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INmune Bio

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

☒ ANNUAL REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended:  December 31, 2022

☐ TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from ____________ to ____________

Commission file number:  001-38793

INMUNE BIO INC.
(Exact name of registrant as specified in its charter)

Nevada
(State or other jurisdiction of
incorporation or organization)

47-5205835
(I.R.S. Employer
Identification No.)

INMUNE BIO INC.
David Moss
225 NE Mizner Blvd, Suite 640
Boca Raton, FL 33432
Phone: (858) 964 3720
(Address of principal executive offices)(Zip Code)

(858) 964 3720
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class
Common Stock ($0.001 par value)

Trading Symbol
INMB

Name of Market Where Traded
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 Section 15(d) of the Act. Yes ☐  No ☒

Indicate by checkmark 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’s  assessment  of  the  effectiveness  of  its  internal
control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared
or issued its audit report. ☐

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 registrant’s common stock held by non-affiliates of the registrant was approximately $ 103 million as of the last business
day of the registrant’s most recently completed second fiscal quarter (June 30, 2022), based upon the closing sale price for the registrant’s common stock
on that day as reported by the NASDAQ Capital Market. Shares of common stock held by each officer and director of the registrant on June 30, 2022 have
been excluded in that such persons may be deemed to be affiliates.

As of March 2, 2023, there are  17,945,995 shares of common stock, $0.001 par value per share outstanding.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the registrant’s definitive proxy statement to be filed by the registrant in connection with its 2023 Annual Meeting of Shareholders are

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
incorporated by reference in Part III.

FORM 10-K
FOR THE YEAR ENDED DECEMBER 31, 2022

TABLE OF CONTENTS

Item Number and Caption
Forward-Looking Statements

PART I

1.
1A. 
1B. 
2. 
3.
4. 

PART II

5. 
6. 
7.
7A.
8.
9. 
9A.
9B.
9C.

PART III

10.
11.
12.
13.
14.

PART IV

15.
16.

Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

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
Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting, and Financial Disclosure
Controls and Procedures
Other Information
Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

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
Form 10-K Summary
Signatures

i

PART I

Page
ii

1
34
59
59
59
59

60
60
60
71
F-1
72
72
72
72

73
73
73
73
73

74
77
78

All brand names or trademarks appearing in this report are the property of their respective holders. Unless the context requires otherwise, references in
this report to “INmune Bio” the “Company,” “we,” “us,” and “our” refer to INmune Bio Inc., a Nevada corporation.

FORWARD-LOOKING STATEMENTS

This  Annual  Report  on  Form  10-K  (this  “Annual  Report”)  contains  “forward-looking  statements”  Forward-looking  statements  reflect  our  current
view about future events. When used in this Report, the words “anticipate,” “believe,” “estimate,” “expect,” “future,” “intend,” “plan,” or the negative of these
terms and similar expressions, as they relate to us or our management, identify forward-looking statements. Such statements include, but are not limited
to, statements contained in this Report relating to our business strategy, our future operating results and liquidity and capital resources outlook. Forward-
looking statements are based on our current expectations and assumptions regarding our business, the economy and other future conditions. Because
forward–looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict.
Our  actual  results  may  differ  materially  from  those  contemplated  by  the  forward-looking  statements.  They  are  neither  statements  of  historical  fact  nor
guarantees of assurance of future performance. We caution you therefore against relying on any of these forward-looking statements. Important factors
that could cause actual results to differ materially from those in the forward-looking statements include, without limitation, our ability to raise capital to fund
continuing  operations;  our  ability  to  protect  our  intellectual  property  rights;  the  impact  of  any  infringement  actions  or  other  litigation  brought  against  us;
competition from other providers and products; our ability to develop and commercialize products and services; changes in government regulation; our
ability to complete capital raising transactions; and other factors (including the risks contained in the section of this Annual Report entitled “Risk Factors”)
relating  to  our  industry,  our  operations  and  results  of  operations.  Actual  results  may  differ  significantly  from  those  anticipated,  believed,  estimated,
expected, intended or planned.

Factors or events that could cause our actual results to differ may emerge from time to time, and it is not possible for us to predict all of them. We
cannot guarantee future results, levels of activity, performance or achievements. Except as required by applicable law, including the securities laws of the

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
United States, we do not intend to update any of the forward-looking statements to conform these statements to actual results.

ii

PART I

Item 1. Business

Our Strategy

Our objective is to develop and commercialize our product candidates to treat diseases where the innate immune system is dysfunctional causing
and  contributing  to  the  patient’s  disease.  Innate  immune  dysfunction  can  occur  for  a  variety  of  reasons  including  genetics,  lifestyle,  and  other  factors
however, age plays a significant role in the development of immune dysfunction. Innate immune dysfunction can be in cancer where Natural Killer (“NK”)
cells are inactive and contribute to a tumor’s evasion of the immune system and/or disease progression. Further, chronic inflammation causes expression
of MUC4 and immunosuppressive cells of the tumor microenvironment proliferate to protect the tumor from attack by the patient’s immune system and can
cause  other  diseases  such  as  neurologic  and  metabolic  diseases  where  chronic  inflammation  results  in  innate  immune  system  dysfunction.  Our  initial
focus  will  be  the  treatment  of  cancer,  treatment  of  Alzheimer’s  Disease  (“AD”),  the  treatment  of  Treatment  Resistant  Depression  (“TRD”)  and  an  out-
licensing strategy for Duchenne’s Muscular Dystrophy (“DMD”). In cancer, we plan to pursue two parallel development programs: (1) with INKmune we will
initially  focus  on  treating  women  with  resistant  disease  relapse  refractory  carcinoma  solid  tumor  and  patients  with  high-risk  myelodysplastic  syndrome
(high risk MDS); (2) with INB03, we plan to treat patients with cancers that express MUC4, a mucinous polyglucan on the surface of some epithelial cancer
cells,  that  appears  to  predict  resistant  to  immunotherapy  including  women  with  MUC4  expressing  HER2+  breast  cancer  and  potentially  other  MUC4
resistant  cancers.  Our  third  drug  candidate  XPro1595  (“XPro”),  targets  Alzheimer’s  Disease  and  TRD.  XPro  for  AD  has  completed  Phase  I  trials  and
Phase  II  trials  are  underway  in  Australia  and  Canada.  The  Company  is  currently  in  discussions  with  the  US  FDA  to  obtain  approval  to  commence  the
Phase II AD trials in the U.S. which the FDA placed on full clinical hold on May 20, 2022. XPro for TRD is being prepared for Phase II trials and will start
after the FDA has cleared XPro for use in the US. In early 2023, the Company also announced pre-clinical data in DMD including new intellectual property
for the purpose of trying to seek partnership for the development of this program. DMD is a X-linked genetic disease that occurs most often in young boys.
People with DMD do not produce dystrophin, a protein necessary for normal skeletal muscle function. The patients develop weakness of skeletal muscles
initially  seen  as  weakness  in  standing  and  walking.  Over  time,  the  disease  progresses  forcing  the  patient  to  be  wheelchair  bound  by  early  teens.  The
patients die young due to respiratory and cardiac failure before they reach thirty years old. Therapies for DMD delay progression, there is no cure.

The overall principal components of our business strategy to achieve these objectives are to:

●

pursue  development  strategies  and  regulatory  approval  pathways  that  allow  the  treatment  of  oncology  patients  with  our  lead  product
candidates, INKmune and INB03;

●  pursue development strategies and regulatory approval pathways that allow the treatment of neurodegenerative diseases in patients with our

lead product candidates, XPro;

● Pursue development strategies with a dominant-negative tumor necrosis factor (“DN-TNF”) compound for the treatment of DMD;

●

●

adopt a product development strategy that solidifies our existing intellectual property (“IP”) to prevent competition and expand our IP suite into
related immunotherapeutic areas;

provide  clear  value  propositions  to  third-party  payers,  such  as  managed  care  companies  or  government  programs  like  Medicare,  to  merit
reimbursement for our product candidates; and

● Collaborate with other pharmaceutical companies with respect to, among other things, our INKmune and the DN-TNF platform that includes
INB03 and XPro product candidates, our DMD DN-TNF candidate and other products that will benefit from development or marketing beyond
our current resources.

Pursue  development  and  regulatory  approval  pathways.  We  believe  INKmune,  INB03  and  XPro  may  be  approvable  under  pathways  that  are
potentially shorter than those typically available for drug products based on novel active ingredients, including as an orphan drug under the Orphan Drug
Act and approval under the Food and Drug Administration (the “FDA”) Accelerated Approval Program (see “Government Regulation”). We have not yet
had a discussion with the Medicines and Healthcare Products Regulatory Agency (“MHRA”) and/or FDA regarding such designation, but plan to do so in
the future. We believe the INKmune MDS cancer program may qualify for orphan status. We believe that it would take a minimum of six months to receive
Orphan Drug status once we apply for application and a minimum of 12 months to receive a designation once we submit an application. We might never
have these discussions, submit applications under the Orphan Drug Act or the FDA Accelerated Approval Program or have these applications approved if
we do.

1

Adopt a two-pronged patent strategy.  We are pursuing a two-pronged product development strategy that will seek to solidify our existing IP to
prevent competition and expand our IP suite into related therapeutic areas. We are confident that our core in-licensed IP (see “Intellectual Property”) will
allow us both freedom-to-operate and provide robust protection from outside competition. We will continue to invest in expanding our patent suite. We will
also seek to further to strengthen our IP position by looking to in-license IP related to our focus on the innate immune system.

Provide  clear  value  propositions  to  third-party  payors  to  merit  reimbursement  for  our  product  candidates .  We  are  designing  our  clinical
development  programs  to  demonstrate  compelling,  competitive  advantages  to  patients  and  prescribers,  and  to  demonstrate  value  propositions  to  third-
party payors. We believe the use of INKmune and/or INB03 in patients with a high risk of tumor progression and death from tumor should prolong survival,
improve the patient’s quality of life and decrease the total cost of care for patients with these lethal malignancies. For example, cancer patients relapse
frequently. Each relapse requires a complex treatment regimen that has decreasing benefits. Treatment with INKmune as an out-patient may provide a
more  durable  remission  and  limit  the  need  for  treatment-associated  hospitalizations.  At  the  patient  level,  we  believe  INKmune  and  INB03  therapy,  if
approved,  should  improve  survival  and  quality  of  life.  At  the  payor  level,  we  believe  INKmune,  if  approved,  should  provide  more  predictable  costs  and
outcomes. Therapies for Alzheimer’s disease are needed for medical, social and economic reasons. The cost of Alzheimer’s disease to the government is
large  and  growing.  Recently  approved  therapies  that  target  amyloid  have  a  modest  impact  on  disease  progression  and  are  difficult  to  use  due  to side-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
effects  in  some  patients.  The  cost  of  AD  to  families  and  care  givers  is  real  and  burdensome.  We  believe  treatment  of  dementia  patients  with  XPro,
including Alzheimer’s disease, may provide a strategy to alter the costly dynamic of this disease in society today.

Collaborate to maximize the value of our technology . We believe there are two reasons for us to enter collaborations with other companies. The
first  is  the  further  development  of  INKmune,  INB03,  XPro  and  DN-TNF  by  either  providing  additional  innovations  to  the  product,  including  combination
therapy  strategies,  and/or  providing  resources  to  improve  the  speed  and  breadth  of  the  development  process.  The  second  is  to  optimize  the
commercialization of our products either globally or regionally. The ideal partner will benefit us in both ways.

We continue to look for ways to utilize our unique capabilities to optimize clinical application of cell therapies. We believe that we have identified a
way  to  manufacture  human  mesenchymal  stem  cells  for  the  medical  research  and  biotech  community  that  offers  large  volumes  of  high-quality,  low
passage human umbilical cord mesenchymal stem cells with minimal batch-to-batch variability. We have established a reliable supply of human umbilical
cords based on our agreement with the Anthony Nolan Cord Blood Bank in the United Kingdom and may seek additional supplies in the future. We have
developed a validated manufacturing process that reliably produces contract manufacturer of the clinical grade (“cGMP”) quality mesenchymal stem cells
that  we  call  CORDstrom.  The  manufacturing  process  can  be  performed  at  a  contract  manufacturing  site  under  the  direction  of  Mark  Lowdell,  the
Company’s CSO. We will seek academic laboratories and biopharma companies who need a reliable source of high quality pooled human umbilical cord
mesenchymal  stem  cells  for  research  of  and  development  of  clinical  products.  Once  identified,  we  plan  to  act  as  a  cGMP  for  the  development  of
therapeutic products by utilizing contract manufacturers. Because the production of the product is not continuous, we do not expect to engage a contract
manufacturer until we have a customer identified. To date, we are supporting two academic clinical trials with CORDstrom. One program is a Phase 2 trial
sponsored  by  the  Great  Ormond  Street  Children’s  Hospital  in  the  UK  treating  children  with  Erythematous  Bullousa  (“EB”),  a  disfiguring  skin  disease  in
children that is similar to a second degree burn and the second program is treatment of system lupus in adults. Both these studies are ongoing. INmune
Bio is supplying the clinical product for treatment of these patients. The Company does not know the results of these trials until they are announced by the
principal investigators at the clinical sites. We have identified contract manufacturers in the UK that have the capability to produce cGMP stem cells. We
expect the commercial arrangement with academic laboratories or biopharma companies to be a combination of fee-for-service and licensing that does not
require additional investment by us. We will be opportunistic in pursuing therapeutic opportunities for our own portfolio with this platform in the future if
resources become available. The regulatory path for therapeutic applications of the mesenchymal stem cell products is well established and similar to the
regulatory approval process for other cell therapies. We will only be responsible for regulatory compliance related to manufacturing of the mesenchymal
stem  cells  when  the  product  is  being  developed  by  a  third  party.  When  developing  a  therapeutic  product  for  the  Company’s  commercial  portfolio,  the
Company will be responsible for all aspects of the regulatory process.

2

Overview of Immunotherapy for Cancer

The  immune  system  has  two  parts,  innate  and  adaptive.  The  innate  immune  system  is  the  body’s  first  line  of  defense  against  an  infection,
providing  immediate,  non-specific  responses  to  eliminate  harmful  cells  in  the  body.  Components  of  the  innate  immune  system  include  cytokines,
chemokines, macrophages, neutrophils and NK cells, among others.

The  adaptive  immune  system  is  often  initially  triggered  by  the  innate  immune  system,  mounts  a  delayed  response  against  diseased  cells  and
plays a role protecting against re-infection. An adaptive immune response is highly specific to a pathogen or antigen and is developed or learned from
prior exposure. Key components of the adaptive immune system include antibodies which bind to antigens and mark them for destruction by other immune
cells, B-cells which produce these antibodies upon exposure to antigens, and T-cells which attack and eliminate the diseased cells.

The  biopharmaceutical  industry  has  made  significant  advances  in  harnessing  specific  components  of  innate  and  adaptive  immune  systems  for

therapeutic use. Some of these approaches are summarized below.

Cytokines. Tumor  Necrosis  Factor  alpha  (“TNF”)  is  the  focus  of  XPro  and  INB03.  TNF  biology  has  four  elements  that  include  two  cytokines,
soluble  TNF  and  trans-membrane  TNF  (“sTNF”  and  “tmTNF,”  respectively),  and  two  receptors,  TNF  Receptor  1  and  2  (“TNFR1”  and  “TNFR2”).  The
biology of TNF ligation of TNFR varies dramatically based on what elements of the TNF system that are used. sTNF binding to TNFR1 is responsible for
inflammation  and  cell  death  while  sTNF  binding  to  TNFR2  promotes  proliferation  of  regulatory  T  cells  (“Treg”).  In  patients  with  advanced  cancers,
increased sTNF is not favorable to long-term survival because it promotes epithelial-mesenchymal transformation and metastasis while making the tumor
microenvironment more immunosuppressive promoting resistance to therapy. In the CNS, sTNF promotes neuronal cell death, demyelination and synaptic
pruning while tmTNF promotes nerve cell survival, improves synaptic function and stimulates remyelination. In brief, sTNF is the “bad” TNF and tmTNF is
the  “good”  TNF.  In  patients  with  cancer,  infection  or  neurologic  disease,  blockade  of  tmTNF  function  has  negative  consequences  such  as
immunosuppression, increased infection, synaptic dysfunction and demyelination.

One of the early applications of immunotherapy is the use of cytokines, including interferons and interleukin-2 (“IL-2”). Interferons are molecules
that inhibit the growth and replication of diseased cells and stimulate innate immune cells to attack them. They have been used as standard of care for
hepatitis B and C and multiple sclerosis, and to a lesser extent, as  treatment  for  certain  cancers,  including  chronic  myeloid  leukemia,  cutaneous  T-cell
lymphoma,  myeloma  and  non-Hodgkin’s  lymphoma.  However,  the  use  of  interferons  has  generally  decreased  over  the  years  due  to  serious  adverse
events (e.g., flu-like symptoms and dramatic weight loss) and introduction of new therapies with higher efficacy, better safety profiles and more convenient
administration although Alpha-interferon remains the treatment of choice for some hematological conditions such as polycythemia. IL-2 activates T-cells
and NK cells to attack diseased cells. IL-2 has been used to treat select cancers, but due to its relatively poor safety profile, physicians often only resort to
this therapy for the most advanced settings.

Antibody therapy.  Antibodies exist in three formats: monoclonals (“mAbs”), oligo/polyclonal and antibody-drug conjugates. mAbs represent an
effective  therapeutic  modality  and  are  important  to  the  treatment  paradigm  of  various  diseases.  Drug  manufacturers  have  leveraged  mAbs’  ability  to
induce an antibody-dependent cell-mediated cytotoxicity, or ADCC effect to develop better treatments that prolong survival and quality of life of patients. In
addition,  mAbs  designed  to  inhibit  specific  checkpoints  in  the  immune  system  have  overcome  in  vivo  immune  suppression  and  the  resulting  immune
responses have led to profound therapeutic benefit in some patients. However, the degree of efficacy of these therapies is heavily reliant on the immune
system  of  patients,  many  of  whom  are  severely  immuno-compromised.  In  addition,  mAbs  are  manufactured  through  a  complex  process  that  requires
purification of cell products created from a cell line. Polyspecific antibodies, for example bi-specific antibodies, are able to target more than one antigen.
These are often used to bring and effector T cell in contact with a target cell. Antibody drug conjugates are mAbs attached to a toxin, chemotherapy or
radio therapy that delivers the cancer killing payload directly to the cancer.

3

 
 
 
 
 
 
 
 
 
 
 
 
 
Dendritic  Cell  Therapies.  This  approach  is  designed  to  indirectly  stimulate  a  patient’s  T-cells  by  leveraging  the  role  of  dendritic  cells  in
presenting  antigens  to  T-cells.  Cancer  vaccines  are  the  most  common  application  of  dendritic  cells.  The  only  FDA-approved  dendritic  cell  therapy  is
PROVENGE, which entails collecting monocytes from the patient, maturing them into dendritic cells, “loading” ex vivo with the patient’s cancer antigens,
and then re-infusing in the patient. Currently, this process is cumbersome and expensive, and again, relies on an intact and effective immune system of
the  patient.  There  are  additional  ongoing  preclinical  studies  and  clinical  trials  being  conducted  by  our  competitors  aimed  at  addressing  certain  of  the
limitations associated with this approach. To date, current clinical results of dendritic cell therapies have been mixed.

CAR-T  and  TCR  Therapies.   T-cells  recognize  diseased  cells  by  receptors  engaging  with  antigens  that  are  present  on  or  inside  the  diseased
cells. CAR-T therapy entails genetically engineering T-cells to express synthetic CARs that direct T-cells to antigens on the surface of cancer cells. TCR
therapy modifies T-cells to express high-affinity tumor specific TCRs that recognize intra-cellular antigens that must be presented on the surface of target
cells. In early clinical trials, CAR-T and TCR therapies have demonstrated impressive anti-tumor activity in a narrow spectrum of hematologic cancers and
garnered  significant  attention  by  research  institutions  and  biopharmaceutical  companies.  We  believe  a  key  limitation  of  adaptive  autologous
immunotherapy is the need to retrieve non-compromised immune cells from a cancer patient which requires a complex and costly manufacturing process
to  develop  the  therapy.  The  complexity  of  this  personalized  process  is  reflected  in  the  price  of  the  two  approved  therapies.  CAR-T  therapies  -
tisagenlecleucel  and  axicabtagene  ciloleucel  for  advanced  leukemia  and  lymphoma  respectively.  The  cost  of  a  single  therapy  is  many  hundreds  of
thousands of dollars. As a consequence of this need to harvest active T-cells, current Phase I clinical trials for autologous CAR-T cell therapy in large part
enroll  patients  from  highly  selected,  often  relatively  early-stage  disease  in  a  narrow  spectrum  of  cancers,  including  bulky  hematological  cancers.  In
addition,  Phase  I  clinical  trials  of  CAR-T  cell  immunotherapy  have  reported  severe  adverse  toxicities  of  cytokine  release  syndrome  and  neurotoxicity,
requiring  hospitalization,  pre-conditioning  and,  in  some  instances,  intensive  care  unit  admission  following  side  effects  associated  with  cytokine  release
syndrome. As a result, though our competitors continue to develop their CAR-T and TCR product candidates with the goal of addressing certain of the
limitations associated with these approaches, we believe these serious challenges may limit their potential and use in a variety of indications, including
solid tumors.

Checkpoint Inhibitors.  Immune cells express proteins that are immune checkpoints that control and down-regulate the immune response. These
are best defined in T lymphocytes and include PD-1, CTLA-4, TIM-3 and LAG3. Tumor cells express the ligands to these receptors. When T cells bind the
ligand to these proteins on the tumor cells, the T cell is turned off and does not attempt to attack the tumor cell. Thus, checkpoint inhibitors (“CPI”) are part
of the complex strategy used by the tumor to evade the patient’s immune system and are responsible for resistance to immunotherapy. Biopharmaceutical
companies have successfully developed CPI that block the receptor/ligand interaction to promote the adaptive immune response to the tumor. Six CPI are
currently  approved,  pembrolizumab,  nivolumab,  atezolizumab,  avelumab,  durvalumab,  and  ipilimumab  for  a  wide  variety  of  solid  tumors  including
melanoma, lung, bladder, gastric cancers and others. More CPI are in development and more tumor types will be added to the list of sensitive tumors over
the next years. CPI have become the backbone of cancer therapy and are expected to be the best -selling class of drugs by 2027.

NK Cells.  NK cells typically represent approximately 2% to 13% of circulating lymphocytes and are a critical component of the immune system
responsible  for  innate  immunity.  Unlike  adaptive  immune  cells,  they  are  ever  present  and  ready  to  attack,  having  the  inherent  ability  to  detect  and
eliminate diseased cells without the need for antigen presentation, which is why they are called “natural killers.”

NK cells bind to stress ligands expressed by the diseased cells and directly eliminate them. This binding induces NK cells to release cytokines,
including, interferons and GM-CSF, which are integral in recruiting additional innate and adaptive immune responses by the host. NK cells also represent
a critical effector cell for ADCC, whereby target cells bound with human antibodies, whether made by the patient’s body or administered, are selectively
destroyed by the NK cells.

4

Our Innate Immune Dominant-Negative TNF (“DN-TNF”) product candidate

We renamed XPro, which we license from Xencor, to INB03 when it is used for cancer related indications. We will continue to call the drug XPro
when used for treatment of neurologic and psychiatric diseases, including Alzheimer’s disease and TRD discussed below. INB03 and XPro are the same
drug with different names. INB03 neutralizes soluble TNF in the tumor microenvironment (“TME”). Neutralizing sTNF in the TME has two main effects –
decreases  expression  of  MUC4  by  the  tumor  and  converting  the  immunosuppressive  cancer  promoting  TME  that  promotes  tumor  growth  to  an
immunologically active TME that promotes tumor cell death. INB03 decreases proliferation of MDSC, promotes recruitment of cytotoxic T cells to the TME
and may convert immunosuppressive tumor macrophages into tumor phagocytic macrophages. In murine models, these changes make the tumor reverse
resistance to treatment with immunotherapy alone or in combination with tyrosine kinase inhibitors (TKI) such a lapatinib and tucatinib. MUC4 expression
is increased by sTNF produced by the tumor. MUC4 causes resistance to trastuzumab therapy in HER2+ breast and gastric cancer cells by preventing
binding of trastuzumab to HER2 by steric hinderance. By neutralizing sTNF with INB03, decreases MUC4 expression to allow trastuzumab to bind HER2.
The  importance  of  trastuzumab  based  immunotherapy  in  the  treatment  of  HER2  expressing  tumors  has  increased  recently  due  to  the  success  of
trastuzumab-deruxtecan (Enhertu, TDxd). TDxd improves survival in women with metastatic HER2+ breast cancer in both high and low HER2 expressing
tumors. MUC4 expression inhibits the TDxd tumor killing in a murine model of HER2+ trastuzumab resistant HER2+ breast cancer. The mechanism by
which combination of INB03 with TKI improves efficacy over TKI alone remains under investigation. By using INB03 as part of combination therapy for
cancer,  we  believe  the  patient’s  dysregulated  immune  response,  a  hallmark  of  cancer  progression  and  resistance  to  therapy,  to  be  converted  to  a
coordinated  immune  response  that  can  overcome  resistance  mechanisms  to  immunotherapy  in  MUC4  expressing  cancers.  These  immune  responses
have  been  studied  in  at  least  two  animal  models.  In  a  murine  model  of  an  inflammatory  cancer,  where  3-methylcholanthrese  is  given  to  mice  in  a
subcutaneous injection that causes the development of multiple cutaneous fibrosarcoma. This model was developed by Y Akamatsu in 1967 while working
at the National Cancer Institute of the NIH. In research published by Professor Nikola Vujanovic in Cancer Immunology Research  in 2016, treatment with
INB03 resulted in smaller and fewer cancers with increased survival. INB03 is an engineered PEGylated protein that neutralizes human soluble TNF, a
human  inflammatory  cytokine  that  is  increased  in  patients  with  advanced  cancer.  By  specifically  neutralizing  the  cytokine,  there  is  decreased
phosphorylation of STAT3, an essential step required for the proliferation of the MDSC population, and secretion of the immunosuppressive cytokines. The
combination of decreased MDSC proliferation and decreased immunosuppressive cytokines allows the immune system to respond to the tumor. This data
was  published  in  an  article  entitled  Inhibition  of  Soluble  Tumor  Necrosis  Factor  Prevents  Chemically  Induced  Carcinogenesis  in  Mice  in  Cancer
Immunology  Research  in Cancer  Immunology  Research,  2016.  In  summary,  INB03  functions  as  an  innate  immune  system  checkpoint  inhibitor  by
eliminating  the  population  of  MDSC  that  provides  an  immunosuppressive  shield  protecting  the  tumor,  the  patient’s  immune  system  is  able  to  function
normally  to  the  benefit  of  the  patient  –  it  can  attack  the  tumor.  TNF  plays  an  important  role  in  breast  cancer  (Schillaci  R,  Front.  Oncol.,  22  April  2020
|  https://doi.org/10.3389/fonc.2020.00584).  In  a  murine  model  of  trastuzumab  resistant  breast  cancer  using  JMIT-1  cells,  a  human  cell  line  of  HER2
positive  breast  cancer  resistant  to  trastuzumab  placed  into  immunocompromised  mice,  INB03  downregulates  MUC4  from  the  surface  of  the  JMIT-1
HER2+ breast cancer cells to allow the trastuzumab resistant cells to become trastuzumab sensitive (Figure A from Bruni, NYAS 2020) to decrease tumor
growth (from Schillaci SABCS 2018, Figure B). JMIT-1 cells are also resistant to lapatinib, a TKI inhibitor used as a second line therapy in women with
trastuzumab resistant HER2+ breast cancer. The addition of INB03 to lapatinib in the animal model reverses lapatinib resistance in part by decreasing
expression  of  MUC4  (from  Bruni  NYAS  2020,  Figure  C).  In  addition  to  decreasing  resistance  to  trastuzumab  by  decreasing  MUC4  expression,  INB03

 
 
 
 
 
 
 
 
 
decreases  the  immunosuppressive  tumor  microenvironment  (Schillaci  SABCS  2018,  Bruni  NYAS  2020).  Recently,  Dr.  Schillaci  reported  the  MUC4
expressing triple negative breast (TNBC) cancer patients have a worse overall survival. (Schillaci SABCS 2021). More recently, Schillaci has shown that
MUC4 causes resistance to trastuzumab ADC (trastuzumab-XXX and TDxd). Combination therapy with INB03 overcomes resistance in this breast cancer
model. These data may be relevant to all tumors that express HER2 or MUC4 including upper gastrointestinal malignancies such as gastric and pancreatic
cancer. We believe MUC4 expression is a biomarker of resistance that may improve therapeutic decision making by clinical teams

5

6

Because INB03 targets the patient’s immune system and not the tumor, we believe INB03 is an immunotherapy that can be used to treat many
types of hematologic malignancies and solid tumors as part of combination therapy. The decision to use INB03 in a patient will be based on biomarkers
that  should  predict  that  a  patient  will  benefit  from  treatment  with  the  drug.  We  believe  the  ideal  biomarker  is  easy  to  use  and  is  determined  before
treatment begins. MUC4 expression by epithelial tumors is an example of this type of biomarker. Our Phase I clinical trial preceded the identification of
MUC4  as  a  biomarker  and  focused  on  using  determining  the  safety  of  INB03  as  monotherapy  in  patients  with  advanced  solid  tumors.  This  is  a  typical
Phase I clinical trial design for first-in-man trials in cancer. We expect to use INB03 as part of combination therapy with approved cancer therapies as part
of Phase II development. We do not expect to need to modify INB03 therapy to treat each different type of cancer, because INB03 therapy targets the

 
 
 
 
 
 
 
 
 
 
 
immune system, not the cancer. We do expect to develop the INB03 beyond Phase II to target a specific type of cancer to meet the current system of
regulatory  approval.  For  instance,  INB03  may  be  approved  to  treat  patients  with  HER2+/MUC4+  breast  cancer.  To  get  subsequent  approval  for  the
treatment of patients with MUC4+ TNBC or MUC4+ pancreatic cancer, we will need to perform a pivotal trial in patients with TNBC and pancreatic cancer
respectively. After the first regulatory approval, if and when achieved, we believe the difficulty and cost of achieving these labels extensions will decline
with each successive approval. At this time, we cannot predict if patients without biomarkers of inflammation, elevated MDSC or cytokines, or increased
expression of MUC4 will benefit from treatment with INB03. Those studies may be performed in the future, but they are not a priority.

XPro neutralizes soluble TNF in the brain in exactly the same way INB03 neutralizes soluble TNF in the tumor microenvironment but the effects
of soluble TNF neutralization in the brain are different. The cause of the destructive neuroinflammation in the brain are microglial and astroglial cells. The
glial cell are two of four cells in the neural unit that also includes oligodendrocytes and nerve cells. Activated microglial cells are considered the resident
macrophages of the brain. The primary role of microglial cells is to protect the neural unit from infection. When innate immune dysfunction causes chronic
inflammation, activated microglial cells produce soluble TNF that activates astrocytes. Activated glial cells cause nerve cell and oligodrocyte dysfunction
that results in synaptic pruning, nerve cell death and demyelination of neurons. These pathologies contribute, in part, to neurodegenerative diseases such
as AD, Parkinson’s disease, ALS, MS, Huntington’s disease, glaucoma and TBI (traumatic brain injury) may contribute to neuropsychiatric diseases such
as  depression,  bi-polar  disease,  sleep  disorders,  autism,  schizophrenia  and  PTSD.  In  the  setting  of  AD,  microglial  activation  causes  dendritic  pruning,
synaptic  dysfunction  and  nerve  cell  death  that  contributes  to  cognitive  decline  and  the  behavioral  manifestations  of  AD  including  depression,
aggressiveness, sleep disorders, hallucinations and anhedonia. Elimination of microglial activation should reverse these symptoms. Because soluble TNF
is the apex cytokine in the inflammatory cytokine cascade, neutralization of soluble TNF with XPro should prevent glial activation and normalizes function
of the neural unit.

The  Company  has  completed  a  Phase  I  trial  using  XPro  to  reverse  neuroinflammation  in  patients  with  Alzheimer’s  disease.  The  trial  was
performed in Australia and is partially funded by a $1M USD Part-the-Cloud Award from the Alzheimer’s Association. The clinical trial was the first in the
Company’s development program for the treatment of dementia. The open label, dose escalation trial in patients with Alzheimer’s disease with biomarkers
of peripheral inflammation (one of CRP>1.5mg/L, HgbA1c>6.0, ESR>10sec or have ApoE4) treats the patients with XPro as a once-a-week subcutaneous
injection for 3 months. AD patients with one biomarker of inflammation are classified as having AD with neuroinflammation (ADi). The company estimates
this group of patients includes at least 40% of patients with AD. Patients have multiple biomarkers of neuroinflammation tested before and during therapy
including soluble biomarkers in blood and cerebral spinal fluid, behavioral biomarkers (neuropsychiatric symptoms of AD) and neuroimaging biomarkers
using MRI. The primary goal of this short, open label study was to demonstrate that treatment with XPro decreases neuroinflammation safely and to define
the dose of XPro to use in the Phase II trial. The Company has opened a Phase II trial in ADi in Australia (“AUS”) and Canada (“CAN”). We anticipate
opening additional countries including the US in 2023. The Phase II ADi program is not yet open in the US. The FDA has placed a full clinical hold on the
program related to product characteristics in the product produced for the Phase II program at KBI Biosciences in 2021. The XPro produced by KBI is
being used in the Phase II trial in AUS and CAN, the Phase II extension trial in patients that have completed the Phase II trial in AUS and the Expanded
Access Scheme in patients who completed the Phase I trial in AUS. The Company is working closely with the FDA to reverse the clinical hold. We cannot
predict  when  this  will  occur.  Our  plan  is  to  continue  to  enroll  patients  in  the  Phase  II  ADi  trial  in  regulatory  venues  outside  of  the  US  while  working  to
resolve the concerns of the FDA. The goal of the Phase II trial will be to demonstrate the prolonged control of neuroinflammation in patients with dementia
will  help  control  cognitive  decline.  The  Company  has  review  its  two  Phase  II  trials  in  dementia,  one  each  in  mild  cognitive  impairment  due  to
neuroinflammation  (“MCI”)  and  mild  ADi.  New  data  supports  combining  the  two  trials  into  a  single  trial.  Instead  of  having  separate  blinded  randomized
Phase II clinical trials in mild ADi and MCI2, there will be one clinical trial in early ADi that will include patients with either mild ADi or MCI. Combination of
the  two  trials  into  a  single  clinical  trial  may  speed  enrollment  and  decrease  costs  and  will  likely  mirror  the  planned  Phase  III  registration  trial  without
increasing the risk of the clinical program.

7

The Phase I trial enrolled 18 patients at doses of 0.3, 0.6 and 1.0mg/kg given once a week as subcutaneous injection for three months. Patients in
the 10mg/kg group were offered extended use of the drug for up to 12 months. Three patients remained on XPro for 12 months. Preliminary data was
presented  in  a  webinar  on  13  July  2020.  Neuroimaging  data  from  six  patients  were  presented  in  the  figure  below.  In  summary,  treatment  with  XPro  at
either  0.3  or  1.0mg/kg  once-a-week  as  a  subcutaneous  injection  (low  and  target  dose  respectively)  decreased  white  matter  free  water  (“WMFW”)  as
measured  by  MRI.  WMFW  is  a  validated  biomarker  of  neuroinflammation.  Although  the  number  of  patients  is  low,  there  was  a  dose  response  with  a
greater  decrease  in  WMFW  in  the  target  dose  compared  to  the  low  dose  group.  An  analysis  of  inflammation  in  white  matter  tracts  demonstrated  a
significant  decrease  in  WMFW  (40%;  range  20-52%)  in  the  arcute  fasciculus,  a  white  matter  tract  important  in  the  control  of  language  and  short-term
memory (Figure D). These data suggest XPro is decreasing neuroinflammation in patients with Alzheimer’s disease who have biomarkers of peripheral
inflammation.

Additional data was presented on January 21, 2021. The goal of the January 21 data release was to show a correlation between the white matter
free water, a novel biomarker of inflammation with cerebral spinal fluid (“CSF”) cytokines and chemokine levels, a traditional measure neuroinflammation.
CSF  cytokine/chemokines  were  measured  in  9  patients  before  and  after  12  weeks  of  weekly  therapy  with  XPro  using  a  panel  from  OLINK  Target  48
Cytokine (https://www.olink.com/products/olink-target-48-cytokine/), that measures 45 (Figure AD1).

 
 
 
 
 
 
 
 
8

In  the  6  patients  in  the  1mg/kg  per  week  dose,  only  one  cytokine  and  chemokine,  interferon  gamma  (“INFg”)  did  not  change  in  the  CSF  of
patients, the remainder all decreased on average of 15%. Using data from all patients treated for 12 weeks (3 low dose, 6 target dose), a high correlation
(R2=.7561) between the white matter free water safe mask and the inflammation composite score is shown in figure AD2. The data analyzed provides
evidence that XPro decreases neuroinflammation in patients with Alzheimer’s disease.

We believe these data support the use of XPro to treat other diseases where neuroinflammation is a part of the pathophysiology of the disease.
The company studied the consequences of decreasing neuroinflammation in the 6 patients from target dose group (XPro 1mg/kg for 12 weeks) be looking
at the CSF proteome using technology for Proteome Sciences using their TMT Calibrator™ platform. A large data set of proteins were identified. Early
analysis  of  the  data  focusing  on  26  AD  related  proteins  demonstrated  changes  in  inflammation,  neuronal  and  synaptic  proteins  caused  by  decreasing
neuroinflammation  after  treatment  with  XPro  (Figure  AD3).  The  proteome  also  demonstrated  a  clear  dose  response  with  a  greater  number  of  proteins
being affected by the target dose compared to low dose XPro therapy (0.3 vs 1.0 mg/kg/week for 12 weeks) (Figure AD4). The CSF proteome data is only
partially analyzed. Additional data may result from these ongoing analytics.

 
 
 
 
 
 
 
 
 
9

The  results  of  the  Phase  I  study  demonstrated  that  XPro  safely  decreases  neuroinflammation  in  patients  with  ADi  who  have  biomarkers  of
peripheral inflammation or are ApoE4 positive when given for at least 3 months at the 1mg/kg once a week dose. Decreasing neuroinflammation with XPro
appears to decrease neurodegeneration and improve synaptic function and promote remyelination. The effect of XPro on the biology and immunology of
the brain in patients with AD suggest XPro therapy in patients with peripheral biomarkers of inflammation or ApoE4 allele(s) may impact cognitive decline.
Although there were anecdotes of improved cognitive function in patients receiving the target dose of XPro, this cannot be verified because the trial was
not  a  blinded,  randomized  trial.  The  impact  on  cognition  of  controlling  neuroinflammation  with  XPro  will  be  studied  in  the  Phase  II  program  which  is  a
blinded randomized, placebo controlled clinical trial.

The  Company  has  consolidated  the  two  Phase  II  trials  into  a  single  trial  of  early  ADi.  Early  ADi  patients  have  either  mild  AD  or  MCI  with
neuroinflammation. Mild AD or MIC patients must with at least one of elevated CRP, hemoglobinA1c, ESR in blood or have an ApoE4 allele are eligible for
the trial. The blinded randomized trial in patients with early ADi will enroll 201 patients in a 2:1 ratio (XPro:placebo) at 1mg/kg once a week. The trial is
currently enrolling study subjects. Patients will be treated for 6 months. The primary end-point is Early/Mild Alzheimer’s Cognitive Composite (EMACC), a
sensitive  cognitive  end-point  validated  for  use  in  patients  with  early  AD.  Secondary  cognitive  (ADAS-Cog13,  CDR-SB  and  NPI)  and  functional  (GAS,
ADCS-ADL) end-points will be measured. Biomarkers of inflammation using white and gray matter analytics measured by MRI DTI similar to those used in
the Phase I trial will also be used. All patients will be eligible to continue XPro for at 12 additional months. Clinical and MRI metrics will be followed during
the extension trial.

