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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, 2023

☐ 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.)

225 NE Mizner Blvd, Suite 640
Boca Raton, FL 33432
(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  $ 106  million  as  of  the  last
business  day  of  the  registrant’s  most  recently  completed  second  fiscal  quarter  (June  30,  2023),  based  upon  the  closing  sale  price  for  the  registrant’s
common stock on that day as reported by the NASDAQ Capital Market. For purposes of this computation only, all executive officers and directors have
been deemed affiliates. 

As of March 27, 2024, there are  18,026,473 shares of common stock, $0.001 par value per share outstanding.

DOCUMENTS INCORPORATED BY REFERENCE

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Certain  information  in  Part  III  of  this  Annual  Report  on  Form  10-K  is  incorporated  by  reference  to  our  definitive  Proxy  Statement  for  the  2024  Annual
Meeting of Shareholders to be filed with the Securities and Exchange Commission within 120 days after the fiscal year ended December 31, 2023.

FORM 10-K
FOR THE YEAR ENDED DECEMBER 31, 2023

TABLE OF CONTENTS

Item Number and Caption
Forward-Looking Statements

PART I

1.
1A. 
1B. 
1C.
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
Cybersecurity
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

1
33
58
58
58
58
58

59
59
59
68
F-1
69
69
69
69

70

70
70
70
70
70

71
74
75

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  or  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  seen  in  cancer  where
Natural  Killer  (“NK”)  cells  are  impaired  and  facilitate  a  tumor’s  evasion  of  the  immune  system  and  subsequent  disease  progression.  Further,
immunologically-mediated  chronic  inflammation  causes  expression  of  MUC4,  inducing  immunosuppressive  cells  of  the  tumor  microenvironment  to
proliferate and protect the tumor from attack by the patient’s immune system. Chronic inflammation is implicated in neurologic and metabolic diseases
where it impairs the innate immune system. Our initial focus is on the treatment of cancer, Alzheimer’s Disease (“AD”), Treatment Resistant Depression
(“TRD”)  and  an  out-licensing  strategy.  In  cancer,  we  plan  to  pursue  two  parallel  development  programs:  (1)  with  INKmune  we  are  treating  men  with
castration-resistant,  metastatic  prostate  cancer  (“mCPRC”);  (2)  with  INB03,  we  plan  to  develop  pre-clinical  data  in  cancers  that  express  MUC4,  a
mucinous  polyglucan  on  the  surface  of  some  epithelial  cancer  cells  with  a  goal  to  out-license  the  program.  MUC4  expression  appears  to  predict
resistance 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 a Phase II
trial is open in, UK, EU, Australia and Canada. XPro for TRD is being prepared for Phase II trials and will start after the current AD global Phase II trial
has  completed  recruitment.  In  early  2023,  the  Company  also  announced  pre-clinical  data  in  Duchene’s  Muscular  Dystrophy  (“DMD”)  including  new
intellectual property for the purpose of trying to seek partnership for the development of this program. DMD is an 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 typically 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 us to expand the treatment of oncology patients with our lead
product candidate INKmune;

●

pursue pre-clinical development strategies to facilitate out-licensing INB03;

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

lead product candidate, 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 program to treat castration resistant prostate cancer 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 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,  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, societal 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 developed
a way to manufacture human mesenchymal stromal cells for the medical research and biotech community that offers large volumes of high-quality, low
passage  human  umbilical  cord  mesenchymal  stromal  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  from  US
sources in the future. We have developed a validated manufacturing process that reliably produces clinical grade (“cGMP”) quality mesenchymal stromal
cells that we call CORDstrom. The manufacturing process is currently performed at a contract manufacturing site under the direction of Mark Lowdell, the
Company’s CSO. To date, we are supporting a multicenter academic clinical trial in the UK with CORDstrom. This is a Phase I/IIb trial sponsored by the
Great  Ormond  Street  Children’s  Hospital  in  London  treating  children  with  the  most  severe  form  of  Erythematous  Bullosa  (“EB”),  a  disfiguring  and
sometimes fatal skin disease that is similar to a second degree burn. INmune Bio is supplying the clinical product for treatment of these patients. The
Company does not know the results of this trial 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  stromal  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.  FDA-approved  dendritic  cell  therapies  such  as
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 in the
future.

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  alters  the  immunologic  environment  of  the  TME  to  promote  tumor  killing.  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-durextecn; 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  current  priority.  We
continue to produce pre-clinical data for use of INB03 in cancer indications with a goal to find a development partner or out-license the program. The
Company does not have plans to perform clinical trials with INB03 at this time.

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. 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 was 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), EEG 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  is  enrolling  a  global  blinded  randomized  Phase  II  trial  in  ADi  patients  with  Early  AD  in  Australia  (“AUS”),  Canada  (“CAN”),  the
United Kingdom (“UK”), Spain (“ES”), France (“FR”), Germany (“DE”), Poland (“PO”), the Czech Republic (“CZ”), Slovakia (“SL”) and the United States
(“US”). Early AD is patients that have MCI (Mild Cognitive Impairment) or mild AD. The XPro produced by KBI is being used in the Phase II trial. After
completion of the Phase II trial, patients will be offered to enroll in the Phase II open label extension trial (OLE). An Expanded Access Scheme in patients
who completed the Phase I trial in AUS. 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.

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.  Additional  data  was  presented  on  January  21,  2021CSF  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).

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%. 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 AD2). 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 AD3). The CSF proteome
data is only partially analyzed. Additional data may result from these ongoing analytics.

8

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 ongoing blinded randomized global Phase II 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. Exploratory structural and function biomarkers of brain function and structural
integrity using EEG and MRI DTI will be used in some or all patients. All patients will be eligible to continue XPro for 12 additional months in the Open
Label Extension trial. 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 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 2H24. 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 or anti-obesity GLP-1 drugs, is given once a week.
More  frequent  treatment  cannot  be  ruled  out  for  future  indications.  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.

9

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.
One lot has been converted into drug product using the US fill/finish facility of Vetter Pharma. Half of the first lot is frozen as drug substance at -80C with
a plan to convert to drug product as clinical supplies are needed to support the AD and TRD Phase II trials in May 2024. The unfrozen drug product is
being  used  in  the  ongoing  AD02  AD  trial.  The  remainder  of  the  original  fermentation  runs  is  frozen  as  a  cell  paste  with  a  plan  to  process  to  drug
substance.  The  company  expects  to  convert  the  drug  substance  to  drug  product  1H25.  Downstream  processing  to  drug  product  and  fill/finish  to  drug
product of the cell paste will occur in 2025 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. The company has two Phase III readiness programs in progress in preparation for the Phase III pivotal trial in
patients  with  AD.  The  Company  is  working  on  the  yield  of  the  drug  product  using  the  existing  E.coli-based  system.  A  second  program  is  focused  on
down-stream process improvements in the drug manufacturing program. Once the new strain and 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. At this time we do not plan additional clinical trials with INB03 in oncology. A Phase I
trial with XPro in patients with Alzheimer’s disease is underway. 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 and the
Expanded Access Scheme.

INB03 Product Development Path: Continued pre-clinical studies to find a partner or out-license the progam

Phase  I  open  label  study  in  patients  with  advanced  solid  tumors  has  been  completed.  All  future  cancer  studies  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. The Company does not plan to perform further
clinical studies with INB03 in oncology at this time. We continue to support pre-clinical studies as we search for a partner or an out-licensing opportunity.

10

INB03 Pre-clinical 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.

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.

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 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. A partner
or licensee of INB03 may take a similar path to registration as XPro. The Company cannot predict details of any INB03 registration strategy.

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. Experient biomarkers including MRI measures of white matter tract neuroinflammation, axonal quality
and axon myelin, and MRI measures of gray matter quality were included. 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 informed the design of the Phase II trials described above.

11

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  2024.  We  have  an  active  partnering  position  as  it  relates  to  XPro  development  in
neurodegenerative  and  neuropsychiatric  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.

12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
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).

13

The ability of NK cells to kill tumor cells depends on the strength and duration of the cell-cell interaction. This is called 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.

