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Gritstone bio

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FY2023 Annual Report · Gritstone bio
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INSPIRING 

BREAK   
THROUGHS

A MESSAGE FROM  
FROM OUR CEO

TO OUR STOCKHOLDERS, COLLABORATORS, 
COLLEAGUES AND PARTNERS,

Gritstone continues challenging the limits of science and advancing 

immunologically “cold” tumor, MSS-CRC, we believe that GRANITE 

its vision to improve human health by unlocking more potent and 

would likely drive improved patient outcomes across other tumors 

durable immunity. Immunotherapy has transformed how many 

(“hot” and “cold”) and potentially serve as a “pipeline in a platform” 

cancers are now treated, yet the commonest solid tumors largely 

across the solid tumor continuum. Preliminary Phase 2 results 

remain beyond current therapeutic reach and still impact us all at 

provided promising, early signals that GRANITE is delivering a  

massive scale. Similarly, infectious diseases continue to mutate 

progression free survival (PFS) benefit, an advance that could  

and threaten our collective health and communities.  

accelerate GRANITE’s path toward registration in front-line  

These are the challenges that Gritstone has trained its sights 

upon, and we remain resolute in advancing clinical trials to 

continue validating our novel platforms and deliver insightful 

answers to key questions. Our leading computational target  

MSS-CRC. We look forward to sharing additional data from this 

Phase 2 GRANITE study over the coming months, including  

mature PFS data expected in 3Q24. If positive, the mature data  

from this study could be transformational to the field. 

discovery platform, EDGE™, has demonstrated the ability to 

In infectious disease, our novel self-amplifying mRNA (samRNA) 

identify cancer neoantigens with high accuracy and enable the 

continues to show potential benefits over first-generation mRNA.  

design of vaccines that have shown to drive broad and strong 

A body of Phase 1 data from CORAL, our SARS-CoV-2 program,  

anti-cancer immunity. EDGE has also enabled identification of 

has demonstrated the ability of samRNA to generate long-lasting 

novel, conserved viral targets included in our infectious disease 

neutralizing antibodies, expected to provide more durable clinical  

vaccines. Our powerful vaccine vectors then deploy the EDGE- 

protection than current mRNA vaccines. T cell immunity to conserved  

informed payloads to drive induction of robust T cell and/or  

viral gene regions that do not mutate over time has also been  

antibody responses against selected target antigens. These 

observed, offering a vaccine target that could be stable over long- 

unique capabilities have established a significant competitive 

periods of time. We have also demonstrated significant dose sparing 

advantage and enabled the pipeline we have today. 

potential of samRNA versus current vaccines, a key advantage for 

In cancer, we aim to meaningfully extend survival across solid 

tumors. GRANITE, our neoantigen-directed personalized neoantigen  

vaccine program, is currently in Phase 2 study in front-line 

metastatic microsatellite stable colorectal cancer (MSS-CRC), a 

classically “cold” tumor type. In the first-in-human Phase 1/2 study, 
published in Nature Medicine, the platform demonstrated an ability 
to generate de novo cancer-specific killer T cells in advanced 

global scale products. We continue striving to maximize the value  

of our samRNA platform and infectious disease capabilities, which 

have garnered the support of industry leaders including Gilead 

Sciences, the Bill & Melinda Gates Foundation, National Institute of 

Allergy and Infectious Diseases (NIAID), the Coalition for Epidemic  

Preparedness Innovations (CEPI) and the Biomedical Advanced  

Research and Development Authority (BARDA). 

cancer patients, and these T cells infiltrated into tumors, expanded 

With an advancing pipeline and formidable patent portfolio  

in number, turned “cold” tumors into “hot” ones, elicited tumor cell 

that underpins our immunotherapy leadership, and an in-house  

destruction and apparently extended survival in approximately half 

biomanufacturing capability that enables rapid program  

of MSS-CRC patients. Meanwhile, the KRAS-specific version within 

progression, we remain steadfast in our determination to deliver  

our “off-the-shelf” neoantigen vaccine program (SLATE) demon-

on our development goals, all aiming to improve human health  

strated similar signals — encouraging survival data associated with 

at large scale. We are grateful for your support.

circulating tumor DNA (ctDNA) change — in both late-line MSS-CRC 

and non-small cell lung cancer (NSCLC). Most striking is the  

consistency of biological signals observed across both of these 

programs. We believe this reproducible, cross-program evidence of 

both mechanism and efficacy strongly suggests that our oncology 

platform is working as designed. 

Sincerely, 

Personalized cancer vaccines are poised to make their name in 

2024. If we are successful with our neoantigen-directed personalized 

cancer vaccine program in patients with a metastatic and  

Andrew Allen, M.D., Ph.D. 
Co-founder, President and Chief Executive Officer 

April 25, 2024

UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 
FORM 10-K 

(Mark One) 
☒

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2023

OR 

☐

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 001-38663 

Gritstone bio, Inc.

(Exact name of Registrant as specified in its Charter) 

Delaware
(State or other jurisdiction of
incorporation or organization)
5959 Horton Street, Suite 300
Emeryville, CA
(Address of principal executive offices)

47-4859534
(I.R.S. Employer
Identification No.)

94608
(Zip Code)

(510) 871-6100
Registrant’s telephone number, including area code

Title of each class
Common Stock, $0.0001 par value per share

Securities registered pursuant to Section 12(b) of the Act: 
Trading
Symbol(s)
GRTS

Name of each exchange on which registered
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 ☐ NO ☒
Indicate by check mark if the Registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. YES ☐ NO ☒ 
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 ☒ NO ☐
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 ☒ NO ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an 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

Non-accelerated filer

Emerging growth company

  ☐

  ☒

  ☐

   Accelerated filer

   Smaller reporting company

  ☐

  ☒

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.  ☐
Indicate by check mark whether the Registrant has filed a report on and attestation to its management 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. ☐
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. ☐ 
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). ☐
Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). YES ☐ NO ☒
The aggregate market value of the common stock of the registrant held by non-affiliates as of June 30, 2023 (the last business day of the registrant’s most recently completed 
second fiscal quarter) was approximately $173.7 million, based on the closing price of the registrant’s common stock, as reported by the Nasdaq Stock Market LLC on June 
30, 2023 of $1.95 per share. Shares of the registrant’s common stock held by each executive officer, director, and holder of 5% or more of the outstanding common stock 
have been excluded in that such persons may deemed to be affiliates of the registrant. This calculation does not reflect a determination that certain persons are affiliates of 
the registrant for any other purpose. Further information concerning the security holdings of the registrant’s executive officers, directors and principal stockholders is 
included or incorporated by reference in Part III, Item 12 of this Annual Report on Form 10-K.

The number of shares of Registrant’s Common Stock outstanding as of March 1, 2024 was 98,065,594. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
Portions of the registrant’s definitive Proxy Statement relating to the 2024 Annual Meeting of Shareholders are incorporated by reference into Part III of this Annual Report 
on Form 10-K where so indicated herein. Such definitive Proxy Statement will be filed with the Securities and Exchange Commission within 120 days after the fiscal year to 
which this report relates. Except with respect to information specifically incorporated by reference in this Annual Report on Form 10-K, the Proxy Statement shall not be 
deemed to be filed as part hereof. 

DOCUMENTS INCORPORATED BY REFERENCE

 
 
 
Table of Contents

Business
Risk Factors

PART I
Item 1.
Item 1A.
Item 1B. Unresolved Staff Comments
Cybersecurity
Item 1C.
Properties
Item 2.
Legal Proceedings
Item 3.
Mine Safety Disclosures
Item 4.

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
[Reserved]
Management’s Discussion and Analysis of Financial Condition and Results of Operations

PART II
Item 5.
Item 6.
Item 7.
Item 7A. Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data
Item 8.
Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
Item 9.
Item 9A.
Controls and Procedures
Item 9B. Other Information
Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

PART III
Item 10.
Item 11.
Item 12.
Item 13.
Item 14.

PART IV
Item 15.
Item 16

Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accounting Fees and Services

Exhibits, Financial Statement Schedules
Form 10-K Summary
SIGNATURES

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PART I

Note Regarding Forward-Looking Statements

This Annual Report on Form 10-K, including “Business” in Part I Item I and “Management’s Discussion and Analysis of Financial Condition and 
Results of Operations” in Part II Item 7, contains “forward-looking statements” within the meaning of Section 21E of the Securities Exchange Act of 1934, 
as amended (Exchange Act). All statements included in this Annual Report on Form 10-K other than statements of historical fact are statements that could 
be deemed forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as “aim,” “anticipate,” “assume,” 
“believe,”  “contemplate,”  “continue,”  “could,”  “due,”  “estimate,”  “expect,”  “goal,”  “intend,”  “may,”  “objective,”  “plan,”  “predict,”  “potential,” 
“positioned,” “seek,” “should,” “target,” “will,” “would” and other similar expressions that are predictions of or indicate future events and future trends, or 
the negative of these terms or other comparable terminology. These forward-looking statements include, but are not limited to, statements about:

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the  sufficiency  of  our  capital  resources  and  timing  of  our  cash  runway,  as  well  as  our  actual  needs  for  additional  financing  and  our 
ability to obtain additional capital on terms that are attractive to us, if at all;

our clinical and regulatory development plans for our product candidates;

our expectations regarding the potential market size and size of the potential patient populations for our product candidates, in particular 
those within the GRANITE®, SLATE® and CORAL programs, and any future product candidates with limited patient populations, if 
approved for commercial use;

our expectations regarding the data to be derived in our ongoing and planned clinical trials including, in particular, our expectations for 
the size and design of our planned clinical trials, timing of commencement and initiation of our trials and the timing of the availability of 
data from such trials;

our  expectations  regarding  our  Gritstone  EDGE™  artificial  intelligence  and  vaccine  platforms,  including  our  ability  to  utilize  (i)  our 
Gritstone  EDGE™  platform  to  predict  the  tumor-specific  neoantigens  that  will  be  presented  on  a  patient’s  tumor  cells  and  identify 
highly conserved T cell epitopes for durable protection for infectious diseases and (ii) our vaccine platform to deliver selected antigens 
to the patient’s immune system to drive the destruction of tumors or virally-infected cells;

the timing of commencement of our future nonclinical studies, clinical trials and research and development programs;

our ability to discover, develop and advance product candidates into, and successfully complete, clinical trials;

our plans and strategy regarding maintaining existing and entering into new collaborations and/or partnerships;

the timing or likelihood of regulatory filings and approvals for our product candidates;

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

our expectations with respect to the commercialization, marketing and manufacturing of our product candidates;

the implementation of our business model and strategic plans for our business, product candidates and technology platforms, including 
additional indications for which we may pursue;

the scope of protection we are able to establish and maintain for intellectual property rights covering our product candidates, including 
the projected terms of patent protection;

our expectations regarding the impact of the COVID-19 pandemic on our operations and our ability to manage such impact;

the accuracy of our estimates of our expenses, future revenue and capital requirements;

our future financial performance;

developments and projections relating to our competitors and our industry, including the success of competing therapies that are or may 
become available; and

our ability to attract and retain key management and technical personnel.

These  statements  relate  to  future  events  or  to  our  future  financial  performance  and  involve  known  and  unknown  risks,  uncertainties  and  other 
factors  that  may  cause  our  actual  results,  performance  or  achievements  to  be  materially  different  from  any  future  results,  performance  or  achievements 
expressed  or  implied  by  these  forward-looking  statements.  Factors  that  may  cause  actual  results  to  differ  materially  from  current  expectations  include, 
among other things, those listed under “Item 1A. Risk Factors” and elsewhere in this Annual Report on Form 10-K. Any forward-looking statement in this 
Annual Report on Form 10-K reflects our current views with 

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respect to future events as of the date of this Annual Report on Form 10-K and is subject to these and other risks, uncertainties and assumptions relating to 
our operations, results of operations, industry and future growth. Given these uncertainties, you should not place undue reliance on these forward-looking 
statements.  Except  as  required  by  law,  we  assume  no  obligation  to  update  or  revise  these  forward-looking  statements  for  any  reason,  even  if  new 
information becomes available in the future.

This  Annual  Report  on  Form  10-K  also  contains  estimates,  projections  and  other  information  concerning  our  industry,  our  business  and  the 
markets for our product candidates, including data regarding the estimated patient population and market size for our product candidates, as well as data 
regarding market research, estimates and forecasts prepared by our management. Information that is based on estimates, forecasts, projections or similar 
methodologies is inherently subject to uncertainties, and actual events or circumstances may differ materially from events and circumstances reflected in 
this information. Unless otherwise expressly stated, we obtained this industry, business, market and other data from reports, research surveys, studies and 
similar data prepared by third parties, industry, medical and general publications, government data and similar sources. In some cases, we do not expressly 
refer to the sources from which this data are derived. In that regard, when we refer to one or more sources of this type of data in any paragraph, you should 
assume that other data of this type appearing in the same paragraph are derived from the same sources, unless otherwise expressly stated or the context 
otherwise requires.

In addition, statements that “we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based 
upon information available to us as of the date of this Annual Report on Form 10-K, and while we believe such information forms a reasonable basis for 
such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive 
inquiry into, or review of, all relevant information. These statements are inherently uncertain and investors are cautioned not to unduly rely upon these 
statements.

Unless the context otherwise requires, the terms “Gritstone,” “the Company,” “we,” “us,” and “our” in this Annual Report on Form 10-K refer to 

Gritstone bio, Inc. and its subsidiary.

Note Regarding Company References

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Item 1. Business.

Overview and Strategy

We are a clinical-stage biotechnology company focused on combining immunological insights with proprietary technologies and capabilities to 
develop next-generation vaccines. Specifically, we discover, develop, manufacture and deliver vaccine-based immunotherapy candidates against cancer and 
infectious disease. Our goal is to unlock more potent and durable immunity by harnessing vaccine innovation. We aim to achieve that goal by leveraging 
our in-house capabilities and technologies to address the shortcomings of currently available vaccines and immunotherapies.

The  immune  system  sits  at  the  nexus  of  many  diseases,  and  we  believe  that  immune  response  modulation  is  core  to  several  transformational 
product classes. Recent advances have pointed to T cells as being central to the success of cancer immunotherapy and critical in the elimination of virally 
infected cells. We believe that our scientific approach of focusing on generating antigen-specific T cells, particularly the challenging but critical cytotoxic 
CD8+ T cell subclass, has the potential to drive transformational therapeutic and prophylactic benefits.

In oncology, we develop vaccines that aim to destroy tumors through CD8+ (killer) T cell recognition of tumor cells by virtue of their surface 
display of neoantigens (i.e., peptides that are presented on cancer cells when certain mutations occur in tumor DNA). We have two clinical-stage oncology 
programs, both targeting the treatment of common solid cancers. The first, GRANITE, focuses on the development of individualized or fully-personalized 
vaccines based on each patient’s tumor DNA/RNA sequence (i.e., each vaccine is developed for each individual patient). The second, SLATE, focuses on 
development  of  “off-the-shelf”  vaccines  for  sets  of  patients  that  share  common  tumor  antigens,  including  neoantigens.  Our  scientific  approaches  to 
GRANITE  and  SLATE  are  similar,  and  we  believe  the  technologies  we  developed  to  execute  against  them,  i.e.,  to  identify  neoantigens  accurately  and 
deploy powerful killer T cell-stimulating vectors to deliver them, are capable of driving more potent and durable immune responses. 

In infectious disease, we develop therapeutic and prophylactic vaccines targeting both T cells and B cells. We believe we are leading the field of 
development  and  application  of  self-amplifying  mRNA  ("samRNA"),  a  rapidly  emerging  next-generation  platform  technology.  Our  unique  approach  to 
immunogen design, whereby our vaccines deliver, as appropriate, whole proteins to drive neutralizing antibodies ("nAbs") and/or protein fragments to drive
T cell responses, has the potential to both neutralize incoming pathogens (through nAbs) and kill infected cells through CD8+ T cell recognition of foreign, 
pathogen-derived peptides displayed on the surface of infected cells.

Our Key Technologies and Capabilities

Epitope Discovery: Gritstone EDGE™ (Epitope Discovery for GEnomes) Antigen Discovery and T cell Target Identification Platform

Antigen  presentation  to  T  cells  is  hard  to  predict  since  multiple  biological  steps  must  be  comprehended  within  any  prediction  system,  and 
antigenic peptide fragments are displayed on the cell surface by highly variable human leukocyte antigen ("HLA") molecules that vary subject-to-subject. 
Our proprietary epitope discovery platform, EDGE™, has demonstrated the ability to offer accurate identification of T cell antigens that can be recognized 
by the immune system on tumor or virally-infected cells.

In  the  case  of  tumor  cells,  mutations  in  tumor  DNA  provide  a  large  set  of  altered  candidate  protein  fragments  that  the  immune  system  can 
recognize. In oncology we use EDGE™ to identify and select those mutations that are most likely to serve as tumor-specific neoantigens ("TSNA"), i.e., 
those neoantigens on the tumor that will best serve as targets for killer T cells.

Developing  cancer  immunotherapies  that  include  TSNA  is  challenging  because  tumors  typically  have  hundreds  of  mutations,  but  only  a  small 
percentage of such mutations result in TSNA. Using EDGE™, we are able to sequence data from a patient’s routine core needle tumor biopsy in an effort 
to predict which mutations will generate TSNAs most likely to be presented on the tumor cell surface by the patient’s particular HLA. 

We  believe  that  EDGE™  leads  the  field  in  TSNA  identification  and  previously  available  technologies  are  not  able  to  predict  the  presence  of 
TSNA with sufficient accuracy to design an effective therapy. We have observed a 9-to 10-fold improvement in prediction performance with our EDGE™ 
platform compared to traditional approaches and published these data in Nature Biotechnology in December 2018. In addition to applying EDGE™ in our 
current clinical programs, we are using it to identify targets from novel classes of tumor antigens. We are also developing a new model within EDGE that 
leverages recent technological developments and data to drive improved prediction of peptide presentation of HLA Class II intended to complement our 
already-robust  prediction  of  peptide  presentation  by  HLA  Class  I.  We  believe  accurate  prediction  of  antigen  presentation  is  a  key  component  to  the 
development of neoantigen-based cancer vaccines, and continually work to improve the performance of EDGE™ for this important application.

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In infectious disease, we use EDGE™ to analyze the DNA/RNA sequence of a pathogen with the goal of predicting which gene fragments will 
likely function as T cell antigens on the surface of virally infected cells. EDGE™ allows us to design the components of our vaccine candidates to include 
the specific target antigens for administration to humans (immunogens), with the aim of generating strong immune responses to those antigens to achieve a
desired biological effect. Such immune responses can be prophylactic (e.g., protecting against viral infections) or therapeutic (e.g., treating virally infected 
individuals with the aim of eradicating the virus).

Our first U.S. patent covering the EDGE™ technology was issued in 2018. We continue to identify novel classes of tumor antigens and expand the 

application of EDGE™ in both cancer and infectious disease.

Next-generation Proprietary Vectors (ChAd and samRNA)

Following the identification of suitable targets with the help of EDGE™, we encode such targets within our vaccine vectors to deliver the payload 
and  stimulate  the  immune  system.  We  have  developed  two  proprietary  vectors  that  we  deploy  with  the  aim  of  eliciting  the  desired  immune  response; 
chimpanzee adenovirus (“ChAd”) and samRNA. 

In oncology, we deploy both vectors via a heterologous prime-boost (i.e. vaccination with one vector followed by the other, in this case ChAd then 
samRNA). We selected ChAd and samRNA because we believe they are the best vectors for inducing and boosting CD8+ T cells in our cancer vaccine 
programs, and developed and have optimized our proprietary ChAd and samRNA vectors with the aim of driving potent and durable immune responses. 

In  infectious  disease,  we  deploy  one  or  both  vectors  based  on  the  desired  therapeutic  or  prophylactic  immune  response.  We  believe  the 

independent and “mix and match” application of our vectors is one of our core competencies. 

Chimpanzee Adenovirus 68 (ChAd)

ChAd vectors have been utilized in clinical studies in infectious disease and oncology over the past 20 years and are well-recognized as a leading 
vector for induction of T cells. They have been demonstrated to be well tolerated and effective at generating rapid and substantial CD8+ and CD4+ T cell 
responses.    For  that  reason,  we  use  ChAd  as  the  “prime”  in  our  prime-boost  regimen  within  oncology.  Additionally,  ChAd  vectors  can  induce  B  cell 
immune  responses  (i.e.,  elicit  nAbs).  We  developed  our  proprietary  ChAd  vector  employing  an  E4  deletion  to  improve  viral  production  efficiency  in 
manufacturing. 

Self-amplifying mRNA (samRNA)

samRNA  is  a  next-generation  RNA  platform  technology  that  has  several  potential  benefits  over  mRNA  relevant  to  oncology  and  infectious 
disease. In multiple clinical studies, samRNA has been demonstrated to be capable of eliciting longer-lasting and potentially stronger immune responses 
than mRNA-based vaccines in COVID-19. We believe that our samRNA has the ability to boost pre-existing T cell responses and the potential to drive 
differentiated immune responses (potent and durable) in both oncology and infectious disease.

Like  traditional  mRNA  vaccines,  samRNA  vaccines  use  the  host  cell’s  transcription  system  to  produce  target  antigens  to  stimulate  adaptive 
immunity. Unlike traditional mRNA, the samRNA replicates once inside the cell, leading to high and durable antigen expression, as shown in the figure 
below.

Our samRNA vector is based on a synthetic RNA molecule derived from a wild-type Venezuelan Equine Encephalitis Virus replicon with the goal 
of extending the duration and magnitude of immunogen expression to drive potent and durable immune responses. Our samRNA is delivered in a lipid 
nanoparticles (LNP) formulation. 

We  were  the  first  to  introduce  samRNA  encapsulated  in  LNP  into  clinical  trials  in  2018.  Potential  benefits  of  samRNA  may  include  extended 
duration and magnitude of antigen expression, strong and durable induction or boosting of neutralizing antibody and T cell immunity (CD8+ and CD4+), 
dose sparing, and a refrigerator-stable product. 

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Figure 1. Self-amplifying mRNA (samRNA) replicates within transduced cells, potentially driving stronger and more durable immune 

responses compared to first-generation mRNA vaccines

In-house GMP Manufacturing

We manufacture our product candidates at our own fully integrated current good manufacturing practice ("GMP") biomanufacturing facilities. We 
believe that our ability to control the manufacturing of high-quality vaccine products, and scale production, if early data are positive, is critical for efficient 
clinical  development  and  commercialization.  We  have  invested  significant  resources  in  our  sequencing  lab  and  our biomanufacturing  facility  to  address 
these needs and position ourselves to control the critical steps in the production of our vaccine candidates.

Immunogen Design

Immunogen design is a key element in vaccine development. A foundational aspect of immunogen design is understanding how vaccines might 
work for each individual application. Understanding how to elicit specific beneficial T cell responses is crucial to the development of effective therapeutic 
cancer vaccines. Successful vaccine strategies for infectious disease pathogens require wholly different approaches for the elicitation of antibodies to the 
pathogen surface antigen.

Our unique approach to immunogen design, whereby our vaccines can deliver both surface antigens to drive nAbs and protein fragments to drive 
T cell responses, enables us to optimize our vaccine candidates to engage both arms of the immune system for both antibody and T cell production. Due in 
part  to  our  chimeric  design  capabilities,  our  vaccines  have  the  potential  to  both  neutralize  incoming  pathogens  (through  nAbs)  and  kill  infected  cells 
through CD8+ T cell recognition of foreign, pathogen-derived peptides displayed on the surface of infected cells.

Translational Immunology

Through  our  work,  we  gain  invaluable  insights  that  go  from  “bench-to-manufacturing-to-bedside”  and  back.  We  have  processes  in  place  to 
translate  these  insights  across  our  internal  functions  and  systems  to  optimize  our  vaccine  innovation  efforts,  incorporate  them  into  our  research  and 
development work, advance our programs and optimize our product candidates throughout the development cycle.

A notable example of how we used our translational work to optimize our vaccines occurred within SLATE, our program focused on developing 
vaccines intended for sets of patients that share common tumor antigens. In SLATE, we utilized outcomes from our first candidate (SLATE v1) to develop 
an optimized, second candidate (SLATE-KRAS) which has since exhibited immunogenic superiority over SLATE v1 in both model systems and human 
studies. Our continuous learnings regarding fundamental mechanisms of innate and 

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adaptive immunity, including the interplay between CD4+ and CD8+ T cell development, and the evolution of antibody responses following vaccination, 
are a key element in our effort to develop potent and durable vaccines.

We believe that our team of industry leaders, each possessing specific expertise across our core disciplines of cancer genomics, immunology and 
vaccinology, clinical development, regulatory medicine, and biomanufacturing, can successfully deliver groundbreaking vaccine-based immunotherapies 
for cancer and infectious disease by executing on the following strategic priorities:

Our Strategy

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Continue optimizing and leveraging our proprietary Gritstone EDGE™ platform and maximizing its utility across treatment modalities. 
We  use  EDGE  to  predict,  with  high  accuracy,  T  cell  targets  for  our  oncology  and  infectious  disease  programs.  This  is  critical  for  our 
GRANITE program, where each patient’s targets are individualized. It also serves an important role in our SLATE and CORAL programs, 
where we incorporate novel tumor and viral immunogens, respectively, into our vaccines. In oncology, we continue to improve EDGE by 
expanding its ability to identify novel classes of tumor antigens (such as gene fusions and alternative splicing) across our programs. We also 
continue to extend EDGE’s application in areas that we believe could further enhance our vaccines, including a new model of EDGE focused 
on presentation of peptides presented by HLA Class II molecules. In infectious diseases, we continue to optimize EDGE to identify T cell 
targets  and  conserved  areas  of  viruses  which  could  deliver  longer-lasting  immune  responses.  EDGE  is  a  key  strategic  asset  to  us  and  we 
continue to invest in its future with more training data and improved deep learning models, such as large language models.

Continue  optimizing  and  deploying  our  next-generation  vectors  to  drive  potent  and  durable  immune  responses  suited  to  the  clinical 
context. ChAd  and  samRNA  are  our  two  vaccine  platforms  chosen  based  on  their  unique  and  synergistic  properties.  We  originally  chose 
ChAd  because  of  its  previously-demonstrated  ability  to  prime  CD8+  T  cells.  We  originally  chose  samRNA  as  we  believed  it  could  be 
uniquely effective at boosting pre-existing T cell responses. In multiple studies across our oncology programs, we have exhibited the ability 
to  deploy  them  in  combination  to  drive  potent  and  durable  immune  responses  suited  to  the  clinical  context.  In  CORAL,  we  have 
demonstrated  the  ability  of  samRNA  alone  to  potentially  drive  broader  and  more  durable  immune  responses  than  current  FDA-approved 
vaccines  for  COVID-19.  We  believe  that  samRNA  is  rapidly  emerging  as  a  well-tolerated,  scalable  and  widely-applicable  platform 
technology  for  infectious  diseases.  We  are  further  optimizing  these  proprietary  vectors  for  their  use  across  our  programs  in  oncology  and 
infectious disease.

Continue advancing the GRANITE program through randomized, controlled trials with the goal of evaluating earlier lines of treatment 
and  additional  tumor  types.  Phase  1/2  clinical  data  to  date  have  demonstrated  positive  safety  results  and  GRANITE’s  potential  to  drive 
therapeutic immune responses in immunologically “cold” tumors. We believe this represents a potentially transformative development, since 
these tumor types have typically demonstrated not responsive to today’s approved checkpoint inhibitors, and major unmet need persists. We 
intend to advance GRANITE into multiple randomized studies against earlier lines of treatment where immune responses tend to be stronger 
and  patients  tend  to  experience  increased  benefit.  We  also  intend  to  further  evaluate  GRANITE’s  capacity  to  drive  immune  responses  in 
“cold” tumors, as we believe this could be a clear differentiator within the field. GRANITE is now in a randomized Phase 2/3 clinical trial as 
a  front-line  maintenance  treatment  for  patients  with  metastatic,  microsatellite  stable  colorectal  cancer  (MSS-CRC).  If  successful  in  this 
setting, further trials in most solid tumors can be contemplated, in both metastatic and adjuvant contexts.

Continue advancing and optimizing our SLATE program to include other antigen classes to both broaden applicable patient population 
and  drive  multiple  antigens  per  patient.  SLATE  is  our  program  focused  on  developing  vaccines  intended  for  sets  of  patients  that  share 
common  tumor  antigens.  SLATE  vaccines  are  produced  and  delivered  to  clinical  sites  proactively  and  can  be  administered  rapidly  upon 
patient  selection  (achieved  by  standard  commercial  screening  for  driver  mutations).  Phase  1/2  clinical  trial  within  SLATE  has  provided 
proof-of-concept for the approach. We believe that SLATE is ready for “plug and play” application across solid tumor indications and shared 
tumor antigen classes. Our long-term vision is to continue optimizing this vaccine candidate to include other antigen classes to both broaden 
the addressable patient population and enable multiple antigens to be delivered to each patient, which is likely to reduce acquired resistance.

Continue advancing the CORAL program and conduct research and development on additional pathogens/infectious diseases. We believe 
the  novel  approach  we  have  taken  with  CORAL,  which  combines  our  samRNA  platform  technology  and  incorporates  novel  immunogens 
intended to drive B and T cell immunity, has great potential to drive differentiated immune responses to infectious disease pathogens in the 
prophylactic and therapeutic settings. Phase 1 results from our CORAL program demonstrated potent, broad and durable immune responses 
to  COVID-19.  These  Phase  1  results  also  supported  our  decision  to  seek  to  contract  with  the  Biomedical  Advanced  Research  and 
Development Authority ("BARDA") to conduct a comparative Phase 2b study designed to evaluate our vaccine candidate as a potential next-
generation vaccine for COVID-19. Our strategy within infectious disease is to continue advancing CORAL in COVID-19, which we expect 
to 

6

 
 
derisk  our  vaccine  platform,  and  strategically  deploy  our  capabilities  against  additional  pathogens,  of  which  there  are  many  we  find 
promising.

•

•

Continue  building,  automating,  and  optimizing  our  in-house  biomanufacturing  capabilities  to  increase  scalability  and  capacity.  We 
believe  the  speed,  quality,  reliability,  and  scalability  of  our  manufacturing  capabilities  is  a  core  competitive  advantage  for  our  clinical 
development and potential commercial success. We have successfully internalized all biomanufacturing steps, driving product quality. We 
have internalized the majority of our quality control testing elements as well, though we outsource where prudent and feasible. We believe 
that operating our own manufacturing facility provides us with enhanced control of material supply for both clinical trials and the commercial 
market, will enable the more rapid implementation of process changes, and will allow for better long-term manufacturing cost control.

Continue to pursue collaborations to realize the full potential of our programs, technologies and capabilities. The breadth of our EDGE
platform  and  proprietary  vaccine  vectors  enable  application  to  a  variety  of  disease  areas  and  formats.  Each  of  our  vaccine  programs  (i.e., 
GRANITE, SLATE, CORAL, etc.) represents a potential platform technology. We believe that between oncology and infectious disease, the 
opportunity to develop novel immunotherapies using our technologies is vast. We intend to continue to seek out collaboration opportunities 
around certain aspects of our programs and assets, as we believe we will benefit from the resources and capabilities of other organizations in 
the development and commercialization of such diverse immunotherapies. 

Pipeline

Our  unique  capabilities  have  enabled  us  to  advance  potentially  differentiated  clinical  assets  across  multiple  therapeutic  areas.  The  table  below 

summarizes key information about our pipeline.

Figure 2. Our Pipeline

* Randomized trial in newly-diagnosed metastatic patients

Oncology Programs

Immuno-oncology (I-O) represents one of the most significant advances in the history of cancer treatment and has saved and extended the lives of 
an  incalculable  number  of  people  since  the  discovery  of  the  T  cell  receptor  in  1982.  However,  despite  advances  in  the  field,  the  benefits  of  today’s 
immunotherapies, namely checkpoint inhibitors ("CPIs"), are limited only to those patients whose immune systems have recognized their tumor. Within 
CPI  therapy,  solid  tumor  patients,  whose  tumors  have  been  infiltrated  by  CD8+  T  cells  (commonly  referred  to  as  “hot”  tumors),  typically  respond  to 
therapy, while the majority of cancer patients, whose tumors lack 

7

 
 
 
 
 
 
immune infiltration (commonly referred to as “cold” tumors), typically experience disease progression that leads to death. The primary challenge in the 
field  today,  which  we  intend  to  overcome  with  our  approach  to  oncology,  is  to  extend  the  positive  outcomes  seen  in  “hot”  tumors  to  “cold”  tumors  by 
activating  (i.e.,  “priming”)  de-novo  (naïve)  T  cells,  thus  enabling  the  immune  system  to  recognize  the  tumor  and  form  an  army  of  neoantigen-specific 
CD8+ T cells to enable tumor destruction.

Immunologically “cold” tumors represent many of the deadliest and hardest-to-treat cancers we know today, and unleashing the immune system 

(notably CD8+ T cells) against them could represent the next transformational advance in I-O. 

Figure 3. Gritstone’s Approach: Induce CD8+ T cells Against “Cold” Solid Tumors Using Antigen Selection + Prime-boost Approach

Neoantigens are a novel class of targets for cancer immunotherapy and have been validated in cancer patients as potentially the most critical T cell 

targets. Neoantigens comprise short, tumor-specific, mutated peptide sequences presented on cancer cells, referred to as TSNA.

When a solid tumor patient responds to CPI therapy, there is abundant evidence they do so because T cells that recognize TSNA are activated, 
enabling them to traffic to and engage the tumor. In GRANITE, we sequence the patients’ tumor in-house and then use EDGE™ to identify mutations most 
likely to serve as TSNA. In SLATE, identifying patients’ driver mutations (and, thus, whether they are eligible for the “off the shelf” vaccine) can be done 
locally using commercially available sequencing. 

The Prime-Boost Approach: Our Construct and Antigen Delivery System for GRANITE and SLATE 

Having identified the proper neoantigens to incorporate the vaccine, the next step is to deliver the payload such that it primes naïve CD8+ T cells 
(activating and expanding them) and sustains their activity over time. To achieve this, we deploy a “heterologous prime-boost” immunization, whereby we 
use  ChAd  to  prime  naïve  T  cells  and  samRNA  to  augment/sustain  or  “boost”  the  immune  response  (Figure  3  above).  There  is  abundant  literature 
demonstrating that the heterologous prime boost approach (whereby you “prime” with one vector and then “boost” with a different vector, both delivering 
the same antigens) can elicit greater and longer-lasting levels of immune response compared to the immune response obtained by single vaccination or by 
inoculations with the same vector (see Figure 4).

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In oncology, our vaccine candidates (within the GRANITE and SLATE programs) consist of (1) a prime vector and (2) a boost vector, both of 

which contain (3) a neoantigen cassette: 

1.

2.

3.

ChAd Prime Vector. Our prime vector is a chimpanzee adenovirus. We believe an adenoviral vector is one of the most potent antigen-delivery 
platforms  to  prime  naïve  T  cells.  There  is  extensive  clinical  experience  demonstrating  that  ChAd  vectors  are  generally  well  tolerated  and 
consistently  generate  rapid  and  substantial  CD4+  and  CD8+  T  cell  responses.  Findings  from  our  studies  are  consistent  with  these  general 
observations. 

SamRNA Boost Vector. Our boost vector is a self-amplifying mRNA. Once in the cell, the injected source RNA replicates, amplifying the 
number of copies within the cells and leading to production of large amounts of the delivered target antigens. The presence of large quantities 
of  antigen  in  an  immune-stimulating  environment  drive  profound  antigen-specific  T  cell  responses  (adaptive  immune  responses). 
Additionally, samRNA has demonstrated the ability to be administered multiple times as a boost (well-tolerated and potentially efficacious 
upon ‘repeat boosting’). Additional potential benefits of samRNA include extended antigen expression, nAb and T cell induction, and dose 
sparing potential.

Neoantigen  Cassette.  Within  each  of  the  two  vectors  used  for  the  prime  and  boost  immunizations,  we  include  a  cassette  that  contains 
neoantigens. For GRANITE, we have designed the cassette to contain 20 TSNA, based on several considerations, including TSNA prediction 
performance, breadth of the tumor-specific immune response and potential immune competition and manufacturing factors. The cassette is 
designed and made uniquely for each patient based upon their tumor sequence data and EDGE™-based TSNA predictions.  For SLATE, the 
cassette  is  fixed  for  all  patients,  and  contains  common  driver  mutations  (e.g.  KRAS),  which  are  known  to  be  processed  and  presented  by 
certain HLA molecules such as neoantigens that are shared between some patients. Most SLATE patients’ tumors will only present a single 
neoantigen contained within the shared cassette. In contrast, although all of the mutations in a GRANITE cassette are contained within the 
patient’s own tumor and can activate T cell responses post immunizations, it is expected that some of the delivered mutations, while present 
in the tumor genome, will not be processed and presented as a tumor cell surface neoantigenic HLA-peptide complex. We expect this to be 
acceptable  by  the  U.S.  Food  and  Drug  Administration  (“FDA”),  since  these  sequences  are  not  wild-type  (found  in  normal  cells)  and, 
therefore, only an irrelevant mutated peptide-specific immune response is expected to be elicited.

We believe that continued strong immune pressure upon the tumor is likely necessary to prevent immune escape by the tumor and drive a durable 

clinical response.

Figure 4. Comparison of Heterologous Prime-Boost with Homologous Prime-Boost and Prime Alone

Methods for evaluating efficacy in oncology, including circulating tumor DNA (ctDNA)

Today’s standard method of evaluating early efficacy outcomes in advanced cancer therapy is based on radiology, a tool developed to determine 
the  size  of  a  tumor.  Its  success  relies  on  the  assumption  that  tumor  shrinkage  is  necessary  for  clinical  benefit  to  ensue  (RECIST  criteria).  Increasingly, 
radiology, which was developed primarily for use in targeted therapy, has demonstrated imprecision in evaluating efficacy of I-O therapies or treatments. 
This is due to the fact that modern I-O approaches, including ours, aim to drive T cells into lesions, wherein they proliferate and could temporarily increase 
tumor lesion size (radiologic pseudo progression), possibly rendering traditional radiologic tools uninformative and misleading. 

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We  believe  that  circulating  tumor  DNA  ("ctDNA")  response  data,  together  with  overall  survival  figures,  are  important  methods  to  predict  and 
measure outcomes from novel therapeutics such as ours. This is why we selected molecular response, or change in ctDNA, as the primary endpoint in the 
Phase  2  portion  of  our  Phase  2/3  clinical  trial  of  GRANITE  in  MSS-CRC.  Data  from  Phase  1/2  clinical  trials  of  both  GRANITE  and  SLATE  have 
demonstrated an association between molecular response and overall survival, together with evidence of radiologic pseudo progression at early timepoints. 

GRANITE individualized neoantigen-based vaccine program

GRANITE is our individualized neoantigen-based vaccine program for solid tumor cancers. Development of our GRANITE vaccines begins with 
receipt of a routine tumor biopsy from the patient. Next, we sequence the tumor sample in-house to identify tumor mutations and apply our proprietary 
EDGE™  platform  to  identify  which  mutations  form  TSNA  most  likely  to  be  presented  on  the  patient’s  tumor.  Using  these  TSNA,  we  design  and 
manufacture a vaccine that contains the relevant neoantigens for that specific patient, which is administered by simple intramuscular injection alongside a 
patients’ normal course of treatment. Our individualized immunotherapy candidates are designed to fit easily into a community oncology setting, where 
most oncology patients are treated. GRANITE was granted Fast Track designation by the FDA for the treatment of MSS-CRC.

Our  Phase  1/2  clinical  trial  evaluating  GRANITE  in  combination  with  CPIs  in  third-line  MSS-CRC  and  other  advanced  solid  tumors  has 
demonstrated  positive  results.  Among  all  cohorts,  the  vaccine  regimen  was  shown  to  be  generally  well-tolerated  with  no  dose  limiting  toxicities  and 
demonstrated consistent and potent CD8+ neoantigen-specific T cell induction. Additionally, an association between molecular responses (as measured by 
reduction in circulating tumor DNA, ctDNA) and improved clinical outcomes (including overall survival) was observed in MSS-CRC subjects. 

As of August 31, 2022, and as shown in the figures below, the median overall survival ("mOS") among molecular responders in the MSS-CRC 
cohort was 22 months (median not yet reached). This compares to mOS of 7.8 months in evaluable MSS-CRC patients who did not exhibit a molecular 
response in the trial, and a general 6-7 months against standard of care (Trifluridine/tipiracil combo and Regorafenib monotherapy). Within the MSS-CRC 
cohort,  we  observed  a  molecular  response  rate  ("MRR")  of  55%  molecular  (6/11  evaluable  patients;  molecular  response  defined  as  ≥30%  reduction  in 
ctDNA from baseline). Interim results from the Phase 1/2 clinical trial of GRANITE were published in Nature Medicine in August 2022. 

Upon assessing initial results of the GRANITE Phase 1/2 clinical trial, we discussed potential registrational paths with the FDA and subsequently 
initiated a randomized, controlled Phase 2/3 clinical trial in newly diagnosed metastatic CRC patients that has registrational intent (NCT05141721). The 
Phase 2/3 clinical trial, which is evaluating GRANITE as a front-line maintenance treatment in patients with MSS-CRC who have initiated FOLFOX (or 
FOLFOXIRI)-bevacizumab therapy, was announced in late 2021. The first patient was enrolled in the ongoing Phase 2 portion of the Phase 2/3 clinical trial 
in January 2022, and enrollment in the Phase 2 trial of the study was completed in August 2023. We expect to share preliminary efficacy data from the 
Phase 2 portion of the Phase 2/3 clinical trial in the first quarter of 2024.

10

 
 
 
Figure 5. Clinical Activity in Previously Treated MSS-CRC Based on Partial and Complete Molecular Responses and Associated 

Prolonged Progression-Free Survival

SD=stable disease; PD=progressive disease
**  ctDNA  samples  not  available;  Molecular  response  is  defined  as  >=  30%  decrease  in  ctDNA  from  baseline  at  any  post-baseline;  ctDNA  assessment  based  on  Gritstone-developed,  tumor-
informed assay.

11

 
 
 
  
 
Figure 6. ctDNA Reduction was Associated with Prolonged Overall Survival in Phase 1/2 trial assessing GRANITE; Median Overall 

Survival in Molecular Responders Exceeds 22 Months

1 13 MSS-CRC patients treated; 2 did not have samples for analysis of ctDNA changes relative to baseline and included in without MR group; 6 of 11 were molecular responders; Molecular 
responders defined as patients with ≥30% reduction in ctDNA
2 Mayer et al., The New England Journal of Medicine 372, 1909-1919 (2015)
3 Grothey et al., The Lancet 381, 303-312 (2013)
* Data cut-off 31-Aug-2022
** GRTS vaccine candidates have not been studied head-to-head with those listed.

SLATE “off-the-shelf” neoantigen-based immunotherapy vaccine

Our  “off-the-shelf”  TSNA-directed  vaccine  program,  SLATE,  utilizes  the  same  heterologous  prime-boost  approach  as  GRANITE  but  contains 
TSNA that are shared across a subset of cancer patients (rather than TSNA customized for each patient). The key differentiator and advantage of SLATE as 
compared to GRANITE is speed. SLATE vaccines are produced and delivered to clinical sites proactively and can be administered rapidly upon patient 
identification (achieved by standard commercial screening for driver mutations). We believe vaccines capable of targeting neoantigens from common tumor 
driver  mutations,  such  as  SLATE,  have  a  clear  potential  clinical  utility  and  commercialization  advantages  that  are  complementary  to  individualized 
vaccines.

An initial version of SLATE (SLATE v1) was studied in a Phase 1/2 clinical trial in patients with metastatic solid tumors (n = 26). SLATE v1 
demonstrated  induction  of  CD8+  T  cells  against  multiple  KRAS  driver  mutations  and  greatest  activity  was  observed  in  a  subset  of  non-small  cell  lung 
cancer ("NSCLC") patients with KRASmut G12C mutations. With these initial data, we developed a second SLATE candidate that exclusively includes 
epitopes from mutated KRAS (SLATE-KRAS) and evaluated it under the same study protocol. In results shared at ESMO 2022, SLATE-KRAS exhibited 
immunogenic  superiority  over  SLATE  v1  in  human  HLA-transgenic  mice  and  cancer  patients  and  demonstrated  similar  molecular  response  and  overall 
survival trends as those seen in Phase 1/2 clinical trial of GRANITE. In 38 patients with advanced solid tumors evaluating both SLATE v1 (n =26) and 
SLATE-KRAS  (n=12),  the  candidates  demonstrated  a  39%  MRR  in  evaluable  patients  with  MSS-CRC  and  NSCLC  and  among  the  18  patients  with 
NSCLC, a molecular response was correlated with extended median OS (mOS of 9.6 months in molecular responders vs. 4.5 months in non-responders).  

We believe the results to date demonstrate our ability to both accurately define shared neoantigen targets and engineer the SLATE cassette and 
vaccine to optimize immune response based on those specific mutations. Having optimized and validated the SLATE cassette, we now believe the SLATE 
platform  is  ready  for  “plug  and  play”  application  across  solid  tumor  indications  and  shared  tumor  neoantigen  classes.  In  advancing  SLATE,  we  aim  to 
combine the potential benefits of the full spectrum of tumor antigens with the practicality of the “off-the-shelf” approach.

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Figure 7. Off-The-Shelf Immunotherapy Platform, SLATE Ready for Application Across Solid Tumor Indications and Shared Tumor 

Neoantigen Classes

* CTAs – cancer testis antigens; HERVs – human endogenous retroviruses; neoORFs – noncanonical open reading frames

Infectious Disease Programs

We currently have two clinical-stage infectious disease programs; (i) CORAL, a next-generation COVID-19 program and a (ii) collaboration with 
Gilead  Sciences,  Inc.  (“Gilead”)  to  develop  a  therapeutic  vaccine  for  human  immunodeficiency  virus  (“HIV”).  The  HIV  program  represents  the  first 
therapeutic application of our platform against an infectious disease. CORAL is intended to serve as proof-of-concept for our ability to develop potent, 
durable samRNA vaccines for prophylactic application. The HIV program represents the first therapeutic application of our platform against an infectious 
disease.

CORAL – Next-Generation COVID-19 Vaccine Program

We  initiated  the  CORAL  program  in  2021  in  response  to  emerging  limitations  of  first-generation  COVID-19  vaccines.  Today,  it  is  intended  to 
serve as proof-of-concept for our ability to drive more potent and durable responses than those of current vaccines in prophylactic applications. As seen in 
COVID-19  and  other  infectious  diseases,  immune  responses  can  vary,  viruses  mutate,  and  nAbs  wane,  necessitating  re-dosing  (boosters).  An  approach 
capable of inducing a potent, broad and durable immune response could have great utility against COVID-19 and many other viral and infectious diseases. 

In  multiple  Phase  1  clinical  trials  within  the  CORAL  program,  we  generated  data  demonstrating  that  our  samRNA  vaccines  induced  high 
neutralizing  antibody  levels  that  sustained  for  at  least  12  months.  This  is  a  clear  potential  differentiation  from  currently  approved  COVID-19  vaccines, 
from  which  the  neutralizing  antibody  levels  are  known  to  wane  below  protective  levels  after  four  to  six  months.  Results  from  these  studies  also 
demonstrated  that  our  samRNA  vaccines  elicited  potent  cytotoxic  cellular  responses  against  Spike  and  other  conserved  targets  regions  of  the  virus. 
Collectively, these results provided early signals of potential advantages of samRNA over first-generation mRNA against COVID-19.

In September 2023, we entered into a contract with BARDA (the “BARDA Contract”), to run a 10,000 participant, randomized Phase 2b double-
blinded study to compare the efficacy, safety, and immunogenicity of our next-generation COVID-19 vaccine candidate (a samRNA vaccine candidate) 
with an approved COVID-19 vaccine (the “Phase 2b CORAL Study”). 

We believe that our CORAL vaccine candidates have the potential to improve both B cell and T cell responses to Spike and other viral proteins, 
and drive potent and long-lasting immunity to COVID-19. By creating a cassette that targets several viral antigens including Spike protein and additional 
TCE  from  the  SARS-CoV-2  virus,  some  of  which  are  highly  conserved  between  viral  strains  (such  as  SARS  and  SARS-CoV-2),  we  also  believe  our 
CORAL vaccine candidates could provide protection against both current and future variants of COVID-19, as well as the potential to protect against future 
coronavirus pandemics. While mutations in the Spike protein may reduce protection by antibodies (since the antibody target changes its shape), broad T 
cell immunity and long-term memory to different viral proteins may provide a second layer of clinical protection. The CORAL program is supported by 
BARDA, the Bill & 

13

 
 
 
 
 
Melinda  Gates  Foundation,  the  Coalition  for  Epidemic  Preparedness  Innovation  (“CEPI”)  and  the  National  Institute  of  Allergy  and  Infectious  Diseases 
(“NIAID”).

In addition to advancing a potential next-generation vaccine against COVID-19, our CORAL program is intended to serve as proof of concept for 
applying our infectious disease approach (driving both B cell and T cell responses using samRNA) for the prevention and treatment of various infectious 
diseases.

HIV Vaccine in Collaboration with Gilead Sciences, Inc.

In  January  2021,  we  entered  into  a  collaboration,  option  and  license  agreement  with  Gilead  to  research  and  develop  a  vaccine-based 
immunotherapy for HIV. Together, we aim to develop an HIV-specific therapeutic vaccine using our proprietary prime-boost vaccine platform, comprised 
of samRNA and adenoviral vectors, with antigens developed by Gilead. Under the terms of the agreement, Gilead invested $60.0 million, consisting of a 
$30.0 million upfront cash payment and a $30.0 million equity investment at the closing. Gilead is responsible for conducting a Phase 1 clinical trial for the 
HIV-specific therapeutic vaccine and holds an exclusive option under the collaboration to obtain an exclusive license to develop and commercialize the 
HIV-specific  therapeutic  vaccine  beyond  the  Phase  1  clinical  trial.  We  are  also  eligible  to  receive  up  to  an  additional  $725.0  million  if  the  option  is 
exercised and if certain clinical, regulatory and commercial milestones are achieved, as well as mid-single-digit to low double-digit tiered royalties on net 
sales upon commercialization. The HIV program is currently in Phase 1.

Preclinical Research

Beyond GRANITE, SLATE, CORAL and the HIV collaboration with Gilead, we continue to apply our broad set of capabilities in oncology and 
infectious diseases through promising preclinical work and partnerships. These projects include development of an optimal immunogen in the context of 
human papillomavirus (HPV) that is supported by the Gates Foundation. We are also researching the development of an influenza (flu) vaccine and a new 
combination respiratory vaccine candidate against multiple respiratory viruses.

New Developments

On February 12, 2024, we announced that we are preparing to launch the Phase 2b trial of our next-generation COVID-19 vaccine supported by 
BARDA in the Fall of 2024 rather than first quarter of 2024. This is to allow use of GMP-grade raw materials in our samRNA vaccine, which is expected 
to increase the regulatory utility of the trial. This decision was made following communications with the FDA.

On February 29, 2024, we announced an approximately 40% reduction of our workforce. The move followed the recently announced delay of the 
proposed Phase 2b CORAL Study, which resulted in Gritstone not receiving external funding it previously anticipated beginning in 1Q 2024, associated 
with the initiation of the study. The reduction primarily impacted our employees within vaccine manufacturing and clinical infectious disease operations.

NCI Clinical Trial Collaboration

License and Collaborations

In January 2023, we entered into a clinical trial agreement with the National Cancer Institute (“NCI”) to evaluate an autologous T cell therapy 
expressing a T cell receptor targeting mutated KRAS in combination with Gritstone’s KRAS-directed vaccine candidate, SLATE-KRAS in a Phase 1 study. 
An IND to run the Phase 1 study was cleared by the U.S. Food and Drug Administration (FDA) in October 2023. This collaboration remains ongoing.

HIV Vaccine in Collaboration with Gilead Sciences, Inc.

In  January  2021,  we  entered  into  a  collaboration,  option  and  license  agreement  with  Gilead  to  research  and  develop  a  vaccine-based 
immunotherapy for HIV. Together, we aim to develop an HIV-specific therapeutic vaccine using our proprietary prime-boost vaccine platform, comprised 
of samRNA and adenoviral vectors, with antigens developed by Gilead. Under the terms of the agreement, Gilead invested $60.0 million, consisting of a 
$30.0 million upfront cash payment and a $30.0 million equity investment at the closing. Gilead is responsible for conducting a Phase 1 study for the HIV-
specific therapeutic vaccine and holds an exclusive option under the collaboration to obtain an exclusive license to develop and commercialize the HIV-
specific  therapeutic  vaccine  beyond  Phase  1.  We  are  also  eligible  to  receive  up  to  an  additional  $725.0  million  if  the  option  is  exercised  and  if  certain
clinical, regulatory and commercial 

14

 
 
milestones are achieved, as well as mid-single-digit to low double-digit tiered royalties on net sales upon commercialization. Gritstone and Gilead received 
IND clearance for this program in December 2021, and the program is currently in Phase 1.

Strategic Collaboration with 2seventy bio

In August 2018, we entered into a research collaboration and license agreement with bluebird bio, Inc. (bluebird), to utilize our EDGE™ platform 
to identify and validate tumor-specific targets and provide TCRs directed to 10 selected targets for use in bluebird’s cell therapy platform. In November 
2021,  bluebird  assigned  the  research  collaboration  and  license  agreement  to  its  affiliate,  2seventy  bio,  Inc.  (2seventy),  in  connection  with  an  internal 
restructuring  and  subsequent  spin-out  of  2seventy  (such  research  collaboration  and  license  agreement,  as  assigned,  2seventy  Agreement).  In  connection 
with the 2seventy Agreement, we received a non-refundable up-front cash payment of $20.0 million and an additional $10.0 million in equity investment in 
our  Series  C  convertible  preferred  stock.  We  are  also  eligible  to  receive  up  to  an  aggregate  of  $1.2  billion  in  development,  regulatory  and  commercial 
milestones associated with 2seventy’s resulting cell therapy products, as well as tiered, single-digit royalties on sales of the TCR immunotherapy products 
that utilize the TCRs discovered by us. The royalty term for each TCR immunotherapy product shall be determined on a product-by-product and country-
by-country basis and will commence on the first commercial sale of each product in a country and end on the latest of: (i) expiration or termination of the 
last to expire valid claim of the last licensed patent that covers the product pursuant to the  2seventy Agreement; (ii) expiration of all periods of regulatory 
exclusivity for the product in such country (in respect of sales in that country); and (iii) 10 years after the first commercial sale of such product in such 
country  (in  respect  of  sales  in  that  country).  2seventy  will  be  solely  responsible  for  all  costs  and  expenses  of  its  development,  manufacturing,  and 
commercial activities for resulting therapies. 

The  identification,  validation,  selection  and  development  of  the  TCRs  was  conducted  during  a  5-year  research  term  that  was  extended  by  an 
amendment in 2023 and that concluded on January 31, 2024. The research collaboration was governed by a joint steering committee with representatives 
from Gritstone and 2seventy. We and 2seventy exchanged non-exclusive licenses to carry out the research program, and, on a selected target-by-selected 
target basis, we have granted 2seventy an exclusive worldwide license to research, develop, and commercialize resulting cell therapy products directed to
such targets, including rights to utilize TCRs discovered by us. The license term ends on a country-by-country and product candidate-by-product candidate 
basis based on completion of all payments owed to us by 2seventy thereon. Either party may terminate the 2seventy Agreement upon written notice to the 
other  party  in  the  event  of  the  other  party’s  uncured  material  breach,  subject  to  a  dispute  resolution  process.  In  addition,  2seventy  may  terminate  the 
2seventy Agreement for convenience upon prior written notice to us. 

License Agreement with Arbutus Biopharma Corporation and Protiva Biotherapeutics

On  October  16,  2017,  we  executed  a  license  agreement  with  Arbutus  Biopharma  Corporation  (Arbutus)  and  Protiva  Biotherapeutics  and 
subsequently amended certain terms in July 2018 (such amended license agreement, Arbutus License Agreement). Arbutus is a leader in LNP technology 
with a broad intellectual property estate and a large library of LNPs, including multiple LNPs being used in clinical development by its partners, as well as 
the chemistry expertise to synthesize novel LNPs with properties optimal for samRNA. 

Under  the  Arbutus  License  Agreement,  Arbutus  granted  us  a  worldwide,  exclusive  (even  as  to  Arbutus,  subject  to  certain  limited  exceptions), 
sublicensable,  transferable  license,  to  research,  develop,  manufacture,  and  commercialize  our  novel  RNA-based  platform  for  intracellular  delivery  of 
samRNA  encoding  TSNA  in  combination  with  one  or  more  of  Arbutus’  proprietary  LNPs.  The  licensed  technology  includes  Arbutus’  portfolio  of 
proprietary and clinically validated LNP products and associated intellectual property and includes technology transfer of Arbutus’ manufacturing know-
how. Following the execution of the Arbutus License Agreement, we have identified an LNP formulation that we believe will be optimal for use in our 
GRANITE and SLATE clinical trials. Our goal is to deliver a second-generation samRNA immunotherapy that has the potential to serve as a homologous 
prime-boost immunotherapy. 

Under the Arbutus License Agreement, we paid Arbutus an upfront payment of $5.0 million. We also agreed to make (i) aggregate payments of up 
to  $73.5  million  upon  the  achievement  of  specified  development  milestones  for  up  to  three  products,  (ii)  an  aggregate  $50.0  million  in  commercial 
milestone payments and (iii) royalty payments in the low single-digits on net sales of licensed products for a royalty term lasting until the expiration of the 
last patent covered under the Arbutus License Agreement. Following acceptance of our first IND in September 2018, we made the first milestone payment 
of  $2.5  million  to  Arbutus.  In  August  2019,  a  milestone  was  met  following  the  initial  patient  treatment  of  SLATE  in  our  GO-005  clinical  trial.  In 
connection  with  such  milestone,  we  recorded  $3.0  million  as  research  and  development  expenses  in  2019  and  made  the  milestone  payment  in  October 
2019.

The Arbutus License Agreement continues in effect until the last to expire royalty payment or early termination. The Arbutus License Agreement 
is terminable by us for convenience with 60 days prior written notice, upon payment of a no-cause termination sum. We may also terminate it in the event 
of material adverse safety data for a product, failure to achieve a primary or secondary efficacy 

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endpoint,  or  if  a  regulatory  authority  takes  action  that  prevents  us  from  commercializing  any  product.  Either  party  may  terminate  the  Arbutus  License 
Agreement for material breach, and Arbutus may terminate it for abandonment or if we challenge Arbutus patents. 

2020 License Agreement with Genevant Sciences GmbH

On October 20, 2020, we entered into an Option and License and Development Agreement with Genevant Sciences GmbH (Genevant, and such 
agreement, 2020 Genevant Agreement). Pursuant to the 2020 Genevant Agreement, Genevant granted us exclusive license rights under certain intellectual 
property related to Genevant’s lipid nanoparticle technology (LNP Technology) for a single indication (HIV), and we agreed to pay Genevant an initial 
payment of $2.0 million, up to an aggregate of $71.0 million in specified development, regulatory, and commercial milestones, and low to mid-single digit 
royalties  on  net  sales  of  licensed  products.  The  2020  Genevant  Agreement  expands  our  intellectual  property  rights  to  the  LNP  technology  originally 
obtained pursuant to our Arbutus License Agreement.

Pursuant to the 2020 Genevant Agreement, Genevant also granted us certain options to expand the licensed field beyond the single indication. If 
we  exercise  any  options  under  the  2020  Genevant  Agreement  to  expand  the  licensed  field,  we  would  be  required  to  pay  to  Genevant  additional  option 
exercise  fees,  certain  development,  regulatory  and  commercial  milestones  and  royalties  on  net  sales  of  licensed  products  in  respect  of  the  expanded 
licensed field. We also granted Genevant a nonexclusive license to certain intellectual property developed under the Arbutus License Agreement.

In August 2023, the 2020 Genevant Agreement was amended to terminate the options to license the LNP technology for additional indications.

The  2020  Genevant  Agreement  continues  in  effect  until  the  last  to  expire  royalty  term  or  early  termination.  The  2020  Genevant  Agreement  is 
terminable  by  us  for  convenience  with  90  days  prior  written  notice  or  immediately  if  based  on  certain  product  safety  or  efficacy  or  regulatory  criteria. 
Either us or Genevant may terminate the 2020 Genevant Agreement for material breach, subject to a cure period, and Genevant may terminate it if we 
challenge a licensed patent.

2021 License Agreement with Genevant Sciences GmbH

On  January  15,  2021,  we  entered  into  a  Non-Exclusive  License  and  Development  Agreement  with  Genevant  (2021  Genevant  Agreement). 
Pursuant  to  the  2021  Genevant  Agreement,  we  obtained  a  nonexclusive  license  to  Genevant’s  LNP  Technology  to  develop  and  commercialize  self-
amplifying  RNA  vaccines  against  SARS-CoV-2.  Further,  we  (i)  agreed  to  pay  Genevant  an  upfront  payment  of  $1.5  million  and  (ii)  are  subject  to  (x) 
additional payments up to an aggregate of $191.0 million per product, upon achievement of certain development and commercial milestones and (y) tiered 
royalties ranging from the mid-single digits to mid-teens on net sales of licensed products for a royalty term lasting until the later of expiration of the last 
covered patent under the  2021 Genevant Agreement. In certain scenarios, in lieu of milestones and royalties, Genevant will be entitled to a percentage of 
any amounts that we receive from sublicenses to the COVID-19 program subject to certain conditions. The 2021 Genevant Agreement further expands our 
intellectual property rights to the LNP technology originally obtained pursuant to the Arbutus License Agreement.

 The 2021 Genevant Agreement continues in effect until the last to expire royalty term or early termination. The 2021 Genevant Agreement is 
terminable  by  us  for  convenience  with  90  days  prior  written  notice  or  immediately  if  based  on  certain  product  safety  or  efficacy  or  regulatory  criteria. 
Either us or Genevant may terminate the 2021 Genevant Agreement for material breach, subject to a cure period, and Genevant may terminate it if we 
challenge a licensed patent.

The 2021 Genevant Agreement contains, among other provisions, representation and warranties, indemnification obligations, confidentiality, audit 

and inspection, and intellectual property sharing provisions in favor of each party that are customary for an agreement of this nature.

2023 License Agreement with Genevant Sciences GmbH

In August 2023, we entered into an Option and Non-Exclusive License and Development Agreement (the “2023 Genevant License Agreement”) 
with Genevant. Pursuant to the 2023 Genevant License Agreement, we obtained a multi-year option for a non-exclusive license under Genevant’s LNP 
technology on a pathogen-by-pathogen basis to develop and commercialize samRNA vaccines against infectious disease. Under the 2023 Genevant License 
Agreement, (i) we made a $2.5 million upfront payment to Genevant, recorded as research and development expense for the three and nine months ended 
September 30, 2023, and (ii) Genevant is eligible to receive from us option maintenance and exercise fees in the single digit millions and up to an aggregate 
of $136.0 million in contingent milestone payments per product, subject to increase for multi-pathogen products and in other specified circumstances, and 
royalties ranging from the mid to high single digits on future product sales. If we outlicense an applicable infectious disease program, in lieu of 

16

 
 
certain of these payments, Genevant may be entitled to a percentage of amounts that we receive from its sublicensee. None of the milestone events under 
the 2023 Genevant License Agreement had occurred as of December 31, 2023.

The  2023  Genevant  Agreement  continues  in  effect  until  the  last  to  expire  royalty  term  or  early  termination.  The  2023  Genevant  Agreement  is 
terminable  by  us  for  convenience  with  90  days  prior  written  notice.  Either  us  or  Genevant  may  terminate  the  2023  Genevant  Agreement  for  material 
breach, subject to a cure period, and Genevant may terminate it, among others, if we challenge a licensed patent.

CEPI Funding for CORAL Program

In August 2021, CEPI agreed to provide funding of up to $20.6 million to us to advance our CORAL program, with an initial clinical trial of our 
second-generation COVID-19 vaccine in South Africa. Under the terms of that agreement (CEPI Funding Agreement), CEPI is funding a multi-arm Phase 
1  clinical  trial  evaluating  the  CORAL  program’s  samRNA  vaccine  in  naïve,  convalescent,  and  HceIV+  patients.  The  trial  is  evaluating  three  different 
samRNA vaccine constructs that each targets both the spike protein and other non-spike SARS-CoV-2 antigens, and is designed to drive both robust B and 
T cell immune responses. 

The CEPI Funding Agreement also provides for an agreement on the importance of global equitable access to the vaccine produced pursuant to the 
CEPI Funding Agreement. The vaccine, if approved, is expected to be made available for procurement and allocation to the COVAX Facility, which aims 
to deliver equitable access to COVID-19 vaccines for all countries, at all levels of development, that wish to participate.

The scope and continuation of the CEPI Funding Agreement may be amended depending on ongoing developments of the COVID-19 outbreak 
and  the  success  of  our  COVID-19  vaccine  candidate  developed  under  the  CEPI  Funding  Agreement  relative  to  other  third-party  COVID-19  vaccine 
candidates or treatments. In December 2021, we and CEPI amended the CEPI Funding Agreement to provide for up to $5 million in additional funding to 
conduct a Phase 1 clinical trial of the CORAL program’s Omicron vaccine candidate in South Africa. In January 2024, the Company and CEPI entered into 
a  second  amendment  to  the  CEPI  Funding  Agreement,  which  repurposed  certain  unspent  funds  for  preclinical  immunogenicity  studies  for  use  for 
preclinical challenge studies.

If  the  World  Health  Organization  (WHO),  CEPI  or  a  regulatory  authority  having  jurisdiction  over  a  clinical  trial  performed  under  the  CEPI 
Funding Agreement determines that a third-party product candidate has substantially greater potential than the our COVID-19 vaccine candidate developed 
under the CEPI Funding Agreement and should be prioritized instead for a particular trial, we must consider in good faith any written request of CEPI not 
to proceed with a clinical trial of such COVID-19 vaccine candidate (the determination of whether to proceed or not with such trial shall be made by us in 
our sole discretion). In addition, CEPI has the right to unilaterally terminate the CEPI Funding Agreement upon prior written notice if CEPI determines that 
(i) there are material safety, regulatory, scientific misconduct or ethical issues with the project undertaken by us under the CEPI Funding Agreement, (ii) 
the project undertaken by us under the CEPI Funding Agreement must be terminated, (iii) we become unable to discharge its obligations under the CEPI 
Funding Agreement, (iv) we fail to meet certain criteria set forth in the CEPI Funding Agreement, or (v) we commit fraud or a financial irregularity, as 
such terms are defined in the CEPI Funding Agreement. Certain termination rights for CEPI are subject to cure periods.

Biomedical Advanced Research and Development Authority

In  September  2023,  we  entered  into  the  BARDA  Contract.  Under  the  BARDA  Contract,  we  may  be  eligible  to  receive  funding  of  up  to  an 
estimated $433.0 million to conduct the Phase 2b CORAL Study. The BARDA Contract consists of a base period (expected to end on or before the first 
quarter of 2024, though this period may be extended) and a total contract period-of-performance (base period plus two stages gated at BARDA’s discretion) 
of  up  to  approximately  four  years.  The  base  period  for  the  BARDA  Contract  includes  BARDA's  funding  of  up  to  approximately  $10.0  million  for 
performance  of  certain  milestones  such  as  preparation  of  protocol  synopsis  and  submission  of  an  investigational  new  drug  application.  Following 
successful completion of the base period, the BARDA Contract provides for up to approximately $423.0 million of additional BARDA funding for two 
stages gated at BARDA’s discretion in support of the clinical trial execution and additional analyses for the clinical trial. The BARDA Contract contains 
terms and conditions that are customary for contracts with BARDA of this nature, including provisions giving the government the right to terminate the 
contract at any time for its convenience.

BARDA informed us that administration of funding associated with the activities beyond the base period of the BARDA Contract is expected to 
be administered by the RRPV Consortium. In early 2024, we applied to the RRPV Consortium for these funds associated with activities beyond the base 
period  of  the  BARDA  Contract.  As  of  the  date  of  this  Annual  Report  on  Form  10-K,  we  are  in  discussions  with  the  RRPV  Consortium  regarding  our 
application. For additional information on all our license and collaboration arrangements, see “Collaboration and License Agreements” in Note 7 to our 
consolidated financial statements.

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Manufacturing

Manufacturing is an important component of the development of our vaccines and is of particular importance to GRANITE, our individualized 

immunotherapy platform. 

  The  manufacture  of  our  GRANITE  vaccine  vectors  involves  complex  processes,  including  per-patient  plasmid  production,  mammalian  cell 
production  of  virus  and  RNA  synthesis  and  lipid  encapsulation.  The  manufacturing  process  begins  with  receipt  of  a  patient’s  routine  biopsy  and  blood 
sample at our Massachusetts facility, where we perform TSNA identification is performed using our EDGE™ platform. The TSNA sequences generated by 
our platform are sent electronically to our California manufacturing facility to generate the patient-specific TSNA cassette, which is then cloned into each 
of the ChAd and samRNA vectors and amplified. Following amplification, the ChAd vector containing the cassette is further manufactured into the final 
drug product and vialed onsite. In parallel at our California facility, the samRNA vector is manufactured into RNA, formulated into LNP, and vialed onsite. 
Currently, the entire manufacturing process, from biopsy receipt at our facilities to the release and shipment of the individualized immunotherapy candidate 
to the clinical site for patient administration, often takes approximately 14 to 16 weeks. 

  Production  of  GRANITE  candidates  requires  two  distinct  elements:  tumor  biopsy  analysis  to  determine  candidate  neoantigens  followed  by 

manufacture of vectors containing an individualized cassette encoding the selected neoantigens. Each element is completed specifically for each patient. 

Conversely, SLATE and CORAL vaccine candidates are “off-the-shelf", meaning they contain a fixed cassette and are manufactured and delivered 
to clinical sites such that they can be administered on demand. As an “N of 1” product candidate, GRANITE is manufactured in real-time for each patient, 
which involves a greater logistical burden. Unlike GRANITE, the manufacturing of SLATE and CORAL candidates is not generally time-sensitive and 
while manufacturing scale differs, both are relatively straightforward operationally. For our CORAL program, manufacturing of early-stage clinical lots 
was initiated on our California manufacturing facility in 2020 and we have continued to produce next-generation, variant-specific clinical lots within this 
facility. Our CORAL product candidates include samRNA and/or adenoviral vectors to deliver SARS-CoV-2 viral antigens. Additional scale-up activities 
involving contract manufacturing organizations (“CMOs”) will be needed as the CORAL program progresses potentially leading to large demand for the 
product candidates.

 We are devoting significant resources to our manufacturing and process development in an effort to maintain the potential safety and efficacy of 
our product candidates, as well as to reduce our per-unit manufacturing costs and time to market. Within GRANITE, we aim and expect the production and 
release timeline (and associated cost) to diminish over time due to process scaling, potential improvements in production and testing technologies, internal 
process expertise, internalization of potential reductions in regulatory testing requirements based on clinical experience. 

Our goal is to carefully manage our fixed-cost structure, maximize optionality, and drive long-term cost of goods as low as possible. We have used 
a hybrid approach to manufacturing and release of our individualized immunotherapy candidates whereby certain elements of our product candidates are 
manufactured and tested on an outsourced basis at CMOs, and other elements of our product candidates are manufactured and released internally at the 
42,600 square foot manufacturing facility we established in 2017 in  California, all designed in compliance with cGMP. 

To achieve this, our process development group is focused on several key initiatives. The first is investigating novel approaches to manufacturing 
our  products,  including  process  optimization  and  quality  by  design  of  each  intermediate,  drug  substance  and  drug  product.  Additionally,  we  are 
systematically characterizing our manufacturing processes, including product intermediates and manufacturing unit operations. This characterization effort 
is designed to enable us to implement process changes over the entire product lifecycle and to quickly react to evolving process technologies that can lead 
to reductions in per-unit manufacturing costs and shorter process cycle times. In addition, we plan to establish automated, closed-platform manufacturing 
processes. Our goal is for these processes to enable us to conduct manufacturing in a lower-classified, lower cost manufacturing environment for multiple 
steps of our drug product manufacturing. 

Our manufacturing strategy is currently structured to support our U.S., E.U., South African, and Australian development plans. We believe this 
manufacturing  strategy  developed  for  global  distribution  will  enable  use  in  other  geographies.  Specific  supply  strategies  for  other  geographies  will  be 
developed as part of our clinical and commercial plans for such other geographies. 

We do not currently have any approved therapies, and we do not anticipate receiving marketing authorization for our early development candidates 

in either the United States or other worldwide regions in the near future. An internal expansion of sales, 

Commercialization Plan

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marketing,  and  commercial  distribution  capabilities  would  be  developed  once  we  have  obtained  clinical  data  that  can  support  licensure  following 
discussions with the FDA or other worldwide health authorities. If and when any of our development candidates are approved for commercialization, we 
intend to create an infrastructure to support ongoing sales in the United States and, possibly in other regions.    

Competition

The biotechnology and pharmaceutical industries put significant emphasis and resources into the development of novel and proprietary therapies 
for treatment of cancer and infectious disease. We face substantial competition from many different sources, including large and specialty pharmaceutical 
and biotechnology companies, academic research institutions and governmental agencies and public and private research institutions. We anticipate that we 
will continue to face increasing competition in our field as new therapies, technologies, and data emerge.

In addition to the current standard of care for patients, a number of parties in the field of immunotherapy are pursuing commercial and academic 

clinical trials. Results from these trials have fueled continued interest in immunotherapy, and our competitors include: 

•

•

•

In the neoantigen space, BioNTech AG in collaboration with Genentech Inc., Moderna Therapeutics, Inc. in collaboration with Merck & Co. 
Inc., Achilles Therapeutics, Astrazeneca plc, Evaxion Biotech A/S, NousCom AG, Nykode Therapeutics AS in collaboration with Genentech 
Inc., Transgene SA, and Geneos Therapeutics, Inc.  

In the infectious disease space, Moderna, Pfizer Inc., BioNTech AG, AstraZeneca plc, Johnson & Johnson, Merck, Novavax, Inc., Sanofi, 
GlaxoSmithKline plc, Arcturus Therapeutics in collaboration with CSL, and CureVac AG, Evaxion Biotech A/S, and Replicate Bioscience, 
Inc.

In  the  samRNA  space,  GlaxoSmithKline  plc,  Arcturus  Therapeutics,  Inc.,  HDT  Bio,  Corp.  and  Imperial  College  London  in  collaboration 
with AstraZeneca plc, and Replicate Bioscience, Inc. 

Many of our competitors, either alone or with their strategic partners, have significantly greater financial resources and expertise in research and 
development, manufacturing, preclinical testing, conducting clinical trials, and marketing approved products than we do. Mergers and acquisitions in the 
pharmaceutical,  biotechnology  and  gene  therapy  industries  may  result  in  even  more  resources  being  concentrated  among  a  smaller  number  of  our 
competitors.  Smaller  or  early-stage  companies  may  also  prove  to  be  significant  competitors,  particularly  through  collaborative  arrangements  with 
established companies. These competitors also compete with us in recruiting and retaining qualified scientific and management personnel and establishing 
clinical trial sites and patient registration for clinical trials, as well as in acquiring technologies complementary to, or necessary for, our programs. 

Our commercial opportunity could be reduced or eliminated if our competitors develop and commercialize products that are safer, more effective, 
have fewer or less severe side effects, are more convenient or are less expensive than any products that we may develop. Our competitors also may obtain 
FDA or other regulatory approval for their products more rapidly than we may obtain approval for ours, which could result in our competitors establishing 
a strong market position before we are able to enter the market. The key competitive factors affecting the success of our programs are likely to be their 
efficacy, safety, cost and convenience.  

Intellectual Property

Our  commercial  success  depends  in  part  on  our  ability  to  obtain  and  maintain  proprietary  protection  for  our  products  and  services,  to  operate 
without infringing the proprietary rights of others, and to prevent others from infringing our proprietary rights. We rely on a combination of patents and 
trade  secrets,  as  well  as  contractual  protections,  to  establish  and  protect  our  intellectual  property  rights.  We  seek  to  protect  our  proprietary  position  by, 
among other things, filing patent applications in the United States and internationally. Our patent estate includes patents and patent applications with claims 
relating to our products, methods, and manufacturing processes, and broader claims for potential future products and developments. As of December 31, 
2023, our solely-owned patent portfolio includes, on a worldwide basis, pending patent applications and issued patents relating to our products, methods, 
and manufacturing processes. 

As of December 31, 2023, our solely-owned patent estate includes a portfolio of pending patent applications and issued patents, including those 

related to our epitope discovery platform, next-generation vectors, and immunogen designs. Details regarding these portfolios are provided below. 

As of December 31, 2023, our solely-owned patent portfolio related to our epitope discovery platform, includes domestic and international patent 
rights with claims related to antigen identification and related compositions, uses and manufacture. Any patents that have or may issue from these patent 
rights are expected to expire between 2036 and 2044, absent any patent term adjustments or extensions. 

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As  of  December  31,  2023,  our  solely-owned  patent  portfolio  related  to  our  next-generation  vectors  included  domestic  and  international  patent 
rights with claims related to ChAd- and samRNA-based compositions and their related uses and manufacture. Any patents that have or may issue from 
these patent rights are expected to expire between 2037 and 2044, absent any patent term adjustments or extensions. 

As of December 31, 2023, our solely-owned patent portfolio related to our immunogen designs included domestic and international patent rights 
with claims related to oncology and infectious disease immunogen and their related uses and manufacture. Any patents that have or may issue from these 
patent rights are expected to expire between 2039 and 2044, absent any patent term adjustments or extensions.  

In addition to patents, we have filed for trademark registration with the United States Patent and Trademark Office ("USPTO") as well as certain 
other international trademark agencies, for “GRITSTONE,” “GRANITE,” “SLATE” and our logo. Furthermore, we rely upon trade secrets, know-how and 
continuing technological innovation to develop and maintain our competitive position. 

In some instances, we submit patent applications directly with the USPTO as provisional patent applications. Provisional applications for patents 
were designed to provide a lower-cost first patent filing in the United States. Corresponding non-provisional patent applications must be filed not later than 
twelve (12) months after the provisional application filing date. The corresponding non-provisional application benefits in that the priority date(s) of the 
patent application is/are the earlier provisional application filing date(s), and the patent term of the finally issued patent is calculated from the later non-
provisional application filing date. This system allows us to obtain an early priority date, add material to the patent application(s) during the priority year, 
obtain  a  later  start  to  the  patent  term  and  to  delay  prosecution  costs,  which  may  be  useful  in  the  event  that  we  decide  not  to  pursue  examination  in  an 
application.  We  file  U.S.  non-provisional  applications  and  Patent  Cooperation  Treaty  (“PCT”)  applications  that  claim  the  benefit  of  the  priority  date  of 
earlier filed provisional applications, when applicable. The PCT system allows a single application to be filed within twelve (12) months of the original 
priority  date  of  the  patent  application,  and  to  designate  PCT  member  states  in  which  national  patent  applications  can  later  be  pursued  based  on  the 
international patent application filed under the PCT. The PCT searching authority performs a patentability search and issues a non-binding patentability 
opinion  which  can  be  used  to  evaluate  the  chances  of  success  for  the  national  applications  in  foreign  countries  prior  to  having  to  incur  the  filing  fees. 
Although  a  PCT  application  does  not  issue  as  a  patent,  it  allows  the  applicant  to  seek  protection  in  any  of  the  member  states  through  national-phase 
applications. 

At the end of the period of two and a half years from the first priority date of the patent application, separate patent applications can be pursued in 
any of the PCT member states either by direct national filing or, in some cases by filing through a regional patent organization, such as the European Patent 
Organization. The PCT system delays expenses, allows a limited evaluation of the chances of success for national/regional patent applications and enables 
substantial savings where applications are abandoned within the first two and a half years of filing. 

For  all  patent  applications,  we  determine  claiming  strategy  on  a  case-by-case  basis.  Advice  of  counsel  and  our  business  model  and  needs  are 
always considered. We file patents containing claims for protection of all useful applications of our proprietary technologies and any products, as well as all 
new applications and/or uses we discover for existing technologies and products, assuming these are strategically valuable. We continuously reassess the 
number and type of patent applications, as well as the pending and issued patent claims to ensure that maximum coverage and value are obtained for our 
processes,  and  compositions,  given  existing  patent  office  rules  and  regulations.  Further,  claims  may  be  modified  during  patent  prosecution  to  meet  our 
intellectual property and business needs. 

We recognize that the ability to obtain patent protection and the degree of such protection depends on a number of factors, including the extent of 
the prior art, the novelty and non-obviousness of the invention, and the ability to satisfy the enablement requirement of the patent laws. The patent positions 
of biotechnology companies like ours are generally uncertain and involve complex legal, scientific and factual questions. In addition, the coverage claimed 
in  a  patent  application  can  be  significantly  reduced  before  the  patent  is  issued,  and  its  scope  can  be  reinterpreted  or  further  altered  even  after  patent 
issuance. Consequently, we may not obtain or maintain adequate patent protection for any of our product candidates or for our technology platform. We 
cannot predict whether the patent applications we are currently pursuing will issue as patents in any particular jurisdiction or whether the claims of any 
issued patents will provide sufficient proprietary protection from competitors. Any patents that we hold may be challenged, circumvented or invalidated by 
third parties. 

Our commercial success will also depend in part on not infringing the proprietary rights of third parties. In addition, we have licensed rights under 
proprietary technologies of third parties to develop, manufacture and commercialize specific aspects of our products. It is uncertain whether the issuance of 
any third-party patent would require us to alter our development or commercial strategies, alter our processes, obtain licenses or cease certain activities.
The  expiration  of  patents  or  patent  applications  licensed  from  third  parties  or  our  breach  of  any  license  agreements  or  failure  to  obtain  a  license  to 
proprietary rights that we may require to develop or commercialize our future technology may have a material adverse impact on us. If third parties prepare 
and file patent applications 

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in the United States that also claim technology to which we have rights, we may have to participate in interference proceedings in the USPTO to determine 
priority of invention. 

