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Mersana Therapeutics

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FY2021 Annual Report · Mersana Therapeutics
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

(Mark One)

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

For the fiscal year ended December 31, 2021.

OR

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

For the transition period from                    to                   

Commission file number 001-38129
Mersana Therapeutics, Inc.
(Exact name of registrant as specified in its charter)

Delaware
(State or Other Jurisdiction of Incorporation or Organization)

840 Memorial Drive Cambridge, MA
(Address of Principal Executive Offices)

04-3562403
(I.R.S. Employer Identification No.)

02139
(Zip Code)

Title of each class
Common Stock, $0.0001 par value

Trading symbol(s)
MRSN

Name of each exchange on which registered
The Nasdaq Global Select Market

Registrant’s telephone number, including area code (617) 498-0020

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

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 check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for
such shorter period that 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,  a  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

☒
☐

Accelerated filer
Smaller reporting company
Emerging growth 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.               ☒

Indicate by check mark whether the registrant is a shell company (as defined by Rule 12b-2 of the Exchange Act).            Yes  ☐  No  ☒

As of June 30, 2021, the last business day of the registrant’s most recently completed second fiscal quarter, the aggregate market value of the registrant’s common stock held by non-affiliates was
$799,836,646, based on the last reported sale price of such stock on the Nasdaq Global Select Market as of such date.

As of February 25, 2022, the registrant had 83,389,806 shares of common stock outstanding at a par value $0.0001 per share.

DOCUMENTS INCORPORATED BY REFERENCE
Portions of the registrant’s definitive proxy statement that will be filed for the 2022 Annual Meeting of Stockholders within 120 days of the end of the registrant’s fiscal year ended December 31,
2021 are incorporated by reference in Part III of this Annual Report on Form 10-K to the extent stated herein.

Table of Contents

FORWARD LOOKING STATEMENTS

ITEM 1.

BUSINESS

ITEM 1A.

RISK FACTORS

ITEM 1B.

UNRESOLVED STAFF COMMENTS

TABLE OF CONTENTS

PART I

Page

ITEM 2.

ITEM 3.

ITEM 4.

ITEM 5.

ITEM 6.

ITEM 7.

PROPERTIES

LEGAL PROCEEDINGS

MINE SAFETY DISCLOSURES

PART II

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

ITEM 7A.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

ITEM 8.

ITEM 9.

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL
DISCLOSURE

ITEM 9A.

CONTROLS AND PROCEDURES

ITEM 9B.

OTHER INFORMATION

ITEM 9C.

DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS

PART III

ITEM 10.

DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

ITEM 11

ITEM 12.

ITEM 13.

ITEM 14.

ITEM 15.

ITEM 16.

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

PART IV

EXHIBITS, FINANCIAL STATEMENT SCHEDULES

FORM 10-K SUMMARY

EXHIBIT INDEX

SIGNATURES

1

2

4

39

79

79

79

79

80

81

81

93

94

124

124

125

126

127

127

127

127

127

128

128

129

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REFERENCES TO MERSANA

PART I

Throughout this Annual Report on Form 10-K, the “Company,” “Mersana,” “we,” “us,” and “our,” except where the context requires otherwise, refer to
Mersana Therapeutics, Inc. and its consolidated subsidiary, and “our board of directors” refers to the board of directors of Mersana Therapeutics, Inc.

FORWARD LOOKING STATEMENTS AND INDUSTRY DATA

This Annual Report on Form 10-K contains forward-looking statements. Forward-looking statements are neither historical facts nor assurances of future
performance. Instead, they are based on our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies,
our clinical results and other future conditions. The words “aim,” “anticipate,” “believe,” “contemplate,” “continue,” “could,” “estimate,” “expect,” “goal,”
“intend,” “may,” “on track,” “plan,” “possible,” “potential,” “predict,” “project,” “seek,” “should,” “target,” “will,” “would” or the negative of these terms
or  other  similar  expressions  are  intended  to  identify  forward-looking  statements,  although  not  all  forward-looking  statements  contain  these  identifying
words.

These forward-looking statements include, among other things, statements about:

•

•

•

•

•

•

•

•

•

•

the initiation, cost, timing, progress and results of our current and future research and development activities, preclinical studies and clinical trials;

the adequacy of our inventory of upifitamab rilsodotin (UpRi) and XMT-1592 to support our ongoing clinical trials, as well as the outcome of
planned manufacturing runs;

the timing of, and our ability to obtain and maintain, regulatory approvals for our product candidates;

unmet need of ovarian cancer and non-small cell lung cancer;

our ability to quickly and efficiently identify and develop additional product candidates;

our ability to advance any product candidate into, and successfully complete, clinical trials;

our intellectual property position, including with respect to our trade secrets;

the potential benefits of strategic partnership agreements and our ability to enter into selective strategic partnerships;

our estimates regarding expenses, future revenues, capital requirements, the sufficiency of our current and expected cash resources and our need
for additional financing; and

the potential impact of the ongoing COVID-19 pandemic.

We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on
our  forward-looking  statements.  Actual  results  or  events  could  differ  materially  from  the  plans,  intentions  and  expectations  disclosed  in  the  forward-
looking statements we make. We have included important factors in the cautionary statements included in this Annual Report on Form 10-K, particularly in
the “Risk factors” section, that we believe could cause actual results or events to differ materially from the forward-looking statements that we make. Our
forward-looking statements do not reflect the potential impact of any future acquisitions, mergers, dispositions, joint ventures or investments we may make.

In addition, the COVID-19 pandemic could adversely affect our preclinical and clinical development efforts, business operations and financial results. The
extent  of  the  impact  and  the  value  of  and  market  for  our  common  stock  will  depend  on  future  developments  that  are  highly  uncertain  and  cannot  be
predicted  with  confidence  at  this  time,  such  as  the  ultimate  duration  of  the  pandemic,  the  emergence  of  new  variants  of  the  virus,  travel  restrictions,
quarantines,  physical  distancing  and  business  closure  requirements  in  the  United  States  and  in  other  countries,  and  the  effectiveness  of  actions  taken
globally to contain and treat the disease.

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Table of Contents

The  forward-looking  statements  contained  herein  represent  our  views  as  of  the  date  of  this  Annual  Report  on  Form  10-K and  we  do  not  assume  any
obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law. We
anticipate that subsequent events and developments will cause our views to change. You should, therefore, not rely on these forward-looking statements as
representing our views as of any date subsequent to the date of this Annual Report on Form 10-K.

This Annual Report on Form 10-K may include industry and market data, which we may obtain from our own internal estimates and research, as well as
from industry and general publications and research, surveys, and studies conducted by third parties. Industry publications, studies, and surveys generally
state that they have been obtained from sources believed to be reliable, although they do not guarantee the accuracy or completeness of such information.
While we believe that such studies and publications are reliable, we have not independently verified market and industry data from third‑party sources.