Effective  therapy  for  TRD  is  a  large  unmet  need.  Twenty  percent  of  patients  with  a  Major  Depressive  Disorder  have  TRD.  Once  third  of  TRD
patients have peripheral biomarkers to inflammation (elevated CRP). This is a large patient population. The role of TNF and anti-TNF therapeutics was
explored in a small open label clinical trial by Prof. Andrew Miller, MD of Emory University whereby it was demonstrated that patients which have elevated
TNF levels responded to treatment with infliximab (Miller, 2011).

The  Company  received  a  $2.9M  USD  award  from  the  National  Institute  of  Mental  Health  (“NIMH”)  to  treat  TRD  with  XPro.  The  blinded,
randomized Phase II trial will use a biomarkers of peripheral inflammation to select patients with TRD for enrollment. Patients will be treated for 6 weeks.
Primary end-points include both clinical and neuroimaging measures. The final trial design is ongoing and discussions with the FDA are not complete. The
Company anticipates receiving authorization to initiate the clinical trial in 2023 at which point the Company may begin to request funds from the NIMH
pursuant to the award.

INB03 and XPro are delivered as a subcutaneous injection, similar to an insulin treatment, given one to three times per week. Because this is a
simple subcutaneous injection similar to an insulin injection (the therapy patients give themselves for treatment of Type 1 diabetes mellitus), we expect
patients to administer the therapy by themselves or caregivers and not require expensive or logistically challenging clinic visits to receive the therapy.

10

Release of INB03 and XPro drug supply

GMP DN-TNF product (INB03 and XPro) used in the oncology Phase I, AD Phase I and COVID-19 Phase II trial were manufactured by Lonza at
a site in New Hampshire. The supply of Lonza DN-TNF product is limited but allowed completion of the Phase I study in Alzheimer’s disease and support
of patients in the extension study for 12 months. New batches of XPro have been produced to support future clinical trials. The Company engaged KBI
Biopharma to manufacture 6 lots of XPro/INB03 at the Boulder, Colorado facility using the original master cell bank and updated manufacturing process.
Two lots have been converted into drug product using the US fill/finish facility of Vetter Pharma. Two of the lots are frozen as drug substance at -80C with
a plan to convert to drug product the second half of 2023. The final two lots are frozen as a cell paste with a plan to process to drug substance in during
2023 or 2024 as needed to support the clinical trials. We plan to use a two-step approach to improve the yield of the drug substance from the fermentation
process. We hope to improve the yield of the drug product using the existing E.coli-based system. Once the new process is validated and functional, we
will  perform  a  manufacturing  campaign  drug  for  future  clinical  trials.  In  the  future,  the  Company  may  consider  a  strain  change  to  improve  yield  of  the
fermentation step further. The decision for strain improvements and strain change will be made in the future as clinical development programs proceed.

Interaction with Regulatory Authorities Regarding INB03 and XPro Development

 
 
 
 
 
  
 
 
 
 
 
 
We  have  completed  a  Phase  I  trial  with  INB03  in  oncology  and  a  Phase  I  trial  with  XPro  in  patients  with  Alzheimer’s  disease.  The  Phase  II
program with Alzheimer’s disease started during 2022. The Phase I trial with XPro in patients with Alzheimer’s disease was performed in Australia under
the regulatory authority of the TGA using the Clinical Trials Exemption (“CTX”) scheme. Our first interaction with the regulatory body occurred in March
2018.  The  Company  received  approval  to  initiate  the  Phase  I  trial  with  INB03  in  patients  with  advanced  solid  tumors  on  May  21,  2018.  The  second
interaction  with  the  regulatory  body  occurred  in  March  2019.  The  Company  received  approval  to  initiate  the  Phase  I  trial  with  XPro  in  patients  with
Alzheimer’s disease in May 2019 and received authorization to start the Phase II trial in patients with mild AD on January 5, 2022. Our first interaction with
the FDA occurred in July 2020 as part of the Phase II Quellor program to treat respiratory failure in patients hospitalized with COVID-19 infection. The
newly manufactured XPro is being used to support the Phase II AD trial in AUS and CAN, the extension trial in AUS, and the Expand Access Scheme in
AUS.  The  FDA  has  not  allowed  the  use  of  this  drug  in  the  US  yet.  The  FDA  has  asked  for  additional  analytical  testing  to  demonstrate  comparability
between the XPro used in the Phase I oncology, AD and Phase II COVID-19 clinical trials with the drug planned to be used in the Phase II AD clinical
trials.  This  comparability  testing  is  underway.  We  cannot  predict  when  the  FDA  will  release  the  US  Phase  II  from  clinical  hold.  The  CAN  and  AUS
regulatory authorities are aware of the FDA clinical hold – they have not asked for similar information and allow the clinical program to proceed.

INB03 Product Development Path: Proposed Phase II Studies in patients with cancer

Phase  I  open  label  study  in  patients  with  advanced  solid  tumors  has  been  completed.  All  future  studies  cancer  will  use  INB03  as  part  of
combination therapy. The evolution of oncology standard of care occurs quickly. Immune checkpoint inhibitors (“CPI”) were introduced 5 years ago. The
success  of  CPI  change  the  focus  of  cancer  therapy  from  cytotoxic  based  cancer  regimens  to  immunotherapy-based  cancer  regimens.  The  approval  of
Trastuzumab (“TDxd”) in 2022 had a similar effect on HER2 expressing cancers. For example, use of trastuzumab based therapy in HER2+ breast cancer
required 3+ expression of HER2. With TDxd, low HER2 expression (1+ or 2+ but not null) benefit for TDxd. This has dramatically expanded the number of
women eligible for trastuzumab based immunotherapy from 20% to half of women with breast cancer. This dramatic change in breast cancer standard-of-
care impacted our development plans for INB03 in breast cancer. The Phase II trial is planned to be in women who have failed TDxd therapy. About half
of  women  who  receive  TDxd  are  resistant  to  therapy.  We  believe,  but  need  to  confirm,  that  many  of  those  women  express  MUC4.  We  believe  an
exploratory, single arm open label Phase II in woman who progress after TDxd is warranted. We believe the combination of TDxD, INB03 and TKI will be
effective. We continue to conduct pre-clinical studies of INB03 in MUC4 expressing tumors. A decision on the clinical trial will not be made until the pre-
clinical work has been completed and the data has been presented to an Advisory Board of clinical experts.

11

INB03 Registration Studies and/or Partnering

We plan to pursue an efficient registration strategy using INB03 to improve the lives of patients with cancer and biomarkers of resistance such as
MUC4. We believe that this strategy has use across many types of solid tumors including patients who have failed CPI, tyrosine kinase inhibitors (“TKI”)
and  anti-cancer  antibody  therapy  such  as  trastuzumab  monoclonal  antibodies  and  trastuzumab  based  antibody  drug  conjugates.  We  have  an  active
partnering position as it relates to INB03 development in cancer, although limited partnering discussion are underway at this time for INB03. We do not
expect partnering discussions to begin until Phase II data demonstrating efficacy of INB03 as part of combination therapy for cancer are available.

Our INB03 platform can be used in cancer patients in many ways. The Phase I trial suggests the drug should not be used alone to treat cancer
but  used  in  combination  with,  but  not  limited  to,  other  cancer  therapies  including  cytotoxic  chemotherapy,  immunotherapy,  radiation  and  surgery.  We
believe that INB03 can also be used to treat many types of hematologic and epithelial cancers.

INB03 and XPro Regulatory Strategy

Drugs from the DN-TNF platform will be developed using adequately powered, well designed studies with the goal to demonstrate a meaningful
clinical  benefit  to  patients.  Beyond  Phase  I,  these  will  most  often  be  blinded,  randomized  clinical  trials  using  validated  end-points  that  have  been
authorized by a regulatory authority – the FDA, TGA, MHRA, EMA, etc. Currently, all planned studies will be performed in North America, AUS, EU and/or
the  UK.  Because  there  are  no  therapies  similar  to  INB03  or  XPro  approved  in  any  market,  we  plan  to  take  advantage  of  the  regulatory  opportunities
afforded to therapies that treat markets with a high unmet need. In the U.S., this includes Orphan Drug Designation and expedited programs for approval
including  Accelerated  Approval,  Breakthrough  Therapy  Designation,  Fast  Track  Designation,  and  priority  review  (see  “Government  Regulation).  We
cannot  predict  which,  if  any,  of  these  programs  we  will  benefit  from  without  further  discussions  with  the  FDA,  EMA  and  other  competent  regulatory
authorities.

Immunotherapy for Treatment of Alzheimer’s Disease 

XPro  is  being  developed  for  the  treatment  of  Alzheimer’s  disease.  Microglial  activation  and  neuroinflammation  are  important  causes  of  the
synaptic  dysfunction  and  nerve  cell  death  that  causes  cognitive  decline  in  patient  with  dementia  and  Alzheimer’s  disease.  The  relationship  between  β
amyloid plaques and tau neurofibrillary tangles, the traditional targets in AD drug development and neuroinflammation is complex. We believe targeting
plaques and tangles will have limited benefit. Targeting neuroinflammation, the common pathway leading to synaptic dysfunction and nerve cell death, may
be an effective treatment strategy. Substantial pre-clinical data supports the use of XPro in murine models of AD. Substantial indirect data supports use of
XPro in humans including a decreased risk of AD in patients treated with non-selective TNF inhibitors for rheumatoid arthritis and treatment using direct
injection into paraspinous venous plexus. Because of different mechanism of action of XPro compared to the non-selective TNF inhibitors, we expect a
lower risk of immunosuppression and demyelinating complications such as multiple sclerosis (MS). The Company reported preliminary data on July 13,
2020 and January 21, 2021 supporting the use of XPro to decrease neuroinflammation in patients with Alzheimer’s disease and biomarkers of peripheral
inflammation (see above).

We completed enrollment of patients into an open label, biomarker directed, Phase I clinical trial in AUS that approaches AD as an immunologic
disease.  Patients  with  dementia  with  the  diagnosis  of  AD  with  biomarkers  of  chronic  inflammation  that  includes  at  least  one  of  a  hs-CRP>1.5  mg/L,  a
ESR>10 mm/h, a HbgA1C>6.0% or are ApoE4 positive were treated with XPro for 12 weeks. Three dosing cohorts were preformed – 0.3, 0.6 and 1.0 mg
per week as a subcutaneous injection. Patients had multiple inflammatory biomarkers test before therapy, at 6 weeks and at 12 weeks. Biomarkers were
reported in blood and cerebral spinal fluid, MRI measures of white matter tract neuroinflammation, axonal quality and axon myelin, and MRI measures of
gray matter quality after XPro therapy. Cognitive end-points were not the focus of the Phase 1 clinical trial because of the wide range of disease severity
enrolled and lack of a placebo group. Patients enrolled in the Phase I trial had MMSE ranging from 24 to 12. This wide range of disease severity at the
time of enrollment and the lack of a blinded concurrent control group did not allow for determination of cognitive benefit beyond several anecdotal reports.
The  first  patient  was  enrolled  in  the  low  dose  0.3mg/kg/week  cohort  in  the  last  week  of  November  2019.  The  Safety  Review  Committee  met  by
teleconference  on  January  7,  2020,  to  review  the  course  of  the  patients  in  the  first  cohort  and  voted  to  open  the  second  cohort,  1.0mg/kg/week,  to
enrollment. The first patients were enrolled in the cohort the second week of February 2020. Based on preliminary data released on July 13, 2020, and
January 21, 2021, we closed after completion of a 0.6mg/kg treatment group. We canceled plans to treat patients with 3.0mg/kg. The data from the Phase
I trial allowed the Company to choose a design the Phase II trials described above.

 
 
 
 
 
 
 
 
 
 
 
  
12

XPro Registration Studies and/or Partnering

We  plan  to  aggressively  pursue  an  efficient  registration  strategy  using  XPro  to  improve  the  lives  of  patients  with  ADi.  We  define  ADi  as
Alzheimer’s  disease  with  biomarkers  of  inflammation.  We  believe  ADi  is  not  the  only  indication  for  XPro  in  neurodegenerative  and  neuropsychiatric
diseases. We plan to pursue other indications in neurodegenerative diseases as resources become available. We have received NIMH funding to support
a  Phase  II  TRD  program  that  hopes  to  start  patient  enrollment  in  2023.  We  have  an  active  partnering  position  as  it  relates  to  XPro  development  in
neurodegenerative and neuropshyciatric diseases, although limited partnering discussion are underway at this time. There are two partnering opportunities
with this novel immunotherapy for the treatment of neurologic and psychiatric diseases. The first is a traditional partnership focused on the developing the
drug  for  all  neurodegenerative  and  neuropsychiatric  applications.  The  second  is  a  more  focused  partnership  developing  XPro  as  part  of  a  combination
therapy for a company’s existing therapy. After completion of proof-of-concept Phase II studies, we will decide what the most efficient registration strategy
is available to the company with XPro.

DN-TNF for the treatment of Duchene Muscular Dystrophy

The Company also is exploring partnership opportunities outside of neurodegenerative disease with DN-TNF such as DMD. DMD is a X-linked
muscular dystrophy that occurs in 1 in 3500 male births in the US. The disease is caused by defects in dystrophin, a protein needed for efficient function of
skeletal  muscle.  Boys  with  DMD  develop  skeletal  muscle  weakness  that  manifests  early  on  with  difficult  standing  and  walking.  The  boys  become
wheelchair  bound  by  late  adolescence  and  die  of  respiratory  and  cardiac  failure  in  their  twenties.  There  is  no  cure.  Symptomatic  therapies  include
corticosteroids and novel strategies to replace dystrophin including ASO and gene therapies. Better therapies are needed.

The pathology of DMD is inflammation, skeletal muscle cell destruction, replacement of muscle fibers with fat and fibrosis. The most widely used
therapy,  corticosteroids  are  focused  on  decreasing  skeletal  muscle  inflammation.  Although  anti-inflammatory,  corticosteroids  cause  metabolic  and
immunologic problems including insulin resistance, obesity, hirsutism, short stature, depression and behavioral problems. Long term use of corticosteroids
exacerbates skeletal muscle weakness.

In collaboration with Professor Armando Vallarta of University of California Irvine, the Company has completed and has ongoing studies with DN-
TNF  in  murine  models  of  DMD.  The  animal  models  show  that  DN-TNF  therapy  decreases  inflammation  and  muscle  degradation,  promotes  muscle
regeneration and decreases fibrosis. This is a unique set of attributes compared to other therapies on the market or in development. Because muscle cells
produce  TNF,  we  believe  the  benefits  of  DN-TNF  therapy  extends  beyond  the  obvious  immunologic  attributes  of  modifying  T  cell  and  macrophage
infiltrates. Pre-clinical animal studies continue to better define the exact mechanism for these effects.

The Company has filed global IP on the use of DN-TNF to treat muscular dystrophy. The Company has placed the IP and knowhow into a wholly
owned subsidiary called DN02, Inc. The purpose of this structure is to facilitate partnering and/or co-development of DN-TNF for DMD in a way that does
not complicate or compromise the development of XPro for CNS diseases. The Company is actively seeking a partner to develop DN-TNF for DMD. We
cannot predict if or when or under what terms a partnership will be formed.

13

INKmune: Our NK cell Directed Product Candidate

INKmune is our lead product candidate that converts the patient’s resting NK cells into cancer memory like NK cells, an essential step to allow
them to participate in the immune control of the patient’s cancer. We have shown this works ex vivo in human tissue cell cultures, and we believe that this
will work in vivo which is the purpose of our planned clinical trials.

Cancers grow and relapse because they evade the immune system. In many cancers, NK cells are the most important cell for the elimination of
residual disease that causes cancer relapse. NK cells target cells based on a series of complex antigens on the cancer cell surface that signal the NK
cells to activate  and  kill  the  cancer  cell.  NK  cells  develop  a  memory  like  NK  cell  phenotype  to  enhance  killing  of  cancer  cells.  This  phenotype  requires
multiple simultaneous signals to be delivered to the NK cells. A cocktail of three cytokines, IL12, IL15 and IL18 can be used to convert a resting NK cell to
cytokine  induced  memory  like  NK  cells  (“CIML”)  [Fehneger  2016  ]  or  by  INKmune  priming  with  INB16  (TpNK  –  tumor  primed  NK  cells).  Although  the
intracellular biology of these two strategies has yet to be worked out, they do not appear to be identical. In summary, INKmune converts resting NK cells
into tumor killing memory like NK cells that function well in the hostile environment of the TME. (Figure 1 below).

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
14

The ability of NK cells to kill tumor cells depends on the strength and duration of the cell-cell interaction. This is call avidity. The higher the avidity
the  greater  the  tumor  cell  killing.  Cytokine  stimulation  may  increase  avidity  of  NK  binding  to  some  cancer  cells  whereas,  in  all  experiments  to  date,
INKmune priming enhances NK binding to all cancer cells tested. The relative increase in avidity to specific cancer cells is cytokine specific; as shown
below, IL15 increases NK avidity for the ovarian cancer line SKOV-3 whereas IL2 has a limited effect. IL15 primed NK cells lyse SKOV-3 cells whereas
IL2 primed NK do not. INKmune primed NK (TpNK) showed the highest avidity for the tumor cells and the highest level of cytotoxicity. It is likely that the
use  of  multiple  cytokines  will  achieve  the  same  level  of  avidity  and  cytotoxicity  as  INKmune  but  studies  with  multiple  cytokines  have  not  yet  been
performed (Figure below).

We have demonstrated TpNK killing of many tumor types in laboratory studies. Tumor priming is effective regardless of the source of the NK cells
(normal volunteers or patients with cancer) and in many types of tumors – both cell lines and primary tumors from patients. The principle of TpNK killing
has also been demonstrated in two Phase I trials in patient with acute myelogenous leukemia (“AML”). These trials were not supported by us and used a
first-generation personalized cell therapy product and treatment strategy that is different from the INKmune product and treatment strategy. In these trials,
haplo-identical NK cells obtained from a first degree relative by leukapheresis were primed ex-vivo using a lysate of the parent cell line from which we
derived  INB16  -  INKmune.  Once  the  TpNK  therapy  has  been  produced  and  passed  quality  testing,  the  patient  received  conditioning  therapy  with
chemotherapy  (cyclophosphamide  and  fludarabine),  the  primed  haplo-identical  NK  cells  were  given  to  patients  by  intravenous  infusion.  Two  Phase  I
clinical trials have been performed using that first-generation adoptive cell therapy treatment strategy. An investigator-initiated trial performed at the Royal
Free Hospital in London 2009 was funded by a UK charity. Fifteen patients with relapsed, high-risk AML were enrolled in the trial. Because of drop-out due
to disease progression, delays in product production and complications of conditioning therapy, only 7 of the fifteen patients were treated with the TpNK
cell  product.  Four  of  seven  patients  showed  clear  benefit  from  the  treatment  with  the  TpNK  product  with  prolonged  relapse  free  remission  and,  in  one
patient, conversion of a partial remission to full remission. None of the remissions were durable; all patients ultimately died from disease progression. The
safety  of  the  product  was  found  to  be  a  combination  of  toxicity  from  the  chemotherapy/radiotherapy  conditioning  regimen  and  the  TpNK  therapy.  In
general, the complications were well tolerated although did require medical intervention including prolonged periods of aplasia in two heavily pretreated
patients that resolved with supportive care. The results of this study have been published in a medical journal (PLoS One. 2015 Jun 10;10(6):e0123416.
doi: 10.1371/journal.pone.0123416. eCollection 2015). In 2013, a second open label, multi-center trial was performed in the US using the same product
and procedures but targeting a slightly different patient population. In the second trial, 12 patients in first remission with AML were treated with the haplo-

 
 
 
 
 
 
identical  TpNK  product  produced  using  the  first  generation  ex-vivo  priming  process.  After  conditioning  with  chemotherapy  alone,  the  patients  received
TpNK  in  three  dosing  cohorts  –  3x10^5,  1x10^6  or  3x10^6  TpNK  per  kilogram.  Patients  were  followed  for  safety  and  relapse  free  survival.  This  trial
confirmed  the  safety  of  the  TpNK  treatment  in  patients  with  AML  and  reinforced  many  of  the  efficacy  findings  seen  in  the  first  trial  with  none  of  the
previously experienced side effects. Patients benefited from haplo-identical TpNK therapy with prolonged relapse free survival including two patients that
remain  in  remission  more  than  42  months  after  treatment.  This  trial  has  been  published.  (Biol  Blood  Marrow  Transplant.  2018  Mar  26.  pii:  S1083-
8791(18)30132-0.  doi:  10.1016/j.bbmt.2018.03.019.)  The  results  of  the  laboratory  and  Phase  I  studies  provide  evidence  that  our  strategy  for  treating
residual disease is sensible but unproven.

15

Because INKmune primes NK cells to target naturally occurring antigens, we believe INKmune can be used in to treat a wide variety of cancers
including hematologic malignancy (AML, MM, CML, high risk MDS) and solid tumors (renal, prostate, breast, ovarian, pancreas and lung). We expect the
list of INKmune sensitive tumors to continue to expand.

The primary role for INKmune will be an immunotherapy targeting residual disease in patients after debulking cancer therapies such as cytotoxic
chemotherapy  and  surgery.  At  this  time,  we  plan  to  give  INKmune  as  monotherapy.  We  do  not  rule  out  the  possibility  of  using  INKmune  as  part  of
combination therapy in the future. We do not expect to need to modify INKmune to treat these additional types of cancer, because we believe INKmune is
a universal cancer therapy where “one size fits all”. We believe for INKmune to receive regulatory approval for each cancer indication, clinical trials will
need to be performed which demonstrate its safety and effectiveness as a treatment for each such cancer. We believe the difficulty and cost of achieving
these labels extensions will decline with each successive approval, if and when achieved. For example, if INKmune is proven to be effective therapy in
patients with ovarian cancer and high-risk MDS, we will need to perform separate pivotal trials for approval in lung, prostate or renal cancer.

Three step process to preparation for INKmune human clinical trials:

INKmune GMP scale-up for Phase I/II clinical material

The working cell banks and individual INKmune product to be used in the patients for the clinical trial have been produced at the Centre for Cell,
Gene & Tissue Therapeutics at Royal Free Hospital / University College London to full cGMP (MHRA MIA(IMP)11149). All manufacturing has been under
the  direction  of  Professor  Mark  Lowdell.  The  Company  can  produce  enough  INKmune  to  complete  both  Phase  I  clinical  trials  in  women  with  ovarian
cancer and in patients with high-risk MDS. We have validated storage of INKmune for up over 3 years in vapor phase nitrogen and have a fully scalable,
closed system manufacturing process in validation which can produce up to 6 patient doses per week during phase I and II trials. At intermediate scale we
can  manufacture  40  doses  per  week  in  a  single  80-liter  bioreactor.  Importantly,  we  have  validated  the  storage  of  INKmune  at  -80 oC  for  up  to  27  days
which greatly facilitates the delivery and local storage of the drug for clinical trials and post commercialization use. In contrast, as far as we know all other
NK cell therapies and T cell therapies require complex shipping of drug products in vapor phase nitrogen below -150oC and specialized arrangements for
ongoing storage at the clinical sites. We may need additional INKmune for future clinical trials.

Interaction with Regulatory Authorities Regarding INKmune Development

The INKmune Phase I studies in high-risk MDS are being performed in the UK and Greece. We met with the Medicines and Healthcare Products
Regulatory Agency (“MHRA”), the UK version of the FDA as part of a Scientific Advice Meetings in preparation for submitting the CTA for our first planned
program.  The  purpose  of  the  meeting  was  to  explain  to  the  MHRA  our  manufacturing  process  and  clinical  plan  for  the  development  of  INKmune  in  a
Phase I relapse/refractory ovarian cancer. We are working to seek regulatory approval to start a solid tumor program in the US. The Company has had
initial discussion with the FDA. Those discussions are ongoing. We plan to file an IND for a solid tumor indication in 2023. We have not announced the
solid tumor target.

16

INKmune Product Development Path Proposed Phase I Study in patients with high-risk MDS

During  2021,  we  initiated  an  open  label  Phase  I  cancer  study  in  patients  with  high-risk  myelodysplastic  syndrome  (“MDS”).  Patients  are  being
enrolled who have a low burden of disease after completion of conventional therapy. The first patients were enrolled in the first quarter of 2021. In the
Phase I trial, patients with detectable residual disease in bone marrow and/or peripheral  blood  (<15%  blasts  by  conventional  tests)  will  be  treated  with
intravenous infusions of INKmune and monitored for changes in peripheral blood NK activation, NK function and changes in residual blast counts in blood
and bone marrow. We and others have previously shown that MDS patients with inadequate NK function have statistically significantly poorer prognosis

 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
than matched patients with normal levels of NK function (Tsirogianni et al 2019) and we have shown in laboratory experiments that the functional activity of
NK cells from MDS patients can be enhanced by exposure to INKmune. Moreover, INKmune-primed NK cells are not inhibited by the hypoxic conditions
of the diseased bone marrow microenvironment.

The first patient was treated in the second quarter of 2021. The patient is now more than 12 months out from therapy with INKmune. The patient,
part of the first cohort, received 1x10^8 INKmune cells on day 1,8 and 15 as an in-patient. The patient did not require any type of conditioning therapy or
cytokine support. The patient tolerated the three infusions without any problems. The patient underwent intensive monitoring over 120 days. There are 4
observations from this first patient. The patient has dramatically increased the number of activated, “memory-like” NK cells in circulation. Memory-like NK
cells (mlNK) are activated NK cells with a unique cell surface protein phenotype and which show enhanced lysis of tumor cell in vitro. Post treatment with
INKmune,  elevated  levels  of  mlNK  cells  were  present  in  the  patients  in  the  peripheral  blood  for  more  than  119  days  when  trial  follow-up  ceased.  The
patient mlNK actively kill NK resistant cancer targets in vitro. Finally, the patient has had a significant clinical improvement with a reduction of his ECOG
score from 2 to 0 and a significant reduction in blood product support.

Three  compassionate  use  cases  have  also  been  treated.  Two  were  young  patients  with  AML  who  had  failed  previous  hematopoietic  stem  cell
transplants  (“HSCT”).  The  first  compassionate-treatment  patient  showed  such  improved  neutrophil  and  platelet  counts  that  she  was  discharged  from
hospital for the first time in six months. The second patient treated compassionately had failed two high risk HSCT and entered the course of INKmune
therapy  with  high  percentage  of  blasts  in  his  bone  marrow.  His  blood  NK  cells  responded  in  differentiation  into  mlNK  as  hoped  but  it  is  too  early  to
determine if INKmune has provide any clinical benefit.

17

INKmune Registration Studies and/or Partnering

The Company plans to file an Investigational New Drug (“IND”) application in 2023 for a Phase I/II trial of INKmune in a solid tumor indication.
Other solid cancers are of interest including nasopharyngeal cancer (“NPC”) which is a known target for NK cells and an important unmet clinical need in
emerging markets such as mainland China. Renal cell carcinoma is also a known target for INKmune. We may seek partner or sell INKmune. Although our
development strategy is focused on North America and Europe, we believe INKmune will also be attractive for markets on the Pacific Rim, South Asia and
South America, but will wait for partners to help with the development in those regions, however, at this time, we are not negotiating with any potential
partners.

Importantly, we have published data demonstrating INKmune efficacy at priming allogeneic NK cells ex-vivo (described above) and this includes
priming  of  NK  cells  differentiated  from  cord-blood  derived  hematopoietic  stem  cells  (Domogala  et  al Cytotherapy 2017:  19:710-720).  Numerous
companies are developing therapeutic strategies using cord blood derived NK cell products and one or more may wish to partner with us to potentiate their
product  by  co-incubation  or  co-administration  with  INKmune.  We  are  also  aware  of  companies  developing  cytokine  primed  NK  cells  (CIML)  for  the
treatment of cancer. We believe tumor primed NK cells are superior to ex vivo or in vivo cytokine strategies.

Challenges in the Market for Our Product Candidates

The  market  for  new  oncology  therapies  is  competitive,  complicated,  and  rapidly  evolving.  We  will  be  competing  with  companies  that  are  older,
larger,  better  financed  and  have  greater  experience.  There  are  two  types  of  drug  companies  –  development  companies  and  commercial  companies.
Development  companies  take  the  risk  of  developing  new  products  to  proof-of-concept.  Once  proof-of-concept  has  been  achieved,  if  the  drug  provides
clinical benefit, the product is usually acquired by a commercial company, which completes the drug’s clinical development and markets the product. We
are a development company which will seek to develop products such as INKmune from the bench to the bedside to demonstrate proof-of-concept. The
goal for us is to successfully develop such products to the point where they are attractive targets for potential partners/acquirers.

According  to  a  recent  Markets  and  Markets  report,  the  immunotherapy  market  is  growing  rapidly  at  an  annual  rate  of  over  13%.  Recently,  the
market  is  biased  towards  T  cell-based  immunotherapies  including  bi-specific  antibody  therapies,  checkpoint  inhibitors  and  CAR-T  cell-based  therapies.
There  are  substantial  numbers  of  clinical  trials  that  are  focused  on  the  adaptive  immune  system  versus  clinical  trials  that  are  focused  on  the  innate
immune system for the treatment of cancer. Our challenge will be to educate partners on the value of NK cell-based therapeutic strategies. The need to
educate people of the importance of INB03 is equally challenging. At the academic and investor level, there is little recognition of the role MUC4 plays in
causing resistance to immunotherapy. The concept of adding a drug to modify the immunosuppressive environment of the TME to allow immunotherapy to
be  effective  is  also  new.  We  will  be  responsible  for  educating  them  on  the  importance  of  MUC4  expression,  TAM,  MDSC  and  why  INB03  may  be  an
important addition to the oncologist’s armamentarium. We believe educating investors and partners about new therapeutic opportunities is an easier task
than trying to differentiate our company from the many other cancer immunotherapy companies. We plan to use a combination of publication, presentation

 
 
 
 
 
 
 
 
 
 
 
 
and  investor  relations  to  discuss  INKmune  and  INB03  and  to  educate  the  clinical,  biopharma  and  investor  community  on  the  value  of  these  novel
therapeutic approaches.

18

DN-TNF Competition

To  our  knowledge,  there  are  no  other  companies  developing  a  therapy  to  treat  patients  with  MUC4+HER2+  tumors.  This  set  of  biomarkers
predicts  a  tumor  that  will  be  resistant  to  therapy.  We  believe  MUC4  expression  means  that  patient  will  be  resistant  to  first  line  trastuzumab  based
immunotherapy  and  will  be  resistant  to  CPI.  INB03  is  a  unique  category  of  cancer  therapies.  It  is  does  not  kill  cancer  cells.  INB03  modulates  the
immunology of the TME to make existing therapies more effective. The advantage of this strategy is that it can be used prospectively, and it does not add
toxicity to existing therapy.

INKmune Competition

Our  industry  is  highly  competitive  and  subject  to  rapid  and  significant  technological  change.  Our  potential  competitors  include  large
pharmaceutical  and  biotechnology  companies,  specialty  pharmaceutical  and  generic  drug  companies,  academic  institutions,  government  agencies  and
research  institutions.  We  believe  that  key  competitive  factors  that  will  affect  the  development  and  commercial  success  of  our  product  candidates  are
efficacy,  safety,  tolerability,  reliability,  price,  and  reimbursement  level.  Many  of  our  potential  competitors,  including  many  of  the  organizations  named
below,  have  substantially  greater  financial,  technical,  and  human  resources  than  we  do  and  significantly  greater  experience  in  the  discovery  and
development of product candidates, obtaining FDA and other regulatory approvals of products and the commercialization of those products. Accordingly,
our  competitors  may  be  more  successful  than  us  in  obtaining  FDA  approval  for  and  achieving  widespread  market  acceptance  of  their  drugs.  Our
competitors’  drugs  may  be  more  effective,  or  more  effectively  marketed  and  sold,  than  any  drug  we  may  commercialize  and  may  render  our  product
candidates  obsolete  or  non-competitive  before  we  can  recover  the  expenses  of  developing  and  commercializing  any  of  our  product  candidates.  We
anticipate that we will face intense and increasing competition as new drugs enter the market and advanced technologies become available. Further, the
development of new treatment methods for the conditions we are targeting could render our drugs non-competitive or obsolete.

INKmune is an immunotherapy that harnesses the biology of NK cells for the treatment of cancer. There is a long list of immunotherapy strategies
for  the  treatment  of  cancer  and  the  immunotherapy  for  cancer  market  is  growing  rapidly.  There  are  at  least  three  ways  to  classify  immunotherapy  for
cancer. The list below classifies immunotherapy strategies beginning with those that are most closely related to INKmune:

1. Companies in the NK cell therapy business;

2. Companies in the personalized immune-oncology business; and

3. Companies in the precision immuno-oncology business.

19

We are not aware of any approved treatments that are classified as NK cell therapies. We are aware of public companies in the NK cell therapy
business such as Century Therapeutics, Immunity Bio, Nkarta, Fate Therapeutics, Glycostem and others. These companies are developing products that
involve replacing or supplementing NK cells of the patient for the treatment cancer. Their product requires extensive ex-vivo cell manipulations which, with
respect to Century Therapeutics and Fate Therapeutics, may include gene therapy. The next larger group of companies are in the personalized immuno-
oncology business with products focused on T cell activation strategies. The most popular are the CAR-T cell therapies which are a patient specific ex-
vivo gene therapy approach to a single disease (for example: pediatric ALL). CAR-T therapy has become wildly popular of late and includes many private
companies,  newer  public  companies  such  as  Bluebird,  Juno  Therapeutics  and  Mustang  Bio  as  well  as  established  companies  such  as  Novartis  and
Gilead. For many of the companies, CAR-T cell therapies is their only business. For the latter two, CAR-T cell therapies is a newly in-licensed program
with marketing authorization in the US. Finally, the precision immune-oncology category also includes companies with anti-cancer antibody products and
the  newer  “check-point”  inhibitors.  Antibody  therapies  are  all  about  “illuminating”  the  cancer  to  the  innate  immune  system  (NK  cells).  Monoclonal
antibodies were the original immunotherapy that drove the growth of well-known biopharma companies including Genentech/Roche, Amgen, Merck and
others.  Each  of  these  products  is  disease  specific  (ie:  treat  only  HER2+  breast  cancer).  Modern  therapeutic  antibodies  are  much  more  complicated  bi-
specific  and  tri-specific  antibodies  that  attempt  to  connect  the  cancer  with  activated  T-cells  of  the  adaptive  immune  system.  Check-point  inhibitors  are
currently  the  most  rapidly  expanding  product  category  in  immuno-oncology.  These  CTLA-4  (ipilimumab)  and  PD-1  inhibitors  (pembrolizumab  and
nivolumab) specifically block a mechanism that shields cancers from T-cell killing. The two companies in this business are Merck (pembrolizumab) and

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
GSK (ipilimumab and nivolumab). There are many others trying to join this promising therapeutic area including large companies such as BMS and Roche.

There  are  several  FDA  approved  drugs  that  improve  the  ability  of  the  innate  immune  system  (NK-cells)  to  treat  cancer  including  mono-clonal
antibody  therapies  (for  example:  Rituximab®;  Avastin®  and  Herceptin®  marketed  by  Roche/Genentech);  and  “check-point”  inhibitors  (Yervoy®  and
Opdivo®,  BMS,  Keytruda®,  Merck  and  others).  There  is  a  large  amount  of  development  activity  in  the  immune  checkpoint  inhibitor  field  from  both
pharmaceutical giants including AstraZeneca, Merck & Co, Pfizer, Merck KGaA, Roche, GSK, Novartis and Amgen and many start-ups, small companies
and  university  spin-offs  which  have  emerged  in  the  past  two  years.  Examples  (in  alphabetical  order)  include  Agenus,  Alligator  Bioscience,  Ambrx,
AnaptysBio, argenx, Bioceros, BioNovion, Cellerant Therapeutics, Checkpoint Therapeutics, Compugen, CureTech, Enumeral, Five Prime Therapeutics,
Genmab, GITR, ImmuNext, IOmet Pharma, iTeos Therapeutics, Jounce Therapeutics, KAHR Medical, Multimeric Biotherapeutics, Nativis, Orega Biotech,
Pelican  Therapeutics,  Pieris  Pharmaceuticals,  Prima  BioMed,  Redx  Pharma,  Sorrento  Therapeutics,  Tesaro,  TG  Therapeutics,  Theravectys  and
ToleroTech active in the field. The list of companies with poly-specific antibodies that attempt to link the cancer with a cytotoxic T cell is long, includes
both  private  and  public  companies  (Amgen,  Xencor,  F-Star,  Merus  and  many  others).  Finally,  two  CAR-T  cell  therapies  were  just  approved  for  the
treatment  of  ALL  –  Kymriah™  (Novartis)  and  Yescarta™  (Gilead).  We  expect  additional  drugs  to  gain  marketing  authorization  in  the  immune-oncology
space.

To our knowledge, there are no innate immune check-point inhibitors in development that have the unique characteristics of INB03 that neutralize
sTNF  to:  i)  decreases  the  proliferation  of  MDSC;  ii)  decreasing  local  and  systemic  immunosuppression  caused  by  MDSC  by  stopping  production  of
immunosuppressive cytokines and; iii) improving NK/DC cross-talk to recruit the adaptive immune system to fight the cancer.

20

Intellectual Property

We seek to protect our therapeutic programs by continuously developing patent properties covering novel compositions, formulations, purpose-
limited compositions, combination treatments, methods of medical treatment, and other inventions, whether created internally or in-licensed, in the United
States  Patent  &  Trademark  Office  (the  “USPTO”),  the  World  Intellectual  Property  Organization  (“WIPO”)  under  the  Patent  Cooperation  Treaty  (“PCT”),
and in patent offices for various foreign jurisdictions. While each invention is unique and territories for protection are decided on a case-by-case basis, we
generally pursue patents in Australia, Canada, Europe, Japan, and the United States, and sometimes in Brazil, China and/or Korea. We currently have in
our portfolio eleven (11) issued patents and forty-seven (47) pending patent applications, including both company-owned and in-licensed properties. The
following sections and corresponding tables summarize, for each of our current therapeutic programs, our pending and granted patent positions, to the
extent publicly available, as of the time of preparing this document:

DN-TNF Platform Technology (Oncology, Central Nervous System Disorders, Acute and Chronic Peripheral Diseases)

The  DN-TNF  Platform  Technology  covers  a  variety  of  dominant  negative  tumor  necrosis  factor  (“DN-TNF”)  variant  proteins,  including  the
pegylated DN-TNF protein variants known as XPro and INB03. These DN-TNF protein variants can be considered a platform technology for treating the
underlying  immune  dysfunction  associated  with  many  disease  manifestations.  Unlike  approved  anti-TNF  therapeutics,  DNTNF  selectively  targets  and
neutralizes  soluble  TNF,  and  is  therefore  not  immunosuppressive.  Additionally,  XPro  has  been  shown  to  cross  the  blood  brain  barrier  after  peripheral
administration,  making  it  attractive  for  use  in  treating  CNS  disorders.  The  following  table  summarizes  current  IP  covering  our  DN-TNF  Platform
Technology:

Subject Matter / Compound
DNTNF compositions and formulations
Use of DNTNF for treating disease

INB-16 / INKmune (Oncology)

# Pending
Applications  
2
31

# Issued
Patents
4
3

Geographical
Scope
 global
 global

Nominal Patent
Term
2024-2041
2033-2041

INKmune  is  a  replication-incompetent  derivative  of  our  proprietary  INB-16  cell  line.  One  commercial  application  of  INKmune  includes  use  as  a
therapeutic  composition  designed  to  enhance  the  ability  of  a  patient’s  own  NK  cells  to  seek,  recognize  and  eliminate  cancer.  Another  commercial
application  of  INKmune  includes  use  as  a  cytokine-like  (“pseudokine”)  agent  for  enhancing  NK  cell  killing  specificity,  potency,  and  efficacy  of  NK  cell  -
based therapeutics. INKmune, as a therapeutic, is intended for provision as an I.V. -infused product containing replication-incompetent bio substrate units,
each of which is adapted to present an aggregate of protein ligands and/or receptors to a patient’s own NK cells, in vivo. Upon contacting the patient’s NK
cells, INKmune converts resting NK cells into what we call “primed” NK cells (“pNKs”). Data suggests that pNKs demonstrate enhanced killing of tumor
cells, thus INKmune may indirectly improve a patient’s own immune response to cancer. As a pseudokine agent, INKmune can be used to contact the NK
cells  of  an  NK  cell  therapeutic  product in  vitro,  e.g.,  during  manufacturing,  for  enhancing  characteristics  of  the  NK  cell  therapeutic  and  rendering  an
improved product. The following table summarizes current IP covering INB-16 / INKmune:

Subject Matter / Compound
INB-16 / INKmune compositions
Use of INKmune for treating disease
Use of INKmune for enhancing NK cell therapeutics

# Pending
Applications  
2
10
2

# Issued
Patents
 0
 4
0

Geographical
Scope
global
global
global

Nominal Patent
Term
2036-2040
2036-2040
2036-2040

21

General IP Disclosures 

Our commercial success depends in part on obtaining and maintaining patent and trade secret protections, where applicable, of our current and

future product candidates and the methods used to manufacture them, as well as successfully defending our patents against third-party challenges.