We further own trade secrets relating to our technology, and we maintain the confidentiality of proprietary information to protect aspects of our 
business  that  are  not  amenable  to,  or  that  we  do  not  consider  appropriate  for,  patent  protection.  We  seek  to  protect  our  trade  secrets  and  know-how  by 
entering  into  confidentiality  agreements  with  third  parties,  consultants  and  employees  who  have  access  to  such  trade  secrets  and  know-how.  These 
agreements  provide  that  all  confidential  information  concerning  our  business  or  financial  affairs  developed  or  made  known  to  the  individual  during  the 
course of the individual’s relationship with us are to be kept confidential and not disclosed to third parties except in specific circumstances. In addition, we 
enter into employment agreements that require employees to assign to us any inventions, trade secrets or know-how that they develop while employed by 
us.  Although  we  take  steps  to  protect  our  proprietary  information  and  trade  secrets,  including  through  agreements  with  our  employees  and  consultants, 
these agreements may be breached, or third parties may independently develop substantially equivalent proprietary information and techniques or otherwise 
gain  access  to  our  trade  secrets  or  disclose  our  technology.  Thus,  we  may  not  be  able  to  meaningfully  protect  our  trade  secrets.  To  the  extent  that  our 
employees, consultants, scientific advisors or other contractors use intellectual property owned by others in their work for us, disputes may arise as to the 
rights in related or resulting know-how and inventions. 

For a more comprehensive discussion of the risks related to our intellectual property, please see the section titled “Risk Factors—Risks Related to 

Intellectual Property.” 

Government Regulation

The  FDA  and  other  regulatory  authorities  at  federal,  state,  and  local  levels,  as  well  as  in  foreign  countries,  extensively  regulate,  among  other 
things,  the  research,  development,  testing,  manufacture,  quality  control,  import,  export,  safety,  effectiveness,  labeling,  packaging,  storage,  distribution, 
record  keeping,  approval,  advertising,  promotion,  marketing,  post-approval  monitoring,  and  post-approval  reporting  of  biologics  such  as  those  we  are 
developing. We, along with third-party contractors, will be required to navigate the various preclinical, clinical and commercial approval requirements of 
the governing regulatory agencies of the countries in which we wish to conduct studies or seek approval or licensure of our product candidates. 

In the United States, the FDA regulates biologic products under both the Federal Food, Drug and Cosmetic Act (“FDCA”) and the Public Health 
Service Act and their respective implementing regulations. Our product candidates are subject to regulation by the FDA as biological products. Biological 
products require the submission of a biologics license application (“BLA”) and licensure, which constitutes approval, by the FDA before being marketed in 
the  United  States.  None  of  our  product  candidates  has  been  approved  by  the  FDA  for  marketing  in  the  United  States,  and  we  currently  have  no  BLAs 
pending. Failure to comply with applicable FDA or other requirements at any time during product development, clinical testing, the approval process or 
after  approval  may  result  in  administrative  or  judicial  sanctions.  These  sanctions  could  include  the  FDA’s  refusal  to  approve  pending  applications, 
suspension  or  revocation  of  approved  applications,  warning  letters,  product  recalls,  product  seizures,  total  or  partial  suspensions  of  manufacturing  or 
distribution, injunctions, fines, civil penalties or criminal prosecution.

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The process required by the FDA before biologic product candidates may be marketed in the United States generally involves the following: 

completion  of  preclinical  laboratory  tests  and  animal  studies  performed  in  accordance  with  the  FDA’s  good  laboratory  practice,  or  GLP, 
regulations;

submission to the FDA of an IND which must become effective before clinical trials may begin; 

approval by an independent Institutional Review Board (“IRB”) or ethics committee at each clinical site before the trial is commenced;

performance of adequate and well-controlled human clinical trials in accordance with the IND, protocol, and FDA’s good clinical practice 
(“GCP”) regulations to establish the safety, purity and potency of the proposed biologic product candidate for its intended purpose;

preparation of and submission to the FDA of a BLA after completion of all pivotal clinical trials;

satisfactory completion of an FDA Advisory Committee review, if applicable;

a determination by the FDA within 60 days of its receipt of a BLA to file the application for review;

satisfactory  completion  of  an  FDA  pre-approval  inspection  of  the  manufacturing  facility  or  facilities  at  which  the  proposed  product  is 
produced  to  assess  compliance  with  cGMP  and  to  assure  that  the  facilities,  methods  and  controls  are  adequate  to  preserve  the  biological 
product’s continued safety, purity and potency, and of selected clinical investigation sites, 

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•

FDA review and approval of the BLA to permit commercial marketing of the product for particular indications for use in the United States. 

Preclinical and Clinical Development 

Prior to beginning the first clinical trial with a product candidate, we must submit an IND to the FDA. An IND is a request for authorization from 
the FDA to administer an investigational new drug product to humans. The central focus of an IND submission is on the general investigational plan and 
the protocol(s) for clinical studies. The IND also includes results of animal and in vitro studies assessing the toxicology, pharmacokinetics, pharmacology, 
and  pharmacodynamic  characteristics  of  the  product;  chemistry,  manufacturing,  and  controls  information;  and  any  available  human  data  or  literature  to 
support the use of the investigational product. An IND must become effective before human clinical trials may begin. The IND automatically becomes 
effective 30 days after receipt by the FDA, unless the FDA, within the 30-day time period, raises safety concerns or questions about the proposed clinical 
trial. In such a case, the IND may be placed on clinical hold and the IND sponsor and the FDA must resolve any outstanding concerns or questions before 
the  clinical  trial  can  begin.  Submission  of  an  IND  therefore  may  or  may  not  result  in  FDA  authorization  to  begin  a  clinical  trial.  In  addition  to  the 
submission of an IND to the FDA before initiation of a clinical trial in the United States, under the National institutes of Health ("NIH") Guidelines for 
Research Involving Recombinant or Synthetic Nucleic Acid Molecules (NIH Guidelines) supervision of human gene transfer trials includes evaluation and 
assessment  by  an  institutional  biosafety  committee  (IBC)  a  local  institutional  committee  that  reviews  and  oversees  research  utilizing  recombinant  or 
synthetic  nucleic  acid  molecules  at  that  institution.  The  IBC  assesses  the  safety  of  the  research  and  identifies  any  potential  risk  to  public  health  or  the 
environment, and such review may result in some delay before initiation of a clinical trial. While the NIH Guidelines are not mandatory unless the research 
in question is being conducted at or sponsored by institutions receiving NIH funding of recombinant or synthetic nucleic acid molecule research, many 
companies and other institutions not otherwise subject to the NIH Guidelines voluntarily follow them. 

Clinical  trials  involve  the  administration  of  the  investigational  product  to  human  subjects  under  the  supervision  of  qualified  investigators  in 
accordance with GCPs, which include the requirement that all research subjects provide their informed consent for their participation in any clinical study. 
Clinical trials are conducted under protocols detailing, among other things, the objectives of the study, the parameters to be used in monitoring safety and 
the effectiveness criteria to be evaluated. Generally, a separate submission to the IND must be made for each successive clinical trial conducted during 
product development and for any subsequent protocol amendments. While the IND is active, progress reports summarizing the results of the clinical trials 
and nonclinical studies performed since the last progress report, among other information, must be submitted at least annually to the FDA, and written IND 
safety reports must be submitted to the FDA and investigators for serious and unexpected suspected adverse events, findings from other studies suggesting 
a significant risk to humans exposed to the same or similar drugs, findings from animal or in vitro testing suggesting a significant risk to humans, and any 
clinically important increased incidence of a serious suspected adverse reaction compared to that listed in the protocol or investigator brochure.

For purposes of BLA approval, human clinical trials are typically conducted in three (3) sequential phases that may overlap or be combined.

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Phase  1—The  investigational  product  is  initially  introduced  into  healthy  human  subjects  or  patients  with  the  target  disease  or  condition. 
These  studies  are  designed  to  test  the  safety,  dosage  tolerance,  absorption,  metabolism  and  distribution  of  the  investigational  product  in 
humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness.

Phase  2—The  investigational  product  is  administered  to  a  limited  patient  population  with  a  specified  disease  or  condition  to  evaluate  the 
preliminary  efficacy,  optimal  dosages  and  dosing  schedule  and  to  identify  possible  adverse  side  effects  and  safety  risks.  Multiple  Phase  2 
clinical trials may be conducted to obtain information prior to beginning larger and more expensive Phase 3 clinical trials. 

Phase 3—The investigational product is administered to an expanded patient population to further evaluate dosage, to provide statistically 
significant evidence of clinical efficacy and to further test for safety, generally at multiple geographically dispersed clinical trial sites. These 
clinical trials are intended to establish the overall risk/benefit ratio of the investigational product and to provide an adequate basis for product 
approval. 

In  some  cases,  the  FDA  may  require,  or  companies  may  voluntarily  pursue,  additional  clinical  trials  after  a  product  is  approved  to  gain  more 
information about the product. These so-called Phase 4 studies may be made a condition to approval of the BLA. Concurrent with clinical trials, companies 
may  complete  additional  animal  studies  and  develop  additional  information  about  the  biological  characteristics  of  the  product  candidate,  and  they  must 
finalize  a  process  for  manufacturing  the  product  in  commercial  quantities  in  accordance  with  cGMP  requirements.  The  manufacturing  process  must  be 
capable of consistently producing quality batches of the product candidate and, among other things, must develop methods for testing the safety, purity and 
potency. Additionally, appropriate 

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packaging must be selected and tested, and stability studies must be conducted to demonstrate that the product candidate does not undergo unacceptable 
deterioration over its shelf life. 

BLA Submission and Review 

Assuming  successful  completion  of  all  required  testing  in  accordance  with  all  applicable  regulatory  requirements,  the  results  of  product 
development, nonclinical studies and clinical trials are submitted to the FDA as part of a BLA requesting approval to market the product for one or more 
indications. The BLA must include all relevant data available from pertinent preclinical and clinical studies, including negative or ambiguous results as 
well  as  positive  findings,  together  with  detailed  information  relating  to  the  product’s  chemistry,  manufacturing,  controls,  and  proposed  labeling,  among 
other things. The submission of a BLA requires payment of a substantial application user fee to the FDA unless a waiver or exemption applies. 

Once a BLA has been submitted, within sixty (60) days, the FDA first reviews the BLA to determine if it is substantially complete before the 
agency accepts it for filing. The FDA may refuse to file any BLA that it deems incomplete or not properly reviewable at the time of submission and may 
request additional information. In this event, the BLA must be resubmitted with the additional information. Once filed, the FDA’s goal is to review standard 
applications  within  ten  (10)  months  after  the  filing  date  or,  if  the  application  qualifies  for  priority  review,  six  (6)  months  after  the  filing  date.  In  both 
standard  and  priority  reviews,  the  review  process  is  often  significantly  extended  by  FDA  requests  for  additional  information  or  clarification.  The  FDA 
reviews a BLA to determine, among other things, whether a product is safe, pure and potent and the facility in which it is manufactured, processed, packed, 
or held meets standards designed to assure the product’s continued safety, purity and potency. The FDA may convene an advisory committee for review, 
evaluation  and  recommendation  as  to  whether  the  application  should  be  approved  and  under  what  conditions.  The  FDA  is  not  bound  by  the 
recommendation of an advisory committee, but it generally follows such recommendations. Before approving a BLA, the FDA will typically inspect the 
facility or facilities where the product is manufactured. The FDA will not approve an application unless it determines that the manufacturing processes and 
facilities  are  in  compliance  with  cGMP  requirements  and  adequate  to  assure  consistent  production  of  the  product  within  required  specifications. 
Additionally, before approving a BLA, the FDA will typically inspect one or more clinical sites, as well as the sponsor, to assure compliance with GCP.

After the FDA evaluates a BLA and conducts inspections of manufacturing facilities where the product will be produced, the FDA may issue an 
approval letter or a Complete Response Letter. An approval letter authorizes commercial marketing of the product with specific prescribing information for 
specific indications. A Complete Response Letter will describe all of the deficiencies that the FDA has identified in the BLA, except that where the FDA 
determines  that  the  data  supporting  the  application  are  inadequate  to  support  approval,  the  FDA  may  issue  the  Complete  Response  Letter  without  first 
conducting  required  inspections,  testing  submitted  product  lots,  and/or  reviewing  proposed  labeling.  In  issuing  the  Complete  Response  Letter,  the  FDA 
may  recommend  actions  that  the  applicant  might  take  to  place  the  BLA  in  condition  for  approval,  including  requests  for  additional  information  or 
clarification. The FDA may delay or refuse approval of a BLA if applicable regulatory criteria are not satisfied, require additional testing or information 
and/or require post-marketing testing and surveillance to monitor safety or efficacy of a product. 

If regulatory approval of a product is granted, such approval will be granted for particular indications and may entail limitations on the indicated 
uses for which such product may be marketed. For example, the FDA may approve the BLA with a Risk Evaluation and Mitigation Strategy ("REMS") to 
ensure the benefits of the product outweigh its risks. A REMS is a safety strategy to manage a known or potential serious risk associated with a product and 
to enable patients to have continued access to such medicines by managing their safe use. A REMS program may be required to include various elements, 
such as a medication guide or patient package insert, a communication plan to educate healthcare providers of the drug’s risks, or other elements to assure 
safe use, such as limitations on who may prescribe or dispense the drug, dispensing only under certain circumstances, special monitoring and the use of 
patient registries. The FDA also may condition approval on, among other things, changes to proposed labeling or the development of adequate controls and 
specifications. Once approved, the FDA may withdraw the product approval if compliance with pre- and post-marketing requirements is not maintained or 
if problems occur after the product reaches the marketplace. The FDA may require one or more Phase 4 post-market studies and surveillance to further 
assess and monitor the product’s safety and effectiveness after commercialization and may limit further marketing of the product based on the results of 
these post-marketing studies. 

Expedited Development and Review Programs 

The FDA offers a number of expedited development and review programs for qualifying product candidates. The fast track program is intended to 
expedite or facilitate the process for reviewing new product candidates that meet certain criteria. Product candidates are eligible for fast track designation if 
they are intended to treat a serious or life-threatening disease or condition and demonstrate the potential to address unmet medical needs for the disease or 
condition. Fast track designation applies to the combination of the product candidate and the specific indication for which it is being studied. The sponsor 
of  a  fast-track  product  candidate  has  opportunities  for  frequent  interactions  with  the  review  team  during  product  development.  A  fast-track  product 
candidate may also be 

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eligible for rolling review, where the FDA may consider for review sections of the BLA on a rolling basis before the complete application is submitted, if 
the  sponsor  provides  a  schedule  for  the  submission  of  the  sections  of  the  BLA,  the  FDA  agrees  to  accept  sections  of  the  BLA  and  determines  that  the 
schedule is acceptable, and the sponsor pays any required user fees upon submission of the first section of the BLA. 

A product candidate intended to treat a serious or life-threatening disease or condition may also be eligible for breakthrough therapy designation to 
expedite its development and review. A product candidate can receive breakthrough therapy designation if preliminary clinical evidence indicates that the 
product  candidate  may  demonstrate  substantial  improvement  over  existing  therapies  on  one  or  more  clinically  significant  endpoints,  such  as  substantial 
treatment effects observed early in clinical development. The designation includes all of the fast track program features, as well as more intensive FDA 
interaction and guidance beginning as early as Phase 1 and an organizational commitment to expedite the development and review of the product, including 
involvement of senior managers. 

Any marketing application for a biologic submitted to the FDA for approval, including a product candidate with a fast track designation and/or 
breakthrough therapy designation, may be eligible for other types of FDA programs intended to expedite the FDA review and approval process, such as 
priority  review  and  accelerated  approval.  A  product  is  eligible  for  priority  review  if  it  has  the  potential  to  provide  a  significant  improvement  in  the 
treatment, diagnosis or prevention of a serious disease or condition compared to marketed products. Sponsors may also obtain a priority review voucher 
upon approval of a BLA for certain qualifying diseases and conditions that can be applied to a subsequent BLA submission. Generally, priority review 
designation means the FDA’s goal is to take action on the marketing application within six (6) months of the sixty (60) day filing date, compared with ten 
(10) months under standard review. 

Additionally, product candidates studied for their safety and effectiveness in treating serious or life-threatening diseases or conditions may receive 
accelerated  approval  upon  a  determination  that  the  product  candidate  has  an  effect  on  a  surrogate  endpoint  that  is  reasonably  likely  to  predict  clinical 
benefit,  or  on  a  clinical  endpoint  that  can  be  measured  earlier  than  irreversible  morbidity  or  mortality,  that  is  reasonably  likely  to  predict  an  effect  on 
irreversible morbidity or mortality or other clinical benefit, taking into account the severity, rarity, or prevalence of the condition and the availability or lack 
of alternative treatments. As a condition of accelerated approval, the FDA will generally require the sponsor to perform adequate and well-controlled post-
marketing  clinical  studies  to  verify  and  describe  the  anticipated  effect  on  irreversible  morbidity  or  mortality  or  other  clinical  benefit.  FDA  may  now 
exercise authority that would require that this study commence during the accelerated approval application process. Products receiving accelerated approval 
will also be subject to expedited withdrawal procedures if the sponsor fails to conduct the required post-marketing studies or if such studies fail to verify 
the predicted clinical benefit. In addition, the FDA currently requires as a condition for accelerated approval pre-approval of promotional materials, which 
could adversely impact the timing of the commercial launch of the product.

In 2017, the FDA established the new regenerative medicine advanced therapy ("RMAT") designation as part of its implementation of the 21st 
Century  Cures  Act,  which  was  signed  into  law  in  December  2016.  To  qualify  for  RMAT  designation,  the  product  candidate  must  meet  the  following 
criteria:  (1)  it  qualifies  as  a  RMAT,  which  is  defined  as  a  cell  therapy,  therapeutic  tissue  engineering  product,  human  cell  and  tissue  product,  or  any 
combination  product  using  such  therapies  or  products,  with  limited  exceptions;  (2)  it  is  intended  to  treat,  modify,  reverse,  or  cure  a  serious  or  life-
threatening disease or condition; and (3) preliminary clinical evidence indicates that the drug has the potential to address unmet medical needs for such a 
disease  or  condition.  Like  fast  track  and  breakthrough  therapy  designation,  RMAT  designation  provides  potential  benefits  that  include  more  frequent 
meetings  with  FDA  to  discuss  the  development  plan  for  the  product  candidate  and  eligibility  for  rolling  review  and  priority  review.  Products  granted 
RMAT designation may also be eligible for accelerated approval on the basis of a surrogate or intermediate endpoint reasonably likely to predict long-term 
clinical benefit, or reliance upon data obtained from a meaningful number of sites, including through expansion to additional sites. Once approved, when 
appropriate, the FDA can permit fulfillment of post-approval requirements under accelerated approval through the submission of clinical evidence, clinical 
studies, patient registries, or other sources of real-world evidence such as electronic health records; through the collection of larger confirmatory datasets; 
or through post-approval monitoring of all patients treated with the therapy prior to approval. 

Fast  track  designation,  breakthrough  therapy  designation,  priority  review,  accelerated  approval,  and  RMAT  designation  do  not  change  the 
standards for approval but may expedite the development or approval process. In addition, even if a product candidate qualifies for one or more of these 
programs, the FDA may later decide that it no longer meets the conditions for designation.

Orphan Drug Designation 

Under the Orphan Drug Act, the FDA may grant orphan designation to a drug or biologic intended to treat a rare disease or condition, which is a 
disease or condition that affects fewer than 200,000 individuals in the United States, or if it affects more than 200,000 individuals in the United States, there 
is no reasonable expectation that the cost of developing and making available a drug or biologic for this type of disease or condition will be recovered from 
sales in the United States for that drug or biologic. Orphan drug 

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designation must be requested before submitting a BLA. After the FDA grants orphan drug designation, the generic identity of the therapeutic agent and its 
potential orphan use are disclosed publicly by the FDA. The orphan drug designation does not convey any advantage in, or shorten the duration of, the 
regulatory review or approval process. 

If  a  product  that  has  orphan  drug  designation  subsequently  receives  the  first  FDA  approval  for  the  disease  or  condition  for  which  it  has  such 
designation, meaning there is no previously approved “same drug” for the same orphan condition, the product is entitled to orphan drug exclusivity, which 
means that the FDA may not approve any other applications, including a full BLA, to market the same drug or biologic for the same orphan disease or 
indication for seven years, except in limited circumstances, such as a showing of clinical superiority to the product with orphan drug exclusivity. Orphan 
drug exclusivity does not prevent FDA from approving a different drug or biologic for the same disease or condition, or the same drug or biologic for a 
different disease or condition. Among the other benefits of orphan drug designation are tax credits for certain research and a waiver of the BLA application 
fee. 

An Eleventh Circuit decision in Catalyst Pharmaceuticals, Inc. vs. FDA regarding interpretation of the Orphan Drug Act exclusivity provisions as 
applied  to  drugs  approved  for  orphan  indications  narrower  than  the  drug’s  orphan  designation  has  the  potential  to  adversely  impact  whether  certain 
products will be able to obtain approval for the remaining, unapproved designated condition without demonstrating clinical superiority, although FDA has 
indicated that it does not intend to apply Catalyst in other scenarios. A designated orphan drug may not receive orphan drug exclusivity that covers the full 
approved indication if it is approved for a use that is broader than the indication for which it received orphan designation. In addition, exclusive marketing 
rights in the United States may be lost if the FDA later determines that the request for designation was materially defective or if the manufacturer is unable 
to assure sufficient quantities of the product to meet the needs of patients with the rare disease or condition. 

Emergency Use Authorization

The  Commissioner  of  the  FDA,  under  delegated  authority  from  the  Secretary  of  Health  and  Human  Services  (“HHS”),  may,  under  certain 
circumstances  in  connection  with  a  declared  public  health  emergency,  allow  for  the  marketing  of  a  product  that  does  not  otherwise  comply  with  FDA 
regulations by issuing an Emergency Use Authorization (“EUA”) for such product. Before an EUA may be issued by HHS, the Secretary must declare an 
emergency based on a determination that public health emergency exists that affects or has the significant potential to affect, national security, and that 
involves a specified biological, chemical, radiological, or nuclear agent or agents ("CBRN"), or a specified disease or condition that may be attributable to 
such CBRN. On February 4, 2020, the HHS Secretary determined that there is such a public health emergency that involves the virus now known as SARS-
CoV-2, the virus that causes the COVID-19 infection. Once the determination of the threat or emergency has been made, the Secretary of HHS must then 
declare that an emergency exists justifying the issuance of EUAs for certain types of products (referred to as EUA declarations). On March 27, 2020, the 
Secretary of HHS declared, on the basis of his determination of a public health emergency that has the potential to affect national security or the health and 
security  of  U.S.  citizens  living  abroad  that  involves  SARS-CoV-2,  that  circumstances  exist  justifying  authorization  of  drugs  and  biologics  during  the 
COVID-19 pandemic, subject to the terms of any EUA that is issued.  On May 11, 2023, the COVID-19 public health emergency declaration expired, but 
the end of the public health emergency declared by HHS does not affect FDA’s ability to authorize products under EUAs or existing EUA declarations. 

Once an EUA declaration has been issued, the FDA can issue EUAs for products that fall within the scope of that declaration. To issue an EUA, 
the  FDA  Commissioner  must  conclude  that  (1)  the  CBRN  that  is  referred  to  in  the  EUA  declaration  can  cause  serious  or  life-threatening  diseases  or 
conditions; (2) based on the totality of scientific evidence available, it is reasonable to believe that the product may be effective in diagnosing, treating, or 
preventing the disease or condition attributable to the CBRN and that the product’s known and potential benefits outweigh its known and potential risks; 
and (3) there is no adequate, approved, and available alternative to the product. Products subject to an EUA must still comply with the conditions of the 
EUA, including labeling and marketing requirements. Moreover, the authorization to market products under an EUA is limited to the period of time the 
EUA declaration is in effect, and the FDA can revoke an EUA in certain circumstances.

Post-Approval Requirements 

Any products manufactured or distributed pursuant to FDA approvals are subject to pervasive and continuing regulation by the FDA, including, 
among  other  things,  requirements  relating  to  record-keeping,  reporting  of  adverse  experiences  and  significant  interruptions  in  manufacturing,  periodic 
reporting, product sampling and distribution, and advertising and promotion of the product. After approval, most changes to the approved product, such as 
adding  new  indications  or  other  labeling  claims,  are  subject  to  prior  FDA  review  and  approval.  There  also  are  continuing  user  fee  requirements,  under 
which FDA assesses an annual program fee for each product identified in an approved BLA. Biologic manufacturers and their subcontractors are required 
to register their establishments with the FDA and certain state agencies, and are subject to periodic unannounced inspections by the FDA and certain state 
agencies  for  compliance  with  cGMP,  which  impose  certain  procedural  and  documentation  requirements  upon  BLA  sponsors  and  any  third-party 
manufacturers. Changes to the manufacturing process are strictly regulated, and, depending on the significance of the change, may 

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require prior FDA approval before being implemented. FDA regulations also require investigation and correction of any deviations from cGMP and impose 
reporting requirements upon us and any third-party manufacturers that we may decide to use. Accordingly, manufacturers must continue to expend time,
money and effort in the area of production and quality control to maintain compliance with cGMP and other aspects of regulatory compliance. 

The  FDA  may  withdraw  approval  if  compliance  with  regulatory  requirements  and  standards  is  not  maintained  or  if  problems  occur  after  the 
product  reaches  the  market.  Later  discovery  of  previously  unknown  problems  with  a  product,  including  adverse  events  of  unanticipated  severity  or 
frequency, or with manufacturing processes, or failure to comply with regulatory requirements, may result in revisions to the approved labeling to add new 
safety  information;  imposition  of  post-market  studies  or  clinical  studies  to  assess  new  safety  risks;  or  imposition  of  distribution  restrictions  or  other 
restrictions under a REMS program. Other potential consequences include, among other things: 

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restrictions on the marketing or manufacturing of a product, complete withdrawal of the product from the market or product recalls; 

fines, warning letters or holds on post-approval clinical studies; 

refusal of the FDA to approve pending applications or supplements to approved applications, or suspension or revocation of existing product 
approvals; 

product seizure or detention, or refusal of the FDA to permit the import or export of products; or

injunctions or the imposition of civil or criminal penalties. 

The FDA closely regulates the marketing, labeling, advertising and promotion of biologics. A company can make only those claims relating to 
safety and efficacy, purity and potency that are for uses of the product approved by the FDA, that are considered consistent with the approved label, and for 
which the company has appropriate substantiation, as applicable. The FDA and other agencies actively enforce the laws and regulations prohibiting the 
promotion of off-label uses or promotion that is otherwise false or misleading. Failure to comply with these requirements can result in, among other things, 
adverse publicity, warning letters, corrective advertising and potential civil and criminal penalties. Physicians may prescribe legally available products for 
uses that are not described in the product’s labeling and that differ from those tested by us and approved by the FDA. Such off-label uses are common 
across medical specialties. Physicians may believe that such off-label uses are the best treatment for many patients in varied circumstances. The FDA does 
not regulate the behavior of physicians in their choice of treatments. The FDA does, however, restrict manufacturer’s communications on the subject of off-
label use of their products. 

Biosimilars and Reference Product Exclusivity 

The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act (collectively ACA) signed into 
law  in  2010,  includes  a  subtitle  called  the  Biologics  Price  Competition  and  Innovation  Act  of  2009  (BPCIA)  which  created  an  abbreviated  approval 
pathway for biological products that are biosimilar to or interchangeable with an FDA-approved reference biological product. 

Biosimilarity, which requires that there be no clinically meaningful differences between the biological product and the reference product in terms 
of safety, purity, and potency, can be shown through analytical studies, animal studies, and a clinical study or studies. Interchangeability requires that a 
product is biosimilar to the reference product and the product must demonstrate that it can be expected to produce the same clinical results as the reference 
product in any given patient and, for products that are administered to a patient more than once, the biologic and the reference biologic may be alternated or 
switched after one has been previously administered without increasing safety risks or risks of diminished efficacy relative to exclusive use of the reference 
biologic. 

Under  the  BPCIA,  an  application  for  a  biosimilar  product  may  not  be  submitted  to  the  FDA  until  four  (4)  years  following  the  date  that  the 
reference product was first licensed by the FDA. In addition, the FDA may not approve a biosimilar product until twelve (12) years from the date on which 
the reference product was first licensed. During this 12-year period of exclusivity, another company may still market a competing version of the reference 
product if the FDA approves an original BLA containing that applicant’s own preclinical data and data from adequate and well-controlled clinical trials to 
demonstrate  the  safety,  purity  and  potency  of  the  competing  product.  The  BPCIA  also  created  certain  exclusivity  periods  for  biosimilars  approved  as 
interchangeable  products.  At  this  juncture,  it  is  unclear  whether  products  deemed  “interchangeable”  by  the  FDA  will,  in  fact,  be  readily  substituted  by 
pharmacies, which are governed by state pharmacy law.

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FDA Regulation of Companion Diagnostics 

Our product candidates may require use of an in vitro diagnostic to identify appropriate patient populations. These diagnostics, often referred to as 
companion  diagnostics,  are  regulated  as  medical  devices.  In  the  United  States,  the  FDCA  and  its  implementing  regulations,  and  other  federal  and  state 
statutes  and  regulations  govern,  among  other  things,  medical  device  design  and  development,  pre-clinical  and  clinical  testing,  premarket  clearance  or 
approval, registration and listing, manufacturing, labeling, storage, advertising and promotion, sales and distribution, export and import, and post-market 
surveillance.  Unless  an  exemption  applies,  companion  diagnostic  tests  require  marketing  clearance  or  approval  from  the  FDA  prior  to  commercial 
distribution. The two primary types of FDA marketing authorization applicable to a medical device are premarket notification, also called 510(k) clearance, 
and premarket approval (PMA). 

If  use  of  companion  diagnostic  is  essential  to  safe  and  effective  use  of  a  biologic  product,  then  the  FDA  generally  will  require  approval  or 
clearance of the diagnostic contemporaneously with the approval of the therapeutic product. On August 6, 2014, the FDA issued a final guidance document 
addressing the development and approval process for “In Vitro Companion Diagnostic Devices.” According to the guidance, for novel candidates such as 
our product candidates, a companion diagnostic device and its corresponding drug or biologic candidate should be approved or cleared contemporaneously 
by FDA for the use indicated in the therapeutic product labeling. The guidance also explains that a companion diagnostic device used to make treatment 
decisions in clinical trials of a drug generally will be considered an investigational device, unless it is employed for an intended use for which the device is 
already approved or cleared. If used to make critical treatment decisions, such as patient selection, the diagnostic device generally will be considered a 
significant risk device under the FDA’s Investigational Device Exemption (IDE) regulations. Thus, the sponsor of the diagnostic device will be required to 
comply  with  the  IDE  regulations.  According  to  the  guidance,  if  a  diagnostic  device  and  a  drug  are  to  be  studied  together  to  support  their  respective 
approvals, both products can be studied in the same investigational study, if the study meets both the requirements of the IDE regulations and the IND 
regulations. The guidance provides that depending on the details of the study plan and subjects, a sponsor may seek to submit an IND alone, or both an 
IND and an IDE. In July 2016, the FDA issued a draft guidance document intended to further assist sponsors of therapeutic products and sponsors of in 
vitro companion diagnostic devices on issues related to co-development of these products. 

The FDA generally requires companion diagnostics intended to select the patients who will respond to treatment to obtain approval of a PMA for 
that diagnostic contemporaneously with approval of the therapeutic. The review of these in vitro companion diagnostics in conjunction with the review of 
biologics involves coordination of review by the FDA’s Center for Drug Evaluation and Research and by the FDA’s Center for Devices and Radiological 
Health. The PMA process, including the gathering of clinical and pre-clinical data and the submission to and review by the FDA, can take several years or 
longer. It involves a rigorous premarket review during which the applicant must prepare and provide the FDA with reasonable assurance of the device’s 
safety and effectiveness and information about the device and its components regarding, among other things, device design, manufacturing and labeling. 
PMA applications are also subject to an application fee. In addition, PMAs for certain devices must generally include the results from extensive pre-clinical 
and adequate and well-controlled clinical trials to establish the safety and effectiveness of the device for each indication for which FDA approval is sought. 
In particular, for a diagnostic, the applicant must demonstrate that the diagnostic produces reproducible results when the same sample is tested multiple 
times by multiple users at multiple laboratories. In addition, as part of the PMA review, the FDA will typically inspect the manufacturer’s facilities for 
compliance  with  the  Quality  System  Regulation,  or  QSR,  which  imposes  elaborate  testing,  control,  documentation  and  other  quality  assurance 
requirements. 

If the FDA evaluations of both the PMA application and the manufacturing facilities are favorable, the FDA will either issue an approval letter or 
an approvable letter, which usually contains a number of conditions that must be met in order to secure the final approval of the PMA, such as changes in 
labeling, or specific additional information, such as submission of final labeling, in order to secure final approval of the PMA. If the FDA concludes that 
the applicable criteria have been met, the FDA will issue a PMA for the approved indications, which can be more limited than those originally sought by 
the  applicant.  The  PMA  can  include  post-approval  conditions  that  the  FDA  believes  necessary  to  ensure  the  safety  and  effectiveness  of  the  device, 
including, among other things, restrictions on labeling, promotion, sale and distribution. 

If the FDA’s evaluation of the PMA or manufacturing facilities is not favorable, the FDA will deny approval of the PMA or issue a not approvable 
letter.  A  not  approvable  letter  will  outline  the  deficiencies  in  the  application  and,  where  practical,  will  identify  what  is  necessary  to  make  the  PMA 
approvable. The FDA may also determine that additional clinical trials are necessary, in which case the PMA approval may be delayed for several months 
or years while the trials are conducted and then the data submitted in an amendment to the PMA. Once granted, PMA approval may be withdrawn by the 
FDA  if  compliance  with  post  approval  requirements,  conditions  of  approval  or  other  regulatory  standards  is  not  maintained  or  problems  are  identified 
following  initial  marketing.  PMA  approval  is  not  guaranteed,  and  the  FDA  may  ultimately  respond  to  a  PMA  submission  with  a  not  approvable 
determination  based  on  deficiencies  in  the  application  and  require  additional  clinical  trial  or  other  data  that  may  be  expensive  and  time-consuming  to 
generate and that can substantially delay approval. 

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After a device is placed on the market, it remains subject to significant regulatory requirements. Medical devices may be marketed only for the 
uses and indications for which they are cleared or approved. Device manufacturers must also establish registration and device listings with the FDA. A 
medical device manufacturer’s manufacturing processes and those of its suppliers are required to comply with the applicable portions of the QSR, which
cover the methods and documentation of the design, testing, production, processes, controls, quality assurance, labeling, packaging and shipping of medical 
devices. Domestic facility records and manufacturing processes are subject to periodic unscheduled inspections by the FDA. The FDA also may inspect 
foreign facilities that export products to the U.S.

Government Regulation Outside of the United States

In addition to regulations in the United States, we may be subject to a variety of regulations in other jurisdictions, including the European Union, 
governing,  among  other  things,  clinical  trials,  marketing  authorizations,  post-marketing  authorization  requirements  and  any  advertising,  promotion, 
commercial sales and distribution of our products. Because biologically sourced raw materials are subject to unique contamination risks, their use may be 
restricted in some countries.

Ethical,  social  and  legal  concerns  about  gene-editing  technology,  gene  therapy,  genetic  testing  and  genetic  research  could  result  in  additional 
regulations  restricting  or  prohibiting  the  processes  we  may  use.  Whether  or  not  we  obtain  FDA  approval  of  a  product,  we  must  obtain  the  requisite 
approvals from regulatory authorities in foreign countries prior to the commencement of clinical trials or marketing of the product in those countries. The 
requirements and process governing the conduct of clinical trials, product licensing, pricing and reimbursement vary from country to country. Failure to 
comply with applicable foreign regulatory requirements may be subject to, among other things, fines, suspension or withdrawal of regulatory approvals, 
product recalls, seizure of products, operating restrictions and criminal prosecution.

Non-clinical studies and clinical trials

Similarly, to the United States, the various phases of non-clinical and clinical research in the European Union are subject to significant regulatory 

controls.

Non-clinical  studies  are  performed  to  demonstrate  the  health  or  environmental  safety  of  new  chemical  or  biological  substances.  Non-clinical 
studies  must  be  conducted  in  compliance  with  the  principles  of  good  laboratory  practice,  as  set  forth  in  European  Union  Directive  2004/10/EC.  In 
particular, non-clinical studies, both in vitro and in vivo, must be planned, performed, monitored, recorded, reported and archived in accordance with the 
GLP principles, which define a set of rules and criteria for a quality system for the organizational process and the conditions for non-clinical studies. These 
GLP standards reflect the Organization for Economic Co-operation and Development requirements.

Clinical  trials  of  medicinal  products  in  the  European  Union  must  be  conducted  in  accordance  with  EU  and  national  regulations  and  the 
International  Conference  on  Harmonization  (ICH)  guidelines  on  GCPs,  as  set  out  in  EU  Commission  Implementing  Regulation  (EU)  2017/556,  EU 
Regulation (EU) 2016/679, (General Data Protection Regulations) ("GDPR"), as well as the applicable regulatory requirements and the ethical principles 
that  have  their  origin  in  the  Declaration  of  Helsinki.  Additional  GCP  guidelines  from  the  European  Commission,  focusing  in  particular  on  traceability, 
apply to clinical trials of advanced therapy medicinal products (ATMPs). If the sponsor of the clinical trial is not established within the European Union, it 
must appoint an EU entity to act as its legal representative. The sponsor must take out a clinical trial insurance policy, and in most EU member states, the 
sponsor is liable to provide ‘no fault’ compensation to any study subject injured in the clinical trial.

The regulatory landscape related to clinical trials in the EU has been subject to recent changes. The EU Clinical Trials Regulation (CTR), which 
was adopted in April 2014 and repeals the EU Clinical Trials Directive, became applicable on January 31, 2022. Unlike directives, the CTR is directly 
applicable  in  all  EU  member  states  without  the  need  for  member  states  to  further  implement  it  into  national  law.  The  CTR  notably  harmonizes  the 
assessment  and  supervision  processes  for  clinical  trials  throughout  the  European  Union  via  a  Clinical  Trials  Information  System,  which  contains  a 
centralized EU portal and database.

While the Clinical Trials Directive required a separate clinical trial application (CTA) to be submitted in each member state, to both the competent 
national health authority and an independent ethics committee, much like the FDA and IRB respectively, the CTR introduces a centralized process and only 
requires  the  submission  of  a  single  application  to  all  member  states  concerned.  The  CTR  allows  sponsors  to  make  a  single  submission  to  both  the 
competent authority and an ethics committee in each member state, leading to a single decision per member state. The CTA must include, among other 
things,  a  copy  of  the  trial  protocol  and  an  investigational  medicinal  product  dossier  containing  information  about  the  manufacture  and  quality  of  the 
medicinal product under investigation. The assessment procedure of the CTA has been harmonized as well, including a joint assessment by all member 
states concerned, and a separate assessment by each member state with respect to specific requirements related to its own territory, including ethics rules. 
Each 

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member state’s decision is communicated to the sponsor via the centralized EU portal. Once the CTA is approved, clinical study development may proceed.

The CTR foresees a three-year transition period. The extent to which ongoing and new clinical trials will be governed by the CTR varies. For 
clinical trials whose CTA was made under the Clinical Trials Directive before January 31, 2022, the Clinical Trials Directive will continue to apply on a 
transitional basis for three years. Additionally, sponsors were still able to choose to submit a CTA under either the Clinical Trials Directive or the CTR until 
January 31, 2023 and, if authorized, those are governed by the Clinical Trials Directive until January 31, 2025. By that date, all ongoing trials will become 
subject to the provisions of the CTR.

Medicines  used  in  clinical  trials  must  be  manufactured  in  accordance  with  GMP,  as  set  out  in  EU  Commission  Delegated  Regulation  (EU) 

2017/1569. Other national and EU-wide regulatory requirements may also apply.

Marketing Authorization

In  order  to  market  our  future  product  candidates  in  the  European  Union,  and  in  many  other  foreign  jurisdictions,  we  must  obtain  separate 
regulatory approvals. In the European Union, medicinal product candidates can only be commercialized after obtaining a marketing authorization (MA). To 
obtain  regulatory  approval  of  a  product  candidate  (including  an  investigational  biological  product)  under  EU  regulatory  systems,  we  must  submit  a 
marketing authorization application (MAA). The process for doing this depends, among other things, on the nature of the medicinal product. There are two 
types of MAAs:

•

•

“Centralized MAAs” are issued by the European Commission through the centralized procedure, based on the opinion of the Committee for 
Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA), and is valid throughout the European Union. It is 
compulsory for certain types of product candidates, such as (i) medicinal products derived from biotechnological processes, (ii) designated 
orphan  medicinal  products,  (iii)  ATMPs  such  as  gene  therapy,  somatic  cell-therapy  or  tissue-engineered  medicines  and  (iv)  medicinal 
products  containing  a  new  active  substance  indicated  for  the  treatment  of  HIV/AIDS,  cancer,  neurodegenerative  diseases,  diabetes,  auto-
immune  and  other  immune  dysfunctions  and  viral  diseases.  The  centralized  procedure  is  optional  for  any  other  products  containing  new 
active  substances  not  authorized  in  the  European  Union  or  for  product  candidates  which  constitute  a  significant  therapeutic,  scientific,  or 
technical innovation or for which the granting of authorization would be in the interests of public health in the European Union.

The  Committee  for  Advanced  Therapies  (CAT),  is  responsible  in  conjunction  with  the  CHMP  for  the  evaluation  of  ATMPs.  The  CAT  is 
primarily responsible for the scientific evaluation of ATMPs and prepares a draft opinion on the quality, safety and efficacy of each ATMP 
for which an MAA is submitted. The CAT’s opinion is then taken into account by the CHMP when giving its final recommendation regarding 
the authorization of a product in view of the balance of benefits and risks identified. Although the CAT’s draft opinion is submitted to the 
CHMP for final approval, the CHMP may depart from the draft opinion, if it provides detailed scientific justification. The CHMP and CAT 
are  also  responsible  for  providing  guidelines  on  ATMPs  and  have  published  numerous  guidelines,  including  specific  guidelines  on  gene 
therapies  and  cell  therapies.  These  guidelines  provide  additional  guidance  on  the  factors  that  the  EMA  will  consider  in  relation  to  the 
development  and  evaluation  of  ATMPs  and  include,  among  other  things,  the  preclinical  studies  required  to  characterize  ATMPs;  the 
manufacturing  and  control  information  that  should  be  submitted  in  a  marketing  authorization  application;  and  post-approval  measures 
required to monitor patients and evaluate the long term efficacy and potential adverse reactions of ATMPs.

“National MAs” are issued by the competent authorities of the EU member states, only cover their respective territory, and are available for 
product  candidates  not  falling  within  the  mandatory  scope  of  the  centralized  procedure.  Where  a  product  has  already  been  authorized  for 
marketing in an EU member state, this national MA can be recognized in another member state through the Mutual Recognition Procedure. If 
the  product  has  not  received  a  national  MA  in  any  member  state  at  the  time  of  application,  it  can  be  approved  simultaneously  in  various 
member  states  through  the  decentralized  procedure.  Under  the  decentralized  procedure  an  identical  dossier  is  submitted  to  the  competent 
authorities of each of the member states in which the MA is sought, one of which is selected by the applicant as the Reference member state.

Under the centralized procedure, the maximum timeframe for the evaluation of an MAA by the EMA is 210 days. In exceptional cases, the CHMP 
might perform an accelerated review of an MAA in no more than 150 days (not including clock stops). Innovative products that target an unmet medical 
need  and  are  expected  to  be  of  major  public  health  interest  may  be  eligible  for  a  number  of  expedited  development  and  review  programs,  such  as  the 
Priority  Medicines  (PRIME),  which  provides  incentives  similar  to  the  breakthrough  therapy  designation  in  the  United  States.  In  March  2016,  the  EMA 
launched  a  PRIME  scheme  as  a  voluntary  scheme  aimed  at  enhancing  the  EMA’s  support  for  the  development  of  medicines  that  target  unmet  medical 
needs. It is based on increased interaction and early dialogue with companies developing promising medicines, to optimize their product development plans 
and speed up their evaluation to help them reach patients earlier. Product developers that benefit from PRIME designation can expect to be eligible 

29

 
 
 
for accelerated assessment, but this is not guaranteed. Many benefits accrue to sponsors of product candidates with PRIME designation, including but not 
limited to, early and proactive regulatory dialogue with the EMA, frequent discussions on clinical trial designs and other development program elements, 
and accelerated MAA assessment once a dossier has been submitted. Importantly, a dedicated contact and rapporteur from the CHMP is appointed early in 
the  PRIME  scheme  facilitating  increased  understanding  of  the  product  at  EMA’s  committee  level.  An  initial  meeting  initiates  these  relationships  and 
includes a team of multidisciplinary experts at the EMA to provide guidance on the overall development and regulatory strategies. 

Moreover,  in  the  European  Union,  a  “conditional”  MA  may  be  granted  in  cases  where  all  the  required  safety  and  efficacy  data  are  not  yet 
available. The conditional MA is subject to conditions to be fulfilled for generating the missing data or ensuring increased safety measures. It is valid for
one year and has to be renewed annually until fulfillment of all the conditions (“specific obligations”). Once the pending specific obligations are fulfilled, it 
can become a “standard” MA. However, if the specific obligations are not fulfilled within the timeframe set by the EMA, the European Commission may, 
based on a scientific recommendation by the EMA, refuse to renew the MA. Furthermore, MA may also be granted “under exceptional circumstances” 
when  the  applicant  can  show  that  it  is  unable  to  provide  comprehensive  data  on  the  efficacy  and  safety  under  normal  conditions  of  use  even  after  the 
product has been authorized and subject to specific procedures being introduced. This may arise in particular when the intended indications are very rare 
and,  in  the  present  state  of  scientific  knowledge,  it  is  not  possible  to  provide  comprehensive  information,  or  when  generating  data  may  be  contrary  to 
generally accepted ethical principles. This MA is close to the conditional MA as it is reserved to medicinal products to be approved for severe diseases or 
unmet medical needs and the applicant does not hold the complete data set legally required for the grant of an MA. However, unlike the conditional MA, 
the applicant does not have to provide the missing data and will never have to. Although the MA “under exceptional circumstances” is granted definitively, 
the risk-benefit balance of the medicinal product is reviewed annually and the European Commission may, based on a scientific recommendation by the 
EMA, revoke the MA in case the risk-benefit ratio is no longer favorable.

MAs  have  an  initial  duration  of  five  years.  After  these  five  years,  the  authorization  may  be  renewed  for  an  unlimited  period  on  the  basis  of  a 

reevaluation of the risk-benefit balance.

The European Commission published new proposed legislation in late April 2023 which, if adopted by the European Parliament and the Council 
of  Ministers,  will  introduce  significant  number  of  changes  to  the  regulatory  procedures  described  above.  This  may  potentially  affect  the  MA  renewal 
procedure and the internal organization of the EMA (disbanding of CAT).

Data and marketing exclusivity

The European Union also provides opportunities for market exclusivity. Upon receiving MA, reference products generally receive eight years of 
data exclusivity and an additional two years of market exclusivity. If granted, the data exclusivity period prevents generic or biosimilar applicants from 
relying  on  the  pre-clinical  and  clinical  trial  data  contained  in  the  dossier  of  the  reference  product  when  applying  for  a  generic  or  biosimilar  MA  in  the 
European  Union  during  a  period  of  eight  years  from  the  date  on  which  the  reference  product  was  first  authorized  in  the  European  Union.  The  market 
exclusivity  period  prevents  a  successful  generic  or  biosimilar  applicant  from  commercializing  its  product  in  the  European  Union  until  10  years  have 
elapsed from the initial MA of the reference product in the European Union. The overall 10-year market exclusivity period can be extended to a maximum 
of eleven years if, during the first eight years of those 10 years, the MA 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. However, 
there is no guarantee that a product will be considered by the European Union’s regulatory authorities to be a new chemical entity, and products may not 
qualify for data exclusivity.

In the European Union, there is a special regime for biosimilars, or biological medicinal products that are similar to a reference medicinal product 
but that do not meet the definition of a generic medicinal product, for example, because of differences in raw materials or manufacturing processes. For 
such  products,  the  results  of  appropriate  preclinical  or  clinical  trials  must  be  provided,  and  guidelines  from  the  EMA  detail  the  type  of  quantity  of 
supplementary data to be provided for different types of biological product. There are no such guidelines for complex biological products, such as gene or 
cell  therapy  medicinal  products,  and  so  it  is  unlikely  that  biosimilars  of  those  products  will  currently  be  approved  in  the  European  Union.  However, 
guidance from the EMA states that they will be considered in the future in light of the scientific knowledge and regulatory experience gained at the time.

In  late  April  2023,  the  European  Commission  published  new  proposed  legislation.  If  adopted  by  the  European  Parliament  and  the  Council  of 
Ministers,  this  legislation  will  introduce  new  data  and  market  exclusivity  periods  which  are  likely  to  include  additional  requirements  and  modulation 
mechanisms. Moreover, it is possible that the proposed legislation also foresees a potential reduction in regulatory requirements for the grant of MA for 
generics and biosimilars.

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Orphan Medicinal Products

The  criteria  for  designating  an  “orphan  medicinal  product”  in  the  European  Union  are  similar  in  principle  to  those  in  the  United  States.  A 
medicinal product can be designated as an orphan if its sponsor can establish that: (1) the product is intended for the diagnosis, prevention or treatment of a 
life threatening or chronically debilitating condition; (2) either (a) such condition affects not more than five in 10,000 persons in the European Union when 
the application is made, or (b) the product, without the benefits derived from the orphan status, would not generate sufficient return in the European Union
to justify the necessary investment; and (3) there exists no satisfactory method of diagnosis, prevention or treatment of the condition in question that has 
been authorized for marketing in the European Union or, if such method exists, the product will be of significant benefit to those affected by that condition.

In the European Union, an application for designation as an orphan product can be made any time prior to the filing of the application for MA. 
Orphan drug designation entitles a party to incentives such fee reductions or fee waivers, protocol assistance, and access to the centralized procedure. Upon 
grant of an MA, and if the orphan designation is confirmed by the EMA's Committee for Orphan Medicinal Products (COMP), orphan medicinal products 
are entitled to a ten-year period of market exclusivity for the approved therapeutic indication, which means that the regulatory authorities cannot accept 
another MAA, grant an MA, or accept an application to extend an MA for a similar product for the same indication for a period of ten years. The period of 
market exclusivity is extended by two years for orphan medicinal products that have also complied with an agreed pediatric investigation plan (PIP). No 
extension to any supplementary protection certificate can be granted on the basis of pediatric studies for orphan indications. Orphan drug designation does 
not convey any advantage in, or shorten the duration of, the regulatory review and approval process.

The orphan exclusivity period may, however, be reduced to six years if, at the end of the fifth year, it is established that the product no longer 
meets  the  criteria  for  which  it  received  orphan  drug  destination,  including  where  it  is  shown  that  the  product  is  sufficiently  profitable  not  to  justify 
maintenance of market exclusivity, or where the prevalence of the condition has increased above the threshold. Granting of an authorization for another 
similar orphan medicinal product where another product has market exclusivity can happen at any time if: (i) the second applicant can establish that its 
product, although similar to the authorized product, is safer, more effective or otherwise clinically superior, (ii) inability of the applicant to supply sufficient 
quantities  of  the  orphan  medicinal  product  or  (iii)  where  the  applicant  consents  to  a  second  orphan  medicinal  product  application.  A  company  may 
voluntarily remove a product from the orphan register.

The European Commission published new proposed legislation in late April 2023 which, if adopted by the European Parliament and the Council 
of Ministers, will introduce significant number of changes to the market exclusivities granted to orphan medicinal products and the related procedures and 
requirements.

Pediatric Development

In  the  European  Union,  MAAs  for  new  medicinal  products  have  to  include  the  results  of  trials  conducted  in  the  pediatric  population,  in 
compliance with a PIP agreed with the EMA’s Pediatric Committee (PDCO). The PIP sets out the timing and measures proposed to generate data to support 
a  pediatric  indication  of  the  drug  for  which  an  MA  is  being  sought.  The  PDCO  can  grant  a  deferral  of  the  obligation  to  implement  some  or  all  of  the 
measures of the PIP until there are sufficient data to demonstrate the efficacy and safety of the product in adults. Further, the obligation to provide pediatric 
clinical trial data can be waived by the PDCO when these data are not needed or appropriate because the product is likely to be ineffective or unsafe in 
children, the disease or condition for which the product is intended occurs only in adult populations, or when the product does not represent a significant 
therapeutic  benefit  over  existing  treatments  for  pediatric  patients.  Once  the  MA  is  obtained  in  all  member  states  and  study  results  are  included  in  the 
product information, even when negative, the product is eligible for a six-months supplementary protection certificate extension (if any is in effect at the 
time of approval) or, in the case of orphan pharmaceutical products, a two-year extension of the orphan market exclusivity is granted.

Post-Approval Requirements

Similar to the United States, both MA holders and manufacturers of medicinal products are subject to comprehensive regulatory oversight by the 
EMA, the European Commission and/or the competent regulatory authorities of the member states. The holder of an MA must establish and maintain a 
pharmacovigilance  system  and  appoint  an  individual  qualified  person  for  pharmacovigilance  who  is  responsible  for  oversight  of  that  system.  Key 
obligations include expedited reporting of suspected serious adverse reactions and submission of periodic safety update reports (PSURs).

All  new  MAAs  must  include  a  risk  management  plan  (RMP)  describing  the  risk  management  system  that  the  company  will  put  in  place  and 
documenting measures to prevent or minimize the risks associated with the product. The regulatory authorities may also impose specific obligations as a 
condition  of  the  MA.  Such  risk-minimization  measures  or  post-authorization  obligations  may  include  additional  safety  monitoring,  more  frequent 
submission of PSURs, or the conduct of additional clinical trials or post-authorization safety studies. 

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The  advertising  and  promotion  of  medicinal  products  is  also  subject  to  laws  concerning  promotion  of  medicinal  products,  interactions  with 
physicians,  misleading  and  comparative  advertising  and  unfair  commercial  practices.  All  advertising  and  promotional  activities  for  the  product  must  be 
consistent  with  the  approved  summary  of  product  characteristics,  and  therefore  all  off-label  promotion  is  prohibited.  Direct-to-consumer  advertising  of
prescription medicines is also prohibited in the European Union. Although general requirements for advertising and promotion of medicinal products are 
established under EU directives, the details are governed by regulations in each member state and can differ from one country to another. A new legislative 
proposal by the European Commission published in late April 2023 contains new proposed rules, which, if adopted by the European Parliament and the 
Council, will restrict comparative advertising of medicinal products in the EU.

The aforementioned EU rules are generally applicable in the European Economic Area (EEA), which consists of the 27 EU member states plus 

Norway, Liechtenstein and Iceland.

Failure to comply with EU and member state laws that apply to the conduct of clinical trials, manufacturing approval, MA of medicinal products 
and marketing of such products, both before and after grant of the MA, manufacturing of pharmaceutical products, statutory health insurance, bribery and 
anti-corruption  or  with  other  applicable  regulatory  requirements  may  result  in  administrative,  civil  or  criminal  penalties.  These  penalties  could  include 
delays or refusal to authorize the conduct of clinical trials, suspension of the conduct of clinical trials, rejection of clinical trial data, or refusal to grant MA, 
product  withdrawals  and  recalls,  product  seizures,  suspension,  withdrawal,  revocation  or  variation  of  the  MA,  total  or  partial  suspension  of  production, 
distribution, manufacturing or clinical trials, operating restrictions, injunctions, suspension of licenses, significant fines and criminal penalties.

Brexit and the Regulatory Framework in the United Kingdom

The United Kingdom left the European Union on January 31, 2020, following which existing EU medicinal product legislation continued to apply 
in  the  United  Kingdom  during  the  transition  period  under  the  terms  of  the  EU-UK  Withdrawal  Agreement.  The  transition  period,  which  ended  on 
December 31, 2020, maintained access to the EU single market and to the global trade deals negotiated by the European Union on behalf of its members. 
The transition period provided time for the United Kingdom and European Union to negotiate a framework for partnership for the future, which was then 
crystallized  in  the  Trade  and  Cooperation  Agreement  (TCA)  and  became  effective  on  the  January  1,  2021.  The  TCA  includes  specific  provisions 
concerning  pharmaceuticals,  which  include  the  mutual  recognition  of  GMP  inspections  of  manufacturing  facilities  for  medicinal  products  and  GMP 
documents issued, but does not foresee wholesale mutual recognition of UK and EU pharmaceutical regulations.

EU laws which have been transposed into UK law through secondary legislation continue to be applicable as “retained EU law”. However, new 
legislation such as the EU CTR will not be applicable. The UK government has passed a new Medicines and Medical Devices Act 2021, which introduces 
delegated  powers  in  favor  of  the  Secretary  of  State  or  an  ‘appropriate  authority’  to  amend  or  supplement  existing  regulations  in  the  area  of  medicinal 
products  and  medical  devices.  This  allows  new  rules  to  be  introduced  in  the  future  by  way  of  secondary  legislation,  which  aims  to  allow  flexibility  in 
addressing regulatory gaps and future changes in the fields of human medicines, clinical trials and medical devices.

As of January 1, 2021, the Medicines and Healthcare products Regulatory Agency (MHRA) is the UK’s standalone medicines and medical devices 
regulator. As a result of the Northern Ireland protocol, different rules will apply in Northern Ireland than in England, Wales, and Scotland (Great Britain); 
broadly, Northern Ireland will continue to follow the EU regulatory regime, but its national competent authority will remain the MHRA. The MHRA has 
published a guidance on how various aspects of the UK regulatory regime for medicines will operate in Great Britain and in Northern Ireland following the 
expiry  of  the  Brexit  transition  period  on  December  31,  2020.  The  guidance  includes  clinical  trials,  importing,  exporting,  and  pharmacovigilance  and  is 
relevant to any business involved in the research, development, or commercialization of medicines in the United Kingdom. The new guidance was given 
effect via the Human Medicines Regulations (Amendment etc.) (EU Exit) Regulations 2019 (Exit Regulations).

The MHRA has introduced changes to national licensing procedures, including procedures to prioritize access to new medicines that will benefit
patients,  including  a  150-day  assessment  and  a  rolling  review  procedure.  All  existing  EU  MAs  for  centrally  authorized  products  were  automatically 
converted or grandfathered into UK MAs, effective in Great Britain (only), free of charge on January 1, 2021, unless the MA holder chooses to opt-out. In 
order to use the centralized procedure to obtain an MA that will be valid throughout the EEA, companies must be established in the EEA. Therefore, after 
Brexit, companies established in the United Kingdom can no longer use the EU centralized procedure and instead an EEA entity must hold any centralized 
MAs. In order to obtain a UK MA to commercialize products in the UK, an applicant must be established in the United Kingdom and must follow one of 
the  UK  national  authorization  procedures  or  one  of  the  remaining  post-Brexit  international  cooperation  procedures  to  obtain  an  MA  to  commercialize 
products in the United Kingdom. The MHRA may rely on a decision taken by the European Commission on the approval of a new (centralized procedure) 
MA when determining an application for a Great Britain authorization or use the MHRA’s decentralized or mutual recognition procedures which enable 
MAs approved in EU member states (or Iceland, Liechtenstein, Norway) to be granted in Great Britain.

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There will be no pre-MA orphan designation. Instead, the MHRA will review applications for orphan designation in parallel to the corresponding 
MA application. The criteria are essentially the same, but have been tailored for the market (i.e., the prevalence of the condition in Great Britain, rather 
than the European Union, must not be more than five in 10,000). Should an orphan designation be granted, the period or market exclusivity will be set from 
the date of first approval of the product in Great Britain.

Regulation of Companion Diagnostics

In  the  European  Union,  in  vitro  diagnostic  medical  devices  (IVDs)  were  regulated  by  Directive  98/79/EC  (the  Directive)  which  regulates  the 
placing on the market, the CE marking, the essential requirements, the conformity assessment procedures, the registration obligations for manufactures and 
devices as well as the vigilance procedure. In vitro diagnostic medical devices were required to comply with the requirements provided for in the Directive, 
and with further requirements implemented at national level (as the case may be). For certain IVDs, compliance with the essential requirements was subject 
to assessment by a notified body. Notified bodies are entities designated by the relevant NCAs and are responsible for assessing the conformity of IVDs 
before they are placed on the EU market. Under the Directive, the majority of IVDs could be placed on the market as a result of the manufacturer self-
certifying the IVD as being in conformity with the essential requirements, without the involvement of a Notified Body.

The  Directive  was  replaced  by  the  Regulation  (EU)  2017/746  of  the  European  Parliament  and  of  the  Council  on  in  vitro  diagnostic  medical 
devices (EU IVDR) that entered into force in May 2017, and which initially included a 5-year transition period until its original effective date of May 26, 
2022. Unlike the Directive, that specifies certain requirements that must be achieved by each Member State and permits each Member State to decide how 
to transpose the Directive into national law to meet those requirements, the IVDR has direct binding legal force throughout every Member State without the 
need for national implementation. However, due to multiple challenges to the EU IVDR being ready for full application by the May 2022 implementation 
date, Regulation (EU) 2022/112 of the Parliament and of the Council was published on 25 January 2022 allowing for a delay to the application of the IVDR 
by  amending  the  transition  provision  for  certain  in  vitro  diagnostic  medical  devices.  For  products  classified  as  Class  C  under  the  IVDR,  the  transition 
period allows for legacy devices with a valid declaration of conformity drawn up prior to May 26, 2022 to continue to be placed on the market until May
26, 2026. However, certain IVDR requirements, including post-market surveillance, market surveillance, vigilance, and registration of economic operators 
and devices remained effective on the May 26, 2022 implementation date. On January 23, 2024, the European Commission announced proposals to further 
extend the IVDR transition provisions in order to ensure availability of IVDs.  Under the proposal, the transition period in the IVDR will be extended to 
December 2028 for Class C high individual and/or moderate public health risk devices. Medical devices certified under the Directive may benefit from the 
extension provided they meet certain conditions (i.e., continue to comply with the Directive, not be the subject of significant changes on design or intended 
purpose, etc.). The proposal needs to be adopted by the European Parliament and Council before it enters into force.

The  EU  IVDR  introduces  a  new  classification  system  for  companion  diagnostics  which  are  now  specifically  defined  as  diagnostic  tests  that 
support  the  safe  and  effective  use  of  a  specific  medicinal  product,  by  identifying  patients  that  are  suitable  or  unsuitable  for  treatment.  Companion 
diagnostics will have to undergo a conformity assessment by a notified body. Before it can issue a CE certificate, the notified body must seek a scientific 
opinion from the EMA on the suitability of the companion diagnostic to the medicinal product concerned if the medicinal product falls exclusively within 
the scope of the centralized procedure for the authorization of medicines, or the medicinal product is already authorized through the centralized procedure, 
or an MAA for the medicinal product has been submitted through the centralized procedure. For other substances, the notified body can seek the opinion 
from a national competent authority or the EMA.

Other Healthcare Laws and Compliance Requirements 

Pharmaceutical  companies  are  subject  to  additional  healthcare  regulation  and  enforcement  by  the  federal  government  and  by  authorities  in  the 
states and foreign jurisdictions in which they conduct their business, which may constrain the financial arrangements and relationships through which we 
and our partners research, sell, market and distribute any products for which we obtain marketing approval. Such laws include, without limitation, state and 
federal anti-kickback, fraud and abuse, false claims, and transparency laws regarding drug pricing and payments and other transfer of value to physicians 
and other healthcare providers. If their operations are found to be in violation of any of such laws or any other governmental regulations that apply, they 
may be subject to penalties, including, without limitation, civil, criminal and administrative penalties, damages, fines, exclusion from government-funded 
healthcare programs, such as Medicare and Medicaid or similar programs in other countries or jurisdictions, integrity oversight and reporting obligations to 
resolve  allegations  of  non-compliance,  disgorgement,  imprisonment,  contractual  damages,  reputational  harm,  diminished  profits  and  the  curtailment  or 
restructuring of our operations. 

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Data Privacy and Security Laws

Numerous state, federal and foreign laws, including privacy and consumer protection laws and regulations, govern the collection, dissemination, 
use, access to, confidentiality, and security of personal information, including health-related information. In the United States, numerous federal and state 
laws and regulations, including data breach notification laws, health information privacy and security laws, state privacy laws and regulations,  and state 
consumer  protection  laws  and  regulations  (e.g.,  Section  5  of  the  FTC  Act,  the  California  Consumer  Privacy  Act  ("CCPA"),  and  the  Confidentiality  of 
Medical Information Act ("CMIA")), that govern the collection, use, disclosure, and protection of health-related and other personal information could apply 
to our operations or the operations of our partners. In addition, certain foreign laws, including the GDPR in the EEA, govern the privacy and security of 
personal data, including health-related data in certain circumstances, many of which differ from each other in significant ways and may not have the same 
effect, thus complicating compliance efforts. Failure to comply with these laws, where applicable, can result in the imposition of significant civil and/or 
criminal penalties and private litigation. Privacy and security laws, regulations, and other obligations are constantly evolving, may conflict with each other 
to  complicate  compliance  efforts,  and  can  result  in  investigations,  proceedings,  or  actions  that  lead  to  significant  civil  and/or  criminal  penalties  and 
restrictions on processing of personal information and other data.

Coverage and Reimbursement 

Significant  uncertainty  exists  as  to  the  coverage  and  reimbursement  status  of  any  pharmaceutical  or  biological  product  for  which  we  obtain
regulatory approval. Sales of any product depend, in part, on the extent to which such product will be covered by third-party payors, such as federal, state, 
and  foreign  government  healthcare  programs,  commercial  insurance  and  managed  healthcare  organizations,  and  the  level  of  reimbursement  for  such 
product by third-party payors. Decisions regarding the extent of coverage and amount of reimbursement to be provided are made on a plan-by-plan basis. 
For products administered under the supervision of a physician, obtaining coverage and adequate reimbursement may be particularly difficult because of 
the higher prices often associated with such drugs. Additionally, separate reimbursement for the product itself or the treatment or procedure in which the 
product is used may not be available, which may impact physician utilization. 

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.  Third-party  payors  are  increasingly 
challenging the prices charged for medical products and services, examining the medical necessity and reviewing the cost effectiveness of pharmaceutical 
or  biological  products,  medical  devices  and  medical  services,  in  addition  to  questioning  safety  and  efficacy.  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 physician usage 
and  patient  demand  for  the  product.  No  regulatory  authority  has  granted  approval  for  an  individualized  cancer  immunotherapy  based  on  a  vaccine 
approach, and there is no model for reimbursement of this type of product. 

Healthcare Reform 

The United States and some foreign jurisdictions are considering or have enacted a number of reform proposals to change the healthcare system. 
There  is  significant  interest  in  promoting  changes  in  healthcare  systems  with  the  stated  goals  of  containing  healthcare  costs,  improving  quality  or 
expanding  access.  In  the  United  States,  the  pharmaceutical  industry  has  been  a  particular  focus  of  these  efforts  and  has  been  significantly  affected  by 
federal and state legislative initiatives, including those designed to limit the pricing, coverage, and reimbursement of pharmaceutical and biopharmaceutical 
products, especially under government-funded health care programs, and increased governmental control of drug pricing. 

In  March  2010,  the  ACA  was  signed  into  law,  which  substantially  changed  the  way  healthcare  is  financed  by  both  governmental  and  private 
insurers in the United States, and significantly affected the pharmaceutical industry. The ACA contains a number of provisions of particular import to the 
pharmaceutical and biotechnology industries, including, but not limited to, those governing enrollment in federal healthcare programs, a new methodology 
by which rebates owed by manufacturers under the Medicaid Drug Rebate Program are calculated for drugs that are inhaled, infused, instilled, implanted or 
injected, and annual fees based on pharmaceutical companies’ share of sales to federal health care programs. Since its enactment, there have been judicial, 
Congressional, and executive branch challenges to certain aspects of the ACA. On June 17, 2021, the U.S. Supreme Court dismissed a  judicial challenge to 
the ACA brought by several states without specifically ruling on the constitutionality of the ACA.  Prior to the Supreme Court’s decision, President Biden 
issued an executive order to initiate a special enrollment period for purposes of obtaining health insurance coverage through the ACA marketplace from 
February  15,  2021  through  August  15,  2021.  The  executive  order  also  instructed  certain  governmental  agencies  to  review  and  reconsider  their  existing 
policies and rules that limit access to healthcare, including among others, reexamining Medicaid demonstration projects and waiver programs that include 
work requirements, and policies that create unnecessary barriers to obtaining access to health insurance coverage through Medicaid or the ACA. 

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In  addition,  other  legislative  changes  have  been  proposed  and  adopted  in  the  United  States  since  the  ACA  was  enacted,  including  aggregate 
reductions  of  Medicare  payments  which  went  into  effect  April  1,  2013  and  will  remain  in  effect  through  2032,  with  the  exception  of  a  temporary 
suspension from May 1, 2020 through March 31, 2022 unless additional Congressional action is taken.

Moreover, there has been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed products, which 
has resulted in several Congressional inquiries, hearings and proposed and enacted federal legislation and rules, as well as Executive Orders, designed to, 
among other things, reduce or limit the prices of drugs and make them more affordable for patients, such as by tying the prices that Medicare reimburses 
for  physician-administered  drugs  to  the  prices  of  drugs  in  other  countries,  including  through  increasing  manufacturer  contributions  to  offset  Medicare 
beneficiary costs, bring more transparency to drug pricing rationale and methodologies, revise rules associated with the calculation of Medicaid Average 
Manufacturer  Price  and  Best  Price,  including  removing  the  statutory  100%  of  Average  Manufacturer  Price  per-unit  cap  on  Medicaid  rebate  liability 
effective January 1, 2024, which may significantly affect the amount of rebates paid on prescription drugs under Medicaid, and facilitate the importation of 
certain lower-cost drugs from other countries. More recently, on August 16, 2022, the Inflation Reduction Act of 2022, or IRA, went into law. Among other 
things, the IRA requires manufacturers of certain drugs to engage in price negotiations with Medicare (beginning in 2026), imposes rebates under Medicare 
Part B and Medicare Part D to penalize price increases that outpace inflation (beginning in 2023) and replaces the Part D coverage gap discount program 
with a new discounting program (beginning in 2025). The IRA permits the Secretary of the Department of Health and Human Services to implement many 
of these provisions through guidance, as opposed to regulation, for the initial years. For that and other reasons, it is currently unclear how the IRA will be 
effectuated. At the state level, legislatures have increasingly passed legislation and implemented regulations designed to control pharmaceutical 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, designed to encourage importation from other countries and bulk purchasing.

We expect that additional state and federal healthcare reform measures will be adopted in the future, any of which could limit the amounts that 
federal  and  state  governments  will  pay  for  healthcare  products  and  services,  which  could  result  in  reduced  demand  for  our  products  once  approved  or 
additional pricing pressures. The implementation of cost containment measures or other healthcare reforms may prevent us from being able to generate 
revenue, attain profitability or commercialize our product candidates.

EDGE Development 

Our Interactions with the Regulatory Health Authorities

In  two  separate  FDA  interactions,  the  FDA  advised  us  that  our  machine-learning  software  will  not  be  subject  to  medical  device  diagnostic 
regulations. In August 2016, the FDA’s Center for Devices and Radiological Health, determined that the TSNA prediction software is a Non-Significant 
Risk (NSR), device, and that an IDE submission was not required to conduct clinical studies with our product candidate. In April 2017, the FDA’s Center 
for  Biologics  Evaluation  and  Research  (CBER)  confirmed  that  medical  device  diagnostic  regulations  did  not  apply  to  our  testing  and  processing  of  the 
patient-specific TSNA, and that quality requirements could be met through compliance with biologic cGMPs. Based on these interactions, we believe no 
additional device-related regulatory submissions (such as an investigational device exemption or pre-market approval application) or device development 
activities are required, and our TSNA prediction software procedure will be regulated as part of our cGMP manufacturing process.  

GRANITE Development Program

Preclinical Safety 

In a Pre-IND interaction with the FDA’s CBER Office of Tissues and Advanced Therapies (OTAT) the FDA advised us that a single toxicological 
animal study with a representative vector could be able to support preclinical safety for purposes of IND submission. Subsequent to this discussion, we 
submitted  proposed  protocols  for  GLP  toxicology  and  biodistribution  studies  for  OTAT’s  review  in  connection  with  a  Pre-IND  meeting,  and  OTAT 
confirmed that a single GLP toxicology study could support IND submission. In this GLP toxicology study, we administered our ChAd and the samRNA 
vectors to Indian Rhesus macaques. The heterologous prime-boost immunotherapy approach when administered intramuscularly was well tolerated at the 
clinical maximal dose of each platform, with some animals presenting flu-like symptoms. Preclinical chemistry findings included a transient increase in 
select cytokines, which resolved rapidly. 

Clinical Regulatory 

In  our  GRANITE  Pre-IND  meeting  with  OTAT  the  FDA  previewed  Clinical  Protocol  GO-004  and  confirmed  that  the  overall  design  appeared 
reasonable,  while  providing  comments  on  the  study  populations  and  dose  determination  which  we  incorporated  into  the  Phase1/2  protocol.  OTAT  also 
concurred with our dose limiting toxicity assessment criteria, but reserved comment on the starting 

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dose and dose escalation pending the completion of planned preclinical studies. We intend to include these elements in the protocol, which we believe may 
permit a faster progression and fewer patients to reach the clinical protocol’s combination cohort (Phase 1, Part C).

In our Type-C meeting with OTAT, the FDA reviewed the Phase 2/3 clinical study design for the planned study evaluating front-line maintenance 
in  patients  with  MSS-CRC  and  discussed  approaches  for  a  registrational  path.  We  believe  we  have  aligned  with  the  FDA  to  conduct  a  combined,  yet 
regulatorily  and  statistically  distinct  Phase  2/3  clinical  study.  Molecular  response  is  the  primary  endpoint  for  the  phase  2  component  of  the  trial,  an 
exploratory efficacy endpoint in the FDA’s view. We expect that preliminary Phase 2 data, including molecular response, RECIST radiologic response and 
Progression-Free  Survival  (utilizing  iRECIST/iPFS  as  well  as  RECIST/PFS),  together  with  available  ctDNA  data  will  be  previewed  with  the  FDA  in  a 
subsequent meeting. We expect that the MSS-CRC patient population will be defined with local testing to exclude MSI-Hi patients, with reference data 
characterizing the expected negligible contributory effect of PD-(L)1/ipilimumab in combination with GRANITE.

Regulatory Chemistry, Manufacturing & Controls 

In a Type-C Facilities meeting with the FDA’s CBER Division of Manufacturing and Product Quality (DMPQ) we obtained FDA feedback on our 
then-proposed design for the multi-use clinical manufacturing facility in Pleasanton, California. Importantly, the FDA concurred with our plan to build a 
facility  designed  to  accommodate  manufacture  of  multiple  patient-specific  lots  in  parallel  within  the  same  manufacturing  suite,  which  we  expect  will 
provide a substantial increase in scalability within a smaller allocation of cleanrooms. 

At our subsequent GRANITE Pre-IND meeting with OTAT, the FDA concurred with our proposed use of select rapid release testing methods in 
which we proposed replacing standard cell-culture based tests with faster polymerase chain reaction methods. As discussed with the FDA, we submitted 
qualification of these methods in our IND submission for GRANITE. The FDA also found our proposed stability program to be generally acceptable to 
support the then-proposed Phase 1 clinical study of GRANITE, where only one representative patient lot per year was placed on product stability during 
conduct of the clinical program. 

In  support  of  transitioning  the  GRANITE  manufacturing  process  from  external  contract  manufacturing  organizations  to  Our  Pleasanton 
manufacturing facility, an IND amendment was submitted to the FDA outlining the Chemistry, Manufacturing, and Controls documentation changes for the 
ChAd and samRNA product candidates. These revisions included a plasmid backbone change for the samRNA vector and a process improvement for the 
samRNA drug substance. These updates have been implemented and are currently being utilized in our Pleasanton manufacturing facility.

In our Type-C meeting with OTAT, the FDA clarified phase appropriate CMC requirements to support advancement into late clinical development. 
The FDA detailed qualification efforts for bioinformatics, manufacturing, and testing to be submitted prior to initiation of the Phase 2 and Phase 3 portions 
of  the  Phase  2/3  clinical  study.  These  include  providing  bioinformatics  documentation,  qualification  of  critical  analytical  assays  which  include  a  robust 
potency assay, as well as materials to support manufacturing process improvements being implemented for GRT-C901 and GRT-R902. We expect that a 
comprehensive review of CMC will occur in a subsequent pre-Phase 3 meeting with the FDA. 

GRANITE Regulatory Milestones

The FDA allowed IND for GRANITE to proceed in September 2018. In December 2018, the FDA granted fast track designation to GRANITE for 

the treatment of colorectal cancer.

SLATE Development Program

Preclinical Safety 

In pre-IND communications with the FDA, following a justification of comparability of ChAd and samRNA products, we received feedback from 
the  FDA  noting  that  pre-clinical  pharmacology,  pharmacokinetic,  and  toxicology  studies  conducted  in  support  of  the  GRANITE  IND,  could  be  used  to 
support  the  initiation  of  the  clinical  study  proposed  under  the  SLATE  IND.  In  follow-up  correspondence,  the  FDA  requested  additional  safety 
pharmacology information on the general anticipated immunogenicity and auto-reactivity elicited with each of the 20 neoantigens expressed in the SLATE 
cassette, as well as the impact of order and orientation of the neoantigens within the expression cassette.

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Clinical Regulatory 

In our SLATE Pre-IND communication with OTAT the FDA previewed Clinical Protocol NCT03953235, GO-005 and confirmed that the overall 
design appeared reasonable, but requested we add language to clarify our proposed dose escalation and stopping rules. The FDA had additional questions 
on our proposed Next Generation Sequencing method to screen patients for their HLA type and communicated that this novel method may be viewed as a 
companion diagnostic.

Regulatory Chemistry, Manufacturing & Controls 

Much of the manufacturing process contained in SLATE was similar to that used in the GRANITE IND, therefore, the FDA’s pre-IND feedback 
focused primarily on the quality of the reagents, drug product characterization and release, and ongoing stability requests. The FDA inquired on the status 
of certain research-grade reagents and reminded us of the need to progress to GMP grade materials in the manufacture drug product by the time of BLA 
approval and commercial licensure. In order to retain consistency in the manufactured drug product across SLATE batches, we were asked to amend the 
specification of certain release assays’ criteria and continue the development of quantitative potency assays for the ChAd and samRNA products prior to 
approval, and we were asked to summarize our QC plan to prevent, detect, and correct deficiencies that may compromise product integrity or function, or 
that  may  lead  to  the  possible  transmission  of  adventitious  infectious  agents.  Additionally,  the  FDA  provided  feedback  on  the  proposed  method  for 
qualifying Gritstone’s proposed accelerated adventitious agent release assay. 

SLATE Regulatory Milestones

The FDA allowed our IND for SLATE to proceed in June 2019.

CORAL Development Program

A pre-IND interaction with the FDA was conducted to review the proposed clinical investigation of ChAd vectors encoding the SARS-CoV-2 and 
CD8+ T-cell epitope spike antigen sequences in normal healthy subjects. The FDA concluded that the overall manufacturing and release testing for the 
CORAL  vaccines  candidates,  which  is  similar  to  the  GRANITE/SLATE  process,  appeared  acceptable  and  requested  detail  on  the  transfection  process, 
grade  of  materials,  and  release  tests  be  submitted  in  the  IND.  We  also  received  feedback  that  pre-clinical  pharmacokinetic,  and  toxicology  studies 
conducted in support of the GRANITE IND could be used to support the safety information needed to initiate the SARS-CoV-2 clinical study, and that 
additional  animal  immune  response  pharmacodynamic  data  would  be  submitted  within  the  IND.  The  FDA  previewed  the  proposed  clinical  protocol, 
confirmed that the overall design appeared reasonable and requested we include language to clarify dose escalation, stopping rules and a sentinel arm. The 
FDA requested that we exclude those subjects who are being treated with COVID-19 investigational agents or who have a high risk of potential exposure 
to SARS-CoV-2.

CORAL Regulatory Milestones

In March 2021, the FDA acknowledged our biologics master file which provides CMC and non-clinical sections support of NIH’s IND to study 

CORAL program candidates in previously vaccinated healthy volunteers.

In  August  2021,  the  MHRA  provided  a  notice  of  acceptance  for  our  CTA  to  initiate  a  clinical  study  of  certain  CORAL  program  candidates  to 

boost vaccinate healthy volunteers >60 years in the UK.

In December 2021, the MHRA provided a notice of acceptance for our CTA to initiate a clinical study of certain CORAL program candidates in 

previously vaccinated B-cell deficient subjects in the UK.

South Africa’s SAHPRA provided a notice of acceptance for our CTA to initiate a clinical study to test certain CORAL program candidates in 

COVID-19 naïve, convalescent, and HIV subjects in South Africa.

In July 2022, Gritstone held a Scientific Advice meeting with the MHRA to discuss the importance of cellular immunity for the development of a 
COVID vaccine. The MHRA agreed that in principle, T cells could be important for protection against viral infection. The MHRA also acknowledged that 
T cell responses to non-spike epitopes may create an advantage for protection against new variants and potentially increase durability. The MHRA also 
agreed that T cell data may be included in the summary of product characteristics.