SUMMARY OF RISK FACTORS

Our business is subject to varying degrees of risk and uncertainty. Investors should consider the risks and uncertainties summarized below, as well as the
risks and uncertainties discussed in Part I, Item 1A, Risk Factors of this Annual Report on Form 10-K.

Our business is subject to the following principal risks and uncertainties:

• We have incurred net losses since our inception, we have no products approved for commercial sale and we anticipate that we will continue to

incur substantial operating losses for the foreseeable future.

• We will require substantial additional financing to achieve our goals, and a failure to obtain this necessary capital when needed could force us to

delay, limit, reduce or terminate our product development or commercialization efforts.

• We have a credit facility that places certain restrictions on our operating and financial flexibility.

• We  face  substantial  competition,  which  may  result  in  others  discovering,  developing  or  commercializing  products  before,  or  more  successfully

than, we do.

• We only have two product candidates, upifitamab rilsodotin (UpRi) and XMT-1592, in clinical trials. A failure of any of our product candidates in
clinical development could adversely affect our business and may require us to discontinue development of other product candidates based on the
same technology.

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

favorable.

• Drug discovery and development is a complex, time-consuming and expensive process that is fraught with risk and a high rate of failure. We can

provide no assurance of the successful and timely development of new antibody drug conjugate, or ADC, products.

•

If we fail to attract and retain senior management and key scientific personnel, we may be unable to successfully develop our product candidates,
conduct our clinical trials and commercialize our product candidates.

• We may encounter difficulties in managing our growth and expanding our operations successfully.

• Our activities, including our interactions with healthcare providers, third party payors, patients and government officials, are, and will continue to
be,  subject  to  extensive  regulation  involving  health  care,  anti-corruption,  data  privacy  and  security  and  consumer  protection  laws.  Failure  to
comply with applicable laws could result in substantial penalties, contractual damages, reputational harm, diminished revenues and curtailment or
restructuring of our operations.

• We rely upon patents and other intellectual property rights to protect our technology. We may be unable to protect our intellectual property rights,

and we may be liable for infringing the intellectual property rights of others.

• Our business is subject to risks arising from the outbreaks of disease, such as epidemics or pandemics, including the COVID-19 pandemic.

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ITEM 1.    BUSINESS

Overview

We are a clinical-stage biopharmaceutical company focused on developing antibody drug conjugates, or ADCs, that offer a clinically meaningful benefit
for  cancer  patients  with  significant  unmet  need.  We  have  leveraged  over  20  years  of  industry  learning  in  the  ADC  field  to  develop  proprietary  and
differentiated technology platforms that enable us to develop ADCs designed to have improved efficacy, safety and tolerability relative to existing ADC
therapies.

We  believe  that  our  innovative  platforms,  including  Dolaflexin  and  Dolasynthen,  delivering  our  proprietary  auristatin  DolaLock  payload,  as  well  as
Immunosynthen, which delivers our novel proprietary stimulator of interferon genes, or STING, agonist ImmunoLock payload, together comprise a highly
efficient product engine that has enabled a robust discovery pipeline for us and our partners. Our ADCs in preclinical studies and clinical trials include
first-in-class molecules that target multiple tumor types with high unmet medical need. Our belief is that our novel ADCs may have more favorable safety
and efficacy compared to more traditional existing ADCs developed using first-generation technology.

We  have  assembled  a  management  team  with  extensive  and  relevant  experience,  including  specific  ADC  experience,  from  prior  work  at  leading
pharmaceutical companies such as Millennium Pharmaceuticals, Inc., Takeda Pharmaceuticals, Inc., Bayer AG, Tesaro, Inc., Vertex Pharmaceuticals Inc.,
Cubist  Pharmaceuticals  Inc.,  Bristol  Myers  Squibb,  Constellation  Pharmaceuticals,  Inc.,  Sanofi  S.A.,  GlaxoSmithKline  plc,  Centocor  Inc.,  Sunovion
Pharmaceuticals  Inc.  and  Momenta  Pharmaceuticals,  Inc.  We  are  supported  by  our  board  of  directors  and  scientific  advisory  board,  who  offer
complementary experience in drug discovery and development, as well as expertise in building public companies, management and business development.
We  believe  that  our  highly  differentiated  platforms,  together  with  the  team  we  have  assembled,  position  us  well  to  discover  and  develop  life-changing
ADCs for patients fighting cancer.

Strategy

Our goal is to become a leading oncology company by leveraging the potential of our innovative and differentiated ADC technologies and the experience
and  competencies  of  our  management  team  to  discover  and  develop  promising  ADC  product  candidates  and  to  commercialize  cancer  therapeutics  that
address unmet medical needs or provide significant benefit to patients. Key components of our strategy to achieve this goal are as follows:

•

•

Strive  to  Build  UpRi  (upifitamab  rilsodotin)  into  a  Foundational  Medicine  in  Ovarian  Cancer.  Our  lead  product  candidate,  upifitamab
rilsodotin, which we refer to as UpRi, is a first-in-class Dolaflexin ADC targeting NaPi2b, an antigen broadly expressed in ovarian cancer and
other  cancers.  We  are  currently  evaluating  UpRi  in  platinum-resistant  ovarian  cancer  in  a  single-arm  registrational  trial,  which  we  refer  to  as
UPLIFT, for which we expect to complete enrollment in the third quarter of 2022. We are also conducting a Phase 1/2 umbrella combination trial,
which  we  refer  to  as  UPGRADE.  The  first  combination  we  are  exploring  is  the  combination  of  UpRi  with  carboplatin,  a  standard  platinum
chemotherapy broadly used in the treatment of platinum-sensitive ovarian cancer. We may explore other combinations in the future. We expect to
report interim data from UPGRADE in the second half of 2022. In the second quarter of 2022, we expect to initiate enrollment in a randomized
placebo-controlled  Phase  3  trial,  which  we  refer  to  as  UP-NEXT,  to  evaluate  UpRi  as  single  agent  maintenance  treatment  in  patients  with
platinum-sensitive ovarian cancer that have high NaPi2b expression. Together, data from these trials have the potential to establish the safety and
efficacy of UpRi across a wide range of ovarian cancer patients, from those who are platinum-resistant and heavily pre-treated to those in earlier
lines of the disease.