14

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 castration resistant prostate cancer, 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 its Phase I clinical trial in men with metastatic castrate
resistant  prostate  cancer  (mCRPC)..  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 15-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.

 
 
 
 
 
 
 
 
 
 
 
 
15

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. Due to market opportunities, the Company has closed the high-risk MDS trial to focus on solid
tumors. The Company plans to put all of its INKmune development efforts into the on-going US Phase I/II trial in men with mCRPC.

16

INKmune Registration Studies and/or Partnering

During March 2023 the Company opened an Investigational New Drug (“IND”) application for a Phase I/II trial of INKmune in metastatic castrate
resistant prostate cancer (mCPRC). The clinical trial is an open label Phase I/II trial in men with metastatic castrate resistant prostate cancer. The trial
has  a  modified  Baysian  design  that  allows  for  a  3  patient  Phase  I  for  each  dose  level  followed  by  a  6  patient  Phase  II  trial.  All  patients  will  receive  3
infusions of INKmune on days 1, 8 and 15. The three doses of INKmune at low, medium and high dose of INKmune is 1x10^8, 3x10^8 or 5 x10^8 cells
per  infusion  respectively.  INKmune  infusions  are  given  as  an  out-patient  with  the  use  of  pre-medication  or  additional  cytokines.  Patients  are  carefully
monitored for 6 months after the first dose of INKmune. There are four goals of the trial – determine safety in the target population; immunologic efficacy,
anti-tumor effects and select a dose for the pivotal trial. Immunologic efficacy is determined by an increase in the numbers of memory like NK cells in the
circulation of the patient and how long that increase lasts. In general, we are expecting the number of mlNK to double and to persist in the circulation of
the patient for more than 120 days. Anti-tumor effects will be monitored by serial testing of blood prostatic surface antigen level (blood PSA), prostate-
specific membrane antigen nuclear medicine scan (PMSA scan with piflufolastat F18; Pylarify®) and circulating tumor DNA. The Company enrolled the
first patient in the open label low dose Phase I cohorts of December 27, 2023. A second patient was enrolled in February 2024. The final patient in the
low dose cohort was enrolled in March 2024. The trial will enroll patients during all of 2024. The last patient in the Phase II cohorts is expected to be
enrolled  in  1H25  with  data  lock  2H25.  As  an  open  label  trial,  there  may  be  opportunities  to  see  patient  data  during  2024.  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  to  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.

17

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.

18

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 recently 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.

19

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 fifteen (15) issued patents and twenty-three (23) 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
39

# Issued
Patents

0
9

Geographical
Scope
 global
 global

Nominal Patent
Term
2024-2044
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

# Pending

Applications    
1
2

# Issued
Patents

0
6

Geographical
Scope
global
global

Nominal Patent
Term
2036-2043
2036-2043

20

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.

21

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.

22

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.

23

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.  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 or enrollment of the 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.

24

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.

25

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 and//or Phase III programs. Other venues such as Europe, Canada, Japan and other Pacific Rim countries may be included in
the development program in the future. 

26

The  INB03  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 early AD to be approved. Donanemab (Lilly), a third drug anti-amyloid therapy for early AD is expected to be approved 2Q24.
These two 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. The Company believes the anti-amyloid therapies will slowly
develop  market  share,  but  due  to  their  safety  and  efficacy  profile,  there  will  be  demand  for  safer  and  more  efficacious  therapies  that  do  not  target
amyloid.

27

 
 
 
 
 
 
 
 
 
 
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.

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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.

29

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.

30

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:

●

●

●

●

●

●

●

●

a n 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;

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;

31

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, 2023, we had 11 full-time employees and 6 part-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 will require additional capital to finance our operations to continue as a going concern, which may not be available to us on acceptable
terms, if at all. As a result, we may not complete the development and commercialization of our product candidates or develop new product
candidates and have substantial doubt about our ability to continue as a going concern.

● Our ability to successfully engage with, and satisfactorily respond to, requests for information from the FDA in the future.

● 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.

33

● 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.

RISKS RELATED TO OUR BUSINESS

There is doubt about our ability to continue as a going concern.

As  of  December  31,  2023,  the  Company  had  an  accumulated  deficit  of  $121,022,000.  Losses  have  principally  occurred  as  a  result  of  the
substantial  resources  required  for  research  and  development  of  the  Company’s  product  candidates  which  included  the  general  and  administrative
expenses associated with its organization and product development as well as the lack of sources of revenues until such time as the Company’s products
are  commercialized.  These  factors  raise  substantial  doubt  about  the  Company’s  ability  to  continue  as  a  going  concern  for  the  12  months  from  the
issuance  date  of  these  financial  statements.  These  financial  statements  do  not  include  any  adjustments  to  reflect  the  possible  future  effect  on  the
recoverability  and  classification  of  assets  or  the  amounts  and  classifications  of  liabilities  that  may  result  from  the  outcome  of  these  uncertainties.
Management  intends  to  pursue  additional  funding  and  implement  its  strategic  plan  to  allow  the  opportunity  for  the  Company  to  continue  as  a  going
concern, however, there cannot be any assurance that we will be successful in doing so. The opinion of our independent registered public accounts on
our audited financial statements for the year ended December 31, 2023, contains an explanatory paragraph regarding substantial doubt about our ability
to continue as a going concern.

There  is  no  assurance  that  we  will  be  successful  in  raising  the  additional  funds  needed  to  fund  our  business  plan.  If  we  are  not  able  to  raise
sufficient capital in the near future, our continued operations will be in jeopardy and we may be forced to cease operations and sell or otherwise transfer
all or substantially all of our remaining assets.

34

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.

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 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.

35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

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.

36

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.

By working with research collaborators patent rights may be jointly owned by different parties.

Certain of our licensors may have relied on third-party consultants or collaborators such that our licensors are not the sole and exclusive owners

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
of  the  patents  we  in-licensed.  If  other  third  parties  have  ownership  rights  to  our  in-licensed  patents,  the  license  granted  to  us  for  such  jointly  owned
patents may not be valid. Absent an agreement, each joint owner can independently sell, license, or otherwise exploit the jointly owned patent without
the approval of the other joint owner(s) and without having to account to each other for their revenues. Without the cooperation of all joint owners, none
can grant an exclusive license to a third party. Further, a jointly owned patent cannot be enforced unless all of the owners join in the lawsuit. If a co-
owner refuses to participate, the lawsuit cannot proceed. Certain of our in-licensed patents from Xencor show joint ownership between Xencor and a third
party. Xencor provided representations and warrants as to its ability to grant the rights provided in the license. In addition, Xencor is required to indemnify
us as to any breach of its representations, warranties and covenants made in the agreement.

Further,  our  rights  to  current  or  future  in-licensed  patents  and  patent  applications  may  be  dependent,  in  part,  on  inter-institutional  or  other
operating agreements between the joint owners of such in-licensed patents and patent applications. If one or more of such joint owners breaches such
inter-institutional or operating agreements, our rights to such in-licensed patents and patent applications may be adversely affected. Any of these events
could have a material adverse effect on our competitive position, business, financial conditions, results of operations, and prospects.

Intellectual  property  discovered  through  government  funded  programs  may  be  subject  to  federal  regulations  such  as  “march-in”  rights,
certain reporting requirements and a preference for U.S.-based companies. Compliance with such regulations may limit our exclusive rights
and limit our ability to contract with non-U.S. manufacturers.

