and Chief
Executive Officer.
(5)
For Mr. EINawawi, the amount shown reflects a $200,000 sign-on bonus in connection with the commencement of his employment as our
Executive Vice President, Chief Commercial Officer, on October 20, 2025, which was paid in 2025. This bonus is subject to repayment if Mr.
ElNawawi leaves the Company before October 20, 2026. For further discussion on the sign-on bonus, see the sub-section entitled
“Compensation Discussion and Analysis - New Hire Sign-On Bonus.”
(6)
Dr. Grethlein served as our Executive Vice President, Chief Operating Officer until October 15, 2025.
(7)
Mr. Ziegler served as our Executive Vice President, Chief Commercial Officer until October 15, 2025.
Grants of Plan-Based Awards for 2025
The following table sets forth information regarding grants of plan-based awards with respect to each of our Named
Executive Officers for the 2025 fiscal year:
TABLE OF CONTENTS
Geron Corporation 74 2026 Proxy Statement
Named Executive Officer
Grant
Date
Type of Award
Estimated
Possible
Payouts
Under
Non-Equity
Incentive Plan
Awards
Target
($)(1)
All Other
Stock
Awards
All Other
Option
Awards:
Exercise
or Base
Price of
Option
Awards
($/Sh)(3)
Grant Date
Fair Value
of Stock
and Option
Awards
($)(4)
Number of
Shares of
Stock or
Units (#)
Number of
Securities
Underlying
Options
(#)(2)
Harout Semerjian
Annual
Performance-
Based Bonus
$233,333
08/07/2025
Options
11,000,000
$1.30
$9,695,400
John A. Scarlett, M.D.
Annual
Performance-
Based Bonus
$251,865
02/18/2025
Options
2,457,000
$2.63
$4,308,104
02/18/2025
RSUs
410,000
$1,078,300
Dawn C. Bir
05/21/2025
Options
180,000
$1.34
$163,674
Michelle J. Robertson
Annual
Performance-
Based Bonus
$251,865
02/18/2025
Options
656,000
$2.63
$1,150,230
02/18/2025
RSUs
110,000
$289,300
Ahmed ElNawawi
10/20/2025
Options
3,000,000
$1.27
$2,573,400
Joseph Eid, M.D.
Annual
Performance-
Based Bonus
$288,750
Options
N/A
N/A
N/A
Andrew J. Grethlein,
Ph.D.
Annual
Performance-
Based Bonus
$310,500
02/18/2025
Options
839,000
$2.63
$1,471,103
02/18/2025
RSUs
140,000
$368,200
10/16/2025
Modified Option(5)
78,125
$1.06
$3,150
James Ziegler
Annual
Performance-
Based Bonus
$244,530
02/18/2025
Options
529,000
$2.63
$927,549
02/18/2025
RSUs
89,000
$234,070
TABLE OF CONTENTS
Geron Corporation 75 2026 Proxy Statement
(1)
This column sets forth the target amount of each Named Executive Officer’s annual performance-based bonus for the 2025 fiscal year under
our annual performance-based bonus plan, which does not include threshold or maximum amounts. Accordingly, the amounts set forth in this
column do not represent actual compensation earned by our Named Executive Officers for the 2025 fiscal year. For the actual compensation
paid to our Named Executive Officers for the 2025 fiscal year, see the sub-section entitled “Summary Compensation Table.” For further
discussion, see the sub-section entitled “Compensation Discussion and Analysis – 2025 Annual Performance-Based Bonuses.”
(2)
Options and RSUs are subject to time-based vesting criteria established by the Compensation Committee and described in the footnotes to the
Outstanding Equity Awards at Fiscal Year End table below.
(3)
The exercise price per share of these stock options is equal to the closing price of our Common Stock on the applicable grant date.
(4)
Amounts represent the grant date fair value of each stock option and RSU awards granted in 2025 or the incremental fair value associated with
the modification of stock options held by the named executive officers in 2025, as applicable. These amounts have been calculated in
accordance with FASB ASC Topic 718. Refer to Note 11 of the financial statements in our Annual Report on Form 10-K for the year ended
December 31, 2025 regarding assumptions underlying the valuation of stock option and RSU awards and the calculation method.
(5)
As described under the sub-section entitled “Compensation Discussion and Analysis – 2025 Named Executive Officer Departures,” the annual
stock option grant awarded to Dr. Grethlein in February 2022, originally covering 750,000 shares of our Common Stock, was modified to
provide for its continued vesting during the term of the Grethlein Consulting Agreement. The amount reported in the “All Other Option Awards”
column represents the number of unvested shares underlying Dr. Grethlein 2022 stock option grant as of the modification date, and the value
reported in the “Grant Date of Fair Value of Stock and Option Awards” column represents the incremental fair value associated with the
modification of such grant, calculated as of the modification date in accordance with FASB ASC Topic 718.
Outstanding Equity Awards at Fiscal Year-End
The following table includes information with respect to all outstanding stock options and RSU awards held by our Named
Executive Officers as of December 31, 2025:
TABLE OF CONTENTS
Geron Corporation 76 2026 Proxy Statement
Named Executive Officer
Grant Date
Number of
Securities
Underlying
Unexercised
Options
Exercisable
(#)
Number of
Securities
Underlying
Unexercised
Options
Unexercisable
(#)
Equity
Incentive
Plan Awards:
Number of
Securities
Underlying
Unexercised
Unearned
Options
(#)
Option
Exercise
Price
($/Sh)
Option
Expiration
Date
Number
of Shares
or Units
of Stock
Not
Vested (#)
Market
Value of
Shares
or Units
of Stock
Not
Vested ($)
Harout Semerjian
08/07/2025
(8)
—
11,000,000
—
1.30
08/06/35
—
—
John A. Scarlett, M.D.
02/09/2017
1,050,000
—
—
2.15
02/09/27
—
—
01/31/2018
1,050,000
—
—
2.45
01/31/28
(6)
—
—
11/07/2018
500,000
(2)
—
—
1.72
11/06/28
(6)
—
—
11/07/2018
1,000,000
(3)
—
—
1.72
11/06/28
(6)
—
—
01/30/2019
1,050,000
—
—
1.03
01/29/29
(6)
—
—
02/12/2020
(4)
582,750
—
—
1.295
02/11/30
(6)
—
—
02/02/2021
(4)
600,000
—
—
2.055
02/01/31
(6)
—
—
02/16/2022
(4)
1,618,750
—
—
1.06
02/15/32
(6)
—
—
02/22/2023
(4)
911,458
—
—
2.83
02/21/33
(6)
—
—
02/14/2024
(4)
812,500
—
—
2.10
02/13/34
(6)
—
—
02/18/2025
(4)
51,188
—
—
2.63
02/17/35
(6)
—
—
Dawn C. Bir
03/26/2019
120,000
—
—
1.68
03/25/29
—
—
06/06/2019
70,000
—
—
1.38
06/05/29
—
—
06/05/2020
83,000
—
—
1.54
06/04/30
—
—
05/11/2021
83,000
—
—
1.39
05/10/31
—
—
05/10/2022
125,000
—
—
1.48
05/09/32
—
—
05/31/2023
125,000
—
—
3.27
05/30/33
—
—
05/09/2024
180,000
—
3.88
05/08/34
—
—
05/21/2025
(9)
—
180,000
—
1.34
05/20/35
—
—
Michelle J. Robertson
09/25/2023
(5)
759,375
590,625
—
2.17
09/24/33
—
—
09/25/2023
250,000
(3)
—
—
2.17
09/24/33
—
—
02/14/2024
(4)
389,583
460,417
—
2.10
02/13/34
—
—
02/18/2025
(4)
136,667
519,333
—
2.63
02/17/35
—
—
02/18/2025
N/A
N/A
N/A
N/A
N/A
110,000
289,300
Ahmed ElNawawi
10/20/2025
(5)
—
3,000,000
—
1.27
10/19/35
—
—
Joseph Eid, M.D.
11/11/2024
(5)
677,083
1,822,917
—
4.12
11/10/34
—
—
Andrew J. Grethlein,
Ph.D.
02/11/2016
105,000
—
—
2.54
02/11/26
(1)
—
—
02/09/2017
161,471
—
—
2.15
02/09/27
—
—
01/31/2018
186,018
—
—
2.45
01/31/28
(7)
—
—
01/30/2019
236,121
—
—
1.03
01/29/29
(7)
—
—
02/12/2020
291,375
—
—
1.295
02/11/30
(7)
—
—
02/02/2021
(4)
300,000
—
—
2.055
02/01/31
(7)
—
—
02/16/2022
(4)
718,750
31,250
—
1.06
02/15/32
(7)
—
—
02/22/2023
(4)
503,750
—
—
2.83
02/21/33
(7)
—
—
02/14/2024
(4)
500,000
—
—
2.10
02/13/34
(7)
—
—
02/18/2025
(4)
122,354
—
2.63
02/17/35
(7)
—
—
James Ziegler
09/09/2024
(5)
433,333
—
—
4.41
09/08/34
(7)
—
—
02/18/2025
(4)
77,146
—
—
2.63
02/17/35
(7)
—
—
(1)
Stock option expired unexercised.
TABLE OF CONTENTS
Geron Corporation 77 2026 Proxy Statement
(2)
Stock option vested fully and became exercisable upon written certification by the Compensation Committee of the achievement of acceptance
for review by the FDA of an NDA for the first imetelstat indication.
(3)
Stock option vested fully and became exercisable upon written certification by the Compensation Committee of the achievement of regulatory
approval by the FDA of an NDA for the first imetelstat indication.
(4)
Stock option vests in a series of 48 substantially equal consecutive monthly installments commencing from the grant date provided the
executive officer continues to provide services to the Company. In addition to the specific vesting schedule for each stock option, each
unvested stock option is subject to potential future vesting acceleration as described under the sub-section entitled “Potential Payments Upon
Termination or Change in Control” below.
(5)
Stock option vests with respect to 12.5% of the shares on the six-month anniversary of grant and with respect to the remaining shares in a
series of 42 equal consecutive monthly installments commencing thereafter, provided the executive officer continues to provide services to the
Company. In addition to the specific vesting schedule for each stock option, each unvested stock option is subject to potential future vesting
acceleration as described under the sub-section entitled “Potential Payments Upon Termination or Change in Control” below.
(6)
In connection with Dr. Scarlett's termination of employment on March 31, 2025, and pursuant to Dr. Scarlett's employment agreement, all
options held by Dr. Scarlett shall remain outstanding and exercisable through the earlier of (i) the second anniversary of the date of his
termination of employment, which is March 31, 2027, or (ii) the original expiration date of the option.
(7)
In connection with Dr. Grethlein's and Mr. Ziegler's respective termination of employment on October 15, 2025, and pursuant to Dr. Grethlein's
and Mr. Ziegler's respective employment agreements, all options held by Dr. Grethlein or Mr. Ziegler shall remain outstanding and exercisable
through the earlier of (i) the second anniversary of the date of their termination of employment, which is October 15, 2027,or (ii) the original
expiration date of the option.
(8)
Stock option vests (i) with respect to 7,000,000 shares, 12.5% of such shares on the six-month anniversary of the grant and with respect to the
remaining shares in a series of 42 equal consecutive monthly installments commencing thereafter, provided the executive officer continues to
provide services to the Company, and (ii) with respect to 4,000,000 shares, 25% of such shares on the first anniversary of the executive officers
first date of employment and with respect to the remaining shares in a series of 36 equal consecutive monthly installments.
(9)
Stock option vests on the earlier of the first anniversary of the option grant date and the next annual meeting of the Company’s stockholders
following the option grant date, provided that the executive officers continues to provide services to the Company through each vesting date
as either an employee, consultant, or director.
Option Exercises and Stock Awards Vested in 2025
Our Named Executive Officers did not exercise any stock option awards during the 2025 fiscal year. In addition, no restricted
stock unit awards held by our Named Executive Officers vested during the 2025 fiscal year.
Pension Benefits
Other than with respect to tax-qualified defined contribution plans such as the 401(k) Plan, the Named Executive Officers do
not participate in any plan that provides for retirement payments and benefits, or payments and benefits that will be provided
primarily following retirement.
Non-Qualified Defined Contribution and Other Nonqualified Deferred Compensation Plans
During the 2025 fiscal year, the Named Executive Officers did not contribute to, or earn any amounts with respect to, any
defined contribution or other plan sponsored by us that provides for the deferral of compensation on a basis that is not tax-
qualified.
Additional Benefits
Our Named Executive Officers are eligible to participate in our benefit plans generally available to all employees, as
described in the sub-section entitled “Compensation Discussion and Analysis – Other Benefits.”
Policies and Practices Related to the Grant of Certain Equity Awards Close in Time to the Release of Material
Nonpublic Information
The Compensation Committee or, with respect to the Chief Executive Officer, the Board upon the recommendation of the
Compensation Committee, generally approves and grants annual equity awards at approximately the same time every year
as part of the company-wide performance review and compensation cycle. Typically, at the first quarterly meeting of any new
fiscal year, which typically occurs in February, the Compensation Committee (or the Board upon the recommendation of the
Compensation Committee in the case of the Chief Executive Officer) reviews and approves the equity compensation to be
awarded to continuing executive officers and non-executive employees (though the Compensation Committee may act by
written consent to approve non-executive employee grants) for grant on the same date, which is typically the date the Board
approves the Chief Executive Officer’s grant. Outside of the annual grant cycle, we may make equity awards in connection
with new hire packages or retention grants. In the case of new hire awards, the grant date is typically the start date for
executive management team members and on or about the 17th day of the month for non-executive employees. Also, non-
employee directors receive automatic grants of initial stock options at the time of a director’s initial appointment or election to
TABLE OF CONTENTS
Geron Corporation 78 2026 Proxy Statement
the Board and automatic grants of annual stock options at the time of each year’s annual meeting of stockholders pursuant
to the Director Compensation Policy. While there is no specific cadence with respect to retention grants given their ad hoc
nature, such awards are not made in anticipation of the release of material nonpublic information. More generally, equity
awards, including stock options, are not granted in anticipation of the release of material nonpublic information, and the
release of material nonpublic information is not timed on the basis of option or equity grant dates. We have not timed the
release of material nonpublic information for the purpose of affecting the value of executive compensation. We do not
otherwise maintain any written policies on the timing of awards of stock options, stock appreciation rights, or similar
instruments with option-like features.
We did not grant any stock options to Named Executive Officers in the last completed fiscal year during the period from four
business days before to one business day after the filing of any of the Company’s Annual Report on Form 10-K, any
Quarterly Reports on Form 10-Q, or the filing or furnishing of any Current Report on Form 8-K that discloses material
nonpublic information.
CEO Pay Ratio Disclosure
As required by Section 953(b) of the Dodd-Frank Wall Street Reform and Consumer Protection Act and Item 402(u) of
Regulation S-K, we are providing the following information regarding the ratio of the annual total compensation of our Chief
Executive Officer to that of our median employee.
We had three individuals serve as Chief Executive Officer during 2025. As permitted by SEC rules, for purposes of this pay
ratio disclosure, we have annualized the total compensation of Mr. Semerjian, who became our Chief Executive Officer on
August 7, 2025 and was serving as our Chief Executive Officer on October 1, 2025, the date we used to identify our median
employee. To annualize Mr. Semerjian’s compensation for 2025, the following adjustments were made: (i) his base salary
was annualized to $800,000 (from the $321,538 reported in the Summary Compensation Table), which was Mr. Semerjian’s
base salary rate during 2025; (ii) his annual performance-based bonus was annualized to $504,000 (from the $203,000
reported in the Summary Compensation Table), which reflects the bonus Mr. Semerjian would have received had he served
as our Chief Executive Officer for the full year; and (iii) his “All Other Compensation” components were annualized to $8,726
(from the $1,817 reported in the Summary Compensation Table), which reflects the aggregate amount of the 401(k)
matching contributions and life insurance premiums Mr. Semerjian would have received from the Company had served as
our Chief Executive Officer for the full year.
Using the methodology described below, (a) the annualized total compensation of our Chief Executive Officer for 2025 was
$11,008,126, (b) the annual total compensation of our median employee in 2025 was $314,826, and (c) the resulting ratio of
our Chief Executive Officer’s annualized total compensation to our median employee’s annual total compensation for 2025
(the “CEO Pay Ratio”) was 35 to 1.
Methodology, Assumptions and Estimates Used in Determining our Pay Ratio Disclosure
We identified the median employee from our entire employee population (other than our Chief Executive Officer), whether
employed on a full-time or part-time basis, as of October 1, 2025, which consisted of 258 employees. We identified the
median employee by (i) aggregating for each applicable employee: (A) base salary, (B) the target bonus or commission for
2025, (C) the estimated accounting value of any equity awards granted during 2025, and (ii) ranking this compensation
measure for our employees from lowest to highest. In identifying the median employee, we converted compensation
amounts paid in foreign currencies based on the applicable year-to-date average exchange rate as of October 1, 2025 and
annualized the compensation values of individuals that joined our Company during 2025. We did not exclude workers in
non-U.S. countries and did not make any cost-of-living adjustments.
Once the median employee was identified, we calculated the annual total compensation of this employee for the 2025 fiscal
year in a manner consistent with that used to calculate the annual total compensation for our Named Executive Officers in
the Summary Compensation Table above.
This information is being provided for compliance purposes and should be viewed as a reasonable estimate calculated in a
manner consistent with the SEC rules, based on our internal records and the methodology described above. The SEC rules
for identifying the median compensated employee allow companies to adopt a variety of methodologies, to apply certain
exclusions and to make reasonable estimates and assumptions that reflect their employee populations and compensation
practices. Accordingly, the pay ratio reported by other companies may not be comparable to the pay ratio reported above, as
other companies have different employee populations and compensation practices and may use different methodologies,
exclusions, estimates and assumptions in calculating their own pay ratios.
The Compensation Committee, the Independent Board and our management did not use the CEO Pay Ratio measure in
making compensation decisions for our employees or Named Executive Officers in 2025.
TABLE OF CONTENTS
Geron Corporation 79 2026 Proxy Statement
Employment Agreements and Severance Arrangements with Named Executive
Officers
We have entered into written employment agreements with each member of our executive management team, including our
Named Executive Officers, that set forth the terms of their employment, including initial base salaries, and eligibility to
participate in the Company’s annual performance-based bonus program. In addition, each employment agreement includes
restrictive covenants, such as non-compete and non-solicitation provisions in accordance with applicable laws, that would
apply in the event of termination, which our Board believes helps protect the value invested by the Company in its personnel
and operations. Each member of our executive management team, including our Named Executive Officers, is employed “at
will.”
Employment Agreement with Harout Semerjian
We entered into an employment agreement with Mr. Semerjian effective August 7, 2025, in connection with his appointment
as our President and Chief Executive Officer, that provided an initial annual base salary of $800,000 and an annual
performance-based bonus targeted at 70% of his annual base salary. In addition, Mr. Semerjian received a time-based stock
option to purchase 11,000,000 shares of Common Stock. For current salary and bonus information, please see the sub-
section entitled “Summary Compensation Table” for more information. Mr. Semerjian’s employment agreement provides that
in the event of a covered termination or change in control transaction, Mr. Semerjian will receive the greater of the
severance benefits set forth in his employment agreement or the severance benefits provided for in the Company’s
Amended Severance Plan (without duplication), as defined below. See the sub-section entitled “Potential Payments Upon
Termination or Change in Control” for further information.
Employment Agreement with Dr. Scarlett
We entered into an employment agreement with Dr. Scarlett dated September 29, 2011, in connection with the
commencement of his employment with us. Dr. Scarlett’s employment agreement originally provided him with an initial
annual base salary of $550,000, subject to increase, and an annual performance-based bonus targeted at 60% of his annual
base salary. On February 11, 2014, we amended Dr. Scarlett’s employment agreement to provide for an annual base salary
of $586,500, subject to increase, and to include a clawback provision. For salary and bonus information prior to Dr. Scarlett's
termination of employment, please see the sub-section entitled “Summary Compensation Table” for more information. On
January 31, 2018, we further amended Dr. Scarlett’s employment agreement to increase the reimbursement for housing
expenses to not more than $4,000 per month. See the sub-section entitled “2025 Other Compensation” for more information
on the reimbursement arrangements we provided to Dr. Scarlett for housing expenses and travel costs. On January 31,
2019, we amended and restated Dr. Scarlett’s employment agreement to (a) consolidate all of the previous amendments; (b)
provide for an annual base salary of $690,000, subject to increase; and (c) clarify that in the event of a covered termination
or change in control transaction, Dr. Scarlett was eligible to receive the greater of the severance benefits set forth in his
employment agreement or the severance benefits provided for in the Amended Severance Plan (without duplication). Dr.
Scarlett’s employment terminated on March 31, 2025, in connection with the conclusion of his service to the Company. In
connection with his departure from the Company, Dr. Scarlett was eligible for certain severance benefits under the terms of
his employment agreement with Geron. See the sub-section entitled “Potential Payments Upon Termination or Change in
Control” for further information.
Employment Agreement with Ms. Robertson
We entered into an employment agreement with Ms. Robertson effective September 25, 2023, in connection with her
appointment as our Executive Vice President, Finance, Chief Financial Officer and Treasurer, that provided an initial annual
base salary of $525,000 and an annual performance-based bonus targeted at 45% of her annual base salary, as well as a
cash sign-on bonus of $125,000. The sign-on bonus was subject to repayment if Ms. Robertson voluntarily left the Company
before September 25, 2024. In addition, Ms. Robertson received a time-based stock option to purchase 1,350,000 shares of
Common Stock and a performance-based stock option to purchase 250,000 shares of Common Stock. For current salary
and bonus information, please see the sub-section entitled “Summary Compensation Table” for more information. Ms.
Robertson’s employment agreement provides that in the event of a covered termination or change in control transaction, Ms.
Robertson will receive the greater of the severance benefits set forth in her employment agreement or the severance
benefits provided for in the Company’s Amended Severance Plan (without duplication). See the sub-section entitled
“Potential Payments Upon Termination or Change in Control” for further information.
Employment Agreement with Dr. Eid
We entered into an employment agreement with Dr. Eid effective November 11, 2024, in connection with his appointment as
our Executive Vice President, Research and Development, that provided an initial annual base salary of $650,000 and an
annual performance-based bonus targeted at 55% of his annual base salary, as well as a cash sign-on bonus of $200,000.
The sign-on bonus was subject to repayment if Dr. Eid voluntarily left the Company before November 11, 2025. In addition,
TABLE OF CONTENTS
Geron Corporation 80 2026 Proxy Statement
Dr. Eid received a time-based stock option to purchase 2,500,000 shares of Common Stock. For current salary and bonus
information, please see the sub-section entitled “Summary Compensation Table” for more information. Dr. Eid’s employment
agreement provides that in the event of a covered termination or change in control transaction, Dr. Eid will receive the
greater of the severance benefits set forth in his employment agreement or the severance benefits provided for in the
Company’s Amended Severance Plan (without duplication). See the sub-section entitled “Potential Payments Upon
Termination or Change in Control” for further information.
Employment Agreement with Mr. ElNawawi
We entered into an employment agreement with Mr. ElNawawi effective October 20, 2025, in connection with his
appointment as our Executive Vice President, Chief Commercial Officer, that provided an annual base salary of $525,000
and an annual performance-based bonus target at 45% of his annual base salary, as well as a cash sign-on bonus of
$400,000 to be paid in two tranches: (i) $200,000 on the first scheduled payroll following October 20, 2025 and (ii) $200,000
on the first scheduled payroll following October 20, 2026. The first tranche of the sign-on bonus is subject to repayment if Mr.
ElNawawi leaves the Company before October 20, 2026 and the second tranche of the sign-on bonus is subject to
repayment if Mr. ElNawawi leaves the Company before October 20, 2027. In addition, Mr. ElNawawi received a time-based
stock option to purchase 3,000,000 shares of Common Stock. For current salary and bonus information, please see the sub-
section entitled “Summary Compensation Table” for more information. Mr. ElNawawi’s employment agreement provides that
in the event of a covered termination or change in control transaction, Mr. ElNawawi will receive the greater of the severance
benefits set forth in his employment agreement or the severance benefits provided for in the Company’s Amended
Severance Plan (without duplication). See the sub-section entitled “Potential Payments Upon Termination or Change in
Control” for further information.
Employment and Consulting Agreements with Dr. Grethlein
We entered into an employment agreement with Dr. Grethlein effective September 17, 2012, in connection with the
commencement of his employment with us, that provided an annual base salary of $355,000 and an annual performance-
based bonus targeted at 45% of his annual base salary. On February 11, 2014, we amended Dr. Grethlein’s employment
agreement to provide for an annual base salary of $379,000, subject to increase, and to include a clawback provision. On
January 31, 2019, we amended and restated Dr. Grethlein’s employment agreement to (a) consolidate all of the previous
amendments; (b) incorporate his new title of Chief Operating Officer; (c) provide for an annual base salary of $460,000,
subject to increase; and (d) clarify that in the event of a covered termination or change in control transaction, Dr. Grethlein
was eligible to receive the greater of the severance benefits set forth in his employment agreement or the severance
benefits provided for in the Company’s Amended Severance Plan (without duplication). Dr. Grethlein’s base salary and
performance-bonus target were adjusted from time to time outside of his employment agreement. For salary and bonus
information prior to Dr. Grethlein's termination of employment, please see the sub-section entitled “Summary Compensation
Table” for more information. Dr. Grethlein’s employment terminated on October 15, 2025, in connection with the conclusion
of his service to the Company. In connection with his departure from the Company, Dr. Grethlein was eligible for certain
severance benefits under the terms of his employment agreement with Geron. See the sub-section entitled “Potential
Payments Upon Termination or Change in Control” for further information.
In connection with this termination of employment, to assist with the transition of Dr. Grethlein’s responsibilities, we entered
into the Grethlein Consulting Agreement, which provides, among other things, that Dr. Grethlein will serve as an independent
consultant to the Company for up to 12 months, at a specified hourly rate up to a maximum number of hours per month
during the term.
Employment Agreement with Mr. Ziegler
We entered into an employment agreement with Mr. Ziegler effective September 9, 2024, in connection with his appointment
as our Executive Vice President, Chief Commercial Officer, that provided an initial annual base salary of $525,000 and an
annual performance-based bonus targeted at 45% of his annual base salary. In addition, Mr. Ziegler received a time-based
stock option to purchase 1,600,000 shares of Common Stock. For salary and bonus information prior to his termination of
employment, please see the sub-section entitled “Summary Compensation Table” for more information. Mr. Ziegler’s
employment agreement provided that in the event of a covered termination or change in control transaction, Mr. Ziegler was
eligible to receive the greater of the severance benefits set forth in his employment agreement or the severance benefits
provided for in the Company’s Amended Severance Plan (without duplication). Mr. Ziegler's employment terminated on
October 15, 2025, in connection with the conclusion of his service to the Company. In connection with his departure from the
Company, Mr. Ziegler was eligible for certain severance benefits under the terms of his employment agreement with Geron.
See the sub-section entitled “Potential Payments Upon Termination or Change in Control” for further information.
Compensatory Arrangement with Ms. Bir
On March 14, 2025, in connection with Ms. Bir’s appointment as our Interim President and Chief Executive Officer, the
Board approved a compensatory arrangement for Ms. Bir, that provided an annual base salary of $750,000. In addition, Ms.
Bir received a time-based stock option to purchase 180,000 shares of Common Stock. Because Ms. Bir was serving in an
interim capacity, Ms. Bir was not eligible to participate in the Company’s incentive bonus program or in the Company’s
TABLE OF CONTENTS
Geron Corporation 81 2026 Proxy Statement
Amended Severance Plan, and Ms. Bir was not otherwise eligible to receive severance compensation in connection with
cessation of her service as our Interim President and Chief Executive Officer.
Potential Payments Upon Termination or Change in Control
Our executive management team, including our Named Executive Officers, is entitled to certain severance and change in
control benefits under the terms of their employment agreements, our Amended Severance Plan, as defined below, and our
equity plans. Given the nature of the life sciences industry and the range of strategic initiatives we may explore, the
Compensation Committee believes that these severance and change in control provisions are essential elements of our
executive compensation program and assist us in recruiting, retaining and developing key management talent in the
competitive biotechnology employment market. Our change in control benefits are intended to allow employees, including
our Named Executive Officers, to focus their attention on the business operations of the Company in the face of the
potentially disruptive impact of a rumored or actual change in control transaction, to assess takeover bids objectively without
regard to the potential impact on their own job security and to allow for a smooth transition in the event of a change in
control of the Company. In addition, our severance benefits provide reasonable protection to our executive management
team, including our Named Executive Officers, in the event that they are not retained in circumstances other than
termination for cause. We do not provide for any excise tax gross-ups in the Amended Severance Plan or in any individual
employment agreement with any member of our executive management team, including our Named Executive Officers.
Employment Agreements
Our executive management team, including our Named Executive Officers, is entitled to certain severance benefits payable
in connection with a Covered Termination (as defined below) under their employment agreements. Pursuant to these
employment agreements, in the event of a Covered Termination and subject to a release of claims against Geron, each
Named Executive Officer will be entitled to (i) a lump-sum severance payment equal to 12 months (18 months, with respect
to Mr. Semerjian) of his or her base salary in effect as of such termination, (ii) a lump-sum payment equal to the pro-rated
portion of any target annual performance-based bonus, and (iii) continued COBRA coverage for a period of one year
following a Covered Termination (18 months, with respect to Mr. Semerjian). In addition, the vested portion of any stock
options, or other exercisable equity award in Geron, will remain exercisable until the earlier of the second anniversary of the
date of termination and the original expiration date of such award.
Our Named Executive Officers will receive the greater of the severance benefits set forth in their employment agreement or
the severance benefits provided for in the Company’s Amended Severance Plan (without duplication).
For the purposes of our Named Executive Officers’ employment agreements, the following definitions apply:
•
“Covered Termination” generally means an Involuntary Termination Without Cause that occurs at any time,
provided that such termination constitutes a “separation from service” within the meaning of Section 409A of the
Code.
•
“Involuntary Termination Without Cause” generally means an executive officer’s dismissal or discharge other than:
a) for Cause or b) following an involuntary or voluntary filing of bankruptcy, an assignment for the benefit of
creditors, a liquidation of our assets in a formal proceeding or otherwise or any other event of insolvency by Geron,
in any case, without an offer of comparable employment by Geron or a successor, acquirer, or affiliate of Geron.
•
“Cause” generally means the executive officer’s:
(i)
willful act or omission constituting dishonesty, fraud or other malfeasance against the Company;
(ii)
conviction of a felony;
(iii) debarment by the FDA from working in or providing services to any pharmaceutical or biotechnology company
or other ineligibility under any law or regulation to perform the employee’s duties to the Company; or
(iv) breach of any material Company policies.
Amended Severance Plan
In September 2002, the Board approved a Severance Plan that became effective on January 21, 2003 and was
subsequently amended and restated in May 2013, January 2019, January 2022 and August 2025 (collectively referred to
herein as the “Amended Severance Plan”). The Amended Severance Plan applies to (i) eligible employees of the Company
who were hired by the Company on or before December 31, 2021 and (ii) certain designated key employees of the
Company, including our Named Executive Officers, who are not subject to a performance improvement plan. The Board also
TABLE OF CONTENTS
Geron Corporation 82 2026 Proxy Statement
approved a new severance plan, referred to herein as the “2022 Severance Plan,” effective January 1, 2022, which applies
to employees hired by the Company on or after January 1, 2022 at the Vice President level or below, who are not subject to
a performance improvement plan. In December 2024, the Compensation Committee approved an amendment of the 2022
Severance Plan to include Senior Vice Presidents, with the same severance benefits as are provided to Vice Presidents,
under the 2022 Severance Plan, effective January 1, 2025. As such, our executive management team, including our Named
Executive Officers, does not have any benefits under the 2022 Severance Plan.
Our Named Executive Officers will receive the greater of the severance benefits set forth in their employment agreement or
the severance benefits provided for in the Company’s Amended Severance Plan (without duplication).
The Amended Severance Plan provides for cash severance benefits to be paid to employees, including our Named
Executive Officers, under a “double trigger” situation, defined below as a Change in Control Triggering Event. Under this
double trigger requirement, cash severance benefits are paid only upon the occurrence of a Change in Control and a
termination of employment, with such termination being either by the Company or because the employee resigns due to a
material change in their employment terms. The Board believes that a double trigger with respect to cash compensation
requirement is industry standard and provides appropriate protection for our employees, including our Named Executive
Officers, from post-Change in Control events that are not related to the employee’s performance, encourages employees to
stay throughout a transition period in the event of a Change in Control and does not provide for benefits for an employee
who remains with the surviving company in a comparable position. Under the Amended Severance Plan, the following
definitions apply:
•
“Change in Control Triggering Event” is defined as a termination without Cause in connection with a Change in
Control (which has the same definition as under the 2018 Plan) or within 12 months following a Change in Control.
Additionally, if an individual is terminated by the Company in connection with a Change in Control but immediately
accepts employment with the Company’s successor or acquirer, they will not be deemed to have had a Change in
Control Triggering Event unless:
(i)
such individual is subsequently terminated without Cause by the successor or acquirer within the 12 months
following the Change in Control;
(ii)
such individual resigns employment with the Company because in connection with a Change in Control they
are offered terms of employment (new or continuing) by the Company or the Company’s successor or acquirer
within 30 days after the Change in Control that results in a material change in the terms of employment; or
(iii) after accepting (or continuing) employment with the Company or the Company’s successor or acquirer after a
Change in Control, such individual resigns employment within 12 months following the Change in Control due
to a material change in terms of employment as defined below.
•
“Cause” generally means an employee’s continued failure to satisfactorily perform duties, willful act or omission
constituting dishonesty, fraud or other malfeasance against the Company, conviction of a felony, debarment by the
FDA from working in or providing services to any pharmaceutical or biotechnology company or other ineligibility
under any law or regulation to perform the employee’s duties to the Company, or breach of any material Company
policies.
•
“Material change in terms of employment” shall occur if one of the following events occurs without the employee’s
consent:
(i)
base salary is materially reduced from that in effect immediately prior to the Change in Control;
(ii)
if at the time of the Change in Control they are employed at the director level or above, they are subject to a
material reduction in their duties (including responsibilities and/or authority);
(iii) their principal work location is to be moved to a location that is either more than 45 miles from their principal
work location immediately prior to the Change in Control or more than 30 miles farther from their principal
weekday residence than was their principal work location immediately prior to the Change in Control; or
(iv) the Company or the Company’s successor or acquirer materially breaches the terms of any employment or
similar service agreement with the employee.
Additionally, in order for the resignation to be deemed due to a material change in terms of their employment, the employee
must provide written notice to the Company’s Chief Financial Officer within 30 days after the first occurrence of the event
giving rise to a material change in their terms of employment setting forth the basis for their resignation, allow the Company
at least 30 days from receipt of such written notice to cure such event, and if such event is not reasonably cured within such
period, the employee’s resignation from all positions they then hold with the Company is effective not later than 90 days after
the expiration of the cure period.
Upon a Change in Control Triggering Event, each of our Named Executive Officers is entitled to: (i) a severance payment
equal to 15 months (18 months, with respect to Mr. Semerjian) of his or her base salary then in effect as of such Change in
Control Triggering Event; (ii) payment of his or her target annual bonus, at the target bonus percentage in effect immediately
prior to his or her separation from service, prorated for the length of service provided in the termination year (plus and
TABLE OF CONTENTS
Geron Corporation 83 2026 Proxy Statement
additional payment equal to 150% of his target annual bonus, with respect to Mr. Semerjian); and (iii) payment of COBRA
premiums for up to 15 months (18 months, with respect to Mr. Semerjian). These benefits are consistent with severance
plans offered at companies similar in size in our industry and competitive market environment. Payment of any severance
benefits under the Amended Severance Plan is conditioned on the timely provision of an effective release of claims against
Geron. If a Named Executive Officer is entitled to severance benefits upon a termination of employment under both the
Amended Severance Plan and an employment agreement, the Named Executive Officer will receive the greater of such
severance benefits (without duplication). The benefits provided under the Amended Severance Plan are not intended to be
duplicative of those provided in any employment agreement.
Equity Plans
As set forth in each individual stock option agreement (for both time-based and performance-based options) under the 2018
Plan and the Inducement Plan, in the event of a Change in Control of Geron (defined below), the vesting of each
outstanding stock option held by all employees and non-employee directors will accelerate so that each stock option shall
become fully exercisable for all of the outstanding shares subject to such stock option immediately prior to the
consummation of such transaction and each other type of award shall be fully vested with all forfeiture restrictions on any or
all of such awards to lapse. Additionally, as set forth in each individual restricted stock unit award agreement, in the event of
either a Change in Control or a Corporate Transaction that is not a license, if an employee or non-employee director has not
terminated their service with us prior to the effective date of the Change in Control or Corporate Transaction, then the
vesting of each outstanding restricted stock unit held by such employee or non-employee director will be accelerated in full
upon the effective date of such Change in Control or Corporate Transaction.
For purposes of the 2018 Plan and Inducement Plan, a “Change in Control” generally means and includes each of the
following:
a)
as a result of any merger or consolidation, the voting securities of Geron outstanding immediately prior thereto
represent (either by remaining outstanding or by being converted into voting securities of the surviving or acquiring
entity) less than 49% of the combined voting power of the voting securities of Geron or such surviving or acquiring
entity outstanding immediately after such merger or consolidation; during any period of 24 consecutive calendar
months, the individuals who at the beginning of such period constitute the board of directors, and any new
directors whose election by such board of directors or nomination for election by stockholders was approved by a
vote of at least two-thirds of the members of such board of directors who were either directors on such board of
directors at the beginning of the period or whose election or nomination for election as directors was previously so
approved, for any reason cease to constitute at least a majority of the members thereof;
b)
any individual, entity or group becomes the beneficial owner of more than 20% of the then outstanding shares of
our Common Stock;
c)
any sale of all or substantially all of the assets of Geron; or
d)
the complete liquidation or dissolution of Geron.
For purposes of the 2018 Plan and Inducement Plan, a "Corporate Transaction" generally means and includes each of the
following:
a) a sale, lease or other disposition of all or substantially all of the assets of Geron;
b) a sale or other disposition of at least ninety percent (90%) of the outstanding securities of Geron;
c) a merger, consolidation or similar transaction in which Geron is not the surviving corporation; or
d) a reverse merger, consolidation or similar transaction in which Geron is the surviving corporation but the shares
of our Common Stock outstanding immediately preceding the merger, consolidation or similar transaction are converted by
virtue of the merger, consolidation or similar transaction into other property, whether in the form of securities, cash or
otherwise.
Notwithstanding the foregoing definition, the term Corporate Transaction does not include a sale of assets, merger or other
transaction effected exclusively for the purpose of changing the domicile of Geron.
In the event an employee or non-employee director experiences a termination of service as a result of the employee’s or
non-employee director’s total and permanent disability (as defined in Section 22(e)(3) of the Code) or death, the 2018 Plan
and Inducement Plan provides through each respective plan or the individual stock option agreement, that the portion of
each outstanding stock option with time-based vesting held by such employee or non-employee director that would have
vested during the 36 months after the date of termination of service will automatically vest. The stock options that were
already vested upon the date of termination and those that automatically vested in connection with an employee’s total and
TABLE OF CONTENTS
Geron Corporation 84 2026 Proxy Statement
permanent disability or death will remain exercisable until the earlier of the second anniversary of the date of termination and
the original expiration date of such stock option. For a non-employee director, the post-termination exercise period is the
earlier of the third anniversary of the date of termination and the original expiration date of such stock option.
In the event an employee experiences a termination of service as a result of the employee’s total and permanent disability
(as defined in Section 22(e)(3) of the Code) or death, the individual stock option agreement for stock options with
performance-based vesting permits the unvested portion of such stock option to continue to be eligible to vest and become
exercisable upon the achievement of the performance goal set forth in the stock option grant notice to the extent such
performance goal has not already been achieved as of the date of the employee’s total and permanent disability or death, if
and only if the performance goal occurs within the 36 months following the date of the employee’s total and permanent
disability or death, however, not beyond the original term of the stock option.
Potential Payments Table
The table below summarizes potential maximum payments under the Amended Severance Plan, individual employment
agreements or equity plans, as applicable, for our continuing Named Executive Officers if a qualifying termination and/or
change in control event had occurred on December 31, 2025, the last business day of our last completed fiscal year. The
actual value that the continuing Named Executive Officers would receive as a result of stock option vesting acceleration
benefits can be determined only at the time of such termination and/or change in control event.
Named Executive Officer
Qualifying Event
Severance
Continued
Healthcare
Benefits
Options
Vesting
Restricted
Stock Units
Vesting
Total
Harout Semerjian
Covered Termination – No Change in Control(1)
$ 1,200,000
$
36,737
$
—
$
—
$ 1,236,737
Termination Without Cause or for Good Reason
– With Change in Control(2)(3)
$ 1,760,000
$
55,106
$
220,000
$
—
$ 2,035,106
Without Termination – With Change in Control(3)
$
—
$
—
$
220,000
$
—
$
220,000
Death(4)
$
—
$
—
$
220,000
$
—
$
220,000
Disability(5)
$
—
$
—
$
220,000
$
—
$
220,000
Michelle J. Robertson
Covered Termination – No Change in Control(1)
$
559,700
$
11,929
$
—
$
—
$
571,629
Termination Without Cause or for Good Reason
– With Change in Control(2)(3)
$
811,565
$
14,912
$
—
$
145,200
$
971,677
Without Termination – With Change in Control(3)
$
—
$
—
$
—
$
145,200
$
145,200
Death(4)
$
—
$
—
$
—
$
—
$
—
Disability(5)
$
—
$
—
$
—
$
—
$
—
Ahmed ElNawawi
Covered Termination – No Change in Control(1)
$
525,000
$
36,737
$
—
$
—
$
561,737
Termination Without Cause or for Good Reason
– With Change in Control(2)(3)
$
761,250
$
45,922
$
150,000
$
—
$
957,172
Without Termination – With Change in Control(3)
$
—
$
—
$
150,000
$
—
$
150,000
Death(4)
$
—
$
—
$
150,000
$
—
$
150,000
Disability(5)
$
—
$
—
$
150,000
$
—
$
150,000
Joseph Eid, M.D.
Covered Termination – No Change in Control(1)
$
650,000
$
13,211
$
—
$
—
$
663,211
Termination Without Cause or for Good Reason
– With Change in Control(2)(3)
$ 1,007,500
$
16,513
$
—
$
—
$ 1,024,013
Without Termination – With Change in Control(3)
$
—
$
—
$
—
$
—
$
—
Death(4)
$
—
$
—
$
—
$
—
$
—
Disability(5)
$
—
$
—
$
—
$
—
$
—
(1)
Amounts represent lump-sum severance payments (including the target annual performance-based bonus) and continued healthcare benefits
that could be paid to a Named Executive Officer upon a Covered Termination as of December 31, 2025, not in connection with a Change in
Control transaction. The amounts in this row do not include any value associated with the extension, if any, of the post-termination exercise
period applicable to the Named Executive Officers’ stock options.
(2)
Amounts represent lump-sum severance payments (including the target annual performance-based bonus), continued healthcare benefits and
the intrinsic value of acceleration of unvested stock options and restricted stock units, based on a market value of $1.32 per share of Common
Stock as of December 31, 2025, that could be paid to a Named Executive Officer under such Named Executive Officer’s employment agreement
and/or our Amended Severance Plan in the event of a Covered Termination or Change in Control Triggering Event on December 31, 2025, as
applicable. Any payments made under a Named Executive Officer’s employment agreement would not duplicate any payments due under the
Amended Severance Plan. The amounts in this row do not include any value associated with the extension, if any, of the post-termination
exercise period applicable to the Named Executive Officers’ stock options.
TABLE OF CONTENTS
Geron Corporation 85 2026 Proxy Statement
(3)
Amounts represent or include, as applicable, the intrinsic value of unvested stock options and restricted stock units that would become fully
vested and exercisable upon a Change in Control regardless of termination, based on a market value of $1.32 per share of Common Stock as of
December 31, 2025. The amounts in this row do not include any value associated with the extension, if any, of the post-termination exercise
period applicable to the Named Executive Officers’ stock options.
(4)
Amounts represent intrinsic value of unvested stock options that would become fully vested and exercisable upon a termination of service as a
result of death, based on a market value of $1.32 per share of Common Stock as of December 31, 2025. The amounts in this row do not include
any value associated with the extension, if any, of the post-termination exercise period applicable to the Named Executive Officers’ stock
options.
(5)
Amounts represent the intrinsic value of unvested stock options that would become fully vested and exercisable upon a termination of service
as a result of total and permanent disability (as defined in Section 22(e)(3) of the Code), based on a market value of $1.32 per share of Common
Stock as of December 31, 2025. The amounts in this row do not include any value associated with the extension, if any, of the post-termination
exercise period applicable to the Named Executive Officers’ stock options.
Dr. Scarlett ceased serving as our President and Chief Executive Officer and resigned from the Board on March 10, 2025. Dr.
Scarlett's termination qualified as a Covered Termination under his employment agreement. Pursuant to the terms set forth in Dr.
Scarlett's employment agreement, in connection with his Covered Termination, and subject to and effective upon the date set
forth in his separation and release agreement, Dr. Scarlett received the following severance benefits following his last day of
employment on March 31, 2025: (i) a lump-sum severance payment of $1,678,000 (equal to 24 months of his base salary in
effect as of such termination); and (ii) continued COBRA coverage for a period of one year following his termination in the
amount of $28,160. In addition, the vested portion of any stock options held by Dr. Scarlett will remain exercisable until the earlier
of the second anniversary of the date of termination and the original expiration date of such award.
Dr. Grethlein ceased serving as our Executive Vice President, Chief Operating Officer on October 15, 2025. Dr. Grethlein's
termination qualified as a Covered Termination under his employment agreement. Pursuant to the terms set forth in Dr.
Grethlein's employment agreement, in connection with his Covered Termination, and subject to and effective upon the date set
forth in his separation and release agreement, Dr. Grethlein received the following severance benefits following his last day of
employment on October 15, 2025: (i) a lump-sum severance payment of $621,000 (equal to 12 months of his base salary in
effect as of such termination); and (ii) continued COBRA coverage for a period of one year following his termination in the
amount of $23,568. In addition, the vested portion of any stock options held by Dr. Grethlein will remain exercisable until the
earlier of the second anniversary of the date of termination and the original expiration date of such award. In addition, pursuant to
the terms of the Grethlein Consulting Agreement, the annual stock option grant awarded to Dr. Grethlein in February 2022 was
modified to provide for its continued vesting during the term of the Grethlein Consulting Agreement.
Mr. Ziegler ceased serving as our Executive Vice President, Chief Commercial Officer on October 15, 2025. Mr. Ziegler's
termination qualified as a Covered Termination under his employment agreement. Pursuant to the terms set forth in Mr. Ziegler's
employment agreement, in connection with Mr. Ziegler's Covered Termination, and subject to and effective upon the date set
forth in his separation and release agreement, Mr. Ziegler received the following severance benefits following his last day of
employment on October 15, 2025: (i) a lump-sum severance payment of $543,400 (equal to 12 months of his base salary in
effect as of such termination); and (ii) continued COBRA coverage for a period of one year following his termination in the
amount of $23,568. In addition, the vested portion of any stock options held by Mr. Ziegler will remain exercisable until the earlier
of the second anniversary of the date of termination and the original expiration date of such award.
Ms. Bir ceased serving as our Interim President and Chief Executive Officer on August 7, 2025. Because Ms. Bir was serving in
an interim capacity, Ms. Bir was not eligible to participate in the Company’s Amended Severance Plan, and Ms. Bir was not
otherwise eligible to receive, and did not receive, severance compensation in connection or other amounts with cessation of her
service as our Interim President and Chief Executive Officer.
TABLE OF CONTENTS
Geron Corporation 86 2026 Proxy Statement
Pay Versus Performance Table
As required by Section 953(a) of the Dodd-Frank Wall Street Reform and Consumer Protection Act, and Item 402(v) of
Regulation S-K, we are providing the following information about the relationship between the executive compensation for
our principal executive officer (“PEO”) and the other named executive officers, other than the PEO (the “Non-PEO NEOs”),
and the Company’s performance for the years listed below. The disclosure included in this section is prescribed by SEC
rules and does not necessarily align with how the Company or the Compensation Committee view the link between the
Company’s performance and named executive officer pay. The Compensation Committee did not consider the disclosure
below in making its pay decisions for any of the years shown. For information on our executive compensation program and
the Compensation Committee’s approach, refer to the sections entitled “Compensation Discussion and Analysis” and
“Executive Compensation Tables and Related Narrative Disclosure” of this Proxy Statement.
Year(1)
Summary
Compensation
Table Total for
Mr.
Semerjian(2)
Compensation
Actually Paid to
Mr.
Semerjian(3)
Summary
Compensation
Table Total for
Dr. Scarlett(2)
Compensation
Actually Paid
to Dr.
Scarlett(3)
Summary
Compensation
Table Total for
Ms. Bir(2)
Compensation
Actually Paid
to Ms. Bir(3)
Average
Summary
Compensation
Table Total for
Non-PEO
NEOs(4)
Average
Compensation
Actually Paid
to Non-PEO
NEOs(5)
Value of Initial Fixed $100
Investment Based On
Net Income
(Loss) (In
Thousands)
(7)
Net Product
Revenue
(In Thousands)
(8)
Total
Shareholder
Return(6)
Peer Total
Shareholder
Return(6)
2025
$
10,221,755 $
10,176,355 $
7,422,754 $
(7,325,108) $
522,122 $
243,248 $
2,368,324 $
(1,105,269) $
83 $
125
($83,500) $
183,623
2024
$
— $
— $
6,152,657 $
15,290,185 $
— $
— $
4,656,303 $
5,935,936 $
223 $
93
($174,572) $
76,495
2023
$
— $
— $
4,950,424 $
4,472,564 $
— $
— $
2,845,527 $
2,349,061 $
133 $
94
($184,127) $
—
2022
$
— $
— $
2,997,203 $
5,898,457 $
— $
— $
1,361,162 $
2,480,002 $
152 $
90
($141,901) $
—
2021
$
— $
— $
2,056,987 $
1,340,341 $
— $
— $
1,155,449 $
832,837 $
77 $
100
($116,112) $
—
(1)
For each of the years presented in the above table, the PEOs were as follows:
•
2025: Current Chief Executive Officer Harout Semerjian, Former Chief Executive Officer John Scarlett, and Interim Chief Executive
Officer Dawn Bir
•
2021, 2022, 2023, 2024: Former Chief Executive Officer John Scarlett
For each of the years presented in the above table, the Non-PEO NEOs were as follows:
•
2025: Michelle Robertson, Andrew Grethlein, James Ziegler, Joseph Eid, and Ahmed ElNawawi
•
2024: Michelle Robertson, Andrew Grethlein, James Ziegler, and Joseph Eid
•
2023: Andrew Grethlein, Scott Samuels, and Michelle Robertson
•
2022: Olivia Bloom and Andrew Grethlein
•
2021: Olivia Bloom, Andrew Grethlein, Aleksandra Rizo, Anil Kapur, and Melissa Kelly Behrs
(2)
For each PEO, the dollar amounts represent the compensation reported for the PEO for each corresponding year in the “Total” column of the
Summary Compensation Table for the relevant years, as applicable. For the Non-PEO NEOs, the dollar amounts represent the average amounts
of compensation reported for the non-PEO NEOs for each corresponding year in the “Total” column of the Summary Compensation Table for
the relevant years.
(3)
For purposes of this table, the compensation actually paid (“Compensation Actually Paid”, or “CAP”) has been computed in accordance with
Item 402(v) of Regulation S-K under the Exchange Act and does not reflect the actual amount of compensation earned by or paid to the Named
Executive Officers during the applicable year. These amounts reflect total compensation as reflected in the above Summary Compensation
Table for the applicable year less the grant date fair values of stock option awards included in the “Option Awards” and “Stock Awards”
columns of the Summary Compensation Table for the Named Executive Officer for the applicable year, and adjusted as follows for each equity
award granted to each Named Executive Officer. The total CAP calculation for our current PEO, Mr. Semerjian, for 2025 was as follows:
Year
Reported
Summary
Compensation
Table Total for
Mr. Semerjian
Reported
Value of Equity
Awards(a)
Equity
Award
Adjustments(b)
Reported
Change in the
Actuarial
Present Value
of Pension
Benefits
Pension Benefit
Adjustments
Compensation
Actually Paid to
PEO
2025
$
10,221,755
($9,695,400) $
9,650,000
$
—
$
—
$
10,176,355
TABLE OF CONTENTS
Geron Corporation 87 2026 Proxy Statement
The total CAP calculation for our former PEO, Dr. Scarlett, for 2025 was as follows:
Year
Reported
Summary
Compensation
Table Total for
Dr. Scarlett
Reported
Value of Equity
Awards(a)
Equity
Award
Adjustments(b)
Reported
Change in the
Actuarial
Present Value
of Pension
Benefits
Pension Benefit
Adjustments
Compensation
Actually Paid to
PEO
2025
$
7,422,754
($5,386,404) $
(9,361,458) $
—
$
—
$
(7,325,108)
The total CAP calculation for our former interim PEO, Ms. Bir, for 2025 was as follows:
Year
Reported
Summary
Compensation
Table Total for
Ms. Bir
Reported
Value of Equity
Awards(a)
Equity
Award
Adjustments(b)
Reported
Change in the
Actuarial
Present Value
of Pension
Benefits
Pension Benefit
Adjustments
Compensation
Actually Paid to
PEO
2025
$
522,122
($163,674) $
(115,200) $
—
$
—
$
243,248
(a)
The grant date fair value of equity awards represents the total of the amounts reported in the “Option Awards” columns in the Summary
Compensation Table for the applicable year, as there were no stock awards issued or reported.
(b)
The equity award adjustments for each applicable year include the addition (or subtraction, as applicable) of the following: (i) the year-
end fair value of any equity awards granted in the applicable year that are outstanding and unvested as of the end of the year; (ii) the
amount of change as of the end of the applicable year (from the end of the prior fiscal year) in fair value of any awards granted in prior
years that are outstanding and unvested as of the end of the applicable year; (iii) for awards that are granted and vest in the same
applicable year, the fair value as of the vesting date; (iv) for awards granted in prior years that vest in the applicable year, the amount
equal to the change as of the vesting date (from the end of the prior fiscal year) in fair value; (v) for awards granted in prior years that are
determined to fail to meet the applicable vesting conditions during the applicable year, a deduction for the amount equal to the fair value
at the end of the prior fiscal year; and (vi) the dollar value of any dividends or other earnings paid on stock or option awards in the
applicable year prior to the vesting date that are not otherwise reflected in the fair value of such award or included in any other
component of total compensation for the applicable year. The valuation assumptions used to calculate fair values did not materially differ
from those disclosed at the time of grant. The amounts deducted or added in calculating the equity award adjustments for Mr. Semerjian
for 2025 were as follows:
Year
Year End Fair
Value of Equity
Awards
Granted in the
Year That
Remained
Outstanding
and Unvested
at the End of
the Prior Year
Change in
Fair Value from
End of Period
Year to End of
Covered Year
Of Equity
Awards
Granted in
Prior Years
Fair Value
as of Vesting
Date of Equity
Awards Granted
and Vested in
the Year
Change in
Fair Value on
the Vesting
Date of
Equity Awards
Granted in
Prior Years
that Vested
in the Year
Fair Value
at the End
of the Prior
Year of
Equity
Awards
Forfeited
in the Year
Dollar Value of
Dividends or
other Earnings
Paid on
Equity Awards
not Otherwise
Reflected in
Fair
Value or Total
Compensation
Total Equity
Award
Adjustments
2025
$
9,650,000
$
—
$
—
$
—
$
—
$
—
$
9,650,000
The amounts deducted or added in calculating the equity award adjustments for Dr. Scarlett for 2025 were as follows:
Year
Year End Fair
Value of Equity
Awards
Granted in the
Year That
Remained
Outstanding
and Unvested
at the End of
the Prior Year
Change in
Fair Value from
End of Period
Year to End of
Covered Year
Of Equity
Awards
Granted in
Prior Years
Fair Value
as of Vesting
Date of Equity
Awards Granted
and Vested in
the Year
Change in
Fair Value on
the Vesting
Date of
Equity Awards
Granted in
Prior Years
that Vested
in the Year
Fair Value
at the End
of the Prior
Year of
Equity
Awards
Forfeited
in the Year
Dollar Value of
Dividends or
other Earnings
Paid on
Equity Awards
not Otherwise
Reflected in
Fair
Value or Total
Compensation
Total Equity
Award
Adjustments
2025
$
—
$
—
$
62,449
$
(412,302) $
(9,011,605) $
—
$ (9,361,458)
TABLE OF CONTENTS
Geron Corporation 88 2026 Proxy Statement
The amounts deducted or added in calculating the equity award adjustments for Ms. Bir for 2025 were as follows:
Year
Year End Fair
Value of Equity
Awards
Granted in the
Year That
Remained
Outstanding
and Unvested
at the End of
the Prior Year
Change in
Fair Value from
End of Period
Year to End of
Covered Year
Of Equity
Awards
Granted in
Prior Years
Fair Value
as of Vesting
Date of Equity
Awards Granted
and Vested in
the Year
Change in
Fair Value on
the Vesting
Date of
Equity Awards
Granted in
Prior Years
that Vested
in the Year
Fair Value
at the End
of the Prior
Year of
Equity
Awards
Forfeited
in the Year
Dollar Value of
Dividends or
other Earnings
Paid on
Equity Awards
not Otherwise
Reflected in
Fair
Value or Total
Compensation
Total Equity
Award
Adjustments
2025
$
151,200
$
—
$
—
$
(266,400) $
—
$
—
$
(115,200)
In the tables above, the unvested equity values were computed in accordance with the methodology used for financial reporting purposes.
(4)
The dollar amounts reported in this column represent the average of the amounts reported for the Company’s Non-PEO NEOs as a group
in the “Total” column of the Summary Compensation Table in each applicable year.
(5)
The dollar amounts reported in this column represent the average amount of Compensation Actually Paid to our Non-PEO NEOs as a
group, as computed in accordance with Item 402(v) of Regulation S-K. The dollar amounts do not reflect the actual average amount of
compensation earned by or paid to the non-PEO NEOs as a group during the applicable year. The following adjustments were made to
average total compensation for the Non-PEO NEOs as a group for 2025 to determine the Compensation Actually Paid, using the same
methodology described above in Note 3:
Year
Average Reported
Summary
Compensation
Table Total for
Non-PEO NEOs
Average Reported
Value of
Equity Awards
Total Average
Equity
Award
Adjustments(a)
Reported
Change
in Actuarial
Present Value of
Pension Benefits
Pension
Benefits
Adjustments
Average
Compensation
Actually Paid to
Non-PEO
NEOs
2025
$
2,368,324
$
(1,403,400) $
(2,070,193) $
—
$
—
$
(1,105,269)
(a) The amounts deducted or added in calculating the total average equity award adjustments were as follows:
Year
Average
Year End
Fair Value of
Equity Awards
Granted in the
Year
Average Change
in Fair Value
From End of
Period Year to
End of Covered
Year of Equity
Awards Granted
in Prior years
Average
Fair Value
as of Vesting
Date of the
Equity
Awards Granted
and Vested
in the Year
Average
Change in
Fair Value
on Vesting
Date of Equity
Awards
Granted in
Prior Years
that Vested
in the Year
Average
Fair Value
at the End
of the Prior
Year of
Equity
Awards
Forfeited
in the Year
Average Dollar
Value
of Dividends
or other
Earnings
Paid on
Equity Awards
not Otherwise
Reflected in
Fair
Value or Total
Compensation
Average
Incremental
Fair Value of
Options
Modified in
the Year
Average
Total Equity
Award
Adjustments
2025
$
650,472
$
(1,036,796) $
63,408
$
(651,249) $
(1,096,658) $
—
$
630
$ (2,070,193)
In the table above, the unvested equity values were computed in accordance with the methodology used for financial reporting purposes.
(6)
Total Shareholder Return represents the return on a fixed investment of $100 in our Common Stock for the period beginning on the last
trading day of 2020 through the last trading day of the applicable fiscal year. Total Shareholder Return for the peer group represents the
return on a fixed $100 investment in the NASDAQ Biotech index for the period beginning on the last trading day of 2020 through the last
trading day of the applicable fiscal year.
(7)
The dollar amounts reported represent the amount of net income (loss) reflected in the Company’s audited financial statements for the
applicable year.
(8)
Net Product Revenue has been selected as the Company-Selected Measure for purposes of this Pay Versus Performance Table as it is the
most important financial performance measure used by the Company to link Compensation Actually Paid to our PEO and Non-PEO NEOs
to company performance. However, the Company did not generate material product revenue prior to 2024. Accordingly, for fiscal years
2021, 2022 and 2023, Net Product Revenue was $0 for each year. The Company has included these values in the table in accordance with
SEC requirements, despite the Company-Selected Measure not being a meaningful indicator of performance in those years.
The following financial performance measure represents the most important measure used by the Company to link
Compensation Actually Paid to our PEOs and Non-PEO NEOs for the most recently completed fiscal year.
•
Net Product Revenue
TABLE OF CONTENTS
Geron Corporation 89 2026 Proxy Statement
Analysis of the Information Presented in the Pay versus Performance Table
In accordance with Item 402(v) of Regulation S-K, we are providing the following descriptions of the relationships between
information presented in the Pay Versus Performance table above.
Compensation Actually Paid vs. Geron 5-year Cumulative Total Shareholder Return (TSR) and Peer TSR
The following graph sets forth the relationship between Compensation Actually Paid to our PEOs, the average of
Compensation Actually Paid to our Non-PEO NEOs, the Company’s cumulative TSR, and the Peer TSR (NASDAQ
Biotechnology Index) over the five most recently completed fiscal years.
Compensation Actually Paid and Net Income (Loss)
The following graph sets forth the relationship between Compensation Actually Paid to our PEOs, the average of
Compensation Actually Paid to our Non-PEO NEOs, and the Company’s net income (loss) over the five most recently
completed fiscal years.
TABLE OF CONTENTS
Geron Corporation 90 2026 Proxy Statement
Compensation Actually Paid and Net Product Revenue
The following graph sets forth the relationship between Compensation Actually Paid to our PEOs, the average of
Compensation Actually Paid to our Non-PEO NEOs, and the Company’s net product revenue over the five most recently
completed fiscal years.
TABLE OF CONTENTS
Geron Corporation 91 2026 Proxy Statement
All information provided above under the “Pay Versus Performance” heading will not be deemed to be incorporated by
reference into any filing of the Company under the Securities Act, whether made before or after the date hereof and
irrespective of any general incorporation language in any such filing, except to the extent the Company specifically
incorporates such information by reference.
TABLE OF CONTENTS
Geron Corporation 92 2026 Proxy Statement
Proposal Four
Ratification of Selection of
Independent Registered Public
Accounting Firm
The Audit Committee of the Board has selected Ernst & Young LLP as our independent registered public accounting firm for
the fiscal year ending December 31, 2026, and has further directed that management submit the selection of the
independent registered public accounting firm for ratification by our stockholders at the Annual Meeting. Ernst & Young LLP
has served as our independent registered public accounting firm since 1992.
Representatives of Ernst & Young LLP are expected to be present at the Annual Meeting, will have an opportunity to make a
statement if they so desire, and will be available to respond to appropriate questions from stockholders.
We have been informed by Ernst & Young LLP that, to the best of their knowledge, neither the firm nor any of its members or
their associates has any direct financial interest or material indirect financial interest in Geron or our affiliates.
Stockholder ratification of the selection of Ernst & Young LLP as our independent registered public accounting firm is not
required by our bylaws or otherwise. However, the Board is submitting the selection of Ernst & Young LLP to our
stockholders for ratification as a matter of good corporate practice. If our stockholders fail to ratify the selection, the Audit
Committee and the Board will reconsider whether or not to retain that firm. Even if the selection is ratified, the Audit
Committee and the Board in their discretion may direct the appointment of a different independent registered public
accounting firm at any time during the year if they determine that such a change would be in the best interests of Geron and
our stockholders.
VOTE
The Board of Directors unanimously recommends that stockholders vote FOR
Proposal 4
TABLE OF CONTENTS
Geron Corporation 93 2026 Proxy Statement
Principal Accountant Fees and Services
The Audit Committee maintains policies and procedures for the pre-approval of work performed by the independent
registered public accounting firm. Under the Audit Committee’s charter, all services of the independent registered public
accounting firm must be approved in advance by the Audit Committee. Management recommendations will be considered in
connection with such engagements, but management has no authority to approve engagements. For each quarterly Audit
Committee meeting, management prepares a schedule of all fees paid to Ernst & Young LLP during the previous quarter
and estimated fees for projects contemplated in the following quarter. The Chair of the Audit Committee must be notified at
any time the fees for a specific project exceed 20% of the approved budget for authorization to continue the project.
Audit Fees and All Other Fees
The Audit Committee approved all services provided by Ernst & Young LLP in 2025 and 2024. The total fees paid to Ernst &
Young LLP for the last two fiscal years are as follows:
Fiscal Year Ended
December 31, 2025
Fiscal Year Ended
December 31, 2024
Audit Fees(1)
$2,613,294
$2,766,240
Audit-Related Fees(2)
—
—
Tax Fees(3)
—
—
All Other Fees(4)
—
—
Total
$2,613,294
$2,766,240
(1)
Audit Fees in 2025 and 2024 include the audit of annual consolidated financial statements included in our Annual Reports on Forms 10-K,
reviews of quarterly consolidated financial statements included in our Quarterly Reports on Forms 10-Q, consultations on matters addressed
during the audit or quarterly reviews, and services provided in connection with SEC filings, including consents and comment and comfort
letters. These fees also include the statutory audits of our international operations.
(2)
Audit-related fees relate to fees billed for professional services provided in connection with assurance and related services that are reasonably
related to the performance of the audit or review of our consolidated financial statements and that are not reported under Audit Fees.
(3)
Consists of fees billed for professional services for tax compliance, tax advice and tax planning.
(4)
This category consists of fees for all other services that are not reported above.
TABLE OF CONTENTS
Geron Corporation 94 2026 Proxy Statement
Audit Committee Report
The Audit Committee of Geron Corporation’s Board of Directors currently is comprised of three independent directors. The
Audit Committee operates pursuant to a written charter that was last amended and restated by the Board in September
2023. A copy of the Audit Committee’s amended and restated charter is available on our website.
In 2025, the members of the Audit Committee were Ms. O’Farrell (Chair), Dr. Lawlis and Mr. McDonald. The Board has
determined that all members of the Audit Committee are financially literate as required by Nasdaq. The Board has also
determined that Ms. O’Farrell is an audit committee financial expert as defined by Nasdaq.
The function of the Audit Committee is to assist the Board in fulfilling its oversight responsibilities regarding:
(i)
the quality and integrity of our consolidated financial statements,
(ii)
our compliance with legal and regulatory requirements,
(iii) the qualifications and independence of the independent registered public accounting firm serving as our auditors,
and
(iv) the performance of the independent registered public accounting firm.
Management is responsible for Geron’s internal controls and financial reporting. The independent registered public
accounting firm is responsible for performing an independent audit of Geron’s consolidated financial statements in
accordance with generally accepted auditing standards and to issue a report thereon. The Audit Committee’s responsibility is
to monitor and oversee these processes. In this context, the Audit Committee hereby reports as follows:
(1) The Audit Committee has reviewed and discussed the audited consolidated financial statements of the Company
as of and for the year ended December 31, 2025 with management and the independent registered public
accounting firm serving as the Company’s independent auditors.
(2) The Audit Committee has discussed with the independent auditors the matters required to be discussed by the
applicable requirements of the Public Company Accounting Oversight Board and the SEC.
(3) The Audit Committee has received the written disclosures and the letter from the independent auditors required by
applicable requirements of the Public Company Accounting Oversight Board regarding the independent auditor’s
communications with the Audit Committee concerning independence and has discussed with the independent
auditors the independent auditor’s independence.
(4) The Audit Committee has considered whether the independent auditor’s provision of non-audit services to the
Company is compatible with maintaining the independent auditor’s independence.
Based on the review and discussions described above, the Audit Committee recommended to the Board that the audited
consolidated financial statements be included in Geron’s Annual Report on Form 10-K for the year ended December 31,
2025 for filing with the SEC.
Submitted by the members of the Audit Committee of the Board of Directors.
Elizabeth G. O’Farrell (Chair)
V. Bryan Lawlis, Ph.D.
John F. McDonald
This Section is not “soliciting material,” is not deemed “filed” with the SEC and is not to be incorporated by reference in any
filing of the Company under the Securities Exchange Act of 1934, as amended, or the Securities Act of 1933, as amended,
whether made before or after the date hereof and irrespective of any general incorporation language in any such filing.
TABLE OF CONTENTS
Geron Corporation 95 2026 Proxy Statement
Equity Compensation Plan Information
The following table summarizes information with respect to equity awards under our equity compensation plans at
December 31, 2025:
Number of
securities to be
issued upon
exercise
of outstanding
options, warrants
and rights(1)
Weighted-average
exercise price
of outstanding
options, warrants
and rights
Number of securities
remaining available for
future issuance under
equity compensation
plans (excluding
securities reflected
in column (a))(1)
Equity Plan Category
(a)
(b)
(c)
Equity compensation plans approved by security holders
47,429,175
(2)
$2.02
57,162,177
(3)(4)
Equity compensation plans not approved by security holders
38,681,382
(5)
$2.09
5,986,094
(6)
Total
86,110,557
$2.05
63,148,271
(1)
The table does not include information regarding the Geron 401(k) Plan. Under the Geron 401(k) Plan, all participating employees may
contribute up to the annual Internal Revenue Service contribution limit. We used to make matching contributions in the Geron 401(k) Plan on
behalf of plan participants, in our Common Stock that vested ratably over four years for each year of service completed by the employee,
commencing from the date of hire, until it was fully vested when the employee had completed four years of service; however, we no longer
provide matching contributions in Common Stock. As of December 31, 2025, there were approximately 348,050 shares of Common Stock held
in this plan.
(2)
Consists of 3,554,792 shares of Common Stock to be issued upon exercise of outstanding options under the 2011 Plan, and 43,874,383 shares
of Common Stock to be issued upon exercise of outstanding options under the 2018 Plan.
(3)
Consists of 5,619,381 shares of Common Stock available for issuance under the 2014 Employee Stock Purchase Plan, and 51,542,796 shares of
Common Stock available for issuance under the 2018 Plan.
(4)
Shares reserved under the 2018 Plan can also be adjusted if (i) any shares of Common Stock subject to a stock award because the stock award
expires or otherwise terminates without all of the shares covered by the stock award having been issued or is settled in cash, (ii) any shares of
Common Stock issued pursuant to a stock award are forfeited back to or repurchased by the Company because of the failure to meet a
contingency or condition required for the vesting of such shares, or (iii) with respect to a Full Value Award, any shares of Common Stock are
reacquired or withheld (or not issued) by the Company to satisfy a tax withholding obligation in connection with the award, then such shares
will again become available for issuance under the 2018 Plan (collectively, the “2018 Plan Returning Shares”). For each 2018 Plan Returning
Share subject to a Full Value Award, or Prior Plans’ Returning Share subject to a stock award other than a Prior Plans’ Appreciation Award, the
number of shares of Common Stock available for issuance under the 2018 Plan will increase by (i) 1.3 shares for each share of Common Stock
issued pursuant to a Full Value Award granted on or after May 31, 2023 and (ii) 2.0 shares for each share of Common Stock issues pursuant to
a Full Value Award granted before May 31, 2023.
(5)
Consists of 38,681,382 shares of Common Stock to be issued upon exercise of outstanding options under the 2018 Inducement Plan.
(6)
Consists of 5,137,263 shares of Common Stock available for issuance under the Inducement Plan and 848,831 shares of Common Stock
available for issuance under the Directors Market Value Plan. The Inducement Plan provides for the grant of equity awards to individuals who
were not previously Geron employees or directors, other than following a bona fide period of non-employment. All equity awards under the
Inducement Plan are intended to meet the standards of Rule 5635(c)(4) of the Nasdaq Listing rules. The terms and conditions of the
Inducement Plan and the equity awards to be granted thereunder are substantially similar to the 2018 Plan. Under the Directors Market Value
Plan, to the extent permitted by the Director Compensation Policy, the cash compensation payable to a non-employee director who has
properly elected to receive such cash compensation instead in the form of shares of Common Stock will be used to purchase shares of
Common Stock from Geron under the Directors Market Value Plan on the date that such cash compensation is payable to the non-employee
director under the Director Compensation Policy. On such date, we apply the amount of such cash compensation to the purchase of shares of
Common Stock, subject to the limitations and other terms of the Directors Market Value Plan. The purchase price of each share of Common
Stock acquired pursuant to the Directors Market Value Plan is equal to the “market value” on the purchase date (which generally means the
consolidated closing bid price per share of Common Stock as reported by Nasdaq on the purchase date). The Directors Market Value Plan is
intended to qualify for the limited exemption from stockholder approval pursuant to the Nasdaq Listing Rule 5635(c)(2), as a plan that merely
provides a convenient way to purchase shares from the Company at market value.
TABLE OF CONTENTS
Geron Corporation 96 2026 Proxy Statement
Security Ownership of Certain
Beneficial Owners and Management
The following table sets forth the amount and percentage of the outstanding shares of Common Stock, which, according to
the information supplied to us, are beneficially owned by: (i) each person, or group of affiliated persons, who is known by us
to be a beneficial owner of more than 5% of our outstanding Common Stock, (ii) each of our directors and nominees for
director, (iii) each of our Named Executive Officers and (iv) all current directors and executive officers as a group. Unless
otherwise indicated, the address for each of the stockholders in the table below is c/o Geron Corporation, 919 E. Hillsdale
Blvd., Suite 250, Foster City, California 94404. Except for the information based on Schedule 13G/A, as indicated in the
footnotes below, beneficial ownership is stated as of March 26, 2026.
Beneficial Ownership(1)
Beneficial Owner
Number of
Shares
Percent of
Total
Named Executive Officers and Directors:
Harout Semerjian(2)
1,312,500
*
Michelle J. Robertson(3)
1,954,520
*
Joseph Eid, M.D.(4)
1,076,250
*
Ahmed ElNawawi(5)
447,500
*
John F. McDonald(6)
685,000
*
Dawn C. Bir(7)
966,000
*
V. Bryan Lawlis, Ph.D.(8)
1,049,300
*
Elizabeth G. O’Farrell(9)
999,627
*
Susan M. Molineaux, Ph.D.(10)
1,131,527
*
Robert J. Spiegel, M.D., FACP(11)
1,335,464
*
Patricia S. Andrews
—
*
Constantine Chinoporos
—
*
Andrew J. Grethlein, Ph.D. (13)
4,110,156
*
James Ziegler (14)
610,479
*
All directors and executive officers as a group (12 persons)(12)
10,957,688
1.71%
5% Beneficial Holders:
RA Capital Management, L.P.(15)
63,988,106
9.98%
Soleus Capital Master Fund, L.P. (16)
33,008,659
5.15%
Deep Track Capital, LP (17)
32,511,271
5.07%
*
Represents beneficial ownership of less than 1% of the outstanding Common Stock as of March 26, 2026.
(1)
Beneficial ownership is determined in accordance with the rules of the SEC. In computing the number of shares beneficially owned by a person
and the percentage of ownership of that person, shares of Common Stock exercisable pursuant to the exercise of options or warrants held by
that person that are currently exercisable or exercisable within 60 days of March 26, 2026 are deemed outstanding. Such shares, however, are
not deemed outstanding for the purpose of computing the percentage ownership of each other person. Applicable percentages are based on
TABLE OF CONTENTS
Geron Corporation 97 2026 Proxy Statement
640,900,330 shares outstanding on March 26, 2026, adjusted as required by rules promulgated by the SEC. The shares outstanding on March
26, 2026 do not include any pre-funded warrants that may be held by the beneficial owners listed above. The persons named in this table, to the
best of our knowledge, have sole voting and investment power with respect to all shares of Common Stock shown as beneficially owned by
them, subject to community property laws where applicable and except as indicated in the other footnotes to this table.
(2)
Consists of 1,312,500 shares issuable upon the exercise of outstanding options held by Mr. Semerjian exercisable within 60 days of March 26,
2026.
(3)
Consists of 1,936,875 shares issuable upon the exercise of outstanding options held by Ms. Robertson exercisable within 60 days of March 26,
2026 and 17,645 shares held directly by Ms. Robertson.
(4)
Consists of 1,076,250 shares issuable upon the exercise of outstanding options held by Dr. Eid exercisable within 60 days of March 26, 2026.
(5)
Consists of 10,000 shares held directly by Mr. ElNawawi and 437,500 shares issuable upon the exercise of outstanding options held by Mr.
ElNawawi exercisable within 60 days of March 26, 2026.
(6)
Consists of 685,000 shares issuable upon the exercise of outstanding options held by Mr. McDonald exercisable within 60 days of March 26,
2026.
(7)
Consists of 966,000 shares issuable upon the exercise of outstanding options held by Ms. Bir exercisable within 60 days of March 26, 2026.
(8)
Consists of 13,300 shares held directly by Dr. Lawlis and 1,036,000 shares issuable upon the exercise of outstanding options held by Dr. Lawlis
exercisable within 60 days of March 26, 2026.
(9)
Consists of 7,407 shares held directly by Ms. O’Farrell, 26,220 shares beneficially owned by Ms. O’Farrell’s spouse and 966,000 shares issuable
upon the exercise of outstanding options held by Ms. O’Farrell exercisable within 60 days of March 26, 2026.
(10) Consists of 130,527 shares held by the Molineaux Family Trust and 1,001,000 shares issuable upon the exercise of outstanding options held by
Dr. Molineaux exercisable within 60 days of March 26, 2026.
(11) Consists of 194,464 shares held directly by Dr. Spiegel and 1,141,000 shares issuable upon exercise of outstanding options held by Dr. Spiegel
exercisable within 60 days of March 26, 2026.
(12) Consists of shares beneficially owned by all of our directors, nominees for directors, and executive officers as of March 26, 2026 as a group,
including (i) 409,418 shares of Common Stock and 10,558,125 shares underlying options exercisable within 60 days of March 26, 2026 held by
our directors and executive officers.
(13) Consists of 4,110,156 shares issuable upon the exercise of outstanding options held by Dr. Grethlein exercisable within 60 days of March 26,
2026.
(14) Consists of 100,000 shares held by Mr. Ziegler and 510,479 shares issuable upon the exercise of outstanding options held by Mr. Ziegler
exercisable within 60 days of March 26, 2026.
(15) The indicated ownership is based solely on a Schedule 13G/A filed with the SEC on May 15, 2025 for RA Capital Management, L.P., Peter
Kolchinsky, Rajeev Shah and RA Capital Healthcare Fund, L.P. (collectively, “RA Capital”). The Schedule 13G/A provides information only as of
March 31, 2025, and consequently, the beneficial ownership of the above-mentioned reporting person may have changed since March 31, 2025.