Strive  to  Build  Out  Our  Pipeline  of  Highly  Impactful  Cancer  Medicines.  Our  second  clinical  candidate,  XMT-1592,  is  a  NaPi2b-  targeted
ADC  leveraging  our  Dolasynthen  platform.  Our  strategy  is  to  explore  XMT-1592  as  an  alternative  to  UpRi  in  lung  and  non-small  cell  lung
adenocarcinoma based on preclinical differentiation. We are conducting a Phase 1 dose exploration trial in patients with ovarian cancer and non-
small  cell  lung  cancer,  or  NSCLC,  which  we  expect  to  complete  in  the  second  half  of  2022.  Additionally,  we  are  advancing  XMT-1660,  a
Dolasynthen ADC targeting B7-H4, an antigen selectively expressed on tumors in areas of high unmet medical need including breast, endometrial
and  ovarian  cancers.  We  expect  to  initiate  a  phase  1  clinical  trial  of  XMT-1660  in  solid  tumors  in  mid-2022.  Moreover,  we  have  taken  ADCs
beyond cytotoxics by developing our Immunosynthen platform which may allow tumor-targeted activation of the innate immune system. XMT-
2056,  an  ADC  targeting  a  novel  HER2  epitope  that  is  different  from  those  targeted  by  currently  available  HER2  therapies,  is  our  first  product
candidate based on our Immunosynthen STING-agonist platform. We expect to initiate a Phase 1 clinical trial of XMT-2056 in solid tumors in
mid-2022.  We  believe  that  each  of  XMT-1660  and  XMT-2056  may  provide  opportunities  in  areas  of  high  unmet  need  including,  without
limitation, breast cancer and other tumor types.

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•

•

Strive to Build Innovation and Scientific Leadership in ADCs. We intend to establish a leading position in the field of ADCs by continuing to
advance  platform  innovations  that  further  broaden  the  potential  for  our  ADCs  to  be  first  and  best  in  class  medicines  that  deliver  clinically
meaningful benefit to cancer patients and by pursuing fast-to-market opportunities in areas of high unmet medical need. In addition to the product
candidates described above, we also have two earlier stage preclinical candidates, which we refer to as XMT-2068 and XMT-2175, both of which
leverage our Immunosynthen platform and target tumor-associated antigens.

Strive to Build Mersana as a Top Employer and Strategic Partner. We aim to attract and retain talented team members with deep experience in
drug discovery, development, manufacturing, and commercialization as well as in general business and administration. Our team is driven by a
shared passion to advance therapies that make a significant difference in the lives of cancer patients. We will continue to cultivate the collaborative
and passionate workplace culture that has allowed us to advance this mission. We also aim to leverage our technical expertise and experience with
respect to our innovative and diversified platforms, Dolaflexin, Dolasynthen and Immunosynthen, to attract and cultivate strategic partnerships
that  facilitate  our  ability  to  bring  differentiated  product  candidates  to  patients.  We  have  established  strategic  research  and  development
partnerships  with  Janssen  Biotech,  Inc.,  or  Janssen,  and  Merck  KGaA  for  the  development  and  commercialization  of  additional  ADC  product
candidates  leveraging  our  proprietary  Dolasynthen  and  Dolaflexin  platform  technologies  against  a  limited  number  of  targets  selected  by  our
partners. We believe the potential of our ADC technologies, supported by our scientific and technical expertise and enabled by our intellectual
property strategy, all support our independent and collaborative efforts to discover and develop life-changing ADCs for patients fighting cancer.

Our current pipeline is summarized in the chart below:

ADC Background

ADCs are a validated therapeutic modality in oncology with 11 products approved for use by the Food and Drug Administration, or the FDA, and over 100
being tested in clinical trials. We believe that the field has not yet realized its full potential because first generation ADCs have several limitations and
platform innovation has been limited.

The goal of first generation ADCs is to deliver cytotoxic therapy specifically to neoplastic cells while sparing normal tissue. An ADC consists of three
components: the antibody, the cytotoxic payload, and a linker to join the two. The antibody portion of the ADC achieves specific targeting by binding to an
antigen that ideally has high expression on the surface of the tumor cells, and low expression in healthy tissues. Once the antibody binds to the target, the
ADC enters the cell, and the payload is typically released killing the cell.

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The payload, the drug-to-antibody ratio, or DAR, the linker, and conjugation site of the linker with the antibody all can influence the overall efficacy and
tolerability of ADCs. There has been limited innovation in these ADC components since the development of first-generation ADC platforms. We believe
optimizing an ADC requires developing payload(s) with optimal properties, varying DAR for a specific target, and optimizing the conjugation site, all of
which can contribute to the overall drug-like properties. We believe that our proprietary platforms improve upon first-generation ADC approaches in these
aspects and have the potential to advance the field and improve patient outcomes.

Our Technologies and Platforms

The development of ADCs is not a one-size-fits-all approach. In fact, a number of diverse factors impact the properties of an ADC, including payload,
DAR,  site  of  conjugation  and  homogeneity.  For  each  target  antigen,  there  may  be  an  optimal  combination  of  these  factors.  Our  novel  and  highly
differentiated platforms are designed to allow us to optimize these properties for a given target and develop ADCs that are designed to best address patient
needs.

DolaLock Payload

We refer to the cytotoxic payload we use with our Dolaflexin and Dolasynthen platforms as our DolaLock payload. Our DolaLock payload is a proprietary
auristatin cytotoxic drug and is a highly potent anti-tubulin agent selectively toxic to rapidly dividing cells. The DolaLock payload has been shown in in
vitro  and  in vivo  preclinical  studies  to  control  the  bystander  effect  by  locking  the  cytotoxic  drug  inside  cells  after  allowing  a  short  period  of  antigen-
independent diffusion throughout the tumor. As the drug diffuses through neighboring cells, the DolaLock payload is metabolized to a form that is still
highly  potent  but  is  designed  to  no  longer  be  able  to  cross  the  cell  membrane,  thereby  controlling  the  bystander  effect  for  a  potentially  safer  and  more
effective cancer therapy.

A  common  mechanism  of  resistance  in  cancer  is  the  up-regulation  of  multi-drug  resistance,  or  MDR,  pumps,  such  as  P-glycoproteins,  or  PgPs,  which
actively pump drugs out of cancer cells to help them survive. Once metabolized, our DolaLock payload is not a substrate for PgPs, thereby avoiding this
resistance mechanism. Our DolaLock payload, with its controlled bystander effect, is designed to enable the creation of ADCs that have the potential of
being highly potent, well-tolerated and specifically-targeted cancer therapies.

In addition, our proprietary auristatin payload has also been shown in preclinical studies to cause immunogenic cell death and to stimulate the immune
system through dendritic cell activation. Because of this, we have observed synergy with immuno-oncology agents such as PD-1 inhibitors in preclinical
models.

Dolaflexin Platform

The  Dolaflexin  platform  was  designed  to  increase  the  efficacy,  safety  and  tolerability  of  ADCs.  Dolaflexin  utilizes  our  proprietary  Fleximer  polymer,  a
biodegradable, highly biocompatible, water-soluble polymer that is able to carry multiple payloads. Instead of direct conjugation to an antibody, payloads
are attached through an optimized, cleavable linker to the Fleximer scaffold, which is then conjugated to the antibody through a non-cleavable linker. Our
Fleximer polymer has demonstrated dramatically improved drug solubility, pharmacokinetics and immunogenicity, and an increased number of payloads
carried by each ADC as compared to other ADC therapies.