Certain in-licensed patents (i.e. those from the University of Pittsburgh) were supported through the use of U.S. government funding. Pursuant to
the  Bayh-Dole  Act  of  1980,  the  U.S.  government  has  certain  rights  in  inventions  developed  with  government  funding.  These  U.S.  government  rights
include  a  non-exclusive,  non-transferable,  irrevocable  worldwide  license  to  use  inventions  for  any  governmental  purpose.  In  addition,  the  U.S.
government  has  the  right,  under  certain  limited  circumstances,  to  require  us  to  grant  exclusive,  partially  exclusive,  or  non-exclusive  licenses  to  any  of
these inventions to a third party if it determines that: (1) adequate steps have not been taken to commercialize the invention; (2) government action is
necessary to meet public health or safety needs; or (3) government action is necessary to meet requirements for public use under federal regulations
(also  referred  to  as  march-in  rights).  If  the  U.S.  government  exercised  its  march-in  rights  in  our  current  or  future  intellectual  property  rights  that  are
generated through the use of U.S. government funding or grants, we could be forced to license or sublicense intellectual property developed by us or that
we license on terms unfavorable to us, and there can be no assurance that we would receive compensation from the U.S. government for the exercise of
such rights. The U.S. government also has the right to take title to these inventions if the grant recipient fails to disclose the invention to the government
or fails to file an application to register the intellectual property within specified time limits. Intellectual property generated under a government funded
program is also subject to certain reporting requirements, compliance with which may require us to expend substantial resources. In addition, the U.S.
government  requires  that  any  products  embodying  any  of  these  inventions  or  produced  through  the  use  of  any  of  these  inventions  be  manufactured
substantially  in  the  United  States.  This  preference  for  U.S.  industry  may  be  waived  by  the  federal  agency  that  provided  the  funding  if  the  owner  or
assignee of the intellectual property can show that reasonable but unsuccessful efforts have been made to grant licenses on similar terms to potential
licensees  that  would  be  likely  to  manufacture  substantially  in  the  United  States  or  that  under  the  circumstances  domestic  manufacture  is  not
commercially  feasible.  This  preference  for  U.S.  industry  may  limit  our  ability  to  contract  with  non-U.S.  product  manufacturers  for  products  covered  by
such intellectual property.

37

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.

We  are  dependent  on  our  licensing  agreement  with  Xencor,  and  the  termination  of  this  agreement  could  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, which could be negatively impact
our business.

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(s);  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.

38

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.

39

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 is to take action on
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.

40

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.

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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
becomes 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 is
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.

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.

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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:

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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;

● w e 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;

43

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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

t h e 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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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.

44

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.

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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:

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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;

46

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 prove 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.

47

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;

48

●

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.

49

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  consent  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.

50

We will need to increase 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, 6 part-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.

51

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

52

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 the 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 provide
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.

Government regulations could impact our ability to price our products

U.S.  and  international  governmental  regulations  that  mandate  price  controls  or  limitations  on  patient  access  to  our  drugs  under  development,
create coverage criteria or establish prices paid by government entities or programs for our potential products could impact our business, and our future
results could be adversely affected by changes in such regulations or policies. In addition to the recent expansion of price controls in the U.S. in the IRA,
the adoption of restrictive coverage policies and price controls in new jurisdictions, more restrictive controls in existing jurisdictions or the failure to obtain
or  maintain  timely  or  adequate  coverage  and  pricing  could  also  adversely  impact  future  revenue.  We  expect  pricing  pressures  and  other  cost
containment measures for drugs and vaccines will continue globally.

In  the  U.S.,  pharmaceutical  product  pricing  is  subject  to  government  and  public  scrutiny  and  calls  for  reform,  and  many  of  our  products  are
subject to increasing pricing pressures as a result. We expect to see continued focus by the U.S. Congress and the Biden Administration on regulating
pricing and access to medicine. For example, in August 2022, the drug pricing provisions of the IRA were signed into law, which, among other things,
require manufacturers of certain drugs to engage in price negotiations with Medicare which will permit the CMS to set a maximum fair price for selected
drugs, impose rebates under Medicare Part B and Medicare Part D to penalize price increases that outpace inflation, and replace the Part D coverage
gap  discount  program  with  a  new  discounting  program.  The  drug  pricing  provisions  of  the  IRA  began  to  be  implemented  in  2022  and  implementation
efforts are expected to continue over the next several years. In August 2023, the Biden Administration unveiled the first round of medicines subject to the
Medicare Drug Pricing Negotiation Program. Health plans may also require rebates in addition to the maximum fair price for preferred placement on a
Medicare plan formulary. The Medicare Drug Price Negotiation Program is currently subject to legal challenges and therefore, the outcome of the 340B
Program remains uncertain.

53

Payors may promote generic drugs and biosimilars more aggressively to generate savings and attempt to stimulate additional price competition.
In addition, we expect that consolidation and integration among pharmacy chains, wholesalers and PBMs will increase pricing pressures in the industry.
Some  states  have  implemented,  and  others  are  considering,  patient  access  constraints  or  cost  cutting  under  state  regulated  programs  including  the
Medicaid program. State legislatures also have continued to focus on addressing drug costs, generally by increasing price transparency or attempting to
limit  drug  price  increases  for  state  regulated  insurance.  Measures  to  regulate  prices  or  payment  for  pharmaceutical  products,  including  legislation  on
drug importation, such as Florida’s drug importation program which was recently approved by the FDA, could adversely affect our business.

We  may  encounter  similar  regulatory  and  legislative  issues  in  other  countries  in  which  we  may  operate.  In  certain  markets,  such  as  in  EU
member states, the U.K., Japan, China, Canada and South Korea, governments have significant power as large single payors to regulate prices, access
criteria, or impose other means of cost control, particularly as a result of recent global financing pressures.

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.

54

A cybersecurity incident and other technological 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, gives 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.

Certain shares previously sold under our Sales Agreement with BTIG LLC with respect to our At-the-Market Offering may have been sold in
violation of federal and state securities laws and may be subject to rescission rights and other penalties, requiring us to repurchase shares
sold thereunder.

In  connection  with  our  Sales  Agreement,  we  became  aware  that  our  shelf  registration  statement  on  Form  S-3  (file  number  333-237368)  (the
“Prior Registration Statement”) expired on April 2, 2023. Prior to becoming aware of the expiration, we sold an aggregate of 75,697 shares of our common
stock following the expiration of the Prior Registration Statement and through July 17, 2023 at an average price of approximately $10.56 per share for an
aggregate  of  approximately  $799,212  under  the  Prior  Registration  Statement  pursuant  to  the  Sales  Agreement  (the  “Sales”).  Because  the  Prior
Registration Statement had already expired, the Sales could be determined to be unregistered sales of securities and, in accordance with Section 5 of
the Securities Act, direct purchasers in the Sales may have rescission rights pursuant to which they may be entitled to recover the amount paid for such
shares, plus statutory interest, upon returning the shares to us within one year from the transaction date. In addition, we could be subject to enforcement
actions  or  penalties  and  fines  by  federal  and/or  state  regulatory  authorities.  We  cannot  predict  the  likelihood  of  any  claims  or  actions  being  brought
against us or the amount of any penalties or fines in connection with the Sales. 

55

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 $1.235 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;

56

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 our securities 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,  2024,  subject  to  a  possible  earlier
expiration to the extent provided in the stockholder rights plan, unless extended.

Sales of our common shares by our employees, including our executive officers, could cause the trading price of our common shares to fall
or prevent it from increasing for numerous reasons, and sales by such persons could be viewed negatively by other investors.

In  accordance  with  the  guidelines  specified  under  Rule  10b5-1  under  the  Exchange  Act,  as  amended,  equivalent  legislation  in  applicable
jurisdictions,  and  our  policies  regarding  equity  transactions,  a  number  of  our  employees,  including  executive  officers,  may  adopt  share  trading  plans
pursuant to which they have arranged to sell common shares from time to time in the future. Generally, sales of common shares, including sales under

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
such  plans,  by  our  executive  officers  and  directors  require  public  filings.  Sales  of  our  common  shares  by  such  persons  could  cause  the  price  of  our
common shares to fall or prevent it from increasing. If sales by employees, executive officers, or directors cause a substantial number of our common
shares  to  become  available  for  purchase  in  the  public  market,  the  price  of  our  common  shares  could  fall  or  may  not  increase.  Also,  sales  by  such
personnel could be viewed negatively by holders and potential purchasers of our common shares.

57

ITEM 1B. UNRESOLVED STAFF COMMENTS

Not applicable.

ITEM 1C. CYBERSECURITY

Risk Management and Strategy

We have processes for assessing, identifying and managing cybersecurity risks, which are built into our information technology function and are
designed to help protect our Company from cyber threats as well as secure our networks and systems. Such processes include safeguards, response
plan, and review of our policies and procedures to identify risks. We engage an external party to enhance our cybersecurity oversight.