Our ability to stop third parties from making, using, selling, offering to sell or importing our products depends on the extent to which we have rights
under valid and enforceable patents or trade secrets that cover these activities, and whether we are able to enforce such rights. We cannot assure you that
our pending patent applications will result in issued patents, or that any or all rights will be enforceable in every jurisdiction whether or not patent rights are

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
sought.

International PCT patent applications cover all 152 nations which are signatories of the PCT. However, our global IP strategy generally targets
Australia, Canada, Europe, Japan, and the United States, and sometimes Brazil, China and/or Korea, as targets for extending patent protection under the
PCT.  Decisions  regarding  which  countries  to  extend  patent  coverage  under  the  PCT  is  taken  on  a  case-by-case  basis,  subject  to  normal  business
considerations  such  as  value  and  return  on  investment.  Given  the  markets  for  products  we  are  developing,  we  consider  the  foregoing  jurisdictions  to
amount to “global” coverage as used herein as it relates to IP.

The  above  disclosures  related  to  patents  and  patent  applications  are  subject  to  change  based  on  strategic  patent  portfolio  building  decisions,
which may include refiling and reissue, certain abandonments, including those in favor of continuing patent applications, maturations from provisional to
non-provisional filings, and other regular patent prosecution activities.

Trademarks

The designations INMUNE BIOTM, INB16TM, INKmuneTM, PSEUDOKINETM, and XPro TM are trademarks of INmune Bio, Inc. Some or all these
trademarks  may  be  protected  by  applications  pending  at  the  USPTO  and  other  trademark  registration  authorities  globally.  As  part  of  the  trademark
registration  process,  we  may  be  required  to  submit  a  statement  of  use  evidencing bona fide use of each mark in commerce. By nature of being in the
biopharmaceutical business, certain regulatory requirements must be met in connection with certain products and/or services prior to receiving marketing
authorization from a regulatory agency, and thus it may take some time before products and/or services are offered for sale and a statement of use can be
submitted  for  perfecting  trademark  registration.  For  these  reasons,  we  may  be  required  to  obtain  extensions  of  time,  or  to  refile  applications,  seeking
registration of trademarks. We cannot guarantee that a given trademark application will be allowed or issued in a respective office for each jurisdiction.

IP License Agreements

Immune Ventures, LLC License Agreement

On  October  29,  2015,  the  Company  entered  into  an  exclusive  license  agreement  (the  “INKmune  License  Agreement”)  with  Immune  Ventures,
LLC (“Immune Ventures”). Pursuant to the INKmune License Agreement, we were granted an exclusive worldwide, sub-licensable, royalty-bearing license
to  commercialize  INKmune  (the  “INKmune  License”).  In  consideration  for  the  INKmune  License,  we  are  obligated  to  pay  Immune  Ventures  certain
milestone and royalty payments.

22

The term of the Immune Ventures Agreement began on October 29, 2015, and, if not terminated sooner pursuant to the agreement, ends on a
country-by-country basis on the date of the expiration of the last to expire patent rights where patent rights exist. Subject to granting, prosecution-related
patent term adjustments, and requirements for maintenance and renewals, the latest to expire patent is scheduled to expire on March 15, 2038 (“Natural
Expiration”).  Upon  Natural  Expiration  of  the  Immune  Ventures  Agreement,  we  shall  have  a  fully  paid  up,  perpetual,  royalty-free  license  without  further
obligation to Immune Ventures. The Immune Ventures Agreement can be terminated by Immune Ventures if, after 60 days from our receipt of notice that
we  have  not  made  a  payment  under  the  Immune  Ventures  Agreement  we  still  do  not  make  this  payment.  On  July  18,  2018,  the  parties  amended  the
agreement  under  which  the  Company  was  required  to  achieve  milestones  pursuant  to  the  agreement.  On  October  30,  2020,  the  parties  executed  an
additional amendment to the agreement under which the Company is required to achieve the following milestones:

Initiation of Phase II clinical trials or equivalent by October 29, 2023;
Initiation of Phase III clinical trials or equivalent by October 29, 2025; and
Filing of NDA or equivalent by October 29, 2026 or equivalent.

If  we  don’t  achieve  the  above  milestones,  we  are  required  to  negotiate  in  good  faith  with  Immune  Ventures  to  determine  how  we  can  either
remedy the failure or achieve an alternate development. If we fail to make any required efforts or if the efforts do not remedy the situation within 60 days of
written notice by Immune Ventures, then Immune Ventures may provide notice to terminate the license or convert it to a non-exclusive license.

University of Pittsburg License Agreement

On October 3, 2017, the Company entered into an Assignment and Assumption Agreement with Immune Ventures related to intellectual property
licensed  from  the  University  of  Pittsburgh.  Pursuant  to  the  Assignment  and  Assumption  Agreement  (the  “Assignment  Agreement”),  Immune  Ventures
assigned  all  its  rights,  obligations  and  liabilities  under  an  Exclusive  License  Agreement  between  the  University  of  Pittsburgh  –  Of  the  Commonwealth
System of Higher Education (“Licensor”) and Immune Ventures to INmune Bio (“Licensee”), (the “PITT Agreement”).

As  consideration  under  the  PITT  Agreement,  we  are  obligated  to  pay:  (i)  annual  maintenance  fees,  (ii)  royalty  payments  based  on  the  sale  of

products making use of the licensed technology, and (iii) milestone payments.

In 2022, the Company paid $5,000 according to the PITT Agreement as an annual maintenance fee.

The  PITT  Agreement  expires  upon  the  earlier  of:  (i)  expiration  of  the  last  claim  of  the  Patent  Rights  forming  the  subject  matter  of  the  PITT

Agreement; or (ii) the date that is 20 years from the effective date of the agreement (June 26, 2037).

The  Company  may  terminate  the  PITT  Agreement  upon  3  months  prior  written  notice  provided  all  payments  under  the  license  are  current.
Licensor  may  terminate  the  PITT  Agreement  upon  written  notice  if:  (i)  the  Company  defaults  as  to  performance  of  material  obligations  which  have  not
been cured within 60 days after receiving written notice; or (ii) the Company ceases to carry out its business, becomes bankrupt or insolvent, applies for or
consents to the appointment of a trustee, receiver or liquidator of its assets or seeks relief under any law for the aid of debtors.

23

Xencor License Agreement

On  October  3,  2017,  the  Company  entered  into  a  license  agreement  with  Xencor,  Inc.  (“Xencor”),  which  has  discovered  and  developed  a

 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
proprietary biological molecule that inhibits soluble tumor necrosis factor (the “Xencor Agreement”). During June 2021, the Company entered into the First
Amendment to License Agreement with Xencor. Pursuant to the Xencor Agreement, Xencor granted the Company an exclusive worldwide, royalty-bearing
license in licensed patent rights, licensed know-how and licensed materials (as defined in the Xencor Agreement) to make, develop, use, sell and import
any  pharmaceutical  product  that  comprises,  contains,  or  incorporates  Xencor’s  proprietary  protein  known  as  “XPro”  that  inhibits  soluble  tumor  necrosis
factor (or all modifications, formulations and variants of the licensed protein that specifically bind soluble tumor necrosis factor) alone or in combination
with one or more active ingredients, in any dosage or formulation. The Xencor Agreement expires upon the later of: (a) the expiration of the last to expire
valid  claim  covering  any  pharmaceutical  product  that  contains,  comprises,  or  incorporates  Xencor’s  proprietary  protein  known  as  XPro  alone  or  in
combination with one or more active ingredients, in any dosage or formulation. (“Licensed Product”) in such country or (b) ten years following the first sale
to a third party of the licensed product in such country. Net Sales with respect to any Licensed Product is the gross amounts invoiced by us for sales of the
Licensed Products less deductions actually incurred. A valid claim is an issued, unexpired or pending claim with the patent rights that Xencor controls as
of October 3, 2017 which patent rights are necessary to make, develop, use, sell, have sold, offer for sale and import a Licensed Product in the Field (the
Field means all applications for the treatment of diseases in humans) or the Product Patent Rights, which claim has not lapsed, been abandoned, been
revoked or been held to be unpatentable, invalid or unenforceable by a final judgment of a court or other governmental agency or competent jurisdiction
from  which  no  appeal  can  be  or  is  taken  within  the  time  allowed  for  appeal  and  which  has  not  been  admitted  to  be  invalid  or  unenforceable  through
reissue, re-examination, disclaimer or otherwise. Product Patent Rights shall mean any and all our patent rights that are necessary to make, develop, use,
sell, have sold, offer for sale and import a Licensed Product in the Field, including any improvements or patent rights directed to the Licensed Product.
Either party may terminate the Xencor Agreement upon 60 days’ (10 days for any payment default) prior written notice to the other party after the breach
of any material provision of the agreement by the other party if the breaching party has not cured the breach within the 60-day period (10-day period for
any  payment  default)  following  written  notice  of  termination  by  the  non-breaching  party.  We  can  terminate  the  Xencor  Agreement  upon  180  days  prior
written notice to Xencor. Xencor may terminate the Xencor Agreement in its entirety or with respect to any specific Licensed Product upon written notice in
the event that we contest, oppose or challenge or assist any party in contesting, opposing or challenging, Xencor’s ownership of, or the enforceability or
validity of the Patent Rights that Xencor controls as of October 3, 2017 which Patent Rights are necessary to make develop, use, sell, have sold, offered
for sale and import a Licensed Product in the Field. Either party may terminate the Xencor Agreement upon written notice to the other party upon or after
the insolvency, bankruptcy, dissolution or winding up of such other party or the making or seeking to make or arrange an assignment for the benefit of
creditors  of  such  other  party  or  the  initiation  of  proceedings  in  voluntary  or  involuntary  bankruptcy  which  proceeding,  or  action  remains  undismissed  or
unstayed for a period of more than 60 days.

In consideration of the Xencor Agreement, we agreed to royalty payments and a percentage of any payments received in exchange for a sub-

license.

24

INKmune Research and Development

We expect to use third parties to conduct our preclinical and clinical trials under the direct supervision of management.

INKmune Manufacturing

We intend to contract with third parties for the manufacture of our compounds for investigational purposes, for preclinical and clinical testing and
for  any  FDA  approved  products  for  commercial  sale.  Pre-clinical  and  clinical  material  for  the  early  clinical  trials  with  INKmune  has  been  manufactured
under the direction of Mark Lowdell at a licensed Good Manufacturing Practice (“GMP”)  facility.  The  master  cell  bank,  working  cell  bank  and  individual
product doses were completed in July 2018. This clinical material is planned for use in the Phase I/II clinical trials in ovarian cancer. As we progress in our
clinical  programs,  additional  working  cell  banks  and  therapeutic  product  will  be  produced  from  the  existing  master  cell  bank.  This  process  takes
approximately 6 months and is not anticipated to delay the initiation of the high-risk MDS Phase I/II trials. We may transfer the manufacturing to a different
commercial contract manufacturing organization after completion of these Phase II studies.

Human Mesenchymal Stem Cells

In November 2017 (amended in October 2022), we entered into a Material Transfer and License Agreement with the Anthony Nolan Cord Blood
Bank (“AN”), the oldest and largest non-directed cord blood bank in the United Kingdom for the supply the starting material for the mesenchymal stem
cells  -  umbilical  cords  not  used  after  cord  blood  harvest.  Mark  Lowdell’s  research  group  developed  and  validated  a  methodology  for  producing  large
numbers  of  clinical-grade  pooled  human  umbilical  cord  derived  mesenchymal  stem  cells  (“HucMSC”).  We  believe  we  are  well  positioned  to  become  a
preferred manufacturing partner for companies who need MSC for clinical programs. Manufacture of HucMSC is performed under the direction of Mark
Lowdell in a licensed GMP facility that is contracted to the Company as part of existing research and development agreements. The starting material for
the HucMSC product is provided by the AN. The HucMSC product produced in this facility are fully qualified to be used for either research or clinical trials.
We have developed a validated manufacturing process that reliably produces contract manufacturer of the clinical grade (“cGMP”) quality mesenchymal
stem cells that we call CORDstrom. To date, we are supporting two academic clinical trials with CORDstrom. One program is a in the UK treating children
with erythematous bullousa, a disfiguring skin disease in children that is similar to a second degree burn and treatment of system lupus in adults. Both
these studies are ongoing. INmune Bio is supplying the clinical product for treatment of these patients. The Company does not know the results of these
trials until they are announced by the principal investigators at the clinical sites. Currently, we plan to supply HucMSC to third parties for their research use
and in clinical trials as part of the development process for commercial pro/ducts. We may decide to expand this agreement in the future if the commercial
and/or development opportunities warrant such expansion. At the current time, we expect this program to be funded by revenues from commercial sales.
The  agreement  with  AN  terminates  on  November  29,  2027.  AN  may  terminate  the  license  on  written  notice  to  us,  if  a  donor  withdraws  consent  to  the
continued use of umbilical cord tissue samples that were obtained by AN. Additionally, either party may terminate the agreement on 30 days prior written
notice to the other if that other party materially breach any term of the agreement and such breaches (to the extent it is remediable) is not remedied within
30 days of the written request to the other party to do so.

25

Challenges in the Market for Immunotherapy Products

Government Regulation

The FDA and other federal, state, local and foreign regulatory agencies impose substantial requirements upon the clinical development, approval,
labeling, manufacture, marketing, and distribution of drug products. These agencies regulate, among other things, research and development activities and

 
 
 
 
 
 
 
 
 
 
 
 
 
 
the  testing,  approval,  manufacture,  quality  control,  safety,  effectiveness,  labeling,  storage,  record  keeping,  advertising  and  promotion  of  our  product
candidates. The regulatory approval process is generally lengthy and expensive, with no guarantee of a positive result. Moreover, failure to comply with
applicable  FDA  or  other  requirements  may  result  in  civil  or  criminal  penalties,  recall  or  seizure  of  products,  injunctive  relief  including  partial  or  total
suspension of production, or withdrawal of a product from the market.

Various regulatory authorities regulate, among other things, the research, manufacture, promotion, and distribution of drugs in the United States
under the FDA and other statutes and implementing regulations. The process required by the FDA before prescription drug product candidates may be
marketed in the United States generally involves the following:

●

●

●

●

●

completion of extensive nonclinical laboratory tests, animal studies and formulation studies, all performed in accordance with the FDA’s Good
Laboratory Practice regulations;

submission  to  the  FDA  of  an  investigational  new  drug  application,  or  IND,  which  must  become  effective  before  human  clinical  trials  may
begin;

for  some  products,  performance  of  adequate  and  well-controlled  human  clinical  trials  in  accordance  with  the  FDA’s  regulations,  including
Good Clinical Practices, to establish the safety and efficacy of the product candidate for each proposed indication;

submission to the FDA of a new drug application or NDA;

satisfactory  completion  of  an  FDA  preapproval  inspection  of  the  manufacturing  facilities  at  which  the  product  is  produced  to  assess
compliance with current Good Manufacturing Practice, or cGMP, regulations; and

●

FDA review and approval of the NDA prior to any commercial marketing, sale or shipment of the drug.

The testing and approval process requires substantial time, effort and financial resources, and we cannot be certain that any approvals for our

product candidates will be granted on a timely basis, if at all.

Preclinical tests include laboratory evaluations of product chemistry, formulation and stability, as well as studies to evaluate toxicity in animals and
other animal studies. The results of preclinical tests, together with manufacturing information and analytical data, are submitted as part of an IND to the
FDA. Some preclinical testing may continue even after an IND is submitted. The IND also includes one or more protocols for the initial clinical trial or trials
and an investigator’s brochure. An IND automatically becomes effective 30 days after receipt by the FDA, unless the FDA, within the 30-day time period,
raises concerns or questions relating to the proposed clinical trials as outlined in the IND and places the clinical trial on a clinical hold. In such cases, the
IND sponsor and the FDA must resolve any outstanding concerns or questions before any clinical trials can begin. Clinical trial holds also may be imposed
at any time before or during studies due to safety concerns or non-compliance with regulatory requirements. An independent institutional review board, or
IRB, at each of the clinical centers proposing to conduct the clinical trial must review and approve the plan for any clinical trial before it commences at that
center. An IRB considers, among other things, whether the risks to individuals participating in the trials are minimized and are reasonable in relation to
anticipated benefits. The IRB also approves the consent form signed by the trial participants and must monitor the study until completed.

The FDA offers several regulatory mechanisms that provide expedited or accelerated approval procedures for selected drugs in the indications on
which  we  are  focusing  our  efforts.  These  include  accelerated  approval  under  Subpart  H  of  the  agency’s  NDA  approval  regulations,  fast  track  drug
development procedures and priority review.

26

We plan to seek orphan drug designation for INKmune for the treatment of high-risk MDS if the results of the clinical trials support this activity. The
United States, European Union and other jurisdictions may grant orphan drug designation to drugs intended to treat a “rare disease or condition,” which, in
the United States, is generally a disease or condition that affects no more than 200,000 individuals. In the European Union, orphan drug designation can
be  granted  if:  the  disease  is  life  threatening  or  chronically  debilitating  and  affects  no  more  than  50  in  100,000  persons  in  the  European  Union;  without
incentive it is unlikely that the drug would generate sufficient return to justify the necessary investment; and no satisfactory method of treatment for the
condition  exists  or,  if  it  does,  the  new  drug  will  provide  a  significant  benefit  to  those  affected  by  the  condition.  If  a  product  that  has  an  orphan  drug
designation  subsequently  receives  the  first  regulatory  approval  for  the  indication  for  which  it  has  such  designation,  the  product  is  entitled  to  orphan
exclusivity,  meaning  that  the  applicable  regulatory  authority  may  not  approve  any  other  applications  to  market  the  same  drug  for  the  same  indication,
except in limited circumstances, for a period of seven years in the United States and 10 years in the European Union Orphan drug designation does not
prevent  competitors  from  developing  or  marketing  different  drugs  for  the  same  indication  or  the  same  drug  for  different  indications.  Orphan  drug
designation must be requested before submitting an NDA. After orphan drug designation is granted, the identity of the therapeutic agent and its potential
orphan  use  are  publicly  disclosed.  Orphan  drug  designation  does  not  convey  an  advantage  in,  or  shorten  the  duration  of,  the  review  and  approval
process. However, this designation provides an exemption from marketing and authorization (NDA) fees. We plan to follow a similar path with INB03 or
XPro, although the precise indication cannot be determined until we are farther along in the development process.

Clinical Trials

Phase 1 clinical trials typically involve the initial introduction of the product candidate into healthy human volunteers. In Phase 1 clinical trials, the

product candidate is typically tested for safety, dosage tolerance, absorption, metabolism, distribution, excretion and pharmacodynamics.

Phase  2  clinical  trials  are  conducted  in  a  limited  patient  population  to  gather  evidence  about  the  efficacy  of  the  product  candidate  for  specific,

targeted indications; to determine dosage tolerance and optimal dosage; and to identify possible adverse effects and safety risks.

Phase  3  clinical  trials  are  undertaken  to  evaluate  clinical  efficacy  and  to  test  for  safety  in  an  expanded  patient  population  at  geographically
dispersed clinical trial sites. The size of Phase 3 clinical trials depends upon clinical and statistical considerations for the product candidate and disease,
but sometimes can include several thousand patients. Phase 3 clinical trials are intended to establish the overall risk-benefit ratio of the product candidate
and provide an adequate basis for product labeling.

Clinical  trials  involve  the  administration  of  the  product  candidate  to  human  subjects  under  the  supervision  of  qualified  medical  investigators
according to approved protocols that detail the objectives of the study, dosing procedures, subject selection and exclusion criteria, and the parameters to
be  used  to  monitor  participant  safety.  Regulatory  procedures  differ  in  each  country  we  will  be  working  in.  For  example,  in  the  US,  each  protocol  is
submitted to the FDA as part of the IND for their review and consent before enrolling patients in the clinical trial. The US is not the only place to perform
clinical trials. Most countries have systems in place to allow academics and companies to sponsor clinical trials of novel therapies in patients. For financial

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
and technical reasons, the Company will perform the Phase I clinical trials of our programs in the United Kingdom and Australia. The US will be included
in the Phase II programs. Other venues such as Europe, Canada, Japan and other Pacific Rim countries may be included in the development program in
the future. The first clinical trial with INKmune will be initiated in the United Kingdom. In the United Kingdom, the regulatory submission is made to the
MHRA for a clinical trials authorization (“CTA”). This is a multistep process. The Company had a Scientific Advice meeting with the MHRA in September
2017 to discuss the INKmune Phase I/II trial in women with relapse/refractory ovarian cancer including trial design, manufacturing processes and clinical
trial execution. The MHRA gave recommendations on trial design, manufacturing controls and the regulatory procedures needed to initiate the clinical trial.
We received CTA approval from the MHRA for an INKmune trial in ovarian cancer on December 18, 2018. The approval allows for the execution of the
Phase I/II INKmune clinical trial in the United Kingdom. We plan to have two cancer clinics referring the 6 patients needed for the Phase I portion of the
trial. We expect the first Phase I sites to be in the United Kingdom. If the first cohort of the Phase I trial proceeds as planned, we expect to expand the
clinical trial in the United Kingdom and may include clinical sites in the US. Any Phase II program will start as a multi-national trial because at least 30
patients will be required to complete the Phase II program. The additional clinical sites in the United Kingdom or US have not been identified at this time.
No additional regulatory procedures will be needed to add sites in the United Kingdom. To add sites in the US, we will need to file an IND with the FDA.
Once the FDA approves the IND, clinical sites can be opened. We have chosen relapsed/refractory ovarian cancer as the anticipated Phase 1 study for
INKmune  for  a  number  of  reasons.  Relapsed  refractory  is  a  disease  with  poor  treatment  options.  Our  pre-clinical  data  suggests  INKmune  may  have
advantages over other immunotherapies in the treatment of ovarian cancer. Ovarian cancer has a sensitive and validated biomarker to measure disease
burden – CA125. This allows the Company to accurately select patients for the clinical trial and determine if INKmune therapy is effective. This provides
regulatory  advantages  for  registration  of  INKmune.  INB03  will  follow  a  similar  development  strategy  but  used  Australia  for  the  Phase  I  programs.  In
Australia, clinical trials for INB03 are performed under the clinical trials notification (“CTN”) scheme authorized by the Therapeutic Good Administration
(“TGA”). The TGA is the equivalent agency to the FDA in the US and the MHRA in the United Kingdom. We filed an Australian Clinical Trial Notification, or
CTN,  for  INB03  and  XPro  during  the  second  quarter  of  2018  and  2019  respectively.  Applications  were  accepted  in  May  2018  and  2019  to  allow  us  to
initiate the Phase I trials in cancer and Alzheimer’s disease respectively. We have completed the oncology Phase 1 open label dose escalation trial in
patients with advanced solid tumors and biomarkers of inflammation in their blood.

27

The  INBO3  Phase  I  trial  has  been  completed  and  provided  evidence  of  safety  and  a  pharmacodynamic  drug  affect,  decrease  of  inflammatory
biomarkers, needed to  move  the  program  to  a  Phase  II  clinical  trial  in  cancer.  The  Phase  II  clinical  trial  will  combine  INB03  with  approved  second  line
therapy in patients with HER2+ breast cancer with or without brain metastasis that have progressed after treatment with TDxd. This is a combination trial
where  the  addition  of  INB03  to  approved  second  line  therapy  may  provide  a  therapeutic  alternative  in  a  disease  without  any  drugs  approved.  The
Company has not lost interest in combining INB03 with immune checkpoint inhibitors (CPI), but competition for patients is fierce in this arena. Our plan is
to pursue treatment of tumors that express MUC4 as our lead indication. Tumors that express MUC4 are resistant to all forms of immunotherapy due to a
combination of increased MDSC in the tumor, decrease tumor macrophage (TAM) phagocytosis, decreased inflammation in the tumor (a “cold” tumor) and
direct effects of MUC4 and soluble TNF on HER2 function. If combination therapy with INB03 decreases MUC4 expression and changes the TME to make
the “cold” tumor “hot”, then addition of a CPI will be warranted. At this time, the combination trial to treat MUC4+ TDxd resistant HER2+ expressing cancer
is our most probable registration strategy for INB03. This includes the combination of INB03 with trastuzumab antibody drug conjugate therapy TDxd in
combination  with  a  TKI  and/or  CPI.  Current  therapies  for  TDxd  resistant  cancers  are  used  on  a  trial  by  error  approach.  Using  MUC4  expression  as  a
biomarker for to predict resistance may bring a precision medicine approach to this difficult clinical scenario. Addition of INB03 to the treatment regimen
for treating MUC4+ cancers may convert “cold” tumors to “hot” tumors making the eligible for treatment with CPI. The design and successful completion of
a Phase II trial is not guarantee of clinical relevance or commercial viability. There are multiple therapies on the market or in development for the treatment
of resistant breast cancer. The introduction of TDxd to the clinician’s armamentarium is new and evolving. The future standard-of-care is not known. The
registration and development strategy for INB03 is multinational. The Phase II program may enroll patients in other countries, including the United States
after submitting an Investigational New Drug application, or IND, to the U.S. Food and Drug Administration, or FDA. If partnering is successful at any stage
of INB03 development, we expect the partner to influence the development and regulatory decisions needed with moving the drug to commercialization.
Finally, combination therapy to treat patients resistant to trastuzumab or CPI are not the only oncology application for INB03. INB03 can be combined with
other  immune-oncology  therapy  to  improve  efficacy,  safety  or  both.  INB03  can  be  used  as  part  of  combination  therapy  with  immuno-oncology  drugs,
paired with tradition therapies such as cytotoxic chemotherapy, kinase inhibitors, cell therapies or radiation therapy. The company is pursuing pre-clinical
data in some of these areas. When and if positive developments occur, we will communicate them to our shareholders. There are other regulatory venues
that  will  be  important  for  both  our  products  –  the  largest  and  most  important  is  Europe.  In  Europe,  the  European  Medicines  Agencies  (“EMA”)  is
responsible for authorization of clinical trials in member states. In EU, there may be a requirement to get individual country authorization at the same time
as EMA authorization. The initial development of INB03 and XPro occurred in AUS followed by trials in other regulatory jurisdictions including the US. The
development of INKmune will start in the United Kingdom followed by trials in the US. XPro is being developed for the treatment of Alzheimer’s disease
under a Part-the-Cloud Award received Feb 2019. The biomarker directed Phase I trial was performed in AUS using a regulatory strategy identical to that
used for INB03 in cancer. Regulatory approval to initiate the trial was received on February 8, 2019. XPro treats microglial activation and innate immune
dysregulation  may  be  the  cause  with  Alzheimer’s  disease  in  some  patients.  To  our  knowledge,  there  are  few  companies  using  an  anti-inflammatory
strategy for the treatment of Alzheimer’s disease. Those companies include Denali Therapeutics (NASDAQ: DNLI); developing DNL747 that targets critical
signaling proteins in the TNF pathway that regulate inflammation and cell death. Alector (NASDAQ: ALEC) in partnership with Abbvie is developing AL002
that targets TREM2 on microglial cells. Gliacure is targeting microglial cells in Alzheimer’s disease with a small molecule candidate GC021109.

Lecanemab  (Leqembi™;  Eisai)  was  approved  for  the  treatment  of  patients  with  Early  AD  in  January  2023  This  is  this  the  second  anti-amyloid
drug  for  the  treatment  of  ealy  AD  to  be  approved.  Donanemab  (Lilly),  a  third  drug  anti-amyloid  therapy  for  early  AD  is  expected  to  be  approved  in  the
second  half  of  2023.  These  three  drugs  have  similar  efficacy  and  safety  profiles.  One  of  the  common  safety  problems  is  the  development  of  ARIA
(Alzheimer’s Related Imaging Abnormality) that causes a delay or discontinuation of therapy. ARIA is neuroinflammation related side-effect more common
in patients expressing ApoE4. The modest efficacy, sub-optimal safety and difficulty of use makes combination therapy for the treatment of early AD an
attractive development and therapeutic strategy. The Company is following the developments in this area closely.

28

Clinical testing must satisfy extensive FDA regulations. Reports detailing the results of the clinical trials must be submitted at least annually to the
FDA and safety reports must be submitted for serious and unexpected adverse events. Success in early-stage clinical trials does not assure success in
later stage clinical trials. The FDA, an IRB or we may suspend a clinical trial at any time on various grounds, including a finding that the research subjects
or patients are being exposed to an unacceptable health risk.

New Drug Applications

Assuming  successful  completion  of  the  required  clinical  trials,  the  results  of  product  development,  preclinical  studies  and  clinical  trials  are

 
 
 
 
 
 
 
 
 
submitted to the FDA as part of an NDA. An NDA also must contain extensive manufacturing information, as well as proposed labeling for the finished
product. An NDA applicant must develop information about the chemistry and physical characteristics of the drug and finalize a process for manufacturing
the  product  in  accordance  with  cGMP.  The  manufacturing  process  must  be  capable  of  consistently  producing  quality  product  within  specifications
approved  by  the  FDA.  The  manufacturer  must  develop  methods  for  testing  the  quality,  purity  and  potency  of  the  final  product.  In  addition,  appropriate
packaging  must  be  selected  and  tested,  and  stability  studies  must  be  conducted  to  demonstrate  that  the  product  does  not  undergo  unacceptable
deterioration over its shelf life. Prior to approval, the FDA will conduct an inspection of the manufacturing facilities to assess compliance with cGMP.

The FDA reviews all NDAs submitted before it accepts them for filing. The FDA may request additional information rather than accept an NDA for
filing.  In  this  event,  the  NDA  must  be  resubmitted  with  the  additional  information  and  is  subject  to  review  before  the  FDA  accepts  it  for  filing.  After  an
application is filed, the FDA may refer the NDA to 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 considers them carefully when
making decisions. The FDA may deny approval of an NDA if the applicable regulatory criteria are not satisfied. Data obtained from clinical trials are not
always conclusive and the FDA may interpret data differently than we interpret the same data. The FDA may issue a complete response letter, which may
require  additional  clinical  or  other  data  or  impose  other  conditions  that  must  be  met  in  order  to  secure  final  approval  of  the  NDA.  If  a  product  receives
regulatory approval, the approval may be significantly limited to specific diseases and dosages or the indications for use may otherwise be limited, which
could restrict the commercial value of the product. In addition, the FDA may require us to conduct Phase 4 testing which involves clinical trials designed to
further assess a drug’s safety and effectiveness after NDA approval and may require surveillance programs to monitor the safety of approved products
which  have  been  commercialized.  Once  issued,  the  FDA  may  withdraw  product  approval  if  ongoing  regulatory  requirements  are  not  met  or  if  safety  or
efficacy questions are raised after the product reaches the market.

Post-Approval Requirements

Any  products  manufactured  or  distributed  by  us  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, periodic reporting, 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, annual user fee requirements for any marketed products and the establishments at which
such products are manufactured, as well as new application fees for supplemental applications with clinical data. Pharmaceutical 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 GMP, which impose certain procedural and documentation requirements upon us and our third-
party manufacturers. Changes to the manufacturing process are strictly regulated, and, depending on the significance of the change, may 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.  If  our  future
suppliers  are  not  able  to  comply  with  these  requirements,  the  FDA  may,  among  other  things,  halt  our  clinical  trials,  require  us  to  recall  a  product  from
distribution, or withdraw approval of the product.

29

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.

The FDA closely regulates the marketing, labeling, advertising and promotion of pharmaceutical products. A company can make only those claims
relating to safety and efficacy, purity and potency that are approved by the FDA and in accordance with the provisions of the approved label. The FDA and
other agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses. 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.

Other Healthcare Laws and Compliance Requirements

Our sales, promotion, medical education, clinical research and other activities following product approval will be subject to regulation by numerous
regulatory and law enforcement authorities in the United States in addition to FDA, including potentially the Federal Trade Commission, the Department of
Justice, the Centers for Medicare and Medicaid Services, or CMS, other divisions of the U.S. Department of Health and Human Services and state and
local governments. Our promotional and  scientific/educational  programs  must  comply  with  the  federal  Anti-Kickback  Statute,  the  civil  False  Claims  Act,
physician payment transparency laws, privacy laws, security laws, and additional federal and state laws similar to the foregoing.

The federal Anti-Kickback Statute prohibits, among other things, the knowing and willing, direct or indirect offer, receipt, solicitation or payment of
remuneration in exchange for or to induce the referral of patients, including the purchase, order or lease of any good, facility, item or service that would be
paid  for  in  whole  or  part  by  Medicare,  Medicaid  or  other  federal  health  care  programs.  Remuneration  has  been  broadly  defined  to  include  anything  of
value, including cash, improper discounts, and free or reduced-price items and services. The federal Anti-Kickback Statute has been interpreted to apply
to arrangements between pharmaceutical manufacturers on one hand and prescribers, purchasers, formulary managers, and beneficiaries on the other.
Although there are a number of statutory exceptions and regulatory safe harbors protecting some common activities from prosecution, the exceptions and
safe  harbors  are  drawn  narrowly.  Practices  that  involve  remuneration  that  may  be  alleged  to  be  intended  to  induce  prescribing,  purchases  or
recommendations may be subject to scrutiny if they do not qualify for an exception or safe harbor. Failure to meet all of the requirements of a particular
applicable  statutory  exception  or  regulatory  safe  harbor  does  not  make  the  conduct  per  se  illegal  under  the  federal  Anti-Kickback  Statute.  Instead,  the
legality of the arrangement will be evaluated on a case-by-case basis based on a cumulative review of all its facts and circumstances. Several courts have
interpreted  the  statute’s  intent  requirement  to  mean  that  if  any  one  purpose  of  an  arrangement  involving  remuneration  is  to  induce  referrals  of  federal
healthcare  covered  business,  the  federal  Anti-Kickback  Statute  has  been  violated.  The  government  has  enforced  the  federal  Anti-Kickback  Statute  to
reach large settlements with healthcare companies based on sham research or consulting and other financial arrangements with physicians. Further, a
person  or  entity  does  not  need  to  have  actual  knowledge  of  the  statute  or  specific  intent  to  violate  it  to  have  committed  a  violation.  In  addition,  the
government  may  assert  that  a  claim  including  items  or  services  resulting  from  a  violation  of  the  federal  Anti-Kickback  Statute  constitutes  a  false  or
fraudulent  claim  for  purposes  of  the  False  Claims  Act.  Many  states  have  similar  laws  that  apply  to  their  state  health  care  programs  as  well  as  private
payors.

 
 
 
 
 
 
 
 
 
 
30

Federal false claims and false statement laws, including the federal civil False Claims Act, or FCA, imposes liability on persons or entities that,
among other things, knowingly present or cause to be presented claims that are false or fraudulent or not provided as claimed for payment or approval by a
federal  health  care  program.  The  FCA  has  been  used  to  prosecute  persons  or  entities  that  “cause”  the  submission  of  claims  for  payment  that  are
inaccurate or fraudulent, by, for example, providing inaccurate billing or coding information to customers, promoting a product off-label, submitting claims
for services not provided as claimed, or submitting claims for services that were provided but not medically necessary. Actions under the FCA may be
brought by the Attorney General or as a qui tam action by a private individual in the name of the government. Violations of the FCA can result in significant
monetary penalties and treble damages. The federal government is using the FCA, and the accompanying threat of significant liability, in its investigation
and prosecution of pharmaceutical and biotechnology companies throughout the country, for example, in connection with the promotion of products for
unapproved uses and other illegal sales and marketing practices. The government has obtained multi-million and multibillion dollar settlements under the
FCA in addition to individual criminal convictions under applicable criminal statutes. In addition, certain companies that were found to be in violation of the
FCA  have  been  forced  to  implement  extensive  corrective  action  plans,  and  have  often  become  subject  to  consent  decrees  or  corporate  integrity
agreements, restricting the manner in which they conduct their business.

The federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, created additional federal criminal statutes that prohibit, among
other things, knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare benefit program, including private third-party
payors;  knowingly  and  willfully  falsifying,  concealing  or  covering  up  a  material  fact  or  making  any  materially  false,  fictitious  or  fraudulent  statement  in
connection  with  the  delivery  of  or  payment  for  healthcare  benefits,  items  or  services;  and  willfully  obstructing  a  criminal  investigation  of  a  healthcare
offense. Like the federal Anti-Kickback Statute, the Affordable Care Act amended the intent standard for certain healthcare fraud statutes under HIPAA
such that a person or entity no longer needs to have actual knowledge of the statute or specific intent to violate it in order to have committed a violation.

Given  the  significant  size  of  actual  and  potential  settlements,  we  expect  that  the  government  will  continue  to  devote  substantial  resources  to
investigating healthcare providers’ and manufacturers’ compliance with applicable fraud and abuse laws. Also, many states have similar fraud and abuse
statutes or regulations that may be broader in scope and may apply regardless of payor, in addition to items and services reimbursed under Medicaid and
other state programs. Additionally, to the extent that our products, once commercialized, are sold in a foreign country, we may be subject to similar foreign
laws.

In  addition,  there  has  been  a  recent  trend  of  increased  federal  and  state  regulation  of  payments  made  to  physicians  and  other  healthcare
providers.  The  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and  Education  Reconciliation  Act,  or  collectively,  the
Affordable Care Act, among other things, imposed new reporting requirements on certain manufacturers of drugs, devices, biologics and medical supplies
for  which  payment  is  available  under  Medicare,  Medicaid  or  the  Children’s  Health  Insurance  Program,  with  specific  exceptions,  for  payments  or  other
transfers  of  value  made  by  them  to  physicians  and  teaching  hospitals,  as  well  as  ownership  and  investment  interests  held  by  physicians  and  their
immediate family members. Covered manufacturers are required to collect and report detailed payment data and submit legal attestation to the accuracy
of such data to the government each year. Failure to submit required information may result in civil monetary penalties of up to an aggregate of $150,000
per year (or up to an aggregate of $1 million per year for “knowing failures”), for all payments, transfers of value or ownership or investment interests that
are  not  timely,  accurately  and  completely  reported  in  an  annual  submission.  Additionally,  entities  that  do  not  comply  with  mandatory  reporting
requirements may be subject to a corporate integrity agreement. Certain states also mandate implementation of commercial compliance programs, impose
restrictions  on  covered  manufacturers’  marketing  practices  and/or  require  the  tracking  and  reporting  of  gifts,  compensation  and  other  remuneration  to
physicians and other healthcare professionals.