As a result, we believe Dolaflexin has the potential to offer the following benefits relative to first generation ADCs:

•

Proprietary DolaLock Payload: Dolaflexin is loaded with our proprietary auristatin cytotoxic drug, which is a highly potent anti-tubulin agent
and that is selectively toxic to rapidly dividing cells and has a controlled bystander effect.

• Higher Drug-to-Antibody Ratio: Historically, ADCs have been limited to a DAR of 3-4. The Dolaflexin platform can deliver ADCs with DAR
of  approximately  10,  which  has  enabled  ADCs  created  using  this  platform  to  demonstrate  greater  preclinical  efficacy  while  also  maintaining
pharmacokinetics and drug-like properties.

•

Expanded Range of Addressable Tumor Targets: The higher DAR enabled by Dolaflexin results in a higher amount of cytotoxic drug released
into  the  tumor  cell  for  every  ADC  that  is  internalized.  As  a  result,  we  believe  that  Dolaflexin  ADCs  may  demonstrate  efficacy  against  tumor
targets with lower levels of antigen expression where traditional ADCs have not been effective.

We believe these advantageous characteristics of our Dolaflexin platform provide a substantial opportunity to develop clinically meaningful ADC therapies
with potential to address a broader range of cancers than first generation ADC-based approaches.

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Our lead clinical candidate, UpRi, is a Dolaflexin ADC that targets NaPi2b. We are currently evaluating UpRi in the UPLIFT and UPGRADE trials and
expect to initiate the UP-NEXT trial in the second quarter of 2022.

Dolasynthen Platform

The  Dolasynthen  platform  enables  an  iterative  approach  to  designing  customized  ADCs  for  a  given  target  while  retaining  the  properties  of  Dolaflexin,
including  the  use  of  our  proprietary  DolaLock  payload  for  a  controlled  bystander  effect.  Dolasynthen  ADCs  consist  of  a  proprietary  synthetic  scaffold
carrying  an  exact  number  of  DolaLock  payloads  for  precise  control  of  DAR.  The  Dolasynthen  scaffold  is  then  bioconjugated  to  the  antibody  in  a  site-
specific manner. The Dolasynthen scaffold has been precisely designed to provide optimal water solubility, charge balance, linker stability and DAR which
together offer an opportunity for our ADCs to have superior physicochemical and pharmacokinetic properties.

Illustrated by our preclinical data, we believe Dolasynthen ADCs have broad therapeutic potential as cancer therapies. Our preclinical data demonstrate the
ability of the Dolasynthen platform to generate and identify the optimal ADC for a given target and antibody.

We  believe  that  Dolasynthen  offers  the  benefits  of  Dolaflexin,  including  the  proprietary  DolaLock  payload,  and  has  the  potential  to  offer  the  following
additional benefits relative to traditional ADCs:

•

•

Precise  Control  of  DAR:  The  optimal  DAR  may  vary  between  different  targets  and  antibodies.  Dolasynthen  uses  a  proprietary  scaffold  that
allows for precise DARs between 2-24, enabling optimization of the DAR for specific antigens and antibodies.

Site-Specific Bioconjugation: The site of scaffold bioconjugation to an antibody impacts the overall properties of that ADC. Dolasynthen enables
site-specific bioconjugation allowing further ADC optimization.

• Homogenous  ADC  Development:  The  DAR  and  antibody  bioconjugation  is  consistent  throughout  ADCs  developed  with  the  Dolasynthen

platform allowing for consistent and precise drug delivery to targeted cancer cells.

•

Increased Hydrophilicity: The precise optimization of the hydrophilic moiety on Dolasynthen ADCs allows for increased aqueous solubility and
enhanced pharmacokinetic properties.

Our second clinical candidate, XMT-1592, is a Dolasynthen ADC targeting NaPi2b-expressing tumor cells. We are conducting a Phase 1 dose exploration
trial of XMT-1592 in patients with ovarian cancer and non-small cell lung cancer, NSCLC, adenocarcinoma which we expect to complete in 2022. XMT-
1660, our B7-H4-targeted Dolasynthen ADC is currently in investigational new drug, or IND, -enabling studies.

ImmunoLock Payload

We refer to the STING agonist that is used as the payload with our Immunosynthen platform as our ImmunoLock Payload. It was designed to have very
low cell permeability in order to control delivery and localization of its innate immune-activating effect. STING is a well-studied innate immune pathway
capable of inducing anti-tumor immune activity. Our preclinical data show that the anti-tumor activity of Immunosynthen ADCs carrying the ImmunoLock
payload is driven by the targeted activation of the STING pathway in tumor-resident immune cells and in tumor cells, in a target dependent manner. STING
pathway activation in both cell types within the tumor provides the potential for enhanced anti-tumor activity with a STING-agonist ADC compared to
other innate immune approaches that activate only the immune cells and are not capable of activating the tumor cells.

Immunosynthen Platform

Immunosynthen  is  our  novel  immunostimulatory  ADC  platform  designed  to  take  ADCs  beyond  the  delivery  of  traditional  cytotoxic  payloads  and  into
targeted stimulation of the innate immune system. Through the tumor-targeted delivery of a novel STING agonist, ADCs created with our Immunosynthen
platform  have  the  potential  to  address  the  challenges  of  efficacy,  delivery  and  tolerability  posed  by  the  intratumoral  or  intravenous  injection  of  free
(unconjugated) STING agonists. We have generated preclinical data across multiple, diverse targets by creating Immunosynthen ADCs based on a variety
of antibodies directed to those targets and evaluating them in a range of tumor models. In each case we have demonstrated significant anti-tumor activity in
vivo  (including  complete  tumor  regressions)  after  a  single  low,  well-tolerated  dose.  Additional  characterization  has  demonstrated  increased  cytokine
expression and immune cell infiltration in the tumor microenvironment, as well as the

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induction of immunological memory. We have demonstrated tolerability and characterized the favorable pharmacokinetic profile of Immunosynthen ADCs
in non-human primates, after multiple intravenous doses and at exposures significantly higher than those required for robust efficacy in mice.

Immunosynthen ADCs have been designed to overcome the limitations of free STING agonists and to offer a highly differentiated approach from other
innate immune activators due to the following:

• Non-Cell Permeable STING Agonist ImmunoLock Payload: Our novel and proprietary payload has very low cell permeability, remaining in

the cell to which it is delivered by the antibody, where it can exert its effect.

•

•

Enhanced Pharmacokinetic Properties: The prolonged pharmacokinetics of ADCs and active transport into tumor cells and tumor-resident
immune cells can overcome pharmacokinetic and permeability issues of the free agonists, resulting in more robust and sustained activation of the
innate immune response in the tumor.