Governance

Our Audit Committee of the Board of Directors, or the Audit Committee, is responsible for overseeing cybersecurity risk and periodically updates
our  Board  of  Directors  on  such  matters.  The  Audit  Committee  receives  periodic  updates  from  management  regarding  cybersecurity  matters,  and  is
notified between such updates regarding any significant new cybersecurity threats or incidents. We do not believe that there are currently any known risks
from cybersecurity threats that are reasonably likely to materially affect us or our business strategy, results of operations or financial condition.

Our  Chief  Financial  Officer  is  responsible  for  the  operational  oversight  of  company-wide  cybersecurity  strategy,  policy,  and  standards  across

relevant departments to assess and help prepare us to address cybersecurity risks.

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 $16,000 per month for this lease which expires in March 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.

58

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, 2023, there were 26 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;  these  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  increases  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.  

59

We believe our DN-TNF platform can be used as a CNS (“central nervous system”) therapy to target glial activation to prevent progression of
Alzheimer’s disease (“AD”); to target  neuroinflammation  in  treatment  resistant  depression  (“TRD”);  as  a  drug  to  prevent  muscle  degeneration,  prevent
fibrosis and promote muscle regeneration in Duchene muscular dystrophy (“DMD”); and as a cancer therapy to reduce resistance in immunotherapy. The
primary focus of the company’s development efforts for XPro is AD. The next indication to be developed with XPro will be TRD. Treatment of DMD and
cancer  will  occur  when  partners  for  the  programs  are  found.  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  may  change  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 pre-clinical data in MUC4+ expressing tumors and the clinical trial informs the design of a future 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. The company does not plan
to commence a Phase II trial in patients with advanced MUC4+ expressing cancer until a partner can be found.

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,  synaptic  dysfunction  and  prevents  myelin  repair  -  key  elements  in  the  development  of  dementia.  In  animal  models,
elimination of sTNF prevents nerve cell dysfunction, reverses synaptic pruning and promotes myelin repair. 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.  ADi  is  the  term  used  to  delineate  patients  with  AD  with  biomarkers  of  inflammation.  The  endpoints  of  the  trial
were 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 brain microstructural changes. XPro, at the 1mg/kg/week dose, decreased inflammatory cytokines in the CSF 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 trial 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  and  one  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  AD  program  is  open  in  the  United  States,  Australia,  Canada,  the  United  Kingdom,  France,  Germany,  Spain,  Czech  Republic  and  Slovakia.  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.

 
 
 
 
 
 
 
 
60

There  are  at  least  4  clinical  milestones  associated  with  the  Phase  II  trial  in  AD.  Enrollment  of  201  patients  in  the  Phase  II  AD  trial  should  be
complete by mid-year. Six months after the last patient is enrolled, top line  cognition  data  with  EMACC  will  be  available.  Secondary  end-points  which
include blood biomarker, neuroimaging and additional neuropsychiatric end-points will be available after data base lock 2-3 months after top line data.
Finally, several months after all the data are analyzed, the Company plans an end-of-phase II meeting with the FDA to finalize plans for the pivotal Phase
III  trial.  The  Company  plans  to  apply  for  an  accelerated  pathway  during  2024.  XPro  for  treatment  of  AD  may  be  eligible  for  one  or  both  accelerated
approval pathways. The Company plans to submit of Fast Track status in 2024. We expect to be eligible for Break Through status after completion of the
Phase II in 2025.

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 received authorization to initiate a clinical trial in AD in the US during January 2024. The
TRD trial is expected to start enrollment after the AD Phase II trial finishes patient enrollment.

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  that  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  had  a
Phase I trial using INKmune to treat patients with high risk MDS/AML, a form of leukemia. Two patients were treated in the Phase I trial for MDS, three
patients  have  been  treated  compassionately  in  AML  and  another  MDS  patient  is  expected  to  be  treated  shortly.  During  March  2024,  the  Company
decided to terminate further enrollment in the MDS/AML trial. In the patients, INKmune therapy is safe, produces memory-like NK cells that kill cancer in
vitro, and promotes development of cancer killing memory-like NK cells that can be found in the patient’s circulation of 4 months. The Company initiated
a separate Phase I/2 trial of INKmune in a metastatic castrate resistant prostate cancer. The open label trial enrolled the first patient in December 2023. 

The Phase I/II trial using INKmune to treat patients with metastatic castrate resistant prostate cancer (mCPRC) is an open label trial. Biomarker
data from the patients will be visible as patients are treated. The Company will report data from each cohort as it becomes available. In addition to clinical
data, the Company will communicate when the Phase I portion of the trial has completely enrolled. This is expected in September 2024. Because of the
modified Bayesian design, the Company estimates the trial will be completely enrolled 1H25 with top-line data available 6 months later. Topline data is
divided  into  immunologic  and  tumor  response  variables.  The  most  important  immunologic  response  variable  is  related  to  memory  like  NK  cell
persistence. This is how long are the number of mlNK cells in patients blood compared to baseline. There are 3 important variables to tumor response: i)
blood PSA changes; ii) change in PMSA scan and iii) change in circulating tumor DNA (ctDNA). Ideally, the levels of all three variables decrease with
treatment. We do not expect this 6 month trial to provide survival data.

We continue to incur significant development and other expenses related to our ongoing operations. As a result, we are not and have never been
profitable and have incurred losses in each period since our inception, resulting in substantial doubt in our ability to continue as a going concern. We
reported  a  net  loss  of  $30.0  million  and  $27.3  million  for  the  years  ended  December  31,  2023  and  2022,  respectively.  As  of  December  31,  2023  and
2022,  we  had  cash  and  cash  equivalents  of  $35.8  million  and  $52.2  million,  respectively.  We  expect  to  continue  to  incur  significant  losses  for  the
foreseeable  future,  and  we  expect  these  losses  to  increase  as  we  continue  our  research  and  development  of,  and  seek  regulatory  approvals  for,  our
product  candidates.  The  size  of  our  future  net  losses  will  depend,  in  part,  on  the  rate  of  future  growth  of  our  expenses  and  our  ability  to  generate
revenues, if any.

Our recurring net losses and negative cash flows from operations raised substantial doubt regarding our ability to continue as a going concern
within  one  year  after  the  issuance  of  our  consolidated  financial  statements  for  the  year  ended  December  31,  2023.  Until  we  can  generate  sufficient
revenue  from  the  commercialization  of  our  product  candidates,  we  expect  to  finance  our  operations  through  the  public  or  private  sale  of  equity,  debt
financings  or  other  capital  sources,  such  as  government  funding,  collaborations,  strategic  alliances,  divestment  of  non-core  assets,  or  licensing
arrangements with third parties. To date, the Company has relied on equity and debt financing to fund its operations.

As a company with less than $1.235 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:

●

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;

61

●

●

●

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 $1.235
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

The following table summarizes our research and development expenses by product candidate for the periods indicated (in thousands):

External Costs

DN-TNF – Alzheimer’s disease
INKmune – High Risk MDS/AML & Prostate Cancer
Preclinical and other programs
Accrued research and development rebate

Total external costs

Internal Costs

Year Ended
December 31,

2023

2022

  $

  $

13,817    $
3,296     
921     
(3,040)    
14,994     
5,279     
20,273    $

12,573 
1,495 
1,903 
(3,531)
12,440 
4,627 
17,067 

We typically use our employee resources across our development programs. We track outsourced development costs by product candidate or
development  program,  but  we  do  not  allocate  internal  costs  personnel  costs  including  salaries  and  stock-based  compensation  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.

62

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:

●

●

●

●

●

●

●

●

●

●

●

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;

63

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.

64

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 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.  We  use  the  simplified  approach  to  determine  the  expected  term  as  we  do  not  have  sufficient  data  related  to  stock  option
exercises. 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  using  this  asset  in  a
neurological indication. 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.

65

Results of Operations

Comparison of the Years Ended December 31, 2023 and December 31, 2022

(in thousands)
Revenues

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

Revenues

December 31, 
2023

Year Ended
December 31, 
2022

Change

  $

(155)   $

(374)   $

219 

9,623     
20,273     
267     
30,008    $

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

365 
3,206 
(1,081)
2,709 

  $

During 2023 and 2022, the Company sold MSC’s to one customer and recognized $155,000 and $374,000 of revenues, respectively.