Beneficial ownership consists of (i) 60,379,366 shares of Common Stock held directly and (ii) 3,608,740 shares of Common Stock that may be
acquired upon the exercise of pre-funded warrants, as limited by a provision which precludes the exercise of warrants to the extent that,
following exercise, the reporting person, together with its affiliates and other attribution parties, would own more than 9.99% of the Common
Stock outstanding. RA Capital Healthcare Fund GP, LLC is the general partner of the RA Capital Healthcare Fund, L.P. (the “Fund”). The
ownership calculation does not include the full pre-funded warrants to purchase 29,053,145 shares of Common Stock held by the Fund. The
general partner of RA Capital is RA Capital Management GP, LLC, of which Dr. Kolchinsky and Mr. Shah are the controlling persons. RA Capital
serves as investment adviser for the Fund and may be deemed a beneficial owner of any Geron shares held by the Fund. The Fund has
delegated to RA Capital the sole power to vote and the sole power to dispose of all securities held in the Fund’s portfolio, including the above-
mentioned shares. Because the Fund has divested voting and investment power over the securities it holds and may not revoke that delegation
on less than 61 days’ notice, the Fund disclaims beneficial ownership of the securities it holds for purposes of Section 13(d) of the Act. As
managers of RA Capital, Dr. Kolchinsky and Mr. Shah may be deemed beneficial owners, for purposes of Section 13(d) of the Act, of any Geron
shares beneficially owned by RA Capital. Such persons and entities disclaim beneficial ownership of the shares listed herein, except to the
extent of any pecuniary interest therein. The principal address of RA Capital is c/o RA Capital Management, L.P., 200 Berkeley Street, 18th
Floor, Boston MA 02116.
(16) The indicated ownership is based solely on a Schedule 13G filed with the SEC on March 3, 2026 by Soleus Capital Master Fund, L.P. (“Master
Fund”), Soleus Capital, LLC (“Soleus Capital”), Soleus Capital Group, LLC (“SCG”), Soleus Capital Management, L.P. (“SCM”), Soleus GP, LLC
(“Soleus GP”) and Guy Levy (collectively, Soleus”). The Schedule 13G provides information only as of February 25, 2026, and consequently,
the beneficial ownership of the above-mentioned reporting person may have changed since February 25, 2026. Master Fund has shared voting
power with respect to 33,008,659 shares and shared dispositive power with respect to 33,008,659 shares. The shares reported are held directly
by Master Fund. Soleus Capital is the sole general partner of Master Fund, SCG is the sole managing member of Soleus Capital, SCM is the
investment manager for Master Fund, and Soleus GP is the sole general partner of SCM. Guy Levy is the sole managing member of each of
SCG and of Soleus GP. Each of SCG, Soleus Capital, SCM, Soleus GP, and Mr. Levy disclaims beneficial ownership of these shares held by
Master Fund other than for the purpose of determining their obligations under Section 13(d) of the Exchange Act, and any filing under Section
13(d) of the Exchange Act shall not be deemed an admission that any of the foregoing persons is the beneficial owners of such shares for any
other purpose. The principal address of Soleus is 100 Field Point Road, Suite 200, Greenwich, CT 06830.
(17) The indicated ownership is based solely on a Schedule 13G/A filed with the SEC on February 13, 2026 by Deep Track Capital LP, Deep Track
Biotechnology Master Fund, Ltd., and David Kroin (collectively, “Deeptrack”). The Schedule 13G/A provides information only as of December
31, 2025 and, consequently, the beneficial ownership of the above-mentioned reporting person may have changed since December 31, 2025.
Deeptrack has shared voting power with respect to 32,511,271 shares and shared dispositive power with respect to 32,511,271 shares. Deep
Track Capital, LP is the relevant entity for which David Kroin may be considered a control person. The principal address of Deeptrack is 200
Greenwich Ave., 3rd Floor, Greenwich, CT 06830, c/o Walkers Corporate Limited, 190 Elgin Ave, George Town, KY1-9001, Cayman Islands, c/o
Deep Track Capital, LP, 200 Greenwich Ave, 3rd Floor, Greenwich, CT 06830.
TABLE OF CONTENTS
Geron Corporation 98 2026 Proxy Statement
Delinquent Section 16(a) Reports
Section 16(a) of the Exchange Act requires our officers and directors, and persons who own more than ten percent of a
registered class of our equity securities, to file reports of securities ownership and changes in such ownership with the SEC.
Officers, directors and greater than ten percent stockholders are also required by SEC rules to furnish us with copies of all
Section 16(a) forms they file.
Based solely on our review of electronic filings with the SEC of such reports and written representations from our executive
officers and directors that no Form 5 is required, we believe that our executive officers and directors complied with all
Section 16(a) filing requirements during the fiscal year ended December 31, 2025, except for three amendments on Form 4/
A that were filed on April 2, 2025 to correct a reporting error on three Form 4's that inadvertently reported shares issued in
lieu of cash compensation for the quarterly board of directors' retainer and committee fees as a disposition (D) rather than
an acquisition (A) for Robert J. Spiegel.
Certain Transactions
Certain Transactions With or Involving Related Persons
Since January 1, 2025, there has not been, nor is there currently proposed, any transaction or series of similar transactions
to which we were or are to be a party in which the amount involved exceeded $120,000 and in which any current director,
executive officer, holder of more than 5% of our Common Stock, or any immediate family member of any of the foregoing
persons, had or will have a direct or indirect material interest other than with respect to compensation arrangements
described under the sections entitled “Executive Compensation”, “Summary Compensation Table”, “Executive
Compensation Tables and Related Narrative Disclosure” and “Compensation of Directors.”
Policies and Procedures
Our Audit Committee is responsible for reviewing and approving all related party transactions, which would include a
transaction, arrangement or relationship (or any series of similar transactions, arrangements or relationships) in which we
and any “related person” are participants involving an amount that exceeds $120,000, not including transactions involving
compensation for services provided to Geron as an employee, director, consultant or similar capacity by a related person.
Related parties include any of our directors or members of our executive management team, certain of our stockholders and
their immediate family members. This obligation is set forth in writing in the Audit Committee charter. A copy of the Audit
Committee charter is available on the Corporate Governance page under the Investors & Media section of our website at
https://ir.geron.com.
Where a transaction has been identified as a related-person transaction, management would present information regarding
the proposed related-person transaction to the Audit Committee (or, where Audit Committee approval would be
inappropriate, to another independent body of the Board) for consideration and approval or ratification. The presentation
would include a description of, among other things, the material facts, the interests, direct and indirect, of the related
persons, the benefits to Geron of the transaction and whether any alternative transactions were available. To identify related-
person transactions in advance, the Audit Committee relies on information supplied by our management and directors. In
considering related-person transactions, the Audit Committee takes into account the relevant available facts and
circumstances including, but not limited to:
(i)
the risks, costs and benefits to Geron;
(ii)
the impact on a director’s independence in the event the related person is a director, immediate family member of
a director or an entity with which a director is affiliated;
(iii) the terms of the transaction;
(iv) the availability of other sources for comparable services or products; and
(v)
the terms available to or from, as the case may be, unrelated third parties or to or from employees generally.
In the event a director has an interest in the proposed transaction, the director must recuse himself or herself from the
deliberations and approval. In determining whether to approve, ratify or reject a related-person transaction, the Audit
Committee considers, in light of known circumstances, whether the transaction is in, or is not inconsistent with, the best
interests of Geron and our stockholders, as the Audit Committee determines in the good faith exercise of its discretion.
TABLE OF CONTENTS
Geron Corporation 99 2026 Proxy Statement
Other Matters
Stockholder Nominations and Proposals for 2027 Annual Meeting
We expect to hold our annual meeting of stockholders in 2027 (the “2027 Annual Meeting”) in May 2027. All proposals or
director nominations by stockholders intended to be presented at the 2027 Annual Meeting must be directed to the attention
of our Corporate Secretary, at Geron Corporation, 919 E. Hillsdale Blvd., Suite 250, Foster City, California, 94404.
Our stockholders may submit proposals on matters appropriate for stockholder action at annual stockholder meetings in
accordance with Rule 14a-8 promulgated under the Securities Exchange Act of 1934, as amended, or the 1934 Act. For
such proposals to be included in our proxy materials relating to the 2027 Annual Meeting, all applicable requirements of Rule
14a-8 must be satisfied and your proposal must be submitted in writing by December 8, 2026 to our Corporate Secretary at
Geron Corporation, 919 E. Hillsdale Blvd., Suite 250, Foster City, California, 94404. However, if our 2027 Annual Meeting is
not held between April 20, 2027 and June 19, 2027, then the deadline will be a reasonable time prior to the time that we
begin to print and mail our proxy materials.
Pursuant to our bylaws, if you wish to submit a proposal or nominate a director at the 2027 Annual Meeting, but you are not
requesting that your proposal or nomination be included in the proxy statement for the 2027 Annual Meeting pursuant to
Rule 14a-8 of the 1934 Act, your proposal or nomination must be received by our Corporate Secretary, in writing, at Geron
Corporation, 919 E. Hillsdale Blvd., Suite 250, Foster City, California, 94404 not earlier than the close of business on
January 20, 2027 and not later than the close of business on February 19, 2027. However, if the 2027 Annual Meeting is not
held between April 20, 2027 and June 19, 2027, then your proposal or nomination must be received by our Corporate
Secretary, in writing, not later than the close of business on the 90th day prior to the 2027 Annual Meeting or, if later, then
the 10th day following the day on which public disclosure of the date of the 2027 Annual Meeting was first made. We also
advise you to review our bylaws, which contain additional requirements about advance notice of stockholder proposals and
director nominations. The chair of the 2027 Annual Meeting may determine, if the facts warrant, that a matter has not been
properly brought before the 2027 Annual Meeting and, therefore, may not be considered at the 2027 Annual Meeting. In
addition, the proxy solicited by the Board of Directors for the 2027 Annual Meeting will confer discretionary authority to vote
on any proposal made in accordance with our bylaw provisions, if the 2027 proxy statement briefly describes the matter and
how management’s proxy holders intend to vote on it, if the stockholder does not comply with the requirements of Rule
14a-4(c)(2) under the 1934 Act.
General
Your proxy is solicited on behalf of our Board. Unless otherwise directed, proxies will be voted at the virtual Annual Meeting
(or an adjournment or postponement thereof), “FOR” all of the nominees listed in Proposal 1, and “FOR” Proposals 2, 3 and
4. If any matter other than those described in this Proxy Statement were to be properly submitted for a vote at the virtual
Annual Meeting, or with respect to any adjournment or postponement thereof, the proxy holders appointed by the Board will
have the discretion to vote on those matters for you as they see fit.
By Order of the Board of Directors,
April 7, 2026
Michelle Robertson
Executive Vice President,
Chief Financial Officer, Treasurer and Interim Secretary
TABLE OF CONTENTS
Geron Corporation 100 2026 Proxy Statement
Appendix A
GERON CORPORATION
2018 EQUITY INCENTIVE PLAN
ADOPTED BY THE BOARD OF DIRECTORS: MARCH 27, 2018
APPROVED BY THE STOCKHOLDERS: MAY 15, 2018
AMENDED BY THE BOARD OF DIRECTORS: FEBRUARY 12, 2020
APPROVED BY THE STOCKHOLDERS: JUNE 5, 2020
AMENDED BY THE BOARD OF DIRECTORS: FEBRUARY 2, 2021
APPROVED BY THE STOCKHOLDERS: MAY 11, 2021
AMENDED BY THE BOARD OF DIRECTORS: FEBRUARY 16, 2022
APPROVED BY THE STOCKHOLDERS: MAY 10, 2022
AMENDED BY THE BOARD OF DIRECTORS: MARCH 18, 2023
APPROVED BY THE STOCKHOLDERS: MAY 31, 2023
AMENDED BY THE BOARD OF DIRECTORS: MARCH 13, 2025
APPROVED BY THE STOCKHOLDERS: MAY 21, 2025
AMENDED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS: MARCH 30, 2026
APPROVED BY THE STOCKHOLDERS: [MAY 20, 2026]
I.
GENERAL.
(a)
Successor to and Continuation of Prior Plans. The Plan is intended as the successor to and continuation of
the Geron Corporation 2011 Incentive Award Plan (the “2011 Plan”) and the Geron Corporation 1992 Stock
Option Plan (the “1992 Plan”), the Geron Corporation 1996 Directors’ Stock Option Plan (the “1996 Directors’
Plan”) and the Geron Corporation Amended and Restated 2002 Equity Incentive Plan (the “2002 Plan”, and
together with the 2011 Plan, the 1992 Plan, the 1996 Directors’ Plan, the “Prior Plans”). Following the Effective
Date, no additional stock awards may be granted under the Prior Plans. Any unallocated shares remaining
available for grant under the Prior Plans as of 12:01 a.m., Pacific Time on the Effective Date (the “Prior Plans’
Available Reserve”) will cease to be available under the Prior Plans at such time and will be added to the
Share Reserve (as further described in Section 3(a) below) and be then immediately available for grant and
issuance pursuant to Stock Awards granted under the Plan. In addition, from and after 12:01 a.m., Pacific Time
on the Effective Date, all outstanding stock awards granted under the Prior Plans will remain subject to the
terms of such Prior Plans, as applicable; provided, however, that any shares subject to outstanding stock
awards granted under the Prior Plans that (i) expire or terminate for any reason prior to exercise or settlement,
(ii) are forfeited, cancelled or otherwise returned to the Company because of the failure to meet a contingency
or condition required for the vesting of such shares, or (iii) other than with respect to outstanding options and
stock appreciation rights granted under the Prior Plans, with respect to which the exercise or strike price is at
least one hundred percent (100%) of the Fair Market Value of the Common Stock subject to the option or stock
appreciation right on the date of grant (the “Prior Plans’ Appreciation Awards”), are reacquired or withheld (or
not issued) by the Company to satisfy a tax withholding obligation in connection with a stock award (collectively,
the “Prior Plans’ Returning Shares”) will immediately be added to the Share Reserve (as further described in
Section 3(a) below) as and when such shares become Prior Plans’ Returning Shares and become available for
issuance pursuant to Stock Awards granted hereunder. All Stock Awards granted on or after 12:01 a.m., Pacific
Time on the Effective Date will be subject to the terms of this Plan.
(b)
Eligible Award Recipients. Employees, Directors and Consultants are eligible to receive Stock Awards under
this Plan.
(c)
Available Stock Awards. The Plan provides for the grant of the following types of Stock Awards: (i) Incentive
Stock Options, (ii) Nonstatutory Stock Options, (iii) Stock Appreciation Rights, (iv) Restricted Stock Awards, (v)
Restricted Stock Unit Awards, (vi) Performance Stock Awards, and (vii) Other Stock Awards.
(d)
Purpose. The Plan, through the granting of Stock Awards, is intended to help the Company and any Affiliate
secure and retain the services of eligible Stock Award recipients, provide incentives for such persons to exert
maximum efforts for the success of the Company and any Affiliate and provide a means by which the eligible
recipients may benefit from increases in value of the Common Stock. The Plan is also intended to provide long-
term incentives that align the interests of our eligible Stock Award recipients with the interests of our
stockholders.
II.
ADMINISTRATION.
(a)
Administration by Board. The Board will administer the Plan. The Board may delegate administration of the
Plan to a Committee or Committees, as provided in Section 2(c).
TABLE OF CONTENTS
Geron Corporation A-1 2026 Proxy Statement
(b)
Powers of Board. The Board will have the power, subject to, and within the limitations of, the express
provisions of the Plan:
(i)
To determine (A) who will be granted Stock Awards; (B) when and how each Stock Award will be
granted; (C) what type of Stock Award will be granted; (D) the provisions of each Stock Award (which
need not be identical), including when a person will be permitted to exercise or otherwise receive cash
or Common Stock under the Stock Award; (E) the number of shares of Common Stock subject to, or the
cash value of, a Stock Award; and (F) the Fair Market Value applicable to a Stock Award.
(ii)
To construe and interpret the Plan and Stock Awards granted under it, and to establish, amend and
revoke rules and regulations for administration of the Plan and Stock Awards. The Board, in the exercise
of these powers, may correct any defect, omission or inconsistency in the Plan or in any Stock Award
Agreement, in a manner and to the extent it will deem necessary or expedient to make the Plan or Stock
Award fully effective.
(iii)
To settle all controversies regarding the Plan and Stock Awards granted under it.
(iv)
To accelerate, in whole or in part, the time at which a Stock Award may be exercised or vest (or the time
at which cash or shares of Common Stock may be issued in settlement thereof).
(v)
To suspend or terminate the Plan at any time. Except as otherwise provided in the Plan or a Stock
Award Agreement, suspension or termination of the Plan will not materially impair a Participant’s rights
under his or her then-outstanding Stock Award without his or her written consent except as provided in
subsection (viii) below.
(vi)
To amend the Plan in any respect the Board deems necessary or advisable, including, without limitation,
by adopting amendments relating to Incentive Stock Options and certain nonqualified deferred
compensation under Section 409A of the Code and/or to make the Plan or Stock Awards granted under
the Plan compliant with the requirements for Incentive Stock Options or exempt from or compliant with
the requirements for nonqualified deferred compensation under Section 409A of the Code, subject to the
limitations, if any, of applicable law. However, if required by applicable law or listing requirements
(including NASDAQ Listing Rule 5635), and except as provided in Section 9(a) relating to Capitalization
Adjustments, the Company will seek stockholder approval of any amendment of the Plan that (A)
materially increases the number of shares of Common Stock available for issuance under the Plan, (B)
materially expands the class of individuals eligible to receive Stock Awards under the Plan, (C)
materially increases the benefits accruing to Participants under the Plan, (D) materially reduces the
price at which shares of Common Stock may be issued or purchased under the Plan, or (E) materially
expands the types of Stock Awards available for issuance under the Plan. Except as provided in the
Plan (including Section 2(b)(viii)) or a Stock Award Agreement, no amendment of the Plan will materially
impair a Participant’s rights under an outstanding Stock Award without the Participant’s written consent.
(vii)
To submit any amendment to the Plan for stockholder approval, including, but not limited to,
amendments to the Plan intended to satisfy the requirements of (A) Section 422 of the Code regarding
incentive stock options or (B) Rule 16b-3.
(viii)
To approve forms of Stock Award Agreements for use under the Plan and to amend the terms of any
one or more Stock Awards, including, but not limited to, amendments to provide terms more favorable to
the Participant than previously provided in the Stock Award Agreement, subject to any specified limits in
the Plan that are not subject to Board discretion; provided, however, that a Participant’s rights under any
Stock Award will not be impaired by any such amendment unless (A) the Company requests the
consent of the affected Participant, and (B) such Participant consents in writing. Notwithstanding the
foregoing, (1) a Participant’s rights will not be deemed to have been impaired by any such amendment if
the Board, in its sole discretion, determines that the amendment, taken as a whole, does not materially
impair the Participant’s rights, and (2) subject to the limitations of applicable law, if any, the Board may
amend the terms of any one or more Stock Awards without the affected Participant’s consent (A) to
maintain the qualified status of the Stock Award as an Incentive Stock Option under Section 422 of the
Code; (B) to change the terms of an Incentive Stock Option, if such change results in impairment of the
Stock Award solely because it impairs the qualified status of the Stock Award as an Incentive Stock
Option under Section 422 of the Code; (C) to clarify the manner of exemption from, or to bring the Stock
Award into compliance with, Section 409A of the Code; or (D) to comply with other applicable laws or
listing requirements.
(ix)
Generally, to exercise such powers and to perform such acts as the Board deems necessary or
expedient to promote the best interests of the Company and that are not in conflict with the provisions of
the Plan or Stock Awards.
TABLE OF CONTENTS
Geron Corporation A-2 2026 Proxy Statement
(x)
To adopt such procedures and sub-plans as are necessary or appropriate to permit participation in the
Plan by Employees, Directors or Consultants who are foreign nationals or employed outside the United
States (provided that Board approval will not be necessary for immaterial modifications to the Plan or
any Stock Award Agreement that are required for compliance with the laws of the relevant foreign
jurisdiction).
(c)
Delegation to Committee.
(i)
General. The Board may delegate some or all of the administration of the Plan to a Committee or
Committees. If administration of the Plan is delegated to a Committee, the Committee will have, in
connection with the administration of the Plan, the powers theretofore possessed by the Board that
have been delegated to the Committee, including the power to delegate to a subcommittee of the
Committee any of the administrative powers the Committee is authorized to exercise (and references in
this Plan to the Board will thereafter be to the Committee or subcommittee, as applicable). Any
delegation of administrative powers will be reflected in resolutions, not inconsistent with the provisions
of the Plan, adopted from time to time by the Board or Committee (as applicable). The Committee may,
at any time, abolish the subcommittee and/or revest in the Committee any powers delegated to the
subcommittee. The Board may retain the authority to concurrently administer the Plan with the
Committee and may, at any time, revest in the Board some or all of the powers previously delegated.
(ii)
Rule 16b-3 Compliance. The Committee may consist solely of two or more Non-Employee Directors, in
accordance with Rule 16b-3.
(d)
Delegation to other Persons or Bodies. The Board or the Committee may delegate to one or more persons or
bodies the authority to do one or more of the following to the extent permitted by applicable law: (i) designate
recipients, other than Officers, of Stock Awards, provided that no person or body may be delegated authority to
grant a Stock Award to themself; (ii) determine the number of shares of Common Stock subject to such Stock
Awards; and (iii) determine the terms of such Stock Awards; provided, however, that the Board or the Committee
resolutions regarding such delegation shall fix the terms of such delegation in accordance with applicable law,
including without limitation Sections 152 and 157 of the Delaware General Corporation Law. Unless provided
otherwise in the Board or the Committee resolutions regarding such delegation, each Stock Award granted
pursuant to this section shall be granted on the applicable form of Stock Award Agreement most recently
approved for use by the Board or the Committee, with any modifications necessary to incorporate or reflect the
terms of such Stock Award. Notwithstanding anything to the contrary herein, neither the Board nor the
Committee may delegate to any person or body (who is not a Director or that is not comprised solely of
Directors, respectively) the authority to determine the Fair Market Value.
(e)
Effect of Board’s Decision. All determinations, interpretations and constructions made by the Board in good
faith will not be subject to review by any person and will be final, binding and conclusive on all persons.
(f)
Repricing; Cancellation and Re-Grant of Stock Awards. Neither the Board nor any Committee will have the
authority to (i) reduce the exercise, purchase or strike price of any outstanding Option or SAR under the Plan, or
(ii) cancel any outstanding Option or SAR that has an exercise price or strike price greater than the then-current
Fair Market Value of the Common Stock in exchange for cash or other Stock Awards under the Plan, unless the
stockholders of the Company have approved such an action within 12 months prior to such an event.
(g)
Dividends and Dividend Equivalents. Dividends or dividend equivalents may be paid or credited, as
applicable, with respect to any shares of Common Stock subject to a Stock Award, as determined by the Board
and contained in the applicable Stock Award Agreement; provided, however, that (i) no dividends or dividend
equivalents may be paid with respect to any such shares before the date such shares have vested under the
terms of such Stock Award Agreement, (ii) any dividends or dividend equivalents that are credited with respect
to any such shares will be subject to all of the terms and conditions applicable to such shares under the terms of
such Stock Award Agreement (including, but not limited to, any vesting conditions), and (iii) any dividends or
dividend equivalents that are credited with respect to any such shares will be forfeited to the Company on the
date, if any, such shares are forfeited to or repurchased by the Company due to a failure to meet any vesting
conditions under the terms of such Stock Award Agreement.
III.
SHARES SUBJECT TO THE PLAN.
(a)
Share Reserve.
(i)
Subject to Section 9(a) relating to Capitalization Adjustments, the aggregate number of shares of
Common Stock that may be issued pursuant to Stock Awards from and after the Effective Date will not
exceed (A) 109,955,419 shares (which number is the sum of (i) the number of shares (2,895,419)
subject to the Prior Plans’ Available Reserve, (ii) 10,000,000 shares subject to the Plan as of the
Effective Date, (iii) an additional 5,700,000 shares that were approved at the Company’s 2020 Annual
Meeting of Stockholders, (iv) an additional 12,500,000 shares that were approved at the Company’s
TABLE OF CONTENTS
Geron Corporation A-3 2026 Proxy Statement
2021 Annual Meeting of Stockholders, (v) an additional 11,000,000 shares that were approved at the
Company’s 2022 Annual Meeting of Stockholders, (vi) an additional 43,360,000 shares that were
approved at the Company’s 2023 Annual Meeting of Stockholders), (vii) an additional 20,000,000 shares
that were approved at the Company’s 2025 Annual Meeting of Stockholders and (viii) an additional
4,500,000 shares that were approved at the Company’s 2026 Annual Meeting of Stockholders, plus (B)
the Prior Plans’ Returning Shares, if any, which become available for grant under this Plan from time to
time (such aggregate number of shares described in (A) and (B) above, the “Share Reserve”).
(ii)
For clarity, the Share Reserve in this Section 3(a) is a limitation on the number of shares of Common
Stock that may be issued pursuant to the Plan. Accordingly, this Section 3(a) does not limit the granting
of Stock Awards except as provided in Section 7(a). Shares may be issued in connection with a merger
or acquisition as permitted by NASDAQ Listing Rule 5635(c) or, if applicable, NYSE Listed Company
Manual Section 303A.08, AMEX Company Guide Section 711 or other applicable rule, and such
issuance will not reduce the number of shares available for issuance under the Plan.
(iii)
Subject to Section 3(b), the number of shares of Common Stock available for issuance under the Plan
will be reduced by: (A) one share for each share of Common Stock issued pursuant to an Option or SAR
with respect to which the exercise or strike price is at least 100% of the Fair Market Value of the
Common Stock subject to the Option or SAR on the date of grant; and (B) (i) one and thirty hundredth
(1.3) shares for each share of Common Stock issued pursuant to a Full Value Award granted under the
Plan on or after May 31, 2023, and (ii) two (2.0) shares for each share of Common Stock issued
pursuant to a Full Value Award granted under the Plan prior to May 31, 2023.
(b)
Reversion of Shares to the Share Reserve.
(i)
Shares Available For Subsequent Issuance. If (A) any shares of Common Stock subject to a Stock
Award are not issued because such Stock Award or any portion thereof expires or otherwise terminates
without all of the shares covered by such Stock Award having been issued or is settled in cash (i.e., the
Participant receives cash rather than stock), (B) any shares of Common Stock issued pursuant to a
Stock Award are forfeited back to or repurchased by the Company because of the failure to meet a
contingency or condition required for the vesting of such shares, or (C) with respect to a Full Value
Award, any shares of Common Stock are reacquired or withheld (or not issued) by the Company to
satisfy a tax withholding obligation in connection with such Full Value Award, such shares will again
become available for issuance under the Plan (collectively, the “2018 Plan Returning Shares”). For
each (1) 2018 Plan Returning Share subject to a Full Value Award or (2) Prior Plans’ Returning Share
subject to a stock award other than a Prior Plans’ Appreciation Award, that (i) returns to the Plan on or
after May 31, 2023, the number of shares of Common Stock available for issuance under the Plan will
increase by one and thirty hundredth (1.3) shares, and (ii) returned to the Plan prior to May 31, 2023,
the number of shares of Common Stock available for issuance under the Plan increased by two (2.0)
shares.
(ii)
Shares Not Available For Subsequent Issuance. Any shares of Common Stock reacquired or
withheld (or not issued) by the Company to satisfy the exercise or purchase price of a Stock Award will
no longer be available for issuance under the Plan, including any shares subject to a Stock Award that
are not delivered to a Participant because such Stock Award is exercised through a reduction of shares
subject to such Stock Award (i.e., “net exercised”). In addition, any shares reacquired or withheld (or not
issued) by the Company to satisfy a tax withholding obligation in connection with an Option or Stock
Appreciation Right or a Prior Plans’ Appreciation Award, or any shares repurchased by the Company on
the open market with the proceeds of the exercise or strike price of an Option or Stock Appreciation
Right or a Prior Plans’ Appreciation Award will no longer be available for issuance under the Plan.
(c)
Incentive Stock Option Limit. Subject to the Share Reserve and Section 9(a) relating to Capitalization
Adjustments, the aggregate maximum number of shares of Common Stock that may be issued pursuant to the
exercise of Incentive Stock Options will be 219,910,838 shares of Common Stock.
(d)
Source of Shares. The stock issuable under the Plan will be shares of authorized but unissued or reacquired
Common Stock, including shares repurchased by the Company on the open market or otherwise.
IV.
ELIGIBILITY AND LIMITATIONS.
(a)
Eligibility for Specific Stock Awards. Incentive Stock Options may be granted only to employees of the
Company or a “parent corporation” or “subsidiary corporation” thereof (as such terms are defined in Sections
424(e) and 424(f) of the Code). Stock Awards other than Incentive Stock Options may be granted to Employees,
Directors and Consultants; provided, however, that Stock Awards may not be granted to Employees, Directors
and Consultants who are providing Continuous Service only to any “parent” of the Company, as such term is
defined in Rule 405, unless (i) the stock underlying such Stock Awards is treated as “service recipient stock”
TABLE OF CONTENTS
Geron Corporation A-4 2026 Proxy Statement
under Section 409A of the Code (for example, because the Stock Awards are granted pursuant to a corporate
transaction such as a spin off transaction) or (ii) the Company, in consultation with its legal counsel, has
determined that such Stock Awards are otherwise exempt from or alternatively comply with the distribution
requirements of Section 409A of the Code.
(b)
Ten Percent Stockholders. A Ten Percent Stockholder will not be granted an Incentive Stock Option unless the
exercise price of such Option is at least 110% of the Fair Market Value on the date of grant and the Option is not
exercisable after the expiration of five years from the date of grant.
(c)
Non-Employee Director Compensation Limit. The aggregate value of all compensation granted or paid, as
applicable, to any individual for service as a Non-Employee Director with respect to any calendar year, including
Stock Awards granted and cash fees paid by the Company to such Non-Employee Director, will not exceed (1)
$750,000 in total value or (2) in the event such Non-Employee Director is first appointed or elected to the Board
during such calendar year, $1,000,000 in total value, in each case, calculating the value of any equity awards
based on the grant date fair value of such equity awards for financial reporting purposes.
V.
PROVISIONS RELATING TO OPTIONS AND STOCK APPRECIATION RIGHTS.
Each Option or SAR will be in such form and will contain such terms and conditions as the Board deems appropriate.
All Options will be separately designated Incentive Stock Options or Nonstatutory Stock Options at the time of grant, and, if
certificates are issued, a separate certificate or certificates will be issued for shares of Common Stock purchased on
exercise of each type of Option. If an Option is not specifically designated as an Incentive Stock Option, or if an Option is
designated as an Incentive Stock Option but some portion or all of the Option fails to qualify as an Incentive Stock Option
under the applicable rules, then the Option (or portion thereof) will be a Nonstatutory Stock Option. The provisions of
separate Options or SARs need not be identical; provided, however, that each Stock Award Agreement will conform to
(through incorporation of provisions hereof by reference in the applicable Stock Award Agreement or otherwise) the
substance of each of the following provisions:
(a)
Term. Subject to the provisions of Section 4(b) regarding Ten Percent Stockholders, no Option or SAR will be
exercisable after the expiration of ten (10) years from the date of its grant or such shorter period specified in the
Stock Award Agreement.
(b)
Exercise Price. Subject to the provisions of Section 4(b) regarding Ten Percent Stockholders, the exercise or
strike price of each Option or SAR will be not less than 100% of the Fair Market Value of the Common Stock
subject to the Option or SAR on the date the Stock Award is granted. Notwithstanding the foregoing, an Option
or SAR may be granted with an exercise or strike price lower than 100% of the Fair Market Value of the
Common Stock subject to the Stock Award if such Stock Award is granted pursuant to an assumption of or
substitution for another option or stock appreciation right pursuant to a Corporate Transaction and in a manner
consistent with the provisions of Section 409A of the Code and, if applicable, Section 424(a) of the Code. Each
SAR will be denominated in shares of Common Stock equivalents.
(c)
Purchase Price for Options. The purchase price of Common Stock acquired pursuant to the exercise of an
Option may be paid, to the extent permitted by applicable law and as determined by the Board in its sole
discretion, by any combination of the methods of payment set forth below. The Board will have the authority to
grant Options that do not permit all of the following methods of payment (or that otherwise restrict the ability to
use certain methods) and to grant Options that require the consent of the Company to use a particular method
of payment. The permitted methods of payment are as follows:
(i)
by cash, check, bank draft or money order payable to the Company;
(ii)
pursuant to a program developed under Regulation T as promulgated by the Federal Reserve Board
that, prior to the issuance of the Common Stock subject to the Option, results in either the receipt of
cash (or check) by the Company or the receipt of irrevocable instructions to pay the aggregate exercise
price to the Company from the sales proceeds;
(iii)
by delivery to the Company (either by actual delivery or attestation) of shares of Common Stock;
(iv)
if an Option is a Nonstatutory Stock Option, by a “net exercise” arrangement pursuant to which the
Company will reduce the number of shares of Common Stock issuable upon exercise by the largest
whole number of shares with a Fair Market Value that does not exceed the aggregate exercise price;
provided, however, that the Company will accept a cash or other payment from the Participant to the
extent of any remaining balance of the aggregate exercise price not satisfied by such reduction in the
number of whole shares to be issued. Shares of Common Stock will no longer be subject to an Option
and will not be exercisable thereafter to the extent that (A) shares issuable upon exercise are used to
pay the exercise price pursuant to the “net exercise,” (B) shares are delivered to the Participant as a
result of such exercise, and (C) shares are withheld to satisfy tax withholding obligations; or
TABLE OF CONTENTS
Geron Corporation A-5 2026 Proxy Statement
(v)
in any other form of legal consideration that may be acceptable to the Board and specified in the
applicable Stock Award Agreement.
(d)
Exercise and Payment of a SAR. To exercise any outstanding SAR, the Participant must provide written notice
of exercise to the Company in compliance with the provisions of the Stock Award Agreement evidencing such
SAR. The appreciation distribution payable on the exercise of a SAR will be not greater than an amount equal to
the excess of (A) the aggregate Fair Market Value (on the date of the exercise of the SAR) of a number of
shares of Common Stock equal to the number of Common Stock equivalents in which the Participant is vested
under such SAR, and with respect to which the Participant is exercising the SAR on such date, over (B) the
aggregate strike price of the number of Common Stock equivalents with respect to which the Participant is
exercising the SAR on such date. The appreciation distribution may be paid in Common Stock, in cash, in any
combination of the two or in any other form of consideration, as determined by the Board and contained in the
Stock Award Agreement evidencing such SAR.
(e)
Transferability of Options and SARs. The Board may, in its sole discretion, impose such limitations on the
transferability of Options and SARs as the Board may determine. In the absence of such a determination by the
Board to the contrary, the restrictions set forth in this Section 5(e) on the transferability of Options and SARs will
apply. Notwithstanding the foregoing or anything in the Plan or a Stock Award Agreement to the contrary, no
Option or SAR may be transferred to any financial institution without prior stockholder approval.
(i)
Restrictions on Transfer. An Option or SAR will not be transferable except by will or by the laws of
descent and distribution (and pursuant to Sections 5(e)(ii) and 5(e)(iii) below) and will be exercisable
during the lifetime of the Participant only by the Participant. Subject to the foregoing paragraph, the
Board may permit transfer of the Option or SAR in a manner that is not prohibited by applicable tax and
securities laws. Except as explicitly provided in the Plan, neither an Option nor a SAR may be
transferred for consideration.
(ii)
Domestic Relations Orders. Subject to the approval of the Board or a duly authorized Officer, an
Option or SAR may be transferred pursuant to the terms of a domestic relations order, official marital
settlement agreement or other divorce or separation instrument as permitted by Treasury Regulations
Section 1.421-1(b)(2). If an Option is an Incentive Stock Option, such Option may be deemed to be a
Nonstatutory Stock Option as a result of such transfer.
(iii)
Beneficiary Designation. Subject to the approval of the Board or a duly authorized Officer, a
Participant may, by delivering written notice to the Company, in a form approved by the Company (or the
designated broker), designate a third party who, upon the death of the Participant, will thereafter be
entitled to exercise the Option or SAR and receive the Common Stock or other consideration resulting
from such exercise. In the absence of such a designation, upon the death of the Participant, the
executor or administrator of the Participant’s estate will be entitled to exercise the Option or SAR and
receive the Common Stock or other consideration resulting from such exercise. However, the Company
may prohibit designation of a beneficiary at any time, including due to any conclusion by the Company
that such designation would be inconsistent with the provisions of applicable laws.
(f)
Vesting Generally. The total number of shares of Common Stock subject to an Option or SAR may vest and
become exercisable in periodic installments that may or may not be equal. The Option or SAR may be subject
to such other terms and conditions on the time or times when it may or may not be exercised (which may be
based on the satisfaction of Performance Goals or other criteria) as the Board may deem appropriate. The
vesting provisions of individual Options or SARs may vary. The provisions of this Section 5(f) are subject to any
Option or SAR provisions governing the minimum number of shares of Common Stock as to which an Option or
SAR may be exercised.
(g)
Termination of Continuous Service. Except as otherwise provided in the applicable Stock Award Agreement
or other agreement between the Participant and the Company or an Affiliate, if a Participant’s Continuous
Service terminates (other than for Cause and other than upon the Participant’s death or Disability), the
Participant may exercise his or her Option or SAR (to the extent that the Participant was entitled to exercise
such Option or SAR as of the date of termination of Continuous Service), but only within such period of time
ending on the earlier of (i) the date three months following such termination of Continuous Service (or such
longer or shorter period specified in the Stock Award Agreement), and (ii) the expiration of the term of the Option
or SAR as set forth in the Stock Award Agreement. If, after termination of Continuous Service, the Participant
does not exercise his or her Option or SAR (as applicable) within the applicable time frame, the Option or SAR
(as applicable) will terminate.
(h)
Extension of Termination Date. Except as otherwise provided in the applicable Stock Award Agreement or
other agreement between the Participant and the Company or an Affiliate, if the exercise of an Option or SAR
following the termination of the Participant’s Continuous Service (other than for Cause and other than upon the
Participant’s death or Disability) would be prohibited at any time solely because the issuance of shares of
TABLE OF CONTENTS
Geron Corporation A-6 2026 Proxy Statement
Common Stock would violate the registration requirements under the Securities Act, then the Option or SAR will
terminate on the earlier of (i) the expiration of a total period of time (that need not be consecutive) equal to the
applicable post-termination exercise period after the termination of the Participant’s Continuous Service during
which the exercise of the Option or SAR would not be in violation of such registration requirements, or (ii) the
expiration of the term of the Option or SAR as set forth in the applicable Stock Award Agreement. In addition,
unless otherwise provided in a Participant’s Stock Award Agreement, if the sale of any Common Stock received
upon exercise of an Option or SAR following the termination of the Participant’s Continuous Service (other than
for Cause) would violate the Company’s insider trading policy, then the Option or SAR will terminate on the
earlier of (i) the expiration of a period of time (that need not be consecutive) equal to the applicable post-
termination exercise period after the termination of the Participant’s Continuous Service during which the sale of
the Common Stock received upon exercise of the Option or SAR would not be in violation of the Company’s
insider trading policy, or (ii) the expiration of the term of the Option or SAR as set forth in the applicable Stock
Award Agreement.
(i)
Disability of Participant. Except as otherwise provided in the applicable Stock Award Agreement or other
agreement between the Participant and the Company or an Affiliate, if a Participant’s Continuous Service
terminates as a result of the Participant’s Disability, the Participant may exercise his or her Option or SAR (to
the extent that the Participant was entitled to exercise such Option or SAR as of the date of termination of
Continuous Service), but only within such period of time ending on the earlier of (i) the date 24 months following
such termination of Continuous Service (or such longer or shorter period specified in the Stock Award
Agreement), and (ii) the expiration of the term of the Option or SAR as set forth in the Stock Award Agreement.
If, after termination of Continuous Service, the Participant does not exercise his or her Option or SAR (as
applicable) within the applicable time frame, the Option or SAR (as applicable) will terminate.
(j)
Death of Participant. Except as otherwise provided in the applicable Stock Award Agreement or other
agreement between the Participant and the Company or an Affiliate, if (i) a Participant’s Continuous Service
terminates as a result of the Participant’s death, or (ii) the Participant dies within the period (if any) specified in
the Stock Award Agreement for exercisability after the termination of the Participant’s Continuous Service (for a
reason other than death), then the Participant’s Option or SAR may be exercised (to the extent that the
Participant was entitled to exercise such Option or SAR as of the date of death) by the Participant’s estate, by a
person who acquired the right to exercise the Option or SAR by bequest or inheritance or by a person
designated to exercise the Option or SAR upon the Participant’s death, but only within such period of time
ending on the earlier of (i) the date 24 months following the date of death (or such longer or shorter period
specified in the Stock Award Agreement), and (ii) the expiration of the term of such Option or SAR as set forth in
the Stock Award Agreement. If, after the Participant’s death, the Option or SAR (as applicable) is not exercised
within the applicable time frame, the Option or SAR (as applicable) will terminate.
(k)
Termination for Cause. Except as explicitly provided otherwise in a Participant’s Stock Award Agreement or
other individual written agreement between the Participant and the Company or an Affiliate, if a Participant’s
Continuous Service is terminated for Cause, the Participant’s Option or SAR will terminate immediately upon
such termination of Continuous Service, and the Participant will be prohibited from exercising his or her Option
or SAR from and after the time of such termination of Continuous Service.
(l)
Non-Exempt Employees. If an Option or SAR is granted to an Employee who is a non-exempt employee for
purposes of the Fair Labor Standards Act of 1938, as amended, the Option or SAR will not be first exercisable
for any shares of Common Stock until at least six months following the date of grant of the Option or SAR
(although the Stock Award may vest prior to such date). Consistent with the provisions of the Worker Economic
Opportunity Act, (i) if such non-exempt employee dies or suffers a Disability, (ii) upon a Corporate Transaction in
which such Option or SAR is not assumed, continued, or substituted, (iii) upon a Change in Control, or (iv) upon
the Participant’s retirement (as such term may be defined in the Participant’s Stock Award Agreement, in
another agreement between the Participant and the Company or an Affiliate, or, if no such definition, in
accordance with the Company’s or Affiliate’s then current employment policies and guidelines), the vested
portion of any Options and SARs may be exercised earlier than six months following the date of grant. The
foregoing provision is intended to operate so that any income derived by a non-exempt employee in connection
with the exercise or vesting of an Option or SAR will be exempt from his or her regular rate of pay. To the extent
permitted and/or required for compliance with the Worker Economic Opportunity Act to ensure that any income
derived by a non-exempt employee in connection with the exercise, vesting or issuance of any shares under
any other Stock Award will be exempt from the employee’s regular rate of pay, the provisions of this Section 5(l)
will apply to all Stock Awards and are hereby incorporated by reference into such Stock Award Agreements.
VI.
PROVISIONS OF STOCK AWARDS OTHER THAN OPTIONS AND SARS.
(a)
Restricted Stock Awards. Each Restricted Stock Award Agreement will be in such form and will contain such
terms and conditions as the Board deems appropriate. To the extent consistent with the Company’s bylaws, at
the Board’s election, shares of Common Stock underlying a Restricted Stock Award may be (i) held in book
TABLE OF CONTENTS
Geron Corporation A-7 2026 Proxy Statement
entry form subject to the Company’s instructions until any restrictions relating to the Restricted Stock Award
lapse, or (ii) evidenced by a certificate, which certificate will be held in such form and manner as determined by
the Board. The terms and conditions of Restricted Stock Award Agreements may change from time to time, and
the terms and conditions of separate Restricted Stock Award Agreements need not be identical. Each Restricted
Stock Award Agreement will conform to (through incorporation of the provisions hereof by reference in the
agreement or otherwise) the substance of each of the following provisions:
(i)
Consideration. A Restricted Stock Award may be awarded in consideration for (A) cash, check, bank
draft or money order payable to the Company, (B) past services to the Company or an Affiliate, or (C)
any other form of legal consideration (including future services) that may be acceptable to the Board, in
its sole discretion, and permissible under applicable law.
(ii)
Vesting. Shares of Common Stock awarded under the Restricted Stock Award Agreement may be
subject to forfeiture to the Company in accordance with a vesting schedule to be determined by the
Board.
(iii)
Termination of Participant’s Continuous Service. If a Participant’s Continuous Service terminates,
the Company may receive through a forfeiture condition or a repurchase right any or all of the shares of
Common Stock held by the Participant as of the date of termination of Continuous Service under the
terms of the Restricted Stock Award Agreement.
(iv)
Transferability. Rights to acquire shares of Common Stock under the Restricted Stock Award
Agreement will be transferable by the Participant only upon such terms and conditions as are set forth in
the Restricted Stock Award Agreement, as the Board will determine in its sole discretion, so long as
Common Stock awarded under the Restricted Stock Award Agreement remains subject to the terms of
the Restricted Stock Award Agreement. Notwithstanding the foregoing or anything in the Plan or a
Restricted Stock Award Agreement to the contrary, no Restricted Stock Award may be transferred to any
financial institution without prior stockholder approval.
(b)
Restricted Stock Unit Awards. Each Restricted Stock Unit Award Agreement will be in such form and will
contain such terms and conditions as the Board deems appropriate. The terms and conditions of Restricted
Stock Unit Award Agreements may change from time to time, and the terms and conditions of separate
Restricted Stock Unit Award Agreements need not be identical. Each Restricted Stock Unit Award Agreement
will conform to (through incorporation of the provisions hereof by reference in the agreement or otherwise) the
substance of each of the following provisions:
(i)
Consideration. At the time of grant of a Restricted Stock Unit Award, the Board will determine the
consideration, if any, to be paid by the Participant upon delivery of each share of Common Stock subject
to the Restricted Stock Unit Award. The consideration to be paid (if any) by the Participant for each
share of Common Stock subject to a Restricted Stock Unit Award may be paid in any form of legal
consideration that may be acceptable to the Board, in its sole discretion, and permissible under
applicable law.
(ii)
Vesting. At the time of the grant of a Restricted Stock Unit Award, the Board may impose such
restrictions on or conditions to the vesting of the Restricted Stock Unit Award as it, in its sole discretion,
deems appropriate.
(iii)
Payment. A Restricted Stock Unit Award may be settled by the delivery of shares of Common Stock,
their cash equivalent, any combination thereof or in any other form of consideration, as determined by
the Board and contained in the Restricted Stock Unit Award Agreement.
(iv)
Additional Restrictions. At the time of the grant of a Restricted Stock Unit Award, the Board, as it
deems appropriate, may impose such restrictions or conditions that delay the delivery of the shares of
Common Stock (or their cash equivalent) subject to a Restricted Stock Unit Award to a time after the
vesting of such Restricted Stock Unit Award.
(v)
Termination of Participant’s Continuous Service. Except as otherwise provided in the applicable
Restricted Stock Unit Award Agreement, such portion of the Restricted Stock Unit Award that has not
vested will be forfeited upon the Participant’s termination of Continuous Service.
(c)
Performance Stock Awards.
(i)
Performance Stock Awards. A Performance Stock Award is a Stock Award that is payable (including
that may be granted, vest or be exercised) contingent upon the attainment during a Performance Period
of certain Performance Goals. A Performance Stock Award may, but need not, require the Participant’s
completion of a specified period of Continuous Service. The length of any Performance Period, the
TABLE OF CONTENTS
Geron Corporation A-8 2026 Proxy Statement
Performance Goals to be achieved during the Performance Period, and the measure of whether and to
what degree such Performance Goals have been attained will be conclusively determined by the Board,
in its sole discretion. In addition, to the extent permitted by applicable law and the applicable Stock
Award Agreement, the Board may determine that cash may be used in payment of Performance Stock
Awards.
(ii)
Board Discretion. The Board retains the discretion to reduce or eliminate the compensation or
economic benefit due upon the attainment of any Performance Goals and to define the manner of
calculating the Performance Criteria it selects to use for a Performance Period.
(d)
Other Stock Awards. Other forms of Stock Awards valued in whole or in part by reference to, or otherwise
based on, Common Stock, including the appreciation in value thereof (e.g., options or stock appreciation rights
with an exercise price or strike price less than 100% of the Fair Market Value of the Common Stock at the time
of grant) may be granted either alone or in addition to Stock Awards granted under Section 5 and this Section 6.
Subject to the provisions of the Plan (including, but not limited to, Section 2(g)), the Board will have sole and
complete authority to determine the persons to whom and the time or times at which such Other Stock Awards
will be granted, the number of shares of Common Stock (or the cash equivalent thereof) to be granted pursuant
to such Other Stock Awards and all other terms and conditions of such Other Stock Awards.
VII. COVENANTS OF THE COMPANY.
(a)
Availability of Shares. The Company will keep available at all times the number of shares of Common Stock
reasonably required to satisfy then-outstanding Stock Awards.
(b)
Securities Law Compliance. The Company will seek to obtain from each regulatory commission or agency
having jurisdiction over the Plan the authority required to grant Stock Awards and to issue and sell shares of
Common Stock upon exercise of the Stock Awards; provided, however, that this undertaking will not require the
Company to register under the Securities Act the Plan, any Stock Award or any Common Stock issued or
issuable pursuant to any such Stock Award. If, after reasonable efforts and at a reasonable cost, the Company
is unable to obtain from any such regulatory commission or agency the authority that counsel for the Company
deems necessary for the lawful issuance and sale of Common Stock under the Plan, the Company will be
relieved from any liability for failure to issue and sell Common Stock upon exercise of such Stock Awards unless
and until such authority is obtained. A Participant will not be eligible for the grant of a Stock Award or the
subsequent issuance of cash or Common Stock pursuant to the Stock Award if such grant or issuance would be
in violation of any applicable securities law.
(c)
No Obligation to Notify or Minimize Taxes. The Company will have no duty or obligation to any Participant to
advise such holder as to the time or manner of exercising a Stock Award. Furthermore, the Company will have
no duty or obligation to warn or otherwise advise such holder of a pending termination or expiration of a Stock
Award or a possible period in which the Stock Award may not be exercised. The Company has no duty or
obligation to minimize the tax consequences of a Stock Award to the holder of such Stock Award.
VIII. MISCELLANEOUS.
(a)
Use of Proceeds from Sales of Common Stock. Proceeds from the sale of shares of Common Stock issued
pursuant to Stock Awards will constitute general funds of the Company.
(b)
Corporate Action Constituting Grant of Stock Awards. Corporate action constituting a grant by the
Company of a Stock Award to any Participant will be deemed completed as of the date of such corporate action,
unless otherwise determined by the Board, regardless of when the instrument, certificate, or letter evidencing
the Stock Award is communicated to, or actually received or accepted by, the Participant. In the event that the
corporate records (e.g., Board consents, resolutions or minutes) documenting the corporate action constituting
the grant contain terms (e.g., exercise price, vesting schedule or number of shares) that are inconsistent with
those in the Stock Award Agreement or related grant documents as a result of a clerical error in the preparation
of the Stock Award Agreement or related grant documents, the corporate records will control and the Participant
will have no legally binding right to the incorrect terms in the Stock Award Agreement or related grant
documents.
(c)
Stockholder Rights. No Participant will be deemed to be the holder of, or to have any of the rights of a holder
with respect to, any shares of Common Stock subject to a Stock Award unless and until (i) such Participant has
satisfied all requirements for exercise of, or the issuance of shares of Common Stock under, the Stock Award
pursuant to its terms, and (ii) the issuance of the Common Stock subject to such Stock Award has been entered
into the books and records of the Company.
(d)
No Employment or Other Service Rights. Nothing in the Plan, any Stock Award Agreement or any other
instrument executed thereunder or in connection with any Stock Award granted pursuant thereto will confer
upon any Participant any right to continue to serve the Company or an Affiliate in the capacity in effect at the
TABLE OF CONTENTS
Geron Corporation A-9 2026 Proxy Statement
time the Stock Award was granted or will affect the right of the Company or an Affiliate to terminate (i) the
employment of an Employee with or without notice and with or without cause, (ii) the service of a Consultant
pursuant to the terms of such Consultant’s agreement with the Company or an Affiliate, or (iii) the service of a
Director pursuant to the bylaws of the Company or an Affiliate, and any applicable provisions of the corporate
law of the state in which the Company or the Affiliate is incorporated, as the case may be.
(e)
Change in Time Commitment. In the event a Participant’s regular level of time commitment in the performance
of his or her services for the Company or any Affiliate is reduced (for example, and without limitation, if the
Participant is an Employee of the Company and the Employee has a change in status from a full-time Employee
to a part-time Employee) after the date of grant of any Stock Award to the Participant, the Board has the right in
its sole discretion to (x) make a corresponding reduction in the number of shares or cash amount subject to any
portion of such Stock Award that is scheduled to vest or become payable after the date of such change in time
commitment, and (y) in lieu of or in combination with such a reduction, extend the vesting or payment schedule
applicable to such Stock Award. In the event of any such reduction, the Participant will have no right with
respect to any portion of the Stock Award that is so reduced or extended.
(f)
Incentive Stock Option Limitations. To the extent that the aggregate Fair Market Value (determined at the
time of grant) of Common Stock with respect to which Incentive Stock Options are exercisable for the first time
by any Optionholder during any calendar year (under all plans of the Company and any Affiliates) exceeds
$100,000 (or such other limit established in the Code) or otherwise does not comply with the rules governing
Incentive Stock Options, the Options or portions thereof that exceed such limit (according to the order in which
they were granted) or otherwise do not comply with such rules will be treated as Nonstatutory Stock Options,
notwithstanding any contrary provision of the applicable Option Agreement(s).
(g)
Investment Assurances. The Company may require a Participant, as a condition of exercising or acquiring
Common Stock under any Stock Award, (i) to give written assurances satisfactory to the Company as to the
Participant’s knowledge and experience in financial and business matters and/or to employ a purchaser
representative reasonably satisfactory to the Company who is knowledgeable and experienced in financial and
business matters and that they are capable of evaluating, alone or together with the purchaser representative,
the merits and risks of exercising the Stock Award; and (ii) to give written assurances satisfactory to the
Company stating that the Participant is acquiring Common Stock subject to the Stock Award for the Participant’s
own account and not with any present intention of selling or otherwise distributing the Common Stock. The
foregoing requirements, and any assurances given pursuant to such requirements, will be inoperative if (A) the
issuance of the shares upon the exercise or acquisition of Common Stock under the Stock Award has been
registered under a then currently effective registration statement under the Securities Act, or (B) as to any
particular requirement, a determination is made by counsel for the Company that such requirement need not be
met in the circumstances under the then applicable securities laws. The Company may, upon advice of counsel
to the Company, place legends on stock certificates issued under the Plan as such counsel deems necessary or
appropriate in order to comply with applicable securities laws, including, but not limited to, legends restricting
the transfer of the Common Stock.
(h)
Withholding Obligations. Unless prohibited by the terms of a Stock Award Agreement, the Company may, in
its sole discretion, satisfy any federal, state or local tax withholding obligation relating to a Stock Award by any
of the following means or by a combination of such means: (i) causing the Participant to tender a cash payment;
(ii) withholding shares of Common Stock from the shares of Common Stock issued or otherwise issuable to the
Participant in connection with the Stock Award; provided, however, that no shares of Common Stock are
withheld with a value exceeding the maximum amount of tax that may be required to be withheld by law (or such
other amount as may be permitted while still avoiding classification of the Stock Award as a liability for financial
accounting purposes); (iii) withholding cash from a Stock Award settled in cash; (iv) withholding payment from
any amounts otherwise payable to the Participant; or (v) by such other method as may be set forth in the Stock
Award Agreement.
(i)
Electronic Delivery. Any reference herein to a “written” agreement or document will include any agreement or
document delivered electronically, filed publicly at www.sec.gov (or any successor website thereto) or posted on
the Company’s intranet (or other shared electronic medium controlled by the Company to which the Participant
has access).
(j)
Deferrals. To the extent permitted by applicable law, the Board, in its sole discretion, may determine that the
delivery of Common Stock or the payment of cash, upon the exercise, vesting or settlement of all or a portion of
any Stock Award may be deferred and may establish programs and procedures for deferral elections to be
made by Participants. Deferrals by Participants will be made in accordance with Section 409A of the Code.
Consistent with Section 409A of the Code, the Board may provide for distributions while a Participant is still an
employee or otherwise providing services to the Company or an Affiliate. The Board is authorized to make
deferrals of Stock Awards and determine when, and in what annual percentages, Participants may receive
payments, including lump sum payments, following the Participant’s termination of Continuous Service, and
TABLE OF CONTENTS
Geron Corporation A-10 2026 Proxy Statement
implement such other terms and conditions consistent with the provisions of the Plan and in accordance with
applicable law.
(k)
Compliance with Section 409A of the Code. Unless otherwise expressly provided for in a Stock Award
Agreement, the Plan and Stock Award Agreements will be interpreted to the greatest extent possible in a
manner that makes the Plan and the Stock Awards granted hereunder exempt from Section 409A of the Code,
and, to the extent not so exempt, in compliance with Section 409A of the Code. To the extent that the Board
determines that any Stock Award granted hereunder is not exempt from and is therefore subject to Section 409A
of the Code, the Stock Award Agreement evidencing such Stock Award will incorporate the terms and conditions
necessary to avoid the consequences specified in Section 409A(a)(1) of the Code, and, to the extent applicable,
the Plan and Stock Award Agreements will be interpreted in accordance with the requirements of Section 409A
of the Code. Notwithstanding anything to the contrary in this Plan (and unless the Stock Award Agreement
specifically provides otherwise), if the shares of Common Stock are publicly traded and a Participant holding a
Stock Award that constitutes “deferred compensation” under Section 409A of the Code is a “specified employee”
for purposes of Section 409A of the Code, no distribution or payment of any amount will be made upon a
“separation from service” before a date that is six months following the date of such Participant’s “separation
from service” (as defined in Section 409A of the Code without regard to alternative definitions thereunder) or, if
earlier, the date of the Participant’s death.
(l)
Clawback/Recovery. All Stock Awards granted under the Plan will be subject to recoupment in accordance with
any clawback provisions in a Participant’s employment agreement or other agreement with the Company or any
clawback policy that the Company is required to adopt pursuant to the listing standards of any national
securities exchange or association on which the Company’s securities are listed or as is otherwise required by
the Dodd-Frank Wall Street Reform and Consumer Protection Act or other applicable law. In addition, the Board
may impose such other clawback, recovery or recoupment provisions in a Stock Award Agreement as the Board
determines necessary or appropriate, including but not limited to a reacquisition right in respect of previously
acquired shares of Common Stock or other cash or property upon the occurrence of Cause. No recovery of
compensation under such a clawback policy will be an event giving rise to a right to resign for “good reason” or
“constructive termination” (or similar term) under any agreement with the Company or an Affiliate.
IX.
ADJUSTMENTS UPON CHANGES IN COMMON STOCK; OTHER CORPORATE EVENTS.
(a)
Capitalization Adjustments. In the event of a Capitalization Adjustment, the Board will appropriately and
proportionately adjust: (i) the class(es) and maximum number of securities subject to the Plan pursuant to
Section 3(a), (ii) the class(es) and maximum number of securities that may be issued pursuant to the exercise of
Incentive Stock Options pursuant to Section 3(c), and (iii) the class(es) and number of securities and price per
share of stock subject to outstanding Stock Awards. The Board will make such adjustments, and its
determination will be final, binding and conclusive.
(b)
Dissolution or Liquidation. Except as otherwise provided in the Stock Award Agreement, in the event of a
dissolution or liquidation of the Company, all outstanding Stock Awards (other than Stock Awards consisting of
vested and outstanding shares of Common Stock not subject to a forfeiture condition or the Company’s right of
repurchase) will terminate immediately prior to the completion of such dissolution or liquidation, and the shares
of Common Stock subject to the Company’s repurchase rights or subject to a forfeiture condition may be
repurchased or reacquired by the Company notwithstanding the fact that the holder of such Stock Award is
providing Continuous Service, provided, however, that the Board may, in its sole discretion, cause some or all
Stock Awards to become fully vested, exercisable and/or no longer subject to repurchase or forfeiture (to the
extent such Stock Awards have not previously expired or terminated) before the dissolution or liquidation is
completed but contingent on its completion.
(c)
Corporate Transaction. The following provisions will apply to Stock Awards in the event of a Corporate
Transaction unless otherwise provided in the Stock Award Agreement or any other written agreement between
the Company or any Affiliate and the Participant or unless otherwise expressly provided by the Board at the time
of grant of a Stock Award. In the event of a Corporate Transaction, then, notwithstanding any other provision of
the Plan, the Board may take one or more of the following actions with respect to Stock Awards, contingent
upon the closing or completion of the Corporate Transaction:
(i)
arrange for the surviving corporation or acquiring corporation (or the surviving or acquiring corporation’s
parent company) to assume or continue the Stock Award or to substitute a similar stock award for the
Stock Award (including, but not limited to, an award to acquire the same consideration paid to the
stockholders of the Company pursuant to the Corporate Transaction);
(ii)
arrange for the assignment of any reacquisition or repurchase rights held by the Company in respect of
Common Stock issued pursuant to the Stock Award to the surviving corporation or acquiring corporation
(or the surviving or acquiring corporation’s parent company);
TABLE OF CONTENTS
Geron Corporation A-11 2026 Proxy Statement
(iii)
accelerate the vesting, in whole or in part, of the Stock Award (and, if applicable, the time at which the
Stock Award may be exercised) to a date prior to the effective time of such Corporate Transaction as the
Board determines (or, if the Board does not determine such a date, to the date that is five (5) days prior
to the effective date of the Corporate Transaction), with such Stock Award terminating if not exercised (if
applicable) at or prior to the effective time of the Corporate Transaction; provided, however, that the
Board may require Participants to complete and deliver to the Company a notice of exercise before the
effective date of a Corporate Transaction, which exercise is contingent upon the effectiveness of such
Corporate Transaction;
(iv)
arrange for the lapse, in whole or in part, of any reacquisition or repurchase rights held by the Company
with respect to the Stock Award;
(v)
cancel or arrange for the cancellation of the Stock Award, to the extent not vested or not exercised prior
to the effective time of the Corporate Transaction, in exchange for such cash consideration, if any, as
the Board, in its sole discretion, may consider appropriate; and
(vi)
make a payment, in such form as may be determined by the Board equal to the excess, if any, of (A) the
value of the property the Participant would have received upon the exercise of the Stock Award
immediately prior to the effective time of the Corporate Transaction, over (B) any exercise price payable
by such holder in connection with such exercise. For clarity, this payment may be zero ($0) if the value
of the property is equal to or less than the exercise price. Payments under this provision may be
delayed to the same extent that payment of consideration to the holders of the Company’s Common
Stock in connection with the Corporate Transaction is delayed as a result of escrows, earn outs,
holdbacks or any other contingencies.
The Board need not take the same action or actions with respect to all Stock Awards or portions thereof or with respect
to all Participants. The Board may take different actions with respect to the vested and unvested portions of a Stock Award.
(d)
Change in Control. A Stock Award may be subject to additional acceleration of vesting and exercisability upon
or after a Change in Control as may be provided in the Stock Award Agreement for such Stock Award or as may
be provided in any other written agreement between the Company or any Affiliate and the Participant, but in the
absence of such provision, no such acceleration will occur.
X.
TERMINATION OR SUSPENSION OF THE PLAN.
(a)
The Board may suspend or terminate the Plan at any time. No Incentive Stock Option will be granted after
the tenth anniversary of the earlier of (i) the date the Plan is adopted by the Board, or (ii) the date the Plan is
approved by the stockholders of the Company. No Stock Awards may be granted under the Plan while the Plan
is suspended or after it is terminated.
(b)
No Impairment of Rights. Suspension or termination of the Plan will not materially impair rights and obligations
under any Stock Award granted while the Plan is in effect except with the written consent of the affected
Participant or as otherwise permitted in the Plan.
XI.
EFFECTIVE DATE OF PLAN.
This Plan will become effective on the Effective Date.
XII. CHOICE OF LAW.
The laws of the State of Delaware will govern all questions concerning the construction, validity and interpretation of
this Plan, without regard to that state’s conflict of laws rules.
Definitions. As used in the Plan, the following definitions will apply to the capitalized terms indicated below:
(a)
“Affiliate” means, at the time of determination, any “parent” or “subsidiary” of the Company as such terms are
defined in Rule 405. The Board will have the authority to determine the time or times at which “parent” or
“subsidiary” status is determined within the foregoing definition.
(b)
“Board” means the Board of Directors of the Company.
(c)
“Capitalization Adjustment” means any change that is made in, or other events that occur with respect to, the
Common Stock subject to the Plan or subject to any Stock Award after the Effective Date without the receipt of
consideration by the Company through merger, consolidation, reorganization, recapitalization, reincorporation,
stock dividend, dividend in property other than cash, large nonrecurring cash dividend, stock split, reverse stock
split, liquidating dividend, combination of shares, exchange of shares, change in corporate structure or any
similar equity restructuring transaction, as that term is used in Statement of Financial Accounting Standards
TABLE OF CONTENTS
Geron Corporation A-12 2026 Proxy Statement
Board Accounting Standards Codification Topic 718 (or any successor thereto). Notwithstanding the foregoing,
the conversion of any convertible securities of the Company will not be treated as a Capitalization Adjustment.
(d)
“Cause” will have the meaning ascribed to such term in any written agreement between the Participant and the
Company or an Affiliate defining such term and, in the absence of such agreement, such term will mean, with
respect to a Participant and for purposes of the application of this Plan, the occurrence of any of the following
events: (i) such Participant’s conviction of, or plea of no contest with respect to, any crime involving fraud,
dishonesty or moral turpitude; (ii) such Participant’s attempted commission of or participation in a fraud or act of
dishonesty against the Company or an Affiliate that results in (or might have reasonably resulted in) material
harm to the business of the Company or an Affiliate; (iii) such Participant’s intentional, material violation of any
contract or agreement between the Participant and the Company or an Affiliate, or any statutory duty the
Participant owes to the Company or an Affiliate; or (iv) such Participant’s conduct that constitutes gross
misconduct, insubordination, incompetence or habitual neglect of duties and that results in (or might have
reasonably resulted in) material harm to the business of the Company or an Affiliate. The determination that a
termination of the Participant’s Continuous Service is either for Cause or without Cause will be made by the
Company, in its sole discretion. Any determination by the Company that the Continuous Service of a Participant
was terminated with or without Cause for the purposes of outstanding Stock Awards held by such Participant will
have no effect upon any determination of the rights or obligations of the Company or an Affiliate or such
Participant for any other purpose.
(e)
“Change in Control” will be deemed to have occurred upon the first to occur of an event set forth in any one of
the following paragraphs:
(i)
As a result of any merger or consolidation, the voting securities of the Company outstanding
immediately prior thereto represent (either by remaining outstanding or by being converted into voting
securities of the surviving or acquiring entity) less than 49% of the combined voting power of the voting
securities of the Company or such surviving or acquiring entity outstanding immediately after such
merger or consolidation;
(ii)
during any period of 24 consecutive calendar months, the individuals who at the beginning of such
period constitute the Board, and any new directors whose election by such Board or nomination for
election by stockholders was approved by a vote of at least two-thirds of the members of such Board
who were either directors on such Board at the beginning of the period or whose election or nomination
for election as directors was previously so approved, for any reason cease to constitute at least a
majority of the members thereof;
(iii)
any individual, entity or group (within the meaning of Section 13(d)(3) or 14(d)(2) of the Exchange Act)
shall become the beneficial owner (within the meaning of Rule 13d-3 promulgated under the Exchange
Act) of more than 20% of the then outstanding shares of Common Stock of the Company;
(iv)
any sale of all or substantially all of the assets of the Company; or
(v)
the complete liquidation or dissolution of the Company.
Notwithstanding the foregoing, if a Change in Control constitutes a payment event with respect to any Stock Award
which provides for the deferral of compensation and is subject to Section 409A of the Code, the transaction or event with
respect to such Stock Award must also constitute a “change in control event,” as defined in Treasury Regulation
§1.409A-3(i)(5) to the extent required by Section 409A.
The Committee shall have full and final authority, which shall be exercised in its discretion, to determine conclusively
whether a Change in Control of the Company has occurred pursuant to the above definition, and the date of the occurrence
of such Change in Control and any incidental matters relating thereto.
Notwithstanding the foregoing, a Change in Control shall not be deemed to occur solely because the threshold voting
power of the Company’s then outstanding securities in Section 13(e)(i) or (iii) is acquired by (A) a trustee or other fiduciary
holding securities under one or more employee benefit plans maintained by the Company or any of its subsidiaries or (B)
any corporation which, immediately prior to such acquisition, is owned directly or indirectly by the stockholders of the
Company in the same proportion as their ownership of stock in the Company immediately prior to such acquisition.
For the avoidance of doubt, the term Change in Control shall not include a sale of assets, merger or other transaction
effected exclusively for the purpose of changing the domicile of the Company.
Notwithstanding the foregoing or any other provision of this Plan, the definition of Change in Control (or any analogous
term) in an individual written agreement between the Company or any Affiliate and the Participant shall supersede the
foregoing definition with respect to Stock Awards subject to such agreement; provided, however, that if no definition of
Change in Control or any analogous term is set forth in such an individual written agreement, the foregoing definition shall
apply.
TABLE OF CONTENTS
Geron Corporation A-13 2026 Proxy Statement
(f)
“Code” means the Internal Revenue Code of 1986, as amended, including any applicable regulations and
guidance thereunder.
(g)
“Committee” means a committee of one or more Directors to whom authority has been delegated by the Board
in accordance with Section 2(c).
(h)
“Common Stock” means the common stock of the Company.
(i)
“Company” means Geron Corporation, a Delaware corporation.
(j)
“Consultant” means any person, including an advisor, who is (i) engaged by the Company or an Affiliate to
render consulting or advisory services and is compensated for such services, or (ii) serving as a member of the
board of directors of an Affiliate and is compensated for such services. However, service solely as a Director, or
payment of a fee for such service, will not cause a Director to be considered a “Consultant” for purposes of the
Plan. Notwithstanding the foregoing, a person is treated as a Consultant under this Plan only if a Form S-8
Registration Statement under the Securities Act is available to register either the offer or the sale of the
Company’s securities to such person.
(k)
“Continuous Service” means that the Participant’s service with the Company or an Affiliate, whether as an
Employee, Director or Consultant, is not interrupted or terminated. A change in the capacity in which the
Participant renders service to the Company or an Affiliate as an Employee, Director or Consultant or a change in
the Entity for which the Participant renders such service, provided that there is no interruption or termination of
the Participant’s service with the Company or an Affiliate, will not terminate a Participant’s Continuous Service;
provided, however, that if the Entity for which a Participant is rendering services ceases to qualify as an Affiliate,
as determined by the Board, in its sole discretion, such Participant’s Continuous Service will be considered to
have terminated on the date such Entity ceases to qualify as an Affiliate. For example, a change in status from
an Employee of the Company to a Consultant of an Affiliate or to a Director will not constitute an interruption of
Continuous Service. To the extent permitted by law, the Board or the chief executive officer of the Company, in
that party’s sole discretion, may determine whether Continuous Service will be considered interrupted in the
case of (i) any leave of absence approved by the Board or chief executive officer, including sick leave, military
leave or any other personal leave, or (ii) transfers between the Company, an Affiliate, or their successors.
Notwithstanding the foregoing, a leave of absence will be treated as Continuous Service for purposes of vesting
in a Stock Award only to such extent as may be provided in the Company’s or Affiliate’s leave of absence policy,
in the written terms of any leave of absence agreement or policy applicable to the Participant, or as otherwise
required by law.
(l)
“Corporate Transaction” means the consummation, in a single transaction or in a series of related
transactions, of any one or more of the following events:
(i)
a sale, lease or other disposition of all or substantially all of the assets of the Company;
(ii)
a sale or other disposition of at least ninety percent (90%) of the outstanding securities of the Company;
(iii)
a merger, consolidation or similar transaction in which the Company is not the surviving corporation; or
(iv)
a reverse merger, consolidation or similar transaction in which the Company is the surviving corporation
but the shares of Common Stock outstanding immediately preceding the merger, consolidation or similar
transaction are converted by virtue of the merger, consolidation or similar transaction into other property,
whether in the form of securities, cash or otherwise.
Notwithstanding the foregoing definition or any other provision of this Plan, the term Corporate Transaction will not
include a sale of assets, merger or other transaction effected exclusively for the purpose of changing the domicile of the
Company.
(m)
“Director” means a member of the Board.
(n)
“Disability” means, with respect to a Participant, the inability of such Participant to engage in any substantial
gainful activity by reason of any medically determinable physical or mental impairment that can be expected to
result in death or that has lasted or can be expected to last for a continuous period of not less than 12 months,
as provided in Sections 22(e)(3) and 409A(a)(2)(c)(i) of the Code, and will be determined by the Board on the
basis of such medical evidence as the Board deems warranted under the circumstances.
(o)
“Effective Date” means the effective date of this Plan document, which is the date of the annual meeting of
stockholders of the Company held in 2018, provided this Plan is approved by the Company’s stockholders at
such meeting.
TABLE OF CONTENTS
Geron Corporation A-14 2026 Proxy Statement
(p)
“Employee” means any person employed by the Company or an Affiliate. However, service solely as a Director,
or payment of a fee for such services, will not cause a Director to be considered an “Employee” for purposes of
the Plan.
(q)
“Entity” means a corporation, partnership, limited liability company or other domestic or foreign entity.
(r)
“Exchange Act” means the Securities Exchange Act of 1934, as amended, and the rules and regulations
promulgated thereunder.
(s)
“Fair Market Value” means, as of any date, the value of the Common Stock determined as follows:
(i)
If the Common Stock is listed on any established stock exchange or traded on any established market,
the Fair Market Value of a share of Common Stock will be, unless otherwise determined by the Board,
the closing sales price for such stock as quoted on such exchange or market (or the exchange or
market with the greatest volume of trading in the Common Stock) on the date of determination, as
reported in a source the Board deems reliable.
(ii)
Unless otherwise provided by the Board, if there is no closing sales price for the Common Stock on the
date of determination, then the Fair Market Value will be the closing selling price on the last preceding
date for which such quotation exists.
(iii)
In the absence of such markets for the Common Stock, the Fair Market Value will be determined by the
Board in good faith and in a manner that complies with Sections 409A and 422 of the Code.
(t)
“Full Value Award” means any Stock Award granted under this Plan, other than an Option or SAR that has a
per share exercise or strike price that is at least 100% of the Fair Market Value of the Common Stock on its
original date of grant.
(u)
“Incentive Stock Option” means an option granted pursuant to Section 5 that is intended to be, and that
qualifies as, an “incentive stock option” within the meaning of Section 422 of the Code.
(v)
“Non-Employee Director” means a Director who either (i) is not a current employee or officer of the Company
or an Affiliate, does not receive compensation, either directly or indirectly, from the Company or an Affiliate for
services rendered as a consultant or in any capacity other than as a Director (except for an amount as to which
disclosure would not be required under Item 404(a) of Regulation S-K promulgated pursuant to the Securities
Act (“Regulation S-K”)), does not possess an interest in any other transaction for which disclosure would be
required under Item 404(a) of Regulation S-K, and is not engaged in a business relationship for which
disclosure would be required pursuant to Item 404(b) of Regulation S-K; or (ii) is otherwise considered a “non-
employee director” for purposes of Rule 16b-3.
(w)
“Nonstatutory Stock Option” means any option granted pursuant to Section 5 that does not qualify as an
Incentive Stock Option.
(x)
“Officer” means a person who is an officer of the Company within the meaning of Section 16 of the Exchange
Act.
(y)
“Option” means an Incentive Stock Option or a Nonstatutory Stock Option to purchase shares of Common
Stock granted pursuant to the Plan.
(z)
“Option Agreement” means a written agreement between the Company and an Optionholder evidencing the
terms and conditions of an Option grant. Each Option Agreement will be subject to the terms and conditions of
the Plan.
(aa)
“Optionholder” means a person to whom an Option is granted pursuant to the Plan or, if applicable, such other
person who holds an outstanding Option.
(bb)
“Other Stock Award” means an award based in whole or in part by reference to the Common Stock which is
granted pursuant to the terms and conditions of Section 6(d).
(cc)
“Other Stock Award Agreement” means a written agreement between the Company and a holder of an Other
Stock Award evidencing the terms and conditions of an Other Stock Award grant. Each Other Stock Award
Agreement will be subject to the terms and conditions of the Plan.
(dd)
“Own,” “Owned,” “Owner,” “Ownership” means a person or Entity will be deemed to “Own,” to have “Owned,”
to be the “Owner” of, or to have acquired “Ownership” of securities if such person or Entity, directly or indirectly,
through any contract, arrangement, understanding, relationship or otherwise, has or shares voting power, which
includes the power to vote or to direct the voting, with respect to such securities.
TABLE OF CONTENTS
Geron Corporation A-15 2026 Proxy Statement
(ee)
“Participant” means a person to whom a Stock Award is granted pursuant to the Plan or, if applicable, such
other person who holds an outstanding Stock Award.
(ff)
“Performance Criteria” means the one or more criteria that the Board shall select for purposes of establishing
the Performance Goals for a Performance Period. The Performance Criteria that shall be used to establish such
Performance Goals may be based on any one of, or combination of, the following: (i) net earnings (either before
or after one or more of the following: (A) interest, (B) taxes, (C) depreciation and (D) amortization); (ii) gross or
net sales or revenue; (iii) net income (either before or after taxes); (iv) adjusted net income; (v) operating
earnings or profit; (vi) cash flow (including, but not limited to, operating cash flow and free cash flow); (vii) return
on assets; (viii) return on capital; (ix) return on stockholders’ equity; (x) total stockholder return; (xi) return on
sales; (xii) gross or net profit or operating margin; (xiii) costs; (xiv) funds from operations; (xv) expenses; (xvi)
working capital; (xvii) earnings per share; (xviii) adjusted earnings per share; (xix) price per Share; (xx)
regulatory body approval for commercialization of a product; (xxi) positive results from clinical trials; (xxii)
initiation of clinical trials; (xxiii) implementation, completion or maintenance of critical projects or relationships;
(xxiv) closing of significant financing; (xxv) execution or completion of strategic initiatives; (xxvi) market share;
(xxvii) economic value; (xxviii) cash flow return on capital; (xxix) return on net assets; and (xxx) other measures
of performance selected by the Board. Partial achievement of the specified criteria may result in the payment or
vesting corresponding to the degree of achievement as specified in the Stock Award Agreement. The Board
shall, in its sole discretion, define the manner of calculating the Performance Criteria it selects to use for such
Performance Period.
(gg)
“Performance Goals” means, for a Performance Period, the one or more goals established by the Board for the
Performance Period based upon the Performance Criteria. Performance Goals may be based on a Company-
wide basis, with respect to one or more business units, divisions, Affiliates, or business segments, and in either
absolute terms or relative to the performance of one or more comparable companies or the performance of one
or more relevant indices. The Board may, in its sole discretion, provide that one or more objectively
determinable adjustments shall be made to one or more of the Performance Goals. Such adjustments may
include one or more of the following: (i) items related to a change in accounting principle; (ii) items relating to
financing activities; (iii) expenses for restructuring or productivity initiatives; (iv) other non-operating items; (v)
items related to acquisitions; (vi) items attributable to the business operations of any entity acquired by the
Company during the Performance Period; (vii) items related to the disposal of a business or segment of a
business; (viii) items related to discontinued operations that do not qualify as a segment of a business under
Applicable Accounting Standards; (ix) items attributable to any stock dividend, stock split, combination or
exchange of stock occurring during the Performance Period; (x) any other items of significant income or
expense which are determined to be appropriate adjustments; (xi) items relating to unusual or extraordinary
corporate transactions, events or developments, (xii) items related to amortization of acquired intangible assets;
(xiii) items that are outside the scope of the Company’s core, on-going business activities; (xiv) items related to
acquired in-process research and development; (xv) items relating to changes in tax laws; (xvi) items relating to
major licensing or partnership arrangements; (xvii) items relating to asset impairment charges; (xviii) items
relating to gains or losses for litigation, arbitration and contractual settlements; (xix) items relating to any other
unusual or nonrecurring events or changes in applicable laws, accounting principles or business conditions; or
(xx) any other items selected by the Board.