Immunosynthen STING ADCs Provide Targeted Activation in Two Cell Types: Because STING, unlike other innate immune pathways, can
be activated in tumor cells and tumor-resident immune cells, target-dependent delivery can result in innate immune activation of both cell types,
providing potent and robust anti-tumor responses and the induction of immunological memory.

Together these features have the potential to improve therapeutic index by selectively activating the innate immune system in the tumor environment and
minimizing activation in other tissues. We are building a pipeline of Immunosynthen ADC candidates applicable to a broad range of clinical indications.
Our first Immunosynthen ADC development candidate, XMT-2056 targets a novel epitope of HER2 and we expect to initiate a Phase 1 clinical trial in mid-
2022.

Our product candidates

We are leveraging our platforms to develop a robust pipeline of product candidates with the potential of becoming clinically meaningful cancer therapies.
Our  pipeline  strategy  focuses  on  targets  that  have  been  biologically  validated  (either  through  ADCs  or  other  modalities),  where  the  advantages  of  our
platforms  may  lead  to  clinically  superior  therapeutic  benefits,  where  we  have  the  potential  to  achieve  first-in-class  status,  or  where  fast-to-market
opportunities are available. Our lead product candidate, UpRi, is currently being evaluated in the UPLIFT and UPGRADE trials and we expect to initiate
the UP-NEXT trial in 2022. Our next product candidate, XMT-1592, is being evaluated in a dose exploration trial. We are also advancing XMT-1660, a B7-
H4-targeted Dolasynthen ADC, and XMT-2056, our first Immunosynthen ADC targeting a novel epitope of HER2, both of which are currently in IND-
enabling studies. In addition, our partners have multiple ADC product candidates leveraging our Dolaflexin technology in various stages of development.

Upifitamab rilsodotin (UpRi): our NaPi2b-targeted Dolaflexin ADC

UpRi,  a  first-in-class  ADC  targeting  the  sodium-dependent  phosphate  transport  protein  NaPi2b,  utilizes  the  Dolaflexin  platform  to  deliver  about  10
DolaLock payload molecules per antibody. We believe the NaPi2b antigen is broadly expressed in ovarian cancer and other cancers with limited expression
in  normal  tissue.  NaPi2b  is  a  member  of  the  SLC34  family  of  sodium-dependent  transporters  and  plays  an  important  role  in  maintaining  phosphate
homeostasis. We initiated a Phase 1/2 clinical trial of UpRi in December 2017 with the primary objectives of determining the recommended phase 2 dose
and  characterizing  the  efficacy,  safety  and  tolerability  and  the  secondary  objective  of  assessing  the  correlation  of  the  NaPi2b  biomarker  expression  and
efficacy. The dose escalation portion of the trial established 43 mg/m2 up to a maximum of approximately 80 mg as the maximum tolerated dose. The
expansion portion of the trial evaluated two doses, 36 mg/m2 and 43 mg/m2, up to a maximum of 80 mg.

There are currently no tests approved by the FDA to measure NaPi2b expression on tumor cells. Our initial clinical trials have not prospectively identified
patients  with  NaPi2b-expressing  tumors,  but  our  development  plan  for  UpRi  includes  the  development  of  a  proprietary  immunohistochemistry  assay  to
measure NaPi2b expression in tumors. Based on our retrospective evaluation of tumors collected in the dose escalation and expansion portions of our initial
UpRi  Phase  1  trial,  we  believe  that  high  NaPi2b  expression  is  present  in  approximately  two-thirds  of  ovarian  cancer  patients.  We  intend  to  continue
developing our assay in order to confirm the broad prevalence of NaPi2b expression in our target patient populations while correlating those expression
levels with the efficacy observed in such patients. We are currently collaborating with a third party to create and obtain regulatory approval for our assay as
a commercial companion or complementary diagnostic. We expect to use the assay to evaluate Tumor Proportion Score of greater than or equal to 75%
(TPS75) to identify patients with high NaPi2b tumor expression and to help us enrich our data analyses based on biomarker expression.

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Over  the  course  of  2020,  we  presented  early  Phase  1  UpRi  clinical  data,  including  presentations  at  the  American  Society  of  Clinical  Oncology  and  the
European Society for Medical Oncology and at company presentations to investors. These data were from the dose escalation and expansion portions of our
UpRi Phase 1 trial, and they demonstrated encouraging clinical activity in heavily-pretreated patients with a safety profile differentiated from those of first
generation  ADCs.  In  August  2020,  the  FDA  granted  Fast  Track  Designation  for  UpRi  for  the  treatment  of  patients  with  platinum-resistant  high-grade
serous  ovarian  cancer  who  have  received  up  to  three  prior  lines  of  systemic  therapy  or  patients  who  have  received  four  prior  lines  of  systemic  therapy
regardless of platinum status. In January 2021 and in September 2021, we provided interim clinical data updates from our expansion cohort. The interim
data  presented  in  September  2021  was  based  on  approximately  100  ovarian  patients  for  efficacy  analysis  and  an  overall  group  of  approximately  200
patients for safety evaluation. All of the data from these patients were from our ongoing Phase 1/2 clinical trial. These data supported UpRi’s clinically
meaningful  activity  in  heavily-pretreated  ovarian  cancer  patients  with  an  objective  response  rate,  or  ORR,  of  approximately  34%,  including  complete
responses,  in  evaluable  patients  with  high  NaPi2b  tumor  expression.  The  data  also  showed  that  UpRi  was  generally  well  tolerated  without  the  severe
toxicities commonly seen with other ADCs such as neutropenia, ocular toxicities, or peripheral neuropathy. The most common grade 3 or higher adverse
events  reported  in  this  heavily  pretreated  trial  population  included  fatigue  and  transiently  increased  aspartate  aminotransferase.  Other  adverse  events  of
clinical interest included infrequent, generally low-grade pneumonitis that generally resolves with dose reduction, delay, discontinuation and treatment with
steroids.  Based  on  these  safety  and  efficacy  data  and  our  population  pharmacokinetics  analyses  of  the  overall  group  of  approximately  200  patients
administered UpRi as of the data cut off, we determined that the phase 2 recommended dose of UpRi is 36 mg/m2 up to a total dose of approximately
80mg. This is the dose that we are currently evaluating in UPLIFT. In November 2021, we announced that we had completed enrollment of a Phase 1/2
dose  escalation  cohort  of  NSCLC  adenocarcinoma  patients.  Based  on  the  data  collected  from  that  cohort,  we  deprioritized  further  monotherapy
development in NSCLC, instead focusing on developing UpRi in ovarian cancer.