We may also be subject to data privacy and security regulation by both the federal government and the states in which we conduct our business.
HIPAA, as amended by the Health Information Technology and Clinical Health Act, or HITECH, and their respective implementing regulations, imposes
specified requirements on certain health care providers, plans and clearinghouses (collectively, “covered entities”) and their “business associates,” relating
to the privacy, security and  transmission  of  individually  identifiable  health  information.  Among  other  things,  HITECH  makes  HIPAA’s  security  standards
directly  applicable  to  “business  associates,”  defined  as  independent  contractors  or  agents  of  covered  entities  that  create,  receive,  maintain  or  transmit
protected  health  information  in  connection  with  providing  a  service  for  or  on  behalf  of  a  covered  entity.  HITECH  also  increased  the  civil  and  criminal
penalties that may be imposed against covered entities, business associates and possibly other persons, and gave state attorneys general new authority
to file civil actions for damages or injunctions in federal courts to enforce HIPAA and seek attorney’s fees and costs associated with pursuing federal civil
actions. In addition, certain states have their own laws that govern the privacy and security of health information in certain circumstances, many of which
differ from each other and/or HIPAA in significant ways and may not have the same effect, thus complicating compliance efforts.

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Coverage and Reimbursement

Sales of pharmaceutical products depend significantly on the extent to which coverage and adequate reimbursement are provided by third-party
payors.  Third-party  payors  include  state  and  federal  government  health  care  programs,  managed  care  providers,  private  health  insurers  and  other
organizations. Although we currently believe that third-party payors will provide coverage and reimbursement for our product candidates, if approved, we
cannot  be  certain  of  this.  Third-party  payors  are  increasingly  challenging  the  price,  examining  the  cost-effectiveness,  and  reducing  reimbursement  for
medical products and services. In addition, significant uncertainty exists as to the reimbursement status of newly approved healthcare products. The U.S.
government, state legislatures and foreign governments have continued implementing cost containment programs, including price controls, restrictions on
coverage  and  reimbursement  and  requirements  for  substitution  of  generic  products.  Adoption  of  price  controls  and  cost  containment  measures,  and
adoption of more restrictive policies in jurisdictions with existing controls and measures, could further limit our net revenue and results. We may need to
conduct expensive clinical studies to demonstrate the comparative cost-effectiveness of our products. The product candidates that we develop may not be
considered  cost-effective  and  thus  may  not  be  covered  or  sufficiently  reimbursed.  It  is  time  consuming  and  expensive  for  us  to  seek  coverage  and
reimbursement  from  third-party  payors,  as  each  payor  will  make  its  own  determination  as  to  whether  to  cover  a  product  and  at  what  level  of
reimbursement.  Thus,  one  payor’s  decision  to  provide  coverage  and  adequate  reimbursement  for  a  product  does  not  assure  that  another  payor  will
provide coverage or that the reimbursement levels will be adequate. Moreover, a payor’s decision to provide coverage for a drug product does not imply
that an adequate reimbursement rate will be approved. Reimbursement may not be available or sufficient to allow us to sell our products on a competitive
and profitable basis.

Healthcare Reform

 
 
 
 
 
 
 
 
 
 
 
 
 
The United States and some foreign jurisdictions are considering or have enacted a number of legislative and regulatory proposals to change the
healthcare system in ways that could affect our ability to sell our products profitably. Among policy makers and payors in the United States and elsewhere,
there  is  significant  interest  in  promoting  changes  in  healthcare  systems  with  the  stated  goals  of  containing  healthcare  costs,  improving  quality  and/or
expanding access. In the United States, the pharmaceutical industry has been a particular focus of these efforts and has been significantly affected by
major legislative initiatives.

By way of example, in March 2010, the Affordable Care Act (“ACA”) was signed into law, intended to broaden access to health insurance, reduce
or constrain the growth of healthcare spending, enhance remedies against fraud and abuse, add new transparency requirements for the healthcare and
health insurance industries, impose new taxes and fees on the health industry and impose additional health policy reforms. Among the provisions of the
ACA of importance to our potential drug candidates are:

●

●

●

●

●

●

●

●

an  annual,  nondeductible  fee  on  any  entity  that  manufactures,  or  imports  specified  branded  prescription  drugs  and  biologic  agents,
apportioned among these entities according to their market share in certain government healthcare programs;

an increase in the statutory minimum rebates a manufacturer must pay under the Medicaid Drug Rebate Program to 23.1% and 13.0% of the
average manufacturer price for branded and generic drugs, respectively;

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;

a  new  Medicare  Part  D  coverage  gap  discount  program,  in  which  manufacturers  must  agree  to  offer  50%  point-of-sale  discounts  off
negotiated  prices  of  applicable  brand  drugs  to  eligible  beneficiaries  during  their  coverage  gap  period,  as  a  condition  for  a  manufacturer’s
outpatient drugs to be covered under Medicare Part D;

extension of a manufacturer’s Medicaid rebate liability to covered drugs dispensed to individuals who are enrolled in Medicaid managed care
organizations;

32

expansion  of  eligibility  criteria  for  Medicaid  programs  by,  among  other  things,  allowing  states  to  offer  Medicaid  coverage  to  additional
individuals  and  by  adding  new  mandatory  eligibility  categories  for  certain  individuals  with  income  at  or  below  133%  of  the  federal  poverty
level, thereby potentially increasing a manufacturer’s Medicaid rebate liability;

expansion of the entities eligible for discounts under the Public Health Service pharmaceutical pricing program; and

a  new  Patient-Centered  Outcomes  Research  Institute  to  oversee,  identify  priorities  in,  and  conduct  comparative  clinical  effectiveness
research, along with funding for such research.

In addition, other legislative changes have been proposed and adopted since the ACA was enacted. These changes include, among others, the
Budget Control Act of 2011, which mandates aggregate reductions to Medicare payments to providers of up to 2% per fiscal year effective April 1, 2013,
and,  due  to  subsequent  legislative  amendments,  will  remain  in  effect  through  2024  unless  additional  Congressional  action  is  taken.  In  January  2013,
President Obama signed into law the American Taxpayer Relief Act of 2012, which, among other things, further reduced Medicare payments to several
providers,  including  hospitals  and  cancer  treatment  centers,  increased  the  statute  of  limitations  period  for  the  government  to  recover  overpayments  to
providers  from  three  to  five  years.  These  new  laws  may  result  in  additional  reductions  in  Medicare  and  other  healthcare  funding,  which  could  have  a
material adverse effect on customers for our product candidates, if approved, and, accordingly, our financial operations.

Since its enactment, there have been judicial, administrative, executive and legislative challenges to certain aspects of the ACA. On June 17, 2021
the  U.S.  Supreme  Court  dismissed  the  most  recent  judicial  challenge  to  the  ACA  brought  by  several  states  without  specifically  ruling  on  the
constitutionality of the ACA. Thus, the ACA will remain in effect in its current form. Further, prior to the U.S. Supreme Court ruling, President Biden issued
an  executive  order  to,  among  other  things,  instruct  certain  governmental  agencies  to  review  and  reconsider  their  existing  policies  and  rules  that  limit
access to health care, 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.

On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 into law, which eliminates the statutory Medicaid drug rebate
cap,  currently  set  at  100%  of  a  drug’s  average  manufacturer  price,  for  single  source  and  innovator  multiple  source  drugs,  beginning  January  1,
2024. Payment methodologies may also be subject to changes in healthcare legislation and regulatory initiatives. For example, Centers for Medicare and
Medicaid  Services  may  develop  new  payment  and  delivery  models,  such  as  bundled  payment  models.  There  also  has  been  heightened  governmental
scrutiny in the United States of pharmaceutical pricing practices in light of the rising cost of prescription drugs and biologics. Such scrutiny has resulted in
several  recent  U.S.  Congressional  inquiries  and  proposed  and  enacted  federal  and  state  legislation  designed  to,  among  other  things,  bring  more
transparency  to  drug  pricing,  reduce  the  cost  of  prescription  drugs  under  Medicare,  review  the  relationship  between  pricing  and  manufacturer  patient
programs and reform government program reimbursement methodologies for drugs. By way of example, in August 2022, the Inflation Reduction Act of
2022, or the IRA, was signed into law. Among other things, the IRA requires manufacturers of certain drugs to engage in price negotiations with Medicare
(beginning in 2026), with prices that can be negotiated subject to a cap; imposes rebates under Medicare Part B and Medicare Part D to penalize price
increases that outpace inflation (first due 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, or the impact of the IRA on
our business.

At  the  state  level,  legislatures  in  the  United  States  have  also  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.  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.

We expect that the ACA, as well as other healthcare reform measures that may be adopted in the future, may result in more rigorous coverage
criteria  and  lower  reimbursement,  and  in  additional  downward  pressure  on  the  price  that  we  receive  for  any  approved  product.  Any  reduction  in
reimbursement  from  Medicare  or  other  government-funded  programs  may  result  in  a  similar  reduction  in  payments  from  private  payors.  The
implementation  of  cost  containment  measures  or  other  healthcare  reforms  may  prevent  us  from  being  able  to  generate  revenue,  attain  profitability  or

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
commercialize our drugs.

Human Capital Resources

As of December 31, 2022, we had 10 full-time employees. We consider the intellectual capital of our employees to be an important driver of our
business and key to our future prospects. We monitor our compensation programs closely and provide what we consider to be a very competitive mix of
compensation  and  insurance  benefits  for  all  our  employees,  as  well  as  participation  in  our  equity  programs.  None  of  our  employees  is  subject  to  a
collective bargaining agreement or represented by a trade or labor union. We consider our relations with our employees to be good.

Corporate Information

We were incorporated under the laws of the State of Nevada on September 25, 2015. Our principal executive office is located at 225 NE Mizner

Blvd, Suite 640, Boca Raton FL 33432 and our telephone number is (858) 964-3720.

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Item 1a. Risk Factors

Summary of Risk Factors

Below is a summary of the principal factors that make an investment in our common stock speculative or risky. This summary does not address all
of the risks that we face. Additional discussion of the risks summarized in this risk factor summary, and other risks that we face, can be found below under
the heading “Risk Factors” and should be carefully considered, together with other information in this Form 10-K and our other filings with the SEC, before
making an investment decision regarding our common stock.

● We have incurred significant losses since our inception and anticipate that we will continue to incur losses for the foreseeable future.

● Our ability to successfully engage with, and satisfactorily respond to, requests for additional information from the FDA concerning the clinical
hold on our investigational new drug application for XPro and the timing and outcomes of such interactions, including our plans to engage the
FDA in order to lift the clinical hold.

● We will  require  additional  capital  to  fund  our  operations  and  if  we  fail  to  obtain  necessary financing,  we  will  not  be  able  to  complete  the

development and commercialization of our product candidates.

● We have a substantial amount of debt, and we may be unable to make required payments of interest and principal as they become due.

● We are significantly dependent on the success of our DN-TNF product platform and Natural Killer Cell Priming Platform (INKmune) and our

product candidates based on these platforms.

● We need to attract and retain highly skilled personnel; we may be unable to effectively manage growth with our limited resources.

● We depend upon our senior management and key consultants and their loss or unavailability could put us at a competitive disadvantage.

●

The  biotechnology  and  immunotherapy industries are characterized by rapid technological developments and a high degree of competition.
We may be unable to compete with more substantial enterprises.

● We can provide no assurance that our clinical product candidates will obtain regulatory approval or that the results of clinical studies will be

favorable.

● Drug discovery and development is a complex, time-consuming and expensive process with a high rate of failure.

● We may face legal claims; legal disputes are expensive, and we may not be able to afford the costs.

● We can provide no assurance of the successful and timely development of new products.

● We must comply with significant government regulations.

● We rely upon patents to protect our technology. We may be unable to protect our intellectual property rights.

●

●

The price of our common stock may be volatile.

The market prices for our common stock may be adversely impacted by future events.

● A limited public trading market may cause volatility in the price of our common stock.

● Our Rights Agreement contains anti-takeover provisions that could discourage, delay or prevent a change in control, which may cause our

stock price to decline.

You should carefully consider the risks described below as well as other information provided to you in this document, including information in the
section  of  this  document  entitled  “Information  Regarding  Forward  Looking  Statements.”  If  any  of  the  following  risks  actually  occur,  the  Company’s
business, financial condition or results of operations could be materially adversely affected, the value of the Company’s Common Stock could decline, and
you may lose all or part of your investment.

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
RISKS RELATED TO OUR BUSINESS

We will need additional capital. If additional capital is not available or is available at unattractive terms, we may be forced to delay, reduce the
scope of or eliminate our research and development programs, reduce our commercialization efforts or curtail our operations.

As of December 31, 2022, we had cash and cash equivalents of $52.2 million and we had $15 million of outstanding debt. 

In order to develop and

bring our product candidates to market, we must commit substantial resources to costly and time-consuming research, preclinical and clinical trials and
marketing activities. We anticipate that our existing cash and cash equivalents will enable us to maintain our current operations for at least the next twelve
months. We anticipate using our cash and cash equivalents to fund further research and development with respect to our lead product candidates. We
may, however, need to raise additional funding sooner if our business or operations change in a manner that consumes available resources more rapidly
than we anticipate. Our requirements for additional capital will depend on many factors, including:

●

●

●

●

●

successful commercialization of our product candidates;

the time and costs involved in obtaining regulatory approval for our product candidates;

costs associated with protecting our intellectual property rights;

development of marketing and sales capabilities;

payments received under future collaborative agreements, if any; and

● market acceptance of our products, if any.

Issuances  of  additional  debt  or  equity  securities  could  impact  the  rights  of  the  holders  of  our  common  stock  and  will  dilute  their  ownership
percentage. Moreover, the establishment of other funding facilities may impose restrictions on our operations. These restrictions could include limitations
on additional borrowing and specific restrictions on the use of our assets, as well as prohibitions on our ability to create liens, pay dividends, redeem our
stock or make investments. We may also raise additional capital by pursuing opportunities for the licensing or sale of certain intellectual property and other
assets. We cannot offer assurances, however, that any strategic collaboration, sales of securities or sales or licenses of assets will be available to us on a
timely  basis  or  on  acceptable  terms,  if  at  all.  We  may  be  required  to  enter  into  relationships  with  third  parties  to  develop  or  commercialize  products  or
technologies that we otherwise would have sought to develop independently, and any such relationships may not be on terms as commercially favorable
to us as might otherwise be the case.

In  the  event  that  sufficient  additional  funds  are  not  obtained  through  strategic  collaboration  opportunities,  sales  of  securities,  funding  facilities,
licensing  arrangements,  borrowing  arrangements  and/or  asset  sales  on  a  timely  basis,  we  may  be  required  to  reduce  expenses  through  the  delay,
reduction or curtailment of our projects, or further reduction of costs for facilities and administration.

We cannot provide assurances that changed or unexpected circumstances will not result in the depletion of our capital resources more rapidly
than we currently anticipate. There can be no assurances that we will be able to raise additional capital in sufficient amounts or on favorable terms, or at
all. If we are unable to raise adequate additional capital when required or in sufficient amounts or on terms acceptable to us, we may have to delay, scale
back  or  discontinue  one  or  more  product  development  programs,  curtail  our  commercialization  activities,  significantly  reduce  expenses,  sell  assets
(potentially at a loss), enter into relationships with third parties to develop or commercialize products or technologies that we otherwise would have sought
to develop or commercialize independently, cease operations altogether, pursue an acquisition of our company at a price that may result in up to a total
loss on investment for our stockholders, file for bankruptcy or seek other protection from creditors, or liquidate all of our assets.

35

To  fund  our  operations  and  service  our  debt,  we  will  be  required  to  generate  a  significant  amount  of  cash.  Our  ability  to  generate  cash
depends on a number of factors, some of which are beyond our control, and any failure to meet our debt obligations would have a material
adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and  could  cause  the  market  value  of  our  common
stock to decline.

Prevailing economic conditions and financial, business and other factors, many of which are beyond our control, may affect our ability to make
payments on our debt. If we do not generate sufficient cash flow to satisfy our debt obligations, we may have to undertake alternative financing plans, such
as refinancing or restructuring our debt, selling assets, reducing or delaying capital investments or seeking to raise additional capital. Alternatively, we may
also attempt to refinance certain of our debt, for example, to extend maturities. Our ability to restructure or refinance our debt will depend on the capital
markets and our financial condition at such time. If we are unable to access the capital markets, whether because of the condition of those capital markets
or our own financial condition or reputation within such capital markets, we may be unable to refinance our debt. In addition, any refinancing of our debt
could be at higher interest rates and may require us to comply with more onerous covenants, which could further restrict our business operations. Our
inability to generate sufficient cash flow to satisfy our debt obligations or to refinance our obligations on commercially reasonable terms, or at all, could
have a material adverse effect on our business, financial condition, cash flows and results of operations and could cause the market value of our common
stock and/or debt securities to decline.

Our ability to continue to reduce our indebtedness will depend upon factors including our future operating performance, our ability to access the
capital  markets  to  refinance  existing  debt  and  prevailing  economic  conditions  and  financial,  business  and  other  factors,  many  of  which  are  beyond  our
control. We can provide no assurance of the amount by which we will reduce our debt, if at all. In addition, servicing our debt will result in a reduction in
the amount of our cash flow available for other purposes, including operating costs and research and development costs.

Our debt agreement contains covenant restrictions that may limit our ability to operate our business.

The terms of our debt agreement contains, and any of our other future debt agreements may contain, covenant restrictions that limit our ability to
operate our business, including restrictions on our ability to, among other things, incur additional debt or issue guarantees, create liens, repurchase stock,
or make other restricted payments, and make certain voluntary prepayments of specified debt. As a result of these covenants, our ability to respond to
changes in business and economic conditions and engage in beneficial transactions, including to obtain additional financing as needed, may be restricted.
Furthermore,  our  failure  to  comply  with  our  debt  covenants  could  result  in  a  default  under  our  debt  agreements,  which  could  permit  the  holders  to
accelerate our obligation to repay the debt. If any of our debt is accelerated, we may not have sufficient funds available to repay it. The Company violated
certain non-financial debt covenants during 2022 and obtained a waiver from its lender for the violations during February 2023.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The FDA has placed a clinical hold on XPro. If the FDA does not remove the clinical hold on a timely basis, or at all, our development timelines
and our business may be adversely affected, and our stock price may decline.

As  previously  announced  by  the  Company  in  a  press  release  dated  on  May  23,  2022,  the  FDA  placed  a  full  clinical  hold  on  XPro,  requesting
additional information around the Company’s chemistry manufacturing and controls for the treatment.  The Company is working with the regulatory body
to have the current hold removed as soon as possible, but it is not yet clear when the hold will be lifted. If the FDA does not lift the clinical hold in a timely
manner, or at all, our long-term development timeline for XPro and our business, financial condition or results of operations, may be adversely affected.
The trial for XPro in Alzheimer’s disease is currently open in Australia and Canada.

We  face  intense  competition  in  the  markets  targeted  by  our  lead  product  candidates.  Many  of  our  competitors  have  substantially  greater
resources than we do, and we expect that all of our product candidates under development will face intense competition from existing or future
drugs.

We  expect  that  all  of  our  product  candidates  under  development,  if  approved,  will  face  intense  competition  from  existing  and  future  drugs
marketed by large companies. These competitors may successfully market products that compete with our products, successfully identify drug candidates
or develop products earlier than we do, or develop products that are more effective, have fewer side effects or cost less than our products, if any.

36

Additionally, if a competitor receives FDA approval before we do for a drug that is similar to one of our product candidates, FDA approval for our
product  candidate  may  be  precluded  or  delayed  due  to  periods  of  non-patent  exclusivity  and/or  the  listing  with  the  FDA  by  the  competitor  of  patents
covering its newly-approved drug product. Periods of non-patent exclusivity for new versions of existing drugs such as our current product candidates can
extend up to three and one-half years. See “Business — Government Regulation.”

These competitive factors could require us to conduct substantial new research and development activities to establish new product targets, which

would be costly and time consuming. These activities would adversely affect our ability to commercialize products and achieve revenue and profits.

Competition and technological change may make our product candidates and technologies less attractive or obsolete.

We compete with established pharmaceutical and biotechnology companies that are pursuing other forms of treatment for the same indications we
are pursuing and that have greater financial and other resources. Other companies may succeed in developing products earlier than us, obtaining FDA
approval for products more rapidly, or developing products that are more effective than our product candidates. Research and development by others may
render  our  technology  or  product  candidates  obsolete  or  noncompetitive,  or  result  in  treatments  or  cures  superior  to  any  therapy  we  develop.  We  face
competition  from  companies  that  internally  develop  competing  technology  or  acquire  competing  technology  from  universities  and  other  research
institutions.  As  these  companies  develop  their  technologies,  they  may  develop  competitive  positions  that  may  prevent,  make  futile,  or  limit  our  product
commercialization efforts, which would result in a decrease in the revenue we would be able to derive from the sale of any products.

There  can  be  no  assurance  that  any  of  our  product  candidates  will  be  accepted  by  the  marketplace  as  readily  as  these  or  other  competing
treatments. Furthermore, if our competitors’ products are approved before ours, it could be more difficult for us to obtain approval from the FDA. Even if
our products are successfully developed and approved for use by all governing regulatory bodies, there can be no assurance that physicians and patients
will accept our product(s) as a treatment of choice.

Furthermore,  the  pharmaceutical  research  industry  is  diverse,  complex,  and  rapidly  changing.  By  its  nature,  the  business  risks  associated
therewith are numerous and significant. The effects of competition, intellectual property disputes, market acceptance, and FDA regulations preclude us
from forecasting revenues or income with certainty or even confidence.

If we fail to protect our intellectual property rights, our ability to pursue the development of our technologies and products would be negatively
affected.

Our success will depend, in part, on our ability to obtain patents and maintain adequate protection of our technologies and products. If we do not
adequately protect our intellectual property, competitors may be able to use our technologies to produce and market drugs in direct competition with us
and  erode  our  competitive  advantage.  Some  foreign  countries  lack  rules  and  methods  for  defending  intellectual  property  rights  and  do  not  protect
proprietary rights to the same extent as the United States. Many companies have had difficulty protecting their proprietary rights in these foreign countries.
We may not be able to prevent misappropriation of our proprietary rights.

We have received, and are currently seeking, patent protection for numerous compounds and methods of treating diseases. However, the patent
process is subject to numerous risks and uncertainties, and there can be no assurance that we will be successful in protecting our products by obtaining
and  defending  patents.  These  risks  and  uncertainties  include  the  following:  patents  that  may  be  issued  or  licensed  may  be  challenged,  invalidated,  or
circumvented, or otherwise may not provide any competitive advantage; our competitors, many of which have substantially greater resources than us and
many  of  which  have  made  significant  investments  in  competing  technologies,  may  seek,  or  may  already  have  obtained,  patents  that  will  limit,  interfere
with, or eliminate our ability to make, use, and sell our potential products either in the United States or in international markets; there may be significant
pressure on the United States government and other international governmental bodies to limit the scope of patent protection both inside and outside the
United States for treatments that prove successful as a matter of public policy regarding worldwide health concerns; countries other than the United States
may have less restrictive patent laws than those upheld by United States courts, allowing foreign competitors the ability to exploit these laws to create,
develop, and market competing products.

37

Moreover, any patents issued to us may not provide us with meaningful protection, or others may challenge, circumvent or narrow our patents.
Third  parties  may  also  independently  develop  products  similar  to  our  products,  duplicate  our  unpatented  products  or  design  around  any  patents  on
products we develop. Additionally, extensive time is required for development, testing and regulatory review of a potential product. While extensions of
patent term due to regulatory delays may be available, it is possible that, before any of our product candidates can be commercialized, any related patent,
even with an extension, may expire or remain in force for only a short period following commercialization, thereby reducing any advantages of the patent.

In addition, the United States Patent and Trademark Office (the “USPTO”) and patent offices in other jurisdictions have often required that patent

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
applications concerning pharmaceutical and/or biotechnology-related inventions be limited or narrowed substantially to cover only the specific innovations
exemplified in the patent application, thereby limiting the scope of protection against competitive challenges. Thus, even if we or our licensors are able to
obtain patents, the patents may be substantially narrower than anticipated.

Our success depends on patent applications that are licensed exclusively to us and other patents to which we may obtain assignment or licenses.
We may not be aware, however, of all patents, published applications or published literature that may affect our business either by blocking our ability to
commercialize our product candidates, by preventing the patentability of our product candidates to us or our licensors, or by covering the same or similar
technologies that may invalidate our patents, limit the scope of our future patent claims or adversely affect our ability to market our product candidates.

In  addition  to  patents,  we  rely  on  a  combination  of  trade  secrets,  confidentiality,  nondisclosure  and  other  contractual  provisions,  and  security
measures  to  protect  our  confidential  and  proprietary  information.  These  measures  may  not  adequately  protect  our  trade  secrets  or  other  proprietary
information.  If  they  do  not  adequately  protect  our  rights,  third  parties  could  use  our  technology,  and  we  could  lose  any  competitive  advantage  we  may
have.  In  addition,  others  may  independently  develop  similar  proprietary  information  or  techniques  or  otherwise  gain  access  to  our  trade  secrets,  which
could impair any competitive advantage we may have.

Patent protection and other intellectual property protection is crucial to the success of our business and prospects, and there is a substantial risk

that such protections will prove inadequate.

We license our patents from others. If such owners do not properly maintain or enforce the intellectual property underlying such licenses, our
competitive position and business prospects could be harmed. Our licensors may also seek to terminate our license.

We are a party to a number of licenses that give us rights to third-party intellectual property that is necessary or useful to our business. To this end,

we are dependent on our licenses with Xencor, Inc., Immune Ventures, LLC and the University of Pittsburgh. Our success will depend in part on the ability
of  our  licensors  to  obtain,  maintain  and  enforce  our  licensed  intellectual  property.  Our  licensors  may  not  successfully  prosecute  any  applications  for  or
maintain intellectual property to which we have licenses, may determine not to pursue litigation against other companies that are infringing such intellectual
property, or may pursue such litigation less aggressively than we would. Without protection for the intellectual property we license, other companies might
be able to offer similar products for sale, which could adversely affect our competitive business position and harm our business prospects. If we lose any of
our right to use third-party intellectual property, it could adversely affect our ability to commercialize our technologies, products or services, as well as harm
our competitive business position and our business prospects.

38

We  are  dependent  on  our  licensing  agreement  with  Xencor,  and  the  termination  of  this  agreement  could  a  have  an  adverse  effect  on  our
business.

On  October  3,  2017,  the  Company  entered  into  a  license  agreement  with  Xencor,  Inc.,  which  has  discovered  and  developed  a  proprietary
biological molecule that inhibits soluble tumor necrosis factor. Pursuant to the license agreement, Xencor granted the Company an exclusive worldwide,
royalty-bearing  license  in  licensed  patent  rights,  licensed  know-how  and  licensed  materials  to  make,  develop,  use,  sell  and  import  any  pharmaceutical
product  that  comprises,  contains,  or  incorporates  Xencor’s  proprietary  protein  known  as  XPro  that  inhibits  soluble  tumor  necrosis  factor  (or  all
modifications,  formulations  and  variants  of  the  licensed  protein  that  specifically  bind  soluble  tumor  necrosis  factor)  alone  or  in  combination  with  one  or
more active ingredients, in any dosage or formulation. If we breach this Agreement Xencor may be able to terminate it and as a result of this terminate our
business could be negatively impacted.

Our officers and Directors own the company that we license our INKmune patent from.

On October 29, 2015, we entered into an exclusive license agreement with Immune Ventures, LLC (Immune Ventures). The license agreement
relates to our natural killer program, INKmune. Immune Ventures is owned by our RJ Tesi, our CEO and Chairman of the Board of Directors, David Moss,
our Chief Financial Officer and Treasurer and Mark Lowdell, our Chief Scientific Officer. Because our officers and directors also own Immune Ventures
there may be an inherent conflict of interest which could result in unanticipated actions that adversely affect us.

We have a limited operating history and expect to incur significant additional operating losses.

We are an early-stage company formed in September 2015 and have only a limited operating history. Therefore, there is limited historical financial
information upon which to base an evaluation of our performance. Our prospects must be considered in light of the uncertainties, risks, expenses, and
difficulties frequently encountered by companies in their early stages of operations. We expect to incur substantial additional operating expenses over the
next  several  years  as  our  research,  development,  and  commercial  activities  increase.  The  amount  of  future  losses  and  when,  if  ever,  we  will  achieve
profitability are uncertain. Our ability to generate material revenue and achieve profitability will depend on, among other things, successful completion of
the  preclinical  and  clinical  development  of  our  product  candidate;  obtaining  necessary  regulatory  approvals  from  the  FDA  and  international  regulatory
agencies;  implementing  successful  manufacturing,  sales,  and  marketing  arrangements;  and  raising  sufficient  funds  to  finance  our  activities.  If  we  are
unsuccessful at some or all of these undertakings, our business, prospects, and results of operations may be materially adversely affected.

INKmune represents a novel approach to cancer treatment that creates significant challenges for us.

We  believe  INKmune  represents  a  novel  approach  to  cancer  treatment.  Advancing  this  novel  therapy  creates  significant  challenges  for  us,

including:

● Educating medical personnel regarding the potential side effect profile of INKmune;

● Sourcing clinical and, if approved, commercial supplies for the materials used to manufacture and process our product candidates;

● Obtaining  regulatory  approval,  as  the  FDA  and  other  regulatory  authorities  have  limited  experience  with  commercial  development  of

immunotherapies for cancer; and

● Establishing sales and marketing capabilities upon obtaining any regulatory approval to gain market acceptance of a novel therapy.

Even  if  we  are  able  to  commercialize  any  product  candidate  that  we  develop,  the  product  may  become  subject  to  unfavorable  pricing
regulations, third-party payor reimbursement practices or healthcare reform initiatives that could harm our business.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The commercial success of our product candidates will depend substantially, both domestically and abroad, on the extent to which the costs of
our  product  candidates  will  be  paid  by  health  maintenance,  managed  care,  pharmacy  benefit  and  similar  healthcare  management  organizations,  or
reimbursed  by  government  health  administration  authorities  (such  as  Medicare  and  Medicaid),  private  health  coverage  insurers  and  other  third-party
payors. If reimbursement is not available, or is available only to limited levels, we may not be able to successfully commercialize our product candidates.
Even  if  coverage  is  provided,  the  approved  reimbursement  amount  may  not  be  high  enough  to  allow  us  to  establish  and  maintain  pricing  sufficient  to
realize a meaningful return on our investment.

39

There is significant uncertainty related to third-party payor coverage and reimbursement of newly approved drugs. Marketing approvals, pricing
and reimbursement for new drug products vary widely from country to country. Some countries require approval of the sale price of a drug before it can be
marketed.  In  many  countries,  the  pricing  review  period  begins  after  marketing  or  product  licensing  approval  is  granted.  In  some  non-U.S.  markets,
prescription pharmaceutical pricing remains subject to continuing governmental control even after initial approval is granted. As a result, we might obtain
marketing approval for a product in a particular country, but then be subject to price regulations that delay commercial launch of the product, possibly for
lengthy  time  periods,  which  may  negatively  impact  the  revenues  we  are  able  to  generate  from  the  sale  of  the  product  in  that  country.  Adverse  pricing
limitations may hinder our ability to recoup our investment in one or more product candidates, even if our product candidates obtain marketing approval.

We depend on obtaining certain patents and protecting our proprietary rights.

Our success will depend, in part, on our ability to obtain patents, maintain trade secret protection and operate without infringing on the proprietary
rights of third parties or having third parties circumvent our rights. We have filed and are actively pursuing a patent application for our product candidates.
The patent positions of biotechnology, biopharmaceutical and pharmaceutical companies can be highly uncertain and involve complex legal and factual
questions. Thus, there can be no assurance that our patent application will result in the issuance of a patent, that we will develop additional proprietary
products that are patentable, that any patents issued to us will provide us with any competitive advantages or will not be challenged by any third parties,
that the patents of others will not impede our ability to do business or that third parties will not be able to circumvent our patents. Furthermore, there can
be no assurance that others will not independently develop similar products, duplicate any of our products not under patent protection, or, if patents are
issued to us, design around the patented products we developed or will develop.

We may be required to obtain licenses from third parties to avoid infringing patents or other proprietary rights. No assurance can be given that any
licenses required under any such patents or proprietary rights would be made available, if at all, on terms we find acceptable. If we do not obtain such
licenses,  we  could  encounter  delays  in  the  introduction  of  products  or  could  find  that  the  development,  manufacture  or  sale  of  products  requiring  such
licenses could be prohibited.

A  number  of  pharmaceutical,  biopharmaceutical  and  biotechnology  companies  and  research  and  academic  institutions  have  developed
technologies,  filed  patent  applications  or  received  patents  on  various  technologies  that  may  be  related  to  or  affect  our  business.  Some  of  these
technologies, applications or patents may conflict with our technologies or patent applications. Such conflict could limit the scope of the patents, if any,
that we may be able to obtain or result in the denial of our patent applications. In addition, if patents that cover our activities are issued to other companies,
there  can  be  no  assurance  that  we  would  be  able  to  obtain  licenses  to  these  patents  at  a  reasonable  cost  or  be  able  to  develop  or  obtain  alternative
technology. If we do not obtain such licenses, we could encounter delays in the introduction of products, or could find that the development, manufacture
or sale of products requiring such licenses could be prohibited. In addition, we could incur substantial costs in defending ourselves in suits brought against
us on patents it might infringe or in filing suits against others to have such patents declared invalid.

Much  of  our  know-how  and  technology  may  not  be  patentable.  To  protect  our  rights,  we  plan  to  require  employees,  consultants,  advisors  and
collaborators to enter into confidentiality agreements. There can be no assurance, however, that these agreements will provide meaningful protection for
our trade secrets, know-how or other proprietary information in the event of any unauthorized use or disclosure. Further, our business may be adversely
affected by competitors who independently develop competing technologies, especially if we obtain no, or only narrow, patent protection.

40

We are subject to various government regulations.

The  manufacture  and  sale  of  human  therapeutic  products  in  the  U.S.  and  foreign  jurisdictions  are  governed  by  a  variety  of  statutes  and
regulations. These laws require approval of manufacturing facilities, controlled research and testing of products and government review and approval of a
submission containing manufacturing, preclinical and clinical data in order to obtain marketing approval based on establishing the safety and efficacy of
the  product  for  each  use  sought,  including  adherence  to  current  cGMP  during  production  and  storage,  and  control  of  marketing  activities,  including
advertising and labeling.

The products we are currently developing will require significant development, preclinical and clinical testing and investment of substantial funds
prior  to  its  commercialization.  The  process  of  obtaining  required  approvals  can  be  costly  and  time-consuming,  and  there  can  be  no  assurance  that  we
develop successfully this product or any future products, or that this product or any future products we develop will prove to be safe and effective in clinical
trials  or  receive  applicable  regulatory  approvals.  Potential  investors  and  shareholders  should  be  aware  of  the  risks,  problems,  delays,  expenses  and
difficulties which we may encounter in view of the extensive regulatory environment which controls our business.

If we are unable to keep up with rapid technological changes in our field or compete effectively, we will be unable to operate profitably.

We  are  engaged  in  a  rapidly  changing  field.  Other  products  and  therapies  that  will  compete  directly  with  the  product  that  we  are  seeking  to
develop  and  market  currently  exist  or  are  being  developed.  Competition  from  fully  integrated  pharmaceutical  companies  and  more  established
biotechnology companies is intense and is expected to increase. Most of these companies have significantly greater financial resources and expertise in
discovery and development, manufacturing, preclinical and clinical testing, obtaining regulatory approvals and marketing than us. Smaller companies may
also prove to be significant competitors, particularly through collaborative arrangements with large pharmaceutical and established biopharmaceutical or
biotechnology companies. Many of these competitors have significant products that have been approved or are in development and operate large, well-
funded  discovery  and  development  programs.  Academic  institutions,  governmental  agencies  and  other  public  and  private  research  organizations  also
conduct  research,  seek  patent  protection  and  establish  collaborative  arrangements  for  therapeutic  products  and  clinical  development  and  marketing.
These  companies  and  institutions  compete  with  us  in  recruiting  and  retaining  highly  qualified  scientific  and  management  personnel.  In  addition  to  the
above factors, we will face competition based on product efficacy and safety, the timing and scope of regulatory approvals, availability of supply, marketing

 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
and sales capability, reimbursement coverage, price and patent position. There is no assurance that our competitors will not develop more effective or
more affordable products, or achieve earlier patent protection or product commercialization, than our own.

Other companies may succeed in developing products earlier than ourselves, obtaining FDA and European Medicines Agency (“EMA”) approvals
for such products more rapidly than we will, or in developing products that are more effective than products we propose to develop. While we will seek to
expand our technological capabilities in order to remain competitive, there can be no assurance that research and development by others will not render
our  technology  or  products  obsolete  or  non-competitive  or  result  in  treatments  or  cures  superior  to  any  therapy  we  develop,  or  that  any  therapy  we
develop will be preferred to any existing or newly developed technologies.

We  may  request  priority  review  for  our  product  candidate  in  the  future.  The  FDA  may  not  grant  priority  review  for  our  product  candidate.
Moreover, even if the FDA designates such product for priority review, that designation may not lead to a faster regulatory review or approval
process and, in any event, would not assure FDA approval.

We may be eligible for priority review designation for our product candidate if the FDA determines such product candidate offers major advances
in  treatment  or  provides  a  treatment  where  no  adequate  therapy  exists.  A  priority  review  designation  means  that  the  goal  for  the  FDA  to  review  an
application  in  six  months,  rather  than  the  standard  review  period  of  ten  months.  The  FDA  has  broad  discretion  with  respect  to  whether  or  not  to  grant
priority review status to a product candidate, so even if we believe a particular product candidate is eligible for such designation or status, the FDA may
decide not to grant it. Thus, while the FDA has granted priority review to other oncology disease products, our product candidate, should we determine to
seek  priority  review,  may  not  receive  similar  designation.  Moreover,  even  if  our  product  candidate  is  designated  for  priority  review,  such  a  designation
does  not  necessarily  mean  a  faster  regulatory  review  process  or  necessarily  confer  any  advantage  with  respect  to  approval  compared  to  conventional
FDA procedures. Receiving priority review from the FDA does not guarantee approval within an accelerated timeline or thereafter.

41

We  believe  we  may  in  some  instances  be  able  to  secure  approval  from  the  FDA  or  comparable  non-U.S.  regulatory  authorities  to  use
accelerated development pathways. If we are unable to obtain such approval, we may be required to conduct additional preclinical studies or
clinical trials beyond those that we contemplate, which could increase the expense of obtaining, and delay the receipt of, necessary marketing
approvals.