General and Administrative

General  and  administrative  expenses  were  $9.6  million  for  the  year  ended  December  31,  2023,  compared  to  $9.3  million  for  the  year  ended
December 31, 2022. The increase in general and administrative expenses is due to higher stock-based compensation ($0.1 million higher during the year
ended December 31, 2023), higher travel expense ($0.1 million higher during the year ended December 31, 2023) and higher professional fees ($0.1
million higher during the year ended December 31, 2023).

Research and Development

Research and development expenses increased to $20.3 million for the year ended December 31, 2023 from $17.1 million for the year ended
December 31, 2022. The increase in research and development expenses during the year ended December 31, 2023 compared to 2022 is mainly due to
the Company incurring $1.8 million of higher costs in connection with our INKmune clinical trials, $1.2 million higher costs with our Alzheimer’s clinical
trial, $0.7 million higher internal costs and $0.5 million lower accrued R&D rebate, partially offset by $1.0 million lower of preclinical and other expenses.

Other Expense, net

Other  expense,  net  decreased  to  $0.3  million  during  the  year  ending  December  31,  2023,  compared  to  $1.3  million  during  the  year  ending
December 31, 2022. The decrease in other expense is due to the Company earning higher interest income from money market investments in 2023 ($1.3
million higher) partially offset by higher interest expense on the Company’s debt in 2023 ($0.3 million higher).

66

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
      
      
  
   
   
   
 
 
 
 
 
 
 
 
 
 
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  $30,008,000  and  $27,299,000  for  the  years  ended  December  31,  2023  and  2022,  respectively.  Net  cash  used  in
operating activities was $11,980,000 and $22,686,000 for the years ended December 31, 2023 and 2022, respectively. Since inception, we have funded
our  operations  primarily  with  proceeds  from  the  sales  of  our  common  stock.  As  of  December  31,  2023,  we  had  cash  and  cash  equivalents  of
$35,848,000.  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 significant 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, 2023, the cash balance held by our foreign subsidiaries with currencies other than the United States dollar was approximately $0.5 million.

Our  recurring  net  losses  and  negative  cash  flows  from  operations,  as  well  as  forecast  of  continued  losses  and  negative  cash  flows  from
operations, raised substantial doubt regarding our ability to continue as a going concern within one year after the issuance of our consolidated financial
statements for the year ended December 31, 2023. Until we can generate sufficient revenue from the commercialization of our product candidates, we
expect  to  finance  our  operations  through  the  public  or  private  sale  of  equity,  debt  financing  or  other  capital  sources,  such  as  government  funding,
collaborations, strategic alliances, divestment of non-core assets, or licensing arrangements with third parties. Our cash and cash equivalents were $35.8
million and total current assets were $21.5 million at December 31, 2023, which the Company is projecting will be insufficient to sustain its operations
through one year following the date that the financial statements are issued.

Additional capital may not be available on reasonable terms, if at all. If we are unable to raise additional capital in sufficient amounts or on terms
acceptable  to  us,  we  may  have  to  significantly  delay,  scale  back  or  discontinue  the  development  of  one  or  more  of  our  product  candidates  or  cease
operations. If we raise additional funds through the issuance of additional debt or equity securities it could result in dilution to our existing stockholders,
increased fixed payment obligations and these securities may have rights senior to those of our common stock and could contain covenants that would
restrict our operations and potentially impair our competitiveness, such as limitations on our  ability  to  incur  additional  debt,  limitations  on  our  ability  to
acquire, sell or license our intellectual property rights and other operating restrictions that could adversely impact our ability to conduct our business. Any
of these events could significantly harm our business, financial condition and prospects.

Financing strategies we may pursue include, but are not limited to, the public or private sale of equity, debt financing or funds from other capital
sources,  such  as  government  or  grant  funding,  collaborations,  strategic  alliances,  divestment  of  non-core  assets,  or  licensing  arrangements  with  third
parties. There can be no assurances additional capital will be available to secure additional financing, or if available, that it will be sufficient to meet our
needs on favorable terms. If we are unable to raise additional capital in sufficient amounts or on terms acceptable to us, we may have to significantly
delay, scale back or discontinue the development of one or more of our product candidates. If we raise additional funds through the public or private sale
of equity or debt financings, it could result in dilution to our existing stockholders or increased fixed payment obligations and these securities may have
rights senior to those of our common stock and could contain covenants that would restrict our operations and potentially impair our competitiveness,
such  as  limitations  on  our  ability  to  incur  additional  debt,  limitations  on  our  ability  to  acquire,  sell  or  license  our  intellectual  property  rights  and  other
operating restrictions that could adversely impact our ability to conduct our business. Any of these events could significantly harm our business, financial
condition and prospects.

ATM Sales Agreement

During July 2023, the Company sold 75,697 shares of its common stock at an average price of $ 10.56 per share under the ATM program. The

aggregate net proceeds were approximately $775,000 after offering expenses.  

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 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 Term loan is payable in 2024.

67

Cash Flows

The following table provides information regarding our cash flows for the years ended December 31, 2023 and 2022:

Net cash used in operating activities

Net cash provided by financing activities
Impact on cash from foreign currency translation

Net decrease in cash and cash equivalents

Net Cash Used in Operating Activities

Year Ended
December 31,

2023

2022

  $

(11,980)   $
(4,225)    

(22,686)
729 

(100)    

(700)

  $

(16,305)   $

(22,657)

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

Operating  activities  used  $12.0  million  of  cash  for  the  year  ended  December  31,  2023,  primarily  resulting  from  our  net  loss  of  $30.0  million,
partially  offset  by  a  net  cash  inflow  of  $10.4  million  for  changes  in  our  net  operating  assets  and  liabilities,  and  non-cash  stock-based  compensation
charges of $7.4 million. The change in our net operating assets and liabilities was primarily due to a decrease in research and development tax credit
receivable of $6.2 million, a decrease in prepaid expenses and other current assets of $2.5 million and an increase in accounts payable and accrued
liabilities of $2.7 million, partially offset by a decrease in accrued liability – long term of $0.6 million.

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. 

Net Cash Provided by Financing Activities

During  the  year  ended  December  31,  2023,  the  Company  sold  75,697  shares  of  its  common  stock  for  net  proceeds  of  $0.8  million  under  the

Company’s ATM program with BTIG.

During the year ended December 31, 2023, the Company repaid $5 million of its debt.

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.

Item 7A. Quantitative and Qualitative Disclosures about Market Risk

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

68

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, 2023 AND 2022

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS FOR THE YEARS ENDED DECEMBER 31, 2023

AND 2022

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY FOR THE YEARS ENDED DECEMBER 31, 2023 AND

2022

CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022

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, 2023 and 2022, 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, 2023, 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, 2023 and 2022, and the results of its operations and its cash
flows for each of the two years in the period ended December 31, 2023, in conformity with accounting principles generally accepted in the United States
of America

Explanatory Paragraph – Going Concern

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As more fully
described in Note 2, the Company has incurred significant net losses, negative cash flows from its operating activities and requires additional funds to
sustain  its  operations.  These  conditions  raise  substantial  doubt  about  the  Company's  ability  to  continue  as  a  going  concern.  Management's  plans  in

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
regard to these matters are also described in Note 2. The consolidated financial statements do not include any adjustments that might result from the
outcome of this uncertainty.

Basis for Opinion

These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s financial
statements  based  on  our  audits.  We  are  a  public  accounting  firm  registered  with  the  Public  Company  Accounting  Oversight  Board  (United  States)
(“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules
and regulations of the Securities and Exchange Commission and the PCAOB.