  In  November  2023,  we  submitted  an  IND  application  to  the  FDA  for  our  Phase  2b  CORAL  Study  designed  to  evaluate  our  next-generation 
CORAL  vaccine  candidate  against  COVID-19.  In  December  2023,  we  were  notified  by  the  FDA  that  our  Phase  2b  CORAL  Study  had  been  placed  on 
clinical hold. In January 2024, we received the formal clinical hold letter from the FDA, identifying certain 

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CMC and clinical deficiencies. The FDA informed us that, among other changes, we will be required to use GMP-grade materials in the manufacture of the 
vaccine as well as implement minor changes in the clinical trial protocol. We are working on preparing a complete response to the FDA’s letter in an effort 
to remove the clinical hold from our IND application. This includes re-manufacturing our CORAL vaccine candidate to be used in the Phase 2b CORAL
Study with GMP-grade materials.

We manage our operations as a single reportable segment for the purposes of assessing performance and making operating decisions. See “Note 2. 

Summary of Significant Accounting Policies” in the notes to the consolidated financial statements included elsewhere in this Annual Report on Form 10-K.

Financial Information About Segments

Employees

As  a  mission-driven  organization,  we  value  and  foster  a  culture  of  collaboration,  discovery  and  passion,  which  is  reflected  in  our  hiring  and 
retention strategies. We employ talented individuals who have the skills and expertise to meet the challenges of our mission, and we recognize that our 
employees are key to our success. Our human capital objectives include hiring goals set to provide us with necessary expertise, integrating new employees, 
and retaining, incentivizing and developing our existing employees. 

As of December 31, 2023, we had 231 full-time employees, including a total of 54 employees with M.D. or Ph.D. degrees. Within our workforce, 
98  employees  are  engaged  in  research  and  development,  78  in  manufacturing  and  quality,  and  55  are  engaged  in  business  development,  finance,  legal, 
human resources, facilities, information technology and general management and administration. None of our employees are represented by labor unions or 
covered by collective bargaining agreements. We consider our relationship with our employees to be good. 

Corporate Information

We were founded in August 2015 as a Delaware corporation. In May 2021, we changed our name from Gritstone Oncology, Inc. to Gritstone bio,
Inc. Our principal executive offices are located at 5959 Horton Street, Suite 300, Emeryville, California 94608, and our telephone number is (510) 871-
6100. Our website address is www.gritstonebio.com. The information on, or that can be accessed through, our website is not part of this Annual Report on 
Form 10-K and is not incorporated by reference herein. We have included our website address as an inactive textual reference only. We also use our website 
as a means of disclosing material non-public information and for complying with our disclosure obligations under Regulation FD. 

We file electronically with the Securities and Exchange Commission (SEC) our annual reports on Form 10-K, quarterly reports on Form 10-Q and 
current reports on Form 8-K pursuant to Section 13(a) or 15(d) of the Exchange Act. We make available on our website at www.gritstonebio.com, free of 
charge,  copies  of  these  reports,  as  soon  as  reasonably  practicable  after  we  electronically  file  such  material  with,  or  furnish  it  to,  the  SEC.  The  SEC 
maintains a website that contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC. 
The address of that website is www.sec.gov. The information in or accessible through the SEC and our website or social media sites does not constitute part 
of this Annual Report on Form 10-K or any other report or document we file with the SEC, and any references to our website and social media sites are 
intended to be inactive textual references only. 

We use Gritstone bio, Inc.®, the Gritstone bio logo, and other marks as trademarks, including, in particular, EDGETM,  in  the  United  States  and 
other countries. This Annual Report on Form 10-K contains references to our trademarks and service marks and to those belonging to other entities. Solely 
for  convenience,  trademarks  and  trade  names  referred  to  in  this  Annual  Report  on  Form  10-K,  including  logos,  artwork  and  other  visual  displays,  may 
appear without the ® or ™ symbols, but such references are not intended to indicate in any way that we will not assert, to the fullest extent under applicable 
law, our rights or the rights of the applicable licensor to these trademarks and trade names. We do not intend our use or display of other entities’ trade 
names, trademarks or service marks to imply a relationship with, or endorsement or sponsorship of us by any other entity.

Item 1A. Risk Factors. 

Investing  in  our  common  stock  involves  a  high  degree  of  risk.  You  should  carefully  consider  the  risks  described  below,  as  well  as  the  other 
information in this Annual Report on Form 10-K, including our consolidated financial statements and the related notes and “Management’s Discussion 
and  Analysis  of  Financial  Condition  and  Results  of  Operations,”  and  the  information  contained  in  our  other  public  filings  before  deciding  whether  to 
invest in our common stock. The occurrence of any of the events or developments described below could have a material adverse effect on our business, 
results of operations, financial condition, prospects and stock 

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price.  In  such  an  event,  the  market  price  of  our  common  stock  could  decline,  and  you  may  lose  all  or  part  of  your  investment.  Additional  risks  and 
uncertainties not presently known to us or that we currently deem immaterial may also impair our business operations. 

Summary of Principal Risks Associated with Our Business

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We  are  a  biotechnology  company  with  a  limited  operating  history  and  no  products  approved  for  commercial  sale.  We  have  incurred 
significant losses since our inception, and we anticipate that we will continue to incur significant losses for the foreseeable future, which, 
together with our limited operating history, makes it difficult to assess our future viability;

We  will  require  substantial  additional  financing  to  achieve  our  goals,  and  a  failure  to  obtain  such  necessary  capital  when  needed  on 
acceptable  terms,  or  at  all,  could  force  us  to  delay,  limit,  reduce  or  terminate  our  product  development  programs,  any  future 
commercialization efforts or other operations;

We are restricted in our corporate activities by our existing debt facility and are considering all strategic alternatives.  If we do not maintain 
access to funding our debt facilities, we may be required to cease operations and seek relief under Chapter 11 of the U.S. Bankruptcy Code; 

Clinical  development  involves  a  lengthy  and  expensive  process  with  an  uncertain  outcome,  and  delays  can  occur  for  a  variety  of  reasons 
outside of our control;

Our  tumor-specific  cancer  immunotherapy  approach  is  based  on  novel  ideas  and  technologies  that  are  unproven  and  may  not  result  in 
marketable products, which exposes us to unforeseen risks and makes it difficult for us to predict the time and cost of product development 
and potential for regulatory approval;

Our business is highly dependent on the successful development, regulatory approval and commercialization of our individualized vaccine 
product  candidate  and  GRANITE,  our  “off-the-shelf”  vaccine  product  candidate,  SLATE  and  our  COVID-19  vaccine  product  candidate, 
CORAL, which are in clinical trials;

We may be unable to obtain regulatory approval for our product candidates under applicable regulatory requirements. The denial or delay of 
any  such  approval  would  delay  or  prevent  commercialization  of  our  product  candidates  and  adversely  impact  our  potential  to  generate 
revenue, our business and our results of operations;

We  rely,  and  intend  to  rely,  on  third  parties  in  the  conduct  of  all  of  our  preclinical  studies  and  clinical  trials.  If  these  third  parties  do  not 
successfully carry out their contractual duties, fail to comply with applicable regulatory requirements, or fail to meet expected deadlines, we 
may be unable to obtain regulatory approval for our immunotherapy product candidates;

We  currently  perform  most  of  the  manufacturing  of  our  product  candidates  internally  and  rely  on  qualified  third  parties  to  supply  some 
components of our product candidates. Our inability to manufacture sufficient quantities of any of our current or future product candidates, or 
the loss of our third-party suppliers, or our or their failure to comply with applicable regulatory requirements or to supply sufficient quantities 
at acceptable quality levels or prices, or at all, would materially adversely affect our business;

We face significant competition in an environment of rapid technological and scientific change, and our failure to effectively compete may 
prevent us from achieving significant market penetration. Most of our competitors have significantly greater resources than we do, and we 
may not be able to successfully compete;

Our success depends on our ability to protect our intellectual property and our proprietary technologies and to avoid infringing the rights of 
others; and

Our stock price is volatile, and you may not be able to resell shares of our common stock at or above the price you paid.

Risks Related to Our Limited Operating History, Financial Condition and Capital Requirements

We are a biotechnology company with a limited operating history and no products approved for commercial sale. We have incurred significant losses 
since  our  inception,  and  we  anticipate  that  we  will  continue  to  incur  significant  losses  for  the  foreseeable  future,  which,  together  with  our  limited 
operating history, makes it difficult to assess our future viability.

Product development in the biotechnology industry is a highly speculative undertaking and involves a substantial degree of risk. We are a clinical-
stage biotechnology company with a limited operating history upon which you can evaluate our business and prospects. We have no products approved for 
commercial  sale,  have  not  yet  generated  any  revenue  from  product  sales  and  have  incurred  losses  in  each  year  since  our  inception  in  August  2015. 
Investment in biopharmaceutical product development is highly speculative because it entails substantial upfront capital expenditures and significant risk 
that  any  potential  product  candidate  will  fail  to  demonstrate  adequate  efficacy  or  an  acceptable  safety  profile,  gain  regulatory  approval  and  become 
commercially viable. In addition, as a business with a 

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limited  operating  history,  we  may  encounter  unforeseen  expenses,  difficulties,  complications,  delays  and  other  known  and  unknown  factors  and  risks 
frequently experienced by early-stage biopharmaceutical companies in rapidly evolving fields.

We  have  incurred  significant  operating  losses  since  our  inception  (for  additional  information,  see  “Liquidity”  in  Note  1  to  our  consolidated 
financial statements). Substantially all of our losses have resulted from expenses incurred in connection with our research and development programs and 
from  general  and  administrative  costs  associated  with  our  operations.  Our  programs  will  require  substantial  additional  development  time  and  resources 
before we (or our collaboration partners) will be able to apply for or receive regulatory approvals and begin generating revenue from product sales, if we 
are ever able to do so. In addition, we incur substantial costs associated with operating as a public company. We also do not yet have a sales organization or 
commercial infrastructure and, accordingly, if any of our product candidates are approved, we will need to incur significant expenses to develop a sales 
organization  and  commercial  infrastructure  in  advance  of  generating  any  commercial  product  sales.  We  expect  to  continue  to  incur  losses  for  the 
foreseeable future, and we anticipate these losses will increase as we continue to develop our current and any future immunotherapy product candidates, 
conduct clinical trials and pursue research and development activities. Even if we achieve profitability at some point in the future, we may not be able to 
sustain profitability in subsequent periods. Our prior losses, combined with expected future losses, have had and will continue to have an adverse effect on 
our stockholders’ equity and working capital.

We have identified conditions that raise substantial doubt about our ability to continue as a going concern. 

  We will require substantial funds to finance our research and development programs and support our operations. As of December 31, 2023, 
we  had  $79.3  million  in  cash,  cash  equivalents  and  marketable  securities.  We  do  not  believe  that  our  existing  cash,  cash  equivalents  and  marketable 
securities will be sufficient to fund our planned operations through the next twelve (12) months. These conditions raise substantial doubt about our ability 
to continue as a going concern for a period of one year from the date of the issuance of this Annual Report on Form 10-K. As of the date of this Annual 
Report on Form 10-K, the Company believes that its existing cash, cash equivalents and investments, before considering any potential default under its 
Loan Agreement, will only be sufficient to fund its planned operating and capital needs into the third quarter of 2024. However, our forecast of the period 
of  time  through  which  our  financial  resources  will  be  adequate  to  support  our  operations  is  a  forward-looking  statement  that  involves  risks  and 
uncertainties, and actual results could vary materially based on a number of factors, including any potential adverse impact from any event of default under 
our Loan Agreement. In particular, if we are unable to raise additional funds, secure a waiver or renegotiate the terms of our Loan Agreement, we expect to 
be in default under the minimum liquidity requirement included in the Loan Agreement in the second quarter of 2024.  Upon such a default, our existing 
cash,  cash  equivalents  and  investments  will  only  be  sufficient  to  fund  our  operations  into  the  second  quarter  of  2024.  The  accompanying  consolidated 
financial statements and related notes have been prepared assuming that we will continue as a going concern, which contemplates the realization of assets 
and the settlement of liabilities and commitments in the normal course of business. The consolidated financial statements and related notes do not reflect 
any adjustments relating to the recoverability and classification of assets or amounts and classification of liabilities that might be necessary if we are unable 
to continue as a going concern. 

We will require substantial additional financing to achieve our goals, and a failure to obtain such necessary capital when needed on acceptable terms, 
or  at  all,  could  force  us  to  delay,  limit,  reduce  or  terminate  our  product  development  programs,  any  future  commercialization  efforts  or  other 
operations.

Since our inception, we have invested a significant portion of our efforts and financial resources in research and development activities for tumor-
specific  cancer  immunotherapies  and  infectious  disease  programs  in  addition  to  establishing  our  in-house  manufacturing  capabilities.  Our  preclinical 
studies, clinical trials and additional research and development activities will require substantial funds to complete. We anticipate that we will continue to 
expend substantial resources for the foreseeable future in connection with the development of our current and any future product candidates we may choose 
to pursue, as well as the continued development of our manufacturing capabilities and other corporate uses. Specifically, in the near term, we expect to 
incur  substantial  expenses  as  we  advance  GRANITE,  SLATE,  and  CORAL  through  clinical  development,  seek  regulatory  approval,  prepare  for  and,  if 
approved, proceed to commercialization, continue our research and development efforts and invest in our manufacturing facility. These expenditures will 
include costs associated with conducting preclinical studies and clinical trials, obtaining regulatory approvals, and manufacturing and supply, as well as 
marketing  and  selling  any  products  approved  for  sale.  In  addition,  other  unanticipated  costs  may  arise.  Because  the  outcome  of  any  of  our  preclinical 
studies  or  clinical  trials  is  highly  uncertain,  we  cannot  reasonably  estimate  the  actual  amounts  necessary  to  successfully  complete  the  development  and 
commercialization of GRANITE, SLATE, CORAL or any other current or future immunotherapy product candidates.

Our operating plans and other demands on our capital resources may change as a result of many factors currently unknown to us, and we may need 
to seek additional funds sooner than planned, through public or private equity or debt financings or other sources, such as strategic collaborations. If we 
raise  additional  funds  through  licensing  or  collaboration  arrangements  with  third  parties,  we  may  have  to  relinquish  valuable  rights  to  our  product 
candidates or grant licenses on terms that are not favorable to us. In addition, we may seek additional capital due to favorable market conditions or strategic 
considerations even if we believe we have sufficient funds for our 

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current  or  future  operating  plans.  Attempting  to  secure  additional  financing  may  divert  our  management  from  our  day-to-day  activities,  which  may 
adversely affect our ability to develop our product candidates. In addition, we cannot guarantee that future financing will be available in sufficient amounts 
or on terms acceptable to us, if at all.

Our future capital requirements depend on many factors, including:

the scope, progress, results and costs of developing of our current and any future product candidates, including conducting preclinical studies 
and clinical trials, either on our own or in collaboration with others;

potential delays in our ongoing clinical trials, including for reasons beyond our control, such supply chain interruptions, geo-political actions, 
including war and regional conflicts around the world or cybersecurity events;

the timing of, costs involved in, and outcome of regulatory review of our product candidates;

the number and characteristics of any additional product candidates we develop or acquire;

the timing and amount of any milestone, royalty or other payments we are required to make pursuant to any current or future collaboration or 
license agreement;

the cost and timing of future commercialization activities, including legal, compliance, marketing, sales and distribution costs, for any 
product candidates for which we receive marketing approvals;

our ability to maintain existing, and establish new, strategic collaborations and licensing or other arrangements and the financial terms of any 
such arrangement, including the timing and amount of any future milestone, royalty or other payments due under any such arrangement;

any product liability or other lawsuits related to our product candidates;

the expenses needed to attract, hire and retain skilled personnel;

the costs associated with being a public company;

the costs involved in preparing, filing, prosecuting, maintaining, defending and enforcing our intellectual property portfolio;

the timing, receipt and amount of sales of our future approved products, if any; and

general economic conditions and trends, including inflation and market volatility, rising interest rates, the ongoing labor shortage, recent 
instability in the global banking sector, the federal debt ceiling and budget and the potential for government shutdowns. 

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Additional funds may not be available when we need them, on terms that are acceptable to us, or at all. If adequate funds are not available to us on 

a timely basis, we may be required to, among other things:

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delay, limit, reduce or terminate preclinical studies, clinical trials or other research and development activities or eliminate one or more of our 
development programs altogether; or

delay, limit, reduce or terminate our efforts to establish manufacturing and sales and marketing capabilities or other activities that may be 
necessary to commercialize any of our product candidates that receive regulatory approval, or reduce our flexibility in developing or 
maintaining our sales and marketing strategy.

Our ability to raise additional funds may be adversely impacted by worsening global economic conditions and disruptions to and volatility in the 
credit and financial markets in the United States and worldwide, including as a result of increases in inflation and market volatility, rising interest rates, the 
uncertainty with respect to the federal debt ceiling and budget and the related potential for government shutdowns, the ongoing labor shortage, disruptions 
to global supply chains, and regional conflicts around the world. Moreover, there has been recent turmoil in the global banking system. For example, in 
March 2023, Silicon Valley Bank (SVB), was closed by the California Department of Financial Protection and Innovation, which appointed the Federal
Deposit Insurance Corporation (FDIC) as receiver for SVB. While the FDIC subsequently stated that all depositors of SVB would be made whole, there is 
no guarantee that the federal government would similarly guarantee all depositors in the event of future bank closures. Moreover, events such as the closure 
of  SVB,  in  addition  to  global  macroeconomic  conditions  discussed  above,  may  cause  further  turbulence  and  uncertainty  in  the  capital  markets.  Further 
deterioration of the macroeconomic environment and any regulatory action taken in response thereto may adversely affect our business, operating results, 
and financial condition. We also could be required to seek funds through arrangements with collaborators or others that may require us to relinquish rights 
or jointly own some aspects of our technologies or product candidates that we would otherwise pursue on our own. We may not realize revenue from sales 
of products or royalties from licensed products in 

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the foreseeable future, and no such revenue will be realized unless and until a product candidate is clinically tested, approved for commercialization and 
successfully marketed. 

To date, we have primarily financed our operations through the sale of equity securities. We will be required to seek substantial additional funding 
in  the  future  and  currently  intend  to  do  so  through  collaborations,  public  or  private  equity  offerings  or  debt  financings,  credit  or  loan  facilities  or  a 
combination of one or more of these funding sources. Our ability to raise additional funds will depend on financial, economic and other factors, many of 
which  are  beyond  our  control.  Additional  funds  may  not  be  available  to  us  on  acceptable  terms  or  at  all.  If  we  raise  additional  funds  by  issuing  equity 
securities,  our  stockholders  will  suffer  dilution  and  the  terms  of  any  financing  may  adversely  affect  the  rights  of  our  stockholders.  In  addition,  as  a 
condition to providing additional funds to us, future investors may demand, and may be granted, rights superior to those of existing stockholders. Debt 
financing, if available, is likely to involve restrictive covenants, repayment obligations, or other similar restrictions that may affect our business and limit 
our flexibility in conducting future business activities, and, in the event of insolvency, debt holders would be repaid before holders of our equity securities 
received any distribution of our corporate assets.

We are restricted in our corporate activities by our existing debt facility. 

On July 19, 2022, we entered into a Loan and Security Agreement (the “Loan Agreement”) with Hercules Capital, Inc., SVB, and certain financial 
institutions or other entities from time-to-time party thereto (the “Lenders”) pursuant to which the Lenders made available to us a secured term loan facility 
in an aggregate principal amount of up to $80 million (the “Term Loan”). We immediately drew $20.0 million under this facility upon entry into the Loan 
Agreement  and  have  subsequently  drawn  another  $20.0  million  under  this  facility.  In  connection  with  the  Loan  Agreement,  we  granted  the  Lenders  a 
security interest in substantially all of our personal property and other assets, other than our intellectual property. The Loan Agreement contains customary 
affirmative and restrictive covenants and representations and warranties, including a covenant against the occurrence of a change in control (as defined by 
the Loan Agreement), financial reporting obligations, and certain limitations on indebtedness, liens (including a negative pledge on intellectual property 
and other assets), investments, distributions (including dividends), collateral, investments, transfers, mergers or acquisitions, taxes, corporate changes, and 
deposit accounts. Subject to certain conditions, so long as our market capitalization is equal to or less than $400.0 million, we are subject to a minimum 
liquidity requirement equal to the then outstanding balance under the Loan Agreement multiplied by 0.55 or 0.45, which multiplier depends on whether we 
achieve certain performance milestones (the “Minimum Liquidity Requirement”). If we are unable to raise additional funds, secure a waiver or renegotiate 
the terms of the Loan Agreement, we expect to be in default of the Minimum Liquidity Requirement in the second quarter of 2024. Upon the occurrence of 
an event of default, a default interest rate of an additional 4.0% may be applied to the outstanding principal and interest payments due, the Lenders may 
declare  all  outstanding  obligations  immediately  due  and  payable  and  take  such  other  actions  as  set  forth  in  the  Loan  Agreement,  including  proceeding 
against  the  collateral  securing  such  indebtedness,  in  which  case,  our  existing  cash,  cash  equivalents  and  investments  will  only  be  sufficient  to  fund  our 
operations into the second quarter of 2024. Such increased interest charges, accelerated repayment, proceedings against the collateral or other actions will 
have a negative impact on our business, financial condition and results of operations. 

Our existing and any future indebtedness may limit our cash flow available to invest in the ongoing needs of our business. 

Our  outstanding  debt  combined  with  our  other  financial  obligations  and  financial  commitments  could  have  significant  adverse  consequences, 

including: 

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requiring us to dedicate cash flow from operations or cash on hand to the payment of interest on, and principal of, our debt, which will reduce 
the amounts available to fund working capital, capital expenditures, product development efforts and other general corporate purposes;  

increasing our vulnerability to adverse changes in general economic, industry and market conditions; 

subjecting us to restrictive covenants that may reduce our ability to take certain corporate actions or obtain further debt or equity financing;  

limiting our flexibility in planning for, or reacting to, changes in our business and our industry; and 

placing us at a competitive disadvantage compared to our competitors that have less debt or better debt servicing options. 

  We intend to satisfy our current and future debt service obligations with our existing cash and funds from external sources.  Nonetheless, we may not 
have sufficient funds or may be unable to arrange for additional financing to pay the amounts due under our existing or any future debt facility.  Funds from 
external sources may not be available on acceptable terms, if at all.  

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Our operating results may fluctuate significantly from period to period, which makes our future operating results difficult to predict, could cause our 
operating results to fall below expectations, and may cause our stock price to fluctuate or decline.

Our quarterly and annual operating results may fluctuate significantly from period to period, which makes it difficult for us to predict our future 
operating results. These fluctuations may occur due to a variety of factors, many of which are beyond our control and may be difficult to predict, including:

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the timing and cost of, and level of investment in our ongoing development of our product candidates or any future development programs, 
which may change from time to time;

if any of our product candidates are approved, the timing of receipt of such approvals from regulatory authorities in the United States and 
internationally;

the timing and status of enrollment for our clinical trials;

the cost of manufacturing, as well as building out our supply chain, which may vary depending on the quantity of production, the cost of 
continuing to establish and scale up our internal manufacturing capabilities, and the terms of any agreements we enter into with third-party 
suppliers;

the timing and amount of any milestone, royalty or other payments due under any current or future collaboration or license agreements;

coverage and reimbursement policies with respect to our vaccine product candidates, that are approved, if any, and potential future drugs that 
compete with our products;

expenditures that we may incur to acquire, develop or commercialize additional products and technologies;

the level of demand for any of our immunotherapy products, that may be approved, which may vary significantly over time;

the timing and success or failure of preclinical studies and clinical trials for our product candidates or competing product candidates, or any 
other change in the competitive landscape of our industry, including consolidation among our competitors or partners;

future accounting pronouncements or changes in our accounting policies;

regulatory developments affecting our product candidates or those of our competitors; and 

changes in general market and economic conditions, including supply chain disruptions, regional conflicts around the world, recent instability 
in the banking sector, inflation and market volatility, rising interest rates, uncertainty with respect to the federal debt ceiling and budget and 
the related potential for government shutdowns, cybersecurity events, and the ongoing labor shortage. 

The cumulative effects of these factors could result in large fluctuations and unpredictability in our quarterly and annual operating results. As a 
result, comparing our operating results on a period-to-period basis may not be meaningful. Investors should not rely on our past results as an indication of 
our future performance.

This variability and unpredictability could also result in our failing to meet the expectations of industry or financial analysts or investors for any 
period. If our revenue or operating results fall below the expectations of analysts or investors or below any forecasts we may provide to the market, or if the 
forecasts we provide to the market are below the expectations of analysts or investors, the price of our common stock could decline substantially. Such a 
stock price decline could occur even when we have met any revenue or earnings guidance we previously provided.

Risks Related to Our Business

Our business is highly dependent on the successful development, regulatory approval and commercialization of our product candidates, primarily our 
individualized  vaccine  product  candidate,  GRANITE,  our  “off-the-shelf”  vaccine  product  candidate,  SLATE  and  our  COVID-19  vaccine  product 
candidate, CORAL, which are in clinical trials.

We currently have no products approved for sale and may never be able to develop marketable products. All of our clinical programs are in either 
Phase 1 or Phase 2 clinical trials. As such, we face significant clinical risk with our programs and our tumor and viral-specific immunotherapy approach 
generally. The success of our business, including our ability to finance our operations and generate any revenue in the future, will primarily depend on the 
successful development, regulatory approval and commercialization of GRANITE, SLATE and CORAL, as well as other product candidates derived from 
our vaccine approach, which may never occur. To 

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date, our product candidates have only been tested in a small number of humans, and, given our early stage of development, it may be many years, if at all, 
before we have demonstrated safety and efficacy levels, especially of an individualized immunotherapy vaccine treatment, sufficient to warrant approval 
for commercialization. In the future, we may also become dependent on other product candidates that we may develop or acquire.

We have not previously submitted a BLA to the FDA or made a similar filing seeking regulatory approval to comparable foreign authorities for 
any product candidate, and we cannot be certain that our product candidates will be successful in clinical trials or receive regulatory approval. Further, any 
product  candidates  may  not  receive  regulatory  approval  even  if  they  are  successful  in  clinical  trials.  If  we  do  not  receive  regulatory  approvals  for  our 
product candidates, we may not be able to continue our operations. Even if we successfully obtain regulatory approvals to market a product candidate, our 
revenue will be dependent, in part, upon a number of factors outside of our control, including, in particular, the size of the markets in the territories for 
which we gain regulatory approval and have commercial rights. If the markets or patient subsets that we are targeting are not as significant as we estimate, 
we may not generate significant revenues from sales of such products, if approved.

We plan to seek regulatory approval to commercialize our product candidates both in the United States and in selected foreign countries. While the 
scope  of  regulatory  approval  generally  is  similar  in  other  countries,  to  obtain  separate  regulatory  approval  in  other  countries  we  must  comply  with 
numerous and varied regulatory requirements of each such country regarding quality, safety and efficacy. Other countries also have their own regulations 
governing, among other things, clinical trials, commercial sales, pricing and distribution, and we may be required to expend significant resources to obtain 
regulatory approval and, if approval is obtained, to comply with applicable regulations in these jurisdictions.

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The clinical and commercial success of our current and any future product candidates will depend on several factors, including the following:

our ability to raise any additional required capital on acceptable terms, or at all;

timely completion of our preclinical studies and clinical trials, which may be significantly slower, or cost more, than we currently anticipate 
and which will depend substantially upon the performance of third-party contractors;

our ability to timely execute our ongoing clinical trials and enroll a sufficient number of patients on a timely basis to evaluate the potential of 
our product candidates in clinical development;

whether we are required by the FDA or similar foreign regulatory agencies to conduct additional clinical trials or other studies beyond those 
planned to support approval of our product candidates;

our ability to successfully submit an IND or similar foreign application, enabling studies for any future product candidates;

acceptance of our proposed indications and primary endpoint assessments relating to the proposed indications of our product candidates by 
the FDA and similar foreign regulatory authorities;

our ability to consistently manufacture our product candidates on a timely basis;

our  ability,  and  the  ability  of  any  third  parties  with  whom  we  contract,  to  remain  in  good  standing  with  regulatory  agencies  and  develop, 
validate and maintain commercially viable manufacturing processes that are compliant with cGMPs or similar foreign requirements;

our ability to demonstrate to the satisfaction of the FDA and similar foreign regulatory authorities the quality, safety, efficacy and acceptable 
risk-benefit profile of our product candidates;

the  prevalence,  duration  and  severity  of  potential  side  effects  or  other  safety  issues  experienced  with  our  product  candidates  or  future 
approved products, if any;

the timely receipt of necessary marketing approvals from the FDA and similar foreign regulatory authorities;

achieving  and  maintaining,  and,  where  applicable,  ensuring  that  our  third-party  contractors  achieve  and  maintain,  compliance  with  our 
contractual obligations and with all regulatory requirements applicable to our current or any future product candidates or approved products, 
if any;

the  willingness  of  physicians,  operators  of  hospitals  and  clinics  and  patients  to  utilize  or  adopt  our  individualized  cancer  immunotherapy 
approach;

our ability to successfully develop a commercial strategy and thereafter commercialize GRANITE, SLATE, CORAL or any future product 
candidates (including our partnered HIV therapeutic vaccine) that receives approvals for marketing, sale and distribution in the United States 
or internationally, whether alone or in collaboration with others;

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the availability of coverage and adequate reimbursement from managed care plans, private insurers, government payors (such as Medicare 
and Medicaid) and other third-party payors for any of our product candidates that may be approved;

the convenience of the treatment or dosing regimen of our product candidates;

acceptance by physicians, payors and patients of the benefits, safety and efficacy of our product candidates or any future product candidates, 
if approved, including relative to alternative and competing treatments;

patient demand for our current or future product candidates, if approved;

our ability to establish and enforce intellectual property rights in and to our current and future product candidates; and

our ability to avoid third-party patent interference, intellectual property challenges or intellectual property infringement claims.

These factors, many of which are beyond our control, could cause us to experience significant delays or an inability to obtain regulatory approvals 
or commercialize our current or future product candidates. Even if regulatory approvals are obtained, we may never be able to successfully commercialize 
any product candidates. Accordingly, we cannot provide assurances that we will ever be able to generate sufficient revenue through the sale of our product 
candidates or any future product candidates to continue our business or achieve profitability.

Clinical development involves a lengthy and expensive process with an uncertain outcome, and delays can occur for a variety of reasons outside of our 
control.

Clinical development is expensive and can take many years to complete, and its outcome is inherently uncertain. Failure can occur at any time 
during the clinical trial process. We may experience delays in enrolling or completing our clinical trials. Additionally, we cannot be certain that studies or 
trials for our product candidates will begin on time, not require redesign, enroll an adequate number of subjects on time or be completed on schedule, if at 
all. 

We  may  experience  numerous  adverse  or  unforeseen  events  during,  or  as  a  result  of,  preclinical  studies  and  clinical  trials  that  could  delay  or 

prevent us from receiving marketing approval or commercializing our product candidates, including:

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we  may  experience  an  inability  to  generate  sufficient  preclinical,  toxicology,  or  other  in  vivo  or  in  vitro  data  to  support  the  initiation  or 
continuation of clinical trials; 

we  may  receive  feedback  from  regulatory  authorities  that  requires  us  to  modify  the  design  of  our  clinical  trials  or  may  fail  to  reach  a 
consensus with regulators on trial design;

we may be affected by safety concerns that have a class effect; for example, if a competitor reports negative results with respect to a product 
candidate similar to those we are developing, such setbacks could negatively impact our own product development;

we may experience delays in reaching, or may fail to reach, agreement on acceptable clinical trial contracts or clinical trial protocols with 
prospective trial sites; 

regulators or IRBs may not authorize us or our investigators to commence a clinical trial or conduct a clinical trial at a prospective trial site; 

clinical trials of our product candidates may produce negative or inconclusive results, and we may decide, or regulators may require us, to 
conduct additional clinical trials or abandon our development programs, including our individualized cancer immunotherapy program;

the number of patients required for clinical trials of our product candidates may be larger than we anticipate, enrollment in these clinical trials 
may be slower than we anticipate, or participants may drop out of these clinical trials at a higher rate than we anticipate;

we or our third-party contractors may fail to comply with regulatory requirements, fail to maintain adequate quality controls, or be unable to 
produce sufficient product supply to conduct and complete preclinical studies or clinical trials of our product candidates in a timely manner, 
or at all;

we  or  our  investigators  might  have  to  suspend  or  terminate  clinical  trials  of  our  product  candidates  for  various  reasons,  including 
noncompliance  with  regulatory  requirements,  a  finding  that  our  product  candidates  have  undesirable  side  effects  or  other  unexpected 
characteristics, or a finding that the participants are being exposed to unacceptable health risks;

the cost of clinical trials of our product candidates may be greater than we anticipate;

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the quality of our product candidates or other materials necessary to conduct preclinical studies or clinical trials of our product candidates 
may be insufficient or inadequate;

regulators may revise the requirements for approving our product candidates, or such requirements may not be as we anticipate;

regulators or IRBs may require that we or our investigators suspend or terminate clinical trials for various reasons, including noncompliance 
with regulatory requirements; and 

future collaborators may conduct clinical trials in ways they view as advantageous to them but that are suboptimal for us.

If we are required to conduct additional clinical trials or other testing of our product candidates beyond those that we currently anticipate, if we are 
unable to successfully complete clinical trials or other testing of our product candidates, if the results of these trials or tests are not positive or are only 
moderately positive, or if there are safety concerns, we may:

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incur unplanned costs;

be delayed in obtaining marketing approval for our product candidates or not obtain marketing approval at all;

obtain marketing approval in some countries and not in others;

obtain marketing approval for indications or patient populations that are not as broad as intended or desired;

obtain  marketing  approval  with  labeling  that  includes  significant  use  or  distribution  restrictions  or  safety  warnings,  including  boxed 
warnings;

be subject to additional post-marketing testing requirements, which could be expensive and time consuming; or

have the treatment removed from the market after obtaining marketing approval.

We could also encounter delays if a clinical trial is suspended or terminated by us, by the IRBs or ethics committees of the institutions in which 
such  trials  are  being  conducted,  by  the  Data  Safety  Monitoring  Board  (DSMB),  or  by  the  FDA  or  other  regulatory  authorities.  Such  authorities  may 
suspend or terminate a clinical trial due to a number of factors, including failure to conduct the clinical trial in accordance with regulatory requirements or 
our  clinical  protocols,  inspection  of  the  clinical  trial  operations  or  trial  site  by  the  FDA  or  other  regulatory  authorities  resulting  in  the  imposition  of  a 
clinical hold, unforeseen safety issues or adverse side effects, failure to demonstrate a benefit from using a product candidate, changes in governmental 
regulations or administrative actions or lack of adequate funding to continue the clinical trial. For example, in February 2024, following receipt of a clinical 
hold letter and follow up communications with the FDA with respect to our proposed Phase 2b trial of our CORAL COVID-19 vaccine product candidate, 
we announced the delay of the initiation of such clinical trial until the fall of 2024. In the clinical hold letter, the FDA informed us that, with respect to this 
Phase 2b clinical trial, we would be required to use GMP-grade materials in the manufacture of the vaccine, as well as implement minor changes in the 
clinical trial protocol.

Further, conducting clinical trials in foreign countries, as we have done through our collaborations related to CORAL and may do for certain of 
our other product candidates, presents additional risks that may delay completion of our clinical trials. These risks include the failure of enrolled patients in 
foreign  countries  to  adhere  to  clinical  protocol  as  a  result  of  differences  in  healthcare  services  or  cultural  customs,  managing  additional  administrative 
burdens associated with foreign regulatory schemes, as well as political and economic risks relevant to such foreign countries.

Principal investigators for our clinical trials may serve as scientific advisors or consultants to us from time to time and may receive cash or equity 
compensation in connection with such services. If these relationships and any related compensation result in perceived or actual conflicts of interest, we fail 
to ensure such relationships and compensation are accurately disclosed, or a regulatory authority concludes that the financial relationship may have affected 
the interpretation of the trial, the integrity of the data generated at the applicable clinical trial site may be questioned and the utility of the clinical trial itself 
may be jeopardized, which could result in the delay or rejection of the marketing application we submit. Any such delay or rejection could prevent or delay 
us from commercializing our current or future product candidates.

If any of our preclinical studies or clinical trials of our product candidates are delayed or terminated, the commercial prospects of our product 
candidates may be harmed, and our ability to generate revenues from any of these product candidates could be delayed or not realized at all. In addition, 
any delays in completing our clinical trials may increase our costs, slow down our product candidate development and approval process and jeopardize our 
ability to commence product sales and generate revenues. Any of these occurrences may significantly harm our business, financial condition and prospects. 
In addition, many of the factors that cause, or lead to, a delay in the commencement or completion of clinical trials may also ultimately lead to the denial of 
regulatory approval of our 

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product candidates. If our product candidates or our immunotherapy prediction platform generally prove to be ineffective, unsafe or commercially unviable, 
our entire platform and approach would have little, if any, value, which would have a material adverse effect on our business, financial condition, results of 
operations and prospects.

In addition, the FDA’s and other regulatory authorities’ policies with respect to clinical trials may change and additional government regulations 
may be enacted. For instance, the regulatory landscape related to clinical trials in the European Union recently evolved. The CTR, which was adopted in 
April 2014 and repeals the EU Clinical Trials Directive, became applicable on January 31, 2022. While the Clinical Trials Directive required a separate 
CTA to be submitted in each member state to both the competent national health authority and an independent ethics committee, the CTR introduces a 
centralized process and only requires the submission of a single application to all member states concerned. The CTR allows sponsors to make a single 
submission to both the competent authority and an ethics committee in each member state, leading to a single decision per member state. The assessment 
procedure  of  the  CTA  has  been  harmonized  as  well,  including  a  joint  assessment  by  all  member  states  concerned,  and  a  separate  assessment  by  each 
member state with respect to specific requirements related to its own territory, including ethics rules. Each member state’s decision is communicated to the 
sponsor  via  the  centralized  EU  portal.  Once  the  CTA  is  approved,  clinical  study  development  may  proceed.  The  CTR  foresees  a  three-year  transition 
period. The extent to which ongoing and new clinical trials will be governed by the CTR varies. For clinical trials whose CTA was made under the Clinical 
Trials Directive before January 31, 2022, the Clinical Trials Directive will continue to apply on a transitional basis for three years. Additionally, sponsors 
were still able to choose to submit a CTA under either the Clinical Trials Directive or the CTR until January 31, 2023 and, if authorized, those will be 
governed  by  the  Clinical  Trials  Directive  until  January  31,  2025.  By  that  date,  all  ongoing  trials  will  become  subject  to  the  provisions  of  the  CTR. 
Compliance with the CTR requirements by us and our third-party service providers, such as CROs, may impact our developments plans. 

It  is  currently  unclear  to  what  extent  the  United  Kingdom,  as  a  free-standing  regulatory  regime  outside  of  the  European  Union,  will  amend  its 
regulations so that they diverge from the regulatory regime in the European Union. The UK regulatory framework in relation to clinical trials is derived 
from the EU Clinical Trials Directive (as implemented into UK law, through secondary legislation) in place prior to the date of application of the CTR. On 
January 17, 2022, the MHRA launched an eight-week consultation on reframing the UK legislation for clinical trials.  The UK Government analyzed over 
2000 responses and published its response on March 21, 2023.  The Government response stated it aims to streamline clinical trials approvals, enhance 
clinical  trials  transparency,  enable  greater  risk  proportionality  and  flexibility,  and  provide  a  framework  that  is  agile  and  responsive  to  innovation.  The 
Government is expected to submit the full new draft legislation to the UK Parliament before the end of 2023, along with detailed regulatory guidance. The 
process was started with the proposal of October 12, 2023 for a notification scheme and accelerated assessment of lowest-risk clinical trials. The upcoming 
additional legislative proposals and guidance will give indications whether the new regime in the United Kingdom will align with the new EU CTR or will 
diverge from it to maintain regulatory flexibility. A decision by the United Kingdom not to closely align its regulations with the CTR may have an effect on 
the cost of conducting clinical trials in the United Kingdom as opposed to other countries and/or make it harder to seek a marketing authorization in the 
European Union for our product candidates on the basis of clinical trials conducted in the United Kingdom.

If we are slow or unable to adapt to changes in existing requirements or the adoption of new requirements or policies governing clinical trials, our 

development plans may also be impacted.

A significant portion of the funding for the continued development of our next-generation samRNA vaccine candidate containing Spike plus other viral 
targets  to  protect  against  COVID-19  is  currently  expected  to  come  from  BARDA  funds,  whether  under  the  BARDA  Contract  or  as  administered 
through  the  RRPV  Consortium.  If  BARDA  were  to  decline  to  pursue  any  of  the  gated  stages,    eliminate,  reduce,  delay,  or  object  to  extensions  for 
funding available to us under the BARDA Contract, this could have a significant, negative impact on our revenues and cash flows, and we may be 
forced to suspend or terminate the continued development of the product candidate or obtain alternative sources of funding.  

We  anticipate  that  a  significant  portion  of  the  funding  for  the  continued  development  of  our  next  generation  self-amplifying  mRNA  vaccine 
candidate containing Spike plus other viral targets to protect against COVID-19 will stem from the BARDA Contract. As awarded, the existing BARDA 
Contract provides for funding of up to an estimated $433.0 million to conduct a 10,000 participant randomized Phase 2b comparative study evaluating our 
self-amplifying RNA vaccine candidate containing Spike plus other viral targets to protect against COVID-19. The base period under the BARDA Contract 
includes government funding of only up to approximately $10.0 million for performance of certain milestones such as preparation of protocol synopsis and 
submission of an investigational new drug ("IND") application, with the remaining $423 million available at BARDA's option to conduct the comparative 
study.

In late 2023, BARDA informed us that any potential funding beyond the base period of the BARDA Contract is expected to be administered under 
a new award made by the RRPV Consortium.  In early 2024, we applied to the RRPV Consortium for funding of our Phase 2b CORAL Study extending 
beyond the base period of the BARDA Contract, seeking substantively similar agreement terms as the BARDA Contract. There is no certainty that the 
RRPV Consortium, which selects awardees at BARDA's discretion, will accept 

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our application and on what terms.  The RRPV Request for Project Proposals included the potential to begin a Phase 2b study by March 31, 2024, or at 
BARDA's discretion by October 1, 2024, to align with the Fall 2024 COVID-19 strain change.

Our ability to receive any of the initially identified $423.0 million in additional funding provided for under the BARDA Contract is dependent on 
BARDA electing to continue to fund additional two gated stages or the RRPV Consortium accepting our application, which would occur only at BARDA's 
direction and its sole discretion. The base period for performance under the BARDA Contract is currently scheduled to run from September 2023 to March 
31, 2024, though BARDA may grant a no-cost extension to the base period to allow for regulatory negotiations to continue. The option periods for the two 
additional  gated  stages  under  the  BARDA  Contract  were  scheduled  to  run  from  January  2024  to  March  2026  and  from  July  2024  to  July  2026.  These 
periods of performance may be adjusted if Gritstone’s RRPV application is accepted. 

As a standard government contract, BARDA is entitled to terminate the BARDA Contract for convenience at any time, in whole or in part, and is 
not required to provide continued funding beyond reimbursement of amounts currently incurred and obligated by us as a result of contract performance. In 
addition, activities covered under the base period may ultimately cost more than is covered by the BARDA Contract and may require a longer performance 
period to complete than is remaining under the terms of the BARDA Contract. BARDA is not required to provide funding above the approximately $10.0 
million currently obligated for the base period of the BARDA Contract, nor is BARDA required to extend the base period of performance or elect to pursue 
any of the gated stages. As noted in Note 7 to the consolidated financial statements, we received $9.0 million of the $10.0 million obligated by December 
31, 2023. If activities covered under the base period cost us more than the approximately $10.0 million currently obligated for the base period under the 
BARDA Contract, and we are unable to secure additional funding from BARDA to complete performance of the base period activities, we would have to 
bear the cost to complete the activities. Further, if we are unable to complete the base period activities during the base period due to circumstances that may 
be  either  within  or  outside  of  our  control,  including,  among  others,  any  potential  delays  in  sourcing  an  approved  comparator  vaccine,  and  BARDA  is 
unwilling to allow for additional time, then BARDA may decide to terminate the BARDA Contract or deny the application to the RRPV Consortium.  

Moreover, the continuation of the BARDA Contract or receipt of a new award administered by the RRPV Consortium for the effort intended for 
the BARDA Contract option periods would primarily depend on our ability to initiate a Phase 2b study within BARDA's timeline and on our compliance 
with certain operating procedures and protocols, assuming federal funds remain available.

Further, as an organization, we are relatively new to government contracting and the related regulatory compliance obligations, and are continuing 
to develop and implement our internal compliance processes. BARDA may suspend or terminate the BARDA Contract, opt not to exercise the remaining 
option periods, or deny the application to the RRPV Consortium should we fail to achieve key milestones or fail to comply with the operating procedures 
and processes approved by BARDA and its audit agency. There can be no assurance that we will be able to achieve these milestones or continue to comply 
with these procedures and protocols, and there can also be no assurance that the BARDA Contract will not be terminated, that the BARDA Contract will be 
extended  through  the  exercise  of  the  gating  periods,  that  any  such  extensions  would  be  on  terms  favorable  to  us,  or  that  we  will  otherwise  obtain  the 
funding  that  we  anticipate  to  obtain  under  the  BARDA  Contract  or  an  award  from  the  RRPV  Consortium.  The  availability  and  focus  for  any  BARDA 
funding will likely be finite and may require us to compete with other technologies, both similar and disparate. If the BARDA Contract is terminated or 
suspended, if there is any reduction or delay in funding under the BARDA Contract, or if BARDA determines not to elect to pursue any of the gated stages 
under  the  BARDA  Contract  or  select  Gritstone  for  a  new  award  administered  by  the  RRPV  Consortium,  our  revenues  and  cash  flows  would  be 
significantly and negatively impacted and we may be forced to seek alternative sources of funding, which may not be available on non-dilutive terms, terms 
favorable to us or at all. If alternative sources of funding are not available, we may be forced to suspend or terminate development activities for our next-
generation self-amplifying mRNA vaccine candidate containing Spike plus other viral targets to protect against COVID-19, which could materially harm 
our business. 

It may take considerable time and expense to resolve the clinical hold that has been placed by the FDA on our Phase 2b CORAL trial we proposed in 
our IND for our CORAL COVID-19 vaccine product candidate and no assurance can be given that the FDA will remove the clinical hold, in which
case our business and financial prospects may be materially adversely affected.

In  December  2023,  we  were  notified  by  the  FDA  that  our  Phase  2b  CORAL  Study  had  been  placed  on  clinical  hold.  In  January  2024,  we 
received the formal clinical hold letter from the FDA, identifying certain CMC and clinical deficiencies. The FDA informed us that, among other changes, 
we will be required to use GMP-grade materials in the manufacture of the vaccine as well as implement minor changes in the clinical study protocol. We 
are  working  on  preparing  a  complete  response  to  the  FDA’s  letter  in  an  effort  to  remove  the  clinical  hold  from  our  IND  application.    This  includes  re-
manufacturing our CORAL vaccine candidate to be used in the Phase 2b CORAL Study with GMP-grade materials.

If the FDA does not accept the responses we plan to provide, it may take a further considerable period of time, the length of which is not certain 

at this time, and additional expense for us to fully address the FDA's concerns. It is possible that we will be unable 

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to fully address the FDA's concerns and, as a result, that the clinical hold may never be lifted and we may never be able to initiate our Phase 2b CORAL 
Study in the United States, which could have a material adverse effect on our business, financial condition, results of operations and prospects.

Our  tumor-specific  cancer  immunotherapy  approach  is  based  on  novel  ideas  and  technologies  that  are  unproven  and  may  not  result  in  marketable 
products,  which  exposes  us  to  unforeseen  risks  and  makes  it  difficult  for  us  to  predict  the  time  and  cost  of  product  development  and  potential  for 
regulatory approval.

Regarding our tumor-specific cancer immunotherapies, our foundational science and product development approach are based on our ability to 
predict the presence of a patient’s TSNA and develop a TSNA-directed therapy that will elicit a meaningful T cell response. We believe that this approach 
may offer an improved therapeutic effect by driving an intense, focused T cell attack selectively upon a patient’s tumor. However, this approach to treating 
cancer  is  novel  and  the  scientific  research  that  forms  the  basis  of  our  efforts  to  predict  the  presence  of  TSNA  and  to  develop  TSNA-directed  cancer 
immunotherapy candidates is both preliminary and limited. The results of our preclinical animal studies may not translate into humans. For example, our 
prediction model may fail to accurately predict the presence of TSNA, resulting in little or no tumor-targeted T cell response, or our therapy may fail to 
elicit  a  significant  or  durable  enough  T  cell  response  to  effectively  destroy  a  tumor.  As  such,  we  cannot  assure  you,  even  if  we  are  able  to  develop 
individualized  cancer  immunotherapy  candidates  capable  of  recognizing  TSNA  and  eliciting  a  T  cell  response,  that  such  therapy  would  safely  and 
effectively treat cancers. We may spend substantial funds attempting to develop this approach and never succeed in developing a marketable therapeutic.

No regulatory authority has granted approval for a cancer immunotherapy based on a heterologous prime-boost approach, which may increase the 
complexity,  uncertainty  and  length  of  the  regulatory  approval  process  for  our  product  candidates.  We  may  never  receive  approval  to  market  and 
commercialize any product candidate. Even if we obtain regulatory approval, the approval may be for targets, disease indications, lines of therapy or patient 
populations  that  are  not  as  broad  as  we  intended  or  desired  or  may  require  labeling  that  includes  significant  use  or  distribution  restrictions  or  safety 
warnings. We may be required to perform additional or unanticipated clinical trials to obtain approval or be subject to post-marketing testing requirements 
to  maintain  regulatory  approval.  If  our  personalized  immunotherapy  candidates  prove  to  be  ineffective,  unsafe  or  commercially  unviable,  our  entire 
technology platform and pipeline would have little, if any, value, which would have a material adverse effect on our business, financial condition, results of 
operations and prospects.

The regulatory approval process and clinical trial requirements for novel product candidates can be more expensive and take longer than for other, 
better known or more extensively studied product candidates, and we cannot predict how long it will take or how much it will cost to complete clinical 
developments and obtain regulatory approvals for a cell therapy product candidate in the United States or how long it will take to commercialize a product 
candidate, if and when approved. Regulatory requirements governing cell therapy products have changed frequently and may continue to change in the 
future. For example, the FDA established the Office of Tissues and Advanced Therapies (OTAT) within its Center for Biologics Evaluation and Research, 
or  CBER,  to  consolidate  the  review  of  cell  therapies  and  related  products,  and  the  Cellular,  Tissue  and  Gene  Therapies  Advisory  Committee  to  advise 
CBER  on  its  review.  OTAT  was  subsequently  reorganized  to  become  the  Office  of  Therapeutic  Products  (OTP)  and  transitioned  into  a  super  office 
structure.  New  offices  created  within  the  super  office  structure  align  disciplines  and  product  types,  allowing  our  workforce  to  address  the  exponential 
growth in cell and gene therapies. This updated structure will enable OTP to provide oversight and coordination across programs, ensure flexibility for 
current  and  future  growth  in  staff,  distribute  workload  more  evenly,  support  industry  needs  and  commitments,  enhance  expertise  in  highly  specialized 
disciplines.    These  and  other  regulatory  review  agencies,  committees  and  advisory  groups  and  the  requirements  and  guidelines  they  promulgate,  may 
lengthen the regulatory review process, require us to perform additional preclinical studies or clinical trials, increase our development costs, lead to changes 
in  regulatory  positions  and  interpretations,  delay  or  prevent  approval  and  commercialization  of  these  treatment  candidates  or  lead  to  significant  post-
approval limitations or restrictions. Additionally, under the NIH Guidelines, supervision of human gene transfer trials includes evaluation and assessment 
by an IBC, a local institutional committee that reviews and oversees research utilizing recombinant or synthetic nucleic acid molecules at that institution. 
The IBC assesses the safety of the research and identifies any potential risk to public health or the environment, and such review may result in some delay 
before  initiation  of  a  clinical  trial.  While  the  NIH  Guidelines  are  not  mandatory  unless  the  research  in  question  is  being  conducted  at  or  sponsored  by 
institutions receiving NIH funding of recombinant or synthetic nucleic acid molecule research, many companies and other institutions not otherwise subject 
to the NIH Guidelines voluntarily follow them.

Even if our product candidates obtain required regulatory approvals, such approvals may later be withdrawn as a result of changes in regulations 
or  the  interpretation  of  regulations  by  applicable  regulatory  agencies.  Additionally,  adverse  developments  in  clinical  trials  conducted  by  others  of  cell 
therapy products or products created using similar technology, or adverse public perception of the field of cell therapies editing, may cause the FDA and 
other regulatory bodies to revise the requirements for approval of any product candidates we may develop or limit the use of products utilizing technologies 
such  as  ours,  either  of  which  could  materially  harm  our  business.  As  we  advance  our  product  candidates,  we  will  be  required  to  consult  with  various 
regulatory authorities, and we must comply with applicable laws, rules and regulations, which may change from time to time, including during the course 
of development of our 

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product candidates. If we fail to do so, we may be required to delay or discontinue the clinical development of certain of our product candidates. These 
additional processes may result in a review and approval process that is longer than we otherwise would have expected. Even if we comply with applicable 
laws,  rules,  and  regulations,  and  even  if  we  maintain  close  coordination  with  the  applicable  regulatory  authorities  with  oversight  over  our  product 
candidates, our development programs may fail to succeed. Delay or failure to obtain, or unexpected costs in obtaining, the regulatory approval necessary 
to bring a potential product to market would materially adversely affect our business, financial condition, results of operations and prospects.

Results of earlier studies and trials of our product candidates may not be predictive of future trial results.

Clinical testing is expensive and can take many years to complete, and its outcome is inherently uncertain. Failure or delay can occur at any time 
during the clinical trial process. Success in preclinical studies and early clinical trials does not ensure that later clinical trials will be successful. A number 
of companies in the biotechnology and pharmaceutical industries have suffered significant setbacks in clinical trials, even after positive results in earlier 
preclinical studies or clinical trials. These setbacks have been caused by, among other things, preclinical findings made while clinical trials were underway 
and safety or efficacy observations made in clinical trials, including previously unreported adverse events. Notwithstanding any promising results we may 
have observed in earlier studies and trials, we cannot be certain that we will not face similar setbacks. Even if our clinical trials are completed, the results 
may not be sufficient to obtain regulatory approval for our product candidates. In addition, the results of our preclinical animal studies, including our non-
human primate studies, may not be predictive of the results of outcomes in human clinical trials. For example, our tumor-specific cancer immunotherapy 
candidates and any future product candidates may demonstrate different chemical, biological and pharmacological properties in patients than they do in 
laboratory studies or may interact with human biological systems in unforeseen or harmful ways. Product candidates in later stages of clinical trials may 
fail to show the desired pharmacological properties or safety and efficacy traits despite having progressed through preclinical studies and initial clinical 
trials. Even if we are able to initiate and complete clinical trials, the results may not be sufficient to obtain regulatory approval for our product candidates.

Our product candidates are biologics with complex and time-consuming manufacturing processes, and we may encounter difficulties in production, 
particularly  with  respect  to  process  development  or  scaling-out  of  our  manufacturing  capabilities.  If  we  or  any  of  our  third-party  manufacturers 
encounter such difficulties, our ability to provide supply of our product candidates for clinical trials or our products for patients, if approved, could be 
delayed or stopped, or we may be unable to maintain a commercially viable cost structure.

Our immunotherapy product candidates, GRANITE, SLATE and CORAL, are considered to be biologics, the manufacturing processes for which 
are complex, time-consuming, highly-regulated and subject to multiple risks. Our product candidates for SLATE and CORAL are designed using known 
genetic sequences available from public databases, while the manufacture of our product candidate for GRANITE involves extraction of genetic material 
from  patient  tumor  samples.  GRANITE,  SLATE  and  CORAL  require  genetic  manipulations  at  the  gene  sequence  level,  live  cell  culture  operations, 
specialized  formulations  and  aseptic  fill  finish  operations.  As  a  result  of  these  complexities,  the  cost  to  manufacture  biologics  in  general,  and  our 
individualized immunotherapy GRANITE in particular, is generally higher than traditional small molecule chemical compounds, and the manufacturing 
process is less reliable and more difficult and time-consuming to reproduce. In addition, our manufacturing processes for GRANITE and SLATE are in 
their early stages of development and will be susceptible to product loss or failure, or product variation that may adversely impact patient outcomes. Our 
supply  chain  may  not  function  efficiently  due  to  logistical  issues  associated  with  but  not  limited  to  the  collection  of  a  tumor  biopsy  from  the  patient, 
shipping  such  material  to  the  manufacturing  site,  sequencing  the  biopsy  specimen,  manufacturing  the  immunotherapy  components,  shipping  the  final 
immunotherapy back to the patient, and injecting the patient with the immunotherapy. Manufacturing issues or different product characteristics resulting 
from process development activities or even minor deviations during normal manufacturing processes could result in reduced production yields, product 
defects and other supply disruptions. If for any reason we lose a patient’s biopsy or an in-process product at any point in the process, the manufacturing 
process  for  that  patient  would  need  to  be  restarted,  and  the  resulting  delay  could  adversely  affect  that  patient’s  outcome.  Because  GRANITE  is 
manufactured specifically for an individual patient, we will be required to maintain a chain of identity and chain of custody with respect to materials as they 
move from the patient to the manufacturing facility, through the manufacturing process, and back to the patient. Maintaining such a chain of identity and 
chain of custody is difficult and complex, and the failure to do so could result in adverse patient outcomes, loss of product or regulatory action, including 
withdrawal of our products from the market, if licensed.

As  part  of  our  process  development  efforts  for  GRANITE  and  SLATE,  we  also  may  make  changes  to  our  manufacturing  processes  at  various 
points during development, for various reasons, such as controlling costs, achieving scale, decreasing processing time, increasing manufacturing success 
rate, or other reasons. Such changes carry the risk that they will not achieve their intended objectives, and any of these changes could cause our product 
candidates  to  perform  differently  and  affect  the  results  of  our  ongoing  clinical  trials  or  future  clinical  trials.  In  some  circumstances,  changes  in  the 
manufacturing  process  may  require  us  to  perform  ex  vivo  comparability  studies  and  to  collect  additional  data  from  patients  prior  to  undertaking  more 
advanced clinical trials. For example, in July 2023, the FDA issued Draft Guidance for Industry, Manufacturing Changes and Comparability for Human 
Cellular and Gene Therapy Products. Further, changes in our process during the course of clinical development may require us to show the comparability 

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of the product used in earlier clinical phases or at earlier portions of a trial to the product used in later clinical phases or later portions of the trial.

Furthermore, if microbial, viral or other contaminations are discovered in our manufacturing facilities, or those of our CMOs, or in our product 
candidates  manufactured  there,  such  manufacturing  facilities  may  need  to  be  closed  for  an  extended  period  of  time  to  investigate  and  remedy  the 
contamination. We cannot assure you that any such contaminations or stability failures or other issues relating to the manufacture of our product candidates 
will not occur in the future.

We may be unable to obtain regulatory approval for our product candidates under applicable regulatory requirements. The denial or delay of any such 
approval would delay or prevent commercialization of our product candidates and adversely impact our potential to generate revenue, our business and 
our results of operations.

To gain approval to market our product candidates, we must provide the FDA and foreign regulatory authorities with clinical data that adequately 
demonstrate  the  safety,  purity,  potency  and  efficacy  of  the  product  candidate  for  the  intended  indication  applied  for  in  the  applicable  regulatory  filing. 
Product development is a long, expensive and uncertain process, and delay or failure can occur at any stage of any of our clinical development programs. A 
number of companies in the biotechnology and pharmaceutical industries have suffered significant setbacks in clinical trials, even after promising results in 
earlier  preclinical  or  clinical  trials.  These  setbacks  have  been  caused  by,  among  other  things,  preclinical  findings  made  while  clinical  studies  were 
underway  and  safety  or  efficacy  observations  made  in  clinical  trials,  including  previously  unreported  adverse  events.  Success  in  preclinical  testing  and 
early clinical trials does not ensure that later clinical trials will be successful, and the results of clinical trials by other parties may not be indicative of the 
results in trials we may conduct.

We  have  not  previously  submitted  a  BLA  or  any  other  marketing  application  to  the  FDA  or  similar  filings  to  comparable  foreign  regulatory 
authorities. A BLA or other similar regulatory filing requesting approval to market a product candidate must include extensive preclinical and clinical data 
and supporting information to establish that the product candidate is safe, effective, pure and potent for each desired indication. The BLA or other similar 
regulatory filing must also include significant information regarding the chemistry, manufacturing and controls for the product. FDA and foreign regulatory 
authorities may also conduct pre-license inspections of us and/or our CMOs to ensure the manufacture of a product candidate complies with applicable 
regulatory requirements, including cGMP or similar foreign requirements. Adverse inspection findings could result in the delay or non-approval of a BLA 
or other similar regulatory filing and require the implementation of costly corrective actions before potential approval can be granted.

The research, testing, manufacturing, labeling, approval, sale, marketing and distribution of biologic products are subject to extensive regulation 
by  the  FDA  and  other  regulatory  authorities  in  the  United  States  and  other  countries,  and  such  regulations  differ  from  country  to  country.  We  are  not 
permitted to market our product candidates in the United States or in any foreign countries until they receive the requisite approval from the applicable 
regulatory authorities of such jurisdictions.

The FDA or any foreign regulatory bodies can delay, limit or deny approval of our product candidates for many reasons, including:

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our inability to demonstrate to the satisfaction of the FDA or the applicable foreign regulatory body that any of our product candidates are 
safe, pure, potent and effective for the requested indication;

the FDA’s or the applicable foreign regulatory agency’s disagreement with our trial protocols or the interpretation or reliability of data from 
preclinical studies or clinical trials;

our inability to demonstrate that the clinical and other benefits of any of our product candidates outweigh any safety or other perceived risks;

the FDA’s or the applicable foreign regulatory agency’s requirement for additional preclinical studies or clinical trials;

the FDA’s or the applicable foreign regulatory agency’s non-approval of the formulation, labeling or specifications of GRANITE, SLATE, 
CORAL or any of our other current or future product candidates;

the FDA’s or the applicable foreign regulatory agency’s failure to approve our manufacturing processes and facilities or the facilities of third-
party manufacturers upon which we rely; or

the potential for approval policies or regulations of the FDA or the applicable foreign regulatory agencies to significantly change in a manner 
rendering  our  clinical  data  insufficient  for  approval.  For  example,  the  FDA  launched  Project  Optimus  as  an  initiative  to  reform  the  dose 
optimization and dose selection paradigm in oncology product development as the FDA’s view is that the current paradigm for dose selection 
results in doses and schedules of molecularly targeted therapies that are inadequately characterized before initiating registration/pivotal trials. 
Through  collaboration  with  industry,  academia,  and  other  stakeholders,  the  FDA’s  goal  for  this  initiative  is  to  advance  an  oncology  dose-
finding and dose optimization paradigm 

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that emphasizes dose selections that maximize efficacy as well as safety and tolerability. In support of this initiative, the FDA may request 
sponsors of oncology product candidates to conduct dose optimization studies pre- or post-approval. The FDA also continues to develop and 
finalize guidance documents and implement initiatives regarding the development and clinical research of oncology product candidates. The 
FDA issued Draft Guidance for Industry, Optimizing the Dosage of Human Prescription Drugs and Biological Products for the Treatment of 
Oncologic Diseases in January 2023, to assist sponsors in identifying the optimal dosages for these products during clinical development and 
prior to submitting an application for approval for a new indication and usage.

Additionally,  government  authorities  and  other  stakeholders  have  been  recently  scrutinizing  the  accelerated  approval  pathway,  with  some 
stakeholders  advocating  for  reforms.  For  example,  FDA  has  held  Oncologic  Drugs  Advisory  Committee  meetings  to  discuss  accelerated  approvals  for 
which confirmatory trials have not verified clinical benefit. Such scrutiny, among other factors, has resulted in voluntary withdrawals of certain products 
and indications approved on an accelerated basis. FDA also launched an initiative, known as Project Confirm, to promote the transparency of outcomes 
related to accelerated approvals for oncology indications and issued draft guidance for industry on March 24, 2023, Clinical Trial Considerations to Support 
Accelerated Approval of Oncology Therapeutics, regarding clinical trial design considerations to support accelerated approval applications. Moreover, the 
U.S.  Department  of  Health  and  Human  Services  Office  of  Inspector  General  has  initiated,  and  partially  completed,  an  assessment  of  how  the  FDA 
implements the accelerated approval pathway. In addition, Section 3210 of the Consolidated Appropriations Act, 2023, revised the accelerated approval 
pathway. Although this legislation did not change the standard for accelerated approval, it, among other things, requires FDA to specify the conditions for 
required post-marketing trials, permits FDA to require such trials to be underway prior to, or within a specific period after, approval, requires sponsors to 
provide reports on post-marketing trial progress no later than 180 days after approval and every 180 days thereafter until such trials are completed, makes 
the failure to conduct required post-marketing trials with due diligence and the failure to submit the required reports prohibited acts, and details procedures 
FDA must follow to withdraw an accelerated approval on an expedited basis. In February 2024, FDA exercised its authority under the amended procedures 
for  withdrawal  of  accelerated  approval  to  withdraw  approval  of  Pepaxto  (melphalan  flufenamide),  which  was  approved  for  use  in  combination  with 
dexamethasone to treat certain patients with multiple myeloma. FDA determined that the following grounds for withdrawal were met: 1) the confirmatory 
study conducted as a condition of accelerated approval did not confirm Pepaxto’s clinical benefit, and 2) the available evidence demonstrated that Pepaxto 
is not shown to be safe or effective under its conditions of use. or At this time, it is not clear what, if any, impact these developments may have on the 
statutory accelerated approval pathway or our business, financial condition, results of operations or prospects.

Of the large number of biopharmaceutical products in development, only a small percentage successfully complete the FDA or other regulatory 

bodies’ approval processes and are commercialized.

Even  if  we  eventually  complete  clinical  testing  and  receive  approval  from  the  FDA  or  applicable  foreign  agencies  for  any  of  our  product 
candidates, the FDA or the applicable foreign regulatory agency may grant approval contingent on the performance of costly additional clinical trials which 
may be required after approval. Failure to complete such post-marketing requirements in accordance with the timelines and conditions set forth by the FDA 
or the applicable foreign regulatory agency could significantly increase costs or delay, limit or ultimately restrict or curtail the commercialization of the 
product  candidate.  The  FDA  or  the  applicable  foreign  regulatory  agency  also  may  approve  one  or  more  of  our  product  candidates  for  a  more  limited 
indication  or  a  narrower  patient  population  than  we  originally  requested,  and  the  FDA,  or  applicable  foreign  regulatory  agency,  may  not  approve  our 
product candidates with the labeling that we believe is necessary or desirable for the successful commercialization of such product candidates.

Any delay in obtaining, or inability to obtain, applicable regulatory approval would delay or prevent commercialization of our product candidates 

and would materially adversely impact our business and prospects.

We have chosen to prioritize development of our individualized immunotherapy candidate, GRANITE, and our off-the-shelf immunotherapy candidate, 
SLATE. We may expend our limited resources on candidates or indications that do not yield a successful product and fail to capitalize on other product 
candidates or indications for which there may be a greater likelihood of success or that may be more profitable.

In our cancer programs, we have strategically determined initially to focus solely on the development of individualized cancer immunotherapy 
candidates (including our “off-the-shelf” immunotherapy candidate) rather than to pursue other types of immunotherapies based, in part, on the significant 
resources  required  to  develop  and  manufacture  immunotherapies.  As  a  result,  we  may  initially  have  foregone,  and  we  may  continue  to  forego,  other 
potentially more profitable therapy indications or those with a greater likelihood of success.

Our decisions concerning the allocation of research, development, collaboration, management and financial resources toward particular product 
candidates  or  therapeutic  areas  may  not  lead  to  the  development  of  any  viable  commercial  product  and  may  divert  resources  away  from  better 
opportunities. Similarly, our potential decisions to delay, terminate or collaborate with third parties in respect 

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of certain programs may subsequently also prove to be suboptimal and could cause us to miss valuable opportunities. If we make incorrect determinations 
regarding the viability or market potential of any of our programs or product candidates or misread trends in the oncology or biopharmaceutical industry, 
our  business,  financial  condition  and  results  of  operations  could  be  materially  adversely  affected.  As  a  result,  we  may  fail  to  capitalize  on  viable 
commercial  products  or  profitable  market  opportunities,  be  required  to  forego  or  delay  pursuit  of  opportunities  with  other  product  candidates  or  other 
diseases and disease pathways that may later prove to have greater commercial potential than those we choose to pursue, or relinquish valuable rights to 
such product candidates through collaboration, licensing or other royalty arrangements in cases in which it would have been advantageous for us to invest 
additional resources to retain development and commercialization rights.

If we are unable to obtain regulatory approval for use of our tumor-specific immunotherapy candidates, GRANITE and SLATE, as a first- and second-
line therapy, our commercial opportunity and profitability may be limited.

Cancer therapies for advanced/metastatic cancers are sometimes characterized as first-line, second-line or third-line, and the FDA often approves 
new  systemic  therapies  initially  only  for  third-line  use.  When  cancer  is  detected  early  enough,  surgery  plus  first-line  systemic  therapy  is  sometimes 
adequate to cure the cancer. Whenever first-line therapy (usually chemotherapy, hormone therapy, radiotherapy, surgery or a combination of these) proves 
unsuccessful,  second-line  therapy  may  be  administered.  Second-line  therapies  often  consist  of  more  chemotherapy,  radiation,  antibody  drugs,  tumor-
targeted small molecules or a combination of these. Third-line therapies can include bone marrow transplantation, antibody and small molecule targeted 
therapies and new technologies such as adoptive cell therapies.

Traditionally, novel oncology therapeutics are developed and approved in late (third) line therapy of cancer patients. Such clinical programs carry 
risk of failure because patients are often quite frail, with effects of multiple rounds of prior therapy weakening bone marrow, immune systems and general 
fitness.  Immunotherapy,  such  as  checkpoint  inhibitors,  has  generally  been  shown  to  be  more  effective  when  used  in  earlier  lines  of  therapy,  with  the 
prospect of very durable responses in some patients; and there is a trend towards earlier use of these agents, avoiding in particular cytotoxic chemotherapy 
agents, which carry substantial toxicity and very little prospect of long-term responses. Our tumor-specific immunotherapy clinical development program 
also aims to study our products in early stages of cancer treatment (referred to as adjuvant therapy), which carry a higher safety bar, and often a greater 
expectation of efficacy over control arms. Such studies may thus be relatively large and slow to achieve maturity. There are new tools available to stratify 
cancer patients for risk of recurrence or progression, such as liquid biopsies that measure the amount of circulating tumor-derived DNA. We will utilize 
these  tools  to  attempt  to  expedite  clinical  trials  in  early-stage  cancer  patients  by  focusing  upon  patients  at  above-average  risk  of  disease  recurrence  or 
progression,  which  events  are  typical  endpoints  in  clinical  trials.  The  development  of  liquid  biopsies  is  at  an  early  stage,  however,  and  these  tools  may 
prove to carry low utility and thus render early-stage cancer trials slow, necessarily large and expensive. The safety of our tumor-specific immunotherapy 
product candidates in combination with checkpoint inhibitors in early lines of therapy may also prove to be unacceptable.

We expect to seek approval of our tumor-specific immunotherapy product candidates as a first-line therapy wherever possible, but also as a late-
line therapy where appropriate, and potentially as adjuvant therapy. There is no guarantee that our product candidates, even if approved in late-line therapy, 
would be approved for second-line or first-line or adjuvant therapy. In addition, we may have to conduct additional clinical trials prior to gaining approval 
for first-line or adjuvant therapy.

While our SLATE product is designed to be readily available (off-the-shelf), GRANITE may initially take approximately 14 to 18 weeks post-
sequencing to be manufactured and released for human use, and this long timeline demands that either patients are consented and entered into our trials 
when they start a prior line of therapy, and start our therapy upon disease progression, or we initiate treatment in patients who have entered the maintenance 
phase of their original line of treatment. For example, we might enroll newly diagnosed patients who are due to receive front-line chemotherapy and then 
start their therapy with our immunotherapy product candidate as second-line treatment when they progress upon front-line chemotherapy or fail to tolerate 
it. This carries the risk of time delays or drop-out, i.e., patients may not progress after first-line chemotherapy for a long time, or they may decide not to 
receive an immunotherapy product candidate we have manufactured for them, at our expense. Alternatively, we may treat first-line patients once they have 
completed their initial treatment and have not progressed (called maintenance therapy)—this renders efficacy harder to interpret versus simple treatment 
studies (any objective response cannot clearly be attributed to our products) and may be complicated by standard of care treatments, which may necessarily 
be continued alongside our immunotherapy candidates, further confounding interpretation of efficacy.

Our  projections  of  both  the  number  of  people  who  have  the  cancers  we  are  targeting,  as  well  as  the  subset  of  people  with  these  cancers  in  a
position to receive first-, second- or third-line therapy and who have the potential to benefit from treatment with our product candidates, are based on our 
beliefs and estimates. These estimates have been derived from a variety of sources, including scientific literature, surveys of clinics, patient foundations, 
and market research, and may prove to be incorrect. Regulatory authorities also may establish narrower definitions around when a patient is ineligible for 
other treatments than we have used in our projections, and that would reduce the size of the patient population eligible for our product candidates. Further, 
new studies may change the estimated 

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incidence or prevalence of these cancers. The number of patients may turn out to be lower than expected. Additionally, the potentially addressable patient 
population for our product candidates may be limited or may not be amenable to treatment with our product candidates. For instance, we anticipate that 
only a fraction of colorectal cancer patients will be predicted to have a high enough probability of TSNA presence to merit their inclusion into our program. 
Even if we obtain significant market share for our product candidates, because the potential target populations are small, we may never achieve profitability 
without obtaining regulatory approval for additional indications, including use as a first-line or second-line therapy.

If we encounter difficulties enrolling patients in our clinical trials, our clinical development activities could be delayed or otherwise adversely affected.

The timely completion of our clinical trials in accordance with their protocols depends, among other things, on our ability to enroll a sufficient 
number of patients who remain in the study until its conclusion. We may experience difficulties in patient enrollment in our clinical trials for a variety of 
reasons. The enrollment of patients depends on many factors, including:

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the patient eligibility criteria defined in the protocol;

the size of the patient population required for analysis of the trial’s primary endpoints;

the proximity of patients to trial sites;

the design of the trial;

our ability to recruit clinical trial investigators with the appropriate competencies and experience;

clinical trial investigators’ willingness to enroll patients during a public health crisis;

clinicians’  and  patients’  perceptions  as  to  the  potential  advantages  of  the  product  candidate  being  studied  in  relation  to  other  available 
therapies, including any new therapies that may be approved for the indications we are investigating; and

our ability to obtain and maintain patient consents.

Our clinical trials may compete with other clinical trials for product candidates that are in the same therapeutic areas as our product candidates, 
and such competition may reduce the number and types of patients available to us, because some patients who might have opted to enroll in our trials may 
instead opt to enroll in a trial being conducted by one of our competitors. In addition, we have historically faced challenges with patient enrollment and 
monitoring  once  on  study  due  to  the  COVID-19  pandemic,  and  similar  challenges  are  likely  in  case  of  a  resurgence  of  the  COVID-19  pandemic  or  if 
another such public health crisis were to occur.

Further, the targeting of TSNA may result in unforeseen events, including harming healthy tissues in humans. As a result, it is possible that safety 
concerns  could  negatively  affect  patient  enrollment  among  the  patient  populations  that  we  intend  to  treat.  Delays  in  patient  enrollment  may  result  in 
increased costs or may affect the timing or outcome of the planned clinical trials, which could prevent completion of these trials and adversely affect our 
ability to advance the development of our product candidates.

Our  product  candidates  may  cause  undesirable  side  effects  or  have  other  properties  that  could  delay  or  prevent  their  regulatory  approval,  limit  the 
commercial profile of an approved label, or result in significant negative consequences following marketing approval, if any.

As with most biological products, use of our product candidates could be associated with side effects or adverse events, which can vary in severity 
from  minor  reactions  to  death  and  in  frequency  from  infrequent  to  prevalent.  Undesirable  side  effects  or  unacceptable  toxicities  caused  by  our  product 
candidates could cause us or regulatory authorities to interrupt, delay or halt clinical trials and could result in a more restrictive label or the delay or denial 
of regulatory approval by the FDA or comparable foreign regulatory authorities. While we have now completed the Phase 1 portions, and we are in the 
Phase 2 portions, of our clinical trials of GRANITE and SLATE, we do not yet have a comprehensive understanding of their risks, and it is likely that there 
will  be  side  effects  associated  with  their  use  in  increasing  numbers  of  patients  in  Phase  2  and  beyond.  Results  of  our  trials  could  reveal  a  high  and 
unacceptable severity and prevalence of these or other side effects. Our other product candidates present similar risks, the severity of which is difficult to 
predict.

If unacceptable side effects arise in the development of our product candidates, we, the FDA, or comparable foreign regulatory authorities, the 
IRBs or Ethics Committees at the institutions in which our studies are conducted, or the DSMB could suspend or terminate our clinical trials or the FDA or 
comparable  foreign  regulatory  authorities  could  order  us  to  cease  clinical  trials  or  deny  approval  of  our  product  candidates  for  any  or  all  targeted
indications. Treatment-related side effects could also affect patient recruitment or the ability of enrolled patients to complete any of our clinical trials or 
result in potential product liability claims. In addition, these side effects may not be appropriately recognized or managed by the treating medical staff. We 
expect  to  have  to  train  medical  personnel  using  our  product  candidates  to  understand  the  side  effect  profiles  for  our  clinical  trials  and  upon  any 
commercialization of any of our 

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product  candidates.  Inadequate  training  in  recognizing  or  managing  the  potential  side  effects  of  our  product  candidates  could  result  in  patient  injury  or 
death. Any of these occurrences may harm our business, financial condition and prospects significantly.

In addition, even if we successfully advance one or more of our product candidates through clinical trials, such trials will likely only include a 
limited number of subjects and limited duration of exposure to our product candidates. As a result, we cannot be assured that adverse effects of our product 
candidates will not be uncovered when a significantly larger number of patients are exposed to the product candidate. Further, any clinical trials may not be 
sufficient to determine the effect and safety consequences of taking our product candidates over a multi-year period.

There  have  been  several  reported  cases  of  severe  thrombosis  with  thrombocytopenia  occurring  post-vaccination  in  individuals  who  received 
adenovirus-based vaccines for SARS-CoV-2, including those administered under EUA. This syndrome has been termed “vaccine-induced prothrombotic 
immune  thrombocytopenia  (VIPIT)”  or  “vaccine-induced  immune  thrombotic  thrombocytopenia  (VITT)”  but  is  now  termed  “thrombosis  with 
thrombocytopenia syndrome (TTS)” by the Centers for Disease Control and Prevention (CDC) and the FDA. The syndrome appears to be autoimmune in 
nature and is associated with autoantibodies to a specific platelet-associated antigen. To date, no patients receiving our adenoviral vaccine candidate against 
SARS-CoV-2,  CORAL,  have  been  known  to  develop  TTS,  nor  have  we  observed  it  in  our  cancer  programs  where  our  adenoviral  vaccines  are  used  in 
conjunction with checkpoint inhibitors (e.g., anti-PD1 antibody), which themselves can be associated with autoimmune toxicities; but we cannot be certain 
that this or similar complications will not arise.

If any of our product candidates receives marketing approval and we or others later identify undesirable side effects caused by such products, a 

number of potentially significant negative consequences could result, including:

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regulatory authorities may vary, suspend or revoke their approval of the product;

we may be required to recall a product or change the way such product is administered to patients;

additional  restrictions  may  be  imposed  on  the  marketing  of  the  particular  product  or  the  manufacturing  processes  for  the  product  or  any 
component thereof;

regulatory authorities may require the addition of labeling statements, such as a “black box” warning or a contraindication;

we  may  be  required  to  implement  a  Risk  Evaluation  and  Mitigation  Strategy  (REMS),  or  similar  risk  management  measures,  or  create  a 
Medication Guide outlining the risks of such side effects for distribution to patients;

we could be sued and held liable for harm caused to patients;

the product may become less competitive; and

our reputation may suffer.

Any of the foregoing events could prevent us from achieving or maintaining market acceptance of the particular product candidate, if approved, 
and result in the loss of significant revenues to us, which would materially adversely affect our results of operations and business. In addition, if one or 
more of our product candidates or our TSNA-directed immunotherapy approach generally prove to be unsafe, our entire technology platform and pipeline 
could be affected, which would have a material adverse effect on our business, financial condition, results of operations and prospects.

Even if one of our product candidates obtains regulatory approval, it may fail to achieve the broad degree of physician and patient adoption and use 
necessary for commercial success.

Even if one of our product candidates receives FDA or other regulatory approvals, the commercial success of any of our current or future product 
candidates will depend significantly on the broad adoption and use of the resulting product by physicians and patients for approved indications. The degree 
and rate of physician and patient adoption of our current or future product candidates, if approved, will depend on a number of factors, including:

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the clinical indications for which the product is approved and patient demand for approved products that treat those indications;

the safety and efficacy of our product as compared to other available therapies;

the time required for manufacture and release of our individualized immunotherapy products;

the availability of coverage and adequate reimbursement from managed care plans, private insurers, government payors (such as Medicare 
and Medicaid) and other third-party payors for any of our product candidates that may be approved;

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acceptance by physicians, operators of hospitals and clinics and patients of the product as a safe and effective treatment;

physician and patient willingness to adopt a new therapy for appropriate patients versus other available therapies for a particular indication;

proper training and administration of our product candidates by physicians and medical staff;

patient satisfaction with the results and administration of our product candidates and overall treatment experience, including, for example, the 
convenience of any dosing regimen;

the cost of treatment with our product candidates in relation to alternative treatments and reimbursement levels, if any, and willingness to pay 
for the product, if approved, on the part of insurance companies and other third-party payers, physicians and patients;

the prevalence and severity of side effects;

limitations or warnings contained in the FDA or foreign regulatory authorities - approved labeling for our products;

the willingness of physicians, operators of hospitals and clinics and patients to utilize or adopt our products as a solution;

any FDA or foreign regulatory authorities’ requirement for a REMS or similar risk management measures;

the effectiveness of our sales, marketing and distribution efforts;

adverse publicity about our products or favorable publicity about competitive products; and

potential product liability claims.