We anticipate that we may seek an accelerated approval pathway for our product candidates. Under the accelerated approval provisions in the
Federal Food, Drug, and Cosmetic Act, or FDCA, and the FDA’s implementing regulations, the FDA may grant accelerated approval to a product designed
to treat a serious or life-threatening condition that provides meaningful therapeutic benefit over available therapies upon a determination that the product
has  an  effect  on  a  surrogate  endpoint  or  intermediate  clinical  endpoint  that  is  reasonably  likely  to  predict  clinical  benefit.  The  FDA  considers  a  clinical
benefit to be a positive therapeutic effect that is clinically meaningful in the context of a given disease, such as irreversible morbidity or mortality. For the
purposes  of  accelerated  approval,  a  surrogate  endpoint  is  a  marker,  such  as  a  laboratory  measurement,  radiographic  image,  physical  sign,  or  other
measure that is thought to predict clinical benefit, but is not itself a measure of clinical benefit. An intermediate clinical endpoint is a clinical endpoint that
can  be  measured  earlier  than  an  effect  on  irreversible  morbidity  or  mortality  that  is  reasonably  likely  to  predict  an  effect  on  irreversible  morbidity  or
mortality or other clinical benefit. The accelerated approval pathway may be used in cases in which the advantage of a new drug over available therapy
may not be a direct therapeutic advantage but is a clinically important improvement from a patient and public health perspective. If granted, accelerated
approval  is  usually  contingent  on  the  sponsor’s  agreement  to  conduct,  in  a  diligent  manner,  additional  post-approval  confirmatory  studies  to  verify  and
describe the drug’s clinical benefit. If such post-approval studies fail to confirm the drug’s clinical benefit, the FDA may withdraw its approval of the drug.

Prior to seeking such accelerated approval, we will seek feedback from the FDA and will otherwise evaluate our ability to seek and receive such
accelerated approval. There can be no assurance that after our evaluation of the feedback and other factors we will decide to pursue or submit a New
Drug Application, or NDA, for accelerated approval or any other form of expedited development, review or approval. Similarly, there can be no assurance
that after subsequent FDA feedback we will continue to pursue or apply for accelerated approval or any other form of expedited development, review or
approval,  even  if  we  initially  decide  to  do  so.  Furthermore,  if  we  decide  to  submit  an  application  for  accelerated  approval  or  under  another  expedited
regulatory designation (e.g., breakthrough therapy designation), there can be no assurance that such submission or application will be accepted or that
any expedited development, review or approval will be granted on a timely basis, or at all. The FDA or other non-U.S. authorities could also require us to
conduct further studies prior to considering our application or granting approval of any type. A failure to obtain accelerated approval or any other form of
expedited development, review or approval for our product candidate would result in a longer time period to commercialization of such product candidate,
could increase the cost of development of such product candidate and could harm our competitive position in the marketplace.

Clinical drug development involves a lengthy and expensive process with an uncertain outcome. We may incur additional costs or experience
delays in completing, or ultimately be unable to complete the development and commercialization of our product candidate.

Our product candidates are either in early clinical development or have not entered into clinical trials and are in development stage. Therefore,
the risk of failure of our product candidates is high. It is impossible to predict when or if our product candidates will prove effective or safe in humans or will
receive  regulatory  approval.  Before  obtaining  marketing  approval  from  regulatory  authorities  for  the  sale  of  any  product  candidate,  we  must  complete
preclinical  development  and  then  conduct  extensive  clinical  trials  to  demonstrate  the  safety  and  efficacy  of  our  product  candidate  in  humans.  Clinical
testing is expensive, difficult to design and implement, can take many years to complete and is uncertain as to outcome. A failure of one or more clinical
trials can occur at any stage of testing. The clinical development of our product candidates is susceptible to the risk of failure inherent at any stage of drug
development, including failure to demonstrate efficacy in a clinical trial or across a broad population of patients, the occurrence of severe or medically or
commercially unacceptable adverse events, failure to comply with protocols or applicable regulatory requirements and determination by the FDA or any
comparable non-U.S. regulatory authority that a drug product is not safe or effective for its intended uses. It is possible that even if our product candidate
has  a  beneficial  effect,  that  effect  will  not  be  detected  during  clinical  evaluation  as  a  result  of  one  or  more  of  a  variety  of  factors,  including  the  size,
duration, design, measurements, conduct or analysis of our clinical trials. Conversely, as a result of the same factors, our clinical trials may indicate an
apparent  positive  effect  of  a  product  candidate  that  is  greater  than  the  actual  positive  effect,  if  any.  Similarly,  in  our  clinical  trials  we  may  fail  to  detect
toxicity of, or intolerability caused by our product candidates, or mistakenly believe that our product candidates are toxic or not well tolerated when that is
not in fact the case.

42

The  outcome  of  preclinical  studies  and  early  clinical  trials  may  not  be  predictive  of  the  success  of  later  clinical  trials,  and  interim  results  of  a
clinical trial do not necessarily predict final results. Many companies in the pharmaceutical and biotechnology industries have suffered significant setbacks

 
 
 
 
 
 
 
 
 
 
 
 
 
in late-stage clinical trials after achieving positive results in earlier development, and we cannot be certain that we will not face additional setbacks.

The design of a clinical trial can determine whether its results will support approval of a product; however, flaws in the design of a clinical trial may
not  become  apparent  until  the  clinical  trial  is  well  advanced  or  completed.  In  addition,  preclinical  and  clinical  data  are  often  susceptible  to  varying
interpretations and analyses. Many companies that believed their product candidates performed satisfactorily in preclinical studies and clinical trials have
nonetheless failed to obtain marketing approval for the product candidates. Even if we believe that the results of clinical trials for our product candidate
warrant marketing approval, the FDA or comparable non-U.S. regulatory authorities may disagree and may not grant marketing approval of our product
candidate.

In some instances, there can be significant variability in safety or efficacy results between different clinical trials of the same product candidate
due to numerous factors, including changes in trial procedures set forth in protocols, differences in the size and type of the patient populations, changes
in  and  adherence  to  the  clinical  trial  protocols  and  the  rate  of  dropout  among  clinical  trial  participants.  Any  clinical  trials  that  we  may  conduct  may  not
demonstrate the efficacy and safety necessary to obtain regulatory approval to market our product candidate.

The results of preclinical studies and early-stage clinical trials may not be predictive of future results. Initial success in clinical trials may not
be indicative of results obtained when these trials are completed or in later-stage trials.

The results of preclinical studies may not be predictive of the results of clinical trials, and the results of any early-stage clinical trials we commence
may  not  be  predictive  of  the  results  of  the  later-stage  clinical  trials.  In  addition,  initial  success  in  clinical  trials  may  not  be  indicative  of  results  obtained
when  such  trials  are  completed.  In  particular,  the  small  number  of  patients  in  our  planned  early  clinical  trials  may  make  the  results  of  these  trials  less
predictive of the outcome of later clinical trials. For example, even if successful, the results of our initial clinical trials for XPro may not be predictive of the
results of further clinical trials of this drug candidate or any of our other drug candidates. Moreover, preclinical and clinical data often are susceptible to
varying  interpretations  and  analyses,  and  many  companies  that  have  believed  their  drug  candidates  performed  satisfactorily  in  preclinical  studies  and
clinical trials nonetheless have failed to obtain marketing approval of their products. Our future clinical trials may not ultimately be successful or support
further clinical development of any of our drug candidates. There is a high failure rate for drug candidates proceeding through clinical trials. A number of
companies  in  the  pharmaceutical  and  biotechnology  industries  have  suffered  significant  setbacks  in  clinical  development  even  after  achieving
encouraging results in earlier studies. Any such setbacks in our clinical development could materially harm our business, results of operations, financial
condition and prospects.

Interim top-line and preliminary data from our planned clinical trials that we announce or publish from time to time may change as more patient
data become available and are subject to audit and verification procedures that could result in material changes in the final data.

From time to time, we may publish interim top-line or preliminary data from our planned clinical trials. Interim data from clinical trials that we may
complete are subject to the risk that one or more of the clinical outcomes may materially change as patient enrollment continues and more patient data
become available. Preliminary or top-line data also remain subject to audit and verification procedures that may result in the final data being materially
different from the preliminary data we previously published. As a result, interim and preliminary data should be viewed with caution until the final data are
available. Adverse differences between preliminary or interim data and final data could significantly harm our reputation and business prospects.

If  clinical  trials  of  our  product  candidates  fail  to  demonstrate  safety  and  efficacy  to  the  satisfaction  of  the  FDA  and  comparable  non-U.S.
regulators,  we  may  incur  additional  costs  or  experience  delays  in  completing,  or  ultimately  be  unable  to  complete,  the  development  and
commercialization of our product candidates.

We are not permitted to commercialize, market, promote or sell any product candidate in the United States without obtaining marketing approval
from the FDA. Comparable non-U.S. regulatory authorities, such as the EMA, impose similar restrictions. We may never receive such approvals. We must
complete extensive preclinical development and clinical trials to demonstrate the safety and efficacy of our product candidate in humans before we will be
able to obtain these approvals.

43

Clinical testing is expensive, difficult to design and implement, can take many years to complete and is inherently uncertain as to outcome. We
have not previously submitted an NDA to the FDA or similar drug approval filings to comparable non-U.S. regulatory authorities for any product candidate.

Any inability to successfully complete preclinical and clinical development could result in additional costs to us and impair our ability to generate
revenues from product sales, regulatory and commercialization milestones and royalties. In addition, if (1) we are required to conduct additional clinical
trials or other testing of our product candidate beyond the trials and testing than we contemplate, (2) we are unable to successfully complete clinical trials
of our product candidate or other testing, (3) the results of these trials or tests are unfavorable, uncertain or are only modestly favorable, or (4) there are
unacceptable safety concerns associated with our product candidate, we, in addition to incurring additional costs, may:

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be delayed in obtaining marketing approval for our product candidate;

not obtain marketing approval at all;

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

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

be subject to additional post-marketing testing or other requirements; or

be required to remove the product from the market after obtaining marketing approval.

If we experience any of a number of possible unforeseen events in connection with clinical trials of any of our product candidates, potential
marketing approval or commercialization of that product candidate could be delayed or prevented.

We may experience numerous unforeseen events during, or as a result of, clinical trials that could delay or prevent marketing approval of any of

our product candidates, including:

●

clinical trials of our product candidate may produce unfavorable or inconclusive results;

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● we may decide, or regulators may require us, to conduct additional clinical trials or abandon product development programs;

●

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●

the number of patients required for clinical trials of our product candidate may be larger than we anticipate, patient 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;

data safety monitoring committees may recommend suspension, termination or a clinical hold for various reasons, including concerns about
patient safety;

regulators or institutional review boards, or IRBs, may suspend or terminate the trial or impose a clinical hold for various reasons, including
noncompliance with regulatory requirements or concerns about patient safety;

patients with serious, life-threatening diseases included in our clinical trials may die or suffer other adverse medical events for reasons that
may not be related to our product candidate;

participating patients may be subject to unacceptable health risks;

patients may not complete clinical trials due to safety issues, side effects, or other reasons;

changes in regulatory requirements and guidance may occur, which require us to amend clinical trial protocols to reflect these changes;

our third-party contractors, including those manufacturing our product candidate or components or ingredients thereof or conducting clinical
trials on our behalf, may fail to comply with regulatory requirements or meet their contractual obligations to us in a timely manner or at all;

●

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;

● we  may  experience  delays  in  reaching  or  fail  to  reach  agreement  on  acceptable  clinical  trial  contracts  or  clinical  trial  protocols  with

prospective trial sites;

●

patients  who  enroll  in  a  clinical  trial  may  misrepresent  their  eligibility  to  do  so  or  may  otherwise  not  comply  with  the  clinical  trial  protocol,
resulting in the need to drop the patients from the clinical trial, increase the needed enrollment size for the clinical trial or extend the clinical
trial’s duration;

● we may have to suspend or terminate clinical trials of our product candidate for various reasons, including a finding that the participants are

being exposed to unacceptable health risks, undesirable side effects or other unexpected characteristics of a product candidate;

44

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●

the FDA or comparable non-U.S. regulatory authorities may disagree with our clinical trial design or our interpretation of data from preclinical
studies and clinical trials;

the  FDA  or  comparable  non-U.S.  regulatory  authorities  may  fail  to  approve  or  subsequently  find  fault  with  the  manufacturing  processes  or
facilities of third-party manufacturers with which we enter into agreements for clinical and commercial supplies;

the supply or quality of raw materials or manufactured product candidate or other materials necessary to conduct clinical trials of our product
candidate may be insufficient, inadequate, delayed, or not available at an acceptable cost, or we may experience interruptions in supply; and

the approval policies or regulations of the FDA or comparable non-U.S. regulatory authorities may significantly change in a manner rendering
our clinical data insufficient to obtain marketing approval.

Product  development  costs  for  us  will  increase  if  we  experience  delays  in  testing  or  pursuing  marketing  approvals  and  we  may  be  required  to
obtain  additional  funds  to  complete  clinical  trials  and  prepare  for  possible  commercialization  of  our  product  candidates.  We  do  not  know  whether  any
preclinical  tests  or  clinical  trials  will  begin  as  planned,  will  need  to  be  restructured  or  will  be  completed  on  schedule,  or  at  all.  Significant  preclinical  or
clinical  trial  delays  also  could  shorten  any  periods  during  which  we  may  have  the  exclusive  right  to  commercialize  our  product  candidates  or  allow  our
competitors  to  bring  products  to  market  before  we  do  and  impair  our  ability  to  successfully  commercialize  our  product  candidates  and  may  harm  our
business and results of operations. In addition, many of the factors that cause, or lead to, clinical trial delays may ultimately lead to the denial of marketing
approval of our product candidates.

If  we  experience  delays  or  difficulties  in  the  enrollment  of  patients  in  clinical  trials,  we  may  not  achieve  our  clinical  development  on  our
anticipated timeline, or at all, and our receipt of necessary regulatory approvals could be delayed or prevented.

We may not be able to initiate or continue clinical trials for INKmune our DN-TNF product platform or any other product candidate if we are unable
to locate and enroll a sufficient number of eligible patients to participate in clinical trials. Patient enrollment is a significant factor in the timing of clinical
trials, and is affected by many factors, including:

●

●

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●

●

●

have the FDA clinical hold on XPro lifted;

the size and nature of the patient population;

the severity of the disease under investigation;

the proximity of patients to clinical sites;

the eligibility criteria for the trial;

the design of the clinical trial;

efforts to facilitate timely enrollment;

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
●

●

competing clinical trials; and

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

45

Our inability to enroll a sufficient number of patients for our clinical trials could result in significant delays or may require us to abandon one or
more clinical trials altogether. Enrollment delays in our clinical trials may result in increased development costs for our product candidates, delay or halt
the development of and approval processes for our product candidates and jeopardize our ability to achieve our clinical development timeline and goals,
including the dates by which we will commence, complete and receive results from clinical trials. Enrollment delays may also delay or jeopardize our ability
to commence sales and generate revenues from our product candidates. Any of the foregoing could cause the value of the Company to decline and limit
our ability to obtain additional financing, if needed.

We  will  need  to  obtain  FDA  approval  of  any  proposed  product  brand  names,  and  any  failure  or  delay  associated  with  such  approval  may
adversely impact our business.

A pharmaceutical product cannot be marketed in the U.S. or other countries until we have completed rigorous and extensive regulatory review
processes,  including  approval  of  a  brand  name.  Any  brand  names  we  intend  to  use  for  our  product  candidates  will  require  approval  from  the  FDA
regardless  of  whether  we  have  secured  a  formal  trademark  registration  from  the  U.S.  Patent  and  Trademark  Office,  or  the  USPTO.  The  FDA  typically
conducts  a  review  of  proposed  product  brand  names,  including  an  evaluation  of  potential  for  confusion  with  other  product  names.  The  FDA  may  also
object to a product brand name if it believes the name inappropriately implies medical claims. If the FDA objects to any of our proposed product brand
names, we may be required to adopt an alternative brand name for our product candidates. If we adopt an alternative brand name, we will lose the benefit
of our existing trademark applications for such product candidate and may be required to expend significant additional resources in an effort to identify a
suitable product brand name that would qualify under applicable trademark laws, not infringe the existing rights of third parties and be acceptable to the
FDA. We may be unable to build a successful brand identity for a new trademark in a timely manner or at all, which would limit our ability to commercialize
our product candidates.

We may rely on orphan drug status to develop and commercialize our product candidates, but orphan drug designation, if obtained, may not
confer marketing exclusivity or other expected commercial benefits as anticipated.

Market  exclusivity  afforded  by  orphan  drug  designation  is  generally  offered  as  an  incentive  to  drug  developers  to  invest  in  developing  and
commercializing products for unique diseases that impact a limited number of patients. The FDA may grant orphan drug designation to drugs intended to
treat a rare disease or condition, which is generally a disease or condition that affects fewer than 200,000 individuals in the United States. Qualification to
maintain orphan drug status is generally monitored by the regulatory authorities during the orphan drug exclusivity period, currently seven years from the
date of approval in the United States.

We intend to seek orphan drug designation in the United States for our product candidate for the treatment of AML and ovarian cancer and we
expect to rely on orphan drug exclusivity for our product candidate. Even if granted, orphan drug designation, and related market exclusivity, in the United
States could be lost. Further, even if we are granted orphan drug status, the FDA can still approve different drugs for use in treating the same indication or
disease, which would create a more competitive market for us, and our revenues will be diminished.

Further, for our product candidate, it is possible that another company also holding orphan drug designation for the same product candidate will
receive marketing approval for the same indication before we do. If that were to happen, our applications for that indication may not be approved until the
competing  company’s  period  of  exclusivity  expires.  Even  if  we  are  the  first  to  obtain  marketing  authorization  for  an  orphan  drug  indication,  there  are
circumstances under which a competing product may be approved for the same indication during the seven-year period of marketing exclusivity, such as if
the later product is shown to be clinically superior to the orphan product, or if the later product is deemed a different product than ours. Further, the seven-
year marketing exclusivity would not prevent competitors from obtaining approval of the same product candidate as ours for indications other than those in
which we have been granted orphan drug designation, or for the use of other types of products in the same indications as our orphan product.

46

If the market opportunities for our product candidates are smaller than we believe they are, our revenues may be adversely affected, and our
business  may  suffer.  Because  the  target  patient  populations  of  our  product  candidates  are  small,  we  must  be  able  to  successfully  identify
patients and capture a significant market share to achieve and maintain profitability.

We focus our research and product development on treatments for certain cancer indications. Our projections of both the number of people who
have failed other therapies or have limited medical options for such indications, are based on estimates. These estimates may prove to be incorrect and
new studies may change the estimated incidence or prevalence. The number of patients with such diseases in the United States, Europe and elsewhere
may  turn  out  to  be  lower  than  expected  or  may  not  be  otherwise  amenable  to  treatment  with  our  products,  or  new  patients  may  become  increasingly
difficult to identify or gain access to, all of which would adversely affect our results of operations and our business. Additionally, because our target patient
populations are small, we will be required to capture a significant market share to achieve and maintain profitability.

We may fail to comply with regulatory requirements .

Our  success  will  be  dependent  upon  our  ability,  and  our  collaborative  partners’  abilities,  to  maintain  compliance  with  regulatory  requirements,
including cGMP, and safety reporting obligations. The failure to comply with applicable regulatory requirements can result in, among other things, fines,
injunctions,  civil  penalties,  total  or  partial  suspension  of  regulatory  approvals,  refusal  to  approve  pending  applications,  recalls  or  seizures  of  products,
operating and production restrictions and criminal prosecutions.

Even if our product candidates receive marketing approval, they may fail to achieve the degree of market acceptance by physicians, patients,
third-party  payors  and  others  in  the  medical  community  necessary  for  commercial  success  and  the  market  opportunity  for  the  product
candidates may be smaller than we estimate.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We have never commercialized a product. Even if INKmune, our DN-TNF product platform (INB03 or XPro), or any other product candidate we
develop  is  approved  by  the  appropriate  regulatory  authorities  for  marketing  and  sale,  it  may  nonetheless  fail  to  gain  sufficient  market  acceptance  by
physicians,  patients,  third-party  payors  and  others  in  the  medical  community.  For  example,  physicians  are  often  reluctant  to  switch  their  patients  from
existing therapies even when new and potentially more effective or convenient treatments enter the market. Further, patients often acclimate to the therapy
that they are currently taking and do not want to switch unless their physicians recommend switching products or they are required to switch therapies due
to lack of reimbursement for existing therapies.

Efforts to educate the medical community and third-party payors on the benefits of our product candidate may require significant resources and
may  not  be  successful.  If  our  product  candidate  is  approved  but  does  not  achieve  an  adequate  level  of  market  acceptance,  we  may  not  generate
significant  revenues  and  we  may  not  become  profitable.  The  degree  of  market  acceptance  of  INmune  or  any  other  product  candidate  we  develop,  if
approved for commercial sale, will depend on a number of factors, including:

●

●

●

●

the efficacy and safety of the product;

the potential advantages of the product compared to alternative treatments;

the prevalence and severity of any side effects;

the clinical indications for which the product is approved;

● whether the product is designated under physician treatment guidelines as a first-line therapy or as a second- or third-line therapy;

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limitations or warnings, including distribution or use restrictions, contained in the product’s approved labeling;

our ability to offer the product for sale at competitive prices;

our ability to establish and maintain pricing sufficient to realize a meaningful return on our investment;

the product’s convenience and ease of administration compared to alternative treatments;

47

the willingness of the target patient population to try, and of physicians to prescribe, the product;

the strength of sales, marketing and distribution support;

the approval of other new products for the same indications;

changes in the standard of care for the targeted indications for the product;

the timing of market introduction of our approved products as well as competitive products and other therapies;

availability and amount of reimbursement from government payors, managed care plans and other third-party payors;

adverse publicity about the product or favorable publicity about competitive products; and

potential product liability claims.

The potential market opportunities for our product candidate are difficult to estimate precisely. Our estimates of the potential market opportunities
are predicated on many assumptions, including industry knowledge and publications, third-party research reports and other surveys. While we believe that
our internal assumptions are reasonable, these assumptions involve the exercise of significant judgment on the part of our management, are inherently
uncertain  and  the  reasonableness  of  these  assumptions  has  not  been  assessed  by  an  independent  source.  If  any  of  the  assumptions  proves  to  be
inaccurate, the actual markets for our product candidate could be smaller than our estimates of the potential market opportunities.

Even if we obtain regulatory approvals for INKmune and/or any product from our DN-TNF platform (INB03, XPro) those approvals and ongoing
regulation of our products may limit how we manufacture and market our products, which could prevent us from realizing the full benefit of our
efforts.

If we obtain regulatory approvals, INKmune and/or the DN-TNF product platform, and the manufacturing facilities used for its production will be
subject to continual review, including periodic inspections, by the FDA and other United States and foreign regulatory authorities. In addition, regulatory
authorities may impose significant restrictions on the indicated uses or marketing of INKmune or other products that we may develop. These and other
factors may significantly restrict our ability to successfully commercialize INKmune.

We  and  many  of  our  vendors  and  suppliers  will  be  required  to  comply  with  current  Good  Manufacturing  Practices,  or  GMP,  which  include
requirements relating to quality control and quality assurance as well as to the corresponding maintenance of records and documentation. Furthermore,
any  manufacturing  facilities  will  need  to  be  approved  by  regulatory  agencies  before  these  facilities  can  be  used  to  manufacture,  and  they  will  also  be
subject to additional regulatory inspections. Any material changes we may make to our manufacturing process may require approval by the FDA and state
or foreign regulatory authorities. Failure to comply with FDA or other applicable regulatory requirements may result in criminal prosecution, civil penalties,
recall or seizure of products, partial or total suspension of production or withdrawal of a product from the market.

We must also report adverse events that occur when our products are used. The discovery of previously unknown problems with INKmune, the
DN-TNF product platform or manufacturing facilities used to manufacture INKmune, or the DN-TNF product platform may result in restrictions or sanctions
on our products or manufacturing facilities, including withdrawal of our products from the market. Regulatory agencies may also require us to reformulate
our products, conduct additional clinical trials, make changes in the labeling of our product or obtain re-approvals. This may cause our reputation in the
marketplace to suffer or subject us to lawsuits, including class action suits.

48

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If our product candidates receive marketing approval and we, or others, later discover that the drug is less effective than previously believed or
causes undesirable side effects that were not previously identified, our ability to market the drugs could be compromised.

Clinical  trials  of  our  product  candidates  will  be  conducted  in  carefully  defined  subsets  of  patients  who  have  agreed  to  enter  into  clinical  trials.
Consequently, it is possible that our clinical trials may indicate an apparent positive effect of a product candidate that is greater than the actual positive
effect, if any, or alternatively fail to identify undesirable side effects. If, following approval of our product candidate, we, or others, discover that the drug is
less  effective  than  previously  believed  or  causes  undesirable  side  effects  that  were  not  previously  identified,  any  of  the  following  adverse  events  could
occur:

●

regulatory authorities may withdraw their approval of the drug or seize the drug;

● we may be required to recall the drug or change the way the drug is administered;

●

additional restrictions may be imposed on the marketing of, or the manufacturing processes for, the particular drug;

● we may be subject to fines, injunctions or the imposition of civil or criminal penalties;

●

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

● we may be required to create a Medication Guide outlining the risks of the previously unidentified side effects for distribution to patients;

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

●

●

the drug may become less competitive; and

our reputation may suffer.

Any of these events could have a material and adverse effect on our operations and business.

Any product candidate for which we obtain marketing approval, along with the manufacturing processes, qualification testing, post-approval
clinical  data,  labeling  and  promotional  activities  for  such  product,  will  be  subject  to  continual  and  additional  requirements  of  the  FDA  and
other regulatory authorities.

These  requirements  include  submissions  of  safety  and  other  post-marketing  information,  reports,  registration  and  listing  requirements,  good
manufacturing practices, or GMP requirements relating to quality control, quality assurance and corresponding maintenance of records and documents,
and recordkeeping. Even if marketing approval of our product candidate is granted, the approval may be subject to limitations on the indicated uses for
which the product may be marketed or to conditions of approval or contain requirements for costly post-marketing testing and surveillance to monitor the
safety  or  efficacy  of  the  product.  The  FDA  closely  regulates  the  post-approval  marketing  and  promotion  of  pharmaceutical  products  to  ensure  such
products are marketed only for the approved indications and in accordance with the provisions of the approved labeling.

In  addition,  later  discovery  of  previously  unknown  problems  with  our  products,  manufacturing  processes,  or  failure  to  comply  with  regulatory

requirements, may lead to various adverse results, including:

●

●

●

●

●

restrictions on such products, manufacturers or manufacturing processes;

restrictions on the labeling or marketing of a product;

restrictions on product distribution or use;

49

requirements to conduct post-marketing clinical trials;

requirements to institute a risk evaluation mitigation strategy, or REMS, to monitor safety of the product post-approval;

● warning letters issued by the FDA or other regulatory authorities;

● withdrawal of the products from the market;

●

●

●

●

●

refusal to approve pending applications or supplements to approved applications that we submit;

recall of products, fines, restitution or disgorgement of profits or revenue;

suspension, revocation or withdrawal of marketing approvals;

refusal to permit the import or export of our products; and

injunctions or the imposition of civil or criminal penalties.

We currently have no marketing and sales organization and have no experience in marketing products. If we are unable to establish marketing
and sales capabilities or enter into agreements with third parties to market and sell our product candidates, we may not be able to generate
product revenue.

We  currently  have  no  sales,  marketing  or  distribution  capabilities  and  have  no  experience  as  a  company  in  marketing  products.  If  we  develop
internal sales, marketing and distribution organization, this will require significant capital expenditures, management resources and time, and we would

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
have to compete with other pharmaceutical and biotechnology companies to recruit, hire, train and retain marketing and sales personnel.

If we are unable or decide not to establish internal sales, marketing and distribution capabilities, we expect to pursue collaborative arrangements
regarding the sales, marketing and distribution of our products. However, we may not be able to establish or maintain such collaborative arrangements, or
if we are able to do so, their sales forces may not be successful in marketing our products. Any revenue we receive would depend upon the efforts of such
third parties, which may not be successful. We may have little or no control over the sales, marketing and distribution efforts of such third parties and our
revenue from product sales may be lower than if we had commercialized our product candidates ourselves. We also face competition in our search for
third parties to assist us with the sales, marketing and distribution efforts of our product candidates. There can be no assurance that we will be able to
develop internal sales, marketing distribution capabilities or establish or maintain relationships with third-party collaborators to commercialize any product
in the United States or overseas.

We  face  substantial  competition  from  other  pharmaceutical  and  biotechnology  companies  and  our  operating  results  may  suffer  if  we  fail  to
compete effectively.

The development and commercialization of new drug products is highly competitive. We expect that we will face significant competition from major
pharmaceutical companies, specialty pharmaceutical companies and biotechnology companies worldwide with respect to INKmune, our DN-TNF product
platform, and any other of our product candidates that we may seek to develop or commercialize in the future. Specifically, due to the large unmet medical
need, global demographics and relatively attractive reimbursement dynamics, the oncology market is fiercely competitive and there are a number of large
pharmaceutical  and  biotechnology  companies  that  currently  market  and  sell  products  or  are  pursuing  the  development  of  product  candidates  for  the
treatment  of  cancer.  Our  competitors  may  succeed  in  developing,  acquiring  or  licensing  technologies  and  drug  products  that  are  more  effective,  have
fewer or more tolerable side effects or are less costly than any product candidates that we are currently developing or that we may develop, which could
render our product candidates obsolete and noncompetitive.

50

We  rely  on  key  personnel  and,  if  we  are  unable  to  retain  or  motivate  key  personnel  or  hire  qualified  personnel,  we  may  not  be  able  to  grow
effectively.

We are dependent on certain members of our management, the loss of services of one or more of whom could materially adversely affect us. In
particular, our success depends to a significant extent upon the continued services of Dr. Raymond J. Tesi, our President and CEO. Dr. Tesi has overseen
INmune Bio since inception and provides leadership for our growth and operations strategy as well as being an inventor of our patents. Although we have
entered into an employment agreement with Dr. Tesi, if he were to nevertheless terminate his employment with us, the loss of the services of Dr. Tesi,
would have a material adverse effect on our growth, revenues, and prospective business. We are also highly dependent on the other principal members of
our management and scientific team. We are not aware of any present intention of any of our key personnel to leave our company or to retire. The loss of
any  of  our  key  personnel,  or  the  inability  to  attract  and  retain  qualified  personnel,  may  significantly  delay  or  prevent  the  achievement  of  our  research,
development or business objectives and could materially adversely affect our business, financial condition and results of operations.

Our ability to manage growth effectively will require us to continue to implement and improve our management systems and to recruit and train

new employees. There can be no assurance that we will be able to successfully attract and retain skilled and experienced personnel.

Product  liability  lawsuits  against  us  could  divert  our  resources,  cause  us  to  incur  substantial  liabilities  and  limit  commercialization  of  any
products that we may develop.

We face an inherent risk of product liability claims as a result of the clinical testing of our product candidate despite obtaining appropriate informed
consents from our clinical trial participants. We will face an even greater risk if we commercially sell any product that we may develop. For example, we
may be sued if any product we develop allegedly causes injury or is found to be otherwise unsuitable during clinical 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  or  a  breach  of  warranties.  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
candidate. Regardless of the merits or eventual outcome, liability claims may result in:

●

●

decreased demand for our product candidate or products that we may develop;

injury to our reputation and significant negative media attention;

● withdrawal of clinical trial participants;

●

●

●

●

●

significant costs to defend resulting litigation;

substantial monetary awards to trial participants or patients;

loss of revenue;

reduced resources of our management to pursue our business strategy; and

the inability to commercialize any products that we may develop.

Although we plan to maintain general liability insurance, this insurance may not fully cover potential liabilities that we may incur. The cost of any
product liability litigation or other proceeding, even if resolved in our favor, could be substantial. In addition, insurance coverage is becoming increasingly
expensive.  If  we  are  unable  to  obtain  or  maintain  sufficient  insurance  coverage  at  an  acceptable  cost  or  to  otherwise  protect  against  potential  product
liability claims, it could prevent or inhibit the development and commercial production and sale of our product candidate, which could adversely affect our
business, financial condition, results of operations and prospects.

51

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

To  execute  our  business  plan,  we  will  need  to  rapidly  add  other  management,  accounting,  regulatory,  manufacturing  and  scientific  staff.  We
currently have 11 full time employees and retain the services of additional personnel on an independent contractor basis. We will need to attract, retain
and  motivate  a  significant  number  of  new  additional  managerial,  operational,  sales,  marketing,  financial,  and  other  personnel,  as  well  as  highly  skilled
scientific and medical personnel, and to expand our capabilities to successfully pursue our research, development, manufacturing and commercialization
efforts and secure collaborations to market and distribute our products. This growth may strain our existing managerial, operational, financial and other
resources. We also intend to add personnel in our research and development and manufacturing departments as we expand our clinical trial and research
capabilities.  Any  inability  to  attract  and  retain  qualified  employees  to  enable  our  planned  growth  and  establish  additional  capabilities  or  our  failure  to
manage our growth effectively could delay or curtail our product development and commercialization efforts and harm our business.

If we or any of our third-party manufacturers do not maintain high standards of manufacturing, our ability to develop and commercialize our
product candidate could be delayed or curtailed.

We and any third parties that we may use in the future to  manufacture  our  products  must  continuously  adhere  to  cGMP  regulations  rigorously
enforced by the FDA through its facilities inspection program. If our facilities or the facilities of third parties who produce our products do not pass a pre-
approval inspection, the FDA will not grant market approval for our product candidates. In complying with cGMP, we and any third-party manufacturers will
need  to  expend  significant  time,  money  and  effort  in  production,  record-keeping  and  quality  control  to  assure  that  each  component  of  our  product
candidates meets applicable specifications and other requirements. We or any of these third-party manufacturers may also be subject to comparable or
more stringent regulations of foreign regulatory authorities. If we or any of our third-party manufacturers fail to comply with these requirements, we may be
subject to regulatory action, which could delay or curtail our ability to develop, obtain regulatory approval of, and commercialize our product candidates. If
our component part manufacturers and suppliers fail to provide components of sufficient quality, and that meet our required specifications, our clinical trials
or commercialization of our product candidates could be delayed or halted, and we could face product liability claims. There can be no assurance we can
manufacture a scalable quantity of our product for clinical trials or commercialization.

If  we  or  our  third-party  manufacturers  use  hazardous  and  biological  materials  in  a  manner  that  causes  injury  or  violates  applicable  law,  we
may be liable for damages.

Our  research  and  development  activities  involve  the  controlled  use  of  potentially  hazardous  substances,  including  chemical  and  biological
materials,  by  us  and  any  third-party  manufacturers.  We  and  such  manufacturers  will  be  subject  to  federal,  state  and  local  laws  and  regulations  in  the
United States governing the use, manufacture, storage, handling and disposal of medical and hazardous materials. Although we will seek to ensure that
our procedures for using, storing and disposing of these materials comply with legally prescribed standards, we cannot completely eliminate the risk of
contamination or injury resulting from medical or hazardous materials. As a result of any such contamination or injury, we may incur liability or local, city,
state or federal authorities may curtail the use of these materials and interrupt our business operations. In the event of an accident, we could be held liable
for  damages  or  penalized  with  fines,  and  the  liability  could  exceed  our  resources.  We  do  not  have  any  insurance  for  liabilities  arising  from  medical  or
hazardous materials. Compliance with applicable environmental laws and regulations is expensive, and current or future environmental regulations may
impair our research, development and production efforts, which could harm our business, prospects, financial condition or results of operations.

We plan to  rely  on  third  parties  to  conduct  clinical  trials  for  our  product  candidates.  Any  failure  by  a  third  party  to  meet  its  obligations  with
respect  to  the  clinical  development  of  our  product  candidate  may  delay  or  impair  our  ability  to  obtain  regulatory  approval  for  our  product
candidates.

We plan to rely on academic institutions and private oncology centers to conduct clinical trials relating to our product candidates. Our reliance on
third  parties  to  conduct  clinical  trials  could,  depending  on  the  actions  of  such  third  parties,  jeopardize  the  validity  of  the  clinical  data  generated  and
adversely affect our ability to obtain marketing approval from the FDA or other applicable regulatory authorities.

Such clinical trial arrangements will provide us with information rights with respect to the clinical data, including access to and the ability to use
and reference the data, including for our own regulatory filings, resulting from the clinical trials. If investigators or institutions breach their obligations with
respect to the clinical trials of our product candidate, or if the data proves to be inadequate, then our ability to design and conduct any future clinical trials
may be adversely affected.

52

Our reliance on these third parties for research and development activities will reduce our control over these activities but will not relieve us of our
responsibilities.  For  example,  we  will  design  our  clinical  trials  and  will  remain  responsible  for  ensuring  that  each  of  our  clinical  trials  is  conducted  in
accordance with the general investigational plan and protocols for the trial. Moreover, the FDA requires us to comply with standards, commonly referred to
as good clinical practices, or GCPs, for conducting, recording and reporting the results of clinical trials to assure that data and reported results are credible
and accurate and that the rights, integrity and confidentiality of trial participants are protected. Our reliance on third parties that we do not control will not
relieve us of these responsibilities and requirements. We also are required to register ongoing clinical trials and post the results of completed clinical trials
on a government-sponsored database, ClinicalTrials.gov, within specified timeframes. Failure to do so can result in fines, adverse publicity and civil and
criminal sanctions.

Furthermore, these third parties may also have relationships with other entities, some of which may be our competitors. If these third parties do
not successfully carry out their contractual duties, meet expected deadlines or conduct our clinical trials in accordance with regulatory requirements or our
stated protocols, we will not be able to obtain, or may be delayed in obtaining, marketing approvals for our product candidate and will not be able to, or
may be delayed in our efforts to, successfully commercialize our product candidate.

We also expect to rely on other third parties to store and distribute drug supplies for our clinical trials. Any performance failure on the part of our
distributors  could  delay  clinical  development  or  marketing  approval  of  our  product  candidate  or  commercialization  of  our  products,  producing  additional
losses and depriving us of potential product revenue.

Recent legislative and regulatory activity may exert downward pressure on potential pricing and reimbursement for our products, if approved,
could materially affect our opportunity to commercialize such products.

The United States and several other jurisdictions are considering, or have already enacted, a number of legislative and regulatory proposals to
change the healthcare system in ways that could affect our ability to sell any of our products profitably, if approved. Among policy-makers and payors in
the United States and elsewhere, there is significant interest in promoting changes in healthcare systems with the stated goals of containing healthcare
costs,  improving  quality  and/or  expanding  access  to  healthcare.  In  the  United  States,  the  pharmaceutical  industry  has  been  a  particular  focus  of  these

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
efforts  and  has  been  significantly  affected  by  major  legislative  initiatives.  There  have  been,  and  likely  will  continue  to  be,  legislative  and  regulatory
proposals at the federal and state levels directed at broadening the availability of healthcare and containing or lowering the cost of healthcare. We cannot
predict the initiatives that may be adopted in the future. The continuing efforts of the government, insurance companies, managed care organizations and
other payors of healthcare services to contain or reduce costs of healthcare may adversely affect:

●

●

●

●

●

the demand for any of our products, if approved;

our ability to set a price that we believe is fair for any of our products, if approved;

our ability to generate revenues and achieve or maintain profitability;

the level of taxes that we are required to pay; and

the availability of capital.

In March 2010, the Affordable Care Act, or the ACA, became law in the United States (see “Business — Government Regulation”). The goal of
ACA is to reduce the cost of healthcare, broaden access to health insurance, constrain healthcare spending, enhance remedies against fraud and abuse,
add transparency requirements for the healthcare and health insurance industries, impose taxes and fees on the health industry, impose additional health
policy reforms, and substantially change the way healthcare is financed by both governmental and private insurers. While we cannot predict what impact
on  federal  reimbursement  policies  this  legislation  will  have  in  general  or  on  our  business  specifically,  ACA  may  result  in  downward  pressure  on
pharmaceutical reimbursement, which could negatively affect market acceptance of any of our products, if they are approved.

53

We  cannot  predict  what  healthcare  reform  initiatives  may  be  adopted  in  the  future.  Further  federal,  state  and  foreign  legislative  and  regulatory
developments are likely, and we expect ongoing initiatives to increase pressure on drug pricing. Such reforms could have an adverse effect on anticipated
revenues from product candidates that we may successfully develop and for which we may obtain regulatory approval and may affect our overall financial
condition and ability to develop product candidates.