We  conducted  our  audits  in  accordance  with  the  standards  of  the  PCAOB.  Those  standards  require  that  we  plan  and  perform  the  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 28, 2024

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 asset
Other assets
Acquired in-process research and development intangible assets

TOTAL ASSETS

LIABILITIES, REDEEMABLE COMMON STOCK 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, net
Operating lease, current liability
TOTAL CURRENT LIABILITIES

Long-term debt, net
Long-term operating lease liability
Accrued liability – long-term
TOTAL LIABILITIES

COMMITMENTS AND CONTINGENCIES

December 31,
2023

December 31,
2022

  $

35,848    $
1,905     
537     
1,510     
142     
39,942     

414     
131     
16,514     

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

507 
99 
16,514 

  $

57,001    $

81,795 

  $

7,901    $
35     
489     
9,921     
119     
18,465     

-     
397     
-     
18,862     

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

9,697 
526 
550 
21,691 

Redeemable common stock, $ 0.001 par value; 75,697 and 0 shares issued and outstanding, respectively (Note 9)

799     

- 

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,17,950,776 and 17,945,995 shares issued and

outstanding, respectively

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

-     

- 

18     
159,143     
(799)    
(121,022)    
37,340     

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

TOTAL LIABILITIES, REDEEMABLE COMMON STOCK AND STOCKHOLDERS’ EQUITY

  $

57,001    $

81,795 

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, 2023 AND 2022
(In thousands, except share and per share amounts)

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

See accompanying notes to these consolidated financial statements. 

F-4

INMUNE BIO INC.

2023

2022

  $

155    $

374 

9,623     
20,273     
29,896     

9,258 
17,067 
26,325 

(29,741)    

(25,951)

(267)    
(267)    

(1,348)
(1,348)

(30,008)   $

(27,299)

(1.67)   $

(1.52)

17,980,791     

17,927,327 

(30,008)   $
(100)    
(30,108)   $

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

  $

  $

  $

  $

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022
(In thousands, except share amounts)

Common Stock

Amount

Balance as of January 1, 2022
Issuance of common stock for cash, net
Exercise of warrants for cash
Stock-based compensation
Loss on foreign currency translation
Net loss
Balance as of December 31, 2022
Issuance of common stock for cash
Reclassification to redeemable common

stock

Cashless exercise of warrants

Shares
17,843,303    $
82,900     
19,792     
-     
-     
-     
17,945,995     
75,697     

(75,697)    
4,781     

Additional
Paid-In

Capital

Accumulated
Other

Comprehensive    Accumulated    
Income (loss)    

Deficit

Total
Stockholders’  

Equity

18    $
-     
-     
-     
-     
-     
18     
-     

-     
-     

143,921    $
699     
30     
7,149     
-     
-     
151,799     
775     

(799)    
-     

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

-     
-     

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

-     
-     

80,225 
699 
30 
7,149 
(700)
(27,299)
60,104 
775 

(799)
- 

   
   
   
   
   
   
 
   
      
  
 
 
 
 
 
 
 
 
   
 
 
   
      
  
   
      
  
   
   
   
 
   
      
  
   
 
   
      
  
   
      
  
   
   
 
   
      
  
 
   
      
  
 
   
      
  
   
 
   
      
  
   
      
  
   
 
 
 
 
 
 
 
 
   
   
 
 
   
   
   
   
 
   
   
   
   
   
   
   
   
   
   
Stock-based compensation
Loss on foreign currency translation
Net loss
Balance as of December 31, 2023

-     
-     
-     
17,950,776    $

-     
-     
-     
18    $

7,368     
-     
-     
159,143    $

-     
(100)    
-     
(799)   $

-     
-     
(30,008)    
(121,022)   $

7,368 
(100)
(30,008)
37,340 

See accompanying notes to these consolidated financial statements.

F-5

INMUNE BIO INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022
(In thousands)

CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss
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 liability

Net cash used in operating activities

CASH FLOWS FROM FINANCING ACTIVITIES:

Net proceeds from sale of common stock
Repayment of debt
Net proceeds from the exercise of warrants
Net cash (used in) provided by financing activities

Impact on cash from foreign currency translation

NET DECREASE 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

See accompanying notes to these consolidated financial statements.

F-6

INMUNE BIO INC.

2023

2022

  $

(30,008)   $

(27,299)

7,368     
-     
224     

6,194     
(175)    
2,517     
(108)    
(32)    
2,695     
26     
(127)    
(550)    
(4)    
(11,980)    

775     
(5,000)    
-     
(4,225)    

7,149 
89 
239 

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

699 
- 
30 
729 

(100)    

(700)

(16,305)    
52,153     
35,848    $

(22,657)
74,810 
52,153 

-    $
1,778    $

- 
1,372 

  $

  $
  $

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. 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 – GOING CONCERN

These consolidated financial statements have been prepared in accordance with generally accepted accounting principles applicable to a going concern,
which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business.

The Company has incurred significant losses and negative cash flows from operations since inception and expects to incur additional losses until such
time that it can generate significant revenue from the commercialization of its product candidates. The Company had net losses of approximately $30.0
million and $27.3 million and negative cash flows from operating activities of approximately $ 12.0 million and $ 22.7 million for the years ended December
31,  2023  and  2022,  respectively,  and  an  accumulated  deficit  of  approximately  $121.0  million  and  $ 91.0  million  as  of  December  31,  2023  and  2022,
respectively. Given the Company’s projected operating requirements and its existing cash and cash equivalents, the Company is projecting insufficient
liquidity  to  sustain  its  operations  through  one  year  following  the  date  that  the  financial  statements  are  issued.  These  conditions  and  events  raise
substantial doubt about the Company’s ability to continue as a going concern.

In  response  to  these  conditions,  management  is  currently  evaluating  different  strategies  to  obtain  the  required  funding  of  future  operations.  Financing
strategies may include, but are not limited to, the public or private sale of equity, debt financings or funds from other capital sources, such as government
funding, collaborations, strategic alliances, divestment of non-core assets, or licensing arrangements with third parties. There can be no assurances that
the  Company  will  be  able  to  secure  additional  financing,  or  if  available,  that  it  will  be  sufficient  to  meet  its  needs  or  on  favorable  terms.  Because
management’s  plans  have  not  yet  been  finalized  and  are  not  within  the  Company’s  control,  the  implementation  of  such  plans  cannot  be  considered
probable. As a result, the Company has concluded that management’s plans do not alleviate substantial doubt about the Company’s ability to continue
as a going concern.

The consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the
amounts and classification of liabilities that might result from the outcome of this uncertainty.

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.

Fair Value of Financial Instruments

The Company measures certain assets and liabilities in accordance with authoritative guidance which requires fair value measurements to be classified
and disclosed in one of the following three categories:

Level 1: Quoted prices (unadjusted) in active markets that are accessible at the measurement date for assets or liabilities.

Level 2: Observable prices that are based on inputs not quoted on active markets but corroborated by market data.

Level 3: Unobservable inputs are used when little or no market data is available.

Assets and liabilities are classified based on the lowest level of input that is significant to the fair value measurements. The Company reviews the fair
value hierarchy classification on a quarterly basis. Changes in the ability to observe valuation inputs may result in a reclassification of levels for certain
assets or liabilities within the fair value hierarchy. The Company did not have any transfers of assets and liabilities between the levels of the fair value
measurement hierarchy during the years presented.

The  carrying  amounts  of  financial  instruments  such  as  cash  and  cash  equivalents,  research  and  development  tax  credit  receivable,  other  receivable,
prepaid expenses, and accounts payable and accrued liabilities approximate the related fair values due to the short-term maturities of these instruments. 

Risks and Uncertainties

The  Company  is  subject  to  risks  and  uncertainties  common  to  early-stage  companies  in  the  biotechnology  industry,  including,  but  not  limited  to,
development  by  competitors  of  new  technological  innovations,  protection  of  proprietary  technology,  dependence  on  key  personnel,  compliance  with
government  regulations  and  the  need  to  obtain  additional  financing  to  fund  operations.  Product  candidates  currently  under  development  will  require
significant  additional  research  and  development  efforts,  including  extensive  preclinical  studies,  clinical  trials  and  regulatory  approval  prior  to
commercialization. These efforts require significant amounts of additional resources, adequate personnel, infrastructure and extensive compliance and
reporting.

The Company’s product candidates are still in development and, to date, none of the Company’s product candidates have been approved for sale.