We  cannot  assure  you  that  our  current  or  future  product  candidates,  if  approved,  will  achieve  broad  market  acceptance  among  physicians  and 
patients. Any failure by our product candidates that obtain regulatory approval to achieve market acceptance or commercial success would adversely affect 
our results of operations.

We currently perform most of the manufacturing of our product candidates internally and rely on qualified third parties to supply some components of 
our product candidates. Our inability to manufacture sufficient quantities of any of our current or future product candidates, or the loss of our third-
party suppliers, or our or their failure to comply with applicable regulatory requirements or to supply sufficient quantities at acceptable quality levels or 
prices, or at all, would materially adversely affect our business.

Manufacturing is a vital component of our immunotherapy approach, and we have invested significantly in our manufacturing facilities. To ensure 
timely  and  consistent  product  supply  assurance  to  our  patients,  we  previously  used  a  hybrid  product  supply  approach  whereby  certain  elements  of  our 
product  candidates  were  manufactured  internally  at  our  manufacturing  facilities  in  Pleasanton,  California,  and  other  elements  were  manufactured  at 
qualified  third-party  contract  manufacturing  organizations  (CMOs).  All  internal  and  third-party  contract  manufacturing  is  performed  under  cGMP  or 
similar  guidelines.  We  have  since  internalized  most  of  the  manufacturing  steps  to  optimize  cost  and  production  time  and  establish  full  control  over 
intellectual property and product quality. We will need to continue to scale up our manufacturing operations, as we continue to build the infrastructure and 
improve the capability internally to manufacture all supplies needed for our product candidates or the materials necessary to produce them for use in the 
conduct  of  our  preclinical  studies  or  clinical  trials.  We  currently  lack  the  internal  resources  and  the  capability  to  manufacture  certain  elements  of  our 
product candidates on a late-clinical or commercial scale. Accordingly, we have made, and will be required to continue to make, significant investments in 
our manufacturing facility and processing in the future, and our efforts to scale our manufacturing operations may not succeed.

Our facilities and the facilities used by our CMOs to manufacture our product candidates are subject to various regulatory requirements and may 
be  subject  to  inspection  by  the  FDA  or  other  regulatory  authorities.  We  do  not  control  the  manufacturing  process  at  our  CMOs  and  are  completely 
dependent on them for compliance with current regulatory requirements. If we or our CMOs cannot successfully manufacture material that conforms to our 
specifications and the strict regulatory requirements of the FDA or comparable regulatory authorities in foreign jurisdictions, we may not be able to rely on 
our or their manufacturing facilities for the manufacture of elements of our product candidates. In addition, we have limited control over the ability of our 
CMOs to maintain adequate quality control, quality assurance and qualified personnel. If the FDA or a comparable foreign regulatory authority finds our 
facilities or those of our CMOs inadequate for the manufacture of our product candidates, or if such facilities are subject to enforcement action in the future 
or  are  otherwise  inadequate,  we  may  need  to  find  alternative  manufacturing  facilities,  which  would  significantly  impact  our  ability  to  develop,  obtain 
regulatory approval for or market our product candidates.

Additionally,  even  if  one  of  our  product  candidates  receives  regulatory  approval,  successful  commercialization  depends  on  our  ability  to 
effectively  scale  up  our  in-house  manufacturing  capabilities  and  those  of  our  manufacturing  partners  and  contractors.  Although  we  have  a  dedicated 
manufacturing facility in Pleasanton, we do not have sufficient manufacturing infrastructure to support a global 

56

 
 
 
 
 
 
 
roll-out  of  our  product  candidates  on  our  own.  We  may  not  be  able  to  timely  and  effectively  produce  our  product  candidates,  if  approved,  in  adequate 
quantities to address global demand. We have not previously had a commercial launch of any product, and we cannot guarantee that we will be able to meet 
any of the related challenges and requirements in a timely manner or at all. 

Finally, we and our CMOs may experience manufacturing and raw material sourcing difficulties due to resource constraints, as a result of labor 
disputes or unstable political environments, or due to the impact of a public health crisis. If we or our CMOs were to encounter any of these difficulties, our 
ability  to  provide  our  product  candidates  to  patients  in  clinical  trials,  or  to  provide  product  for  the  treatment  of  patients  once  approved,  would  be 
jeopardized.

We depend on third-party suppliers for key materials used in our manufacturing processes, and the loss of these third-party suppliers or their inability 
to supply us with adequate materials could harm our business.

We rely on third-party suppliers for certain materials required for the production of our individualized immunotherapy candidate. Our dependence 
on these third-party suppliers and the challenges we may face in obtaining adequate supplies of materials involve several risks, including limited control 
over pricing, availability, quality and delivery schedules. As a small company, our negotiation leverage is limited, and we are likely to get lower priority 
than our larger competitors. We cannot be certain that our suppliers will continue to provide us with the quantities of these raw materials that we require or 
satisfy our anticipated specifications and quality requirements. Any supply interruption in limited or sole sourced raw materials could materially harm our 
ability to manufacture our product candidates until a new source of supply, if any, could be identified and qualified. We may be unable to find a sufficient 
alternative supply channel in a reasonable time or on commercially reasonable terms. Any performance failure on the part of our suppliers could delay the 
development and potential commercialization of our product candidates, including limiting supplies necessary for clinical trials and regulatory approvals, 
which would have a material adverse effect on our business.

We rely, and intend to continue to rely, on third parties in the conduct of all of our preclinical studies and clinical trials. If these third parties do not 
successfully carry out their contractual duties, fail to comply with applicable regulatory requirements or fail to meet expected deadlines, we may be 
unable to obtain regulatory approval for our product candidates.

We  currently  do  not  have  the  ability  to  independently  conduct  preclinical  studies  that  comply  with  good  laboratory  practice  (GLP)  regulatory 
requirements.  We  also  do  not  currently  have  the  ability  to  independently  conduct  any  clinical  trials.  The  FDA  and  regulatory  authorities  in  other 
jurisdictions  require  us  to  comply  with  regulations  and  standards,  commonly  referred  to  as  good  clinical  practice  (GCP)  requirements  for  conducting, 
monitoring, recording and reporting the results of clinical trials, in order to ensure that the data and results are scientifically credible and accurate and that 
the  trial  subjects  are  adequately  informed  of  the  potential  risks  of  participating  in  clinical  trials.  We  rely  on  medical  institutions,  clinical  investigators, 
contract laboratories and other third parties, such as CROs, to conduct GLP-compliant preclinical studies and GCP-compliant clinical trials on our product 
candidates properly and on time. While we have agreements governing their activities, we control only certain aspects of their activities and have limited 
influence over their actual performance. The third parties with whom we contract for execution of our GLP-compliant preclinical studies and our GCP-
compliant  clinical  trials  play  a  significant  role  in  the  conduct  of  these  studies  and  trials  and  the  subsequent  collection  and  analysis  of  data.  These  third 
parties are not our employees and, except for restrictions imposed by our contracts with such third parties, we have limited ability to control the amount or 
timing of resources that they devote to our programs. Although we rely on these third parties to conduct our GLP-compliant preclinical studies and GCP-
compliant  clinical  trials,  we  remain  responsible  for  ensuring  that  each  of  our  preclinical  studies  and  clinical  trials  is  conducted  in  accordance  with  its 
investigational plan and protocol and applicable laws and regulations, and our reliance on the CROs does not relieve us of our regulatory responsibilities.

Many of the third parties with whom we contract may also have relationships with other commercial entities, including our competitors, for whom 
they  may  also  be  conducting  clinical  trials  or  other  drug  development  activities  that  could  harm  our  competitive  position.  Further,  under  certain 
circumstances, these third parties may terminate their agreements with us upon as little as 10 days’ prior written notice. Some of these agreements may also 
be terminated with immediate effect by such third parties under certain other circumstances, including our insolvency. If the third parties conducting our
preclinical  studies  or  our  clinical  trials  do  not  adequately  perform  their  contractual  duties  or  obligations,  experience  significant  business  challenges, 
disruptions or failures, do not meet expected deadlines, terminate their agreements with us or need to be replaced, or if the quality or accuracy of the data 
they  obtain  is  compromised  due  to  their  failure  to  adhere  to  our  protocols  or  to  GLPs/GCPs,  or  for  any  other  reason,  we  may  need  to  enter  into  new 
arrangements  with  alternative  third  parties.  This  could  be  difficult,  costly  or  impossible,  and  our  preclinical  studies  or  clinical  trials  may  need  to  be 
extended, delayed, terminated or repeated. As a result, we may not be able to obtain regulatory approval in a timely fashion, or at all, for the applicable 
product candidate, our financial results and the commercial prospects for our product candidates could be harmed, our costs could increase, and our ability 
to generate revenues could be delayed.

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Disruptions at the FDA and other government agencies caused by funding shortages or global health concerns could hinder their ability to hire, retain 
or deploy key leadership and other personnel, or otherwise prevent new or modified products from being developed, approved or commercialized in a 
timely manner or at all, which could negatively impact our business. 

The ability of the FDA or foreign regulatory authorities to review and approve new products can be affected by a variety of factors, including 
government budget and funding levels, statutory, regulatory and policy changes, the FDA’s or foreign regulatory authorities’ ability to hire and retain key 
personnel and accept the payment of user fees, and other events that may otherwise affect the FDA’s or foreign regulatory authorities’ ability to perform 
routine functions. Average review times at the FDA and foreign regulatory authorities have fluctuated in recent years as a result. In addition, government 
funding  of  other  government  agencies  that  fund  research  and  development  activities  is  subject  to  the  political  process,  which  is  inherently  fluid  and 
unpredictable. Disruptions at the FDA and other agencies may also slow the time necessary for new biologics or modifications to approved biologics to be 
reviewed and/or approved by necessary government agencies, which would adversely affect our business. For example, over the last several years, the U.S. 
government has shut down several times, and certain regulatory agencies, such as the FDA, have had to furlough critical FDA employees and stop critical 
activities.  Additionally, in response to the COVID-19 pandemic, the FDA and many regulatory authorities outside the United States adopted restrictions 
and postponed inspections.

If  a  prolonged  government  shutdown  occurs,  or  if  global  health  concerns  once  again  prevent  the  FDA  or  other  regulatory  authorities  from 
conducting  their  regular  inspections,  reviews  or  other  regulatory  activities,  it  could  significantly  impact  the  ability  of  the  FDA  or  other  regulatory 
authorities to timely review and process our regulatory submissions, which could have a material adverse effect on our business. 

We face significant competition in an environment of rapid technological and scientific change, and our failure to effectively compete may prevent us 
from achieving significant market penetration. Most of our competitors have significantly greater resources than we do, and we may not be able to 
successfully compete.

The biotechnology and pharmaceutical industries are characterized by rapidly advancing technologies, intense competition and a strong emphasis 
on  developing  proprietary  therapeutics.  We  compete  with  a  variety  of  multinational  biopharmaceutical  companies  and  specialized  biotechnology 
companies, as well as technology being developed at universities and other research institutions. Our competitors have developed, are developing or will 
develop  product  candidates  and  processes  that  may  compete  with  our  product  candidates.  Competitive  therapeutic  treatments  include  those  that  have 
already  been  approved  and  accepted  by  the  medical  community  and  any  new  treatments  that  enter  the  market.  We  believe  that  a  significant  number  of 
product  candidates  are  currently  under  development,  and  may  become  commercially  available  in  the  future,  for  the  treatment  of  diseases  and  other 
conditions for which we may try to develop product candidates. There is intense and rapidly evolving competition in the biotechnology, biopharmaceutical 
and antibody and immunoregulatory therapeutics fields. We believe that, while our discovery platform, its associated intellectual property and our scientific 
and technical know-how give us a competitive advantage in this space, competition from many sources remains. Our competitors include larger and better 
funded  biopharmaceutical,  biotechnological  and  therapeutics  companies.  Moreover,  we  also  compete  with  current  and  future  therapeutics  developed  at 
universities and other research institutions.

Our success will partially depend on our ability to develop and protect therapeutics that are safer and more effective than competing products. Our 
commercial  opportunity  and  success  will  be  reduced  or  eliminated  if  competing  products  that  are  safer,  more  effective,  or  less  expensive  than  the 
therapeutics we develop.

For example, if either of our GRANITE or SLATE vaccine candidates is approved, it will compete with a range of therapeutic treatments that are 
either in development or currently marketed, of which there are many. Such marketed therapies range from immune checkpoint inhibitors such as Bristol-
Myers Squibb Company’s OPDIVO and YERVOY, Merck & Co., Inc.’s KEYTRUDA, AstraZeneca’s IMFINZI, and Genentech, Inc.’s TECENTRIQ, T 
cell engager immunotherapies such as Amgen, Inc.’s BLINCYTO, and multi-kinase inhibitors such as Bayer’s STIVARGA. The most common therapeutic 
treatments  for  common  solid  tumors  are  chemotherapeutic  compounds,  radiation  therapy,  targeted  therapies  and  now  immunotherapies.  In  addition, 
numerous compounds are in clinical development for cancer treatment. The clinical development pipeline for cancer treatments includes small molecules, 
antibodies and immunotherapies from a variety of groups, including in the neoantigen space, the bispecific antibody space and engineered cell therapy and 
T cell receptor (TCR) space. Many of these companies are well-capitalized and, in contrast to us, have significant clinical experience.

In addition, if our CORAL vaccine candidate is approved, it will compete with a range of therapeutic treatments, including marketed therapies 
such as Pfizer and BioNTech’s COMIRNATY and in-development treatments such as Replicate Biosciences’ self-replicating RNA treatments for infectious 
diseases.  

Despite funding provided to us to date, many of our competitors have significantly greater financial, technical, manufacturing, marketing, sales 

and supply resources or experience than we do. If we successfully obtain approval for any product candidate, we will 

58

 
 
 
 
 
 
 
 
  
 
face  competition  based  on  many  different  factors,  including  the  safety  and  effectiveness  of  our  products,  the  ease  with  which  our  products  can  be 
administered  and  the  extent  to  which  patients  accept  relatively  new  routes  of  administration,  the  timing  and  scope  of  regulatory  approvals  for  these 
products,  the  availability  and  cost  of  manufacturing,  marketing  and  sales  capabilities,  price,  reimbursement  coverage  and  patent  position.  Competing 
products could present superior treatment alternatives, including by being more effective, safer, less expensive or marketed and sold more effectively than 
any products we may develop. If any competitors are successful in producing more efficacious products or if any competitors are able to manufacture and 
distribute competitive products with greater efficiency there may be a diversion of potential governmental and other funding away from us and toward such 
other  parties.  Competitive  products  may  make  any  products  we  develop  obsolete  or  noncompetitive  before  we  recover  the  expense  of  developing  and 
commercializing our product candidates. Such competitors could also recruit our employees, which could negatively impact our level of expertise and our 
ability to execute our business plan.

The  successful  commercialization  of  our  product  candidates  will  depend  in  part  on  the  extent  to  which  governmental  authorities,  private  health 
insurers,  and  other  third-party  payors  provide  coverage,  adequate  reimbursement  levels  and  implement  pricing  policies  favorable  for  our  product 
candidates.  Failure  to  obtain  or  maintain  coverage  and  adequate  reimbursement  for  our  product  candidates,  if  approved,  could  limit  our  ability  to 
market those products and decrease our ability to generate revenue.

The availability of coverage and adequacy of reimbursement by managed care plans, governmental healthcare programs, such as Medicare and 
Medicaid,  private  health  insurers  and  other  third-party  payors  are  essential  for  most  patients  to  be  able  to  afford  medical  services  and  pharmaceutical 
products  such  as  our  product  candidates  that  receive  FDA  approval.  Our  ability  to  achieve  acceptable  levels  of  coverage  and  reimbursement  for  our 
products or procedures using our products by third-party payors will have an effect on our ability to successfully commercialize our product candidates. 
Obtaining  coverage  and  adequate  reimbursement  for  our  products  may  be  particularly  difficult  due  to  general  price  sensitivity  associated  with  drugs 
administered under the supervision of a physician. Separate reimbursement for the product itself or the treatment or procedure in which our product is used 
may  not  be  available.  A  decision  by  a  third-party  payor  not  to  cover  or  separately  reimburse  for  our  products,  or  procedures  using  our  products,  could 
reduce  physician  utilization  of  our  products  once  approved.  Assuming  there  is  coverage  for  our  product  candidates,  or  procedures  using  our  product 
candidates,  by  a  third-party  payor,  the  resulting  reimbursement  payment  rates  may  not  be  adequate  or  may  require  co-payments  that  patients  find 
unacceptably  high.  We  cannot  be  sure  that  coverage  and  reimbursement  in  the  United  States,  the  European  Union  Member  States  or  elsewhere  will  be 
available for our product candidates or procedures using our product candidates, or any product that we may develop, and any reimbursement that may 
become available may not be adequate or may be decreased or eliminated in the future.

Third-party payors increasingly are challenging prices charged for pharmaceutical products and services, and many third-party payors may refuse 
to  provide  coverage  and  reimbursement  for  particular  drugs  or  biologics  when  an  equivalent  generic  drug,  biosimilar  or  a  less  expensive  therapy  is 
available.  It  is  possible  that  a  third-party  payor  may  consider  our  product  candidates  as  substitutable  and  only  offer  to  reimburse  patients  for  the  less 
expensive product. Even if we show improved efficacy or improved convenience of administration with our product candidates, pricing of existing third-
party therapeutics may not necessarily inform the price for our product candidates. These third-party payors may deny or revoke the reimbursement status 
of  our  product  candidates,  if  approved.  If  reimbursement  is  not  available  or  is  available  only  at  limited  levels,  we  may  not  be  able  to  successfully 
commercialize our product candidates.

There is significant uncertainty related to the insurance coverage and reimbursement of newly-approved products, especially novel products like 
our  immunotherapy  product  candidates.  No  regulatory  authority  has  granted  approval  for  a  tumor-specific  cancer  immunotherapy  based  on  a  vaccine 
approach, and there is no model for reimbursement of this type of product. The Medicare and Medicaid programs increasingly are used as models in the 
United  States  for  how  private  payors  and  other  governmental  payors  develop  their  coverage  and  reimbursement  policies  for  drugs  and  biologics.  Some 
third-party payors may require pre-approval of coverage for new or innovative devices or drug therapies before they will reimburse healthcare providers 
who use such therapies. We cannot predict at this time what third-party payors will decide with respect to the coverage and reimbursement for our product 
candidates.

No uniform policy for coverage and reimbursement for products exists among third-party payors in the United States. Therefore, coverage and 
reimbursement for products can differ significantly from payor to payor. As a result, the coverage determination process is often a time-consuming and 
costly process that may require us to provide scientific and clinical support for the use of our product candidates to each payor separately, with no assurance 
that  coverage  and  adequate  reimbursement  will  be  applied  consistently  or  obtained  in  the  first  instance.  Furthermore,  rules  and  regulations  regarding 
reimbursement change frequently, in some cases on short notice, and we believe that future changes in these rules and regulations are likely. In addition, 
companion  diagnostic  tests  require  coverage  and  reimbursement  separate  and  apart  from  the  coverage  and  reimbursement  for  their  companion 
pharmaceutical or biological products. Similar challenges to obtaining coverage and reimbursement, applicable to pharmaceutical or biological products, 
will apply to companion diagnostics.

Outside the United States, international operations are generally subject to extensive governmental price controls and other market regulations, 

and we believe the increasing emphasis on cost-containment initiatives in Europe and other countries have and will 

59

 
 
 
 
 
 
 
 
continue to put pressure on the pricing and usage of our product candidates. In many countries, the prices of medical products are subject to varying price 
control  mechanisms  as  part  of  national  health  systems.  Other  countries  allow  companies  to  fix  their  own  prices  for  medical  products  but  monitor  and 
control company profits. Additional foreign price controls or other changes in pricing regulation could restrict the amount that we are able to charge for our 
product candidates. Accordingly, in markets outside the United States, the reimbursement for our product candidates may be reduced compared with the 
United States and may be insufficient to generate commercially reasonable revenue and profits.

Moreover, increasing efforts by governmental and third-party payors in the United States and abroad to cap or reduce healthcare costs may cause 
such organizations to limit both coverage and the level of reimbursement for newly approved products, and, as a result, they may not cover or provide 
adequate payment for our product candidates. For example, the recently-enacted Inflation Reduction Act directs the Secretary to negotiate maximum fair 
prices for certain Medicare drugs. The law also requires manufacturers to pay a rebate if the price of a Medicare Part B or Part D drug increases at a rate 
that  exceeds  inflation  and  redesigns  the  Medicare  Part  D  benefit  in  a  way  that  potentially  obligates  manufacturers  to  increased  discounts  on  Part  D 
utilization. Additionally, some state legislatures have established Prescription Drug Affordability Boards (PDABs), which in certain cases are authorized to 
set upper payment limits for drugs administered or dispensed in the state.  We expect to experience pricing pressures in connection with the sale of our 
product candidates due to the trend toward managed health care, the increasing influence of health maintenance organizations and additional legislative 
changes. The downward pressure on healthcare costs in general, particularly prescription drugs and biologics and surgical procedures and other treatments, 
has become intense. As a result, increasingly high barriers are being erected to the entry of new products.

If we are unable to support demand for our existing or future services, including ensuring that we have adequate capacity to meet increased demand, 
or we are unable to successfully manage the evolution of our EDGE™ platform, our business could suffer.

As the demand for our individualized and off-the-shelf vaccine-based immunotherapy candidates increases with our clinical trial needs, we will 
need to continue to increase our workflow capacity for sample intake and general process improvements, expand our internal quality assurance program, 
and apply our EDGE™ platform at a larger scale within expected turnaround times. We will need additional certified laboratory scientists and technicians 
and  other  scientific  and  technical  personnel  to  process  higher  volumes  of  tumor  biopsies.  Portions  of  our  process  are  not  automated  and  will  require 
additional personnel to scale. We will also need to purchase additional equipment, some of which can take several months or more to procure, set up, and 
validate, and increase our software and computing capacity to meet increased volume. There is no assurance that any of these increases in scale, expansion 
of  personnel,  equipment,  software  and  computing  capacities,  or  process  enhancements  will  be  successfully  implemented,  or  that  we  will  have  adequate 
space in our laboratory facilities to accommodate such required expansion.

As we progress through clinical development and expand our manufacturing capabilities, we will need to incorporate new equipment, implement 
new technology systems and laboratory processes, and hire new personnel with different qualifications. Failure to manage this growth or transition could 
result  in  turnaround  time  delays,  higher  service  costs,  declining  service  quality,  deteriorating  customer  service,  and  slower  responses  to  competitive
challenges. A failure in any one of these areas could make it difficult for us to meet market expectations for our services and could damage our reputation 
and the prospects for our business.

We currently have no sales organization. If we are unable to establish sales capabilities on our own or through third parties, we may not be able to 
market and sell our product candidates effectively in the United States and foreign jurisdictions, if approved, or generate product revenue.

We currently do not have a marketing or sales organization. In order to commercialize our product candidates, if approved, in the United States 
and foreign jurisdictions, we will need to build our marketing, sales, distribution, managerial and other non-technical capabilities or make arrangements 
with third parties to perform these services, and we may not be successful in doing so. If any of our product candidates receive regulatory approval, we 
expect  to  establish  a  sales  organization  with  technical  expertise  and  supporting  distribution  capabilities  to  commercialize  each  such  product  candidate, 
which will be expensive and time consuming. We have no prior experience in the marketing, sale and distribution of pharmaceutical products, and there are 
significant risks involved in building and managing a sales organization, including our ability to hire, retain, and incentivize qualified individuals, generate 
sufficient sales leads, provide adequate training to sales and marketing personnel, and effectively manage a geographically dispersed sales and marketing 
team. Any failure or delay in the development of our internal sales, marketing and distribution capabilities would adversely impact the commercialization 
of these products. We may choose to collaborate with third parties that have direct sales forces and established distribution systems, either to augment our 
own sales force and distribution systems or in lieu of them. If we are unable to enter into such arrangements on acceptable terms or at all, we may not be 
able to successfully commercialize our product candidates. If we are not successful in commercializing our current or any future product candidates, either 
on  our  own  or  through  arrangements  with  one  or  more  third  parties,  we  may  not  be  able  to  generate  any  future  product  revenue  and  we  would  incur 
significant additional losses.

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We will need to increase the size of our organization, and we may experience difficulties in managing growth.

As of December 31, 2023, we had 231 full-time employees. As our clinical trials progress and we get closer to any potential regulatory approvals, 
we will need to expand our managerial, regulatory, clinical science, development operations, finance and other resources in order to manage our operations
and clinical trials, continue our development activities and commercialize our product candidates or any future product candidates. Our management and 
personnel, systems and facilities currently in place may not be adequate to support our future needs. Our need to effectively execute on our growth strategy 
requires that we:

•

•

•

•

manage our preclinical studies and clinical trials effectively;

identify, recruit, retain, incentivize and integrate additional employees, including sales personnel;

manage our internal development and operational efforts effectively while carrying out our contractual obligations to third parties; and

continue to improve our operational, financial and management controls, reports systems and procedures.

If we fail to attract and retain senior management and key scientific personnel, our business may be materially adversely affected.

Our success depends in part on our continued ability to attract, retain and motivate highly-qualified management, clinical and scientific personnel. 
We are highly dependent upon our senior management, particularly our President and Chief Executive Officer, as well as our senior scientists and other 
members  of  our  senior  management  team.  The  loss  of  services  of  any  of  these  individuals  could  delay  or  prevent  the  successful  development  of  our 
products, initiation or completion of our planned clinical trials or the commercialization of our current or any future product candidates.

Competition for qualified personnel in the biotechnology and biopharmaceutical fields is intense due to the limited number of individuals who 
possess  the  skills  and  experience  required  by  our  industry.  We  will  need  to  hire  additional  personnel  as  we  expand  our  clinical  development  and  if  we 
initiate commercial activities. We may not be able to attract and retain quality personnel on acceptable terms, or at all. In addition, to the extent we hire 
personnel  from  competitors,  we  may  be  subject  to  allegations  that  they  have  been  improperly  solicited  or  that  they  have  divulged  proprietary  or  other 
confidential information, or that their former employers own their research output.

Further, the reduction in workforce we announced in February 2024 may also make retention of our current personnel both more important and 
more  challenging.  The  workforce  reduction  resulted  in  the  loss  of  longer-term  employees,  the  loss  of  institutional  knowledge  and  expertise  and  the 
reallocation  and  combination  of  certain  roles  and  responsibilities  across  the  organization,  all  of  which  could  adversely  affect  our  operations.  Given  the 
complexity  of  our  business,  we  must  continue  to  implement  and  improve  our  managerial,  operational  and  financial  systems,  manage  our  facilities  and 
continue to recruit and retain qualified personnel.

If product liability lawsuits are brought against us, we may incur substantial liabilities and may be required to limit commercialization of our current 
or future product candidates.

We face an inherent risk of product liability as a result of the planned clinical testing of our product candidates and will face an even greater risk if 
we commercialize any products. For example, we may be sued if any product we develop allegedly causes injury or is found to be otherwise unsuitable 
during product testing, manufacturing, marketing or sale. Any such product liability claims may include allegations of defects in manufacturing, defects in 
design, a failure to warn of dangers inherent in the product, negligence, strict liability, and a breach of warranty. Claims could also be asserted under state 
consumer protection acts. If we cannot successfully defend ourselves against product liability claims, we may incur substantial liabilities or be required to 
limit commercialization of our product candidates. Even successful defense would require significant financial and management resources. Regardless of 
the merits or eventual outcome, liability claims may result in:

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decreased demand for our current or future product candidates;

injury to our reputation;

withdrawal of clinical trial participants;

costs to defend the related litigation;

a diversion of management’s time and our resources;

substantial monetary awards to trial participants or patients;

regulatory investigations, product recalls, withdrawals or labeling, marketing or promotional restrictions;

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loss of revenue; and

the inability to commercialize our current or any future product candidates.

Our inability to obtain and maintain sufficient product liability insurance at an acceptable cost and scope of coverage to protect against potential 
product  liability  claims  could  prevent  or  inhibit  the  commercialization  of  our  current  or  any  future  product  candidates  we  develop.  We  currently  carry 
product liability insurance covering our clinical trials in the amount of $10.0 million in the aggregate. Nonetheless, any claim that may be brought against 
us could result in a court judgment or settlement in an amount that is not covered, in whole or in part, by our insurance or that is in excess of the limits of 
our insurance coverage. Our insurance policies also have various exclusions and deductibles, and we may be subject to a product liability claim for which 
we have no coverage. We will have to pay any amounts awarded by a court or negotiated in a settlement that exceed our coverage limitations or that are not 
covered by our insurance, and we may not have, or be able to obtain, sufficient funds to pay such amounts. Moreover, in the future, we may not be able to 
maintain insurance coverage at a reasonable cost or in sufficient amounts to protect us against losses. If and when we obtain approval for marketing any of 
our product candidates, we intend to expand our insurance coverage to include the sale of such product candidate; however, we may be unable to obtain this 
liability insurance on commercially reasonable terms or at all.

Our strategic collaborations, including those with Gilead and with 2seventy as  well  as  any  future  arrangements  that  we  may  enter  into,  may  not  be 
successful, which could significantly limit the likelihood of receiving the potential economic benefits of such collaborations and adversely affect our 
ability to develop and commercialize our product candidates.

In February 2021, we entered into a collaboration, option and license agreement with Gilead to research and develop a vaccine for HIV. Under the 
terms of the agreement, Gilead is responsible for conducting the Phase 1 study and, if it exercises its exclusive option, will develop and commercialize the 
HIV-specific therapeutic vaccine beyond Phase 1. In such case, subject to certain clinical, regulatory and commercial milestones being achieved, we would 
be eligible to receive up to an additional $725.0 million, as well as certain royalties on net sales upon commercialization. Separately, in August 2018, we 
entered  into  a  strategic  collaboration  with  2seventy  to  utilize  our  EDGE™  platform  to  identify  and  validate  tumor-specific  targets  and  provide  TCRs 
directed to 10 selected targets for use in 2seventy’s cell therapy products. Under that collaboration, we are entitled to receive up to an aggregate of $1.2 
billion  in  development,  regulatory  and  commercial  milestones  and  tiered  single  digit  royalties  on  sales  of  2seventy’s  cell  therapy  products  utilizing  the 
TCRs we develop directed at the targets we discovered. 

Apart from these strategic collaborations, in the future, we may seek to enter into additional collaboration arrangements for the development or 
commercialization  of  certain  of  our  product  candidates,  depending  on  the  merits  of  retaining  commercialization  rights  for  ourselves  as  compared  to 
entering  into  collaboration  arrangements.  To  the  extent  that  we  decide  to  enter  into  collaboration  agreements  in  the  future,  we  may  face  significant 
competition in seeking appropriate collaborators. Moreover, all such collaboration arrangements are complex and time-consuming to negotiate, document, 
implement and maintain, as well as challenging to manage. We may not be successful in our efforts with Gilead or 2seventy, and we may never receive any 
of the payments contemplated in those collaboration arrangements. Further, we may be unable to prudently manage these collaborations or enter into new 
ones. The terms of any new collaborations or other arrangements that we may establish may not be favorable to us.

The success of our collaboration arrangements will depend heavily on the efforts and activities of our collaborators. Collaborations are subject to 

numerous risks, which may include risks that:

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collaborators have significant discretion in determining the efforts and resources that they will apply to collaborations;

collaborators  may  not  pursue  development  and  commercialization  of  our  product  candidates  or  may  elect  not  to  continue  or  renew 
development  or  commercialization  programs  based  on  clinical  trial  results,  changes  in  their  strategic  focus  due  to  their  acquisition  of 
competitive  products  or  their  internal  development  of  competitive  products,  availability  of  funding  or  other  external  factors,  such  as  a 
business combination that diverts resources or creates competing priorities;

collaborators  may  delay  clinical  trials,  provide  insufficient  funding  for  a  clinical  trial  program,  stop  a  clinical  trial,  abandon  a  product 
candidate, repeat or conduct new clinical trials or require a new formulation of a product candidate for clinical testing;

collaborators could independently develop, or develop with third parties, products that compete directly or indirectly with our products or 
product candidates;

a  collaborator  with  marketing,  manufacturing  and  distribution  rights  to  one  or  more  products  may  not  commit  sufficient  resources  to  or 
otherwise perform satisfactorily in carrying out these activities;

we could grant exclusive rights to our collaborators that would prevent us from collaborating with others;

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collaborators  may  not  properly  maintain  or  defend  our  intellectual  property  rights  or  may  use  our  intellectual  property  or  proprietary 
information  in  a  way  that  gives  rise  to  actual  or  threatened  litigation  that  could  jeopardize  or  invalidate  our  intellectual  property  or 
proprietary information or expose us to potential liability;

disputes may arise between us and a collaborator that causes the delay or termination of the research, development or commercialization of 
our current or future product candidates or that results in costly litigation or arbitration that diverts management attention and resources;

collaborations  may  be  terminated,  and,  if  terminated,  this  may  result  in  a  need  for  additional  capital  to  pursue  further  development  or 
commercialization of the applicable current or future product candidates;

collaborators may own or co-own intellectual property covering products that result from our collaboration with them, and, in such cases, we 
would not have the exclusive right to develop or commercialize such intellectual property;

disputes may arise with respect to the ownership of any intellectual property developed pursuant to our collaborations; and

a collaborator’s sales and marketing activities or other operations may not be in compliance with applicable laws resulting in civil or criminal 
proceedings.

If we engage in future acquisitions or strategic partnerships, this may increase our capital requirements, dilute our stockholders, cause us to incur debt 
or assume contingent liabilities, and subject us to other risks.

We may evaluate various acquisitions and strategic partnerships, including licensing or acquiring complementary products, intellectual property 

rights, technologies, or businesses. Any potential acquisition or strategic partnership may entail numerous risks, including:

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increased operating expenses and cash requirements;

the assumption of additional indebtedness or contingent liabilities;

the issuance of our equity securities;

assimilation of operations, intellectual property and products of an acquired company, including difficulties associated with integrating new 
personnel;

the  diversion  of  our  management’s  attention  from  our  existing  product  programs  and  initiatives  in  pursuing  such  a  strategic  merger  or 
acquisition;

retention of key employees, the loss of key personnel, and uncertainties in our ability to maintain key business relationships;

risks and uncertainties associated with the other party to such a transaction, including the prospects of that party and their existing products or 
product candidates and regulatory approvals; and

our inability to generate revenue from acquired technology and/or products sufficient to meet our objectives in undertaking the acquisition or 
even to offset the associated acquisition and maintenance costs.

In addition, if we undertake acquisitions, we may issue dilutive securities, assume or incur debt obligations, incur large one-time expenses and 
acquire  intangible  assets  that  could  result  in  significant  future  amortization  expense.  Moreover,  we  may  not  be  able  to  locate  suitable  acquisition 
opportunities, and this inability could impair our ability to grow or obtain access to technology or products that may be important to the development of our 
business.

Unfavorable global economic conditions could adversely affect our business, financial condition, or results of operations.

Our results of operations could be adversely affected by general conditions in the global economy and financial markets. If the conditions in the general 
economy deteriorate, including as a result of supply chain disruptions, regional conflicts around the world, recent instability in the banking sector, inflation 
and  market  volatility,  rising  interest  rates,  uncertainty  with  respect  to  the  federal  debt  ceiling  and  budget  and  the  related  potential  for  government 
shutdowns,  cybersecurity  events,  the  ongoing  labor  shortage,  or  otherwise,  our  business,  financial  condition,  and  operating  results  could  be  adversely 
affected. Among other challenges, a severe or prolonged economic downturn, could adversely impact our suppliers’ ability to provide us with materials and 
components, which could have a material adverse effect on our business, financial condition, and results of operations.

We, or the third parties upon whom we depend, may be adversely affected by natural disasters, public health crises, political crises, acts of terrorism, 
war or other catastrophic events and our business continuity and disaster recovery plans may not adequately protect us from a serious disaster.

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We, our suppliers and third-party service providers are vulnerable to damage from natural disasters, including but not limited to earthquakes, fires 
or  floods,  power  loss,  communications  failures,  public  health  crises,  such  as  pandemics  and  epidemics,  political  crises,  such  as  terrorism,  war,  political 
instability or other conflict and similar events. If any disaster were to occur, our ability to operate our business at any of our facilities could be seriously, or 
potentially completely, impaired.

Our  corporate  headquarters  and  certain  of  our  other  facilities,  including  our  manufacturing  facility,  are  located  in  the  San  Francisco  Bay  Area, 
which in the past has experienced both severe earthquakes and wildfires. We do not carry earthquake insurance. Earthquakes, wildfires or other natural 
disasters could severely disrupt our operations and have a material adverse effect on our business, results of operations, financial condition and prospects. 
For example, if a natural disaster, power outage or other event occurred that prevented us from using all or a significant portion of our headquarters or other 
facilities, that damaged critical infrastructure, such as our enterprise financial systems or manufacturing resource planning and enterprise quality systems, 
or that otherwise disrupted operations, it may be difficult or, in certain cases, impossible, for us to continue our business for a substantial period of time.

If a natural disaster, power outage or other event occurred that prevented us from using all or a significant portion of our headquarters or other 
facilities, that damaged critical infrastructure, such as our enterprise financial systems or manufacturing resource planning and enterprise quality systems, 
or that otherwise disrupted operations, it may be difficult or, in certain cases, impossible, for us to continue our business for a substantial period of time. 

The disaster recovery and business continuity plans we have in place currently are limited and are unlikely to prove adequate in the event of a 
serious disaster or similar event. We may incur substantial expenses as a result of the limited nature of our disaster recovery and business continuity plans, 
which, particularly when taken together with our lack of earthquake insurance, could have a material adverse effect on our business.

In  addition,  our  operations  expose  us  to  risks  associated  with  public  health  crises,  such  as  pandemics  and  epidemics,  which  could  harm  our 
business and cause our operating results to suffer. Further, acts of war, terrorism, labor activism or unrest and other geopolitical unrest, including ongoing 
conflicts in Ukraine and Israel, could cause disruptions in our business, the businesses of our partners or the economy as a whole. 

Furthermore,  integral  parties  in  our  supply  chain  are  similarly  vulnerable  to  natural  disasters  or  other  sudden,  unforeseen  and  severe  adverse 

events. If such an event were to affect our supply chain, it could have a material adverse effect on our business.

We depend on our information technology systems, and any failure of these systems could harm our business. Security breaches, loss of data, and other 
disruptions could compromise sensitive information related to our business or prevent us from accessing critical information and expose us to liability, 
which could adversely affect our business, results of operations and financial condition.

We collect and maintain information in digital form that is necessary to conduct our business, and we are increasingly dependent on information 
technology systems and infrastructure to operate our business, including our laboratory information management system and our EDGE™ platform. In the 
ordinary  course  of  our  business,  we  collect,  store  and  transmit  large  amounts  of  confidential  information,  including  intellectual  property,  proprietary 
business information and certain personal information, including health-related information. It is critical that we do so in a secure manner to maintain the 
confidentiality  and  integrity  of  such  confidential  information.  We  have  established  commercially  reasonable  physical,  technical  and  organizational 
measures designed to safeguard and secure our systems from potential data compromise, and rely on commercially available systems, software, tools, and 
monitoring  to  provide  security  for  our  information  technology  systems  and  the  processing,  transmission  and  storage  of  digital  information,  including 
confidential information. We have also outsourced elements of our information technology infrastructure, and as a result a number of third-party vendors 
may or could have access to our systems and infrastructure and to our confidential information stored thereon. Our internal information technology systems 
and infrastructure, and those of our current and any future collaborators, our third-party CROs and other contractors and consultants, and other third parties 
on which we rely, are vulnerable to attack and potential compromise from computer viruses, and malware (e.g., ransomware), natural disasters, terrorism, 
war,  telecommunication  and  electrical  failures,  cyber-attacks  or  cyber-intrusions  over  the  internet,  phishing  campaigns,  attachments  to  emails,  persons 
inside our organization, or persons with access to systems inside our organization.

The  risk  of  a  security  breach  or  disruption  or  data  loss,  particularly  through  cyber-attacks  or  cyber  intrusion,  including  by  computer  hackers, 
foreign  governments  and  cyber-terrorists,  has  generally  increased  as  the  number,  intensity  and  sophistication  of  attempted  attacks  and  intrusions  from 
around the world have increased. In addition, the prevalent use of mobile devices that access confidential information increases the risk of data security 
breaches, which could lead to the compromise of confidential information or other intellectual property. We may also face increased cybersecurity risks due 
to our reliance on internet technology and the number of our employees who are working remotely, either full-time or on a hybrid basis, which may create 
additional opportunities for bad actors 

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to  exploit  vulnerabilities.  Furthermore,  because  the  techniques  used  to  obtain  unauthorized  access  to,  or  to  sabotage,  or  otherwise  compromise  systems 
change frequently and often are not recognized until launched against a target, we may be unable to anticipate these techniques or implement adequate 
preventative measures before such techniques are deployed. We may also experience security breaches that may remain undetected for an extended period, 
which can substantially increase the potential for a material adverse impact resulting from the breach. 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. We have experienced phishing attacks in the past resulting in a security breach of our information 
technology systems, and we may be a target of phishing attacks or other cyber-attacks in the future. As the cyber-threat landscape evolves, these attacks are 
growing  in  frequency,  sophistication,  and  intensity,  and  are  becoming  increasingly  difficult  to  detect.  Bad  actors  are  increasingly  sophisticated  in  using 
techniques and tools - including artificial intelligence - that circumvent security controls, evade detection and remove forensic evidence of attempted or 
actual cyber-attacks. Such attacks could include the use of harmful and virulent malware, including ransomware or other denials of service, which can be 
deployed through various means, including the software supply chain, e-mail, malicious websites and/or the use of social engineering/phishing.

Any significant system failure, accident or security breach could have a material adverse effect on our business, financial condition and results of 
operations. The costs to us to mitigate network security problems, bugs, viruses, worms, malicious software programs and security vulnerabilities could be 
significant, and while we have implemented security measures to protect our data security and information technology systems, our efforts to address these 
problems may not be successful, and these problems could result in unexpected interruptions, delays, cessation of service and other harm to our business 
and our competitive position. If such an event were to occur and cause interruptions in our operations, it could result in a material disruption of our product 
development  programs.  For  example,  the  loss  of  clinical  trial  data  from  completed  or  ongoing  or  planned  clinical  trials  could  result  in  delays  in  our 
regulatory  approval  efforts  and  significantly  increase  our  costs  to  recover  or  reproduce  the  data.  Moreover,  if  a  computer  security  breach  affects  our 
systems or results in the unauthorized release of personal information, our reputation could be materially damaged. In addition, such a breach may require 
notification  to  governmental  agencies,  the  media  or  individuals  pursuant  to  various  federal,  state  and  foreign  privacy  and  security  laws,  as  well  as 
regulations promulgated by the Federal Trade Commission and state breach notification laws. Applicable data privacy and security obligations may also 
require us to notify relevant stakeholders, including affected individuals, customers, regulators, and investors, of security incidents. Such disclosures are 
costly, and the disclosure or the failure to comply with such requirements could lead to adverse consequences, including litigation from individuals with 
private rights of action. We would also be exposed to a risk of loss or litigation and potential liability, which could materially adversely affect our business, 
results of operations and financial condition. Further, while we maintain cybersecurity insurance, our insurance coverage may not be sufficient to cover the 
financial,  legal,  business  or  reputational  losses  that  may  result  from  an  interruption,  breach  of  our  systems,  loss  or  other  compromise  of  our  critical  or 
sensitive data.

Cyber-attackers are also increasingly exploiting vulnerabilities in commercially available software from shared or open-source code. We rely on 
third party commercial software that have had and may have such vulnerabilities, but as use of open-source code is frequently not disclosed, our ability to 
fully assess this risk to our systems is limited.

Although  we  develop  and  maintain  systems  and  controls  designed  to  prevent  these  events  from  occurring  and  we  have  a  process  to  identify  and  
mitigate  threats,  the  development  and  maintenance  of  these  systems,  controls  and  processes  are  costly  and  require  ongoing  monitoring  and  updating  as 
technologies change and efforts to overcome security measures become increasingly sophisticated. Moreover, we cannot guarantee that our or our service 
providers’ security measures will be sufficient to prevent data loss and other security breaches. Despite our efforts, the possibility of these events occurring 
cannot be eliminated entirely and there can be no assurance that any measures we take will prevent cyber-attacks or security breaches that could adversely 
affect our business.

Regulations continue to change as regulators worldwide consider and implement new rules. For example, the SEC has adopted additional disclosure 
rules  regarding  cyber  security  risk  management,  strategy,  governance  and  incident  reporting  by  public  companies,  where  failure  to  report  cybersecurity 
incidents may result in regulatory investigations leading to consent orders that may require additional compliance obligations and/or injunctions, fines and 
other penalties. Such actions could result in significant legal and financial exposure and reputational damages that could have a material adverse effect on 
our business, financial condition, results of operations and prospects.

Our  business  is  subject  to  complex  and  evolving  laws  and  regulations  regarding  privacy,  data  protection  and  other  matters  relating  to  information 
collection.

There  are  numerous  state,  federal  and  foreign  laws,  regulations,  decisions,  and  directives  regarding  privacy  and  the  collection,  storage, 
transmission, use, processing, disclosure and protection of different types of personal information and other personal, customer, or other data, the scope of
which is continually evolving and subject to differing interpretations. Implementation standards and enforcement practices are likely to remain uncertain 
for the foreseeable future, and we cannot yet determine the impact future laws, regulations, standards, or perception of their requirements may have on our 
business. This evolution may create uncertainty in our 

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business, affect our ability to operate in certain jurisdictions or to collect, store, transfer use and share personal information, necessitate the acceptance of 
more  onerous  obligations  in  our  contracts,  result  in  liability  or  impose  additional  costs  on  us.  The  cost  of  compliance  with  these  laws,  regulations  and 
standards is high and is likely to increase in the future. Any failure or perceived failure by us to comply with federal, state or foreign laws or regulation, our 
internal  policies  and  procedures  or  our  contracts  governing  our  processing  of  personal  information  could  result  in  negative  publicity,  government 
investigations and enforcement actions, criminal prosecution, claims by third parties and damage to our reputation, any of which could have a material 
adverse effect on our operations, financial performance and business. 

In the United States, although we currently are not subject to the privacy or security regulations implementing HIPAA, many of the persons and 
organizations with which we interact are subject to those regulations and we have to expend resources to understand their obligations, adjust contractual 
relationships in light of those obligations, or otherwise modify our business practices. Congress has considered expanding the scope of the HIPAA privacy 
and  security  regulations  and  we  may  in  the  future  ourselves  become  subject  to  them  or  similar  regulations,  which  would  require  us  to  make  additional 
expenditures and create additional liability risks.

At the state level, many U.S. states in which we operate have laws that protect the privacy and security of personal information, and other states 
have proposed privacy legislation that may be more stringent or broader in scope, or offer greater individual rights, than the laws to which we currently are 
subject. This patchwork of evolving privacy laws complicates our compliance efforts, at considerable cost. Even a single state’s privacy regime can be very 
complicated. For example, the CMIA imposes on pharmaceutical companies strict data privacy and security requirements and obligations with respect to 
medical information and authorizes administrative fines and civil penalties of up to $25,000 for willful violations and up to $250,000 if the violation is for 
purposes of financial gain, as well as criminal fines. The CMIA also provide individuals as a private right of action, which may be brought as a class action 
for alleged violation. In parallel, the CCPA, which was substantially amended in 2020 pursuant to the California Privacy Rights Act, which generally went 
into  effect  on  January  1,  2023,  generally  requires  us  to  provide  notice  to  California  residents  including  employees  and  business  contacts  regarding  the 
personal  information  we  collect,  use  and  share  and  to  honor  such  residents’  privacy  rights,  including  the  right  to  opt  out  of  the  sale  of  their  personal 
information  or  the  use  of  their  personal  information  for  online  targeted  advertising.  The  CCPA  provides  for  civil  penalties  for  violations,  as  well  as  a 
private right of action for data security breaches that result in the compromise of personal information. California’s willingness to protect consumer privacy 
has  been  followed  by  other  states  enacting  consumer  privacy  laws,  including  Colorado,  Connecticut,  Delaware,  Indiana,  Iowa,  Montana,  New  Jersey, 
Oregon, Tennessee, Texas, Utah, and Virginia, all of which have enacted consumer privacy laws to provide their respective residents with similar rights to 
those afforded by the CCPA, and have been proposed in other states and at the federal level, reflecting a trend toward more stringent privacy legislation in 
the United States. In addition, both Nevada and Washington State recently enacted privacy laws specifically applicable to consumer health information, 
which,  with  limited  exceptions,  prohibits  sharing  personally  identifiable  health  data  without  consent.  The  Washington  State  law,  also  known  as  the  My 
Health  My  Data  Act,  will  be  fully  effective  in  March  2024  and  is  enforceable  by  individual  consumers,  including  through  class  actions,  as  well  as  the 
Washington Attorney General. The effects on our business of this rapidly growing body of privacy and data protection laws are significant, and may require 
us to modify our data processing practices and policies and to incur substantial costs and expenses in an effort to comply.

In the EA, the GDPR went into effect in May 2018 and imposes strict requirements for processing the personal data of individuals within the EEA. 
The GDPR has increased our obligations, for example, by imposing higher standards when obtaining consent where necessary from individuals to process 
their personal data, requiring more robust disclosures to individuals, strengthening individual data rights, shortening timelines for data breach notifications, 
limiting retention periods and secondary use of information, increasing requirements pertaining to health data as well as pseudonymized (i.e., key-coded) 
data, and imposing additional obligations when we contract with third-party processors in connection with the processing of personal data. The GDPR also 
regulates transfers of personal data subject to the GDPR to third countries that have not been found by the European Commission  to provide adequate 
protection  to  such  personal  data;  in  July  2020,  the  Court  of  Justice  of  the  European  Union  ("CJEU")  limited  how  organizations  could  lawfully  transfer 
personal data from the EU/EEA to the U.S. by invalidating the Privacy Shield for purposes of international transfers and imposing further restrictions for 
the use of standard contractual clauses ("SCCs"). In July 2023, the U.S. and EU implemented the EU-U.S. Data Privacy Framework ("DPF") replacing the 
invalidated Privacy Shield. Companies that self-certify to the DPF can now use this mechanism to transfer personal data from the EU/EEA to the U.S. and 
from Switzerland to the U.S. The UK Extension to the EU-U.S. Data Privacy Framework entered into force in October 2023, allowing certifying entities to 
transfer personal data from the UK to the U.S. At the moment it is unclear whether the anticipated legal challenges against the DPF, which may be similar 
to the challenge that led to the invalidation of the Privacy Shield, would be successful. It is further unclear how long it would take for any challenges to be 
resolved. As supervisory authorities issue further guidance on personal data export mechanisms, including circumstances where the SCCs cannot be used, 
and/or take enforcement action, we could suffer additional costs, complaints and/or regulatory investigations or fines, and/or if we are otherwise unable to 
transfer personal data between and among countries and regions in which we operate, it could affect the manner in which we provide our services, the 
geographical  location  or  segregation  of  our  relevant  systems  and  operations,  and  could  adversely  affect  our  financial  results.  Since  January  1,  2021, 
companies have had to comply with the GDPR and also the United Kingdom GDPR ("UK GDPR"), which, together with the amended UK Data Protection 
Act  2018,  retains  the  GDPR  in  UK  national  law.  The  UK  GDPR  mirrors  the  fines  under  the  GDPR  (i.e.,  fines  up  to  the  greater  of  €20  million  (£17.5 
million) or 4% of 

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global turnover). As we continue to expand into other foreign countries and jurisdictions, we may be subject to additional laws and regulations that may 
affect how we conduct business.

Although  we  work  to  comply  with  applicable  laws,  regulations  and  standards,  our  contractual  obligations  and  other  legal  obligations,  these 
requirements are evolving and may be modified, interpreted and applied in an inconsistent manner from one jurisdiction to another, and may conflict with 
one another or other legal obligations with which we must comply. Any failure, or perceived failure, by us to comply with or make effective modifications 
to our policies, or to comply with any federal, state or foreign privacy, data-retention or data-protection-related laws, regulations, orders or industry self-
regulatory principles could result in proceedings or actions against us by governmental entities or others, a loss of customer confidence, damage to our 
brand and reputation and a loss of customers, any of which could have an adverse effect on our business. In addition, various federal, state and foreign 
legislative or regulatory bodies may enact new or additional laws and regulations concerning privacy, data-retention and data-protection issues, including 
laws or regulations mandating disclosure to domestic or international law enforcement bodies, which could adversely impact our business or our reputation 
with  customers.  For  example,  some  countries  have  adopted  laws  mandating  that  some  personal  information  regarding  customers  in  their  country  be 
maintained solely in their country. Having to maintain local data centers and redesign product, service and business operations to limit personal information 
processing to within individual countries could increase our operating costs significantly.

Our  employees  and  independent  contractors,  including  principal  investigators,  consultants,  commercial  collaborators,  service  providers  and  other 
vendors, may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements, which could 
have an adverse effect on our results of operations.

We are exposed to the risk that our employees and independent contractors, including principal investigators, consultants, any future commercial 
collaborators, service providers and other vendors may engage in misconduct or other illegal activity. Misconduct by these parties could include intentional, 
reckless  and/or  negligent  conduct  or  other  unauthorized  activities  that  violate  the  laws  and  regulations  of  the  FDA  and  other  similar  regulatory  bodies, 
including those laws that require the reporting of true, complete and accurate information to such regulatory bodies; manufacturing standards; U.S. federal 
and state healthcare fraud and abuse, data privacy laws and other similar non-U.S. laws; or laws that require the true, complete and accurate reporting of 
financial information or data. Activities subject to these laws also involve the improper use or misrepresentation of information obtained in the course of 
clinical  trials,  the  creation  of  fraudulent  data  in  our  preclinical  studies  or  clinical  trials,  or  illegal  misappropriation  of  product,  which  could  result  in 
regulatory  sanctions  and  cause  serious  harm  to  our  reputation.  It  is  not  always  possible  to  identify  and  deter  misconduct  by  employees  and  other  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. In
addition, we are subject to the risk that a person or government 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 have a significant impact on our business 
and  financial  results,  including,  without  limitation,  the  imposition  of  significant  civil,  criminal  and  administrative  penalties,  damages,  monetary  fines, 
disgorgement,  possible  exclusion  from  participation  in  Medicare,  Medicaid  and  other  U.S.  federal  healthcare  programs  or  healthcare  programs  in  other 
jurisdictions, integrity oversight and reporting obligations to resolve allegations of non-compliance, individual imprisonment, other sanctions, contractual 
damages, reputational harm, diminished profits and future earnings and curtailment of our operations, any of which could adversely affect our ability to 
operate our business and our results of operations.

Our business involves the use of hazardous materials, and we and our third-party manufacturers and suppliers must comply with environmental laws 
and regulations, which can be expensive and restrict how we do business.

Our  research  and  development  activities  and  our  third-party  manufacturers’  and  suppliers’  activities  involve  the  controlled  storage,  use  and 
disposal of hazardous materials owned by us, including the components of our product and product candidates and other hazardous compounds. We and 
any third-party manufacturers and suppliers we engage are subject to numerous federal, state and local environmental, health and safety laws, regulations 
and permitting requirements, including those governing laboratory procedures; the generation, handling, use, storage, treatment, and disposal of hazardous 
and regulated materials and wastes; the emission and discharge of hazardous materials into the ground, air and water; and employee health and safety. Our 
operations  involve  the  use  of  hazardous  and  flammable  materials,  including  chemicals  and  biological  and  radioactive  materials.  Our  operations  also 
produce  hazardous  waste.  In  some  cases,  these  hazardous  materials  and  various  wastes  resulting  from  their  use  are  stored  at  our  and  our  third-party 
manufacturers’ facilities pending their use and disposal. We generally contract with third parties for the disposal of these materials and wastes. We cannot 
eliminate  the  risk  of  contamination,  which  could  cause  an  interruption  of  our  commercialization  efforts,  research  and  development  efforts  and  business 
operations, environmental damage resulting in costly clean-up and liabilities under applicable laws and regulations governing the use, storage, handling and 
disposal of these materials and specified waste products.

Although  we  believe  that  the  safety  procedures  utilized  by  us  and  our  third-party  manufacturers  for  handling  and  disposing  of  these  materials 

generally comply with the standards prescribed by these laws and regulations, we cannot guarantee that this is the case 

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or eliminate the risk of accidental contamination or injury from these materials. Under certain environmental laws, we could be held responsible for costs 
relating to any contamination at our current or past facilities and at third-party facilities. In such an event, we may be held liable for any resulting damages; 
such liability could exceed our resources, and state or federal or other applicable authorities may curtail our use of certain materials and/or interrupt our 
business  operations.  Furthermore,  environmental  laws  and  regulations  are  complex,  change  frequently  and  have  tended  to  become  more  stringent.  We 
cannot predict the impact of such changes and cannot be certain of our future compliance.

Compliance with applicable environmental laws and regulations may be expensive, and current or future environmental laws and regulations may 
impair our research, product development and manufacturing efforts. In addition, we cannot entirely eliminate the risk of accidental injury or contamination 
from  these  materials  or  wastes.  Although  we  maintain  workers’  compensation  insurance  to  cover  us  for  costs  and  expenses  that  we  may  incur  due  to 
injuries to our employees resulting from the use of hazardous materials, this insurance may not provide adequate coverage against potential liabilities. We 
do  not  carry  specific  biological  or  hazardous  waste  insurance  coverage,  and  our  property,  casualty,  and  general  liability  insurance  policies  specifically 
exclude coverage for damages and fines arising from biological or hazardous waste exposure or contamination. Accordingly, in the event of contamination 
or  injury,  we  could  be  held  liable  for  damages  or  be  penalized  with  fines  in  an  amount  exceeding  our  resources,  and  our  clinical  trials  or  regulatory 
approvals could be suspended, which could have a material adverse effect on our business, results of operations and financial condition.

Risks Related to Intellectual Property

Our success depends on our ability to protect our intellectual property and our proprietary technologies and to avoid infringing the rights of others.

Our  commercial  success  depends  in  part  on  our  ability  to  obtain  and  maintain  patent  protection  and  trade  secret  protection  for  our  product 
candidates, proprietary technologies and their uses as well as our ability to operate without infringing upon the proprietary rights of others. We generally 
seek  to  protect  our  proprietary  position  by  filing  patent  applications  in  the  United  States  and  abroad  related  to  our  product  candidates,  proprietary 
technologies and their uses that are important to our business. Our patent applications cannot be enforced against third parties practicing the technology 
claimed in such applications unless, and until, patents issue from such applications, and then only to the extent the issued claims cover the technology. 
There can be no assurance that our patent applications or those of our licensors will result in additional patents being issued or that issued patents will 
afford  sufficient  protection  against  competitors  with  similar  technology,  nor  can  there  be  any  assurance  that  the  patents  issued  will  not  be  infringed, 
designed  around  or  invalidated  by  third  parties.  Even  issued  patents  may  later  be  found  invalid  or  unenforceable  or  may  be  modified  or  revoked  in 
proceedings instituted by third parties before various patent offices or in courts. The degree of future protection for our proprietary rights is uncertain. Only 
limited  protection  may  be  available  and  may  not  adequately  protect  our  rights  or  permit  us  to  gain  or  keep  any  competitive  advantage.  If  we  do  not 
adequately protect our intellectual property and proprietary technology, competitors may be able to use our product candidates and proprietary technologies 
and  erode  or  negate  any  competitive  advantage  we  may  have,  which  could  have  a  material  adverse  effect  on  our  financial  condition  and  results  of 
operations.

We have applied, and we intend to continue applying, for patents covering aspects of our product candidates, proprietary technologies and their 
uses that we deem appropriate. However, we may not be able to apply for patents on certain aspects of our current or future product candidates, proprietary 
technologies and their uses in a timely fashion, at a reasonable cost, in all jurisdictions, or at all, and any potential patent coverage we obtain may not be 
sufficient to prevent substantial competition. As of December 31, 2023, our solely owned patent portfolio includes pending patent applications and issued 
patents. We cannot be certain that the claims in any of our patent applications will be considered patentable by the United States Patent and Trademark 
Office (USPTO) and courts in the United States or by the patent offices and courts in foreign countries, nor can we be certain that the claims in our issued 
patents will not be found invalid or unenforceable if challenged. The patent application process is subject to numerous risks and uncertainties, and there can 
be  no  assurance  that  we  or  any  of  our  actual  or  potential  future  collaborators  will  be  successful  in  protecting  our  product  candidates,  proprietary 
technologies and their uses by obtaining and defending patents. These risks and uncertainties include the following:

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the USPTO and various foreign governmental patent agencies require compliance with a number of procedural, documentary, fee payment 
and  other  provisions  during  the  patent  process,  the  noncompliance  with  which  can  result  in  abandonment  or  lapse  of  a  patent  or  patent 
application, and partial or complete loss of patent rights in the relevant jurisdiction;

patent applications may not result in any patents being issued;

patents  that  may  be  issued  or  in-licensed  may  be  challenged,  invalidated,  modified,  revoked,  circumvented,  found  to  be  unenforceable  or 
otherwise may not provide any competitive advantage;

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our competitors, many of whom have substantially greater resources than we do and many of whom have made significant investments in 
competing technologies, may seek or may have already obtained patents that will limit, interfere with or eliminate our ability to make, use 
and sell our potential product candidates;

other parties may have designed around our claims or developed technologies that may be related or competitive to our platform, may have 
filed or may file patent applications and may have received or may receive patents that overlap or conflict with our patent applications, either 
by claiming the same methods or devices or by claiming subject matter that could dominate our patent position;

any successful opposition to any patents owned by or licensed to us could deprive us of rights necessary for the practice of our technologies 
or the successful commercialization of any products or product candidates that we may develop;

because  patent  applications  in  the  United  States  and  most  other  countries  are  confidential  for  a  period  of  time  after  filing,  we  cannot  be 
certain that we or our licensors were the first to file any patent application related to our product candidates, proprietary technologies and 
their uses;

an interference proceeding can be provoked by a third party or instituted by the USPTO to determine who was the first to invent any of the 
subject matter covered by the patent claims of our applications for any application with an effective filing date before March 16, 2013;

there may be significant pressure on the U.S. government and international governmental bodies to limit the scope of patent protection both 
inside  and  outside  the  United  States  for  disease  treatments  that  prove  successful,  as  a  matter  of  public  policy  regarding  worldwide  health 
concerns; and 

countries other than the United States may have patent laws less favorable to patentees than those upheld by U.S. courts, allowing foreign 
competitors a better opportunity to create, develop and market competing product candidates.

The  patent  position  of  biotechnology  companies  generally  is  highly  uncertain,  involves  complex  legal  and  factual  questions,  and  has  been  the 
subject of much litigation in recent years. Moreover, the patent prosecution process is also expensive and time-consuming, and we may not be able to file 
and  prosecute  all  necessary  or  desirable  patent  applications  at  a  reasonable  cost  or  in  a  timely  manner.  It  is  also  possible  that  we  will  fail  to  identify 
patentable  aspects  of  our  research  and  development  output  before  it  is  too  late  to  obtain  patent  protection.  Although  we  enter  into  non-disclosure  and 
confidentiality agreements with parties who have access to patentable aspects of our research and development output, such as our employees, corporate 
collaborators, outside scientific collaborators, CROs, contract manufacturers, consultants, advisors and other third parties, any of these parties may breach 
such agreements and disclose such output before a patent application is filed, thereby jeopardizing our ability to seek patent protection.

The issuance of a patent is not conclusive as to its inventorship, scope, validity or enforceability, and our patents, if issued, or the patent rights that 
we  license  from  others,  may  be  challenged  in  the  courts  or  patent  offices  in  the  United  States  and  abroad.  Once  granted,  patents  may  remain  open  to 
opposition, interference, re-examination, post-grant review, inter partes review, nullification or derivation action in court or before patent offices or similar 
proceedings for a given period after allowance or grant, during which time third parties can raise objections against such initial grant. 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 similar or identical products, or limit the duration of the patent protection of our products and product candidates. Given the amount of 
time  required  for  the  development,  testing  and  regulatory  review  of  new  product  candidates,  patents  protecting  such  candidates  might  expire  before  or 
shortly after such candidates are commercialized. As a result, our intellectual property may not provide us with sufficient rights to exclude others from 
commercializing products similar or identical to ours.

Our ability to enforce our patent rights depends on our ability to detect infringement. It may be difficult to detect infringers who do not advertise 
the components or methods that are used in connection with their products and services. Moreover, it may be difficult or impossible to obtain evidence of 
infringement in a competitor’s or potential competitor’s product or service. We may not prevail in any lawsuits that we initiate, and the damages or other 
remedies awarded if we were to prevail may not be commercially meaningful.

In  addition,  proceedings  to  enforce  or  defend  our  patents  could  put  our  patents  at  risk  of  being  invalidated,  held  unenforceable  or  interpreted 
narrowly.  Such  proceedings  could  also  provoke  third  parties  to  assert  claims  against  us,  including  that  some  or  all  of  the  claims  in  one  or  more  of  our 
patents are invalid or otherwise unenforceable. If any of our patents covering our products are invalidated or found unenforceable, or if a court found that 
valid, enforceable patents held by third parties covered one or more of our products, our competitive position could be harmed, or we could be required to 
incur significant expenses to enforce or defend our rights. If we initiate lawsuits to protect or enforce our patents, or litigate against third-party claims, such 
proceedings would be expensive and would divert the attention of our management and technical personnel.

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The degree of future protection for our proprietary rights is uncertain, and we cannot ensure that:

any of our patents, or any of our pending patent applications, if issued, or those of our licensors, will include claims having a scope sufficient 
to protect our products;

any of our pending patent applications or those of our licensors may issue as patents;

others  will  not  or  may  not  be  able  to  make,  use,  offer  to  sell,  or  sell  products  that  are  the  same  as  or  similar  to  our  own  but  that  are  not 
covered by the claims of the patents that we own or license;

we will be able to successfully commercialize our products, if approved, on a substantial scale before the relevant patents that we own or 
license expire;

we were the first to make the inventions covered by each of the patents and pending patent applications that we own or license;

we or our licensors were the first to file patent applications for these inventions;

others will not develop similar or alternative technologies that do not infringe the patents we own or license;

any of the patents we own or license will be found to ultimately be valid and enforceable;

any patents issued to us or our licensors will provide a basis for an exclusive market for our commercially viable products or will provide us 
with any competitive advantages;

a third party may not challenge the patents we own or license and, if challenged, a court would hold that such patents are valid, enforceable 
and infringed;

we may develop or in-license additional proprietary technologies that are patentable;

the patents of others will not have an adverse effect on our business;

our competitors do not conduct research and development activities in countries where we do not have enforceable patent rights and then use 
the information learned from such activities to develop competitive products for sale in our major commercial markets;

we will develop additional proprietary technologies or products that are separately patentable; or

our commercial activities or products will not infringe upon the patents of others.

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Where we obtain licenses from or collaborate with third parties, in some circumstances, we may not have the right to control the preparation, filing 
and prosecution of patent applications, or to maintain the patents, covering technology that we license from third parties, or such activities, if controlled by 
us, may require the input of such third parties. We may also require the cooperation of our licensors and collaborators to enforce any licensed patent rights, 
and such cooperation may not be provided. Therefore, these patents and applications may not be prosecuted and enforced in a manner consistent with the 
best interests of our business. Moreover, if we do obtain necessary licenses, we will likely have obligations under those licenses, and any failure to satisfy 
those obligations could give our licensor the right to terminate the license. Termination of a necessary license, or expiration of licensed patents or patent 
applications, could have a material adverse impact on our business.

The lives of our patents may not be sufficient to effectively protect our products and business.

Patents have a limited lifespan. In the United States, the natural expiration of a patent is generally 20 years after its first effective non-provisional 
filing date. Although various extensions may be available, the life of a patent, and the protection it affords, is limited. Even if patents covering our product 
candidates, proprietary technologies and their uses are obtained, once the patent life has expired, we may be open to competition. In addition, although 
upon issuance in the United States a patent’s life can be increased based on certain delays caused by the USPTO, this increase can be reduced or eliminated 
based  on  certain  delays  caused  by  the  patent  applicant  during  patent  prosecution.  Given  the  amount  of  time  required  for  the  development,  testing  and 
regulatory review of new product candidates, patents protecting such candidates might expire before or shortly after such candidates are commercialized. If 
we do not have sufficient patent life to protect our product candidates, proprietary technologies and their uses, our business and results of operations will be 
adversely affected.

If we are unable to protect the confidentiality of our trade secrets, our business and competitive position would be harmed.

We rely on the protection of our trade secrets, including unpatented know-how, technology and other proprietary information. We have taken steps 

to protect our trade secrets and unpatented know-how, including entering into confidentiality agreements with third 

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parties, and confidential information and inventions agreements with employees, consultants and advisors. In addition to contractual measures, we try to 
protect the confidential nature of our proprietary information using commonly accepted physical and technological security measures. Despite these efforts, 
we cannot provide any assurances that all such agreements have been duly executed, and any of these parties may breach the agreements and disclose our 
proprietary  information,  including  our  trade  secrets,  and  we  may  not  be  able  to  obtain  adequate  remedies  for  such  breaches.  In  addition,  such  security 
measures  may  not  provide  adequate  protection  for  our  proprietary  information,  for  example,  in  the  case  of  misappropriation  of  a  trade  secret  by  an 
employee, consultant, customer or third party with authorized access. Our security measures may not prevent an employee, consultant or customer from 
misappropriating our trade secrets and providing them to a competitor, and recourse we take against such misconduct may not provide an adequate remedy 
to protect our interests fully. Monitoring unauthorized uses and disclosures is difficult, and we do not know whether the steps we have taken to protect our 
proprietary  technologies  will  be  effective.  Unauthorized  parties  may  also  attempt  to  copy  or  reverse  engineer  certain  aspects  of  our  products  that  we 
consider proprietary. Enforcing a claim that a party illegally disclosed or misappropriated a trade secret can be difficult, expensive and time-consuming, 
and the outcome is unpredictable. Even though we use commonly accepted security measures, the criteria for protection of trade secrets can vary among 
different jurisdictions.

Enforcing a claim that a party illegally disclosed or misappropriated a trade secret is difficult, expensive and time-consuming, and the outcome is 
unpredictable. In addition, some courts inside and outside the United States are less willing or unwilling to protect trade secrets. Moreover, third parties 
may still obtain this information or may come upon this or similar information independently, and we would have no right to prevent them from using that 
technology  or  information  to  compete  with  us.  Trade  secrets  will  over  time  be  disseminated  within  the  industry  through  independent  development,  the 
publication  of  journal  articles  and  the  movement  of  personnel  skilled  in  the  art  from  company  to  company  or  academic  to  industry  scientific  positions. 
Though our agreements with third parties typically restrict the ability of our advisors, employees, collaborators, licensors, suppliers, third-party contractors 
and consultants to publish data potentially relating to our trade secrets, our agreements may contain certain limited publication rights. If any of our trade 
secrets were to be lawfully obtained or independently developed by a competitor, we would have no right to prevent such a competitor from using that 
technology or information to compete with us, which could harm our competitive position. Because from time to time we expect to rely on third parties in 
the development, manufacture, and distribution of our products and provision of our services, we must, at times, share trade secrets with them. Despite 
employing the contractual and other security precautions described above, the need to share trade secrets increases the risk that such trade secrets become 
known by our competitors, are inadvertently incorporated into the technology of others, or are disclosed or used in violation of these agreements. If any of 
these  events  occurs,  or  if  we  otherwise  lose  protection  for  our  trade  secrets,  the  value  of  this  information  may  be  greatly  reduced,  and  our  competitive 
position would be harmed. If we do not apply for patent protection prior to such publication or if we cannot otherwise maintain the confidentiality of our 
proprietary  technology  and  other  confidential  information,  then  our  ability  to  obtain  patent  protection  or  to  protect  our  trade  secret  information  may  be 
jeopardized.

Our  rights  to  develop  and  commercialize  our  product  candidates  are  subject  in  part  to  the  terms  and  conditions  of  licenses  granted  to  us  by  other 
companies. The patent protection, prosecution and enforcement for some of our product candidates may be dependent on third parties.

We currently are reliant upon licenses of certain patent rights and proprietary technology from third parties that is important or necessary to the 
development of our technology and products, including technology related to our product candidates. For example, we rely on our license agreements with 
Arbutus and Genevant for certain lipid nanoparticle-based delivery technologies. These and other licenses we may enter into in the future may not provide 
adequate  rights  to  use  such  intellectual  property  and  technology  in  all  relevant  fields  of  use  or  in  all  territories  in  which  we  may  wish  to  develop  or 
commercialize our technology and products in the future. As a result, we may not be able to develop and commercialize our technology and products in 
fields of use and territories for which we are not granted rights pursuant to such licenses.

Licenses to additional third-party technology that may be required for our development programs may not be available in the future or may not be 

available on commercially reasonable terms, which could have a material adverse effect on our business and financial condition.

In  some  circumstances,  we  may  not  have  the  right  to  control  the  preparation,  filing,  prosecution  and  enforcement  of  patent  applications,  or  to 
maintain the patents, covering technology that we license from third parties. In addition, some of our agreements with our licensors require us to obtain 
consent  from  the  licensor  before  we  can  enforce  patent  rights,  and  our  licensor  may  withhold  such  consent  or  may  not  provide  it  on  a  timely  basis. 
Therefore, we cannot be certain that our licensors or collaborators will prosecute, maintain, enforce and defend such intellectual property rights in a manner 
consistent with the best interests of our business, including by taking reasonable measures to protect the confidentiality of know-how and trade secrets, or 
by paying all applicable prosecution and maintenance fees related to intellectual property registrations for any of our product candidates. We also cannot be 
certain that our licensors have drafted or prosecuted the patents and patent applications licensed to us in compliance with applicable laws and regulations, 
which may affect the validity and enforceability of such patents or any patents that may issue from such applications. If they fail to do so, this could cause 
us to lose rights in any applicable intellectual property that we in-license, and as a result our ability to develop and 

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commercialize products or product candidates may be adversely affected and we may be unable to prevent competitors from making, using and selling 
competing products.

Our licensed European patents and patent applications could be challenged in the recently created Unified Patent Court (UPC) for the European 
Union, that was fully ratified in 2023. Under our current license agreements, we may not have the final or sole decision on whether we are able to opt out 
certain of our in-licensed European patents and patent applications from the UPC. Our licensors may decide to not opt out of the UPC, which would subject 
our in-licensed European patents and patent applications to the jurisdiction of the UPC. Furthermore, even if our licensors decide to opt out of the UPC, we 
cannot guarantee that our licensors will comply with the legal formalities and requirements for properly opting out of the UPC. Thus, we cannot be certain 
that  our  in-licensed  European  patents  and  patent  applications  will  not  fall  under  the  jurisdiction  of  the  UPC.  Under  the  UPC,  a  single  European  patent 
would be valid and enforceable in numerous European countries. A challenge to the validity of a European patent under the UPC, if successful, could result 
in a loss of patent protection in numerous European countries which could have a material adverse impact on our business and our ability to commercialize 
or license our technology and product candidates.

Our current licenses impose, and our future licenses likely will impose, various royalty payments, milestones, and other obligations on us. If we 
fail to comply with any of these obligations, we may be required to pay damages and the licensor may have the right to terminate the license. Termination 
by the licensor would cause us to lose valuable rights and could prevent us from developing and commercializing our product candidates and proprietary 
technologies. Our business would suffer if any current or future licenses terminate, if the licensors fail to abide by the terms of the license, if the licensors 
fail to enforce licensed patents against infringing third parties, if the licensed patents or other rights are found to be invalid or unenforceable, or if we are 
unable  to  enter  into  necessary  licenses  on  acceptable  terms.  Furthermore,  if  any  current  or  future  licenses  terminate,  or  if  the  underlying  patents  fail  to 
provide the intended exclusivity, competitors or other third parties may gain the freedom to seek regulatory approval of, and to market, products identical to 
ours.  Moreover,  our  licensors  may  own  or  control  intellectual  property  that  has  not  been  licensed  to  us  and,  as  a  result,  we  may  be  subject  to  claims, 
regardless of their merit, that we are infringing or otherwise violating the licensor’s rights. In addition, while we cannot currently determine the amount of 
the royalty obligations we would be required to pay on sales of future products, if any, the amounts may be significant. The amount of our future royalty 
obligations will depend on the technology and intellectual property we use in products that we successfully develop and commercialize, if any. Therefore, 
even if we successfully develop and commercialize products, we may be unable to achieve or maintain profitability.

Litigation or other proceedings or third-party claims of intellectual property infringement could require us to spend significant time and money and 
could prevent us from selling our products.

Our commercial success depends significantly on our ability to operate without infringing the patents and other proprietary rights of third parties. 
However,  our  research,  development  and  commercialization  activities  may  be  subject  to  claims  that  we  infringe  or  otherwise  violate  patents  or  other 
intellectual property rights owned or controlled by third parties. Claims by third parties that we infringe their proprietary rights may result in liability for 
damages or prevent or delay our developmental and commercialization efforts. We cannot assure you that our operations do not, or will not in the future, 
infringe existing or future patents.

Other entities may have or obtain patents or proprietary rights that could limit our ability to make, use, sell, offer for sale or import our product 
candidates and future approved products or impair our competitive position. There is a substantial amount of litigation, both within and outside the United 
States, involving patent and other intellectual property rights in the biotechnology and pharmaceutical industries, including patent infringement lawsuits, 
interferences,  oppositions,  reexaminations,  inter  partes  review  proceedings  and  post-grant  review  proceedings  before  the  USPTO  and/or  corresponding 
foreign patent offices. Numerous third-party U.S. and foreign issued patents and pending patent applications exist in the fields in which we are developing 
product candidates. There may be third-party patents or patent applications with claims to materials, formulations, methods of manufacture or methods for 
treatment related to the use or manufacture of our product candidates. 

Furthermore,  the  scope  of  a  patent  claim  is  determined  by  an  interpretation  of  the  law,  the  written  disclosure  in  a  patent  and  the  patent’s 
prosecution history and can involve other factors such as expert opinion. Our interpretation of the relevance or the scope of claims in a patent or a pending 
application may be incorrect, which may negatively impact our ability to market our products. Further, we may incorrectly determine that our technologies, 
products, or product candidates are not covered by a third-party patent or may incorrectly predict whether a third party’s pending patent application will 
issue with claims of relevant scope. Our determination of the expiration date of any patent in the United States or abroad that we consider relevant may be
incorrect, which may negatively impact our ability to develop and market our products or product candidates.

As the biotechnology industry expands and more patents are issued, the risk increases that our product candidates may be subject to claims of 
infringement of the patent rights of third parties. Our competitors in both the United States and abroad, many of which have substantially greater resources
and have made substantial investments in patent portfolios and competing technologies, may have applied for or obtained or may in the future apply for and 
obtain, patents that will prevent, limit or otherwise interfere with our ability to make, 

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use and sell our product candidates. We do not always conduct independent reviews of pending patent applications of, and patents issued to, third parties.

Patent  applications  in  the  United  States  and  elsewhere  are  typically  published  approximately  eighteen  (18)  months  after  the  earliest  filing  for 
which  priority  is  claimed,  with  such  earliest  filing  date  being  commonly  referred  to  as  the  priority  date.  Certain  U.S.  applications  that  will  not  be  filed 
outside the United States can remain confidential until patents issue. In addition, patent applications in the United States and elsewhere can be pending for 
many years before issuance, or unintentionally abandoned patents or applications can be revived. Furthermore, pending patent applications that have been 
published  can,  subject  to  certain  limitations,  be  later  amended  in  a  manner  that  could  cover  our  technologies,  our  product  candidates  or  the  use  of  our 
product candidates. As such, there may be applications of others now pending or recently revived patents of which we are unaware. These applications may 
later result in issued patents, or the revival of previously abandoned patents, that will prevent, limit or otherwise interfere with our ability to make, use or 
sell our products. Because patent applications are maintained as confidential for a certain period of time, until the relevant application is published, we may 
be unaware of third-party patents that may be infringed by commercialization of our product candidates, and we cannot be certain that we were the first to 
file a patent application related to a product candidate or technology. Moreover, because patent applications can take many years to issue, there may be 
currently pending patent applications that may later result in issued patents that our product candidates may infringe. In addition, identification of third-
party patent rights that may be relevant to our technology is difficult because patent searching is imperfect due to differences in terminology among patents, 
incomplete databases and the difficulty in assessing the meaning of patent claims. Any claims of patent infringement asserted by third parties would be 
time consuming and could:

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•

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result in costly litigation;

divert the time and attention of our technical personnel and management;

cause development delays;

prevent us from commercializing our product candidates until the asserted patent expires or is held finally invalid or not infringed in a court 
of law;

require us to develop non-infringing technology, which may not be possible on a cost-effective basis;

require  us  to  pay  damages  to  the  party  whose  intellectual  property  rights  we  may  be  found  to  be  infringing,  which  may  include  treble 
damages if we are found to have been willfully infringing such intellectual property;

require us to pay the attorney’s fees and costs of litigation to the party whose intellectual property rights we may be found to be infringing; 
and/or

require us to enter into royalty or licensing agreements, which may not be available on commercially reasonable terms, or at all.