Changes in U.S. patent law could diminish the value of patents in general, thereby impairing our ability to protect our products.

As  is  the  case  with  other  pharmaceutical  companies,  our  success  is  heavily  dependent  on  intellectual  property,  particularly  on  obtaining  and
enforcing  patents.  Obtaining  and  enforcing  patents  in  the  pharmaceutical  industry  involves  both  technological  and  legal  complexity,  and  therefore,  is
costly,  time-consuming  and  inherently  uncertain.  In  addition,  the  United  States  has  recently  enacted  and  is  currently  implementing  wide-ranging  patent
reform legislation. Further, recent U.S. Supreme Court rulings have either narrowed the scope of patent protection available in certain circumstances or
weakened 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.

In September 2011, the Leahy-Smith America Invents Act, or the American Invents Act, or AIA, was signed into law. The AIA includes a number
of  significant  changes  to  U.S.  patent  law,  including  provisions  that  affect  the  way  patent  applications  will  be  prosecuted  and  may  also  affect  patent
litigation.  The  USPTO  is  currently  developing  regulations  and  procedures  to  govern  administration  of  the  AIA,  and  many  of  the  substantive  changes  to
patent law associated with the AIA. It is not clear what other, if any, impact the AIA will have on the operation of our business. Moreover, the AIA and its
implementation  could  increase  the  uncertainties  and  costs  surrounding  the  prosecution  of  our  patent  application,  which  could  have  a  material  adverse
effect on our business and financial condition.

An  important  change  introduced  by  the  AIA  is  that,  as  of  March  16,  2013,  the  United  States  transitioned  to  a  “first-to-file”  system  for  deciding
which party should be granted a patent when two or more patent applications are filed by different parties claiming the same invention. A third party that
files a patent application in the USPTO after that date but before us could therefore be awarded a patent covering an invention of ours even if we had
made the invention before it was made by the third party. This will require us to be cognizant going forward of the time from invention to filing of a patent
application. Furthermore, our ability to obtain and maintain valid and enforceable patents depends on whether the differences between our technology and
the  prior  art  allow  our  technology  to  be  patentable  over  the  prior  art.  Since  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  were  the  first  to  either  (1)  file  any  patent  application  related  to  our  product
candidates or (2) invent any of the inventions claimed in our patents or patent applications.

Among some of the other changes introduced by the AIA are changes that limit where a patentee may file a patent infringement suit and providing
opportunities for third parties to challenge any issued patent in the USPTO. This applies to all of our U.S. patents, even those issued before March 16,
2013. Because of a lower evidentiary standard in USPTO proceedings compared to the evidentiary standard in United States federal court necessary to
invalidate a patent claim, a third party could potentially provide evidence in a USPTO proceeding sufficient for the USPTO to hold a claim invalid even
though the same evidence would be insufficient to invalidate the claim if first presented in a district court action. Accordingly, a third party may attempt to
use the USPTO procedures to invalidate our patent claims that would not have been invalidated if first challenged by the third party as a defendant in a
district court action.

54

Deterioration in general economic conditions in the United States, Canada and globally, including the effect of prolonged periods of inflation on
our suppliers, third-party service providers and potential partners, could harm our business and results of operations.

Our  business  and  results  of  operations  could  be  adversely  affected  by  changes  in  national  or  global  economic  conditions.  These  conditions
include but are not limited to inflation, rising interest rates, availability of capital markets, energy availability and costs, the negative impacts caused by
pandemics and public health crises, negative impacts resulting from the military conflict between Russia and the Ukraine, and the effects of governmental
initiatives  to  manage  economic  conditions.  Impacts  of  such  conditions  could  be  passed  on  to  our  business  in  the  form  of  higher  costs  for  labor  and
materials,  higher  investigator  fees,  possible  reductions  in  pharmaceutical  industry-wide  spending  on  research  and  development  and  acquisitions  and
higher costs of capital.

Public health threats could have an adverse effect on our operations and financial results.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Public health threats, such as the novel coronavirus (COVID-19), influenza and other highly communicable diseases or viruses could adversely
impact our operations and disrupt our ongoing or planned research and development activities. We cannot presently predict the scope and severity of any
potential future business shutdowns or disruptions, but if we or any of the third parties with whom we engage, including the suppliers, clinical trial sites,
regulators and other third parties with whom we conduct business, were to experience shutdowns or other business disruptions, our ability to conduct our
business in the manner and on the timelines presently planned could be materially and negatively impacted.

We are exposed to risks related to currency exchange rates.

We conduct a significant portion of our operations outside of the United States. Because our financial statements are presented in U.S. dollars,
changes in currency exchange rates have had and could have in the future a significant effect on our operating results when our operating results are
translated into U.S. dollars.

Our  employees,  principal  investigators,  consultants  and  commercial  partners  may  engage  in  misconduct  or  other  improper  activities,
including  noncompliance  with  regulatory  standards  and  requirements  and  insider  trading,  which  could  cause  significant  liability  for  us  and
harm our reputation.

We  are  exposed  to  the  risk  of  fraud  or  other  misconduct  by  our  employees,  principal  investigators,  consultants  and  collaborators,  including
intentional  failures  to  comply  with  FDA  or  Office  of  Inspector  General  regulations  or  similar  regulations  of  comparable  non-U.S.  regulatory  authorities,
provide  accurate  information  to  the  FDA  or  comparable  non-U.S.  regulatory  authorities,  comply  with  manufacturing  standards  we  have  established,
comply with federal and state healthcare fraud and abuse laws and regulations and similar laws and regulations established and enforced by comparable
non-U.S. regulatory authorities, report financial information or data accurately or disclose unauthorized activities to us. Misconduct by these parties could
also  involve  the  improper  use  of  information  obtained  in  the  course  of  clinical  trials,  which  could  result  in  regulatory  sanctions  and  serious  harm  to  our
reputation. It is not always possible to identify and deter misconduct, 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,  standards  or  regulations.  Such  actions  could  have  a  significant  impact  on  our  business  and  results  of  operations,
including the imposition of significant fines or other sanctions.

55

A cybersecurity incident and other technology disruptions could negatively affect our business and our relationships with customers.

We  use  technology  in  substantially  all  aspects  of  our  business  operations.  The  widespread  use  of  technology,  including  mobile  devices,  cloud
computing,  and  the  internet,  give  rise  to  cybersecurity  risks,  including  security  breach,  espionage,  system  disruption,  theft  and  inadvertent  release  of
information. Our business involves the storage and transmission of numerous classes of sensitive and/or confidential information and intellectual property,
including  information  relating  to  suppliers,  private  information  about  employees,  and  financial  and  strategic  information  about  us  and  our  business
partners. If we fail to effectively assess and identify cybersecurity risks associated with the use of technology in our business operations, we may become
increasingly  vulnerable  to  such  risks.  Additionally,  while  we  have  implemented  measures  to  prevent  security  breaches  and  cyber  incidents,  our
preventative measures and incident response efforts may not be entirely effective. The theft, destruction, loss, misappropriation, or release of sensitive
and/or confidential information or intellectual property, or interference with our information technology systems or the technology systems of third parties
on which we rely, could result in business disruption, negative publicity, brand damage, violation of privacy laws, loss of customers, potential liability and
competitive disadvantage.

Use of social media platforms presents new risks.

We  believe  that  our  potential  patient  population  is  active  on  social  media.  Social  media  practices  in  the  pharmaceutical  and  biotechnology
industries are evolving, which creates uncertainty and risk of noncompliance with regulations applicable to our business. For example, patients may use
social media platforms to comment on the effectiveness of, or adverse experiences with, a product candidate, which could result in reporting obligations.
In  addition,  there  is  a  risk  of  inappropriate  disclosure  of  sensitive  information  or  negative  or  inaccurate  posts  or  comments  about  us  or  our  product
candidates  on  any  social  networking  website.  In  addition,  our  employees  or  third  parties  with  whom  we  contract,  such  as  our  CROs  or  CMOs,  may
knowingly or inadvertently make use of social media in a manner that may give rise to liability, lead to the loss of trade secrets or other intellectual property
or  result  in  public  exposure  of  personal  information  of  our  employees,  clinical  trial  patients,  customers  and  others  or  information  regarding  our  product
candidates or clinical trials. Any of these events could have a material adverse effect on our business, prospects, operating results and financial condition
and could adversely affect the price of our common shares.

56

Risks Related to our Common Stock

We do not intend to pay dividends for the foreseeable future.

We have paid no dividends on our common stock to date, and we do not anticipate paying any dividends to holders of our common stock in the
foreseeable future. While our future dividend policy will be based on the operating results and capital needs of the business, we anticipate that we will
retain any earnings to finance our future expansion and for the implementation of our business plan. As an investor, you should take note of the fact that a
lack of a dividend can further affect the market value of our common stock and could significantly affect the value of any investment in our Company.

We are subject to the reporting requirements of federal securities laws, which can be expensive and may divert resources from other projects,
thus impairing our ability grow.

We are a public reporting company and, accordingly, subject to the information and reporting requirements of the Exchange Act and other federal
securities  laws,  including  compliance  with  the  Sarbanes-Oxley  Act  of  2002  (the  “Sarbanes-Oxley  Act”).  The  costs  of  preparing  and  filing  annual  and
quarterly reports, proxy statements and other information with the SEC and furnishing audited reports to stockholders would cause our expenses to be
higher than they would be if we remained privately held.

It  may  be  time  consuming,  difficult  and  costly  for  us  to  develop  and  implement  the  internal  controls  and  reporting  procedures  required  by  the

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sarbanes-Oxley Act. We may need to hire additional financial reporting, internal controls and other finance personnel in order to develop and implement
appropriate internal controls and reporting procedures.

We are an “emerging growth company” within the meaning of the Securities Act of 1933, as amended, or the Securities Act, and if we decide to
take  advantage  of  certain  exemptions  from  various  reporting  requirements  applicable  to  emerging  growth  companies,  our  common  stock
could be less attractive to investors.

We  will  remain  an  emerging  growth  company  until  the  earliest  of  (1)  the  last  day  of  the  fiscal  year  during  which  we  have  total  annual  gross
revenues of $1.07 billion or more, (2) December 31, 2024 (the last day of the fiscal year following the fifth anniversary of the completion of our initial public
offering), (3) the date on which we have, during the previous three-year period, issued more than $1.0 billion in non-convertible debt, and (4) the date on
which we are deemed to be a “large accelerated filer” under the Securities Exchange Act of 1934, as amended, or the Exchange Act (i.e., the first day of
the fiscal year after we have (a) more than $700.0 million in outstanding common equity held by our non-affiliates, measured each year on the last day of
our second fiscal quarter, and (b) been public for at least 12 months).

Even after we no longer qualify as an emerging growth company, we may still qualify as a “smaller reporting company,” which would allow us to
take  advantage  of  many  of  the  same  exemptions  from  disclosure  requirements  including  exemption  from  compliance  with  the  auditor  attestation
requirements of Section 404 of the Sarbanes-Oxley Act and reduced disclosure obligations regarding executive compensation in our periodic reports and
proxy statements. We cannot predict if investors will find our common stock less attractive because we may rely on these exemptions. If some investors
find  our  common  stock  less  attractive  as  a  result,  there  may  be  a  less  active  trading  market  for  our  common  stock  and  our  stock  price  may  be  more
volatile.

Our stock price may be volatile.

The  market  price  of  our  common  stock  is  likely  to  be  highly  volatile  and  could  fluctuate  widely  in  price  in  response  to  various  factors,  many  of

which are beyond our control, including the following:

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changes in our industry;

competitive pricing pressures;

57

our ability to obtain working capital financing;

additions or departures of key personnel;

limited  “public  float”  in  the  hands  of  a  small  number  of  persons  whose  sales  or  lack  of  sales  could  result  in  positive  or  negative  pricing
pressure on the market price for our common stock;

sales of our common stock;

our ability to execute our business plan;

operating results that fall below expectations;

loss of any strategic relationship;

regulatory developments;

economic and other external factors;

period-to-period fluctuations in our financial results; and

inability to develop or acquire new or needed technology or products.

In addition, the securities markets have from time-to-time experienced significant price and volume fluctuations that are unrelated to the operating

performance of particular companies. These market fluctuations may also materially and adversely affect the market price of our Common Stock.

You may have difficulty trading and obtaining quotations for our common stock.

Our securities are not actively traded, and the bid and asked prices for our common stock may fluctuate widely. As a result, investors may find it
difficult to dispose of, or to obtain accurate quotations of the price of, our securities. This severely limits the liquidity of the common stock and would likely
reduce the market price of our common stock and hamper our ability to raise additional capital. There is a limited market for our securities. Accordingly,
investors may therefore bear the economic risk of an investment in the Securities thereof, for an indefinite period of time.

Additional stock offerings in the future may dilute your percentage ownership of our company.

Given our plans and expectations that we may need additional capital and personnel, we may need to issue additional shares of common stock or
securities convertible or exercisable for shares of common stock, including convertible preferred stock, convertible notes, stock options or warrants. The
issuance of additional securities in the future will dilute the percentage ownership of then current stockholders.

Anti-takeover provisions in our stockholder rights plan could make a third-party acquisition of us difficult.

We have a stockholder rights plan that may have the effect of discouraging unsolicited takeover proposals. Specifically, the rights issued under
the stockholder rights plan could cause significant dilution to a person or group that attempts to acquire us on terms not approved in advance by our board
of directors. The rights plan is not intended to prevent a takeover, and we believe it will enable all our stockholders to realize the full potential value of their
investment in the Company and protect the Company and its stockholders from efforts to obtain control of the Company that are inconsistent with the best
interests of the Company and its stockholders. The rights under the plan will expire on December 30, 2023, subject to a possible earlier expiration to the

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
extent provided in the stockholder rights plan, unless extended.

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ITEM 1B. UNRESOLVED STAFF COMMENTS

Not applicable.

ITEM 2. PROPERTIES

The Company leases approximately 5,000 square feet of office space in Boca Raton, Florida from a third-party, which serves as the headquarters

of the Company. We currently pay approximately $15,000 per month for this lease which expires in January 2027.

We believe our current facilities are suitable and adequate to meet our current needs.

ITEM 3. LEGAL PROCEEDINGS

We  currently  are  not  a  party  to  any  material  litigation  or  other  material  legal  proceedings.  We  may,  from  time  to  time,  be  subject  to  legal

proceedings and claims arising in the normal course of business.

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable.

59

PART II

ITEM  5.  MARKET  FOR  REGISTRANT’S  COMMON  EQUITY,  RELATED  STOCKHOLDER  MATTERS  AND  ISSUER  PURCHASES  OF  EQUITY
SECURITIES

Common Stock

Our common stock trades under the symbol “INMB” on the Nasdaq and has been publicly traded since February 4, 2019. Prior to this time, there

was no public market for our common stock.

As of December 31, 2022, there were 28 holders of record of our common stock. Because shares of our common stock are held by depositories,

brokers and other nominees, the number of beneficial holders of our shares is substantially larger than the number of record holders.

Dividend Policy

We have not declared any cash dividends on our common stock since inception and do not anticipate paying such dividends in the foreseeable
future. We plan to retain any future earnings for use in our business operations. Any decisions as to future payment of cash dividends will depend on our
earnings and financial position and such other factors as the Board of Directors deems relevant.

ITEM 6. [RESERVED]

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 in conjunction with our financial statements and
notes  thereto  appearing  elsewhere  in  this  Annual  Report.  In  addition  to  historical  financial  information,  the  following  discussion  and  analysis  contains
forward-looking  statements  that  involve  risks,  uncertainties,  and  assumptions.  Our  actual  results  could  differ  materially  from  those  anticipated  by  these
forward-looking  statements  as  a  result  of  many  factors.  We  discuss  factors  that  we  believe  could  cause  or  contribute  to  these  differences  below  and
elsewhere in this Form 10-K, including those set forth under “Risk Factors” and “Forward-Looking Statements.”

Overview

We  are  a  clinical-stage  immunology  company  focused  on  developing  drugs  that  may  reprogram  the  patient’s  innate  immune  system  to  treat
disease.  We  believe  this  may  be  done  by  targeting  cells  of  the  innate  immune  system  that  cause  acute  and  chronic  inflammation  and  are  involved  in
immune  dysfunction  associated  with  chronic  diseases  such  as  cancer  and  neurodegenerative  diseases.  The  Company’s  drugs  are  in  clinical  trials  and
have not been approved by a regulatory authority. The Company has two therapeutic platforms – a dominant-negative TNF platform (“DN-TNF”, “XPro™”,
“XPro1595™” or “pegipanermin”)  and  a  Natural  Killer  (“NK”,  or  “INKmune™”)  platform.  The  DN-TNF  platform  neutralizes  soluble  TNF  (“sTNF”)  without
affecting trans-membrane TNF (“tmTNF”) or TNF receptors -TNFR1 and TNFR2. This unique biologic mechanism differentiates the DN-TNF drugs from
currently approved non-selective TNF inhibitors that inhibit both sTNF and tmTNF. Protecting the function of tmTNF and TNF receptors while neutralizing
the  function  of  sTNF  is  a  potent  anti-inflammatory  strategy  that  does  not  cause  immunosuppression  or  demyelination  which  occur  in  the  currently
approved non-selective TNF inhibitors. Currently approved non-selective TNF inhibitors treat autoimmune disease, but are contraindicated in patients with
infection, cancer and neurologic diseases because they increase the risk of infection, cancer and demyelinating neurologic diseases, respectively; all the
safety problems are due to off-target effects on inhibiting tmTNF. The NK platform targets the dysfunctional natural killer cells in patients with cancer. NK
cells are part of the normal immunologic response to cancer with important roles in immunosurveillance to prevent cancer and in preventing relapse by
eliminating  residual  disease.  Residual  disease  is  the  cancer  left  behind  after  therapy  is  finished.  Residual  disease  can  grow  to  cause  relapse.  The
mechanism by which INKmune improves the ability of the patient’s NK cells to kill their cancer is complex. The NK cells of cancer patients lose the ability
to bind and kill cancer cells. A measure of NK cell binding to cancer cells is avidity. The higher the avidity, the greater the bond between the NK cell to
cancer  cell  and  thus  the  greater  NK  killing  of  cancer  cells.  INKmune  increase  NK  avidity  and  further  improves  mitochondrial  function  and  upregulates
nutrient receptors. These metabolic changes may help the INKmune primed NK cell to function in the hostile tumor microenvironment and persist much
longer.  These  mechanisms  improve  the  ability  of  INKmune  primed  NK  cells  to  overcome  the  immune  evasion  of  the  patient’s  cancer  cells.  We  believe

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
INKmune is best used to eliminate residual disease after the patient has completed other cancer therapies. Both the DN-TNF platform and the INKmune
platform  can  be  used  to  treat  multiple  diseases.  The  DN-TNF  platform  will  be  used  as  an  immunotherapy  for  the  treatment  of  cancer  and
neurodegenerative disease. INKmune is being developed to treat NK sensitive hematologic malignancies and solid tumors.  

60

We  believe  our  DN-TNF  platform  can  be  used  as  a  cancer  therapy  to  reduce  resistance  in  immunotherapy  and  as  a  CNS  (“central  nervous
system”)  therapy  to  target  glial  activation  to  prevent  progression  of  Alzheimer’s  disease  (“AD”),  and  to  target  neuroinflammation  in  treatment  resistant
depression  (“TRD”)  and  as  a  drug  to  prevent  muscle  degeneration,  prevent  fibrosis  and  promote  muscle  regeneration  in  Duchene  muscular  dystrophy
(DMD). The drug is named differently for the oncology and CNS indications; INB03™ or XPro™, respectively, but it is the same drug product. For DMD,
the company is exploring DN-TNF compounds that is optimized for the treatment of DMD. This novel compound has the same mechanism of action but
has novel IP protection. In each case, we believe neutralizing sTNF is a cornerstone to the treatment of these diseases. As an immunotherapy for cancer,
we  are  using  INB03  to  neutralize  sTNF  produced  by  HER2+  trastuzumab  resistant  breast  cancers  to  reverse  resistance  to  targeted  therapy.  sTNF
produced by the tumor causes an up-regulation of MUC4 express causing steric hindrance of trastuzumab binding to the HER receptor on HER2+ breast
cancer  cells.  Without  binding,  trastuzumab  based  therapies  are  not  effective.  Neutralizing  sTNF  reverses  MUC4  expression  converting  a  trastuzumab
resistant breast cancer cell into a trastuzumab sensitive breast cancer cell. In addition, INB03 changes the immunobiology of the tumor microenvironment
by decreasing the number of immunosuppressive myeloid cells, both myeloid derived suppressor cells and tumor active macrophages, and increasing the
number of cytotoxic lymphocytes and phagocytic macrophages in the TME. The Company has completed an open label dose escalation trial in cancer
patients with metastatic solid tumors that have failed multiple lines of therapy. The trial informs the design of the Phase II trial by demonstrating that INB03
was safe and well tolerated, defined the dose of INB03 to carry into Phase II trials, and demonstrated a pharmacodynamic end-point. A Phase II trial is
planned in patients with advanced MUC4+ expressing cancer.

Likewise, we believe the DN-TNF platform can be used to treat selected neurodegenerative diseases by modifying the brain microenvironment
(“BME”).  The  Company  believes  the  core  pathology  of  cognitive  decline  is  a  combination  of  neurodegeneration  and  synaptic  dysfunction.
Neurodegeneration  is  nerve  cell  death  that  may  include  demyelination.  Synaptic  dysfunction  means  the  connections  between  nerve  cells  stop  working
efficiently  and  may  decrease  in  number.  The  combination  of  neurodegeneration  and  synaptic  dysfunction  causes  cognitive  decline  and  behavioral
changes associated with Alzheimer’s disease (AD. XPro completed a Phase I trial treating patients with Alzheimer’s disease that was partially funded by a
Part-the-Clouds Award from the Alzheimer’s Association. We believe XPro targets activated microglia and astrocytes of the brain that produce sTNF that
promotes nerve cell loss and synaptic dysfunction, key elements in the development of dementia. In animal models, elimination of sTNF prevents nerve
cell dysfunction and reverses synaptic pruning. The Phase I trial in patients with biomarkers of inflammation with AD has been completed. The open label,
dose escalation trial was designed to demonstrate that XPro can safely decrease neuroinflammation in patients with ADi. The endpoints of the trial are
measures  of  neuroinflammation  and  neurodegeneration  in  blood  and  cerebral  spinal  fluid  by  measuring  changes  in  inflammatory  cytokine  levels  in  the
CNS and using MRI-DTI to measure white matter free water. White matter free water; a validated measure of neuroinflammation in the brain. XPro, at the
1mg/kg/week  dose  decreased  inflammatory  cytokines  in  the  CSF  and  decreased  white  matter  free  water  in  the  brain  demonstrating  that  XPro  can
decrease  neuroinflammation  in  patients  with  AD.  We  also  studied  downstream  benefits  of  decreasing  neuroinflammation  by  measuring  changes  in  the
CSF  proteome  and  quantifying  changes  in  novel  white  matter  MRI  biomarkers.  XPro  significantly  decreases  biomarkers  of  neurodegeneration  as
measured  by  changes  in  the  CSF  proteome  including  neurofilament  light  chain,  phospho  Tau  217  and  VILIP-1;  decreases  of  84%,  46%  and  91%
respectively  after  3  months  of  therapy.  Three  months  of  XPro  therapy  improved  measures  of  synaptic  function,  as  measured  in  the  CSF  proteome
including a 222% increase in Contactin 2 and a 56% decrease neurogranin, changes that contribute to improved synaptic function.

The successful completion of the Phase I trial in AD has informed the design of a blinded randomized, placebo controlled Phase II trials in patients
with early ADi. Early ADi includes patients with AD and MCI who have at least one biomarker of inflammation (ADi and MCI2 respectively). The early ADi
trial is a blinded randomized trial to test if treatment of early AD patients with neuroinflammation with XPro will affect cognitive decline. The Phase II trial in
early ADi has six important elements. Two hundred patients are being enrolled in a 2:1 ratio (XPro vs placebo). The patients will receive 1mg/kg/week as
a subcutaneous injection for six months. An enrichment strategy identical to the successful strategy used in the Phase I trial will be used to ensure patients
have neuroinflammation. Patients will need to have one or more enrichment criteria: elevated blood level of at least one of C-reactive protein, hemoglobin
A1c, erythrocyte sedimentation and at least one allele of ApoE4. The primary end-point will be Early/mild Alzheimer’s Cognitive Composite (“EMACC”), a
validated cognitive measure that is more sensitive than traditional end-points used in many studies of patients with early AD. The trial is open in Australia
and Canada and will open in the US pending the lift of a clinical hold by the US FDA. All patients will be offered to stay on therapy for at least 12 months in
an extension trial. Clinical and biomarker data will be collected during the extension trial.

61

Effective  therapy  for  TRD  is  a  large  unmet  need.  Twenty  percent  of  patients  with  a  Major  Depressive  Disorder  have  TRD.  Once  third  of  TRD
patients have peripheral biomarkers to inflammation (elevated CRP). This is a large patient population. The role of TNF and anti-TNF therapeutics was
explored  in  a  small  open  label  clinical  trial  by  Prof.  Andrew  Miller,  MD  of  Emory  University  demonstrated  the  patients  have  elevated  TNF  levels  and
treatment with infliximab treated their depression (Miller, 2011). The Company received a $2.9M USD award from the National Institute of Mental Health
(“NIMH”)  to  treat  TRD  with  XPro.  The  blinded,  randomized  Phase  II  trial  will  use  biomarkers  of  peripheral  inflammation  to  select  patients  with  TRD  for
enrollment. Patients will be treated for 6 weeks. Primary end-points include both clinical and neuroimaging measures. The final trial design is ongoing and
discussions with the FDA are not complete. The Company anticipates receiving authorization to initiate the clinical trial once the pending clinical hold is
lifted.

We believe that INKmune improves the ability of the patient’s own NK cells to attack their tumor. INKmune interacts with the patient’s NK cells to
convert them from inert resting NK cells into memory-like NK cells that kill the patient’s cancer cells. INKmune is a replication incompetent proprietary cell
line that is given to the patient after determining that i) the patient has adequate NK cells in their circulation and ii) those NK cells are functional when
exposed to INKmune in vitro. INKmune is designed to be given to patients after their immune system has recovered after cytotoxic chemotherapy to target
the residual disease the remains after treatment with cytotoxic therapy. We believe INKmune can be used to treat numerous hematologic malignancies
and solid tumors including leukemia, multiple myeloma, lymphoma, lung, ovary, breast, renal and prostate cancer. The Company has initiated a Phase I
trial using INKmune to treat patients with high risk MDS/AML, a form of leukemia. One patient has been treated in the Phase I trial for MDS and three
patients have been treated compassionately in AML. In the four patients, INKmune therapy is safe, produces memory-like NK cells that kill cancer in vitro,
promotes  development  of  cancer  killing  memory-like  NK  cells  that  can  be  found  in  the  patient’s  circulation  of  4  months.  The  Company  will  continue  to
enroll patients in the Phase I trial. The Company intends to initiate a separate Phase I/2 trial of INKmune in a solid tumor during 2023.

62

 
 
 
 
 
 
 
  
 
 
We believe that INKmune improves the ability of the patient’s own NK cells to attack their tumor. INKmune interacts with the patient’s NK cells to
convert them from inert resting NK cells into memory-like NK cells that kill the patient’s cancer cells. INKmune is a replication incompetent proprietary cell
line that is given to the patient after determining that i) the patient has adequate NK cells in their circulation and ii) those NK cells are functional when
exposed to INKmune in vitro. INKmune is designed to be given to patients after their immune system has recovered after cytotoxic chemotherapy to target
the residual disease the remains after treatment with cytotoxic therapy. We believe INKmune can be used to treat numerous hematologic malignancies
and solid tumors including leukemia, multiple myeloma, lymphoma, lung, ovary, breast, renal and prostate cancer. The Company has initiated a Phase I
trial using INKmune to treat patients with high risk MDS/AML, a form of leukemia. One patient has been treated in the Phase I trial for MDS and three
patients have been treated compassionately in AML. In the four patients, INKmune therapy is safe, produces memory-like NK cells that kill cancer in vitro,
promotes  development  of  cancer  killing  memory-like  NK  cells  that  can  be  found  in  the  patient’s  circulation  of  4  months.  The  Company  will  continue  to
enroll patients in the Phase I trial.

Since  our  inception  in  2015,  we  have  devoted  substantially  all  of  our  resources  to  the  discovery  and  development  of  our  product  candidates,
including clinical trials and preclinical studies as well as general and administrative support for these operations. To date, we have generated no significant
revenue. We have incurred net losses in each year since our inception and, as of December 31, 2022, we had an accumulated deficit of approximately
$91.0 million. Our net losses were $27,299,000 and $30,340,000 for the years ended December 31, 2022 and 2021, respectively. Substantially all of our
net losses resulted from costs incurred in connection with our research and development programs and from general and administrative costs associated
with our operations, including stock-based compensation.

The Company is subject to risks and uncertainties as a result of the COVID-19 pandemic. The extent of the impact of the COVID-19 pandemic on
the  Company’s  business  is  highly  uncertain  and  difficult  to  predict.  Also,  economies  worldwide  have  also  been  negatively  impacted  by  the  COVID-19
pandemic, however policymakers around the globe have responded with fiscal policy actions to support the healthcare industry and economy as a whole.
The magnitude and overall effectiveness of these actions remain uncertain.

In addition, the Company’s clinical trials have been affected by and may continue to be affected by the COVID-19 pandemic. Clinical site initiation
and patient enrollment have and may continue to be delayed due to prioritization of hospital resources toward the COVID-19 pandemic. Some patients
have  not,  and  others  may  not  be  able  to  comply  with  clinical  trial  protocols  if  quarantines  impede  patient  movement  or  interrupt  healthcare  services.
Similarly, the ability to recruit and retain patients and principal investigators and site staff who, as healthcare providers, may have heightened exposure to
COVID-19, may adversely impact the Company’s clinical trial operations.

The severity of the impact of the COVID-19 pandemic on the Company’s business will depend on a number of factors, including, but not limited to,
the  duration  and  severity  of  the  pandemic  and  the  extent  and  severity  of  the  impact  on  the  Company’s  service  providers,  suppliers,  contract  research
organizations  (“CROs”)  and  the  Company’s  clinical  trials,  all  of  which  are  uncertain  and  cannot  be  predicted.  As  of  the  date  of  issuance  of  Company’s
financial  statements,  the  extent  to  which  the  COVID-19  pandemic  may  materially  impact  the  Company’s  financial  condition,  liquidity  or  results  of
operations is uncertain.

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As a company with less than $1.07 billion in revenue during our last fiscal year, we qualify as an “emerging growth company” under the JOBS
Act.  As  an  emerging  growth  company,  we  may  take  advantage  of  specified  reduced  disclosure  and  other  requirements  that  are  otherwise  applicable
generally to public companies. These provisions include:

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only two years of audited financial statements in addition to any required unaudited interim financial statements with correspondingly reduced
“Management’s Discussion and Analysis of Financial Condition and Results of Operations” disclosure;

reduced disclosure about our executive compensation arrangements;

no non-binding advisory votes on executive compensation or golden parachute arrangements;

exemption from the auditor attestation requirement in the assessment of our internal control over financial reporting; and

delaying the adoption of new or revised accounting standards that have different effective dates for public and private companies until those
standards apply to private companies.

We have elected to take advantage of the above-referenced exemptions and we may take advantage of these exemptions for up to five years or
such earlier time that we are no longer an emerging growth company. We would cease to be an emerging growth company if we have more than $1.07
billion in annual revenues, we have more than $700 million in market value of our stock held by non-affiliates, or we issue more than $1 billion of non-
convertible debt over a three-year period. We may choose to take advantage of some but not all of these reduced burdens.

Components of Operating Results

Operating Expenses

Research and Development

Research and development expense consists of expenses incurred while performing research and development activities to discover and develop
our  product  candidates.  This  includes  conducting  preclinical  studies  and  clinical  trials,  manufacturing  development  efforts  and  activities  related  to
regulatory filings for product candidates. We recognize research and development expenses as they are incurred. Our research and development expense
primarily consist of:

●

●

clinical trial and regulatory-related costs;

expenses incurred under agreements with investigative sites and consultants that conduct our clinical trials;

● manufacturing and testing costs and related supplies and materials; and

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
●

employee-related expenses, including salaries, benefits, travel and stock-based compensation

We  typically  use  our  employee,  consultant  and  infrastructure  resources  across  our  development  programs.  We  track  outsourced  development
costs by product candidate or development program, but we do not allocate personnel costs, other internal costs or external consultant costs to specific
product candidates or development programs.

We participate, through our wholly-owned subsidiary in Australia, in the Australian research and development tax incentive program, such that a
percentage of our qualifying research and development expenditures are reimbursed by the Australian government, and such incentives are reflected as a
reduction  of  research  and  development  expense.  The  Australian  research  and  development  tax  incentive  is  recognized  when  there  is  reasonable
assurance that the incentive will be received, the relevant expenditure has been incurred and the amount of the consideration can be reliably measured.

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We participate, through our wholly-owned subsidiary in the United Kingdom, in the research and development program provided by the United
Kingdom  tax  relief  program,  such  that  a  percentage  of  our  qualifying  research  and  development  expenditures  are  reimbursed  by  the  United  Kingdom
government, and such incentives are reflected as a reduction of research and development expense. The United Kingdom has recently enacted certain
changes  to  the  research  and  development  program  which  will  limit  the  research  and  development  tax  incentive  available  to  the  Company.  The  United
Kingdom  research  and  development  tax  incentive  is  recognized  when  there  is  reasonable  assurance  that  the  incentive  will  be  received,  the  relevant
expenditure has been incurred and the amount of the consideration can be reliably measured.

Substantially  all  of  our  research  and  development  expenses  to  date  have  been  incurred  in  connection  with  our  current  and  future  product
candidates. We expect our research and development expenses to increase significantly for the foreseeable future as we advance an increased number of
our  product  candidates  through  clinical  development,  including  the  conduct  of  our  planned  clinical  trials  and  manufacturing  drug  to  be  used  in  those
clinical trials. The process of conducting clinical trials necessary to obtain regulatory approval is costly and time consuming. The successful development
of  product  candidates  is  highly  uncertain.  At  this  time,  we  cannot  reasonably  estimate  the  nature,  timing  or  costs  required  to  complete  the  remaining
development of any product candidates. This is due to the numerous risks and uncertainties associated with the development of product candidates.

The costs of clinical trials may vary significantly over the life of a project owing to, but not limited to, the following:

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●

●

●

●

per patient trial costs;

the number of sites included in the clinical trials;

the countries in which the clinical trials are conducted;

the length of time required to enroll eligible patients;

the number of patients that participate in the clinical trials;

the number of doses that patients receive;

the cost of comparative agents used in clinical trials;

the drop-out or discontinuation rates of patients;

potential additional safety monitoring or other studies requested by regulatory agencies;

the duration of patient follow-up;

the efficacy and safety profile of the product candidate; and

the cost of manufacturing, finishing, labeling and storage drug used in the clinical trial

We do not expect any of our product candidates to be commercially available for at least the next several years, if ever. We expect to continue to
incur significant expenses and increasing operating losses for the foreseeable future, which may fluctuate significantly from quarter-to-quarter and year-to-
year. We anticipate that our expenses will increase substantially as we:

●

●

●

●

continue research and development, including preclinical and clinical development of our existing product candidates;

potentially seek regulatory approval for our product candidates;

65

seek to discover and develop additional product candidates;

establish a commercialization infrastructure and scale up our manufacturing and distribution capabilities to commercialize any of our product
candidates for which we may obtain regulatory approval;

●

seek to comply with regulatory standards and laws;

● maintain, leverage and expand our intellectual property portfolio;

●

hire  clinical,  manufacturing,  scientific  and  other  personnel  to  support  our  product  candidate’s  development  and  future  commercialization
efforts;

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
●

●

add operational, financial and management information systems and personnel; and

incur additional legal, accounting and other expenses in operating as a public company.

General and Administrative Expenses

General  and  administrative  expenses  consist  principally  of  payroll  and  personnel  expenses,  including  stock-based  compensation;  professional
fees  for  legal,  consulting,  accounting  and  tax  services;  insurance,  overhead,  including  rent  and  utilities;  and  other  general  operating  expenses  not
otherwise classified as research and development expenses.

Other income, net

Other expense consists primarily of interest expense incurred on debt, partially offset by interest income from a money market investment.

Critical Accounting Policies and Significant Judgments and Estimates

This management’s discussion and analysis of our financial condition and results of operations is based on our financial statements, which we
have prepared in accordance with accounting principles generally accepted in the United States. The preparation of our financial statements requires us to
make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date
of our financial statements, as well as the reported revenues and expenses during the reported periods. We evaluate these estimates and judgments on
an ongoing basis. We base our estimates on historical experience and on various other factors that we believe are reasonable under the circumstances,
the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources.
Actual results may differ from these estimates under different assumptions or conditions.

In-Process Research and Development

The Company evaluates the carrying value of indefinite-lived intangible assets, which consists of in-process research and development (“IPR&D”),
on an annual basis or more frequently when indicators of impairment exist. An impairment of indefinite-lived intangible assets would occur if the fair value
of  the  intangible  asset  is  less  than  the  carrying  value.  Intangible  assets  with  finite  lives  are  tested  for  impairment  when  events  or  changes  in
circumstances indicate that the carrying amount of such assets may not be recoverable. If these facts and circumstances exist, the Company assesses for
recovery by comparing the carrying values of the assets with their future undiscounted net cash flows. Significant management judgment is required in the
forecast of future operating results that are used in the preparation of expected undiscounted cash flows.

66

IPR&D assets are considered to  be  indefinite-lived  until  the  completion  or  abandonment  of  the  associated  research  and  development  projects.
During the period the assets are considered indefinite-lived, they are tested for impairment. If the related project is terminated or abandoned, the Company
may have a full or partial impairment related to the IPR&D assets, calculated as the excess of their carrying value over fair value. The valuation process is
very complex and requires significant input and judgment using internal and external sources with respect to the Company’s future revenue and expense
growth rates, changes in working capital use, the selection of an appropriate discount rate, and other assumptions and estimates.

Research and Development (“R&D”)

R&D expenses consist primarily of costs related to clinical studies and outside services, personnel expenses, and other R&D expenses. Clinical
studies  and  outside  services  costs  relate  primarily  to  services  performed  by  clinical  research  organizations  and  related  clinical  or  development
manufacturing  costs,  materials  and  supplies,  filing  fees,  regulatory  support,  and  other  third-party  fees.  Personnel  expenses  relate  primarily  to  salaries,
benefits and share-based compensation. R&D expenditures are charged to operations as incurred.

We  recognize  R&D  tax  credits  receivable  from  the  United  Kingdom  and  Australian  government  for  spending  on  R&D  as  a  reduction  of  R&D

expenses.

Stock-Based Compensation

We measure and recognize compensation expense for all stock-based awards granted to service providers, employees, and directors based on
the estimated fair value of the award on the grant date. We calculate the estimated fair value of stock options on the date of grant using the Black-Scholes
option-pricing model, which is impacted by the fair value of our common stock, as well as changes in assumptions regarding a number of highly complex
and subjective variables. These variables include, but are not limited to, the market value of common stock on the grant date, the expected dividend yield,
the  expected  term  of  the  awards,  the  risk-free  interest  rates  and  the  expected  common  stock  price  volatility  over  the  term  of  the  option  awards.  The
expected volatility is based on the historical volatility of a few unrelated public companies within our industry over the most recent period commensurate
with the estimated expected term of our stock options as we have insufficient historical information regarding the volatility of the share price of our common
stock. The risk-free interest rate for periods within the contractual life of the option is based on the U.S. Treasury yield in effect at the time of grant. We
have never declared or paid dividends and have no plans to do so in the foreseeable future.