There can be no assurance that the Company’s research and development will be successfully completed, that adequate protection for the Company’s
intellectual  property  will  be  obtained  or  maintained,  that  any  products  developed  will  obtain  necessary  government  regulatory  approval  or  that  any
approved  products  will  be  commercially  viable.  Even  if  the  Company’s  product  development  efforts  are  successful,  it  is  uncertain  when,  if  ever,  the
Company will generate any revenue from any of its products. The Company operates in an environment of rapid change in technology and substantial
competition from other pharmaceutical and biotechnology companies.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company relies and expects to continue to rely on a small number of vendors to manufacture supplies and materials for its use in the clinical trial
programs. These programs could be adversely affected by a significant interruption in these manufacturing services.

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, 2023 and 2022, 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,  2023,  the  Company  had  5,496,000  potentially  issuable  shares  of  common  stock  upon  the  exercise  of  stock  options  and  45,386
potentially issuable shares of common stock upon the exercise of warrants.

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.

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  2023  and  2022  revenue  was  from  the  sale  of  MSC’s  to  one  customer  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, clinical
trials and related clinical manufacturing, costs of drug development, costs of materials and supplies, facilities cost, overhead costs, costs of pre-clinical
trials, 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.

Recent Accounting Pronouncements

In December 2023, the FASB issued ASU No. 2023-09,  Income Taxes (Topic 740): Improvements to Income Tax Disclosures   (“ASU  2023-09”).  The
guidance  in  ASU  2023-09  improves  the  transparency  of  income  tax  disclosures  by  greater  disaggregation  of  information  in  the  rate  reconciliation  and
income taxes paid disaggregated by jurisdiction. The standard is effective for public companies for fiscal years beginning after December 15, 2024, with
early  adoption  permitted.  The  Company  is  currently  evaluating  the  impact  that  the  adoption  of  ASU  2023-09  may  have  on  its  consolidated  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, 2023 and 2022, the Company had a research and development tax credit receivable of $0 and $2,690,000, respectively for R&D expenses
incurred in the UK. During the years ended December 31, 2023 and 2022, the Company received $2,710,000 and $0 of R&D tax credit reimbursements,
respectively 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, 2023 and 2022, the Company had a research and development tax credit receivable of $1,905,000 and $5,409,000, respectively, for
R&D expenses incurred in Australia. During the years ended December 31, 2023 and 2022, the Company received $6,557,000 and $0 of R&D tax credit
reimbursements, respectively 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 discovered and
developed a proprietary biological molecule that inhibits soluble tumor necrosis factor. On June 10, 2021, the Company and Xencor entered into a First
Amendment to License Agreement pursuant to which, among other things, Section 3.2 of the Xencor License Agreement was amended to change the
due diligence milestones. Pursuant to the Xencor 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.

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

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 

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.  No  sales  have  occurred  under  this  license.  During
December 2023, the Company initiated a Phase I trial with INKmune in patients with metastatic castration-resistant prostate cancer and has recorded a
$25,000 payable to Immune Ventures as of December 31, 2023.

The term of the agreement began on October 29, 2015 and ends on a country-by-country basis on the date of the expiration of the last to expire patent
rights where patent rights exists, unless terminated earlier in accordance with the agreement. 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  and  October  30,  2020,  the  parties  amended  the  agreement  under  which  the  Company  was  required  achieve
milestones pursuant to the agreement.

On April 17, 2023, the parties executed an additional amendment to the agreement under which the Company removed the due diligence requirements
to achieve reasonable commercial efforts to bring INKmune to market. This removed all requirements of clinical trial timelines and the filing timelines of
an NDA or equivalent. All other provisions in the INKmune License Agreement shall continue in full force and effect.

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: $ 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,
2023.

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.  As  of  December  31,  2023,  there  have  been  no  commercial  sales  of  product  making  use  of  the  licensed
technology under the PITT Agreement.

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 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, 2023:
Cash equivalents
Money market fund
Total cash equivalents

(in thousands)
December 31, 2022:
Cash equivalents
Money market fund
Total cash equivalents

NOTE 6 – LEASE

Quoted
Price in
Active Market
(Level 1)

Total

Significant
Other
Observable
Inputs
(Level 2)

Significant
Unobservable
Inputs 
(Level 3)

  $
  $

35,162    $
35,162    $

35,162    $
35,162    $

        -    $
-    $

        - 
- 

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    $

       -    $
-    $

        - 
- 

F-13

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

Operating lease, current liability

Long-term operating lease liability
Total lease liability

Weighted-average remaining lease term

Weighted-average discount rate

NOTE 7 – RELATED PARTY TRANSACTIONS

UCL

December 31,
2023

December 31,
2022

  $

414 

  $

119 

397 
516 

  $

  $

507 

87 

526 
613 

3.3 years 

4.3 years 

12.0%   

12.0%

During the years ended December 31, 2023 and 2022, the Company paid UCL $ 573,000 and $586,000, 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 2022, the Company paid CTI $ 153,000 pursuant to its former sublease agreement with CTI and $ 5,000 for research and development performed
on behalf of the Company. The Company had no transactions with CTI in 2023.

AmplifyBio

During the years ended December 31, 2023 and 2022, the Company paid AmplifyBio $ 77,000 and $230,000, respectively, to perform certain research
and development 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, 2023:

 
   
   
   
 
 
    
    
    
  
 
    
    
    
  
 
 
   
   
   
 
 
    
    
    
  
 
    
    
    
  
  
 
 
 
 
 
 
 
 
 
 
   
  
   
  
   
   
 
   
  
   
  
   
   
 
   
  
   
  
   
   
 
   
  
   
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
(in thousands) 
Current portion of debt
Less: debt discount

Current portion of debt, net

  $

  $

10,000 
(79)
9,921 

For the years ended December 31, 2023 and 2022, the Company recognized interest expense of $ 2,278,000 and $2,014,000, respectively, related to the
Term Loan. 

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, 2023, the interest rate was  13.0%.

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 loan in full, subject to a prepayment premium
of 1% of the original principal amount borrowed for any prepayment before the maturity date.

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.

NOTE 9 – STOCKHOLDERS’ EQUITY

Common Stock – At the Market Offering

During March 2021, the Company entered into a sales agreement (“Sales Agreement”) with BTIG, LLC (“BTIG”), as sales agent, to establish an At-The-
Market (“ATM”) offering program of up to $ 45 million of common stock, 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 August 2023, the Company and BTIG entered into Amendment No. 1 to the Sales
Agreement. The Company is required to pay BTIG a commission of 3% of the gross proceeds from the sale of shares.

During July 2023, the Company sold 75,697 shares of its common stock at an average price of $ 10.56 per share under the ATM program. The aggregate
net proceeds were approximately $775,000 after offering expenses. These shares were inadvertently sold under a registration statement filed with the
SEC that had in fact expired prior to the time the shares were sold.  Consequently, the Company may be subject to claims for rescission by purchasers
who purchased shares of common stock under the ATM program.  Under Section 12(a)(1) of the Securities Act, a purchaser of security in a transaction
made in violation of Section 5 of the Securities Act may obtain recovery of the consideration paid in connection with its purchase, plus statutory interest,
or, if it had already sold the shares, recover damages resulting from its purchase. While the Company believes, it is unlikely that a successful claim will
be asserted against the Company by any purchasers who purchased shares of common stock under the ATM Agreement in July 2023, the Company
cannot guarantee that no such legal claims will be asserted against the Company by any purchasers. In addition, the Company could become subject to
enforcement  actions  and/or  penalties  and  fines  by  federal  authorities,  and  the  Company  is  unable  to  predict  the  likelihood  of  any  such  enforcement
actions  being  brought,  or  the  amount  of  any  such  potential  penalties  or  fines.  As  of  December  31,  2023,  there  have  been  no  claims  or  demands  to
exercise  such  rights.  As  a  result  of  these  potential  rescission  rights,  the  Company  reclassified 75,697  shares,  with  an  aggregate  purchase  price  of
$799,000 of its common stock as temporary equity presented outside stockholders’ equity. The reclassification of these shares shall remain for a period of
one year from transaction date. These shares have been treated as issued and outstanding for financial reporting purposes.

At December 31, 2023, the Company has $ 28.7 million of common stock available under the ATM program. 

F-15

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.