Although no third party has asserted a claim of patent infringement against us as of the date of this report, others may hold proprietary rights that 
could  prevent  any  of  our  immunotherapy  candidates  from  being  marketed.  Any  patent-related  legal  action  against  us  claiming  damages  and  seeking  to 
enjoin commercial activities relating to our product candidates or processes could subject us to potential liability for damages, including treble damages if 
we were determined to willfully infringe, and require us to obtain a license to manufacture or market the affected immunotherapy candidates. Defense of 
these claims, regardless of their merit, would involve substantial litigation expense and would be a substantial diversion of employee resources from our 
business. We cannot predict whether we would prevail in any such actions or that any license required under any of these patents would be made available 
on commercially acceptable terms, if at all. Even if such licenses are available, we could incur substantial costs related to royalty payments for licenses 
obtained from third parties, which could negatively affect our gross margins, and the rights may be non-exclusive, which could give our competitors access 
to the same technology or intellectual property rights licensed to us. In addition, we cannot be certain that we could redesign our product candidates or 
processes  to  avoid  infringement,  if  necessary.  Accordingly,  an  adverse  determination  in  a  judicial  or  administrative  proceeding,  or  the  failure  to  obtain 
necessary  licenses,  could  prevent  us  from  developing  and  commercializing  our  immunotherapy  candidates,  which  could  harm  our  business,  financial 
condition and operating results. In addition, intellectual property litigation, regardless of its outcome, may cause negative publicity and could prohibit us 
from marketing or otherwise commercializing our product candidates and technology.

If  we  collaborate  with  third  parties  in  the  development  of  technology  in  the  future,  our  collaborators  may  not  properly  maintain  or  defend  our 
intellectual property rights or may use our proprietary information in such a way as to invite litigation that could jeopardize or invalidate our intellectual 
property  or  proprietary  information  or  expose  us  to  litigation  or  potential  liability.  Further,  collaborators  may  infringe  the  intellectual  property  rights  of
third parties, which may expose us to litigation and potential liability. Also, we may be obligated under our agreements with our collaborators, licensors, 
suppliers and others to indemnify and hold them harmless for damages arising from intellectual property infringement by us.

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We  may  be  involved  in  lawsuits  to  protect  or  enforce  our  patents  or  the  patents  of  our  licensors,  which  could  be  expensive,  time  consuming,  and 
unsuccessful. Further, our issued patents could be found invalid or unenforceable if challenged in court.

Competitors  may  infringe  our  intellectual  property  rights  or  those  of  our  licensors.  To  prevent  infringement  or  unauthorized  use,  we  may  be 
required to file infringement claims, which can be expensive and time-consuming. In addition, in a patent infringement proceeding, a court may decide that 
a patent we own or in-license is not valid, is unenforceable and/or is not infringed. If we or any of our potential future collaborators were to initiate legal 
proceedings against a third party to enforce a patent directed at one of our product candidates, the defendant could counterclaim that our patent is invalid 
and/or unenforceable in whole or in part. In patent litigation in the United States, defendant counterclaims alleging invalidity and/or unenforceability are 
commonplace.  Grounds  for  a  validity  challenge  include  an  alleged  failure  to  meet  any  of  several  statutory  requirements,  including  lack  of  novelty, 
obviousness  or  non-enablement.  Grounds  for  an  unenforceability  assertion  could  include  an  allegation  that  someone  connected  with  prosecution  of  the 
patent  withheld  relevant  information  from  the  USPTO  or  made  a  misleading  statement  during  prosecution.  Third  parties  may  also  raise  similar  claims 
before the USPTO, even outside the context of litigation. For example, third parties may petition the USPTO for post-grant review within nine (9) months 
of  our  patent’s  issuance  date.  Further,  after  the  USPTO  period  for  filing  post-grant  review  has  expired,  third  parties  may  file  a  petition  for  inter  partes 
review on certain grounds. Similar mechanisms for challenging the validity and enforceability of a patent exist in ex-U.S. patent offices and may result in 
the  revocation,  cancellation,  or  amendment  of  any  ex-U.S.  patents  we  hold  in  the  future.  The  outcome  following  legal  assertions  of  invalidity  and 
unenforceability is unpredictable, and prior art could render our patents or those of our licensors invalid. If a defendant were to prevail on a legal assertion 
of invalidity and/or unenforceability, we would lose at least part, and perhaps all, of the patent protection on such product candidate. Such a loss of patent 
protection would have a material adverse impact on our business.

Interference or derivation proceedings provoked by third parties or brought by us or declared by the USPTO may be necessary to determine the 
priority of inventions with respect to our patents or patent applications or those of our licensors. An unfavorable outcome could require us to cease using 
the related technology or to attempt to license rights to it from the prevailing party. Our business could be harmed if the prevailing party does not offer us a 
license on commercially reasonable terms or at all, or if a non-exclusive license is offered and our competitors gain access to the same technology. Our 
defense of litigation or interference proceedings may fail and, even if successful, may result in substantial costs and distract our management and other 
employees.  In  addition,  the  uncertainties  associated  with  litigation  could  have  a  material  adverse  effect  on  our  ability  to  raise  the  funds  necessary  to 
continue our clinical trials, continue our research programs, license necessary technology from third parties or enter into development or manufacturing 
partnerships that would help us bring our product candidates to market.

Even  if  resolved  in  our  favor,  litigation  or  other  legal  proceedings  relating  to  our  intellectual  property  rights  may  cause  us  to  incur  significant 
expenses and could distract our technical and management personnel from their normal responsibilities. In addition, there could be public announcements 
of the results of hearings, motions or other interim proceedings or developments and if securities analysts or investors perceive these results to be negative, 
it could have a substantial adverse effect on the price of our common stock. Such litigation or proceedings could substantially increase our operating losses 
and reduce the resources available for development activities or any future sales, marketing or distribution activities. We may not have sufficient financial 
or  other  resources  to  conduct  such  litigation  or  proceedings  adequately.  Some  of  our  competitors  may  be  able  to  sustain  the  costs  of  such  litigation  or 
proceedings more effectively than we can because of their greater financial resources. Uncertainties resulting from the initiation and continuation of patent 
litigation or other proceedings could compromise our ability to compete in the marketplace.

Furthermore, because of the substantial amount of discovery required in connection with intellectual property litigation, there is a risk that some of 
our confidential information could be compromised by disclosure during this type of litigation. There could also be public announcements of the results of 
hearings, motions or other interim proceedings or developments. If securities analysts or investors perceive these results to be negative, it could have a 
material adverse effect on the price of our common stock.

We may not be successful in obtaining or maintaining necessary rights to our product candidates through acquisitions and in-licenses.

We currently have rights to the intellectual property, through licenses from third parties and under patents that we own, to develop our product 
candidates. Because our programs may require the use of proprietary rights held by third parties, the growth of our business will depend in part on our 
ability to acquire, in-license or use these proprietary rights. We may be unable to acquire or in-license any compositions, methods of use, processes or other 
third-party intellectual property rights from third parties that we identify as necessary for our product candidates. The licensing and acquisition of third-
party intellectual property rights is a competitive area, and a number of more established companies are also pursuing strategies to license or acquire third-
party intellectual property rights that we may consider attractive. These established companies may have a competitive advantage over us due to their size, 
cash resources and greater clinical development and commercialization capabilities. In addition, companies that perceive us to be a competitor may be 

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unwilling to assign or license rights to us. We also may be unable to license or acquire third-party intellectual property rights on terms that would allow us 
to make an appropriate return on our investment.

We have collaborated with U.S. academic institutions and may in the future collaborate with U.S. and foreign academic institutions to accelerate 
our preclinical research or development under written agreements with these institutions. These institutions may provide us with an option to negotiate a 
license to any of the institution’s rights in technology resulting from the collaboration. Regardless of such option, we may be unable to negotiate a license 
within the specified timeframe or under terms that are acceptable to us. If we are unable to do so, the institution may offer the intellectual property rights to 
other parties, potentially blocking our ability to pursue our program.

If we are unable to successfully obtain rights to required third-party intellectual property rights or maintain the existing intellectual property rights 

we have, we may have to abandon development of that program and our business and financial condition could suffer.

We  may  fail  to  comply  with  any  of  our  obligations  under  existing  or  future  agreements  pursuant  to  which  we  license  or  have  otherwise  acquired 
intellectual property rights or technology, which could result in the loss of rights or technology that are material to our business.

We are party to various agreements that we depend on to operate our business, including intellectual property rights relating to GRANITE, SLATE 
and CORAL, in particular, our agreements with Arbutus and Genevant. Our rights to use currently licensed intellectual property or intellectual property to 
be licensed in the future are subject to the continuation of and our compliance with the terms of these agreements. Disputes may arise regarding our rights 
to intellectual property licensed to us from a third party, including but not limited to:

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•

•

the scope of rights granted under the license agreement and other interpretation-related issues;

the  extent  to  which  our  technology  and  processes  infringe  on  intellectual  property  of  the  licensor  that  is  not  subject  to  the  licensing 
agreement;

the sublicensing of patent and other rights;

our diligence obligations under the license agreement and what activities satisfy those diligence obligations;

the ownership of inventions and know-how resulting from the creation or use of intellectual property by us, alone or with our licensors and 
collaborators;

the scope and duration of our payment obligations;

our rights upon termination of such agreement; and

the scope and duration of exclusivity obligations of each party to the agreement.

If disputes over intellectual property and other rights that we have licensed or acquired from third parties prevent or impair our ability to maintain 
our current license agreements on acceptable terms, we may be unable to successfully develop and commercialize the affected product candidates. If we 
fail to comply with our obligations under current or future license agreements, these agreements may be terminated or the scope of our rights under them 
may be reduced and we might be unable to develop, manufacture or market any product that is licensed under these agreements.

We  may  be  subject  to  claims  that  we  have  wrongfully  hired  an  employee  from  a  competitor  or  that  we  or  our  employees  have  wrongfully  used  or 
disclosed alleged confidential information or trade secrets of their former employers.

As is common in the biotechnology and biopharmaceutical industries, in addition to our employees, we engage the services of consultants to assist 
us  in  the  development  of  our  product  candidates.  Many  of  these  consultants,  and  many  of  our  employees,  were  previously  employed  at,  or  may  have 
previously provided or may be currently providing consulting services to, other biotechnology or biopharmaceutical companies including our competitors 
or potential competitors. Although we try to ensure that our employees and consultants do not use the proprietary information or know-how of others in 
their work for us, we may become subject to claims that we, our employees or a consultant inadvertently or otherwise used or disclosed trade secrets or 
other information proprietary to their former employers or their former or current clients. Litigation may be necessary to defend against these claims. If we 
fail in defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights, which could adversely affect 
our business. Even if we are successful in defending against these claims, litigation could result in substantial costs and be a distraction to our management 
team.

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We may be subject to claims challenging the inventorship or ownership of our patents and other intellectual property.

We may also be subject to claims that former employees, collaborators or other third parties have an ownership interest in our patents or other 
intellectual property. In addition, we may face claims by third parties that our agreements with employees, contractors or consultants obligating them to 
assign  intellectual  property  to  us  are  ineffective  or  in  conflict  with  prior  or  competing  contractual  obligations  of  assignment,  which  could  result  in 
ownership disputes regarding intellectual property we have developed or will develop and interfere with our ability to capture the commercial value of such 
intellectual property. Litigation may be necessary to defend against these and other claims challenging inventorship or ownership. If we fail in defending 
any  such  claims,  in  addition  to  paying  monetary  damages,  we  may  lose  valuable  intellectual  property  rights.  Such  an  outcome  could  have  a  material 
adverse  effect  on  our  business.  Even  if  we  are  successful  in  defending  against  such  claims,  litigation  could  result  in  substantial  costs  and  distraction  to 
management and other employees.

If we do not obtain patent term extension for our product candidates, our business may be materially harmed.

Depending  upon  the  timing,  duration  and  specifics  of  FDA  marketing  approval  of  GRANITE,  SLATE,  CORAL  or  any  future  immunotherapy 
candidates,  one  or  more  of  our  U.S.  patents  may  be  eligible  for  limited  patent  term  restoration  under  the  Drug  Price  Competition  and  Patent  Term 
Restoration Act of 1984, also known as the Hatch-Waxman Amendments. The Hatch-Waxman Amendments permit a patent restoration term of up to five 
years  as  compensation  for  patent  term  lost  during  product  development  and  the  FDA  regulatory  review  process.  The  Hatch-Waxman  Act  allows  a 
maximum of one patent to be extended per FDA approved product as compensation for the patent term lost during the FDA regulatory review process. A 
patent term extension cannot extend the remaining term of a patent beyond a total of 14 years from the date of product approval and only those claims 
covering such approved drug product, a method for using it or a method for manufacturing it may be extended. Patent term extension may also be available 
in certain foreign countries upon regulatory approval of our product candidates. However, we may not be granted an extension because of, for example, 
failing to apply within applicable deadlines, failing to apply prior to expiration of relevant patents or otherwise failing to satisfy applicable requirements. 
Moreover,  the  applicable  time  period  or  the  scope  of  patent  protection  afforded  could  be  less  than  we  request.  If  we  are  unable  to  obtain  patent  term 
extension or restoration or the term of any such extension is less than we request, our competitors may obtain approval of competing products following 
our patent expiration, and our revenue could be reduced, possibly materially.

If our trademarks and trade names are not adequately protected, then we may not be able to build name recognition in our markets of interest and our 
business may be adversely affected.

Our  registered  or  unregistered  trademarks  or  trade  names  may  be  challenged,  infringed,  circumvented  or  declared  generic  or  determined  to  be 
infringing on other marks. We may not be able to protect our rights to these trademarks and trade names, which we need to build name recognition among 
potential partners or customers in our markets of interest. At times, competitors may adopt trade names or trademarks similar to ours, thereby impeding our 
ability to build brand identity and possibly leading to market confusion. In addition, there could be potential trade name or trademark infringement claims 
brought by owners of other trademarks or trademarks that incorporate variations of our registered or unregistered trademarks or trade names. Over the long 
term, if we are unable to establish name recognition based on our trademarks and trade names, then we may not be able to compete effectively, and our 
business may be adversely affected. We may license our trademarks and trade names to third parties, such as distributors. Though these license agreements 
may provide guidelines for how our trademarks and trade names may be used, a breach of these agreements or misuse of our trademarks and trade names 
by our licensees may jeopardize our rights in or diminish the goodwill associated with our trademarks and trade names. Our efforts to enforce or protect our 
proprietary rights related to trademarks, trade names, trade secrets, domain names, copyrights or other intellectual property may be ineffective and could 
result in substantial costs and diversion of resources and could adversely affect our financial condition or results of operations.

Changes in patent law in the United States or in other countries could diminish the value of patents in general, thereby impairing our ability to protect 
our product candidates.

Our  patent  rights  may  be  affected  by  developments  or  uncertainty  in  U.S.  or  ex-U.S.  patent  statutes,  patent  case  laws  in  USPTO  rules  and 
regulations or in the rules and regulations of ex-U.S. patent offices. There are a number of changes to the U.S. patent laws that may have a significant 
impact on our ability to protect our technology and enforce our intellectual property rights. For example, on September 16, 2011, the Leahy-Smith America 
Invents  Act  (Leahy-Smith  Act)  was  signed  into  law.  The  Leahy-Smith  Act  includes  a  number  of  significant  changes  to  U.S.  patent  law.  These  include 
provisions that affect the way patent applications will be prosecuted and may also affect patent litigation. In particular, under the Leahy-Smith Act, the 
United States transitioned in March 2013 to a “first to file” system in which the first inventor to file a patent application will be entitled to the patent. Third 
parties  are  allowed  to  submit  prior  art  before  the  issuance  of  a  patent  by  the  USPTO,  and  may  become  involved  in  post-grant  proceedings  including 
opposition, derivation, reexamination, inter partes review or interference proceedings challenging our patent rights or the patent rights of others. An adverse 
determination in any such submission, proceeding or litigation could reduce the scope or enforceability of, or invalidate, our patent rights, which could 
adversely affect our competitive position. This could have a negative impact on some of our intellectual 

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property and could increase uncertainties surrounding obtaining and enforcement or defense of our issued patents. In addition, Congress may pass patent 
reform  legislation  that  is  unfavorable  to  us.  The  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. In addition to increasing uncertainty with regard 
to  our  ability  to  obtain  patents  in  the  future,  this  combination  of  events  has  created  uncertainty  with  respect  to  the  value  of  patents,  once  obtained. 
Depending on decisions 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 and patents we might obtain in the future.

Similarly, statutory or judicial changes to the patent laws of other countries may increase the uncertainties and costs surrounding the prosecution 

of patent applications and the enforcement or defense of issued patents. 

We may not be able to protect our intellectual property rights throughout the world.

Filing, prosecuting and defending all current and future patents in all countries throughout the world would be prohibitively expensive, and our 
intellectual property rights in some countries outside the United States can be less extensive than those in the United States. In addition, the laws of some 
foreign countries do not protect intellectual property rights to the same extent as federal and state laws in the United States. Consequently, we may not be 
able to prevent third parties from practicing our inventions in all countries outside the United States, or from selling or importing products made using our 
inventions in and into the United States or other jurisdictions. Competitors may use our technologies in jurisdictions where we have not obtained patent 
protection  to  develop  their  own  products  and,  further,  may  export  otherwise  infringing  products  to  territories  where  we  have  patent  protection  but 
enforcement is not as strong as that in the United States. These products may compete with our product candidates, and our patents or other intellectual 
property rights may not be effective or sufficient to prevent them from competing.

The legal systems of many foreign countries do not favor the enforcement of patents and other intellectual property protection, 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.  For  example,  some 
foreign countries have compulsory licensing laws under which a patent owner must grant licenses to third parties. In addition, some countries limit the 
enforceability of patents against third parties, including government agencies or government contractors. In these countries, patents may provide limited or 
no benefit. Proceedings to enforce our patent rights in foreign jurisdictions could result in substantial costs and divert our efforts and attention from other 
aspects of our business, could put our patents at risk of being invalidated or interpreted narrowly and our patent applications at risk of not issuing and could 
provoke third parties to assert claims against us. We may not prevail in any lawsuits that we initiate, and the damages or other remedies awarded, if any, 
may not be commercially meaningful. Accordingly, our efforts to enforce our intellectual property rights around the world may be inadequate to obtain a 
significant commercial advantage from the intellectual property that we develop or license.

Obtaining  and  maintaining  patent  protection  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  non-compliance  with  these 
requirements.

The USPTO and various foreign governmental patent agencies require compliance with a number of procedural, documentary, fee payment and 
other provisions during the patent process. Periodic maintenance fees, renewal fees, annuity fees and various other governmental fees on patents and/or 
applications will be due to be paid to the USPTO and various governmental patent agencies outside of the United States in several stages over the lifetime 
of the patents and/or applications. We employ reputable professionals and rely on such third parties to help us comply with these requirements and effect 
payment of these fees with respect to the patents and patent applications that we own, and if we license intellectual property we may have to rely upon our 
licensors to comply with these requirements and effect payment of these fees with respect to any patents and patent applications that we license. In many 
cases, an inadvertent lapse can be cured by payment of a late fee or by other means in accordance with the applicable rules. However, there are situations in 
which  noncompliance  can  result  in  abandonment  or  lapse  of  a  patent  or  patent  application,  resulting  in  partial  or  complete  loss  of  patent  rights  in  the 
relevant jurisdiction. In such an event, competitors might be able to enter the market earlier than would otherwise have been the case.

Intellectual property rights do not necessarily address all potential threats to our competitive advantage.

The degree of future protection afforded by our intellectual property rights is uncertain because intellectual property rights have limitations and 

may not adequately protect our business or permit us to maintain our competitive advantage. For example:

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others may be able to make next generation cancer and infectious disease immunotherapies that are similar to ours but that are not covered by 
the claims of the patents that we own or have exclusively licensed;

we  or  our  licensors  or  future  collaborators  might  not  have  been  the  first  to  make  the  inventions  covered  by  the  issued  patents  or  pending 
patent applications that we own or have exclusively licensed;

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we or our licensors or future collaborators might not have been the first to file patent applications covering certain of our inventions;

others may independently develop similar or alternative technologies or duplicate any of our technologies without infringing our intellectual 
property rights;

it is possible that our pending patent applications will not lead to issued patents;

issued  patents  that  we  own  or  have  exclusively  licensed  may  be  held  invalid  or  unenforceable,  as  a  result  of  legal  challenges  by  our 
competitors;

our  competitors  might  conduct  research  and  development  activities  in  countries  where  we  do  not  have  patent  rights  and  then  use  the 
information learned from such activities to develop competitive products for sale in our major commercial markets;

we may not develop additional proprietary technologies that are patentable; and

the patents of others may have an adverse effect on our business.

Should any of these events occur, they could significantly harm our business, results of operations and prospects.

Risks Related to Government Regulation

Even if we obtain regulatory approval for a product candidate, our products will remain subject to regulatory scrutiny.

If  one  or  more  of  our  product  candidates  is  approved,  each  will  be  subject  to  ongoing  regulatory  requirements  for  manufacturing,  labeling, 
packaging, storage, advertising, promotion, sampling, record-keeping, conduct of post-marketing studies, and submission of safety, efficacy, and other post-
market information, including both federal and state requirements in the United States and requirements of comparable foreign regulatory authorities.

Manufacturers and manufacturers’ facilities are required to comply with extensive FDA and comparable foreign regulatory authority requirements, 
including ensuring that quality control and manufacturing procedures conform to cGMP or similar regulations. As such, we and our contract manufacturers 
will be subject to continual review and inspections to assess compliance with cGMP or similar regulations and adherence to commitments made in any 
approved marketing application. Accordingly, we and others with whom we work must continue to expend time, money and effort in all areas of regulatory 
compliance, including manufacturing, production, and quality control.

We will have to comply with requirements concerning advertising and promotion for our products. Promotional communications with respect to 
prescription drugs and biologics are subject to a variety of legal and regulatory restrictions and must be consistent with the information in the product’s 
approved label and truthful and non-misleading.  As such, we may not promote our products “off-label” for indications or uses for which they do not have 
approval. The holder of an approved application must submit new or supplemental applications and obtain approval for certain changes to the approved 
product, product labeling, or manufacturing process. We could also be asked to conduct post-marketing clinical studies to verify the safety and efficacy of 
our  products  in  general  or  in  specific  patient  subsets.  An  unsuccessful  post-marketing  study  or  failure  to  complete  such  a  study  could  result  in  the 
withdrawal of marketing approval.

If a regulatory agency discovers previously unknown problems with a product, such as adverse events of unanticipated severity or frequency, or 
problems with the facility where the product is manufactured, or disagrees with the promotion, marketing or labeling of a product, such regulatory agency 
may  impose  restrictions  on  that  product  or  us,  including  requiring  withdrawal  of  the  product  from  the  market.  If  we  fail  to  comply  with  applicable 
regulatory requirements, a regulatory agency or enforcement authority may, among other things:

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issue warning or untitled letters;

impose civil or criminal penalties;

suspend, vary or revoke regulatory approval;

suspend any of our clinical studies;

refuse to approve pending applications or supplements to approved applications submitted by us;

impose restrictions on our operations, including closing our contract manufacturers’ facilities; or

seize or detain products, or require or request a product recall.

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Any  government  investigation  of  alleged  violations  of  law  could  require  us  to  expend  significant  time  and  resources  in  response  and  could 
generate  negative  publicity.  Any  failure  to  comply  with  ongoing  regulatory  requirements  may  significantly  and  adversely  affect  our  ability  to 
commercialize  and  generate  revenue  from  our  products.  If  regulatory  sanctions  are  applied  or  if  regulatory  approval  is  withdrawn,  the  value  of  our 
company and our operating results will be adversely affected.

Moreover,  the  policies  of  the  FDA  and  of  other  regulatory  authorities  may  change  and  additional  government  regulations  may  be  enacted  that 
could prevent, limit or delay regulatory approval of our product candidates. We cannot predict the likelihood, nature or extent of government regulation that 
may arise from future legislation or administrative or executive action, either in the United States or abroad. For example, the CARES Act made a number 
of changes to the Federal Food, Drug and Cosmetic Act aimed at preventing drug shortages. The FDA issued Draft Guidance for Industry, Notifying FDA 
of a Discontinuance or Interruption in Manufacturing of Finished Products or Active Pharmaceutical Ingredients Under Section 506C of the FD&C Act in 
April 2023, which recommends that applicants and manufacturers provide additional details and follow additional procedures to ensure the FDA has the 
specific information it needs to help prevent or mitigate shortages and explains how the FDA communicates information about products in shortage to the 
public. Moreover, there has been increasing political and regulatory scrutiny of foreign-sourced drugs and foreign drug supply chains, resulting in proposed 
and enacted legislative and executive actions, including Executive Orders, to incentivize or compel drug manufacturing operations to relocate to the United 
States. It is not clear how these changes and proposals could impact our business. If we are slow or unable to adapt to changes in existing requirements or 
the adoption of new requirements or policies, or if we are not able to maintain regulatory compliance, we may be subject to enforcement action and we may 
not achieve or sustain profitability.

We  may  seek  orphan  drug  designation  for  certain  future  product  candidates,  but  we  may  be  unable  to  obtain  such  designations  or  to  maintain  the 
benefits associated with orphan drug designation, including market exclusivity, which may cause our revenue, if any, to be reduced.

We may pursue orphan drug designation for certain of our future product candidates. Under the Orphan Drug Act, the FDA may designate a drug
or  biologic  product  as  an  orphan  drug  if  it  is  intended  to  treat  a  rare  disease  or  condition,  defined  as  a  patient  population  of  fewer  than  200,000  in  the 
United States, or a patient population greater than 200,000 in the United States where there is no reasonable expectation that the cost of developing the drug 
will be recovered from sales in the United States. In the European Union, the European Commission, on the basis of a scientific opinion by the EMA’s 
Committee  for  Orphan  Medicinal  Products  (COMP),  grants  orphan  drug  designation  to  promote  the  development  of  products  that  are  intended  for  the 
diagnosis, prevention, or treatment of a life-threatening or chronically debilitating condition affecting not more than five in 10,000 persons in the European 
Union. Additionally, designation is granted for products intended for the diagnosis, prevention, or treatment of a life-threatening, seriously debilitating or 
serious  and  chronic  condition  when,  without  incentives,  it  is  unlikely  that  sales  of  the  drug  in  the  European  Union  would  be  sufficient  to  justify  the
necessary investment in developing the drug or biological product. In any event, orphan designation is granted only if there is no satisfactory method of 
diagnosis, prevention, or treatment, or, if such a method exists, the medicine must be of significant benefit to those affected by the condition. It is no longer 
necessary to obtain orphan designation in Great Britain before an application for marketing authorization is made, and the criteria will be assessed by the 
MHRA, at the time of assessment of the application for marketing authorization. The criteria in Great Britain are similar to those in the EU but have been 
tailored for the Great Britain market.

In the United States, orphan drug designation entitles a party to financial incentives such as opportunities for grant funding towards clinical trial 
costs, tax credits for certain clinical trial costs, and application fee waivers. In addition, if an orphan-designated product receives the first FDA approval for 
the  indication  for  which  it  has  orphan  designation  (meaning  that  FDA  has  not  previously  approved  a  drug  considered  the  same  drug  for  same  orphan 
condition), the product is entitled to orphan drug exclusivity. If there is a previously approved same drug for the same orphan condition, to obtain orphan 
exclusivity,  the  sponsor  of  the  subsequent  drug  must  demonstrate  clinical  superiority  over  the  previously  approved  same  drug.  If  granted,  orphan 
exclusivity means the FDA may not approve any other application to market the same drug for the same disease or condition for a period of seven years, 
except in limited circumstances, such as a showing of clinical superiority over the product with orphan exclusivity or where the manufacturer is unable to 
assure sufficient product quantity to meet the needs of the orphan patient population. In the European Union, orphan drug designation entitles a party to 
financial incentives such as reduction of fees or fee waivers and ten years of market exclusivity following drug or biological product approval, subject to 
the  positive  outcome  of  the  reassessment  of  the  continued  compliance  with  the  orphan  designation  criteria  at  the  time  of  approval.  This  period  may  be 
reduced to six years if the orphan drug designation criteria are no longer met at the end of the fifth year since grant of the approval, including where it is 
shown that the product is sufficiently profitable not to justify maintenance of market exclusivity. Moreover, upcoming legislative reforms in the European 
Union may result in a reduction of market exclusivity periods for orphan medicinal products and/or imposition of additional requirements for grant of such 
exclusivity. In Great Britain, if the criteria for orphan designation are met at the time of assessment of the marketing authorization, the applicant is entitled 
to a fee reduction and ten years of market exclusivity. The terms of market exclusivity, and possibility for the period to be reduced, are similar to those in 
the EU. On April 26, 2023, the European Commission published new proposed legislation which, if adopted by the European Parliament and the Council of 
Ministers, will introduce significant number of changes to the market exclusivities granted to orphan medicinal products and the related procedures and 
requirements in the EU. The legislative procedure is not expected to conclude before 2024/2025 at the earliest.

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Even if we obtain orphan drug designation for a product candidate, we may not be the first to obtain marketing approval for the product candidate 
for any particular orphan indication due to the uncertainties associated with developing novel biologic products. Further, even if we obtain orphan drug 
exclusivity for a product candidate, that exclusivity may not effectively protect the product from competition because different drugs can be approved for 
the same condition. Even after an orphan drug is approved, the FDA or foreign regulatory authorities can subsequently approve the same drug with the 
same active moiety for the same condition if the FDA or foreign regulatory authorities concludes that the later drug is clinically superior in that it is safer, 
more effective, or makes a major contribution to patient care. Orphan drug designation neither shortens the development time or regulatory review time of 
a drug or biologic nor gives the drug or biologic any advantage in the regulatory review or approval process.

Moreover, a September 2021 Eleventh Circuit decision in Catalyst Pharmaceuticals, Inc. vs. Becerra regarding interpretation of the Orphan Drug 
Act exclusivity provisions as applied to drugs approved for orphan indications narrower than the drug’s orphan designation could significantly broaden the 
scope of orphan drug exclusivity for such products. In January 2023, FDA, however, issued a Federal Register notice clarifying its approach to orphan drug 
exclusivity  following  the  Catalyst  decision  that  suggests  this  may  not  be  the  agency’s  intended  direction  going  forward.    Consistent  with  the  court’s 
decision, FDA set aside its approval of the drug at issue in the case. But otherwise, the notification announced that at this time, while complying with the 
court’s order in Catalyst, FDA intends to continue to apply its regulations tying the scope of orphan-drug exclusivity to the uses or indications for which a 
drug is approved to matters beyond the scope of that order. Specifically, FDA intends to continue to apply its longstanding regulations tying the scope of 
orphan  drug  exclusivity  to  the  uses  or  indications  for  which  the  orphan  drug  was  approved.  Legislation  also  has  been  introduced  that  may  reverse  the 
Catalyst decision.

A fast track designation by the FDA, even if granted for any of our product candidates, may not lead to a faster development or regulatory review or 
approval process, and does not increase the likelihood that our product candidates will receive marketing approval. 

We have received fast track designation for GRANITE for the treatment of colorectal cancer, and we may seek such designation for some or all of 
our other product candidates. If a drug or biologic, in our case, is intended for the treatment of a serious or life-threatening disease or condition and the 
biologic  demonstrates  the  potential  to  address  unmet  medical  needs  for  this  disease  or  condition,  the  biologic  sponsor  may  apply  for  FDA  fast  track 
designation. The sponsor of a fast-track product candidate has opportunities for more frequent interactions with the applicable FDA review team during 
product development; and, once a BLA is submitted, the product candidate may be eligible for priority review. A fast track product candidate may also be 
eligible for rolling review, where the FDA may consider for review sections of the BLA on a rolling basis before the complete application is submitted, if 
the  sponsor  provides  a  schedule  for  the  submission  of  the  sections  of  the  BLA,  the  FDA  agrees  to  accept  sections  of  the  BLA  and  determines  that  the 
schedule is acceptable, and the sponsor pays any required user fees upon submission of the first section of the BLA. The FDA has broad discretion whether 
or not to grant this designation. Even if we believe a particular product candidate is eligible for this designation, we cannot guarantee that the FDA would 
grant it. Even if we do receive fast track designation, we may not experience a faster development process, review or approval compared to conventional 
FDA  procedures.  The  FDA  may  withdraw  fast  track  designation  if  it  believes  that  the  designation  is  no  longer  supported  by  data  from  our  clinical 
development program.

Some  of  our  product  candidates  may  require  pediatric  development,  which  may  delay  our  regulatory  approvals  and  ultimately  our  commercial 
licensure.

The RACE for Children Act enacted in the U.S. in August 2017 and the European Pediatric Regulation implemented in 2007 as well as similar 
legislation in the UK may require us to develop our products in pediatric cancer patients. Pediatric cancers are rare, mutational burden is usually low in 
pediatric tumors and our approach may not be suited for children with cancer, or it may be difficult and slow to accrue children with cancers in our clinical 
trials.  We  may  incur  delays  in  meeting  potential  regulatory  obligations  or  require  additional  investments  to  fulfill  our  regulatory  commitments,  and 
ultimately may be found incompliant if we cannot deliver pediatric data within the agreed timelines. This could lead to delays in regulatory approval and 
ultimately commercial licensure of our GRANITE or SLATE products. On April 26, 2023, the European Commission published new proposed legislation 
which, if adopted by the European Parliament and the Council of Ministers, will introduce additional requirements in the EU. The legislative procedure is 
not expected to conclude before 2024/2025 at the earliest.

Enacted and future healthcare legislation may increase the difficulty and cost for us to obtain marketing approval of and commercialize our product 
candidates and may affect the prices we may set.

In the United States, the European Union and other jurisdictions, there have been, and we expect there will continue to be, a number of legislative 
and regulatory changes and proposed changes to the healthcare system that could affect our future results of operations. In particular, there have been and 
continue to be a number of initiatives at the U.S. federal and state levels that seek to reduce healthcare costs and improve the quality of healthcare. For 
example, in March 2010, the ACA was enacted, which substantially changed 

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the  way  healthcare  is  financed  by  both  governmental  and  private  payors.  Among  the  provisions  of  the  ACA,  those  of  greatest  importance  to  the 
pharmaceutical and biotechnology industries include the following:

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an  annual,  non-deductible  fee  payable  by  any  entity  that  manufactures  or  imports  certain  branded  prescription  drugs  and  biologic  agents 
(other  than  those  designated  as  orphan  drugs),  which  is  apportioned  among  these  entities  according  to  their  market  share  in  certain 
government healthcare programs;

a  new  methodology  by  which  rebates  owed  by  manufacturers  under  the  Medicaid  Drug  Rebate  Program  are  calculated  for  drugs  that  are 
inhaled, infused, instilled, implanted or injected;

expansion  of  eligibility  criteria  for  Medicaid  programs  by,  among  other  things,  allowing  states  to  offer  Medicaid  coverage  to  certain 
individuals  with  income  at  or  below  133%  of  the  federal  poverty  level,  thereby  potentially  increasing  a  manufacturer’s  Medicaid  rebate 
liability;

a licensure framework for follow on biologic products;

a  new  Patient-Centered  Outcomes  Research  Institute  to  oversee,  identify  priorities  in,  and  conduct  comparative  clinical  effectiveness 
research, along with funding for such research; and

establishment  of  a  Center  for  Medicare  and  Medicaid  Innovation  at  the  Centers  for  Medicare  &  Medicaid  Services,  or  CMS,  to  test 
innovative payment and service delivery models to lower Medicare and Medicaid spending, potentially including prescription drug spending.

Furthermore, the expansion of the 340B Drug Discount Program through the ACA has increased the number of purchasers who are eligible for 
significant discounts on branded drugs. Several drug manufacturers have commenced litigation, which remains ongoing, challenging the legality of contract 
pharmacy arrangements under the 340B Drug Discount Program, which may affect the way in which manufacturers are required to extend the 340B Drug 
Discount Program prices to covered entities, including through contract pharmacies. There are also ongoing challenges regarding the implementation of the 
340B Drug Discount Program Administrative Dispute Resolution Process, which is in part intended to resolve claims by covered entities that they have 
been overcharged for covered outpatient drugs by manufacturers. In November 2022, the Health Resources and Services Administration issued a proposed 
rule to establish and implement an administrative dispute resolution process for certain disputes arising under the 340B drug pricing program. The public 
comment period closed on January 30, 2023. The nature of the Administrative Dispute Resolution Process, once finalized, may have a material adverse 
impact on our revenue should we participate in the 340B Drug Discount Program after receiving approval for our product candidates. It also is possible that 
Congress could consider legislation that amends or reforms the 340B Drug Discount Program.

Since its enactment, there have been judicial, Congressional, and executive branch challenges to certain aspects of the ACA. On June 17, 2021, the 
U.S. Supreme Court dismissed a judicial challenge to the ACA brought by several states without specifically ruling on the constitutionality of the ACA. 
Prior to the Supreme Court’s decision, President Biden issued an executive order to initiate a special enrollment period for purposes of obtaining health 
insurance coverage through the ACA marketplace during the COVID-19 pandemic. The executive order also instructed certain governmental agencies to 
review  and  reconsider  their  existing  policies  and  rules  that  limit  access  to  healthcare,  including  among  others,  reexamining  Medicaid  demonstration 
projects and waiver programs that include work requirements, and policies that create unnecessary barriers to obtaining access to health insurance coverage 
through  Medicaid  or  the  ACA.    There  is  also  ongoing  litigation  challenging  the  legality  of  the  ACA’s  requirement  that  plans  cover  certain  preventive 
services without cost-sharing.

In  addition,  other  legislative  changes  have  been  proposed  and  adopted  in  the  United  States  since  the  ACA  was  enacted,  including  aggregate 
reductions of Medicare payments to providers, which went into effect April 1, 2013 and due to subsequent legislative amendments, will remain in effect 
through 2032, with the exception of a temporary suspension from May 1, 2020 through March 31, 2022, absent further congressional action. In January 
2013, the American Taxpayer Relief Act of 2012 was signed into law, which, among other things, further reduced Medicare payments to several types of 
providers, including hospitals, imaging centers and cancer treatment centers, and increased the statute of limitations period for the government to recover 
overpayments to providers from three to five years. These new laws or any other similar laws introduced in the future may result in additional reductions in 
Medicare and other health care funding, which could negatively affect our customers and accordingly, our financial operations.  Additionally, Congress has 
considered  a  number  of  bills  relating  to  drug  pricing  and  recently  enacted  the  Inflation  Reduction  Act  of  2022  (IRA),  which  was  signed  into  law  by 
President Biden and contains a number of provisions regarding drug pricing. The IRA adopted drug pricing reforms that will allow the federal government 
to negotiate prices for some high-cost drugs covered under Medicare Parts B and D, introduce inflationary rebates on certain Medicare Part B and Medicare 
Part D drugs, and redesign the structure of the Part D benefit. Starting in June 2023, several manufacturers and trade associations commenced litigation 
challenging  the  legality  of  the  IRA’s  Negotiation  Program.  We  cannot  predict  the  outcome  of  these  cases,  how  numerous  aspects  of  this  law  will  be 
implemented, and how it will affect our business. It is also possible that Congress will consider other legislation that would affect drug pricing issues going 
forward.  

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Moreover, payment methodologies may be subject to changes in healthcare legislation and regulatory initiatives. For example, CMS may develop 
new  payment  and  delivery  models,  such  as  bundled  payment  models.  In  addition,  recently  there  has  been  heightened  governmental  scrutiny  over  the 
manner in which manufacturers set prices for their marketed products, which has resulted in several U.S. Congressional inquiries, hearings and proposed
and enacted federal legislation and rules, as well as Executive Orders, designed to, among other things, reduce or limit the prices of drugs and make them 
more affordable for patients, such as by tying the prices that Medicare reimburses for physician-administered drugs to the prices of drugs in other countries, 
bring more transparency to drug pricing rationale and methodologies (including, for example, by requiring drug manufacturers to disclose planned drug 
price  increases  and  the  rationales  for  such  increases),  implement  data  collection  and  reporting  under  Section  204  of  Title  II  of  Division  BB  of  the 
Consolidated  Appropriations  Act,  2021,  which  requires,  among  other  things,  health  plans  and  issuers  to  disclose  rebates,  fees,  and  other  remuneration 
provided by drug manufacturers related to certain pharmaceutical products, revise rules associated with the calculation of Medicaid Average Manufacturer 
Price and Best Price, including the removal of the current statutory 100% of Average Manufacturer Price per-unit cap on Medicaid rebate liability for single 
source and innovator multiple source drugs effective as of January 1, 2024 under the American Rescue Plan Act of 2021, which may significantly affect the 
amount  of  rebates  paid  on  prescription  drugs  under  Medicaid  and  the  prices  that  are  required  to  be  charged  to  covered  entities  under  the  340B  Drug 
Discount Program, and facilitate the importation of certain lower-cost drugs from other countries. In July 2021, President Biden issued an Executive Order 
directing various executive branch agencies to take actions to lower drug prices and promote generic competition, including directing FDA to support and 
work with states and Indian Tribes to develop importation plans to import prescription drugs from Canada. The Executive Order also required the Secretary 
of Health and Human Services to develop a comprehensive plan for addressing drug prices. The plan was released on September 9, 2021, and it includes 
support  for  legislative  and  administrative  actions  that  would  improve  affordability,  access  and  competition,  and  foster  scientific  innovation.  In  January 
2024, FDA authorized Florida's Section 804 importation program to facilitate importation of certain prescription drugs from Canada. Following passage of 
the IRA, in October 2022, President Biden issued an Executive Order directing the Center for Medicare and Medicaid Innovation to consider new models 
to lower drug costs and promote access to Medicare and Medicaid beneficiaries. The Executive Order directs HHS to issue a report on potential models to
the White House within 90 days, and HHS delivered a report to President Biden on February 14, 2023 that outlines three models, including one that would 
develop  payment  methods  for  drugs  approved  under  accelerated  approval,  in  consultation  with  the  Food  and  Drug  Administration,  to  encourage  timely 
confirmatory  trial  completion  and  improve  access  to  post  market  safety  and  efficacy  data.  It  is  possible  that  additional  U.S.  federal  healthcare  reform 
measures will be adopted in the future, any of which could limit the amounts that the U.S. federal government will pay for healthcare products and services, 
which  could  result  in  reduced  demand  for  our  product  candidates  or  additional  pricing  pressures.    In  May  2023,  CMS  issued  a  Medicaid  Drug  Rebate 
Program proposed rule, which if finalized, could increase manufacturer responsibilities and rebate liability under the program.   

Individual states in the United States have also 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, designed to encourage importation from other countries and bulk purchasing. Legally mandated 
price  controls  on  payment  amounts  by  third-party  payors  or  other  restrictions  could  harm  our  business,  results  of  operations,  financial  condition  and 
prospects. In addition, regional healthcare authorities and individual hospitals are increasingly using bidding procedures to determine what pharmaceutical 
products  and  which  suppliers  will  be  included  in  their  prescription  drug  and  other  healthcare  programs.  This  could  reduce  the  ultimate  demand  for  our 
product candidates or put pressure on our product pricing.

In the European Union and UK, similar political, economic and regulatory developments may affect our ability to profitably commercialize our 
product  candidates,  if  approved.  In  addition  to  continuing  pressure  on  prices  and  cost  containment  measures,  legislative  developments  at  the  European 
Union or member state level may result in significant additional requirements or obstacles that may increase our operating costs. The delivery of healthcare 
in the European Union, including the establishment and operation of health services and the pricing and reimbursement of medicines, is almost exclusively 
a  matter  for  national,  rather  than  European  Union,  law  and  policy.  National  governments  and  health  service  providers  have  different  priorities  and 
approaches  to  the  delivery  of  health  care  and  the  pricing  and  reimbursement  of  products  in  that  context.  In  general,  however,  the  healthcare  budgetary 
constraints in most European Union member states have resulted in restrictions on the pricing and reimbursement of medicines by relevant health service 
providers.  Coupled  with  ever-increasing  European  Union  and  national  regulatory  burdens  on  those  wishing  to  develop  and  market  products,  this  could 
prevent  or  delay  marketing  approval  of  our  product  candidates,  restrict  or  regulate  post-approval  activities  and  affect  our  ability  to  commercialize  our 
product  candidates,  if  approved.  In  markets  outside  of  the  United  States  and  European  Union,  reimbursement  and  healthcare  payment  systems  vary 
significantly by country, and many countries have instituted price ceilings on specific products and therapies. Moreover, upcoming legislative and policy 
changes in the European Union may further impact the price and reimbursement status of our products in the future. 

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Our  business  operations  and  current  and  future  relationships  with  investigators,  healthcare  professionals,  consultants,  third-party  payors,  patient 
organizations and customers will be subject to applicable healthcare regulatory laws, which could expose us to penalties.

Our business operations and current and future arrangements with investigators, healthcare professionals, consultants, third-party payors, patient 
organizations and customers, may expose us to broadly applicable fraud and abuse and other healthcare laws and regulations. These laws may constrain the 
business or financial arrangements and relationships through which we conduct our operations, including how we research, market, sell and distribute our 
product candidates, if approved. Such laws include:

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the  U.S.  federal  Anti-Kickback  Statute,  which  prohibits,  among  other  things,  persons  or  entities  from  knowingly  and  willfully  soliciting, 
offering,  receiving  or  providing  any  remuneration  (including  any  kickback,  bribe,  or  certain  rebates),  directly  or  indirectly,  overtly  or 
covertly,  in  cash  or  in  kind,  to  induce  or  reward,  or  in  return  for,  either  the  referral  of  an  individual  for,  or  the  purchase,  lease,  order  or 
recommendation  of,  any  good,  facility,  item  or  service,  for  which  payment  may  be  made,  in  whole  or  in  part,  under  any  U.S.  federal 
healthcare program, such as Medicare and Medicaid. A person or entity does not need to have actual knowledge of the statute or specific 
intent to violate it in order to have committed a violation;

the U.S. federal civil and criminal false claims and civil monetary penalties laws, including the civil False Claims Act, which prohibit, among 
other things, including through civil whistleblower or qui tam actions, individuals or entities from knowingly presenting, or causing to be 
presented, to the U.S. federal government, claims for payment or approval that are false or fraudulent, knowingly making, using or causing to 
be made or used, a false record or statement material to a false or fraudulent claim, or from knowingly making a false statement to avoid, 
decrease or conceal an obligation to pay money to the U.S. federal government. In addition, the government may assert that a claim including 
items and services resulting from a violation of the U.S. federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of 
the civil False Claims Act;

HIPAA, which imposes criminal and civil liability for, among other things, knowingly and willfully executing, or attempting to execute, a 
scheme to defraud any healthcare benefit program, or knowingly and willfully falsifying, concealing or covering up a material fact or making 
any materially false statement, in connection with the delivery of, or payment for, healthcare benefits, items or services. Similar to the U.S. 
federal Anti-Kickback Statute, a person or entity does not need to have actual knowledge of the healthcare fraud statute implemented under 
HIPAA or specific intent to violate it in order to have committed a violation;

the  Food,  Drug  and  Cosmetic  Act,  which  prohibits,  among  other  things,  the  adulteration  or  misbranding  of  drugs,  biologics  and  medical 
devices;

the U.S. Public Health Service Act, which prohibits, among other things, the introduction into interstate commerce of a biological product 
unless a biologics license is in effect for that product;

the  U.S.  Physician  Payments  Sunshine  Act  and  its  implementing  regulations,  which  requires  certain  manufacturers  of  drugs,  devices, 
biologics and medical supplies that are reimbursable under Medicare, Medicaid, or the Children’s Health Insurance Program, with specific 
exceptions,  to  report  annually  to  the  government  information  related  to  certain  payments  and  other  transfers  of  value  to  physicians  (as 
defined by statute), certain non-physician practitioners such as physician assistants and nurse practitioners, and teaching hospitals, as well as 
ownership and investment interests held by physicians and their immediate family members;

analogous U.S. state laws and regulations, including: state anti-kickback and false claims laws, which may apply to our business practices, 
including  but  not  limited  to,  research,  distribution,  sales  and  marketing  arrangements  and  claims  involving  healthcare  items  or  services 
reimbursed  by  any  third-party  payor,  including  private  insurers;  state  laws  that  require  pharmaceutical  companies  to  comply  with  the 
pharmaceutical  industry’s  voluntary  compliance  guidelines  and  the  relevant  compliance  guidance  promulgated  by  the  U.S.  federal 
government,  or  otherwise  restrict  payments  that  may  be  made  to  healthcare  providers  and  other  potential  referral  sources;  state  laws  and 
regulations that require drug manufacturers to file reports relating to pricing and marketing information, which requires tracking gifts and 
other remuneration and items of value provided to healthcare professionals and entities; and state and local laws requiring the registration of 
pharmaceutical sales representatives;

the U.S. Foreign Corrupt Practices Act of 1977, as amended, which prohibits, among other things, U.S. companies and their employees and 
agents from authorizing, promising, offering, or providing, directly or indirectly, corrupt or improper payments or anything else of value to 
foreign government officials, employees of public international organizations and foreign government owned or affiliated entities, candidates 
for foreign political office, and foreign political parties or officials thereof; and 

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similar healthcare laws and regulations in the European Union and other jurisdictions, including reporting requirements detailing interactions 
with and payments to healthcare providers.

Ensuring that our internal operations and future business arrangements with third parties comply with applicable healthcare laws and regulations 
will involve substantial costs. It is possible that governmental authorities will conclude that our business practices do not comply with current or future 
statutes, regulations, agency guidance 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 the laws described above or any other governmental laws and regulations that may apply to us, we may be subject to significant 
penalties, including civil, criminal and administrative penalties, damages, fines, exclusion from government-funded healthcare programs, such as Medicare 
and Medicaid or similar programs in other countries or jurisdictions, integrity oversight and reporting obligations to resolve allegations of non-compliance, 
disgorgement, individual imprisonment, contractual damages, reputational harm, diminished profits and the curtailment or restructuring of our operations. 
If any of the physicians or other providers or entities with whom we expect to do business are found not to be in compliance with applicable laws, they may 
be subject to criminal, civil or administrative sanctions, including exclusions from government funded healthcare programs and imprisonment, which could 
affect our ability to operate our business. Further, defending against any such actions can be costly, time-consuming and may require significant 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.

Risks Related to Our Common Stock

Our stock price is volatile, and you may not be able to resell shares of our common stock at or above the price you paid.

The trading price of our common stock is highly volatile and could be subject to wide fluctuations in response to various factors, some of which 

are beyond our control. These factors include those discussed elsewhere in this “Risk Factors” section of this report and others such as:

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results  from,  and  any  delays  in,  our  clinical  trials,  in  particular  for  GRANITE,  SLATE,  CORAL  or  any  other  current  or  future  clinical 
development programs, including public misperception of the results of our trials;

announcements  by  academic  or  other  third  parties  challenging  the  fundamental  premises  underlying  our  approach  to  treating  cancer  and 
infectious disease and/or biopharmaceutical product development;

announcements of regulatory approval or disapproval of our current or any future product candidates;

failure or discontinuation of any of our research and development programs;

manufacturing setbacks or delays of or issues with the supply of the materials for our personalized immunotherapy candidate;

announcements relating to future licensing, collaboration or development agreements, including the early termination or failure of an existing 
strategic collaboration;

delays in the commercialization of our current or any future product candidates;

public misperception regarding the use of our therapies;

acquisitions and sales of new products, technologies or businesses;

quarterly variations in our results of operations or those of our current or future competitors;

changes in earnings estimates or recommendations by securities analysts;

announcements  by  us  or  our  competitors  of  new  products,  significant  contracts,  commercial  relationships,  acquisitions  or  capital 
commitments;

developments with respect to intellectual property rights;

our commencement of, or involvement in, litigation;

changes in financial estimates or guidance, including our ability to meet our future revenue and operating profit or loss estimates or guidance;

any major changes in our board of directors or management;

new legislation, particularly in the United States, relating to the sale or pricing of pharmaceuticals;

FDA or other U.S. or foreign regulatory actions affecting us or our industry;

84

 
 
 
 
 
 
•

•

•

product liability claims or other litigation or public concern about the safety of our product candidates;

market conditions in the biopharmaceutical and biotechnology sectors; and

general economic, industry and market conditions in the United States and abroad, including recent instability in the banking sector, inflation 
and market volatility, rising interest rates, the federal debt ceiling and budget the potential for government shutdowns, and the ongoing labor 
shortage.

In addition, the stock market in general, and the markets for biopharmaceutical and biotechnology stocks in particular, have experienced extreme 
volatility, including as a result of recent instability in the banking sector, increases in inflation and market volatility, rising interest rates, uncertainty with 
respect to the federal debt ceiling and budget and the related potential for government shutdowns, disruptions to global supply chains, cybersecurity events 
and  regional  conflicts  around  the  world,  that  have  often  been  unrelated  to  the  operating  performance  of  any  particular  issuer.  These  broad  market 
fluctuations may adversely affect the trading price or liquidity of our common stock. In the past, when the market price of a stock has been volatile, holders 
of that stock have sometimes instituted securities class action litigation against the issuer. If any of our stockholders were to bring such a lawsuit against us, 
we could incur substantial costs defending the lawsuit, and the attention of our management would be diverted from the operation of our business.

The future issuance of equity or of debt securities that are convertible into equity will dilute our share capital.

We expect that significant additional capital may be needed in the future to continue our planned operations. To raise capital, we may sell common 
stock, convertible securities or other equity or debt securities in one or more transactions at prices and in a manner we determine from time to time. For 
example, we have issued and may continue to issue shares in our “at the market offering” program or other registered offerings, and we have issued shares 
in three private placement of public issuer’s equity transactions. To the extent that additional capital is raised through the issuance of shares of common 
stock or other securities convertible into shares of common stock, our stockholders will be diluted. In addition, future issuances of our common stock or 
other  equity  securities  (or  securities  convertible  into  our  common  stock  or  other  equity  securities),  or  the  perception  that  such  sales  may  occur,  could 
adversely affect the trading price of our common stock and impair our ability to raise capital through future offerings of shares or other securities.

Sales of a substantial number of shares of our common stock in the public market could cause our stock price to fall.

If our existing stockholders sell, or indicate an intention to sell, substantial amounts of our common stock in the public market, the trading price of 
our common stock could decline. As of December 31, 2023, we have a total of 97,585,415 shares of common stock outstanding, as well as approximately 
20.5  million  shares  underlying  pre-funded  warrants  and  approximately  10.6  million  shares  of  common  stock  that  are  subject  to  outstanding  options, 
restricted stock units or other equity awards. We cannot predict what effect, if any, sales of our shares in the public market or the availability of shares for 
sale will have on the market price of our common stock. However, if these shares of common stock are sold, or if it is perceived that they will be sold, in 
the public market, the trading price of our common stock could decline.

Our ability to use our net operating loss carryforwards and certain other tax attributes may be limited.

We have incurred substantial net operating losses during our history and do not expect to become profitable in the near future, and we may never 
achieve profitability. Under current law, federal net operating losses generated in tax years beginning after December 31, 2017 will not expire and may be 
carried forward indefinitely but the deductibility of such federal net operating losses for any year is limited to no more than 80% of the excess, if any, of 
current  year  taxable  income  (without  regard  to  certain  deductions).  In  addition,  under  Sections  382  and  383  of  the  Internal  Revenue  Code  of  1986,  as 
amended (IRC), if we undergo an “ownership change,” generally defined as a greater than 50 percentage point change (by value) in its equity ownership by 
certain stockholders over a three-year period, our 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 income or taxes may be limited. It is possible that we may have undergone one or more 
“ownership changes” in the past. In addition, any equity financing transactions, private placements and other transactions that occur in the future, some of 
which are outside of our control, may trigger additional ownership changes, which could further limit our use of such net operating losses or other pre-
change tax attributes. Similar provisions of state tax law may also apply to limit our use of accumulated state tax attributes. In addition, at the state level, 
there may be periods during which the use of net operating losses is suspended or otherwise limited, which could accelerate or permanently increase state 
taxes owed. As a result, even if we attain profitability, we may be unable to use all or a material portion of our net operating losses and other tax attributes, 
which could adversely affect our results of operations and future cash flows.

85

 
 
 
 
 
 
 
 
 
 
Provisions in our charter documents and under Delaware law could discourage a takeover that stockholders may consider favorable and may lead to 
entrenchment of management.

Our  amended  and  restated  certificate  of  incorporation,  as  amended,  and  amended  and  restated  bylaws  contain  provisions  that  could  delay  or 

prevent changes in control or changes in our management without the consent of our board of directors. These provisions include the following:

•

•

•

•

•

•

•

•

•

a classified board of directors with three-year staggered terms, which may delay the ability of stockholders to change the membership of a 
majority of our board of directors;

no cumulative voting in the election of directors, which limits the ability of minority stockholders to elect director candidates;

the  exclusive  right  of  our  board  of  directors  to  elect  a  director  to  fill  a  vacancy  created  by  the  expansion  of  the  board  of  directors  or  the 
resignation, death or removal of a director, which prevents stockholders from being able to fill vacancies on our board of directors;

the ability of our board of directors to authorize the issuance of shares of preferred stock and to determine the price and other terms of those 
shares, including preferences and voting rights, without stockholder approval, which could be used to significantly dilute the ownership of a 
hostile acquiror;

the ability of our board of directors to alter our amended and restated bylaws without obtaining stockholder approval;

the required approval of at least 66 2/3% of the shares entitled to vote at an election of directors to adopt, amend or repeal our amended and 
restated  bylaws  or  repeal  the  provisions  of  our  amended  and  restated  certificate  of  incorporation,  as  amended,  regarding  the  election  and 
removal of directors;

a  prohibition  on  stockholder  action  by  written  consent,  which  force  stockholder  action  to  be  taken  at  an  annual  or  special  meeting  of  our 
stockholders;

the  requirement  that  a  special  meeting  of  stockholders  may  be  called  only  by  our  chief  executive  officer  or  president  or  by  the  board  of 
directors, which may delay the ability of our stockholders to force consideration of a proposal or to take action, including the removal of 
directors; and

advance notice procedures that stockholders must comply with in order to nominate candidates to our board of directors or to propose matters 
to be acted upon at a stockholders’ meeting, which may discourage or deter a potential acquiror from conducting a solicitation of proxies to 
elect the acquiror’s own slate of directors or otherwise attempting to obtain control of us.

We  are  also  subject  to  the  anti-takeover  provisions  contained  in  Section  203  of  the  Delaware  General  Corporation  Law.  Under  Section  203,  a 
corporation may not, in general, engage in a business combination with any holder of 15% or more of its capital stock unless the holder has held the stock 
for three years or, among other exceptions, the board of directors has approved the transaction.

Our amended and restated certificate of incorporation, as amended, and our amended and restated bylaws provide for an exclusive forum in the Court 
of Chancery of the State of Delaware and in the U.S. federal district courts for certain disputes between us and our stockholders, which could limit our 
stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees.

Our  amended  and  restated  certificate  of  incorporation,  as  amended,  and  our  amended  and  restated  bylaws  provide  that,  unless  we  consent  in 
writing  to  the  selection  of  an  alternative  forum,  the  Court  of  Chancery  of  the  State  of  Delaware  is  the  exclusive  forum  for  any  derivative  action  or 
proceeding brought on our behalf, any action asserting a breach of fiduciary duty, any action asserting a claim against us arising pursuant to the Delaware 
General Corporation Law, our amended and restated certificate of incorporation, as amended, or our amended and restated bylaws, or any action asserting a 
claim against us that is governed by the internal affairs doctrine. The exclusive forum provision will not apply to suits brought to enforce any liability or 
duty  created  by  the  Exchange  Act  or  any  other  claim  for  which  the  federal  courts  have  exclusive  jurisdiction.  In  addition,  our  amended  and  restated 
certificate of incorporation, as amended, provides that the U.S. federal district courts are the exclusive forum for the resolution of any complaint asserting a 
cause of action arising under the Securities Act. Our exclusive forum provision will not relieve us of our duties to comply with the federal securities laws 
and the rules and regulations thereunder, and our stockholders will not be deemed to have waived our compliance with these laws, rules and regulations.

The choice of forum provision may limit a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or 
our  directors,  officers  or  other  employees,  which  may  discourage  such  lawsuits  against  us  and  our  directors,  officers  and  other  employees  and  result  in 
increased costs for investors to bring a claim.

86

 
 
 
 
 
 
 
We do not currently intend to pay dividends on our common stock, and, consequently, your ability to achieve a return on your investment will depend 
on appreciation in the price of our common stock. 

We have never declared or paid cash dividends on our capital stock. We do not currently intend to pay any cash dividends on our common stock for the 
foreseeable future. We currently intend to invest our future earnings, if any, to fund our growth. Therefore, you are not likely to receive any dividends on 
your common stock for the foreseeable future. Since we do not intend to pay dividends, your ability to receive a return on your investment will depend on 
any future appreciation in the market value of our common stock. There is no guarantee that our common stock will appreciate or even maintain the price at 
which our holders have purchased it. 

General Risk Factors

If securities or industry analysts do not publish research or reports about our business, or if they issue an adverse or misleading opinion regarding our 
stock, our stock price and trading volume could decline.

The  trading  market  for  our  common  stock  is  influenced  by  the  research  and  reports  that  industry  or  securities  analysts  publish  about  us  or  our 
business. We do not have any control over the industry or securities analysts, or the content and opinions included in their reports. If any of the analysts 
who cover us issue an adverse or misleading opinion regarding us, our business model, our intellectual property or our stock performance, or if our clinical 
trials and operating results fail to meet the expectations of analysts, our stock price would likely decline. If one or more of these analysts cease coverage of 
us or fail to publish reports on us regularly, we could lose visibility in the financial markets, which in turn could cause our stock price or trading volume to 
decline.

We incur substantial costs as a result of operating as a public company, and our management devotes substantial time to governance and compliance 
matters. Any failure to comply with the rules that apply to public companies, including Section 404 of the Sarbanes-Oxley Act of 2002, could result in 
sanctions or other penalties that would harm our business.

We  incur  significant  legal,  accounting  and  other  expenses  as  a  public  company,  including  costs  resulting  from  public  company  reporting 
obligations under the Exchange Act and regulations regarding corporate governance practices. The listing requirements of the Nasdaq Global Select Market 
and  the  rules  of  the  SEC  require  that  we  satisfy  certain  corporate  governance  requirements  relating  to  director  independence,  filing  annual  and  interim 
reports,  stockholder  meetings,  approvals  and  voting,  soliciting  proxies,  conflicts  of  interest  and  a  code  of  conduct,  among  other  requirements.  Our 
management and other personnel devote a substantial amount of time to ensure that we comply with all of these requirements. Moreover, the reporting 
requirements, rules and regulations will increase our legal and financial compliance costs and will make some activities more time-consuming and costly. 
Any changes we make to comply with these obligations may not be sufficient to allow us to satisfy our obligations as a public company on a timely basis, 
or  at  all.  These  reporting  requirements,  rules  and  regulations,  coupled  with  the  increase  in  potential  litigation  exposure  associated  with  being  a  public
company, could also make it more difficult for us to attract and retain qualified persons to serve on our board of directors or board committees or to serve as
executive officers, or to obtain certain types of insurance, including directors’ and officers’ insurance, on acceptable terms or at all.

As a public company, we are subject to Section 404 of the Sarbanes-Oxley Act of 2002 (Section 404) and the related rules of the SEC, which 
generally require that we maintain effective internal controls for financial reporting and disclosure controls and procedures and that our management and 
independent  registered  public  accounting  firm  report  on,  among  other  things,  the  effectiveness  of  our  internal  control  over  financial  reporting.  This 
assessment needs to include disclosure of any material weaknesses identified by our management in our internal control over financial reporting. As of 
December 31, 2023, we are no longer an emerging growth company and, therefore, are subject to certain additional public company reporting obligations. 
However, although we are no longer an emerging growth company, we are still a smaller reporting company and a non-accelerated filer, and as such, we are 
not required to comply with the auditor attestation requirements of Section 404.

To provide the reports required by these rules we must conduct reviews and testing of our internal controls. During the course of our review and 
testing, we may identify deficiencies and be unable to remediate them before we must provide the required reports. Furthermore, if we have a material 
weakness  in  our  internal  controls  over  financial  reporting,  we  may  not  detect  errors  on  a  timely  basis  and  our  financial  statements  may  be  materially 
misstated. We or our independent registered public accounting firm may not be able to conclude on an ongoing basis that we have effective internal control 
over financial reporting, which could harm our operating results, cause investors to lose confidence in our reported financial information and cause the 
trading price of our stock to fall.

In addition, as a public company we are required to file accurate and timely quarterly and annual reports with the SEC under the Exchange Act. To 
report  our  results  of  operations  and  financial  statements  on  an  accurate  and  timely  basis,  we  will  depend  on  third  party  vendors  to  provide  timely  and 
accurate notice of their costs to us. Any failure to report our financial results on an accurate and 

87

 
 
  
 
 
 
 
 
 
 
 
 
 
timely basis could result in sanctions, lawsuits, delisting of our shares from the Nasdaq Global Select Market or other adverse consequences that would 
materially harm our business.

Claims for indemnification by our directors and officers may reduce our available funds to satisfy successful third-party claims against us and may 
reduce the amount of money available to us.

Our amended and restated certificate of incorporation, as amended, and amended and restated bylaws provide that we will indemnify our directors 

and officers, in each case to the fullest extent permitted by Delaware law.

In  addition,  as  permitted  by  Section  145  of  the  Delaware  General  Corporation  Law,  our  amended  and  restated  bylaws  and  our  indemnification 

agreements that we have entered into with our directors and officers provide that:

•

•

•

•

•

•

We will indemnify our directors and officers for serving us in those capacities, or for serving other business enterprises at our request, to the 
fullest extent permitted by Delaware law. Delaware law provides that a corporation may indemnify such person if such person acted in good 
faith and in a manner such person reasonably believed to be in or not opposed to the best interests of the registrant and, with respect to any 
criminal proceeding, had no reasonable cause to believe such person’s conduct was unlawful.

We may, in our discretion, indemnify employees and agents in those circumstances where indemnification is permitted by applicable law. 

We are required to advance expenses, as incurred, to our directors and officers in connection with defending a proceeding, except that such 
directors or officers shall undertake to repay such advances if it is ultimately determined that such person is not entitled to indemnification.

We will not be obligated pursuant to our amended and restated bylaws to indemnify a person with respect to proceedings initiated by that 
person against us or our other indemnitees, except with respect to proceedings authorized by our board of directors or brought to enforce a 
right to indemnification.

The rights conferred in our amended and restated bylaws are not exclusive, and we are authorized to enter into indemnification agreements 
with our directors, officers, employees and agents and to obtain insurance to indemnify such persons.

We may not retroactively amend our amended and restated bylaw provisions to reduce our indemnification obligations to directors, officers, 
employees and agents.

Item 1B. Unresolved Staff Comments. 

None.

Item 1C. Cybersecurity

Cybersecurity Risk Management and Strategy

We have developed and implemented a cybersecurity risk management program intended to protect the confidentiality, integrity, and availability 

of our critical systems and information. Our cybersecurity risk management program includes a cybersecurity incident response plan. 

We design and assess our program based on the National Institute of Standards and Technology Cybersecurity Framework (“NIST CSF”).  This 
does  not  imply  that  we  meet  any  particular  technical  standards,  specifications,  or  requirements,  only  that  we  use  the  NIST  CSF  as  a  guide  to  help  us 
identify, assess, and manage cybersecurity risks relevant to our business.

Our  cybersecurity  risk  management  program  is  integrated  into  our  overall  enterprise  risk  management  program,  and  shares  common 
methodologies,  reporting  channels  and  governance  processes  that  apply  across  the  enterprise  risk  management  program  to  other  legal,  compliance, 
strategic, operational, and financial risk areas.

Our cybersecurity risk management program includes:

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•

•

•

•

•

•

processes designed to help identify, assess and manage material cybersecurity risks to our critical systems, information, products, services, 
and our broader enterprise IT environment;

a cybersecurity incident response team principally responsible for managing (i) our cybersecurity risk assessment processes, (ii) our security 
controls, and (iii) our response to cybersecurity incidents;

the use of external service providers, where appropriate, to assess, test or otherwise assist with aspects of our security controls, cybersecurity 
program;

cybersecurity awareness training of our employees, incident response personnel, and senior management; 

a cybersecurity incident response plan that includes procedures for responding to cybersecurity incidents; and

a risk management process for service providers, suppliers, vendors and others in our supply chain.

While  we  have  previously  experienced  security  incidents  related  to  our  data  and  systems,  to  date,  we  have  not  identified  risks  from  known 
cybersecurity threats, including as a result of any prior cybersecurity incidents, that have materially affected or are reasonably likely to materially affect us, 
including our operations, business strategy, results of operations, or financial condition. If we were to experience a material cybersecurity incident in the 
future,  such  incident  may  have  a  material  effect,  including  on  our  business  strategy,  operating  results,  or  financial  condition.  For  more  information 
regarding cybersecurity risks that we face and potential impacts on our business related thereto, see the risk factor disclosures in Part I, Item 1A of this 
Annual Report on Form 10-K titled “We depend on our information technology systems, and any failure of these systems could harm our business. Security 
breaches,  loss  of  data,  and  other  disruptions  could  compromise  sensitive  information  related  to  our  business  or  prevent  us  from  accessing  critical 
information and expose us to liability, which could adversely affect our business, results of operations and financial condition.”

Cybersecurity Governance

Our Board considers cybersecurity risk as part of its risk oversight function and has delegated to the Audit Committee oversight of cybersecurity 

and other information technology risks. The Audit Committee oversees management’s implementation of our cybersecurity risk management program. 

 The Audit Committee receives regular reports from management on our cybersecurity risk management program, including on changes to the 
broader cybersecurity landscape, threats from cybersecurity risks, our cybersecurity posture and related enhancements. In addition, management updates 
the Audit Committee and, as necessary, the full Board, regarding any material cybersecurity incidents. 

The Committee reports to the full Board regarding its activities, including those related to cybersecurity. 

Our  management  team,  including  our  Chief  Operating  Officer  and  Vice  President  of  Information  Technology,  is  responsible  for  assessing  and 
managing  our  material  risks  from  cybersecurity  threats.  Our  Vice  President  of  Information  Technology  has  primary  responsibility  for  our  overall 
cybersecurity  risk  management  program  and  supervises  both  our  internal  cybersecurity  incident  response  team  and  our  retained  external  cybersecurity 
consultants.

Our management team supervises efforts to prevent, detect, mitigate, and remediate cybersecurity risks and incidents through various means, 
which may include briefings from internal security personnel; threat intelligence and other information obtained from governmental, public or private 
sources, including external consultants engaged by us; and alerts and reports produced by security tools deployed in the IT environment.  

Item 2. Properties. 

Our corporate headquarters are located at 5959 Horton Street, Emeryville, California, comprising approximately 34,500 square feet of office and 
laboratory  space.  The  lease  term  for  the  5959  Horton  lease  expires  on  November  30,  2029  and  we  have  an  option  to  extend  the  lease  term  for  two 
consecutive additional terms of 5 years. We also lease part of a newly-built facility in Boston, Massachusetts, comprising approximately 73,500 square feet 
of office and laboratory space. We took occupancy of this facility in 2023.

In addition, we also lease approximately 13,900 square feet of office and laboratory space in Cambridge, Massachusetts, the term of which expires 
in April 2025. We lease a manufacturing facility in Pleasanton, California, where we occupy approximately 42,600 square feet of space. The lease term 
expires in November 2024, with an option to extend the term through November 2029. We also lease additional office space in Pleasanton, California of 
approximately 7,100 square feet. The lease term expires in November 2024. 

89

 
 
For additional information on all our properties, see “Leases” in Note 6 to our consolidated financial statements.

We believe that our existing facilities are sufficient for our needs for the immediate future and that our facilities will meet the anticipated needs of 
our business in the medium term. As we continue to grow the business, we may lease additional or alternate space, and we believe suitable additional or 
alternative space will be available in the future on commercially reasonable terms.

Item 3. Legal Proceedings. 

From  time  to  time,  we  may  become  involved  in  litigation  or  other  legal  proceedings.  We  are  not  currently  a  party  to  any  litigation  or  legal 
proceedings that, in the opinion of our management, are likely to have a material adverse effect on our business. Regardless of outcome, litigation can have 
an adverse impact on us because of defense and settlement costs, diversion of management resources and other factors.

Item 4. Mine Safety Disclosures.

Not applicable.

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PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities. 

Our common stock has been listed on the Nasdaq Global Select Market under the symbol “GRTS” since September 28, 2018. Prior to that date, 

there was no public trading market for our common stock. 

Holders of Common Stock

As of March 1, 2024, there were 16 holders of record of our common stock. Because many of our shares of common stock are held by brokers and 
other institutions on behalf of stockholders, we are unable to estimate the total number of beneficial owners of our common stock represented by these 
record holders.

Dividend Policy

We have never declared or paid any cash dividends on our common stock or any other securities. We anticipate that we will retain all available 
funds and future earnings, if any, for use in the operation of our business and do not anticipate paying cash dividends in the foreseeable future. In addition, 
future debt instruments may materially restrict our ability to pay dividends on our common stock. Payment of future cash dividends, if any, will be at the 
discretion of the board of directors after taking into account various factors, including our financial condition, operating results, current and anticipated 
cash needs, the requirements of current or then-existing debt instruments and other factors the board of directors deems relevant.

Performance Graph 

As a “smaller reporting company” as defined by Item 10 of Regulation S-K, the Company is not required to provide this information.

Recent Sales of Unregistered Securities 

Not applicable.

Use of Proceeds

Not applicable.

Issuer Purchases of Equity Securities

Not applicable.

Item 6. [Reserved]

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Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations. 

You  should  read  the  following  discussion  and  analysis  of  our  financial  condition  and  results  of  operations  together  with  our  audited  financial 
statements  and  the  related  notes  thereto  included  elsewhere  in  this  Annual  Report  on  Form  10-K.  This  discussion  and  analysis,  and  other  parts  of  this 
Annual Report on Form 10-K, contain forward-looking statements. Such forward-looking statements involve substantial risks and uncertainties that could 
cause our research and clinical development programs, future results, performance or achievements to differ significantly from those expressed or implied 
by  the  forward-looking  statements.  Our  actual  results  could  differ  materially  from  those  discussed  in  these  forward-looking  statements.  For  a  further 
description of the risks and uncertainties that could cause actual results to differ from those expressed in these forward-looking statements, as well as risks 
relating to our business in general, see the section titled “Risk Factors” included elsewhere in this Annual Report on Form 10-K.

Overview

We  are  a  clinical-stage  biotechnology  company  that  aims  to  develop  the  world's  most  potent  vaccines.  Specifically,  we  discover,  develop, 
manufacture and deliver vaccine-based immunotherapy candidates against cancer and infectious disease. Our goal is to unlock more potent and durable 
immunity  by  harnessing  vaccine  innovation.  We  aim  to  achieve  that  goal  by  leveraging  our  in-house  capabilities  and  technologies  to  address  the 
shortcomings of currently available vaccines and immunotherapies. 

The  immune  system  sits  at  the  nexus  of  many  diseases,  and  we  believe  that  immune  response  modulation  is  core  to  several  transformational 
product classes. Recent advances have pointed to T cells as being central to the success of cancer immunotherapy and critical in the elimination of virally 
infected cells. We believe that our scientific approach of focusing on generating antigen-specific T cells, particularly the challenging but critical cytotoxic 
CD8+ T cell subclass, has the potential to drive transformational therapeutic and prophylactic benefits. 

In oncology, we develop personalized vaccines that aim to destroy tumors through CD8+ (killer) T cell recognition of tumor cells by virtue of their 
surface display of neoantigens, peptides that are presented on cancer cells when certain mutations occur in tumor DNA. In infectious disease, we develop 
both therapeutic and prophylactic vaccines targeting both T cells and B cells. We believe we are leading the field of development and application of self-
amplifying  mRNA  (samRNA),  a  rapidly  emerging  platform  technology.  Our  unique  approach  to  immunogen  design,  whereby  our  vaccines  deliver,  as 
appropriate, whole proteins to drive neutralizing antibodies (nAbs) and/or protein fragments to drive T cell responses, has the potential to both neutralize 
incoming pathogens (through nAbs) and kill infected cells through CD8+ T cell recognition of foreign, pathogen-derived peptides displayed on the surface 
of infected cells.

Our  clinical  programs  include  GRANITE,  an  individualized  neoantigen-based  vaccine  program;  SLATE,  an  “off-the-shelf”  neoantigen-based 
vaccine program; CORAL, a next-generation SARS-CoV-2 vaccine program; and HIV, an HIV vaccine program in collaboration with Gilead Sciences, Inc 
(Gilead).

The table below summarizes key information about our active and recently completed clinical trials.

Program   Phase

  Status

  Indication(s)

  Collaborator

    Commercial Rights

GRANITE  

2/3

  Enrollment Completed (Ph2 portion); 

  MSS-CRC* first line maintenance

GRANITE  
SLATE
SLATE
CORAL
CORAL
CORAL
HIV

1/2
1/2
1
1
1
1
1

Treatment Ongoing

  Completed
  Completed
  IND Cleared
  Active, not recruiting
  Completed
  Completed
  Ongoing

  Early stage & advanced solid tumors
  KRAS advanced solid tumors
  Mutant KRAS solid tumors
  SARS-CoV-2 in South Africa
  SARS-CoV-2 booster
  SARS-CoV-2 naïve & booster
  HIV treatment/cure

—     Gritstone

—     Gritstone
—     Gritstone

    Gritstone***
    Gritstone
—     Gritstone
    Gritstone
    Gilead**

   NCI
  CEPI

  NIAID, IDCRC
  Gilead Sciences

* MSS-CRC = microsatellite stable colorectal cancer 
** Gilead is responsible for conducting a Phase 1 clinical trial
*** National Cancer Institute (NCI) is responsible for conducting a Phase 1 clinical trial

Beyond GRANITE, SLATE, CORAL and the HIV collaboration with Gilead, we continue to apply our broad set of capabilities in oncology and 

infectious diseases through promising preclinical work and partnerships. 

Since  we  commenced  operations  in  August  2015,  we  have  invested  a  significant  portion  of  our  efforts  and  financial  resources  in  research  and 
development activities and establishing our manufacturing facility. Manufacturing is a vital component of our platform approach to immunotherapy, and we 
have  invested  significantly  in  our  manufacturing  facility,  which  opened  in  November  2017.  Until  December  2019,  we  used  a  hybrid  approach  to 
manufacture our individualized immunotherapy, wherein certain elements of our product 

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candidates  were  manufactured  on  an  outsourced  basis  at  qualified  third-party  contract  manufacturing  organizations  (CMOs)  and  other  elements  of  our 
product candidates were manufactured internally. Beginning in March 2020, we internalized the majority of the outsourced elements of the manufacturing 
process for our programs.  

As  of  December  31,  2023,  we  had  cash,  cash  equivalents,  and  marketable  securities  of  $79.3  million.  We  expect  our  existing  cash,  cash 

equivalents and marketable securities, will enable us to fund our operating expenses and capital expenditure requirements into the third quarter of 2024. 

Substantial  doubt  exists  as  to  our  ability  to  continue  as  a  going  concern.  Our  ability  to  continue  as  a  going  concern  is  subject  to  material 
uncertainty and dependent on our ability to obtain additional financing. We expect to incur significant expenses and increasing operating losses for at least 
the next several years as we continue our clinical development of, and seek regulatory approval for, our product candidates. We expect that our operating 
losses will fluctuate significantly from quarter to quarter and year to year due to timing of clinical development programs. Without additional funds, we 
may  be  forced  to  delay,  scale  back  or  eliminate  some  of  our  research  and  development  activities  or  other  operations  and  potentially  delay  product 
development in an effort to provide sufficient funds to continue our operations. If any of these events occurs, our ability to achieve our development and 
commercialization goals would be adversely affected. 

The  accompanying  consolidated  financial  statements  and  related  notes  have  been  prepared  assuming  that  we  will  continue  as  a  going  concern, 
which contemplates the realization of assets and the settlement of liabilities and commitments in the normal course of business. The consolidated financial 
statements  and  related  notes  do  not  reflect  any  adjustments  relating  to  the  recoverability  and  classification  of  assets  or  amounts  and  classification  of 
liabilities that might be necessary if we are unable to continue as a going concern. 

  We are subject to continuing risks and uncertainties in connection with the current macroeconomic and geopolitical environments, including risks 
related to supply chain disruptions, inflation, market volatility, interest rate fluctuations, recent instability in the banking sector, uncertainty with respect to 
the federal debt ceiling and budget and the related potential for government shutdowns, labor shortages, cybersecurity events and ongoing regional conflicts
around the world. We are closely monitoring the impact of these factors on all aspects of our operational and financial performance. To date, we have not 
experienced much of an impact on our business. However, our future results of operations and liquidity could be adversely impacted by a variety of factors, 
including those discussed in the section titled “Risk Factors” included elsewhere in this Annual Report on Form 10-K. As of the date of issuance of this 
Annual Report on Form 10-K, the extent to which the current macroeconomic and geopolitical environments may materially impact our financial condition, 
liquidity, or results of operations remains uncertain.   

Components of Our Operating Results

Collaboration and License, Contract, and Grant Revenue

To  date,  we  have  not  generated  any  revenue  from  product  sales  and  we  do  not  expect  to  generate  any  revenue  from  product  sales  for  the 
foreseeable future. For the years ended December 31, 2023, 2022, and 2021, we recognized $16.3 million, $19.9 million, and $48.2 million, respectively, of 
combined revenue from the 2seventy Agreement, the Gilead Collaboration Agreement, the CEPI Funding Agreement, the, Gates Grant Agreement and the 
BARDA Contract, and another small collaboration agreement. See Note 7 to our consolidated financial statements for additional information.

In  the  future,  we  expect  to  continue  to  recognize  revenue  from  the  Gilead  Collaboration  Agreement,  the  CEPI  Funding  Agreement,  the  Gates 
Grant Agreement, and BARDA funding, either under the BARDA Contract or as administered by the RRPV Consortium, and may generate revenue from 
product  sales  or  other  collaboration  agreements,  strategic  alliances  and  licensing  arrangements.  We  expect  our  revenue  to  fluctuate  on  a  quarterly  and 
annual basis due to the timing and amount of license fees, reimbursement of costs incurred, milestone and other payments, as well as product sales, to the 
extent that any are successfully commercialized. If we fail to complete the development of our product candidates in a timely manner or obtain regulatory 
approval for them, our ability to generate future revenue, and our results of operations and financial position, would be materially adversely affected.