(hh)
“Performance Period” means the period of time selected by the Board over which the attainment of one or
more Performance Goals will be measured for the purpose of determining a Participant’s right to and the
payment of a Performance Stock Award. Performance Periods may be of varying and overlapping duration, at
the sole discretion of the Board.
(ii)
“Performance Stock Award” means a Stock Award granted under the terms and conditions of Section 6(c)(i).
(jj)
“Plan” means this Geron Corporation 2018 Equity Incentive Plan.
(kk)
“Restricted Stock Award” means an award of shares of Common Stock which is granted pursuant to the terms
and conditions of Section 6(a).
(lI)
“Restricted Stock Award Agreement” means a written agreement between the Company and a holder of a
Restricted Stock Award evidencing the terms and conditions of a Restricted Stock Award grant. Each Restricted
Stock Award Agreement will be subject to the terms and conditions of the Plan.
(mm) “Restricted Stock Unit Award” means a right to receive shares of Common Stock which is granted pursuant to
the terms and conditions of Section 6(b).
(nn)
“Restricted Stock Unit Award Agreement” means a written agreement between the Company and a holder of
a Restricted Stock Unit Award evidencing the terms and conditions of a Restricted Stock Unit Award grant. Each
Restricted Stock Unit Award Agreement will be subject to the terms and conditions of the Plan.
TABLE OF CONTENTS
Geron Corporation A-16 2026 Proxy Statement
(oo)
“Rule 16b-3” means Rule 16b-3 promulgated under the Exchange Act or any successor to Rule 16b-3, as in
effect from time to time.
(pp)
“Rule 405” means Rule 405 promulgated under the Securities Act.
(qq)
“Securities Act” means the Securities Act of 1933, as amended.
(rr)
“Stock Appreciation Right” or “SAR” means a right to receive the appreciation on Common Stock that is
granted pursuant to the terms and conditions of Section 5.
(ss)
“Stock Appreciation Right Agreement” means a written agreement between the Company and a holder of a
Stock Appreciation Right evidencing the terms and conditions of a Stock Appreciation Right grant. Each Stock
Appreciation Right Agreement will be subject to the terms and conditions of the Plan.
(tt)
“Stock Award” means any right to receive Common Stock granted under the Plan, including an Incentive Stock
Option, a Nonstatutory Stock Option, a Stock Appreciation Right, a Restricted Stock Award, a Restricted Stock
Unit Award, a Performance Stock Award or any Other Stock Award.
(uu)
“Stock Award Agreement” means a written agreement between the Company and a Participant evidencing the
terms and conditions of a Stock Award grant. Each Stock Award Agreement will be subject to the terms and
conditions of the Plan.
(vv)
“Subsidiary” means, with respect to the Company, (i) any corporation of which more than 50% of the
outstanding capital stock having ordinary voting power to elect a majority of the board of directors of such
corporation (irrespective of whether, at the time, stock of any other class or classes of such corporation will have
or might have voting power by reason of the happening of any contingency) is at the time, directly or indirectly,
Owned by the Company, and (ii) any partnership, limited liability company or other entity in which the Company
has a direct or indirect interest (whether in the form of voting or participation in profits or capital contribution) of
more than 50%.
(ww)
“Ten Percent Stockholder” means a person who Owns (or is deemed to Own pursuant to Section 424(d) of the
Code) stock possessing more than 10% of the total combined voting power of all classes of stock of the
Company or any Affiliate.
TABLE OF CONTENTS
Geron Corporation A-17 2026 Proxy Statement
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
x ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the Fiscal Year Ended December 31, 2025
or
o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ______ to ______.
Commission File Number: 000-20859
GERON CORPORATION
(Exact name of registrant as specified in its charter)
Delaware
(State or other jurisdiction of incorporation or organization)
75-2287752
(I.R.S. Employer Identification No.)
919 East Hillsdale Blvd., Suite 250, Foster City, CA
(Address of principal executive offices)
94404
(Zip Code)
Registrant’s telephone number, including area code: (650) 473-7700
Securities registered pursuant to Section 12(b) of the Act:
Title of each class:
Trading symbol(s):
Name of each exchange on which registered:
Common Stock, $0.001 par value
GERN
The Nasdaq Stock Market LLC
Securities registered pursuant to Section 12(g) of the Act: None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes x No o
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes o No
x
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities
Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2)
has been subject to such filing requirements for the past 90 days. Yes x No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted
pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant
was required to submit such files). Yes x No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller
reporting company, or emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting
company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer
x
Accelerated filer
o
Non-accelerated filer
o
Smaller reporting company
o
Emerging growth company
o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for
complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the
effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the
registered public accounting firm that prepared or issued its audit report. x
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the
registrant included in the filing reflect the correction of an error to previously issued financial statements. o
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based
compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes o No x
Table of Contents
The aggregate market value of voting and non-voting common equity held by non-affiliates of the registrant was approximately
$860,500,000 based upon the closing price of the registrant’s common stock on June 30, 2025 on the Nasdaq Global Select Market. The
calculation of the aggregate market value of voting and non-voting common equity held by non-affiliates of the registrant excludes shares of
common stock held by each officer, director and stockholder that the registrant concluded were affiliates on that date. This determination of
affiliate status is not necessarily a conclusive determination for other purposes.
As of February 20, 2026, there were 640,544,661 shares of common stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE:
Document
Form 10-K
Parts
Portions of the Registrant’s definitive proxy statement for the 2026 annual meeting of stockholders to be filed pursuant to
Regulation 14A within 120 days of the Registrant’s fiscal year ended December 31, 2025.
III
Table of Contents
TABLE OF CONTENTS
Page
PART I
Item 1.
Business
5
Item 1A.
Risk Factors
26
Item 1B.
Unresolved Staff Comments
77
Item 1C.
Cybersecurity
77
Item 2.
Properties
78
Item 3.
Legal Proceedings
79
Item 4.
Mine Safety Disclosures
79
PART II
Item 5.
Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of
Equity Securities
80
Item 6.
[Reserved]
80
Item 7.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
81
Item 7A.
Quantitative and Qualitative Disclosures About Market Risk
96
Item 8.
Financial Statements and Supplementary Data
97
Item 9.
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
139
Item 9A.
Controls and Procedures
139
Item 9B.
Other Information
140
Item 9C.
Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
140
PART III
Item 10.
Directors, Executive Officers and Corporate Governance
141
Item 11.
Executive Compensation
141
Item 12.
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder
Matters
141
Item 13.
Certain Relationships and Related Transactions, and Director Independence
141
Item 14.
Principal Accountant Fees and Services
142
PART IV
Item 15.
Exhibits and Financial Statement Schedules
143
Item 16.
Form 10-K Summary
146
SIGNATURES
147
RYTELO® and other trademarks or service marks of Geron Corporation appearing in this Annual Report on Form 10-K
(this "Report") are the property of Geron Corporation. This Report contains additional trade names, trademarks and service
marks of others, which are the property of their respective owners. We do not intend our use or display of other companies’
trade names, trademarks or service marks to imply a relationship with, or endorsement or sponsorship of us by, these other
companies.
In this Report, unless otherwise indicated or the context otherwise requires, “Geron,” “the registrant,” “we,” “us,” and
“our” refer to Geron Corporation, a Delaware corporation, and its wholly owned subsidiaries, Geron UK Limited, a United
Kingdom company, and Geron Netherlands, B.V., a Dutch company.
Table of Contents
1
Forward-Looking Statements
This Report, including “Business” in Part I, Item 1 of this Report and “Management’s Discussion and
Analysis of Financial Condition and Results of Operations” in Part II, Item 7 of this Report, contains forward-looking
statements that involve risks and uncertainties, as well as assumptions that, if they never materialize or prove incorrect,
could cause the results of Geron Corporation, or Geron or the Company, to differ materially from those expressed or
implied by such forward-looking statements. All statements other than statements of historical fact are statements that
could be deemed forward-looking statements. In some cases, forward-looking statements can be identified by the use of
terminology such as “may,” “expects,” “plans,” “intends,” “will,” “should,” “could,” “projects,” “believes,” “predicts,”
“anticipates,” “estimates,” “potential,” “seek,” or “continue” or the negative thereof or other comparable terminology. The
risks and uncertainties referred to above include, without limitation, risks and uncertainties related to: (a) whether we are
successful in commercializing RYTELO (imetelstat) for the treatment of certain patients with lower-risk myelodysplastic
syndromes, or lower-risk MDS, with transfusion dependent anemia; (b) whether the U.S. Food and Drug Administration, or
FDA, or European Commission, or EC, will approve RYTELO for other indications on the timelines that may be expected,
or at all; (c) our pursuit of paths to make RYTELO available to eligible patients with lower-risk MDS outside of the U.S.,
including in the European Union, or EU; (d) whether we overcome potential delays and other adverse impacts caused by
enrollment, clinical, safety, efficacy, technical, scientific, intellectual property, manufacturing and regulatory challenges in
order to have the financial resources for and meet expected timelines and planned milestones; (e) whether regulatory
authorities permit the further development of imetelstat on a timely basis, or at all, without any clinical holds; (f) whether
RYTELO may cause, or have attributed to it, adverse events that could delay or prevent the commencement and/or
completion of clinical trials, impact its regulatory approval, or limit its commercial potential; (g) whether the IMpactMF
Phase 3 trial for relapsed/refractory myelofibrosis, or R/R MF, has a positive outcome and demonstrates safety and
effectiveness to the satisfaction of the FDA and international regulatory authorities, and whether our projected rates for
death events differ from actual rates, which may cause the planned interim and final analyses to occur later than
anticipated; (h) whether any future safety or efficacy results of RYTELO treatment cause its benefit-risk profile to become
unacceptable; (i) whether imetelstat actually demonstrates disease-modifying activity in patients and the ability to target the
malignant stem and progenitor cells of the underlying disease; (j) whether we meet our post-marketing requirements and
commitments for RYTELO; (k) whether there are failures or delays in manufacturing or supplying sufficient quantities of
RYTELO or other clinical trial materials that impact commercialization of RYTELO or the continuation of the IMpactMF
trial and other clinical trials; (l) whether we are able to establish and maintain effective sales, marketing and distribution
capabilities, obtain adequate coverage and third-party payor reimbursement, and achieve adequate acceptance in the
marketplace; (m) whether we are able to obtain and maintain the exclusivity terms and scopes provided by patent and
patent term extensions, regulatory exclusivity, and have freedom to operate; (n) that we may be unable to successfully
commercialize RYTELO due to competitive products, or otherwise; (o) that we may not be able to establish partnerships to
commercialize RYTELO in the international markets where RYTELO may be approved for marketing; (p) whether we
stay in compliance with and satisfy our obligations under our debt and synthetic royalty agreements; and (q) the impact of
general economic, industry or political climate in the U.S. or internationally and the effects of macroeconomic conditions
on our business and business prospects, financial condition and results of operations; as well as other risks that are
described herein and that are otherwise described from time to time in our Securities and Exchange Commission reports
including, but not limited to, the factors described in “Risk Factors,” in Part I, Item 1A of this Report. Geron assumes no
obligation for and except as required by law, disclaims any obligation to update these forward-looking statements to reflect
future information, events or circumstances.
Risk Factor Summary
Below is a summary of material factors that make an investment in our common stock speculative or risky.
Importantly, this summary does not address all of the risks and uncertainties that we face. You should understand that it is
not possible to predict or identify all such factors. Consequently, you should not consider this summary to be a complete
discussion of all potential risks or uncertainties that may substantially impact our business. Additional discussion of the
risks and uncertainties summarized in this risk factor summary, as well as other risks and uncertainties that we face, can be
found under “Risk Factors” in Part I, Item 1A of this Report. The summary below is qualified in its entirety by that more
complete discussion of such risks and uncertainties. Moreover, we operate in a competitive and rapidly changing
environment. New factors emerge from time to time and it is not possible to predict the impact of all of these factors on our
business, financial condition or results of operations. You should consider carefully the risks and uncertainties described
under “Risk Factors” in Part I, Item 1A of this Report as part of your evaluation of an investment in our common stock.
Table of Contents
2
Risks Related to the Commercialization of RYTELO® (Imetelstat)
•
Our near-term prospects are wholly dependent on RYTELO. We have limited experience
with the commercialization of RYTELO, and if we are unable to successfully
commercialize RYTELO in the U.S. for lower-risk MDS, or to expand its indication of use,
our ability to generate meaningful revenue or achieve profitability will be materially and
adversely affected.
•
Although we have established commercial operations and sales, marketing and distribution
infrastructure for RYTELO, we have limited experience in sustaining and scaling these
operations and our commercialization efforts may be unsuccessful or less successful than
anticipated.
•
If we are unable to continue to execute on our sales, marketing and distribution plans to
commercialize RYTELO, we may be unable to generate meaningful product revenue.
•
We face competition from existing products, product candidates and technologies, and
competitors may develop new products and technologies. If these products, product
candidates or technologies are deemed by the healthcare community to be superior to or
more cost-effective than RYTELO, it would significantly impact the development and
commercial viability of RYTELO, which would severely and adversely affect our financial
results, business and business prospects, and the future of RYTELO, and might cause us to
cease operations.
•
We will be subject to pricing and reimbursement regulations in the European Union, or EU,
which may materially affect our ability to commercialize and receive reimbursement
coverage for RYTELO in the EU.
Risks Related to Regulatory Approval of RYTELO
•
We may be unable to maintain regulatory approvals for RYTELO in the U.S. and the EU
for lower-risk MDS, which would severely and adversely affect our business and business
prospects, and might cause us to cease operations.
•
Our regulatory approval for RYTELO in the U.S. and in the EU for certain patients with
lower-risk MDS is subject to post-marketing requirements and commitments, and we may
be subject to penalties or product withdrawal if we fail to comply with these regulatory
requirements and commitments, or if we experience unanticipated problems with RYTELO.
Risks Related to Compliance with Healthcare Laws
•
Our relationships with healthcare providers, including physicians and third-party payors,
the methods by which we promote RYTELO, and the content of our promotional materials
and programs, are subject to applicable promotional, anti-kickback, fraud and abuse, and
other healthcare laws and regulations, and our failure to comply with these laws could
expose us to criminal sanctions, civil penalties, exclusion from federal health care
programs, contractual damages, reputational harm and may adversely affect our business
and financial results.
Risks Related to the Further Development of Imetelstat
•
We cannot be certain that we will be able to continue to develop imetelstat or advance it in
clinical trials, or that we will be able to receive regulatory approval for imetelstat in any
other indications in the U.S., the EU or any other region, on a timely basis or at all.
•
RYTELO may cause, or have attributed to it, undesirable or unintended side effects or other
adverse events that could halt or limit its further commercialization, delay or prevent its
regulatory approval in any other jurisdiction or indication, or cause us to delay or terminate
our clinical trials.
Table of Contents
3
•
Results and data we disclosed from prior non-clinical studies and clinical trials, as well as
any data disclosed as a result of an interim analysis, may not predict success in later clinical
trials or the final analysis, and we cannot assure you that any ongoing or future clinical
trials of imetelstat, including IMpactMF, will lead to similar results and data that could
potentially enable us to obtain any further regulatory approvals.
Risks Related to Manufacturing RYTELO (Imetelstat)
•
Failure by us to maintain a manufacturing supply chain to appropriately and adequately
supply RYTELO for commercial and future clinical uses would adversely affect our ability
to commercialize RYTELO and result in a further delay in or cessation of clinical trials, and
our business and business prospects could be severely harmed, and we could cease
operations.
Risks Related to Our Operating Results, Financial Position and Need for Additional Capital
•
We have a history of net losses and may not achieve consistent future profitability for some
time, if ever.
•
Our failure to obtain additional capital, if and when needed, would force us to further delay,
reduce or eliminate the further development of RYTELO, or to halt the commercialization
of RYTELO, any of which would severely and adversely affect our financial results,
business and business prospects, and might cause us to cease operations.
Risks Related to Our Indebtedness and Royalty Payment Obligations
•
Our level of indebtedness and debt service obligations could adversely affect our financial
condition and may make it more difficult for us to fund our operations, including by
limiting our operating and financial flexibility.
Risks Related to Protecting Our Intellectual Property
•
If we are unable to obtain and maintain sufficient intellectual property protection and
relevant regulatory exclusivities for RYTELO, both in the U.S. and in other countries, our
competitors could develop and commercialize products similar or identical to RYTELO,
and our ability to successfully commercialize RYTELO may be adversely affected.
Risks Related to Managing Our Growth and Other Business Operations
•
Our strategic restructuring plan and the associated workforce reduction implemented in
December 2025 may not result in anticipated savings and long-term value creation, could
result in total costs and operating expenses that are greater than expected and could disrupt
our business.
•
We and certain of our current and former officers and directors have been named as
defendants in securities class action lawsuits and derivative lawsuits. These lawsuits, and
potential similar or related lawsuits, are costly to defend, could result in substantial
damages, divert management’s time and attention from our business, and have a material
adverse effect on our results of operations.
Calculation of Aggregate Market Value of Non-Affiliate Shares
For purposes of calculating the aggregate market value of shares of our common stock held by
non-affiliates as set forth on the cover page of this Report, we have assumed that all outstanding shares are held by
non-affiliates, except for shares held directly or indirectly by each of our executive officers and directors. In the case of 5%
or greater stockholders, we have not deemed any such stockholders to be affiliates given the lack of facts and
circumstances that would indicate that any such stockholders exercise, or have the ability to exercise, any control over
Geron. These assumptions should not be deemed to constitute an admission that all executive officers and directors are, in
fact, affiliates of Geron, or that there are no other persons who may be deemed to be affiliates of Geron. Further
information concerning shareholdings of our executive officers, directors and principal stockholders is incorporated by
reference in Part III, Item 12 of this Report.
Table of Contents
4
PART I
ITEM 1. BUSINESS
Company Overview
We are a commercial-stage biopharmaceutical company aiming to change lives by changing the course of
blood cancer. Our first-in-class telomerase inhibitor, RYTELO® (imetelstat), harnesses Nobel Prize winning science in a
treatment that scientific evidence suggests reduces proliferation of malignant cells, allowing production of new healthy
cells, which we believe drives differentiated clinical benefits, potentially altering the underlying course and modifying the
disease of these hematologic malignancies.
We commercially launched RYTELO in the U.S. in June 2024 following its approval by the U.S. Food and
Drug Administration, or FDA, on June 6, 2024 for the treatment of adult patients with low- to intermediate-1 risk
myelodysplastic syndromes, or lower-risk MDS, with transfusion-dependent, or TD, anemia requiring four or more red
blood cell units over eight weeks who have not responded to or have lost response to or are ineligible for erythropoiesis-
stimulating agents, or ESAs. Lower-risk MDS is a progressive blood cancer with high unmet need, where many patients
with anemia become dependent on red blood cell transfusions, which can be associated with clinical consequences and
decreased quality of life. We believe that the results of our Phase 3 clinical trial, IMerge, in LR-MDS, favorable FDA label
and National Comprehensive Cancer Network, or NCCN®, Clinical Practice Guidelines in Oncology, or NCCN
Guidelines®, position RYTELO as a potential treatment that can compete for significant market segments in lower-risk
MDS, including second-line ESA ineligible patients regardless of prior treatment or RS status and first-line ESA ineligible
patients.
In March 2025, we received European Commission (EC) approval of RYTELO for the treatment of adults
with TD anemia due to lower-risk MDS without an isolated deletion 5q cytogenetic (non-del 5q) abnormality and who had
an unsatisfactory response to or are ineligible for ESAs. RYTELO is the first and only telomerase inhibitor approved by the
EC, and the marketing authorization applies to all 27 European Union member states, and Iceland, Norway and
Liechtenstein. We are pursuing paths to make RYTELO available to eligible LR-MDS patients outside of the U.S.,
including in the EU. To enable paid access to patients outside the United States through approved Named Patient Programs
(NPPs), we have partnered with Tanner Pharma, a distributor with broad global reach to support patient access. To date,
our revenues pursuant to NPPs have been minimal.
In addition to lower-risk MDS, we are developing imetelstat for the treatment of other myeloid hematologic
malignancies. Our Phase 3 IMpactMF clinical trial is evaluating imetelstat in patients with intermediate-2 or high-risk
myelofibrosis, or MF, who have relapsed after or are refractory to treatment with a janus associate kinase inhibitor, or JAK
inhibitor, or relapsed/refractory MF, or R/R MF, with overall survival, or OS, as the primary endpoint. As of September
2025, the trial completed enrollment. Based on our current assumptions for event (death) rates in the trial, we expect the
interim analysis for OS in IMpactMF may occur in the second half of 2026 and the final analysis may occur in the second
half of 2028.
We believe that telomerase inhibition with imetelstat represents a novel mechanism of action with unique
benefits in hematologic malignancies and potentially in other tumor types.
Our Strategy
Our strategy is to maximize the value of our first-in-class telomerase inhibitor, RYTELO (imetelstat). This
includes maximizing the commercial opportunity for RYTELO in lower-risk MDS by investing in and executing on our
U.S. commercial efforts. We expect to deliver steady growth by executing across several key imperatives, including driving
new patient starts across all eligible lower-risk MDS population segments, particularly in second-line lower-risk MDS;
reinforcing with health care providers, or HCPs, the value of duration of treatment we have observed with RYTELO;
educating HCPs on appropriate management of patient safety with RYTELO; and leveraging strong payor access for
RYTELO. We are also pursing paths to bring RYTELO to eligible LR-MDS patients outside the United States including
the EU.
Table of Contents
5
We also plan to progress our development programs that could help identify potential additional indications
for imetelstat. This includes the Phase 3 IMpactMF trial, which, if positive and approved in label expansion, could
significantly increase the RYTELO commercial opportunity. Additionally, we plan to execute on our pipeline programs
and assess the data to understand the potential to develop imetelstat in additional hematologic malignancies and as a
potential combination therapy.
U.S. Commercialization of RYTELO
RYTELO is the first and only FDA approved telomerase inhibitor. The FDA label indicates that RYTELO
is approved for certain ESA ineligible or ESA relapsed/refractory lower-risk MDS patients, regardless of RS status. The
MDS NCCN Guidelines® include imetelstat as a Category 1 preferred option treatment in second-line RS+/RS- ESA-
eligible patients regardless of prior treatment options and as a Category 2A treatment for first-line ESA-ineligible RS+/RS-
patients. In October 2025, the MDS NCCN Guidelines® were updated to change from azacitadine to imetelstat as the
preferred option in first-line RS- ESA-ineligible patients.
Our commercial strategy is designed to ensure that RYTELO reaches eligible patients when they are most
likely to benefit.
Our commercial execution is focused on three core initiatives.
•
First, targeted engagement with high-volume accounts that treat earlier-line patients.
•
Second, we are investing in what we believe to be the most effective marketing channels.
This includes a strong emphasis on digital, non-personal promotion, and third-party
educational platforms designed to ensure consistent, high-quality messaging across multiple
touchpoints.
•
Third, we are executing cross-functionally through effective account management
initiatives.
Our cross-functional customer-facing teams include over 60 key account managers, regional business
directors, regional marketers, regional access directors , and regional medical scientific directors. We offer a wide range of
resources to support access and affordability for eligible RYTELO patients, including our REACH4RYTELO® patient
support program, which provides a range of resources which are designed to support access and affordability to eligible
patients prescribed RYTELO.
Commercialization Plans for RYTELO Outside of the U.S.
In March 2025, we received European Commission approval, of RYTELO for the treatment of adults with
TD anemia due to lower-risk MDS. We are pursuing paths to make RYTELO available to eligible LR-MDS patients
outside of the U.S., including in the EU. We are preparing for the planned commercialization of RYTELO in select EU
markets in 2026. At this time, we do not plan to commercialize RYTELO independently in the EU (or in any other regions
outside of the U.S. where RYTELO may be approved for marketing in the future). Accordingly, we plan to work with
experienced third parties for the commercialization and marketing of RYTELO in the EU, including on critical path
activities for the planned launch of RYTELO in the EU, such as reimbursement, Health Technology Assessment, or HTA,
submissions, market access and distribution.To enable paid access to patients outside the United States through approved
Named Patient Programs (NPPs), we partnered with Tanner Pharma, a distributor with broad global reach to support
patient access. To date, revenues pursuant to NPPs have been minimal.
Background of Telomerase Inhibition in Hematologic Malignancies and Imetelstat Development
In the human body, normal growth and maintenance of tissues occurs by cell division. However, most cells
are only able to divide a limited number of times, and this number of divisions is regulated by telomere length. Telomeres
are repetitions of a deoxyribonucleic acid, or DNA, sequence located at the ends of chromosomes. They act as protective
caps to maintain stability and integrity of the chromosomes, which contain the cell’s genetic material. Normally, every time
a cell divides, the telomeres shorten. Eventually, they shrink to a critically short length, and as a result, the cell either dies
by apoptosis or stops dividing and senesces.
Telomerase is a naturally occurring enzyme that maintains telomeres and prevents them from shortening
during cell division, such as stem cells that must remain immortalized to support normal health. Telomerase consists of at
Table of Contents
6
least two essential components: a ribonucleic acid, or RNA, template, which binds to the telomere, and a catalytic subunit
with reverse transcriptase activity, which adds a specific DNA sequence to the chromosome ends. The 2009 Nobel Prize
for Physiology or Medicine was awarded to Drs. Elizabeth H. Blackburn, Carol W. Greider and Jack Szostak, former
Geron collaborators, for the discovery of how chromosomes are protected by both telomeres and telomerase.
Telomerase is upregulated in many tumor cells and malignant stem and progenitor cells, enabling the
continued and uncontrolled proliferation of the malignant cells that drive tumor growth and progression. We believe that
inhibiting telomerase may be an attractive approach to treating cancer because it may limit the proliferative capacity of
malignant stem and progenitor cells, which are believed to be important drivers of tumor growth and progression. We and
others have observed in various in vitro, ex vivo and rodent tumor models that inhibiting telomerase: (a) results in telomere
shortening and (b) arrests uncontrolled malignant cell proliferation and tumor growth.
Many myeloid hematologic malignancies, such as essential thrombocythemia, or ET, MF and MDS, have
been shown to arise from malignant stem and progenitor cells that express higher telomerase activity and have shorter
telomeres when compared to normal healthy cells. In vitro studies have suggested that tumor cells with short telomeres
may be especially sensitive to the anti-proliferative effects of inhibiting telomerase.
Imetelstat, our proprietary telomerase inhibitor which was discovered and developed at Geron, was
designed to inhibit telomerase in malignant cells with continuously upregulated telomerase.
Imetelstat is a lipid conjugated 13-mer oligonucleotide that we designed to be complementary to and bind
with high affinity to the RNA template of telomerase, thereby directly inhibiting telomerase activity. Imetelstat does not act
as an antisense inhibitor of protein translation. The compound has a proprietary thio-phosphoramidate backbone, which is
designed to provide resistance to the effect of cellular nucleases, thus conferring improved stability in plasma and tissues,
as well as improved binding affinity to its target. To improve the ability of imetelstat to penetrate cellular membranes, we
conjugated the oligonucleotide to a lipid group. Imetelstat’s IC50, or half maximal inhibitory concentration, is 3 – 9 nM in
cell free assays.
We believe that imetelstat may have the potential to suppress the proliferation of malignant stem and
progenitor cells while transiently affecting normal cells. Early clinical data from a Phase 2 trial of imetelstat in patients
with ET, or the ET Trial, and a pilot study of imetelstat in patients with MF conducted at Mayo Clinic, or the Pilot Study,
suggested that imetelstat inhibits the progenitor cells of the malignant clones believed to be responsible for the underlying
diseases in a relatively select manner, indicating potential disease-modifying activity. These data were published in two
separate articles in a September 2015 issue of The New England Journal of Medicine. In the Phase 2 IMbark study, an
association of survival improvement and reduction in variant allele frequency, or VAF, was observed for high-risk
imetelstat-treated MF patients, results which were published in Journal of Clinical Oncology in 2021. Additionally, in the
Phase 2/3 IMerge study, SF3B1 VAF reduction was associated with longest transfusion independence, or TI, and with 8-
week, 24-week and 1-year TI duration in imetelstat-treated lower-risk MDS patients. These results were published in The
Lancet and at the European Hematology Association, or EHA, annual meeting in 2023.
Table of Contents
7
Pipeline Chart
Lower-Risk Myelodysplastic Syndromes (MDS)
MDS is a group of blood disorders in which the proliferation of malignant progenitor cells produces
multiple malignant cell clones in the bone marrow resulting in disordered and ineffective production of the myeloid
lineage, which includes red blood cells, white blood cells and platelets. In MDS, bone marrow and peripheral blood cells
may have abnormal, or dysplastic, cell morphology. MDS is frequently characterized clinically by severe anemia, or low
red blood cell counts, and low hemoglobin. In addition, other peripheral cytopenias, or low numbers of white blood cells
and platelets, may cause life-threatening infections and bleeding. Transformation to acute myeloid leukemia, or AML, is
reported to occur in up to 30% of MDS cases and results in poorer overall survival.
MDS is the most common of the myeloid malignancies. There are approximately 64,000 people in the U.S.
living with the disease and approximately 21,000 reported new cases of MDS in the U.S. every year, according to
Clarivate/DRG MDS Syndicated Report 2025. MDS is primarily a disease of the elderly, with median age at diagnosis
around 70 years. The majority of patients, approximately 70%, fall into what are considered to be the lower-risk groups at
diagnosis, according to the International Prognostic Scoring System, or IPSS, which assigns relative risk of progression to
AML and overall survival by taking into account the presence of a number of disease factors, such as cytopenias and
cytogenetics.
Chronic anemia is the predominant clinical problem in patients who have lower-risk MDS. The current
standard of care for the treatment of lower-risk MDS is the use of ESAs as supportive care, and more recently luspatercept
to improve upon disease-associated chronic anemia. The majority of patients who no longer respond to ESAs or other
available drug therapies become dependent on red blood cell transfusions due to low hemoglobin. Serial red blood cell
transfusions can lead to elevated levels of iron in the blood and other tissues, which the body has no normal way to
eliminate. Iron overload is a potentially dangerous condition. Published studies in patients with MDS have shown that iron
overload resulting from regular red blood cell transfusions is associated with a poorer overall survival and a higher risk of
developing AML.
Phase 3 IMerge Trial in Lower-Risk MDS
Our regulatory approval in the U.S. for certain patients with lower-risk MDS and our EMA submission are
each based on positive data from the IMerge Phase 3 clinical trial. The trial met its primary endpoint of ≥ 8-week red blood
cell transfusion independence rate and a key secondary endpoint of ≥ 24-week red blood cell transfusion independence rate,
demonstrating highly statistically significant (i.e., p<0.001 for both) and clinically meaningful benefits with imetelstat
Table of Contents
8
treatment versus placebo. Furthermore, statistically significant and clinically meaningful efficacy results were observed in
the trial across key MDS patient subtypes, including patients who were ringed sideroblast positive, or RS positive, and
ringed sideroblast negative, or RS negative; patients with high (4-6 RBC units/8 weeks) and very high baseline transfusion
burden (>6 RBC units/8 weeks); and patients classified as Low or Intermediate-1 risk according to the IPSS. The most
common Grade 3/4 adverse reactions were neutropenia (72%) and thrombocytopenia (65%), which lasted a median
duration of less than two weeks, and in more than 80% of patients were resolved to Grade <2 in under four weeks.
Myelofibrosis (MF)
MF, a type of myeloproliferative neoplasm, is a chronic blood cancer in which abnormal or malignant
precursor cells in the bone marrow proliferate rapidly, causing scar tissue, or fibrosis, to form. As a result, normal blood
production in the bone marrow is impaired and may shift to other organs, such as the spleen and liver, which can cause
them to enlarge substantially. People with MF may have abnormally low or high numbers of circulating RBCs, white blood
cells or platelets, and abnormally high numbers of immature cells in the blood or bone marrow. MF patients can also suffer
from debilitating constitutional symptoms, such as drenching night sweats, fatigue, severe itching, or pruritus, abdominal
pain, fever and bone pain.
Approximately 70% of MF patients are classified as having Intermediate-2 or High-risk disease, as defined
by the Dynamic International Prognostic Scoring System Plus described in a 2011 Journal of Clinical Oncology article.
Drug therapies currently approved by the FDA and other regulatory authorities for treating these MF patients include JAK
inhibitors, ruxolitinib, fedratinib and momelotinib, as well as pacritinib, a kinase inhibitor. Currently, no drug therapy is
approved for those patients who fail or no longer respond to JAK inhibitor treatment. A variety of best available therapies
are used in absence of an approved treatment for this patient population, and median survival is limited, representing a
significant unmet medical need.
Ongoing Phase 3 IMpactMF Trial in Relapsed/Refractory MF
Trial Design
IMpactMF, our Phase 3 clinical trial in relapsed/refractory MF, is an open label, 2:1 randomized, controlled
clinical trial designed to evaluate imetelstat (9.4 mg/kg administered by intravenous infusion over two hours every three
weeks) in approximately 320 patients. Patients relapsed after or refractory to a JAK inhibitor are defined as having an
inadequate spleen response or symptom response after treatment with a JAK inhibitor for at least six months, including an
optimal dose of a JAK inhibitor for at least two months. The best available therapy, or BAT, control arm of IMpactMF
excludes the use of JAK inhibitors. With respect to the trial design for IMpactMF, the FDA urged us to consider adding a
third dosing arm to assess a lower dose and/or a more frequent dosing schedule that might improve the planned trial’s
chance of success by identifying a less toxic regimen and/or more effective spleen response, one of the trial’s secondary
endpoints. Based on data from IMbark, which evaluated a low and high doses, we believe that testing a lower dose regimen
would likely result in a lower median OS, which is the trial’s primary endpoint, in the imetelstat treatment arm. We believe
existing data also suggest that lowering the dose would not result in a clinically meaningful reduction in toxicity. For these
reasons, we therefore determined not to add a third dosing arm to the trial design, and the FDA did not object to our
proposed imetelstat dose and schedule of 9.4 mg/kg every three weeks. Our belief may ultimately be incorrect. Therefore,
our failure to add a third dosing arm could result in a failure to maintain regulatory clearance from the FDA and similar
international regulatory authorities, could result in the trial’s failure, or could otherwise delay, limit or prevent marketing
approval of imetelstat for relapsed/refractory MF by the FDA or similar international regulatory authorities.
The primary efficacy endpoint for IMpactMF is OS. Key secondary endpoints include symptom response;
spleen response; progression free survival; complete remission, partial remission or clinical improvement, as defined by the
International Working Group for Myeloproliferative Neoplasms Research and Treatment criteria; duration of response;
safety; pharmacokinetics; and patient reported outcomes. There are IMpactMF sites across North America, South America,
Europe, Australia and Asia.
Current Status of IMpactMF
IMpactMF opened for patient screening and enrollment in December 2020. In September 2025, the trial
completed enrollment. Based on our current assumptions for event (death) rates in the trial, we expect the interim analysis
for OS in IMpactMF may occur in the second half of 2026 and the final analysis may occur in the second half of 2028.
Because these analyses are event-driven and it is uncertain whether actual rates for events will reflect current planning
Table of Contents
9
assumptions, the results may be available at different times than currently expected. At the interim analysis, if the pre-
specified statistical OS criterion is met, then we expect such data may potentially support the registration of imetelstat in
relapsed/refractory MF. Subject to protocol-specified stopping rules for futility, if the pre-specified OS criterion is not met
at the interim analysis, the trial will continue to the final analysis.
The timing and achievement of either or both of the planned analyses depend on numerous factors,
including blinded death rates, which have in the past been, and may continue to be, lower than our projections. In addition,
our ability to conduct and complete IMpactMF depends on whether we can obtain and maintain the relevant clearances
from regulatory authorities and other institutions to continue to conduct and complete the trial.
Improvement in Overall Survival and Potential Disease-Modifying Activity Observed in IMbark Phase 2
The IMbark Phase 2 clinical trial was designed to evaluate two dosing regimens of imetelstat (either 4.7
mg/kg or 9.4 mg/kg administered by intravenous infusion every three weeks) in patients with relapsed/refractory MF.
We previously reported efficacy and safety results from the IMbark Phase 2 clinical trial, including median
OS of 28.1 months for patients on the high dose arm of the study, which is almost twice the reported median OS of 14–16
months in medical literature. To evaluate this potential benefit, we conducted a post-hoc analysis of OS for patients treated
with imetelstat 9.4 mg/kg in IMbark compared to OS calculated from real world data, or RWD, collected at the Moffitt
Cancer Center for patients who had discontinued treatment with ruxolitinib, a JAK inhibitor, and who were subsequently
treated with BAT. To make a comparison between the IMbark data and RWD, a cohort from the real-world dataset was
identified that closely matched the IMbark patients, using guidelines for inclusion and exclusion criteria as defined in the
IMbark clinical protocol, such as platelet count and spleen size. Calculations from two propensity score analysis
approaches resulted in a median OS of 30.7 months for the imetelstat-treated patients from IMbark, which is more than
double the median OS of 12.0 months using RWD for patients treated with BAT. These analyses also showed a 65% – 67%
lower risk of death for the imetelstat-treated patients vs. BAT-treated patients. We believe these analyses suggest
potentially longer OS for imetelstat-treated relapsed/refractory MF patients in IMbark, compared to BAT in closely-
matched patients from RWD. However, comparative analyses between RWD and our clinical trial data have several
limitations. For instance, the analyses create a balance between treatment groups with respect to commonly available
covariates, but do not take into account the unmeasured and unknown covariates that may affect the outcomes of the
analyses. Potential biases are introduced by factors which include, for example, the selection of the patients included in the
analyses, misclassification in the matching process, the small sample size, and estimates that may not represent the
outcomes for the true treated patient population. For these and other reasons, such comparative analyses and any
conclusions from such analyses should be considered carefully and with caution, and should not be relied upon as
demonstrative or otherwise predictive or indicative of any current or potential future clinical trial results of imetelstat in
relapsed/refractory MF, including IMpactMF.
In IMbark, patients also experienced other positive clinical outcomes, including symptom improvement,
spleen reduction and bone marrow fibrosis improvement. In June 2020, we reported correlation analyses from IMbark that
showed a trend of longer OS in patients who achieved symptom response, spleen volume reductions and improved bone
marrow fibrosis, in a dose-dependent manner. Furthermore, the reductions in the variant allele frequency of key driver
mutations in MF and the improvement in bone marrow fibrosis observed in IMbark have also been correlated to the
improvement in OS. We believe the improvement in bone marrow fibrosis, potential survival benefit, molecular data and
correlations from IMbark provide strong evidence of the potential for disease modification with imetelstat, which we
believe would differentiate imetelstat from currently approved treatments for MF, if approved.
The safety results observed in IMbark were consistent with prior clinical trials of imetelstat in hematologic
malignancies, and no new safety signals were identified. In the 9.4 mg/kg arm, reversible and manageable Grade 3/4
thrombocytopenia and neutropenia were reported in 24/59 patients (41%) and 19/59 patients (32%), respectively, without
significant clinical consequences. 1/59 patients (2%) had Grade 3 febrile neutropenia. 3/59 patients (5%) had Grade 3/4
bleeding. 6/59 patients (10%) had Grade 3/4 infections. Furthermore, more than 70% of the observed Grade 3/4 cytopenias
resolved to Grade 2 or lower by laboratory assessment within four weeks.
FDA Fast Track Designation
Fast Track designation provides opportunities for frequent interactions with FDA review staff, as well as
eligibility for priority review, if relevant criteria are met, and rolling review. Fast Track designation is intended to facilitate
Table of Contents
10
and expedite development and review of an NDA to address unmet medical needs in the treatment of serious or life-
threatening conditions. However, Fast Track designation does not accelerate conduct of clinical trials or mean that the
regulatory requirements are less stringent, nor does it ensure that imetelstat will receive marketing approval or that
approval will be granted within any particular timeframe. In addition, the FDA may withdraw Fast Track designation if it
believes that the designation is no longer supported by data emerging from the imetelstat clinical development program.
In October 2017, the FDA granted Fast Track designation to imetelstat for the treatment of adult patients
with TD anemia due to lower-risk MDS who do not have a non-del 5q abnormality and who are refractory or resistant to
treatment with an ESA (i.e., the treatment population in IMerge Phase 3).
In September 2019, the FDA granted Fast Track designation to imetelstat for the treatment of adult patients
with Intermediate-2 or High-Risk MF whose disease has relapsed after or is refractory to JAK inhibitor treatment (i.e., the
treatment population in IMpactMF).
Potential Additional Indications
IMproveMF: Phase 1 Combination Clinical Trial in Frontline Myelofibrosis (Frontline MF)
We are also evaluating imetelstat as a combination therapy in the Phase 1 IMproveMF clinical trial as a
first-line treatment for patients with Intermediate-1, Intermediate-2 or High-Risk myelofibrosis. Based on the dose
escalation findings in Part 1 of the study, presented at the American Society of Hematology, or ASH, annual meeting in
December 2024, imetelstat 9.4 mg/kg dosed every four weeks with ruxolitinib was the selected dose for the dose expansion
Part 2 of the study, which is currently enrolling patients.
IMpress: Investigator-Led Phase 2 Clinical Trial in Higher Risk Myelodysplastic Syndromes (Higher Risk MDS) and
Acute Myeloid Leukemia (AML)
Imetelstat is also being studied in an investigator-led IMpress Phase 2 clinical trial in Intermediate-2 or
High-Risk myelodysplastic syndromes, or higher-risk MDS, and acute myeloid leukemia, or AML, patients that are
relapsed or refractory to hypomethylating agent, or HMA, treatment. Based on observations from an interim analysis from
the first cohort, presented at ASH in December 2024, the protocol was amended to a more frequent dosing schedule for a
second cohort of patients being enrolled and treated with this modified schedule as of August 2024. These data were
presented at ASH in December 2025.
IMAGINE: Investigator-Led Phase 1/2 Clinical Trial in Relapsed/RefractoryAML
We are enrolling a Phase 1/2 investigator-led study, called IMAGINE, in relapsed/refractory AML, using a
combination approach of imetelstat and azacitidine with or without venetoclax.
Research Programs
Next Generation Telomerase Inhibitor Discovery
We have initiated a discovery program to identify lead compounds as a potential next generation oral
telomerase inhibitor. If the leads we have identified are optimized, we may conduct preclinical experiments that may serve
as a basis for potential future clinical testing. Discovery research is an uncertain and unpredictable process. As such, the
timing and nature of any results from this discovery effort are difficult to forecast. If we optimize lead compounds from
this discovery program, we expect to provide an update on our efforts at that time.
Preclinical Lymphoid Hematologic Malignancies
Academic research data suggests that certain lymphoid hematologic malignancies have higher telomerase
activity and shorter telomeres when compared to normal healthy cells. Based on this scientific hypothesis, we conducted a
preclinical research project with MD Anderson Cancer Center to determine the potential application of imetelstat in
lymphoid hematologic malignancies. The project was completed, and preliminary results of the research project were
published in Blood in November 2022. Exploring the utility of imetelstat in lymphoid hematologic malignancies remains
an area of interest for us.
Table of Contents
11
Intellectual Property and Regulatory Exclusivity
Intellectual property, including patent protection, is very important to our business. We file patent
applications in the U.S. and other jurisdictions, and we also rely on trade secret protection and contractual arrangements to
protect aspects of our business. An enforceable patent with appropriate claim coverage can provide an advantage over
competitors who may seek to employ similar approaches to develop therapeutics, and so the future commercial success of
RYTELO (imetelstat), and therefore our future success, will be in part dependent on our intellectual property strategy.
Our intellectual property strategy includes the early development of a technology, such as imetelstat,
followed by rounds of increasingly focused innovation around a product opportunity, including identification and definition
of a specific product candidate and uses thereof, manufacturing processes, product formulation and methods of treatment
and administration. The result of this process is that products in development are often protected by several families of
patent filings that are filed at different times during the development process and cover different aspects of the product.
Consequently, earlier filed, broad technology patents will usually expire ahead of patents covering later developments, such
as product formulations and methods of treatment and administration, so that patent expirations on a product may span
several years. Patent coverage may also vary from country to country based on the scope of available patent protection.
There are also opportunities to obtain an extension of patent coverage for a product in certain jurisdictions, which adds
further complexity to the determination of patent life.
From time to time, we may endeavor to monitor worldwide patent filings by third parties that are relevant
to our business. Based on this monitoring, we may determine that an action is appropriate to protect our business interests.
Such actions may include negotiating patent licenses where appropriate, filing oppositions against a patent, filing a request
for post grant review against a patent or filing a request for the declaration of an interference with a patent application or
issued patent.
The information provided in this section should be reviewed in the context of the section entitled “Risks
Related to Protecting Our Intellectual Property” described in “Risk Factors” in Part I, Item 1A of this Report.
RYTELO (imetelstat)
Summary
RYTELO was developed internally by us, and we hold global commercial rights to it. We own issued
patents related to RYTELO in the U.S., Europe and other jurisdictions. Although composition of matter patents generally
provide the most comprehensive coverage of a therapeutic product such as RYTELO, subsequent patent filings directed to
other aspects of RYTELO may also provide additional patent coverage with later expiration dates. In addition, it may be
possible to obtain patent term extensions of some patents in some jurisdictions for claims covering RYTELO or relating to
RYTELO, such as methods of treatment with RYTELO, which could further extend the patent term.
We have issued patents in the U.S., Europe and other jurisdictions that provide patent coverage into 2033
(not including any patent term extension) pertaining to the treatment of MDS and MF with RYTELO.
In the U.S., our method of treatment patent rights for MDS and MF expire in March 2033 (not including
any patent term extension). We also hold an issued patent in the U.S. covering the composition of matter of RYTELO
(imetelstat) that that was set to expire in December 2025 according to its original patent term, including patent term
adjustment for delays at the USPTO. Now that we have received approval for RYTELO in the U.S., we have applied for
patent term extensions under the provisions of the Drug Price Competition and Patent Term Restoration Act of 1984 (as
amended), or the Hatch-Waxman Act, which, if granted, could extend the patent term of either our method of treatment
patent for MDS and MF or our composition of matter patent by up to five years (but not beyond 14 years from the date of
approval). Our composition of matter patent was granted interim patent term extension under the Hatch-Waxman Act,
which extends its expiration date to December 2026, while a decision is being rendered on the patient term extension
application.
In Europe and other countries, our patent rights for use in MDS and MF expire in November 2033 (not
including any patent term extension). Our composition of matter patent coverage expired in September 2024. We plan to
seek patent term extension under a Supplementary Protection Certificate, or SPC, as permitted under European Council, or
EC, Regulation No 469/2009 of the European Parliament and of the Council of 6 May 2009 concerning the supplementary
protection certificate of medicinal products (the Medicinal SPC Regulation), of one of our use patents, such as our patent
for use in MDS, in the European Economic Area, or the EEA, which could extend the patent term by up to five years.
Table of Contents
12
In the U.S., Europe, and other jurisdictions, we are also pursuing other patent rights relating to RYTELO
(imetelstat), such as methods of treatment of MDS in specific patient subpopulations, reagents useful in the manufacturing
processes for the drug, and other methods of treatment and kit claims, certain of which are co-owned with other entities.
Patent Term Extension
Although we are in the process of seeking patent term extension for some of our issued patents covering
RYTELO, it is not possible to obtain patent term extension of any patents that expired prior to or are issued following
regulatory approval. For the patents for which we are seeking a patent term extension, we may not be granted any such
patent term extension and/or the applicable time period of such patent term extension could be less than we have projected.
In the U.S., patent term extension is available for a product that contains an active ingredient that has not previously been
approved. The extension, which compensates for patent term lost during product development and FDA regulatory review
process, is generally equal to the sum of one-half the time between the effective date of an IND application and the
submission date of an NDA, and all of the time between the submission date of an NDA and the approval of that
application. Moreover, in some jurisdictions, including the U.S., such patent term extensions, if any, are available for only
one patent for a given product and the rights derived from such extension are limited to those claims which encompass the
product composition and treatment indications as approved by the relevant healthcare regulatory authority on or after the
regulatory review period on which the extension is based. During the life of the patent term extension, however, its scope
of protection may expand to include any additional indications subsequently approved for the product and claimed by the
patent. Furthermore, some jurisdictions, including the U.S., allow the filing of patent term extension applications on
multiple patents, but ultimately the patent owner must select one patent to which the extension is applied.
In the U.S., now that we have received approval for RYTELO in certain patients with lower-risk MDS, we
may potentially extend the term of our composition of matter patent in the U.S. for a maximum of five years until
December 2030, subject to U.S. Patent and Trademark Office, or USPTO, approval. Alternatively, we may potentially
extend the term of our method of treatment for MDS claims in the U.S. until August 2037, subject to USPTO approval. As
we have previously disclosed, we expect to apply patent term extension, if granted, to our method of treatment patent, since
doing so extends the expiration date of the method of treatment patent to a later date than the composition of matter patent.
However, if we do not receive a patent term extension for our U.S. method of treatment patent for MDS, it will expire in
March 2033. Once our composition of matter patent expires in the U.S., we must rely on our method of treatment patent
and other patents and regulatory exclusivity for RYTELO in the U.S.
Similarly, in Europe, we are in the process of seeking to potentially extend the term of our patents in the
EEA for the use of RYTELO in MDS for a maximum of five years, from November 2033 until November 2038, subject to
the approval of the national patent offices, in accordance with the Medicinal SPC Regulation. Since our European
composition of matter patents expired in September 2024, we must rely on our use and other patents and, subject to
receiving approval from the EC, regulatory exclusivity for RYTELO in the EEA.
If we do not have sufficient patent life and regulatory exclusivity to protect RYTELO in the U.S. and
Europe, our financial results, business and business prospects, and future development of imetelstat could be materially and
adversely affected, which might cause us to cease operations.
Orphan Drug Designation and Market Exclusivity
United States
Some jurisdictions, including the U.S., may designate drugs or biologics for relatively small patient
populations as orphan drugs. For a drug to qualify for orphan drug designation by the FDA, both the drug and the disease
or condition must meet certain criteria specified in the Orphan Drug Act, or ODA, and FDA’s implementing regulations.
Orphan drug designation is granted by the FDA’s Office of Orphan Products Development in order to support
development of medicines for rare diseases or conditions, which generally are those that affect fewer than 200,000 people
in the U.S. or, if the disease or condition affects more than 200,000 individuals annually in the U.S., if there is no
reasonable expectation that the cost of developing and making the drug available in the U.S. would be recovered from sales
of such drug in the U.S. Orphan drug designation does not shorten the duration of the regulatory review process or lower
the approval standards, but can provide important benefits, including consultation with FDA. Orphan drug designation
qualifies the sponsor of the drug for various development incentives under the ODA, including certain tax credits for
qualified clinical testing and exemption from user fees.
Table of Contents
13
A drug granted approval for an orphan designated indication generally receives seven years of market
exclusivity, during which time the FDA generally may not approve any other application for the same drug for the same
use, with certain limited exceptions, including when the later product is shown to be clinically superior to the product with
exclusivity (and thus not the same). If there is a previously-approved product that is the same drug for the same indication,
orphan drug designation requires the sponsor to provide a plausible hypothesis of clinical superiority over the approved
product, whereas ODE requires the sponsor to actually demonstrate clinical superiority. Clinical superiority can be
established by way of greater efficacy, greater safety, or making a major contribution to patient care. Orphan drug
exclusivity does not prevent the FDA from approving a different drug for the same disease or condition, or the same drug
for a different use. The FDA can revoke a product’s orphan drug exclusivity under certain circumstances, including when
the product sponsor is unable to assure the availability of sufficient quantities of the product to meet patient needs. A later
product may also be approved during the exclusivity period if the orphan drug exclusivity holder consents to the approval
of that product.
A marketing application for a prescription drug product that has received orphan drug designation is not
subject to a prescription drug user fee unless the application includes an indication for a disease or condition other than the
rare disease or condition for which the drug was granted orphan drug designation. The granting of orphan drug designation
does not alter the standard regulatory requirements and process for obtaining marketing approval, including the
requirement that a drug’s effectiveness be established by substantial evidence, as demonstrated through adequate and
well-controlled studies (and, as appropriate, confirmatory evidence).
In June 2015 and December 2015, the FDA granted orphan drug designation to imetelstat for the treatment
of MF and MDS, respectively, and following approval of RYTELO in June 2024, the FDA listed in its Approved Drug
Products with Therapeutic Equivalence Evaluations, commonly known as the Orange Book, and its database for orphan-
drug designations and approvals, that RYTELO has orphan drug exclusivity, which is expected to provide orphan drug
exclusivity until June 2031 for its MDS indication, subject to our continuing compliance with the requirements to maintain
such orphan drug exclusivity.
In addition to orphan drug exclusivity, under the Hatch-Waxman Act, if a product is a “new chemical
entity” or NCE, which generally means that the active moiety has never before been previously approved by the FDA,
there is a period of five years from approval of the first indication during which the FDA may not accept for filing any
abbreviated new drug application, or ANDA, under section 505(j) of the Federal Food, Drug, and Cosmetic Act, or an
application under section 505(b)(2) of the statute for a drug with the same active moiety. An ANDA or 505(b)(2)
application may be submitted after four years, however, if the sponsor of the application makes a Paragraph IV
certification, which may trigger litigation and a 30-month stay of approval, as further described in the section titled "The
validity, scope and enforceability of any patents listed in the Orange Book that cover RYTELO or its methods of use can be
challenged by third parties and may not protect us from generic or innovator competition" under “Risk Factors” in Part I,
Item 1A of this Report. Our request for NCE exclusivity for RYTELO is pending review by the FDA. If the FDA were to
grant NCE exclusivity for RYTELO, NCE exclusivity would continue until June 2029.
The Hatch-Waxman Act also provides three years of marketing exclusivity for a product that is not an NCE
but that incorporates a change(such as a new indication, dosage form or strength) from the approved product with the same
moiety. Such product may qualify for a three-year period of exclusivity if the NDA contains reports of new clinical
investigations (other than bioavailability studies) conducted or sponsored by the sponsor that were necessary for approval
of the NDA. In that instance, the exclusivity period does not preclude filing or review of an ANDA or 505(b)(2)
application; rather, the FDA is precluded from granting final approval to the ANDA or 505(b)(2) application until three
years after approval of the Reference Listed Drug, or RLD. Additionally, the exclusivity applies only to the extent that any
subsequent ANDA or Section 505(b)(2) product that shares the conditions of approval that required submission of the
clinical data.
In the US, the exclusivity periods and patent-related protections described above also may be eligible for a
six-month extension of regulatory exclusivity, or pediatric exclusivity, pursuant to section 505A of the Federal Food, Drug,
and Cosmetic Act, if the sponsor submits pediatric data that “fairly respond” to a written request from FDA for such data;
however, we do not expect to receive pediatric exclusivity for RYTELO in the U.S.
Europe
In the EEA, a medicinal product containing a new active substance generally receives eight years of data
exclusivity, which prevents competitors from relying on the results of pre-clinical tests and of clinical trials when applying
Table of Contents
14
for a marketing authorization for a generic or biosimilar product, and an additional two years of market exclusivity, during
which competitors can apply for a marketing authorization by referencing the marketing authorization holder's data but are
not allowed to place their product on the market until the end of this period, conferring a total of ten years of exclusivity for
the medicinal product. The ten years of exclusivity can be extended to a maximum of eleven years if, during the first eight
years of those ten years, the marketing authorization holder obtains an authorization for one or more new therapeutic
indications which, during the scientific evaluation prior to their authorization, are held to bring a significant clinical benefit
in comparison with existing therapies. When RYTELO was granted marketing authorization by the EC for the treatment of
certain patients with lower-risk MDS on March 7, 2025, it was confirmed to contain a new active substance and so
RYTELO is entitled to ten years of data exclusivity in the EEA from the time of approval.
In addition to data exclusivity, orphan drug designation by the EC provides regulatory and financial
incentives for companies to develop and market therapies that treat a life-threatening or chronically debilitating condition
affecting no more than five in 10,000 persons in the EU (or if it is unlikely that marketing of the medicinal product would
generate sufficient returns to justify the investment needed for its development), and where no satisfactory treatment is
available, or, if such method exists, the medicine must be of significant benefit to those affected by the condition in
accordance with Regulation (EC) No 141/2000 (the EU Orphan Regulation). Orphan drug designation also entitles a party
to financial incentives such as reduction of fees or fee waivers, as well as protocol assistance from the EMA during the
product development phase, and direct access to the centralized authorization procedure. In addition, ten years of market
exclusivity is granted following receipt of marketing authorization as an orphan medicinal product, meaning that a
competing similar medicinal product for the same therapeutic indication in principle may not enter the market for a period
of 10 years following marketing authorization, subject to specific conditions. To benefit from market exclusivity, a
medicine must maintain its orphan designation at the time of marketing authorization. Each indication with an orphan
designation confers ten years' market exclusivity for the particular indication. This period may be reduced to six years if the
orphan drug designation criteria are no longer met, including where it is shown that the product is sufficiently profitable to
not justify maintenance of market exclusivity.
In December 2015 and July 2020, the EC granted orphan drug designation to imetelstat for the treatment of
MF and MDS, respectively. On March 7, 2025, the EC granted marketing authorization for RYTELO (imetelstat sodium)
as an orphan medicinal product and considered that imetelstat is a new active substance. RYTELO is indicated as
monotherapy for the treatment of adult patients with TD anemia due to very low, low or intermediate risk myelodysplastic
syndromes (MDS) without an isolated deletion 5q cytogenetic (non-del 5q) abnormality and who had an unsatisfactory
response to or are ineligible for erythropoietin-based therapy. With the grant of the marketing authorization, RYTELO in
principle is currently entitled to maintain orphan market exclusivity in the EEA in the approved indication for ten years
post-approval.
In addition, under the European Pediatric Regulation, if we fulfill our pediatric investigation plan agreed
upon with the EMA, we would be eligible to receive an additional two years of market exclusivity
under the European Pediatrics Regulation (Regulation (EC) No 1901/2006).
Prior Collaboration with Janssen Biotech, Inc.
Upon the effective date of termination of the license and collaboration agreement, or the Prior
Collaboration Agreement, with Janssen Biotech, Inc., or Janssen, on September 28, 2018, we regained global rights to
imetelstat and are continuing the development, commercialization and marketing of imetelstat on our own. In accordance
with the termination provisions of the Prior Collaboration Agreement, we have an exclusive worldwide license for
intellectual property developed under the Prior Collaboration Agreement for the further development, commercialization
and marketing of imetelstat, without any economic obligations to Janssen with respect to such license. Janssen has assigned
to us certain intellectual property developed by it under the Prior Collaboration Agreement. We now are responsible for the
costs of maintaining, prosecuting and litigating all imetelstat intellectual property that we own.
Licensing
We have no material license agreements. We have global rights to imetelstat, which was discovered and
developed at Geron.
Manufacturing
A typical sequence of steps in the manufacture of imetelstat drug product includes the following key
components:
Table of Contents
15
•
starting materials, which are well-defined raw materials that are used to make bulk drug
substance;
•
bulk drug substance, which is the active pharmaceutical ingredient in a drug product that
provides pharmacological activity or other direct effect in the treatment of disease; and
•
final drug product, which is the finished dosage form that contains the drug substance and is
supplied for patient treatment.
Since September 2018, we have engaged third-party contract manufacturers and have established a supply
chain to manufacture and supply imetelstat that meets applicable regulatory standards for current and potential commercial
uses and current and potential future clinical trials.
We do not have direct control over third-party personnel or operations. These third-party contract
manufacturers, and/or any other third parties that we may rely upon for the manufacture and/or supply of imetelstat,
typically complete their services on a proposal by proposal basis under master supply agreements and may need to make
substantial investments to enable sufficient capacity increases and cost reductions, and to implement those regulatory and
compliance standards necessary for commercial production and successful Phase 3 clinical trials. These third-party contract
manufacturers, and/or any other third parties that we may rely upon for the manufacture and/or supply of imetelstat, may
not be able to achieve such capacity increases, cost reductions, or regulatory and compliance standards, and even if they do,
such achievements may not be at a commercially reasonable cost. We are responsible for establishing any long-term
commitments or commercial supply agreements with any of the third-party contract manufacturers for imetelstat. The
information provided in this section should be reviewed in the context of the section entitled “Risks Related to
Manufacturing RYTELO (Imetelstat)” under Part I, Item 1A, “Risk Factors” of this Report.
Competition
The pharmaceutical and biotechnology industries are characterized by intense and dynamic competition
with rapidly advancing technologies and a strong emphasis on proprietary products. While we believe our proprietary
oligonucleotide chemistry; experience with the biological mechanisms related to RYTELO, telomeres and telomerase;
clinical data to date indicating potential disease-modifying activity with RYTELO treatment; and knowledge and expertise
around the development of potential treatments for myeloid hematologic malignancies provide us with competitive
advantages, we face competition from many different sources, including major pharmaceutical, specialty pharmaceutical
and biotechnology companies, academic institutions, governmental agencies, and public and private research institutions.
RYTELO is competing with other products and therapies that currently exist, are being developed or will in the future be
developed, some of which we may not currently be aware of.
Competition in Lower-Risk MDS
The current standard of care for the treatment of lower-risk MDS is the use of ESAs as supportive care, and more
recently luspatercept to improve upon disease-associated chronic anemia. Historically, ESAs have been used as a mainstay
of treatment; once no longer effective, serial blood transfusions are often administered, which can cause organ damage due
to iron overload and result in poor outcomes and shorter survival. In recent years, considerable advancements have been
made in the treatment of LR-MDS with the approval of new therapies, expanding indications, and ongoing clinical
investigation of novel agents.
In lower-risk MDS, data from the IMerge Phase 3 clinical trial resulted in FDA approval of RYTELO in June
2024 and EC approval in March 2025 for the treatment of certain patients with lower-risk MDS. IMerge showed
meaningful and durable transfusion independence, activity across MDS patient subtypes, and potential disease-modifying
activity achievable with RYTELO treatment. We believe that these key features are differentiators compared to currently
approved products as well as investigational drugs currently in clinical development.
In lower-risk MDS, RYTELO competes against a number of currently existing therapies, including ESAs (Epoetin
alfa, Procrit; Darbepoetin alfa, Aranesp-Amgen) that are indicated for anemia; immunomodulators, such as Revlimid
(lenalidomide) by Celgene Corporation, or Celgene, a Bristol Myers Squibb, or BMS, company; hypomethylating agents,
such as Vidaza (azacitidine) by BMS and Dacogen (decitabine) by Otsuka America Pharmaceutical, Inc. and other
manufacturers in the U.S. and Janssen in the EU; Inqovi (oral combination of decitabine and cedazuridine) by Astex
Pharmaceuticals, Inc., or Astex, and Taiho Oncology; Tibsovo (ivosidenib), an IDH1 inhibitor, by Servier Pharmaceuticals,
LLC; and Reblozyl (luspatercept), a TGF-beta ligand trap, by BMS. In August 2023, luspatercept was approved for the
Table of Contents
16
treatment of anemia in ESA-naive adult patients with very low-to intermediate-risk MDS who may require regular RBC
transfusions.
Other therapies currently in Phase 3 development in lower-risk MDS include elritercept (KER-050), a
TGF-beta inhibitor, by Keros Therapeutics, Inc.; and Reblozyl (luspatercept) in non-transfusion-dependent lower-risk MDS
patients, by BMS.
In addition, there are multiple Phase 1 and Phase 2 clinical trials of other agents being developed for lower-
risk MDS, including but not limited to: LB-100, a PP2A inhibitor by Lixte Biotechnology Holdings, Inc., and bemcentinib,
an AXL inhibitor by BerGenBio. Also, a lower dose of ASTX727, an oral formulation of decitabine and cedazuridine,
referred to as ASTX727 LD, by Astex; ASTX030, an oral formulation of azacitidine and cedazuridine, by Astex; R289, a
dual oral inhibitor of interleukin receptor-associated kinases 1 and 4, or IRAK1/4, by Rigel Pharmaceuticals, Inc.; and a
combination regimen of luspatercept and ESA.
Competition in Relapsed/Refractory MF
The current standard of care for the treatment of Intermediate-2 or High-risk MF is the use of JAK
inhibitors to address the patient’s symptoms. Once JAK inhibitors fail or are no longer effective, a variety of best available
therapies are used since there are no approved treatments for this patient population and median OS is limited.
In Intermediate-2 or High-risk relapsed/refractory MF, data from IMbark suggest potential disease-
modifying activity with RYTELO treatment and a potential meaningful improvement in OS, which is supported in a
comparison to real-world data.
If approved for commercial sale for the treatment of relapsed/refractory MF, RYTELO would compete
against currently approved JAK inhibitors: Jakafi (ruxolitinib) by Incyte Corporation, or Incyte, Inrebic (fedratinib) by
BMS, and OJJAARA (momelotinib) by GlaxoSmithKline plc, or GSK, which was approved in September 2023 for the
treatment of intermediate or high-risk MF, including primary MF or secondary MF (postpolycythemia vera and post-
essential thrombocytopenia), in adults with anemia; and Vonjo (pacritinib), by Sobi, Inc., which was approved in February
2022 for the treatment of adults with intermediate or high-risk primary or secondary MF with a platelet count below 50 ×
109/L. Other treatment modalities for MF include hydroxyurea for the management of splenomegaly, leukocytosis,
thrombocytosis and constitutional symptoms; splenectomy and splenic irradiation for the management of splenomegaly and
co-existing cytopenias; chemotherapy; and pegylated interferon. Drugs for the treatment of MF-associated anemia include
ESAs, androgens, danazol, corticosteroids, thalidomide and lenalidomide. In addition, luspatercept has been used to treat
MF-associated anemia, although the Phase 3 trial did not meet its primary endpoint for RBC-TI.
Other therapies currently in Phase 3 development in MF, some of which may obtain regulatory approval earlier
than RYTELO for MF, include pelabresib (CPI-0610), a BET inhibitor, by Novartis AG; and navtemadlin, an MDM2-
inhibitor, by Kartos Therapeutics, Inc. Other approaches for MF currently under investigation that could compete with
RYTELO in the future include luspatercept; zinpentraxin alfa (RG6354, formerly PRM-151), an anti-fibrosis antibody, by
F. Hoffmann-La Roche, Ltd.; INCB160058, a JAK2 inhibitor, by Incyte; AJ1-11095, a JAK2 inhibitor, by Ajax
Therapeutics, Inc.; SLT-5505, a pan-LOX inhibitor, by Syntara Limited; tasquinimod, an S100A9 inhibitor, by Active
Biotech AB; XPOVIO (selinexor), a nuclear export inhibitor, by Karyopharm Therapeutics, Inc.; TL-895, an oral tyrosine
kinase inhibitor, by Telios Pharma, Inc.; pelcitoclax (APG-1252), a dual BCL-2/BCL-XL inhibitor, by Ascentage Pharma;
DISC-0974, a monoclonal antibody against hemojuvelin (HJV) by DISC Management Inc.; elritercept (KER-050) in
combination with ruxolitinib, by Keros Therapeutics; CK0804, an allogeneic T-regulatory cell agent, by Cellenkos, Inc. in
collaboration with Incyte; nuvisertib (TP-3654), an oral PIM kinase inhibitor by Sumitomo Pharma Co., Ltd.; and a
mutated-CALR peptide vaccine, from the Icahn School of Medicine at Mount Sinai.
Government Regulation
Regulation by governmental authorities in the U.S. and other countries is a significant factor in the
development, manufacture, distribution and marketing of RYTELO (imetelstat). Imetelstat will require regulatory approval
by regulatory authorities prior to commercialization in any jurisdictions where it is not yet approved. In particular, potential
human therapeutic products, such as imetelstat, are subject to rigorous preclinical testing, clinical testing and quality
standards by the FDA and similar regulatory authorities in European and other countries. Various statutes and regulations
at the federal and state level—as well as regulations and guidance at the international level—also govern or influence the
testing, manufacturing, safety reporting, labeling, storage, import, export, distribution, sale and recordkeeping related to
such products and their marketing. The process of obtaining these approvals and the subsequent compliance with
Table of Contents
17
appropriate statutes and regulations require the expenditure of substantial time and money, and there can be no guarantee
that approvals will be granted. Moreover, compliance with government regulations governing personal data and
information security requires the expenditure of substantial time and financial resources. The information provided in this
section should be reviewed in the context of the sections entitled “Risks Related to the Further Development of RYTELO
(Imetelstat)” and “Risks Related to Regulatory Approval of RYTELO” under Part I, Item 1A, “Risk Factors” of this
Report.
United States Food and Drug Administration Regulatory Approval Process
Prior to commencement of clinical trials of new pharmaceutical products in humans, government
authorities generally require the completion of laboratory studies as well as certain preclinical testing in animals to evaluate
the potential efficacy and safety of a product candidate, though, under the 2022 FDA Modernization Act 2.0, FDA has
begun to phase out the requirement for animal testing by incorporating new approval methodologies such as AI-based
computational models, organ-on-a-chip systems, and advanced in vitro assays. The results of animal testing or alternative
models are submitted to the FDA as part of an Investigational New Drug Application, or IND, which must become
effective before clinical testing in humans can begin. The FDA can place an IND on clinical hold at any time, which can
prevent the conduct of a clinical trial or all trials under an IND or it may be a partial hold (e.g., a hold on further
enrollment) until safety concerns or questions are addressed by the IND sponsor to the FDA’s satisfaction.
Typically, a clinical development program is lengthy and involves three phases. In Phase 1, clinical trials
are conducted with a small number of healthy volunteers or patients afflicted with a specific disease to assess safety and to
evaluate the metabolism, pharmacokinetics, and pharmacologic action of the drug in humans, and, if possible, to gain early
evidence on effectiveness. In Phase 2, clinical trials are typically well controlled, closely monitored, and conducted in a
relatively small number of patients, usually involving no more than several hundred subjects to evaluate the effectiveness
of the drug in patients to determine the common short-term side effects and risks associated with the drug. Phase 2 trials
can be conducted comparing the investigational treatment to a comparator arm, or not. If used, a comparator arm often
includes standard of care therapy. Safety and efficacy data from Phase 2 clinical trials, even if favorable, may not provide
sufficient rationale for proceeding to a Phase 3 clinical trial. In Phase 3, clinical trials are typically large scale, multi-center,
comparative trials conducted with patients with the disease or condition under study and are intended to gather sufficient
data to demonstrate the efficacy and safety required by the FDA. The FDA closely monitors the progress of each of the
three phases of clinical testing and may, at its discretion, re-evaluate, alter, suspend, or terminate the trials. Human clinical
trials must be conducted in compliance with Good Clinical Practice, or GCP, regulations and applicable laws, with
informed consent from patients and the oversight of Institutional Review Boards for the protection of human subjects.
Drugs used in clinical trials must be manufactured, packaged and labeled in conformity with current Good Manufacturing
Practices, or cGMP, and applicable laws.
The results of the preclinical and clinical testing of drugs and complete manufacturing information are
submitted to the FDA in the form of an NDA for review and approval prior to commencement of commercial sales.
Submission of an NDA requires the payment of a substantial user fee to the FDA, which may be waived in certain cases. In
responding to an NDA submission, the FDA may approve the drug for commercialization, impose limitations on its
indications for use and labeling, including in the form of Risk Evaluation and Mitigation Strategies or may issue a complete
response letter explaining the reason the NDA cannot be approved in its present form. Even if an NDA is approved, its
sponsor and drug will continue to be subject to ongoing and pervasive regulatory compliance requirements.
European Union and Other Regulatory Approval Process
Prior to initiating clinical trials in a region outside of the U.S., a clinical trial application must be submitted
and reviewed by the appropriate regulatory authority governing clinical trials in the country in which the trial will be
conducted. Whether or not FDA clearance or approval has been obtained, approval or authorization of a product by
comparable regulatory authorities in the EU and other countries is necessary prior to marketing the product in such
countries. The competent regulatory authorities may impose their own requirements and may refuse to grant an approval,
or may require additional data before granting it, even though the relevant product has been cleared or approved by the
FDA or another authority. As with the FDA, the regulatory authorities in the EU and other developed countries have
lengthy approval processes for pharmaceutical products. The process for gaining approval in particular countries varies, but
it generally follows a similar sequence to that described for FDA approval. In Europe, the EMA and the CHMP provide a
mechanism for EU member states to exchange information on all aspects of product licensing. The EU has established the
EMA for the evaluation of medical products, with a centralized procedure which is mandatory for orphan and oncology
products and which grants a single marketing authorization valid in all EU member states.
Table of Contents
18
Fraud and Abuse, and Transparency Laws and Regulations
We may also be subject to additional regulation and enforcement by the federal government and by
authorities in the states and foreign jurisdictions in which we conduct our business. These additional regulations could
affect our current and future arrangements with healthcare professionals, principal investigators, consultants, customers and
third-party payors. Such laws include, without limitation, state and federal bribery/anti-kickback, the False Claims Act,
privacy and data security laws, and healthcare professionals payment transparency laws.
The federal Anti-Kickback Statute makes it illegal for any person or entity, including a prescription drug
manufacturer (or a party acting on its behalf) to knowingly and willfully, directly or indirectly, solicit, receive, offer, or pay
any remuneration that is intended to induce the referral of business, including the purchase, order, or lease of any good,
facility, item or service for which payment may be made under a federal healthcare program, such as Medicare, Medicaid
TRICARE, and the Veterans Health Care Program. The term “remuneration” has been broadly interpreted to include
anything of value. Several courts have interpreted the statute’s intent requirement to mean that if any one purpose of an
arrangement involving remuneration is to induce referrals, the Anti-Kickback Statute has been violated. In addition, a
person or entity does not need to have actual knowledge of the statute or specific intent to violate, in order to commit a
violation.
Federal civil and criminal false claims and false statement laws, including the federal civil False Claims Act
and its whistleblower or qui tam provisions (which permit private individuals to bring an action on behalf of the
government to enforce the civil False Claims Act), prohibit, among other things, any person or entity from knowingly
presenting, or causing to be presented, for payment to, or approval by, federal programs, including Medicare and Medicaid,
claims for items or services, including drugs, that are false or fraudulent or not provided as claimed. Entities can be held
liable under these laws if they are deemed to “cause” the submission of false or fraudulent claims by, for example,
providing inaccurate billing or coding information to customers, promoting a product off-label, or for providing medically
unnecessary services or items. In addition, a claim including items or services resulting from a violation of the federal Anti-
Kickback Statute constitutes a false or fraudulent claim for purposes of the federal civil False Claims Act. Criminal
prosecution is also possible for making or presenting a false, fictitious or fraudulent claim to the federal government.
The federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, created criminal and
civil liability for, among other things, knowingly and willfully executing, or attempting to execute, a scheme to defraud any
healthcare benefit program, including private third-party payors, knowingly and willfully embezzling or stealing from a
healthcare benefit program, willfully obstructing a criminal investigation of a healthcare offense, and knowingly and
willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent
statement in connection with the delivery of or payment for healthcare benefits, items or services.
HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act, or
HITECH, and their implementing regulations, impose obligations, including mandatory contractual terms, with respect to
safeguarding the privacy, security, transmission and breach reporting of individually identifiable health information, upon
entities subject to the law, such as health plans, healthcare clearinghouses and certain healthcare providers and their
respective business associates and their subcontractors that perform services for them that involve individually identifiable
health information.
The federal Physician Payments Sunshine Act requires certain manufacturers of drugs, devices, biologics
and medical supplies for which payment is available under Medicare, Medicaid or the Children’s Health Insurance
Program to report annually to the Centers for Medicare & Medicaid Services, or CMS, information related to payments or
other transfers of value made to physicians (defined to include doctors, dentists, optometrists, podiatrists, and
chiropractors), other healthcare professionals (such as physicians assistants and nurse practitioners), and teaching hospitals,
and information related to ownership and investment interests held by physicians and their immediate family members.
Analogous state and foreign laws and regulations, such as state anti-kickback and false claims laws, may
apply to sales or marketing arrangements and claims involving healthcare items or services reimbursed by
non-governmental third-party payors, including private insurers. Additionally, we may be subject to state and foreign laws
that require pharmaceutical companies to comply with the pharmaceutical industry’s otherwise voluntary compliance
guidelines and certain industry compliance guidance documents. Further, we may be subject to state and foreign laws that
require drug manufacturers or other pharmaceutical companies to report information related to payments and other
transfers of value to physicians, other healthcare providers and healthcare entities, or marketing expenditures, as well as
state, foreign and local laws that require the registration of pharmaceutical sales representatives; state and foreign laws that
require the reporting of information related to drug pricing; and state, federal and foreign laws governing the privacy and
Table of Contents
19
security of personal data (including key-coded data and health information), including the European Union’s General Data
Protection Regulation, or EU GDPR, many of which differ from each other in significant ways, thus complicating
compliance efforts.
If our operations are found to be in violation of any of these or any other healthcare regulatory laws that
may apply to us, we may be subject to significant penalties, including the imposition of significant civil, criminal and
administrative penalties, damages, monetary fines, disgorgement, imprisonment, possible exclusion from participation in
Medicare, Medicaid and other federal healthcare programs, reputational harm, diminished profits and future earnings,
additional reporting requirements and oversight if we become subject to a corporate integrity agreement or similar
agreement to resolve allegations of non-compliance with these laws, and curtailment of our operations, any of which could
adversely affect our ability to operate our business and our results of operations. Defending against any such actions can be
costly, time-consuming and may require significant financial and personnel resources. Therefore, even if we are successful
in defending against any such actions that may be brought against us, our business may be impaired.
Data Privacy and Security
In the ordinary course of our business, we process personal or sensitive data. Accordingly, we are, or may
become, subject to numerous data privacy and security obligations, including federal, state, local, and foreign laws,
regulations, guidance, and industry standards related to data privacy and security. Efforts to ensure that our current and
future business arrangements will comply with applicable data privacy and data security laws and regulations will involve
substantial costs. For example, foreign data privacy and security laws (including but not limited to the EU GDPR and UK
GDPR) impose strict significant and complex compliance obligations on entities that are subject to those laws. As one
example, the EU GDPR applies to any company established in the EEA and to companies established outside the EEA that
process personal data in connection with the offering of goods or services to data subjects in the EEA or the monitoring of
the behavior of data subjects in the EEA. These obligations in the EU and UK include limiting the collection and
processing of personal data to only what is necessary for specified, explicit, and legitimate purposes; requiring a legal
basis for personal data processing; requiring the appointment of a data protection officer in certain circumstances;
increasing transparency obligations to data subjects; requiring data protection impact assessments in certain circumstances;
limiting the duration for which personal data may be retained; increasing rights for data subjects formalizing a heightened
and codified standard for data subject consent, requiring the implementation and maintenance of technical and
organizational safeguards for personal data, mandating data breach notifications to relevant supervisory authority(ies), and
mandating the appointment of representatives in the UK and/or the EU in certain circumstances. Moreover, there have
recently been, and we expect that there will continue to be, new data privacy and security laws, regulations and industry
standards in the U.S. As one example, the California Consumer Privacy Act of 2018, or CCPA, imposes numerous
obligations on covered business. Although the CCPA exempts certain data (such as some data processed in the context of
clinical trials), the CCPA, to the extent applicable to our business and operations, may increase our compliance costs and
potential liability with respect to the personal data we maintain about California residents. The CCPA provides for civil
penalties and a private right of action for data breaches which may include an award of statutory damages. Failure, or
perceived failure, to comply with all applicable obligations could result in enforcement actions, fines, litigation, and other
consequences. See the section titled “We and third parties with whom we work are subject to stringent and changing U.S.
and foreign laws, regulations, rules, contractual obligations, industry standards, policies and other obligations related to
data privacy and security. Our (or the third parties with whom we work) actual or perceived failure to comply with such
obligations could lead to regulatory investigations or actions; litigation; fines and penalties; disruptions of our business
operations; reputational harm; loss of revenue and profits; and other adverse business impacts,” under “Risk Factors” in
Part I, Item 1A of this Report for additional information about the laws and regulations to which we may become subject
and about the risks to our business associated with such laws and regulations.