Stock options

On June 1, 2023, the Company’s shareholders approved an amendment to the 2021 Incentive Stock Plan (“2021 Amended and Restated Incentive Stock
Plan”) to increase the shares of the Company’s common stock available for issuance thereunder to 4,000,000 shares.

During 2023, the Company granted certain employees and directors options to purchase  665,000 shares of its common stock pursuant to the 2017 and
2019 Incentive Stock Plans and 2021 Amended and Restated Incentive Stock Plan. The stock options had a fair value of approximately $4.9 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 3.84% – 3.99% based on the applicable US Treasury bill rate (2) expected life of  6.0 – 6.25 years, (3) expected volatility of approximately  91% based
on the trading history of similar companies, and (4) zero expected dividends.

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.

At December 31, 2023, the Company had  1,952,525 shares reserved for issuance pursuant to the 2021 Amended and Restated Incentive Stock Plan.

The following table summarizes stock option activity:

 
   
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(in thousands, except share and per share amounts)
Outstanding at December 31, 2021
Options granted
Options exercised
Options cancelled
Outstanding at December 31, 2022
Options granted
Options cancelled
Outstanding at December 31, 2023

Exercisable at December 31, 2023

Weighted-
average
Exercise
Price

Weighted-
average
Remaining
Contractual
Term
(years)

Aggregate
Intrinsic
Value

8.67     
8.01     
-     
11.68     
8.60     
9.69     
12.44     
8.73     

8.16     

7.21     
10.0     
-     
-     
6.28     
10.0     
-     
6.18    $

5.67    $

- 
- 
- 
- 
- 
- 
- 
21,509 

19,354 

Number of
Shares

4,097,000    $
819,000    $
-    $
(74,583)   $
4,841,417    $
665,000    $
(10,417)   $
5,496,000    $
4,319,605    $

F-16

During the years ended December 31, 2023 and 2022, the Company recognized stock-based compensation expense of $ 7,368,000 and $7,149,000,
respectively, related to stock options. As of December 31, 2023, there was $8,592,000 of total unrecognized compensation cost related to non-vested
stock options which is expected to be recognized over a weighted-average period of 2.05 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, 2023 and 2022, respectively,  45,386 of these warrants are outstanding and the intrinsic value of these warrants is $ 0.

During the year ended December 31, 2023, a third party exercised  28,688 warrants on a cashless basis in exchange for  4,781 shares of common stock.

During the year ended December 31, 2022, a third party exercised  19,792 warrants in exchange for 19,792 shares of common stock for cash proceeds
of approximately $30,000.

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, 2023 and 2022, respectively:

Research and development
General and administrative
Total

Shareholder Rights Agreement

Year Ended
December 31,
2023
2,743,000    $
4,625,000     
7,368,000    $

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

  $

  $

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 was amended in 2021, 2022 and 2023 to extend the
expiration date and shall expire on December 30, 2024.

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, 2023 and 2022.

NOTE 10 – INCOME TAXES

The provision for income taxes consists of the following components :

Current expense (benefit)

December 31,
2023

December 31,
2022

  $

-    $

- 

 
   
   
   
 
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
   
     
 
Federal
State
Foreign

Current income tax expense

Deferred expense (benefit)
Federal
State
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, 
2023

December 31, 
2022

  $

  $

(6,302)   $
1,143     
(222)    
(241)    
266     
3     
335     
5,018     
-    $

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

The principal components of deferred tax assets and liabilities consist of the following at December 31, 2023 and 2022, 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, 
2023

December 31, 
2022

  $

  $

2,208    $
2,900     
6,849     
1,685     
5,965     
19,607     
(19,607)    
-    $

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

At December 31, 2023, the Company had a federal net operating loss carryforward of approximately $ 32.6 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  $ 19.6  million  and  $ 13.7  million  at  December  31,  2023  and  2022,  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  $5,872,000  during  the  year  ended
December 31, 2023.

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, 2023, and
2022,  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 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, 2023, 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)
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

  $

  $

186 
193 
198 
51 
628 
(112)
516 
(119)
397 

During  the  years  ended  December  31,  2023  and  2022,  the  Company  recognized  $ 163,000  and  $209,000,  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. 

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,  2023.  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, 2023.

Attestation Report of the Registered Public Accounting Firm

This  annual  report  does  not  include  an  attestation  report  of  our  registered  public  accounting  firm  regarding  internal  control  over  financial  reporting.
Management’s  report  was  not  subject  to  attestation  by  our  registered  public  accounting  firm  pursuant  to  rules  of  the  Securities  and  Exchange
Commission that permit smaller reporting companies to provide only management’s report in this annual report.

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, 2023. 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, 2023.

Changes in Internal Control over Financial Reporting

None.

Item 9B. Other Information

(b) Director and Officer Trading Arrangements

None of our directors or officers adopted or terminated a Rule 10b5-1 trading arrangement or a non-Rule 10b5-1 trading arrangement (as such terms are
defined in Item 408 of Regulation S-K) during the three months ended December 31, 2023.

Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

Not applicable.

 
 
   
  
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
69

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, 2023:

(A)
Number of
Securities to
be Issued
Upon
Exercise of
Outstanding
Options,
Warrants
and Rights  

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

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

5,496,000(1)  $

— 
5,496,000 

  $

8.73     
—     
8.73     

1,952,525(2)

— 
1,952,525 

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 Amended and Restated 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. 

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.

70

PART IV

Item 15. Exhibits.

Exhibit No.
1.1

1.2

3.1

  Description of Exhibit

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).

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).

Articles  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).

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3.2

3.3

4.1

4.2

4.3

4.4

4.5

4.6

4.7

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

10.16

  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).

Amendment No. 3 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 18, 2023).

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).

71

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).

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).

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.17

10.18

10.19

10.20

10.21

10.22

10.23

10.24

10.25

10.26

10.27

10.28

10.29

10.30

10.31

10.32

10.33

10.34

10.35

10.36

10.37

10.38

10.39

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).

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).

72

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).

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

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

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).

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

  Loan and Security Agreement (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 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).

73

10.40

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

10.42

10.43

10.44

10.45

10.46

10.47

10.48

10.49

21.1

23.1

31.1

31.2

32.1

32.2

97.1

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).

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

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

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).

Amended and Restated INmune Bio Inc. 2021 Stock Incentive Plan (incorporated by reference to the Current Report on Form 8-K filed
with the SEC on June 1, 2023).

Amendment No. 1 to At-the-Market Sales Agreement, dated August 16, 2023, between INmune Bio Inc., and BTIG, LLC (incorporated
by reference to the Current Report on Form 8-K filed with the SEC on August 16, 2023).

First  Amendment  to  Exclusive  License  Agreement  between  INmune  Bio  Inc.  and  Immune  Ventures  LLC  dated  April  17,  2023
(incorporated by reference to the Current Report on Form 8-K filed with the SEC on April 20, 2023).

Second  Amendment  to  Exclusive  License  Agreement  by  and  between  the  University  of  Pittsburgh  of  the  Commonwealth  system  of
Higher Education and Immune Ventures, LLC dated April 17, 2023 (incorporated by reference to the Current Report on Form 8-K filed
with the SEC on April 20, 2023).

  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.**

INmune Bio Policy for recovery of erroneously awarded compensation*

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)

*
Filed herewith.
** Furnished herewith.

Item 16. Form 10-K Summary

None.

74

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 28, 2024

Dated: March 28, 2024

INMUNE BIO INC.

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

(Principal Executive Officer)

/s/ David J. Moss
David J. Moss

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

Chief Financial Officer
(Principal Financial and Accounting Officer)

Signature

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

/s/ David J. Moss
David J. Moss

/s/ Timothy Schroeder
Timothy Schroeder

/s/ J. Kelly Ganjei
J. Kelly Ganjei

/s/ Scott Juda
Scott Juda, JD

/s/ Edgardo Baracchini
Edgardo Baracchini

/s/ Marcia Allen
Marcia Allen

Title

Date

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

March 28, 2024

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

March 28, 2024

Director

Director

Director

Director

Director

75

March 28, 2024

March 28, 2024

March 28, 2024

March 28, 2024

March 28, 2024