Operating Expenses 

Research and Development Expenses 

Since our inception, we have committed significant resources to our research and development activities, including conducting preclinical studies, 

manufacturing development efforts and related development activities for our product candidates.

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Research and development activities account for a significant portion of our operating expenses. Research and development costs are expensed as 

incurred. These costs include:

•

•

•

External research and development expenses, including:

o

o

expenses incurred under arrangements with third parties, including CROs, preclinical testing organizations, CMOs, academic and non-
profit institutions and consultants;

fees related to our license agreements;

Internal  research  and  development  expenses,  including  (i)  headcount-related  expenses,  such  as  salaries,  payroll  taxes,  benefits,  non-cash 
stock-based compensation and travel, for employees contributing to research and (ii) development activities, including the costs associated 
with the development of our EDGE™ platform; and

Other expenses, which include direct and allocated expenses for laboratories, facilities and other costs. 

Pursuant  to  the  Arbutus  License  Agreement,  Arbutus  granted  us  a  worldwide,  exclusive  license  to  certain  technology  of  Arbutus,  including 
Arbutus’  portfolio  of  proprietary  and  clinically-validated  LNP  products  and  associated  intellectual  property,  as  well  as  technology  transfer  of  Arbutus’ 
manufacturing know-how. 

Pursuant to the 2020 Genevant License Agreement, as amended, Genevant granted us exclusive license rights under certain intellectual property 
related to Genevant’s LNP technology for a single indication, and we agreed to pay Genevant an initial payment of $2.0 million, and up to an aggregate of 
$71.0 million in specified development, regulatory, and commercial milestones, and low to mid-single digit royalties on net sales of licensed products. The 
upfront  payment  of  $2.0  million  was  included  in  research  and  development  expenses  during  2020.  In  March  2022,  a  milestone  in  the  amount  of  $1.0 
million was met, which was included in research and development expense for the year ended December 31, 2022. No research and development expense 
was recorded for the year ended December 31, 2023.

Pursuant  to  the  2021  Genevant  License  Agreement,  we  obtained  a  nonexclusive  license  to  Genevant’s  LNP  technology  to  develop  and 
commercialize samRNA vaccines against SARS-CoV-2, the virus that causes COVID-19. Under the 2021 Genevant License Agreement, we made a $1.5 
million upfront payment to Genevant, and Genevant is eligible to receive from us up to $191.0 million in contingent milestone payments per product, plus 
certain  royalties  on  future  product  sales  or  licensing  (or,  in  certain  scenarios  and  subject  to  certain  conditions,  in  lieu  of  these  milestones  and  royalties 
Genevant would receive a percentage of amounts we receive from sublicenses). In March 2021, a milestone was met following the initial patient treatment 
in  the  Phase  1  clinical  trial  conducted  through  the  NIAID-supported  IDCRC.  Both  the  $1.5  million  upfront  and  $1.0  million  milestone  payments  were 
recorded as research and development expense for the year ended December 31, 2021. No research and development expense was recorded for the year 
ended December 31, 2023 and 2022.

Pursuant to the 2023 Genevant License Agreement, we obtained a multi-year option for a non-exclusive license under Genevant’s LNP technology 
on  a  pathogen-by-pathogen  basis  to  develop  and  commercialize  samRNA  vaccines  against  infectious  disease.  Under  the  2023  Genevant  License 
Agreement, we made a $2.5 million upfront payment to Genevant and Genevant is eligible to receive from us option maintenance and exercise fees in the 
single  digit  millions  and  up  to  an  aggregate  of  $136.0  million  in  contingent  milestone  payments  per  product,  subject  to  increase  for  multi-pathogen 
products  and  in  other  specified  circumstances,  and  royalties  ranging  from  the  mid  to  high  single  digits  on  future  product  sales.  If  we  outlicense  an 
applicable infectious disease program, in lieu of certain of these payments, Genevant may be entitled to a percentage of amounts that we receive from our 
sublicensee. The $2.5 million upfront payment was included in research and development expense for the year ended December 31, 2023.

We expect our research and development expenses to increase substantially in the future as we continue to advance our product candidates into 
and through clinical studies and pursue regulatory approval. Such activities are costly and time-consuming and we expect our clinical studies to generally 
become larger and more costly to conduct as they advance into later stages. The successful development of our product candidates is highly uncertain. The 
actual probability of success for our product candidates may be affected by a variety of risks and uncertainties associated with drug development, including 
those described in the section entitled “Risk Factors” included in Part I, Item 1A and elsewhere in this Annual Report on Form 10-K.

The following table summarizes our research and development expenses by program and category (in thousands):

94

 
 
 
GRANITE program external expenses
SLATE program external expenses
CORAL program external expenses
Other program external research and development expenses
(1)
Personnel-related expenses 
Other unallocated research and development expenses

Total research and development expenses

Year Ended December 31,

2023

2022

  $

  $

18,727     $
1,602    
10,589    
26,045    
45,181    
25,038    
127,182     $

13,832  
2,691  
12,082  
23,403  
42,030  
17,365  
111,403  

(1) Personnel-related expenses include stock-based compensation expense of $6.3 million and $6.7 million for the years ended December 31, 2023 and 2022, respectively.

We do not track internal related expenses on a program-by-program basis, because our research and development employees and infrastructure 

resources are utilized across our development programs. 

General and Administrative Expenses 

Our general and administrative expenses consist primarily of salaries and related costs, including, but not limited to, payroll taxes, benefits, non-
cash stock-based compensation and travel. Other general and administrative expenses include legal costs of pursuing patent protection of our intellectual 
property  and  professional  service  fees  for  auditing,  tax  and  general  legal  services.  We  expect  our  general  and  administrative  expenses  to  continue  to 
increase  in  the  future  as  we  expand  our  operating  activities  and  prepare  for  potential  commercialization  of  our  current  and  future  product  candidates, 
increase  our  headcount  and  support  our  operations  as  a  public  company,  including  increased  expenses  related  to  legal,  accounting,  regulatory  and  tax-
related services associated with maintaining compliance with requirements of the Nasdaq Global Select Market and the SEC, directors and officers liability 
insurance  premiums  and  investor  relations  activities.  Allocated  expenses  consist  of  rent  expenses  related  to  our  office  and  research  and  development 
facilities, depreciation and other allocated costs not otherwise included in research and development expenses.

Interest Income

Interest income consists primarily of interest income and investment income earned on our cash, cash equivalents and marketable securities.

Interest Expense

Interest  expense  consists  primarily  of  interest  expense  related  to  our  Loan  Agreement.  A  portion  of  the  interest  expense  is  non-cash  expense 

relating to the accretion of the final payment fees and amortization of debt discount and debt issuance costs associated with the Loan Agreement.

95

 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Results of Operations 

Comparison of the Years Ended December 31, 2023 and 2022

The following table sets forth the significant components of our results of operations (in thousands): 

Revenues:

Collaboration and license revenues
Grant revenues

Total revenues
Operating expenses:

Research and development
General and administrative
Total operating expenses

Loss from operations
Interest income
Interest expense
Other expense
Net loss

Year Ended December 31,

2023

2022

Change

  $

1,331     $
15,013    
16,344    

127,182    
28,783    
155,965    
(139,621 )  
5,199    
(4,036 )  
(32 )  

  $

(138,490 )   $

9,269     $
10,676      
19,945      

111,403      
28,970      
140,373      
(120,428 )    
1,976      
(1,235 )    
—      
(119,687 )   $

(7,938 )
4,337  
(3,601 )

15,779  
(187 )
15,592  
(19,193 )
3,223  
(2,801 )
(32 )
(18,803 )

Collaboration and License, Contract, and Grant Revenues 

Collaboration and licenses revenues were $1.3 million and $9.3 million for the years ended December 31, 2023 and 2022, respectively. During the 
year  ended  December  31,  2023,  we  recorded  $0.3  million  in  collaboration  revenue  related  to  the  Gilead  Collaboration  Agreement,  and  $1.0  million  in 
collaboration revenue related to the 2seventy Agreement. The amount of collaboration revenue recognized related to the 2seventy Agreement during the 
year ended December 31, 2022 included cumulative catch-up adjustments increasing collaboration revenue by $6.4 million due to revisions to estimated 
costs to complete the remaining performance obligation. 

Grant  revenues  were  $15.0  million  and  $10.7  million  for  the  years  ended  December  31,  2023  and  2022,  respectively.  During  the  years  ended 
December 31, 2023 and 2022, we recognized $4.3 million and $9.5 million, respectively, of grant revenue from the CEPI Funding Agreement. During the 
years ended December 31, 2023 and 2022 we recognized $1.7 million and $1.2 million, respectively, of grant revenue from the Gates Grant Agreement. 
During the year ended December 31, 2023, we recognized $9.0 million of revenue from the BARDA Contract. See Note 7 to our consolidated financial 
statements for additional information.

Research and Development Expenses 

Research and development expenses were $127.2 million for the year ended December 31, 2023 compared to $111.4 million for the year ended 
December 31, 2022. The increase of $15.8 million for the year ended December 31, 2023 was primarily due to increases in personnel-related costs and 
clinical trial expenses. Personnel-related costs increased by $3.9 million, as a direct result of our increased research and development headcount. Facility 
related costs increased by $6.7 million to accommodate our increased research and general personnel. Laboratory supplies and consumables increased by 
$2.1 million and milestone and license payments increased by $1.4 million primarily reflecting payments to Genevant. We recognized impairment charges 
related  to  long-lived  assets  on  operating  lease  right-of-use  (ROU)  asset  and  related  leasehold  improvements  in  connection  with  abandoning  the  40  Erie 
Lease of which $1.8 million was allocated to research and development activities. These increases were partially offset by a decrease of $0.1 million in 
outside services and consultants, consisting primarily of clinical trial and other chemistry, manufacturing, and controls (CMC) related expenses to carry out 
the research and development activities.

General and Administrative Expenses 

General  and  administrative  expenses  were  $28.8  million  for  the  year  ended  December  31,  2023  compared  to  $29.0  million  for  the  year  ended 
December 31, 2022. The decrease of $0.2 million was primarily attributable to a decrease of $1.6 million in outside services for legal, finance, recruiting 
and other professional services to support our ongoing operations due to the recruitment of full time equivalents, partially offset by a $0.5 million increase 
in personnel-related costs as we expanded our headcount and $0.7 million of facility related costs. We recognized impairment charges related to long-lived 
assets on operating lease ROU asset and related 

96

 
 
 
 
   
   
 
 
   
   
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
leasehold  improvements  in  2023  in  connection  with  abandoning  the  40  Erie  Lease  of  which  $0.2  million  was  allocated  to  general  and  administrative 
activities.

Interest Income

Interest  income  was  $5.2  million  and  $2.0  million  for  the  years  ended  December  31,  2023  and  2022,  respectively.  The  income  for  both  years 
represents interest and investment income from cash, cash equivalents and marketable securities. The increase of $3.2 million was primarily due to higher 
interest rates in 2023 as compared to 2022.

Interest Expense

Interest expense was $4.0 million for the year ended December 31, 2023 and $1.2 million for the year ended December 31, 2022. Interest expense 

is primarily comprised of the contractual coupon interest expense, the amortization of the debt discount and issuance costs and the accretion of the final 
payment fee associated with the Loan Agreement. The increase of $2.8 million was primarily due to the Loan Agreement being outstanding for an entire 
year in 2023 versus half of the year in 2022. Additionally, we drew down an additional $10.0 million in March 2023 and $10.0 million in December 2023 
thereunder.

Comparison of the Years Ended December 31, 2022 and 2021

The following table sets forth the significant components of our results of operations (in thousands): 

Revenues:

Collaboration and license revenues
Grant revenues

Total revenues
Operating expenses:

Research and development
General and administrative
Total operating expenses

Loss from operations
Interest income
Interest expense
Net loss

Year Ended December 31,

2022

2021

Change

  $

  $

9,269     $
10,676    
19,945    

111,403    
28,970    
140,373    
(120,428 )  
1,976    
(1,235 )  
(119,687 )   $

46,717     $
1,497    
48,214    

97,490    
25,933    
123,423    
(75,209 )  
164    
(37 )  
(75,082 )   $

(37,448 )
9,179  
(28,269 )

13,913  
3,037  
16,950  
(45,219 )
1,812  
(1,198 )
(44,605 )

Discussions  of  year-to-year  comparisons  between  2022  and  2021  that  are  not  included  in  this  Annual  Report  on  Form  10-K  can  be  found  in 
“Management’s Discussion and Analysis of Financial Condition and Results of Operations” in Part II, Item 7 of the Company’s Annual Report on Form 
10-K for the fiscal year ended December 31, 2022.

Liquidity and Capital Resources

Sources of Liquidity

Since our inception, we have funded our operations primarily through sales of our convertible preferred stock, sales of our common stock in public 
offerings  and  under  our  “at-the-market”  offering  programs,  private  placements  of  our  common  stock  and  pre-funded  warrants,  proceeds  from  the  Loan 
Agreement, collaborations with third parties, including under the 2seventy Agreement and the Gilead Collaboration Agreement, and non-dilutive grants 
from  various  nonprofit  and  governmental  organizations.  As  of  December  31,  2023,  we  had  cash,  cash  equivalents,  and  marketable  securities  of  $79.3 
million  and  an  accumulated  deficit  of  $659.6  million,  as  compared  to  cash,  cash  equivalents,  and  marketable  securities  of  $175.9  million  and  an 
accumulated deficit of $521.1 million as of December 31, 2022. We expect that our cash, cash equivalents, and marketable securities as of December 31, 
2023 will not enable us to fund our current and planned operating expenses and capital expenditures for at least the next 12 months from the date of the 
filing of this Annual Report on Form 10-K. These conditions raise substantial doubt about our ability to continue as a going concern for a period of one 
year  from  the  date  of  the  issuance  of  this  Annual  Report  on  Form  10-K.  As  a  result,  the  Company  believes  that  its  existing  cash,  cash  equivalents  and 
investments, before considering any potential default under its Loan Agreement, will only be sufficient to fund its planned operating and capital needs into 
the third quarter of 2024. However, our forecast of the period of time through which our financial resources will be adequate to support our operations is a 
forward-looking statement that involves risks and uncertainties, and actual results could vary materially based on a number of factors including the adverse 
impact any event of default under our Loan 

97

 
 
 
   
   
 
 
   
   
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Agreement. In particular, if we are unable to raise additional funds, secure a waiver or renegotiate the terms of our Loan Agreement, we expect to be in 
default under the minimum liquidity requirement included in the Loan Agreement in the second quarter of 2024.  Upon such a default, our existing cash, 
cash equivalents and investments will only be sufficient to fund our operations into the second quarter of 2024. The accompanying consolidated financial 
statements and related notes have been prepared assuming that we will continue as a going concern, which contemplates the realization of assets and the 
settlement  of  liabilities  and  commitments  in  the  normal  course  of  business.  The  consolidated  financial  statements  and  related  notes  do  not  reflect  any 
adjustments relating to the recoverability and classification of assets or amounts and classification of liabilities that might be necessary if we are unable to 
continue as a going concern.

Following our initial public offering, in April 2019, we completed an underwritten public offering and sold and issued an aggregate of 6,500,000 
shares of common stock at a price to the public of $11.50 per share. We received aggregate net proceeds from the offering of approximately $69.7 million, 
after deducting underwriting discounts and commissions and offering costs. 

In October 2019, we (i) filed a shelf registration statement on Form S-3 (the 2019 Shelf Registration Statement), with the SEC covering up to 
$250.0 million of common stock, preferred stock, debt securities, warrants and units, and (ii) entered into a Sales Agreement with Cowen and Company, 
LLC (Cowen) for an “at-the market” offering of up to $75.0 million in shares of our common stock (2019 ATM Offering Program). Through December 31, 
2022, we received aggregate proceeds of $50.0 million, net of commissions and offering costs, to the issuance of 5,642,712 shares under the 2019 ATM 
Offering  Program.  There  are  no  further  amounts  available  for  issuance  under  the  2019  ATM  Offering  Program.  In  October  2022,  the  2019  Shelf 
Registration Statement expired and no further securities were issued under it. 

In December 2020, we completed a series of private placement transactions (collectively, the First PIPE Financing) pursuant to which we sold (i) 
an aggregate of 5,543,351 shares of common stock at a per share purchase price of $3.34, (ii) pre-funded warrants to purchase an aggregate of 27,480,719 
shares of common stock, each with an exercise price of $3.34 per share of common stock (of which $3.33 per share was pre-paid by each purchaser), and 
(iii) an aggregate of 4,043,127 shares of common stock at a per share purchase price of $3.71. The aggregate gross cash proceeds to us for the securities 
sold in the First PIPE Financing was $125.0 million, and related costs were $5.7 million.  

In September 2021, we completed a private placement (the Second PIPE Financing) pursuant to which we sold an aggregate of 5,000,000 shares 
of common stock at a per share purchase price of $11.00. In connection with the Second PIPE Financing, we received $55.0 million in aggregate gross cash 
proceeds and incurred related costs of $2.3 million. 

In March 2022, we (i) filed a shelf registration statement on Form S-3 (the 2022 Shelf Registration Statement) with the SEC, covering the offering 
of up to $250.0 million of our common stock, preferred stock, debt securities, warrants and units and (ii) entered into a Sales Agreement with Cowen for an 
"at-the-market" offering of up to $100.0 million in shares of our common stock (2022 ATM Offering Program). Through December 31, 2023, we have 
received aggregate proceeds from our 2022 ATM Offering Program of $27.5 million, net of commissions and offering costs, pursuant to the issuance of 
10,230,628 shares. As of December 31, 2023, we have $71.6 million available under the 2022 ATM Offering Program.

In April 2022, we received the second tranche payment of $2.7 million under the CEPI Funding Agreement.

In July 2022, we entered into a loan and security agreement (the Loan Agreement) with Hercules Capital, Inc. (Hercules) and Silicon Valley Bank
(SVB) which provides us with a 60-month term loan facility for up to $80.0 million in borrowing capacity across five potential tranches. At the closing of 
the  Loan  Agreement,  we  drew  $20.0  million  from  the  first  tranche,  and  we  drew  an  additional  $10.0  million  in  March  2023.  The  remaining  tranches 
provide  up  to  $50.0  million  borrowing  capacity  and  become  available  if  and  when  we  meet  certain  milestones  set  forth  in  the  Loan  Agreement.  In  the 
fourth quarter of 2022, one milestone under the Loan Agreement had been achieved, pursuant to which we drew an additional $10 million on December 15, 
2023.  As  of  December  31,  2023,  no  other  milestones  had  been  achieved.  The  Loan  Agreement  is  secured  by  substantially  all  of  our  assets,  other  than 
intellectual  property.  There  are  no  warrants  associated  with  the  Loan  Agreement.  See  Note  8  to  our  consolidated  financial  statements  for  additional 
information. 

In March 2023, we, Hercules and SVB entered into an amendment to the Loan Agreement (the First Amendment) to amend the minimum liquidity 
requirements  thereunder.  Under  the  amended  Loan  Agreement  (as  amended,  the  Amended  Loan  Agreement),  beginning  on  the  earliest  occurrence  of 
certain milestones or April 1, 2024, and at all times thereafter, so long as our market capitalization is no greater than $400.0 million, we are subject to a 
minimum liquidity requirement equal to the then outstanding balance under the Amended Loan Agreement multiplied by 0.55 or 0.45, which multiplier 
depends on whether we achieve certain performance milestones. As of December 31, 2023, we have not achieved the performance milestones to be subject 
to the lower 0.45 multiplier. 

 In October 2022, we completed a private placement (the Third PIPE Financing), pursuant to which we sold an aggregate of 6,637,165 shares of 

common stock at a per share purchase price of $2.26 and pre-funded warrants to purchase 13,274,923 shares of 

98

 
 
common stock at a price of $2.26 per share (of which $2.2599 per share was prepaid by each purchaser). The aggregate gross cash proceeds to us for the 
securities sold in the Third PIPE Financing was $45.0 million, and related costs were $2.6 million.

 In April 2023, we received $0.7 million under the Gates Grant Agreement.

In June 2023, we received the third tranche payment of $1.2 million under the CEPI Funding Agreement.

In December 2023, we received total payments of $9.0 million under the BARDA Contract and the fourth tranche payment of $2.4 million under 

the CEPI Funding Agreement.

Funding Requirements

We do not expect positive cash flows from operations in the foreseeable future, if ever. Historically, we have incurred operating losses as a result 
of  ongoing  efforts  to  develop  our  cancer  and  infectious  disease  immunotherapy  candidates,  including  conducting  ongoing  research  and  development, 
clinical and preclinical studies and providing general and administrative support for these operations. We do not have any products approved for sale, and 
we do not expect to generate any meaningful revenue unless and until we obtain regulatory approval of and commercialize any of our current and future 
product candidates and/or enter into additional significant collaboration or grant agreements with third parties, and we do not know when, or if, either will 
occur.  We  expect  to  continue  to  incur  net  operating  losses  for  at  least  the  next  several  years  and  we  expect  the  losses  to  increase  as  we  advance  our 
CORAL, GRANITE, and SLATE programs, as well as any future product candidates, through clinical development, seek regulatory approval, prepare for 
and, if approved, proceed to commercialization, continue our research and development efforts and invest in our manufacturing facility. We are subject to 
all the risks typically related to the development of new product candidates, and we may encounter unforeseen expenses, difficulties, complications, delays 
and other unknown factors that may adversely affect our business. We do not yet have a sales organization or commercial infrastructure and, accordingly, 
we will need to incur significant expenses to develop a sales organization and commercial infrastructure in advance of generating any commercial product 
sales. Moreover, we incur substantial costs associated with operating as a public company. We anticipate that we will need substantial additional funding in 
connection with our continuing operations. 

Until we can generate a sufficient amount of revenue from the commercialization sources of liquidity of immunotherapy product candidates or 
from additional significant collaboration or license agreements with third parties, if ever, we expect to finance our future cash needs through private and 
public  equity  offerings,  including  our  “at-the-market”  offering  programs,  debt  financings,  and  potential  future  collaboration,  license  and  development 
agreements.  Adequate  funding  may  not  be  available  to  us  on  acceptable  terms,  or  at  all.  If  sufficient  funds  on  acceptable  terms  are  not  available  when 
needed,  including,  but  not  limited  to,  as  a  result  of  macroeconomic  factors  related  to  ongoing  regional  conflicts  around  the  world,  inflation  and  market 
volatility, interest rate fluctuations, recent instability in the global banking sector, uncertainty with respect to the federal debt ceiling and budget and the 
related potential for government shutdowns, we will be required to significantly reduce our operating expenses and delay, reduce the scope of, or eliminate 
one  or  more  of  our  development  programs.  If  we  are  unable  to  raise  additional  capital  in  sufficient  amounts  or  on  terms  acceptable  to  us,  we  will  be 
required  to  significantly  reduce  our  operating  expenses  and  may  have  to  significantly  delay,  scale  back  or  discontinue  the  development  or 
commercialization of one or more of our current or future product candidates. If we raise additional funds by issuing equity or convertible debt securities, it 
could result in dilution to our existing stockholders and increased fixed payment obligations. In addition, as a condition to providing additional funds to us, 
future investors may demand, and may be granted, rights superior to those of existing stockholders. If we incur indebtedness, we could become subject to 
covenants  that  would  restrict  our  operations  and  potentially  impair  our  competitiveness,  such  as  limitations  on  our  ability  to  incur  additional  debt, 
limitations on our ability to acquire, sell or license intellectual property rights and other operating restrictions that could adversely impact our ability to 
conduct our business. Additionally, any future collaborations we enter into with third parties may provide capital in the near term, but we may have to 
relinquish valuable rights to our product candidates or grant licenses on terms that are not favorable to us. Any of the foregoing could significantly harm 
our business, financial condition and prospects. 

  Since  our  inception,  we  have  incurred  significant  losses  and  negative  cash  flows  from  operations.  We  have  an  accumulated  deficit  of  $659.6 
million through December 31, 2023. We expect to incur substantial additional losses in the future as we conduct and expand our research and development 
activities. We believe that our existing cash, cash equivalents and marketable securities will not be sufficient to enable us to fund our projected operations 
through at least the next twelve (12) months from the date of this Annual Report on Form 10-K. These conditions raise substantial doubt about our ability 
to  continue  as  a  going  concern  for  a  period  of  one  year  from  the  date  of  the  issuance  of  this  Annual  Report  on  Form  10-K.  As  a  result,  the  Company 
believes that its existing cash, cash equivalents and investments will only be sufficient to fund its planned operating and capital needs into the third quarter 
of 2024. However, our forecast of the period of time through which our financial resources will be adequate to support our operations is a forward-looking 
statement that involves risks and uncertainties, and actual results could vary materially based on a number of factors including the adverse impact a default 
of any of our debt covenants from our Loan Agreement. In particular, if we are unable to raise additional funds, secure a waiver or renegotiate the terms of 
our Loan Agreement, we expect to be in default under the minimum liquidity 

99

 
 
requirement included in the Loan Agreement in the second quarter of 2024.  Upon such a default, our existing cash, cash equivalents and investments will 
only be sufficient to fund our operations into the second quarter of 2024. The accompanying consolidated financial statements and related notes have been 
prepared assuming that we will continue as a going concern, which contemplates the realization of assets and the settlement of liabilities and commitments 
in the normal course of business. The consolidated financial statements and related notes do not reflect any adjustments relating to the recoverability and 
classification of assets or amounts and classification of liabilities that might be necessary if we are unable to continue as a going concern. 

We have based our projections of operating capital requirements on assumptions that may prove to be incorrect and we may use all our available 
capital resources sooner than we expect. Because of the numerous risks and uncertainties associated with research, development and commercialization of 
product candidates, we are unable to estimate the exact amount of our operating capital requirements. Our future capital requirements depend on many 
factors, including: 

•

•

•

•

•

•

•

•

•

•

•

•

•

the scope, progress, results and costs of developing our product candidates, and of conducting preclinical studies and clinical trials, including 
our clinical trials for GRANITE, SLATE and CORAL;

the timing of, and the costs involved in, obtaining regulatory approvals for our oncology and infectious disease immunotherapy product 
candidates; in particular, any costs incurred in connection with any future regulatory requirements that may be imposed by the FDA or 
foreign regulatory bodies;

the number and characteristics of any additional product candidates we develop or acquire; 

the timing and amount of any milestone, royalty or other payments we are required to make pursuant to any current or future collaboration or 
license agreements;

the cost of manufacturing our product candidates we successfully commercialize, including the cost of scaling up our internal manufacturing 
operations; 

the cost of building a sales force in anticipation of product commercialization; 

the cost of commercialization activities, including building a commercial infrastructure, marketing, sales and distribution costs; 

our ability to maintain existing, and establish new, strategic collaborations, licensing or other arrangements and the financial terms of any 
such agreements, including the timing and amount of any future milestone, royalty or other payments due under any such agreement; 

any product liability or other lawsuits related to our products; 

the costs to attract, hire and retain skilled personnel; 

the costs associated with being a public company;

the costs involved in preparing, filing, prosecuting, maintaining, defending and enforcing our intellectual property portfolio; and

the timing, receipt and amount of sales of any future approved products, if any.

A change in the outcome of any of these or other variables with respect to the development of any of our current and future product candidates 
could significantly change the costs and timing associated with the development of that product candidate. Furthermore, our operating plans may change in 
the future, and we will need additional funds to meet operational needs and capital requirements associated with such operating plans.

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Cash Flows 

The following table sets forth a summary of the primary sources and uses of cash for each of the periods presented below (in thousands):

Cash used in operating activities
Cash provided by (used in) investing activities
Cash provided by financing activities
Net increase (decrease) in cash and cash equivalents

Cash Used in Operating Activities 

2023

Year Ended December 31,
2022

2021

  $

  $

(121,648 )   $
102,341    
25,117    
5,810     $

(115,946 )   $
(12,964 )  
83,098    
(45,812 )   $

(50,678 )
(118,553 )
108,760  
(60,471 )

During the year ended December 31, 2023, cash used in operating activities was $121.6 million, which consisted of net loss of $138.5 million, 
adjusted  by  non-cash  charges  of  $33.9  million  and  net  changes  in  our  operating  assets  and  liabilities  of  $17.0  million.  The  non-cash  charges  consisted 
primarily of depreciation and amortization expense of $7.6 million, stock-based compensation of $11.6 million, non-cash operating lease expense of $14.0 
million,  amortization  of  debt  discount  and  issuance  costs  of  $1.4  million,  and  impairment  of  long-lived  assets  (ROU  Asset  and  the  related  tenant 
improvements) of $2.0 million, partially offset by amortization premiums on marketable securities of $2.7 million. The change in our operating assets and 
liabilities was primarily driven by decreases of $2.8 million in deferred revenue, $17.3 million in lease liability, $2.3 million in accrued and other non-
current liabilities, $2.0 million in accounts payable and increases of $4.6 million in deposits and other long term assets and $1.2 million in prepaid expenses 
and  other  current  assets,  partially  offset  by  increases  of  $1.2  million  in  accrued  compensation  and  $0.4  million  in  accrued  research  and  development 
expenses.

During the year ended December 31, 2022, cash used in operating activities was $115.9 million, which consisted of net loss of $119.7 million, 
adjusted  by  non-cash  charges  of  $28.3  million  and  net  changes  in  our  operating  assets  and  liabilities  of  $24.5  million.  The  non-cash  charges  consisted 
primarily of depreciation and amortization expense of $6.6 million, stock-based compensation of $12.6 million, non-cash operating lease expense of $9.1 
million and amortization of debt discount and issuance costs of $0.4 million, partially offset by amortization premiums on marketable securities of $0.4 
million. The change in our operating assets and liabilities was primarily driven by decreases of $15.2 million in deferred revenue, $8.9 million in lease 
liability, $0.4 million in accrued research and development expenses and an increase of $7.4 million in deposits and other long term assets, partially offset 
by  increases  of  $1.3  million  in  accrued  compensation,  $1.9  million  in  accounts  payable,  $3.5  million  in  accrued  and  other  non-current  liabilities  and  a 
decrease of $0.7 million in prepaid expenses and other current assets.

During the year ended December 31, 2021, cash used in operating activities was $50.7 million, which consisted of a net loss of $75.1 million, 
adjusted by non-cash charges of $25.8 million and cash used due to changes in our operating assets and liabilities of $1.4 million. The non-cash charges 
consisted  primarily  of  depreciation  expense  of  $6.3  million,  stock-based  compensation  of  $10.6  million,  and  non-cash  operating  lease  expense  of  $8.1 
million. The change in our operating assets and liabilities was primarily due to decreases of $7.9 million in lease liability, $0.9 million in accrued and other 
non-current liabilities, $3.4 million in prepaid expenses and other assets, $0.6 million in deposits and long-term assets and $0.4 million in accounts payable, 
offset  by  increases  of  $8.6  million  in  deferred  revenue,  $2.6  million  in  accrued  research  and  development  expenses,  and  $0.6  million  in  accrued 
compensation.

Cash Provided (Used In) by Investing Activities 

During  the  year  ended  December  31,  2023,  cash  provided  by  investing  activities  was  $102.3  million,  which  consisted  of  $133.2  million  in 
proceeds  from  the  maturity  of  marketable  securities,  partially  offset  by  $26.3  million  in  purchases  of  marketable  securities  and  $4.6  million  of  capital 
expenditures to purchase property and equipment.

During the year ended December 31, 2022, cash used in investing activities was $13.0 million which consisted of $141.9 million in purchases of 
marketable securities and $5.9 million of capital expenditures to purchase property and equipment, partially offset by $134.8 million in proceeds from the 
maturity of marketable securities.

101

 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
During the year ended December 31, 2021, cash used in investing activities was $118.6 million, which consisted of $199.9 million of purchases of 
marketable securities, $5.5 million of capital expenditures to purchase property and equipment, and $0.2 million of prepayment of financing lease, partially 
offset by $82.2 million in proceeds from the maturity of marketable securities and $4.8 million in proceeds from the sale of marketable securities.

Cash Provided by Financing Activities 

During the year ended December 31, 2023, cash provided by financing activities was $25.1 million, which primarily consisted of $19.9 million in 
proceeds from long-term debt, net of debt discount and issuance costs, $8.1 million in proceeds from the issuance of common stock under the 2022 ATM 
Offering  Program,  and  $0.8  million  in  proceeds  from  the  issuance  of  common  stock  under  the  employee  stock  purchase  plan,  partially  offset  by  $2.6 
million in financing and offering costs, $0.9 million in taxes paid related to net share settlement of restricted stock units and $0.2 million in payment of 
financing lease.

During the year ended December 31, 2022, cash provided by financing activities was $83.1 million, which primarily consisted of $45.0 million in 
proceeds from the Third PIPE Financing, $19.1 million in proceeds from long-term debt, net of debt discount and issuance costs, $19.7 million in proceeds 
from the 2022 ATM Offering Program, $0.3 million in proceeds from the issuance of common stock from option and warrant exercises and $0.5 million in 
proceeds  from  issuance  of  common  stock  under  the  employee  stock  purchase  plan,  partially  offset  by  $0.9  million  in  tax  withholding  on  vesting  of 
restricted stock units, $0.4 million in payment of financing costs, and $0.2 million in payment of financing lease.

During the year ended December 31, 2021, cash provided by financing activities was $108.8 million, which primarily consisted of proceeds from 
the issuance of common stock of $55.0 million from the second PIPE financing, $36.6 million from “at the market offering”, net of issuance costs, $21.2 
million  under  the  Gilead  Stock  Purchase  Agreement,  $3.4  million  from  the  exercise  of  stock  options,  warrants  and  other,  and  $0.9  million  from  the 
purchase of shares under our employee stock purchase plan, partially offset by $8.4 million of payments of financing costs.

Off-Balance Sheet Arrangements 

We have not entered into any off-balance sheet arrangements, as defined under SEC rules. 

Contractual Obligations and Commitments 

We lease office, laboratory and storage space in facilities at several locations in California and Massachusetts. The terms of our lease agreements 
have expiration dates between 2023 to 2033. The total future minimum lease payments under the agreements are $96.8 million, of which $12.8 million of 
the payments are due in the next year. See Note 6 to our consolidated financial statements for additional information.

We are party to license agreements pursuant to which we have in-licensed various intellectual property rights. The license agreements obligate us 
to  make  certain  milestone  payments  related  to  achievement  of  specified  events,  as  well  as  royalties  in  the  low-single  digits  based  on  sales  of  licensed 
products. During the years ended December 31, 2023 and 2022, no royalties were due from the sales of licensed products. See Note 7 to our consolidated 
financial statements for additional information. 

From time to time, in the normal course of business, we enter into contracts in the normal course of business with CROs for clinical trials and 
CMOs for clinical supply manufacturing and with vendors for preclinical research studies and other services and products for operating purposes, which 
generally provide for termination within 30 days of notice. Therefore, all such contracts are cancelable contracts and not included in the table above.

Critical Accounting Policies and Use of Estimates

This discussion and analysis of financial condition and results of operation is based on our consolidated financial statements, which have been 
prepared in accordance with accounting principles generally accepted in the United States (U.S. GAAP). The preparation of financial statements requires 
management to make estimates and judgments that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities as 
of the date of the financial statements and the reported amounts of expenses during the reporting period. On an ongoing basis, management evaluates its 
estimates, including those related to preclinical study trial accruals, fair value of assets and liabilities, and the fair value of common stock and stock-based 
compensation. Management bases its estimates on historical experience and on various other market-specific and relevant assumptions that management 
believes to be reasonable under the circumstances. Actual results could differ from those estimates. 

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While  our  significant  accounting  policies  are  more  fully  described  in  the  notes  to  our  consolidated  financial  statements,  we  believe  that  the 
following  accounting  policies  are  critical  to  the  process  of  making  significant  judgments  and  estimates  in  the  preparation  of  our  consolidated  financial 
statements and understanding and evaluating our reported financial results. 

Revenue Recognition 

We perform research and development under collaboration, license, grant, and clinical development agreements. Our revenue primarily consists of 
collaboration agreements and grant funding agreements. At contract inception, we analyze a revenue arrangement to determine the appropriate accounting 
under U.S. GAAP. Currently, our revenue arrangements represent customer contracts within the scope of ASC Topic 606, Revenue from Contracts with 
Customers  (Topic  606)  (ASC  606)  or  grant  funding  agreements  subject  to  the  contribution  guidance  in  ASC  Topic  958-605,  Not-for-Profit  Entities  – 
Revenue Recognition (ASC 958-605), which applies to business entities that receive contributions within the scope of ASC 958-605.

For  collaboration  agreements,  we  analyze  each  agreement  to  assess  whether  such  arrangements  involve  joint  operating  activities  performed  by 
parties that are both active participants in the activities and exposed to significant risks and rewards dependent on the commercial success of such activities. 
This  assessment  is  performed  throughout  the  life  of  the  arrangement  based  on  changes  in  the  responsibilities  of  all  parties  in  the  arrangement.  For 
collaboration arrangements that are considered to be in the scope of the collaboration guidance and that contain multiple elements, we first determine which 
elements  of  the  collaboration  are  deemed  to  be  within  the  scope  of  the  collaboration  guidance  and  those  that  are  more  reflective  of  a  vendor-customer 
relationship  and,  therefore,  within  the  scope  of  the  revenue  with  contracts  with  customer  guidance.  For  elements  of  collaboration  arrangements  that  are 
accounted for pursuant to the revenue from contracts with customer guidance, an appropriate recognition method is determined and applied consistently, 
generally by analogy to the revenue from contracts with customers guidance. 

The terms of the collaboration and license agreements entered into typically include payment of one or more of the following: non-refundable, up-
front  fees;  development,  regulatory,  and  commercial  milestone  payments;  payments  for  manufacturing  supply  services;  and  royalties  on  net  sales  of 
licensed products. Each of these payments results in license, collaboration, and other revenues, except for revenues from royalties on net sales of licensed 
products, which are classified as royalty revenues. The core principle of the accounting for revenue from contracts with customers guidance is to recognize 
revenues  when  promised  goods  or  services  are  transferred  to  customers  in  an  amount  that  reflects  the  consideration  that  is  expected  to  be  received  in 
exchange for those goods or services. 

In determining the appropriate amount of revenue to be recognized as we fulfill our obligations under each of our agreements, we perform the 
following  steps:  (i)  identification  of  the  promised  goods  or  services  in  the  contract;  (ii)  determination  of  whether  the  promised  goods  or  services  are 
performance  obligations  including  whether  they  are  distinct  in  the  context  of  the  contract;  (iii)  measurement  of  the  transaction  price,  including  the 
constraint  on  variable  consideration;  (iv)  allocation  of  the  transaction  price  to  the  performance  obligations  based  on  estimated  selling  prices;  and  (v) 
recognition of revenue when (or as) we satisfy each performance obligation. 

Amounts received prior to satisfying the revenue recognition criteria are recorded as deferred revenue in our consolidated balance sheets. If the 
related  performance  obligation  is  expected  to  be  satisfied  within  the  next  twelve  (12)  months  this  will  be  classified  in  current  liabilities.  Amounts 
recognized as revenue prior to receipt are recorded as contract assets in our consolidated balance sheets. If we expect to have an unconditional right to 
receive consideration in the next twelve (12) months, this will be classified in current assets. A net contract asset or liability is presented for each contract 
with a customer. 

At contract inception, we assess the goods or services promised in a contract with a customer and identify those distinct goods and services that 
represent a performance obligation. A promised good or service may not be identified as a performance obligation if it is immaterial in the context of the 
contract with the customer, if it is not separately identifiable from other promises in the contract (either because it is not capable of being separated or 
because it is not separable in the context of the contract), or if the performance obligation does not provide the customer with a material right. 

We consider the terms of the contract and our customary business practices to determine the transaction price. The transaction price is the amount 
of consideration to which we expect to be entitled in exchange for transferring promised goods or services to a customer. The consideration promised in a 
contract with a customer may include fixed amounts, variable amounts, or both. Variable consideration will only be included in the transaction price when 
it is not considered constrained, which is when it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur. 

If it is determined that multiple performance obligations exist, the transaction price is allocated at the inception of the agreement to all identified 
performance obligations based on the relative standalone selling prices. The relative selling price for each deliverable is estimated using objective evidence 
if it is available. If objective evidence is not available, we use our best estimate of the selling price for the deliverable. 

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Revenue  is  recognized  when,  or  as,  we  satisfy  a  performance  obligation  by  transferring  a  promised  good  or  service  to  a  customer.  An  asset  is
transferred  when,  or  as,  the  customer  obtains  control  of  that  asset,  which  for  a  service,  is  considered  to  be  as  the  services  are  received  and  used.  We 
recognize revenue over time by measuring the progress toward complete satisfaction of the relevant performance obligation using an appropriate input or 
output method based on the nature of the good or service promised to the customer. 

After contract inception, the transaction price is reassessed at every period end and updated for changes such as resolution of uncertain events. 

Any change in the transaction price is allocated to the performance obligations on the same basis as at contract inception. 

Management  may  be  required  to  exercise  considerable  judgment  in  estimating  revenue  to  be  recognized.  Judgment  is  required  in  identifying 
performance  obligations,  estimating  the  transaction  price,  estimating  the  stand-alone  selling  prices  of  identified  performance  obligations,  which  may 
include forecasted revenue, development timelines, reimbursement rates for personnel costs, discount rates and probabilities of technical and regulatory 
success, and estimating the progress towards satisfaction of performance obligations. 

For  grant  funding  agreements,  grant  revenue  is  recognized  during  the  period  that  the  research  and  development  services  occur,  as  qualifying 
expenses are incurred. We concluded that payments received under these grants represent nonreciprocal contributions, as described in ASC 958, Not-for-
Profit Entities, and that the grants are not within the scope of ASC 606 as the organization providing the grant does not meet the definition of a customer. 
Grant revenue relates primarily to the CEPI Funding Agreement and the Gates Grant Agreement (see Note 7).

Government Contract 

Contracts with government agencies, including cost reimbursement agreements, are assessed to determine if the contract should be accounted for 
as  an  exchange  transaction  or  a  contribution.  A  government  contract  is  accounted  for  as  a  contribution  if  the  government  agency  does  not  receive 
commensurate  value  in  return  for  the  assets  transferred.  Contributions  are  recognized  as  grant  revenue  when  there  is  reasonable  assurance  that  the 
contribution will be received, and all attaching conditions have been complied with.

Under the base period of its the BARDA Contract, the Company receives fixed payment amounts for certain deliverables. If option periods beyond 
the  base  period  of  the  BARDA  Contract  are  exercised  or  a  new  agreement  is  awarded  under  the  RRPV  Consortium,  the  Company  expects  to  receive 
reimbursement  for  incurred  costs  under  its  U.S.  government  contract  that  support  research  and  development  of  defined  projects.  The  BARDA  Contract 
generally  provides  for  reimbursement  of  approved  costs  incurred  under  its  terms.  Revenue  related  to  the  cost  reimbursement  provisions  under  the 
Company’s U.S. government contract will be recognized as the qualified direct and indirect costs on the projects are incurred. The Company will invoice 
under  its  U.S.  government  contract  using  the  provisional  rates  in  the  government  contract  and  thus  is  subject  to  future  audits  at  the  discretion  of  the 
government. The Company believes that government contract revenue for periods not yet audited has been recorded in amounts that are expected to be 
realized upon final audit and settlement. However, these audits could result in an adjustment to government contract revenue previously reported, which 
adjustments could be potentially significant. Costs incurred related to services performed under the contract are included as a component of research and 
development or selling, general and administrative expenses in the Company’s consolidated statements of operations. The Company’s use of estimates in 
recording accrued liabilities for government contract activities (see “Use of Estimates” above) affects the revenue recorded from development funding and 
under the government contracts. Revenue related to the U.S. government contract relates to the BARDA Contract (see Note 7).

Research and Development Expenses 

We record research and development expenses to operations as incurred. Research and development expenses represent costs incurred by us for 
the discovery and development of our product candidates and the development of our technology and include: internal research and development expense, 
including  employee-related  expenses  (such  as  salaries,  benefits,  travel  and  non-cash  stock-based  compensation  expense);  external  research  and 
development  expenses  incurred  under  arrangements  with  third  parties,  such  as  CROs,  preclinical  testing  organizations,  CMOs,  academic  and  non-profit 
institutions and consultants; license fees; other expenses, which include direct and allocated expenses for laboratory, facilities and other costs; and costs 
incurred related to our collaboration agreements. Costs to develop our technologies are recorded as research and development expense unless the criteria to 
be capitalized as internal-use software costs is met. 

As part of the process of preparing financial statements, we are required to estimate and accrue expenses. We record the estimated expenses of 
research and development activities conducted by third-party service providers based upon the estimated amount of services provided within research and 
development expense in the consolidated statements of operations and comprehensive loss. These services include the conduct of clinical and preclinical 
studies,  contract  manufacturing  activities  and  consulting  services.  Payments  made  prior  to  the  receipt  of  goods  or  services  to  be  used  in  research  and 
development are deferred and recognized as expense in the period in which 

104

 
 
 
 
the  related  goods  are  received  or  services  are  realized  or  consumed.  If  the  costs  have  been  prepaid,  this  expense  reduces  the  prepaid  expenses  in  the 
consolidated  balance  sheets,  and  if  not  yet  invoiced,  the  costs  are  included  in  accrued  liabilities  in  the  consolidated  balance  sheets.  These  costs  are  a 
significant component of our research and development expenses. We record amortization of prepaid expenses or accrued expenses for these costs based on 
the estimated amount of work completed and in accordance with agreements established with these third parties. Such payments are evaluated for current 
or long-term classification based on when they will be realized.

Costs for certain research and development activities are recognized based on an evaluation of the progress to completion of specific tasks. We
estimate the amount of work completed through discussions with internal personnel and external service providers as to the progress or stage of completion 
of the services and the agreed-upon fee to be paid for such services. We make judgments and estimates in determining the accrued balance in each reporting 
period. As actual costs become known, we adjust our accrued estimates. Although we do not expect our estimates to be materially different from amounts 
actually incurred, our understanding of the status and timing of services performed may vary from our estimates and could result in us reporting amounts 
that are too high or too low in any particular period. Our accrued expenses are dependent, in part, upon the receipt of timely and accurate reporting from 
external CROs, CMOs, and other third-party service providers. To date, we have not experienced material differences between our accrued expenses and 
actual expenses. 

Leases 

We determine whether the arrangement is or contains a lease at the inception of the arrangement and if such a lease is classified as a financing 
lease  or  operating  lease.  The  majority  of  our  leases  are  classified  as  operating  leases.  Leases  with  a  term  greater  than  one  year  are  recognized  on  the 
consolidated  balance  sheets  as  right-of-use  assets,  lease  liabilities  and,  if  applicable,  long-term  lease  liabilities.  Lease  liabilities  and  their  corresponding 
right-of-use assets are recorded based on the present value of lease payments over the expected lease term. The interest rate implicit in lease contracts is 
typically not readily determinable. As such, we utilize the appropriate incremental borrowing rate, which is the rate incurred to borrow on a collateralized
basis  over  a  similar  term  an  amount  equal  to  the  lease  payments  in  a  similar  economic  environment.  We  derived  our  incremental  borrowing  rate  by 
assessing rates in recent market transactions, as adjusted for security interests and our credit quality. Certain adjustments to the right-of-use asset may be 
required for items such as initial direct costs paid or incentives received and impairment charges if we determine the right-of-use asset is impaired.

Recent Accounting Pronouncements 

Refer  to  “Note  2.  Summary  of  Significant  Accounting  Policies”  to  our  audited  consolidated  financial  statements  for  a  discussion  of  recent 

accounting pronouncements. 

Item 7A. Quantitative and Qualitative Disclosures About Market Risk. 

Interest Rate Sensitivity 

We are exposed to market risk related to changes in interest rates. We had cash, cash equivalents and marketable securities of $79.3 million as of 
December 31, 2023, which consisted primarily of money market funds and marketable securities, largely composed of investment grade, short-term and 
long-term fixed income securities. 

The  primary  objective  of  our  investment  activities  is  to  preserve  capital  to  fund  our  operations.  We  also  seek  to  maximize  income  from  our 
investments without assuming significant risk. To achieve our objectives, we maintain a portfolio of investments in a variety of securities of high credit 
quality and short-term duration, according to our board-approved investment charter. 

Our investments are subject to interest rate risk and could fall in value if market interest rates increase. A hypothetical 10% relative change in 

interest rates during any of the periods presented would not have had a material impact on our consolidated financial statements. 

Effects of Inflation

Inflation generally affects us by increasing our cost of labor and our clinical trial costs. We do not believe that inflation has had a material effect on 

our business, results of operations, or financial condition. 

105

 
 
Item 8. Financial Statements and Supplementary Data

Gritstone bio, Inc.

Index to Financial Statements 

Report of Independent Registered Public Accounting Firm (PCAOB ID 42)

Consolidated Balance Sheets

Consolidated Statements of Operations and Comprehensive Loss

Consolidated Statements of Stockholders’ Equity

Consolidated Statements of Cash Flows

Notes to Consolidated Financial Statements

106

Pages

107

109

110

111

112

114

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Stockholders and the Board of Directors of
Gritstone bio, Inc.

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of Gritstone bio, Inc. (“the Company”) as of December 31, 2023 and 2022, the related 
consolidated statements of operations and comprehensive loss, stockholders’ equity and cash flows for each of the three years in the period ended 
December 31, 2023, 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, 2023 and 2022, and the results of its operations 
and its cash flows for each of the three years in the period ended December 31, 2023 in conformity with U.S. generally accepted accounting principles.

The Company's Ability to Continue as a Going Concern

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in 
Note 1 to the financial statements, the Company has suffered recurring losses from operations and has stated that substantial doubt exists about the 
Company’s ability to continue as a going concern. Management's evaluation of the events and conditions and management’s plans regarding these matters 
are also described in Note 1. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.

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 Public Company Accounting Oversight Board (United States) 
(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. The Company is not required to have, nor 
were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of 
internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over 
financial reporting. Accordingly, we express no such opinion.

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 account or disclosure to which they relate.

107

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  Operating lease right-of-use assets and operating lease liabilities

Description of the 
Matter 

  As discussed in Note 6 to the consolidated financial statements, the Company recognizes right-of-use assets and 

corresponding lease liabilities for certain leases on the balance sheet in accordance with Accounting Standards 
Codification 842 (“ASC 842”). The Company estimated the incremental borrowing rate in order to calculate the 
right-of-use assets and lease liabilities related to new or modified leases recognized on the balance sheet. During 
2023, the Company recorded right-of-use assets of $60.3 million in exchange for lease liabilities related to leases 
originated or modified during 2023.

Auditing the Company’s operating lease right-of-use assets and operating lease liabilities was challenging due to the 
requirement that management estimate the incremental borrowing rates in the application of ASC 842. Our 
procedures involved auditor judgment to evaluate management’s estimate of incremental borrowing rates used in 
these calculations, including selection of an appropriate yield curve and estimating adjustments for collateralization 
where appropriate.

How We Addressed 
the Matter in Our 
Audit

To test the incremental borrowing rate used to record leases that originated or were modified during the year ended 
December 31, 2023, our audit procedures included, among others, evaluating the methodology, significant 
assumptions and underlying data used by the Company. We involved our valuation specialists to assist in evaluating 
management’s methodology used to develop the incremental borrowing rates and in preparing an independent 
calculation of the incremental borrowing rates, which we compared to management’s estimates.

/s/ Ernst & Young LLP

We have served as the Company’s auditor since 2016.

San Mateo, California
March 5, 2024

108

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Consolidated Balance Sheets

(In thousands, except share amounts and par value)

Assets
Current assets:

Cash and cash equivalents
Marketable securities
Restricted cash
Prepaid expenses and other current assets

Total current assets
Long-term restricted cash
Property and equipment, net
Lease right-of-use assets
Deposits and other long-term assets
Long-term marketable securities
Total assets

Liabilities and stockholders’ equity
Current liabilities:

Accounts payable
Accrued compensation
Accrued liabilities
Accrued research and development expenses
Lease liabilities, current portion
Deferred revenue, current portion

Total current liabilities
Other liabilities, noncurrent
Lease liabilities, net of current portion
Debt, noncurrent
Total liabilities
Commitments and contingencies (Notes 6, 7, and 8)
Stockholders’ equity:

Preferred stock, $0.0001 par value; 10,000,000 shares authorized; no shares
   issued and outstanding at December 31, 2023 and 2022
Common stock, $0.0001 par value; 300,000,000 shares authorized at 
   December 31, 2023 and 2022; 97,585,415 and 86,894,901 shares issued
   and outstanding at December 31, 2023 and 2022, respectively
Additional paid-in capital
Accumulated other comprehensive gain (loss)
Accumulated deficit
Total stockholders’ equity
Total liabilities and stockholders’ equity

December 31,

2023

2022

62,986     $
16,288    
2,299    
5,862    
87,435    
5,290    
17,281    
66,839    
924    
—    
177,769     $

3,819     $
9,357    
1,213    
3,696    
6,904    
2,350    
27,339    
709    
57,727    
40,144    
125,919    

55,498  
116,389  
3,977  
7,014  
182,878  
5,290  
21,335  
17,481  
9,739  
4,031  
240,754  

8,694  
8,215  
4,124  
3,343  
5,294  
5,131  
34,801  
150  
15,673  
19,349  
69,973  

—    

—  

22    
711,386    
3    
(659,561 )  
51,850    
177,769     $

22  
691,910  
(80 )
(521,071 )
170,781  
240,754  

  $

  $

  $

  $

See accompanying notes to consolidated financial statements.

109

 
 
 
 
 
 
 
   
 
 
     
   
 
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
   
 
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
   
 
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Consolidated Statements of Operations and Comprehensive Loss

(In thousands, except share and per share amounts)

2023

Year Ended December 31,
2022

2021

Revenues:

Collaboration and license revenues
Grant revenues

Total revenues
Operating expenses:

Research and development
General and administrative
Total operating expenses

Loss from operations
Interest income
Interest expense
Other expense
Net loss
Other comprehensive loss:

  $

1,331     $
15,013    
16,344    

127,182    
28,783    
155,965    
(139,621 )  
5,199    
(4,036 )  
(32 )  
(138,490 )  

Unrealized gain (loss) on marketable securities

Comprehensive loss
Net loss per share, basic and diluted

  $
  $

83    

(138,407 )   $
(1.20 )   $

9,269     $
10,676      
19,945      

111,403      
28,970      
140,373      
(120,428 )    
1,976      
(1,235 )    
—      
(119,687 )    

(7 )    
(119,694 )   $
(1.32 )   $

46,717  
1,497  
48,214  

97,490  
25,933  
123,423  
(75,209 )
164  
(37 )
—  
(75,082 )

(73 )
(75,155 )
(0.95 )

Weighted-average number of shares used in computing net loss per share,
   basic and diluted

115,527,546    

90,918,333      

78,885,186  

See accompanying notes to consolidated financial statements.

110

 
 
 
 
 
 
 
   
   
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
Balance at December 31, 2020

Offering costs related to the sale of
    common stock and pre-funded warrants
Issuance of common stock under Sales
   Purchase Agreement, net of issuance
   costs of $339
Issuance of common stock under the
   ATM equity offering program, net of
   issuance costs of $124
Issuance of common stock under PIPE
   financing, net of issuance costs of $2,348
Issuance of common stock under the ESPP
Unrealized loss on marketable securities
Issuance of common stock upon exercise
   of warrants
Issuance of common stock upon exercise of
   stock options
Stock-based compensation
Net loss

Balance at December 31, 2021

Issuance of common stock under the
   ATM equity offering program, net of
   issuance costs of $146
Issuance of common stock under PIPE
   financing, net of issuance costs of $880
Issuance of pre-funded warrants, under PIPE
   financing, net of issuance costs of $1,759
Issuance of common stock upon exercise
   of warrants
Issuance of common stock upon restricted
   stock units vesting
Tax payments related to shares withheld for
   vested restricted stock units
Issuance of common stock under the ESPP
Unrealized loss on marketable securities
Issuance of common stock upon exercise of
   stock options
Stock-based compensation
Net loss

Balance at December 31, 2022

Issuance of common stock under the
   ATM equity offering program, net of 
   issuance costs of $128
Issuance of common stock upon 
restricted stock units vesting
Tax payments related to shares withheld
   for vested restricted stock units
Issuance of common stock upon exercise
   of stock options
Issuance of common stock for warrant exercises
Issuance of common stock under the
   ESPP
Stock-based compensation
Unrealized gain on marketable securities
Net loss
Balance at December 31, 2023

Gritstone bio, Inc.
Consolidated Statements of Stockholders’ Equity

(In thousands, except share amounts)

Common Stock

Shares
47,552,693  

  $

Amount

Additional
Paid-In
Capital

Accumulated
Other

Comprehensive     Accumulated    

Gain (Loss)

Deficit

Total
Stockholders
Equity

18  

  $

493,023  

  $

—  

  $

(326,302 )   $

166,739  

—  

1,169,591  

3,990,869  

5,000,000  
183,111  
—  

10,459,576  

692,038  
—  
—  
69,047,878  

7,034,948  

6,637,165  

—  

3,442,567  

215,350  

—  
322,646  
—  

  $

194,347  
—  
—  
86,894,901  

  $

3,195,680  

  $

547,980  

  $

-  

  $

6,000  
6,348,805  

  $
  $

592,049  
-  
-  
-  
97,585,415  

  $
  $
  $
  $
  $

—  

—  

—  

1  
—  
—  

1  

—  
—  
—  
20  

1  

1  

—  

—  

—  

—  
—  
—  

—  
—  
—  
22  

  $

-  

  $

-  

  $

-  

  $

-  
-  

  $
  $

-  
-  
-  
-  
22  

  $
  $
  $
  $
  $

(451 )  

20,830  

36,595  

52,652  
914  
—  

48  

3,360  
10,552  
—  
617,523  

  $

  $

19,591  

14,120  

28,240  

34  

—  

(890 )  
549  
—  

186  
12,557  
—  
691,910  

  $

7,964  

  $

-  

  $

(946 )   $

5  
34  

  $
  $

801  
11,618  
-  
-  
711,386  

  $
  $
  $
  $
  $

—  

—  

—  

—  
—  
(73 )  

—  

—  
—  
—  
(73 )   $

—  

—  

—  

—  

—  

—  
—  
(7 )  

—  
—  
—  
(80 )   $

-  

  $

-  

  $

-  

  $

-  
-  

  $
  $

-  
-  
83  
-  
3  

  $
  $
  $
  $
  $

—  

—  

—  

—  
—  
—  

—  

—  
—  

(75,082 )  
(401,384 )   $

—  

—  

—  

—  

—  

—  
—  
—  

—  
—  

(119,687 )  
(521,071 )   $

-  

-  

-  

-  
-  

-  
-  
-  

(138,490 )  
(659,561 )   $

(451 )

20,830  

36,595  

52,653  
914  
(73 )

49  

3,360  
10,552  
(75,082 )
216,086  

19,592  

14,121  

28,240  

34  

—  

(890 )
549  
(7 )

186  
12,557  
(119,687 )
170,781  

7,964  

—  

(946 )

5  
34  

801  
11,618  
83  
(138,490 )
51,850  

See accompanying notes to consolidated financial statements.

111

 
 
 
 
   
   
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Consolidated Statements of Cash Flows

(In thousands)

Operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:

Depreciation and amortization
Net amortization (accretion) of premiums and discounts on 
   marketable securities
Amortization of debt discount and issuance costs
Stock-based compensation
Impairment of right-of-use assets
Non-cash operating lease expense
Loss on disposition of property and equipment
Changes in operating assets and liabilities:

Prepaid expenses and other current assets
Deposits and other long-term assets
Accounts payable
Accrued compensation
Accrued and other non-current liabilities
Accrued research and development expenses
Lease liability
Deferred revenue

Net cash used in operating activities
Investing activities
Purchase of marketable securities
Maturities of marketable securities
Purchase of property and equipment
Prepayments on financing lease
Net cash provided by (used in) investing activities
Financing activities
Proceeds from issuance of common stock from public offering
Proceeds from issuance of common stock and pre-funded warrants
   from PIPE financing
Proceeds from issuance of common stock upon exercise of stock 
   options, warrants and other
Proceeds from issuance of common stock from ATM equity offering
    program
Proceeds from issuance of common stock under the ESPP
Proceeds from long-term debt, net of debt discount and issuance costs
Payments of financing costs
Payments of financing lease
Tax payments related to shares withheld for vested restricted stock units
Net cash provided by financing activities
Net increase (decrease) in cash, cash equivalents and restricted cash
Cash, cash equivalents and restricted cash at beginning of period
Cash, cash equivalents and restricted cash at end of period

Supplemental disclosures of non-cash investing and financing
   information
Property and equipment purchases accrued but not yet paid
Financing costs included in accrued liabilities and accounts payable
Remeasurement of operating lease right-of-use asset for lease modification
Lease liabilities arising from obtaining right -of-use asset from new leases
Assets acquired under leasing obligations
Cash paid for interest on debt

2023

Year Ended December 31,
2022

2021

  $

(138,490 )   $

(119,687 )   $

(75,082 )

7,591      

6,560      

6,347  

(2,698 )    
1,412      
11,618      
1,969      
14,063      
22      

1,152      
4,619      
(1,968 )    
1,142      
(2,362 )    
353      
(17,290 )    
(2,781 )    
(121,648 )    

(26,295 )    
133,208      
(4,572 )    
—      
102,341      

(372 )    
392      
12,557      
—      
9,131      
—      

658      
(7,387 )    
1,879      
1,290      
3,509      
(363 )    
(8,915 )    
(15,198 )    
(115,946 )    

(141,908 )    
134,816      
(5,872 )    
—      
(12,964 )    

817  
—  
10,552  
—  
8,052  
—  

(3,426 )
(614 )
(419 )
593  
(859 )
2,653  
(7,925 )
8,633  
(50,678 )

(199,905 )
87,053  
(5,463 )
(238 )
(118,553 )

—      

—      

21,169  

—      

45,000      

55,000  

39      

220      

3,408  

8,092      
801      
19,919      
(2,548 )    
(240 )    
(946 )    
25,117      
5,810      
64,765      
70,575     $

133     $
14     $
706     $
—     $
59,604     $
2,415     $

19,737      
549      
19,130      
(420 )    
(228 )    
(890 )    
83,098      
(45,812 )    
110,577      
64,765     $

1,146     $
2,433     $
1,406     $
553     $
—     $
647     $

36,719  
914  
—  
(8,394 )
(56 )
—  
108,760  
(60,471 )
171,048  
110,577  

738  
69  
6,452  
109  
—  
—  

  $

  $
  $
  $
  $
  $
  $

112

 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
     
     
   
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See accompanying notes to consolidated financial statements.

113

 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

1.  Organization

Description of Business

Gritstone  bio,  Inc.  (“Gritstone”  or  “the  Company”)  is  a  clinical  stage  biotechnology  company  that  aims  to  develop  the  world's  most  potent 
vaccines. The Company was incorporated in the state of Delaware in August 2015, and is based in Emeryville, California and Boston, Massachusetts, with 
a manufacturing facility in Pleasanton, California. The Company operates in one segment.

Liquidity 

The  Company  has  incurred  operating  losses  and  has  an  accumulated  deficit  as  a  result  of  ongoing  efforts  to  develop  drug  product  candidates, 
including conducting preclinical and clinical trials and providing general and administrative support for these operations. The Company had net losses of 
$138.5 million, $119.7 million, and $75.1 million for the years ended December 31, 2023, 2022, and 2021, respectively. The Company used net cash of 
$121.6 million, $115.9 million, and $50.7 million through its operating activities for the years ended December 31, 2023, 2022, and 2021, respectively. The 
Company  had  an  accumulated  deficit  of  $659.6  million  and  $521.1  million  as  of  December  31,  2023  and  2022,  respectively.  To  date,  none  of  the 
Company’s product candidates have been approved for sale and therefore the Company has not generated any revenue from sales of commercial products. 
Management  expects  operating  losses  to  continue  for  the  foreseeable  future.  The  Company  has  funded  its  operations  to  date  primarily  through  private 
placements  of  its  convertible  preferred  stock,  the  sale  of  common  stock  in  public  offerings,  under  an  “at  the  market  offering”  (the  “ATM  Offering 
Program”), the private placement of common stock and pre-funded warrants, and through proceeds received from its collaboration arrangements. As of 
December  31,  2023,  the  Company  had  cash,  cash  equivalents  and  marketable  securities  of  $79.3  million.  The  Company’s  cash,  cash  equivalents  and 
marketable  securities  are  not  sufficient  to  fund  the  Company’s  planned  operations  for  a  period  of  12 months  from  the  date  these  consolidated  financial 
statements  are  issued.  To  fund  the  Company's  planned  operations,  the  Company  will  need  to  raise  additional  capital.  The  Company  intends  to  raise 
additional  capital  through  private  and  public  equity  offerings,  including  its  “at-the-market”  offering  program,  debt  financings,  and  potential  future 
collaboration,  license  and  development  agreements.  However,  there  can  be  no  assurance  that  the  Company  will  be  successful  in  acquiring  additional 
funding at levels sufficient to fund its operations or on terms acceptable to the Company or at all. If the Company is unsuccessful in its efforts to raise 
additional capital or if sufficient funds on acceptable terms are not available when needed, the Company could be required to significantly reduce operating 
expenses  and  delay,  reduce  the  scope  of  or  eliminate  one  or  more  of  its  development  programs  or  its  future  commercialization  efforts,  out-license 
intellectual property rights to its product candidates and sell unsecured assets, or a combination of the above, any of which may have a material adverse 
effect on the Company’s business, results of operations, financial condition and/or its ability to fund its scheduled obligations on a timely basis or at all. 
Failure  to  manage  discretionary  spending  or  raise  additional  capital,  as  needed,  may  adversely  impact  the  Company’s  ability  to  achieve  its  intended 
business objectives. These conditions raise substantial doubt about the Company’s ability to continue as a going concern for a period of one year from the 
date of the issuance of these consolidated financial statements. If we are unable to raise additional funds, secure a waiver or renegotiate the terms of our 
Loan Agreement, we expect to be in default of the minimum liquidity requirement in the second quarter of 2024. Upon such a default, our existing cash, 
cash equivalents and investments will only be sufficient to fund our operations into the second quarter of 2024. The accompanying consolidated financial 
statements  have  been  prepared  assuming  that  the  Company  will  continue  as  a  going  concern,  which  contemplates  the  realization  of  assets  and  the 
settlement of liabilities and commitments in the normal course of business. The consolidated financial statements do not reflect any adjustments relating to 
the recoverability and classification of assets or the amounts and classification of liabilities that might be necessary if the Company is unable to continue as 
a going concern.

2.  Summary of Significant Accounting Policies

Basis of Presentation

The  accompanying  consolidated  financial  statements  have  been  prepared  in  accordance  with  United  States  generally  accepted  accounting 
principles (“U.S. GAAP”) and the rules and regulations of the Securities and Exchange Commission (the “SEC”) for reporting. The consolidated financial 
statements  are  comprised  of  the  consolidation  of  the  Company  and  its  wholly-owned  subsidiary.  All  intercompany  balances  and  transactions  have  been 
eliminated in consolidation. The Company has no unconsolidated subsidiaries or investments accounted for under the equity method.

114

 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Use of Estimates

The  preparation  of  financial  statements  in  conformity  with  U.S.  GAAP  requires  management  to  make  estimates  and  judgments  that  affect  the 
reported  amounts  of  assets  and  liabilities  and  disclosures  of  contingent  liabilities  as  of  the  date  of  the  financial  statements  and  the  reported  amounts  of 
revenues and expenses during the reporting period. Such estimates include, but are not limited to, determining the fair value of assets and liabilities, the fair 
value of right-of-use assets and lease liabilities, stock-based compensation expense, and including those related to revenue recognition, including but not 
limited to, transaction price and progress toward completion of performance obligation under the Company's contracts with customers. Management bases 
its estimates on historical experience and on various other market-specific and relevant assumptions that management believes to be reasonable under the 
circumstances. Actual results could differ from those estimates.

Fair Value of Financial Instruments

U.S. GAAP establishes a fair value hierarchy for instruments measured at fair value that distinguishes between assumptions based on market data 
(observable inputs) and the Company’s own assumptions (unobservable inputs). Observable inputs are inputs that market participants would use in pricing 
the asset or liability based on market data obtained from sources independent of the Company. Unobservable inputs are inputs that reflect the Company’s
assumptions about the inputs that market participants would use in pricing the asset or liability and are developed based on the best information available in 
the circumstances.

Fair value is established as the exchange price, or exit price, representing the amount that would be received to sell an asset or paid to transfer a 
liability in an orderly transaction between market participants. As a basis for considering market participant assumptions in fair value measurements, an 
established three-tier fair value hierarchy distinguishes between the following:

• Level 1 inputs are quoted prices in active markets that are accessible at the market date for identical assets or liabilities.

• Level 2 inputs are inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly or indirectly.

• Level 3 inputs are unobservable inputs that reflect the Company’s own assumptions about the assumptions market participants would use in pricing 
the assets or liability. Financial assets and liabilities are classified in their entirety based on the lowest level of input that is significant to the fair 
value measurement.

To the extent that the valuation is based on models or inputs that are less observable or unobservable in the market, the determination of fair value 
requires more judgment. Accordingly, the degree of judgment exercised by the Company in determining fair value is greatest for instruments categorized in 
Level  3.  A  financial  instrument’s  level  within  the  fair  value  hierarchy  is  based  on  the  lowest  level  of  any  input  that  is  significant  to  the  fair  value 
instrument.

The  carrying  amounts  reflected  on  the  consolidated  balance  sheets  for  cash  and  cash  equivalents,  prepaid  expenses  and  other  current  assets, 

accounts payable, accrued compensation and accrued liabilities approximate their fair values due to their short-term nature.

Cash, Cash Equivalents and Restricted Cash

Cash equivalents, which consist primarily of highly liquid investments with original maturities of three (3) months or less when purchased, are 
stated at fair value. These assets include investments in money market funds that invest in U.S. Treasury obligations and certificates of deposit, which are 
stated at fair value.

The Company has issued letters of credit under certain lease agreements that have been collateralized by cash deposits for an equal amount and are 
recorded within short-term restricted cash and deposits and other long-term assets on the consolidated balance sheets based on the term of the underlying 
lease.  Additionally,  the  Company’s  restricted  cash  includes  payments  received  under  the  Coalition  for  Epidemic  Preparedness  Innovations  (“CEPI”) 
Funding  Agreement,  dated  as  of  August  14,  2021  (the  “CEPI  Funding  Agreement”)  and  the  Gates  Foundation  Grant  Agreement  (see  Note  7).  The 
Company will utilize the CEPI and Gates Foundation funds as it incurs expenses for services performed under the agreements.

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Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

The  following  table  provides  a  reconciliation  of  cash,  cash  equivalents  and  short-term  and  long-term  restricted  cash  reported  within  the 

consolidated balance sheets that sum to the total of the same amounts shown in the consolidated statements of cash flows (in thousands):

Cash and cash equivalents
Restricted cash
Long-term restricted cash
Total cash, cash equivalents and restricted cash

Marketable Securities

December 31,

2023

2022

62,986     $
2,299    
5,290    
70,575     $

55,498  
3,977  
5,290  
64,765  

  $

  $

The  Company  invests  its  excess  cash  in  investment  grade  short-term  and  long-term  fixed  income  securities.  Such  investments  in  marketable 
securities  are  considered  available  for  sale,  and  reported  at  fair  value,  with  unrealized  gains  and  losses  included  as  a  component  of  accumulated  other 
comprehensive gain (loss). Marketable securities with maturities of greater than three (3) months from the date of purchase but less than one year from the 
consolidated  balance  sheet  date  are  classified  as  short-term,  while  marketable  securities  with  maturities  in  one  year  or  beyond  one  year  from  the 
consolidated balance sheet date are classified as long term. The amortized cost of debt securities is adjusted for amortization of premiums and accretion of 
discounts to maturity, which is included in interest income on the consolidated statements of operations and comprehensive loss. Realized gains and losses 
and declines in value judged to be other than temporary, if any, on available-for-sale securities are included in interest income, net. The cost of securities 
sold is determined using specific identification method.

The Company periodically evaluates whether declines in fair values of its marketable securities below their book value are other than temporary. 
This evaluation consists of several qualitative and quantitative factors regarding the severity and duration of the unrealized loss as well as the Company’s 
ability and intent to hold the marketable security until a forecasted recovery occurs. Additionally, the Company assesses whether it has plans to sell the 
security or it is more likely than not it will be required to sell any marketable securities before recovery of its amortized cost basis. Factors considered 
include  quoted  market  prices,  recent  financial  results  and  operating  trends,  implied  values  from  any  recent  transactions  or  offers  of  investee  securities, 
credit quality of debt instrument issuers, other publicly available information that may affect the value of the marketable security, duration and severity of 
the decline in value, and the Company’s strategy and intentions for holding the marketable security. To date, the Company has not recorded any impairment 
charges on its marketable securities related to other-than-temporary declines in market value. No significant facts or circumstances have arisen to indicate 
that there has been any significant deterioration in the creditworthiness of the issuers of the securities held by us, thus there has been no recognition of any 
other-than-temporary impairment in the year ended December 31, 2023, 2022, or 2021. Additionally, the Company has determined that it has the ability 
and intent to hold all marketable securities that have been in a continuous loss position until maturity or recovery, thus there has been no recognition of any 
other-than-temporary impairment in the year ended December 31, 2023, 2022 or 2021.

Debt Issuance Costs and Debt Discounts

Debt issuance costs include legal fees, accounting fees, and other direct costs incurred in connection with the execution of the Company’s debt 
financing. Debt discounts represent costs paid to the lenders. Debt issuance costs and debt discounts are deducted from the carrying amount of the debt
liability and are amortized to interest expense over the term of the related debt using the effective interest method.

Concentrations of Credit Risk 

Financial  instruments  that  potentially  subject  the  Company  to  concentrations  of  credit  risk  consist  of  cash,  cash  equivalents  and  marketable 
securities. Cash, cash equivalents and marketable securities are invested through banks and other financial institutions in the United States. Such deposits 
may  be  in  excess  of  federally  insured  limits.  The  Company  maintains  cash  equivalents  and  marketable  securities  with  various  high-credit-quality  and
capitalized financial institutions. The Company has not experienced any credit losses in such accounts and does not believe it is exposed to any significant 
credit risk on these funds.

The Company’s investment policy limits investments to certain types of securities issued by the U.S. government, its agencies, and institutions 

with investment-grade credit ratings and places restrictions on maturities and concentration by type and issuer. The 

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Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Company is exposed to credit risk in the event of a default by the financial institutions holding its cash, cash equivalents and marketable securities and 
issuers of marketable securities to the extent recorded on the consolidated balance sheets. As of December 31, 2023, the Company has no off-balance sheet 
concentrations of credit risk.

Other Risks and Uncertainties

The Company is subject to a number of risks similar to those faced by other clinical-stage biotechnology companies, including dependence on key 
individuals; the need to develop commercially viable therapeutics; competition from other companies, many of which are larger and better capitalized; and 
the need to obtain adequate additional financing to fund the development of its products. The Company currently depends on third-party suppliers for key 
materials and services used in its research and development manufacturing process and is subject to certain risks related to the loss of these third-party 
suppliers  or  their  inability  to  supply  the  Company  with  adequate  materials  and  services.  Further,  the  Company  is  subject  to  broad  market  risks  and 
uncertainties resulting from recent events, such as the regional conflicts around the world, inflation, rising or sustained high interest rates and recession 
risks, market volatility, recent instability in the global financial markets, uncertainty as to the U.S. federal budget and the related potential for government 
shutdowns, as well as supply chain and labor shortages.

Property and Equipment, Net

Property and equipment are stated at cost, less accumulated depreciation and amortization. Maintenance and repairs that do not improve or extend 

the lives of the respective assets are expensed to operations as incurred.

Depreciation is calculated using the straight-line method over the estimated useful lives of the respective assets, which are as follows:

Asset
Computer equipment and software
Furniture and fixtures
Laboratory equipment
Leasehold improvements

Long-Lived Assets

  Estimated Useful Life
  3 to 5 years
  5 years
  5 to 7 years
  Shorter of useful life or lease term

The  Company  evaluates  long-lived  assets,  including  property  and  equipment  and  operating  lease  right-of-use  assets  ("ROU  Assets"),  for 
impairment  whenever  events  or  changes  in  business  circumstances  indicate  that  the  carrying  amount  of  the  asset  may  not  be  fully  recoverable.  An 
impairment  loss  would  be  recognized  when  estimated  undiscounted  future  cash  flows  expected  to  result  from  the  use  of  the  asset  and  its  eventual 
disposition are less than its carrying amount. Impairment, if any, is measured as the amount by which the carrying amount of a long-lived asset exceeds its 
fair value. The primary measure of fair value is discounted cash flows, which may include significant estimates primarily related to the discount rate and 
projected cash flows. The discount rate considers the relevant risk associated with asset-specific characteristics and the uncertainty related to the ability to 
achieve the projected cash flows.

In  conjunction  with  the  move  to  the  Boston  lease,  the  Company  ceased  use  of  the  40  Erie  Street  facility,  which  triggered  an  impairment 
assessment. In connection with the impairment assessment, the Company recorded an impairment loss of $2.0 million related to the ROU Asset and related 
tenant improvements from the 40 Erie Lease, which is included in operating expenses on the consolidated statement of operations and comprehensive loss 
for  the  year  ended  December  31,  2023  (see  Note  6).  There  were  no  indicators  of  impairment  of  long-lived  assets  and  no  impairment  losses  have  been 
recorded as of and for the year ended December 31, 2022 or 2021.

Revenue Recognition

The  Company  performs  research  and  development  under  collaboration,  license,  grant,  and  clinical  development  agreements.  The  Company’s 
revenue primarily consists of collaboration agreements and grant funding agreements. At contract inception, the Company analyzes a revenue arrangement 
to determine the appropriate accounting under U.S. GAAP. Currently, the Company’s revenue arrangements represent customer contracts within the scope 
of ASC Topic 606, Revenue from Contracts with Customers (Topic 606) (“ASC 606”) or grant funding agreements subject to the contribution guidance in 
ASC Topic 958-605, Not-for-Profit Entities – Revenue Recognition (“ASC 958-605”), which applies to business entities that receive contributions within 
the scope of ASC 958-605.

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Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

For collaboration agreements, the Company analyzes to assess whether such arrangements involve joint operating activities performed by parties 
that are both active participants in the activities and exposed to significant risks and rewards dependent on the commercial success of such activities. This 
assessment is performed throughout the life of the arrangement based on changes in the responsibilities of all parties in the arrangement. For collaboration 
arrangements that are considered to be in the scope of the collaboration guidance and that contain multiple elements, the Company first determines which 
elements  of  the  collaboration  are  deemed  to  be  within  the  scope  of  the  collaboration  guidance  and  those  that  are  more  reflective  of  a  vendor-customer 
relationship  and,  therefore,  within  the  scope  of  the  revenue  with  contracts  with  customers  guidance.  Elements  of  collaboration  arrangements  that  are 
reflective of a vendor-customer relationship are accounted for pursuant to the revenue from contracts with customers guidance. The terms of the licensing 
and  collaboration  agreements  entered  into  typically  include  payment  of  one  or  more  of  the  following:  non-refundable,  up-front  fees;  development, 
regulatory, and commercial milestone payments; payments for manufacturing supply services; and royalties on net sales of licensed products. Each of these 
payments results in license, collaboration and other revenues, except for revenues from royalties on net sales of licensed products, which are classified as 
royalty revenues. The core principle of the accounting for revenue from contracts with customers guidance is to recognize revenues when promised goods 
or services are transferred to customers in an amount that reflects the consideration that is expected to be received in exchange for those goods or services.

In  determining  the  appropriate  amount  of  revenue  to  be  recognized  as  the  Company  fulfills  its  obligations  under  each  of  its  agreements,  the 
Company  performs  the  following  steps:  (i)  identification  of  the  promised  goods  or  services  in  the  contract;  (ii)  determination  of  whether  the  promised 
goods or services are performance obligations, including whether they are distinct in the context of the contract; (iii) measurement of the transaction price, 
including the constraint on variable consideration; (iv) allocation of the transaction price to the performance obligations based on estimated selling prices; 
and (v) recognition of revenue when (or as) the Company satisfies each performance obligation. 

Amounts  received  prior  to  satisfying  the  revenue  recognition  criteria  are  recorded  as  deferred  revenue  in  the  Company’s  consolidated  balance 
sheets.  If  the  related  performance  obligation  is  expected  to  be  satisfied  within  the  next  twelve  (12)  months,  this  will  be  classified  in  current  liabilities. 
Amounts recognized as revenue prior to receipt are recorded as contract assets in the Company’s consolidated balance sheets. If the Company expects to 
have an unconditional right to receive consideration in the next twelve (12) months, this will be classified in current assets. A net contract asset or liability 
is presented for each contract with a customer.

At contract inception, the Company assesses the goods or services promised in a contract with a customer and identifies those distinct goods and 
services that represent a performance obligation. A promised good or service may not be identified as a performance obligation if it is immaterial in the 
context of the contract with the customer, if it is not separately identifiable from other promises in the contract (either because it is not capable of being 
separated or because it is not separable in the context of the contract), or if the performance obligation does not provide the customer with a material right.

The Company considers the terms of the contract and its customary business practices to determine the transaction price. The transaction price is 
the  amount  of  consideration  to  which  the  Company  expects  to  be  entitled  in  exchange  for  transferring  promised  goods  or  services  to  a  customer.  The 
consideration promised in a contract with a customer may include fixed amounts, variable amounts, or both. Variable consideration will only be included in 
the transaction price when it is not considered constrained, which is when it is probable that a significant reversal in the amount of cumulative revenue 
recognized will not occur.

If it is determined that multiple performance obligations exist, the transaction price is allocated at the inception of the agreement to all identified 
performance  obligations,  based  on  the  relative  standalone  selling  prices.  The  relative  selling  price  for  each  performance  obligation  is  estimated  using 
objective  evidence  if  it  is  available.  If  objective  evidence  is  not  available,  the  Company  uses  its  best  estimate  of  the  selling  price  for  the  performance 
obligation.