Coverage and Reimbursement
Significant uncertainty exists as to the coverage and reimbursement status of any product candidate that
receives regulatory approval. In the U.S. and markets in other countries, sales of RYTELO will depend, in part, on the
extent to which third-party payors provide coverage and establish adequate reimbursement levels.
In the U.S., third-party payors include federal and state healthcare programs, government authorities,
private managed care providers, private health insurers, employer health plans, and other organizations. Decisions
regarding the extent of coverage and amount of reimbursement to be provided are made on a plan-by-plan basis.
Table of Contents
20
Reimbursement by a third-party payor may depend upon a number of factors, including the third-party payor’s
determination that a product is safe, effective and medically necessary; appropriate for the specific patient; cost-effective;
supported by peer-reviewed medical journals; included in clinical practice guidelines; and neither cosmetic, experimental,
nor investigational. A third-party payor could also require that certain lines of therapy be completed or failed prior to
reimbursing our therapy. The principal decisions about reimbursement for new medicines are typically made by CMS.
CMS decides whether and to what extent products will be covered and reimbursed under Medicare and private payors tend
to follow CMS to a substantial degree. Third-party payors determine which products and procedures they will cover and
establish reimbursement levels. Third-party payors are increasingly challenging the price, examining the medical necessity
and reviewing the cost-effectiveness of medical drug products and medical services, in addition to questioning their safety
and efficacy. Such payors may limit coverage to specific drug products on an approved list, also known as a formulary,
which might not include all of the FDA-approved drugs for a particular indication. We may need to conduct expensive
pharmacoeconomic studies in order to demonstrate the medical necessity and cost-effectiveness of RYTELO, in addition to
the costs required to obtain the FDA approvals. Nonetheless, RYTELO may not be considered medically necessary or
cost-effective. Moreover, the process for determining whether a third-party payor will provide coverage for a drug product
may be separate from the process for setting the price of a drug product or for establishing the reimbursement rate that such
a payor will pay for the drug product. A payor’s decision to provide coverage for a drug product does not imply that an
adequate reimbursement rate will be approved. Further, one payor’s determination to provide coverage for a drug product
does not assure that other payors will also provide coverage for the drug product, as there is no uniform coverage and
reimbursement policy among third-party payors in the U.S. Adequate third-party reimbursement may not be available to
enable us to maintain price levels sufficient to realize an appropriate return on our investment in RYTELO. Even if a third-
party payor covers a particular product or procedure, the resulting reimbursement payment rates may not be adequate.
Coverage policies and third-party payor reimbursement rates may change. Thus, even if favorable coverage and
reimbursement status is attained, less favorable coverage policies and reimbursement rates may be implemented in the
future. These third-party payors are increasingly reducing coverage and reimbursement for medical products, drugs and
services. In addition, the U.S. government, state legislatures and foreign governments have continued implementing cost-
containment programs, including price controls, restrictions on coverage and reimbursement and requirements for
substitution of generic products. Adoption of price controls and cost-containment measures, and adoption of more
restrictive policies in jurisdictions with existing controls and measures, could further limit sales of any product. Decreases
in third-party reimbursement for any product or a decision by a third-party payor not to cover a product could reduce
demand for the product and also have a material adverse effect on future sales.
Healthcare Reform
There has been increasing legislative and enforcement interest in the U.S. with respect to specialty drug
pricing practices. Specifically, there have been several recent U.S. Congressional inquiries, Presidential executive orders,
and federal and state legislative activity designed to, among other things, bring more transparency to drug pricing, review
the relationship between pricing and manufacturer patient programs, reduce the cost of drugs under Medicare, and reform
government program reimbursement methodologies for drugs. For example, the Inflation Reduction Act of 2022, or IRA,
which, among other things, (i) directs the Department of Health and Human Services, or HHS, to negotiate the price of
certain high-expenditure, single-source drugs and biologics covered under Medicare that have been on the market for at
least seven years (the “Medicare Drug Price Negotiation Program”), and subject drug manufacturers to civil monetary
penalties and a potential excise tax by offering a price that is not equal to or less than the negotiated “maximum fair price”
for such drugs and biologics under the law, and (ii) imposes rebates with respect to certain drugs and biologics covered
under Medicare Part B or Medicare Part D to penalize price increases that outpace inflation. The IRA permits HHS to
implement many of these provisions through guidance, as opposed to regulation, for the initial years. These provisions
began to take effect progressively in fiscal year 2023. The agreed upon prices of the first ten drugs that were subject to
price negotiations took effect on January 1, 2026, although the Medicare Drug Price Negotiation Program is currently
subject to legal challenges. In2025, HHS selected fifteen additional products covered under Part D for price negotiation and
announced “maximum fair prices” that will go into effect on January 1, 2027. Each subsequent year, more Part B and Part
D products will become subject to the Medicare Drug Price Negotiation Program. Further, on December 7, 2023, an
initiative was announced to evaluate whether the use of march-in authorities under the Bayh-Dole Act could impact the
price of or promote equitable access to prescription drugs. On December 8, 2023, the National Institute of Standards and
Technology published for comment a Draft Interagency Guidance Framework for Considering the Exercise of March-In
Rights, or the Draft Framework, which contemplated the price of a product as one of several factors an agency could use
when deciding to exercise march-in rights. The Bayh-Dole Act does not include product pricing as an express basis for
exercising march-in rights, and prior rulemaking initiatives have not adopted proposed regulatory revisions that would have
permitted the exercise of march-in rights on the basis of product pricing. While march-in rights have not previously been
exercised, it is uncertain if that will continue if the Draft Framework ultimately is adopted. Additionally, at the state level,
Table of Contents
21
legislatures have increasingly passed legislation and implemented regulations designed to control pharmaceutical and
biological product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product
access and marketing cost disclosure and transparency measures, and, in some cases, to encourage importation from other
countries and bulk purchasing.
The U.S. and some foreign jurisdictions are considering or have enacted legislative and regulatory
proposals to contain healthcare costs, as well as to improve quality and expand access. For example, the IRA also
eliminated the “donut hole” under the Medicare Part D program by significantly lowering the beneficiary maximum out-of-
pocket cost and creating a new manufacturer discount program. It is possible that the IRA will be subject to additional
judicial or Congressional challenges in the future. We expect that other healthcare reform measures that may be adopted in
the future may result in more rigorous coverage criteria and lower reimbursement, and additional downward pressure on
the price that may be charged for RYTELO. It is unclear how any such healthcare reform measures will impact the
pharmaceutical industry.
In addition, aggregate reductions to Medicare payments to providers of up to 2% per fiscal year, which
went into effect beginning on April 1, 2013 under provisions of the Budget Control Act of 2011 will stay in effect through
2032 unless additional Congressional action is taken.
Information About Our Executive Officers
The following table sets forth certain information with respect to our executive officers and other members
of management as of January 31, 2026:
Name
Age
Position
Executive Officers
Harout Semerjian
55
President, Chief Executive Officer and Board member
Michelle Robertson
59
Executive Vice President, Finance, Chief Financial Officer and Treasurer
Joseph Eid, M.D.
58
Executive Vice President, Research and Development
Ahmed ElNawawi
45
Executive Vice President, Chief Commercial Officer
Harout Semerjian has served as our President and Chief Executive Officer and member of our Board
since August, 2025. Prior to joining the Company, Mr. Semerjian served as President and Chief Executive Officer of
GlycoMimetics, Inc., a late-stage clinical biotechnology company subsequently combined with Crescent Biopharma, Inc.,
from August 2021 until February 2025. He also previously served on the board of directors of GlycoMimetics until
February 2025. Since October 2023, Mr. Semerjian has also served as a member of the board of directors at the
Biotechnology Innovation Organization. From June 2020 to July 2021, Mr. Semerjian served as an independent healthcare
consultant at Emerge Bio Consulting, advising private equity firms on healthcare investment projects. Mr. Semerjian
served as President and Chief Executive Officer of Immunomedics Inc., a biotechnology company specializing in antibody-
drug conjugates for cancer treatment, from April 2020 to May 2020, prior to its acquisition by Gilead Sciences, Inc. From
March 2018 to April 2020, Mr. Semerjian served as Executive Vice President, Chief Commercial Officer of Ipsen Pharma,
a global, pharmaceutical company focusing on areas of high unmet medical need, leading and executing Ipsen’s global
commercial strategy and functions across oncology, neurosciences and rare diseases. From February 2017 to February
2018, he served as President and Head of Ipsen’s Specialty Care International Region & Global Franchises. From 1994 to
January 2017, Mr. Semerjian held several commercial, marketing and sales positions of increasing responsibility within
Novartis Pharmaceuticals, a global pharmaceutical company, including serving as Senior Vice President and Global
Launch Leader for KISQALI®, in regional vice president hematology and oncology roles in the U.S., MENA and the
Nordics, and as global brand director for Gleevec®, as well as for Merck, a global pharmaceutical company, and Solvay, a
multinational chemical and materials company. Mr. Semerjian holds an MBA from Cornell University and Queen's
University in Canada, and a B.S. in Biology from Lebanese American University.
Michelle Robertson has served as our Executive Vice President, Chief Financial Officer and Treasurer
since September 2023. Prior to joining Geron, she served as the Chief Financial Officer and Treasurer of Editas Medicine,
Inc., a CRISPR genome editing company, from January 2020 to May 2023. Before that, she served as Chief Financial
Officer of Momenta Pharmaceuticals, Inc. from 2018 until 2020, when Momenta was acquired by Johnson & Johnson.
Prior to joining Momenta, Ms. Robertson held multiple commercial finance roles of increasing responsibility, including
Vice President, Oncology Finance for Baxalta Incorporated following its spin-off from Baxter International Inc., from 2015
to 2016; Head of Financial Planning and Analysis and Operations Excellence at Ironwood Pharmaceuticals, Inc. from 2012
Table of Contents
22
to 2015; and various finance and commercial operations roles at Genzyme Corporation (acquired by Sanofi). She also
currently serves as a member of the board of directors and as the chair of the audit committee for Verastem, Inc., a
publicly-traded biopharmaceutical company. Ms. Robertson received her B.S. in Finance and A.S. in Accounting and
Management from Bentley University.
Joseph Eid, M.D., has served as our Executive Vice President Research and Development since November
2024. Prior to joining Geron, Dr. Eid served as President, Research and Development for Dragonfly Therapeutics, Inc., a
clinical stage biopharmaceutical company, with overall responsibilities for Dragonfly's discovery and clinical research
strategy and execution, from February 2023 to March 2024. Before joining Dragonfly Dr. Eid served as Executive Vice
President, Chief Medical Officer at Luzsana Biotechnology, Inc., a pharmaceutical company and a subsidiary of Hengrui
Pharmaceuticals, from October 2021 to September 2022. Prior to his biotechnology leadership roles, Dr. Eid served as
Senior Vice President and Head, Global Medical Affairs for Bristol Myers Squibb, or BMS, from 2017 to 2021, where he
led global medical affairs across four therapeutic franchises. Prior to BMS, Dr. Eid spent nine years at Merck, first at
Merck Research Labs, where he led the first-in-human strategy of their global KEYTRUDA® program, and then at Merck
Global Human Health, where he built Merck's global oncology medical affairs team. Dr. Eid started his pharmaceutical
career at Hoffmann La Roche, where he was responsible for both early- and late-stage assets and led several clinical teams.
Prior to entering the biopharmaceutical industry, Dr. Eid was an Assistant Professor in the hematology department of
Robert Wood Johnson Medical School in New Jersey from 1999 to 2004 and as a volunteer, through 2019. Dr. Eid
received his M.D. from Saint Joseph University, Faculty of Medicine, and serves on ALSAC/St Jude Children’s Research
Hospital board, and on the board of Angle PLC, a liquid biopsy company.
Ahmed ElNawawi has served as our Executive Vice President, Chief Commercial Officer since October
2025. Prior to joining the Company, Mr. ElNawawi most recently served as Senior Vice President and U.S. Commercial
Head at Stemline Therapeutics, a wholly-owned subsidiary of the Menarini Group, from April 2022 until October 2025,
where he led the U.S. commercial organization spanning the sales, marketing, market access, commercial excellence, and
data analytics functions. Before joining Stemline, Mr. ElNawawi spent nearly two decades at Novartis Oncology, from
April 2004 until April 2022, in roles of increasing responsibility, including Oncology General Manager for Romania and
the Gulf region, Executive Director for U.S. Melanoma, and Global Indication Lead for both breast and lung cancer.
Earlier in his career, he held commercial and marketing positions in Egypt, the UAE, and Saudi Arabia with Merck and
Schering-Plough. He received an MBA from the University of Leicester and a B.S. in Clinical Pharmacy from Ain Shams
University in Cairo, Egypt.
Human Capital
Corporate Values
Fostering and maintaining a strong, healthy culture is a key strategic focus. We recognize and value the
unique strengths of each of our team members, and the impact and contributions of every employee.
Our core values are the foundational principles of our organization. These values reflect who we are, how
we work and the way our employees interact with one another, our partners, our communities, and our shareholders. They
are the essential tenets that guide our business decisions, govern our relationships, both internally and externally, and
Table of Contents
23
articulate what we stand for and who we are. These values dictate the ways in which we interact, work and communicate,
how we resolve conflicts and ultimately, how we strive to make Geron successful.
Our team of talented professionals is the foundation of our company and fuels our historical and
prospective achievements for patients. We consider the intellectual capital of our employees to be an essential driver of our
business and key to our future opportunities. As of December 31, 2025, we had 258 full-time employees. However, in
December 2025, we announced a strategic restructuring plan that is intended to position us for long-term value creation and
improve our financial discipline. The restructuring plan will result in a reduction in headcount of approximately one-third
of our workforce. We anticipate that the restructuring plan will be substantially completed in the first quarter of 2026. See
Note 16 on Restructuring in Notes to Consolidated Financial Statements of this Report for additional information. Every
employee plays a vital role in furthering our business goals and advancing the development and delivery of our novel
medicine to patients.
In addition to our employee base, we have established, and expect to continue to establish, consulting
agreements with drug development professionals, clinicians, attorneys and regulatory experts with experience in numerous
fields, including clinical science, biostatistics, clinical operations, pharmacovigilance, quality, manufacturing and
regulatory affairs.
To succeed in our mission, we must attract, recruit, retain, develop and motivate qualified clinical,
nonclinical, commercial, scientific, manufacturing, regulatory, management and other personnel needed to support our
business and operations. As a biotechnology company with office locations in the San Francisco Bay Area and northern
New Jersey, and with remote employees throughout the U.S., we operate in a highly competitive industry and geographies
for employee talent. We maintain a comprehensive dashboard of measurements, including recruitment productivity,
employee engagement scores, total rewards benchmarking, participation rates and satisfaction scores for internal training,
turnover rates and exit interview results, to guide our human capital management efforts.
We believe that our ability to attract highly skilled and talented employees in a competitive labor market is
enhanced by nurturing our workplace culture, providing competitive compensation and benefits programs and supporting
employee career development and related management training. To that end, we continue to invest resources and energy
into being an employer of choice – attracting and engaging individuals who are innovative, curious, driven, diligent,
collaborative and of the highest integrity and ethics. Some of our key efforts in this area and management of our human
capital assets generally are described here.
Table of Contents
24
Compensation and Benefits
Our compensation philosophy is to provide pay and benefits that are competitive in the biotechnology and
pharmaceutical industry where we compete for talent. We monitor our compensation programs closely and review them
annually to provide what we consider a competitive mix of compensation and health, welfare and retirement benefits for all
our employees. Our compensation package for all employees includes market-competitive base salaries, eligibility for
annual performance bonuses or incentive compensation for field- based roles, and equity grants. Annual cash bonus
opportunity and equity compensation increase as a percentage of total compensation based on level of responsibility.
Actual bonus payouts for annual performance bonus are generally based on a combination of achievement of our annual
corporate goals and individual performance, with our CEO’s annual performance bonus being based entirely on the level of
achievement of our annual corporate goals. All regular-status, full-time employees are eligible to participate in our
comprehensive benefit program, pursuant to plan terms and conditions. Plan choices include medical, dental, vision, life
insurance, flexible spending accounts, short and long-term disability insurance, a 401(k) retirement savings plan with a
discretionary matching employer contribution, and an employee stock purchase plan. We also provide regular-status, full-
time employees with a generous time off program that includes vacation, sick, holiday, and paid leave for certain life
events.
Every year, we undertake a detailed review of our compensation by position and level and make
adjustments necessary to ensure that we continue to provide competitive compensation. We publish pay ranges in all job
postings for jobs as required by various states’ pay disclosure requirements.
Corporate Culture
We pride ourselves on an open culture that respects co-workers, values employees’ health and well-being
and fosters professional development. We support employee growth and development in a variety of ways, including with
group training, individual mentoring and coaching, conference attendance and tuition reimbursement. Our management
conducts annual employee engagement surveys and reports to our board of directors on human capital management topics,
including corporate culture, employee development and retention, and compensation and benefits. Similarly, our board of
directors regularly provides input on important decisions relating to these matters, including with respect to employee
compensation and benefits, talent retention and development.
During 2025, we furthered the development of our hybrid workforce program that provides a variety of
virtual and in-person collaboration opportunities, such as leadership training and coaching resources. Since 2021, we have
utilized a peer-centric employee recognition program to empower employees to champion our workplace culture and
values, and promote direct praise to peers. In addition, we have implemented a reward program that enables managers to
recognize employees who have demonstrated exceptional performance.
Corporate Responsibility Efforts
Our commitment to corporate responsibility is integrated throughout our business and informed by our
values and ambition to change lives by changing the course of blood cancer. To support lower-risk MDS patients eligible
for RYTELO, we have a patient support program called REACH4RYTELO that can help patients navigate access and
coverage. Our corporate responsibility initiatives reflect our commitment to making a difference for blood cancer patients
and health care providers who care for them through RYTELO. Our corporate responsibility priorities also reflect our
commitment to fostering a strong culture for employees and governing with integrity to advance our mission and create
value for stockholders. We review our corporate responsibility practices and disclosures on an ongoing basis.
Communication and Engagement
We believe that part of what sets us apart from other companies is our culture and, in particular, our focus
on providing timely and transparent communications and creating a strong sense of belonging and inclusiveness. We
engage in periodic in-office and in-person meetings and interactions, as well as in-office and in-person training and
development opportunities, to encourage cross-functional team-building and collaboration, in conjunction with which
many of our teams engage in group lunches and dinners. We held a summer contest that encouraged our employees to
share summer travel experiences and special events, building rapport and strengthening employee relationships, and we
conduct organizational and team-specific holiday events to promote connectivity among our employees. We share
information and news with employees through quarterly all-hands meetings, monthly newsletters to employees, social
media posts on our intranet and outward facing social media sites, such as LinkedIn, and regular employee chats with our
Table of Contents
25
Chief Executive Officer and other members of senior management. We survey our employees each year to measure their
level of engagement at the Company. Our employee engagement scores have remained relatively steady over the past three
years. These surveys provide rich feedback each year that helps us to continue to grow our culture and make Geron a great
place to work.
Health, Wellness and Safety
We offer benefits that promote our employees’ whole health and wellness, including reimbursement for
certain wellness costs, external support from our employee assistance programs and mental wellness services, which covers
therapy and/or coaching for our employees and their dependents, including high school and college-aged children.
None of our employees is subject to a collective bargaining agreement or represented by a trade or labor
union. We consider our relations with our employees to be good.
Corporate and Available Information
Geron Corporation was incorporated in the State of Delaware on November 28, 1990. Geron UK Limited
was incorporated in the United Kingdom on September 29, 2021. Geron Netherlands B.V. was incorporated in the
Netherlands on February 17, 2023. Our principal executive offices are located at 919 E. Hillsdale Blvd., Suite 250, Foster
City, CA 94404, and our telephone number is 650-473-7700. Our website address is http://www.geron.com.
We file or furnish electronically with the U.S. Securities and Exchange Commission, or the SEC, annual
reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and amendments to those reports filed
or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, or the Exchange Act.
We make copies of these reports available free of charge through the “SEC Filings” tab on the “Investors &
Media” page of our website as soon as reasonably practicable after we file or furnish them with the SEC.
Information contained on or accessible through our website is not incorporated into, and does not form a
part of, this Report or any other report or document we file with the SEC, and any references to our website are intended to
be inactive textual references only.
ITEM 1A.
RISK FACTORS
We operate in a dynamic and rapidly changing environment involving numerous risks and uncertainties
that may have a material adverse effect on our business, financial condition or results of operations. You should carefully
consider the risks and uncertainties described below, together with all of the other information included in this Report. Our
business faces significant risks and uncertainties, and those described below may not be the only risks and uncertainties we
face. Additional risks and uncertainties not presently known to us or that we currently believe are immaterial may also
significantly impair our business, financial condition or results of operations. If any of these risks or uncertainties occur,
our business, financial condition or results of operations could suffer, the market price of our common stock could decline
and you could lose all or part of your investment in our common stock.
RISKS RELATED TO THE COMMERCIALIZATION OF RYTELO
Our near-term prospects are wholly dependent on RYTELO. We have limited experience with the commercialization of
RYTELO, and if we are unable to successfully commercialize RYTELO in the U.S. for lower-risk MDS, or to expand its
indication of use, our ability to generate meaningful revenue or achieve profitability will be materially and adversely
affected.
In June 2024, we received FDA approval to commercialize RYTELO in the U.S. for certain patients with
lower-risk MDS, and we initiated a commercial launch of RYTELO in the U.S. in that indication. While we have generated
revenue from U.S. sales of RYTELO since mid-2024, the commercialization of RYTELO marks our first effort to
commercially launch a product candidate, and our ability to grow revenue on a sustained basis has not yet been proven.
RYTELO is our only product approved for marketing by the FDA, and our ability to generate meaningful revenue from
product sales and achieve profitability is wholly dependent on our ability to successfully commercialize RYTELO in the
Table of Contents
26
U.S. for lower-risk MDS or to expand its indications of use. We may not be able to successfully commercialize RYTELO
for a number of reasons, including:
•
we may not be able to establish or demonstrate in the medical community the safety and
efficacy of RYTELO and its potential advantages over, and side effects compared to,
existing treatments;
•
physicians may be reluctant to prescribe RYTELO until longer-term efficacy and safety
data exists;
•
our limited historical experience in marketing, selling and distributing RYTELO;
•
we may not be able to increase physician adoption of RYTELO through our
commercialization strategy and plans, including any potential amendments or adjustments
to those plans;
•
our inability to achieve and maintain revenue growth in the near future under our current
commercialization strategy and plans or any potential further amendments or adjustments
thereto;
•
potential future changes in the reimbursement and coverage policies of government and
private payors such as Medicare, Medicaid, insurance companies, health maintenance
organizations and other plan administrators;
•
the relative position of RYTELO as compared to alternative treatment options in healthcare
guidelines and recommendations, such as those developed the National Comprehensive
Cancer Network, or NCCN, and similar guidelines and recommendations outside the U.S.;
•
the relative price of RYTELO as compared to alternative treatment options;
•
the relatively low incidence and prevalence of patients in RYTELO’s approved indication,
including the reliability of our market and sales estimates;
•
the market penetration rate of RYTELO across the breadth of eligible patient segments in
its approved indication may continue to be lower than our expectations;
•
our projections regarding the market opportunities for RYTELO may not be accurate, and
the actual market for RYTELO may be smaller than we estimate;
•
future competitive or other market factors may adversely affect the commercial potential of
RYTELO;
•
we may not be able to obtain and maintain regulatory approvals for RYTELO in any other
jurisdictions for lower-risk MDS or for any other indications, including relapsed/refractory
MF;
•
changed or increased regulatory restrictions;
•
changes to the label for RYTELO that further restrict how we market and sell RYTELO,
including adverse events observed in ongoing and future studies of imetelstat, such as our
Phase 3 IMpactMF clinical trial;
•
the capabilities of third party manufacturers may adversely affect the success of our
commercialization of RYTELO;
•
we may need additional financial or other resources that might not be available to us to
successfully commercialize RYTELO; and
•
we may not be able to maintain adequate commercial supplies of RYTELO to meet demand
or at an acceptable cost or at all.
Moreover, commercialization of RYTELO may not generate sufficient revenue from product sales, and we
may not become profitable in the near term, or at all. In any event, if we are unable to successfully commercialize
RYTELO in the U.S. for lower-risk MDS, or to expand its indications of use, our ability to generate meaningful revenue
from product sales and achieve profitability will be materially and adversely affected, which in turn would severely and
adversely affect our financial results, business and business prospects, and might cause us to cease operations.
Table of Contents
27
Although we have established commercial operations and sales, marketing and distribution infrastructure for RYTELO
in the U.S., our commercialization strategy may ultimately be unsuccessful or less successful than anticipated
As a company, we have limited prior experience in selling and marketing or commercializing an approved
drug product in the U.S., and we have no experience selling, marketing or commercializing an approved drug outside of the
U.S. The success of our commercialization efforts is subject to, among other things, managing our internal sales,
marketing, and distribution capabilities and our ability to navigate the significant expenses and risks involved with the
management of such capabilities. Our initial commercialization efforts in the U.S. have not to date achieved meaningful
sales growth. Our RYTELO sales trends and resulting revenue have been and may continue to be variable. Net product
revenue was approximately $48.0 million in the fourth quarter of 2025, $47.2 million in the third quarter of 2025, and
$49.0 million in the second quarter of 2025. In an effort to better execute on our plans to commercialize RYTELO and
generate more meaningful product revenue, we decided to focus our commercial execution on targeted engagement with
high-volume accounts that treat earlier-line patients, and invest in non-personal promotion and third-party education to
reach the full breath of the eligible patient population, while cross-functionally collaborating for effective account
management. However, our revised strategy to drive RYTELO commercial growth may still not achieve meaningful sales
growth, which may require us to, among other things, further adjust or amend our commercialization strategy and plans and
incur significant expenses, and there can be no assurance that we will be able to meet or grow projected RYTELO net
product revenue in future periods. In particular, our strategy may not drive new patient starts in lower-risk MDS U.S.
patients, particularly in second-line lower-risk MDS, in a timely manner or at all, or the duration of therapy could be
shorter than we expect, each of which would limit RYTELO's growth potential and could preclude or delay our ability to
generate meaningful revenue from product sales and to achieve profitability. If we are unsuccessful in accomplishing our
objectives from our commercialization efforts and strategy, we may not be able to generate meaningful revenue from the
commercialization of RYTELO in lower-risk MDS, or may require significant additional capital and financial resources to
do make further investment in our commercial operations. Any of these outcomes would severely and adversely affect our
financial results, business and business prospects, and might cause us to cease operations.
In December 2025, we announced a strategic restructuring plan designed to position us for long-term value
creation and improve our financial discipline. However, there can be no assurance that our recent restructuring will result in
long-term value creation or that our commercialization strategy will result in meaningful improvement in our sales
performance. Additionally, we may determine that we need further changes in the future that require additional hiring or
other organizational changes to adequately support our strategy, which could further increase our costs. As such, we
continue to compete with many companies that currently have extensive, experienced and well-funded sales, distribution
and marketing operations to recruit, hire, train and retain marketing and sales personnel. If we are unable to recruit, retain
and effectively train marketing, sales and medical personnel as needed and equip them with compliant and effective
materials, our efforts to successfully commercialize RYTELO could be adversely affected.
Further, although we received marketing authorization for RYTELO in the EU for the treatment of certain
adult patients with TD anemia due to lower-risk MDS in March 2025, we currently have no marketing or sales organization
outside of the U.S., and as a company, we have no experience selling and marketing approved drugs outside of the U.S. To
successfully commercialize RYTELO in the EU or in any other regions outside the U.S. where we might seek marketing
authorization in the future, we will need to develop these capabilities, which we plan to do at this time by working with
experienced third-party contractors or commercialization partners. Doing so will require additional investment of capital
and time. We currently intend to seek contractual arrangements, strategic partnerships, collaborations, alliances or licensing
arrangements with third parties to assist us in the commercialization of RYTELO in the EU and in any other regions
outside of the U.S. Any failure or delay in entering into and conducting such contractual arrangements, strategic
partnerships, collaborations, alliances or licensing arrangements with third parties would adversely impact the
commercialization of RYTELO in the EU or in any other regions outside the U.S. where RYTELO may be approved for
marketing in the future.
If we do not maintain acceptable prices or adequate reimbursement for RYTELO, the use of RYTELO could be severely
limited.
Our ability to successfully commercialize RYTELO will depend significantly on maintaining acceptable
prices and the availability of coverage and adequate reimbursement to patients from third-party payors. Government
payors, such as the Medicare and Medicaid programs, and other third-party payors, such as private health insurers and
health maintenance organizations, determine which medications they will cover and the reimbursement levels. The
resulting reimbursement payment rates may not be adequate or may require significant restrictions on use or increased co-
payments from commercially insured patients that patients may find unacceptably high. Patients are unlikely to use
Table of Contents
28
RYTELO unless coverage is provided, and reimbursement is adequate to cover all or a significant portion of its cost.
Therefore, coverage and adequate reimbursement are critical to market acceptance of RYTELO.
In the U.S. and some jurisdictions outside the U.S., there have been a number of legislative and regulatory
changes and proposed changes regarding the healthcare system that could impact our business. Generally, there has been
increasing legislative and enforcement interest in the U.S. with respect to drug pricing, including specialty drug pricing
practices, in light of the rising cost of prescription drugs and biologics. Specifically, there have been U.S. Congressional
inquiries and federal and state legislative activity designed to, among other things, bring more transparency to drug pricing,
review the relationship between pricing and manufacturer patient programs, reduce the price of drugs under Medicare, and
reform government program reimbursement methodologies for drugs and biologics. For details regarding these legislative
and regulatory changes and proposed changes regarding the healthcare system that may affect our ability to operate, see
Item 1 “Business - Healthcare Reform” in this Report.
In addition, government authorities and other third-party payors in the U.S. and other jurisdictions are
developing increasingly sophisticated methods of controlling healthcare costs, such as by limiting coverage and the amount
of reimbursement for particular medications. Increasingly, third-party payors are requiring that drug companies provide
them with predetermined discounts from list prices as a condition of coverage, are using restrictive formularies and
preferred drug lists to leverage greater discounts in competitive classes, and are challenging the prices charged for medical
products. The Inflation Reduction Act of 2022 includes several provisions to lower prescription drug costs for people with
Medicare and reduce drug spending by the federal government, including the Medicare Drug Price Negotiation Program,
which may ultimately have a negative effect on the pricing for RYTELO. However, the Medicare Drug Pricing Negotiation
Program provisions of the law are currently subject to legal challenges. Further, the final CY 2026 Medicare Physician Fee
Schedule rule, issued by the Centers for Medicare & Medicaid Services, among other things, increases bona fide service
fee documentation requirements, defines “bundled arrangement,” to require “unbundling” of both contingent and non-
contingent discounts and includes sales of Part B units at the Maximum Fair Price in average sales price calculations. These
changes could lower reimbursement for Medicare Part B utilization and require manufacturers to comply with new,
uncertain or complex reporting obligations and drug pricing documentation practices.
Further, no uniform policy requirement for coverage and reimbursement for drug products exists among
third-party payors in the U.S. As a result, the coverage determination process is often time-consuming and costly, and it
will require us to provide scientific and clinical support for the use of RYTELO to each payor separately, with no assurance
that coverage and adequate reimbursement will be applied consistently or obtained in the first instance.
Although we have received a permanent and product-specific J-Code (J0870) for RYTELO which became
effective on January 1, 2025, coverage may significantly change or may be more limited than the indications for which the
drug is approved by the FDA or similar international regulatory authorities. Coverage and reimbursement may impact the
demand for, or the price of RYTELO, and reimbursement policies in the U.S., the EU, and other jurisdictions may evolve
which may adversely impact our ability to successfully commercialize RYTELO. Even if favorable coverage and
reimbursement status is attained for one or more products for which we receive regulatory approval, less favorable
coverage policies and reimbursement rates may be implemented in the future. If coverage and reimbursement are not
available or the reimbursement amount is inadequate, we may not be able to successfully commercialize RYTELO, which
would negatively impact our business and business prospects.
If future legislation were to impose direct governmental price controls and access restrictions, it could have
a significant adverse impact on our business and financial results. Managed care organizations, as well as Medicaid and
other government authorities, continue to seek price discounts. At the state level, legislatures have increasingly passed
legislation and implemented regulations designed to control pharmaceutical and biologic product pricing, including price or
patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and
transparency measures, and, in some cases, to encourage importation from other countries and bulk purchasing. Due to the
volatility in the current economic and market dynamics, we are unable to predict the impact of any unforeseen or unknown
legislative, regulatory, payor or policy actions, which may include cost containment and healthcare reform measures. Such
policy actions could have a material adverse impact on future sales of RYTELO in the U.S., the EU, and in any other
jurisdictions where we may seek approval in the future.
Table of Contents
29
To be commercially successful, RYTELO must be accepted by the healthcare community, which can be slow to adopt or
unreceptive to new technologies and products.
Our strategy to drive sales growth and our ongoing commercialization efforts has not to date achieved and
may not in the future achieve the rate of market acceptance by the healthcare community or breadth of eligible patient
segments that we expect, which may require us to, among others, further adjust or amend our commercialization strategy
and plans and incur significant expenses, and there can be no assurance that we will be able to grow RYTELO net product
revenue in future periods. While our current priority is to drive new patient starts across appropriate second-line patients in
RYTELO's approved indication, we may be unable to do so in a timely manner or at all, which would limit RYTELO's
growth potential and which could delay or preclude our ability to generate meaningful revenue from product sales and to
achieve profitability. Furthermore, RYTELO competes with a number of conventional and widely accepted drugs and
therapies manufactured and marketed by major pharmaceutical companies. The degree of market acceptance of RYTELO
depends on a number of factors, including:
•
the clinical indications for which RYTELO is or may in the future be approved;
•
the establishment and demonstration to the medical community of the clinical efficacy and
safety of RYTELO;
•
the ability to demonstrate that RYTELO is superior to alternatives on the market at the time,
including with respect to efficacy, safety, cost or route of administration;
•
the willingness of medical professionals to prescribe, and patients to use, RYTELO, or to
continue to use RYTELO;
•
the publication of favorable safety or efficacy data concerning RYTELO by third parties or
us;
•
restrictions on use of RYTELO alone or in combination with other products;
•
the label and promotional claims allowed by the FDA for RYTELO, as well as any such
claims allowed by similar international regulatory authorities for RYTELO, including usage
for only certain indications and any limitations or warnings about the prevalence or severity
of any side effects;
•
the timing of market introduction of RYTELO for new indications;
•
the effectiveness of sales, marketing and distribution infrastructure for RYTELO;
•
the ability of the third-party distributors and specialty pharmacies we contract with to
process prescriptions and dispense RYTELO and the processes required to place orders
with such distributors and specialty pharmacies;
•
the extent to which RYTELO is approved for inclusion on formularies in hospitals and
managed care organizations;
•
the pricing of RYTELO, both in absolute terms and relative to alternative treatments;
•
the availability of coverage and adequate reimbursement by government and third-party
payors; and
•
the willingness of patients to pay out-of-pocket in the absence of coverage by third-party
payors, including governmental authorities.
We may be unable to demonstrate any therapeutic or economic advantage for RYTELO compared to
established or standard-of-care therapies, or newly developed therapies, for myeloid hematologic malignancies. National
health insurance and/or third-party payors may decide that any potential benefit that RYTELO may provide to clinical
outcomes in myeloid hematologic malignancies is not adequate to justify the potential adverse effects or the costs of
treatment with RYTELO. If the healthcare community does not accept RYTELO for any of the foregoing reasons, or for
any other reasons, our ability to commercialize RYTELO in the U.S. or the EU for lower-risk MDS or for any other
indications for which RYTELO may be approved, may be negatively impacted or precluded altogether, which would
seriously and adversely affect our business and business prospects.
Table of Contents
30
If the market opportunities for RYTELO are smaller than we believe, our revenue may be adversely affected, and our
business may suffer.
We are commercializing RYTELO in lower-risk MDS, and the addressable patient population in lower-risk
MDS is based on our estimates. These estimates, which have been derived from a variety of sources, including scientific
literature, surveys of clinics, patient foundations and market research, may prove to be incorrect. Further, new information
from us or others may change the estimated incidence or prevalence of patients with lower-risk MDS in the U.S. or the EU.
Additionally, the potentially addressable patient population for RYTELO may not ultimately be amenable to treatment with
RYTELO, we may be unable to successfully identify patients and achieve a significant market share in all eligible patient
segments in RYTELO’s approved indication, or the duration of therapy for patients receiving RYTELO could be shorter
than we expect, each of which would have a negative impact on sales of RYTELO in the future and may limit its growth
potential. Our commercialization of RYTELO in the U.S. and our planned commercialization in the EU is limited to certain
patients with lower-risk MDS, and any future potential commercialization will be limited to the therapeutic indications
examined in our clinical trials and approved by the FDA and similar international regulatory authorities, which would
preclude us from marketing RYTELO for any other indications not expressly approved by those regulatory authorities.
Future regulatory approvals for RYTELO, if any, could be conditioned upon label restrictions that materially limit the
addressable patient population.
Our market opportunity may also be limited by the pricing, reimbursement and access we are able to
achieve for RYTELO, the quality and expiration of our intellectual property rights and regulatory exclusivity, duration of
RYTELO treatment in lower-risk MDS and future competitor treatments that enter the market. If any of our estimates
prove to be inaccurate, the market opportunities for RYTELO that we or any potential future collaborative partners develop
could be significantly diminished, which would have a material adverse impact on our business and business prospects, and
would adversely affect our ability to achieve profitability.
We face competition from existing products, product candidates and technologies, and competitors may develop new
products and technologies. If these products, product candidates or technologies are deemed by the healthcare
community to be superior to or more cost-effective than RYTELO, it would significantly impact the development and
commercial viability of RYTELO, which would severely and adversely affect our financial results, business and business
prospects, and the future of RYTELO, and might cause us to cease operations.
The pharmaceutical and biotechnology industries are characterized by intense and dynamic competition
with rapidly advancing technologies and a strong emphasis on proprietary products. While we believe our proprietary
oligonucleotide chemistry; experience with the biological mechanisms related to RYTELO, telomeres and telomerase;
clinical data to date indicating potential disease-modifying activity with RYTELO treatment; and knowledge and expertise
around the development of potential treatments for myeloid hematologic malignancies may provide us with certain
competitive advantages, we face competition from many different sources, including major pharmaceutical, specialty
pharmaceutical and biotechnology companies, academic institutions, governmental agencies, and public and private
research institutions. RYTELO competes with other products and therapies that currently exist, are being developed or will
in the future be developed, some of which we may not currently be aware of. A discussion of current and potential future
competitors of RYTELO can be found in the sub-section titled “Competition” in Part I, Item 1, titled “Business” in this
Report.
Many of our competitors, either alone or with their strategic partners, have substantially greater financial,
technical and human resources than we do and significantly greater experience in obtaining FDA and other regulatory
approvals of treatments and commercializing those treatments. Smaller companies may also prove to be significant
competitors, particularly through collaborative arrangements with large and established companies. We anticipate increased
competition in the future as new companies explore treatments for myeloid hematologic malignancies, which may
significantly impact the commercial viability of RYTELO. Academic institutions, government agencies and other public
and private research organizations may also conduct research, seek patent protection and establish collaborative
arrangements for research, clinical development and marketing of products similar to RYTELO. These companies and
institutions compete with us in recruiting and retaining qualified development and management personnel as well as in
acquiring technologies complementary to the RYTELO program.
As a result of the foregoing, competitors may develop more commercially desirable or affordable products
than RYTELO. Competitors have developed, or are in the process of developing, technologies that are, or in the future may
be, competitive to RYTELO. Some of these products may have an entirely different approach or means of accomplishing
therapeutic effects similar, or superior, to those that may be demonstrated by RYTELO. Competitors may develop products
Table of Contents
31
that are safer, more effective, more convenient to administer to patients, or less costly than RYTELO, and, therefore,
present a serious competitive threat to RYTELO. In addition, competitors may price their products below what we may
determine to be an acceptable price for RYTELO, may receive better third-party payor coverage and/or reimbursement, or
may be more cost effective than RYTELO. Such competitive products or activities by competitors may render RYTELO
obsolete, which may cause us to cease any further development or future commercialization of RYTELO, which would
severely and adversely affect our financial results, business and business prospects, and the future of RYTELO, and might
cause us to cease operations.
We rely on a select network of third party distributors, specialty pharmacies and other vendors to distribute RYTELO in
the U.S., and any failure by such distributors, specialty pharmacies and vendors could adversely affect our revenues,
financial condition, or results of operations.
We rely on a select network of third party distributors, specialty pharmacies and other vendors to distribute
RYTELO in the U.S., and the financial failure of any of these parties could adversely affect our revenues, financial
condition or results of operations. We rely on such distributors and specialty pharmacies to effectively distribute RYTELO
in a timely manner, provide certain patient support services, manage prescription intake, collect accurate patient and
inventory data and collect payments from payors. While we have entered into agreements with each of these parties, they
may not perform as agreed, our strategic priorities may change or they may terminate their agreements with us. Further, an
inability by our distributors or specialty pharmacies to meet our patients’ needs may lead to reputational harm or patient
loss. In the event that such network fails to properly meet our or our patients’ needs, we may need to partner with other
distributors, specialty pharmacies or vendors to replace or supplement our current network and there is no guarantee that
we will be able to do so on commercially reasonable terms or at all.
We will be subject to pricing and reimbursement regulations in the EU, which may materially affect our ability to
commercialize and receive reimbursement coverage for RYTELO in the EU.
In March 2025, we received marketing authorization for RYTELO in the EU for the treatment of adult
patients with TD anemia due to lower-risk MDS without an isolated deletion 5q cytogenic abnormality and who had an
unsatisfactory response to or are ineligible for erythropoietin-based therapy. The pricing of RYTELO will be subject to
governmental control and other market regulations which could put pressure on the pricing and usage of RYTELO. In the
EU, pricing negotiations with governmental authorities can take considerable time after obtaining marketing approval of a
product candidate and market acceptance and sales of RYTELO will depend significantly on the availability of adequate
coverage and reimbursement from third-party payors for RYTELO and may be affected by existing and future healthcare
reform measures.
The requirements governing drug pricing and reimbursement vary widely from country to country. For
example, within the EU member states may restrict the range of medicinal products for which their national health
insurance systems provide reimbursement and may control the prices of medicinal products for human use. Reference
pricing used by various EU Member States and parallel distribution, or arbitrage between low-priced and high-priced EU
Member States, can further reduce prices. An EU Member State may approve a specific price for the medicinal product or
it may instead adopt a system of direct or indirect controls on the profitability of the company placing the medicinal
product on the market. In some countries in the EU, we may be required to conduct a clinical study or other studies that
compare the cost-effectiveness of RYTELO to other available therapies in order to obtain or maintain reimbursement or
pricing approval. There can be no assurance that any country that has price controls or reimbursement limitations for
biopharmaceutical products will allow favorable reimbursement and pricing arrangements for RYTELO. Historically,
products launched in the EU do not follow price structures of the U.S. and generally prices tend to be significantly lower.
Publication of discounts by third-party payors or authorities may lead to further pressure on the prices or reimbursement
levels within the country of publication and other countries. If pricing is set at unsatisfactory levels or if reimbursement of
RYTELO is unavailable or limited in scope or amount, our revenues from sales and the potential profitability of RYTELO
in those countries would be negatively affected.
Table of Contents
32
RISKS RELATED TO REGULATORY APPROVAL OF RYTELO
We may be unable to maintain regulatory approvals for RYTELO in the U.S. and the EU for lower-risk MDS, which
would severely and adversely affect our business and business prospects, and might cause us to cease operations.
In June 2024, we received regulatory approval from the FDA to commercialize RYTELO in the U.S. in
certain patients with lower-risk MDS, and in March 2025, we received marketing authorization from the EC to
commercialize RYTELO in the EU for certain adult patients with TD anemia due to lower-risk MDS. Federal, state and
local governments in the U.S., and regulatory authorities in the EU, have significant regulations in place that may limit or
prevent us from successfully commercializing RYTELO for lower-risk MDS. We do not currently have regulatory
approval for RYTELO in any other jurisdictions or for any other indication, and governments in other jurisdictions have
significant regulations that may limit or prevent us from successfully commercializing RYTELO in other jurisdictions.
The regulatory frameworks and practices of the FDA, EMA/EC and comparable authorities in other
countries may change over time, and we cannot predict the nature, timing, or impact of any such developments. We cannot
project with certainty if or when we might submit or gain regulatory approval for RYTELO for other indications or in other
jurisdictions. The FDA, EMA/EC and other regulatory authorities exercise broad discretion throughout the product review
and approval process, including in determining the specific conditions for submission, including the requirement for a pre-
approval inspection of RYTELO’s listed manufacturing facility. As a result, the FDA, EMA/EC and other authorities may
delay or extend application review, may decline to accept an application for substantive review, or may conclude, after
review, that the information provided is inadequate to obtain or maintain approval of RYTELO. Any such decision could
materially and adversely affect the timing of potential approval and our business prospects. If the FDA, for instance,
determines that an NDA is not sufficiently complete for filing or issues a complete response letter, or CRL, requiring
additional data or clarification, we may be required to resubmit the application and any such resubmission or CRL-driven
delays could significantly postpone review and potential approval RYTELO for other indications. Even if we resubmit an
NDA, it remains uncertain whether the FDA will ultimately accept the completed application or additional data, and any
such outcome could delay or prevent approval of RYTELO for other indications.
Failure to maintain regulatory approval for RYTELO from the FDA in the U.S. and from the EC in the EU
for lower-risk MDS, or delays in obtaining, failing to obtain, or limitations in the scope of such approvals in any other
jurisdictions or for any other indications, could:
•
result in a withdrawal of RYTELO from the market or could otherwise delay, limit or
preclude any revenue we may receive from the commercialization of RYTELO for lower-
risk MDS;
•
significantly harm the commercial potential of RYTELO;
•
impede, halt or increase the costs of our activities and plans for clinical development;
•
diminish any competitive advantages that may have been available to us; or
•
delay or preclude any revenue we may receive from the future commercialization of
RYTELO in any other jurisdictions or for any other indications, if any.
In addition, approved products and their manufacturers, together with other vendors involved in the
commercialization process, are subject to continual review, and discovery of previously unknown problems with a product
or its manufacturer, including if regulatory inspectors identify regulatory noncompliance by third-party manufacturers
requiring remediation, may result in restrictions on the product or manufacturer, including import restrictions, seizure, and
withdrawal of the product from the market, or may otherwise cause manufacturing delays and supply disruptions.
Further, if RYTELO causes serious or unexpected side effects, or if other safety risks are observed as a
result of our commercialization efforts for RYTELO in the U.S. or the EU in lower-risk MDS or in current or potential
future clinical trials, a number of potential significant negative consequences could result, including:
•
regulatory authorities may withdraw approval of RYTELO;
Table of Contents
33
•
we may be required to recall RYTELO, seek to change the way it is administered, conduct
additional costly, time-consuming and burdensome clinical trials or change the labeling of
the product;
•
regulatory authorities may require revisions to the labeling of RYTELO, including
limitations on approved uses or the addition of further warnings, contraindications or other
safety information, or may impose restrictions on distribution in the form of additional
requirements in a risk evaluation and management plan or risk management plan;
•
RYTELO may be rendered less competitive and sales, if any, may decrease;
•
our reputation may suffer generally among clinicians and patients;
•
we may be exposed to potential lawsuits and associated legal expenses, including costs of
resolving claims;
•
regulatory authorities may refuse to approve supplements to approved applications filed by
us, or may suspend or revoke license approvals; or
•
we may be required to change or stop ongoing clinical trials of RYTELO, which would
negatively impact the development of RYTELO for other potential indications.
Any of these events could prevent us from achieving or maintaining market acceptance for RYTELO, could
substantially increase the costs and expenses of commercializing RYTELO, or could limit its commercial potential, which
in turn could delay or prevent us from generating any meaningful revenues from the sale of the RYTELO. If RYTELO is
approved outside the U.S. and EU, we will be subject to similar requirements, considerations and risks in other regions.
Our regulatory approval for RYTELO in the U.S. and in the EU for certain patients with lower-risk MDS is subject to
post-marketing requirements and commitments, and we may be subject to penalties or product withdrawal if we fail to
comply with these regulatory requirements and commitments, or if we experience unanticipated problems with
RYTELO.
Our regulatory approval for RYTELO in lower-risk MDS in the U.S. and EU are subject to non-clinical,
clinical and manufacturing post-marketing requirements and/or commitments, including the requirement to assess the long-
term safety of RYTELO (imetelstat) in the Phase 3 IMerge trial and a clinical trial to evaluate alternative dosing regimens
in lower-risk MDS, with timelines for completion and reporting established by the FDA. In the EU, our regulatory approval
for RYTELO in certain patients with TD anemia due to lower-risk MDS is subject to our commitment to submit the results
from certain ongoing non-clinical and clinical studies required by the FDA, including the assessment of the long-term
safety of RYTELO in the extension to the Phase 3 IMerge trial. In addition, RYTELO and the manufacturing processes and
facilities, post-approval clinical data, labeling, advertising and promotional activities related to RYTELO will be subject to
continual requirements of, and review by, the FDA and comparable regulatory authorities. These requirements include
submissions of safety and other post-marketing information and reports, compliance with good pharmacovigilance
practices, registration requirements, current Good Manufacturing Practice, or cGMP, requirements relating to quality
control, quality assurance and corresponding maintenance of records and documents, and requirements regarding
promotional interactions with healthcare professionals.
Failure to comply with these post-marketing requirements and commitments on the timeline required or at
all, or any other regulatory requirements, including the FDA’s regulation of promotional claims, or later discovery of
previously unknown problems with RYTELO, or our manufacturers, or manufacturing processes for RYTELO, may result
in actions such as:
•
adverse regulatory inspection findings;
•
restrictions on RYTELO manufacturing, distribution or use;
•
restrictions on, or prohibitions against, marketing, importing or exporting RYTELO;
•
additional post-marketing requirements or commitments;
Table of Contents
34
•
fines, untitled letters, warning letters or the withdrawal of RYTELO from the market;
•
voluntary or mandatory product recalls or public notification or medical product safety
alerts to healthcare professionals;
•
suspension or termination of ongoing clinical trials of imetelstat in other indications;
•
suspension of review or refusal to approve pending applications or supplements to approved
applications;
•
exclusion from participation in government-funded healthcare programs and/or eligibility
for the award of government contracts for RYTELO; suspension or withdrawal of
regulatory approval for RYTELO;
•
significant civil, criminal and administrative penalties, including fines, restitutions or
disgorgement of profits or revenues;
•
product seizure or detentions;
•
injunctions or the imposition of civil or criminal penalties; and
•
adverse publicity.
The imposition of any of these penalties or other commercial limitations, including equivalent penalties or
commercial limitations imposed by foreign regulatory authorities, could severely and adversely affect our financial results,
business and business prospects, including the commercialization of RYTELO, and might cause us to cease operations.
Similar requirements and related consequences apply outside the U.S.
Any government investigation of alleged violations of law could require us to spend significant time and
resources in response and could generate negative publicity. In addition, the regulations, policies or guidance of the FDA,
EC or any other regulatory authority may change and new or additional statutes or government regulations may be enacted
that could prevent or delay regulatory approval of our product candidates or further restrict or regulate post-approval
activities. We also cannot predict the likelihood, nature, or extent of adverse government regulation that may arise from
pending or future legislation or administrative action, either in the U.S. or abroad.
If we are unable to fulfill the post-marketing requirements and commitments established by the FDA, or
that may be or are applied to the approval and commercialization of RYTELO by any regulatory authority, or are unable to
adapt to changes in existing regulatory requirements or adoption of new regulatory requirements or policies, there may be a
negative impact to our business and continued regulatory approval of RYTELO. Under such circumstances, we or our
respective service providers may be subject to the actions listed above, including losing marketing approval for RYTELO,
which would severely and adversely affect our business and business prospects, and might cause us to cease operations.
Furthermore, in connection with our marketing authorization for RYTELO in the EU for certain patients
with TD anemia due to lower-risk MDS, we are subject to post-marketing requirements to submit final results from certain
ongoing non-clinical and clinical studies and the completion of certain quality-related activities and study. We are also
subject to rules and regulations in the EU applicable to the manufacturing, marketing, promotion, and sale of medicinal
products. If we, or a regulatory authority, discover previously unknown problems with RYTELO, such as adverse events of
unanticipated severity or frequency, or problems with a facility where RYTELO is manufactured, a regulatory authority
may impose restrictions relative to RYTELO or the manufacturing facility, including requiring recall or withdrawal of
RYTELO from the market or suspension of manufacturing. Moreover, product labeling, advertising and promotion for
RYTELO will be subject to regulatory requirements and continuing regulatory review.
Failure to comply with EU and EU Member State laws that apply to the conduct of clinical trials,
manufacturing approval, marketing authorization of medicinal products and marketing of such products, both before and
after grant of the marketing authorization, or with other applicable regulatory requirements, or failure to complete post-
marketing requirements on the timeline required, may result in administrative, civil or criminal penalties. This could also
result in delays or refusal to authorize the conduct of clinical trials, or to grant marketing authorization, product
withdrawals and recalls, product seizures, suspension, withdrawal or variation of the marketing authorization, total or
Table of Contents
35
partial suspension of production, distribution, manufacturing or clinical trials, operating restrictions, injunctions,
suspension of licenses, fines and criminal penalties, among others. If RYTELO is approved outside the U.S. and the EU,
we will be subject to similar requirements, considerations and risks in other regions.
We may be unable to obtain regulatory approval to commercialize RYTELO in any other jurisdictions or for any new
indications, or may experience significant delays in doing so, any of which could severely and adversely affect our
business and business prospects, and might cause us to cease operations.
We may never receive regulatory approval for RYTELO in any other jurisdictions or for any new
indications. It can take many years to obtain approval, if approval is obtained at all. Of the large number of drugs in
development, only a small percentage complete the development and regulatory approval process and are successfully
commercialized. In addition, the lengthy review process and the unpredictability of ongoing or future clinical trials may
result in a delay in obtaining, or our failure to obtain, regulatory approval for RYTELO in lower-risk MDS in any
jurisdictions other than the U.S. and the EU, or for other indications, such as relapsed/refractory MF, in any jurisdictions.
Failure to obtain approval could significantly harm our business and business prospects, render our significant clinical
development expenditures unrecoverable, and might cause us to cease operations.
Securing marketing approval requires the submission of extensive non-clinical and clinical data and
supporting information to regulatory authorities for each therapeutic indication to establish the product candidate’s safety
and efficacy to the satisfaction of such regulatory authorities, as well as information about the product manufacturing
process and any inspections of manufacturing facilities conducted by regulatory authorities through the filing of a New
Drug Application, or NDA, in the U.S. and a Marketing Authorization Application, or MAA, in the EU. Although
RYTELO is approved in the U.S. and the EU in lower-risk MDS, there can be no assurance that we will receive regulatory
approval for the commercialization of RYTELO for lower-risk MDS in any other jurisdiction or for any new indications,
including relapsed/refractory MF or any other indications.
Any marketing approval that we may receive for RYTELO in any other jurisdiction or for any other
indication may also be limited or subject to restrictions or post-approval commitments and requirements that increase our
costs or render RYTELO not commercially viable, which would harm our business and business prospects.
Regulatory authorities may also not approve the labeling claims that are necessary or desirable for the
successful commercialization of a drug, such as RYTELO. For example, although we received regulatory approval from
the FDA in June 2024, and from the EC in March 2025, to commercialize RYTELO in lower-risk MDS, any future
regulatory clearances that we might obtain for RYTELO may be limited to fewer or narrower indications than we might
request, or may be granted subject to the performance of post-marketing studies, which may impose further requirements or
restrictions on the distribution or use of RYTELO, such as limiting prescribing to certain physicians or medical centers that
have undergone specialized training, limiting treatment to patients who meet certain safe-use criteria, and requiring treated
patients to enroll in a registry. These limitations and restrictions may limit the size of the market for RYTELO and affect
reimbursement by third-party payors. Future regulatory clearances, if any, may be limited to a smaller patient population,
or may require a different drug formulation or a different manufacturing process, than we might in the future decide to
seek.
Any delay in obtaining or failure to obtain required approvals of RYTELO in any other jurisdictions or for
any other indications, or limitations on any regulatory approval that we might receive in the future, if any, could reduce the
potential commercial use of RYTELO, and potential market demand for RYTELO and therefore result in decreased
revenue for us from any commercialization of RYTELO in any other jurisdictions or for any other indications, any of
which could severely and adversely affect our financial results and ability to raise additional capital, if needed, the price of
our common stock, our business and business prospects, and might cause us to cease operations.
Although orphan drug designation has been granted to RYTELO for the treatment of MDS and MF in the U.S. and in
the EU, these designations may not be maintained, which would eliminate the benefits associated with orphan drug
designation, including market exclusivity, which could limit the period of exclusivity we are able to maintain for the
commercialization of RYTELO, and would likely harm our business and business prospects.
The FDA granted orphan drug designation to RYTELO in June 2015 for the treatment of MF and for the
treatment of MDS in December 2015, and the EC granted orphan drug designation in December 2015 to RYTELO for the
treatment of MF and in July 2020 for the treatment of MDS. Orphan drug exclusivity confers seven and ten years of
exclusivity in the U.S. and EU, respectively, following approval, subject to satisfying regulatory requirements. The FDA
Table of Contents
36
has confirmed seven years of orphan drug exclusivity for RYTELO following its approval on June 6, 2024 for its approved
indication in lower-risk MDS. On March 7, 2025, the EC granted marketing authorization for RYTELO as an orphan
medicinal product indicated for the treatment of adult patients with TD anemia due to very low, low or intermediate risk
MDS without an isolated deletion 5q cytogenetic (non-del 5q) abnormality and who had an unsatisfactory response to or
are ineligible for erythropoietin-based therapy.
Designation as an orphan drug does not guarantee that any regulatory authority will accelerate regulatory
review of, or ultimately approve, RYTELO for any indication, or at all, in the U.S., EU or any other country, nor does it
limit the ability of any regulatory authority to grant orphan drug designation to product candidates of other companies that
treat the same indications as RYTELO if such products are able to demonstrate superiority to RYTELO.
We may lose orphan drug exclusivity in the U.S. for certain reasons, including if the FDA determines that
the request for orphan drug designation was materially defective or if we cannot ensure sufficient quantities of RYTELO to
meet the needs of patients. In the EU, orphan designation may be lost before marketing authorization if it is established that
the criteria for orphan designation are no longer met. Failure to maintain orphan designation status would lead to the
inability to obtain or the loss of associated regulatory exclusivity.
Even if we maintain orphan drug exclusivity for RYTELO in the U.S., the exclusivity may not effectively
protect RYTELO from all competition because different drugs with different active moieties can be approved for the same
condition or a drug containing the same active moiety or principal molecular structure can be approved for a different
indication. Even after an orphan drug product is approved, such as the approval of RYTELO in the U.S. in June 2024 for
certain patients with lower-risk MDS, the FDA can subsequently grant orphan designation to a different drug with the same
active moiety for the same condition, if the FDA concludes that the later drug is safer, more effective, or makes a major
contribution to patient care. The occurrence of any of these events could limit the period of exclusivity we are able to
maintain for RYTELO, allow competitive products to enter the market, and harm our business and business prospects. In
addition, for any other indication that we are currently or may in the future seek to develop or obtain regulatory approval
for RYTELO, orphan drug designation will neither shorten the development time nor regulatory review time for RYTELO
in the US and other comparable jurisdictions, and it does not give RYTELO advantages in the regulatory review or
approval process. Notably, there have been legal challenges to aspects of FDA’s regulations and policies concerning the
exclusivity provisions of the Orphan Drug Act, including whether two drugs are the same drug product. Future challenges
could lead to changes that affect the protections potentially afforded to our products in ways that are difficult to predict.
Similarly, in the EU, orphan market exclusivity may not effectively protect RYTELO from all competition.
Following the authorization of RYTELO as an orphan medicinal product by the EC in March 2025 for certain patients with
lower-risk MDS, the EC can subsequently approve similar orphan medicinal products for the same therapeutic indication or
if we are unable to supply RYTELO in sufficient quantities or if a similar medicinal product with the same orphan
indication is shown to be safer, more effective or otherwise clinically superior to the original orphan medicinal product. If
it is established that the criteria for orphan designation are no longer met inter alia where it is shown that the product is
sufficiently profitable, EU orphan market exclusivity may be reduced to six instead of 10 years, allowing similar medicinal
products for the same therapeutic indication to the market sooner. In the EU, orphan drug designation for any additional
indication we may pursue for RYTELO does confer certain regulatory advantages—such as protocol assistance—but it
does not shorten development timelines or accelerate the EMA’s overall review process.
In April 2023, the EC published a proposal to reform the current pharmaceutical framework, including
revision of orphan market exclusivity. The new legislation, if adopted, is expected to start to apply from mid-2028. The
proposal to reform the current pharmaceutical framework intends to revise the orphan drug designation and exclusivity
regime. In the latest version of the proposal, orphan market exclusivity will be reduced from the current 10 years to 9 years.
Extension by another two years will be possible for so-called “breakthrough orphan medicinal products”. Previous drafts
also included the concept of “global orphan marketing authorization”, which would no longer grant additional separate
orphan market exclusivity for second or further orphan therapeutic indications. Although the final text has not yet been
published and RYTELO for the treatment of MDS is and remains regulated under the current regulatory framework,
authorization of future indications may be affected by the new legislation.
Table of Contents
37
Even though we reported positive top-line results from IMerge Phase 3 in January 2023 and received regulatory
approval from the FDA in June 2024 to commercialize RYTELO in the U.S. for lower-risk MDS, the top-line results
from IMerge Phase 3 are not necessarily predictive of RYTELO’s activity in other indications, such as in relapsed/
refractory MF.
Even though we reported positive top-line results from IMerge Phase 3 in January 2023 and received
regulatory approval from the FDA in June 2024 and the EC in March 2025 to commercialize RYTELO in lower-risk MDS,
the top-line results from IMerge Phase 3 are not necessarily predictive of RYTELO’s activity in other indications and for
other pivotal trials that may be needed to support any application to the FDA or similar international regulatory authorities
for such other indications, such as in relapsed/refractory MF.
In addition, with respect to the trial design for IMpactMF, our Phase 3 trial in relapsed/refractory MF, the
FDA urged us to consider adding a third dosing arm to the trial to assess a lower dose and/or a more frequent dosing
schedule that might improve the trial’s chance of success by identifying a less toxic regimen and/or more effective spleen
response, one of the trial’s secondary endpoints. Based on data from IMbark, our Phase 2 clinical trial that evaluated two
doses of imetelstat in relapsed/refractory MF and the results of which our IMpactMF trial is based on, we believe that
testing a lower dose regimen would likely result in a lower median OS, which is the trial’s primary endpoint, in the
imetelstat treatment arm. Existing data also suggest that lowering the dose would not result in a clinically meaningful
reduction in toxicity, and for these reasons we determined not to add a third dosing arm to the trial design and the FDA did
not object to our proposed imetelstat sodium dose and schedule of 9.4 mg/kg every three weeks. Our belief may ultimately
be incorrect. Therefore, our failure to add a third dosing arm could result in a failure to maintain regulatory clearance from
the FDA and similar international regulatory authorities for relapsed/refractory MF, could result in the trial’s failure, or
could otherwise delay, limit or prevent marketing approval of imetelstat for relapsed/refractory MF by the FDA or similar
international regulatory authorities.
Regulatory authorities have substantial discretion in the approval process and can delay, limit or deny
approval of RYTELO in other jurisdictions or indications, or require us to conduct additional non-clinical or clinical testing
or abandon a program for many reasons, including:
•
disagreement with the design or implementation of our clinical trials, including our
statistical analysis of trial results;
•
failure to demonstrate that RYTELO’s efficacy results provide sufficient evidence of
overall clinical benefit;
•
unfavorable benefit-to-risk assessment, in the case of marginal efficacy and/or clinically
relevant safety concerns, for any proposed indication;
•
serious and unexpected drug-related side effects experienced by participants in our clinical
trials or by individuals using RYTELO or drugs similar to RYTELO;
•
disagreement with our interpretation of data from non-clinical studies or clinical trials;
•
rejection by the FDA of foreign data included in any future supplemental NDA, or sNDA,
submissions for any future indications and the non-applicability of this data to the U.S.
population and U.S. medical practice;
•
identification of critical issues as a result of a pre-approval health authority inspection that
could negatively impact the integrity of data in the MAA and any future sNDA and lead to
a rejection by the FDA, EMA, or similar international regulatory authorities;
•
a determination by international regulatory authorities that regulatory approval for
RYTELO should be narrowed or made more restrictive than our current approvals in the
U.S. and the EU for lower-risk MDS or any future indication for which approval is sought,
if any;
Table of Contents
38
•
disagreement regarding the formulation, labeling and/or the specifications for RYTELO;
•
the failure of the quality or stability of RYTELO to meet acceptable regulatory standards;
•
the EMA or the competent authorities of the individual EU Member States or similar
international regulatory authorities may lack resources or be delayed in conducting pre-
approval inspections due to lack of resources or other reasons;
•
we or any third-party service providers may be unable to demonstrate compliance with
GMP, good clinical practices, or GCP, or other applicable regulatory and other
requirements to the satisfaction of the FDA, the EMA, the competent authorities of the
individual EU Member States or similar international regulatory authorities; or
•
changes in regulatory policies or approval processes, or potential reduction of unmet
medical need with the entry of competitive therapies to the market, could render our clinical
efficacy or safety data insufficient for approval.
Any of these events may result in a failure to further develop, obtain regulatory approval for or
commercialize RYTELO in any jurisdiction or in any indication other than lower-risk MDS in the U.S. and the EU, which
could severely and adversely affect our business and business prospects.
Furthermore, in recent years, there has been increased public and political scrutiny on the FDA and similar
international regulatory authorities with respect to the approval process for new drugs, and as a result regulatory authorities
may apply more stringent regulatory standards, especially regarding drug safety, when reviewing regulatory submissions.
RISKS RELATED TO COMPLIANCE WITH HEALTHCARE LAWS
Our relationships with healthcare providers, including physicians and third-party payors, the methods by which we
promote RYTELO, and the content of our promotional materials and programs, are subject to applicable promotional,
anti-kickback, fraud and abuse, and other healthcare laws and regulations, and our failure to comply with these laws
could expose us to criminal sanctions, civil penalties, exclusion from federal health care programs, contractual
damages, reputational harm and may adversely affect our business and financial results.
The FDA strictly regulates the promotional claims that may be made about drug products. In particular,
FDA asserts that a product may not be promoted for uses that are not approved by the FDA as reflected in the product’s
approved labeling. The FDA, DOJ and other agencies actively enforce regulations related to the promotion and
advertisement of pharmaceutical products. If our promotional materials or methods were found to have violated the Food,
Drug, and Cosmetic Act, or False Claims Act, we could be subject to Warning or Untitled Letters, or to significant civil,
criminal, or administrative penalties, which could inhibit our ability to commercialize RYTELO and generate revenue,
require us to expend significant time and resources in response, and generate negative publicity.
Healthcare professionals, including but not limited to physicians, nurses, medical directors, hospitals,
pharmacies, pharmacy benefit managers, group purchasing organizations, wholesalers, insurers, and all individuals
employed by such entities (collectively, HCPs), and patients, caregivers, patient advocacy organizations, or medical
societies, may influence the recommendation and prescription of RYTELO. There is ongoing government focus on the
relationships between the pharmaceutical industry and HCPs or others who can influence the prescription or
recommendation of products, and common industry activities that we may engage in such as speaker programs, advisory
boards, consulting agreements with HCPs, relationships with charitable foundations providing copayment assistance, and
relationships with patient organizations and patients continue to receive increased governmental attention.
Our arrangements with HCPs and others who have the ability to influence the recommendation and
prescription of RYTELO may expose us to broadly applicable federal and state fraud and abuse and other healthcare laws
and regulations, including anti-kickback and false claims laws; data privacy and security laws, including the Health
Insurance Portability and Accountability Act, or HIPAA, as amended by the Health Information Technology for Economic
and Clinical Health Act, or HITECH; and transparency laws related to payments and/or other transfers of value made to
physicians, other healthcare professionals and teaching hospitals. These laws may constrain the business or financial
arrangements and relationships through which we conduct our operations, including how we market, sell and distribute
RYTELO. For details regarding the restrictions under applicable federal and state healthcare laws and regulations that may
Table of Contents
39
affect our ability to operate, see Item 1 “Business-Government Regulation- Fraud and Abuse, and Transparency Laws and
Regulations” of this Report.
Because of the breadth of these laws and the narrowness of the statutory exceptions and safe harbors
available, it is possible that some of our business activities could be subject to challenge under one or more of such laws.
For example, to help patients afford our products, we have a patient assistance program and also occasionally make
donations to independent charitable foundations that help financially needy patients. These types of programs designed to
assist patients in affording pharmaceuticals have become the subject of scrutiny under the AKS and other federal and state
laws in recent years. If we or our vendors or donation recipients are deemed to fail to comply with laws or regulations in
the operation of these programs, we could be subject to damages, fines, penalties or other criminal, civil or administrative
sanctions or enforcement actions. We cannot ensure that our compliance controls, policies and procedures will be sufficient
to protect against acts of our employees, business partners or vendors that may violate the laws or regulations of the
jurisdictions in which we operate. A government investigation could negatively impact our business practices, harm our
reputation, divert the attention of management and increase our expenses.
While we maintain a comprehensive compliance program designed with the goal of ensuring that our
practices and the activities of our third party contractors and employees fall within the scope of available statutory
exceptions and regulatory safe harbors whenever possible, and otherwise comply with applicable laws, it is possible that
government authorities may disagree with our assessment, find fault with the conduct of our employees or contractors or
conclude that our business practices do not comply with current or future statutes, regulations or case law involving
applicable fraud and abuse or other healthcare laws and regulations. If our operations are found to be in violation of any of
these laws or any other governmental regulations that may apply to us, we may be subject to significant civil, criminal and
administrative penalties, damages, fines, exclusion from government funded healthcare programs, such as Medicare and
Medicaid, and the curtailment or restructuring of our operations. Even if we are not determined to have violated these laws,
government investigations into these issues typically require the expenditure of significant resources and generate negative
publicity, or could result in related shareholder lawsuits, any of which would adversely affect our business, financial
condition, results of operations and prospects.
Foreign, federal and state enforcement bodies have increased their scrutiny of interactions between
healthcare companies and healthcare providers, which has led to a number of investigations, prosecutions, convictions and
settlements in the healthcare industry. If our operations are found to be in violation of any of these or any other healthcare
and privacy-related regulatory laws that may apply to us, our ability to operate our business and our results of operations
could be adversely affected by:
•
the imposition of significant civil, criminal and administrative penalties, damages, monetary
fines, disgorgement and imprisonment;
•
possible exclusion from participation in Medicare, Medicaid and other federal healthcare
programs or comparable foreign programs;
•
reputational harm;
•
diminished profits and future earnings;
•
additional reporting requirements and oversight if we become subject to a corporate
integrity agreement or similar agreement to resolve allegations of non-compliance with
these laws; and
•
curtailment of our operations.
Defending against any such actions can be costly, time-consuming and may require significant financial
and personnel resources. Therefore, even if we are successful in defending against any such actions that may be brought
against us, our business may be impaired.
Table of Contents
40
RISKS RELATED TO THE FURTHER DEVELOPMENT OF IMETELSTAT
We cannot be certain that we will be able to continue to develop imetelstat or advance it in clinical trials, or that we will
be able to receive regulatory approval for imetelstat in any other indications in the U.S., the EU or any other region, on
a timely basis or at all.
We are wholly dependent on the success of RYTELO (imetelstat), which is our only approved product, and
our ability to generate revenue from product sales and achieve profitability is wholly dependent on our ability to
successfully commercialize RYTELO for lower-risk MDS or to expand its indications of use. In this regard, in addition to
lower-risk MDS, which is the only indication for which RYTELO has received marketing approval in the U.S. and the EU,
we are developing imetelstat for the treatment of several myeloid hematologic malignancies. Our ability to further develop
imetelstat and to expand its indications of use to other myeloid hematologic malignancies is subject to significant risks and
uncertainties, including, among other things, our ability to:
•
generate sufficient safety and efficacy data from the IMpactMF, IMproveMF, IMpress and
IMAGINE clinical trials, as well as our studies in frontline MF and acute myeloid leukemia
or high-risk MDS, to support any application for regulatory approval, without clinically
meaningful safety issues, side effects or dose-limiting toxicities related to imetelstat that
may negatively impact its benefit-risk profile;
•
ascertain that the use of imetelstat does not result in significant systemic or organ toxicities,
including hepatotoxicity, or other safety issues resulting in an unacceptable benefit-risk
profile;
•
obtain additional capital, if and when needed, in order to enable us to further advance
imetelstat clinical trials in other myeloid hematologic malignancies;
•
obtain and maintain required regulatory clearances and approvals to enable continued
clinical development of imetelstat;
•
enter into and maintain commercially reasonable arrangements with third parties to provide
services needed to further research, develop and commercialize RYTELO, including
maintaining the agreements with our contract research organizations, or CROs, and third-
party manufacturers and for territories outside of the U.S. in compliance with applicable
laws;
•
recruit and retain sufficient qualified and experienced personnel to support the development
and commercialization of RYTELO in potential other approved indications and other
jurisdictions outside of the U.S. and the EU;
•
achieve acceptance of RYTELO treatment by patients and the relevant medical
communities;
•
compete effectively with other approved treatments in lower-risk MDS, and relapsed/
refractory MF, if imetelstat is approved in relapsed/refractory MF, and potentially other
myeloid hematologic malignancies;
•
obtain appropriate coverage and reimbursement levels for the cost of RYTELO from
governmental authorities, private health insurers and other third-party payors; and
•
obtain, maintain and enforce adequate intellectual property and regulatory exclusivity for
RYTELO in the U.S., EU and globally.
If we are not able to successfully achieve these goals and overcome other challenges that we may
encounter in the research, development, manufacturing and commercialization of RYTELO in indications other than lower-
risk MDS, we may be forced to abandon our development and/or commercialization of RYTELO in indications other than
lower-risk MDS, which could severely harm our business and business prospects.
Table of Contents
41
Our clinical trials of imetelstat could be interrupted, delayed, terminated or abandoned for a variety of reasons which
could severely and adversely affect our financial results, business and business prospects.
The conduct and completion of our clinical trials could be interrupted, delayed or abandoned for a variety
of reasons, including as a result of clinical trial failures, suspensions, terminations or delays related to:
•
patient recruitment, enrollment and retention challenges and operational delays, including in
connection with opening new clinical trial sites, while also competing with clinical trials for
other investigational drugs in the same patient population;
•
use of OS as a trial endpoint, which inherently requires prolonged periods of clinical
observation and follow-up, including the need for a certain number of events, or deaths, to
occur in IMpactMF prior to the interim or final analysis in that trial of OS;
•
use of trial endpoints, including patient-reported outcomes, that necessitate a
comprehensive analysis of the resulting data to determine trial outcomes;
•
obtaining and/or maintaining regulatory clearances in the U.S. or other jurisdictions to
commence, conduct or modify current or potential future clinical trials of imetelstat, in a
timely manner, or at all;
•
investigational new drug applications, or INDs, and equivalent submissions in other
countries for imetelstat being placed on full or partial clinical hold, suspended or subject to
other requirements by the FDA or other similar international regulatory authorities;
•
contracting with a sufficient number of clinical trial sites to conduct current and potential
future clinical trials, and ensuring that such contracts contain all necessary terms and
conditions required by applicable laws, including providing for valid mechanisms to engage
in cross-border data transfers, as well as identifying, recruiting and training suitable clinical
investigators;
•
obtaining or accessing necessary clinical data in accordance with appropriate clinical or
quality practices and regulatory requirements, in a timely and accurate manner to ensure
complete data sets;
•
responding to safety findings, recommendations or conclusions by the data safety review
committees, independent data monitoring committees and/or expert committees of current
and potential future clinical trials of imetelstat based on emerging data occurring during
such clinical trials;
•
manufacturing sufficient quantities that meet our specifications, cost and quality
requirements, and timelines for imetelstat, or for other clinical trial materials, in a manner
that meets the quality standards of the FDA and other similar international regulatory
authorities, and responding to any disruptions to drug supply, clinical trial materials or
quality issues that may arise;
•
the effects of macroeconomic or other global conditions, such as inflation, fluctuations in
interest rates, prospects of a recession, government shutdowns, changes in tariffs or other
trade restrictions, bank failures and other disruptions to financial systems, civil or political
unrest, military conflicts, pandemics or other health crises and supply chain and resource
issues;
•
complying with current and future regulatory requirements, policies or guidelines, including
domestic and international laws and regulations pertaining to fraud and abuse, transparency,
and the privacy and security of health information;
•
reaching agreement on acceptable terms and on a timely basis, if at all, with collaborators,
physician investigators, vendors and other third parties located in the U.S. or other
countries, including our CROs, laboratory service providers and clinical trial sites, on all
aspects of clinical development and collaborating with them successfully; and
•
third-party clinical contractors, including investigators or our CROs not performing our
clinical trials according to our anticipated schedule or consistent with the clinical trial
Table of Contents
42
protocol, GCP, or other regulatory requirements, or not performing data collection or
analyses in a timely or accurate manner.
In addition, recent actions by the current administration in the U.S. to limit federal agency budgets and
personnel have resulted in reductions in the FDA's budget and employees, which may lead to slower response times, longer
review periods, delayed inspections or other disruptions that we cannot currently predict. Failures or delays with respect to
any of the foregoing events and such disruptions in the timely review and processing of our regulatory submissions and
inspections could adversely affect our ability to conduct or complete the clinical trials being conducted by us or our
investigators, or to commence, conduct and complete potential future clinical trials of imetelstat, which could increase
development costs or interrupt, further delay or halt our development of imetelstat, any of which could severely and
adversely affect our financial results, business and business prospects.
RYTELO may cause, or have attributed to it, undesirable or unintended side effects or other adverse events that could
halt or limit its further commercialization, delay or prevent its regulatory approval in any other jurisdiction or
indication, or cause us to delay or terminate our clinical trials.
While the FDA and the EC granted approval of RYTELO based on the data included in our NDA and
MAA, respectively, including data from the Phase 3 IMerge trial, we cannot be certain whether the results as a larger
number of patients receive RYTELO from commercial use, including results related to safety, will be consistent with the
results from earlier clinical trials that served as the basis for its approval.
In addition, because remaining patients in ongoing clinical trials continue to receive imetelstat, additional
or more severe toxicities or safety issues may be observed, and the benefit-risk profile of imetelstat will continue to be
assessed, including the risk of hepatotoxicity, severe cytopenias, fatal bleeding with or without any associated
thrombocytopenia, patient injury or death. New data relating to imetelstat, including from adverse event reports and our
post-marketing requirements in the U.S., and from ongoing clinical trials of imetelstat, may result in changes to the product
label and may adversely affect sales, or result in withdrawal of imetelstat from the market. The FDA and regulatory
authorities in other jurisdictions may also consider the new data in reviewing our marketing applications for additional
indications and/or in other jurisdictions, or impose post-approval requirements. If any of these actions were to occur, it
could result in significant expense and delay or limit our ability to generate sales revenues.
Further, as a result of commercialization of RYTELO, or in current or potential future clinical trials,
RYTELO may cause, or have attributed to it, undesirable or unintended side effects or other adverse events affecting its
safety or efficacy that could interrupt, further delay or halt its commercialization or current or potential future clinical trials.