In April 2021, we initiated UPLIFT which is enrolling patients with platinum-resistant ovarian cancer and with one to four prior lines of therapy, without
regard to NaPi2b expression; however, we are confirming the potentially predictive role of the biomarker retrospectively using a novel diagnostic assay to
identify  patients  with  high  NaPi2b  expression.  Patients  with  three  to  four  prior  lines  of  therapy  may  enroll  without  prior  bevacizumab  treatment,
accommodating differences in bevacizumab use in early disease. The primary endpoint is ORR in the high NaPi2b patient population and the secondary
endpoints are ORR in the overall population, as well as duration of response and safety. UPLIFT is ongoing with sites in the United States, Europe and
Australia, and we expect to complete enrollment of approximately 100 patients with NaPi2b high expression and up to 180 patients overall in the third
quarter of 2022. If we achieve positive results from UPLIFT, we believe that the trial may enable us to submit a Biologics Licensing Application, or BLA,
for UpRi for the treatment of patients with platinum-resistant ovarian cancer with one to four prior lines of therapy, under the FDA's accelerated approval
pathway.

In July 2021, we also initiated UPGRADE and began the umbrella trial with an initial evaluation of UpRi combined with carboplatin, a standard platinum
chemotherapy used to treat patients with platinum-sensitive ovarian cancer, followed by UpRi monotherapy. The dose escalation portion of UPGRADE is
intended to determine the recommended Phase 2 dose of UpRi in combination with carboplatin, and the dose exploration portion of this trial is intended to
provide  proof  of  concept  for  the  combination.  We  expect  to  report  interim  data  from  UPGRADE  in  the  second  half  of  2022.  We  believe  data  from
UPGRADE will inform further development of UpRi in combination with other therapies used in platinum-sensitive ovarian cancer.

We expect to initiate UP-NEXT in the second quarter of 2022. The design of UP-NEXT was informed by discussions with the FDA and the Committee for
Medicinal Products for Human Use, or CHMP. UP-NEXT could serve as a post-approval confirmatory trial, supporting the expansion of UpRi into earlier
lines of therapy. We expect UP-NEXT to enroll platinum-sensitive ovarian cancer patients who have achieved a response or stable disease after platinum
therapy. Eligible patients with BRCA mutation must have received prior treatment with poly adenosine diphosphate ribose polymerase, or PARP, inhibitor
therapy. Additionally, eligible patients must have high NaPi2b tumor expression. In recognition of the unmet medical need and the lack of a standard of
care for these patients, the trial will be randomized against placebo.

XMT-1592: our NaPi2b targeted Dolasynthen ADC

XMT-1592 was created using our Dolasynthen platform and also targets tumors that express NaPi2b. XMT-1592 comprises the same proprietary NaPi2b
antibody and potent auristatin DolaLock payload with controlled bystander effect as in UpRi, with the additional features that our Dolasynthen platform
offers, including homogeneity, site-specific bioconjugation and precise DAR. Preclinically, XMT-1592 has shown a differentiated profile particularly in a
NSCLC adenocarcinoma model, where data suggested it was four times more efficacious than UpRi, consistent with higher payload delivery to the tumor.
Based on these preclinical data, we are exploring XMT-1592 as a potential opportunity in NSCLC adenocarcinoma. XMT-1592 is currently

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being evaluated in Phase 1 dose exploration trial in patients with ovarian cancer and NSCLC adenocarcinoma. We expect to complete dose exploration in
the second half of 2022.

XMT-1660: our B7-H4-targeted Dolasynthen ADC candidate

XMT-1660 is our B7-H4-targeted ADC created with our Dolasynthen platform. We believe the expression profile of B7-H4, a cell surface antigen, is well
suited  for  our  unique  DolaLock  payload.  B7-H4  can  be  expressed  on  tumor  cells  and  on  immunosuppressive  tumor  associated  macrophages,  or  TAMs,
which may lead to additional processing of the ADC and more payload in the tumor environment. We believe DolaLock’s direct cytotoxic effect as well as
its  immunostimulatory  effect  through  dendritic  cell  activation  and  immunogenic  cell  death  are  well  suited  to  the  biology  of  the  B7-H4  target.  We  have
generated favorable preclinical efficacy data and non-human primate tolerability data with Dolasynthen ADCs targeting B7-H4 with precise DARs of 2 and
6. We selected the DAR6 variant based on this preclinical data. We believe that targeting B7-H4 with XMT-1660 provides significant opportunities for
development in areas of high unmet need such as breast cancer, endometrial and ovarian cancer. XMT-1660 is currently in IND-enabling studies, and we
expect to initiate Phase 1 dose escalation for XMT-1660 in patients with solid tumors in mid-2022.

XMT-2056: our First Immunosynthen ADC candidate

XMT-2056 is our first Immunosynthen STING-agonist ADC. As described above, the therapeutic rationale of an Immunosynthen ADC is to selectively
deliver the STING agonist to tumor cells and tumor-resident immune cells in a target-dependent manner, while avoiding delivery to healthy tissues. XMT-
2056 is designed to offer a differentiated and complementary therapeutic approach to the treatment of HER2-expressing tumors. XMT-2056 targets a novel
HER2 epitope that is distinct from the epitopes targeted by trastuzumab or pertuzumab, providing an opportunity for development as a monotherapy as well
as in combination with well-established or investigational anti-HER2 agents. In preclinical studies, XMT-2056 was generally well-tolerated in non-human
primate studies with no clinical signs and no adverse findings in clinical pathology or histopathology after single and repeat intravenous doses. XMT-2056
is currently in IND-enabling studies, and we expect to initiate Phase 1 dose escalation for XMT-2056 in patients with solid tumors in mid-2022.

Ovarian cancer unmet need and epidemiology

Worldwide,  ovarian  cancer  had  incidence  of  approximately  314,000  and  caused  an  estimated  207,000  deaths  in  2020.  With  a  U.S.  incidence  of
approximately 21,000 and mortality of 14,000 in 2021 according to the National Cancer Institute Surveillance, Epidemiology and End Results Program,
ovarian  cancer  was  the  second  most  common  gynecologic  malignancy  and  the  most  common  cause  of  gynecologic  cancer  death  in  the  United  States.
Diagnosis  is  made  histologically,  and  evaluation  is  commonly  performed  following  surgical  removal  of  an  ovary  or  fallopian  tube  or  biopsies  of  the
peritoneum. The ovarian cancer standard of care is characterized by initial surgery followed by platinum-containing chemotherapy followed by periods of
either observation or maintenance. Nearly 85% of ovarian cancer patients typically relapse following initial treatment. Subsequent treatment depends on the
depth  and  duration  of  response  to  initial  platinum  treatment.  Ovarian  cancer  patients  who  progress  within  six  months  of  completion  of  platinum-based
therapy  are  considered  to  have  platinum-resistant  disease.  Unmet  medical  need  is  significant  for  patients  with  platinum-resistant  ovarian  cancer  as
treatment options are mainly limited to single agent chemotherapies such as pegylated liposomal doxorubicin, topotecan and paclitaxel. Multiple Phase 3
trials of single agent chemotherapies in patients with platinum-resistant disease and one to three prior therapies have exhibited an overall response rate of 4-
12% and median progression-free survival of 3-4 months.