Revenue is recognized when, or as, the Company satisfies a performance obligation by transferring a promised good or service to a customer. An 
asset is transferred when, or as, the customer obtains control of that asset, which for a service is considered to be as the services are received and used. The 
Company  recognizes  revenue  over  time  by  measuring  the  progress  toward  complete  satisfaction  of  the  relevant  performance  obligation,  using  an 
appropriate input or output method based on the nature of the good or service promised to the customer.

After contract inception, the transaction price is reassessed at every period end and updated for changes, such as resolution of uncertain events. 

Any change in the transaction price is allocated to the performance obligations on the same basis as at contract inception.

118

 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Management  may  be  required  to  exercise  considerable  judgment  in  estimating  revenue  to  be  recognized.  Judgment  is  required  in  identifying 
performance  obligations,  estimating  the  transaction  price,  estimating  the  stand-alone  selling  prices  of  identified  performance  obligations  (which  may 
include forecasted revenue, development timelines, reimbursement rates for personnel costs, discount rates and probabilities of technical and regulatory 
success) and estimating the progress towards satisfaction of performance obligations.

For  grant  funding  agreements,  grant  revenue  is  recognized  during  the  period  that  the  research  and  development  services  occur,  as  qualifying 
expenses are incurred. The Company concluded that payments received under these grants represent nonreciprocal contributions, as described in ASC 958, 
Not-for-Profit Entities, and that the grants are not within the scope of ASC 606 as the organization providing the grant does not meet the definition of a 
customer. Grant revenue relates primarily to the CEPI Funding Agreement and the Gates Grant Agreement (see Note 7).

Government Contract

Contracts with government agencies, including cost reimbursement agreements, are assessed to determine if the contract should be accounted for 
as  an  exchange  transaction  or  a  contribution.  A  government  contract  is  accounted  for  as  a  contribution  if  the  government  agency  does  not  receive 
commensurate  value  in  return  for  the  assets  transferred.  Contributions  are  recognized  as  grant  revenue  when  there  is  reasonable  assurance  that  the 
contribution will be received, and all attaching conditions have been complied with.

The Company receives reimbursement under its U.S. government contract that support research and development of defined projects. The contract 
generally provides for reimbursement of approved costs incurred under the terms of the contracts. Revenue related to the cost reimbursement provisions 
under the Company’s U.S. government contract is recognized as the qualified direct and indirect costs on the projects are incurred. The Company invoices 
under  its  U.S.  government  contract  using  the  provisional  rates  in  the  government  contract  and  thus  is  subject  to  future  audits  at  the  discretion  of  the 
government. The Company believes that government contract revenue for periods not yet audited has been recorded in amounts that are expected to be 
realized upon final audit and settlement. However, these audits could result in an adjustment to government contract revenue previously reported, which 
adjustments could be potentially significant. Costs incurred related to services performed under the contract are included as a component of research and 
development or selling, general and administrative expenses in the Company’s consolidated statements of operations. The Company’s use of estimates in 
recording accrued liabilities for government contract activities (see “Use of Estimates” above) affects the revenue recorded from development funding and 
under the government contracts. Grant revenue related to the U.S. government contract relates to the BARDA Contract (see Note 7).

Stock-Based Compensation

The Company measures and recognizes compensation expense for all stock-based awards made to employees, directors, and non-employees based 
on the grant date estimated fair value of each award. Such expense is recognized on a straight-line basis over the requisite service period which is generally 
the  vesting  period  for  the  entire  award.  Expense  is  adjusted  for  estimated  forfeitures.  Forfeitures  of  awards  are  estimated  based  on  historical  forfeiture 
experience and the experience of other companies in the same industry. The estimate of forfeitures will be adjusted over the service period to the extent that 
actual forfeitures differ, or are expected to differ, from prior estimates.

The Company estimates the fair value of stock option grants and employee stock purchase plan (ESPP) purchase rights using the Black-Scholes 
option-pricing  model  (“the  Black-Scholes  model”).  The  Black-Scholes  model  requires  management  to  make  assumptions  and  judgments  about  the 
variables used in the calculation, including the expected term (weighted-average period of time that the options granted are expected to be outstanding), the
expected volatility of common stock, an assumed risk-free interest rate, and expected dividends the Company may pay. Management uses the simplified 
calculation (based on the mid-point between the vesting date and the end of the contractual term) of the expected term for its stock options as the Company 
has concluded that its stock option history does not provide a reasonable basis upon which to estimate expected term. Volatility is based on an average of 
the historical volatilities of the common stock of entities with characteristics similar to the Company’s. The risk-free rate is based on the U.S. Treasury 
yield curve in effect at the time of grant for periods corresponding with the expected life of the option. The Company uses an assumed dividend yield of 
zero as the Company has never paid dividends and has no current plans to pay any dividends on its common stock.

119

 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Research and Development Expenses

All research and development costs, including work performed by third parties, are expensed as incurred. Research and development costs consist 
of salaries and other personnel-related expenses, including associated non-cash stock-based compensation, consulting fees, laboratory supplies, and facility 
costs, as well as external research and development expenses incurred under arrangements with third parties, fees paid to other entities that conduct certain 
research and development activities on behalf of the Company, and costs incurred related to our collaboration agreements. Costs to develop the Company’s 
technologies are recorded as research and development expense unless certain costs which meet the criteria to be capitalized as internal-use software costs 
is  met.  Payments  made  prior  to  the  receipt  of  goods  or  services  to  be  used  in  research  and  development  are  capitalized  until  the  goods  are  received  or 
services are realized or consumed. Such payments are evaluated for current or long-term classification based on when they will be realized.

Clinical and pre-clinical costs are a component of research and development expense. The Company accrues and expenses clinical and pre-clinical 
trial  activities  performed  by  third  parties  based  upon  actual  work  completed  in  accordance  with  agreements  established  with  its  service  providers.  The 
Company determines the actual costs through discussions with internal personnel and external service providers as to the progress or stage of completion of 
services and the agreed-upon fee to be paid for such services.

Leases 

The Company determines whether the arrangement is or contains a lease at the inception of the arrangement and if such a lease is classified as a 
financing lease or operating lease. The majority of the Company’s leases are classified as operating leases. Leases with a term greater than one year are 
included in operating lease ROU Assets, lease liabilities, current portion, and lease liabilities, net of current portion in the Company’s consolidated balance 
sheets at December 31, 2023 and 2022. The Company has elected not to recognize on the consolidated balance sheets leases with terms of one year or less. 
Lease  liabilities  and  their  corresponding  ROU  Assets  are  recorded  based  on  the  present  value  of  lease  payments  over  the  expected  lease  term.  In 
determining the net present value of lease payments, the interest rate implicit in lease contracts is typically not readily determinable. As such, the Company 
estimates the appropriate incremental borrowing rate, which is the rate that would be incurred to borrow on a collateralized basis over a similar term an 
amount equal to the lease payments in a similar economic environment. Certain adjustments to the ROU Assets may be required for items such as initial 
direct costs paid or incentives received and impairment charges if we determine the ROU Asset is impaired.

The Company considers a lease term to be the non-cancelable period that it has the right to use the underlying asset, including any periods where it 
is reasonably assured the Company will exercise the option to extend the contract. Periods covered by an option to extend are included in the lease term if 
the lessor controls the exercise of that option.

The Company recognizes lease expense on a straight-line basis over the expected lease term.

The Company has elected not to separate lease and non-lease components for its leased assets and accounts for all lease and non-lease components 
of its agreements as a single lease component. The lease components resulting in a ROU Asset have been recorded on the consolidated balance sheets and 
amortized as lease expense on a straight-line basis over the lease term.

Income Taxes

The Company accounts for income taxes under the liability method. Under this method, deferred tax assets and liabilities are determined based on 
the differences between the financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates that will be in effect when 
the differences are expected to reverse. Valuation allowances are established when necessary to reduce deferred tax assets to the amounts expected to be 
realized.

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Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

The Company recognizes and measures uncertain tax positions using a two—step approach set forth in authoritative guidance. The first step is to 
evaluate the tax position taken or expected to be taken by determining whether the weight of available evidence indicates that it is more likely than not that 
the  tax  position  will  be  sustained  in  an  audit,  including  resolution  of  any  related  appeals  or  litigation  processes.  The  second  step  is  to  measure  the  tax 
benefit as the largest amount that is more than 50% likely to be realized upon ultimate settlement. Significant judgment is required to evaluate uncertain tax 
positions. The Company evaluates uncertain tax positions on a regular basis. The evaluations are based on a number of factors, including changes in facts 
and  circumstances,  changes  in  tax  law,  correspondence  with  tax  authorities  during  the  course  of  the  audit,  and  effective  settlement  of  audit  issues.  The 
provision for income taxes includes the effects of any accruals that the Company believes are appropriate. It is the Company’s policy to recognize interest 
and penalties related to income tax matters in income tax expense. Through December 31, 2023, the Company had not accrued interest or penalties related 
to uncertain tax positions.

On March 18, 2020, the Families First Coronavirus Response Act (the “FFCR Act”), and on March 27, 2020, the Coronavirus Aid, Relief, and 
Economic  Security  Act  (the  “CARES  Act”)  were  each  enacted  in  response  to  the  COVID-19  pandemic.  The  FFCR  Act  and  the  CARES  Act  contain 
numerous  income  tax  provisions  relating  to  refundable  payroll  tax  credits,  deferment  of  employer  side  social  security  payments,  net  operating  loss 
carryback  periods,  alternative  minimum  tax  credit  refunds,  modifications  to  the  net  interest  deduction  limitations  and  technical  corrections  to  tax 
depreciation methods for qualified improvement property.

On June 29, 2020, Assembly Bill 85 (“A.B. 85”) was signed into California law. A.B. 85 provides for a three-year suspension of the use of net 
operating losses for medium and large businesses and a three-year cap on the use of business incentive tax credits to offset no more than $5.0 million of tax 
per year. A.B. 85 suspends the use of net operating losses for taxable years 2020 and 2021 for certain taxpayers with taxable income of $1.0 million or 
more.  The  carryover  period  for  any  net  operating  losses  that  are  suspended  under  this  provision  will  be  extended.  A.B.  85  also  requires  that  business 
incentive tax credits, including carryovers, may not reduce the applicable tax by more than $5.0 million for taxable years 2020 and 2021.

The FFCR Act, CARES Act and A.B. 85 did not have a material impact on the Company’s consolidated financial statements as of December 31, 

2023.

Effective January 1, 2022, a provision of the Tax Cuts and Jobs Act (TCJA) took effect creating a significant change to the treatment of research 
and  experimental  expenditures  under  Section  174  of  the  Internal  Revenue  Code  (Sec.  174  expenses).  Historically,  businesses  have  had  the  option  of 
deducting Sec. 174 expenses in the year incurred or capitalizing and amortizing the costs over five years. The new TCJA provision, however, eliminates 
this option and will require Sec. 174 expenses associated with research conducted in the United States to be capitalized and amortized over a five-year 
period. For expenses associated with research outside of the United States, Sec. 174 expenses will be capitalized and amortized over a 15-year period. This 
provision did not have a material impact on the Company's consolidated financial statements as of December 31, 2023.

Comprehensive Loss

Comprehensive loss includes net loss and certain changes in stockholders’ equity that are excluded from net loss, primarily unrealized gains and 

losses on the Company’s marketable securities.

Net Loss Per Share

Basic net loss per share is calculated by dividing the net loss by the weighted-average number of shares of common stock outstanding during the 
period,  without  consideration  for  common  stock  equivalents.  Diluted  net  loss  per  share  is  the  same  as  basic  net  loss  per  share,  since  the  effects  of 
potentially dilutive securities are antidilutive given the net loss for each period presented.

Recently Issued Accounting Pronouncements Not Yet Adopted

In August 2020, the FASB issued ASU No. 2020-06, Debt  -  Debt  with  Conversion  and  Other  Options  (Subtopic 470-20) and Derivatives  and 
Hedging - Contracts in Entity’s Own Equity (“ASU 2020-06”). The standard eliminates the beneficial conversion and cash conversion accounting models 
for  convertible  instruments.  It  also  amends  the  accounting  for  certain  contracts  in  an  entity’s  own  equity  that  are  currently  accounted  for  as  derivatives 
because of specific settlement provisions. In addition, the standard modifies how particular convertible instruments and certain contracts that may be settled 
in cash or shares impact the diluted EPS computation. The amendments in ASU 2020-06 are effective for the Company for fiscal years beginning after 
December  15,  2023,  including  interim  periods  within  those  fiscal  years.  Early  adoption  is  permitted,  but  not  earlier  than  fiscal  years  beginning  after 
December 15, 2020. The 

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Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Company does not expect the adoption of ASU 2020-06 to have a material impact on its consolidated financial statements and related disclosures.

In  November  2023,  the  FASB  issued  ASU  No.  2023-07,  Segment  Reporting  (Topic  280):  Improvements  to  Reportable  Segment  Disclosures
(“ASU 2023-07”). The standard improves reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment 
expenses.  In  addition,  the  guidance  enhances  interim  disclosure  requirements,  clarifies  circumstances  in  which  an  entity  can  disclose  multiple  segment 
measures  of  profit  or  loss,  provides  new  segment  disclosure  requirements  for  entities  with  a  single  reportable  segment  and  contains  other  disclosure 
requirements. The purpose of the guidance is to enable investors to better understand an entity’s overall performance and assess potential future cash flows.  
The  amendments  in  ASU  2023-07  are  effective  for  the  Company  for  fiscal  years  beginning  after  December  15,  2023,  and  interim  periods  within  fiscal 
years beginning after December 15, 2024. Early adoption is permitted. The Company does not expect the adoption of ASU 2023-07 to have a material 
impact on its consolidated financial statements and related disclosures.

In  December  2023,  the  FASB  issued  ASU  No.  2023-09,  Income  Taxes-Improvements  to  Income  Tax  Disclosures,  which  requires  greater 
disaggregation of income tax disclosures related to the income tax rate reconciliation and income taxes paid ("ASU 2023-09"). ASU 2023-09 is effective 
for  the  Company  for  the  year  ending  December  31,  2025,  although  early  adoption  is  permitted.  The  Company  is  currently  evaluating  the  impact  of  the 
provisions of ASU 2023-09.

3.  Cash Equivalents and Marketable Securities

The amortized cost, unrealized gains and losses and fair values of cash equivalents and marketable securities were as follows (in thousands):

Description
Cash equivalents:
Money market funds
Commercial paper
U.S. government debt securities

Total cash equivalents

Short-term marketable securities:
Commercial paper
Corporate debt securities
U.S. government treasuries
U.S. government debt securities

Total short-term marketable securities

Total

Amortized
Cost

December 31, 2023

Unrealized
Gains

Unrealized
Losses

Fair
Value

39,243     $
4,484    
2,250    
45,977  

3,485    
939    
9,861    
2,000    
16,285    
62,262     $

—     $
—      
—      
—  

—      
—      
5      
—      
5      
5     $

—     $
—      
—      
—  

—      
—      
(1 )    
(1 )    
(2 )    
(2 )   $

39,243  
4,484  
2,250  
45,977  

3,485  
939  
9,865  
1,999  
16,288  
62,265  

  $

  $

122

 
 
 
 
 
 
 
   
   
   
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Description
Cash equivalents:
Money market funds

Total cash equivalents

Short-term marketable securities:
Certificates of deposit
Commercial paper
Corporate debt securities
U.S. government treasuries
U.S. government debt securities

Total short-term marketable securities

Long-term marketable securities:
Corporate debt securities
U.S. government treasuries

Total long-term marketable securities

Total

Amortized
Cost

December 31, 2022

Unrealized
Gains

Unrealized
Losses

Fair
Value

  $

38,191     $
38,191  

948    
33,318    
21,887    
35,608    
24,703    
116,464    

933    
3,103    
4,036    
158,691     $

  $

—     $
—  

1      
23      
6      
3      
22      
55      

—      
—      
—      
55     $

—     $
—  

—      
(13 )    
(40 )    
(71 )    
(6 )    
(130 )    

(1 )    
(4 )    
(5 )    
(135 )   $

38,191  
38,191  

949  
33,328  
21,853  
35,540  
24,719  
116,389  

932  
3,099  
4,031  
158,611  

As  of  December  31,  2023  and  2022,  the  Company  had  a  total  of  $79.3  million  and  $175.9  million  in  cash,  cash  equivalents  and  marketable 
securities, which includes $63.0 million and $55.5  million  in  cash  and  cash  equivalents  and  $16.3  million  and  $120.4  million  in  marketable  securities, 
respectively.

All marketable securities held as of December 31, 2023, had contractual effective maturities of less than one year. There have been no material 
realized gains or losses on marketable securities for the periods presented. As of December 31, 2023, the Company did not hold any individual securities in 
an unrealized loss position for 12 months or greater. The Company has the ability and intent to hold all marketable securities that have been in a continuous 
loss position until maturity or recovery. No significant facts or circumstances have arisen to indicate that there has been any significant deterioration in the 
creditworthiness of the issuers of the securities held by us, thus there has been no recognition of any other-than-temporary impairment in the year ended 
December 31, 2023, 2022 or 2021. The Company has not recorded an allowance for credit losses as of December 31, 2023 or 2022. 

See Note 4 for further information regarding the fair value of the Company’s consolidated financial instruments.

4.  Fair Value Measurements

The  Company’s  financial  assets  and  liabilities  subject  to  fair  value  measurements  on  a  recurring  basis  and  the  level  of  inputs  used  in  such 

measurements were as follows (in thousands):

Description
Cash equivalents:
   Money market funds
   Commercial paper
   U.S. government debt securities

Total cash equivalents

Short-term marketable securities:
Commercial paper
   Corporate debt securities
   U.S. government treasuries
   U.S. government debt securities

Total short-term marketable securities

Total

Total

Level 1

Level 2

Level 3

December 31, 2023

39,243     $
4,484    
2,250    
45,977    

3,485    
939    
9,865    
1,999    
16,288  
62,265     $

39,243  
—  
—  
39,243  

—  
—  
9,865  
—  
9,865  
49,108  

  $

  $

  $

—  
4,484  
2,250  
6,734  

3,485  
939  
—  
1,999  
6,423  
13,157  

  $

—  
—  
—  
—  

—  
—  
—  
—  
—  
—  

  $

  $

123

 
 
 
 
 
 
   
   
   
 
 
 
   
 
   
 
   
 
 
 
 
   
   
   
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
   
   
 
 
   
 
   
 
   
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
   
   
 
 
 
   
   
 
 
   
   
   
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Description
Cash equivalents:
   Money market funds

Total cash equivalents

Short-term marketable securities:
Certificates of deposit
Commercial paper
   Corporate debt securities
   U.S. government treasuries
   U.S. government debt securities

Total short-term marketable securities

Long-term marketable securities:
   Corporate debt securities
   U.S. government treasuries

Total long-term marketable securities

Total

Total

Level 1

Level 2

Level 3

December 31, 2022

  $

38,191     $
38,191    

  $

38,191  
38,191  

  $

—  
—  

949    
33,328    
21,853    
35,540    
24,719    
116,389  

932  
3,099  
4,031  
158,611     $

—  
—  
—  
35,540  
—  
35,540  

—  
3,099  
3,099  
76,830  

  $

949  
33,328  
21,853  
—  
24,719  
80,849  

932  
—  
932  
81,781  

  $

  $

—  
—  

—  
—  
—  
—  
—  
—  

—  
—  
—  
—  

The Company measures the fair value of money market funds and U.S. treasuries based on quoted prices in active markets for identical securities. 
Commercial paper, corporate debt securities, certificates of deposits, asset backed securities, and U.S. government debt securities are valued taking into 
consideration  valuations  obtained  from  third-party  pricing  services.  These  pricing  services  utilize  industry  standard  valuation  models,  including  both 
income  and  market-based  approaches,  for  which  all  significant  inputs  are  observable,  either  directly  or  indirectly,  to  estimate  fair  value.  These  inputs 
include  reported  trades  of,  and  broker/dealer  quotes  on,  the  same  or  similar  securities,  issuer  credit  spreads;  benchmark  securities;  prepayment/default 
projections based on historical data; and other observable inputs.

There were no transfers between Level 1 and Level 2 during the periods presented. See Note 3 for further information regarding the amortized cost 

of our financial instruments.

5.  Property and Equipment, Net

Property and equipment and related accumulated depreciation and amortization are as follows (in thousands):

Computer equipment and software
Furniture and fixtures
Laboratory equipment
Leasehold improvements

Less accumulated depreciation and amortization
Construction-in-progress
Total property and equipment, net

December 31,

2023

2022

1,704  
2,723  
29,521  
15,733  
49,681  
(32,415 )
15  
17,281  

  $

  $

1,155  
2,285  
27,309  
18,024  
48,773  
(28,782 )
1,344  
21,335  

  $

  $

Depreciation and amortization expense was $7.6 million, $6.6 million, and $6.3 million for the years ended December 31, 2023, 2022, and 2021, 

respectively.

124

 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
 
   
 
   
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
   
   
 
 
 
   
   
 
 
 
   
   
 
 
   
   
   
 
     
     
     
   
 
 
   
   
   
 
 
   
   
   
 
 
   
   
   
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
   
 
 
   
 
 
 
   
 
 
   
 
 
   
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

6.  Commitments and Contingencies

Leases

The Company leases office, laboratory and storage space in facilities at several locations:

Emeryville Lease

The Company’s principal executive offices in Emeryville, California, consisting of office and laboratory space, are leased pursuant to a 120-month 
operating  lease  (the  “Emeryville  Lease”),  which  the  Company  entered  into  in  January  2019,  with  the  obligation  to  pay  rent  commencing  in  November 
2019. In conjunction with signing the Emeryville Lease, the Company paid a cash security deposit of $0.6 million, which is recorded as a deposit on the 
Company’s  consolidated  balance  sheets  as  of  December  31,  2023  and  2022.  The  Emeryville  Lease  includes  a  free  rent  period,  an  escalation  clause  for 
increased rent and a renewal provision allowing the Company to extend this lease for an additional two five-year periods at the then market rental rate. The 
lessor provided the Company a tenant improvement allowance for a total of $4.0 million to complete the laboratory and office renovation. The Company 
has determined the tenant improvements to be lessee owned. The Company recorded a $7.3 million ROU Asset and a $11.6 million lease liability on the 
consolidated  balance  sheet  as  of  December  31,  2023.  The  Company  recorded  a  $8.1  million  ROU  Asset  and  a  $12.8  million  lease  liability  on  the 
consolidated balance sheet as of December 31, 2022.

Pleasanton Leases

The  Company  leases  office,  cleanroom,  and  laboratory  support  manufacturing  space  in  Pleasanton,  California  pursuant  to  a  non-cancelable 
operating lease (the “Pleasanton Lease”), which the Company entered into in March 2017, with the obligation to pay rent commencing in December 2017. 
The Pleasanton Lease includes a free rent period, escalating rent payments and a term that expires on November 30, 2024. The Company may extend the 
lease term for a period of five years at the then market rental rate. The Company obtained an irrevocable letter of credit in March 2017 in the initial amount 
of approximately $1.0 million as a security deposit to the Pleasanton Lease, which may be drawn down by the landlord in the event the Company fails to 
fully  and  faithfully  perform  its  obligations  under  the  Pleasanton  lease.  The  letter  of  credit  may  be  reduced  based  on  certain  levels  of  cash  and  cash 
equivalents  the  Company  holds.  In  October  2022,  the  letter  of  credit  was  reduced  to  a  balance  of  $0.6  million.  As  of  December  31,  2022,  none  of  the 
irrevocable  letter  of  credit  amount  had  been  drawn.  The  Pleasanton  Lease  further  provides  that  the  Company  is  obligated  to  pay  to  the  landlord  its 
proportionate share of certain basic operating costs, including taxes and operating expenses.

In connection with the Pleasanton Lease, the Company received a tenant improvement allowance of $1.2 million from the landlord for the costs 
associated  with  the  design,  development  and  construction  of  tenant  improvements.  The  unamortized  tenant  improvement  balance  is  recognized  as  a 
component of operating lease ROU Assets on the consolidated balance sheets as of December 31, 2023 and 2022.

In  addition,  in  May  2019,  the  Company  entered  into  a  64-month  non-cancelable  operating  lease  for  additional  office  space  in  Pleasanton, 
California, with an obligation to pay rent commencing in August 2019. In January 2022, the Company amended the lease to add additional leased space 
and extend the lease expiration date to February 2027. 

Cambridge Leases

The  Company  leases  or  has  leased  laboratory,  office  and  storage  space  in  several  facilities  in  Cambridge,  Massachusetts,  pursuant  to  different 

lease agreements:

The Company’s facility located at 40 Erie Street in Cambridge, Massachusetts is leased pursuant to a 67-month non-cancelable operating lease (as 
amended, the “40 Erie Lease”), which the Company entered into in February 2016, with an obligation to pay rent commencing in October 2016. The lessor 
provided the Company a tenant improvement allowance for a total of $2.1 million to complete the laboratory and office renovation. In September 2021, the 
Company executed an amendment to the 40 Erie Lease, which extends its term through April 2025 and provides for monthly base rent amounts, subject to 
annual increases over the term of the lease.

In  conjunction  with  the  move  to  the  Boston  facility,  the  Company  ceased  use  of  the  40  Erie  Street  facility,  which  triggered  an  impairment 
assessment. In connection with the impairment assessment, the Company recorded an impairment loss of $2.0 million related to the ROU Asset from the 40 
Erie Lease, which is included in operating expenses on the consolidated statement of operations and 

125

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

comprehensive loss  for  the  year  ended  December  31,  2023.  The  Company  is  subject  to  the  fixed  rental  fee  payments  for  the  existing  lease  through  the 
remaining term until May 2025.

The Company’s facility located at 21 Erie Street in Cambridge, Massachusetts was leased pursuant to a 24-month non-cancelable operating lease 
(as amended, the “21 Erie Lease”), which the Company entered into in September 2018. The 21 Erie Lease has since been amended five times, as a result 
of which the lease term extended through June 2023.  

In  March  2021,  the  Company  entered  into  a  17-month  operating  lease  (as  amended,  the  “Cambridge  Storage  Lease”)  for  additional  office  and 
laboratory storage space in Cambridge, Massachusetts, which commenced on April 1, 2021. The Company also paid an insignificant cash security deposit.
The Cambridge Storage Lease was amended in June 2022 to extend the lease term through June 30, 2023.

In conjunction with the 40 Erie Lease, the 21 Erie Lease and the Cambridge Storage Lease, each as amended (if applicable), the Company has paid 
certain cash security deposits, which in each case included amounts for the applicable last month’s rent and has been classified as part of the operating lease 
ROU  Assets.  As  of  December  31,  2023,  the  $0.3  million  security  deposit  was  recorded  in  deposits  and  other  long-term  assets  on  the  Company's 
consolidated balance sheet and relates to the 40 Erie Lease. The security deposits for the 21 Erie Lease and the Cambridge Storage Lease were returned to 
the  Company  upon  lease  termination  in  2023.  As  of  December  31,  2022,  of  the  $0.7  million  security  deposits,  $0.4  million  was  recorded  in  prepaid 
expenses  and  other  current  assets  and  the  remaining  $0.3  million  was  recorded  in  deposits  and  other  long-term  assets  on  the  Company's  consolidated
balance sheet.

Boston Lease

The Company occupies a newly built facility in Boston, Massachusetts, with office and laboratory space, pursuant to a 120-month operating lease 
(as amended, the “Boston Lease”), which the Company entered into in September 2021. The Boston Lease includes a free rent period, an escalation clause 
for increased rent and a renewal provision allowing the Company to extend the Boston Lease for two additional five-year periods at the then market rental 
rate.  The  landlord  provided  the  Company  with  a  tenant  improvement  allowance  of  up  to  approximately  $19.1  million  for  costs  relating  to  the  design, 
permitting and construction of improvements owned by the landlord. The Company incurred tenant improvement costs relating to the initial design and 
construction of the improvements before the commencement date which were accounted for as lease prepayments. The Company’s obligation to pay rent 
commenced in July 2023, subject to free rent periods of three and nine months with respect to certain premises. The Company was provided early access to 
the  premises  to  install  fixtures  and  equipment  60  days  prior  to  the  anticipated  rent  commencement  date.  The  Boston  Lease  expires  in  2033.  Under  the 
Boston  Lease,  the  Company  is  obligated  to  pay  to  the  landlord  its  proportionate  share  of  certain  basic  operating  costs,  including  taxes  and  operating 
expenses. As a security deposit under the Boston Lease, the Company provided the landlord an irrevocable letter of credit in the amount of approximately 
$4.6 million, which is collateralized by a restricted cash deposit of $4.7 million, and which may be reduced in the fifth and seventh years of the Boston 
Lease. As of December 31, 2023, none of the irrevocable letter of credit amount had been drawn. 

The Boston Lease commenced in April 2023, when the Company was provided early access to the premises and gained control over the use of the 
underlying assets. Upon commencement, the Company recognized an ROU Asset of $59.3 million and a lease liability of $50.9 million on the consolidated 
balance sheet. Upon commencement, the ROU Asset includes $8.4 million of lease prepayments made before the commencement date, which are primarily
related to the lessor owned tenant improvement cost. 

In September 2023, the Company amended the Boston Lease, whereby the lease term commenced on July 1, 2023 and expires on June 30, 2033.

The  Company’s  operating  leases  include  various  covenants,  indemnities,  defaults,  termination  rights,  security  deposits  and  other  provisions 

customary for lease transactions of this nature.

126

 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

The components of lease costs, which were included in our consolidated statements of operations and comprehensive loss, were as follows (in 

thousands):

Lease cost
Operating lease cost
Short-term lease cost
Total lease cost

Supplemental information related to leases was as follows:

Cash paid for amounts included in the measurement of lease liabilities (in 
thousands):
Operating cash flows from operating leases
New right-of-use assets obtained in exchange for lease obligations (in thousands):
Right-of-use assets obtained from entering new leases
Increase in right-of-use assets from lease modifications
Weighted average remaining lease term (years):
Operating leases
Weighted average discount rate:
Operating leases

  $

  $

  $

  $
  $

2023

Year ended December 31,
2022

2021

13,561     $
30    
13,591     $

8,797     $
—    
8,797     $

7,973  
—  
7,973  

2023

Year ended December 31,
2022

2021

17,290     $

8,915     $

7,925  

59,604     $
706     $

553     $

1,406    

8.30    

10.1 % 

5.10    

7.7 % 

6,562  
-  

5.30  

7.4 %

As of December 31, 2023, minimum annual payments under the Company’s lease agreements are as follows (in thousands):

Year ending December 31,
2024
2025
2026
2027
2028
Thereafter
Total minimum payments

Less: Amounts representing interest expense
Present value of future minimum lease payments
Less: Current portion of lease liability
Noncurrent portion of lease liability

Guarantees and Indemnifications

Lease Financing
Obligation

12,834  
10,749  
10,376  
10,466  
10,732  
41,615  
96,772  
(32,141 )
64,631  
(6,904 )
57,727  

$

The Company, as permitted under Delaware law and in accordance with its amended and restated certificate of incorporation, as amended, and 
amended and restated bylaws, and pursuant to indemnification agreements with certain of its officers and directors, indemnifies its officers and directors for 
certain events or occurrences, subject to certain limits, with respect to which the officer or director is or was serving in such capacity at the Company’s 
request. The term of the indemnification period lasts as long as an officer or director may be subject to any proceeding arising out of acts or omissions of 
such officer or director in such capacity. The maximum amount of potential future indemnification is unlimited; however, the Company currently holds 
director and officer liability insurance. This insurance limits the Company’s exposure and may enable it to recover a portion of any future amounts paid. 
The  Company  believes  that  the  fair  value  of  these  indemnification  obligations  is  minimal.  Accordingly,  the  Company  has  not  recognized  any  liabilities 
relating to these obligations for any period presented.

127

 
 
 
 
 
 
 
   
   
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
     
     
   
 
     
     
   
 
     
     
   
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

7.  Collaboration and License Agreements

2seventy bio, Inc.

In August 2018, the Company entered into a Research Collaboration and License Agreement with bluebird bio, Inc. (“bluebird”). In November 
2021, bluebird assigned the Research Collaboration and License Agreement (the “2seventy Agreement”), to its affiliate, 2seventy bio, Inc. (“2seventy”), in 
connection  with  an  internal  restructuring  and  subsequent  spin-out  of  2seventy.  Under  the  terms  of  the  2seventy  Agreement,  the  Company  provides  to 
2seventy tumor-specific targets across several tumor types and, in certain cases, T cell receptors (TCR) directed to those targets. The Company received a 
non-refundable upfront payment of $20.0 million, and 2seventy also concurrently acquired 768,115 shares of the Company’s Series C convertible preferred 
stock  for  $10.0  million  at  $13.04  per  share.  Per  the  2seventy  Agreement,  2seventy  was  also  provided  an  option  to  acquire  shares  of  the  Company’s 
common  stock  at  the  same  price  as  all  other  investors  in  connection  with  the  Company’s  initial  public  offering  (“IPO”).  In  October  2018,  2seventy 
purchased 666,667 shares of the Company’s common stock at the price to the public of $15.00 per share for a total of $10.0 million. Under the terms of the 
2seventy Agreement, the Company is eligible to earn development, regulatory, and sales-based milestones in an amount of up to $1.2 billion, and single-
digit royalties on sales of products that utilize the technology subject to the 2seventy Agreement. None of these events had occurred as of December 31, 
2023, and no royalties were due from the sale of licensed products.

In  August  2019,  the  Company  entered  into  a  First  Amendment  to  the  2seventy  Agreement,  which  extended  the  timeline  for  the  Company  and 
2seventy to execute a Patient Selection Services Agreement from within one year to within two years after the Effective Date of the 2seventy Agreement. 
In August 2020, the Company entered into a Second Amendment, which extended the timeline of the Patient Selection Services Agreement to within three 
years  and  also  extended  the  Tissue  Analysis  Period  from  February  28,  2021  to  June  30,  2021.  In  April  2021,  the  Company  entered  into  a  Third 
Amendment,  which  removed  the  Patient  Selection  Services  Agreement  in  its  entirety  and  extended  the  Tissue  Analysis  Period  from  June  30,  2021  to 
December 31, 2021. In November 2023, the Company entered into a Fourth Amendment, which extended the timeline of the Target Designation Period for 
a final TCR discovery campaign to January 31, 2024. The amendments were entered into for administrative purposes, and the Company determined the 
amendments were not a modification of contract under the contract with customers guidance.

2seventy may terminate the 2seventy Agreement by giving a 120-day prior written notice to the Company at any time after the effective date of 
the  agreement.  Unless  terminated  early,  the  agreement  has  a  term  that  ends  upon  the  last  payment  owed  by  the  Company  on  a  licensed  product.  The 
2seventy Agreement may be terminated for cause by either party based on an uncured material breach by the other party or bankruptcy of the other party.
Upon  early  termination,  all  ongoing  activities  under  the  agreement  and  all  mutual  collaboration,  development  and  commercialization  licenses  and 
sublicenses will terminate. The licenses granted by the Company to 2seventy under the licensed intellectual property will remain in effect in accordance 
with their respective terms. Additionally, all of 2seventy’s payment obligations that have not yet accrued related to future milestone and royalty payments 
will be reduced by 50% for the remainder of the agreement term.

The Company concluded that 2seventy is a customer, and the contract is not subject to guidance on collaborative arrangements. This is because the 
Company granted 2seventy a license to the Company’s intellectual property and provided research and development services, all of which are outputs of 
the Company’s ongoing activities, in exchange for consideration.

The Company identified the following three material promises under the 2seventy Agreement: (i) transfer of a license to intellectual property and 
related  technology  know-how  (“License  and  Know-How”);  (ii)  the  obligation  to  perform  target  selection  and  TCR  generation  services  (“Research  and 
Development Services”); and (iii) participation on the Joint Steering Committee (the “JSC”). The Company provided to 2seventy standard indemnification 
and protection of licensed intellectual property, which is part of assurance that the license meets the contract’s specifications and is not an obligation to 
provide goods or services.

The Company considered that the License and Know-How has standalone functionality, was considered to be functional intellectual property, and 
is  capable  of  being  distinct.  However,  the  Company  determined  that  the  License  and  Know-How  is  not  distinct  from  the  Research  and  Development 
Services or participation on the JSC within the context of the 2seventy Agreement, because 2seventy is dependent on the Company to execute the Research 
and Development Services and participate on the JSC in order for 2seventy to benefit from the License and Know-How. As such, the License and Know-
How is combined with the Research and Development Services and participation on the JSC into a single performance obligation, and the transaction price 
under this arrangement will be allocated to this single performance obligation.

128

 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

The  Company  has  also  determined  that  all  other  goods  or  services  that  are  contingent  upon  2seventy  reaching  various  milestones  are  not 

considered performance obligations at the inception of the arrangement.

The transaction price at the inception of the 2seventy Agreement consisted of the upfront payment of $20.0 million and the $10.0 million received 
from  2seventy  for  the  purchase  of  the  Company’s  Series  C  convertible  preferred  stock.  The  sale  of  the  Series  C  convertible  preferred  stock  was  not 
considered to be a performance obligation, as it was a separate financing component of the transaction. Accordingly, $10.0 million of the transaction price 
was  allocated  to  the  issuance  of  768,115  shares  of  Series  C  convertible  preferred  stock  at  fair  value  of  $13.04  per  share  and  recorded  in  stockholders’ 
equity.

The variable consideration related to the remaining development, regulatory, and sales-based milestones payments has not been included in the 
initial transaction price and continues to be fully constrained as of December 31, 2023. As part of its evaluation of the constraint, the Company considered 
numerous factors, including that receipt of the milestones is outside the control of the Company and contingent upon initiation of clinical trials for early-
stage  targets  and  2seventy’s  development  efforts.  Any  variable  consideration  related  to  sales-based  milestones  (including  royalties)  will  be  recognized 
when the related sales occur, as they were determined to relate predominantly to the License and Know-How granted to 2seventy. The Company will re-
evaluate the transaction price in each reporting period and as uncertain events are resolved or other changes in circumstances occur.

 For revenue recognition purposes, the Company determined that the duration of the 2seventy Agreement began on the effective date in August 
2018 and ends upon completion of the Research and Development Services, which is also when the participation on the JSC is no longer an obligation. The 
contract duration is defined as the period in which parties to the contract have present enforceable rights and obligations. The Company also analyzed the 
impact of 2seventy terminating the agreement prior to August 2023 and determined, considering both quantitative and qualitative factors, that there were 
substantive non-monetary penalties to 2seventy for doing so.

Revenue is recognized when, or as, the Company satisfies its performance obligation by transferring the promised services to 2seventy. Revenue is 
being recognized over time using a cost-based input method, based on internal labor cost effort to perform the research services, since the internal labor 
cost incurred over time is thought to best reflect the transfer of services to 2seventy. In applying a cost-based input method of revenue recognition, we use 
actual costs incurred relative to budgeted costs to fulfill the combined performance obligation. A cost-based input method of revenue recognition requires 
us  to  make  estimates  of  costs  to  complete  the  performance  obligation.  The  cumulative  effect  of  any  revisions  to  estimated  costs  to  complete  the 
performance obligation will be recorded in the period in which changes are identified and amounts can be reasonably estimated. A significant change in 
these assumptions and estimates could have a material impact on the timing and amount of revenue recognized in future periods.

For the years ended December 31, 2023, 2022, and 2021, the Company recognized $1.0 million, $7.7 million, and $3.0 million, respectively, in 
collaboration revenue under the 2seventy Agreement. The amount of collaboration revenue recognized during the year ended December 31, 2022 included 
cumulative  catch-up  adjustments  increasing  collaboration  revenue  by  $6.4  million  due  to  revisions  to  estimated  costs  to  complete  the  remaining 
performance obligation. The adjustments resulted in a decrease in the Company’s loss from operations of $6.4 million and a decrease in loss per share of 
$0.07  for  the  year  ended  December  31,  2022.  No  deferred  revenue  was  recorded  on  the  consolidated  balance  sheet  as  of  December  31,  2023.  Deferred 
revenue of $1.0  million  was  recorded  on  the  consolidated  balance  sheet  in  current  liabilities  as  of  December  31,  2022.  Deferred  revenue  related  to  the 
performance obligations identified under the 2seventy Agreement that was recognized over the period the performance obligations were satisfied.

Changes in the deferred revenue balance during the year ended December 31, 2023 are as follows (in thousands):

Balance at December 31, 2022

Additions
Deductions

Balance at December 31, 2023

Deferred Revenue

1,047    
—    
(1,047 )  
—    

  $

  $

There were no receivables or net contract assets recorded as of December 31, 2023 or 2022 associated with the 2seventy Agreement.

Gilead Sciences, Inc.

129

 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

In January 2021, the Company entered into a Collaboration, Option and License Agreement (the “Gilead Collaboration Agreement”) with Gilead 
Sciences, Inc. (“Gilead”) to research and develop a vaccine-based immunotherapy as part of Gilead’s efforts to find a curative treatment for HIV infection. 
Under the terms of the Gilead Collaboration Agreement, the Company granted to Gilead an exclusive, worldwide license to develop and commercialize a 
HIV-specific  therapeutic  vaccine  utilizing  the  Company’s  technology.  Gilead  is  responsible  for  conducting  all  development  and  commercialization 
activities beginning with a Phase 1 clinical trial, and the Company is responsible for contributing to preclinical research studies and participation in a joint 
steering  committee  (collectively,  “research  and  development  activities”).  Concurrently  with  the  execution  of  the  Gilead  Collaboration  Agreement,  the 
Company and Gilead entered into a Supply Agreement (the “Gilead Supply Agreement”) under which the Company will supply research product and GMP 
product (“Product Supply”) that may be required under the Gilead Collaboration Agreement until Gilead completes its first GMP product batch, and the 
Company will participate in a joint manufacturing team (collectively, “product supply activities”). In addition, the Company also concurrently entered into 
a Stock Purchase Agreement (the “Gilead Stock Purchase Agreement”) under which Gilead acquired, in a private placement transaction, 1,169,591 shares 
of  the  Company’s  common  stock.  The  common  shares  were  issued  to  Gilead  with  certain  registration  rights  and  certain  standstill  and  market  stand-off 
provisions. The Company determined that these concurrent contracts represent a combined arrangement (the “Gilead Arrangement”).

Under  the  Gilead  Collaboration  Agreement,  the  Company  received  a  non-refundable  upfront  payment  of  $30.0  million.  Under  the  Gilead
Collaboration Agreement and the Gilead Supply Agreement, the Company will receive additional reimbursement payments for expenses incurred in the 
research and development activities and product supply activities. Under the Gilead Stock Purchase Agreement, the common shares were sold at a price of 
$25.65  per  share  for  a  total  of  $30.0  million.  The  Company’s  common  stock  at  fair  value  on  closing  was  $18.10 per share. If  Gilead  decides  to  move 
forward with development beyond the initial Phase 1 clinical trial (the “Option”), the Company will receive a $40.0 million non-refundable option fee and 
will be eligible to receive up to an aggregate of $685.0  million  if  certain  clinical,  regulatory  and  commercial  milestones  are  achieved,  as  well  as  tiered 
royalties ranging from the mid-single digits to low double-digits on net sales of a therapeutic product utilizing its technology. None of these events had 
occurred as of December 31, 2023 and no royalties were due from the sale of licensed products.

Gilead may terminate the Gilead Collaboration Agreement for convenience by giving a 90-day prior written notice to the Company at any time 
after  the  effective  date  of  the  agreement.  Unless  terminated  early,  the  agreement  has  a  term  that  ends  upon  the  expiration  of  the  royalty  term,  or,  if  the 
Option  is  not  exercised,  by  the  end  of  the  Option  term.  The  Gilead  Collaboration  Agreement  may  be  terminated  for  cause  by  either  party  based  on  an 
uncured  material  breach  by  the  other  party,  insolvency  of  the  other  party,  or  patent  challenge.  Upon  early  termination,  all  ongoing  activities  under  the 
agreement and all mutual collaboration, development and commercialization licenses and sublicenses will terminate. The licenses granted by the Company 
to Gilead under the licensed intellectual property will remain in effect in accordance with their respective terms. Additionally, if terminated early by Gilead 
for convenience or by the Company for material breach or insolvency, all of Gilead’s payment obligations for reimbursable costs or for future milestone 
and  royalty  payments  remain.  If  terminated  early  by  Gilead  for  material  breach  or  insolvency,  all  of  Gilead’s  unaccrued  payment  obligations  related  to 
future milestone and royalty payments will be reduced by 50% for the remainder of the agreement term. Furthermore, Gilead may terminate the Gilead 
Supply Agreement without cause by giving six months prior written notice and may terminate any active orders with 60-day notice without terminating the 
agreement, and either party may terminate based on an uncured material breach, insolvency of the other party, or in the event that the Gilead Collaboration 
Agreement  is  terminated.  Upon  termination,  the  Company  will  deliver  all  supply  products  that  have  been  produced  and  destroy,  reimburse  or  deliver 
materials  that  Gilead  has  reimbursed,  and  Gilead  must  pay  for  any  manufacturing  costs  that  the  Company  has  actually  incurred  or  committed  to  pay, 
including any cancellation costs owed to subcontractors.

The  Company  concluded  that  Gilead  is  a  customer  and  therefore  revenue  recognition  should  be  accounted  for  in  accordance  with  ASC  606, 
because the Company granted to Gilead licenses to its intellectual property and will provide research and development services and Product Supply, all of 
which  are  outputs  of  the  Company’s  ongoing  activities,  in  exchange  for  consideration.  The  Option,  if  exercised  by  Gilead,  will  be  considered  a 
modification that increases the scope of the arrangement beyond the Option term.

The Company identified the following performance obligations under the Gilead Collaboration Agreement: (i) licenses including an exclusive (in 
the  HIV  field),  royalty-free,  worldwide  collaboration  license  and  transfer  of  know-how  and  an  exclusive  (in  the  HIV  field)  worldwide,  royalty-bearing 
development and commercialization license subject to restrictions on its use during the Option term and an exclusive option to release such restrictions; (ii) 
preclinical research and development activities, manufacturing-related activities, and participation on a Joint Steering Committee; and (iii) product supply, 
including research and GMP product, until Gilead completes its first GMP batch, and participation on a Joint Manufacturing Team.

130

 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

The Company considered that the licenses and know-how have standalone functionality, are considered to be functional intellectual property and 
are  capable  of  being  distinct.  The  Company  also  determined  that  the  research  and  development  activities  and  product  supply  by  Gritstone  could  be 
provided by resources otherwise available to Gilead and thus are capable of being distinct. 

The Company has also determined that the pricing for optional goods and services and release of license restrictions upon exercise of the Option 
do not constitute material rights and are not a potential performance obligation. The Company evaluated whether there is an interdependence between the 
promises and determined that the licenses are a combined solution and the predominant performance obligation, while the other promises are separately 
identifiable  in  the  context  of  the  contract;  however,  the  research  and  development  activities  are  dependent  on  the  research  product  supply,  which  is 
accounted for as a combined performance obligation. As a result, the Company identified three performance obligations in the Gilead Arrangement: (i) 
exclusive licenses and know-how, (ii) research and development activities and product supply, and (iii) GMP product supply.

The  transaction  price  at  the  inception  of  the  Gilead  Collaboration  Agreement  consisted  of  the  upfront  payment  of  $30.0  million  and  the  $30.0 
million received for the sale of the Company’s common stock. The sale of the common stock was not considered to be a performance obligation, as it was a 
separate financing component of the transaction. Accordingly, $21.2 million of the transaction price was allocated to the issuance of 1,169,591 shares of the 
Company’s common stock at fair value on closing of $18.10 per share and recorded in stockholders’ equity. The remaining $8.8 million of the common 
stock purchase price in excess of the fair value of the shares received is added to the transaction price for the Gilead Collaboration Agreement. In addition, 
the initial transaction price includes estimated variable consideration for budgeted reimbursement of research and development costs and product supply. 
The variable consideration related to reimbursable costs and product supply has been constrained as of December 31, 2023 based on the current research 
and development plan forecast. The Company will re-evaluate the transaction price in each reporting period and as uncertain events are resolved or other 
changes in circumstances occur.

The Company determined that the variable consideration for the $40.0 million option exercise fee and for the development, regulatory, and sales-
based  milestones  payments  were  probable  of  significant  revenue  reversal  as  their  achievement  was  highly  dependent  on  factors  outside  the  Company’s 
control. As a result, these payments were fully constrained and were not included in the transaction price. Any variable consideration related to sales-based 
milestones (including royalties) will be recognized when the related sales occur, as they were determined to relate predominantly to the exclusive licenses 
and know-how granted to Gilead. 

The  transaction  price  is  allocated  to  the  performance  obligation  based  upon  relative  standalone  selling  prices,  which  were  determined  for  the 
exclusive licenses and know-how using an adjusted market approach and for the research and development activities and product supply using a cost plus 
reasonable margin approach. Variable consideration is allocated to the specific performance obligations to which it relates.

For revenue recognition purposes, the Company determined that the duration of the contract began on the effective date in January 2021 and ends 
upon (i) the completion of the Option term, which is expected to end two to four years after the effective date, if the Option is not exercised or (ii) the 
expiration  of  the  royalty-term  on  a  product-by-product  and  country-by-country  basis.  The  Company  also  analyzed  the  impact  of  Gilead  terminating  the 
agreement  prior  to  the  end  of  the  Option  term  and  determined,  considering  both  quantitative  and  qualitative  factors,  that  there  were  substantive  non-
monetary penalties to Gilead for doing so. 

Revenue for the exclusive licenses and know-how was recognized on the effective date of the Gilead Collaboration Agreement at the point in time 
that  the  licenses  are  effective.  The  research  and  development  activities  and  product  combined  performance  obligation  and  the  GMP  product  supply 
performance obligation are recognized over time when, or as, the Company transfers the promised goods and services to Gilead. Research and development 
service  and  product  supply  revenues  will  be  recognized  over  time  using  a  cost-based  input  method,  based  on  internal  and  external  labor  cost  effort  to 
perform  the  services,  costs  to  acquire  research  materials,  and  costs  of  product  supply,  since  the  costs  incurred  over  time  are  thought  to  best  reflect  the 
transfer of goods and services to Gilead. In applying a cost-based input method of revenue recognition, we use actual costs incurred relative to estimated 
total costs to fulfill each performance obligation. A cost-based input method of revenue recognition requires us to make estimates of costs to complete the 
performance  obligation.  The  cumulative  effect  of  any  revisions  to  estimated  costs  to  complete  the  performance  obligation  and  associated  variable 
consideration  will  be  recorded  in  the  period  in  which  changes  are  identified  and  amounts  can  be  reasonably  estimated.  A  significant  change  in  these 
assumptions and estimates could have a material impact on the timing and amount of revenue recognized in future periods.

For the years ended December 31, 2023 and 2022, the Company did not record any license revenue. For the years ended December 31, 2023 and 

2022, the Company recorded $0.3 million and $1.6 million, respectively, as collaboration revenue as a result of 

131

 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

satisfying  its  performance  obligations  by  transferring  the  promised  goods  and  services  estimated  by  the  costs  incurred  for  the  Gilead  Collaboration 
Agreement. For the year ended December 31, 2021, the Company recognized $38.6 million as license revenue, and $5.1 million as collaboration revenue as 
a  result  of  satisfying  its  performance  obligations  by  transferring  the  promised  goods  and  services  estimated  by  the  costs  incurred  for  the  Gilead 
Collaboration  Agreement.  There  was  no  contract  asset  recorded  on  the  consolidated  balance  sheet  as  of  December  31,  2023  or  2022.  There  was  $0.1 
million  and  $0.1  million  recorded  as  deferred  revenue  as  of  December  31,  2023  and  2022,  respectively,  associated  with  the  Gilead  Collaboration 
Agreement.

Changes  in  the  short-term  deferred  revenue  balance  during  the  year  ended  December  31,  2023  for  the  Gilead  Collaboration  Agreement  are  as 

follows (in thousands):

Balance at December 31, 2022

Additions
Deductions

Balance at December 31, 2023

  $

  $

Deferred Revenue

107    
—    
(56 )  
51    

There was de minimis and $0.1 million of receivables recorded on the consolidated balance sheet as a current asset in the prepaid expenses and 

other current assets balance as of December 31, 2023 and 2022, respectively.

The Company deferred $0.1 million in incremental costs to acquire the Gilead Collaboration Agreement in the first quarter of 2021 allocated to 
performance  obligations  recognized  over  time,  which  will  be  recognized  over  time  in  each  period  proportionate  to  revenue  recognition.  There  were  no 
deferred contract acquisition costs amortized during the year ended December 31, 2023 as they were fully amortized during the year ended December 31, 
2022. Deferred contract acquisition costs amortized during the year ended December 31, 2022 and 2021 were negligible.

Arbutus Biopharma Corporation

In  October  2017,  the  Company  entered  into  an  Exclusive  License  Agreement  with  Arbutus  and  its  wholly-owned  subsidiary,  Protiva 
Biotherapeutics  Inc.  Certain  terms  of  the  agreement  were  modified  by  amendment  in  July  2018.  Under  the  license  agreement,  the  Company  has  an 
exclusive  license  to  utilize  certain  Arbutus  intellectual  property,  including  patents  and  know-how  relating  to  immunotherapy.  During  the  years  ended 
December  31,  2023,  2022,  and  2021,  the  Company  had  no  research  and  development  expense  under  the  agreement.  The  Company  is  obligated  to  pay 
Arbutus certain milestone payments up to $123.5 million on achievement of specified events, and royalties on sales of its licensed products. Following the 
acceptance of our investigational new drug application for GRANITE by the FDA, the Company made a $2.5 million development milestone payment to 
Arbutus  in  September  2018  that  was  recorded  as  research  and  development  expense.  In  August  2019,  a  milestone  was  met  following  the  initial  patient 
treatment  of  SLATE  in  the  Company’s  GO-005  clinical  trial.  In  2019,  the  Company  recorded  $3.0  million  as  research  and  development  expense  in 
connection  with  the  milestone.  None  of  the  other  events  had  occurred  as  of  December  31,  2023,  and  no  royalties  were  due  from  the  sale  of  licensed 
products.

Non-Profit Hospital Cancer Center

In January 2016, the Company entered into an Exclusive License Agreement with a non-profit hospital cancer center. Under the license agreement, 
the  Company  has  an  exclusive  license  to  utilize  certain  patents  and  know-how  relating  to  immunotherapy  for  an  insignificant  upfront  payment,  cash 
milestone payments on achievement of specified events, and a low single digit royalty on sales of licensed products. The achievement of the milestones and 
payment of royalties is dependent upon obtaining regulatory approval. Upon achievement of a milestone related to the Company’s Phase 1 clinical trial for 
GRANITE,  GO-004,  in  December  2018  the  Company  recorded  an  insignificant  amount  to  research  and  development  expense  for  amounts  owed  to  the 
Hospital Cancer Center, which was paid to the hospital in February 2019. None of the other milestone events had occurred as of December 31, 2023, and 
no royalties were due from the sales of licensed products.

Genevant Sciences GmbH

In  October  2020,  the  Company  entered  into  an  Option  and  License  and  Development  Agreement  (as  amended,  the  “2020  Genevant  License 
Agreement”)  with  Genevant  Sciences  GmbH  (“Genevant”),  pursuant  to  which  Genevant  granted  the  Company  exclusive  license  rights  under  certain 
intellectual property related to Genevant’s LNP technology for a single therapeutic indication, and 

132

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

the Company agreed to pay Genevant an initial payment of $2.0 million, up to an aggregate of $71.0 million in specified development, regulatory, and 
commercial  milestones,  and  low  to  mid-single  digit  royalties  on  net  sales  of  licensed  products.  The  upfront  payment  of  $2.0  million  was  included  in 
research and development expense for the year ended December 31, 2020. Genevant is a spin-off of Arbutus, and the 2020 Genevant License Agreement 
expands Gritstone’s intellectual property rights to such LNP technology originally obtained pursuant to the Company’s license agreement with Arbutus. 
Prior to the 2020 Genevant License Agreement, the Company licensed Arbutus’ LNP technology for indications in the oncology space. The remainder of 
Arbutus’ IP portfolio was transferred to Genevant in the spin-off. In March 2022, a milestone in the amount of $1.0 million was met, which was included in 
research  and  development  expense  for  the  year  ended  December  31,  2022.    None  of  the  other  milestone  events  under  the  2020  Genevant  License 
Agreement had occurred as of December 31, 2023.

Pursuant  to  the  2020  Genevant  License  Agreement,  Genevant  also  granted  the  Company  certain  options  to  license  the  LNP  technology  for 
additional  therapeutic  indications  of  up  to  $1.5  million  for  each  indication  and  $1.0  million  to  extend  the  option  term.  The  2020  Genevant  License 
Agreement continues in effect until the last to expire royalty term or early termination. It is terminable by the Company for convenience with 90 days prior 
written notice or immediately if based on certain product safety or efficacy or regulatory criteria. Either party may terminate the agreement for material 
breach,  subject  to  a  cure  period,  and  Genevant  may  terminate  the  agreement  if  the  Company  challenges  a  licensed  patent.  In  August  2023,  the  2020 
Genevant License Agreement was amended to terminate the options to license the LNP technology for additional indications.

In  January  2021,  the  Company  entered  into  a  Non-Exclusive  License  and  Development  Agreement  (the  “2021  Genevant  License  Agreement”) 
with  Genevant.  Pursuant  to  the  2021  Genevant  License  Agreement,  the  Company  obtained  a  nonexclusive  license  to  Genevant’s  LNP  technology  to 
develop and commercialize self-amplifying RNA (“samRNA”) vaccines against SARS-CoV-2, the virus that causes COVID-19. Under the 2021 Genevant 
License  Agreement,  the  Company  made  a  $1.5  million  upfront  payment  to  Genevant,  and  Genevant  is  eligible  to  receive  from  the  Company  up  to  an 
aggregate of $191.0 million in contingent milestone payments per product, plus certain tiered royalties, upon achievement of development and commercial 
milestones. In certain scenarios, in lieu of milestones and royalties, Genevant will be entitled to a percentage of amounts that the Company receives from 
sublicenses under the 2021 Genevant License Agreement, subject to certain conditions. In March 2021, a milestone in the amount of $1.0 million was met 
following  the  initial  patient  treatment  in  the  Phase  1  clinical  trial  conducted  through  the  NIAID-supported  Infectious  Diseases  Clinical  Research 
Consortium (“IDCRC”). Both the $1.5 million upfront and $1.0 million milestone payments were recorded as research and development expense for the 
year ended December 31, 2021. None of the other milestone events under the 2021 Genevant License Agreement had occurred as of December 31, 2023.

In  August  2023,  the  Company  entered  into  an  Option  and  Non-Exclusive  License  and  Development  Agreement  (the  “2023  Genevant  License 
Agreement”) with Genevant. Pursuant to the 2023 Genevant License Agreement, the Company obtained a multi-year option for a non-exclusive license 
under Genevant’s LNP technology on a pathogen-by-pathogen basis to develop and commercialize samRNA vaccines against infectious disease. Under the 
2023 Genevant License Agreement, (i) the Company made a $2.5 million upfront payment to Genevant, recorded as research and development expense for 
the year ended December 31, 2023, and (ii) Genevant is eligible to receive from the Company option maintenance and exercise fees in the single digit 
millions and up to an aggregate of $136.0 million in contingent milestone payments per product, subject to increase for multi-pathogen products and in 
other  specified  circumstances,  and  royalties  ranging  from  the  mid  to  high  single  digits  on  future  product  sales.  If  Gritstone  outlicenses  an  applicable 
infectious  disease  program,  in  lieu  of  certain  of  these  payments,  Genevant  may  be  entitled  to  a  percentage  of  amounts  that  Gritstone  receives  from  its 
sublicensee. None of the milestone events under the 2023 Genevant License Agreement had occurred as of December 31, 2023.

Coalition for Epidemic Preparedness Innovations

In August 2021, the Company entered into the CEPI Funding Agreement with CEPI, under which CEPI agreed to provide funding of up to $20.6 
million  to  the  Company  to  advance  the  Company’s  CORAL  program,  a  second-generation  COVID-19  vaccine  program,  with  an  initial  clinical  trial  in 
South Africa. Under the terms of the agreement, CEPI is funding a multi-arm Phase 1 clinical trial evaluating the CORAL program’s samRNA vaccine in 
naïve, convalescent, and HIV+ patients. The study is evaluating three different samRNA vaccine constructs that each target both the spike protein and other 
SARS-CoV-2 targets and are designed to drive both robust B and T cell immune responses. The funding will also supporting pre-clinical studies, scale-up 
and formulation development to enable manufacturing of large quantities of stable vaccine product.

Under the terms of the CEPI Funding Agreement, among other things, the Company and CEPI agreed on the importance of global equitable access 

to the vaccine produced pursuant to the CEPI Funding Agreement. The vaccine, if approved, is expected to be 

133

 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

made available to the COVAX Facility for procurement and allocation. The COVAX Facility aims to deliver equitable access to COVID-19 vaccines for all 
countries, at all levels of development, that wish to participate.

The scope and continuation of the CEPI Funding Agreement may be amended depending on ongoing developments of the COVID-19 outbreak 
and the success of the Company’s COVID-19 vaccine candidate developed under the CEPI Funding Agreement relative to other third-party COVID-19 
vaccine  candidates  or  treatments.  If  the  World  Health  Organization  (“WHO”),  CEPI  or  a  regulatory  authority  having  jurisdiction  over  a  clinical  trial 
performed  under  the  CEPI  Funding  Agreement  determines  that  a  third-party  product  candidate  has  substantially  greater  potential  than  the  Company’s 
COVID-19  vaccine  candidate  developed  under  the  CEPI  Funding  Agreement  and  should  be  prioritized  instead  for  a  particular  trial,  the  Company  must 
consider in good faith any written request of CEPI not to proceed with a clinical trial of such COVID-19 vaccine candidate; however the determination of 
whether or not to proceed with such trial shall be made by the Company in its sole discretion. In addition, CEPI has the right to unilaterally terminate the 
CEPI Funding Agreement upon prior written notice if CEPI determines that (i) there are material safety, regulatory, scientific misconduct or ethical issues 
with the project undertaken by the Company under the CEPI Funding Agreement, (ii) the project undertaken by the Company under the CEPI Funding 
Agreement should be terminated, (iii) the Company becomes unable to discharge its obligations under the CEPI Funding Agreement, (iv) the Company 
fails  to  meet  certain  criteria  set  forth  in  the  CEPI  Funding  Agreement,  or  (v)  the  Company  commits  fraud  or  a  financial  irregularity,  as  such  terms  are 
defined in the CEPI Funding Agreement.

In December 2021, the Company and CEPI entered into an amendment to the CEPI Funding Agreement, under which CEPI agreed to provide 
additional funding up to $5.0 million, for a total of up to $25.6 million, to the Company to conduct a Phase 1 clinical trial of the Company’s Omicron 
vaccine candidate in South Africa. In January 2024, the Company and CEPI entered into a second amendment to the CEPI Funding Agreement, which 
repurposed certain unspent funds for preclinical immunogenicity studies for use for preclinical challenge studies.

CEPI  advances  grant  funds  upon  request  by  the  Company  consistent  with  the  agreed  upon  amounts  and  schedules  as  provided  in  the  CEPI 
Funding  Agreement.  The  first  tranche  of  funding  of  $11.3  million  was  received  in  September  2021,  the  second  tranche  of  funding  of  $2.7  million  was 
received  in  April  2022,  the  third  tranche  of  funding  of  $1.2  million  was  received  in  June  2023,  and  the  fourth  tranche  of  funding  of  $2.4  million  was 
received in December 2023.

Payments  received  in  advance  that  are  related  to  future  performance  are  deferred  and  recognized  as  grant  revenue  when  the  research  and 
development  activities  are  performed.  Cash  payments  received  under  the  CEPI  Funding  Agreement  are  restricted  as  to  their  use  until  expenditures 
contemplated in the agreement are incurred. During the years ended December 31, 2023, 2022 and 2021, the Company recognized grant revenue of $4.3 
million, $9.5 million, and $1.5 million, respectively, under the CEPI Funding Agreement. As of December 31, 2023 and 2022, short-term restricted cash 
and short-term deferred revenue of $2.3 million and $3.0 million, respectively, were recorded on the consolidated balance sheets. Deferred revenue will be 
recognized over the period in which the CEPI Funding Agreement activities related to the tranches of funding are expected to take place, which is currently 
estimated to be through the third quarter of 2024.

Changes in the short-term deferred revenue balance during the year ended December 31, 2023 for the CEPI Funding Agreement are as follows (in 

thousands):

Balance at December 31, 2022

Additions
Deductions

Balance at December 31, 2023

Gates

Deferred Revenue

2,952  
3,634  
(4,295 )
2,291  

  $

  $

In  November  2021,  the  Company  entered  into  a  Grant  Agreement  with  the  Gates  Foundation  (the  “Gates  Grant  Agreement”),  which  provides 
funding for the Company’s development of an optimal immunogen in the context of a therapeutic human papillomavirus (“HPV”) vaccine. In consideration 
for the work to be performed, the Gates Foundation provided the Company with an upfront payment of $2.2 million in December 2021, and an additional 
$0.7 million was received in April 2023. In November 2023, the Company and Gates entered into an amendment to the Gates Grant Agreement, which
extended the end date to March 31, 2024.

134

 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Payments  received  in  advance  that  are  related  to  future  performance  are  deferred  and  recognized  as  grant  revenue  when  the  research  and 
development  activities  are  performed.  Cash  payments  received  under  the  Gates  Grant  Agreement  are  restricted  as  to  their  use  until  expenditures 
contemplated in the funding agreement are incurred. During the year ended December 31, 2023 and 2022, the Company recognized $1.7 million and $1.2 
million, respectively, in revenue under the Gates Grant Agreement. The Company did not recognize any grant revenue under the Gates Grant Agreement in 
2021. As of December 31, 2023 and 2022, short-term restricted cash and short-term deferred revenue of an insignificant amount and $1.0  million  were 
recorded on the consolidated balance sheet. Deferred revenue will be recognized over the period in which the funding agreement activities related to the 
tranches of funding are expected to take place, which is currently estimated to be through the first quarter of 2024.

Changes  in  the  short-term  deferred  revenue  balance  during  the  year  ended  December  31,  2023  for  the  Grant  Agreement  are  as  follows  (in 

thousands):

Balance at December 31, 2022

Additions
Deductions

Balance at December 31, 2023

Deferred Revenue

1,025  
700  
(1,717 )
8  

  $

  $

Biomedical Advanced Research and Development Authority

In September 2023, the Company entered into a contract (the “BARDA Contract”) with the Biomedical Advanced Research and Development 
Authority ("BARDA"), part of the Administration for Strategic Preparedness and Response in the U.S. Department of Health and Human Services. Under 
the BARDA Contract, the Company may be eligible to receive funding of up to an estimated $433.0 million to conduct a 10,000-participant randomized 
Phase  2b  comparative  clinical  trial  evaluating  the  Company’s  next-generation  samRNA  vaccine  candidate  containing  Spike  plus  other  viral  targets  to 
protect against COVID-19. The BARDA Contract could result in payments to the Company of up to approximately $433.0 million. The BARDA Contract 
consists of a base period (ending on or before the first quarter of 2024, though this period may be extended) and a total contract period-of-performance 
(base  period  plus  two  stages  gated  at  BARDA’s  discretion)  of  up  to  approximately  four  years.  The  base  period  for  the  BARDA  Contract  includes 
government funding of up to approximately $10.0 million for performance of certain milestones such as preparation of protocol synopsis and submission of 
an  investigational  new  drug  application.  Following  successful  completion  of  the  base  period,  the  BARDA  Contract  provides  for  up  to  approximately 
$423.0 million of additional BARDA funding for two stages gated at BARDA’s discretion in support of the clinical trial execution and additional analyses 
for the clinical trial. However, BARDA instructed the Company to apply for funding for these two stages under a new award administered by the Rapid 
Response Partnership Vehicle ("RRPV Consortium"), which would be awarded at BARDA's discretion with BARDA funds. As of December 31, 2023, 
BARDA  has  not  executed  either  of  the  two  stages  nor  has  the  Company  been  awarded  a  new  agreement  under  the  RRPV  Consortium.  The  BARDA 
Contract contains terms and conditions that are customary for contracts with BARDA of this nature, including provisions giving the government the right 
to terminate the contract at any time for its convenience, and similar terms are expected under a potential agreement with the RRPV Consortium. 

The Company recognized $9.0 million in revenue under the BARDA Contract for base period activities for the year ended December 31, 2023. 

The Company received $9.0 million under the BARDA Contract as of December 31, 2023.

8.  Debt

In  July  2022,  the  Company  entered  into  a  loan  and  security  agreement  (as  amended,  the  “Loan  Agreement”)  with  Hercules  Capital,  Inc. 
(“Hercules”) and Silicon Valley Bank (“SVB”), which provides the Company a 60-month term loan facility for up to $80.0 million in borrowing capacity 
across five potential tranches. At the closing of the Loan Agreement, the Company drew $20.0 million from the first tranche and drew an additional $10.0 
million in March 2023. The remaining tranches provide up to $50.0 million borrowing capacity and become available upon the Company meeting certain 
milestones set forth in the Loan Agreement. In the fourth quarter of 2022, one milestone had been achieved, and the Company drew the available $10.0 
million  on  December  15,  2023.  As  of  December  31,  2023,  no  additional  milestones  had  been  met.  The  term  loan  is  secured  by  substantially  all  of  the 
Company’s assets, other than intellectual property. There are no warrants associated with the Loan Agreement.

Borrowings  under  the  Loan  Agreement  bear  interest  (i)  at  an  annual  cash  rate  equal  to  the  greater  of  (x)  the  lesser  of  (1)  the  prime  rate  (as 

customarily defined) and (2) 5.50%, in either case, plus 3.15%, and (y) 7.15% and (ii) at an annual payment-in-kind rate 

135

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

which may equal 2.00%. The Company is required to make monthly interest-only payments prior to the amortization date of January 1, 2025, subject to a 
potential  six-month  and  one-year  extension  upon  satisfaction  of  certain  conditions.  The  interest-only  payment  date  has  been  extended  an  additional  six 
months based on our achievement of one of the milestones as set forth in the Loan Agreement. In addition, the Company paid a $150,000 facility charge 
upon closing, and must pay a facility charge equal to 0.50% of the principal amount of any borrowings made pursuant to the amounts under the last four 
tranches.

All unpaid principal and accrued and unpaid interest with respect to each term loan is due and payable in full on July 19, 2027. At the Company’s 
option, the Company may prepay all or any portion of the outstanding borrowings, plus accrued and unpaid interest thereon and fees and expenses, subject 
to a prepayment premium ranging from zero to 2.5%, during the first three years after closing, depending on the year of such prepayment. Upon repayment 
of the term loan, the Company is required to make a final payment fee to the lenders equal to 5.75% of the aggregate original principal amount of the loan. 
Debt  issuance  costs  have  been  treated  as  debt  discounts  on  the  Company’s  consolidated  balance  sheet  and  together  with  the  final  payment  are  being 
amortized to interest expense throughout the life of the term loan using the effective interest rate method.

In  March  2023,  the  Company  entered  into  the  First  Amendment  to  Loan  and  Security  Agreement,  dated  as  of  March  31,  2023,  with  SVB, 
Hercules, Hercules Capital Funding Trust 2002-1 (the “First Amendment” and the Loan Agreement as amended by the First Amendment, the “Amended 
Loan Agreement”), to amend the minimum liquidity requirements under the Loan Agreement, beginning on the earliest occurrence of certain milestones or 
April 1, 2024, and at all times thereafter, so long as the Company’s market capitalization is no greater than $400.0 million, the Company is subject to a 
minimum liquidity requirement equal to the then outstanding balance under the Amended Loan Agreement multiplied by 0.55 or 0.45, which multiplier 
depends on whether the Company achieves certain performance milestones. As of December 31, 2023, we have not achieved the performance milestones to 
be subject to the lower 0.45 multiplier. 

The Company’s obligations under the Amended Loan Agreement are subject to acceleration upon the occurrence of customary events of default, 
including payment default, insolvency and the occurrence of certain events having a material adverse effect on the Company, including (but not limited to) 
material adverse effects upon the business, operations, properties, assets or financial condition of the Company and its subsidiaries, taken as a whole. As of 
December 31, 2023, the Company is in compliance with all covenants in the Amended Loan Agreement, as amended. 

As of December 31, 2023 and 2022, there were debt discounts, unamortized issuance costs and unaccreted value of the final fee of $2.2 million 
and $1.8 million, respectively, which were recorded as a direct deduction from the term loan on the consolidated balance sheet. Interest expense related to 
the Loan Agreement was $4.0 million and $1.2 million, respectively, for the years ended December 31, 2023 and 2022. The effective interest rate on the 
term loan, including the amortization of the debt discount and issuance costs, and accretion of the final payment, was 13%. The components of the long-
term debt balance are as follows (in thousands):

Principal loan balance
Final fee
Unamortized debt discount and issuance costs
Long term debt, net

December 31,
2023

  $

  $

As of December 31, 2023, the estimated future principal payments due (excluding the final payment fee) were as follows (in thousands):

2024
2025
2026
2027
Total principal payments

$

136

40,000  
2,300  
(2,156 )
40,144  

—  
8,457  
18,030  
13,513  
40,000  

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

9.  Balance Sheet Components

Prepaid Expenses and Other Assets

Prepaid expenses and other current assets consist of the following (in thousands):

Prepaid research and development-related expenses
Collaboration receivable
Prepaid insurance
Interest and other receivables
Facilities-related deposits
Other
Total prepaid expenses and other current assets

Deposits and Other Long-Term Assets

Deposits and other long-term assets consist of the following (in thousands):

Lease security deposits
Prepaid research and development-related expenses
Prepaid rent
Total deposits and other long-term assets

10.  Stockholders’ Equity

December 31,

2023

2022

3,904     $
14  
940  
217  
9  
778  
5,862     $

December 31,

2023

2022

924     $
—  
—  
924     $

4,241  
135  
1,158  
529  
384  
567  
7,014  

934  
643  
8,162  
9,739  

  $

  $

  $

  $

The Company’s amended and restated certificate of incorporation, as amended, provides for 300,000,000 shares of common stock and 10,000,000 

shares of preferred stock authorized for issuance, each with a par value of $0.0001 per share.

As of December 31, 2023 and 2022, no shares of preferred stock were issued and outstanding.

As of December 31, 2023 and 2022, there were 97,585,415 and 86,894,901 shares of common stock issued and outstanding, respectively. Holders 

of the Company’s common stock are entitled to one vote per share.

Sale of Common Stock and Pre-Funded Warrants

In December 2020, the Company entered into two private placement financing transactions (collectively, the “First PIPE Financing”), as follows: 
(i) to sell 5,543,351 shares of its common stock at a price of $3.34 per share and pre-funded warrants (the “Warrants”) to purchase 27,480,719 shares of 
common stock at a price of $3.34 per share (of which $3.33 per share was prepaid by each purchaser), and (ii) to sell an additional 4,043,127 shares of its 
common stock at a price per share of $3.71. In connection with the First PIPE Financing, the Company received aggregate net proceeds of approximately 
$119.8 million. The Warrants are exercisable upon issuance at an exercise price of $0.01 per share.

The outstanding Warrants generally may not be exercised if the holder’s aggregate beneficial ownership would be more than 9.99% of the total 
issued and outstanding shares of the Company’s common stock following such exercise. The exercise price and number of shares of common stock issuable 
upon  the  exercise  of  the  Warrants  (the  “Warrant  Shares”)  are  subject  to  adjustment  in  the  event  of  any  stock  dividends  and  splits,  reverse  stock  split, 
recapitalization,  reorganization  or  similar  transaction,  as  described  in  the  Warrant  agreements.  Under  certain  circumstances,  the  Warrants  may  be 
exercisable on a “cashless” basis. In connection with the issuance and sale of the common stock and Warrants, the Company granted the purchasers certain 
registration rights with respect to the Warrants and the Warrant Shares.

137

 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

The  Warrants  were  classified  as  a  component  of  permanent  stockholders’  equity  within  additional  paid-in-capital  and  were  recorded  at  the 
issuance date using a relative fair value allocation method. The Warrants are equity classified because they are freestanding financial instruments that are 
legally detachable and separately exercisable from the equity instruments, are immediately exercisable, do not embody an obligation for the Company to 
repurchase its shares, permit the holders to receive a fixed number of common shares upon exercise, are indexed to the Company’s common stock and meet 
the equity classification criteria. In addition, such Warrants do not provide any guarantee of value or return. The Company valued the Warrants at issuance, 
concluding their sales price approximated their fair value, and allocated net proceeds from the sale proportionately to the common stock and Warrants, of 
which $87.7 million, net of issuance costs, was allocated to the Warrants and recorded as a component of additional paid-in-capital.

In September 2021, the Company completed a PIPE financing transaction, in which it sold 5,000,000 shares of its common stock at a price of 
$11.00 per share pursuant to a securities purchase agreement entered into on September 16, 2021 (the “Second PIPE Financing”). The Company received 
aggregate net proceeds of approximately $52.7 million after deducting placement agent commissions and offering expenses payable by the Company. In
connection with the issuance and sale of the common stock, the Company agreed to file a registration statement with the SEC registering the resale of the 
shares of common stock issued in the Second PIPE Financing.

In March 2022, the Company filed a Registration Statement on Form S-3 with the SEC (the “2022 Shelf Registration Statement”), covering the 
offering of up to $250.0 million of common stock, preferred stock, debt securities, warrants and units. The 2022 Shelf Registration Statement included a 
prospectus supplement covering the issuance and sale of up to $100.0  million  of  the  Company’s  common  stock,  from  time  to  time,  through  an  “at-the-
market” offering program (the “2022 ATM Offering Program”) under the Securities Act. The SEC declared the 2022 Shelf Registration Statement effective 
as of May 6, 2022.

In  connection  with  the  2022  ATM  Offering  Program,  in  March  2022,  the  Company  also  entered  into  a  sales  agreement  (the  “2022  Sales 
Agreement”) with Cowen, pursuant to which Cowen and Company, LLC. ("Cowen") will act as the Company’s sales agent and, from time to time, offer 
and  sell  shares  of  the  Company’s  common  stock  having  an  aggregate  offering  price  of  up  to  $100.0  million.  Cowen  is  entitled  to  compensation  for  its 
services equal to up to 3.0% of the gross proceeds of any shares of common stock sold under the 2022 Sales Agreement. In addition, the Company agreed 
to reimburse a portion of Cowen’s expenses in connection with the 2022 ATM Offering Program up to $50,000. As of December 31, 2023, the Company 
has received aggregate proceeds from its 2022 ATM Offering Program of $27.5 million, net of commissions and offering costs, pursuant to the issuance of 
10,230,628 shares of its common stock. As of December 31, 2022, the Company has received aggregate proceeds from its 2022 ATM Offering Program of 
$19.6 million, net of commissions and offering costs, pursuant to the issuance of 7,034,948 shares of its common stock.

In October 2022, the Company completed a PIPE financing transaction, in which it sold 6,637,165 shares of its common stock at a price of $2.26 
per share pursuant to a securities purchase agreement entered into on October 24, 2022 and pre-funded warrants (the “Warrants”) to purchase 13,274,923 
shares  of  common  stock  at  a  price  of  $2.26  per  share  (of  which  $2.2599  per  share  was  prepaid  by  each  purchaser)  (the  “Third  PIPE  Financing”).  The 
Company received aggregate net proceeds of approximately $42.4 million after deducting placement agent commissions and offering expenses payable by 
the Company. In connection with the issuance and sale of the common stock, the Company agreed to file a registration statement with the SEC registering 
the resale of the shares of common stock issued in the Third PIPE Financing. The Warrants are exercisable upon issuance at an exercise price of $0.0001 
per share.

The outstanding Warrants generally may not be exercised if the holder’s aggregate beneficial ownership would be more than 9.99% of the total 
issued and outstanding shares of the Company’s common stock following such exercise. The exercise price and number of shares of common stock issuable 
upon  the  exercise  of  the  Warrants  (the  “Warrant  Shares”)  are  subject  to  adjustment  in  the  event  of  any  stock  dividends  and  splits,  reverse  stock  split, 
recapitalization,  reorganization  or  similar  transaction,  as  described  in  the  Warrant  agreements.  Under  certain  circumstances,  the  Warrants  may  be 
exercisable on a “cashless” basis. In connection with the issuance and sale of the common stock and Warrants, the Company granted the purchasers certain 
registration rights with respect to the Warrants and the Warrant Shares.

The  Warrants  were  classified  as  a  component  of  permanent  stockholders’  equity  within  additional  paid-in-capital  and  were  recorded  at  the 
issuance date using a relative fair value allocation method. The Warrants are equity classified because they are freestanding financial instruments that are 
legally detachable and separately exercisable from the equity instruments, are immediately exercisable, do not embody an obligation for the Company to 
repurchase its shares, permit the holders to receive a fixed number of common shares upon exercise, are indexed to the Company’s common stock and meet 
the equity classification criteria. In addition, such Warrants do not provide any guarantee of value or return. The Company valued the Warrants at issuance, 
concluding their sales price approximated their fair value, and allocated net proceeds from the sale proportionately to the common stock and Warrants, of 
which $28.2 million, net of issuance costs, was allocated to the Warrants and recorded as a component of additional paid-in-capital.

138

 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Common Stock Warrants

As of December 31, 2023, the following warrants to purchase shares of the Company’s common stock were issued and outstanding:

Issue Date

December 28, 2020
October 24, 2022

Expiration Date
None
None

Exercise Price

Number of Warrants 
Outstanding

  $
  $

0.01      
0.0001      

7,214,333  
13,274,923  
20,489,256  

During the year ended December 31, 2023, there were 6,359,371 warrants exercised, resulting in the Company issuing 6,348,805 shares of 
common stock due to net exercise of the warrants. During the year ended December 31, 2022, there were 3,442,567 warrants exercised, resulting in the 
Company issuing 3,442,567 shares of common stock. 