In this regard, adverse events and dose-limiting toxicities observed in previous and ongoing clinical trials include:
•
hematologic toxicities, such as profound and/or prolonged thrombocytopenia or
neutropenia;
•
bleeding events, with or without thrombocytopenia, including Grade 3/4 bleeding events;
•
febrile neutropenia;
•
hepatotoxicity and liver function test abnormalities, as well as hepatic failure;
•
gastrointestinal events;
•
infection events, with or without neutropenia, including Grade 3/4 infection events;
•
muscular and joint pain;
•
fatigue;
•
headache; and
•
infusion-related reactions.
If patients experience similar or more severe adverse events, or new or unusual adverse events, or if the
FDA or other similar international regulatory authorities determine that efficacy and safety data from our
commercialization efforts or in clinical trials do not support an adequate benefit-risk profile to justify continued treatment
of patients, then the FDA or other similar international regulatory authorities may halt or restrict the commercialization of
RYTELO or place one or more of our INDs on clinical hold, as occurred in March 2014. If this were to occur, there could
be a significant delay in, or possible termination of, one or more of our clinical trials, and our commercialization efforts
could be halted, which might cause us to cease operations. If such toxicities or other safety issues identified as a result of
Table of Contents
43
our commercialization of RYTELO or in any clinical trial are determined by us, the FDA or similar international regulatory
authorities to result in an unacceptable benefit-risk profile, then:
•
the FDA and EC could withdraw or restrict regulatory approval for RYTELO in the U.S.
and EU, respectively, for lower-risk MDS;
•
additional information supporting the benefit-risk profile of RYTELO may be requested by
the FDA or similar international regulatory authorities and if any such information is not
available or, if available, not deemed acceptable, regulatory approval could be withdrawn
by the FDA in the U.S. and the EC in the EU, and/or current clinical trials could be
suspended, terminated, or placed on clinical hold by the FDA or similar international
regulatory authorities;
•
the ability to retain enrolled patients in our current clinical trials may be negatively affected,
resulting in incomplete data sets and the inability to adequately assess the benefit-risk
profile of RYTELO in a specific patient population;
•
additional, unexpected clinical trials or non-clinical studies may be required to be
conducted; or
•
RYTELO may not receive or maintain regulatory clearances and approvals required to
enable its continued development.
The occurrence of any of these events could interrupt, further delay, or halt our commercialization of
RYTELO or its further development, and as a result, could preclude the commercialization of RYTELO in any additional
indications, as well as increase costs for continued development in additional indications, which would have a severe
adverse effect on our results of operations, financial condition and ability to raise additional capital, business and business
prospects, any of which might cause us to cease operations.
Results and data we disclosed from prior non-clinical studies and clinical trials, as well as any data disclosed as a result
of an interim analysis, may not predict success in later clinical trials or the final analysis, and we cannot assure you that
any ongoing or future clinical trials of imetelstat, including IMpactMF, will lead to similar results and data that could
potentially enable us to obtain any further regulatory approvals.
The design of a clinical trial can determine whether its results will support regulatory approval of a product,
and flaws in the trial design may not become apparent until the clinical trial is well advanced or during the approval
process after the trial is completed. A clinical trial design that is considered appropriate for regulatory approval includes a
sufficiently large sample size with appropriate statistical power, as well as proper control of bias, to allow a meaningful
interpretation of the results. The preliminary results of imetelstat clinical trials with smaller sample sizes can be
disproportionately influenced by the impact the treatment had on a few individuals, which limits the ability to generalize
the results across a broader community, making the trial results of clinical trials with smaller sample sizes less reliable than
trials with a larger number of patients. As a result, there may be less certainty that imetelstat will achieve a statistically
significant effect in any future clinical trials.
Further, success in non-clinical testing and early clinical trials, including Phase 2 clinical trials, such as
IMbark, does not ensure that later clinical trials will be successful, nor does it predict final clinical trial results. In addition,
even though we reported positive top-line results from IMerge Phase 3 in January 2023, this does not ensure that any other
clinical trials of imetelstat will be successful. Later stage clinical trials of imetelstat may fail to show an acceptable benefit-
risk profile despite having progressed through non-clinical studies and initial clinical trials. Many companies in the
biopharmaceutical industry have frequently suffered significant setbacks in later clinical trials, even after achieving
promising results in earlier non-clinical studies or clinical trials.
In general, Phase 3 clinical trials with larger numbers of patients or longer durations of therapy may fail to
replicate efficacy and safety results observed in earlier clinical trials, such as the results observed in IMbark, and if this
were to occur with IMpactMF, this would adversely affect future development prospects of imetelstat, and as a result,
impact the potential commercialization of imetelstat in relapsed/refractory MF.
Furthermore, non-clinical and clinical data are often susceptible to varying interpretations and analyses. In
some instances, there can be significant variability between different clinical trials of imetelstat due to numerous factors,
including changes in trial procedures set forth in trial protocols, differences in the size and type of patient populations, and
changes in and adherence to the dosing regimens. For example, although the statistical analyses comparing IMbark data to
Table of Contents
44
closely matched real world data, or RWD, published in the September 2021 issue of the Annals of Hematology, suggest
potentially favorable OS in relapsed/refractory MF patients treated with imetelstat, compared to bipolar androgen therapy
using closely matched patients’ RWD, such comparative analyses between RWD and our clinical trial data have several
limitations. For instance, the analyses create a balance between treatment groups with respect to commonly available
covariates, but do not take into account the unmeasured and unknown covariates that may affect the outcomes of the
analyses. Potential biases are introduced by factors which include, for example, the selection of the patients included in the
analyses, misclassification in the matching process, the small sample size, and estimates that may not represent the
outcomes for the true treated patient population. Failure to achieve results supporting a positive benefit-risk profile in
current or potential future imetelstat clinical trials would interrupt, further delay, or halt, any development of imetelstat,
which would have a severe adverse effect on our results of operations, financial condition and ability to raise additional
capital, if needed, business and business prospects.
Further, preliminary data are based on a preliminary analysis of then-available data, and the results and
related findings and conclusions are subject to change following a more comprehensive review of the data related to the
particular study or trial. We also make assumptions, estimations, calculations and conclusions as part of our analyses of
data, and we may not have received or had the opportunity to fully and carefully evaluate all data. Additional or updated
safety and efficacy data from current or potential future clinical trials of imetelstat may result in a benefit-risk profile that
does not justify the continued development and/or potential regulatory approval of imetelstat in a particular patient
population, or at all. Any data reported from IMpactMF may materially differ from and be less positive than data
previously reported from IMbark. Thus, reported data should be considered carefully and with caution, and not relied upon
as indicative of future clinical results. Such additional data could result in a lower benefit-risk profile than initially
expected, which could halt the commercialization of RYTELO, hinder the potential success of IMpactMF, IMproveMF,
IMpress or IMAGINE, or cause us to abandon further development of imetelstat entirely.
Top-line or interim results and data may differ from future results of the same study, or different
conclusions or considerations may qualify such results, once additional data have been received and fully evaluated.
Moreover, as remaining patients in IMerge Phase 3 continue to be treated and followed under the extension phase of the
trial and longer-term outcomes are assessed, these additional and more mature data may alter the benefit-risk profile of
imetelstat in an adverse manner, including with respect to OS. Material adverse differences in future results, compared to
preliminary, interim or top-line data, could severely and adversely affect our financial results, business and business
prospects, including the commercialization of RYTELO, and might cause us to cease operations.
We rely on third parties to conduct our current and potential future clinical trials of imetelstat. If these third parties do
not successfully carry out their contractual duties or meet expected deadlines, we may be unable to continue the
development of imetelstat.
We do not have the ability to independently conduct clinical trials. Therefore, we rely on medical
institutions, clinical investigators, contract laboratories and other third parties, such as CROs, service providers, vendors,
suppliers and consultants, to conduct clinical trials of imetelstat. The third parties we contract with for execution of our
current and potential future clinical or investigator-sponsored trials of imetelstat play a critical role in the conduct of these
trials and the subsequent collection and analysis of data. However, these third parties are not our employees, and except for
contractual duties and obligations, we have limited ability to control their performance, or the amount or timing of
resources that they devote to imetelstat. For example, we have retained CROs to support our clinical development
activities, and any failure by our CROs to perform their contractual obligations, or disputes with our CROs about the
quality of their performance or other matters, could further delay or halt our clinical development activities. These third
parties may also have relationships with other commercial entities, some of which may compete with us. Under certain
circumstances, these third parties may terminate their agreements with us without cause and upon immediate written notice.
Although we rely on third parties to conduct our clinical trials, we remain responsible for ensuring that each
clinical trial is conducted in accordance with its investigational plan and protocol, and applicable laws. Moreover, the FDA
and similar international regulatory authorities require us to comply with GCP regulations and standards for conducting,
monitoring, recording and reporting the results of clinical trials to ensure that the data and results are scientifically credible
and accurate, and that the rights, integrity and confidentiality of patients participating in clinical trials are protected,
including being adequately informed of the potential risks. Regulatory authorities enforce these GCP requirements through
periodic inspections of trial sponsors, principal investigators and trial sites. If we or any of our CROs fail to comply with
applicable GCP requirements, the clinical data generated in our clinical trials may be deemed unreliable and the FDA, or
similar international regulatory authorities, may require us to perform additional clinical trials. We cannot assure you that
Table of Contents
45
upon inspection by a given regulatory authority, such regulatory authority will determine whether any of our clinical trials
comply with GCP or other applicable regulations. In addition, our clinical trials must be conducted with imetelstat
produced under applicable GMP regulations. Our failure to comply with these regulations may require us to repeat clinical
trials. Our ability to comply with these regulations and standards may be contingent upon activities conducted by third
parties, and if they fail to perform in accordance with contractual obligations and legal requirements, our development of
imetelstat may be interrupted, further delayed or halted. Any failures by us or third parties noted above would have a severe
adverse effect on our results of operations, financial condition and ability to raise additional capital, if needed, business and
business prospects, including the commercialization of RYTELO, any of which might cause us to cease operations.
Furthermore, the execution of clinical trials and the subsequent compilation and analysis of the data
produced, including the interim and final analyses for IMpactMF, requires coordination among various parties. In order for
these functions to be carried out effectively and efficiently, it is imperative that these parties communicate and coordinate
with one another. If the quality or accuracy of the clinical data obtained, compiled or analyzed by third parties is
compromised due to their failure to adhere to our clinical trial protocols, GCP or GMP requirements, or for any other
reason, we may need to enter into new arrangements with alternative third parties, which would cause delay, and could be
difficult, costly or impossible.
Switching or adding CROs, investigators, vendors and other third parties involves additional costs and
delays because of the time it takes to finalize a contract with a new CRO and for their commencement of work. Although
we carefully manage our relationships with our CROs, investigators, vendors and other third parties, we and any of these
third parties may nonetheless encounter challenges or delays in the future, which could have a material and adverse impact
on our business and business prospects.
In addition, certain principal investigators for our clinical trials serve as scientific advisors or consultants to
us from time to time and receive compensation in connection with such services. Under certain circumstances, we may be
required to report some of these relationships to the FDA or comparable foreign regulatory authorities. The FDA or
comparable foreign regulatory authorities may conclude that a financial relationship between us and a principal investigator
has created a conflict of interest or otherwise affected conduct of the trial. The FDA or comparable foreign regulatory
authorities may therefore question the integrity of the data generated at the applicable clinical trial site and the utility of the
clinical trial itself may be jeopardized. This could result in a delay in approval, or rejection, of any future applications for
regulatory approval of imetelstat, including in any additional indications by the FDA.
We do not control the conduct of current or any potential future investigator-led clinical trials, and data from such
trials could show marginal efficacy and/or clinically relevant safety concerns related to imetelstat resulting in an
unfavorable benefit-risk assessment that could materially and adversely impact our ongoing clinical trials, or our
development program as a whole.
We do not control the design or administration of investigator-led clinical trials, nor the submission,
approval or maintenance of any IND or international equivalent filings required to conduct these clinical trials. In addition,
we do not have control over the timing and reporting of the data from any such investigator-led clinical trials. A delay in
the timely completion of or reporting of data from any current or potential future investigator-led clinical trial could have a
material adverse effect on our ability to maintain regulatory approval for RYTELO in lower-risk MDS, or to further
develop or advance it in clinical trials, as such delays may impede our ability to generate necessary supplemental clinical
evidence, fulfill post-marketing commitments or requirements, or provide regulatory authorities with timely safety and
efficacy data needed to support ongoing approval or future development.
Investigator-led clinical trials may be conducted under less rigorous clinical standards than those used in
company-sponsored clinical trials. Accordingly, regulatory authorities may closely scrutinize the data collected from these
investigator-led clinical trials. In addition, any investigator-led clinical trials could show marginal efficacy and/or clinically
relevant safety concerns that could delay, limit or preclude the further clinical development or marketing approval of
RYTELO in any indication. To the extent that the results of any investigator-led clinical trials raise safety or other
concerns, regulatory authorities may withdraw or restrict approval for RYTELO, question the results of such investigator-
led clinical trials, or question the results of any of our clinical trials. Safety concerns arising from future investigator-led
clinical trials could result in withdrawal of approval of RYTELO, partial or full clinical holds being placed on our INDs by
the FDA or other similar international regulatory authorities, as occurred in March 2014, which would further delay or
prevent us from commercializing RYTELO or advancing it into further clinical development. Any of the foregoing would
delay or preclude any future marketing approvals for RYTELO and could cause us to discontinue our development, which
would severely harm our business and prospects and could potentially cause us to cease operations.
Table of Contents
46
RISKS RELATED TO MANUFACTURING RYTELO (IMETELSTAT)
Failure by us to maintain a manufacturing supply chain to appropriately and adequately supply RYTELO for
commercial and future clinical uses would adversely affect our ability to commercialize RYTELO and result in a further
delay in or cessation of clinical trials, and our business and business prospects could be severely harmed, and we could
cease operations.
The manufacture of RYTELO (imetelstat) must comply with applicable regulatory standards for
commercial uses and current and potential future clinical trials. The process of manufacturing RYTELO is complex and
subject to several risks, including:
•
the ability to consistently manufacture and attain sufficient production yields with
acceptable quality control and quality assurance to meet market demand for our
commercialization of RYTELO, as well as the needs for continuing clinical trials;
•
our ability to maintain existing commercial supply agreements and to establish additional or
alternative supply agreements if necessary, including our ability to successfully transfer
manufacturing technology and attain regulatory approval at any such additional or
alternative suppliers;
•
reliance on third-party manufacturers and suppliers, whose efforts we do not control;
•
supply chain issues, including the timely availability of product and management of shelf-
life, including raw materials, active pharmaceutical ingredient, or API, and drug product
and other supplies, and the cost of procuring the foregoing, any of which may be impacted
by a number of factors, including the effects of macroeconomic or other global conditions,
such as increased tariffs, renegotiation of existing international trade agreements, escalating
trade tensions and other trade restrictions;
•
shortage of qualified personnel at any of our third party suppliers; and
•
regulatory acceptance and compliance with regulatory requirements, which are less well-
defined for oligonucleotide products than for small molecule drugs and vary in each
country.
As a result of these and other risks, we may be unable to maintain a manufacturing infrastructure and
supply chain capable of providing RYTELO for clinical and commercial use, which would delay or adversely affect our
RYTELO commercialization efforts; result in lost sales; delay or result in a cessation of our current or potential future
clinical trials; delay or preclude potential future regulatory approvals of RYTELO in other jurisdictions or indications; and
could cause financial and reputational harm.
If third parties that manufacture RYTELO fail to perform as needed, the commercial and clinical supply of RYTELO
could be interrupted or limited, and we may be unable to successfully commercialize RYTELO or conduct or complete
current or potential future clinical trials.
Our RYTELO manufacturing supply chain relies, and will continue to rely, solely upon third-party
manufacturers to perform certain manufacturing, quality control, and other technical and scientific work with respect to
RYTELO, as well as to supply starting materials and manufacture the API and drug product for our commercialization of
RYTELO, as well as current and potential future clinical trials. While we have established arrangements with third parties
for the manufacture of RYTELO, our manufacturing supply chain is highly specialized, and as such we are reliant upon a
small group of third-party manufacturers to supply starting materials and drug product, and we rely on a single source to
supply the API for RYTELO. Failure by such third-party manufacturers to perform in a timely manner and in compliance
with all regulatory requirements, or at all, or the termination of one of our supply agreements before we have retained and
established an acceptable alternative supplier, could lead to delays or shortages in drug supply, perhaps substantially, that
are necessary for our clinical activities and commercialization of RYTELO. For example, one of our third-party
manufacturers received a warning letter from the FDA due to certain deficiencies in the manufacturer’s process and
facilities that were not in compliance with FDA requirements and regulations governing the manufacturing, processing,
packing and holding of drug product. While not related to the production of RYTELO, if the warning letter is not timely
remediated by the manufacturer, it could lead to delays or shortages in drug supply, or the inability to manufacture or ship
drug supply necessary for non-clinical and clinical activities, and commercialization.
Table of Contents
47
In addition, we plan to retain additional third-party manufacturers to provide redundancy in our supply
chain; however, we may be unable to do so on a timely basis on terms that are acceptable to us, or at all. We expect to rely
on third-party manufacturers to produce and deliver sufficient quantities of RYTELO and other materials to support our
commercialization of RYTELO and clinical trials on a timely basis and to comply with applicable regulatory requirements.
We do not have direct control over these third-party personnel or operations. Reliance on these third-party manufacturers is
subject to numerous risks, including:
•
the inability to execute timely contracts or production orders with any additional third-party
manufacturers and suppliers that we may identify on acceptable terms, or at all;
•
delays and disruptions experienced by third-party manufacturers that adversely impact the
ability of such parties to fulfill their contractual obligations to us, including providing the
quantities of RYTELO required to meet commercial and clinical needs;
•
capacity limitations and scheduling constraints experienced by third-party manufacturers
due to scheduling, maintenance and other commitments, and queued manufacturing
activities in contracted facilities;
•
requirements by regulatory authorities to validate and qualify significant activities for any
current or additional manufacturer, which could involve technology transfer, new testing,
compliance inspections, and would likely require FDA or comparable foreign regulatory
authority approval;
•
the inability of third-party manufacturers to timely formulate and manufacture RYTELO or
to produce or ship RYTELO in the quantities or of the quality required to meet commercial
and clinical needs;
•
the possible mislabeling by third-party manufacturers of finished drug product for both
commercial and clinical use, potentially resulting in product recall and harm to our
business;
•
decisions by third-party manufacturers to exit the contract manufacturing business during
the time required to supply clinical trials or to successfully produce, store and distribute
RYTELO to meet our commercial needs or before we establish an acceptable alternative
supplier;
•
compliance by third-party manufacturers with GMP standards mandated by the FDA and
state agencies and other government regulations, including foreign governing regulations,
corresponding to similar international regulatory authorities, including any deficiencies
identified during regulatory inspections, such as those identified in the warning letter issued
to one of our third-party manufacturers;
•
breach or termination of manufacturing or supply contracts;
•
inadequate storage or maintenance at contracted facilities resulting in theft or spoilage; and
•
natural disasters that affect contracted facilities, including manufacturing, warehousing, and
distribution facilities.
Each of these risks could lead to delays or shortages in drug supply, or the inability to manufacture or ship
drug supply necessary for commercialization, and non-clinical and clinical activities, which could severely and adversely
affect our financial results, business and business prospects.
In addition, third-party manufacturers and/or any other manufacturers may need to make substantial
investments to enable sufficient capacity increases and cost reductions, and to implement those regulatory and compliance
standards necessary for successful commercialization of RYTELO. These third-party manufacturers may not be willing or
able to achieve such capacity increases, cost reductions, or regulatory and compliance standards, and even if they do, such
achievements may not be at commercially reasonable costs. Changing or adding alternative manufacturers may be
prolonged, difficult and expensive, due to inherent technical complexities, regulatory risks, and because the number of
potential manufacturers for oligonucleotide products is limited. It may be difficult or impossible for us to find a
replacement or alternative manufacturer on acceptable terms, or at all.
Table of Contents
48
RISKS RELATED TO OUR OPERATING RESULTS AND FINANCIAL POSITION
We have a history of net losses and may not achieve consistent future profitability for some time, if ever.
We are incurring and have incurred net losses every year since our operations began in 1990, except for
one. As of December 31, 2025, our accumulated deficit was approximately $1.9 billion. Losses have resulted principally
from costs incurred in connection with our research and development activities and from general and administrative costs
associated with our operations. Although we began commercializing RYTELO in June 2024, the commercial potential of
and our ability to successfully commercialize RYTELO remains unproven, and our limited operating history as a
commercial company makes our future operating results difficult to predict. We expect that our sales revenue may continue
to vary from period to period as a result of the evolving effects of our commercialization strategy and as our
commercialization efforts otherwise progress. If we do not generate sufficient revenue from commercial sales of RYTELO,
or if we experience unforeseen events or choose to make other investments in our business, we may continue to experience
negative cash flow as we fund our operations and imetelstat clinical development activities and research programs, and
continue with the commercialization of RYTELO, including as a result of our obligation to pay royalty payments under the
Royalty Pharma Agreement and service our debt obligations. We will need to generate significant revenues to achieve
consistent future profitability, and we may never achieve consistent future profitability. Even if we do become profitable in
the future, we may not be able to sustain or increase profitability on a quarterly or annual basis. Our failure to achieve
consistent future profitability could negatively impact the market price of our common stock and our ability to sustain
operations.
Our operating results are unpredictable and may fluctuate. If our operating results are below the expectations of
securities analysts or investors, the trading price of our common stock could decline.
Our operating results are difficult to predict and will likely fluctuate from quarter to quarter and year to
year. Due to the limited historical sales data of RYTELO in lower-risk MDS since its approval by the FDA in June 2024,
RYTELO sales will be difficult to predict from period to period and as a result, you should not rely on RYTELO sales
results in any period as being indicative of future performance. Sales of RYTELO have in the past been below the
expectations of securities analysts and investors, and sales of RYTELO have been and may in the future be below prior
sequential or prior period sales, our own guidance and/or the expectations of securities analysts and investors. To the extent
that we do not meet our guidance, our financial projections or estimates, or the expectations of analysts or investors, our
stock price may be adversely impacted, perhaps significantly. For example, following releases of earnings for both of the
quarters and years ended December 31, 2025 and 2024, our stock price declined significantly both times. As a result of this
volatility, our stockholders may not be able to sell their common stock at or above the price they paid for their common
stock. We believe that our quarterly and annual results of operations may be affected by a variety of factors, including:
•
the overall level of demand for RYTELO in its approved indication, including across the breadth of the eligible
patient segments;
•
the extent to which coverage and reimbursement for RYTELO is available from government and health
administration authorities, private health insurers, managed care programs and other third-party payors;
•
changes in the amount of deductions from gross sales, including government-mandated rebates, chargebacks and
discounts that can vary because of changes to the government discount percentage, including increases in the
government discount percentage resulting from price increases we may take in the future, or due to different levels
of utilization by entities entitled to government rebates and discounts and changes in patient demographics;
•
increases in the scope of eligibility for customers to purchase RYTELO at the discounted government price or to
obtain government-mandated rebates on purchases of RYTELO;
•
changes in our cost of sales;
•
the timing and level of royalty payments under the Royalty Pharma Agreement;
•
the timing, cost and level of investment in our sales and marketing efforts to support RYTELO sales;
•
the timing, cost and level of investment in our research and development activities involving imetelstat and
potential future product candidates; and
Table of Contents
49
•
expenditures we may incur to develop and/or commercialize any additional products, product candidates, or
technologies that we may develop, in-license, or acquire.
Further, changes in our operations, such as increased development, manufacturing and clinical trial
expenses, or our undertaking of additional programs, business activities, or entry into strategic transactions, including
potential future acquisitions of products, technologies or businesses may also cause significant fluctuations in our expenses.
In addition, we measure compensation cost for stock-based awards made to employees at the grant date of the award, based
on the fair value of the award, and recognize the cost as an expense over the employee’s requisite service period. As the
variables that we use as a basis for valuing these awards change over time, including our underlying stock price, the
magnitude of the expense that we must recognize may vary significantly.
For these and other reasons, it is difficult for us to accurately forecast future sales of RYTELO, operating
expenses or future profits or losses. As a result, our operating results in future periods could be below our guidance or the
expectations of securities analysts or investors, which could cause the trading price of our common stock to further decline,
perhaps significantly.
Our financial projections and estimates are subject to significant risks, assumptions, and uncertainties, and our actual
results may differ materially.
Our financial projections and estimates are subject to significant risks, assumptions, and uncertainties, and
our actual results may differ materially. These projections and estimates include estimates of the total addressable market
for RYTELO, assumptions regarding patient market share and duration of therapy for patients receiving RYTELO, as well
as assumptions regarding our ability to meet demand and assumptions regarding our future costs of goods. These
projections and estimates are subject to various factors beyond our control, including, for example, the level of demand for
RYTELO, the extent to which coverage and reimbursement for RYTELO is available from government and health
administration authorities, private health insurers, managed care programs and other third-party payors, increased costs in
the supply chain, including as a result of increased tariffs, renegotiation of existing international trade agreements,
escalating trade tensions and other trade restrictions, increased labor costs, changes in the regulatory environment, the
impact of global health crises or macroeconomic or other global conditions, and changes in our senior management team.
Our financial projections and estimates constitute forward-looking statements, are for illustrative purposes only and should
not be relied upon as necessarily being indicative of future results. The assumptions and estimates underlying such
financial projections and estimates are inherently uncertain and are subject to a wide variety of significant business,
economic, competitive and other risks and uncertainties. Actual results may differ materially from the results contemplated
by the financial projections. Our independent auditors have not studied, reviewed, compiled or performed any procedures
with respect to the projections, and accordingly, they did not express an opinion or provide any other form of assurance
with respect thereto. While all financial projections, estimates and targets are necessarily speculative, we believe that the
preparation of financial projections involves increasingly higher levels of uncertainty the further out the projection,
estimate or target extends from the date of preparation. Accordingly, there can be no assurance that the prospective results
are indicative of our future performance or that actual results will not differ materially from those presented in the financial
projections or estimates.
Our failure to obtain additional capital, if and when needed, would force us to further delay, reduce or eliminate the
further development of RYTELO, or to halt the commercialization of RYTELO, any of which would severely and
adversely affect our financial results, business and business prospects, and might cause us to cease operations.
Successful drug development and commercialization requires significant amounts of capital. As of
December 31, 2025, we had approximately $401.1 million in cash, cash equivalents, restricted cash and marketable
securities. While we believe that, based on our current operating plans and assumptions, our existing cash, cash
equivalents, and marketable securities, together with anticipated net revenues from sales of RYTELO, will be sufficient to
fund our projected operating requirements for the foreseeable future, if we do not generate net revenues from commercial
sales of RYTELO at the levels we anticipate, if we experience unforeseen events or choose to make other investments in
our business, or our assumptions regarding our projected operating expenses are otherwise incorrect, we may require
additional funding, which could include a combination of public or private equity offerings, debt financings (including
additional tranches, if available, under the Pharmakon Loan Agreement (as defined below), collaborations, strategic
alliances, licensing arrangements or marketing and distribution arrangements, which may not be possible. For example,
changes in our operations, such as increased development, manufacturing and clinical trial expenses, or our undertaking of
additional programs, business activities, or entry into strategic transactions, including potential future acquisitions of
Table of Contents
50
products, technologies or businesses, may cause our operating expenses to increase, perhaps significantly, which could
require us to raise additional funding. If adequate funds are not available to us when we need them, our RYTELO
commercialization efforts may be adversely affected and we may be unable to pursue further development of imetelstat,
which would severely harm our business and we might cease operations.
Despite approval of RYTELO in the U.S. in June 2024 and in the EU in March 2025, the outcome of any
clinical activities and/or regulatory approval process is highly uncertain, and we cannot reasonably estimate whether our
future development activities may succeed, whether we will obtain regulatory approval for RYTELO in any other
jurisdictions or indications we are pursuing or may in the future pursue, or whether we will be able to effectively
commercialize RYTELO for lower-risk MDS in the U.S., the EU or other potential jurisdictions or indications, if at all. We
may never recoup our investment in any RYTELO development, which would adversely affect our financial condition and
our business and business prospects, and might cause us to cease operations. In addition, our plans and timing expectations
could be further delayed or interrupted by the effects of macroeconomic or other global conditions, including those
resulting from further changes in tariffs and other trade restrictions, renegotiation of existing international trade agreements
or further escalation of trade tensions, inflation, fluctuations in interest rates, prospects of a recession, government
shutdowns, bank failures and other disruptions to financial systems, civil or political unrest, military conflicts, pandemics
or other health crises and supply chain and resource issues. Further, our future capital requirements are difficult to forecast
and will depend on many factors, including:
•
the accuracy of the assumptions underlying our estimates for our capital needs;
•
the overall level of sales and market acceptance of RYTELO;
•
the scope, progress, timing, magnitude and costs of non-clinical and clinical development,
manufacturing and commercialization of RYTELO, including commercialization in the
U.S. and any commercialization in the EU for lower-risk MDS, or in any other jurisdictions
or other indication we may pursue, subject to clearances and approvals by the FDA and
similar international regulatory authorities;
•
delays or disruptions in opening sites, screening and enrolling patients or treating and
following patients, in our current or any potential future clinical trials of RYTELO;
•
the costs, timing and outcomes of regulatory reviews or other regulatory actions related to
RYTELO;
•
the costs of preparing, filing and prosecuting patent applications and maintaining, enforcing
and defending intellectual property-related claims;
•
the costs of manufacturing, developing, commercializing and marketing RYTELO,
including with respect to third-party vendors and service providers and our ability to
achieve any meaningful reduction in manufacturing costs;
•
the sales price for RYTELO, including the availability of coverage and adequate third-party
reimbursement for RYTELO;
•
the extent to which we acquire or in-license other drugs and technologies, or invest in
businesses, products or technologies, although we currently have no commitments or
agreements relating to any of these types of transactions, or to which we out-license
RYTELO;
•
the extent to which we are able to enter into and conduct successful commercialization
arrangements with third parties, including for the commercialization and marketing of
RYTELO in the EU and in any other regions outside of the U.S., if approved for
commercialization in such other regions;
•
expenses associated with the pending putative securities class action and shareholder
derivative lawsuits and potential additional related lawsuits, as well as any other litigation;
•
the extent and scope of our selling, general and administrative expenses, including expenses
associated with pending and potential future litigation;
•
our level of indebtedness and associated debt service obligations;
•
the costs of maintaining and operating facilities in California and New Jersey, as well as
higher expenses for travel;
Table of Contents
51
•
macroeconomic or other global conditions that may reduce our ability to access equity or
debt capital or other financing on preferable terms, which may adversely affect future
capital requirements and forecasts; and
•
the costs of enabling our personnel to work remotely, including providing supplies,
equipment and technology necessary for them to perform their responsibilities.
In the event we need to raise additional capital to fund our business, including pursuant to the 2026 Sales
Agreement with TD Cowen (as defined below), the Tranche B Loan and the Tranche C Loan under the Pharmakon Loan
Agreement, which are subject to certain funding conditions; capital lease transactions or other financing sources, such
additional capital may not be available on acceptable terms, or at all. We may be unable to raise equity capital, or may be
forced to do so at a stock price or on other terms that could result in substantial dilution of ownership for our stockholders.
The receptivity of the public and private debt and equity markets to proposed financings has been substantially affected by
uncertainty in the general economic, market and political climate due to the effects of macroeconomic or other global
conditions, such as inflation, fluctuations in interest rates, prospects of a recession, government shutdowns, further changes
in tariffs and other trade restrictions, bank failures and other disruptions to financial systems, civil or political unrest,
military conflicts, pandemics or other health crises and supply chain and resource issues, and may in the future be affected
by other factors which are unpredictable and over which we have no control. These effects have increased market volatility
and could result in a significant long-term disruption of global financial markets, which could reduce or eliminate our
ability to raise additional funds through financings, and could negatively impact the terms upon which we may raise those
funds. Similarly, these macroeconomic conditions have created extreme volatility and disruption in the capital markets and
are expected to have further global economic consequences. If the equity and credit markets deteriorate, it may make any
necessary debt or equity financing more difficult to obtain in a timely manner or on favorable terms, more costly or more
dilutive. If we are unable to effectively commercialize RYTELO, or raise additional capital, if needed, or establish
alternative collaborative arrangements with third-party collaborative partners for RYTELO when needed, the development
and commercialization of RYTELO may be further delayed, altered or abandoned, which might cause us to cease
operations.
In addition, we may seek additional capital due to market conditions or strategic considerations even if we
believe we have sufficient funds for our current or future operating plans. Due to uncertainty in the general economic,
market and political climate, we may determine that it is necessary or appropriate to raise additional funds proactively to
meet longer-term anticipated operating plans. To the extent that we raise additional capital through the sale of equity or
convertible debt securities, including pursuant to the 2026 Sales Agreement, our stockholders may be diluted, and the terms
may include liquidation or other preferences that could materially and adversely affect the rights of our existing
stockholders. In addition, we have borrowed, and in the future may borrow, additional capital from institutional and
commercial banking sources to fund development and our future growth, including pursuant to our Pharmakon Loan
Agreement or potentially pursuant to new arrangements with different lenders. We may borrow funds on terms under
agreements, such as our Pharmakon Loan Agreement, that include restrictive covenants, including covenants limiting or
restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring
dividends. Moreover, if we raise additional funds through alliance, collaborative or licensing arrangements with third
parties, we may have to relinquish valuable rights to RYTELO or our technologies or grant licenses on terms that are not
favorable to us.
RISKS RELATED TO OUR INDEBTEDNESS AND ROYALTY PAYMENT OBLIGATIONS
Our level of indebtedness and debt service obligations could adversely affect our financial condition and may make it
more difficult for us to fund our operations, including by limiting our operating and financial flexibility.
On November 1, 2024, we entered into the Pharmakon Loan Agreement, which we amended on January 5,
2026. We drew the Tranche A Loan of $125.0 million on November 1, 2024 and as of November 1, 2024, the total
outstanding principal amount under the Pharmakon Loan Agreement was $125.0 million. The tranches for the remaining
$125.0 million available to us under the Pharmakon Loan Agreement are as follows: (a) a Tranche B Loan of $75.0
million, which is available for us to request at our option until July 30, 2026, subject to certain customary and limited
conditions; and (b) a Tranche C Loan of $50.0 million, which is available for us to request until July 30, 2026, subject to
certain conditions, including us reaching a specified trailing twelve-month RYTELO revenue milestone on or prior to June
30, 2026. If we do not achieve such revenue milestone within the required timeline, we will not be eligible to draw down
the Tranche C Loan. In addition, before we would consider drawing down any of the remaining tranches under the
Pharmakon Loan Agreement, if available, we must first satisfy ourselves that we will have access to future alternate
Table of Contents
52
sources of capital, such as from commercial revenues or the equity capital markets or debt capital markets, in order to repay
any additional principal borrowed, which we may be unable to do, in which case, our liquidity and ability to fund our
operations may be substantially impaired.
All obligations under the Pharmakon Loan Agreement are secured by substantially all of our assets,
including our intellectual property. Further, the terms of the Pharmakon Loan Agreement place restrictions on our
operating and financial flexibility, and limit or prohibit our ability to dispose of certain assets, change our line of business,
and engage in other significant transactions. Such restrictions will affect, and in many respects limit or prohibit, our ability
and the ability of our subsidiaries to, among other things:
•
dispose of certain assets;
•
change our line of business;
•
engage in mergers, acquisitions or consolidations;
•
incur additional indebtedness;
•
create liens on assets;
•
pay dividends and make contributions or repurchase our capital stock; and
•
engage in certain transactions with affiliates.
This indebtedness may create additional financing risk for us, particularly if our business or prevailing
financial market conditions are not conducive to paying off or refinancing the outstanding debt obligations at maturity. If
we draw down any of the remaining tranches under the Pharmakon Loan Agreement, our indebtedness will increase, which
would further increase our risk of being unable to pay off or refinance our outstanding debt obligations at maturity.
Our indebtedness could also have important negative consequences, including:
•
we will need to repay the indebtedness by making payments of interest and principal, which
will reduce the amount of cash available to finance our operations, our research and
development efforts and other general corporate activities; and
•
our failure to comply with the obligations of our affirmative and restrictive covenants in the
Pharmakon Loan Agreement could result in an event of default that, if not cured or waived,
would permit the Lenders to accelerate our obligation to repay this indebtedness, and the
Lenders could seek to enforce their security interest in the assets securing such
indebtedness.
In addition, we may borrow additional capital in the future to fund clinical development and our future
growth, including pursuant to the Pharmakon Loan Agreement or potentially pursuant to new arrangements with different
lenders. To the extent additional debt is added to our current debt levels, the risks described above could increase.
We may not have cash available in an amount sufficient to enable us to make interest or principal payments on our
indebtedness when due.
Our ability to make scheduled interest payments on or to refinance our indebtedness depends on our future
performance and ability to raise additional sources of cash, which is subject to economic, financial, competitive and other
factors beyond our control. If we are unable to generate sufficient cash to service our debt, we may be required to adopt one
or more alternatives, such as selling assets, restructuring our debt or obtaining additional equity capital on terms that may
be onerous or highly dilutive. If we desire to refinance our indebtedness, our ability to do so will depend on the state of the
capital and lending markets and our financial condition at such time. We may not be able to engage in any of these
activities or engage in these activities on desirable terms, which could result in a default on our debt obligations.
Failure to satisfy our current and future debt obligations under the Pharmakon Loan Agreement or to
comply with certain covenants in the Pharmakon Loan Agreement could result in an event of default, the occurrence and
continuance of which provides the lenders with the right to demand immediate repayment of all outstanding obligations
under the Pharmakon Loan Agreement (and in the case of certain insolvency, liquidation, bankruptcy or similar events,
automatically requires immediate repayment of all outstanding obligations under the Pharmakon Loan Agreement), and to
Table of Contents
53
exercise remedies against us and the collateral securing the Pharmakon Loan Agreement. These events of default include,
among other things:
•
insolvency, liquidation, bankruptcy or similar events;
•
failure to observe covenants under the Pharmakon Loan Agreement and ancillary collateral
documents, which failure, in certain limited cases, is not cured within 10 or 20 days;
•
the occurrence of a withdrawal event in respect to RYTELO;
•
the occurrence of a material adverse change;
•
material misrepresentations;
•
certain cross-default of third-party indebtedness or certain default or termination events of
hedging assessments;
•
certain money judgments being entered against us which are not timely paid, discharged or
stayed; and
•
our assets are attached or seized.
In the event of default, the lenders could accelerate all of the amounts due under the Pharmakon Loan
Agreement. Under such circumstances, we may not have enough available cash or be able to raise additional funds through
equity or debt financings to repay such indebtedness at the time of such acceleration. We may be required to delay, limit,
reduce or terminate our RYTELO development or commercialization efforts or grant to others rights to develop and market
RYTELO. The lenders could also exercise their rights to take possession and dispose of the collateral securing the
Pharmakon Loan Agreement, which collateral includes substantially all of our property including, without limitation, our
intellectual property, subject to certain exceptions. Our business, financial condition and results of operations could be
materially adversely affected as a result of any of these events.
The Royalty Pharma Agreement places certain restrictions on our operational flexibility.
The Royalty Pharma Agreement contains covenants that impose on us certain obligations with respect to
royalty payments, diligence, reporting, indemnification and includes restrictions on intellectual property transfers and out-
licenses, and certain other actions. For example, we are obligated to make royalty payments each quarter based on U.S. net
sales of RYTELO at the royalty rates set forth in the Royalty Pharma Agreement, until the date when the aggregate Royalty
Payments equal or exceed 1.65 times the Purchase Price, if this occurs by June 30, 2031. However, in the event we are
unable to repay our obligation to Royalty Pharma before June 30, 2031, we will be required to make royalty payments
equal to or exceeding 2.0 times the Purchase Price thereafter, which may negatively impact our business, financial
condition and results of operations. The Royalty Pharma Agreement also limits our ability to create or incur liens or
dispose of certain assets related to imetelstat. We have no rights to repurchase the revenue interests in RYTELO sold to
Royalty Pharma (other than in connection with a change of control event), thereby limiting our ability to eliminate future
applicability of the covenants contained in the Royalty Pharma Agreement. Compliance with these covenants may limit our
flexibility in operating our business and our ability to take actions that might otherwise be advantageous to us and our
stockholders.
RISKS RELATED TO PROTECTING OUR INTELLECTUAL PROPERTY
If we are unable to obtain and maintain sufficient intellectual property protection and relevant regulatory exclusivities
for RYTELO, both in the U.S. and in other countries, our competitors could develop and commercialize products similar
or identical to RYTELO, and our ability to successfully commercialize RYTELO may be adversely affected.
Protection of our proprietary technology is critically important to our business. Our success and the success
of our commercialization and planned future development of RYTELO will depend on our ability to protect our
technologies and RYTELO through patents, regulatory exclusivity, and other intellectual property rights. Our success will
depend in part on our ability to obtain, maintain, enforce, and extend our patents and maintain trade secrets, both in the
U.S. and in other countries.
Table of Contents
54
As a result of the Leahy-Smith America Invents Act, or the AIA, in March 2013, the U.S. transitioned to a
first-inventor-to-file system under which, assuming the other requirements for patentability are met, the first inventor to file
a patent application is entitled to the patent. However, since the publication of discoveries in scientific or patent literature
tends to lag behind actual discoveries by at least several months and sometimes several years, we are not able to be certain
upon filing a patent application that the persons or entities that we name as inventors or applicants in our patent
applications were the first to invent the inventions disclosed therein, or the first to file patent applications for these
inventions. Thus, our ability to protect our patentable intellectual property depends, in part, on our ability to be the first to
file patent applications with respect to our inventions, or inventions that were developed by our former collaboration
partner and assigned to us, for the future development, commercialization and manufacture of RYTELO. As a result, if we
are not the first inventor-to-file, we may not be able to obtain patents for discoveries that we otherwise would consider
patentable and that we consider to be significant to the future success of RYTELO. Delay in the filing of a patent
application for any purpose, including further development or refinement of an invention, may result in the risk of loss of
patent rights.
The issuance of a patent is not conclusive as to its inventorship, scope, validity or enforceability, and our
patents may be challenged in the courts or patent offices in the U.S. and in other countries. Such challenges may result in
loss of exclusivity or in patent claims being narrowed, invalidated, or held unenforceable, which could limit our ability to
stop others from using or commercializing RYTELO or our technology and/or limit the duration of the patent protection
for RYTELO and our technology.
While we have method-of-use patents that protect the use of RYTELO for the treatment of certain diseases,
this type of patent does not prevent a generic competitor from making and marketing a product that is identical to RYTELO
for an indication that is outside the scope of our approved use after our composition-of-matter patents or their patent term
extensions, and any regulatory exclusivities have expired. Moreover, even if competitors do not actively promote their
product for our approved indications, physicians may prescribe or use these generic products “off-label,” which would
result in decreased sales for us.
In addition to our patents covering RYTELO, we also expect to rely on regulatory exclusivity, including
orphan drug exclusivity of up to seven years in the U.S. and ten years in the EU following approval, to protect our rights to
commercialize RYTELO for its approved uses, but such regulatory exclusivity may be limited or withdrawn. See “Risks
Related to Regulatory Approval of RYTELO -- Although orphan drug designation has been granted to RYTELO for the
treatment of MDS and MF in the U.S. and in the EU, these designations may not be maintained, which would eliminate the
benefits associated with orphan drug designation, including market exclusivity, which could limit the period of exclusivity
we are able to maintain for the commercialization of RYTELO, and would likely harm our business and business
prospects.”
In addition to orphan drug exclusivity, we expect to rely on other forms of regulatory exclusivity to protect
our ability to commercialize RYTELO. In the U.S., New Chemical Entity, or NCE, exclusivity would entitle us to four
years of data exclusivity and one year of market exclusivity, for a total of five years of NCE exclusivity from the date of
approval of the first-approved indication. Our request for NCE exclusivity is still pending with FDA, and might not be
awarded or could be awarded and then later withdrawn. In the EU, imetelstat is designated as a New Active Substance, or
NAS. For this NAS, regulatory data protection entitles us to eight years of data exclusivity and two years of market
exclusivity, for a total of ten years in parallel to orphan market exclusivity.
In the event that we are unsuccessful in obtaining, maintaining, enforcing and extending our patents and
other intellectual property rights or having our licensors maintain the intellectual property rights we have licensed, the
value of RYTELO and/or our technologies will be adversely affected, and we may not be able to further develop or
commercialize RYTELO. Furthermore, such loss of intellectual property rights could impair our ability to exclude others
from commercializing products similar or identical to RYTELO and therefore result in decreased sales for us. Occurrence
of any of these events would materially and adversely affect our financial results, business and business prospects, and
might cause us to cease operations.
Obtaining and maintaining our patent rights depends on compliance with various procedural, document submission, fee
payment and other requirements imposed by governmental patent agencies, and our patent protection could be reduced
or eliminated for noncompliance with these requirements.
The U.S. Patent and Trademark Office, or USPTO, and various governmental patent agencies in other
countries require compliance with a number of procedural, documentary, fee payment, periodic maintenance fees, renewal
Table of Contents
55
fees, annuity fees and various other government fees on patents and/or patent applications. Failure to respond to official
actions within prescribed time limits, and nonpayment of fees, for example, maintenance fees, renewal fees, and annuity
fees, could result in abandonment or lapse of a patent or patent application, resulting in partial or complete loss of patent
rights in the jurisdiction. In such an event, potential competitors might be able to enter the market with the same or similar
products to RYTELO, and this circumstance could harm our financial condition, business and business prospects. In
addition, if we are responsible for patent prosecution and maintenance of patent rights in-licensed to us or jointly owned
with us, any of the foregoing could expose us to liability to the applicable patent owner or patent co-owner.
Patent terms may be inadequate to protect our competitive position on RYTELO for an adequate amount of time.
Patents have a limited lifespan. In the U.S., the natural expiration of a patent is generally 20 years after its
first effective nonprovisional filing date. As a result, our intellectual property may not provide us with sufficient patent
rights to exclude others from commercializing products similar or identical to RYTELO.
In the U.S., the Hatch-Waxman Act permits one patent per approved product to receive one patent term
extension of up to five years beyond its normal expiration. The USPTO, in consultation with the FDA, reviews and
approves the application for any patent term extension or restoration. The length of the patent term extension is typically
calculated as one half of period between the effective date of an IND and the submission date of an NDA less any time the
sponsor did not act with due diligence during the period, plus the time between the submission date of an NDA and the
approval of that application less any time the sponsor did not act with due diligence during the period. There is also a limit
on the patent term extension to a term that is no greater than fourteen years from drug approval. We have applied to the
USPTO for patent term extension of some of our patents. Currently, communication of patent term extension approval and
the length of the granted extension period by the USPTO may occur up to several years from filing of an application for
patent term extension. If the USPTO and the FDA determine the extension period for each proposed eligible patent, we will
select the one patent to be extended. We expect to apply any patent term extension that is granted in the U.S. to our method
of treatment patent for MDS and MF that expires on March 15, 2033. If such patent term extension is granted, we expect
the term of the patent to extend through August 2037, although such timing is subject to approval by the USPTO and could
differ from our calculation.
Similar extensions are also available in certain countries and territories outside the U.S., such as in Japan,
and in Europe as Supplementary Protection Certificates, or SPCs. However, we might not be granted a patent term
extension at all because of failure to satisfy any of the numerous applicable requirements, including:
•
failure to adhere to the required filing deadlines;
•
submission of a patent term extension application after the underlying patents have expired;
•
failure to exercise due diligence during clinical development or regulatory review; or
•
failure to otherwise meet the applicable criteria.
Moreover, the applicable authorities, including the FDA and the USPTO in the U.S., and any equivalent
regulatory authorities and patent offices in other countries, may not agree with our assessment of whether such extensions
are available, may refuse to grant extensions to our patents, or may grant more limited extensions than we request and
could be less than five years. If we select and are granted a patent term extension on a recently filed and issued patent, we
may not receive the full benefit of a possible patent term extension, if at all. If we do not have sufficient patent life and
regulatory exclusivity to protect RYTELO, our financial results, business and business prospects would be materially and
adversely affected, which might cause us to cease operations.
In Europe and other jurisdictions, our composition of matter patent coverage expired in September 2024,
and our method of treatment patent rights for MDS and MF expire in November 2033. Our method of treatment patents
may be eligible for patent term extension of up to five years under an SPC, permitted under European Council (EC)
Regulation No. 469/2009, or the European SPC Regulation, upon receipt of marketing authorization, such as, for example,
our method of treatment patent for MDS. In Europe, we have separate method of treatment patents covering MDS and MF,
and an SPC may only be applied for once with respect to a product. Accordingly, in countries of the European Economic
Area, or EEA, we must rely on regulatory exclusivity and our method of treatment patents.
Table of Contents
56
If regulatory approval of RYTELO occurs after a patent has expired in a country that does not allow interim
patent term extensions, as is the case in many jurisdictions and territories including in Europe, we will be unable to obtain
any patent term extension of that expired patent, and the duration of our patent rights may be limited. Accordingly, in
Europe and such other similar jurisdictions and territories, we will not be able to seek patent term extension of our
composition of matter patent, as it expired in September 2024. If we do not have sufficient patent life and regulatory
exclusivity to protect RYTELO, our financial results, business and business prospects would be materially and adversely
affected, which might cause us to cease operations.
Additionally, there are regulations for the listing of patents in the Approved Drug Products with
Therapeutic Equivalence Evaluations, or the Orange Book. Some of our patents have been listed in the Orange Book.
Manufacturers of generic drugs may challenge the listing. If an appropriate patent covering RYTELO is not listed in the
Orange Book or is subsequently removed from the Orange Book, a manufacturer of generic drugs would not be required to
provide advance notice to us of any abbreviated NDA filed with the FDA to obtain permission to sell a generic version of
RYTELO. Any of the foregoing could harm our competitive position, business, financial condition, results of operations
and prospects.
The validity, scope and enforceability of any patents listed in the Orange Book that cover RYTELO or its methods of use
can be challenged by third parties and may not protect us from generic or innovator competition.
If a third party files an application under Section 505(b)(2) of the FDCA or an abbreviated new drug
application, or ANDA, under Section 505(j) to obtain permission to sell a generic or follow-on version of RYTELO, and
relies in whole or in part on studies conducted by or for us, the third-party will be required to certify to the FDA that either:
(1) there is no patent information listed in the Orange Book with respect to our NDA for RYTELO; (2) the patents listed in
the Orange Book have expired; (3) the listed patents have not expired, but will expire on a particular date and approval is
sought after patent expiration; or (4) the listed patents are invalid or will not be infringed by the manufacture, use or sale of
the third-party’s generic product. A certification that the new product will not infringe the Orange Book-listed patents for
RYTELO, or that such patents are invalid, is called a paragraph IV certification. If the third-party submits a paragraph IV
certification to the FDA, a notice of the paragraph IV certification must also be sent to us within 20 days after the third-
party’s ANDA is accepted for filing by the FDA. We may then initiate a lawsuit to defend the patents identified in the
notice. The filing of a patent infringement lawsuit within 45 days of receipt of the notice automatically prevents the FDA
from approving the third-party’s ANDA until the earliest of 30 months after the NDA holder’s receipt of the notice of
Paragraph IV Certification, the expiration of the patent, certain settlements of the lawsuit, or the court reaches a decision in
the infringement lawsuit in favor of the third-party. If the product has NCE exclusivity and the notice is given and the suit
filed in the fifth year of exclusivity, the regulatory stay extends until 7.5 years after approval of the reference product. If
we do not file a patent infringement lawsuit within the required 45-day period, the third-party’s ANDA will not be subject
to the 30-month stay of FDA approval. However, if an appropriate patent covering RYTELO is not listed in the Orange
Book or is subsequently removed from the Orange Book, a manufacturer of generic drugs would not be required to provide
advance notice to us of any abbreviated NDA filed with the FDA to obtain permission to sell a generic version of
RYTELO. Any of the foregoing could harm our competitive position, business, financial condition, results of operations
and prospects.
Our issued U.S. patents covering RYTELO or its methods of use may not provide adequate protection from
competitive products if competitors receive approval of an ANDA application or are able to design around the patents. One
or more competitors may circumvent these patents by filing a marketing application with the FDA for a competitive
product containing the active moiety in RYTELO and successfully challenging the validity of the patents or successfully
designing around the patents. Any successful challenge and/or designing around one or more of the patents could result in a
generic version of RYTELO being commercialized before the expiration of the patents.
If the patents covering RYTELO or its methods of use are successfully challenged or designed around, or if
we are unsuccessful in enforcing our patents against generics, we could face competition prior to the expiration of these
patents, which could have a material adverse effect on our business, financial condition, results of operations and prospects.
Table of Contents
57
Changes in U.S. or international patent law or interpretations of such patent laws could diminish the value of our
patents in general, thereby impairing our ability to protect our technologies and RYTELO.
The patent positions of pharmaceutical and biopharmaceutical companies, including ours, are highly
uncertain and involve complex legal and technical questions. In particular, legal principles for biotechnology and
pharmaceutical patents in the U.S. and in other countries are evolving, and the extent to which we will be able to obtain
patent coverage to protect our technologies and RYTELO, or enforce or defend issued patents, is uncertain.
For instance, the U.S. has enacted and implemented wide-ranging patent reform legislation, including AIA,
signed into law on September 16, 2011. The U.S. Supreme Court has ruled on several patent cases in recent years, either
narrowing the scope of patent protection available in certain circumstances or weakening the rights of patent owners in
certain situations. Depending on actions by Congress, the federal courts, and the USPTO, the laws and regulations
governing patents could change in unpredictable ways that would weaken our ability to obtain new patents or to enforce
our existing patents or patents that we might obtain in the future. Similarly, changes in patent law, regulations in other
jurisdictions or the governmental bodies that enforce them or changes in how the relevant governmental authority enforces
patent laws or regulations may weaken our ability to obtain new patents or to enforce our existing patents or patents that we
may obtain in the future. Occurrence of these events and/or significant impairment of our RYTELO patent rights could
severely and adversely affect our financial results, business and business prospects, which might cause us to cease
operations.
In 2012, the European Patent Package, or EU Patent Package, was approved and included regulations with
the goal of providing for the possibility of a single Unitary Patent covering the Contracting Member States, and a new
Unified Patent Court, or UPC, for litigation of Unitary Patents and as well as European patents not opted out from the UPC
system. The EU Patent Package entered into force fully in June 2023 and currently covers 18 EU Member States. As of
June 1, 2023, all European patents, including those issued prior to June 1, 2023 in principle fall under the jurisdiction of the
UPC and allow for the possibility of obtaining injunctions for the UPC Member States and are at risk of central revocation
at the UPC in participating UPC Member States. Under the EU Patent Package, patent holders are permitted to “opt out”
their European patents (but not their Unitary Patents) from the UPC on a patent-by-patent basis during an initial seven year
transitional period after June 1, 2023. Owners of European patent applications who receive notice of grant after the EU
Patent Package came into effect could, for the UPC Member States, either obtain a Unitary Patent or validate the European
patent nationally and optionally file an opt-out demand. The EU Patent Package may increase the uncertainties and costs
surrounding the enforcement or defense of our issued European patents and pending applications. The full impact on future
European patent filing strategy and the enforcement or defense of our issued European patents in European jurisdictions
and/or the UPC is not fully known.
Filing, prosecuting, maintaining, defending and enforcing patents for RYTELO and our technologies in all
countries throughout the world would be prohibitively expensive, and our intellectual property rights in some countries
outside the U.S. are less extensive than those in the U.S. The requirements for patentability may differ in certain countries,
particularly in developing countries; thus, even in countries where we do pursue patent protection, there can be no
assurance that any patents will be issued with claims that cover RYTELO and our technologies.
We may be involved in lawsuits to protect or enforce our patents or other intellectual property rights, which could be
expensive, time consuming and unsuccessful, and which could result in the invalidity or unenforceability of our patents
covering RYTELO or its methods of use.
Competitors may infringe, misappropriate or otherwise violate our patents or other intellectual property
rights. To counter infringement or unauthorized use, we may be required to file and prosecute legal claims against one or
more third parties, which can be expensive and time-consuming, even if ultimately successful.
The initiation of a claim against a third party by us may also cause the third party to bring counter claims
against us, such as claims asserting that our patents are invalid or unenforceable. Grounds for a validity challenge could be
an alleged failure to meet any of several statutory requirements, including lack of novelty, obviousness, non-enablement or
lack of written description or non-statutory subject matter. Grounds for an unenforceability assertion could be an allegation
that someone connected with prosecution of the patent withheld relevant material information from the USPTO, or made a
materially misleading statement, during prosecution. Third parties may also raise similar validity claims before the USPTO
Table of Contents
58
in post-grant proceedings such as ex parte reexaminations, inter partes review, or IPR, or post-grant review, or oppositions
or similar proceedings outside the U.S., in parallel with litigation or even outside the context of litigation.
In an infringement proceeding, a court may decide that a patent of ours is not valid or is unenforceable, or
may refuse to stop the other party from using the technology at issue on the grounds that our patents do not cover the
technology in question. The standards that courts use to interpret patents are not always applied predictably or uniformly
and can change, particularly as new technologies develop. As a result, we cannot predict with certainty how much
protection, if any, will be given to our patents if we attempt to enforce them and they are challenged in court and if any
such lawsuits will ultimately be resolved successfully. Further, even if we prevail, the infringer may file an appeal and the
court judgment may be overturned and/or that an adverse decision may be issued by an appeals court relating to the validity
or enforceability of our patents. An adverse result in any litigation or defense proceedings could put one or more of our
patents at risk of being invalidated or interpreted narrowly in a manner insufficient to achieve our business objectives. Even
if we establish infringement, we may not seek, or the court may decide not to grant, an injunction against further infringing
activity and instead award only monetary damages, which may or may not be an adequate remedy.
If a defendant were to prevail on a legal assertion of invalidity or unenforceability, we would lose at least
part, and perhaps all, of any future patent protection for RYTELO, which could have a material adverse effect on our
business, financial condition, results of operations and prospects. Additionally, any adverse outcome could allow third
parties to commercialize RYTELO and compete directly with us, without payment to us.
Furthermore, if we are engaged in intellectual property litigation, there would be public announcements of
filings, briefings, hearings, motions or other interim proceedings or developments. If securities analysts or investors
perceive these events to be negative, it could have an adverse effect on the price of our common stock.
Many companies have encountered significant problems in protecting and defending intellectual property
rights in jurisdictions outside the U.S. The legal systems of certain countries, particularly certain developing countries, do
not favor the enforcement of patents, trade secrets and other intellectual property protection, particularly those relating to
biotechnology and pharmaceutical products, which could make it difficult for us to stop the infringement of our patents or
marketing of competing products in violation of our proprietary rights generally. For example, many countries outside the
U.S. have compulsory licensing laws under which a patent owner must grant licenses to third parties. Proceedings to
enforce our patent rights in jurisdictions outside the U.S. could result in substantial costs and divert our efforts and
attention from other aspects of our business, and could put our patents at risk of being invalidated or interpreted narrowly.
We may not be able to protect our intellectual property rights in the U.S or worldwide and challenges to our owned or
licensed patent rights would result in costly and time-consuming legal proceedings that could prevent or limit
development or commercialization of RYTELO.
Our patents or those patent rights we have licensed, including patent rights that we may seek with respect to
inventions made by past or future collaborators, may be challenged through administrative or judicial proceedings, which
could result in the loss of important patent rights. For example, where more than one party seeks U.S. patent protection for
the same technology in patent applications that are subject to the law before the implementation of the AIA, the USPTO
may declare an interference proceeding in order to ascertain the party to which the patent should be issued. Patent
interferences are typically complex, highly contested legal proceedings, subject to appeal. They are usually expensive and
prolonged and can cause significant delays in the issuance of patents. Our pending patent applications or our issued patents,
or those we have licensed and may license from others, may be drawn into interference proceedings or be challenged
through post-grant review procedures or litigation, any of which could delay or prevent the issuance of patents, or result in
the loss of issued patent rights. We may not be able to obtain from our past or future collaborators the information needed
to support our patent rights which could result in the loss of important patent rights.
Under the AIA, interference proceedings between patent applications filed on or after March 16, 2013, have
been replaced with other types of proceedings, including derivation proceedings. The AIA also includes post-grant review
procedures subjecting U.S. patents to post-grant review procedures similar to European oppositions, such as IPR, covered
business method post-grant reviews and other post-grant reviews. This applies to all our U.S. patents and those we have
licensed and may license from others, even those issued before March 16, 2013. A third party could attempt to use the
USPTO procedures to invalidate patent claims that would not have been invalidated if first challenged by the third party as
a defendant in a district court action. U.S. patents owned or licensed by us may therefore be subject to post-grant review
procedures, as well as other forms of review and re-examination. In addition, the IPR process under the AIA permits any
person, whether they are accused of infringing the patent at issue or not, such as entities associated with hedge funds, to
Table of Contents
59
challenge the validity of certain patents. Significant impairment of our RYTELO patent rights could severely and adversely
affect our financial results, business and business prospects, which might cause us to cease operations.
Certain jurisdictions, such as Europe, China, Japan, New Zealand and Australia, permit third parties to file
third party observations, oppositions or invalidation trials against granted patents and/or patent applications. Because we
seek to enable potential global commercialization of RYTELO, securing both proprietary protection and freedom to operate
outside of the U.S. is important to our business.
Third party proceedings such as oppositions and invalidation trials require significant time and costs, and if
we are unsuccessful or are unable to commit these types of resources to protect our RYTELO patent rights, we could lose
our patent rights and we could be prevented or limited in the development and commercialization of RYTELO.
As more groups become engaged in scientific research and product development in the areas of telomerase
biology and hematologic malignancies, the risk of our patents, or patents that we have in-licensed, being challenged
through patent interferences, derivation proceedings, IPRs, post-grant proceedings, oppositions, invalidation trials, re-
examinations, litigation or other means will likely increase. Challenges to our patents through these procedures would be
extremely expensive and time-consuming, even if the outcome was favorable to us. An adverse outcome in a patent dispute
could severely harm our ability to further develop or commercialize RYTELO, or could otherwise have a material adverse
effect on our business, and might cause us to cease operations, by:
•
causing us to lose patent rights in the relevant jurisdiction(s);
•
subjecting us to litigation, or other types of proceedings aimed at preventing us from
commercializing RYTELO in the relevant jurisdiction(s);
•
requiring us to obtain licenses to certain patents and patent applications;
•
forcing us to cease using the disputed technology; or
•
requiring us to develop or obtain alternative technologies.
We may be subject to infringement claims that are costly to defend, and such claims may limit our ability to use disputed
technologies and prevent us from pursuing research, development, manufacturing or commercialization of RYTELO.
The commercial success of RYTELO will depend upon our ability to research, develop, manufacture,
market and sell RYTELO without infringing or otherwise violating the intellectual property and other proprietary rights of
third parties. There is considerable intellectual property litigation in the biotechnology and pharmaceutical industries, and
many pharmaceutical companies, including potential competitors, have substantial patent portfolios. Since we cannot be
aware of all intellectual property rights potentially relating to RYTELO and its uses, we do not know with certainty that
RYTELO, or the commercialization thereof, does not and will not infringe or otherwise violate any third party’s
intellectual property. For example, we are aware that certain third parties have or may be prosecuting patents and patent
estates that may relate to RYTELO, and while these patents have expired, or we believe that a reasonable court should find
they are invalid and/or would not be infringed by the manufacture, use or sale of RYTELO, it is possible that the owner(s)
of these patents will assert claims against us in the future.
In the event our technologies infringe the rights of others or require the use of discoveries and technologies
controlled by third parties, we may be prevented from pursuing research, development, manufacturing or
commercialization of RYTELO, or may be required to obtain unblocking licenses from such third parties, develop
alternative non-infringing technologies, which we may not be able to do at an acceptable cost or on acceptable terms, or at
all, or cease the commercialization and continued development of RYTELO. If we are unable to resolve an infringement
claim successfully, we could be subject to an injunction that would prevent us from commercializing RYTELO and could
also require us to pay substantial damages.
In addition, while our past collaboration agreements have terminated, we are still subject to indemnification
obligations to certain collaborators, including with respect to claims of third-party patent infringement. In addition to
infringement claims, in the future we may also be subject to other claims relating to intellectual property, such as claims
that we have misappropriated the trade secrets of third parties. Our success therefore depends significantly on our ability to
operate without infringing patents and the proprietary rights of others.
Table of Contents
60
We may become aware of discoveries and technologies controlled by third parties that are advantageous or
necessary to further develop or manufacture RYTELO. Under such circumstances, we may initiate negotiations for licenses
to other technologies as the need or opportunity arises. We may not be able to obtain a license to a technology required to
pursue the research, development, manufacturing or commercialization of RYTELO on commercially favorable terms, or
at all, or such licenses may be terminated on certain grounds, including as a result of our failure to comply with any
material obligations under such licenses. If we do not obtain a necessary license or if such a license is terminated, we may
need to redesign such technologies or obtain rights to alternative technologies, which may not be possible, and even if
possible, could cause further delays in the development efforts for RYTELO and could increase the development and/or
production costs of RYTELO. In cases where we are unable to license necessary technologies, we could be subject to
litigation and prevented from pursuing research, development, manufacturing or commercialization of RYTELO, which
would materially and adversely impact our business. Failure by us to obtain rights to alternative technologies or a license to
any technology that may be required to pursue research, development, manufacturing or commercialization of RYTELO
would further delay current and potential future clinical trials of RYTELO and any applications for regulatory approval,
impair our ability to sell RYTELO, and therefore result in decreased sales of RYTELO for us. Occurrence of any of these
events could materially and adversely affect our business and might cause us to cease operations.
We have a registered trademark, RYTELO, for our product and failure to maintain such trademark could adversely
affect our business.
We have a registered trademark, RYTELO, which is the commercial trade name for imetelstat, in a number
of countries and regions, including in the U.S. and Europe. Our product trademark, RYTELO, is approved for use as name
of the imetelstat medicinal product by the FDA and the EC. Opposition or cancellation proceedings, however, may be filed
against our trademarks, and our trademarks may not survive such proceedings. If our U.S. trademark application which
forms the basis for our international registration, or IR, for our commercial trade name is withdrawn or abandoned within
the first five years of our IR, we will lose our IR registrations which could adversely affect our business. We may be unable
to maintain or enforce our current and future trademarks, and if we fail to satisfy the applicable regulatory requirements,
we may not have enforceable trademark rights or registrations in such jurisdictions.
We may become involved in disputes with past or future collaborator(s) over intellectual property inventorship,
ownership or use, and publications by us, or by investigators, scientific consultants, research collaborators or others.
Such disputes could impair our ability to obtain patent protection or protect our proprietary information, which, in
either case, could have a significant impact on our business.
Inventions discovered under research, material transfer or other collaboration agreements may become
jointly owned by us and the other party to such agreements in some cases and may be the exclusive property of either party
in other cases. Under some circumstances, it may be difficult to determine who invents and owns a particular invention, or
whether it is jointly owned, and disputes can arise regarding inventorship, ownership and use of those inventions. These
disputes could be costly and time-consuming, and an unfavorable outcome could have a significant adverse effect on our
business if we are not able to protect or license rights to these inventions. In addition, clinical trial investigators, scientific
consultants and research collaborators generally have contractual rights to publish data and other proprietary information,
subject to review by the trial sponsor. Publications by us, or by investigators, scientific consultants, previous employees,
research collaborators or others, either with permission or in contravention of the terms of their agreements with us or with
our past or future collaborators, may impair our ability to obtain patent protection or protect proprietary information, which
could have a material adverse effect on our business and might cause us to cease operations.
Much of the information and know-how that is critical to our business is not patentable, and we may not be able to
prevent others from obtaining this information and establishing competitive enterprises.
In addition to patent and trademark protection, we rely on trade secrets to protect our proprietary
technology, especially in circumstances in which we believe patent protection is not appropriate or available. We attempt to
protect our proprietary technology in part by entering into confidentiality agreements with our employees, consultants,
collaborators and contractors. However, certain consultants and third parties with whom we have business relationships,
and to whom in some cases we have disclosed trade secrets and other proprietary knowledge, may also provide services to
other parties in the medical device/pharmaceutical industry, including companies, universities and research organizations
that are developing competing products. In addition, some of our former employees who were exposed to certain of our
trade secrets and other proprietary knowledge in the course of their employment may seek employment with, and become
employed by, our competitors. We cannot provide assurance that these agreements will not be breached, that we would
Table of Contents
61
have adequate remedies for any breach, or that our trade secrets will not otherwise become known or be independently
discovered by competitors, any of which would harm our business significantly.
Trade secret protection does not prevent independent discovery of the technology or proprietary
information or use of the same. Competitors may independently duplicate or exceed our technology in whole or in part. If
any of our trade secrets were to be lawfully obtained or independently developed by a competitor, we would have no right
to prevent them, or those to whom they communicate it, from using that technology or information to compete with us in
countries where we do not have patent protection.
RISKS RELATED TO MANAGING OUR GROWTH AND OTHER BUSINESS OPERATIONS
Our strategic restructuring plan and the associated workforce reduction implemented in December 2025 may not result
in anticipated savings and long-term value creation, could result in total costs and operating expenses that are greater
than expected and could disrupt our business.
In connection with our strategic restructuring plan announced in December 2025, we implemented a
workforce reduction, representing approximately one-third of our workforce prior to the reduction in headcount. We may
not realize, in full or in part, the anticipated benefits on our 2026 operating expenses from our restructuring efforts due to
unforeseen difficulties, delays or unexpected costs. We incurred approximately $17.0 million in restructuring and
restructuring-related charges for the year ended December 31, 2025, primarily consisting of one-time employee severance
payments, healthcare and related benefits, and other employee-related costs, and we estimate the workforce reduction will
be substantially completed in the first quarter of 2026. If we are unable to realize the expected operational efficiencies and
cost savings from the restructuring, our operating results and financial condition could be adversely affected. We also
cannot guarantee that we will not have to undertake additional workforce reductions or restructuring activities in the future.
Furthermore, our workforce reduction may be disruptive to our operations, or could yield unanticipated consequences, such
as attrition beyond planned staff reductions, or disruptions in our day-to-day operations. Our workforce reductions could
also harm our ability to attract and retain qualified management, scientific, clinical, and manufacturing personnel who are
critical to our business. Any failure to attract or retain qualified personnel could prevent us from successfully developing
and commercializing our product candidates in the future, if approved.
We may be unable to successfully retain or recruit key personnel to support the commercialization and further
development of RYTELO or to otherwise successfully manage our growth.
Our ability to successfully commercialize RYTELO in the U.S. and in the EU for lower-risk MDS, and to
continue to develop RYTELO in other myeloid hematologic malignancies depends to a significant extent on the skills,
experience and efforts of our executive officers and key members of our staff. In addition, we need to recruit, maintain,
motivate and integrate additional personnel with expertise and experience in sales, marketing, market access, commercial
operations, pricing, clinical science, biostatistics, clinical operations, pharmacovigilance, quality, manufacturing, regulatory
affairs, medical affairs, legal affairs, and compliance to enable us to further commercialize and further develop RYTELO.
We face intense competition for qualified individuals from numerous pharmaceutical, biopharmaceutical
and biotechnology companies, as well as academic and other research institutions, and competition in our geographic
regions is particularly intense. The substantial risks and uncertainties related to our commercialization and further
development of RYTELO, and the risks and uncertainties regarding our future business viability could have an adverse
impact on our ability to retain and recruit qualified personnel. We may also face higher than expected personnel costs in
order to attract new personnel due to shortages in qualified applicants, or to maintain our current management and
personnel due to the increased number of opportunities in the biotechnology sector. If we are unable to successfully retain,
motivate and incentivize our existing personnel, or to attract, assimilate and retain other highly qualified personnel in the
future on acceptable terms, our ability to commercialize and further develop RYTELO will be impaired, and our business
and the price of our common stock would be adversely impacted.
In addition, our personnel are currently performing their duties in multiple jurisdictions, and if we are
unable or fail to comply with employment, tax, benefits and other laws in such jurisdictions, we may face penalties, fines or
litigation.
Our future financial performance and our ability to develop, manufacture and commercialize RYTELO
depends, in part, on our ability to effectively manage any future growth. Our management may have to divert financial and
other resources, as well as devote a substantial amount of time, to managing growth activities, such as enhancing
Table of Contents
62
operational, financial and management processes and systems. If we do not effectively manage the expansion of our
operations, we could experience weaknesses in our infrastructure and ability to comply with applicable legal and regulatory
requirements and regulations, operational mistakes or shortcomings, loss of business opportunities, loss of employees and
reduced productivity among remaining employees.
Management transition creates uncertainties and could harm our business.
Over the past few years, we have experienced significant changes in executive leadership, and more could
occur. For example, on August 6, 2025, we announced the appointment of Harout Semerjian as our President and Chief
Executive Officer and a member of our board of directors, effective August 7, 2025. In addition, in October 2025, we
appointed a new EVP, Chief Commercial Officer and in November 2024, we appointed a new EVP of Research and
Development. Additionally, in connection with our strategic restructuring plan announced in December 2025, we
implemented a workforce reduction, representing approximately one-third of our workforce prior to the reduction in
headcount. Changes to company strategy, which can often times occur with the appointment of new executives and
departure of prior executives, can create uncertainty, may negatively impact our ability to execute quickly and effectively,
and may ultimately be unsuccessful. In addition, executive leadership transition periods are often difficult as the new
executives gain detailed knowledge of our operations, and friction can result from changes in strategy and management
style. Management transition inherently causes some loss of institutional knowledge, which may have a disruptive impact
on our ability to implement our strategy and could have a material adverse effect on our financial condition and our
business and business prospects can negatively affect strategy and execution. Until we integrate new personnel, and unless
they are able to succeed in their positions, we may be unable to successfully manage and grow our business, and our results
of operations and financial condition could suffer as a result.
Although we intend to establish potential future collaborative arrangements for RYTELO, we may be unable to
establish such collaborative arrangements on acceptable terms, or at all, and may have to delay, alter or abandon
commercialization or further development of RYTELO.
We intend to develop RYTELO broadly for hematologic malignancies, and to continue to commercialize,
market and sell RYTELO in the U.S. for certain patients with lower-risk MDS ourselves. At this time, we do not plan to
commercialize RYTELO independently in the EU (or in any other regions outside of the U.S. where RYTELO may be
approved for marketing in the future). Accordingly, we plan to work with experienced third parties for the
commercialization and marketing of RYTELO in the EU, including on critical path activities for the planned launch of
RYTELO in the EU, such as reimbursement, Health Technology Assessment, or HTA, submissions, market access and
distribution, and we may otherwise seek collaborative partners, at an appropriate time, to assist us in the potential
development and commercialization of RYTELO outside the U.S., and to provide funding for such activities. We face
significant competition in seeking appropriate collaborative partners, and these potential collaborative arrangements are
complex and time consuming to negotiate, document and implement. In addition, the terms of our Pharmakon Loan
Agreement may limit our ability to enter into certain collaborative arrangements and any future debt agreements may
continue or further limit our ability to enter into such agreements. We may not be able to establish collaborative
arrangements on acceptable terms, or at all. In this regard, collaborative arrangements with third parties may require us to
relinquish material rights, including revenue from commercialization, or assume material ongoing development obligations
that we would have to fund or otherwise support.
If we are unable to negotiate collaborative arrangements, we may have to:
•
delay, curtail or abandon the additional development of RYTELO;
•
delay, curtail or abandon the commercialization of RYTELO in jurisdictions where it is
approved;
•
reduce the scope of potential future sales or marketing activities; or
•
increase our expenditures and undertake development or commercialization activities at our
own expense, which will require additional capital than our current resources.
Table of Contents
63
We have established subsidiaries in the United Kingdom and the Netherlands, which exposes us to additional costs and
risks.
The wholly-owned subsidiaries we have established in the U.K. and the Netherlands subject us to certain
additional costs and risks associated with doing business outside the U.S., including:
•
the increased complexity and costs inherent in managing international operations in
geographically disparate locations;
•
challenges and costs of complying with diverse regulatory, financial and legal requirements,
which are subject to change at any time;
•
potentially adverse tax consequences, including changes in applicable tax laws and
regulations;
•
potentially costly trade laws, tariffs, export quotas, custom duties or other trade restrictions,
and any changes to them, including in connection with new Trump administration changes;
•
compliance with tax, employment, immigration and labor laws for employees living or
traveling abroad;
•
challenges inherent in efficiently managing employees in diverse geographies, including the
need to adapt systems, policies, benefits and compliance programs to differing labor and
other regulations;
•
natural disasters, political and economic instability, including terrorism and civil and
political unrest, outbreak of health epidemics, and the resulting global economic and social
impacts; and
•
workforce uncertainty in countries where labor unrest is more common than in the U.S.
We may experience additional risks related to operating outside of the U.S. that could materially adversely affect our
business.
We have employees located outside of the U.S., conduct clinical trials outside of the U.S., and are pursuing
paths to make RYTELO available to LR-MDS patients outside of the U.S., including in the EU, which may subject us to
additional risks, including risks related to operating outside of the U.S., such as:
•
we may experience unexpected changes in tariffs, trade barriers, price and exchange
controls and other regulatory requirements;
•
risks of potential noncompliance by us or by any third parties we engage with legal
requirements applicable to privacy, data protection, information security and other matters;
•
risks of potential noncompliance with tax, employment, immigration and labor laws for
employees living or traveling abroad;
•
increased taxes outside of the U.S., including withholding and payroll taxes;
•
significant foreign currency fluctuations, which could result in increased operating expenses
and reduced revenue, and other obligations incident to doing business in another country;
•
difficulties staffing and managing operations outside of the U.S.;
•
complexities associated with managing multiple payor reimbursement regimes and
government payors in foreign countries;
•
workforce uncertainty in countries where labor unrest is more common than in the U.S.;
•
potential liability under the Foreign Corrupt Practices Act of 1977 or comparable
regulations outside of the U.S.; and
•
business interruptions resulting from geopolitical actions, including war and terrorism.
For example, the current administration in the U.S. has called for substantial changes to foreign trade policy
and has recently imposed significant increases in tariffs on international trade and the renegotiation of international trade
agreements. We cannot predict what effects these and potential additional tariffs or renegotiation of existing international
Table of Contents
64
trade agreements, scope and nature of tariffs in the future, including as a result of litigation or or other challenges, will have
on our business, including in the context of escalating global trade and political tensions. However, such tariffs and other
trade restrictions could increase our cost of doing business, reduce our gross margins or otherwise negatively impact our
financial results. See the risk factor titled, “Global trade issues and changes in and uncertainties with respect to trade
policies and export regulations, including import and export license requirements, trade sanctions, tariffs and international
trade disputes, could increase our costs and negatively impact net revenues from sales of RYTELO.”
Uncertainty in the regulatory framework and future legislation could lead to disruption in the execution of
international multi-center clinical trials, the monitoring of adverse events through pharmacovigilance programs, the
evaluation of the benefit-risk profiles of new medicinal products, and determination of marketing authorization across
different jurisdictions. Changes to existing regulations may add considerably to the time from clinical development to
marketing authorization and commercialization of products in foreign jurisdictions and increase our costs. We cannot
predict the impact of such changes and future regulation on our business or the results of our operations. These and other
risks associated with international operations may materially adversely affect our ability to attain or maintain profitable
operations.
Global trade issues and changes in and uncertainties with respect to trade policies and export regulations, including
import and export license requirements, trade sanctions, tariffs and international trade disputes, could increase our
costs and negatively impact net revenues from sales of RYTELO.