With targeted agents approved in platinum-resistant disease increasingly being prescribed in earlier lines of therapy, the unmet need is expected to remain
severe. Bevacizumab in combination with chemotherapy is indicated to treat a subset of platinum-resistant ovarian cancer patients with no more than two
prior therapies but it is not always well-tolerated and has shown no overall survival benefit. Use of bevacizumab in combination with platinum-containing
chemotherapy  in  the  frontline  and  platinum-sensitive  recurrent  settings  mean  an  increasing  number  of  platinum-resistant  patients  are  pre-treated  with
bevacizumab and are not candidates for additional bevacizumab combination treatment. More recently, PARP inhibitors have been approved for heavily-
pretreated  ovarian  cancer  including  platinum-resistant  disease.  However,  they  are  predominantly  used  in  a  subset  of  patients  with  cancers  harboring
BRCA1 and BRCA2 mutations. Similarly, use of PARP inhibitors in earlier lines of recurrent platinum-sensitive maintenance and more recently frontline
maintenance  therapy  following  platinum-based  chemotherapy  means  an  increasing  number  of  platinum-resistant  patients  are  pre-treated  with  PARP
inhibitors and are not candidates for additional PARP inhibitor therapy.

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NSCLC unmet need and epidemiology

Worldwide,  lung  cancer  had  an  incidence  of  approximately  2.2  million  and  caused  an  estimated  1.8  million  deaths  in  2020.  With  a  U.S.  incidence  of
approximately  236,000  new  cases  and  over  130,000  deaths  in  2021,  lung  cancer  was  the  deadliest  form  of  cancer  in  the  United  States.  The  five  year
survival rate is less than 20% on average. Approximately 95% of all lung cancers are classified as either small cell lung cancer or NSCLC. NSCLC can be
further divided into squamous or non-squamous. The majority of non-squamous NSCLC is classified as adenocarcinoma. These histological distinctions
are important for proper staging, treatment and prognosis. For patients with NSCLC, initial treatment is largely determined by the stage of disease. Surgical
resection offers the best opportunity for long-term survival and cure in patients with resectable early-stage NSCLC. Locally-advanced NSCLC is treated by
combinations of radiotherapy, immunotherapy, chemotherapy and surgery. The majority of patients present with inoperable disease. Metastatic NSCLC is
managed with systemic chemotherapy and immunotherapy.

The standard of care is evolving for NSCLC with the introduction of immunotherapies for patients without oncogenic driver mutations and new targeted
therapies  for  patients  with  EGFR,  ALK,  ROS-1,  NTRK  or  BRAF  mutations.  For  patients  with  metastatic  disease  without  oncogenic  driver  mutations,
frontline platinum-based chemotherapy is combined with or, depending on PD-L1 expression status, replaced by, immunotherapy using anti-PD-1 or anti-
PD-L1  monoclonal  antibodies.  For  patients  with  metastatic  disease  harboring  oncogenic  driver  mutations,  several  generations  of  targeted  agents  are
available  with  different  resistance  profiles.  Frontline  therapy  is  often  followed  by  relapse  and  recurrence  and  treatment  options  for  these  patients  are
substantially more limited. The standard of care of docetaxel alone or in combination with targeted agents has an overall response rate of 14-23%, median
progression-free survival of 3-4 months and median overall survival of 9-12 months.

With  PD-1  and  PD-L1  inhibitors  and  next  generation  targeted  therapies  moving  into  frontline,  the  unmet  need  in  recurrent  lung  cancer  is  expected  to
remain severe.

Breast cancer unmet need and epidemiology

Worldwide, breast cancer was the most common cancer with an incidence of approximately 2.3 million and estimated 685,000 deaths in 2020. The U.S.
incidence was approximately 282,000 new cases with over 43,600 deaths in 2021. While patients with localized disease typically have a relatively good
prognosis, the 5-year survival of patients with distant metastasis is only 29%. There are four main female breast cancer subtypes, which are, in order of
prevalence:  Hormone  Receptor  positive  (HR+)/  Human  Epidermal  Growth  Factor  Receptor  2  negative  (HER2-)  (“Luminal  A”),  HR-/HER2-  (“Triple
Negative”), HR+/HER2+ (“Luminal B”), and HR-/HER2+ (“HER2-enriched”). Treatment choice is driven by both subtype and stage of disease. Surgical
resection offers the best opportunity for long-term survival and cure in patients with resectable early-stage disease. Some patients receive radiation therapy
and/or systemic therapy post-surgery, with treatment choice driven by cancer subtype.

Systemic therapy is the mainstay of treatment for metastatic breast cancer. Once again, the treatment choice is determined by cancer subtype and by what
treatments patients have received previously. The primary treatment option for patients who are HR+ is endocrine therapy, including aromatase inhibitors.
Patients who are HER2+ are usually treated with HER2 targeting agents such as trastuzumab and pertuzumab, among others. Other targeted agents that are
used in metastatic breast cancer include CDK4/6 inhibitors, mTOR inhibitors, PARP inhibitors, PIK3CA inhibitor, immunotherapy and ADCs. Patients can
also receive chemotherapies, alone or in combination with other agents. In addition, a number of new therapeutic options are under clinical investigation.
Despite the availability of these treatment options, outcomes in metastatic breast cancer continue to be poor, and new treatments that improve survival and
quality of life are urgently needed.

Strategic partnerships

Strategic partnerships with leading biopharmaceutical companies to advance Dolasynthen and Dolaflexin ADC product candidates

We believe that our ADC platforms have broad applicability across a number of targets. In February 2022, we entered into a research collaboration and
license  agreement  with  Janssen  Biotech,  Inc.,  or  Janssen,  to  collaborate  on  the  discovery  of  Dolasynthen  ADCs  for  up  to  three  antigen  targets  utilizing
Janssen’s antibodies, with Janssen leading development, manufacturing and commercialization worldwide. We refer to this as the Janssen Collaboration.
Our primary objective in entering into the Janssen Collaboration was to collaborate with a leading global pharmaceutical company to further validate the
potential of our Dolasynthen platform, to enable novel ADC product candidates, to provide near-term funding and to drive significant long-term value. We
have also used strategic partnering to accelerate bringing Dolaflexin ADCs to patients. In 2014, we entered into a collaboration with Merck KGaA for the
development and commercialization of ADC product candidates