We recognize the fair value of stock options on a straight-line basis over the period during which a service provider is required to provide services

in exchange for the award (generally the vesting period). We account for forfeitures as they occur.

Off-Balance Sheet Arrangements

During the periods presented, we did not have any off-balance sheet arrangements as defined under SEC rules.

Licensing and Collaboration Agreements

We anticipate that in-licensing, out-licensing  and  strategic  collaborations  will  become  an  integral  part  of  our  operations,  providing  the  company
with opportunities to leverage our partners’ expertise and capabilities to further expand the potential of our technologies, product candidates and revenue
streams.

Xencor

 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In October 2017, we licensed INB03 (also known as XPro) from Xencor. This exclusive, global, unrestricted license came with considerable know-
how, intellectual property, pre-clinical data, regulatory documentation and product stocks. Currently, we are focused on the immune-oncology uses of this
unique  asset.  In  the  future,  we  may  develop  the  asset  in  a  wide  variety  of  therapeutic  areas,  with  a  variety  of  delivery  techniques  by  ourselves  or  in
conjunction with partners.

67

Results of Operations

Comparison of the Years Ended December 31, 2022 and December 31, 2021

(in thousands)
Revenues

General and Administrative
Research and Development
Other Expense, net
Net loss

Revenues

December 31, 
2022

Year Ended
December 31, 
2021

Change

  $

(374)   $

(181)   $

(193)

9,258     
17,067     
1,348     
(27,299)   $

8,791     
20,543     
1,187     
(30,340)   $

467 
(3,476)
161 
(3,041)

  $

During 2022 and 2021, the Company sold MSC’s to one and three customers, respectively, and recognized $374,000 and $181,000 of revenues,

respectively.

General and Administrative

General  and  administrative  expenses  were  $9.3  million  for  the  year  ended  December  31,  2022,  compared  to  $8.8  million  for  the  year  ended
December  31,  2021.  The  increase  in  general  and  administrative  expenses  is  largely  due  to  higher  compensation,  including  stock-based  compensation
($1.5 million higher during the year ended December 31, 2022) and higher rent expense and right of use asset impairment ($0.2 million higher during the
year ended December 31, 2022), partially offset by lower consulting expense ($1.5 million lower during the year ended December 31, 2022).

Research and Development

Research and development expenses decreased to $17.1 million for the year ended December 31, 2022 from $20.5 million for the year ended
December 31, 2021. The decrease in research and development expenses during the year ended December 31, 2022 compared to 2021 is mainly due to
the Company incurring $4.6 million of lower manufacturing costs in connection with producing its DN-TNF product and also due to incurring $2.6 million of
lower  expenses  on  the  COVID-19  clinical  trial,  partially  offset  by  the  Company’s  compensation  (including  stock-based  compensation)  which  was  $1.8
million higher in 2022 compared to 2021.

Other Expense, net

Other  expense,  net  increased  to  $1.3  million  during  the  year  ending  December  31,  2022,  compared  to  $1.2  million  during  the  year  ending
December 31, 2021. The increase in other expense is due to higher interest expense on the Company’s debt ($1.0 million higher), partially offset by $0.7
million higher interest income from money market investments.

68

Liquidity and Capital Resources

Liquidity is the ability of a company to generate funds to support its current and future operations, satisfy its obligations and otherwise operate on

an ongoing basis.

We  incurred  a  net  loss  of  $27,299,000  and  $30,340,000  for  the  years  ended  December  31,  2022  and  2021,  respectively.  Net  cash  used  in
operating activities was $22,686,000 and $28,504,000 for the years ended December 31, 2022 and 2021, respectively. Since inception, we have funded
our operations primarily with proceeds from the sales of our common stock and from the receipts of grants. As of December 31, 2022, we had cash and
cash equivalents of $52,153,000. We anticipate that operating losses and net cash used in operating activities will increase over the next few years as we
advance our products under development.

Our primary uses of capital are, and we expect will continue to be, third-party clinical and preclinical research and development services, costs
incurred  to  manufacture  our  drugs  under  development,  compensation  and  related  expenses,  legal,  patent  and  other  regulatory  expenses  and  general
overhead costs. We believe our use of CROs provides us with flexibility in managing our spending.

The  Company  incurs  the  majority  of  its  research  and  development  expenses  in  Australia  and  the  United  Kingdom.  Fluctuations  in  the  rate  of
exchange between the United States dollar and the pound sterling as well as the Australian dollar could adversely affect our financial results, including our
expenses as well as assets and liabilities. We currently do not hedge foreign currencies but will continue to assess whether that strategy is appropriate. As
of  December  31,  2022,  the  cash  balance  held  by  our  foreign  subsidiaries  with  currencies  other  than  the  United  States  dollar  was  approximately  $0.1
million.

As of December 31, 2022, the Company had an accumulated deficit of $91.0 million and working capital of $53.8 million. Losses have principally
occurred  as  a  result  of  the  substantial  resources  required  for  research  and  development  of  the  Company’s  products  which  included  the  general  and
administrative expenses associated with its organization and product development, as well as the lack of sources of material revenues until such time as

 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
      
      
  
   
   
   
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
the Company’s products are commercialized. As of December 31, 2022, we had cash and cash equivalents of $52.2 million. We believe our cash and cash
equivalents will be sufficient to fund our operations for at least the next 12 months following the filing date of this Annual Report on Form 10-K.

Registered Direct Offering

During  July  2021,  the  Company  completed  a  registered  direct  offering  whereby  the  Company  sold  1,818,182  shares  of  its  common  stock  to

investors for net proceeds of $36.9 million.

ATM Sales Agreements

During the year ended December 31, 2021, we issued and sold 1,439,480 shares of common stock at an average price of $20.17 per share under
the  2020  ATM  agreement.  The  aggregate  net  proceeds  were  approximately  $28.4  million  after  BTIG’s  commission  and  other  offering  expenses.  As  of
December 31, 2021, sales of our common stock pursuant to the 2020 ATM have been completed. 

During March 2021, the Company entered into the 2021 ATM agreement with BTIG, as sales agent, to establish an ATM offering of up to $45
million of common stock. During the year ended December 31, 2021, the Company sold 713,192 shares at an average price per share of $21.73 for net
proceeds of approximately $14.9 million under the 2021 ATM agreement.

Term Loan

On June 10, 2021, we entered into a Loan and Security Agreement with SVB and an affiliate of SVB, providing for a $15.0 million term loan. The
Term Loan also provides for us to request an additional $5.0 million term loan from the Lenders, which may be granted or denied at the sole discretion of
the Lenders. The Term Loan provides for an annual interest rate equal to the greater of (i) the prime rate then in effect as reported in The Wall Street
Journal plus 4.50% and (ii) 7.75% and also includes a final payment fee equal to 6.5% of the original principal amount borrowed payable on the earlier of
the repayment of the loan in full and the maturity date. The Company used the proceeds of the term loan to fund the cash consideration for the Option
Cancellation Agreement with Xencor.

69

Cash Flows

The following table provides information regarding our cash flows for the years ended December 31, 2022 and 2021:

Net cash used in operating activities
Net cash used in investing activities
Net cash provided by financing activities
Impact on cash from foreign currency translation

Net(decrease) increase in cash and cash equivalents

Net Cash Used in Operating Activities

Year Ended
December 31,

  $

2022

2021

(22,686)   $
-    
729     
(700)    

(28,504)
(15,000)
96,357 
(10)

  $

(22,657)   $

52,843 

Our cash used in operating activities was primarily driven by our net loss.

Operating activities used $22.7 million of cash for the year ended December 31, 2022, primarily resulting from our net loss of $27.3 million, a net
cash outflow of $2.9 million for changes in our net operating assets and liabilities, and non-cash stock-based compensation charges of $7.1 million. The
change in our net operating assets and liabilities was primarily due to an increase in research and development tax credit receivable of $3.2 million and an
increase in prepaid expenses and other current assets of $1.7 million, partially offset by an increase in accounts payable and accrued liabilities of $1.5
million.

Operating activities used $28.5 million of cash for the year ended December 31, 2021, primarily resulting from our net loss of $30.3 million, a net
cash outflow of $3.1 million for changes in our net operating assets and liabilities, and non-cash stock-based compensation charges of $4.8 million. The
change in our net operating assets and liabilities was primarily due to an increase in research and development tax credit receivable of $3.2 million and an
increase in prepaid expenses and other current assets of $2.1 million, partially offset by an increase in accounts payable and accrued liabilities of $2.2
million.

70

Investing Activities

Investing activities used $15.0 million of cash for the year ended December 31, 2021. During the year ended December 31, 2021, the Company
paid  Xencor  $15.0  million  to  settle  an  option  to  acquire  10%  of  the  Company’s  common  stock  on  a  fully  diluted  basis  which  was  issued  to  acquire  the
Company’s acquired in-process research and development intangible asset.

Net Cash Provided by Financing Activities

During  the  year  ended  December  31,  2022,  the  Company  sold  82,900  shares  of  its  common  stock  to  certain  officers  and  directors  for

approximately $0.7 million.

During  the  year  ended  December  31,  2021,  the  Company  sold  1,439,480  shares  of  its  common  stock  under  its  2020  ATM  agreement  for  net

proceeds of approximately $28.4 million.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
   
 
   
      
  
 
 
 
 
 
 
 
 
 
 
 
During  the  year  ended  December  31,  2021,  the  Company  sold  713,192  shares  of  its  common  stock  under  the  2021  ATM  agreement  for  net

proceeds of approximately $14.9 million.

During  July  2021,  the  Company  completed  a  registered  direct  offering  whereby  the  Company  sold  1,818,182  shares  of  its  common  stock  to

investors for net proceeds of $36.9 million.

During June 2021, we entered into a Loan and Security Agreement with SVB and an affiliate of SVB, providing for a $15.0 million term loan.

During the year ended December 31, 2021, the Company received approximately 1.2 million in connection with the exercise of stock options and

warrants.

Item 7A. Quantitative and Qualitative Disclosures about Market Risk

We are exposed to market risk from changes in foreign currency rates.

71

Item 8. Financial Statements and Supplementary Data

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

AUDITED FINANCIAL STATEMENTS:

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM (PCAOB ID Number  688)

CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2022 AND 2021

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS FOR THE YEARS ENDED DECEMBER 31, 2022

AND 2021

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY FOR THE YEARS ENDED DECEMBER 31, 2022 AND

2021

CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Page

F-2

F-3

F-4

F-5

F-6

F-7

F-1 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Stockholders and Board of Directors of
INmune Bio, Inc.
Boca Raton, Florida

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of INmune Bio, Inc. (the “Company”) as of December 31, 2022 and 2021, the related
consolidated statements of operations and comprehensive loss, changes in stockholders’ equity and cash flows for each of the two years in the period
ended December 31, 2022, and the related notes (collectively referred to as the “financial statements”). In our opinion, the financial statements present
fairly, in all material respects, the financial position of the Company as of December 31, 2022 and 2021, and the results of its operations and its cash flows
for  each  of  the  two  years  in  the  period  ended  December  31,  2022,  in  conformity  with  accounting  principles  generally  accepted  in  the  United  States  of
America

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  audits  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.

/s/ Marcum  LLP

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Marcum LLP

We have served as the Company’s auditor since 2017.

Houston, Texas

March 2, 2023

F-2 

INMUNE BIO INC.

CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share amounts)

ASSETS

CURRENT ASSETS
Cash and cash equivalents
Research and development tax credit receivable
Other tax receivable
Prepaid expenses and other current assets
Prepaid expenses – related party
TOTAL CURRENT ASSETS

Operating lease – right of use assets
Other assets
Acquired in-process research and development intangible assets

TOTAL ASSETS

LIABILITIES AND STOCKHOLDERS’ EQUITY

CURRENT LIABILITIES
Accounts payable and accrued liabilities
Accounts payable and accrued liabilities – related parties
Deferred liabilities
Current portion of long-term debt
Operating lease, current liabilities
TOTAL CURRENT LIABILITIES

Long-term debt, less debt discount
Long-term operating lease liabilities
Accrued liability – long-term
TOTAL LIABILITIES

COMMITMENTS AND CONTINGENCIES

STOCKHOLDERS’ EQUITY

Preferred stock, $0.001 par value,  10,000,000 shares authorized, 0 shares issued and outstanding
Common stock, $0.001 par value,  200,000,000 shares authorized, 17,945,995 and 17,843,303 shares issued and

outstanding, respectively

Additional paid-in capital
Accumulated other comprehensive (loss) income
Accumulated deficit
TOTAL STOCKHOLDERS’ EQUITY

December 31,
2022

December 31,
2021

  $

52,153    $
8,099     
362     
4,027     
34     
64,675     

507     
99     
16,514     

74,810 
4,913 
591 
2,278 
14 
82,606 

726 
99 
16,514 

  $

81,795    $

99,945 

  $

5,206    $
9     
616     
5,000     
87     
10,918     

9,697     
526     
550     
21,691     

3,733 
80 
474 
- 
72 
4,359 

14,458 
704 
199 
19,720 

-     

- 

18     
151,799     
(699)    
(91,014)    
60,104     

18 
143,921 
1 
(63,715)
80,225 

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

  $

81,795    $

99,945 

See accompanying notes to these consolidated financial statements.

F-3 

INMUNE BIO INC.

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021
(In thousands, except share and per share amounts)

2022

2021

 
 
 
 
 
 
 
 
 
 
 
   
 
   
     
 
   
     
 
   
   
   
   
   
 
   
      
  
   
   
   
 
   
      
  
 
   
      
  
   
      
  
 
   
      
  
   
      
  
   
   
   
   
   
 
   
      
  
   
   
   
   
 
   
      
  
   
      
  
 
   
      
  
   
      
  
   
   
   
   
   
   
 
   
      
  
 
 
 
 
 
 
 
 
   
 
REVENUE

OPERATING EXPENSES
General and administrative
Research and development
Total operating expenses

LOSS FROM OPERATIONS

OTHER EXPENSE, NET
Other expense, net
Total other expense, net

NET LOSS

Net loss per common share – basic and diluted

Weighted average number of common shares outstanding – basic and diluted

COMPREHENSIVE LOSS
Net loss
Other comprehensive loss – foreign currency translation
Total comprehensive loss

  $

374    $

181 

9,258     
17,067     
26,325     

8,791 
20,543 
29,334 

(25,951)    

(29,153)

(1,348)    
(1,348)    

(1,187)
(1,187)

(27,299)   $

(30,340)

(1.52)   $

(1.88)

17,927,327     

16,130,539 

(27,299)   $
(700)    
(27,999)   $

(30,340)
(10)
(30,350)

  $

  $

  $

  $

See accompanying notes to these consolidated financial statements. 

F-4 

INMUNE BIO INC.

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021
(In thousands, except share amounts)

Common Stock

Shares
13,481,283    $
3,970,854     

Amount

13    $
5     

72,105    $
80,248     

Additional
Paid-In
Capital

Accumulated
Other

Comprehensive     Accumulated    
Income (loss)

Deficit

Total
Stockholders’  
Equity

Balance as of January 1, 2021
Issuance of common stock for cash, net
Settlement of Xencor warrant for cash and

common stock

Warrants issued to lenders as debt

inducement

Exercise of warrants
Exercise of stock options
Stock-based compensation
Loss on foreign currency translation
Net loss
Balance as of December 31, 2021
Issuance of common stock for cash
Exercise of warrants for cash
Stock-based compensation
Loss on foreign currency translation
Net loss
Balance as of December 31, 2022

11    $
-     

-     

-     
-     
-     
-     
(10)    
-     
1     
-     
-     
-     
(700)    
-     
(699)   $

(33,375)   $
-     

38,754 
80,253 

-     

(15,000)

-     
-     
-     
-     
-     
(30,340)    
(63,715)    
-     
-     
-     
-     
(27,299)    
(91,014)   $

619 
18 
1,135 
4,796 
(10)
(30,340)
80,225 
699 
30 
7,149 
(700)
(27,299)

60,104

192,533     

-     

(15,000)    

-     
15,633     
183,000     
-     
-     
-     
17,843,303     
82,900     
19,792     
-     
-     
-     
17,945,995    $

-     
-     
-     
-     
-     
-     
18     
-     
-     
-     
-     
-     
18    $

619     
18     
1,135     
4,796     
-     
-     
143,921     
699     
30     
7,149     
-     
-     
151,799    $

See accompanying notes to these consolidated financial statements.

F-5 

INMUNE BIO INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021
(In thousands)

CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss

2022

2021

  $

(27,299)   $

(30,340)

 
   
      
  
   
      
  
   
   
   
 
   
      
  
   
 
   
      
  
   
      
  
   
   
 
   
      
  
 
   
      
  
 
   
      
  
   
 
   
      
  
   
      
  
   
 
 
 
 
 
 
 
 
   
   
 
 
   
   
   
   
   
 
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
   
 
   
     
 
Adjustments to reconcile net loss to net cash used in operating activities:

Stock-based compensation
Impairment of right of use asset
Accretion of debt discount

Changes in operating assets and liabilities:

Research and development tax credit receivable
Other tax receivable
Prepaid expenses and other current assets
Prepaid expenses – related party
Other assets
Accounts payable and accrued liabilities
Accounts payable and accrued liabilities – related parties
Deferred liabilities
Accrued liability – long-term
Operating lease liabilities

Net cash used in operating activities

CASH FROM INVESTING ACTIVITIES

Cash paid to Xencor to settle warrant for acquired research and development intangible assets

Net cash used in investing activities

CASH FLOWS FROM FINANCING ACTIVITIES:

Net proceeds from the issuance of debt
Net proceeds from sale of common stock
Net proceeds from the exercise of stock options
Net proceeds from the exercise of warrants
Net cash provided by financing activities

Impact on cash from foreign currency translation

NET (DECREASE) INCREASE IN CASH

CASH AT BEGINNING OF YEAR
CASH AT END OF YEAR

SUPPLEMENTAL DISCLOSURE OF CASH FLOWS INFORMATION:

Cash paid for income taxes
Cash paid for interest expense

NONCASH INVESTING AND FINANCING ACTIVITIES:

7,149     
89     
239     

(3,186)    
229     
(1,749)    
(20)    
-     
1,473     
(71)    
142     
351     
(33)    
(22,686)    

4,796 
- 
126 

(3,227)
(478)
(2,058)
(14)
(99)
2,215 
46 
284 
199 
46 
(28,504)

-     
-     

(15,000)
(15,000)

-     
699     
-     
30     
729     

14,951 
80,253 
1,135 
18 
96,357 

(700)    

(10)

(22,657)    
74,810     
52,153    $

52,843 
21,967 
74,810 

-    $
1,372    $

- 
559 

  $

  $
  $

Common stock issued to Xencor to settle warrant issued for acquired research and development intangible assets   $
  $
Warrants issued to lenders as debt inducement

-    $
-    $

3,300 
619 

See accompanying notes to these consolidated financial statements.

F-6 

INMUNE BIO INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1 – ORGANIZATION AND BASIS OF PRESENTATION

Organization and Business Overview

INmune Bio, Inc. (the “Company” or “INmune Bio”) was organized in the State of Nevada on September 25, 2015 and is a clinical stage biotechnology
pharmaceutical  company  focused  on  developing  and  commercializing  its  product  candidates  to  treat  diseases  where  the  innate  immune  system  is  not
functioning  normally  and  contributing  to  the  patient’s  disease.  INmune  Bio  has  two  product  platforms.  The  DN-TNF  product  platform  utilizes  dominant-
negative technology to selectively neutralize soluble TNF, a key driver of innate immune dysfunction and mechanistic target of many diseases. DN-TNF is
currently being developed for Alzheimer’s and treatment resistant depression (“XPro”) and cancer (“INB03”) and an out-licensing strategy for Duchenne’s
Muscular  Dystrophy  (“DMD”).  The  Natural  Killer  Cell  Priming  Platform  includes  INKmune  aimed  at  priming  the  patient’s  NK  cells  to  eliminate  minimal
residual  disease  in  patients  with  cancer.  INmune  Bio’s  product  platforms  utilize  a  precision  medicine  approach  for  the  treatment  of  a  wide  variety  of
hematologic malignancies, solid tumors and chronic inflammation.

Basis of Presentation and Principles of Consolidation

The accompanying consolidated financial statements of the Company have been prepared in accordance with Generally Accepted Accounting Principles
(“US GAAP”) in the United States of America and the rules of the Securities and Exchange Commission (“SEC”).

The  consolidated  financial  statements  herein  have  been  prepared  in  accordance  with  US  GAAP  and  include  the  accounts  of  INmune  Bio,  its  wholly-
owned UK subsidiary, and its wholly-owned Australia subsidiary (collectively, the “Company”). All significant intercompany accounts and transactions have
been eliminated.

NOTE 2 – LIQUIDITY

As of December 31, 2022, the Company had an accumulated deficit of $ 91,014,000 and experienced losses since its inception. The Company had cash,
cash equivalents of $52,153,000 as of December 31, 2022 and has not generated positive cash flows from operations. To date, the Company has funded
its operations primarily through the sale of its common stock. Although it is difficult to predict the Company’s liquidity requirements, as of December 31,

   
      
  
   
   
   
   
      
  
   
   
   
   
   
   
   
   
   
   
   
 
   
      
  
   
      
  
   
   
 
   
      
  
   
      
  
   
   
   
   
   
 
   
      
  
   
 
   
      
  
   
   
 
   
      
  
   
      
  
 
   
      
  
   
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
2022,  and  based  upon  the  Company’s  current  operating  plan,  the  Company  believes  that  it  will  have  sufficient  cash  to  meet  its  projected  operating
requirements for at least the next 12 months following the filing date of this Annual Report on Form 10-K based on the balance of cash available as of
December 31, 2022.

Management expects operating losses to continue for the foreseeable future. There can be no assurance that the Company will ever earn revenues or
achieve profitability, or if achieved, that they will be sustained on a continuing basis. In addition, the manufacturing, clinical and preclinical development
activities  as  well  as  the  commercialization  of  the  Company’s  products,  if  approved,  will  require  significant  additional  financing.  The  Company  may  be
unable to secure such financing when needed, or if available, such financings may be under terms that are unfavorable to the Company or the current
stockholders. If the Company is unable to raise additional funds when needed, it may be required to delay, reduce the scope of, or eliminate development
programs, which may adversely affect its business and operations.

F-7 

NOTE 3 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Use of Estimates

Preparing financial statements in conformity with US GAAP requires management to make estimates and assumptions that affect the reported amounts of
assets, liabilities, revenue, and expenses. Actual results and outcomes may differ from management’s estimates and assumptions.

Risks and Uncertainties

The Company is subject to risks and uncertainties as a result of the COVID-19 pandemic. The extent of the impact of the COVID-19 pandemic on the
Company’s  business  is  highly  uncertain  and  difficult  to  predict.  Also,  economies  worldwide  have  also  been  negatively  impacted  by  the  COVID-19
pandemic, however policymakers around the globe have responded with fiscal policy actions to support the healthcare industry and economy as a whole.
The magnitude and overall effectiveness of these actions remain uncertain.

In addition, the Company’s clinical trials have been affected by and may continue to be affected by the COVID-19 pandemic. Clinical site initiation and
patient enrollment have and may continue to be delayed due to prioritization of hospital resources toward the COVID-19 pandemic. Some patients have
not, and others may not be able to comply with clinical trial protocols if quarantines impede patient movement or interrupt healthcare services. Similarly,
the ability to recruit and retain patients and principal investigators and site staff who, as healthcare providers, may have heightened exposure to COVID-
19, may adversely impact the Company’s clinical trial operations.

The severity of the impact of the COVID-19 pandemic on the Company’s business will depend on a number of factors, including, but not limited to, the
duration  and  severity  of  the  pandemic  and  the  extent  and  severity  of  the  impact  on  the  Company’s  service  providers,  suppliers,  contract  research
organizations  (“CROs”)  and  the  Company’s  clinical  trials,  all  of  which  are  uncertain  and  cannot  be  predicted.  As  of  the  date  of  issuance  of  Company’s
financial  statements,  the  extent  to  which  the  COVID-19  pandemic  may  materially  impact  the  Company’s  financial  condition,  liquidity  or  results  of
operations is uncertain.

Cash and Cash Equivalents

The Company considers all highly liquid instruments purchased with an original maturity of  three months or less to be cash equivalents. The Company
holds cash in banks in excess of Federal Deposit Insurance Corporation insurance limits. However, the Company believes risk of loss is minimal as the
cash is held by large, highly-rated financial institutions. 

F-8 

Research and Development Tax Incentive Receivable

The Company, through its wholly-owned subsidiary in Australia, participates in the Australian research and development tax incentive program, such that
a percentage of our qualifying research and development expenditures are reimbursed by the Australian government, and such incentives are reflected as
a  reduction  of  research  and  development  expense.  The  Australian  research  and  development  tax  incentive  is  recognized  when  there  is  reasonable
assurance that the incentive will be received, the relevant expenditure has been incurred and the amount of the consideration can be reliably measured.
At each period end, management estimates the reimbursement available to the Company based on available information at the time.

The Company, through its wholly-owned subsidiary in the United Kingdom, participates in the research and development program provided by the United
Kingdom  tax  relief  program,  such  that  a  percentage  of  our  qualifying  research  and  development  expenditures  are  reimbursed  by  the  United  Kingdom
government, and such incentives are reflected as a reduction of research and development expense. The United Kingdom research and development tax
incentive  is  recognized  when  there  is  reasonable  assurance  that  the  incentive  will  be  received,  the  relevant  expenditure  has  been  incurred  and  the
amount of the consideration can be reliably measured. At each period end, management estimates the reimbursement available to the Company based
on available information at the time.

Intangible Assets

The Company capitalizes costs incurred in connection with in-process research and development purchased from others if the asset has alternative uses
and  such  uses  are  not  restricted  under  applicable  license  agreements;  patent  applications  (principally  legal  fees),  patent  purchases,  and  trademarks
related  to  its  cell  line  as  intangible  assets.  Acquired  in-process  research  and  development  costs  that  do  not  have  alternative  uses  are  expensed  as
incurred. When the assets are determined to have a finite life (upon completion of the development of the in-process research and development for its
DN-TNF platform), the useful life will be determined, and the in-process research and development intangible assets will be amortized.

During the fourth quarter and if business factors indicate more frequently, the Company performs an assessment of the qualitative factors affecting the fair
value of our in-process research and development. If the qualitative assessment suggests that impairment is more likely than not, a quantitative analysis is
performed. The quantitative analysis involves a comparison of the fair value of the in-process research and development with the carrying amount. If the
carrying amount of the in-process research and development exceeds its fair value, an impairment loss is recognized in an amount equal to that excess.
During the years ended December 31, 2022 and 2021, the Company performed a qualitative assessment of its in-process research and development and

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
determined that there were no indicators of impairment.

Basic and Diluted Loss per Share

Basic loss per share is computed by dividing net loss available to common shareholders by the weighted average number of outstanding common shares
during the period. Diluted loss per share gives effect to all dilutive potential common shares outstanding during the period. Dilutive loss per share excludes
all potential common shares if their effect is anti-dilutive. For all periods presented, there is no difference in the number of shares used to calculate basic
and diluted shares outstanding due to the Company’s net loss position.

At  December  31,  2022,  the  Company  had  4,841,417  potentially  issuable  shares  of  common  stock  upon  the  exercise  of  stock  options  and  74,074
potentially issuable shares of common stock upon the exercise of warrants.

At  December  31,  2021,  the  Company  had  4,097,000  potentially  issuable  shares  of  common  stock  upon  the  exercise  of  stock  options  and  93,866
potentially issuable shares of common stock upon the exercise of warrants.

F-9 

Revenue Recognition

The  Company  recognizes  revenue  when  the  customer  obtains  control  of  promised  goods  or  services,  in  an  amount  that  reflects  the  consideration  the
Company expects to receive in exchange for those goods or services. The Company recognizes revenue following the five-step model prescribed under
ASC Topic 606: (1) identify contract(s) with a customer; (2) identify the performance obligations in the contract; (3) determine the transaction price; (4)
allocate  the  transaction  price  to  the  performance  obligations  in  the  contract;  and  (5)  recognize  revenues  when  (or  as)  the  Company  satisfies  the
performance obligations. The Company records the expenses related to revenue in research and development expense, in the periods such expenses
were incurred.

The Company records deferred revenues when cash payments are received or due in advance of performance, including amounts which are refundable.

The Company’s 2022 and 2021 revenue was from the sale of MSC’s to one and three customers, respectively, and was recognized when the MSC’s were
delivered to the customers. 

Stock-Based Compensation

The  Company  utilizes  the  Black-Scholes  option  pricing  model  to  estimate  the  fair  value  of  stock  option  awards  at  the  date  of  grant,  which  requires  the
input of highly subjective assumptions, including expected volatility and expected life. Changes in these inputs and assumptions can materially affect the
measure  of  estimated  fair  value  of  our  share-based  compensation.  These  assumptions  are  subjective  and  generally  require  significant  analysis  and
judgment to develop. When estimating fair value, some of the assumptions will be based on, or determined from, external data and other assumptions
may  be  derived  from  our  historical  experience  with  stock-based  payment  arrangements.  The  appropriate  weight  to  place  on  historical  experience  is  a
matter of judgment, based on relevant facts and circumstances. The Company accounts for forfeitures of stock options as they occur.

Research and Development

Research and development (“R&D”) costs are expensed as incurred. Research and development credits are recorded by the Company as a reduction of
research and development costs. Major components of research and development costs include cash compensation, stock-based compensation, costs of
preclinical studies, clinical trials and related clinical manufacturing, costs of drug development, costs of materials and supplies, facilities cost, overhead
costs, regulatory and compliance costs, and fees paid to consultants and other entities that conduct certain research and development activities on the
Company’s behalf.

The Company recognizes grants as contra research and development expense in the consolidated statement of operations on a systematic basis over the
periods in which the entity recognizes as expenses the related costs for which the grants are intended to compensate.

Income Taxes

The Company follows the liability method of accounting for income taxes. Under this method, deferred income tax assets and liabilities are recognized for
the  estimated  tax  consequences  attributable  to  differences  between  the  financial  statement  carrying  values  and  their  respective  income  tax  basis
(temporary differences). The effect on deferred income tax assets and liabilities of a change in tax rates is recognized in income in the period that includes
the enactment date.

Foreign Currency Translation

The Company’s financial statements are presented in the U.S. dollar (“$”), which is the Company’s reporting currency, while its functional currencies are
the  U.S.  Dollar  for  its  U.S.  based  operations,  British  Pound  (“GBP”)  for  its  United  Kingdom-based  operations  and  Australian  Dollars  (“AUD”)  for  its
Australian-based operations. All assets and liabilities are translated at the exchange rate on the balance sheet date, stockholders’ equity is translated at
historical  rates  and  statement  of  operations  items  are  translated  at  the  weighted  average  exchange  rate  for  the  period.  The  resulting  translation
adjustments  are  reported  under  other  comprehensive  income.  Gains  and  losses  resulting  from  the  translations  of  foreign  currency  transactions  and
balances are reflected in the statement of operations and comprehensive loss.

Recently Adopted Accounting Pronouncements

In  June  2016,  the  FASB  issued  ASU  No.  2016-13,  Financial  Instruments—Credit  Losses  (Topic  326),  Measurement  of  Credit  Losses  on  Financial
Instruments, as clarified in subsequent amendments. ASU 2016-13 changes the impairment model for certain financial instruments. The new model is a
forward-looking  expected  loss  model  and  will  apply  to  financial  assets  subject  to  credit  losses  and  measured  at  amortized  cost  and  certain  off-balance
sheet credit exposures. This includes loans, held-to-maturity debt securities, loan commitments, financial guarantees and net investments in leases, as
well as trade receivables. For available-for-sale debt securities with unrealized losses, credit losses will be measured in a manner similar to today, except
that the losses will be recognized as allowances rather than reductions in the amortized cost of the securities. In October 2019, the FASB voted to delay
the effective date of this standard. Topic 326 will be effective for the Company on January 1, 2023. The Company does not expect this standard to have a
material effect on the Company’s financial statements.

 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
F-10 

Subsequent Events

The Company has evaluated all transactions through the financial statement issuance date for subsequent disclosure consideration.

NOTE 4 – RESEARCH AND DEVELOPMENT ACTIVITY

According to UK tax law, the Company is allowed an R&D tax credit that reduces a company’s tax bill in the UK for expenses incurred in R&D subject to
certain  requirements.  The  Company’s  UK  subsidiary  submits  R&D  tax  credit  requests  annually  for  research  and  development  expenses  incurred.  At
December 31, 2022 and 2021, the Company had a research and development tax credit receivable of $2,690,000 and $3,319,000, respectively for R&D
expenses  incurred  in  the  UK.  During  the  years  ended  December  31,  2022  and  2021,  the  Company  received  $0  and  $814,000  of  R&D  tax  credit
reimbursements, respectively from the UK. During January 2023, the Company received $2,710,000 of R&D tax credit reimbursements from the UK.

According to AUS tax law, the Company is allowed an R&D tax credit that reduces a company’s tax bill in AUS for expenses incurred in R&D subject to
certain requirements. The Company’s Australian subsidiary submits R&D tax credit requests annually for research and development expenses incurred. At
December 31, 2022 and 2021, the Company had a research and development tax credit receivable of $5,409,000 and $1,594,000, respectively, for R&D
expenses  incurred  in  Australia.  During  the  years  ended  December  31,  2022  and  2021,  the  Company  received  $0  and  $1,296,000  of  R&D  tax  credit
reimbursements, respectively from Australia. During February 2023, the Company received $3,763,000 of R&D tax credit reimbursements from Australia.

Xencor, Inc. License Agreement

On October 3, 2017, the Company entered into a license agreement (“Xencor License Agreement”) with Xencor, Inc. (“Xencor”), which has discovered
and  developed  a  proprietary  biological  molecule  that  inhibits  soluble  tumor  necrosis  factor.  During  June  2021,  the  Company  entered  into  the  First
Amendment to License Agreement. Pursuant to the license agreement, Xencor granted the Company an exclusive worldwide, royalty-bearing license in
licensed  patent  rights,  licensed  know-how  and  licensed  materials  (as  defined  in  the  license  agreement)  to  make,  develop,  use,  sell  and  import  any
pharmaceutical product that comprises, contains, or incorporates Xencor’s proprietary protein known as “XPro” that inhibits soluble tumor necrosis factor
(or all modifications, formulations and variants of the licensed protein that specifically bind soluble tumor necrosis factor) alone or in combination with one
or more active ingredients, in any dosage or formulation (“Licensed Products”). The Company believes the protein has numerous medical applications.
Such  additional  alternative  applications  of  the  technology  are  available  under  the  Xencor  License  Agreement.  In  connection  with  the  Xencor  License
Agreement,  the  Company  paid  Xencor  a  one-time  non-creditable  and  non-refundable  fee  of  $100,000  and  issued  Xencor  1,585,000  shares  of  the
Company’s common stock with a fair value of $12,221,000. In addition, the Company issued Xencor fully vested warrants with a fair value of $ 4,193,000
to  purchase  an  additional  number  of  shares  of  common  stock  equal  to 10%  of  the  fully  diluted  company  shares  immediately  following  such  purchase,
which warrant has since been cancelled (see the description below). The aggregate purchase price for the full exercise of the warrant was $10,000,000.

The Company recorded $16,514,000 for the acquisition of intangible assets for the in-process research and development as the fair value of the cash,
stock  and  warrants  on  the  date  of  the  License  Agreement  acquisition  in  accordance  with  Accounting  Standards  Codification  730  – Research  and
Development. The Company has the license rights to pursue alternative applications of the technology as part of its future development plans.

The Company also agreed to pay Xencor a  5% royalty on Net Sales of all Licensed Products in a given calendar year, which are payable on a country-by-
country and licensed product by licensed product basis until the date that is the later of (a) the expiration of the last to expire valid claim covering such
Licensed Product in such country or (b) ten years following the first sale to a third party of the licensed product in such country.

F-11 

Under the Xencor License Agreement, the Company also agreed to pay Xencor a percentage of any sublicensing revenue that it receives.

On June 10, 2021, the Company and Xencor entered into an Option Cancellation Agreement whereby Xencor terminated its warrant to purchase  10% of
the fully diluted shares of the Company in exchange for a cash payment of $15,000,000 and 192,533 shares of the Company’s common stock with a fair
value of $3,300,000 based on the market price of the common stock as of June 10, 2021, which the Company issued in June 2021. The Company filed a
registration statement covering the resale of these shares during September 2021 and agreed to keep the registration statement continuously effective
until  all  such  shares  cease  to  be  outstanding  or  otherwise  cease  to  be  registrable  securities  as  defined  in  the  Option  Cancellation  Agreement.  The
Company  charged  the  cash  consideration  paid  to  Xencor  to  enter  into  the  Option  Cancellation  Agreement  to  equity  as  the  fair  value  of  the  warrant
immediately prior to the Option Cancellation Agreement was greater than the consideration paid to Xencor.

INKmune License Agreement

On  October  29,  2015,  the  Company  entered  into  an  exclusive  license  agreement  (the  “INKmune  License  Agreement”)  with  Immune  Ventures,  LLC
(“Immune Ventures”). Pursuant to the INKmune License Agreement, the Company was granted exclusive worldwide rights to the patents, including rights
to  incorporate  any  improvements  or  additions  to  the  patents  that  may  be  developed  in  the  future.  In  consideration  for  the  patent  rights,  the  Company
agreed to the following milestone payments:

(in thousands) 
Each Phase I initiation
Each Phase II initiation
Each Phase III initiation
Each NDA/EMA filing
Each NDA/EMA awarded

  $
  $
  $
  $
  $

25 
250 
350 
1,000 
9,000 

During July 2021, the Company initiated a Phase I clinical trial using INKmune and the Company paid Immune Ventures a $ 25,000 milestone payment.

In addition, the Company agreed to pay the licensor a royalty of  1% of net sales during the life of each patent granted to the Company. The License is
owned  by  Immune  Ventures.  RJ  Tesi,  the  Company’s  President  and  a  member  of  our  Board  of  Directors,  David  Moss,  its  Chief  Financial  Officer  and
Treasurer and Mark Lowdell, its Chief Scientific Officer, are the owners of Immune Ventures. As of December 31, 2022 and December 31, 2021, no sales
had occurred under this license.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The term of the agreement began on October 29, 2015 and, if not terminated sooner pursuant to the agreement, ends on a country-by-country basis on
the date of the expiration of the last to expire patent rights where patent rights exists. Upon the termination of the agreement, we shall have a fully paid up,
perpetual, royalty-free license without further obligation to Immune Ventures. The agreement can be terminated by Immune Ventures if, after 60 days from
the Company’s receipt of notice that the Company has not made a payment under the agreement, and the Company still does not make this payment. On
July 20, 2018, the parties amended the agreement under which the Company was required achieve milestones pursuant to the agreement. On October
30, 2020, the parties executed an additional amendment to the agreement under which the Company is required to achieve the following milestones:

Initiation of Phase II clinical trials or equivalent by October 29, 2023

Initiation of Phase III clinical trials or equivalent by October 29, 2025

Filing of NDA or equivalent by October 29, 2026 or equivalent

If the Company doesn’t achieve the above milestones, it is required to negotiate in good faith with Immune Ventures to determine how it can either remedy
the failure or achieve an alternate development. If the Company fails to make any required efforts, or if the efforts do not remedy the situation within 60
days of written notice by Immune Ventures, then Immune Ventures may provide notice to terminate the license or convert it to a non-exclusive license.