There is inherent risk, based on the complex relationships among the U.S. and the countries in which we
now conduct or may in the future conduct our business, that political, diplomatic, and national security factors can lead to
global trade restrictions and changes in trade policies and export regulations that may adversely affect our business and
operations. Compliance with applicable regulatory requirements regarding the export of products may create delays in the
introduction of RYTELO in international markets, including in the EU, or, in some cases, prevent the export of RYTELO
to some countries altogether. Furthermore, U.S. export control laws and economic sanctions prohibit the provision of
certain products and services to countries, governments and persons targeted by U.S. sanctions. The U.S. and other
countries have imposed and may continue to impose new trade restrictions and export regulations, have levied tariffs and
taxes on certain goods, and could continue to significantly increase tariffs on a broad array of goods, including
pharmaceutical and biological products. Notwithstanding the U.S. Supreme Court’s recent decision invalidating tariffs
imposed under the International Emergency Economic Powers Act, the magnitude and impact of tariffs are uncertain and
are subject to a variety of factors, including the effective date and duration of additional tariffs, changes in the amount,
scope and nature of tariffs in the future, including as a result of litigation or other challenges, any retaliatory tariffs that
other countries may impose in response to tariffs levied by the United States and any mitigating actions that may become
available.
The ongoing trade tensions between the U.S. and other jurisdictions have resulted in multiple rounds of
tariffs and potential tariffs affecting pharmaceuticals and pharmaceutical ingredients, including finished drug products,
manufacturing equipment, and related supplies. In April 2025, the U.S. government imposed a 10% baseline global tariff
and in August 2025, the U.S. imposed higher “reciprocal” tariffs on numerous other territories, including EU Member
States and South Korea. While the U.S. Supreme Court recently issued a ruling invalidating tariffs imposed by the Trump
administration under the International Emergency Economic Powers Act, other tariffs imposed by the U.S. government
remain in place, including the 10% global tariff imposed by the Trump administration under Section 122 of the Trade Act
of 1974 following the U.S. Supreme Court decision. Moreover, the Bureau of Industry and Security, U.S. Department of
Commerce, has initiated an investigation to determine whether pharmaceutical ingredients, including finished drug product,
manufactured outside the U.S. pose a national security risk and should be subject to additional tariffs. Unlike consumer
goods, pharmaceuticals face unique regulatory constraints that make rapid supply chain adjustments particularly difficult
and costly. Although a significant portion of our supply chain for imetelstat is currently based in the U.S., the active
pharmaceutical ingredient, or API, for imetelstat is manufactured in South Korea and our 47mg vial of RYTELO drug
product is currently manufactured in Italy. In addition, in the future we may choose to utilize other contract manufacturers
for different presentations of imetelstat and source materials for our supply chain from other international jurisdictions.
Accordingly, such global or industry-specific tariffs, or the renegotiation of current international trade agreements, or other
trade restrictions could result in additional costs on our business, including generally increasing our manufacturing costs,
and may decrease our gross margins and increase our supply chain complexity. Moreover, other governments have
imposed and may continue to impose retaliatory tariffs, trade restrictions or trade barriers impacting RYTELO, which
could impose additional costs and complexity on our business, including with respect to our planned commercialization of
RYTELO in select EU markets in 2026 or restrict our ability to sell RYTELO in the EU or in other international markets
where we may obtain approval of RYTELO.
Table of Contents
65
Further, the continued threats of new or increased tariffs, sanctions, trade restrictions and trade barriers as
well as ongoing changes in U.S. and foreign government trade policies, including potential modifications to existing
international trade agreements, have had and may continue to have a generally disruptive impact on the global economy
and, therefore, could negatively impact revenues from sales of RYTELO. Given the significant volatility and uncertainty
regarding the scope and duration of such tariffs and other aspects of U.S. and foreign government trade policies, the
ultimate impact on our operations and financial results is uncertain and could be significant in the future.
We may not be able to obtain or maintain sufficient insurance on commercially reasonable terms or with adequate
coverage against potential liabilities in order to protect ourselves against claims such as product liability or personal
injury claims arising from our commercialization of RYTELO, claims related to clinical trial conduct, or claims related
to data protection.
Our business exposes us to potential product liability and other risks that are inherent in the testing,
manufacturing and marketing of human therapeutic products. We may become subject to product liability or personal
injury claims related to the commercialization of RYTELO, or claims related to clinical trial conduct, including if the use
of RYTELO is alleged to have injured patients, such as injuries alleged to arise from any hepatotoxicity or hemorrhagic
event associated with the use of RYTELO. We currently have product liability and clinical trial liability insurance that we
believe is adequate, but we may experience losses in excess of our coverage or that are not covered by our insurance, and
we may not be able to maintain this type of insurance for the commercialization of RYTELO, or any of our current or
potential future clinical trials of RYTELO. In addition, this type of insurance may become too expensive for us to afford
because of the highly risky and uncertain nature of commercialization of RYTELO, clinical trials generally and the high
cost of insurance for our business activities. We may be unable to obtain or maintain clinical trial insurance in all of the
jurisdictions where we conduct current or potential future clinical trials. In addition, business liability, product liability and
cybersecurity insurance are becoming increasingly expensive, particularly for biotechnology and pharmaceutical
companies, and the pool of insurers offering insurance coverage to biotechnology and pharmaceutical companies generally
is becoming smaller, making it more difficult to obtain insurance for our business activities at a reasonable price, or at all.
Being unable to obtain or maintain product liability, clinical trial liability, cybersecurity or other insurance for our business
activities in the future on acceptable terms or with adequate coverage against potential liabilities would have a material
adverse effect on our business, and could cause us to limit or cease our commercialization and further development of
RYTELO.
We and certain of our current and former officers and directors have been named as defendants in securities class
action lawsuits and derivative lawsuits. These lawsuits, and potential similar or related lawsuits, could result in
substantial damages, divert management’s time and attention from our business, and have a material adverse effect on
our results of operations. These lawsuits, and any other lawsuits to which we are subject, will be costly to defend or
pursue and are uncertain in their outcome.
Securities class action lawsuits and/or derivative lawsuits have often been brought against companies,
including biotechnology and biopharmaceutical companies, that experience volatility in the market price of their securities.
This risk is especially relevant for us because we often experience significant stock price volatility in connection with our
activities. On March 13 and March 14, 2025, we and certain of our current and former officers were named as defendants
in two putative securities class action lawsuits filed in the United States District Court for the Northern District of
California captioned Dabestani v. Geron Corporation, et al., No. 3:25-cv-02507 and Potvin v. Geron Corporation, et al.,
No. 3:25-cv-02563, respectively. Both lawsuits allege violation of Sections 10(b) and 20(a) of the Securities Exchange Act
of 1934, as amended, and Rule 10b-5 promulgated thereunder in connection with allegedly false and misleading statements
concerning the commercial potential of RYTELO. The plaintiffs allege, among other things, that we overstated RYTELO's
commercial potential by making materially false and misleading statements and/or concealing material adverse facts
concerning RYTELO's commercial potential, including the lack of awareness among healthcare providers for RYTELO,
the burden of monitoring requirements in administering the drug, and the impacts of seasonality and existing competition
on RYTELO's sales, and that our stock price dropped when we disclosed in our earnings call on February 26, 2025 that we
had observed flat revenue trends over the prior few months. The plaintiffs seek damages and interest, and an award of
reasonable costs, including attorneys' and experts' fees. On May 29, 2025, the Court consolidated the Dabestani and Potvin
cases into one consolidated action captioned In re Geron Corporation Securities Litigation, or the Securities Class Action,
and appointed lead plaintiffs and counsel for lead plaintiffs. On August 8, 2025, lead plaintiffs filed a consolidated
amended complaint. On October 7, 2025, we filed our motion to dismiss the consolidated amended complaint. A hearing
on the motion to dismiss is scheduled for March 19, 2026.
Table of Contents
66
In addition, on April 15, 2025 and April 16, 2025, three purported stockholders filed derivative complaints,
each filed in the United States District Court for the Northern District of California, captioned Bishop v. Scarlett, et al., No.
3:25-cv-03356, Lerner v. Scarlett, et al., No. 3:25-cv-03401, and Willis v. Scarlett, et al., No: 3:25-cv-03396, respectively.
The three lawsuits name certain of our current and former directors and officers and allege that they breached their
fiduciary duties and violated federal securities laws by issuing allegedly false and misleading statements concerning the
commercial potential of RYTELO. The allegations in each of the three derivative complaints are substantially similar to the
two aforementioned securities class action lawsuits, which these lawsuits are premised on. The plaintiff seeks damages and
interest, and an award of reasonable costs, including attorneys' and experts' fees. The plaintiffs in Bishop v. Scarlett, et al.
and Willis v. Scarlett, et al. also seek punitive damages. On May 16, 2025, the Court consolidated the three derivative
complaints into one consolidated action captioned In re Geron Corporation Derivative Litigation, or the Consolidated
Derivative Action. On June 17, 2025, the Court stayed the Consolidated Derivative Action pending a final ruling on the
anticipated motion to dismiss in the Securities Class Action.
On August 29, 2025, a purported stockholder made a demand on our board of directors to commence a civil
action against certain of our current and former directors for breaching their fiduciary duties and violating the securities
laws by issuing allegedly false and misleading statements concerning the commercial potential of RYTELO. On
September 19, 2025, the board of directors responded that it would defer a final decision on the demand given the other
pending derivative lawsuits and the Securities Class Action. On October 7, 2025, the purported stockholder filed a suit in
the United States District Court for the Northern District of California, captioned Jae Hyung v. Bir, et al., No. 3:25-
cv-08575. The derivative lawsuit names certain of our current and former directors and officers. The allegations in the
derivative lawsuit are substantially similar to the Securities Class Action and the aforementioned derivative lawsuits. The
plaintiffs seek damages and an award of reasonable costs, including attorneys’ and experts’ fees. On January 23 and
February 19, 2026, respectively, two additional purported stockholders each made a similar demand on our board of
directors.
We have also been subject to securities class action lawsuits in the past. In 2020, three securities class
action lawsuits were filed against us and certain of our officers. One of the lawsuits was voluntarily dismissed, and we
settled the other two lawsuits and a final judgment was entered in October 2023. In 2020 and 2021, seven shareholder
derivative actions were filed in a number of courts, naming as defendants certain of our then current officers and certain of
our then current and former members of our board. All seven of the shareholder derivative actions were dismissed with
prejudice.
It is possible that additional lawsuits might be filed, or allegations might be received from stockholders,
with respect to these same matters as alleged in the pending lawsuits or other matters and also naming us and/or our
officers and directors as defendants. Such lawsuits and any other related lawsuits are subject to inherent uncertainties, and
the actual defense and disposition costs will depend upon many unknown factors. The outcome of the pending lawsuits and
any other related lawsuits is necessarily uncertain. We could be forced to expend significant resources and may incur
substantial legal fees and costs in the defense of the pending lawsuits and any related or additional lawsuits, and we may
not prevail. Monitoring, initiating and defending against legal actions is also time-consuming for our management, is likely
to be expensive and may detract from our ability to fully focus our internal resources on our business activities. Given the
early stage of these lawsuits and the inherent uncertainly of litigation, we cannot predict how long it may take to resolve the
pending lawsuits or the amount of costs we may incur, or the potential outcome or the possible amount of any damages we
may be required to pay. A decision adverse to our interests in the pending lawsuits or in similar or related litigation, could
result in the payment of substantial damages or settlements, or possibly fines, and, although we maintain liability insurance,
we may not be successful in having any such lawsuits dismissed or settled within the limits of our insurance coverage. If
any judgment or settlement against us and costs or expenses associated with the pending litigation exceed our insurance
coverage or insurance coverage is denied, we may be forced to bear some or all of these costs and expenses directly, which
could be substantial and could have a material adverse effect on our business, our stock price, cash flow, results of
operations and financial condition.
We may be subject to third-party litigation, and such litigation would be costly to defend or pursue and uncertain in its
outcome.
Our business may bring us into conflict with our licensees, licensors, or others with whom we have
contractual or other business relationships, or with our competitors or others whose interests differ from ours. Our
commercialization of RYTELO may result in product or personal injury disputes, or other disputes with health care
providers, patients or other third parties as a result of our commercialization efforts. We may experience employment-
related disputes. We may become involved in performance or other disputes with the CROs we have retained to support
Table of Contents
67
our clinical development activities, or with other third parties such as service providers, vendors, manufacturers, suppliers
or consultants. If we are unable to resolve those conflicts on terms that are satisfactory to all parties, we may become
involved in litigation brought by or against us.
Lawsuits are subject to inherent uncertainties, and defense and disposition costs depend upon many
unknown factors. Despite the availability of insurance, we may incur substantial legal fees and costs in connection with
litigation. Lawsuits could result in judgments against us that require us to pay damages, enjoin us from certain activities, or
otherwise negatively affect our legal or contractual rights, which could have a significant adverse effect on our business. In
addition, the inherent uncertainty of such litigation could lead to increased volatility in our stock price and a decrease in the
value of our stockholders’ investment in our securities.
We are subject to U.S. and certain foreign export and import controls, sanctions, embargoes, anti-corruption laws, and
anti-money laundering laws and regulations. Compliance with these legal standards could impair our ability to compete
in domestic and international markets. We can face criminal liability and other serious consequences for violations,
which can harm our business.
We are subject to export control and import laws and regulations, and other state and national anti-bribery
and anti-money laundering laws in the countries in which we conduct activities. Anti-corruption laws are interpreted
broadly and prohibit companies and their employees, agents, contractors, and other collaborators from authorizing,
promising, offering, or providing, directly or indirectly, improper payments or anything else of value to recipients in the
public or private sector. We may engage third parties to sell our products outside the U.S., to conduct clinical trials, and/or
to obtain necessary permits, licenses, patent registrations, and other regulatory approvals. We have direct or indirect
interactions with officials and employees of government agencies or government-affiliated hospitals, universities, and other
organizations. We can be held liable for the corrupt or other illegal activities of our employees, agents, contractors, and
other collaborators, even if we do not explicitly authorize or have actual knowledge of such activities. Any violations of the
laws and regulations described above may result in substantial civil and criminal fines and penalties, imprisonment, the loss
of export or import privileges, debarment, tax reassessments, breach of contract and fraud litigation, reputational harm, and
other consequences.
RISKS RELATED TO INFORMATION TECHNOLOGY SYSTEMS, DATA SECURITY AND DATA PRIVACY
If our information technology systems or data, or those of third parties with whom we work, are or were compromised,
we could experience adverse consequences resulting from such compromise, including regulatory investigations or
actions; litigation; fines and penalties; a disruption of our business operations, including our clinical trials;
reputational harm; loss of revenue and profits; and other adverse consequences.
In the ordinary course of our business, we and third parties with whom we work collect, receive, store, use,
transfer, make accessible, protect, secure, dispose of, transmit, disclose, or otherwise process proprietary, confidential, and
sensitive data, including personal data such as health-related data and participant study related data, intellectual property,
and trade secrets (collectively, sensitive information). In addition, we rely on third-party service providers to establish and
maintain appropriate information technology and data security protections, including disaster recovery and business
continuity procedures, over the information technology systems they provide us to operate our critical business systems,
including cloud-based infrastructure and systems, employee email, and data storage and management systems. However,
except for the initial cyber security assessments that we conduct for critical service providers and contractual duties and
obligations, we have limited ability to control or monitor third parties’ safeguards and actions related to such matters.
Furthermore, while we may be entitled to damages if our third-party service providers fail to satisfy their privacy or
security-related obligations to us, any award may be insufficient to cover our damages, or we may be unable to recover
such award. Most of our employees work remotely, resulting in increased risks of loss or theft of company devices as well
as increased risks to our information technology systems and data, as employees utilize network connections, computers,
and devices outside our premises and networks, including working at home and while in transit and in public locations.
Future or past business transactions, such as acquisitions or integrations, could expose us to additional
cybersecurity risks and vulnerabilities, as our systems could be negatively affected by vulnerabilities present in acquired or
integrated entities’ systems and technologies. Furthermore, we may discover security issues that were not found during due
diligence of such acquired or integrated entities, and it may be difficult to integrate companies into our information
technology environment and security program.
Table of Contents
68
Our information technology systems, including in our remote work environment, and those of the third
parties with whom we work, have been in the past and may continue to be vulnerable to evolving threats. These threats are
prevalent, continue to increase, and come from a variety of sources such as traditional “hackers,” threat actors,
“hacktivists,” organized criminal threats actors, or internal bad actors, personnel, sophisticated nation states and nation-
state-supported actors. These threats include, but are not limited to, social-engineering attacks, targeted phishing
campaigns, malicious code or malware, unauthorized intrusions, denial-of-service attacks, personnel misconduct or errors,
ransomware attacks, supply-chain attacks, software bugs, computer viruses, server malfunctions, software, hardware or
data center failures, loss of data or other information technology assets, natural disasters, terrorism, war,
telecommunication and electrical failures and attacks enhanced or facilitated by artificial intelligence, or AI, and other
similar threats. In particular, ransomware attacks are becoming increasingly prevalent and severe and can lead to significant
interruptions in operations, loss of sensitive data and income, reputational harm, and diversion of funds.
If we were to experience such an attack, extortion payments might alleviate the negative impact of a
ransomware attack, but we might be unwilling or unable to make such payments due to, for example, applicable laws or
regulations prohibiting such payments. Similarly, supply-chain attacks and attacks on clinical trial sites as well as
regulatory and health authorities have increased in frequency and severity, and we cannot guarantee that third parties and
infrastructure in our supply chain or our third-party partners’ supply chains, or of clinical trial sites and regulatory and
health authorities, have not been compromised or that they do not contain exploitable defects or bugs that could result in a
breach of or disruption to our information technology systems or the third-party information technology systems that
support us and the services provided to us, or remediate and recover compromised systems in a timely manner.
Such incidents or threats may result in unauthorized, unlawful or accidental loss, corruption, access,
modification, destruction, alteration, acquisition or disclosure of sensitive information. The costs to us to attempt to protect
against such security incidents could be significant, including potentially requiring us to modify our business, and while we
have implemented security measures, policies and procedures designed to protect our information technology systems from
cybersecurity threats and to identify and remediate vulnerabilities, such measures may not be fully implemented, complied
with or successful in protecting our systems and information. We may expend significant resources or modify our business
activities (including our clinical trial activities) to try to protect against security incidents. We may be unable in the future
to detect cybersecurity threats or vulnerabilities in our information technology systems because such threats and techniques
change frequently, are sophisticated in nature, and may not be detected until after a security incident has occurred. We may
also experience security breaches that may remain undetected for an extended period. Even if identified, we may be unable
to adequately investigate or remediate incidents or breaches due to attackers increasingly using tools and techniques that
are designed to circumvent controls, to avoid detection, and to remove or obfuscate forensic evidence. Unremediated high
risk or critical vulnerabilities pose material risks to our business, particularly due to the reliance on software vendors to
adequately patch and implement fixes to address critical or high-risk vulnerabilities in a timely manner. Further, we may be
materially impacted by software updates applied by our software vendors if such updates cause significant downtime to our
systems.
If we or third parties with whom we work experience or are perceived to have experienced a breach, we
may experience material adverse consequences. These consequences may include: government enforcement actions (for
example, investigations, fines, penalties, audits, and inspections), interruptions in our operations, including disruption of
our commercialization and development efforts, interruptions or restrictions on processing sensitive data (which could
result in delays in obtaining, or our inability to obtain, regulatory approvals and significantly increase our costs to recover
or reproduce the data), reputational harm, litigation (including class action claims), indemnification obligations, negative
publicity, financial loss, and other harms. In addition, such a breach may require public notification of the breach, or we
may choose to voluntarily notify relevant stakeholders, or take other actions, such as providing credit monitoring and
identity theft protection services, and we have done so in the past. Such disclosures are costly, and the disclosure or the
failure to comply with such requirements could lead to adverse consequences.
In addition to experiencing a security incident, third parties may gather, collect, or infer sensitive
information about us from public sources, data brokers, or other means that reveals competitively sensitive details about
our organization and could be used to undermine our competitive advantage or market position. Additionally, sensitive
information of the Company could be leaked, disclosed, or revealed as a result of or in connection with our employees’,
personnel’s, or vendors’ use of generative AI technologies.
Many of our contracts with relevant stakeholders include obligations relating to the safeguard of sensitive
information, and a breach could lead to claims against us by such stakeholders. There can be no assurance that the
limitations of liability in our contracts would be enforceable or adequate or would otherwise protect us from liabilities,
Table of Contents
69
damages, or claims relating to our data privacy and security obligations. In addition, failure to maintain effective internal
accounting controls related to data security breaches and cybersecurity in general could impact our ability to produce
timely and accurate financial statements and could subject us to regulatory scrutiny. While we do maintain cyber liability
insurance, our insurance coverages may not be sufficient in type or amount to cover us against any such losses, claims, or
liabilities related to security breaches, cyber-attacks, cyber intrusion, or other related breaches or disruptions.
We and third parties with whom we work are subject to stringent and changing U.S. and foreign laws, regulations,
rules, contractual obligations, industry standards, policies and other obligations related to data privacy and security.
Our (or the third parties with whom we work) actual or perceived failure to comply with such obligations could lead to
regulatory investigations or actions; litigation; fines and penalties; disruptions of our business operations; reputational
harm; loss of revenue and profits; and other adverse business impacts.
In the ordinary course of business, we process personal data and other sensitive data, including proprietary
and confidential business data, trade secrets, intellectual property, clinical trial participant data, and other sensitive third-
party data. We are therefore subject to or affected by numerous data privacy and security obligations, such as federal, state,
local and foreign laws, regulations, guidance, industry standards, external and internal privacy and security policies,
contracts, and other obligations governing the processing of personal data. These obligations may change, are subject to
differing interpretations and may be inconsistent or conflict among jurisdictions. The global data protection landscape is
rapidly evolving, and implementation standards and enforcement practices are likely to remain uncertain for the foreseeable
future. This evolution may create uncertainty in our business; affect us or our collaborators’, service providers’ and
contractors’ ability to operate in certain jurisdictions or to collect, store, transfer, use and share personal data; necessitate
the acceptance of more onerous obligations in our contracts; result in liability; or impose additional costs on us. These
obligations may necessitate changes to our information technologies, systems, and practices and to those of any third
parties that process personal data on our behalf. In addition, these obligations may require us to change our business model.
Outside the U.S., an increasing number of laws, regulations, and industry standards apply to data privacy
and security. For example, the European Union’s General Data Protection Regulation, or the EU GDPR, and the United
Kingdom’s GDPR, or the UK GDPR (collectively, the “GDPR”), impose strict requirements on the processing of personal
data. For example, under GDPR, government regulators may impose temporary or definitive bans on data processing, fines
of up to 20 million Euros under the EU GDPR, 17.5 million pounds sterling under the UK GDPR or, in each case, 4% of
annual global revenue, whichever is greater; or private litigation related to processing of personal data brought by classes
of data subjects or consumer protection organizations authorized at law to represent their interests.
In addition, we may be unable to transfer personal data from the EEA, the UK and other jurisdictions to the
U.S. or other countries due to data localization requirements or limitations on cross-border data flows. The EEA and other
jurisdictions have enacted laws requiring data to be localized or limiting the transfer of personal data to other countries. In
particular, the EEA and the UK have significantly restricted the transfer of personal data to the U.S. and other countries
whose privacy laws it believes are inadequate. Other jurisdictions may adopt similarly stringent interpretations of their data
localization and cross-border data transfer laws. Although there are currently various mechanisms that may be used to
transfer personal data from the EEA and UK to the U.S. in compliance with law, such as the EEA and UK’s standard
contractual clauses, the UK’s International Data Transfer Agreement / Addendum, and the EU-U.S. Data Privacy
Framework and the UK extension thereto, these mechanisms are subject to legal challenges, and there is no assurance that
we can satisfy or rely on these measures to lawfully transfer personal data to the U.S. If there is no lawful manner for us to
transfer personal data from the EEA, the UK, or other jurisdictions to the U.S., or if the requirements for a legally-
compliant transfer are too onerous, we could face significant adverse consequences, including the interruption or
degradation of our operations, the need to relocate part of or all of our business or data processing activities to other
jurisdictions (such as Europe) at significant expense, increased exposure to regulatory actions, substantial fines and
penalties, the inability to transfer data and work with partners, vendors and other third parties, and injunctions against our
processing or transferring of personal data necessary to operate our business. Additionally, companies that transfer personal
data out of the EEA and UK to other jurisdictions, particularly to the U.S., are subject to increased scrutiny from regulators,
individual litigants, and activist groups, and some EEA regulators have prevented companies from transferring personal
data out of the EEA for allegedly violating the EU GDPR’s cross-border data transfer limitations.
Likewise, we expect that there will continue to be new proposed laws, regulations and industry standards
relating to data privacy and security in the U.S. For example, HIPAA, as amended by HITECH, imposes specific
requirements relating to the privacy, security, and transmission of individually identifiable health data. Additionally, the
California Consumer Privacy Act of 2018, as amended by the California Privacy Rights Act of 2020, or CPRA, collectively
CCPA, imposes obligations on businesses to which it applies. These obligations include, but are not limited to, providing
Table of Contents
70
specific disclosures in privacy notices and affording California residents certain rights related to their personal data. The
CCPA allows for statutory fines for noncompliance. While the CCPA contains limited exceptions for clinical trial data, the
CCPA’s implementation standards and enforcement practices are likely to remain uncertain for the foreseeable future. In
addition, the CPRA establishes a California Privacy Protection Agency to implement and enforce the CPRA, which could
increase the risk of an enforcement action, and applies to personal data of business representatives and employees. Other
states have also enacted data privacy and security laws. For example, Virginia passed the Consumer Data Protection Act,
and Colorado passed the Colorado Privacy Act, both of which differ from the CPRA and became effective in 2023. If we
become subject to new data privacy and security laws, at the state level or otherwise, the risk of enforcement action against
us could increase because we may become subject to additional obligations, and the number of individuals or entities that
can initiate actions against us may increase.
In Europe, the Network and Information Security Directive (“NIS2”) regulates resilience and incident
response capabilities of entities operating in a number of sectors, including the health sector. Non-compliance with NIS2
may lead up to administrative fines of a maximum of 10 million Euros or up to 2% of the total worldwide revenue of the
preceding fiscal year.
Our employees and personnel use generative AI technologies to perform their work, and the disclosure and
use of personal data in generative AI technologies is subject to various privacy laws and other privacy obligations.
Governments have passed and are likely to pass additional laws regulating generative AI. Our use of this technology could
result in additional compliance costs, regulatory investigations and actions, and lawsuits. If we are unable to use generative
AI, it could make our business less efficient and result in competitive disadvantages.
In addition to data privacy and security laws, we are contractually subject to industry standards adopted by
industry groups and we are, and may become in the future, subject to such obligations. Moreover, clinical trial participants
or research subjects about whom we or our vendors obtain information, as well as the providers who share this information
with us, may contractually limit our ability to use and disclose the information. We are also bound by other contractual
obligations related to data privacy and security, and our efforts to comply with such obligations may not be successful. We
may publish privacy policies, marketing materials, white papers, and other statements, such as statements relating to
compliance with certain certifications or self-regulatory principles concerning data privacy and security. Regulators in the
U.S. are increasingly scrutinizing these statements, and if these policies, materials or statements are found to be deficient,
lacking in transparency, deceptive, unfair, misleading or misrepresentative of our practices, we may be subject to
investigation, enforcement actions by regulators, or other adverse consequences.
It is possible that, in the future, we may fail or be perceived to have failed to comply with applicable data
privacy and security obligations. Moreover, despite our best compliance efforts, we may not be successful in achieving
compliance if our personnel or third parties with whom we work fail to comply with such obligations, which could
negatively impact our business operations and compliance posture. If we or the third parties with whom we work fail, or
are perceived to have failed, to address or comply with data privacy and security obligations, we could face significant
consequences. These consequences may include, but are not limited to, government enforcement actions; litigation;
additional reporting requirements and/or oversight; bans on processing personal data; orders to destroy or not use personal
data; and imprisonment of company officials. Any of these events could have a material adverse effect on our reputation,
business, or financial condition, including: interruptions or stoppages in our business operations including, as relevant,
clinical trials; inability to process personal data or to operate in certain jurisdictions; limited ability to continue to develop
or commercialize RYTELO; expenditure of time and resources to defend any claim or inquiry; adverse publicity; or
revision or restructuring of our operations.
RISKS RELATED TO OUR COMMON STOCK AND FINANCIAL REPORTING
Historically, our stock price has been extremely volatile and your investment may suffer a decline in value.
Historically, our stock price has been extremely volatile. Between January 1, 2015 and December 31, 2025,
our stock has traded as high as $6.38 per share and as low as $0.89 per share. Between January 1, 2025 and December 31,
2025, the price has ranged between a high of $3.60 per share and a low of $1.07 per share. The significant market price
fluctuations of our common stock have been due to and may in the future be influenced by a variety of factors, including:
•
the level of and market opportunity for future sales of RYTELO;
Table of Contents
71
•
announcements regarding regulatory approval or non-approval of RYTELO in any other
jurisdictions or indications, or specific label indications for RYTELO, or restrictions,
warnings or limitations in its use;
•
announcements regarding the research and development of imetelstat, or adverse efficacy or
safety results of, further delays in the commencement, enrollment or conduct of,
discontinuation of, or further modifications or refinements to any current or potential future
clinical trials, or our inability to successfully continue the development of imetelstat;
•
our ability to obtain additional capital, if and when needed, to further advance our
development program;
•
changes in laws or regulations applicable to RYTELO, including laws or regulations
concerning the commercialization of RYTELO or clinical trial requirements for approval or
other regulatory developments related to RYTELO;
•
adverse developments concerning our manufacturers, including our inability to obtain
adequate product supply for RYTELO or inability to do so at acceptable prices;
•
the size and growth of the market opportunity for RYTELO in its currently approved and
any potential future approved indications;
•
disputes or other developments relating to RYTELO proprietary rights, including patents,
litigation matters and our ability to obtain, enforce and defend patent protection and
maintain regulatory exclusivity for RYTELO and our technologies;
•
the terms and timing of any future collaboration agreements for the further development
and commercialization of RYTELO that we may establish;
•
announcements of significant acquisitions, strategic partnerships, collaborations, joint
ventures or capital commitments by us or our competitors;
•
increased or continuing operating losses;
•
general domestic and international market conditions or market conditions relating to the
biopharmaceutical and pharmaceutical industries, especially given the volatility caused by
macroeconomic or other global conditions,
•
perceptions of the biotechnology and pharmaceutical industry by the public, legislature,
regulators and the investment community;
•
our failure to meet the estimates and projections of the investment community or general
public;
•
publication of commentary, articles or research reports about us or our industry, or positive
or negative recommendations or withdrawal of research coverage by securities analysts,
bloggers, news media or other third parties;
•
actual or expected sales of common stock by stockholders;
•
announcements of or developments concerning pending and potential future litigation;
•
actions instituted by activist shareholders or others;
•
other events or factors that are beyond our control; and
•
the occurrence of any other risks and uncertainties discussed under the heading “Risk
Factors.”
In addition, as further discussed in the Risk Factor above titled “We and certain of our current and former
officers and directors have been named as defendants in securities class action lawsuits and derivative lawsuits. These
lawsuits, and potential similar or related lawsuits, could result in substantial damages, divert management’s time and
attention from our business, and have a material adverse effect on our results of operations. These lawsuits, and any other
lawsuits to which we are subject, may be costly to defend or pursue and are uncertain in their outcome,” we and certain of
our current and former officers and directors have been named as defendants in securities class action and derivative
lawsuits. Such lawsuits have often been instituted against companies, including us, whose securities have experienced
periods of volatility in market price. The pending lawsuits and any lawsuits brought against us in the future could result in
substantial costs and divert our management’s attention and resources, which could have a material adverse effect on our
Table of Contents
72
financial condition and business operations and lead to increased volatility in our stock price and a decrease in the value of
our stockholders’ investment in our securities.
Our failure to maintain compliance with the continued listing requirements of the Nasdaq Global Select Market may
result in our common stock being delisted from the Nasdaq Global Select Market, which could negatively impact the
price of our common stock, liquidity, our ability to access the capital markets and our stockholders’ ability to sell their
shares.
Our common stock is currently listed on the Nasdaq Global Select Market, or Nasdaq, under the symbol
“GERN.” The listing standards of Nasdaq provide that a company, in order to qualify for continued listing, must maintain a
minimum stock price of $1.00 and satisfy standards relative to minimum stockholders’ equity, minimum market value of
publicly held shares and various additional requirements. Historically, our stock price has been extremely volatile and
recently, our stock has traded as low as $0.89 per share through February 20, 2026. While our common stock is currently
listed on Nasdaq, we can give no assurance that we will be able to maintain compliance with the continued listing
requirements for Nasdaq. If we fail to maintain compliance with any such continued listing requirement, there can also be
no assurance that we will be able to regain compliance with any such continued listing requirement in the future or that our
common stock will not be delisted in the future. If Nasdaq delists our securities from trading on its exchange for failure to
meet the listing standards, we and our stockholders could face significant negative consequences including:
•
limited availability of market quotations for our securities;
•
a determination that the common stock is a “penny stock”, which would require brokers
trading in the common stock to adhere to more stringent rules, possibly resulting in a
reduced level of trading activity in the secondary trading market for shares of common
stock;
•
a limited amount of analyst coverage, if any; and
•
a decreased ability to issue additional securities or obtain additional financing in the future.
Delisting from Nasdaq could also result in other negative consequences, including the potential loss of
confidence by suppliers, customers and employees, the loss of institutional investor interest and fewer business
development opportunities.
Provisions in our charter, bylaws and Delaware law may inhibit potential acquisition bids for us, which may adversely
affect the market price of our common stock and/or prevent holders of our common stock from benefiting from what
they believe may be the positive aspects of acquisitions and takeovers.
Provisions of our charter documents and bylaws may make it substantially more difficult for a third party to
acquire control of us and may prevent changes in our management, including provisions that prevent stockholders from
taking actions by written consent, divide the board of directors into separate classes with terms of office that are structured
to prevent all of the directors from being elected in any one year and set forth procedures for nominating directors and
submitting proposals for consideration at stockholders’ meetings.
In addition, our certificate of incorporation provides our board of directors with the authority to issue up to
3,000,000 shares of undesignated preferred stock and to determine or alter the rights, preferences, privileges and
restrictions granted to or imported upon these shares without further vote or action by our stockholders. The issuance of
shares of preferred stock may delay or prevent a change in control transaction without further action by our stockholders.
As a result, the market price of our common stock may be adversely affected.
If in the future, we issue preferred stock that has preference over our common stock with respect to the
payment of dividends or upon our liquidation, dissolution or winding up, or if we issue preferred stock with voting rights
that dilute the voting power of our common stock, the rights of holders of our common stock or the market price of our
common stock could be adversely affected.
Provisions of Delaware law may also inhibit potential acquisition bids for us or prevent us from engaging
in business combinations. In addition, we have individual severance agreements with our executive officers and a
company-wide severance plan, either of which could require a potential acquirer to pay a higher price. Either collectively
or individually, these provisions may prevent holders of our common stock from benefiting from what they may believe are
the positive aspects of acquisitions and takeovers, including the potential realization of a higher rate of return on their
investment from these types of transactions.
Table of Contents
73
The exclusive forum provisions in our amended and restated bylaws could limit our stockholders’ ability to obtain a
favorable judicial forum for disputes with us or any of our directors, officers, or employees, or the underwriters of any
offering giving rise to such claim, which may discourage lawsuits with respect to such claims.
Our amended and restated bylaws provide that, unless we consent to the selection of an alternative forum,
the Court of Chancery of the State of Delaware (or, if and only if the Court of Chancery of the State of Delaware lacks
subject matter jurisdiction, any state court located within the State of Delaware or, if and only if all such state courts lack
subject matter jurisdiction, the federal district court for the District of Delaware) will be the sole and exclusive forum for:
•
any derivative claim or cause of action or proceeding brought on our behalf;
•
any claim or cause of action for breach of a fiduciary duty owed by any of our current or
former directors, officers or other employees, or our stockholders, to us or to our
stockholders;
•
any claim or cause of action against us or any of our current or former directors, officers or
other employees, or our stockholders, arising pursuant to any provision of the General
Corporation Law of the State of Delaware, our certificate of incorporation, or our bylaws;
•
any claim or cause of action seeking to interpret, apply, enforce or determine the validity of
our certificate of incorporation or bylaws;
•
any claim or cause of action as to which the General Corporation Law of the State of
Delaware confers jurisdiction on the Court of Chancery of the State of Delaware; or
•
any claim or cause of action against us or any of our current or former directors, officers or
other employees, or our stockholders, governed by the internal affairs doctrine or otherwise
related to our internal affairs.
In addition, Section 22 of the Securities Act creates concurrent jurisdiction for federal and state courts over
all claims brought to enforce any duty or liability created by the Securities Act of 1933, as amended, or the Securities Act,
or the rules and regulations thereunder. Our amended and restated bylaws provide that the federal district courts of the
United States of America will, to the fullest extent permitted by law, be the exclusive forum for resolving any complaint
asserting a cause of action arising under the Securities Act, or the Federal Forum Provision, including for all causes of
action asserted against any defendant named in such complaint. For the avoidance of doubt, this provision is intended to
benefit and may be enforced by us, our officers and directors, the underwriters to any offering giving rise to such
complaint, and any other professional entity whose profession gives authority to a statement made by that person or entity
and who has prepared or certified any part of the documents underlying the offering. The application of the Federal Forum
Provision means that suits brought by our stockholders to enforce any duty or liability created by the Securities Act must
be brought in federal court and cannot be brought in state court, and our stockholders cannot waive compliance with the
federal securities laws and the rules and regulations thereunder.
While the Delaware courts have determined that such choice of forum provisions are facially valid and
several state trial courts have enforced such provisions and required that suits asserting Securities Act claims be filed in
federal court, there is no guarantee that courts of appeal will affirm the enforceability of such provisions, and a stockholder
may nevertheless seek to bring a claim in a venue other than those designated in the exclusive forum provisions. In such an
instance, we would expect to vigorously assert the validity and enforceability of the exclusive forum provisions of our
amended and restated bylaws. This may require significant additional costs associated with resolving such action in other
jurisdictions, which costs could be borne by stockholders, and there can be no assurance that the provisions will be
enforced by a court in those other jurisdictions.
Any person or entity purchasing or otherwise acquiring or holding any interest in any of our securities shall
be deemed to have notice of and consented to the exclusive forum provisions in our amended and restated bylaws,
including the Federal Forum Provision. These provisions could limit a stockholder’s ability to bring a claim in a judicial
forum that it finds favorable for disputes with us or any of our directors, officers, or other employees, or our stockholders
or the underwriters of any offering giving rise to such claims, which may discourage lawsuits with respect to such claims.
Furthermore, if a court were to find the exclusive forum provisions contained in our bylaws to be inapplicable or
unenforceable in an action, we may incur additional costs associated with resolving such action in other jurisdictions,
which could have a material and adverse impact on our business and our financial condition.
Table of Contents
74
We do not intend to pay cash dividends on our common stock in the foreseeable future.
We do not anticipate paying cash dividends on our common stock in the foreseeable future. Any payment
of cash dividends will depend upon our financial condition, results of operations, capital requirements and other factors,
and will be at the discretion of our board of directors. In addition, the terms of our Pharmakon Loan Agreement restrict our
ability to pay dividends and any future debt agreements may continue to or further restrict our ability to pay dividends. As
a result, capital appreciation, if any, of our common stock will be the sole source of gain for our stockholders for the
foreseeable future.
Our employees, independent contractors, principal investigators, clinical trial sites, CROs, consultants or vendors may
engage in misconduct or other improper activities, including noncompliance with regulatory standards and
requirements.
We are exposed to the risk that our employees, independent contractors, principal investigators, clinical
trial sites, CROs, consultants or vendors may engage in fraudulent or other illegal activity. Misconduct by these parties
could include intentional, reckless and/or negligent conduct or disclosure of unauthorized activities to us that violate the
FDA’s or similar international regulatory authorities’ regulations, including those laws requiring the reporting of true,
complete and accurate information; manufacturing standards; healthcare fraud and abuse laws and regulations; or laws that
require the true, complete and accurate reporting of financial information or data. Specifically, sales, marketing and
business arrangements in the healthcare industry are subject to extensive laws and regulations intended to prevent fraud,
kickbacks, self-dealing and other abusive practices. These laws and regulations may restrict or prohibit a wide range of
pricing, discounting, marketing and promotion, sales commission, customer incentive programs and other business
arrangements.
Activities subject to these laws also involve the improper use or misrepresentation of information obtained
in the course of clinical trials or creating fraudulent data in our non-clinical studies or clinical trials, which could result in
regulatory sanctions and serious harm to our reputation. It is not always possible to identify and deter misconduct by our
employees and third parties, and the precautions we take to detect and prevent this activity may not be effective in
controlling unknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or
lawsuits stemming from a failure to be in compliance with such laws or regulations. Additionally, we are subject to the risk
that a person could allege such fraud or other misconduct, even if none occurred. If any such actions are instituted against
us, and we are not successful in defending ourselves or asserting our rights, those actions could adversely affect our
business, financial condition, results of operations or prospects through:
•
the imposition of civil, criminal and administrative penalties, damages and monetary fines;
•
possible exclusion from participation in Medicare, Medicaid and other federal healthcare
programs;
•
contractual damages;
•
reputational harm;
•
diminished potential profits and future earnings; and
•
curtailment of our operations.
Failure to maintain effective internal controls in accordance with Section 404 of the Sarbanes-Oxley Act of 2002 could
have a material adverse effect on our business and stock price.
Section 404 of the Sarbanes-Oxley Act of 2002, or Section 404, requires that we establish and maintain an
adequate internal control structure and procedures for financial reporting. Our Annual Reports on Form 10-K must contain
an annual assessment by management of the effectiveness of our internal control over financial reporting and must include
disclosure of any material weaknesses in internal control over financial reporting that we have identified. In addition, our
independent registered public accounting firm must provide an opinion annually on the effectiveness of our internal control
over financial reporting. As described further below, we identified a material weakness in our internal control over
financial reporting that existed as of September 30, 2025, which we remediated as of December 31, 2025. However, in the
future, any testing by us conducted in connection with Section 404, or any testing by our independent registered public
accounting firm, may reveal additional deficiencies in our internal control over financial reporting that are deemed to be
material weaknesses or that may require prospective or retroactive changes to our financial statements or identify other
areas for further attention or improvement.
Table of Contents
75
The requirements of Section 404 are ongoing and also apply to future years. We expect that our internal
control over financial reporting will continue to evolve as our business develops, including in connection with our
commercialization of RYTELO. Although we are committed to continue to improve our internal control processes and we
will continue to review our internal control over financial reporting, any control system, regardless of how well designed,
operated and evaluated, can provide only reasonable, not absolute, assurance that its objectives will be met. .
Therefore, we cannot assure you that additional material weaknesses or significant deficiencies will not
exist or otherwise be discovered in the future, particularly in light of our increased reliance on personnel working remotely.
If material weaknesses or other significant deficiencies continue to occur, such weaknesses or deficiencies could result in
misstatements of our results of operations, restatements of our financial statements, a decline in our stock price, or other
material adverse effects on our business, reputation, results of operations, financial condition or liquidity.
We have previously identified a material weakness in our internal control over financial reporting and may identify
additional material weaknesses in the future or otherwise fail to maintain an effective system of internal controls, which
may result in material misstatements of our consolidated financial statements or cause us to fail to meet our periodic
reporting obligations.
A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial
reporting, such that there is a reasonable possibility that a material misstatement of a company’s annual or interim financial
statements will not be prevented or detected on a timely basis. We previously identified a material weakness in internal
control related to the design and operation of certain Information Technology General Controls, or ITGCs, related to user
access and program change management for our Enterprise Resource Planning and payment processing systems.
Consequently, IT application controls and IT dependent manual business process controls that rely upon information from
these systems, were also deemed ineffective. Although the material weakness identified did not result in any material
misstatements in our consolidated financial statements for the periods presented in this Report and there were otherwise no
changes to our previously issued financial statements, our management concluded that these control deficiencies existed as
of September 30, 2025 and constitute a material weakness. Accordingly, our internal control over financial reporting and
our disclosure controls and procedures were not effective as of September 30, 2025. While we subsequently remediated
this material weakness as of December 31, 2025, we cannot assure you that there will not be material weaknesses or
significant deficiencies in our internal control over financial reporting in the future. Our failure to implement and maintain
effective internal control over financial reporting could result in errors in our consolidated financial statements that could
result in a restatement of our previously issued financial statements and could cause us to fail to meet our periodic reporting
obligations, any of which could diminish investor confidence in us and cause a decline in the price of our common stock
Changes in tax laws or regulations that are applied adversely to us or our customers may have a material adverse effect
on our business, cash flow, financial condition or results of operations.
New income, sales, use, excise or other tax laws, statutes, rules, regulations or ordinances could be enacted
at any time, which could affect the tax treatment of our domestic and foreign sales and earnings. Any new taxes could
adversely affect our domestic and international business operations and our business and financial condition. Further,
existing tax laws, statutes, rules, regulations or ordinances could be interpreted, changed, modified or applied adversely to
us. For example, the Inflation Reduction Act of 2022 included provisions that impacted the U.S. federal income taxation of
corporations, including imposing a minimum tax on the book income of certain large corporations and an excise tax on
certain corporate stock repurchases that is imposed on the corporation repurchasing such stock. In addition, the U.S.
government recently enacted legislation commonly referred to as the One Big Beautiful Bill Act, that (along with other
recent U.S. federal tax reform) has resulted in significant changes to the taxation of business entities including, among
other changes, changes to the taxation of income derived from international operations, changes in the deduction and
amortization of research and development expenditures, and limitations on the deductibility of business interest. Future
guidance from the Internal Revenue Service and other tax authorities with respect to any legislation may affect us, and
certain aspects of such legislation could be repealed or modified or sunset in future years. Changes in tax reform legislation
could have a material impact on the value of our deferred tax assets, could result in significant one-time charges, and could
increase our future United States tax expense.
Our ability to use our net operating loss carryforwards and certain other tax attributes may be limited.
Our net operating loss carryforwards attributable to tax years beginning before January 1, 2018 could
expire unused and be unavailable to offset future income tax liabilities. In addition, federal net operating losses incurred in
Table of Contents
76
taxable years beginning after December 31, 2017, can be carried forward indefinitely, but the deductibility of such federal
net operating losses in a taxable year is limited to 80% of taxable income in such year. Under Sections 382 and 383 of the
Internal Revenue Code of 1986, as amended, and corresponding provisions of state law, if a corporation undergoes an
“ownership change,” generally defined as a greater than 50 percentage point cumulative change (by value) in its equity
ownership over a three-year period, the corporation’s ability to use its pre-change net operating loss carryforwards and
other pre-change tax attributes (such as research and development tax credits) to offset its post-change taxable income or
taxes may be limited. Changes in our stock ownership have occurred in the past, and future ownership changes, some of
which may be outside our control, could occur in the future, as a result of shifts in our stock ownership. If a limitation were
to apply, utilization of a portion of our domestic net operating loss and tax credit carryforwards could be limited in future
periods, and a portion of the carryforwards may expire before being available to reduce future income tax liabilities, which
could adversely impact our financial position. At the state level, there may be periods during which the use of net operating
loss carryforwards is suspended or otherwise limited, which could accelerate or permanently increase state taxes owed. For
example, in June 2024, California enacted legislation that, with certain exceptions, suspends the use of California net
operating losses to offset California income and limits the use of California business tax credits to offset California taxes,
for taxable years beginning after 2023 and before 2027.
ITEM 1B. UNRESOLVED STAFF COMMENTS
None.
ITEM 1C. CYBERSECURITY
Risk management and strategy
We operate in the biopharmaceutical sector, which is a highly regulated sector subject to various
cybersecurity risks that could adversely affect our business, financial condition, and results of operations, including
intellectual property theft; fraud; extortion; harm to employees or customers; disruption of our clinical trials, manufacturing
or supply chain; violation of privacy laws and other litigation and legal risk; and reputational risk. We rely primarily on
industry-leading third parties and a cloud-based infrastructure for our information technology systems, and accordingly are
dependent on these third parties’ own cybersecurity risk management practices and strategy. We have implemented and
maintain various information security processes designed to identify, assess and manage material risks from cybersecurity
threats to our critical computer networks, third party hosted services, communications systems, hardware and software, and
our critical data, including clinical trial data, intellectual property, confidential information that is proprietary, strategic,
financial or competitive in nature, and personal data (“Information Systems and Data”).
We take a risk-based approach to identify and assess the cybersecurity threats and risks that could affect our
business and Information Systems and Data. Our Information Technology personnel help identify, assess and manage our
cybersecurity threats and risks, and support our efforts to identify and assess risks from cybersecurity threats by monitoring
and evaluating our threat environment. We use various methods and tools to identify, assess and manage cybersecurity
threats and risks, including, for example, automated tools, a third-party managed detection and response firm to monitor
security alerts on a 24-hour basis, industry reports, engaging a virtual Chief Information Security Officer, third party threat
assessments and penetration testing. In addition, we encrypt data at rest and maintain network security controls, such as
firewalls and virtual private networks. We also conduct computerized system monitoring and access control, including
asset management, tracking and disposal associated with onboarding and offboarding of personnel. We maintain
cybersecurity insurance.
Depending on the environment, we implement and maintain various technical, physical, and organizational
measures, processes, standards and policies designed to manage and mitigate material risks from cybersecurity threats to
our Information Systems and Data. For example, in 2025, we expanded our monitoring capabilities by engaging with a
managed detection and response firm to monitor and respond to security alerts on a 24-hour, seven-day-a-week basis. We
have implemented and maintain an incident response plan, and we utilize automated tools designed to maintain email
security. We have also implemented a computerized system security and password policy that defines security for access to
computer systems managed and controlled by us, and a procedure for computerized system incident management to
address any unplanned issues in regulated computerized systems that could impact subject safety, product quality, and data
integrity. We further protect access by monitoring risk-based sign-in attempts, and require stronger authentication (e.g.,
multi-factor authentication) based on defined policies. We periodically conduct cybersecurity incident tabletop training
exercises involving our personnel and plan to continue conducting similar training exercises in 2026.
Table of Contents
77
Our assessment and management of material risks from cybersecurity threats are integrated into our overall
risk management processes. For example, our head of Information Technology evaluates material risks from cybersecurity
threats and reports periodically to the Audit Committee of our Board, which evaluates our overall enterprise risk. We use
third-party service providers to assist us from time to time to identify, assess, and manage material risks from cybersecurity
threats, including, for example, cybersecurity software providers such as our managed detection and response firm,
cybersecurity service providers, penetration testing firms, auditors, and professional services firms, such as our virtual
Chief Information Security Officer, including legal counsel. These relationships enable us to leverage specialized
knowledge and insights, enabling our cybersecurity strategies and processes to remain consistent with industry best
practices.
We rely on third-party service providers to perform a variety of functions throughout our business, such as
contract manufacturing organizations, contract research organizations, suppliers and consultants, and third party logistics
organizations and distributors to distribute RYTELO. We conduct quality and cyber audits of regulated vendors, which
typically include an assessment of such vendor’s information technology systems, checks for recent cybersecurity
incidents, analyzing potential vulnerabilities associated with such vendor's externally facing infrastructure, and the
cybersecurity controls they have in place to protect the Company's data, and we impose appropriate contractual obligations
on vendors pertaining to information security. Depending on the nature of the services provided, the sensitivity of the
Information Systems and Data at issue, and the identity of the provider, our efforts may involve different levels of
assessment designed to help identify cybersecurity risks associated with a provider and impose contractual obligations
related to cybersecurity on the provider.
For a description of the risks from cybersecurity threats that may materially affect us and how they may do
so, see our risk factors under Part 1. Item 1A. Risk Factors in this Report, including “Risks Related to Information
Technology Systems, Data Security and Data Privacy.”
Governance
Our Board of Directors addresses our cybersecurity risk management as part of its general oversight
function. The Audit Committee of our Board is responsible for overseeing our cybersecurity risk management processes,
including oversight and mitigation of risks from cybersecurity threats.
Our Audit Committee, as well as our Chief Financial Officer and other members of our executive
management as appropriate, receives periodic reports from our head of Information Technology concerning our significant
cybersecurity threats and risks and the processes we have implemented to address them. The Audit Committee also
receives various periodic presentations related to cybersecurity threats, risk and mitigation.
Risk Management Personnel
Our Information Technology personnel responsible for cybersecurity risk assessment and management
processes are managed by certain members of our executive management, including our Chief Financial Officer. Together
with our executive management, our Information Technology personnel are responsible for helping to integrate
cybersecurity risk considerations into our overall risk management strategy, and communicating key priorities to relevant
personnel. We believe these Information Technology personnel have the skills appropriate to help us prepare for
cybersecurity incidents, approve cybersecurity processes, and review security assessments and other security-related
reports.
Our cybersecurity incident response plan is designed to escalate certain cybersecurity incidents to members
of management depending on the circumstances, including executive management. When appropriate given the nature of
any potential cybersecurity incident, our executive management works with our incident response team to help us mitigate
and remediate cybersecurity incidents of which they are notified, and to make any legally required notifications to
individuals or regulatory agencies, including making any required disclosures under the Exchange Act.
ITEM 2. PROPERTIES
In April 2019, we entered into an operating lease agreement for office space located at 3 Sylvan Way,
Parsippany, New Jersey, or the New Jersey Lease. The initial term of the New Jersey Lease is 11 years with an option to
extend for an additional five years and a one-time option to terminate the New Jersey Lease without cause as of the 103rd
Table of Contents
78
month anniversary of the commencement date of the lease. The New Jersey Lease commenced on October 1, 2019, upon
our control of the office space on that date.
In October 2019, we entered into an operating lease agreement for office space located at 919 East
Hillsdale Boulevard, Foster City, California, or the Foster City Lease. The initial term of the Foster City Lease is 87
months with an option to extend for an additional five years. The Foster City Lease commenced on March 10, 2020, upon
our control of the office space on that date.
ITEM 3. LEGAL PROCEEDINGS
The information required to be set forth under this Item 3 is incorporated by reference to Note 8,
Commitments and Contingencies, of the Notes to Consolidated Financial Statements, included in Part II, Item 8 of this
Report.
ITEM 4. MINE SAFETY DISCLOSURES
Not applicable.
Table of Contents
79
PART II
ITEM 5. MARKET FOR THE REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS
AND ISSUER PURCHASES OF EQUITY SECURITIES
Market Information
Our common stock is listed on the Nasdaq Global Select Market under the symbol GERN. As of
February 20, 2026, there were approximately 411 stockholders of record of our common stock. This number does not
include “street name” or beneficial holders, whose shares are held of record by banks, brokers and other financial
institutions.
Stock Performance Graph
The following graph shows a comparison from December 31, 2020 through December 31, 2025, of the
cumulative total return on an assumed investment of $100.00 in cash in our common stock as compared to the same
investment in the Nasdaq Composite Index and the Nasdaq Biotechnology Index. Such returns are based on historical
results and are not intended to suggest future performance. Data for the Nasdaq Composite Index and Nasdaq
Biotechnology Index assume reinvestment of dividends.
This performance graph shall not be deemed “soliciting material” or to be “filed” with the SEC for
purposes of Section 18 of the Exchange Act or incorporated by reference into any filing of Geron Corporation under the
Securities Act or the Exchange Act, except to the extent we specifically incorporate it by reference into such filing.
Dividend Policy
We have never paid cash dividends on our capital stock and do not anticipate paying cash dividends in the
foreseeable future, but intend to retain our capital resources for reinvestment in our business. In addition, the terms of our
Pharmakon Loan Agreement restrict our ability to pay dividends and any future debt agreements may continue to or further
restrict our ability to pay dividends. Any future determination to pay cash dividends will be at the discretion of the board of
directors and will be dependent upon our financial condition, results of operations, capital requirements, compliance with
the terms of our Pharmakon Loan Agreement or other future debt agreements, and other factors our board of directors
deems relevant.
Recent Sales of Unregistered Securities
During the year ended December 31, 2025, there were no unregistered sales of equity securities by us.
ITEM 6. [RESERVED]
Table of Contents
80
ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS
The following discussion should be read in conjunction with the section entitled “Business” in Part I, Item
1 and the audited financial statements and notes thereto included in Part II, Item 8 of this Report. The information provided
should be reviewed in the context of the sections entitled “Risks Related to the Further Development of RYTELO
(Imetelstat),” “Risks Related to the Commercialization of RYTELO” and “Risks Related to Regulatory Approval of
RYTELO” in Part II, Item 1A entitled “Risk Factors” and elsewhere in this Report.
Company Overview
Summary
We are a commercial-stage biopharmaceutical company aiming to change lives by changing the course of
blood cancer. Our first-in-class telomerase inhibitor, RYTELO® (imetelstat), harnesses Nobel Prize winning science in a
treatment that scientific evidence suggests reduces proliferation of malignant cells, allowing production of new healthy
cells, which we believe drives differentiated clinical benefits, potentially altering the underlying course and modifying the
disease of these hematologic malignancies.
We commercially launched RYTELO in the U.S. in June 2024 following its approval by the U.S. Food and
Drug Administration, or FDA on June 6, 2024 for the treatment of adult patients with low- to intermediate-1 risk
myelodysplastic syndromes, or lower-risk MDS, with transfusion-dependent, or TD, anemia requiring four or more red
blood cell units over eight weeks who have not responded to or have lost response to or are ineligible for erythropoiesis-
stimulating agents, or ESAs. Lower-risk MDS is a progressive blood cancer with high unmet need, where many patients
with anemia become dependent on red blood cell transfusions, which can be associated with clinical consequences and
decreased quality of life. We believe that the high unmet need in lower-risk MDS and significant product differentiation,
including observed benefit of RYTELO in difficult-to-treat sub-populations such as patients with high transfusion burden
and ring sideroblast negative, or RS- patients, as well as the favorable FDA label and the National Comprehensive Cancer
Network, or NCCN®, Clinical Practice Guidelines in Oncology, or NCCN Guidelines®, position RYTELO to potentially
compete for significant market segments in lower-risk MDS.
In March 2025, we were granted marketing authorization by the European Commission, or EC, for
RYTELO as a monotherapy for the treatment of adult patients with TD anemia due to very low, low or intermediate risk
myelodysplastic syndromes without an isolated deletion 5q cytogenetic, or non-del 5q, abnormality and who had an
unsatisfactory response to or are ineligible for erythropoietin-based therapy. We are preparing for the planned
commercialization of RYTELO in select EU markets in 2026. At this time, we do not plan to commercialize RYTELO
independently in the EU (or in any other regions outside of the U.S. where RYTELO may be approved for marketing in the
future). Accordingly, we plan to work with experienced third parties for the commercialization and marketing of RYTELO
in the EU, including on critical path activities for the planned launch of RYTELO in the EU, such as reimbursement,
Health Technology Assessment, or HTA, submissions, market access and distribution. To enable paid access to patients
outside the U.S. through approved Named Patient Programs, or NPPs, in 2025 we partnered with Tanner Pharma, a
distributor with broad global reach to support patient access. To date, product revenue pursuant to NPPs have been
minimal.
In addition to lower-risk MDS, we are developing imetelstat for the treatment of other myeloid hematologic
malignancies. Our Phase 3 IMpactMF clinical trial is evaluating imetelstat in patients with intermediate-2 or high-risk
myelofibrosis, or MF, who have relapsed after or are refractory to treatment with a janus associate kinase inhibitor, or JAK
inhibitor, or relapsed/refractory MF, or R/R MF, with overall survival, or OS, as the primary endpoint. As of September
2025, the trial was fully enrolled. Based on our current planning assumptions for event (death) rates in the trial, we expect
the interim analysis for OS in IMpactMF may occur in the second half of 2026 and the final analysis may occur in the
second half of 2028.
We believe that telomerase inhibition with imetelstat represents a novel mechanism of action with unique
benefits in hematologic malignancies and potentially in other tumor types.
Financial Overview
Since our inception, we have financed our operations primarily through the sale of equity securities, draw
downs on our debt facilities, cash generated from sales of RYTELO, interest income on our marketable securities,
Table of Contents
81
payments we received under the Royalty Pharma Agreement and our prior collaborative and licensing arrangements. As of
December 31, 2025, we had approximately $401.1 million in cash, cash equivalents, restricted cash and marketable
securities.
We began commercializing RYTELO in June 2024, and the commercial potential of and our ability to
successfully commercialize RYTELO remains unproven. Our success in commercializing RYTELO will require, among
other things, effective sales, marketing, manufacturing, distribution, information systems and pricing strategies, as well as
compliance with applicable laws and regulations. Prior to our commercialization of RYTELO, substantially all of our
revenues were generated from payments under prior collaboration agreements, and milestones, royalties and other revenues
from our licensing arrangements. We reported a small profit for the year ended December 31, 2015, and we have not
reported any profit since. We have incurred significant net losses since our inception in 1990, resulting principally from
costs incurred in connection with our research and development activities and from general and administrative costs
associated with our operations. As of December 31, 2025, we had an accumulated deficit of approximately $1.9 billion.
On November 1, 2024, we entered into a loan agreement, or the Pharmakon Loan Agreement, with
BioPharma Credit Investments V (Master) LP and BPCR Limited Partnership, each, a Lender, which are investment funds
managed by Pharmakon Advisors, LP, and BioPharma Credit PLC, as collateral agent, that provides for a 5-year senior
secured term loan facility of up to $250.0 million, divided into three committed tranches: (i) a Tranche A Loan in an
aggregate principal amount of $125.0 million, or the Tranche A Loan, which was funded on November 1, 2024, or the
Tranche A Closing Date; (ii) a Tranche B Loan in an aggregate principal amount of $75.0 million, or the Tranche B Loan,
which is available, subject to certain limited conditions, at our option; and (iii) a Tranche C Loan in an aggregate principal
amount of $50.0 million, or the Tranche C Loan, and together with the Tranche A Loan and the Tranche B Loan,
collectively, the Term Loans, which is available to us upon reaching a specified trailing twelve-month RYTELO revenue
milestone. The Tranche B Loan and the Tranche C Loan, once available, could have been requested on or prior to
December 31, 2025. A portion of the proceeds from the Tranche A Loan were used to repay, in full, all amounts owed
($86.5 million) under the Hercules Loan Agreement, which was terminated effective November 1, 2024. The Term Loans
mature on November 1, 2029. The Term Loans bear interest at a variable rate per annum equal to 5.75% plus the three-
month Secured Overnight Financing Rate, or SOFR, with a SOFR floor of 3.00%. See Note 10 on Debt in Notes to
Consolidated Financial Statements of this Report for additional information on the Pharmakon Loan Agreement.
On January 5, 2026, the Pharmakon Loan Agreement was amended to extend the date for requesting the
Tranche B Loan and Tranche C Loan from December 31, 2025 to July 30, 2026. We may elect to prepay the Term Loans
in part or in whole prior to the Maturity Date with such prepayments being subject to a prepayment premium equal to the
principal amount so prepaid multiplied by 3% if made prior to the 3rd anniversary of the funding date of the applicable
Term Loan, 2% if made on or after the third anniversary of the funding date of the applicable Term Loan but prior to the
fourth anniversary of the funding date of the applicable Term Loan, and 1% if made on or after the fourth anniversary of
the funding date of the applicable Term Loan but prior to the Maturity Date. In addition to the prepayment premium,
prepayments of any Term Loan prior to a specified date, or the Makewhole Date, are subject to a makewhole amount equal
to the sum of all interest that would have accrued from the date of such payment through such Makewhole Date. The First
Amendment Agreement also extended the Makewhole Date from November 1, 2026 to May 1, 2027.
On November 1, 2024, we entered into a revenue participation right purchase and sale agreement, or the
Royalty Pharma Agreement, with Royalty Pharma Development Funding, LLC, or Royalty Pharma. Pursuant to the
Royalty Pharma Agreement, we received an upfront payment of $125.0 million, or the Purchase Price, in exchange for
which Royalty Pharma obtained the right to receive tiered royalty payments with respect to annual U.S. net sales, or
Annual Net Sales, of RYTELO beginning on July 1, 2024, ranging from: (i) 7.75% of Annual Net Sales up to $500.0
million; (ii) 3.0% of Annual Net Sales in excess of $500.0 million but less than or equal to $1.0 billion; and (iii) 1.0% in
respect of Annual Net Sales in excess of $1.0 billion, or the Royalty Payments. The Royalty Payments to Royalty Pharma
are capped, such that they will cease upon reaching a multiple of 1.65 times the Purchase Price if Royalty Pharma receives
Royalty Payments in that amount in respect of net sales occurring on or before June 30, 2031, or upon reaching a multiple
of 2.0 times the Purchase Price thereafter. Our Royalty Payment obligations under the Royalty Pharma Agreement may be
discharged in connection with a change of control of Geron in an amount equal to 1.65 times the Purchase Price minus the
aggregate Royalty Payments received by Royalty Pharma as of the date of the closing of the change of control, if the
closing of the change of control occurs on or prior to December 31, 2027, or in an amount equal to 2.0 times the Purchase
Price minus the aggregate Royalty Payments received by Royalty Pharma as of the date of the closing of the change of
control, if the closing of the change of control occurs after December 31, 2027. There are no other royalties payable on
RYTELO, which was developed internally and is exclusively owned by Geron.
Table of Contents
82
In December 2025, we implemented a workforce reduction, representing approximately one-third of our
workforce prior to the reduction in headcount. We may not realize, in full or in part, the anticipated benefits on our 2026
operating expenses from our restructuring efforts due to unforeseen difficulties, delays or unexpected costs. We incurred
approximately $17.0 million in restructuring and restructuring-related charges in the fourth quarter of 2025, primarily
consisting of one-time employee severance payments, healthcare and related benefits, and other employee-related costs,
and we estimate the workforce reduction will be substantially completed in the first quarter of 2026. If we are unable to
realize the expected operational efficiencies and cost savings from the restructuring, our operating results and financial
condition could be adversely affected.
The significance of future losses, future revenues and any potential future profitability will depend
primarily on the clinical and commercial success of RYTELO, our sole product. In this regard, our ability to generate
meaningful revenue from product sales and achieve profitability is wholly dependent on our ability to successfully
commercialize RYTELO in the U.S. for lower-risk MDS or to expand its indications of use. We have seen and may
continue to see variability in RYTELO sales trends.
Our commercial strategy is designed to ensure that RYTELO reaches eligible patients when they are most
likely to benefit. Our commercial execution is focused on targeted engagement with high-volume accounts that treat
earlier-line patients, investment in non-personal promotion and third-party education to further consistent, high-quality
messaging across multiple touchpoints, and cross-functional execution of effective account management. However, our
strategy to drive sales growth and our ongoing commercialization efforts has not to date achieved and may not in the future
achieve meaningful sales growth, which may require us to, among others, further adjust or amend our commercialization
strategy and plans and incur significant expenses, and there can be no assurance that we will be able to grow RYTELO net
product revenue in future periods. In particular, our strategy may not drive new patient starts across the breadth of the
eligible patient population in RYTELO's approved indication in a timely manner or at all, or the duration of therapy could
be shorter than we expect, each of which would limit RYTELO’s growth potential and could preclude or delay our ability
to generate meaningful revenue from product sales and to achieve profitability.
In addition, in an effort to expand its indications of use, we are also developing RYTELO for the treatment
of several myeloid hematologic malignancies that will continue to require additional time and significant investment in
clinical trials to complete. We also expect to continue to seek regulatory approvals of RYTELO in jurisdictions outside of
the U.S., such as our recent marketing authorization in the EU, and to establish arrangements with third parties to assist us
in the commercialization of RYTELO in such jurisdictions. As a result, we expect research and development expenses and
selling, general and administrative expenses to continue to be substantial as we continue to support the commercialization
of RYTELO in the U.S. and further development of RYTELO, including the conduct and completion of our IMpactMF
Phase 3 clinical trial, as well as our ongoing Phase 1 IMproveMF combination clinical trial in frontline MF, our Phase 2
investigator-led IMpress clinical trial in higher-risk MDS and acute myeloid leukemia, and our Phase 1/2 investigator-led
IMAGINE clinical trial in relapsed/refractory acute myeloid leukemia, and as we pursue paths to make RYTELO available
to eligible LR-MDS patients outside of the U.S., including in the EU. In addition, we expect our interest expense to
increase due to the draw down of the Tranche A Loan and potential future draw downs of the other Term Loans under the
Pharmakon Loan Agreement, if available, as well as the non-cash interest expense related to the Royalty Pharma
Agreement.
Critical Accounting Policies and Estimates
Our consolidated financial statements have been prepared in accordance with accounting principles
generally accepted in the United States of America. The preparation of our consolidated financial statements requires
management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and
expenses. 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. Actual results may differ from these estimates under different
assumptions and conditions.
A critical accounting policy is one that is both important to the portrayal of our financial condition and
results of operations and requires management’s most difficult, subjective or complex judgments, often as a result of the
need to make estimates about the effect of matters that are inherently uncertain. While Note 1 of Notes to Consolidated
Financial Statements of this Report describes the significant accounting policies used in the preparation of our consolidated
financial statements, we believe the following accounting estimates and policies to be critical.
Table of Contents
83
Revenue Recognition
We recognize revenue when our customer obtains control of promised goods or services, in an amount that
reflects the consideration which we expect to receive in exchange for those goods or services. We recognize revenue
following the five-step model prescribed under Accounting Standards Codification Topic 606, Revenue from Contracts
with Customers: (i) identify contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii)
determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v)
recognize revenue when (or as) we satisfy the performance obligations.
Product Revenue
We sell our products primarily to third party distributors and specialty pharmacies. These customers subsequently resell our
products to health care providers and patients. In addition, we enter into arrangements with health care providers and
payors that provide for government-mandated or privately-negotiated discounts and allowances related to our RYTELO.
Product revenue is recognized when the customer obtains control of our product, which occurs at a point in
time, typically upon delivery to the customer.
Reserves for Discounts and Allowances
Product revenue is recorded net of reserves established for applicable discounts and allowances that are
offered within contracts with our customers, health care providers or payors, Product revenue reserves, which are classified
as a reduction in product revenue, are generally characterized in the following categories: discounts, contractual
adjustments and returns.
These reserves are based on estimates of the amounts earned or to be claimed on the related sales and are
classified as reductions of accounts receivable (if the amount is payable to our customer) or a liability (if the amount is
payable to a party other than our customer). Our estimates of reserves established for variable consideration are calculated
based upon a consistent application of our methodology utilizing the expected value method. These estimates reflect our
historical experience, current contractual and statutory requirements, specific known market events and trends, industry
data and forecasted customer buying and payment patterns. The transaction price, which includes variable consideration
reflecting the impact of discounts and allowances, may be subject to constraint and is included in the net sales price only to
the extent that it is probable that a significant reversal of the amount of the cumulative revenue recognized will not occur in
a future period. Actual amounts may ultimately differ from our estimates. If actual results vary, we adjust these estimates,
which could have an effect on earnings in the period of adjustment.
For additional information on our revenue, please read Note 2 on Product Revenue to our consolidated
financial statements included in this report.
Inventory
Inventory is recorded at the lower of cost or net realizable value, with cost determined under the weighted
average method. Inventory costs include third-party contract manufacturing, third-party packaging services, freight,
salaries, wages and stock-based compensation for personnel involved in the manufacturing process, and indirect overhead
costs. We periodically review our inventories to identify excess, obsolete, or slow moving items. If excess, obsolete, or
slow moving inventory without an alternate use is identified, we adjust the recorded amount to its net realizable value. The
determination of net realizable value requires judgment including consideration of many factors, such as estimates of future
product demand, product net selling prices, current and future market conditions and potential product obsolescence,
among others. Additionally, our products are subject to strict quality control and monitoring that we perform throughout
the manufacturing process. In the event that certain batches or units of product no longer meet quality specifications, we
will record a charge to cost of sales to write-down any unmarketable inventory to its estimated net realizable value. In all
cases, product inventory is carried at the lower of cost or its estimated net realizable value.
Although we believe that the assumptions we use in estimating inventory write-downs are reasonable, no
assurance can be given that significant future changes in these assumptions or changes in future events and market
conditions could result in different estimates.
Table of Contents
84
Royalty Pharma Agreement Interest Expense
The liability related to the Royalty Payments under the Royalty Pharma Agreement and the related revenue
interest expense are measured based on our current estimate of the timing and amount of expected future Royalty Payments
expected to be paid over the estimated term of the Royalty Pharma Agreement using a discounted cash flow model. The
liability is amortized using the effective interest rate method, resulting in recognition of non-cash interest expense over the
estimated term of the agreement. Each reporting period, we assess the estimated timing and amount of future expected
Royalty Payments over the estimated term. If there are changes to the estimate, we recognize the impact to the liability’s
amortization schedule and the related non-cash interest expense prospectively. Additionally, the transaction costs
associated with the liability is amortized to non-cash interest expense over the estimated term of the Royalty Pharma
Agreement.
Results of Operations
Our results of operations have fluctuated from period to period and may continue to fluctuate in the future.
Results of operations for any period may be unrelated to results of operations for any other period. Thus, historical results
should not be viewed as indicative of future operating results. In this regard, although we have begun to recognize revenue
from RYTELO product sales in the U.S., we are early in our commercialization efforts and our related strategy to drive
sales growth in the U.S.. We expect that our sales revenue may continue to vary from period to period as a result of the
evolving effects of our commercialization strategy and as our commercialization efforts otherwise progress.
RYTELO is our only product approved for marketing in the U.S. and in the EU for certain patients with
lower-risk MDS. Revenue based on sales of RYTELO is dependent on our ability to successfully commercialize RYTELO
in the U.S. and in the EU and to obtain regulatory approvals to commercialize RYTELO in other jurisdictions and in other
indications. We are subject to risks common to companies in our industry and at our stage of development, including, but
not limited to, risks inherent in the development, manufacture, regulatory approval for and commercialization of RYTELO;
uncertainty of non-clinical and clinical trial results or regulatory approvals or clearances; the future development of
imetelstat by us and its use by patients generally, including any future efficacy or safety results from clinical or commercial
use that may cause the benefit-risk profile of imetelstat to become unacceptable; the uncertain and unpredictable drug
research and development process; our ability to obtain and maintain contractual arrangements, strategic partnerships,
collaborations, alliances or licensing arrangements with third parties to assist us with the commercialization of RYTELO in
jurisdictions outside of the U.S.; overcoming disruptions and/or delays due to macroeconomic or other global conditions,
such as further changes in tariffs and other trade restrictions, renegotiation of existing international trade agreements or
further escalation of trade tensions, inflation, fluctuations in interest rates, prospects of a recession, government shutdowns,
bank failures and other disruptions to financial systems, civil or political unrest, military conflicts, pandemics or other
health crises and supply chain and resource issues; our ability to obtain additional capital if and when needed; enforcement
of our patent and proprietary rights; reliance upon our CROs, contract manufacturing organizations, or CMOs, consultants,
licensees, investigators and other third parties; and potential competition.
Table of Contents
85
Comparison of the Years Ended December 31, 2025, 2024, and 2023
The following table sets forth our results of operations for the years ended December 31:
2025
2024
Change $
Change %
2023
Change $
Change %
(in thousands, except for percentage data)
Revenues:
Product revenue, net
$ 183,623 $ 76,495 $ 107,128
58% $
— $ 76,495
100%
Royalties
258
499
(241)
(48%)
237
262
111%
Total revenues
183,881
76,994 106,887
139%
237 76,757
324%
Costs and operating expenses:
Cost of goods sold
4,745
1,256
3,489
74%
— 1,256
100%
Research and development
71,433 103,738 (32,305)
(31%)
125,046 (21,308)
(17%)
Selling, general and administrative
159,256 145,732 13,524
9%
69,135 76,597
111%
Restructuring charges
17,032
—
—
100%
—
—
0%
Total costs and operating expenses 252,466 250,726
1,740
1%
194,181 56,545
29%
Interest income
18,117
19,607 (1,490)
(8%)
18,152 1,455
8%
Interest expense
(32,657)
(18,504) (14,153)
76%
(8,312) (10,192)
123%
Other income (expense), net
(375)
(236)
(139)
59%
(23)
(213)
926%
Loss on extinguishment of debt
—
(1,707)
1,707
(100%)
— 8,485
100%
Net income (loss)
$ (83,500) $ (174,572) $ 91,072
(52%) $ (184,127) $ 9,555
(5%)
Revenues
Product Revenue, Net
On June 6, 2024, we announced that the FDA approved RYTELO for the treatment of adult patients with
lower-risk MDS, with TD anemia requiring four or more red blood cell units over eight weeks who have not responded to
or have lost response to or are ineligible for ESA. To date, our only source of product revenue has been from the sales of
RYTELO, which we began shipping to our customers in June 2024. We did not generate any revenue from product sales
prior to June 2024. Total product revenue, net for the twelve months ended December 31, 2025 and 2024 was
approximately $183.6 million and $76.5 million, respectively.
Total gross-to-net adjustments for the twelve months ended December 31, 2025 and 2024 were 17.7% and
14.5% of gross product revenue, respectively. We expect total gross-to-net adjustments to be in the percentage range of
high-teen to low-twenties of gross product revenue in 2026.
The reconciliation of gross product revenue to product revenue, net by each significant category of gross-
to-net adjustments is as set forth below.
Year Ended December 31,
(in thousands)
2025
2024
Gross product revenue
$
223,112
$
89,418
Gross-to-net adjustments:
Chargebacks
(25,525)
(8,724)
Distributor service fees
(7,512)
(3,048)
Government rebates
(2,603)
(557)
Sales returns and allowances
(3,849)
(594)
Total gross-to-net adjustments
$
(39,489) $
(12,923)
Product revenue, net
$
183,623
$
76,495
Table of Contents
86
Royalties
In connection with the divestiture of our human embryonic stem cell assets, including intellectual property
and proprietary technology, to Lineage Cell Therapeutics, Inc. (formerly BioTime, Inc. which acquired Asterias
Biotherapeutics, Inc.), or Lineage, in 2013, we are entitled to receive royalties on sales from certain research or commercial
products utilizing our divested intellectual property.
We recognized royalty revenues of $0.3 million, $0.5 million and $0.2 million during the years ended
December 31, 2025, 2024 and 2023, respectively. Royalty revenues reflect estimated royalties from sales of cell-based
research products from our divested stem cell assets.
Future license fee and royalty revenues are dependent on additional agreements being signed, if any, our
current license agreement with Lineage being maintained, and the underlying patent rights for the license remaining active.
Costs and Operating Expenses
The following table summarizes our costs and operating expenses for the years ended December 31:
(In thousands)
2025
2024
Change $
Change %
2023
Change $
Change %
Cost of goods sold
$
4,745 $
1,256 $
3,489
278% $
—
1,256
100%
Research and development
71,433 103,738 (32,305)
(31%) 125,046 (21,308)
(17%)
Selling, general and
administrative
159,256 145,732
13,524
9%
69,135
76,597
111%
Restructuring charges
$ 17,032 $
—
17,032
100% $
—
—
0%
Total costs and operating
expenses
$ 252,466 $ 250,726 $
1,740
1 % $ 194,181 $ 56,545
29%
Cost of Goods Sold
Cost of goods sold was approximately $4.7 million for the year ended December 31, 2025, compared to
$1.3 million for the year ended December 31, 2024, which consists of raw materials, third-party manufacturing costs to
manufacture the raw materials into finished product, freight, and indirect overhead costs associated with the sale of
RYTELO.