11.  Stock-Based Compensation

Award Incentive Plans

In August 2015, the Company’s board of directors approved the 2015 Equity Incentive Plan (“2015 Plan”). In connection with the Company’s IPO 
and the effectiveness of the 2018 Award Incentive Plan (“2018 Plan”), discussed below, the 2015 Plan terminated. The 92,815 shares of common stock that 
were then unissued and available for future issuance under the 2015 Plan became available under the 2018 Plan. 

In September 2018, the Company’s board of directors approved the 2018 Plan. Under the 2018 Plan, a total of 2,690,000 shares of common stock 
were initially reserved for issuance under the 2018 Plan, plus the number of shares remaining available for future awards under the 2015 Plan, as of the 
effective date of the 2018 Plan. The number of shares of common stock reserved for issuance under the 2018 Plan automatically increases on January 1 of 
each year, beginning on January 1, 2019 and continuing through and including January 1, 2028, by 4% of the total number of shares of the Company’s 
outstanding stock on December 31 of the preceding calendar year, or a lesser number of shares determined by the Company’s board of directors. The 2018 
Plan provides, among other things, for the grant of options, stock appreciation rights, restricted stock awards, restricted stock unit awards and performance 
bonus awards. 

The maximum number of shares that may be issued upon the exercise of stock options under the 2018 Plan is 45,000,000.

The Company’s board of directors has the authority to determine to whom options will be granted, the number of shares, the term, and the exercise 
price. If an individual owns stock representing 10% or more of the outstanding shares, the price of each share shall be at least 110% of the fair market 
value, as determined by the board of directors. Options granted have a term of up to 10 years and generally vest over a 4-year period with a straight-line 
vesting.

Material Features of the 2021 Employment Inducement Incentive Award Plan

In April 2021, the Company’s board of directors adopted the 2021 Employment Inducement Incentive Award Plan (the “2021 Plan”), pursuant to 
Nasdaq Listing Rule 5635(c)(4). The principal purpose of the 2021 Plan is to promote the success and enhance the value of the Company by inducing new 
employees to commence employment with us, and by aligning the individual interests of new employees with the interests of our stockholders. Awards 
granted under the 2021 Plan are intended to constitute “employment inducement awards” under Nasdaq Listing Rule 5635(c)(4), and, therefore, the 2021 
Plan is intended to be exempt from the Nasdaq Listing Rules regarding shareholder approval of stock option and stock purchase plans. A total of 790,400
shares of our common stock were initially reserved for issuance under the 2021 Plan. The 2021 Plan provides for the grant of non-qualified stock options, 
restricted stock units, restricted stock awards, stock appreciation rights, and other stock-based and cash-based awards. The 2021 Plan does not provide for 
the  grant  of  incentive  stock  options.  Awards  under  the  2021  Plan  may  be  granted  to  eligible  employees  who  are  either  new  employees  or  who  are 
commencing  employment  with  us  or  one  of  our  subsidiaries  following  a  bona  fide  period  of  non-employment  with  us,  and  for  whom  such  awards  are 
granted as a material inducement to commencing employment with us or one of our subsidiaries. Awards under the 2021 Plan may not be granted to our 
consultants or non-employee directors.

139

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
       
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

The 2021 Plan is administered by our board of directors and, to the extent our board of directors delegates its authority to it, our compensation 
committee. In the event of a change in control in which the successor corporation refuses to assume or substitute any outstanding award under the 2021 
Plan, the vesting of such award will accelerate in full. Our board of directors may terminate, amend, or modify the 2021 Plan at any time, provided that no 
termination or amendment may materially impair any rights under any outstanding award under the 2021 Plan without the consent of the holder.

On  April  21,  2022,  the  Company’s  board  of  directors  increased  the  number  of  shares  available  under  the  2021  Plan  by  700,000  shares.  On 

February 2, 2023, the Company’s board of directors increased the number of shares available under the 2021 Plan by 1,300,000 shares.

2018 Employee Stock Purchase Plan

In September 2018, the Company’s Board of Directors approved the 2018 Employee Stock Purchase Plan (“2018 ESPP”). The 2018 ESPP also 
became  effective  in  September  2018.  A  total  of  282,334  shares  were  initially  reserved  for  issuance  under  the  2018  ESPP.  Additionally,  the  number  of 
shares of common stock reserved for issuance under the 2018 ESPP will increase automatically each year, beginning on January 1, 2019 and continuing 
through and including January 1, 2028, by the lesser of (1) 1% of the shares of common stock outstanding on December 31 of the preceding calendar year 
or (2) such lesser number of shares determined by the Company’s Board of Directors. The maximum number of shares that may be issued under the 2018 
ESPP is 5,000,000. The offering periods are scheduled to start on the first trading day on or after June 1 or December 1 of each year. Contributions under 
the 2018 ESPP are limited to a maximum of 15% of an employee’s eligible compensation. 

The estimated fair value of stock purchase rights granted under the 2018 ESPP were calculated using the Black-Scholes option-pricing model 

using the following assumptions:

Expected dividend yield
Expected term
Risk-free interest rate
Expected volatility

Valuation of Stock Options

2023

Year ended December 31,
2022

— %   

— %   

0.50 years    

0.50 years    

5.1 %   
90.1 %   

1.3 %   
94.9 %   

2021

— %
0.57 years  
0.1 %
88.0 %

The fair value of each stock option granted to an employee or a director was estimated as of the date of grant using the Black-Scholes model with 

the following weighted-average assumptions:

Expected dividend yield
Expected term
Risk-free interest rate
Expected volatility

2023

Year Ended December 31,
2022

— %   

— %   

5.77 years    

5.98 years    

4.0 %   
98.9 %   

2.1 %   
77.9 %   

2021

— %
6.01 years  
1.1 %
79.0 %

Management’s  calculations  are  based  on  a  grant  date  valuation  approach.  Using  the  Black-Scholes  model,  the  weighted-average  grant-date  fair 

value of employee stock options granted was $1.73, $3.20, and $8.03 per share during the years ended December 31, 2023, 2022, and 2021, respectively.

140

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Stock Option Activity

A summary of the 2018 Plan and 2021 Plan activity is as follows:

Options Outstanding

Balance at December 31, 2022
Authorized
Granted
Exercised
Cancelled
Balance at December 31, 2023

Vested and exercisable – December 31, 2023
Vested and expected to vest – December 31, 2023

Number of
Shares
Available
for
Issuance
4,814,394      
4,775,796  
(4,227,353 )    

824,088  
6,186,925      

Weighted-
Average
Remaining
Contractual

Term (in years)    

Aggregate    
Intrinsic
Value
(in thousands)

Weighted-
Average

Exercise Price    

Number
of Shares
6,951,620     $

7.92      

8.08     $

1,089  

—    

712,566     $
(6,000 )   $
(384,725 )   $
7,273,461     $
4,647,325     $
6,997,158     $

2.20    
0.76    
5.35    

7.50      
8.53      
7.60      

7.26     $
6.67     $
7.22     $

264  
200  
254  

For the years ended December 31, 2023, 2022, and 2021, the total intrinsic value of stock option awards exercised was de minimis, $0.5 million, 
and $5.8 million, respectively, determined at the date of option exercise, and the total cash received upon exercise of stock options was de minimis for 
2023, $0.2  million  in  2022,  and  $3.4  million  in  2021.  The  aggregate  intrinsic  value  was  calculated  as  the  difference  between  the  exercise  prices  of  the 
underlying stock option awards and the estimated fair value of the common stock on the date of exercise.

As of December 31, 2023, $8.5 million of total cost related to non-vested employee and consultant options is expected to be recognized over a 

weighted-average period of 1.67 years. The total fair value of shares vested during the year ended December 31, 2023 was $7.8 million.

Stock-based compensation expense and awards granted to non-employees was $0.8 million, $0.6 million, and $0.7  million  for  the  years  ended 

December 31, 2023, 2022, and 2021, respectively.

Restricted Stock Units 

The Company has granted restricted stock unit awards under the 2018 Equity Plan. The Company's restricted stock unit awards have a term of up 

to 10 years and generally vest over a 6 month, 1 or 2-year period. The following table summarizes the Company's restricted stock unit activity during the 
year ended December 31, 2023:

Outstanding, unvested as December 31, 2022
   Issued
   Vested
   Canceled/Forfeited
Outstanding, unvested as December 31, 2023

141

Number of
Shares

Weighted Average Grant 
Date Fair Value

561,526     $
  $
3,514,787  
  $
(871,385 )
(115,958 )
  $
3,088,970     $

5.38  
3.29  
4.64  
3.29  
3.29  

 
 
 
 
 
   
 
 
 
   
   
 
   
   
   
     
     
   
   
     
   
 
       
     
   
   
   
     
   
   
 
       
 
       
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

Stock-Based Compensation Expense

Total stock-based compensation for all awards granted to employees, consultants and the Company's 2018 ESPP, before taxes, is as follows (in 

thousands):

Research and development expenses
General and administrative expenses
Total

12.  Income Taxes 

2023

Year Ended December 31,
2022

2021

  $

  $

6,266  
5,352  
11,618  

  $

  $

6,730  
5,827  
12,557  

  $

  $

6,626  
3,926  
10,552  

The  effective  tax  rate  for  the  years  ended  December  31,  2023,  2022,  and  2021  is  different  from  the  federal  statutory  rate  primarily  due  to  the 
valuation allowance against deferred tax assets as a result of insufficient sources of income. The effective tax rate of the Company’s provision for income 
taxes differs from the federal statutory rate as follows:

Statutory federal income tax rate
State tax, net of federal benefit
Permanent differences
Research and development tax credits
Impact of changes in state tax rate on deferred taxes
Other
Non-taxable stock premium
Change in valuation allowance
Total provision for income taxes

2023

Year Ended December 31,
2022

2021

21.0 %   
1.3  
(0.7 )    
1.5  
(2.9 )    
(0.2 )    
—  
(20.0 )    
— %   

21.0 %   
7.6  
(0.4 )    
1.2  
—  
(1.1 )    
—  
(28.3 )    
— %   

21.0 %
10.2  
(0.1 )
1.9  
—  
(1.8 )
2.5  
(33.7 )
— %

The Company uses the liability method of accounting for income taxes. Under this method, deferred tax assets and liabilities are determined based 
on the differences between the financial reporting and the tax bases of assets and liabilities and are measured using the enacted tax rates and laws that will 
be in effect when the differences are expected to reverse. The Company assesses the likelihood that the resulting deferred tax assets will be realized. A 
valuation allowance is provided when it is more likely than not that some portion or all of a deferred tax asset will not be realized.

In  assessing  the  realizability  of  deferred  tax  assets,  the  Company  considers  whether  it  is  more  likely  than  not  that  some  portion  or  all  of  the 
deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the 
periods in which the temporary differences representing net future deductible amounts become deductible. Due to the Company’s history of losses, and lack 
of other positive evidence, the Company has determined that it is more likely than not that its net deferred tax assets will not be realized, and therefore, the 
net  deferred  tax  assets  are  fully  offset  by  a  valuation  allowance  at  December  31,  2023  and  2022.  The  deferred  tax  assets  were  primarily  comprised  of 
federal and state tax net operating losses and tax credit carryforwards. The increase in valuation allowance of $27.7 million and $33.9 million during 2023 
and 2022, respectively, was primarily attributable to the Company’s current year taxable loss and increase in the effective state tax rate due to changes in 
the Company’s state apportionment factors.

142

 
 
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

The components of the net deferred tax assets/liabilities are as follows (in thousands):

Deferred tax assets:

Federal and state net operating loss carryforwards
Research and development tax credits
Lease liabilities
Accruals and other
Amortization
Deferred revenue
Other depreciation
Section 174 Capitalized Expense
Gross deferred tax assets

Valuation allowance
Net deferred tax assets
Deferred tax liabilities:
Other depreciation
Operating lease right-of-use assets
Deferred tax assets, net of allowance

December 31,

2023

2022

112,904     $
18,038  
18,506  
4,685  
9,344  
—  
593  
41,571  
205,641  
(188,663 )
16,978  

—  
(16,978 )
—  

  $

109,191  
14,877  
6,031  
3,786  
9,437  
700  
449  
21,434  
165,905  
(160,877 )
5,028  

—  
(5,028 )
—  

  $

  $

Beginning January 1, 2022, the Tax Cuts and Jobs Act (the “Tax Act”) eliminated the option to deduct research and development expenditures in 
the current year and requires taxpayers to capitalize such expenses pursuant to Internal Revenue Code (“IRC”) Section 174. The capitalized expenses are 
amortized over a 5-year period for domestic expenses and a 15-year period for foreign expenses. As a result of this provision of the Tax Act, deferred tax 
assets related to capitalized research expenses increased by $20.1 million.

At  December  31,  2023,  the  Company’s  federal  and  state  income  tax  net  operating  loss  carryforwards  were  approximately  $406.3  million  and 
$485.8 million, respectively, which may be subject to limitations as described below. If not utilized, the federal tax loss carryforwards will begin to expire 
in 2035 and the state tax loss carryforwards will begin to expire in 2035. Under the Tax Act, federal net operating losses generated after 2017 and in future 
years may be carried forward indefinitely, but the deductibility of such federal net operating losses is limited. The federal net operating losses generated 
after December 31, 2017 of $355.7 million are carried forward indefinitely. In addition, the Company has certain federal, California and Massachusetts 
research and development income tax credit carryforwards of $17.1 million, $8.6 million and $1.9 million, respectively. If not utilized, the federal research 
and development income tax credit carryforwards will begin to expire in 2035. The California research and development income tax credit carryforwards 
do not expire and can be carried forward indefinitely. The Massachusetts research and development income tax credit carryforwards will begin to expire in 
2035.

Net operating loss and tax credit carryforwards as of December 31, 2023 are as follows (in thousands):

Net operating losses, federal (post December 31, 2017)
Net operating losses, federal (pre January 1, 2018)
Net operating loss, state
Tax credits, federal
Tax credits, state

  $

Amount

355,720    
50,587    

485,794  
17,131  

10,489  

Expiration Years
Do not expire
2035 - 2037
2035 - 2043
2035 - 2043
CA: credits do not expire
MA: 2035 - 2043

The net operating loss and tax credit carryforwards are subject to review and possible adjustment by the Internal Revenue Service and state tax 
authorities and may become subject to an annual limitation in the event of certain cumulative changes in the ownership interest of significant stockholders 
over a three-year period in excess of 50%, as defined under IRC Sections 382 and 383. This could limit the amount of tax attributes that can be utilized 
annually to offset future taxable income or tax liabilities. Subsequent ownership changes may further affect the limitation in future years. In connection 
with  the  Company’s  IPO,  which  closed  in  October  2018,  the  Company  did  experience  an  ownership  change  pursuant  to  Section  382.  There  was  no 
reduction in federal or California net operating loss carryforwards or research and development income tax credits as a result of this ownership change. The 
Company has not performed an analysis through December 31, 2023 under IRC Sections 382 and 383 to determine if the Company’s net operating loss 
carryforwards 

143

 
 
 
 
 
 
 
   
 
 
     
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
   
 
   
 
 
   
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

and research and development credits are limited due to a change in ownership and may have an ownership change pursuant to Section 382.

The following table summarizes the activity related to the Company’s unrecognized tax benefits (in thousands):

Beginning of year—unrecognized tax benefits

Decrease for tax positions taken during prior periods
Increases for tax positions taken during current period

End of year—unrecognized tax benefits

2023

December 31,
2022

2021

  $

  $

6,715  
(77 )
8,213  
14,851  

  $

  $

5,481  
—  
1,234  
6,715  

  $

  $

4,025  
—  
1,456  
5,481  

If  recognized,  none  of  the  unrecognized  tax  benefits  as  of  December  31,  2023,  2022,  and  2021  would  impact  the  annual  effective  tax  rate, 
primarily due to corresponding adjustments to the valuation allowance. The Company does not expect any material changes to the estimated amount of 
liability associated with its uncertain tax positions within the next twelve (12) months. 

During the years ended December 31, 2023, 2022, and 2021, the Company did not recognize accrued interest and penalties related to unrecognized 

tax benefits.

The Company files income tax returns in the U.S. federal jurisdiction and various state jurisdictions. The Company is not currently under audit by 
the Internal Revenue Service or other similar state or local authorities. Due to the net operating loss carryforwards, all years remain open for income tax 
examination by tax authorities in the United States and various state tax jurisdictions in which the Company files tax returns.

13.  Net Loss Per Common Share

Basic net loss per share is calculated by dividing the net loss by the weighted-average number of shares of common stock outstanding during the 

period, without consideration for common stock equivalents. 

The following table sets forth the computation of the basic and diluted net loss per share (in thousands, except for share and per share amounts):

Numerator:
Net loss
Denominator:

2023

Year Ended December 31,
2022

2021

  $

(138,490 )   $

(119,687 )   $

(75,082 )

Weighted-average common shares outstanding, basic and diluted

Net loss per share, basic and diluted

115,527,546    

90,918,333  

  $

(1.20 )   $

(1.32 )   $

78,885,186  
(0.95 )

In December 2020, the Company issued and sold Warrants to purchase 27,480,719 shares of common stock at a nominal exercise price of $0.01 
per  share,  and  in  October  2022  the  Company  issued  and  sold  Warrants  to  purchase  13,274,923  shares  of  common  stock  at  a  nominal  exercise  price  of 
$0.0001 per share (see Note 10). During the year ended December 31, 2023, there were 6,359,371 warrants exercised, resulting in the Company issuing 
6,348,805  shares  of  common  stock  due  to  net  exercise  of  the  warrants.  During  the  year  ended  December  31,  2022,  3,442,567  warrants  were  exercised, 
resulting in the Company issuing 3,442,567 shares of common stock. As of December 31, 2023 and 2022, there are 20,489,256 and 26,848,627 warrants 
outstanding,  respectively.  The  shares  of  common  stock  into  which  the  2020  and  2022  Warrants  may  be  exercised  are  considered  outstanding  for  the 
purposes of computing earnings per share, because the shares may be issued for little or no consideration, they are fully vested and they are immediately 
exercisable upon their issuance date.

144

 
 
 
 
 
 
 
   
   
 
 
 
   
   
 
 
   
   
 
 
 
 
 
 
   
   
 
 
     
     
   
 
     
     
   
 
 
 
   
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

During  a  period  of  net  loss,  basic  net  loss  per  share  is  the  same  as  diluted  net  loss  per  share,  as  the  inclusion  of  all  potential  common  shares 
outstanding would have been anti-dilutive. Potentially dilutive securities that were not included in the diluted per share calculations because they would be 
anti-dilutive were as follows:

Options issued and outstanding and ESPP shares issuable and outstanding
Restricted stock subject to future vesting
Total

14.  Defined Contribution Plan

2023

7,534,035  
3,088,970  
10,623,005  

December 31,
2022
7,145,817  
561,526  
7,707,343  

2021

5,170,331  
708,800  
5,879,131  

The Company began sponsoring a 401(k) Plan in 2017, which provides that eligible employees can elect to contribute to the 401(k) Plan, subject 
to  certain  limitations,  on  a  pretax  basis.  The  Company  matches  up  to  50%  of  the  first  4%  of  each  employee’s  contribution.  During  the  years  ended 
December 31, 2023, 2022 and 2021, expenses recognized for the 401(k) Plan were $1.3 million, $0.5 million and $0.4 million, respectively.

15.     Subsequent Events

In February 2024, we implemented a reduction in workforce of approximately 40% of our workforce intended to reduce costs and preserve capital. 

We are currently evaluating the accounting impact on our consolidated financial statements.

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.

None.

Item 9A. Controls and Procedures. 

Conclusions Regarding the Effectiveness of Disclosure Controls and Procedures

As  of  December  31,  2023,  management,  with  the  participation  of  our  principal  executive,  financial  and  accounting  officers,  performed  an 
evaluation of the effectiveness of the design and operation of our disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) of the 
Exchange  Act.  Our  disclosure  controls  and  procedures  are  designed  to  ensure  that  information  required  to  be  disclosed  in  the  reports  we  file  or  submit 
under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such 
information  is  accumulated  and  communicated  to  our  management,  including  the  principal  executive,  financial  and  accounting  officers,  to  allow  timely 
decisions regarding required disclosures.

Any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control 
objective, and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based on this 
evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of December 31, 2023, the design and operation of our disclosure 
controls and procedures were effective at a reasonable assurance level.

Changes in Internal Control over Financial Reporting

There was no change in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 
15d-15(d) of the Exchange Act that occurred during the year ended December 31, 2023 that has materially affected, or is reasonably likely to materially 
affect, our internal control over financial reporting.

Management’s Report on Internal Control over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting (as defined in Rule 13a-15(f) 
under the Exchange Act). Under the supervision of and with the participation of our Principal Executive Officer and our Principal Financial Officer, our 
management assessed the effectiveness of our internal control over financial reporting as of 

145

 
 
 
 
 
 
 
   
   
 
   
   
   
   
   
   
   
   
   
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

December  31,  2022  based  on  the  criteria  set  forth  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  in  “Internal  Control-
Integrated  Framework”  (2013).  Based  on  this  assessment,  management  concluded  that  our  internal  control  over  financial  reporting  was  effective  as  of 
December 31, 2023.

This  Annual  Report  on  Form  10-K  does  not  include  an  attestation  report  of  our  independent  registered  public  accounting  firm  on  our  internal 
control  over  financial  reporting.  Our  independent  registered  public  accounting  firm  will  not  be  required  to  formally  opine  on  the  effectiveness  of  our 
internal control over financial reporting pursuant to Section 404(b) of the Sarbanes-Oxley Act of 2002 until we are no longer a smaller reporting company.

Item 9B. Other Information. 

Trading Plans

During the fiscal quarter ended December 31, 2023, none of our directors or executive officers adopted a Rule 10b5-1 trading plan, terminated a 

Rule 10b5-1 trading plan or adopted or terminated a non-Rule 10b5-1 trading arrangement, as those terms are defined in Regulation S-K, Item 408. 

Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

Not applicable.

146

 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

PART III 

Item 10. Directors, Executive Officers and Corporate Governance. 

We have adopted a Code of Business Conduct and Ethics that applies to all of our directors, officers, employees and consultants. The Code of 
Business Conduct and Ethics is available on the Corporate Governance page of our website at www.gritstonebio.com. If we ever were to amend or waive 
any provision of our Code of Business Conduct and Ethics that applies to our principal executive officer, principal financial officer, principal accounting 
officer, controller or any person performing similar functions, we intend to satisfy our disclosure obligations with respect to any such waiver or amendment 
by posting such information on our internet website set forth above rather than filing a Form 8-K.

All  other  information  required  by  this  item  will  be  contained  in  our  definitive  proxy  statement  to  be  filed  with  the  SEC  on  Schedule  14A  in 
connection with our 2024 Annual Meeting of Stockholders (Proxy Statement), which is expected to be filed not later than 120 days after December 31, 
2023, and is incorporated herein by reference.

Item 11. Executive Compensation. 

Information required by this item will be contained in the Proxy Statement and is incorporated herein by reference.

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters. 

Information required by this item will be contained in the Proxy Statement and is incorporated herein by reference.

Item 13. Certain Relationships and Related Transactions, and Director Independence. 

Information required by this item will be contained in the Proxy Statement and is incorporated herein by reference.

Item 14. Principal Accounting Fees and Services. 

Information required by this item will be contained in the Proxy Statement and is incorporated herein by reference.

147

 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

PART IV 

Item 15. Exhibits and Financial Statement Schedules. 

(a) The following documents are filed as part of this report:

1.  Financial Statements

See Index to Financial Statements in Part II Item 8 of this Annual Report on Form 10-K.

2.  Financial Statement Schedules

All schedules are omitted because they are not applicable or the required information is shown in the financial statements or notes thereto.

3.  Exhibits

The documents listed in the Exhibit Index are incorporated by reference or are filed with this report, in each case as indicated therein (numbered in 
accordance with Item 601 of Regulation S-K).

Exhibit Number

Exhibit Description

Incorporated by Reference
Date

Form

Number

Filed
Herewith

3.1(a)

3.1(b)

3.2

4.1

4.2

4.3

4.4

4.5

10.1(a)†

10.1(b)†

10.2

10.3(a)#

10.3(b)#

  Amended and Restated Certificate of Incorporation.

  Certificate of Amendment to Amendment and Restated 

Certificate of Incorporation.

  Amended and Restated Bylaws.

  Reference is made to exhibits 3.1 through 3.2.

  Form of Common Stock Certificate.

  Description of Common Stock.

  Form of Pre-Funded Warrant issued in First PIPE 

Financing.

  Form of Pre-Funded Warrant issued in Third PIPE 

Financing.

  License Agreement, dated as of October 16, 2017, by and 
among Gritstone Oncology, Inc., Arbutus Biopharma 
Corporation and its subsidiary Protiva Biotherapeutics Inc.

  Amendment Number One to License Agreement, dated as 
of July 20, 2018, by and among Gritstone Oncology, Inc., 
Arbutus Biopharma Corporation and its subsidiary Protiva 
Biotherapeutics Inc.

  Collaboration, Option and License Agreement by and 

between Gilead Sciences, Inc. and Gritstone Oncology, Inc., 
dated as of January 29, 2021.

  2018 Incentive Award Plan.

  Form of Stock Option Grant Notice and Stock Option 

Agreement under the 2018 Incentive Award Plan.

148

8-K

8-K

8-K

S-1/A

10-K

10-K

8-K

S-1

10/02/18  

05/06/21  

3.1

3.1  

05/06/21  

3.2

09/17/18  

03/10/22  

12/28/20  

10/25/22  

4.2

4.3  

4.1  

4.1  

08/23/18  

10.1 (a)

S-1

08/23/18  

10.1 (b)

10-K

03/10/22  

10.3  

S-8

S-1/A

10/02/18  

99.2 (A)

09/17/18  

10.7 (b)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

  Form of Restricted Stock Award Grant Notice and 
Restricted Stock Award Agreement under the 2018 
Incentive Award Plan.

  Form of Restricted Stock Unit Award Grant Notice and 
Restricted Stock Unit Award Agreement under the 2018 
Incentive Award Plan.

  2021 Employment Inducement Incentive Plan.

  Form of Stock Option Grant Notice and Stock Option 
Agreement under the 2021 Employment Inducement 
Incentive Plan.

  Form of Restricted Stock Award Grant Notice and 
Restricted Stock Award Agreement under the 2021 
Employment Inducement Incentive Plan.

  Form of Restricted Stock Unit Award Grant Notice and 
Restricted Stock Unit Award Agreement under the 2021 
Employment Inducement Incentive Plan.

  Employment Agreement by and between Gritstone 

Oncology, Inc. and Andrew Allen, M.D., Ph.D., effective as 
of September 27, 2018.

  Employment Agreement by and between Gritstone 

Oncology, Inc. and Matthew Hawryluk, Ph.D., effective as 
of September 27, 2018.

  Employment Agreement by and between Gritstone 

Oncology, Inc. and Karin Jooss, Ph.D., effective as of 
September 27, 2018.

S-1/A

09/17/18  

10.7 (c)

S-1/A

09/17/18  

10.7 (d)

S-8

S-8

05/06/21  

05/06/21  

99.1  

99.2

S-8

05/06/21  

99.3

S-8

05/06/21  

99.4

S-1/A

09/17/18  

10.9

S-1/A

09/17/18  

10.10

S-1/A

09/17/18  

10.11

10.3(c)#

10.3(d)#

10.4(a)#

10.4(b)#

10.4(c)#

10.4(d)#

10.5#

10.6#

10.7#

10.8#

  Employment Agreement by and between Gritstone 

S-1/A

09/17/18  

10.16

Oncology, Inc. and Erin Jones, effective as of September 27, 
2018.

10.9#

10.10

10.11#

10.12

  Employment Agreement by and between Gritstone bio, Inc., 

10-K

03/10/22  

10.10

and Vassiliki Economides, effective as of June 23, 2021.

  Amended and Restated Non-Employee Director 

Compensation Program.

  2018 Employee Stock Purchase Plan.

  Lease, dated as of February 11, 2016, by and between 
Gritstone Oncology, Inc. and BMR-Sidney Research 
Campus LLC.

X

S-8

S-1

10/02/18  

08/23/18  

99.3

10.4

10.13

  Office Building Net Lease, dated as of March 24, 2017, by 

S-1

08/23/18  

10.5

10.14

10.15

10.16

and between Gritstone Oncology, Inc. and Hacienda 
Portfolio Venture, LLC.

  Office/Laboratory Lease, by and between Gritstone 

Oncology, Inc. and Emery Station West, LLC, effective as 
of January 28, 2019.

  Office/Laboratory Lease, by and between Gritstone 
Oncology, Inc. and MIL 21E, LLC, effective as of 
September 6, 2018.

  First Amendment to Office/Laboratory Lease, by and 
between Gritstone Oncology, Inc. and MIL 21E, LLC, 
effective as of July 11, 2019.

149

8-K

02/05/19  

10.1

10-Q

11/20/19  

10.2

10-Q

11/20/19  

10.3

 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

10.17

  Second Amendment to Office/Laboratory Lease, by and 
between Gritstone Oncology, Inc. and MIL 21E, LLC, 
effective as of May 20, 2020.

10-Q

08/05/20  

10.1

10.18

  Office/Laboratory Lease, by and between Gritstone bio, Inc. 

8-K

09/29/21  

10.1  

10.19

10.20

10.21

10.22

10.23

10.24

10.25

10.26+

10.27+

and RREF II Kenmore Lessor III LLC and RREF II 
Kenmore Lessor IV LLC, effective as of September 23, 
2021.

  First Amendment to Lease, by and between Gritstone bio, 

Inc. and MIL 21E, LLC, effective as of September 21, 2021.

  Third Amendment to Office/Laboratory Lease, by and 

between Gritstone bio, Inc. and MIL 21E, LLC, effective as 
of September 21, 2021.

  Fourth Amendment to License Agreement between 

Gritstone bio, Inc. and MIL 21E LLC, effective as of June 
6, 2022.

  Fifth Amendment to License Agreement between Gritstone 
bio, Inc. and MIL 21E LLC effective, effective as of June 
13, 2022.

8-K

8-K

09/29/21  

10.2  

09/29/21  

10.3

10-Q

08/04/22  

10.1

10-K

12/31/22  

10.22

  Form of Indemnification Agreement.

S-1/A  

09/17/18  

  Loan and Security Agreement, dated as of July 19, 2022, by 

10-K

03/10/22  

10.18

4.3

and among Gritstone bio, Inc., as borrower, Hercules 
Capital, Inc., Silicon Valley Bank, and the several banks and 
other financial institutions or entities from time to time 
parties to this agreement, each as a Lender, and Hercules 
Capital, Inc., in its capacity as administrative agent and 
collateral agent for itself and the Lenders.

  First Amendment to Loan and Security Agreement, dated as 
of March 31, 2023, by and among Gritstone bio, Inc., as 
borrower, Silicon Valley Bank, a division of First-Citizens 
Bank & Trust Company (successor by purchase to the 
Federal Deposit Insurance Corporation as Receiver for 
Silicon Valley Bank, N.A. (as successor to Silicon Valley 
Bank)), Hercules Capital, Inc., Hercules Capital Funding 
Trust 2022-1, each as a Lender, and Hercules Capital, Inc., 
in its capacity as administrative agent and collateral agent 
for itself and the several banks and other financial 
institutions or entities from time to time party to the Loan 
and Security Agreement.

  Contract between the Company and the Biomedical 

Advanced Research and Development Authority, dated 
September 27, 2023.

  Amendment No. 1 to Contract between the Company and 
the Biomedical Advanced Research and Development 
Authority, effective as of November 20, 2023.

150

8-K

04/06/23  

10.1

10-Q

09/30/23  

10.1

X

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10-Q

09/30/23  

10.2

10-Q

09/30/23  

10.3

10.28+

10.29+

10.30

23.1

31.1

31.2

32*

Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

  Nonexclusive License and Development Agreement 

between the Company and Genevant Sciences GmbH, dated 
as of January 15, 2021.

  Amendment No.1 to Nonexclusive License and 

Development Agreement between the Company and 
Genevant Sciences GmbH, dated as of January 29, 2021.

  First Amendment to Office/Laboratory Lease, by and 

between Gritstone bio, Inc. and RREF II Kenmore Lessor 
III LLC and RREF II Kenmore Lessor IV LLC, effective as 
of September 20, 2023.

  Consent of Independent Registered Public Accounting Firm  

  Certification of Chief Executive Officer, as required by 
Rule 13a-14(a) or Rule 15d-14(a) under the Securities 
Exchange Act of 1934, as amended.

  Certification of Chief Financial Officer, as required by Rule 
13a-14(a) or Rule 15d-14(a) under the Securities Exchange 
Act of 1934, as amended.

  Certification by the Chief Executive Officer and Chief 

Financial Officer, as required by Rule 13a-14(b) or Rule 
15d-14(b) under the Securities Exchange Act of 1934, as 
amended, and Section 1350 of Chapter 36 of Title 18 of the 
United States Code (18 U.S.C. §1350).

97.1

  Registrant's Policy to Recovery of Erroneously Awarded 

101.INS

101.SCH

101.CAL

Compensation

  Inline XBRL Instance Document

  Inline XBRL Taxonomy Extension Schema Document

  Inline XBRL Taxonomy Extension Calculation Linkbase 

Document

101.DEF

  Inline XBRL Taxonomy Extension Definition Linkbase 

Document

101.LAB

  Inline XBRL Taxonomy Extension Labels Linkbase 

Document

101.PRE

  Inline XBRL Taxonomy Extension Presentation Linkbase 

Document

104

  The cover page from the Company’s Annual Report on 

Form 10-K for the year ended December 31, 2023 has been 
formatted in Inline XBRL.

X

X

X

X

X

X

X

X

X

X

X

X

X

†  Confidential treatment has been granted for certain information contained in this exhibit. Such information has been omitted and filed separately with 

the SEC.

# 

Indicates management contract or compensatory plan.

+        Portions of the exhibit have been omitted pursuant to Item 601(b)(10)(iv) of Regulation S-K. A copy of any   
          omitted portions will be furnished to the SEC upon request. 

151

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

* 

The  certification  attached  as  Exhibit  32  that  accompanies  this  Annual  Report  on  Form  10-K  is  not  deemed  filed  with  the  SEC  and  is  not  to  be  
incorporated by reference into any filing of Gritstone bio, Inc. 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 Annual Report on Form 10-K, irrespective of any general incorporation language 
contained in such filing.

Item 16. Form 10-K Summary

None.

152

 
 
 
Gritstone bio, Inc.
Notes to Consolidated Financial Statements

December 31, 2023

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this 

Annual Report on Form 10-K to be signed on its behalf by the undersigned, thereunto duly authorized.

Date: March 5, 2024

  GRITSTONE BIO, INC.

  By:   /s/ Andrew Allen

Andrew Allen, M.D., Ph.D.
President and Chief Executive Officer
(Principal Executive Officer)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints each of Andrew Allen 
and Vassiliki Economides his or her true and lawful attorney-in-fact and agent, with full power of substitution, for him or her and in his or her name, place 
and stead, in any and all capacities, to sign any and all amendments to this Annual Report on Form 10-K, and to file the same, with all exhibits thereto, and 
other documents in connection therewith, with the U.S. Securities and Exchange Commission, granting unto said attorneys-in-fact and agents, and each of 
them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in connection therewith, as fully to all 
intents and purposes as he or she might or could do in person, hereby ratifying and confirming that all said attorneys-in-fact and agents, or their, his or her 
substitutes or substitutes, may lawfully do or cause to be done by virtue hereof.

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, this Report has been signed below by the following persons on 

behalf of the Registrant in the capacities and on the dates indicated.

Name

Title

/s/ Andrew Allen
Andrew Allen, M.D., Ph.D.

   President, Chief Executive Officer and Director

 (Principal Executive Officer)

/s/ Vassiliki “Celia” Economides
Vassiliki “Celia” Economides

   Chief Financial Officer

 (Principal Financial Officer)

/s/ James Cho
James Cho

/s/ Elaine Jones
Elaine Jones, Ph.D.

/s/ Clare Fisher
Clare Fisher

/s/ Steve Krognes
Steve Krognes

/s/ Naiyer A. Rizvi
Naiyer A. Rizvi, M.D.

/s/ Lawrence Corey
Lawrence Corey, M.D.

/s/ Shefali Agarwal
Shefali Agarwal, M.D., M.P.H.

  Chief Accounting Officer
  (Principal Accounting Officer)

   Chairperson of our Board of Directors

   Director

   Director

   Director

   Director

   Director

153

Date

March 5, 2024

March 5, 2024

March 5, 2024

March 5, 2024

March 5, 2024

March 5, 2024

March 5, 2024

March 5, 2024

March 5, 2024

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
AMENDED AND RESTATED GRITSTONE BIO, INC. (F/K/A GRITSTONE ONCOLOGY, INC.)
NON-EMPLOYEE DIRECTOR COMPENSATION PROGRAM

This Amended and Restated Gritstone bio, Inc. (f/k/a Gritstone Oncology, Inc. (the “Company”)) Non-Employee Director Compensation Program (this 
“Program”) has been adopted under the Company’s 2018 Incentive Award Plan (the “Plan”) and shall be effective upon November 14, 2023 (the 
“Effective Date”). Capitalized terms not otherwise defined herein shall have the meaning ascribed in the Plan.

Cash Compensation

Effective upon the Effective Date, annual retainers will be paid in the following amounts to Non-Employee Directors:

Exhibit 10.10

Non-Employee Director:
Non-Executive Chair:
Audit Committee Chair:
Compensation Committee Chair:
Nominating and Corporate Governance Committee Chair:
Audit Committee Member (non-Chair):
Compensation Committee Member (non-Chair):
Nominating and Corporate Governance Committee Member (non-Chair):

$ 40,000  
$ 35,000  
$ 16,500  
$ 12,000  
$ 10,000  
8,250  
$
6,000  
$
5,000  
$

All annual retainers will be paid in cash quarterly in arrears promptly following the end of the applicable calendar quarter, but in no event more than 30 
days after the end of such quarter. In the event a Non-Employee Director does not serve as a Non-Employee Director, or in the applicable positions 
described above, for an entire calendar quarter, the retainer paid to such Non-Employee Director shall be prorated for the portion of such calendar quarter 
actually served as a Non-Employee Director, or in such position, as applicable.

Equity Compensation

Initial Stock Option Grant:

Each Non-Employee Director who is initially elected or appointed to serve on the Board after the closing of the 
Company’s initial public offering of its common stock (the “IPO”) shall be granted an Option under the Plan or any 
other applicable Company equity incentive plan then-maintained by the Company to purchase 103,600 shares of 
Common Stock.

The Initial Option will be automatically granted on the date on which such Non-Employee Director commences 
service on the Board, and will vest as to 1/36  of the shares subject thereto on each monthly anniversary of the 
applicable date of grant such that the shares subject to the Initial Option are fully vested on the third anniversary of 
the grant, subject to the Non-Employee Director continuing in service on the Board through each vesting date.

th

Annual Stock Option Grant:    

Each Non-Employee Director who is serving on the Board as of the date of each annual shareholder meeting of the 
Company (each, an “Annual Meeting”) shall be granted an Option under the Plan or any other applicable Company 
equity incentive plan 

 
 
 
   
 
  
  
  
  
  
  
  
  
 
 
 
 
  
 
 
 
 
 
 
 
  
then-maintained by the Company to purchase 51,800 shares of Common Stock, provided that the number of shares 
subject to the Annual Option will be prorated for any partial year of service as a Non-Employee Director.

The Annual Option will be automatically granted on the date of the applicable Annual Meeting, and will vest in full 
on the earlier of (i) the first anniversary of the date of grant and (ii) immediately prior to the Annual Meeting 
following the date of grant, subject to the Non-Employee Director continuing in service on the Board through such 
vesting date.

The per share exercise price of each Option granted to a Non-Employee Director shall equal the Fair Market Value of a share of common stock on the date 
the Option is granted.

The term of each Option granted to a Non-Employee Director shall be ten years from the date the Option is granted.

No portion of an Initial Option or Annual Option which is unvested or unexercisable at the time of a Non-Employee Director’s termination of service on 
the Board shall become vested and exercisable thereafter.

Members of the Board who are employees of the Company or any parent or subsidiary of the Company who subsequently terminate their service with the 
Company and any parent or subsidiary of the Company and remain on the Board will not receive an Initial Option, but to the extent that they are otherwise 
eligible, will be eligible to receive, after termination from service with the Company and any parent or subsidiary of the Company, Annual Options as 
described above.

Change in Control

Upon a Change in Control of the Company, all outstanding equity awards granted under the Plan and any other equity incentive plan maintained by the 
Company that are held by a Non-Employee Director shall become fully vested and/or exercisable, irrespective of any other provisions of the Non-
Employee Director’s Award Agreement.

Reimbursements

The Company shall reimburse each Non-Employee Director for all reasonable, documented, out-of-pocket travel and other business expenses incurred by 
such Non-Employee Director in the performance of his or her duties to the Company in accordance with the Company’s applicable expense reimbursement 
policies and procedures as in effect from time to time.

Miscellaneous

The other provisions of the Plan shall apply to the Options granted automatically pursuant to this Program, except to the extent such other provisions are 
inconsistent with this Program. All applicable terms of the Plan apply to this Program as if fully set forth herein, and all grants of Options hereby are 
subject in all respects to the terms of the Plan. The grant of any Option under this Program shall be made solely by and subject to the terms set forth in a 
written agreement in a form to be approved by the Board and duly executed by an executive officer of the Company.

Effectiveness

This Program shall become effective upon the Effective Date.

 
 
 
 
 
CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED BY [***], HAS BEEN OMITTED BECAUSE IT IS NOT 
MATERIAL AND IS THE TYPE THAT THE REGISTRANT TREATS AS PRIVATE AND CONFIDENTIAL.

Exhibit 10.27

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1
.

CONTRACT ID 
CODE

2. AMENDMENT/MODIFICATION NO.
P00001
6. ISSUED BY 

CODE

3. EFFECTIVE DATE
See Block 16C
ASPR-BARDA

PAGE    OF     PAGES
            1        2
4. REQUISITION/PURCHASE 
REQ. NO.
7. ADMINISTERED BY (if other than Item 6) 
CODE

5. PROJECT NO (if applicable)

CODE: ASPR-
BARDA

ASPR-BARDA
200 Independent Ave., S.W.
Room 640-G
Washington DC 20201 

ASPR-BARDA
US DEPT OF HEALTH & HUMAN SERVICES
BIOMEDICAL ADVANCED RESEARCH & DEVELOPMENT AUT
200 INDEPENDENT AVE, S.W.
Washington DC 20201

7. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

(X)

9A. AMENDMENT OF SOLICITATION NO.

GRITSTONE BIO INC [***]
MATTHEW HAWRYLUK         ; 5959 HORTON STREET 
5959 HORTON STREET
SUITE 300
EMERYVILLE CA 94608

CODE [***]

FACILITY

9B. DATED (SEE ITEM 11)

X

10A. MODIFICATION OF CONTRACT/ORDER NO.
75A50123C00062
10B. DATED (SEE ITEM 13)
09/25/2023

11. THIS ITEM ONLY APPLIES TO AMENDMENT OF SOLICITATIONS

 The above number solicitation is amended as set forth in Item 14.  The hour and date specified for receipt of Offers           is extended.    is not extended.
     Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items 8 and 

15, and returning ________ copied of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic 
communication which includes a reference to the solicitation and amendment numbers.  FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE 
DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER.  If by the virtue of this 
amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes 
reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (if required)
See Schedule
13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. 
CHECK ONE

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority)  THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT 
ORDER NO. IN ITEM 10A

        X

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, 
appropriation data, etc.)  SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b)
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
FAR 43.103 (a) (3)
D. OTHER (Specify type of modification and authority)

E. IMPORTANT:  Contractor            is not     is required to sign this document and return ___________ copies to the issuing office 

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible)

Tax ID Number: 47-4859534
UEI: [***]
The purpose of the modification is to:

1)
2)

Change the Contracting Officer’s Representative to William Coley. 
Incorporate Commercialization Clause into Section B.6.

Refer to continuation pages below.
OTA: N
Period of performance: 09/30/2023 to 03/31/2024

Except as provided herein, all terms and condions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER (Type or print)

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Matthew Hawryluk, EVP & Chief Business Officer
15B. CONTRACT OFFEROR

15C. DATE SIGNED

Erin. W. Greninger
16B. UNITED STATES OF AMERICA

/s/ Matthew Hawryluk       
(Signature of person authorized to sign)

Nov. 17, 2023

/s/ Erin W. Greninger       
(Signature of Contracting Officer)

16C. DATE SIGNED

2023.11.20

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following clause is hereby incorporated into the contract within B.6. ADVANCE UNDERSTANDINGS.

18. COMMERCIALIZATION CLAUSE

If the product clinically tested under this SOW is [***], in consideration of the Government’s investment, the 
parties intend for Gritstone [***] in accordance with the following principles to the extent reasonably possible:

[***] 

END OF MODIFICATION P00001

 
 
 
 
 
 
 
 
 
Exhibit 10.30

FIRST AMENDMENT TO LEASE AND TERM COMMENCEMENT DATE AGREEMENT

THIS FIRST AMENDMENT TO LEASE AND TERM COMMENCEMENT DATE AGREEMENT

(this “Agreement”) is entered into as of this 20   day of September 2023 (“Effective Date”), by and
between RREF II Kenmore Lessor III LLC and RREF II Kenmore Lessor IV LLC (collectively, “Landlord”), and Gritstone bio, Inc., a 
Delaware corporation (“Tenant”).

RECITALS

A.WHEREAS, Landlord and Tenant are parties to that certain Lease dated September 23, 2021 (the “Existing Lease”), whereby Tenant 
leases certain premises (both Premises A and Premises B referred to in the Lease shall be referred to herein as the “Premises”) from Landlord 
located at 648-660 Beacon Street, Boston, Massachusetts;

B.WHEREAS,  Landlord  and  Tenant  desire  to  modify  and  amend  the  Existing  Lease  only  in  the  respects  and  on  the  conditions 

hereinafter stated; and

C.WHEREAS, Landlord and Tenant desire to set forth the terms of the Term Commencement Date Agreement in this Agreement in 

lieu of a separate agreement.

AGREEMENT

NOW, THEREFORE, Landlord and Tenant, in consideration of the mutual promises contained herein and for other good and valuable 

consideration, the receipt and sufficiency of which are hereby acknowledged, and intending to be legally bound, agree as follows:

1. Definitions. For purposes of this Agreement, capitalized terms shall have the meanings ascribed to them in the Existing Lease unless 
otherwise defined herein. The Existing Lease, as amended by this Agreement, is referred to collectively herein as the “Lease.” From and after the 
date hereof, the term “Lease,” as used in the Existing Lease, shall mean the Existing Lease, as amended by this Agreement.

2.

Amendments.

a. Notwithstanding anything to the contrary in the Existing Lease, the Yearly Rent/Monthly Rent chart and provision relating to 
abatements  as  set  forth  in  Art.  6  of  Exhibit  1  to  the  Existing  Lease  is  hereby  deleted  in  its  entirety  and  replaced  with  the 
Yearly Rent/Monthly Rent chart and provision relating to abatements as set forth on Exhibit A which is attached hereto and 
made a part hereof.

b. Landlord  acknowledges  and  agrees  that  the  dates  agreed  upon  in  the  Lease  Commencement  Date  Agreement  below 

incorporate any delays caused by any days of Tenant Delay alleged by Landlord through of the Effective Date hereof.

3. Lease Commencement Date Agreement. In satisfaction of the requirements of Section 3.3 of the Lease and in lieu of the execution 
and  delivery  of  a  separate  Term  Commencement  Date  Agreement  as  required  therein,  Landlord  and  Tenant  hereby  verify  the  following 
information as of the Effective Date:

Address of Building:

The Beacon Building 648-660 
Beacon Street Boston, 
Massachusetts

Total Rentable Area of the Premises:

73,495 rentable square feet (approx.)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Term Commencement Date:

Rent Commencement Date (subject to Applicable 
Free Rent Periods):

July 1, 2023

July 1, 2023

Yearly Rent/Monthly Rent:

As set forth on Exhibit A attached hereto and incorporated herein.

First (1st) Lease Year:

Lease Expiration Date:

Tenant’s Proportionate Share:

July 1, 2023 - June 30, 2024.

June 30, 2033

37.36%

Tenant acknowledges and agrees that all improvements, including without limitation, Landlord’s Work, Landlord is obligated to make 
to the Premises have been completed to Tenant’s satisfaction, that Tenant has accepted possession of the Premises, and that as of the date hereof, 
there exist no offsets or defenses to the obligations of Tenant under the Lease.

4. Effect of Agreement. Except as modified by this Agreement, the Existing Lease and all the covenants, agreements, terms, provisions 
and conditions thereof shall remain in full force and effect and are hereby ratified and affirmed. In the event of any conflict between the terms 
contained in this Agreement and the Existing Lease, the terms herein contained shall supersede and control the obligations and liabilities of the 
parties.

5. Successors and Assigns. Each of the covenants, conditions and agreements contained in this Agreement shall inure to the benefit of 
and shall apply to and be binding upon the parties hereto and their respective heirs, legatees, devisees, executors, administrators and permitted 
successors  and  assigns  and  sublessees.  Nothing  in  this  section  shall  in  any  way  alter  the  provisions  of  the  Lease  restricting  assignment  or 
subletting.

6. Miscellaneous. This Agreement becomes effective only upon execution and delivery hereof by Landlord and Tenant. The captions of 
the paragraphs and subparagraphs in this Agreement are inserted and included solely for convenience and shall not be considered or given any 
effect in construing the provisions hereof. All exhibits hereto are incorporated herein by reference.

7. Authority.  Landlord  and  Tenant  each  warrant  and  represent  to  the  other  party  that  the  individual  or  individuals  signing  this 
Agreement on its behalf has the power, authority and legal capacity to sign this Agreement on behalf of and to bind all entities, corporations, 
partnerships, limited liability companies, joint venturers or other organizations and entities on whose behalf such individual or individuals have 
signed.

8. Counterparts;  Facsimile  and  PDF  Signatures.  This  Agreement  may  be  executed  in  counterparts  and  shall  constitute  an  agreement 
binding  on  all  parties  notwithstanding  that  all  parties  are  not  signatories  to  the  original  or  the  same  counterpart  provided  that  all  parties  are 
furnished a copy or copies thereof reflecting the signature of all parties. Transmission of a facsimile or by email of a Portable Document Format 
(PDF) (or similar electronic counterpart including DocuSign) copy of the signed counterpart of this Lease shall be deemed the equivalent of the 
delivery of the original, and any party so delivering a facsimile or PDF (or similar electronic counterpart) copy of the signed counterpart of this 
Lease by email transmission shall in all events deliver to the other party an original signature promptly upon request.

[Execution Page Follows]

2

 
 
 
 
 
 
 
 
 
 
 
 
IN WITNESS WHEREOF the parties hereto have executed this First Amendment to Lease and Term Commencement Date Agreement as of the 
date set forth above.

TENANT:

GRITSTONE BIO, INC.,
a Delaware corporation

By: /s/ Erin E. Jones
Name: Erin E Jones 
Title: Chief Operating Officer 
Hereunto duly authorized

3

LANDLORD:

RREF II Kenmore Lessor III LLC
a Delaware limited liability company

By: /s/ Patrick Sweeney
Name: Patrick Sweeney
Title: Authorized Signatory

RREF II Kenmore Lessor IV LLC
a Delaware limited liability company

By: /s/ Patrick Sweeney
Name:  Patrick Sweeney
Title: Authorized Signatory

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yearly Rent / Monthly Rent:

Exhibit A

Period

Yearly Rent (starting at
$96.00 Per rentable square foot)

Monthly Rent

Lease Year 1
July 1, 2023 – June 30, 2024*

Lease Year 2
July 1, 2024 – June 30, 2025

Lease Year 3
July 1, 2025 – June 30, 2026

Lease Year 4
July 1, 2026 – June 30, 2027

Lease Year 5
July 1, 2027 – June 30, 2028

Lease Year 6
July 1, 2028 – June 30, 2029

Lease Year 7
July 1, 2029 – June 30, 2030

Lease Year 8
July 1, 2030 – June 30, 2031

Lease Year 9
July 1, 2031 – June 30, 2032

Lease Year 10
July 1, 2032 – June 30, 2033

$7,055,520.00*

$587,960.00*

$7,267,185.60

$605,598.80

$7,485,201.17

$623,766.76

$7,709,757.20

$642,479.77

$7,941,049.92

$661,754.16

$8,179,281.42

$681,606.78

$8,424,659.86

$702,054.99

$8,677,399.65

$723,116.64

$8,937,721.64

$744,810.14

$9,205,853.29

$767,154.44

* So long as this Lease is in full force and effect and Tenant is not in default of any of its obligations hereunder (beyond any applicable 
Grace Period (as defined below)), Tenant shall be entitled to an abatement of the monthly installment of Yearly Rent (but not Additional 
Rent, utilities, and other charges due hereunder which shall be paid as, when and to the extent same are payable pursuant hereto) (i) with 
respect to the Fifth Floor Portion of Premises A only for the first six (6) months from and after the Term Commencement Date, (ii) with 
respect  to  the  648  Fifth  Floor  Premises  only  for  the  first  six  (6)  months  from  and  after  the  Term  Commencement  Date,  and  (iii)  with 
respect to the 648 Sixth Floor Premises only for the first three (3) months from and after the Term Commencement Date (collectively, the 
“Free  Rent  Period”);  provided  that  the  Free  Rent  Period  will  not  be  diminished  by  any  other  Rent  abatement  provided  for  under  this 
Lease (e.g., casualty).

4

 
 
 
 
 
 
 
Exhibit 23.1

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in the following Registration Statements:

(1) Registration Statements (Form S-3 Nos. 333-260292, 333-263455, 333-268524, and 333-276242) and related Prospectuses of Gritstone bio, Inc. 

(f/k/a Gritstone Oncology, Inc.),

(2) Registration Statements (Form S-8 Nos. 333-230581, 333-237095, 333-254177, 333-255847, 333-263451, 333-264804, and 333-270429) 

pertaining to the 2018 Incentive Award Plan, the 2018 Employee Stock Purchase Plan, and the 2021 Employment Inducement Incentive Plan, in 
each case, of Gritstone bio, Inc. (f/k/a Gritstone Oncology, Inc.), and

(3) Registration Statement (Form S-8 No. 333-227665) pertaining to the 2015 Equity Incentive Plan, the 2018 Incentive Award Plan and the 2018 

Employee Stock Purchase Plan, in each case, of Gritstone bio, Inc. (f/k/a Gritstone Oncology, Inc.)

of our report dated March 5, 2024, with respect to the consolidated financial statements of Gritstone bio, Inc. included in this Annual Report (Form 10-K) 
of Gritstone bio, Inc. for the year ended December 31, 2023. 

/s/ Ernst & Young LLP

San Mateo, California 
March 5, 2024

 
 
 
 
 
 
CERTIFICATION OF PRESIDENT AND CHIEF EXECUTIVE OFFICER PURSUANT TO 
EXCHANGE ACT RULES 13A-14(A) AND 15D-14(A), 
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.1

I, Andrew Allen, M.D., Ph.D., certify that:

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of Gritstone bio, Inc.;

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the 
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this 
report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the 
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in 
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-
15(f)) for the registrant and have:

a.

b.

c.

d.

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to 
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those 
entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our 
supervision, 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;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the 
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent 
fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to 
materially affect, the registrant’s internal control over financial reporting; and

5.

The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the 
registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.

b.

All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting  which  are 
reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the  registrant’s  internal 
control over financial reporting.

Date: March 5, 2024

  By:   /s/ Andrew Allen

  Andrew Allen, M.D., Ph.D.

President and Chief Executive Officer
(Principal Executive Officer)

 
 
 
 
   
 
   
   
 
   
   
 
 
 
CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO 
EXCHANGE ACT RULES 13A-14(A) AND 15D-14(A), 
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.2

I, Vassiliki Economides, certify that:

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of Gritstone bio, Inc.;

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the 
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this 
report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the 
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in 
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-
15(f)) for the registrant and have:

a.

b.

c.

d.

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to 
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those 
entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our 
supervision, 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;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the 
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent 
fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to 
materially affect, the registrant’s internal control over financial reporting; and

5.

The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the 
registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.

b.

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are 
reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal 
control over financial reporting.

Date: March 5, 2024

  By:   /s/ Vassiliki Economides

  Vassiliki Economides

Chief Financial Officer
(Principal Financial Officer)

 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32

In connection with the Annual Report on Form 10-K of Gritstone bio, Inc. (the “Company”) for the period ended December 31, 2023, as filed with the 
Securities and Exchange Commission on the date hereof (the “Report”), each of Andrew Allen, M.D., Ph.D., President and Chief Executive Officer 
(Principal Executive Officer) of the Company, and Vassiliki Economides, Chief Financial Officer (Principal Financial Officer) of the Company, hereby 
certifies, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1)   The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)   The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: March 5, 2024

Date: March 5, 2024

    /s/ Andrew Allen
    Andrew Allen, M.D., Ph.D.

President and Chief Executive Officer
(Principal Executive Officer)

    /s/ Vassiliki Economides
    Vassiliki Economides

Chief Financial Officer
(Principal Accounting Officer)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
GRITSTONE BIO, INC.
COMPENSATION RECOVERY POLICY
EFFECTIVE NOVEMBER 14, 2023

1.

PURPOSE

Exhibit 97.1

1.1. The Board has determined that it is in the best interests of the Company and its stockholders to adopt 
this  Policy  enabling  the  Company  to  recover  from  specified  current  and  former  Company  executives 
certain  incentive-based  compensation  in  the  event  of  an  accounting  restatement  due  to  material 
noncompliance with any financial reporting requirements under the federal securities laws, including any 
required  accounting  restatement  to  correct  an  error  in  previously  issued  financial  statements  that  is 
material to the previously issued financial statements, or that would result in a material misstatement if 
the error were corrected in the current period or left uncorrected in the current period.  Capitalized terms 
are defined in Section 15.

1.2. This Policy is designed to comply with Rule 10D-1 of the Exchange Act and shall become effective on 

the Effective Date.  

2.

ADMINISTRATION

2.1. This Policy shall be administered by the Administrator.  The Administrator is authorized to interpret and 
construe  this  Policy  and  to  make  all  determinations  necessary,  appropriate,  or  advisable  for  the 
administration  of  this  Policy.    The  Administrator  may  retain,  at  the  Company’s  expense,  outside  legal 
counsel and such compensation, tax or other consultants as it may determine are advisable for purposes 
of administering this Policy.

3.

COVERED PERSONS AND APPLICABLE COMPENSATION 

3.1. This Policy applies to any Incentive-Based Compensation Received by a person (a) after the Listing Rule 
Effective Date, (b) after beginning service as a Covered Person; (c) who served as a Covered Person at 
any time during the 

 
 
 
 
 
 
 
 
 
performance  period  for  that  Incentive-Based  Compensation;  and  (d)  was  a  Covered  Person  during  the 
Clawback Period.

3.2. However, recovery is not required under this Policy with respect to:

3.2.1.Incentive-Based Compensation Received prior to an individual becoming a Covered Person, even if 

the individual served as a Covered Person during the Clawback Period.  

3.2.2.Incentive-Based Compensation Received prior to the Listing Rule Effective Date. 

3.2.3.Incentive-Based Compensation Received prior to the Clawback Period.

3.2.4.Incentive-Based  Compensation  Received  while  the  Company  did  not  have  a  class  of  listed 
securities  on  a  national  securities  exchange  or  a  national  securities  association,  including  the 
Exchange. 

3.3. The  Administrator  will  not  consider  the  Covered  Person’s  responsibility  or  fault  or  lack  thereof  in 

enforcing this Policy with respect to recoupment under the Rules.

4.

TRIGGERING EVENT

4.1. Subject  to  and  in  accordance  with  the  provisions  of  this  Policy,  if  there  is  a  Triggering  Event,  the 
Administrator  shall  take  steps  to  require  a  Covered  Person  to  reimburse  or  forfeit  to  the  Company  the 
Recoupment Amount applicable to such Covered Person.  The Company’s obligation to recover the 

2

 
 
 
 
 
 
 
 
 
 
 
Recoupment Amount is not dependent on if or when the restated financial statements are filed. 

5.

CALCULATION OF RECOUPMENT AMOUNT

5.1. The Recoupment Amount will be calculated in accordance with the Rules.

6.

METHOD OF RECOUPMENT

6.1. Subject  to  compliance  with  the  Rules  and  applicable  law,  the  Administrator  will  determine,  in  its  sole 
discretion,  the  method  for  recouping  the  Recoupment  Amount  hereunder  which  may  include,  without 
limitation:

6.1.1.Requiring reimbursement or forfeiture of the pre-tax amount of cash Incentive-Based Compensation 

previously paid;

6.1.2.Offsetting the Recoupment Amount from any compensation otherwise owed by the Company to the 
Covered  Person,  including  without  limitation,  any  unpaid  cash  incentive  payments,  executive 
retirement benefits, wages, equity grants or other amounts payable by the Company to the Covered 
Person in the future;

6.1.3.Seeking  recovery  of  any  gain  realized  on  the  vesting,  exercise,  settlement,  cash  sale,  transfer,  or 

other disposition of any equity-based awards; and/or

6.1.4.Taking any other remedial and recovery action permitted by law, as determined by the Administrator.

6.1.5.To  the  extent  the  Covered  Person  fails  to  timely  repay  the  Recoupment  Amount  in  a  manner 
determined  by  the  Administrator,  the  Covered  Person  may  be  further  required  to  reimburse  the 
Company for 

3

 
 
 
 
 
 
 
 
 
 
 
 
any and all expenses (including legal fees) reasonably incurred by the Company in recovering the 
Recoupment Amount. 

7.

ARBITRATION

7.1. To  the  fullest  extent  permitted  by  law,  any  disputes  under  this  Policy  shall  be  submitted  to  mandatory 
binding  arbitration  (the  “Arbitrable  Claims”),  governed  by  the  Federal  Arbitration  Act  (the  “FAA”).
Further, to the fullest extent permitted by law, no class or collective actions can be asserted in arbitration 
or  otherwise.    All  claims,  whether  in  arbitration  or  otherwise,  must  be  brought  solely  in  the  Covered 
Person’s individual capacity, and not as a plaintiff or class member in any purported class or collective 
proceeding. 

7.2. SUBJECT  TO  THE  ABOVE  PROVISO,  ANY  RIGHTS  THAT  A  COVERED  PERSON  MAY  HAVE  TO 
TRIAL  BY  JURY  IN  REGARD  TO  ARBITRABLE  CLAIMS  ARE  WAIVED.  ANY  RIGHTS  THAT  A 
COVERED  PERSON  MAY  HAVE  TO  PURSUE  OR  PARTICIPATE  IN  A  CLASS  OR  COLLECTIVE 
ACTION PERTAINING TO ANY CLAIMS BETWEEN A COVERED PERSON AND THE COMPANY ARE 
WAIVED.

7.3. The  Covered  Person  is  not  restricted  from  filing  administrative  claims  that  may  be  brought  before  any 
government agency where, as a matter of law, the Covered Person’s ability to file such claims may not 
be restricted.  However, to the fullest extent permitted by law, arbitration shall be the exclusive remedy 
for  the  subject  matter  of  such  administrative  claims.    The  arbitration  shall  be  conducted  in  Alameda 
County,  California,  through  JAMS  before  a  single  neutral  arbitrator,  in  accordance  with  the  JAMS 
Comprehensive  Arbitration  Rules  and  Procedures  then  in  effect,  provided  however,  that  the  FAA, 
including  its  procedural  provisions  for  compelling  arbitration,  shall  govern  and  apply  to  this  Arbitration
provision.    The  arbitrator  shall  issue  a  written  decision  that  contains  the  essential  findings  and 
conclusions on which the decision is based.  If, for any reason, any term of this Arbitration provision is 
held to be 

4

 
 
 
 
 
 
 
invalid  or  unenforceable,  all  other  valid  terms  and  conditions  herein  shall  be  severable  in  nature  and 
remain fully enforceable.

8.

RECOVER PROCESS; IMPRACTICABILITY

8.1. Actions by the Administrator to recover the Recoupment Amount will be reasonably prompt. 

8.2. The  Administrator  must  cause  the  Company  to  recover  the  Recoupment  Amount  unless  the 
Administrator  shall  have  previously  determined  that  recovery  is  impracticable  and  one  of  the  following 
conditions is met:

8.2.1.The direct expense paid to a third party to assist in enforcing this Policy would exceed the amount to 
be recovered; before concluding that it would be impracticable to recover any Recoupment Amount 
based on expense of enforcement, the Company must make a reasonable attempt to recover such 
Recoupment  Amount,  document  such  reasonable  attempt(s)  to  recover,  and  provide  that 
documentation to the Exchange;

or 

8.2.2.Recovery  would  likely  cause  an  otherwise  tax-qualified  retirement  plan,  under  which  benefits  are 
broadly available to employees of the Company, to fail to meet the requirements of 26 U.S.C. 401(a)
(13) or 26 U.S.C. 411(a) and regulations thereunder.  

9.

NON-EXCLUSIVITY

9.1. The Administrator intends that this Policy will be applied to the fullest extent of the law.  Without limitation 
to any broader or alternate clawback authorized in any written document with a Covered Person, (i) the 
Administrator  may  require  that  any  employment  agreement,  equity  award  agreement,  or  similar 
agreement entered into on or after the Effective Date shall, as a condition to 

5

 
 
 
 
 
 
 
 
 
 
 
the  grant  of  any  benefit  thereunder,  require  a  Covered  Person  to  agree  to  abide  by  the  terms  of  this 
Policy,  and  (ii)  this  Policy  will  nonetheless  apply  to  Incentive-Based  Compensation  as  required  by  the 
Rules,  whether  or  not  specifically  referenced  in  those  arrangements  and  regardless  of  whether  a 
Covered Person agreed in writing to adhere to this Policy.  Any right of recoupment under this Policy is in 
addition to, and not in lieu of, any other remedies or rights of recoupment that may be available to the 
Company pursuant to the terms of any other clawback policy of the Company as then in effect, or any 
similar  policy  in  any  employment  agreement,  equity  award  agreement,  or  similar  agreement  and  any 
other  legal  remedies  or  regulations  available  or  applicable  to  the  Company  (including  SOX  304).    If 
recovery is required under both SOX 304 and this Policy, any amounts recovered pursuant to SOX 304 
may, in the Administrator’s discretion, be credited toward the amount recovered under this Policy, or vice 
versa. 

10.

NO INDEMNIFICATION

10.1.The Company shall not indemnify any Covered Persons against (i) the loss of any Recoupment Amount 
or  any  adverse  tax  consequences  associated  with  any  Recoupment  Amount  or  any  recoupment 
hereunder, or (ii) any claims relating to the Company enforcement of its rights under this Policy.  For the 
avoidance of doubt, this prohibition on indemnification will also prohibit the Company from reimbursing or 
paying any premium or payment of any third-party insurance policy to fund potential recovery obligations 
obtained  by  the  Covered  Person  directly.    No  Covered  Person  will  seek  or  retain  any  such  prohibited 
indemnification or reimbursement.

10.2.Further,  the  Company  shall  not  enter  into  any  agreement  that  exempts  any  Incentive-Based 
Compensation from the application of this Policy or that waives the Company’s right to recovery of any 
Recoupment Amount and this Policy shall supersede any such agreement (whether entered into before, 
on or after the Effective Date).

11.

COVERED PERSON ACKNOWLEDGMENT AND AGREEMENT

11.1.All Covered Persons subject to this Policy must acknowledge their understanding of, and agreement to 
comply with, the Policy by executing the acknowledgement in the form attached hereto as Exhibit A, as 
may be amended.  Notwithstanding the foregoing, this Policy will apply to 

6

 
 
 
 
 
 
 
 
Covered Persons whether or not such person executes such acknowledgement.

12.

SUCCESSORS

12.1.This Policy shall be binding and enforceable against all Covered Persons and their beneficiaries, heirs, 
executors, administrators or other legal representatives and shall inure to the benefit of any successor to 
the Company.  

13.

INTERPRETATION OF THIS POLICY

13.1.To the extent there is any ambiguity between this Policy and the Rules, this Policy shall be interpreted so 
that it complies with the Rules.  If any provision of this Policy, or the application of such provision to any 
Covered Person or circumstance, shall be held invalid, the remainder of this Policy, or the application of 
such provision to Covered Persons or circumstances other than those as to which it is held invalid, shall 
not be affected thereby.

13.2.In  the  event  any  provision  of  this  Policy  is  inconsistent  with  any  requirement  of  any  Rules,  the 
Administrator, in its sole discretion, shall amend and administer this Policy and bring it into compliance 
with such rules.  

13.3.Any determination under this Policy by the Administrator shall be conclusive and binding on all parties, 

including the applicable Covered Person.  

7

 
 
 
 
 
 
 
 
 
Determinations of the Administrator need not be uniform with respect to Covered Persons or from one 
payment or grant to another.

14.

AMENDMENTS; TERMINATION

14.1.The Administrator may make any amendments to this Policy as required under applicable law, Rules, or 

as otherwise determined by the Administrator in its sole discretion.

14.2.The Administrator may terminate this Policy at any time.

15.

DEFINITIONS

“Administrator” means the Compensation Committee of the Board, or in the absence of a committee of independent 
directors  responsible  for  executive  compensation  decisions,  a  majority  of  the  independent  directors  serving  on  the 
Board. 

“Board” means the Board of Directors of the Company.

“Clawback Measurement Date” is the earlier to occur of: 

i.

The date the Board, a committee of the Board, or the officer or officers of the Company authorized to take 
such  action  if  Board  action  is  not  required,  concludes,  or  reasonably  should  have  concluded,  that  the 
Company is required to prepare an accounting restatement as described in this Policy; or

ii. The date a court, regulator, or other legally authorized body directs the Company to prepare an accounting 

restatement as described in this Policy.

“Clawback  Period”  means  the  Company’s  three  (3)  completed  fiscal  years  immediately  prior  to  the  Clawback 
Measurement Date and any transition period between the last day of the Company’s previous fiscal year end and the 
first  day  of  its  new  fiscal  year    (that  results  from  a  change  in  the  Company’s  fiscal  year)  within  or  immediately 
following  such  three  (3)-year  period;  provided  that  any  transition  period  between  the  last  day  of  the  Company’s 
previous  fiscal  year  end  and  the  first  day  of  its  new  fiscal  year  that  comprises  a  period  of  9  to  12  months  will  be 
deemed a completed fiscal year. 

“Company” means Gritstone bio, Inc., a Delaware corporation, or any successor corporation.

8

 
 
 
 
 
 
 
 
“Covered Person” means any Executive Officer (as defined in the Rules), including, but not limited to, those persons 
who are or have been determined to be “officers” of the Company within the meaning of Section 16 of Rule 16a‑1(f) 
of the rules promulgated under the Exchange Act, and “executive officers” of the Company within the meaning of Item 
401(b)  of  Regulation  S-K,  Rule  3b‑7  promulgated  under  the  Exchange  Act,  and  Rule  405  promulgated  under  the 
Securities Act of 1933, as amended; provided that the Administrator may identify additional employees who shall be 
treated  as  Covered  Persons  for  the  purposes  of  this  Policy  with  prospective  effect,  in  accordance  with  the  Final 
Rules.

“Effective Date” means November 14, 2023, the date the Policy was adopted by the Board.

“Exchange” means the Nasdaq Global Select Market or any other national securities exchange or national securities 
association in the United States on which the Company has listed its securities for trading.  

“Exchange Act” means the Securities Exchange Act of 1934, as amended.

“Rules”  means  the  rules  promulgated  by  the  SEC  under  Section  954  of  the  Dodd-Frank  Act,  Rule  10D-1  and 
Exchange listing standards, as may be amended from time to time.

“Financial Reporting Measure” are measures that are determined and presented in accordance with the accounting 
principles used in preparing the Company’s financial statements, and any measures that are derived wholly or in part 
from such measures. Stock price and TSR are also financial reporting measures. A financial reporting measure need 
not be presented within the financial statements or included in a filing with the SEC. 

“Incentive-Based Compensation” means compensation that is granted, earned or vested based wholly or in part on 
the attainment of any Financial Reporting Measure, provided, however, that any portion of such compensation that is 
not  based  on  the  attainment  of  a  Financial  Reporting  Measure  shall  not  be  regarded  “Incentive  Based 
Compensation”.  Examples  of  “Incentive-Based  Compensation”  include,  but  are  not  limited  to:  non-equity  incentive 
plan awards that are earned based wholly or in part on satisfying a Financial Reporting Measure performance goal; 
bonuses paid from a “bonus pool,” the size of which is determined based wholly or in part on satisfying a Financial 
Reporting  Measure  performance  goal;  other  cash  awards  based  on  satisfaction  of  a  Financial  Reporting  Measure 
performance goal; restricted stock, restricted stock units, performance share units, stock options, and SARs that are 
granted or become vested based wholly or in part on satisfying a Financial Reporting Measure goal; and proceeds 
received upon the sale of shares acquired through an incentive plan that were granted or vested based wholly or in 
part on satisfying a Financial Reporting Measure goal. “Incentive-Based Compensation” excludes, for example, time-
based  awards  such  as  stock  options  or  restricted  stock  units  that  are  granted  or  vest  solely  upon  completion  of  a 
service period; awards based on non-financial strategic or operating metrics such as the consummation of a merger 
or  achievement  of  non-financial  business  goals;  service-based  retention  bonuses;  discretionary  compensation;  and 
salary.

9

 
 
 
“Listing Rule Effective Date” means October 2, 2023, the effective date of the listing standards of the Exchange on 
which the Company’s securities are listed.

“Policy” means this Compensation Recovery Policy. 

Incentive-Based  Compensation  is  deemed  “Received”  in  the  Company’s  fiscal  period  during  which  the  relevant 
Financial  Reporting  Measure  specified  in  the  Incentive-Based  Compensation  award  is  attained,  irrespective  of 
whether the payment or grant occurs on a later date or if there are additional vesting or payment requirements, such
as time-based vesting or certification or approval by the Compensation Committee or Board, that have not yet been 
satisfied.

“Recoupment  Amount”  means  the  amount  of  Incentive-Based  Compensation  Received  by  the  Covered  Person 
based on the financial statements prior to the restatement that exceeds the amount such Covered Person would have 
received  had  the  Incentive-Based  Compensation  been  determined  based  on  the  financial  restatement,  computed 
without regard to any taxes paid (i.e., gross of taxes withheld).

“SARs” means stock appreciation rights.

“SEC” means the U.S. Securities and Exchange Commission.

“SOX 304” means Section 304 of the Sarbanes-Oxley Act of 2002.

“Triggering Event” means any event in which the Company is required to prepare an accounting restatement due to 
the  material  noncompliance  of  the  Company  with  any  financial  reporting  requirement  under  the  securities  laws, 
including  any  required  accounting  restatement  to  correct  an  error  in  previously  issued  financial  statements  that  is 
material to the previously issued financial statements, or that would result in a material misstatement if the error were 
corrected in the current period or left uncorrected in the current period.  

“TSR” means total stockholder return.

10

 
 
 
 
EXHIBIT A

Acknowledgement

I certify that:

1.

2.

3.

4.

5.

I have read and understand the Company’s Compensation Recovery Policy (the “Policy”).  I understand that the 
Company’s Legal Department is available to answer any questions I have regarding the Policy.

I  understand  that  the  Policy  applies  to  all  of  my  existing  and  future  compensation-related  agreements  with  the 
Company with respect to Incentive-Based Compensation Received after the Listing Rule Effective Date, whether 
or not explicitly stated therein. 

I agree that notwithstanding the Company’s certificate of incorporation, bylaws, and any agreement I have with 
the Company, including any indemnification agreement I have with the Company, I will not be entitled to, and will 
not  seek  indemnification  from  the  Company  for,  any  amounts  recovered  or  recoverable  by  the  Company  in 
accordance with the Policy.

I agree that, as a condition of receiving Incentive-Based Compensation from the Company, any Incentive-Based 
Compensation received on or after October 2, 2023 is subject to recovery pursuant to the terms of the Policy, and 
I  further  agree  (i)  to  binding  arbitration  set  forth  in  Section  7  of  the  Policy  in  accordance  with  the  terms  of  the 
Policy  and  (ii)  to  abide  by  the  terms  of  the  Policy  including,  without  limitation,  by  returning  any  Recoupment 
Amount to the Company reasonably promptly to the extent required by, and in a manner permitted by, the Policy, 
as determined by the Administrator in its sole discretion.

I  understand  and  agree  that  in  the  event  of  a  conflict  between  the  Policy  and  the  foregoing  agreements  and 
understandings  on  the  one  hand,  and  any  prior,  existing  or  future  agreement,  arrangement  or  understanding, 
whether oral or written, with respect to the subject matter of the Policy and this Acknowledgement, on the other 
hand,  the  terms  of  the  Policy  and  this  Acknowledgement  shall  control,  and  the  terms  of  the  Policy  and  this 
Acknowledgement  shall  supersede  any  provision  of  such  an  agreement,  arrangement  or  understanding  to  the 
extent of such conflict with respect to the subject matter of the Policy and this Acknowledgement; provided that, in 
accordance  with  Section  8  of  the  Policy,  nothing  herein  limits  any  other  remedies  or  rights  of  recoupment  that 
may be available to the Company. 

6.

I agree to abide by the terms of the Policy, including, without limitation, by returning any Recoupment Amount to 
the Company to the extent required by, and in a manner permitted by, the Policy.

Signature:  

Name:  

11

 
 
 
 
 
 
 
 
 
 
 
Title:  

Date:  

12

 
 
 
 
 
 
 
 
 
 
 
 
 
BOARD OF DIRECTORS

Elaine V. Jones, Ph.D. 
Former Vice President and Senior Partner, 

Pfizer Ventures

Shefali Agarwal, M.D., M.P.H 
President and Chief Executive Officer  

of Valerio Therapeutics

Andrew Allen, M.D., Ph.D. 
Co-founder, President and Chief  

Executive Officer, Gritstone bio, Inc.

Lawrence Corey, M.D. 
Former President and Director,  

Fred Hutch

Clare Fisher 
SVP of Business Development and M&A, 

BeiGene

Steve Krognes 
Former Chief Financial Officer, 

Denali Therapeutics

Naiyer A. Rizvi, M.D. 
Chief Medical Officer, Synthekine

EXECUTIVE MANAGEMENT

Andrew Allen, M.D., Ph.D. 
Co-founder, President and  

Chief Executive Officer

Celia Economides 
Executive Vice President and Chief  

Financial Officer

Matthew Hawryluk, Ph.D. 
Executive Vice President and  

Chief Business Officer

Erin E. Jones, M.S. 
Executive Vice President and Chief  

Operating Officer

Karin Jooss, Ph.D. 
Executive Vice President and Head of 

Research and Development

Stacy Proctor 
Executive Vice President and Chief  

People Officer

OBTAINING FINANCIAL 
STATEMENTS

A copy of our Annual Report on Form  

10-K is posted to our website. You may  

also obtain a copy by written or email 

request to:

Gritstone bio, Inc. 
5959 Horton Street, Suite 300 

Emeryville, CA 94608 

Attn: Investor Relations 

Email: ir@gritstone.com

ANNUAL MEETING

Monday, June 17, 2024 at 10:00am PT 
Our virtual shareholder meeting may be 
accessed at www.virtualshareholder-
meeting.com/GRTS2024 using the control 
number which is included on the Notice 

of Internet Availability of Proxy Materials 

and your Proxy Card.

TRADING INFORMATION

The common stock of Gritstone bio, Inc. 

is traded on the Nasdaq Global Select 

Market under the symbol “GRTS”.

TRANSFER AGENT

Information regarding stock certificates, 

change of address, ownership transfer or 

other stock matters can be obtained from:

Equiniti Trust Company 
48 Wall Street, New York, NY 10005 

www.equiniti.com 

Email: helpAST@equiniti.com 

Phone: (800) 937-5449 or (718) 921-8124 

INDEPENDENT REGISTERED 
PUBLIC ACCOUNTING FIRM

Ernst & Young LLP 

275 Shoreline Drive, Suite 600 

Redwood City, CA 94065 

Phone: (650) 802-4500

ABOUT GRITSTONE BIO:

Gritstone bio (Nasdaq: GRTS) is working to create the world’s most potent vaccines. We leverage our innovative vectors and payloads 
to train multiple arms of the immune system to attack critical disease targets and have programs in viral diseases and solid tumors. 
Independently and with our partners, we are advancing a portfolio of product candidates with the aim of improving patient outcomes and 
eliminating disease. www.gritstonebio.com.

FORWARD-LOOKING STATEMENTS:

This report contains forward-looking statements, including, but not limited to, statements related to the potential of Gritstone’s therapeu-
tic programs; the advancements in Gritstone’s ongoing clinical trials; the timing of data announcements related to ongoing clinical trials 
and the initiation of future clinical trials. Such forward-looking statements involve substantial risks and uncertainties that could cause 
Gritstone’s research and clinical development programs, future results, performance or achievements to differ significantly from those 
expressed or implied by the forward-looking statements. Such risks and uncertainties include, among others, the uncertainties inherent in 
the drug development process, including Gritstone’s programs’ clinical stage of development, the process of designing and conducting 
preclinical and clinical trials, the regulatory approval processes, the timing of regulatory filings, the challenges associated with manufac-
turing drug products, Gritstone’s ability to successfully establish, protect and defend its intellectual property and other matters that could 
affect the sufficiency of existing cash to fund operations. Gritstone undertakes no obligation to update or revise any forward-looking  
statements. For a further description of the risks and uncertainties that could cause actual results to differ from those expressed in these 
forward-looking statements, as well as risks relating to the business of the company in general, see Gritstone’s most recent Annual Re-
port on Form 10-K filed on March 5, 2024 and any current and periodic reports filed with the Securities and Exchange Commission.

DESIGN: Jennifer McCall.   |   IMAGERY: iStock and Shutterstock Images on front cover.