University of Pittsburg License Agreement

On October 3, 2017, the Company entered into an Assignment and Assumption Agreement with Immune Ventures related to intellectual property licensed
from the University of Pittsburgh. Pursuant to the Assignment and Assumption Agreement (“Assignment Agreement”), Immune Ventures assigned all of its
rights, obligations and liabilities under an Exclusive License Agreement between the University of Pittsburgh – Of the Commonwealth System of Higher
Education (“Licensor”) and Immune Ventures to INmune Bio (“Licensee”), (the “PITT Agreement”).

F-12 

Consideration under the PITT Agreement includes: (i) annual maintenance fees, (ii) royalty payments based on the sale of products making use of the
licensed technology, and (iii) milestone payments.

Annual maintenance fees under the PITT Agreement include: $ 5,000 due June 26 of each year 2020-2022; $ 10,000 due on June 26 of each year 2023-
2024; and $25,000 due on June 26 of each year 2025 and annually thereafter until first commercial sale. The Company had no amounts owed pursuant to
the PITT Agreement as of December 31, 2022.

(in thousands)
June 26 of each year 2020-2022
June 26 of each year 2023-2024
June 26 of each year 2025 until first commercial sale

  $
  $
  $

5 
10 
25 

Upon first commercial sale of a product making use of the licensed technology under the PITT Agreement, the Licensee is required to pay royalties equal
to 2.5% of Net Sales each calendar quarter. There were no commercial sales of product making use of the licensed technology under the PITT Agreement
in 2022.

Moreover, under the PITT Agreement the Licensee is required to make milestone payments as follows:

(in thousands)
Each Phase I initiation
Each Phase III initiation
First commercial sale of product making use of licensed technology

  $
  $
  $

50 
500 
1,250 

The Company made a $50,000 milestone payment in March 2019 pursuant to the PITT Agreement as a result of a Phase I initiation.  The PITT Agreement
expires upon the earlier of: (i) expiration of the last claim of the Patent Rights forming the subject matter of the PITT Agreement; or (ii) the date that is 20
years from the effective date of the agreement (June 26, 2037).

The Licensee may terminate the PITT Agreement upon 3 months prior written notice provided all payments under the license are current. The Licensor
may terminate the PITT Agreement upon written notice if: (i) Licensee defaults as to performance of material obligations which have not been cured within
60  days  after  receiving  written  notice;  or  (ii)  Licensee  ceases  to  carry  out  its  business,  becomes  bankrupt  or  insolvent,  applies  for  or  consents  to  the
appointment of a trustee, receiver or liquidator of its assets or seeks relief under any law for the aid of debtors.

NOTE 5 – FAIR VALUE MEASUREMENTS

The following table presents the hierarchy for assets and liabilities measured at fair value on a recurring basis:

(in thousands)
December 31, 2022:
Cash equivalents

Money market fund
Total cash equivalents

Quoted
Price in
Active Market
(Level 1)

Significant
Other
Observable
Inputs
(Level 2)

Significant
Unobservable
Inputs 
(Level 3)

Total

  $
  $

51,058    $
51,058    $

51,058    $
51,058    $

       -    $
-    $

         - 
- 

The Company had no assets and liabilities measured at fair value on a recurring basis as of December 31, 2021.

F-13 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
    
    
    
  
 
    
    
    
  
 
 
 
NOTE 6 – LEASE

In May 2019, the Company signed a sublease agreement with CTI Clinical Trial & Consulting Services (“CTI”) for office space in La Jolla, California. The
lessor was CTI Clinical Trial & Consulting Services (“CTI”). CTI is majority-owned by a member of the Company’s Board of Directors. During 2022, the
Company entered into a sublease termination agreement with CTI whereby the Company paid CTI $153,000 to terminate the sublease. During the year
ended December 31, 2022, the Company recorded a right-of-use asset impairment of $89,000 within general and administrative expenses.

In September 2021, the Company signed a lease with a third party for office space in Boca Raton, Florida. The lease agreement has a  64-month term and
commenced during the fourth quarter of 2021.

Below is a summary of the Company’s right-of-use assets and liabilities:

(in thousands, except years and rate)
Right-of-use asset (La Jolla lease)
Right-of-use asset (Boca Raton lease)
Total

Operating lease, current liability (La Jolla lease)
Operating lease, current liability (Boca Raton lease)
Total

Long-term operating lease liability (La Jolla lease)
Long-term operating lease liability (Boca Raton lease)

Total lease liability

Weighted-average remaining lease term

Weighted-average discount rate

NOTE 7 – RELATED PARTY TRANSACTIONS

UCL

December 31,
2022

December 31,
2021

  $

  $

  $

  $

- 
507 
507 

- 
87 
87 

- 
526 
526 
613 

  $

  $

  $

  $

118 
608 
726 

52 
20 
72 

84 
620 
704 
776 

4.3 years 

4.6 years 

12.0%   

10.0%

At December 31, 2022 and 2021, the Company owed UCL Consultants Limited (“UCL”) $ 0 and $10,000, respectively, in connection with medical research
performed  on  behalf  of  the  Company.  During  the  years  ended  December  31,  2022  and  2021,  the  Company  paid  UCL  $586,000  and  $218,000,
respectively, for medical research performed on behalf of the Company. UCL is a wholly owned subsidiary of the University of London. The Company’s
Chief Scientific and Manufacturing Officer is a professor at the University of London.

CTI

During the years ended December 31, 2022 and 2021, the Company paid CTI $ 153,000 and $38,000, respectively, pursuant to its sublease agreement
with CTI. See Note 6. The Company also paid CTI $5,000 in 2022 for medical research performed on behalf of the Company.

AmplifyBio

During the years ended December 31, 2022 and 2021, the Company paid AmplifyBio $ 230,000 and $0, respectively, to perform certain medical research
on behalf of the Company. The CEO of AmplifyBio is on the Board of Directors of the Company.

NOTE 8 – DEBT

On June 10, 2021, the Company entered into a Loan and Security Agreement (the “Term Loan”) with Silicon Valley Bank and SVB Innovation Credit Fund
VIII, L.P., together (the “Lenders”).  The Term Loan provides for a $ 15.0 million term loan, of which the Company borrowed the entire amount on June 10,
2021 and is secured by the Company’s assets.  The Term Loan also provides for the Company to request an additional $5.0 million term loan from the
Lenders, which may be granted or denied at the sole discretion of the Lenders.

F-14 

The term loan and debt discount are as follows as of December 31, 2022:

(in thousands) 
Term Loan
Less: debt discount and financing costs, net
Less: current portion
Long-term debt

  $

  $

15,000 
(303)
(5,000)
9,697 

For the years ended December 31, 2022 and 2021, the Company recognized interest expense of $ 2,014,000 and $985,000, respectively, related to the
Term Loan. 

The  term  loan  repayment  schedule  provided  for  interest  only  payments  beginning  on  July  1,  2021,  and  continuing  for  12  months,  followed  by  monthly
principal and interest payments, starting on July 1, 2022 and continuing through the maturity date of January 1, 2025. During August 2021, the Lenders
extended  the  interest-only  period  for  one  year  due  to  the  Company  achieving  an  equity  milestone  as  fully  defined  in  the  Term  Loan.  As  a  result  of
achieving the equity milestone, monthly principal and interest payments begin on July 1, 2023. All outstanding principal and accrued and unpaid interest
will be due and payable on the maturity date.  The Term Loan provides for an annual interest rate equal to the greater of (i) the prime rate then in effect as

 
 
 
 
 
 
 
 
 
   
   
 
   
  
   
  
   
   
   
   
 
   
  
   
  
   
   
   
   
 
   
   
 
   
  
   
  
   
   
 
   
  
   
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
reported in The Wall Street Journal plus 4.50% and (ii)  7.75%. At December 31, 2022, the interest rate was  12.0%.

The Term Loan includes a final payment fee equal to  6.5% of the original principal amount borrowed payable on the earlier of the repayment of the loan in
full and the maturity date.  The Company has the option to prepay the outstanding balance of the term loans in full, subject to a prepayment premium of (i)
2% of the original principal amount borrowed for any prepayment after the first anniversary and on or before the second anniversary of the loan or (ii)  1%
of the original principal amount borrowed for any prepayment after the second anniversary of the loan but before the maturity date.

The expected repayment of the $ 15.0 million Term loan principal is as follows as of December 31, 2022:

(in thousands, except years)
2022
2023
2024
Total debt

  $

- 
5,000 
10,000 
15,000 

Upon  the  occurrence  of  certain  events,  including  but  not  limited  to  the  Company’s  failure  to  satisfy  its  payment  obligations  under  the  Term  Loan,  the
breach of certain of its other covenants under the Term Loan, or the occurrence of a material adverse change, the Lenders will have the right, among
other  remedies,  to  declare  all  principal  and  interest  immediately  due  and  payable,  and  will  have  the  right  to  receive  the  final  payment  fee  and,  if  the
payment of principal and interest is due prior to maturity, the applicable prepayment fee. The Company violated certain non-financial debt covenants as of
December 31, 2022 and received a waiver from the Lenders waiving these debt covenant violations.

F-15 

NOTE 9 – STOCKHOLDERS’ EQUITY

Common Stock – Issuance to Directors and Officers

During the year ended December 31, 2022, directors and officers of the Company purchased  82,900 shares of the Company’s common stock from the
Company at $8.43 per share (which was the closing price of the Company’s common stock on March 22, 2022) for gross proceeds of $ 699,000.

Common Stock – At the Market Offerings

During  April  2020,  the  Company  entered  into  a  sales  agreement  with  BTIG,  LLC  (“BTIG"),  as  sales  agent,  to  establish  an  ATM  offering  to  sell  up  to
$10.0 million of the Company’s common stock (the “2020 ATM”). In August 2020, the sales agreement was amended whereby the aggregate offering was
increased from $10.0 million to $30.0 million. During the year ended December 31, 2021,  the Company sold 1,439,480 shares of its common stock at an
average  price  of  $20.17  per  share  under  the  2020  ATM  agreement.  The  aggregate  net  proceeds  were  approximately  $28.4  million  after  BTIG’s
commission and other offering expenses. 

During March 2021, the Company entered into a sales agreement with BTIG, as agent, to establish an At-The-Market (“ATM”) offering of up to $ 45 million
of common stock (the “2021 ATM”), subject to certain limitations on the amount of common stock that may be offered and sold by the Company set forth in
the sales agreement. During the year ended December 31, 2021, the Company sold 713,192 shares of its common stock at an average price of $21.73
per  share  under  the  2021  ATM  agreement.  The  aggregate  net  proceeds  were  approximately  $14.9  million  after  BTIG’s  commission  and  other  offering
expenses. 

Registered Direct Offering

During July 2021, the Company completed a registered direct offering whereby the Company sold  1,818,182 shares of its common stock to investors for
gross proceeds of $38.0 million (net proceeds of $36.9 million).

Issuance of shares to Xencor

On June 10, 2021, the Company and Xencor entered into an Option Cancellation Agreement whereby the Company issued  192,533 shares of its common
stock to Xencor (See Note 4).

Stock options

During  2022,  the  Company  granted  certain  employees  and  directors  options  to  purchase  819,000  shares  of  its  common  stock  pursuant  to  the  2021
Incentive Stock Plan. The stock options had a fair value of approximately $5.5 million that was calculated using the Black-Scholes option-pricing model.
Variables used in the Black-Scholes option-pricing model  include:  (1)  discount  rate  of  1.60%  - 3.06% based on the applicable US Treasury bill rate (2)
expected  life  of 6.0  – 10.0  years,  (3)  expected  volatility  of  approximately  105%  - 108%  based  on  the  trading  history  of  similar  companies,  and
(4) zero expected dividends.

During 2021, the Company granted various employees, consultants and directors options to purchase  823,000 shares of common stock pursuant to the
2021, 2019 and 2017 Incentive Stock Plans. The stock options vest over zero to four years and had a fair value of $ 14,027,000 that was calculated using
the Black-Scholes option-pricing model. Variables used in the Black-Scholes option-pricing model include: (1) discount rate of  0.78-1.49%% based on the
applicable US Treasury bill rate (2) expected life of 6.00-10.00 years, (3) expected volatility of approximately  105%-114% based on the trading history of
similar companies, and (4) zero expected dividends.

At December 31, 2022, the Company had  607,108 shares reserved for issuance, of which  591,132 shares were available for issuance pursuant to the
2021  Incentive  Stock  Plan, 7,313  shares  were  available  for  issuance  pursuant  to  the  2019  Incentive  Stock  Plan,  and  8,663  shares  were  available  for
issuance pursuant to the 2017 Stock Incentive Plan.

The following table summarizes stock option activity:

 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
(in thousands, except share and per share amounts)
Outstanding at January 1, 2021
Options granted
Options exercised
Options cancelled
Outstanding at December 31, 2021
Options granted
Options exercised
Options cancelled
Outstanding at December 31, 2022

Exercisable at December 31, 2022

Number of
Shares

Weighted-
average
Exercise
Price

Weighted-
average
Remaining
Contractual
Term
(years)

Aggregate
Intrinsic
Value

3,457,000    $
823,000    $
(183,000)   $
-    $
4,097,000    $
819,000    $
-    $
(74,583)   $
4,841,417    $
3,601,817    $

5.82     
20.63     
6.21     
-     
8.67     
8.01     
-     
11.68     
8.60     

7.38     

8.05     
10.0     
-     
-     
7.21     
10.0     
-     
-     
6.28    $

6.97    $

- 
- 
- 
- 
- 
- 
- 
- 
4,155 

4,108 

F-16 

During  the  years  ended  December  31,  2022  and  2021,  the  Company  recognized  stock-based  compensation  expense  of  $ 7,149,000  and  $4,796,000,
respectively, related to stock options. As of December 31, 2021, there was $11,198,000 of total unrecognized compensation cost related to non-vested
stock options which is expected to be recognized over a weighted-average period of 2.23 years.

Warrants

The Company issued warrants to the Company’s lenders upon obtaining its loan in June 2021. The warrants have a  10-year term and an exercise price of
$14.05. At December 31, 2022,  45,386 of these warrants are outstanding and the intrinsic value of these warrants is $ 0.

The  Company  issued  warrants  to  its  placement  agents  in  connection  with  its  February  2019  initial  public  offering.  The  warrants  are  exercisable  until
December 19, 2023 and have an exercise price of $9.60. At December 31, 2022,  28,688 of these warrants are outstanding and the intrinsic value is $ 0.

During  the  year  ended  December  31,  2022,  a  third  party  exercised  19,792  warrants  which  were  issued  in  2017  for  cash  proceeds  of  approximately
$30,000. The Company issued  19,792 shares of its common stock in connection with the exercise of warrants.

Stock-based Compensation by Class of Expense

The  following  summarizes  the  components  of  stock-based  compensation  expense  in  the  consolidated  statements  of  operations  for  the  years  ended
December 31, 2022 and 2021 respectively:

Research and development
General and administrative
Total

Shareholder Rights Agreement

Year Ended
December 31,
2022
2,645,000    $
4,504,000     
7,149,000    $

Year Ended
December 31,
2021
1,651,000 
3,145,000 
4,796,000 

  $

  $

On December 30, 2020, the Board of Directors (the “Board”) of the Company approved and adopted a Rights Agreement, dated as of December 30, 2020,
by  and  between  the  Company  and  VStock  Transfer,  LLC,  as  rights  agent,  pursuant  to  which  the  Board  declared  a  dividend  of  one  preferred  share
purchase right (each, a “Right”) for each outstanding share of the Company’s common stock held by stockholders as of the close of business on January
11,  2021. When  exercisable,  each  right  initially  would  represent  the  right  to  purchase  from  the  Company  one  one-thousandth  of  a  share  of  a  newly
designated series of preferred stock, Series A Junior Participating Preferred Stock, par value $0.001 per share, of the Company, at an exercise price of
$300.00  per  one  one-thousandth  of  a  Series  A  Junior  Participating  Preferred  Share,  subject  to  adjustment.  Subject  to  various  exceptions,  the  Rights
become exercisable in the event any person (excluding certain exempted or grandfathered persons) becomes the beneficial owner of twenty percent or
more of the Company’s common stock without the approval of the Board. The Rights Agreement shall expire on December 30, 2023.

F-17 

Preferred Stock

In 2020, the Company designated  45,000 shares of its preferred stock with par value of $ 0.001 per share as Series A Junior Participating Preferred Stock.
The  remaining 9,955,000  shares  of  preferred  stock  with  par  value  of  $ 0.001  remain  undesignated. None  of  the  preferred  shares  were  issued  and
outstanding at December 31, 2022 and 2021.

NOTE 10 – INCOME TAXES

The provision for income taxes consists of the following components:

Current expense (benefit)

December 31,
2022

December 31,
2021

  $

-    $

- 

 
   
   
   
 
   
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
   
     
 
Federal

Foreign
Current income tax expense

Deferred expense (benefit)
Federal
Foreign
Deferred income tax
Net deferred taxes

-     

-     
-     

-     
-     
-     
-     
-    $

- 

- 
- 

- 
- 
- 
- 
- 

  $

A reconciliation of income tax benefit computed using the federal statutory income tax rate to the Company’s tax expense is as follows:

(in thousands, except percentage)
Federal tax benefit at statutory rate (21%)
Stock-based compensation
State income tax benefit, net of federal tax effect
Foreign tax differential
Research credits
Other
Return to provision adjustment
Change in valuation allowance
Income tax benefit

F-18 

December 31, 
2022

December 31, 
2021

  $

  $

(5,733)   $
1,049     
(269)    
(237)    
18     
3     
(1,774)    
6,943     
-    $

(6,381)
1,156 
(519)
(41)
2,372 
2 
166 
3,245 
- 

The principal components of deferred tax assets and liabilities consist of the following at December 31, 2022 and 2021, respectively:

(in thousands)

Deferred tax assets
Stock-based compensation
Research and development
Federal NOL carryforwards
State NOL carryforwards
Foreign NOL carryforwards
Total deferred tax assets
Less valuation allowance
Net deferred tax assets

December 31, 
2022

December 31, 
2021

  $

  $

1,386    $
1,114     
5,441     
1,487     
4,307     
13,735     
(13,735)    
-    $

934 
- 
3,702 
- 
2,156 
6,792 
(6,792)
- 

At December 31, 2022, the Company had a federal net operating loss carryforward of approximately $ 25.9 million. The net operating loss carryforwards
for 2017 will begin to expire in the year ending December 31, 2037. The net operating loss carryforwards starting in 2018 have no expiration.

The Company’s gross deferred tax assets of $ 13.7 million and $ 6.8 million at December 31, 2022 and 2021, respectively, primarily consist of net operating
loss carryforwards for income tax purposes. A valuation allowance is required to be recorded when it is not more likely than not that some portion or all of
the net deferred tax assets will be realized. Since the Company cannot be assured of generating taxable income and thereby realizing the net deferred tax
assets, a full valuation allowance has been recorded. The change in the valuation allowance was $6,943,000 during the year ended December 31, 2022.

The Company recognizes uncertain tax positions in accordance with ASC 740 on the basis of evaluating whether it is more likely than not that the tax
positions  will  be  sustained  upon  examination  by  tax  authorities.  For  those  tax  positions  that  meet  the  more-likely-than  not  recognition  threshold,  we
recognize  the  largest  amount  of  tax  benefit  that  is  more  than 50  percent  likely  to  be  realized  upon  ultimate  settlement.  As  of  December  31,  2022,  and
2021,  the  Company  has  no  significant  uncertain  tax  positions.  There  are  no  unrecognized  tax  benefits  included  on  the  balance  sheet  that  would,  if
recognized, impact the effective tax rate. The Company does not anticipate there will be a significant change in unrecognized tax benefits within the next
12 months.

NOTE 11 – COLLABORATIVE AGREEMENTS

During 2020, the Company was awarded a $ 500,000 grant from the Amyotrophic Lateral Sclerosis (“ALS”) Association to fund a study of the efficacy of
XPro to reverse ALS in vitro and to fund a study of the efficacy of XPro to protect against ALS model phenotypes in vivo. All of the proceeds pursuant to
the grant were received prior to 2022. The grant period for the study ended December 31, 2022 and the Company has recorded a payable of $18,000 to
the ALS Association in accounts payable and accrued liabilities for amounts received but not spent as of December 31, 2022.

During September 2020, the Company was awarded a grant of up to $2.9 million from the National Institutes of Health (“NIH”). The grant will support a
Phase 2 study of XPro in patients with treatment resistant depression. As of December 31, 2022, the Company has not received any proceeds pursuant
to this grant. 

F-19 

NOTE 12 – COMMITMENTS AND CONTINGENCIES

Lease

   
   
   
 
   
      
  
   
   
   
   
 
 
 
   
 
   
   
   
   
   
   
   
 
 
 
 
 
   
 
 
    
  
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
During September 2021, the Company signed a lease agreement with a third party for office space in Boca Raton, Florida. The operating lease has a 64-
month term and commenced during the fourth quarter of 2021.

Future minimum payments pursuant to the leases are as follows:

(in thousands, except years)

  2023
  2024
  2025
  2026
  2027
  Total lease payments
  Less: imputed interest
  Present value of future lease payments
  Less: operating lease, current liabilities
  Long-term operating lease liabilities

    $

    $

166 
186 
193 
198 
51 
794 
(181)
613 
(87)
526 

During the years ended December 31, 2022 and 2021, the Company recognized $ 209,000 and $102,000, respectively, in operating lease expense, which
is included in general and administrative expenses in the Company’s consolidated statement of operations.

Litigation

The Company is subject to claims and suits that arise from time to time in the ordinary course of our business. Although management currently believes
that resolving claims against the Company, individually or in aggregate, will not have a material adverse impact in the Company’s consolidated financial
statements, these matters are subject to inherent uncertainties and management’s view of these matters may change in the future. 

NOTE 13 – SUBSEQUENT EVENTS

During February 2023, the Company issued  605,000 stock options with a  10-year life and an exercise price of $ 9.74 to certain employees and directors.
The stock options had a fair value of approximately $4.5 million that was calculated using the Black-Scholes option-pricing model.

F-20 

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

None.

Item 9A. Controls and Procedures

Disclosure Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure controls
and  procedures  as  of  December  31,  2022.  The  term  “disclosure  controls  and  procedures,”  as  defined  in  Rules  13a-15(e)  and  15d-15(e)  under  the
Securities Exchange Act of 1934, as amended (the “Exchange Act”), means controls and other procedures of a company that are designed to ensure that
information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and
reported,  within  the  time  periods  specified  in  the  SEC’s  rules  and  forms.  Disclosure  controls  and  procedures  include,  without  limitation,  controls  and
procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is
accumulated and communicated to the company’s management, including its principal executive and principal financial officers, as appropriate to allow
timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can
provide  only  reasonable  assurance  of  achieving  their  objectives  and  management  necessarily  applies  its  judgment  in  evaluating  the  cost-benefit
relationship  of  possible  controls  and  procedures.  Based  on  the  evaluation,  our  Chief  Executive  Officer  and  Chief  Financial  Officer  concluded  that  our
disclosure controls and procedures were effective at the reasonable assurance level as of December 31, 2022.

Attestation Report of the Registered Public Accounting Firm

Our independent registered public accounting firm will not be required to formally attest to the effectiveness of our internal controls over financial reporting
for as long as we are an “emerging growth company” pursuant to the provisions of the Jumpstart Our Business Startups Act.

Management’s Report on Internal Control Over Financial Reporting

Our  CEO  and  our  CFO  are  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial  reporting,  as  such  term  is  defined  in
Exchange Act Rules 13a-15(f). Management conducted an assessment of the effectiveness of our internal control over financial reporting as of December
31, 2022. In making this assessment, management used the criteria described in Internal Control-Integrated Framework (2013) issued by the Committee
of Sponsoring Organizations of the Treadway Commission (“COSO”). Our management concluded that our internal controls over financial reporting were
effective based on those criteria, as of December 31, 2022.

Changes in Internal Control over Financial Reporting

None.

Item 9B. Other Information

None.

Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

 
 
 
 
     
     
     
     
     
     
     
     
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Not applicable.

72 

PART III

Certain information required by Part III is omitted from this report because the Company will file a definitive proxy statement within 120 days after the end
of its fiscal year pursuant to Regulation 14A (the Proxy Statement) for its annual meeting of stockholders, and certain information included in the Proxy
Statement is incorporated herein by reference.

Item 10. Directors, Executive Officers and Corporate Governance

The information required by this Item 10 will be set forth in the Proxy Statement and is incorporated in this report by reference.

Item 11. Executive Compensation

The information required by this item will be set forth in the Proxy Statement and is incorporated in this report by reference.

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Equity Compensation Plan Information

The following table provides certain information with respect to all of our compensation plans in effect as of December 31, 2022:

(C)
Number of
Securities
Remaining
Available for
Future
Issuance
Under Equity
Compensation
Plans
(excluding
securities
reflected in
column(A))

8.60     
—     
8.60     

607,108(2)

— 
607,108 

(A)
Number of
Securities to
be Issued
Upon
Exercise of
Outstanding
Options,
Warrants and
Rights
4,841,417(1)  $

— 
4,841,417 

  $

(B)
Weighted
Average
Exercise Price
of Outstanding
Options,
Warrants and
Rights

Plan Category
Equity Compensation Plans approved by stockholders
Equity Compensation Plans not approved by stockholders
Total

(1) Consists  of  shares  subject  to  outstanding  stock  options,  under  the  INmune  Bio  Inc.  2021  Stock  Incentive  Plan  (the  “2021  Plan”),  the    2019  Stock
Incentive Plan (the “2019 Plan”) and INmune Bio Inc. 2017 Stock Incentive Plan (the “2017 Plan) some of which are vested and some of which remain
subject to the vesting of the respective equity award.

(2) Consists  of  shares  available  for  future  issuance  under  the  2021  Plan,  2019  Plan  and  the  2017  Plan.  As  of  December  31,  2022,  an  aggregate  of
591,132 shares of common stock were available for issuance under the 2021 Plan, 7,313 shares of common stock were available for issuance under
the 2019 Plan and 8,663 shares of common stock were available for issuance under the 2017 Plan.

Other

The other information required by this item will be set forth in the Proxy Statement and is incorporated in this report by reference.

Item 13. Certain Relationships and Related Transactions, and Director Independence

The information required by this item will be set forth in the Proxy Statement and is incorporated in this report by reference.

Item 14. Principal Accounting Fees and Services

The information required by this item will be set forth in the Proxy Statement and is incorporated in this report by reference.

73 

PART IV

Item 15. Exhibits.

Exhibit No.   Description of Exhibit
1.1

Form of Placement Agent Agreement (Incorporated by reference to Exhibit 1.1 to the Registration Statement on Form S-1/A filed with the
SEC on November 20, 2018).

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
   
   
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
   
1.2

3.1

3.2

3.3

4.1

4.2

4.3

4.4

4.5

4.6

10.1

10.2

10.3

10.4

10.5

10.6

10.7

10.8

10.9

10.10

10.11

10.12

10.13

10.14

10.15

  Underwriting Agreement dated July 16, 2020 (Incorporated by reference to Exhibit 1.1 to the Current Report on Form 8-K filed with the SEC

on July 16, 2020).

Certificate of Incorporation (Incorporated by reference to Exhibit 3.1 to the Registration Statement on Form S-1 filed with the SEC on August
30, 2018).

  Bylaws (Incorporated by reference to Exhibit 3.2 to the Registration Statement on Form S-1 filed with the SEC on August 30, 2018).

Certificate of Designations of Series A Junior Participating Preferred Stock of INmune Bio Inc. (Incorporated by reference to Exhibit 3.1 to the
Company’s Current Report on Form 8-K Filed with the SEC on December 30, 2020).

Description of Securities of INmune Bio Inc. (Incorporated by reference to Exhibit 4.1 to our Annual Report on Form 10-K filed with the SEC
on March 3, 2022).

Form of Registrant’s common stock certificate (Incorporated by reference to Exhibit 4.1 to the Registration Statement on Form S-1/A filed
with the SEC on September 26, 2018).

Form of Placement Agent Common Stock Warrant (Incorporated by reference to Exhibit 4.2 to the Registration Statement on Form S-1/A
filed with the SEC on September 26, 2018).

Rights Agreement, dated as of December 30, 2020 (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K
filed with the SEC on December 30, 2020).

Amendment No. 1 to the Rights Agreement between INmune Bio Inc. and VStock Transfer, LLC (Incorporated by reference to Exhibit 4.1 to
the Company’s Current Report on Form 8-K filed with the SEC on December 21, 2021).

Amendment No. 2 to the Rights Agreement between INmune Bio Inc. and VStock Transfer, LLC (Incorporated by reference to Exhibit 4.1 to
the Company’s Current Report on Form 8-K filed with the SEC on December 12, 2022).

Form of Subscription Agreement (Incorporated by reference to Exhibit 10.1 to the Registration Statement on Form S-1 filed with the SEC on
August 30, 2018).

License  Agreement  between  INmune  Bio  Inc.  and  Immune  Ventures  LLC  (Incorporated  by  reference  to  Exhibit  10.2  to  the  Registration
Statement on Form S-1 filed with the SEC on August 30, 2018).

Assignment and Assumption Agreement with Immune Ventures LLC (Incorporated by reference to Exhibit 10.3 to the Registration Statement
on Form S-1 filed with the SEC on August 30, 2018).

Exclusive License Agreement by the University of Pittsburgh of the Common Wealth system of Higher Education and Immune Ventures LLC
(Incorporated by reference to Exhibit 10.4 to the Registration Statement on Form S-1 filed with the SEC on August 30, 2018).

First  Amendment  to  Exclusive  License  Agreement  by  and  between  the  University  of  Pittsburgh  of  the  Commonwealth  system  of  Higher
Education and Immune Ventures, LLC (Incorporated by reference to Exhibit 10.5 to the Registration Statement on Form S-1 filed with the
SEC on August 30, 2018).

Material Transfer and License Agreement between Anthony Nolan Cord Blood Bank and Immune Bio International LTD. (Incorporated by
reference to Exhibit 10.7 to the Registration Statement on Form S-1 filed with the SEC on August 30, 2018).

74 

Employment  Agreement  between  INmune  Bio  Inc.  and  Raymond  Tesi  (Incorporated  by  reference  to  Exhibit  10.8  to  the  Registration
Statement on Form S-1 filed with the SEC on August 30, 2018).

Employment Agreement between INmune Bio Inc. and David Moss (Incorporated by reference to Exhibit 10.9 to the Registration Statement
on Form S-1 filed with the SEC on August 30, 2018).

Consulting Agreement between INmune Bio Inc. and Mark Lowdell (Incorporated by reference to Exhibit 10.10 to the Registration Statement
on Form S-1 filed with the SEC on August 30, 2018).

INmune Bio Inc. 2017 Stock Incentive Plan (Incorporated by reference to Exhibit 10.11 to the Registration Statement on Form S-1 filed with
the SEC on August 30, 2018).

Form of Incentive Option Agreement with employees (Incorporated by reference to Exhibit 10.12 to the Registration Statement on Form S-1
filed with the SEC on August 30, 2018).

Form of Incentive Option Agreement with non-employee directors (Incorporated by reference to Exhibit 10.13 to the Registration Statement
on Form S-1 filed with the SEC on August 30, 2018).

License Agreement between INmune Bio Inc. and Xencor, Inc. (Incorporated by reference to Exhibit 10.15 to the Registration Statement on
Form S-1 filed with the SEC on August 30, 2018).

Amendment to the Consultancy Agreement between INmune Bio Inc. and Mark Lowdell (Incorporated by reference to Exhibit 10.17 to the
Registration Statement on Form S-1 filed with the SEC on August 30, 2018).

First Amendment to Stock Issuance Agreement (Incorporated by reference to Exhibit 10.20 to the Registration Statement on Form S-1 filed
with the SEC on August 30, 2018).

 
   
 
 
   
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
10.16

10.17

10.18

10.19

10.20

10.21

10.22

10.23

10.24

10.25

10.26

10.27

10.28

Form of Waiver of Registration Rights. (Incorporated by reference to Exhibit 10.21 to the Registration Statement on Form S-1/A filed with the
SEC on September 26, 2018).

Form  of  Subscription  Agreement  to  be  used  in  connection  with  the  Best  Efforts  Offering  (Incorporated  by  reference  to  the  Registration
Statement on Form S-1/A filed with the SEC on September 26, 2018).

Purchase  Agreement  between  INmune  Bio  Inc.  and  Lincoln  Park  Capital  Fund,  LLC,  dated  May  15,  2019  (Incorporated  by  reference  to
Exhibit 10.1 to the Current Report on Form 8-K filed with the SEC on May 16, 2019).

75 

Registration  Rights  Agreement  between  INmune  Bio  Inc.  and  Lincoln  Park  Capital  Fund,  LLC,  dated  May  15,  2019  (Incorporated  by
reference to Exhibit 10.2 to the Current Report on Form 8-K filed with the SEC on May 16, 2019).

Amendment to Securities Purchase Agreement between INmune Bio Inc. and Raymond J. Tesi (Incorporated by reference to Exhibit 10.1 to
the Current Report on Form 8-K filed with the SEC on May 17, 2019).

Amendment to Securities Purchase Agreement between INmune Bio Inc. and David J. Moss (Incorporated by reference to Exhibit 10.2 to
the Current Report on Form 8-K filed with the SEC on May 17, 2019).

Sublease between INmune Bio Inc. and CTI-Clinical Trial Services, Inc. (Incorporated by reference to Exhibit 99.1 to the Current Report on
Form 8-K filed with the SEC on May 24, 2019).

Amendment No. 2 to Securities Purchase Agreement between INmune Bio Inc. and Raymond J. Tesi (Incorporated by reference to Exhibit
10.3 to the Current Report on Form 8-K filed with the SEC on May 24, 2019).

INmune Bio Inc. 2019 Stock Incentive Plan (Incorporated by reference to Exhibit 10.29 to the Form 10-K filed with the SEC on March 11,
2020).

At-the-Market Sales Agreement, dated April 16, 2020 (Incorporated by reference to Exhibit 1.1 to the Current Report on Form 8-K filed with
the SEC on April 17, 2020).

Amendment No. 1 to At-the-Market Sales Agreement 2020 (Incorporated by reference to Exhibit 1.1 to the Current Report on Form 8-K filed
with the SEC on August 19, 2020).

Employment Agreement effective as of January 1, 2021 between INmune Bio Inc. and Raymond J. Tesi (incorporated by reference to our
Annual Report on Form 10-K filed with the SEC on March 4, 2021).

Employment Agreement effective as of January 1, 2021 between INmune Bio Inc. and David Moss (incorporated by reference to our Annual
Report on Form 10-K filed with the SEC on March 4, 2021).

10.29

  Form of Securities Purchase Agreement (incorporated by reference to the Current Report on 8-K filed with the SEC on July 15, 2021).

10.30

  Form of Placement Agency Agreement (incorporated by reference to the Current Report on Form 8-K filed with the SEC on July 15, 2021).

10.31

10.32

10.33

10.34

10.35

Lease  Agreement  dated  September  13,  2021  (incorporated  by  reference  to  the  Current  Report  on  Form  8-K  filed  with  the  SEC  on
September 15, 2021).

At-the-Market  Sales  Agreement,  dated  March  10,  2021  between  the  Company  and  BTIG,  LLC  (incorporated  by  reference  to  the  Current
Report on Form 8-K filed with the SEC on March 11, 2021).

Financial Advisory Agreement dated March 29, 2021 between the Company and National Securities Corp. (incorporated by reference to the
Current Report on Form 8-K filed with the SEC on March 29, 2021).

INmune  Bio  Inc.  2021  Stock  Incentive  Plan  (incorporated  by  reference  to  the  Current  Report  on  Form  8-K  filed  with  the  SEC  on  June  3,
2021).

Option Cancellation Agreement between the Company and Xencor, Inc. (incorporated by reference to the Current Report on Form 8-K filed
with the SEC on June 15, 2021).

76 

10.36

  First Amendment to License Agreement (incorporated by reference to the Current Report on Form 8-K filed with the SEC on June 15, 2021).

10.37

  Loan and Security Agreement (incorporated by reference to the Current Report on Form 8-K filed with the SEC on June 15, 2021).

10.38

10.39

10.40

Warrant  to  purchase  common  stock  issued  to  SVB  Innovation  Credit  Fund  VIII,  L.P.  (incorporated  by  reference  to  the  Current  Report  on
Form 8-K filed with the SEC on June 15, 2021).

Warrant to purchase common stock issued to Silicon Valley Bank (incorporated by reference to the Current Report on Form 8-K filed with the
SEC on June 15, 2021).

Form  of  nonqualified  stock  option  agreement  option  agreement  between  the  Company  and  non-employee  directors  (incorporated  by
reference to the Current Report on Form 8-K filed with the SEC on June 24, 2021).

 
 
   
 
 
   
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
 
   
 
   
 
 
   
 
 
   
 
10.41

Form of incentive stock option agreement between the Company and employees (incorporated by reference to the Current Report on Form
8-K filed with the SEC on June 24, 2021).

10.42

  Securities Purchase Agreement (incorporated by reference to the Current Report on Form 8-K filed with the SEC on July 15, 2021).

10.43

  Placement Agency Agreement (incorporated by reference to the Current Report on Form 8-K filed with the SEC on July 15, 2021).

10.44

10.45

21.1

23.1

31.1

31.2

32.1

32.2

Lease  Agreement  dated  September  13,  2021  (incorporated  by  reference  to  the  Current  Report  on  Form  8-K  filed  with  the  SEC  on
September 15, 2021).

Form  of  Securities  Purchase  Agreement  (incorporated  by  reference  to  the  Current  Report  on  Form  8-K  filed  with  the  SEC  on  March  24,
2022).

  Subsidiaries.

  Consent of Marcum LLP, independent registered public accounting firm.

  Certification of principal executive officer pursuant to Section 3.02 of the Sarbanes-Oxley Act of 2002.

  Certification of principal financial officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

  Certification of principal executive officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

  Certification of principal financial officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS

  Inline XBRL Instance Document

101.SCH   Inline XBRL Taxonomy Extension Schema Document

101.CAL

  Inline XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF

  Inline XBRL Taxonomy Extension Definition Linkbase Document

101.LAB

  Inline XBRL Taxonomy Extension Label Linkbase Document

101.PRE

  Inline XBRL Taxonomy Extension Presentation Linkbase Document

104

  Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

Item 16. Form 10-K Summary

None.

77 

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its
behalf by the undersigned, thereunto duly authorized.

Dated: March 2, 2023

Dated: March 2, 2023

INMUNE BIO INC.

/s/ Raymond J. Tesi, M.D.
Raymond J. Tesi, M.D.
Chief Executive Officer
(Principal Executive Officer)

/s/ David J. Moss
David J. Moss
Chief Financial Officer
(Principal Financial and Accounting Officer)

Pursuant  to  the  requirements  of  the  Securities  Exchange  Act  of  1934,  this  report  has  been  signed  below  by  the  following  persons  on  behalf  of  the
registrant and in the capacities and on the dates indicated.

Signature

Title

Date

 /s/ Raymond J. Tesi, M.D.
Raymond J. Tesi, M.D.

/s/ David J. Moss
David J. Moss

/s/ Timothy Schroeder
Timothy Schroeder

President, Chief Executive Officer and Director
(Principal Executive Officer)

March 2, 2023

Chief Financial Officer, Treasurer, Secretary
(Principal Financial and Accounting Officer)

March 2, 2023

Director

March 2, 2023

 
   
 
 
   
 
   
 
   
 
 
   
 
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
/s/ J. Kelly Ganjei
J. Kelly Ganjei

/s/ Scott Juda, JD
Scott Juda, JD

/s/ Edgardo Baracchini
Edgardo Baracchini

/s/ Marcia Allen
Marcia Allen

Director

Director

Director

Director

78

March 2, 2023

March 2, 2023

March 2, 2023

March 2, 2023