Prior to receiving FDA approval for RYTELO in June 2024, we manufactured inventory to be sold upon
commercialization and recorded the costs as research and development expense. As a result, a significant portion of the
manufacturing costs related to the inventory manufactured prior to receiving FDA approval was partially expensed in a
prior periods and are therefore excluded from the cost of goods sold for the twelve months ended December 31, 2025 and
2024. We estimate our cost of sales as a percentage of product revenue, net will continue to be positively impacted for at
least the next 12 months as we sell through certain inventory that was partially expensed prior to FDA approval.
Research and Development Expenses
During the year ended December 31, 2025, our RYTELO (imetelstat) program and our research discovery
program related to potential next generation telomerase inhibitors were the only research and development programs we
supported. For these research and development programs, we incur direct external, personnel-related and other research and
development costs. For the years ended December 31, 2025, 2024 and 2023, research and development expenses consist of
expenses incurred in developing and testing imetelstat and research related to potential next generation telomerase
inhibitors. These expenses include, but are not limited to, payroll and personnel expense, lab supplies, non-clinical studies,
clinical trials, including support for investigator-led clinical trials, raw materials to manufacture clinical trial supply,
manufacturing costs for research and clinical trial materials, sponsored research at other labs, consulting expenses, costs to
maintain technology licenses and research-related overhead.
Table of Contents
87
Research and development expenses for the years ended December 31, 2025, 2024 and 2023 were as
follows:
Year Ended December 31,
(In thousands)
2025
2024
2023
Direct external research and development expenses:
Clinical program: Imetelstat
$
39,732 $
68,424 $
86,914
Personnel related expenses
29,054
33,411
31,595
All other research and development expenses
2,647
1,903
6,537
Total
$
71,433 $
103,738 $
125,046
The decrease in research and development expenses in 2025, as compared to 2024, was primarily due to
lower manufacturing and quality costs that were capitalized in the current period now that RYTELO is approved, versus
being partially expensed in 2024, and lower clinical trial costs associated with a decrease of activity in our Phase 3 IMerge
MDS study after FDA approval of RYTELO in 2024. We expect our research and development expenses to decrease
slightly in 2026, primarily due to lower labor costs driven by a decrease in headcount as a result of the workforce reduction
in December 2025, partially offset by higher clinical trial costs.
The decrease in research and development expenses in 2024, as compared to 2023, was primarily due to
manufacturing and quality costs that were capitalized beginning with the third quarter of 2024, due to FDA approval of
RYTELO in June 2024, versus being expensed as research and development expenses in 2023. The decrease is partially
offset by an increase in labor costs due to higher headcount and incentive and stock-based compensation expense
recognized due to the vesting of performance-based stock options upon FDA approval.
A discussion of the risks and uncertainties associated with the development of imetelstat can be found in
the sub-sections entitled “Risks Related to the Further Development of RYTELO (Imetelstat),” “Risks Related to the
Commercialization of RYTELO” and “Risks Related to Regulatory Approval of RYTELO” in Part II, Item 1A entitled
“Risk Factors” and elsewhere in this Report. As a result of these risks and uncertainties, we are unable to determine with
any degree of certainty the duration and completion costs of ongoing and potential future imetelstat research and
development projects, anticipated completion dates, or when and to what extent we will receive cash inflows from the
commercialization and sale of RYTELO in any other jurisdictions or indications we are pursuing or may in the future
pursue, if at all.
Selling, General and Administrative Expenses
Selling, general and administrative expenses were $159.3 million, $145.7 million, and $69.1 million for the
years ended December 31, 2025, 2024 and 2023 , respectively.
The increase in selling, general and administrative expenses in 2025 as compared to 2024 is primarily due
to an increase in sales and marketing full-time employees of approximately $3.7 million, additional investment in
marketing programs of approximately $2.6 million and approximately $1.3 million higher legal expenses. We expect our
selling, general and administrative expenses to decrease in 2026, primarily due to lower labor costs driven by a decrease in
headcount as a result of the workforce reduction in December 2025, partially offset by higher marketing costs due to
continued investment in our RYTELO commercialization strategy.
The increase in selling, general and administrative expenses in 2024 as compared to 2023 primarily reflects
the net result of higher personnel-related expenses of approximately $40.0 million related to increased headcount to support
commercial launch of RYTELO in the U.S. and stock-based compensation recognized upon FDA approval of RYTELO
due to the vesting of performance-based stock options, as well as increased costs for commercial preparatory activities and
launch support of approximately $33.0 million.
Restructuring Charges
In December 2025, we implemented a workforce reduction, representing approximately one-third of our
workforce prior to the reduction in headcount. Restructuring charges consist of termination benefits such as one-time
employee severance payments, healthcare and related benefits, and other employee-related costs. In 2025, restructuring
Table of Contents
88
charges were $17.0 million. There were no restructuring charges in 2024 or 2023. These costs were recorded in the
consolidated statement of operations as restructuring charges.
Interest Income
Interest income was $18.1 million, $19.6 million, and $18.2 million for the years ended December 31,
2025, 2024 and 2023, respectively. The decrease in interest income in 2025 compared to 2024 primarily reflects a smaller
marketable securities portfolio. Interest earned in future periods will depend on the size of our marketable securities
portfolio and prevailing interest rates.
The increase in interest income in 2024 compared to 2023 primarily reflects a larger marketable securities
portfolio due to the receipt of net cash proceeds from the underwritten offering completed in March 2024, as well as higher
yields from marketable securities purchases.
Interest Expense
Interest expense was $32.7 million, $18.5 million, and $8.3 million for the years ended December 31, 2025,
2024 and 2023, respectively.
The increase in interest expense in 2025 as compared to 2024 primarily reflects $18.9 million in non-cash
interest expense related to the Royalty Pharma Agreement and $13.7 million related to the Pharmakon Loan Agreement,
which were entered into in November 2024.
The increase in interest expense in 2024 compared to 2023 primarily reflects $5.3 million in non-cash
interest expense related to the Royalty Pharma Agreement, $2.3 million in Pharmakon Loan Agreement and $2.6 million
increase related to the Hercules agreement in comparison to the prior year.
On November 1, 2024, we entered into the Pharmakon Loan Agreement, and in connection with this
transaction, all obligations outstanding under the Hercules Loan Agreement were repaid in full on November 1, 2024, upon
which the Hercules Loan Agreement was terminated. On January 5, 2026, the Pharmakon Loan Agreement was amended
to extend the date for requesting the Tranche B Loan and Tranche C Loan, once available, from December 31, 2025 to July
30, 2026. The amendment also extended the Makewhole Date from November 1, 2026 to May 1, 2027. See Note 10 on
Debt in Notes to Consolidated Financial Statements of this Report for additional information.
Other Income (Expense), Net
Other income (expense), net was a loss of $0.4 million for the year ended December 31, 2025, and a loss of
$0.2 million and less than $0.1 million for the years ended December 31, 2024 and 2023, respectively. Other income
(expense), net primarily reflects bank charges related to our cash operating accounts and marketable securities portfolio as
well as foreign currency transaction adjustments.
Loss on Extinguishment of Debt
We recorded a loss on the extinguishment of debt of $1.7 million for the year ended December 31, 2024.
This loss is related to the settlement of debt outstanding under the Hercules Loan Agreement. No debt extinguishment
occurred during the years ended December 31, 2025 or 2023. See Note 10 on Debt in Notes to Consolidated Financial
Statements of this Report for additional information.
Liquidity and Capital Resources
As of December 31, 2025, we had cash, restricted cash, cash equivalents and marketable securities of
$401.1 million, compared to $502.9 million at December 31, 2024. The decrease in cash, restricted cash, cash equivalents,
and marketable securities from December 31, 2025 was primarily the net result of cash used in operations, partially offset
by the receipt of net cash proceeds from accounts receivable.
On March 21, 2024, we completed an underwritten public offering consisting of 41,999,998 shares of our
common stock and a pre-funded warrant to purchase 8,002,668 shares of our common stock. All of the securities were
Table of Contents
89
issued separately. The offering price of the common stock was $3.00 per share. The offering price of the 2024 pre-funded
warrant was $2.99 per share. The 2024 pre-funded warrant has an exercise price of $0.001 per share and may be exercised
at any time until it is exercised in full. The net cash proceeds from this offering were approximately $141.0 million, after
deducting the underwriting discount and other offering expenses paid by us, and excluding any proceeds from the exercise
of the 2024 pre-funded warrant. See Note 11 on Stockholders’ Equity in Notes to Consolidated Financial Statements of this
Report for additional information about the underwritten offering completed in March 2024. During the year ended
December 31, 2025, 5.4 million of the 2024 pre-funded warrants were exercised.
On November 1, 2024, we entered into the Pharmakon Loan Agreement. We drew the Tranche A Loan of
$125.0 million on November 1, 2024, a portion of which was utilized to repay all outstanding indebtedness associated with
the Hercules Loan Agreement. The Pharmakon Loan Agreement provides two additional committed term loan tranches, the
Tranche B Loan and the Tranche C Loan, in principal amounts of $75.0 million and $50.0 million, respectively, subject to
customary conditions to fund and, in the case of the Tranche C Loan, achieving certain minimum net sales milestone. The
Tranche B Loan and the Tranche C Loan could have been requested on or prior to December 31, 2025. The Term Loans
mature on November 1, 2029. The Term Loans bear interest at a variable rate per annum equal to 5.75% plus three-month
SOFR with a SOFR floor of 3.00%. On January 5, 2026, the Pharmakon Loan Agreement was amended to extend the date
for requesting the Tranche B Loan and Tranche C Loan, once available, from December 31, 2025 to July 30, 2026. The
amendment also extended the Makewhole Date from November 1, 2026 to May 1, 2027. See Note 10 on Debt in Notes to
Consolidated Financial Statements of this Report for additional information on the Pharmakon Loan Agreement.
On November 1, 2024, we entered into the Royalty Pharma Agreement with Royalty Pharma. Pursuant to
the Royalty Pharma Agreement, we received $125.0 million, or the Purchase Price, in exchange for which Royalty Pharma
obtained the right to receive the Royalty Payments. The Royalty Payments to Royalty Pharma are capped, such that they
will cease upon reaching a multiple of 1.65 times the Purchase Price if Royalty Pharma receives Royalty Payments in that
amount in respect of net sales occurring on or before June 30, 2031, or upon reaching a multiple of 2.0 times the Purchase
Price thereafter. There are no other royalties payable on RYTELO, which was developed internally and is exclusively
owned by Geron. See Note 10 on Debt in Notes to Consolidated Financial Statements of this Report for additional
information on the Royalty Pharma Agreement.
In 2024, warrants to purchase 1,071,981 shares of our common stock were exercised for net cash proceeds
of approximately $1.4 million. In 2025, warrants to purchase 1,162,376 shares of our common stock were exercised,
generating cash proceeds of $1.5 million, which proceeds were received in January 2026. These warrants were issued in
connection with underwritten public offerings of our common stock in 2020. The remaining warrants to purchase 240,146
shares of our common stock expired on December 31, 2025 and are no longer outstanding.
On January 10, 2023, we completed an underwritten public offering of 68,007,741 shares of our common
stock and a pre-funded warrant to purchase 25,000,000 shares of our common stock, or the 2023 pre-funded warrant. The
net cash proceeds from this offering were approximately $213.3 million, after deducting the underwriting discount and
other offering expenses paid by us.
On November 1, 2023, we entered into an At Market Issuance Sales Agreement, or the 2023 Sales
Agreement, with B. Riley Securities, pursuant to which we could elect to issue and sell shares of our common stock having
an aggregate offering price of up to $100.0 million in such quantities and on such minimum price terms as we set from time
to time through B. Riley Securities as our sales agent. We have agreed to pay B. Riley Securities an aggregate commission
equal to up to 3.0% of the gross proceeds of the sales under the agreement. No sales of common stock occurred under the
2023 Sales Agreement, which was terminated in January 2026.
On February 27, 2026, we entered into a sales agreement, or the 2026 Sales Agreement, with TD Securities
(USA) LLC, or TD Cowen, pursuant to which we may issue and sell shares of our common stock having an aggregate
offering price of up to $150 million from time to time through TD Cowen as the sales agent. We will pay TD Cowen an
aggregate commission rate equal to up to 2.5% of the gross proceeds of the sales price per share for common stock sold
through TD Cowen under the 2026 Sales Agreement. We are not obligated to make any sales of common stock under the
2026 Sales Agreement.
The issuance and sale of our common stock under the 2026 Sales Agreement will be made pursuant to an
automatically effective registration statement on Form S-3 and the related prospectus, in each case to be filed with the
United States Securities and Exchange Commission on or about March 2, 2026.
Table of Contents
90
We have an investment policy to invest our cash in liquid, investment-grade securities, such as interest-
bearing money market funds, certificates of deposit, U.S. Treasury securities, municipal securities, government and agency
securities, corporate notes and commercial paper. Our investment portfolio does not contain securities with exposure to
sub-prime mortgages, collateralized debt obligations, asset-backed securities or auction rate securities and, to date, we have
not recognized any other-than-temporary impairment charges on our marketable securities or any significant changes in
aggregate fair value that would impact our cash resources or liquidity. To date, we have not experienced lack of access to
our invested cash and cash equivalents; however, access to our invested cash and cash equivalents may be impacted by
adverse conditions in the financial and credit markets.
Financing Strategy
We may, from time to time, consider additional funding through a combination of new collaborative
arrangements, strategic alliances, and additional equity and debt financings or from other sources. We will continue to
manage our capital structure and consider all financing opportunities, whenever they may occur, that could strengthen our
long-term liquidity profile. Any such capital transactions may or may not be similar to transactions in which we have
engaged in the past. There can be no assurance that any such financing opportunities will be available on acceptable terms,
if at all.
Future Funding Requirements
Successful drug development and commercialization requires significant amounts of capital. As of
December 31, 2025, we had approximately $401.1 million in cash, cash equivalents, restricted cash and marketable
securities. Based on our current operating plans and assumptions, we believe that our existing cash, cash equivalents, and
marketable securities, together with anticipated net revenues from sales of RYTELO, will be sufficient to fund our
projected operating requirements for the foreseeable future. However, if we do not generate net revenues from commercial
sales of RYTELO at the levels we anticipate, if we experience unforeseen events or choose to make other investments in
our business, or our assumptions regarding our projected operating expenses are otherwise incorrect, we may require
additional funding, which could include a combination of public or private equity offerings, debt financings (including
additional tranches under the Pharmakon Loan Agreement, if available), collaborations, strategic alliances, licensing
arrangements or marketing and distribution arrangements, which may not be possible. For example, changes in our
operations, such as increased development, manufacturing and clinical trial expenses, or our undertaking of additional
programs, business activities, or entry into strategic transactions, including potential future acquisitions of products,
technologies or businesses, may cause our operating expenses to increase, perhaps significantly, which could require us to
raise additional funding. If adequate funds are not available to us when we need them, our RYTELO commercialization
efforts may be adversely affected and we may be unable to pursue further development of imetelstat, which would severely
harm our business and we might cease operations.
Despite receiving FDA approval of RYTELO in the U.S. in June 2024 and marketing authorization in the
EU in March 2025, the outcome of any clinical activities and/or regulatory approval process is highly uncertain, and we
cannot reasonably estimate whether our future development activities may succeed, whether we will obtain regulatory
approval for RYTELO in any other jurisdictions or indications we are pursuing or may in the future pursue, or whether we
will be able to effectively commercialize RYTELO in the U.S. or in the EU for lower-risk MDS or other potential
indications, if at all. We may never recoup our investment in any RYTELO development, which would adversely affect our
financial condition and our business and business prospects, and might cause us to cease operations. In addition, our plans
and timing expectations could be further delayed or interrupted by the effects of macroeconomic or other global conditions,
including those resulting from further changes in tariffs and other trade restrictions, renegotiation of existing international
trade agreements or further escalation of trade tensions, inflation, fluctuations in interest rates, prospects of a recession,
government shutdowns, bank failures and other disruptions to financial systems, civil or political unrest, military conflicts,
pandemics or other health crises and supply chain and resource issues. Further, our future capital requirements are difficult
to forecast and will depend on many factors, including:
•
the accuracy of the assumptions underlying our estimates for our capital needs;
•
the overall level of sales and market acceptance of RYTELO;
•
the scope, progress, timing, magnitude and costs of non-clinical and clinical development, manufacturing and
commercialization of RYTELO, including commercialization in the U.S. and any commercialization in the EU for
Table of Contents
91
lower-risk MDS, or in any other jurisdictions or other indication we may pursue, subject to clearances and
approvals by the FDA and similar international regulatory authorities;
•
delays or disruptions in opening sites, screening and enrolling patients or treating and following patients, in our
current or any potential future clinical trials of RYTELO;
•
the costs, timing and outcomes of regulatory reviews or other regulatory actions related to RYTELO,
•
the costs of preparing, filing and prosecuting patent applications and maintaining, enforcing and defending
intellectual property-related claims;
•
the costs of manufacturing, developing, commercializing and marketing RYTELO, including with respect to third-
party vendors and service providers and our ability to achieve any meaningful reduction in manufacturing costs;
•
the sales price for RYTELO;
•
the availability of coverage and adequate third-party reimbursement for RYTELO;
•
the extent to which we acquire or in-license other drugs and technologies, or invest in businesses, products or
technologies, although we currently have no commitments or agreements relating to any of these types of
transactions, or to which we out-license RYTELO;
•
the extent to which we are able to enter into and conduct successful commercial arrangements with third parties,
including for the commercialization and marketing of RYTELO in the EU and in any other regions outside of the
U.S., if approved for commercialization in such other regions;
•
expenses associated with the pending putative securities class action and shareholder derivative lawsuits and
potential additional related lawsuits, as well as any other litigation;
•
the extent and scope of our selling, general and administrative expenses, including expenses associated with
pending and potential future litigation;
•
our level of indebtedness and associated debt service obligations;
•
the costs of maintaining and operating facilities in California and New Jersey, as well as higher expenses for
travel;
•
macroeconomic or other global conditions that may reduce our ability to access equity or debt capital or other
financing on preferable terms, which may adversely affect future capital requirements and forecasts; and
•
the costs of enabling our personnel to work remotely, including providing supplies, equipment and technology
necessary for them to perform their responsibilities.
In the event we need to raise additional capital to fund our business, including pursuant to the 2026 Sales
Agreement with TD Cowen, the Tranche B Loan and the Tranche C Loan under the Pharmakon Loan Agreement, which
are subject to certain funding conditions, capital lease transactions or other financing sources, such additional capital may
not be available on acceptable terms, or at all. We may be unable to raise equity capital, or may be forced to do so at a
stock price or on other terms that could result in substantial dilution of ownership for our stockholders. The receptivity of
the public and private debt and equity markets to proposed financings has been substantially affected by uncertainty in the
general economic, market and political climate due to the effects of macroeconomic or other global conditions, such as
further changes in tariffs and other trade restrictions and uncertainty around further escalation of trade tensions and
renegotiation of existing international trade agreements, inflation, fluctuations in interest rates, prospects of a recession,
government shutdowns, bank failures and other disruptions to financial systems, civil or political unrest, military conflicts,
pandemics or other health crises and supply chain and resource issues, and may in the future be affected by other factors
which are unpredictable and over which we have no control. These effects have increased market volatility and could result
in a significant long-term disruption of global financial markets, which could reduce or eliminate our ability to raise
additional funds through financings, and could negatively impact the terms upon which we may raise those funds.
Similarly, these macroeconomic conditions have created extreme volatility and disruption in the capital markets and is
Table of Contents
92
expected to have further global economic consequences. If the equity and credit markets deteriorate, including as a result of
macroeconomic or other global conditions, such as inflation, changes in interest rates, prospects of a recession, government
shutdowns, further changes in tariffs and other trade restrictions, bank failures and other disruptions to financial systems,
civil or political unrest, military conflicts, pandemics or other health crises and supply chain and resource issues, it may
make any necessary debt or equity financing more difficult to obtain in a timely manner or on favorable terms, more costly
or more dilutive. If we are unable to effectively commercialize RYTELO, or raise additional capital, if needed, or establish
alternative collaborative arrangements with third-party collaborative partners for RYTELO, when needed, the development
and commercialization of RYTELO may be further delayed, altered or abandoned, which might cause us to cease
operations.
In addition, we may seek additional capital due to market conditions or strategic considerations even if we
believe we have sufficient funds for our current or future operating plans. Due to uncertainty in the general economic,
market and political climate, we may determine that it is necessary or appropriate to raise additional funds proactively to
meet longer-term anticipated operating plans. To the extent that we raise additional capital through the sale of equity or
convertible debt securities, including pursuant to the 2026 Sales Agreement, our stockholders may be diluted, and the terms
may include liquidation or other preferences that could materially and adversely affect the rights of our existing
stockholders. In addition, we have borrowed, and in the future may borrow, additional capital from institutional and
commercial banking sources to fund development and our future growth, including pursuant to our Pharmakon Loan
Agreement or potentially pursuant to new arrangements with different lenders. We may borrow funds on terms under
agreements, such as our Pharmakon Loan Agreement, that include restrictive covenants, including covenants limiting or
restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring
dividends. Moreover, if we raise additional funds through alliance, collaborative or licensing arrangements with third
parties, we may have to relinquish valuable rights to RYTELO or our technologies or grant licenses on terms that are not
favorable to us.
Cash Flows Used In Operating Activities
The cash used for operating activities generally approximates our net loss adjusted for non-cash items such
as depreciation and amortization, non-cash interest expense on liabilities for sales of future royalties, or stock-based
compensation as well as changes in operating assets and liabilities. Net cash used in operating activities was $111.0
million, $218.6 million and $167.7 million in 2025, 2024 and 2023, respectively.
The decrease in net cash used in operating activities in 2025 versus 2024 reflects a decrease in net loss to
$83.5 million, which includes a $13.6 million higher adjustment for non-cash interest expense on liabilities for sales of
future royalties and a $4.2 million higher amortization of debt issuance costs and other non-cash adjustments; as well as
$2.1 million higher net changes in operating assets and liabilities.
The increase in net cash used in operating activities in 2024 versus 2023 primarily reflects an increase in
net loss to $174.6 million, adjusted for non-cash items including stock based compensation expense related to employees
and directors stock awards.
Cash Flows Provided By (Used In) Investing Activities
Net cash provided by investing activities was $107.2 million in 2025, compared to net cash used in
investing activities of $106.0 million and $180.3 million in 2024 and 2023, respectively.
The increase in net cash provided by investing activities in 2025 versus 2024 primarily reflects increased
proceeds from maturities or sales of marketable securities as well as decreased purchases of marketable securities.
The decrease in net cash used in investing activities in 2024 versus 2023 primarily reflects increased
proceeds from maturities or sales of marketable securities, partially offset by slightly higher purchases of marketable
securities.
Cash Flows from Financing Activities
Net cash provided by financing activities in 2025, 2024 and 2023 was $2.3 million, $334.4 million, and
$362.0 million, respectively.
Table of Contents
93
The decrease in net cash flow in financing activities in 2025 versus 2024 primary reflects a decrease of
proceeds from issuance of common stock and warrants in public offering, a decrease in cash proceeds received from new
debt financing and from sale of future royalties as well as a $31.2 million decrease in proceeds from issuances of common
stock under our equity plans, partially offset by the settlement of debt outstanding under the Hercules Loan Agreement. In
2024, the Company issued 41,999,998 shares of common stock and a pre-funded warrant to purchase 8,002,668 shares in
an underwriting offering, which yielded approximately $140.7 million in net cash proceeds. Additionally, $246.1 million in
net cash proceeds were received under the Pharmakon Loan Agreement and Royalty Pharma Agreement. No similar
activities occurred in 2025.
The decrease in net cash flow in financing activities in 2024 versus 2023 primarily reflects $104.5 million
lower proceeds from exercise of warrants, $72.6 million lower proceeds from public offering, partially offset by $19.6
million higher proceeds from issuances of common stock under our equity plans. The remaining decrease related to the
debt activity and Royalty Pharma Agreement that was executed in 2024.
Material Cash Requirements
Our material cash requirements in the short- and long-term consist of the following operational and
manufacturing expenditures, a portion of which contain contractual or other obligations. We currently plan to fund our
material cash requirements with our current financial resources together with net revenues from sales of RYTELO;
however, if we do not generate sufficient funds from commercial sales of RYTELO, if we experience unforeseen events or
choose to make other investments in our business, or our assumptions regarding our projected operating expenses are
otherwise incorrect, we may require additional funding to fund our material cash requirements, which could include a
combination of additional equity and debt financings, new collaborative arrangements, strategic alliances, or from other
sources.
Operating Expenditures
Our primary uses of cash and operating expenses relate to paying employees and consultants,
commercializing RYTELO, administering clinical trials, ensuring an adequate supply of RYTELO (imetelstat), and
providing technology and facility infrastructure to support our operations. Our research and development expenses in 2025
were $71.4 million, and we expect our investment in research and development expenses to remain relatively stable in
2026. Our selling, general and administrative expenses were $159.3 million in 2025 and we expect our selling, general, and
administrative expenses to decrease in 2026 due to lower labor costs, partially offset by higher marketing costs due to
continued investment in our RYTELO commercialization strategy. We manage future cash requirements relative to both
our short and long-term business plans.
Contractual Obligations
Our operating expenditures primarily consist of our obligations under commercial purchase commitments
related to our manufacturing and supply agreements for RYTELO and operating leases.
RYTELO requires long lead times to manufacture. Therefore, we make substantial and often long-term
investments in our supply chain in order to ensure we have enough drug product to meet potential future commercialization
requirements, as well as clinical trial needs.
We have engaged third-party contract manufacturers to manufacture and supply additional quantities of
RYTELO that meet applicable regulatory standards for current and potential future clinical trials and commercial uses.
Related to those contract manufacturing agreements, we have binding commercial purchase commitments of approximately
$16.7 million that can be cancelled, but would incur cancellation penalties, and approximately $43.3 million in agreed upon
manufacturing commitments that can be adjusted based on commercial demand of RYTELO. We expect to utilize all
related commercial purchase commitments.
The leases for our office facilities in New Jersey and California contain rate escalations and options for us
to extend the leases. The aggregate amount of future operating lease payments over the term of our leases is $2.4 million as
of December 31, 2025. Refer to Note 9 on Operating Leases in Notes to Consolidated Financial Statements of this Report
for additional detail of our lease obligations.
Table of Contents
94
As of December 31, 2025, we had a long-term principal debt balance of $119.5 million in principal debt
outstanding related to the Pharmakon Loan Agreement.
On November 1, 2024, we entered into the Pharmakon Loan Agreement, and in connection with this
transaction, all obligations outstanding under the Hercules Loan Agreement were repaid in full on November 1, 2024, upon
which the Hercules Loan Agreement was terminated. On January 5, 2026, the Pharmakon Loan Agreement was amended
to extend the date for requesting the Tranche B Loan and Tranche C Loan, once available, from December 31, 2025 to July
30, 2026. The amendment also extended the Makewhole Date from November 1, 2026 to May 1, 2027. We expect our
interest expense to increase in future periods due to the draw down of the Tranche A Loan and potential future draw downs
of the other Term Loans under the Pharmakon Loan Agreement. See Note 10 on Debt in Notes to Consolidated Financial
Statements of this Report for additional information on the Pharmakon Loan Agreement.
On November 1, 2024, we entered into the Royalty Pharma Agreement, pursuant to which we received an
upfront payment of $125.0 million, or the Purchase Price, and Royalty Pharma obtained the right to receive Royalty
Payments on future U.S. net sales of RYTELO for each calendar quarter during the term of the agreement. We are
obligated to make Royalty Payments each quarter based on U.S. net sales of RYTELO at the royalty rates set forth in the
agreement, which Royalty Payments are not determinable at this time, until the date when the aggregate Royalty Payments
equal or exceed 1.65 times the Purchase Price, if this occurs by June 30, 2031, or the date when the aggregate Royalty
Payments equal or exceed 2.0 times the Purchase Price. See Note 10 on Debt in Notes to Consolidated Financial
Statements of this Report for additional information on the Royalty Pharma Agreement.
In the normal course of business, we enter into agreements with CROs for clinical trials and with other
vendors for preclinical research studies, investigator-led trials and other services and products for operating purposes. We
have not considered these commitments to be contractual obligations since the contracts are generally cancelable at any
time by us upon less than 180 days’ prior written notice. We also have certain in-license agreements that require us to pay
milestones to such third parties upon achievement of certain development, regulatory or commercial milestones. Amounts
related to contingent milestone payments are not considered contractual obligations as they are contingent on the successful
achievement of certain development, regulatory approval and commercial milestones, which may not be achieved.
Table of Contents
95
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
The following discussion about our market risk disclosures contains forward-looking statements. Actual
results could differ materially from those projected in the forward-looking statements. We are exposed to credit risk and
interest rate risk. We do not use derivative financial instruments for speculative or trading purposes.
Credit Risk. We currently place our cash, restricted cash, cash equivalents and marketable securities with
multiple financial institutions in the United States. Deposits with banks may exceed the amount of insurance provided on
such deposits. While we monitor the cash balances in our operating accounts and adjust the cash balances as appropriate,
these cash balances could be impacted if the underlying financial institutions fail or could be subject to other adverse
conditions in the financial markets. Financial instruments that potentially subject us to concentrations of credit risk consist
primarily of cash equivalents and marketable securities. Cash equivalents and marketable securities currently consist of
money market funds, U.S. government-sponsored enterprise securities, commercial paper and corporate notes. Our
investment policy, approved by the audit committee of our board of directors, limits the amount we may invest in any one
type of investment issuer, thereby reducing credit risk concentrations. We limit our credit and liquidity risks through our
investment policy and through regular reviews of our portfolio against our policy. To date, we have not experienced any
loss or lack of access to cash in our operating accounts or to our cash equivalents and marketable securities in our
investment portfolio. The effect of a hypothetical decrease of 1% in the average yield earned on our cash equivalents and
marketable securities would have resulted in an immaterial impact on our interest income for the year ended December 31,
2025
Interest Rate Risk. The primary objective of our investment activities is to manage our marketable
securities portfolio to preserve principal and liquidity while maximizing the return on the investment portfolio through the
full investment of available funds without significantly increasing risk. To achieve this objective, we primarily invest in
widely diversified investments with fixed interest rates, which carry a degree of interest rate risk. Fixed rate securities may
have their fair value adversely impacted due to a rise in interest rates. Due in part to these factors, our future interest
income may fall short of expectations due to changes in market conditions and in interest rates or we may suffer losses in
principal if forced to sell securities which may have declined in fair value due to changes in interest rates. The fair value of
our cash equivalents and marketable securities at December 31, 2025 was $375.6 million. These investments include $53.9
million of cash equivalents which are due in less than 90 days, $280.4 million of short-term investments which are due in
less than one year and $41.3 million of long-term investments which are due in one to two years. We primarily invest our
marketable securities portfolio in securities with at least an investment grade rating to minimize interest rate and credit risk
as well as to provide for an immediate source of funds. Although changes in interest rates may affect the fair value of the
marketable securities portfolio and cause unrealized gains or losses, such gains or losses would not be realized unless the
investments are sold. Due to the nature of our investments, which are primarily money market funds, U.S. government-
sponsored enterprise securities, commercial paper and corporate notes, we have concluded that there is no material interest
rate risk exposure and a 1% movement in market interest rates would not have a significant impact on the total value of our
portfolio.
We are exposed to risks associated with changes in interest rates in connection with our term loans. On
November 1, 2024, we entered into a loan agreement (the “Loan Agreement”) with BioPharma Credit Investments V
(Master) LP and BPCR Limited Partnership (each, a “Lender”), which are investment funds managed by Pharmakon
Advisors, LP, and BioPharma Credit PLC, as collateral agent, which provides for a 5-year senior secured term loan facility
of up to $250.0 million, divided into three committed tranches: (i) a Tranche A Loan in an aggregate principal amount of
$125.0 million (the “Tranche A Loan”) which was funded on November 1, 2024 (the “Tranche A Closing Date”); (ii) a
Tranche B Loan in an aggregate principal amount of $75.0 million (the “Tranche B Loan”) which is available, subject to
certain limited conditions, at the Company’s option; and (iii) a Tranche C Loan in an aggregate principal amount of $50.0
million (the “Tranche C Loan”, and together with the Tranche A Loan and the Tranche B Loan, collectively, the “Term
Loans”) which is available to us upon reaching a specified trailing twelve-month RYTELO™ revenue milestone. The Term
Loans mature on November 1, 2029 (the "Maturity Date"). The Term Loans bear interest at a variable rate per annum equal
to 5.75% plus three-month Secured Overnight Financing Rate (“SOFR”) with a SOFR floor of 3.00%. As of inception of
the Tranche A Loan, the interest rate applicable to the Tranche A Loan was 10.32%. Interest is due and payable quarterly
on the last day of each quarter with the first payment due on December 31, 2024. The Loan Agreement requires we pay an
amount equal to 2.50% of the Lenders’ total committed amount to fund the Term Loans, payable with respect to each Term
Loan on the funding date of such Term Loan. Based on our current indebtedness of $125.0 million under the Term Loans
as of December 31, 2025, a 1.0% change in the SOFR would increase net interest expense on our current indebtedness by
approximately $5.2 million.
Foreign Currency Risk. We may be exposed to fluctuations in foreign currencies with regard to certain
agreements with service providers. Depending on the strengthening or weakening of the United States dollar, realized and
unrealized currency may fluctuate. Management has determined that these fluctuations would not have a material impact
on the financial statements.
Table of Contents
96
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
The following financial statements and the related notes thereto, of Geron Corporation and its consolidated
subsidiaries, and the Report of Independent Registered Public Accounting Firm, Ernst & Young LLP, are filed as a part of
this Report.
Page
Report of Independent Registered Public Accounting Firm (PCAOB ID: 42)
98
Consolidated Balance Sheets
101
Consolidated Statements of Operations
102
Consolidated Statements of Comprehensive Loss
103
Consolidated Statements of Stockholders’ Equity
104
Consolidated Statements of Cash Flows
105
Notes to Consolidated Financial Statements
106
Table of Contents
97
Report of Independent Registered Public Accounting Firm
To the Stockholders and the Board of Directors of Geron Corporation
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Geron Corporation (the Company) as of December 31,
2025 and 2024, the related consolidated statements of operations, comprehensive loss, stockholders' equity and cash flows
for each of the three years in the period ended December 31, 2025, and the related notes (collectively referred to as the
“consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material
respects, the financial position of the Company at December 31, 2025 and 2024, and the results of its operations and its
cash flows for each of the three years in the period ended December 31, 2025, in conformity with U.S. generally accepted
accounting principles.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United
States) (PCAOB), the Company's internal control over financial reporting as of December 31, 2025, based on criteria
established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the
Treadway Commission (2013 framework), and our report dated March 2, 2026 expressed an unqualified opinion thereon.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion
on the Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB
and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement,
whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the
financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures
included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits
also included evaluating the accounting principles used and significant estimates made by management, as well as
evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our
opinion.
Critical Audit Matter
The critical audit matter communicated below is a matter arising from the current period audit of the financial statements
that was communicated or required to be communicated to the audit committee and that: (1) relates to accounts or
disclosures that are material to the financial statements and (2) involved our especially challenging, subjective or complex
judgments. The communication of the critical audit matter does not alter in any way our opinion on the consolidated
financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a
separate opinion on the critical audit matter or on the accounts or disclosure to which it relates.
Table of Contents
98
Slow moving and excess inventory
The Company had total inventory of $116.6 million as of December 31, 2025. As discussed
in Note 1 to the consolidated financial statements, inventory is recorded at the lower of cost
or net realizable value. If slow moving or excess inventory without an alternate use is
identified, the Company adjusts the recorded amount of that inventory to its net realizable
value.
Description of the Matter
Auditing the Company’s estimate of the net realizable value for slow moving and excess
inventory was complex and involved a higher degree of auditor judgment as the estimate is
dependent upon expectations of future product demand, as well as inventory levels and
product expiry. The Company’s expectations of future product demand are forward-looking
and could be affected by future market conditions. Changes in the assumptions could have a
material effect on the net realizable value reserve.
How We Addressed the
Matter in Our Audit
Our audit procedures included, among others, assessing the appropriateness of the
Company’s methodology and the significant assumptions used to estimate the net realizable
value of slow moving and excess inventory. We performed inquiries of management and
compared the Company’s estimates of future product demand to historical sales and
expectations from analyst reports. We performed sensitivity analyses to assess the impact of
reasonably possible changes in future demand on the Company’s estimate of net realizable
value for slow moving and excess inventory. We also tested the accuracy of the calculations
and the completeness and accuracy of the underlying inputs used, such as on-hand inventory
and product expiration dates.
We have served as the Company’s auditor since 1992.
/s/ Ernst & Young LLP
Iselin, New Jersey
March 2, 2026
Table of Contents
99
Report of Independent Registered Public Accounting Firm
To the Stockholders and the Board of Directors of Geron Corporation
Opinion on Internal Control Over Financial Reporting
We have audited Geron Corporation’s internal control over financial reporting as of December 31, 2025, based on criteria
established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the
Treadway Commission (2013 framework) (the COSO criteria). In our opinion, Geron Corporation (the Company)
maintained, in all material respects, effective internal control over financial reporting as of December 31, 2025, based on
the COSO criteria.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United
States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 2025 and 2024, the related
consolidated statements of operations, comprehensive loss, stockholders’ equity and cash flows for each of the three years
in the period ended December 31, 2025, and the related notes and our report dated March 2, 2026 expressed an unqualified
opinion thereon.
Basis for Opinion
The Company’s management is responsible for maintaining effective internal control over financial reporting and for its
assessment of the effectiveness of internal control over financial reporting included in the accompanying Management's
Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal
control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are
required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform
the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in
all material respects.
Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material
weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk,
and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides
a reasonable basis for our opinion.
Definition and Limitations of Internal Control Over Financial Reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the
reliability of financial reporting and the preparation of financial statements for external purposes in accordance with
generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and
procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the
transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded
as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and
that receipts and expenditures of the company are being made only in accordance with authorizations of management and
directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized
acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also,
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
/s/ Ernst & Young LLP
Iselin, New Jersey
March 2, 2026
Table of Contents
100
GERON CORPORATION
CONSOLIDATED BALANCE SHEETS
December 31,
2025
December 31,
2024
(In thousands, except share and per
share data)
ASSETS
Current assets:
Cash and cash equivalents
$
77,560 $
79,016
Restricted cash
1,880
1,860
Marketable securities
280,359
327,550
Accounts receivable, net
36,987
35,946
Interest and other receivables
2,239
2,853
Inventory
116,636
38,714
Prepaid and other current assets
4,610
5,053
Total current assets
520,271
490,992
Noncurrent marketable securities
41,289
94,519
Property and equipment, net
884
1,310
Operating leases, right-of-use assets
2,151
2,881
Deposits and other assets
5,945
4,079
$
570,540 $
593,781
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable
$
11,257 $
8,595
Accrued compensation and benefits
30,497
22,808
Operating lease liabilities
1,000
974
Liability related to sale of future royalties
17,448
20,372
Accrued liabilities
51,340
35,549
Total current liabilities
111,542
88,298
Noncurrent operating lease liabilities
1,445
2,266
Noncurrent liability related to sale of future royalties
112,134
104,421
Noncurrent debt
119,547
118,476
Total liabilities
344,668
313,461
Commitments and contingencies
Stockholders' equity:
Preferred stock, $0.001 par value; 3,000,000 shares authorized; no shares issued
and outstanding at December 31, 2025 and 2024
—
—
Common stock, $0.001 par value; 1,350,000,000 shares authorized; 639,856,222
and 606,387,666 shares issued and outstanding at December 31, 2025 and 2024,
respectively
640
606
Additional paid-in capital
2,080,804
2,051,794
Accumulated deficit
(1,855,841)
(1,772,341)
Accumulated other comprehensive income
269
261
Total stockholders' equity
225,872
280,320
$
570,540 $
593,781
See accompanying notes to consolidated financial statements.
Table of Contents
101
GERON CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
Year Ended December 31,
2025
2024
2023
(In thousands, except share and per share data)
Revenues:
Product revenue, net
$
183,623 $
76,495 $
-
Royalties
258
499
237
Costs and operating expenses:
Cost of goods sold
4,745
1,256
—
Research and development
71,433
103,738
125,046
Selling, general and administrative
159,256
145,732
69,135
Restructuring charges
17,032
—
—
Total costs and operating expenses
252,466
250,726
194,181
Loss from operations
(68,585)
(173,732)
(193,944)
Interest income
18,117
19,607
18,152
Interest expense
(32,657)
(18,504)
(8,312)
Other income (expense), net
(375)
(236)
(23)
Loss on extinguishment of debt
—
(1,707)
—
Net loss
$
(83,500) $
(174,572) $
(184,127)
Basic and diluted net loss per share
$
(0.13) $
(0.27) $
(0.32)
Weighted average common shares outstanding
666,662,989
646,033,247
570,645,405
See accompanying notes to consolidated financial statements.
Table of Contents
102
GERON CORPORATION
STATEMENTS OF COMPREHENSIVE LOSS
Year Ended December 31,
2025
2024
2023
(In thousands)
Net loss
$
(83,500) $
(174,572) $
(184,127)
Net unrealized loss (gain) on marketable securities
(45)
88
431
Foreign currency translation adjustments
53
(12)
(27)
Comprehensive loss
$
(83,492) $
(174,496) $
(183,723)
See accompanying notes to consolidated financial statements.
Table of Contents
103
GERON CORPORATION
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
Accumulated
Additional
Other
Total
Common Stock
Paid-In
Accumulated
Comprehensive
Stockholders'
Shares
Amount
Capital
Deficit
Income (Loss)
Equity
(In thousands, except share data)
Balances at December 31, 2022
390,262,524
$
390
$
1,493,469
$
(1,413,642) $
(219)
79,998
Net loss
—
—
—
(184,127)
—
(184,127)
Other comprehensive income (loss)
—
—
—
—
431
431
Foreign currency translation adjustment
—
—
—
—
(27)
(27)
Issuance of common stock, pre-funded warrant and warrants to purchase common stock in public
offering, net of issuance costs of $14,507
68,007,741
68
213,269
—
—
213,337
Issuance of common stock in connection with exercise of warrants
77,349,858
78
105,834
—
—
105,912
Stock-based compensation related to issuance of common stock and options in exchange for
services
36,864
1
828
—
—
829
Issuances of common stock under equity plans
9,255,228
8
13,062
—
—
13,070
Stock-based compensation for equity-based awards to employees and directors
—
—
18,526
—
—
18,526
Balances at December 31, 2023
544,912,215
545
1,844,988
(1,597,769)
185
247,949
Net loss
—
—
—
(174,572)
—
(174,572)
Other comprehensive income (loss)
—
—
—
—
88
88
Foreign currency translation adjustment
—
—
—
—
(12)
(12)
Issuance of common stock, pre-funded warrant and warrants to purchase common stock in public
offering, net of issuance costs of $9,271
41,999,998
42
140,687
—
—
140,729
Issuance of common stock in connection with exercise of warrants
1,071,981
1
1,393
—
—
1,394
Stock-based compensation related to issuance of common stock and options in exchange for
services
8,351
—
134
—
—
134
Issuances of common stock under equity plans
18,395,121
18
32,665
—
—
32,683
Stock-based compensation for equity-based awards to employees and directors
—
—
31,927
—
—
31,927
Balances at December 31, 2024
606,387,666
606
2,051,794
(1,772,341)
261
280,320
Net loss
—
—
—
(83,500)
—
(83,500)
Other comprehensive income (loss)
—
—
—
—
(45)
(45)
Foreign currency translation adjustment
—
—
—
—
53
53
Issuance of common stock in connection with exercise of warrants
30,369,830
31
1,510
—
—
1,541
Stock-based compensation related to issuance of common stock and options in exchange for
services
22,073
—
88
—
—
88
Subscription receivables
1,162,376
—
(1,511)
—
—
(1,511)
Issuances of common stock under equity plans
1,275,292
2
1,518
—
—
1,520
Stock-based compensation for equity-based awards to employees and directors
—
—
26,659
—
—
26,659
Issuances of common stock under employee stock purchase plan
638,985
1
746
—
—
747
Balances at December 31, 2025
639,856,222
$
640
$
2,080,804
$
(1,855,841) $
269
$
225,872
See accompanying notes to consolidated financial statements.
Table of Contents
104
GERON CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
Year Ended December 31,
2025
2024
2023
(In thousands)
Cash flows from operating activities:
Net loss
$
(83,500) $
(174,572) $
(184,127)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization
474
546
442
Accretion and amortization on investments, net
(6,921)
(9,683)
(11,150)
Amortization of debt issuance costs/debt discount
1,071
(3,108)
1,088
Non-cash interest expense on liabilities for sales of future royalties
18,948
5,345
—
Loss of extinguishment of debt
—
1,707
—
Stock-based compensation for services by non-employees
88
135
828
Stock-based compensation for employees and directors
26,659
31,185
18,526
Amortization of right-of-use assets
730
675
591
Increase in allowance for doubtful accounts
(50)
(251)
—
Changes in assets and liabilities:
Inventory
(77,922)
(37,971)
—
Accounts receivable, net
(991)
(35,695)
—
Interest and other receivables
614
(1,198)
1,490
Prepaid expenses and other assets
443
(175)
(886)
Deposit and other assets
(1,865)
618
692
Accounts payable
2,661
2,435
(4,029)
Accrued compensation and benefits
7,689
9,049
2,224
Royalty financing obligation
(14,159)
(2,186)
—
Accrued liabilities
15,790
(4,759)
7,208
Operating lease liabilities
(796)
(715)
(640)
Net cash used in operating activities
(111,037)
(218,618)
(167,743)
Cash flows from investing activities:
Purchases of property and equipment
(49)
(680)
(830)
Purchases of marketable securities
(304,421)
(476,932)
(475,594)
Proceeds from maturities and sales of marketable securities
411,717
371,608
296,102
Net cash provided by (used in) investing activities
107,247
(106,004)
(180,322)
Cash flows from financing activities:
Proceeds from issuances of common stock from equity plans
2,267
32,683
13,072
Proceeds from issuance of common stock and warrants in public
offering, net of paid issuance costs
—
140,729
213,337
Proceeds from exercise of warrants
—
1,394
105,912
Proceeds from sale of future royalties
—
125,000
—
Proceeds from debt financing, net of paid debt issuance costs and debt
discounts
—
121,120
29,700
Repayment of debt
—
(86,554)
—
Net cash provided by financing activities
2,267
334,372
362,021
Net effect of exchange rates on cash, cash equivalents and restricted cash
87
(12)
(27)
Net increase (decrease) in cash, cash equivalents and restricted cash
(1,436)
9,738
13,929
Cash, cash equivalents and restricted cash at the beginning of the period
80,876
71,138
57,209
Cash, cash equivalents and restricted cash at the end of the period
$
79,440 $
80,876 $
71,138
See accompanying notes to consolidated financial statements.
Table of Contents
105
1. ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
The terms “Geron”, the “Company”, “we” and “us” as used in this report refer to Geron Corporation, which
was incorporated in the State of Delaware on November 28, 1990, and its wholly-owned subsidiaries, Geron UK Limited,
or Geron UK, a United Kingdom company, and Geron Netherlands B.V., or Geron Netherlands, a Netherlands company.
Geron UK was incorporated in September 2021, and its operations commenced in January 2022. Geron Netherlands was
incorporated in February 2023, and its operations commenced in June 2023. The Company's first-in-class telomerase
inhibitor, RYTELOTM (imetelstat), was approved by the U.S. Food and Drug Administration, or FDA, on June 6, 2024 for
the treatment of certain adult patients with low- to intermediate-1 risk myelodysplastic syndromes, or lower-risk MDS, and
is under development for the treatment of other hematologic malignancies. In March 2025, we received European
Commission approval of RYTELO for the treatment of adults with transfusion-dependent, or TD, anemia due to lower-risk
MDS. We are pursuing paths to make RYTELO available to eligible lower-risk MDS patients outside of the U.S. To enable
paid access to patients outside the U.S. through approved Named Patient Programs (NPPs), in 2025 we partnered with
Tanner Pharma, a distributor with broad global reach to support patient access.
Principles of Consolidation
The consolidated financial statements include the accounts Geron Corporation and its wholly-owned
subsidiaries, Geron UK and Geron Netherlands. We have eliminated intercompany accounts and transactions. We prepare
the financial statements of Geron UK and Geron Netherlands using the local currency as the functional currency. We
translate the assets and liabilities of Geron UK and Geron Netherlands at rates of exchange at the balance sheet date and
translate income and expense items at average monthly rates of exchange. Foreign currency translation adjustments are
included in accumulated other comprehensive income (loss), a separate component of stockholders’ equity, on our
consolidated balance sheets.
Use of Estimates
The accompanying consolidated financial statements have been prepared in accordance with generally
accepted accounting principles in the United States, or U.S. GAAP. The preparation of financial statements in conformity
with U.S. GAAP requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities
and disclosure of contingent assets and liabilities as of the date of the financial statements and the reported amounts of
revenues and expenses during the reporting period. On an ongoing basis, we evaluate our estimates, including those related
to accrued liabilities, revenue recognition, fair value of marketable securities, inventory valuation, operating leases, right-
of-use assets, lease liabilities, income taxes, stock-based compensation, and interest expense related to sale of future
royalties. We base our estimates on historical experience and on various other market specific and relevant assumptions
that we believe to be reasonable under the circumstances. Actual results could differ from those estimates.
Revenue Recognition
Revenues are recognized when control of the promised goods or services is transferred to our customers, in
an amount that reflects the consideration we expect to be entitled to in exchange for those goods or services. We recognize
revenue in accordance with the provisions of Accounting Standards Codification Topic 606, Revenue from Contracts with
Customers, or Topic 606. In determining the appropriate amount and timing of revenue to be recognized, we perform the
following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract;
(iii) measure the transaction price; (iv) allocate the transaction price to the performance obligations; and (v) recognize
revenue when (or as) we satisfy each performance obligation. We recognize shipping and handling costs as an expense in
cost of goods sold when we transfer control to a customer.
Product Revenue
We distribute RYTELO through third party distributors and specialty pharmacies who are our customers.
The third party distributors subsequently resell our product through their related specialty pharmacy providers to patients
and health care providers. Separately, we have or may enter into payment arrangements with various third-party payors
including pharmacy benefit managers, private healthcare insurers and government healthcare programs who provide
coverage and reimbursement for our product that have been prescribed to a patient.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
106
Product sales revenue is recognized when control has transferred to the customer, which occurs at a point in
time, which is typically on delivery to the customer or, in the case of products that are subject to consignment agreements,
when the customer removes product from our consigned inventory location for shipment directly to a patient. We expense
incremental costs of obtaining a contract as and when incurred if the expected amortization period of the asset that we
would have recognized is one year or less or the amount is immaterial.
Reserves for Discounts and Allowances
Product revenue is recorded net of reserves established for applicable discounts and allowances that are
offered within contracts with our customers, health care providers or payors.
These reserves are based on estimates of the amounts earned or to be claimed on the related sales and are
classified as reductions of accounts receivable (if the amount is payable to our customer) or a liability (if the amount is
payable to a party other than our customer). Our estimates of reserves established for variable consideration are calculated
based upon a consistent application of our methodology utilizing the expected value method. These estimates reflect our
historical experience, current contractual and statutory requirements, specific known market events and trends, industry
data and forecasted customer buying and payment patterns. The transaction price, which includes variable consideration
reflecting the impact of discounts and allowances, may be subject to constraint and is included in the net sales price only to
the extent that it is probable that a significant reversal of the amount of the cumulative revenue recognized will not occur in
a future period. Actual amounts may ultimately differ from our estimates. If actual results vary, we adjust these estimates,
which could have an effect on earnings in the period of adjustment.
Product revenue reserves, which are classified as a reduction in product revenue, are generally
characterized in the following categories: contractual adjustments, discounts, and returns.
Contractual adjustments primarily relate to VA and PHS discounts, Medicaid and Medicare rebates, fees
for distribution services, co-payment (copay) assistance, and other governmental rebates or applicable allowances:
•
Chargebacks, including VA and PHS discounts, represent our estimated obligations resulting from contractual
commitments to sell products to qualified healthcare providers at prices lower than the list prices we charge to
wholesalers or distributors, which provide those products. The wholesalers or distributors charge us for the
difference between what they pay for RYTELO and the ultimate selling price to the qualified healthcare providers.
Rebate and chargeback reserves are established in the same period as the related revenue is recognized, resulting
in a reduction of product revenue and a reduction in the net accounts receivable. Chargeback amounts are
generally determined at the time of resale to the qualified healthcare provider from the wholesaler or distributor,
and we generally issue credits for such amounts within a few weeks of the wholesaler notifying us about the
resale. Our reserves for VA, PHS and other chargebacks consist of amounts for inventory that exists at the
wholesalers that we expect will be sold to qualified healthcare providers and chargebacks that wholesalers have
claimed for which we have not issued a credit.
•
Medicaid rebates relate to our estimated obligations to states under established reimbursement arrangements.
Rebate accruals are recorded in the same period the related revenue is recognized, resulting in a reduction of
product revenue and the establishment of a liability which is included in accrued expense and other current
liabilities in our consolidated balance sheets. Our liability for Medicaid rebates consists of estimates for claims
that a state will make for the current quarter, claims for prior quarters that have been estimated for which an
invoice has not been received, invoices received for claims from the prior quarters that have not been paid and an
estimate of potential claims that will be made for inventory that exists in the distribution channel at period end.
•
Fees for distribution services include fees for certain data that customers provide to us. We estimate our customers
will earn these fees and deduct these fees from gross product revenue and accounts receivable at the time we
recognize the related revenues.
•
Copay assistance represents financial assistance to qualified patients, assisting them with prescription drug co-
payments required by insurance. The calculation of the accrual for copay is based on an estimate of claims and the
cost per claim that we expect to receive associated with inventory that exists in the distribution channel at period
end.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Discounts primarily include prompt pay discounts. Prompt pay discounts relate to estimated obligations for
credits to be granted to customers for remitting payment on their purchases within established incentive periods. We
determine these reserves based on our historical experience, including the timing of customer payments.
Product return reserves are established for returns made by customers and are recorded in the period the
related revenue is recognized, resulting in a reduction to product revenue. We offer customers the right to return products if
they are damaged, defective, or expired, as defined in customer agreements.The majority of wholesaler returns are due to
product expiration. We estimate product returns considering experience from similar products in the market, historical
return patterns, sales data, and inventory levels in the distribution channel.
Fair Value Measurements
We categorize financial instruments recorded at fair value in our consolidated balance sheets based upon
the level of judgment associated with inputs used to measure their fair value. The categories are as follows:
Level 1
— Inputs are unadjusted, quoted prices in active markets for identical assets or liabilities at the
measurement date that we have the ability to access. An active market for the asset or liability is a
market in which transactions for the asset or liability occur with sufficient frequency and volume to
provide pricing information on an ongoing basis.
Level 2
— Inputs (other than quoted market prices included in Level 1) are either directly or indirectly observable
for the asset or liability through correlation with market data at the measurement date and for the
duration of the instrument’s anticipated life.
Level 3
— Inputs reflect management’s best estimate of what market participants would use in pricing the asset or
liability at the measurement date. Consideration is given to the risk inherent in the valuation technique
and the risk inherent in the inputs to the model.
A financial instrument’s categorization within the valuation hierarchy is based upon the lowest level of
input that is significant to the fair value measurement. Below is a description of the valuation methodologies used for
financial instruments measured at fair value on our consolidated balance sheets, including the category for such financial
instruments.
The majority of our financial assets have been classified as Level 2, and have been initially valued at the
transaction price and subsequently valued, at the end of each reporting period, utilizing third-party pricing services. The
pricing services utilize industry standard valuation models, including both income and market-based approaches and
observable market inputs to determine value. These observable market inputs include reportable trades, benchmark yields,
credit spreads, broker/dealer quotes, bids, offers, current spot rates and other industry and economic events.
We validate the prices provided by our third-party pricing services by understanding the models used,
obtaining market values from other pricing sources and analyzing pricing data in certain instances. After completing our
validation procedures, we did not adjust or override any fair value measurements provided by our pricing services as of
December 31, 2025 and 2024.
The carrying amounts reflected in our consolidated balance sheets for accounts receivable, other current
assets, accounts payable, accrued compensation and benefits and accrued expense approximate fair value due to their short-
term maturities.
Cash Equivalents
We consider all highly liquid investments, readily convertible to cash and that mature within three months
or less from date of purchase to be cash equivalents. As of December 31, 2025 and 2024, cash equivalents were comprised
of money market funds and commercial paper with maturities less than three months from the date of purchase.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Marketable Securities
Our marketable debt securities include U.S. Treasury securities, municipal securities, government-
sponsored enterprise securities, commercial paper and corporate notes.
We classify our marketable debt securities as available for sale. We record available for sale debt securities
at fair value with unrealized gains and losses reported in accumulated other comprehensive income (loss) in stockholders’
equity, unless the security has experienced a credit loss, we have determined that we have the intent to sell the security or
we have determined that it is more likely than not that we will have to sell the security before its expected recovery. We
have not recorded any allowances for credit losses on our available-for-sale securities for the years ended December 31,
2025, 2024 or 2023. Realized gains and losses are reported in other (income) expense, net on a specific identification basis.
Dividend and interest income are recognized when earned and included in interest income on our consolidated statements
of operations.
Restricted Cash
Restricted cash consists of funds maintained in separate money market or certificate of deposit accounts for
credit card purchases.
Accounts Receivable
Accounts receivable consists of amounts due from customers, net of customer allowances for cash
discounts, product returns, and chargebacks. Accounts receivable are stated net of an allowance that reflects our current
estimate of credit losses expected to occur over the life of the receivable. In developing our allowance for expected credit
losses, we use assumptions to capture the risk of loss, even if remote, based on a number of factors including existing
contractual payment terms, individual customer circumstances, historical payment patterns of our customers, a review of
the local economic environment and its potential impact on expected future customer payment patterns. We update our
allowance as necessary to reflect expected credit losses over the remaining lives of the accounts receivable for outstanding
trade receivables that are past due, have known disputes or have experienced any negative credit events that may result in
future collectability issues. The estimated allowance for expected credit losses was not material as of December 31, 2025,
nor were the changes to the allowance during any of the periods presented. We do not adjust our receivables for the effects
of a significant financing component at contract inception if we expect to collect the receivables in one year or less from
the time of sale.
Concentration of Credit Risk
Financial instruments that potentially subject us to concentrations of credit risk include cash and cash
equivalents, restricted cash, marketable securities, and accounts receivable.
We currently place our cash, restricted cash, cash equivalents and marketable securities with multiple
institutions in the U.S. Deposits with banks may exceed the amount of insurance provided on such deposits. We have not
experienced any losses in such accounts and we believe that we are not exposed to significant credit risk of our financial
position at the depository institutions, in which those deposits are held.
We attempt to minimize the risks related to cash equivalents and marketable securities by investing in a
broad and diverse range of financial instruments as previously defined by us. We have established guidelines related to
credit ratings and maturities intended to safeguard principal balances and maintain liquidity. Our investment portfolio is
maintained in accordance with our investment policy, which defines allowable investments, specifies credit quality
standards and limits the credit exposure of any single issuer. Cash equivalents and marketable securities currently consist of
money market funds, U.S. Treasury securities, municipal securities, commercial paper and corporate notes.
Concentrations of credit risk with respect to receivables, which are typically unsecured, are somewhat
mitigated since the payment terms on our trade receivables are relatively short. As a result, our collection risk is mitigated
to a certain extent by the fact that sales are collected in a relatively short period of time, allowing for the ability to reduce
exposure on defaults if collection issues are identified. We monitor the financial performance and creditworthiness of our
customers so that we can properly assess and respond to changes in their credit profile. We continue to monitor these
conditions and assess their possible impact on our business.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Property and Equipment
Property and equipment are carried at cost, subject to reviews for impairment whenever events or changes
in circumstances indicate that the carrying amount of the asset may not be recoverable. The cost of normal, recurring or
periodic repairs and maintenance activities related to property, plant and equipment are expensed as incurred.
We generally depreciate or amortize the cost of our property and equipment using the straight-line method
over the estimated useful lives of the respective assets, generally four years. Leasehold improvements are amortized over
the shorter of the estimated useful life or remaining term of the lease.
Inventory
We began capitalizing inventory related to RYTELO in the quarter ended June 30, 2024, as we received
approval of RYTELO on June 6, 2024, and the related costs were expected to be recoverable through the
commercialization of RYTELO.
Inventory is recorded at the lower of cost or net realizable value, with cost determined under the weighted
average method. Inventory costs include third-party contract manufacturing, third-party packaging services, freight,
salaries, wages and stock-based compensation for personnel involved in the manufacturing process, and indirect overhead
costs. We periodically review our inventories to identify excess, obsolete, or slow moving items. If excess, obsolete, or
slow moving inventory without an alternate use is identified, we adjust the recorded amount to its net realizable value. The
determination of net realizable value requires judgment including consideration of many factors, such as estimates of future
product demand, product net selling prices, current and future market conditions and potential product obsolescence,
among others. Additionally, our products are subject to strict quality control and monitoring that we perform throughout
the manufacturing process. In the event that certain batches or units of product no longer meet quality specifications, we
will record a charge to cost of sales to write-down any unmarketable inventory to its estimated net realizable value. In all
cases, product inventory is carried at the lower of cost or its estimated net realizable value. Amounts written-down due to
unmarketable inventory are charged to cost of sales in our consolidated statements of operations.
Prior to regulatory approval, we expense costs associated with the manufacture of a product candidate to
research and development expense unless we are reasonably certain such costs have future commercial use and net
realizable value. Since we consider attaining regulatory approval of a product candidate to be highly uncertain and difficult
to predict, we expect only in rare instances that pre-launch inventory will be capitalized, if at all.
Assets that are expected to be realized in cash or consumed during the normal operating cycle are classified
as current. Due to the nature of pharmaceutical manufacturing, including production lead times, stability testing
requirements, quality control procedures, and regulatory release processes, our operating cycle may exceed twelve months.
Inventory is held for sale or use within this normal operating cycle and is not held for long-term strategic purposes. We
classify all inventory as a current asset on the consolidated balance sheets.
Cost of Goods Sold
Cost of goods sold includes the cost of producing and distributing inventories that are related to product
revenue during the respective period, including salary related and stock-based compensation expense for employees
involved with production and distribution, freight, and indirect overhead costs. Cost of goods sold may also include costs
related to excess or obsolete inventory adjustment, abnormal costs, unabsorbed manufacturing and overhead costs, and
manufacturing variances. For the twelve months ended December 31, 2025 and 2024, cost of sales related to product
revenue was positively impacted since the weighted average cost of inventories sold included batches that were partially
expensed prior to FDA approval.
Research and Development Expenses
Research and development expenses consist of expenses incurred in developing and testing imetelstat and
research related to potential next generation telomerase inhibitors. These expenses include, but are not limited to, payroll
and personnel expense, lab supplies, non-clinical studies, clinical trials, including support for investigator-led clinical trials,
raw materials to manufacture clinical trial drugs, manufacturing costs for research and clinical trial materials, sponsored
research at other labs, consulting, costs to maintain technology licenses and research-related overhead. Research and
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
development expense is expensed as incurred. Payments we make for research and development services prior to the
services being rendered are recorded as prepaid assets in our consolidated balance sheets and are expensed as the services
are provided.
Our current RYTELO (imetelstat) clinical trials are being supported by contract research organizations, or
CROs, and other vendors. We accrue expenses for clinical trial activities performed and managed by CROs based upon the
amount of work completed on each trial. Expenses are recorded based on contracted amounts agreed to with our CROs and
through monthly reporting provided by CROs. We monitor activities conducted and managed by the CROs to the extent
possible through internal reviews, review of contractual terms and correspondence with CROs. We record expense on the
best information available at the time. However, additional information may become available to us which may require us
to record adjustments to research and development expenses in future periods.
Selling, General and Administrative Expense
Selling, general and administrative expense is primarily comprised of compensation and benefits associated
with sales and marketing, finance, human resources, legal, information technology and other administrative personnel,
outside marketing, advertising and legal expense and other general and administrative costs.
Restructuring Charges
Restructuring charges consist of termination benefits such as one-time employee severance payments,
healthcare and related benefits, and other employee-related costs. We accrue severance and other related restructuring costs
when it is probable that they will be paid and the amount is reasonably estimable. Restructuring costs are recorded in
restructuring charges in the consolidated statements of operations. The related restructuring liability is included in accrued
compensation and benefits in the consolidated balance sheet.
Stock-Based Compensation
We maintain various stock incentive plans under which stock options, restricted stock units and restricted
stock awards can be granted to employees, non-employee directors and consultants. We also have an employee stock
purchase plan for all eligible employees.
For service based options, restricted stock award and restricted stock units, compensation expense is
recognized based on the estimated fair value of the awards at grant date. We recognize compensation expense on a straight-
line basis, after taking into consideration an estimate of forfeitures, over the requisite service period, which is generally the
vesting period.
For performance-based stock options with vesting based on the achievement of certain strategic milestones,
stock-based compensation expense is recognized over the period from the date the performance condition is determined to
be probable of occurring through the date the applicable condition is expected to be met and is reduced for estimated
forfeitures, as applicable. If the performance condition is not considered probable of being achieved, no stock-based
compensation expense is recognized until such time as the performance condition is considered probable of being met, if at
all. If the assessment of probability of the performance condition changes, the impact of the change in estimate would be
recognized in the period of the change.
The grant-date fair value for service-based restricted stock units or restricted stock awards is determined
using the fair value of our common stock on the date of grant. The determination of grant-date fair values for our service-
based and performance-based stock options and employee stock purchases using the Black-Scholes option pricing model is
affected by our stock price as well as assumptions regarding a number of complex and subjective variables.
Dividend yield is based on historical cash dividend payments and we have paid no cash dividends to date.
The expected volatility range is based on historical volatilities of our stock, since traded options on our common stock do
not correspond to option terms and the trading volume of options is limited. The risk-free interest rate range is based on the
U.S. Zero Coupon Treasury Strip Yields for the expected term in effect on the date of grant for an award. The expected
term of stock options is derived from actual historical exercise and post-vesting cancellation data and represents the period
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
of time that stock options granted are expected to be outstanding. The expected term of employees’ purchase rights is equal
to the purchase period.
We grant stock options to consultants from time to time in exchange for services performed for us. In
general, these stock options vest over the contractual period of the consulting arrangement. The fair value of stock options
held by consultants is recorded as operating expenses over the vesting term of the respective equity awards. With the
adoption of Accounting Standards Update 2018-07, Improvements to Nonemployee Share-Based Payment Accounting, the
measurement date of stock options granted to consultants was fixed at the grant date.
Net Loss Per Share
Basic net income (loss) per share is calculated by dividing net income (loss) by the weighted-average
number of shares of common stock outstanding for the periods presented without consideration of potential common
shares. In connection with previous public offerings, we issued pre-funded warrants to purchase shares of our common
stock.
Diluted net income per share would be calculated by adjusting the weighted-average number of shares of
common stock outstanding for the dilutive effect of additional shares of common stock that would have been outstanding if
potentially dilutive securities had been issued, as determined using the treasury-stock method. Potential dilutive securities
consist of outstanding stock options and warrants to purchase our common stock. Diluted net loss per share excludes
potential dilutive securities for all periods presented as their effect would be anti-dilutive. Accordingly, basic and diluted
net loss per share is the same for all periods presented in the accompanying consolidated statements of operations.
Leases
At the inception of an arrangement, we determine whether the arrangement is or contains a lease based on
the unique facts and circumstances present. Operating leases are included in operating leases, right-of-use assets and lease
liabilities on our consolidated balance sheets. Right-of-use assets represent our right to use an underlying asset for the lease
term and lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease liabilities
and their corresponding right-of-use assets are recorded based on the present value of remaining lease payments over the
expected lease term. The present value of remaining lease payments within the 12 months following the balance sheet date
are classified as current lease liabilities. The present value of lease payments not within the 12 months following the
balance sheet date are classified as noncurrent lease liabilities. The interest rate implicit in lease contracts is typically not
readily determinable. As such, to calculate the net present value of lease payments, we apply our incremental borrowing
rate, which is the estimated rate to borrow on a collateralized basis over a similar term an amount equal to the lease
payments in a similar economic environment as of the lease commencement date. We may adjust the right-of-use assets for
certain adjustments, such as initial direct costs paid or incentives received. In addition, we include any options to extend or
terminate the lease in the expected lease term when it is reasonably certain that we will exercise any such option. Lease
expense is recognized on a straight-line basis over the expected lease term.
For lease agreements that include lease and non-lease components, such components are generally
accounted for separately. We have also elected not to recognize on our consolidated balance sheets leases with terms of one
year or less.
Royalty Pharma Agreement Interest Expense
The liability related to the Royalty Pharma Agreement and the related interest expense are measured based
on our current estimate of the timing and amount of expected future Royalty Payments expected to be paid over the
estimated term of the Royalty Pharma Agreement using a discounted cash flow model. The liability is amortized using the
effective interest rate method, resulting in recognition of non-cash interest expense over the estimated term of the
agreement. Each reporting period, we assess the estimated timing and amount of future expected Royalty Payments over
the estimated term. If there are changes to the estimate, we recognize the impact to the liability’s amortization schedule and
the related non-cash interest expense prospectively. Additionally, the transaction costs associated with the liability are
amortized to non-cash interest expense over the estimated term of the Royalty Pharma Agreement.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Income Taxes
We maintain deferred tax assets and liabilities that reflect the net tax effects of temporary differences
between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax
purposes and are subject to tests of recoverability. Our deferred tax assets include net operating loss carryforwards, federal
and state tax credits and capitalized research and development. Deferred tax assets and liabilities are measured using
enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be
recovered or settled. Our net deferred tax asset has been fully offset by a valuation allowance because of our history of
losses. Any potential accrued interest and penalties related to unrecognized tax benefits would be recorded as income tax
expense.
Segment Information
Our chief executive officer represents our chief operating decision maker. We view our operations as a
single segment, the development of therapeutic products for oncology. As a result, the financial information disclosed
herein materially represents all of the financial information related to our principal operating segment. For additional
information, see Note 15 on Segment Reporting.
Recent Accounting Pronouncements
New Accounting Pronouncements – Issued But Not Yet Adopted
In November 2024, the Financial Standards Accounting Board (FASB) issued Accounting Standards
Update (ASU) 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures
(Subtopic 220-40): Disaggregation of Income Statement Expenses. The amendments in ASU 2024-03 address investor
requests for more detailed expense information and require additional disaggregated disclosures in the notes to financial
statements for certain categories of expenses that are included on the face of the income statement. This guidance is
effective for fiscal years beginning after December 15, 2026, and interim periods within fiscal years beginning after
December 15, 2027, with early adoption permitted. We are evaluating the impact of this ASU on our consolidated financial
statements.
New Accounting Pronouncements – Issued and Adopted
In December 2024, the FASB issued ASU 2023-09, Income Taxes (ASU 2023-09), which requires issuers
to make additional discloses on an annual basis related to specific categories in the rate reconciliation and provide
additional information for reconciling items that meet a quantitative threshold on an annual basis, disclose additional
information about income taxes paid as well as other disaggregated disclosures. ASU 2023-09 is effective for the Company
as of January 1, 2025 for annual periods. We adopted this standard and applied the disclosure requirements on a
prospective basis effective for the year ended December 31, 2025. The adoption did not have a material impact on our
consolidated financial position or results of operations. Refer to Note 13, Income Taxes, for our updated income tax
disclosure.
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (ASU 2023-07), which requires
issuers to make additional disclosures with respect to segment expenses, including required disclosure on an annual and
interim basis for significant segment expenses and other segment items. The improved disclosure requirements apply to all
public entities that are required to report segment information, including those with only one reportable segment. ASU
2023-07 also permits the disclosure of more than one measure of a segment’s profit or loss. ASU 2023-07 is effective for
the Company as of January 1, 2024 for annual periods and as of January 1, 2025 for interim periods. We adopted the
guidance in the annual period ended December 31, 2024. There was no impact on our reportable segments identified and
additional required disclosures have been included in Note 15. We view our operations as a single segment. See Note 15 on
Segment Reporting.
Other recent accounting pronouncements issued by the FASB did not or are not believed by management to
have a material impact on our financial statements.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
2. PRODUCT REVENUE
To date, our primary source of product revenue has been from the U.S. sales of RYTELO, which we began
shipping to our customers in June 2024. To date, product revenue pursuant to NPPs outside of the U.S. have been not
material.
The reconciliation of gross product sales to net product sales by each significant category of gross-to-net
adjustments was as follows for the years ended December 31, 2025 and 2024:
Year Ended December 31,
(in thousands)
2025
2024
Gross product revenue
$
223,112
$
89,418
Gross-to-net adjustments:
Chargebacks
(25,525)
(8,724)
Distributor service fees
(7,512)
(3,048)
Government rebates
(2,603)
(926)
Sales returns and allowances
(3,849)
(225)
Total gross-to-net adjustments
$
(39,489) $
(12,923)
Product revenues, net
$
183,623
$
76,495
As of December 31, 2025, three customers individually accounted for approximately 45%, 32% and 21% of
our gross accounts receivable associated with our product revenue, as compared to 43%, 38% and 17% as of December 31,
2024, respectively.
3. INVENTORY
All of our inventories are related to the manufacturing of RYTELO. The following table presents our
inventory as of December 31, 2025 and 2024:
December 31,
(in thousands)
2025
2024
Raw materials
$
8,927
$
4,904
Work-in-process
91,969
$
30,093
Finished goods
15,740
$
3,717
Total inventory
$
116,636
$
38,714
Prior to the FDA’s approval of RYTELO, all costs for the manufacture of product to support clinical
development and commercial launch, including pre-launch inventory, were expensed as incurred. Pre-launch inventory
manufactured prior to the FDA approval of RYTELO will be used in commercial production until it is depleted.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
4. FINANCIAL INSTRUMENTS
Cash equivalents, restricted cash and marketable securities by security type at December 31, 2025 were as
follows:
Gross
Gross
Amortized
Unrealized
Unrealized
(In thousands)
Cost
Gains
Losses
Fair Value
Included in cash and cash equivalents:
Money market funds
$
48,950 $
1 $
— $
48,951
Commercial paper
4,979
—
—
4,979
$
53,929 $
1 $
— $
53,930
Restricted cash:
Money market fund
$
1,606 $
— $
— $
1,606
Certificate of deposit
274
—
—
274
$
1,880 $
— $
— $
1,880
Marketable securities:
U.S. Treasury securities (due in less than one year)
$
22,910 $
41 $
— $
22,951
U.S. Treasury securities (due in one to two years)
—
—
—
—
Municipal securities (due in less than one year)
10,032
9
— $
10,041
Government-sponsored enterprise securities (due in
less than one year)
—
—
—
—
Commercial paper (due in less than one year)
79,354
49
—
79,403
Corporate notes (due in less than one year)
167,805
175
(16)
167,964
Corporate notes (due in one to two years)
41,316
11
(38)
41,289
$
321,417 $
285 $
(54) $
321,648
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Cash equivalents, restricted cash and marketable securities by security type at December 31, 2024 were as
follows:
Gross
Gross
Amortized
Unrealized
Unrealized
(In thousands)
Cost
Gains
Losses
Fair Value
Included in cash and cash equivalents:
Money market funds
$
45,215 $
— $
— $
45,215
Commercial paper
4,978
—
(1)
4,977
$
50,193 $
— $
(1) $
50,192
Restricted cash:
Money market fund
$
1,587 $
— $
— $
1,587
Certificate of deposit
273
—
—
273
$
1,860 $
— $
— $
1,860
Marketable securities:
U.S. Treasury securities (due in less than one year)
$
7,937 $
22 $
— $
7,959
U.S. Treasury securities (due in one to two years)
22,620
1
(11)
22,610
Government-sponsored enterprise securities (due in
less than one year)
8,741
7
—
8,748
Commercial paper (due in less than one year)
180,131
150
(56)
180,225
Corporate notes (due in less than one year)
130,361
284
(27)
130,618
Corporate notes (due in one to two years)
72,000
6
(97)
71,909
$
421,790 $
470 $
(191) $
422,069
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Cash equivalents and marketable securities with unrealized losses that have been in a continuous unrealized
loss position for less than 12 months and 12 months or longer at December 31, 2025 and 2024 were as follows:
Less Than 12 Months
12 Months or Longer
Total
Gross
Gross
Gross
Estimated
Unrealized
Unrealized
Unrealized
(In thousands)
Fair Value
Losses
Fair Value
Losses
Fair Value
Losses
As of December 31, 2025:
U.S. Treasury securities (due in less
than one year)
$
— $
— $
— $
— $
— $
—
Commercial paper (due in less than
one year)
—
—
—
—
—
—
Corporate notes (due in less than one
year)
17,987
(16)
—
—
17,987
(16)
Corporate notes (due in one to two
years)
31,265
(38)
—
—
31,265
(38)
$
49,252 $
(54) $
— $
— $
49,252 $
(54)
As of December 31, 2024:
U.S. Treasury securities (due in less
than one year)
$
18,593 $
(10) $
— $
— $
18,593 $
(10)
Commercial paper (due in less than
one year)
66,076
(56)
—
—
66,076
(56)
Corporate notes (due in less than one
year)
31,549
(26)
1,993
(1)
33,542
(27)
Corporate notes (due in one to two
years)
53,506
(98)
—
—
53,506
(98)
$ 169,724 $
(190) $
1,993 $
(1) $ 171,717 $
(191)
The gross unrealized losses related to U.S. Treasury securities, municipal securities, government-sponsored
enterprise securities, commercial paper and corporate notes as of December 31, 2025 and 2024 were due to changes in
interest rates and not credit risk. If an available-for-sale security’s fair value is less than its amortized cost basis, we
evaluate whether the decline is the result of a credit loss, in which case an impairment is recorded through an allowance for
credit losses. We have not recorded any allowances for credit losses on our available-for-sale securities for the years ended
December 31, 2025 and 2024 as we have not identified any unrealized losses for these securities attributable to credit
factors. Our exposure to unrealized losses may increase in the future due to the economic pressures or uncertainties
associated with local or global economic recessions as a result of ongoing geopolitical events, such as the current military
conflict between Ukraine and Russia, as well as recent and potential future disruptions in access to bank deposits or lending
commitments due to bank failure. We do not intend to sell the investments and it is not more likely that not that we will be
required to sell the investments before recovery of their amortized cost basis, which may be maturity.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
5. FAIR VALUE MEASUREMENTS
The following table presents information about our financial instruments that are measured at fair value on
a recurring basis as of December 31, 2025 and 2024 and indicates the fair value category assigned.
Fair Value Measurements at Reporting Date Using
(In thousands)
Level 1
Level 2
Level 3
Total
As of December 31, 2025:
Assets:
Money market funds(1)(2)
$
50,557 $
— $
— $
50,557
Certificate of deposit(2)
274
—
—
274
Municipal securities(3)
—
10,041
—
10,041
U.S. Treasury securities(3)(4)
—
22,951
—
22,951
Commercial paper(3)
—
84,382
—
84,382
Corporate notes(3)(4)
—
209,253
—
209,253
Total
$
50,831 $
326,627 $
— $
377,458
Liabilities:
Sale of future royalties(5)(6)
—
— $
129,582
129,582
Total
$
— $
— $
129,582 $
129,582
As of December 31, 2024:
Assets:
Money market funds(1)(2)
$
46,802 $
— $
— $
46,802
Certificate of deposit(2)
273
—
—
273
U.S. Treasury securities(3)(4)
—
30,570
—
30,570
Government-sponsored enterprise securities(3)(4)
—
8,748
—
8,748
Commercial paper(3)
—
185,201
—
185,201
Corporate notes(3)(4)
—
202,527
—
202,527
Total
$
47,075 $
427,046 $
— $
474,121
Liabilities:
Sale of future royalties(5)(6)
—
—
124,793
124,793
Total
$
— $
— $
124,793 $
124,793
(1)
Included in cash and cash equivalents on our consolidated balance sheets.
(2)
Included in restricted cash on our consolidated balance sheets.
(3)
Included in current portion of marketable securities on our consolidated balance sheets.
(4)
Included in noncurrent portion of marketable securities on our consolidated balance sheets.
(5)
Included in current portion of liabilities related to sale of future royalties on our consolidated balance
sheets.
(6)
Included in noncurrent portion of liabilities related to sale of future royalties on our consolidated balance
sheets.
Money market funds and certificates of deposit are categorized as Level 1 within the fair value hierarchy as
their fair values are based on quoted prices available in active markets. Commercial paper, U.S. Treasury securities,
municipal securities, government-sponsored enterprise securities and corporate notes are categorized as Level 2 within the
fair value hierarchy as their fair values are estimated by using pricing models, quoted prices of securities with similar
characteristics or discounted cash flows.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
There were no transfers between Level 1, Level 2, and Level 3 during the periods presented. There have
been no impairments of our assets measured and carried at fair value as of December 31, 2025 and 2024. In addition, there
have been no changes to our valuation techniques as of December 31, 2025 and 2024.
The embedded derivatives are classified within Level 3 of the fair value hierarchy. See Note 10 on Debt.
We determined the fair value of the liability related to the sale of future royalties based on our current
estimates of future royalties expected to be paid to Royalty Pharma over the life of the arrangement, which are considered
Level 3. See Note 10 on Debt.
6. PROPERTY AND EQUIPMENT
Property and equipment is recorded at historical cost, net of accumulated depreciation and is comprised of
the following:
December 31,
(In thousands)
2025
2024
Furniture and computer equipment
$
2,959 $
2,878
Leasehold improvements
129
129
3,088
3,007
Less accumulated depreciation and amortization
(2,204)
(1,697)
$
884 $
1,310
7. OTHER CONSOLIDATED FINANCIAL STATEMENT DETAILS
Accrued liabilities consisted of the following:
December 31,
(In thousands)
2025
2024
CRO and clinical trial costs
$
3,677 $
18,968
Manufacturing activities
38,657
11,839
Professional legal and accounting fees
881
475
Interest payable
3,110
2,186
Accrued revenue adjustments
3,486
1,038
Other
1,529
1,043
$
51,340 $
35,549
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Accrued compensation and benefits consisted of the following:
December 31,
(In thousands)
2025
2024
Accrued bonuses
$
10,335 $
18,056
Accrued vacation
2,581
2,928
Accrued 401K match
17
1,685
Accrued restructuring charges
17,032
—
Accrued other
532
139
$
30,497 $
22,808
8. COMMITMENTS AND CONTINGENCIES
Legal Proceedings
On March 13 and March 14, 2025, we and certain of our current and former officers were named as
defendants in two putative securities class action lawsuits, each filed in the United States District Court for the Northern
District of California, captioned Dabestani v. Geron Corporation, et al., No. 3:25-cv-02507 and Potvin v. Geron
Corporation, et al., No. 3:25-cv-02563, respectively. Both lawsuits allege violations of Sections 10(b) and 20(a) of the
Securities Exchange Act of 1934, as amended, or the Exchange Act, and Rule 10b-5 promulgated thereunder in connection
with allegedly false and misleading statements concerning the commercial potential of RYTELO. The plaintiffs allege,
among other things, that we overstated RYTELO's commercial potential by making materially false and misleading
statements and/or concealing material adverse facts concerning RYTELO's commercial potential, including the lack of
awareness among healthcare providers for RYTELO, the burden of monitoring requirements in administering the drug, and
the impacts of seasonality and existing competition on RYTELO's sales, and that our stock price dropped when we
disclosed in our earnings call on February 26, 2025, that we had observed flat revenue trends over the prior few months.
The plaintiffs seek damages and interest, and an award of reasonable costs, including attorneys' and experts' fees. On May
29, 2025, the Court consolidated the Dabestani and Potvin cases into one consolidated action captioned In re Geron
Corporation Securities Litigation, or the Securities Class Action, and appointed lead plaintiffs and counsel for lead
plaintiffs. On August 8, 2025, lead plaintiffs filed a consolidated amended complaint. On October 7, 2025, we filed our
motion to dismiss the consolidated amended complaint. A hearing on the motion to dismiss is scheduled for March 19,
2026.
On April 15, 2025 and April 16, 2025, three purported stockholders filed derivative complaints, each in the
United States District Court for the Northern District of California, captioned Bishop v. Scarlett, et al., No. 3:25-cv-03356,
Lerner v. Scarlett, et al., No. 3:25-cv-03401, and Willis v. Scarlett, et al., No: 3:25-cv-03396, respectively. The three
derivative lawsuits name certain of our current and former directors and officers and allege that they breached their
fiduciary duties and violated federal securities laws by issuing allegedly false and misleading statements concerning the
commercial potential of RYTELO. The allegations in each of the three derivative complaints are substantially similar to the
two aforementioned securities class action lawsuits, which these lawsuits are premised on. Each of the three plaintiffs seek
damages and interest, and an award of reasonable costs, including attorneys' and experts' fees. The plaintiffs in Bishop v.
Scarlett, et al. and Willis v. Scarlett, et al. also seek punitive damages. On May 16, 2025, the Court consolidated the three
derivative complaints into one consolidated action captioned In re Geron Corporation Derivative Litigation, or the
Consolidated Derivative Action. On June 17, 2025, the Court stayed the Consolidated Derivative Action pending a final
ruling on the anticipated motion to dismiss in the Securities Class Action.
On August 29, 2025, a purported stockholder made a demand on our board of directors to commence a civil
action against certain of our current and former directors for breaching their fiduciary duties and violating the securities
laws by issuing allegedly false and misleading statements concerning the commercial potential of RYTELO. On
September 19, 2025, the board of directors responded that it would defer a final decision on the demand given the other
pending derivative lawsuits and the Securities Class Action. On October 7, 2025, the purported stockholder filed a suit in
the United States District Court for the Northern District of California, captioned Jae Hyung v. Bir, et al., No. 3:25-
cv-08575. The derivative lawsuit names certain of our current and former directors and officers. The allegations in the
derivative lawsuit are substantially similar to the Securities Class Action and the aforementioned derivative lawsuits. The
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
plaintiffs seek damages and an award of reasonable costs, including attorneys’ and experts’ fees. On January 23 and
February 19, 2026, respectively, two additional purported stockholders each made a similar demand on our board of
directors.
It is possible that additional lawsuits will be filed or allegations made by stockholders with respect to these
same or other matters and also naming us and/or our officers and directors as defendants. We intend to vigorously defend
against the claims brought by the plaintiffs in these matters.
Such lawsuits are subject to inherent uncertainties, and the actual defense and disposition costs will depend
upon many unknown factors. The outcome of the pending lawsuits and any other related lawsuits is necessarily uncertain.
We could be forced to expend significant resources and may incur substantial legal fees and costs in defending against the
pending lawsuits and any other related lawsuits, and we may not prevail. Monitoring, initiating and defending against legal
actions is time-consuming for our management, is likely to be expensive, and may detract from our ability to fully focus
our internal resources on our business activities. Additionally, we may not be successful in having any such lawsuits
dismissed or settled within the limits of our insurance coverage. Given the early stage of these lawsuits and the inherent
uncertainly of litigation, we cannot predict how long it may take to resolve the pending lawsuits or the potential outcome or
possible amount of any damages. As such, we currently are unable to reasonably estimate the possible losses or a range of
possible losses that may result from these matters, if any. Expenses associated with the pending lawsuits and any potential
related lawsuits could be material to our consolidated financial statements if we do not prevail in the defense of such
lawsuits, or even if we do prevail.
Indemnifications to Officers and Directors
Our corporate bylaws require that we indemnify our directors, as well as those who act as directors and
officers of other entities at our request, against expenses, judgments, fines, settlements and other amounts actually and
reasonably incurred in connection with any proceedings arising out of their services to Geron. In addition, we have entered
into separate indemnification agreements with each of our directors and officers which provide for indemnification of these
directors and officers under similar circumstances and under additional circumstances. The indemnification obligations are
more fully described in our bylaws and the indemnification agreements. We purchase standard insurance to cover claims or
a portion of the claims made against our directors and officers. Since a maximum obligation is not explicitly stated in our
bylaws or in our indemnification agreements and will depend on the facts and circumstances that arise out of any future
claims, the overall maximum amount of the obligations cannot be reasonably estimated.
Severance Plan
We have adopted two severance plans that apply to all of our employees who are not subject to
performance improvement plans, one plan covering employees above the Senior Vice President level, i.e., executives, and
all other employees hired on or before December 31, 2021,, and the other plan covering all non-executive employees hired
on or after January 1, 2022. The severance plans provide for, among other benefits: (i) a severance payment upon a Change
of Control Triggering Event and Separation from Service and (ii) a severance payment for each non-executive employee
upon a Non-Change of Control Triggering Event and Separation from Service. As defined in the severance plans, a Change
of Control Triggering Event and Separation from Service requires a “double trigger” where: (i) an employee is terminated
by us without cause in connection with a change of control or within 12 months following a change of control provided,
however, that if an employee is terminated by us in connection with a change of control but immediately accepts
employment with our successor or acquirer, the employee will not be eligible for the benefits outlined in the plans, (ii) an
employee resigns because in connection with a change of control, the offered terms of employment (new or continuing) by
us or our successor or acquirer within 30 days after the change of control results in a material change in the terms of
employment, or (iii) after accepting (or continuing) employment with us after a change of control, an employee resigns
within 12 months following a change of control due to a material change in the terms of employment. Under the severance
plans, a Non-Change of Control Triggering Event and Separation from Service is defined as an event where an employee is
terminated by us without cause. Severance payments range from three to 18 months of base salary in connection with a
Change of Control Triggering Event or from six weeks to 12 months of base salary in connection with a Non-Change of
Control Triggering Event, as well as a pro-rata portion of the employee’s annual target bonus, depending on the
employee’s position with us, payable in a lump sum payment, and monthly COBRA payments for the severance period.
The severance plans also provide that they shall not supersede the provisions of any individual employment agreements
entered into between us and our employees, and that the employees with such agreements will be entitled to whichever
benefits are greater under the severance plan or their employment agreement. A copy of the severance plan covering our
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
executive officers is filed as an exhibit to this Report. As of December 31, 2025, all our executive officers have
employment agreements with severance provisions and will receive the greater severance benefits of their agreements or
those in the severance plan applicable to them.
In December 2025, we implemented a workforce reduction, representing approximately one-third of our
workforce prior to the reduction in headcount. See Note 16 on Restructuring for additional information.
Purchase Commitments
We have engaged third-party contract manufacturers to manufacture and supply additional quantities of
RYTELO that meet applicable regulatory standards for current and potential future clinical trials and commercial uses.
Related to those contract manufacturing agreements, we have binding commercial purchase commitments of approximately
$16.7 million that can be cancelled, but would incur cancellation penalties, and approximately $43.3 million in agreed upon
manufacturing commitments that can be adjusted based on commercial demand of RYTELO. We expect to utilize all
related commercial purchase commitments.
In the normal course of business, we enter into agreements with CROs for clinical trials for clinical and
commercial supply manufacturing and with other vendors for non-clinical research studies, investigator-led trials and other
services and products for operating purposes. We have not considered these payments to be contractual obligations since
the contracts are generally cancellable at any time by us upon less than 180 days’ prior written notice. We also have certain
in-license agreements that require us to pay milestones to such third parties upon achievement of certain development,
regulatory or commercial milestones. Amounts related to contingent milestone payments are not considered contractual
obligations as they are contingent on the successful achievement of certain development, regulatory approval and
commercial milestones, which may not be achieved.
9. OPERATING LEASES
New Jersey Office Space Lease
In April 2019, we entered into an operating lease agreement for office space located at 3 Sylvan Way,
Parsippany, New Jersey, or the New Jersey Lease. The initial term of the New Jersey Lease is 11 years with an option to
extend for an additional five years and a one-time option to terminate the New Jersey Lease without cause as of the 103rd
month anniversary of the commencement date of the lease. The New Jersey Lease commenced on October 1, 2019, upon
our control of the office space on that date. Based on the initial term of the New Jersey Lease of 11 years, the right-of-use
asset and corresponding operating lease liability was approximately $2.4 million, which represented the present value of
lease payments over the initial lease term, net of a seven-month rent abatement period, using an incremental borrowing rate
of 8% based on information available as of October 1, 2019. As of December 31, 2025, the New Jersey Lease makes up
$1.3 million of our total right-of-use asset balance. Under the New Jersey Lease, we are also obligated to pay certain
variable expenses separately from the base rent, including electricity and common area maintenance. Such costs are being
expensed in the period they are incurred.
California Office Space Lease
In October 2019, we entered into an operating lease agreement for office space located at 919 East
Hillsdale Boulevard, Foster City, California, or the Foster City Lease. The initial term of the Foster City Lease is 87
months with an option to extend for an additional five years.
The Foster City Lease commenced on March 10, 2020, upon the substantial completion of all tenant
improvements. As of the lease commencement date, the right-of-use asset and corresponding operating lease liability was
approximately $3.4 million, which represented the present value of remaining lease payments using an incremental
borrowing rate of 7% over the initial lease term of 87 months, net of a three-month rent abatement period. As of
December 31, 2025, the Foster City Lease makes up $0.9 million of our total right-of-use asset balance. Under the Foster
City Lease, we are also obligated to pay certain variable expenses separately from the base rent, including taxes and
common area maintenance. Such costs are considered non-lease components and have been excluded from the calculation
of the right-of-use asset and corresponding operating lease liability and are being expensed in the period they are incurred.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
The components of lease costs included in selling, general and administrative expenses on our consolidated
statements of operations for the New Jersey Lease, and the Foster City Lease were as follows:
Year Ended December 31,
(In thousands)
2025
2024
2023
Operating lease costs
$
1,014 $
987 $
962
Variable lease costs
285
261
344
Total lease costs
$
1,299 $
1,248 $
1,306
The undiscounted future non-cancellable lease payments under the New Jersey Lease and the Foster City
Lease as of December 31, 2025 were as follows (in thousands):
2026
$
1,040
2027
716
2028
376
2029
383
2030
293
Thereafter
—
Total lease payments
2,808
Less: imputed interest
(363)
Total
$
2,445
As of December 31, 2025, the weighted average remaining lease term in years and the weighted average
discount rate under the New Jersey Lease and the Foster City Lease were 3.5 years and 5.1%, respectively.
10. DEBT
Hercules Loan Agreement
On September 30, 2020, we, Hercules Capital, Inc., or Hercules, and Silicon Valley Bank, or SVB, entered
into a term loan facility, or the Term Loan, for up to $75.0 million, which was amended in August 2021, or the Original
Loan Agreement. On June 30, 2022, we entered into a second amendment to the Original Loan Agreement. Under the
second amendment, the aggregate principal amount available to us increased from $75.0 million to $125.0 million, with
such principal being available in a series of tranches, subject to certain terms and conditions. Over the course of the Term
Loan, we had drawn down a total of $80.0 million.
All obligations outstanding under the Hercules Loan Agreement, amounting to $86.5 million, were repaid
in full on November 1, 2024, upon which the Hercules Loan Agreement was terminated and all liens on our assets granted
in connection with the Hercules Loan Agreement were released.
Pharmakon Loan Agreement
On November 1, 2024, we entered into a loan agreement, or the Pharmakon Loan Agreement, with
BioPharma Credit Investments V (Master) LP and BPCR Limited Partnership, each, a Lender, which are investment funds
managed by Pharmakon Advisors, LP, and BioPharma Credit PLC, as collateral agent, that provides for a 5-year senior
secured term loan facility of up to $250.0 million, divided into three committed tranches: (i) a Tranche A Loan in an
aggregate principal amount of $125.0 million, or the Tranche A Loan, which was funded on November 1, 2024, or the
Tranche A Closing Date; (ii) a Tranche B Loan in an aggregate principal amount of $75.0 million, or the Tranche B Loan,
which is available, subject to certain limited conditions, at our option; and (iii) a Tranche C Loan in an aggregate principal
amount of $50.0 million, or the Tranche C Loan, and together with the Tranche A Loan and the Tranche B Loan,
collectively, the Term Loans, which is available to us upon reaching a specified trailing twelve-month RYTELO revenue
milestone. The Tranche B Loan and the Tranche C Loan, once available, could have been requested on or prior to
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
December 31, 2025. A portion of the proceeds from the Tranche A Loan were used to repay, in full, all amounts owed
under the Hercules Loan Agreement, which was terminated effective November 1, 2024. The remaining proceeds will be
used to fund our general corporate and working capital requirements.
On January 5, 2026, the Pharmakon Loan Agreement was amended to extend the date for requesting the
Tranche B Loan and Tranche C Loan, once available, from December 31, 2025 to July 30, 2026. The amendment also
extended the Makewhole Date from November 1, 2026 to May 1, 2027.
The Term Loans mature on November 1, 2029. The Term Loans bear interest at a variable rate per annum
equal to 5.75% plus the three-month Secured Overnight Financing Rate, or SOFR, with a SOFR floor of 3.00%. As of
inception of the Tranche A Loan, the interest rate applicable to the Tranche A Loan was 10.32%. As of December 31,
2025, the applicable interest rate was 11.13%. Interest is due and payable quarterly on the last day of each quarter. The
Pharmakon Loan Agreement requires we pay an amount equal to 2.50% of the Lenders’ total committed amount to fund
the Term Loans, payable with respect to each Term Loan on the funding date of such Term Loan.
We may elect to prepay the Term Loans in part or in whole prior to the Maturity Date with such
prepayments being subject to a prepayment premium equal to the principal amount so prepaid multiplied by 3% if made
prior to the 3rd anniversary of the funding date of the applicable Term Loan, 2% if made on or after the 3rd anniversary of
the funding date of the applicable Term Loan but prior to the 4th anniversary of the funding date of the applicable Term
Loan, and 1% if made on or after the 4th anniversary of the funding date of the applicable Term Loan but prior to the
Maturity Date. In addition to the prepayment premium, prepayments of any Term Loan prior to the 2nd anniversary of the
funding date of such Term Loan are subject to a make-whole amount equal to the sum of all interest that would have
accrued through such 2nd anniversary.
Our obligations under the Pharmakon Loan Agreement are secured by substantially all of our assets,
including our intellectual property. Certain of our subsidiaries may, from time to time after the Tranche A Closing Date, be
required to guarantee our obligations under the Pharmakon Loan Agreement and, in connection with such guarantee,
pledge substantially all of their assets, including intellectual property, to secure such guarantee.
The Pharmakon Loan Agreement contains customary affirmative and restrictive covenants and
representations and warranties. We and our subsidiaries are bound by certain affirmative covenants setting forth actions
that are required during the term of the Pharmakon Loan Agreement, including, without limitation, certain information
delivery requirements, obligations to maintain certain insurance, and certain notice requirements. There are no financial
covenants. Additionally, we and our subsidiaries are bound by certain restrictive covenants setting forth actions that are not
permitted to be taken during the term of the Pharmakon Loan Agreement, including, without limitation, (i) selling or
disposing of assets, (ii) amending, modifying or waiving our rights under material agreements, (iii) consummating change
in control transactions unless all amounts becoming due under the Loan Agreement are paid in full immediately upon (and
concurrent with) the consummation of any such change in control transaction, (iv) incurring additional indebtedness, (v)
incurring non-permitted liens or encumbrance on our or our subsidiaries’ assets, (vi) paying dividends or making any
distribution or payment on or redeeming, retiring or purchasing any equity interests, and (vii) making payments on
subordinated indebtedness, in each case, subject to specified exceptions. The Pharmakon Loan Agreement also contains the
following events of default: (i) failure to pay principal, interest and other amounts when due, (ii) the breach of the
covenants under the Loan Agreement, (iii) the occurrence of a material adverse change or the occurrence of a withdrawal
event in respect of RYTELO, (iv) certain attachments of the credit parties assets and restraints on their business, (v) certain
insolvency, liquidation, bankruptcy or similar events, (vi) certain cross-default of third-party indebtedness and royalty
revenue contracts, (vii) the failure to pay certain judgments, (viii) material misrepresentations, (ix) the loan documents
ceasing to create a valid security interest in a material portion of the collateral, (x) the occurrence of certain ERISA events
and (xi) the occurrence of a default under any subordination or intercreditor agreement, in each case subject to the grace
periods, cure period and thresholds as specified in the Pharmakon Loan Agreement. Upon the occurrence and during the
continuance of an event of default, the Lenders may, among other things, accelerate our obligations under the Pharmakon
Loan Agreement (including all obligations for principal, interest and any applicable make-whole and prepayment
premiums); provided that upon an event of default relating to certain insolvency, liquidation, bankruptcy or similar events,
all outstanding obligations will be immediately accelerated. As of December 31, 2025, we were in compliance with our
Pharmakon Loan Agreement covenants.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Future Minimum Payments
The following table presents future minimum payments, including interest and the end of term charge,
under the Term Loan as of December 31, 2025 (in thousands):
2025
$
3,110
2026
12,338
2027
12,338
2028
12,372
2029
135,310
Thereafter
—
Total
175,468
Less: amount representing interest
(50,468)
Less: unamortized debt discount and issuance costs
(5,453)
Noncurrent portion of debt
$
119,547
Liabilities Related to Sale of Future Royalties
On November 1, 2024, we entered into a revenue participation right purchase and sale agreement, or the
Royalty Pharma Agreement, with Royalty Pharma Development Funding, LLC, or Royalty Pharma. Pursuant to the
Royalty Pharma Agreement, we received an upfront payment of $125.0 million, or the Purchase Price, in exchange for
which Royalty Pharma obtained the right, or the Revenue Participation Right, to receive certain amounts calculated as a
percentage of future U.S. net sales of RYTELO for each calendar quarter, or Royalty Payments, during the term
contemplated by the Royalty Pharma Agreement. Specifically, the revenue participation rate commences at 7.75% for
annual U.S. net sales of up to and equal to $500.0 million declining to 1.0% for annual U.S. net sales exceeding $1.0 billion
until the date when the aggregate Royalty Payments equal or exceed 1.65 times the Purchase Price, if this occurs by June
30, 2031 or the date when the aggregate Royalty Payments equal or exceed 2.0 times the Purchase Price.
In addition, we have the option to repurchase all of the Revenue Participation Right from Royalty Pharma
for a purchase price of equal to the Buy-Out-Payment, as defined below, if we entered into a definitive agreement to
consummate a change of control, or Buy-Back Option.
“Buy-Out Payment” means an amount equal to (a) 1.65 times the Purchase Price minus the aggregate
Royalty Payments as of the change of control, if the change of control occurs on or prior to December 31, 2027, or (b) 2.0
times the Purchase Price minus the aggregate Royalty Payments as of the change of control, if the change of control occurs
after December 31, 2027.
We accounted for the Royalty Pharma Agreement as a financing liability, primarily because it has
significant continuing involvement in generating the future revenue on which the Royalty Payments are based. The liability
related to Revenue Participation Right and the related interest expense are measured based on our current estimate of the
timing and amount of expected future Royalty Payments expected to be paid over the estimated term of the Royalty
Pharma Agreement using a discounted cash flow model. The liability is amortized using the effective interest rate method,
resulting in recognition of interest expense over the estimated term of the agreement.
We have determined the fair value of the liability related to the sale of future royalties is based on our
current estimates of future royalties expected to be paid to Royalty Pharma over the life of the arrangement, which are
considered Level 3.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
The following table shows the activity within the liability related to sale of future royalties during the year
ended December 31, 2025.
Liability Related to Sale of Future Royalties
(in thousands)
Carrying value of liability related to sale of future royalties at December 31, 2024
$
124,793
Non-cash interest expense recognized
18,948
Royalty payments
(14,159)
Carrying value of liability related to sale of future royalties at December 31, 2025
$
129,582
Embedded Derivatives
The conditional exercisable call option related to the event of default is considered to be an embedded
derivative which is required to be bifurcated and accounted for as a separate financial instrument. In the periods presented,
the value of the embedded derivative is not material and therefore, no amount has been recognized. If an event of default
becomes more probable than is currently estimated, then the embedded derivative could become material in future periods
and would be recognized as a separate financial instrument at that time. The embedded derivatives are classified within
Level 3 of the fair value hierarchy due to the use of significant unobservable inputs.
11. STOCKHOLDERS’ EQUITY
Authorized Common Stock
In May 2023, our stockholders approved an amendment to our Restated Certificate of Incorporation to
increase the total number of authorized shares of common stock from 675,000,000 to 1,350,000,000 shares.
Public Offerings
On January 10, 2023, we completed an underwritten public offering consisting of 68,007,741 shares of our
common stock and the 2023 pre-funded warrants. All of the securities were issued separately. The public offering price of
the common stock was $2.45 per share. The public offering price of the 2023 pre-funded warrant was $2.449 per share.
The net cash proceeds from this offering were $213.3 million, after deducting the underwriting discount and other offering
expenses paid by us, and excluded any future proceeds from the exercise of the 2023 pre-funded warrant. As of
December 31, 2025, all 2023 pre-funded warrants have been exercised.
On March 21, 2024, we completed an underwritten public offering of 41,999,998 shares of our common
stock and pre-funded warrants to purchase 8,002,668 shares of our common stock, or the 2024 pre-funded warrants. All of
the securities were issued separately. The public offering price of the common stock was $3.00 per share. The public
offering price of the 2024 pre-funded warrants was $2.99 per share. The net cash proceeds from the March 2024 offering
were approximately $141.0 million, after deducting the underwriting discount and other offering expenses paid by us, and
excluding any future proceeds from the exercise of the pre-funded warrants. As of December 31, 2025, 5.4 million of the
2024 pre-funded warrants have been exercised and 2.6 million were outstanding.
As of December 31, 2025 and 2024, pre-funded warrants to purchase 29,053,145 and 59,433,145 shares of
our common stock, respectively, remained outstanding and were associated with the May 2020, April 2022 and March
2024 public offerings. These warrants have an exercise price of $0.001 per share and no expiration date.
Upon the issuance of the 2023 and 2024 pre-funded warrants, we evaluated the warrant terms to determine
the appropriate accounting and classification pursuant to FASB Accounting Standards Codification Topic 480,
Distinguishing Liabilities from Equity, and FASB Accounting Standards Codification Topic 815, Derivatives and Hedging.
Warrants are classified as liabilities when the warrant terms allow settlement of the warrant exercise in cash and classified
as equity when the warrant terms only allow settlement in shares of common stock. The terms of the 2023 and 2024 pre-
funded warrants include certain provisions related to fundamental transactions and a cashless exercise provision in the
event registered shares are not available, and do not include any mandatory redemption provisions. Based on our
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
evaluation, we concluded the 2023 and 2024 pre-funded warrants should be classified as equity with no subsequent
remeasurement as long as such warrants continue to be classified as equity.
Warrant Exercises
For the year ended December 31, 2025, warrants were exercised to purchase 1,162,376 shares of our
common stock at an exercise price of $1.30 per share for net cash proceeds of approximately $1.5 million, which proceeds
were received in January 2026. The warrants were issued in connection with underwritten public offerings of common
stock in May 2020. The remaining warrants to purchase 240,146 shares of our common stock expired on December 31,
2025 and are no longer outstanding.
For the year ended December 31, 2024, warrants to purchase 1,071,981 shares of our common stock at an
exercise price of $1.30 per share were exercised for net cash proceeds of approximately $1.4 million. The warrants were
issued in connection with an underwritten public offering of common stock in May 2020. As of December 31, 2024,
warrants to purchase 1,402,522 shares of our common stock remained outstanding.
2023 Sales Agreement
On November 1, 2023, we entered into an At Market Issuance Sales Agreement, or the 2023 Sales
Agreement, with B. Riley, pursuant to which we could issue and sell shares of our common stock having an aggregate
offering price of up to $100 million. We have agreed to pay B. Riley an aggregate commission rate equal to up to 3.0% of
the gross proceeds of the sales price per share for common stock sold under the 2023 Sales Agreement. No shares of our
common stock were sold pursuant to the 2023 Sales Agreement, which was terminated in January 2026.
Equity Plans
2011 Incentive Award Plan
In May 2011, our stockholders approved the adoption of the 2011 Incentive Award Plan, or 2011 Plan. The
2011 Plan provided for grants of either incentive stock options or nonstatutory stock options and stock purchase rights to
employees (including officers and employee directors) and consultants (including non-employee directors). Upon the
adoption of the 2018 Equity Incentive Plan in May 2018 (see below), no further grants of stock options or stock purchase
rights were made under the 2011 Plan. Stock options granted under the 2011 Plan expire no later than ten years from the
date of grant. Stock option exercise prices were equal to the fair market value of the underlying common stock on the date
of grant.
Service-based stock options under the 2011 Plan generally vested over a period of four years from the date
of grant. Other stock awards (restricted stock awards and restricted stock units) had variable vesting schedules which were
determined by our board of directors on the date of grant. All outstanding awards granted under the 2011 Plan remain
subject to the terms of the 2011 Plan and the individual award agreements thereunder.
2018 Equity Incentive Plan
On May 15, 2018, our stockholders approved the adoption of the 2018 Equity Incentive Plan, or 2018 Plan,
as the successor to the 2011 Plan. The 2018 Plan provides for the grant of incentive stock options, nonstatutory stock
options, stock appreciation rights, restricted stock awards, restricted stock unit awards, other stock awards, and
performance awards that may be settled in cash, stock, or other property. Eligible participants under the 2018 Plan include
our employees, consultants and non-employee directors. The number of shares reserved for issuance under the 2018 Plan
(subject to adjustment for certain changes in capitalization) is equal to the sum of (i) the unallocated shares of common
stock remaining available for future grants under the 2011 Plan as of May 15, 2018, (ii) 10,000,000 newly reserved shares
of common stock and (iii) the number of shares subject to awards granted under the 2002 Equity Incentive Plan, and the
2011 Plan as such shares become available from time to time, referred to as the Prior Plans’ Returning Shares. Such Prior
Plans’ Returning Shares become available for issuance under the 2018 Plan if outstanding stock awards granted under the
2002 Equity Incentive Plan and the 2011 Plan, after May 15, 2018, expire or terminate for any reason prior to exercise or
settlement or are forfeited, cancelled or otherwise returned to us because of the failure to meet a contingency or condition
required for the vesting of such shares, or, subject to certain exceptions, are reacquired or withheld (or not issued) by us to
satisfy a tax withholding obligation in connection with a stock award. In May 2025 and May 2023, our stockholders
approved amendments to our 2018 Equity Incentive Plan to increase the total number of shares issuable under such plan by
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
20,000,000 and 43,360,000,shares of our common stock, respectively. As of December 31, 2025, an aggregate total of
98,971,971 shares of common stock have been reserved under the 2018 Equity Incentive Plan, with 51,542,796 available
for future grants.
Stock options granted under the 2018 Plan expire no later than ten years from the date of grant. Stock
option exercise prices shall be equal to the fair market value of the underlying common stock on the date of grant. If, at the
time we grant a stock option, the optionee directly or by attribution owns stock possessing more than 10% of the total
combined voting power of all classes of our stock, the stock option exercise price shall be at least 110% of the fair market
value of the underlying common stock and shall not be exercisable more than five years after the date of grant.
We grant service-based and performance-based stock options to employees under the 2018 Plan. Service-
based stock options generally vest over a period of four years from the date of the stock option grant. Performance-based
stock options vest upon the achievement of specified milestones. Other stock awards (restricted stock awards and restricted
stock units) have variable vesting schedules as determined by our board of directors on the date of grant.
Under certain circumstances, stock options may be exercised prior to vesting, subject to our right to
repurchase the shares underlying such stock option at the exercise price paid per share. Our repurchase rights would
generally terminate on a vesting schedule identical to the vesting schedule of the exercised stock option. During 2025 and
2024, we did not repurchase any shares under the 2018 Plan. As of December 31, 2025, we have no shares outstanding
subject to repurchase under the 2018 Plan.
As of December 31, 2025, our Non-Employee Director Compensation Policy adopted by our board of
directors in March 2014, as amended, provides for the automatic grant to non-employee directors of the following types of
equity awards under the 2018 Plan:
•
First Director Option. Each person who becomes a non-employee director, whether by election by our
stockholders or by appointment by our board of directors to fill a vacancy, will automatically be granted a stock
option to purchase 270,000 shares of common stock, or First Director Option, on the date such person first
becomes a non-employee director. The First Director Option vests annually over three years upon each
anniversary date of appointment to our board of directors.
•
Subsequent Director Option. Each non-employee director (other than any director receiving a First Director
Option on the date of the annual meeting) will automatically be granted a subsequent stock option to purchase
180,000 shares of common stock, a Subsequent Director Option, on the date of the annual meeting of stockholders
in each year during such director’s service on our board of directors. The Subsequent Director Option vests in full
on the earlier of: (i) the date of the next annual meeting of our stockholders or (ii) the first anniversary of the date
of grant.
2018 Inducement Award Plan
In December 2018, our board of directors approved the adoption of the 2018 Inducement Award Plan, or
the Inducement Plan, pursuant to which we reserved 3,000,000 shares of our common stock to be used exclusively for
grants of inducement awards to individuals who were not previously Geron employees or non-employee directors, other
than following a bona fide period of non-employment. Since adoption of the Inducement Plan, the compensation
committee of our board of directors, or the compensation committee, has approved amendments to our Inducement Plan to
increase the aggregate total number of shares issuable under such plan to 51,300,000 shares of our common stock. The
most recent amendment, approved by the compensation committee in August 2025, increased the total number of shares
issuable under such plan by 11,000,000 shares of our common stock. As of December 31, 2025, an aggregate total of
43,818,645 shares of common stock have been reserved under the Inducement Plan, with 5,137,263 available for future
grants.
The Inducement Plan provides for the grant of nonstatutory stock options, stock appreciation rights,
restricted stock awards, restricted stock units and other stock awards, and all awards under the Inducement Plan are
intended to meet the standards under Rule 5635(c)(4) of the Nasdaq Listing Rules. The terms and conditions of the
Inducement Plan and the inducement awards to be granted thereunder are substantially similar to our stockholder-approved
2018 Plan.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Directors’ Market Value Stock Purchase Plan
In October 2018, our board of directors adopted a Directors’ Market Value Stock Purchase Plan, or the
Directors Market Plan. A total of 1,000,000 shares of our common stock have been reserved for the Directors Market Plan.
Under the Directors Market Plan, non-employee directors may purchase shares of our common stock at the prevailing
market price on the purchase date with cash compensation payable to them for their services as a board member. As stated
in Geron’s Non-Employee Director Compensation Policy, each non-employee director receives annual cash compensation,
payable quarterly in arrears, for their services on the board and various committees of the board. As provided in the Non-
Employee Director Compensation Policy, a non-employee director may elect to receive fully vested shares of common
stock in lieu of cash and such shares shall be issuable from the Directors Market Plan.
Stock-Based Compensation
The following table summarizes the stock-based compensation expense included in research and
development and selling, general and administrative expenses:
Year Ended December 31,
(In thousands)
2025
2024
2023
Research and development
$
8,388 $
9,595 $
7,765
Selling, general and administrative
17,055
21,725
11,589
Total
$
25,443 $
31,320 $
19,354
Stock-based compensation of $1.3 million and $0.7 million was capitalized to inventory for the twelve months
ended December 31, 2025 and 2024, respectively, and was excluded from the table above. No stock-based compensation
was capitalized to inventory for the twelve months ended December 31, 2023. Stock-based compensation of approximately
$0.3 million and $0.1 million was included in cost of goods sold for the twelve months ended December 31, 2025 and
2024, respectively.
The following table summarizes share-based compensation expense associated with each of our stock-based
compensation programs:
Year Ended December 31,
(In thousands)
2025
2024
2023
Service based options
$
24,733 $
24,863 $
15,722
Performance based options
29
6,538
3,167
Restricted stock units
1,266 $
— $
—
Employee stock purchase plan
719 $
661 $
465
Total
$
26,747 $
32,062 $
19,354
The table above was not adjusted for stock-based compensation amounts capitalized to inventory for the twelve
months ended December 31, 2025 and 2024.
As of December 31, 2025, total compensation cost related to unvested share-based payment awards not yet
recognized, net of estimated forfeitures, and assuming no probability of achievement for outstanding performance-based
stock options, was $40.7 million, which is expected to be recognized over the next 37 months on a weighted-average basis.
In 2025, 2024, and 2023, we recorded stock-based compensation expense of $0.1 million, $0.1 million and
$0.7 million for stock options held by consultants, respectively. This stock-based compensation expense is included in the
tables above.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Stock Options
The following table presents stock option activity for the year ended December 31, 2025:
Outstanding Stock Options
Weighted Average
Aggregate
Number of
Weighted Average
Remaining
Intrinsic
Shares
Exercise Price
Contractual Life
Value
(In thousands)
Per Share
(In years)
(In thousands)
Balance at December 31, 2024
75,967
$
2.39
Granted
35,540
$
1.74
Exercised
(1,275)
$
1.19
Forfeited or expired
(27,862)
$
2.62
Balance at December 31, 2025
82,370
$
2.06
5.86
$
2,613
Exercisable at December 31, 2025
45,954
$
2.18
3.54
$
1,788
Fully vested and expected to vest at
December 31, 2025
78,935
$
2.07
5.72
$
2,525
The weighted-average estimated fair value of stock options granted during the years ended December 31,
2025, 2024 and 2023 was $1.17, $2.05 and $1.95 per share, respectively. The total pretax intrinsic value of stock options
exercised during 2025, 2024, and 2023 was $0.5 million $41.2 million and $12.0 million, respectively. The intrinsic value
was calculated as the difference between the fair value of the Company's common stock and the exercise price of the
option. Cash received from the exercise of stock options in 2025, 2024, and 2023 totaled approximately $1.5 million, $31.6
million and $12.4 million, respectively. The total grant date fair value of options vested during 2025, 2024, and 2023 was
$41.5 million, $60.6 million, and $40.6 million, respectively.
The fair value of stock options granted has been estimated using the following assumptions:
Year Ended December 31,
2025
2024
2023
Dividend yield
0%
0%
0%
Expected volatility range
72% to 74%
72% to 87%
82% to 83%
Risk-free interest rate range
3.7% to 4.5%
3.5% to 4.6%
3.42% to 4.94%
Expected term range
6.0 yrs
6.0 yrs
6.0 yrs
In 2025, 2024, and 2023, our board of directors awarded 67,000, 208,100 and 832,790 performance-based
stock options, respectively, to certain employees. These performance-based stock options are included in the outstanding
stock options table above. Performance-based stock options vest only upon achievement of discrete milestones.
Restricted Stock Units
We grant service-based restricted stock units ("RSUs") under our equity plans to employees. The service-
based vesting period for an employee RSU is generally four years from the date of the grant.
The following table summarizes the activity for RSUs:
Weighted Average
Shares
Grant Date Fair Value
Unvested at December 31, 2024
—
—
Granted
5,336,250
2.22
Vested
—
—
Forfeited
(2,186,500)
2.42
Unvested at December 31, 2025
3,149,750
2.08
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Restricted Stock Awards
For the years ended December 31, 2025, 2024 and 2023, we issued 22,073, 8,351 and 36,864 shares of
common stock, respectively, under the Directors Market Plan. The weighted average grant date fair value of stock granted
during the years ended December 31, 2025 2024 and 2023 was $1.42, $3.84 and $2.37 per share, respectively. The total
fair value of vested stock grants during 2025, 2024 and 2023 was less than $0.1 million, less than $0.1 million and $0.1
million, respectively.
Employee Stock Purchase Plan
In March 2014, our board of directors adopted the 2014 Employee Stock Purchase Plan, or 2014 Purchase
Plan. The 2014 Purchase Plan was approved by our stockholders in May 2014. The 2014 Purchase Plan replaced the 1996
Employee Stock Purchase Plan, or 1996 Purchase Plan, which was terminated effective as of the date the 2014 Purchase
Plan was approved by our stockholders. In May 2022, our stockholders approved an amendment to our 2014 Purchase Plan
to increase the total number of shares issuable under such plan by 1,000,000 shares of our common stock, for an aggregate
total reserve of 2,000,000 shares. In the May 2025 annual meeting, stockholders approved an amendment to increase the
reserve for the 2014 Purchase Plan by 6,000,000 shares, for an aggregate total reserve of 8,000,000 shares. At
December 31, 2025, an aggregate of 2,380,619 shares of our common stock have been issued under the 2014 Employee
Stock Purchase Plan since its adoption.
The 2014 Purchase Plan is comprised of a series of offering periods, each with a maximum duration (not to
exceed 12 months) with new offering periods commencing on January 1st and July 1st of each year. The date an employee
enters the offering period will be designated as the entry date for purposes of that offering period. An employee may
participate only in one offering period at a time. Each offering period consists of two consecutive purchase periods of six
months’ duration, with the last day of such period designated a purchase date.
Under the terms of the 2014 Purchase Plan, employees can choose to have up to 10% of their annual salary
withheld to purchase our common stock, up to a limit of $25,000 per year. An employee may not make additional
payments into such account or increase the withholding percentage during the offering period.
The purchase price per share at which common stock is purchased by the employee on each purchase date
within the offering period is equal to 85% of the lower of (i) the fair market value per share of our common stock on the
employee’s entry date into that offering period or (ii) the fair market value per share of our common stock on the purchase
date. If the fair market value per share of our common stock on the purchase date is less than the fair market value at the
beginning of the offering period, a new 12 month offering period will automatically begin on the first business day
following the purchase date with a new fair market value.
The fair value of employee stock purchases has been estimated using the Black-Scholes option-pricing
model with the following assumptions:
Year Ended December 31,
2025
2024
2023
Dividend yield
0%
0%
0%
Expected volatility range
69%. to 89%
72% to 119%
79% to 83%
Risk-free interest rate range
4.0% to 4.3%
4.8% to 5.4%
4.73% to 5.4%
Expected term range
6 - 12 mos
6 - 12 mos
6 - 12 mos
The weighted average estimated fair value of employees’ purchase rights for the years ended December 31,
2025, 2024 and 2023 was $1.05, $0.82 and $1.10 per share, respectively.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Common Stock Reserved for Future Issuance
Common stock reserved for future issuance as of December 31, 2025 is as follows:
Outstanding stock options and unvested RSUs
86,110,557
2011 Plan, 2018 Plan and Inducement Plan
57,528,890
Employee stock purchase plan
5,619,381
Warrants outstanding
29,293,291
Total
178,552,119
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
12. NET LOSS PER COMMON SHARE
Basic net income (loss) per share is calculated by dividing net income (loss) by the weighted-average
number of shares of common stock outstanding for the periods presented without consideration of potential common
shares.
Since we incurred a net loss for 2025, 2024, and 2023, the diluted net loss per share calculation excludes
potential dilutive securities of 86,350,703, 77,369,889 and 75,458,854 shares, respectively, related to outstanding stock
options and warrants, as their effect would have been anti-dilutive.
In March 2024, we completed an underwritten public offering of 41,999,998 shares of our common stock
and a pre-funded warrant to purchase 8,002,668 shares of our common stock, or the 2024 pre-funded warrant. In January
2023, we completed an underwritten public offering of 68,007,741 shares of our common stock and a pre-funded warrant
to purchase 25,000,000 shares of our common stock, or the 2023 pre-funded warrant. In April 2022, we entered into an
underwriting public offering of our common stock, pursuant to which we issued a pre-funded warrant to purchase
18,095,238 shares of our common stock, also known as the 2022 pre-funded warrant. In May 2020, we entered into an
underwriting agreement public offering of our common stock, pursuant to which we issued a pre-funded warrant to
purchase 8,335,239 shares of our common stock, or the 2020 pre-funded warrant. The pre-funded warrants are exercisable
immediately at an exercise price of $0.001 per share. We included the 2024 pre-funded warrant, the 2023 pre-funded
warrant, the 2022 pre-funded warrant and the 2020 pre-funded warrant in the computation of basic net loss per share, as
applicable, since their exercise price is negligible, and they may be exercised at any time. See Note 11 on Stockholders'
Equity for further discussion of our public offerings.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
13. INCOME TAXES
The components of income (loss) before income taxes were as follows:
Year Ended December 31,
(In thousands)
2025
2024
2023
Domestic
(82,358)
(174,737)
(181,884)
Foreign
(1,067)
215
150
Total
(83,425)
(174,522)
(181,734)
Provision for (benefit from) income taxes was as follows:
Year Ended December 31,
(In thousands)
2025
2024
2023
State
—
398
—
Foreign
75
51
22
Total
75
449
22
The following table reconciles the federal statutory tax rate to the effective income tax rate from continuing
operations:
Year Ended December 31,
2025
2024
2023
Amount
Amount
Amount
(In thousands)
Percentage
(In thousands)
Percentage
(In thousands)
Percentage
Tax at statutory rate
(17,535)
21.0 %
(36,660)
21.0 %
(38,667)
21.0 %
State income tax, net of federal benefit
—
—
398
(0.2)
—
—
Federal and state tax credits
(2,233)
2.7
(4,128)
2.4
(7,591)
4.1
Stock-based compensation
2,588
(3.1)
(224)
0.1
564
(0.3)
Stock Based compensation - 162(m)
1,578
(1.9)
3,014
(1.7)
1,750
(0.9)
Net operating loss not benefitted
7,717
(9.2)
862
(0.5)
10,451
(5.7)
Foreign rate difference
315
(0.4)
16
—
(9)
—
Change in unrecognized tax benefit
(3)
—
(615)
0.4
13
—
Other
312
(0.4)
180
(0.1)
52
—
Change in valuation allowance
7,336
(8.8)
37,606
(21.7)
33,459
(18.2)
Effective tax rate
75
(0.1) %
449
(0.3) %
22
0.0 %
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of
assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant
components of our deferred tax assets are as follows:
December 31,
(In thousands)
2025
2024
Net operating loss carryforwards
$
278,382 $
272,970
Federal and state tax credits
72,360
70,492
Capitalized research and development
34,747
39,503
Stock-based compensation
11,063
8,353
Revenue Participation
32,758
29,547
Operating lease liabilities
618
767
Other
15,266
8,963
Total deferred tax assets
445,194
430,595
Less: valuation allowance
(444,650)
(429,913)
Net deferred tax assets
544
682
Operating leases, right-of-use assets
(544)
(682)
Total deferred tax liabilities
(544)
(682)
Total net deferred tax assets
$
— $
—
We record net deferred tax assets to the extent we believe these assets will more likely than not be realized.
In making such determination, we consider all available positive and negative evidence, including scheduled reversals of
deferred tax liabilities, projected future taxable income, tax planning strategies and recent financial performance. Forming a
conclusion that a valuation allowance is not required is difficult when there is negative evidence such as cumulative losses
in recent years. Because of our history of losses, the net deferred tax assets have been fully offset by a valuation allowance.
The valuation allowance increased by $14.7 million and $35.0 million for the years ended December 31, 2025 and 2024,
respectively.
As of December 31, 2025, we had domestic federal net operating loss carryforwards of approximately $1.0
billion. Of this, $561.7 million will expire at various dates beginning in 2026 through 2037 and the remaining will
carryforward indefinitely under the new tax laws, but is subject to an 80% taxable income limitation for tax years
beginning after December 31, 2017. As of December 31, 2025, we had state net operating loss carryforwards of
approximately $871.8 million expiring at various dates beginning in 2028 through 2045. We also had federal tax credit
carryforwards of approximately $81.9 million expiring at various dates beginning in 2026 through 2045, if not utilized. Our
state tax credit carryforwards of approximately $22.6 million carry forward indefinitely.
Utilization of net operating loss and tax credit carryforwards may be subject to an annual limitation due to
ownership change limitations provided by the Internal Revenue Code and similar state provisions. Annual limitations may
result in expiration of net operating loss and tax credit carryforwards before some or all of such amounts have been
utilized.
We adopted the provision of the standard for accounting for uncertainties in income taxes on January 1,
2007. Upon adoption, we recognized no material adjustment in the liability for unrecognized tax benefits. At December 31,
2025, we had approximately $28.8 million of unrecognized tax benefits, none of which would currently affect our effective
tax rate if recognized due to our net deferred tax assets being fully offset by a valuation allowance.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
A reconciliation of the beginning and ending amounts of unrecognized tax benefits is as follows (in
thousands):
Balance as of December 31, 2024
$
28,310
Decrease related to prior year tax positions
(583)
Increase related to current year tax positions
1,094
Balance as of December 31, 2025
$
28,821
If applicable, we would classify interest and penalties related to uncertain tax positions in income tax
expense. Through December 31, 2025, there has been no interest expense or penalties related to unrecognized tax benefits.
We do not currently expect any significant changes to unrecognized tax benefits during the fiscal year
ended December 31, 2025. In certain cases, our uncertain tax positions are related to tax years that remain subject to
examination by the relevant tax authorities. Tax years for which we have carryforward net operating loss and credit
attributes remain subject to examination by federal and most state tax authorities.
On July 4, 2025, the One Big Beautiful Bill Act, or OBBBA, was signed into law in the United States. This
comprehensive tax legislation contains a broad range of tax reforms, including provisions that allow for the immediate
expensing of domestic research and development expenses, restore and make permanent 100% bonus depreciation for
qualifying assets, and ease limitations on the deductibility of interest expense. The legislation has multiple effective dates,
with certain provisions taking effect in 2025 and others being implemented through various future years. We have
accounted for the provisions of the OBBBA in our consolidated financial statements. The changes did not impact income
taxes due to its cumulative tax loss and tax effect of a full valuation allowance against those balances.
14. CONSOLIDATED STATEMENTS OF CASH FLOWS DATA
Year Ended December 31,
2025
2024
2023
(In thousands)
Supplemental operating and investing activities:
Net unrealized loss on marketable securities
$
(45) $
88 $
(431)
Reclassification between prepaid and other current
assets and deposits and other assets
—
—
—
Interest paid
$
11,712 $
10,364 $
7,017
15. SEGMENT REPORTING
We are currently developing therapies for the treatment of hematologic malignancies. To date, our only
source of product revenue has been from U.S. sales of RYTELO, which began shipping to customers in June 2024.
Additionally, we have generated insignificant royalty and license fee revenue under agreements that out-license technology
to various companies.
For the year ended December 31, 2025, we have identified one operating and reportable segment. We
define our operating segments based on internally reported financial information that is regularly reviewed by the Chief
Operating Decision Maker or CODM to analyze financial performance, make decisions, and allocate resources. Our Chief
Executive Officer is the CODM.
The CODM reviews the segment's profit or loss based on net (loss) income reported on the consolidated
statement of operations and comprehensive (loss) income and considers forecast-to-actuals variances on a quarterly basis
for expenses that are deemed significant. Further, the CODM reviews the segment's assets based on total assets reported on
the consolidated balance sheet. All long-lived assets are held in the U.S. Further, the CODM reviews the segment's assets
based on total assets reported on the consolidated balance sheet. All long-lived assets are held in the United States.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Our CODM views specific categories within research and development expenses and selling, general and
administrative expenses as significant given the correlation between cash burn and profitability. The following table
reconciles reported revenues to net (loss) income under the significant expense principle for the year ended December 31,
2025 and 2024:
Year Ended December 31,
(in millions)
2025
2024
Revenues:
Product revenue, net
183.6
76.5
Royalties
0.3
0.5
Total revenues
$
183.9 $
77.0
Operating expenses:
Cost of goods sold
4.7
1.3
Research and development
Research and clinical expenses
54.2
67.9
Chemistry, manufacturing, and control expenses
9.8
26.2
Restructuring charges
8.6
—
Selling, general and administrative
Commercial expenses
78.6
72.0
Restructuring charges
8.4
—
Other segment expenses*
88.2
83.3
Total operating expenses
$
252.5 $
250.7
Loss from operations
(68.6)
(173.7)
Total interest and other income (expense)
(14.9)
(0.9)
Net loss
$
(83.5) $
(174.6)
* Other segment expenses includes stock-based compensation expense and other general and administrative expenses
largely resulting from personnel costs for individuals in administrative functions and legal and professional fees.
Accordingly, the Company consists of a single operating and reportable segment and the consolidated financial statements
and notes thereto are presented as a single reportable segment.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
16. RESTRUCTURING
In December 2025, the board of directors approved a workforce reduction representing approximately one-third of
our workforce prior to the reduction in headcount. We incurred approximately $17.0 million in restructuring and
restructuring-related charges, primarily consisting of one-time employee severance payments, healthcare and related
benefits, and other employee-related costs. The charges were recorded within restructuring charges line item within the
consolidated statements of operations. We estimate the workforce reduction will be substantially completed in the first
quarter of 2026. There were no restructuring charges in 2024 or 2023.
(In millions)
Restructuring
Accrued balance as of December 31, 2024
$
—
Expenses
17.0
Payments
—
Foreign currency and other adjustments
—
Accrued balance as of December 31, 2025
$
17.0
17. SUBSEQUENT EVENTS
Pharmakon Loan Agreement Amendment
On January 5, 2026, we entered into the First Amendment to the Loan Agreement (the “First Amendment”)
with Lenders and Biopharma Credit PLC. Pursuant to the First Amendment, the date for requesting the Tranche B Loan
and the Tranche C Loan was extended from December 31, 2025 to July 30, 2026. The amendment also extended the
Makewhole Date from November 1, 2026 to May 1, 2027. See Note 10 on Debt for additional information on the
Pharmakon Loan Agreement.
2026 Sales Agreement
On February 27, 2026, we entered into a sales agreement, or the 2026 Sales Agreement, with TD Securities
(USA) LLC, or TD Cowen, pursuant to which we may issue and sell shares of our common stock having an aggregate
offering price of up to $150 million from time to time through TD Cowen as the sales agent. We will pay TD Cowen an
aggregate commission rate equal to up to 2.5% of the gross proceeds of the sales price per share for common stock sold
through TD Cowen under the 2026 Sales Agreement. We are not obligated to make any sales of common stock under the
2026 Sales Agreement. Our previous 2023 Sales Agreement with B. Riley Securities, dated November 1, 2023, was
terminated in January 2026.
Table of Contents
GERON CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE
None.
ITEM 9A. CONTROLS AND PROCEDURES
(I) Evaluation of Disclosure Controls and Procedures
We have carried out an evaluation under the supervision and with the participation of management,
including our Chief Executive Officer and our Chief Financial Officer, of our disclosure controls and procedures (as
defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this
Report. Based on that evaluation, our Chief Executive Officer and our Chief Financial Officer concluded that our
disclosure controls and procedures were effective at the reasonable assurance level as of December 31, 2025.
In designing and evaluating disclosure controls and procedures, our management recognizes that any
system of controls, however well designed and operated, can provide only reasonable assurance, and not absolute
assurance, that the desired control objectives of the system are met. In addition, the design of any control system is based in
part upon certain assumptions about the likelihood of future events. Because of these and other inherent limitations of
control systems, there can be no assurance that any design will succeed in achieving its stated goals in all future
circumstances. Accordingly, our disclosure controls and procedures are designed to provide reasonable, not absolute,
assurance that the objectives of our disclosure control system are met and, as set forth above, our Chief Executive Officer
and our Chief Financial Officer have concluded, based on their evaluation as of the end of the period covered by this
Report, that our disclosure controls and procedures were effective to provide reasonable assurance that the objectives of our
disclosure control system were met.
Remediation of Previously Identified Material Weakness
A material weakness is a deficiency, or combination of deficiencies, in internal control over financial
reporting, such that there is a reasonable possibility that a material misstatement of the annual or interim financial
statements will not be prevented or detected on a timely basis.
As previously disclosed in our quarterly report on Form 10-Q for the third quarter of 2025, management
identified a material weakness in our internal control over financial reporting. Specifically, management identified
deficiencies in the design and operation of certain Information Technology General Controls, or ITGCs, related to user
access and program change management for our Enterprise Resource Planning and payment processing systems.
Consequently, IT application controls and IT dependent manual business process controls that rely upon information from
these systems, were also deemed ineffective.
We implemented measures and took steps designed to address the underlying causes of the material
weakness, which we determined were influenced by changes in our personnel and IT processes and the rapid growth of our
company in 2025. Our remediation efforts included enhancing the design of our ITGC-related controls, as well as
providing training to relevant personnel on the design and operation of our ITGCs. We completed the implementation of
the remediation measures and through testing of our internal controls, management has determined that the controls related
to these remediation measures were effectively designed and operated effectively for a sufficient period of time to enable
us to conclude that the material weakness was remediated as of December 31, 2025.
(II) Changes in Internal Control over Financial Reporting
Other than the remediation measures described above, there were no changes in our internal control over
financial reporting during the quarter ended December 31, 2025 that have materially affected, or are reasonably likely to
materially affect, our internal control over financial reporting.
Table of Contents
(III) Management’s Report on Internal Control over Financial Reporting
Internal control over financial reporting refers to the process designed by, or under the supervision of, our
Chief Executive Officer and Chief Financial Officer, and effected by our board of directors, management and other
personnel, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial
statements for external purposes in accordance with generally accepted accounting principles, and includes those policies
and procedures that:
(1)
Pertain to the maintenance of records that in reasonable detail accurately and fairly reflect
the transactions and dispositions of our assets;
(2)
Provide reasonable assurance that transactions are recorded as necessary to permit
preparation of financial statements in accordance with generally accepted accounting
principles, and that our receipts and expenditures are being made only in accordance with
authorizations of our management and directors; and
(3)
Provide reasonable assurance regarding prevention or timely detection of unauthorized
acquisition, use or disposition of our assets that could have a material effect on the financial
statements.
Management is responsible for establishing and maintaining an adequate internal control over financial
reporting for us. Internal control over financial reporting cannot provide absolute assurance of achieving financial reporting
objectives because of its inherent limitations. Internal control over financial reporting is a process that involves human
diligence and compliance and is subject to lapses in judgment and breakdowns resulting from human failures. Internal
control over financial reporting also can be circumvented by collusion or improper management override. Because of such
limitations, there is a risk that material misstatements may not be prevented or detected on a timely basis by internal control
over financial reporting. However, these inherent limitations are known features of the financial reporting process.
Therefore, it is possible to design into the process safeguards to reduce, though not eliminate, this risk.
Under the supervision and with the participation of our management, including our Chief Executive Officer
and our Chief Financial Officer, we conducted an evaluation of the effectiveness of our internal control over financial
reporting based on the framework set forth in “Internal Control—Integrated Framework” issued by the Committee of
Sponsoring Organizations of the Treadway Commission (2013 framework). Based on our evaluation under the framework
set forth in “Internal Control—Integrated Framework,” our management concluded that our internal control over financial
reporting was effective as of December 31, 2025.
(IV) Report of Independent Registered Public Accounting Firm
This Report includes an attestation report of our independent registered public accounting firm. It is set
forth in Item 8 above.
ITEM 9B. OTHER INFORMATION
None.
ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
Not applicable.
PART III
Certain information required by Part III is omitted from this Report because we will file with the U.S.
Securities and Exchange Commission a definitive proxy statement pursuant to Regulation 14A in connection with the
solicitation of proxies for Geron’s Annual Meeting of Stockholders expected to be held in May 2026, or the Proxy
Statement, not later than 120 days after the end of the fiscal year covered by this Report, and certain information included
therein is incorporated herein by reference, or an amendment to this Report under cover of Form 10-K/A containing the
information required by this Part III.
Table of Contents
ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
Identification of Directors and Nominees for Director
The information required by this item concerning our directors and nominees for director is incorporated by
reference from the section captioned “Proposal 1: Election of Directors” contained in our Proxy Statement.
Identification of Executive Officers
The information required by this item concerning our executive officers is set forth in Part I, Item 1 of this
Report.
Code of Ethics
We have adopted a Code of Conduct with which all our directors, employees and members of our executive
management team, including our Chief Executive Officer and Chief Financial Officer, are required to adhere in discharging
their work-related responsibilities. Our Code of Conduct is available in its entirety on the Corporate Governance page in
the Investors & Media section of our website at http://ir.geron.com and to any stockholder otherwise requesting a copy..
This website address is intended to be an inactive, textual reference only; none of the material on this website is part of this
Report.. Amendments to the Code of Conduct, and any waivers from the Code of Conduct granted to our directors or
members of our executive management team, will be made available through our website as they are adopted. Accordingly,
we intend to satisfy the disclosure requirement under Item 5.05 of Form 8-K regarding an amendment to, or waiver from, a
provision of the Code of Conduct by posting such information on our website.
Insider Trading Policy
We have adopted an Insider Trading Policy governing the purchase, sale and/or other dispositions of our
securities by our directors, officers and employees. A copy of the Insider Trading Policy is filed as an exhibit to this
Report. In addition, it is the Company’s practice to comply with applicable laws and regulations relating to insider trading.
Certain Corporate Governance Matters
The information required by this item concerning our audit committee, audit committee financial expert and
procedures by which stockholders may recommend nominees to our board of directors, may be found under the sections
captioned “Board Leadership and Governance” and “Other Matters” contained in the Proxy Statement.
ITEM 11. EXECUTIVE COMPENSATION
The information required by this item is incorporated by reference from the sections captioned
“Compensation Discussion and Analysis,” “Compensation Committee Report,” “Executive Compensation Tables and
Related Narrative Disclosure,” “Compensation of Directors” and “Compensation Committee Interlocks and Insider
Participation” contained in the Proxy Statement.
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND
RELATED STOCKHOLDER MATTERS
The information required by this item is incorporated by reference from the sections captioned “Equity
Compensation Plan Information” and “Security Ownership of Certain Beneficial Owners and Management” contained in
the Proxy Statement.
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR
INDEPENDENCE
The information required by this item is incorporated by reference from the sections captioned “Proposal 1:
Election of Directors” and “Certain Transactions” contained in the Proxy Statement.
Table of Contents
ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES
The information required by this item is incorporated by reference from the section captioned “Principal
Accountant Fees and Services” contained in the Proxy Statement.
Table of Contents
PART IV
ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
(a) (1) Financial Statements
Included in Part II, Item 8 of this Report:
Page
Report of Independent Registered Public Accounting Firm
98
Consolidated Balance Sheets—December 31, 2025 and 2024
101
Consolidated Statements of Operations—Years Ended December 31, 2025, 2024 and 2023
102
Consolidated Statements of Comprehensive Loss—Years Ended December 31, 2025, 2024 and 2023
103
Consolidated Statements of Stockholders’ Equity—Years Ended December 31, 2025, 2024 and 2023
104
Consolidated Statements of Cash Flows—Years Ended December 31, 2025, 2024 and 2023
105
Notes to Consolidated Financial Statements
106
(2)
Financial Statement Schedules
Financial statement schedules are omitted because they are not required or the information is disclosed in
the financial statements listed in Item 15(a)(1) above.
(3)
Exhibits
Incorporation by Reference
Exhibit
Number
Description
Exhibit
Number
Filing
Filing Date
File No.
3.1
Restated Certificate of Incorporation
3.3
8-K
May 18, 2012
000-20859
3.2
Certificate of Amendment of the Restated
Certificate of Incorporation
3.1
8-K
May 18, 2012
000-20859
3.3
Certificate of Amendment of the Restated
Certificate of Incorporation
3.1
8-K
June 7, 2019
000-20859
3.4
Certificate of Amendment of the Restated
Certificate of Incorporation
3.1
8-K
May 13, 2021
000-20859
3.5
Certificate of Amendment of the Restated
Certificate of Incorporation
3.1
8-K
June 2, 2023
000-20859
3.6
Amended and Restated Bylaws of Registrant
3.1
8-K
December 15, 2023
000-20859
4.1
Description of Capital Stock
4.1
10-K
February 28, 2024
000-20859
4.2
Form of Common Stock Certificate
4.1
10-K
March 15, 2013
000-20859
4.3
Form of Pre-Funded Warrant to Purchase Common
Stock
4.1
8-K
May 26, 2020
000-20859
4.4
Form of Pre-Funded Warrant to Purchase Common
Stock
4.1
8-K
March 30, 2022
000-20859
4.5
Form of Pre-Funded Warrant to Purchase Common
Stock
4.1
8-K
January 6, 2023
000-20859
4.6
Form of Pre-Funded Warrant to Purchase Common
Stock
4.1
8-K
March 20, 2024
000-20859
10.1
Form of Indemnification Agreement
10.1
10-K
March 7, 2012
000-20859
10.2
2011 Incentive Award Plan*
10.1
8-K
May 16, 2011
000-20859
Table of Contents
10.3
Form of Stock Option Agreement under 2011
Incentive Award Plan*
10.11
10-K
March 15, 2013
000-20859
10.4
Form of Restricted Stock Award Agreement under
2011 Incentive Award Plan*
10.12
10-K
March 15, 2013
000-20859
10.5
Form of Non-Employee Director Stock Option
Agreement under 2011 Incentive Award Plan*
10.2
10-Q
May 7, 2015
000-20859
10.6
2018 Equity Incentive Plan, as amended*
10.1
8-K
May 27, 2025
000-20859
10.7
UK Sub-Plan to 2018 Equity Incentive Plan*
10.1
10-Q
November 7, 2022
000-20859
10.8
Form of 2018 Equity Incentive Plan Option
Agreement (Time Based)*
10.2
10-Q
November 7, 2022
000-20859
10.9
Form of 2018 Equity Incentive Plan Option
Agreement (Performance Based)*
10.3
10-Q
November 7, 2022
000-20859
10.10
Form of Non-Employee Director Stock Option
Agreement under 2018 Equity Incentive Plan, as
amended*
10.13
10-K
March 7, 2019
000-20859
10.11
Form of Performance-Vesting Stock Option
Agreement under 2018 Equity Incentive Plan, as
amended*
10.15
10-K
March 7, 2019
000-20859
10.12
Form of Restricted Stock Unit Agreement under
2018 Equity Incentive Plan*
10.12
10-K
February 26, 2025
000-20859
10.13
2018 Inducement Award Plan, as amended *
10.3
8-K
August 6, 2025
000-20859
10.14
UK Sub-Plan to 2018 Inducement Award Plan*
10.5
10-Q
November 7, 2022
000-20859
10.15
Form of Stock Option Agreement under 2018
Inducement Award Plan, as amended*
10.19
10-K
March 7, 2019
000-20859
10.16
Form of Performance-Vesting Stock Option
Agreement under 2018 Inducement Award Plan*
10.20
10-K
March 7, 2019
000-20859
10.17
Form of Restricted Stock Unit Agreement under
2018 Inducement Award Plan*
10.17
10-K
February 26, 2025
000-20859
10.18
2014 Employee Stock Purchase Plan, as amended*
10.2
8-K
May 27, 2025
000-20859
10.19
Form of 2018 Inducement Award Plan Option
Agreement (Time Based)*
10.6
10-Q
November 7, 2022
000-20859
10.20
Form of 2018 Inducement Award Plan Option
Agreement (Performance Based)*
10.7
10-Q
November 7, 2022
000-20859
10.21
Non-Employee Director Compensation Policy, as
amended*
10.22
Directors’ Market Value Stock Purchase Plan,
effective October 1, 2018*
10.1
10-Q
November 1, 2018
000-20859
10.23
Amended and Restated Severance Plan, effective as
of August 1, 2025*
10.20
8-K
August 6, 2025
000-20859
10.25
Amended and Restated Employment Agreement
between the Registrant and Andrew J. Grethlein,
effective as of January 31, 2019*
10.31
10-K
March 7, 2019
000-20859
10.27
Employment Agreement by and between the
Registrant and Michelle Robertson, effective as
of September 25, 2023*
10.2
10-Q
November 2, 2023
000-20859
10.28
Employment Agreement by and between the
Registrant and James Ziegler, effective as of
September 9, 2024*
10.21
10-Q
November 7, 2024
000-20859
Table of Contents
10.29
Employment Agreement by and between the
Registrant and Joseph Eid, effective as of
November 11, 2024*
10.29
10-K
February 26, 2025
000-20859
10.30
Employment Agreement by and between the
Registrant and Harout Semerjian, effective
August 7, 2025
10.10
8-K
August 6, 2025
000-20859
10.30
Office Lease Agreement by and between Registrant
and 3 Sylvan Realty LLC, effective as of April
30, 2019
10.18
10-Q
May 2, 2019
000-20859
10.31
Offer Letter by and between the Registrant and
Dawn C. Bir, effective as of March 17, 2025*
10.2
10-Q
May 7, 2025
000-20859
10.32
Office Lease Agreement by and between Registrant
and Hudson Metro Center LLC, effective as of
October 9, 2019
10.1
8-K
October 15, 2019
000-20859
10.33
Loan Agreement, dated November 1, 2024, among
Registrant, BioPharma Credit Investments V
(Master) LP and BPCR Limited Partnership^
10.33
10-K
February 26, 2025
000-20859
10.34
Revenue Participation Right Purchase and Sale
Agreement, dated November 1, 2024, by and
between Registrant and Royalty Pharma
Development Funding, LLC^
10.3
10-K
February 26, 2025
000-20859
10.35
First Amendment to Loan Agreement, dated
January 5, 2026, among the Registrant,
BioPharma Credit Investments V (Master) LO
and BPCR Limited Partnership
10.37
Amended and Restated Employment Agreement
between the Registrant and John A. Scarlett,
M.D., effective as of January 31, 2019*
10.29
10-K
February 26, 2025
000-20859
10.39
Employment Agreement by and between the
Registrant and Ahmed ElNawawi, effective
October 20, 2025
10.40
Employment Agreement between the Registrant and
Faye Feller, effective July 9, 2022
19.1
Insider Trading Policy
21.1
List of Subsidiaries
23.1
Consent of Independent Registered Public
Accounting Firm1
24.1
Power of Attorney (see signature page)
31.1
Certification of Chief Executive Officer pursuant to
Form of Rule 13a-14(a), as adopted pursuant to
Section 302(a) of the Sarbanes-Oxley Act of 2002
31.2
Certification of Chief Financial Officer pursuant to
Form of Rule 13a-14(a), as adopted pursuant to
Section 302(a) of the Sarbanes-Oxley Act of 2002
32.1
Certification of Chief Executive Officer pursuant to
18 U.S.C. Section 1350, as adopted pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002**
32.2
Certification of Chief Financial Officer pursuant to
18 U.S.C. Section 1350, as adopted pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002**
Table of Contents
1
97.1
Incentive Compensation Recoupment Policy,
effective October 2, 2023*
97.1
10-K
February 28, 2024
000-20859
101
The following materials from the Registrant’s
annual report on Form 10-K for the year ended
December 31, 2025, formatted in Inline
Extensible Business Reporting Language
(iXBRL) include: (i) Consolidated Balance
Sheets as of December 31, 2025 and 2024 (ii)
Consolidated Statements of Operations,
Consolidated Comprehensive Loss, Stockholders’
Equity and Cash Flows for each of the three years
in the period ended December 31, 2025, and (iii)
Notes to Consolidated Financial Statements
104
Cover Page Interactive Data File (embedded within
the Inline XBRL document)
^
Certain portions of this exhibit have been omitted as the Registrant has determined that (i) the omitted information is
not material and (ii) the omitted information is of the type that the Registrant customarily and actually treats as private
or confidential.
*
Management contract or compensation plan or arrangement.
**
The certifications attached as Exhibits 32.1 and 32.2 that accompany this Report, are not deemed filed with the
Securities and Exchange Commission and are not to be incorporated by reference into any filing of the Company under
the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or
after the date of this Report), irrespective of any general incorporation language contained in such filing.
ITEM 16. FORM 10-K SUMMARY
None.
Table of Contents
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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.
GERON CORPORATION
Date: March 2, 2026
By:
/s/ Michelle Robertson
MICHELLE ROBERTSON
Executive Vice President, Finance,
Chief Financial Officer and Treasurer
POWER OF ATTORNEY
KNOW BY ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below
constitutes and appoints, jointly and severally, Harout Semerjian and Michelle Robertson, and each one of them,
attorneys-in-fact for the undersigned, each with the power of substitution, for the undersigned in any and all capacities, to
sign any and all amendments to this Report, and to file the same, with exhibits thereto and other documents in connection
therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said
attorneys-in-fact, or his or her substitutes, may do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, each of the undersigned has executed this Power of Attorney as of the date
indicated opposite his/her name.
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by
the following persons on behalf of the Registrant and in the capacities and on the dates indicated.
Signature
Title
Date
/s/ HAROUT SEMERJIAN
President, Chief Executive Officer and
(Principal Executive Officer)
March 2, 2026
HAROUT SEMERJIAN
/s/ MICHELLE ROBERTSON
Executive Vice President, Finance, Chief
Financial Officer and Treasurer (Principal
Financial and Accounting Officer)
March 2, 2026
MICHELLE ROBERTSON
/s/ DAWN C. BIR
Director
March 2, 2026
DAWN C. BIR
/s/ V. BRYAN LAWLIS
Director
March 2, 2026
V. BRYAN LAWLIS
/s/ JOHN MCDONALD
Director
March 2, 2026
JOHN F. McDONALD
/s/ SUSAN MOLINEAUX
Director
March 2, 2026
SUSAN M. MOLINEAUX
/s/ ELIZABETH G. O’FARRELL
Chair of the Board
March 2, 2026
ELIZABETH G. O’FARRELL
/s/ ROBERT J. SPIEGEL
Director
March 2, 2026
ROBERT J. SPIEGEL
Table of Contents
[This page intentionally left blank]
USE OF FORWARD-LOOKING STATEMENTS
Except for the historical information contained herein, the Letter to Stockholders contained on the cover page hereof contains forward-looking statements made
pursuant to the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. Investors are cautioned that such statements, include, without
limitation, those regarding: (i) strategic actions we took in 2025 positioning us for growth in 2026 to best deliver value to patients, shareholders and our employees
by maximizing the value of RYTELO; (ii) our 2026 financial guidance, including projected RYTELO net product revenue and expected total operating expenses; (iii)
our expectations that we are on our path towards becoming a leading, sustainable hematology company; (iv) the therapeutic and commercial potential of RYTELO;
(v) the future IMpactMF interim analysis in relapsed/refractory myelofibrosis and the first data from real-world experience trials focused on the use of RYTELO in
lower-risk myelodysplastic syndromes, and the anticipated timing thereof; (vi) our belief that success in MF could expand imetelstat’s clinical impact and commercial
potential; (vii) our expectations of continued RYTELO growth in 2026, supported by focused commercial execution and an expanding body of clinical and real-world
evidence; (viii) our belief that our current resources, together with anticipated revenues from RYTELO, and ability to access additional debt financing, provide us with
the flexibility to execute our strategy while maintaining financial discipline; and (ix) other statements that are not historical facts. These forward-looking statements
involve risks and uncertainties that can cause actual results to differ materially from those in such forward-looking statements. These risks and uncertainties, include,
without limitation, risks and uncertainties related to: (a) whether we are successful in commercializing RYTELO for the treatment of certain patients with lower-risk
myelodysplastic syndromes with transfusion dependent anemia; (b) whether the U.S Food and Drug Administration and European Commission will approve imetelstat
for other indications on the timelines expected, or at all; (c) our pursuit of paths to make RYTELO available to eligible patients with lower-risk myelodysplastic syndromes
outside of the U.S., including in the European Union; (d) our future opportunities and plans, including the uncertainty of future revenues, expenses and other financial
performance and results, and the related risk that we may be unable to meet our 2026 financial guidance; (e) whether we overcome potential delays and other adverse
impacts that may be caused by enrollment, clinical, safety, efficacy, technical, scientific, intellectual property, manufacturing, regulatory and healthcare challenges in
order to have the financial resources for and meet expected timelines and planned milestones; (f) whether regulatory authorities permit the further development of
imetelstat on a timely basis, or at all, without any clinical holds; (g) whether RYTELO may cause, or have attributed to it, adverse events that could delay or prevent the
commencement and/or completion of clinical trials, impact its regulatory approval, or limit its commercial potential; (h) whether the IMpactMF Phase 3 trial for relapsed/
refractory myelofibrosis has a positive outcome and demonstrates safety and effectiveness to the satisfaction of the FDA and international regulatory authorities, and
whether our projected rates for death events differ from actual rates, which may cause the planned interim and final analyses to occur later than anticipated; (i) whether
any future safety or efficacy results of RYTELO treatment cause its benefit-risk profile to become unacceptable; (j) whether imetelstat actually demonstrates disease-
modifying activity in patients and the ability to target the malignant stem and progenitor cells of the underlying disease; (k) whether we meet our post-marketing
requirements and commitments for RYTELO; (l) whether there are failures or delays in manufacturing or supplying sufficient quantities of RYTELO or other clinical trial
materials that impact commercialization of RYTELO or the continuation of the IMpactMF trial and other clinical trials; (m) whether we are able to establish and maintain
effective sales, marketing and distribution capabilities, obtain adequate coverage and third-party payor reimbursement, and achieve adequate acceptance in the
marketplace; (n) whether we are able to obtain and maintain the exclusivity terms and scopes provided by patent and patent term extensions, regulatory exclusivity, and
have freedom to operate; (o) that we may be unable to successfully commercialize RYTELO due to competitive products, or otherwise; (p) that we may not be able to
establish partnerships to commercialize RYTELO in the international markets where RYTELO may be approved for marketing; (q) whether we stay in compliance with and
satisfy our obligations under our debt and synthetic royalty agreements; and (r) the impact of general economic, industry or political climate in the U.S. or internationally
and the effects of macroeconomic conditions on our business and business prospects, financial condition and results of operations. Additional information on the
above-stated risks and uncertainties and additional risks, uncertainties and factors that could cause actual results to differ materially from those in the forward-looking
statements are contained in our periodic reports filed with the Securities and Exchange Commission under the heading “Risk Factors,” including our Annual Report
on Form 10-K for the year ended December 31, 2025, and in our future filings and reports. Undue reliance should not be placed on forward-looking statements, which
speak only as of the date of hereof and the facts and assumptions underlying the forward-looking statements may change. Except as required by law, we disclaim any
obligation to update these forward-looking statements to reflect future information, events or circumstances.
Corporate information
BOARD OF DIRECTORS
Elizabeth G. O’Farrell
Chair of the Board
Harout Semerjian
Patricia S. Andrews
Dawn C. Bir
Constantine Chinoporos
V. Bryan Lawlis, Ph.D.
John F. McDonald
Susan M. Molineaux, Ph.D.
Robert J. Spiegel, M.D., FACP
Geron Corporation
919 East Hillsdale Blvd., Suite 250
Foster City, CA 94404
Tel: (650) 473-7700
Fax: (650) 473-7750
Internet: www.geron.com
Email: info@geron.com
EXECUTIVE MANAGEMENT
Harout Semerjian
President and Chief Executive Officer
Joseph Eid, M.D.
Executive Vice President, Research and
Development, Chief Medical Officer
Ahmed ElNawawi
Executive Vice President, Chief
Commercial Officer
Michelle Roberston
Executive Vice President, Chief Financial
Officer and Treasurer
Shannon T. Odam
Executive Vice President, Chief People
Officer
Bryan Ridgell
Senior Vice President, Portfolio and
Project Management and Chief of Staff
Dawn Schottlandt
Senior Vice President, Investor Relations
and Corporate Affairs
Shanthakumar Tyavanagimatt, Ph.D.
Senior Vice President, Chief Technical
Officer
INVESTOR RELATIONS
investor@geron.com
TRANSFER AGENT & REGISTRAR
Computershare Investor Services
PO Box 505005
Louisville, KY 40233-5005
Tel: (800) 962-4284
INDEPENDENT AUDITORS
Ernst & Young LLP
303 Almaden Boulevard
San Jose, CA 95110
LEGAL COUNSEL
Cooley LLP
3 Embarcadero Center, 20th Floor
San Francisco, CA 94111-4004
STOCK LISTING
Geron Corporation
common stock trades on the
Nasdaq Global Select Market under
the ticker symbol GERN