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utilizing Dolaflexin for up to six target antigens; we refer to this as the Merck KGaA Collaboration. In entering into the Merck KGaA Collaboration, our
primary  objectives  were  to  collaborate  with  leading  pharmaceutical  company  to  further  validate  the  potential  of  ADC  product  candidates  utilizing
Dolaflexin, as well as to provide near-term funding and to drive significant long-term value. Under these collaboration agreements, we own the rights to
any improvements to our ADC platform(s). The details of our material existing strategic partnerships are as follows:

Janssen Collaboration

In February 2022, we entered into the Janssen Collaboration pursuant to which we granted Janssen an exclusive license to use our proprietary Dolasynthen
platform and other technology to develop, manufacture and commercialize antibody-drug conjugates directed to up to three targets selected by Janssen. Our
responsibilities are to perform bioconjugation activities to create ADCs for Janssen based on antibodies provided by Janssen. We will also perform certain
chemistry, manufacturing and controls development and early stage manufacturing activities for ADCs that Janssen progresses through development, up to
and including the manufacturing of clinical drug substance, at Janssen’s cost. Except with respect to this limited manufacturing, Janssen will be responsible
for  the  further  development,  manufacturing  and  commercialization  of  the  ADCs  developed  under  the  Janssen  Collaboration,  including  obtaining  any
necessary regulatory approvals, at Janssen’s cost.

Under the terms of the Janssen Collaboration, we received an upfront payment of $40 million. Certain development and regulatory milestones will also be
payable by Janssen for the research programs, including upon certain discovery milestones, initiation of certain clinical trials, and regulatory approval of
certain licensed products in certain geographies, with an aggregate total of up to $501 million in the event ADCs directed to all three targets are advanced
by Janssen. In the event the ADCs developed by Janssen are commercialized, we are eligible to receive certain commercial milestones for each program
upon the achievement of specified aggregate sales thresholds based on all ADCs for an applicable target, with an aggregate total of up to approximately
$530  million  in  the  event  ADCs  directed  to  all  three  targets  are  commercialized  by  Janssen.  In  addition,  we  are  eligible  to  receive  tiered  royalties  at
percentages ranging from the mid-single digits to the low-double digits on future net sales of ADCs.

The Janssen Collaboration will remain in effect, unless earlier terminated, until the expiration of the last-to-expire royalty term for the last ADC. Royalty
term means on an ADC-by-ADC and country-by-country basis, the period commencing upon the first commercial sale of an ADC in such country and
ending upon the latest to occur of: (a) the date of expiration of the last royalty-bearing patent claim with respect to such ADC in such country; (b) the
expiration of regulatory exclusivity for such ADC in such country, if any; and (c) the tenth (10th) anniversary of the first commercial sale of such ADC in
such  country.  Upon  the  expiration  of  the  royalty  term  with  respect  to  an  ADC  in  a  country,  Janssen’s  license  becomes  a  perpetual,  irrevocable,  non-
exclusive, fully-paid and royalty-free right and license, with the right to grant sublicenses, under the relevant platform technology and our interest in any
joint technology to develop, manufacture, commercialize and otherwise exploit such ADC in such country.

Merck KGaA Collaboration

In June 2014, we entered into the Merck KGaA Collaboration under which we formed a strategic partnership with Merck KGaA because of their expertise
in  oncology  drug  development.  Under  this  agreement,  we  are  responsible  for  generating  ADC  product  candidates  against  Merck  KGaA-selected  target
antigens.  Merck  KGaA  received  rights  to  select  up  to  six  target  antigens,  of  which  it  has  selected  all  six.  Merck  KGaA  is  responsible  for  generating
antibodies against the target antigens, and we are responsible for generating Dolaflexin and conjugating this to such antibodies to create the ADC product
candidates. With respect to each target antigen selected by Merck KGaA, we granted Merck KGaA an exclusive, worldwide license under certain of our
Fleximer ADC-related patents and know-how to develop, manufacture and commercialize ADC product candidates directed to such target antigen. Merck
KGaA  is  then  responsible  for  the  further  development  and  commercialization  of  these  ADC  product  candidates.  In  addition,  if  Merck  KGaA  advances
candidates, we are responsible for manufacturing these ADC product candidates for good laboratory practices toxicology studies and Phase 1 clinical trials
at Merck KGaA’s expense and Merck KGaA is responsible for all further manufacture of these ADC product candidates. Merck KGaA is required to pay its
own  costs  in  the  development,  commercialization  and  manufacture  of  these  ADC  product  candidates  and  to  reimburse  us  for  our  costs  incurred  in
performing our research activities under this agreement.

Through  December  31,  2021,  we  have  received  an  upfront  payment  of  $12  million  and  milestone  payments  of  $3  million  under  the  Merck  KGaA
Collaboration.  If  products  are  successfully  developed  and  commercialized  against  all  six  target  antigens,  we  would  be  entitled  to  receive  future
development,  regulatory  and  commercial  milestones  of  up  to  $777  million.  We  are  entitled  to  receive  tiered  royalties  in  the  low-  to  mid-single  digit
percentages on net sales of products targeting Merck KGaA’s target

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antigens  during  the  applicable  royalty  term  if  products  are  successfully  developed  and  commercialized  by  Merck  KGaA  under  the  Merck  KGaA
Collaboration.

Unless earlier terminated, the Merck KGaA Collaboration will expire upon the expiration of the last royalty term for a product under the agreement in all
countries or, if Merck KGaA does not designate any ADC product candidates produced by us under the agreement as preclinical development candidates,
upon  the  expiration  of  the  last-to-expire  research  program.  The  royalty  term  means,  on  a  product-by-product  and  country-by-country  basis,  the  period
commencing upon the first commercial sale of a product and ending upon the later to occur of: (i) the expiration of the last Mersana patent right that covers
or claims the exploitation of such product in such country, or (ii) 10 years from the date of first commercial sale of such product in such country. Upon the
expiration of each royalty term for each product on a country-by-country basis, Merck KGaA’s exclusive license will convert to a perpetual, non-exclusive,
royalty-free license with respect to such product in such country. Merck KGaA may terminate the Merck KGaA Collaboration in its entirety or with respect
to any target antigen for convenience upon 60 days’ prior written notice. Each party may terminate the Merck KGaA Collaboration in its entirety upon an
uncured material breach of the agreement by the other party.

Asana Biosciences collaboration agreement

In March 2012, we entered to a collaboration agreement with Asana Biosciences, or Asana (by assignment from Endo Pharmaceuticals Inc.). Pursuant to
the terms of this agreement, we used Asana’s novel antibodies to develop novel ADCs using our fleximer technology. Asana is responsible for product
development, manufacturing and commercialization of any ADC products.

Strategic partnerships to access antibodies and develop new platforms to progress our proprietary pipeline

Our focus is to progress our proprietary pipeline of ADCs. For this reason, we have partnered with biotechnology companies that have the capability to
generate  high  quality  antibodies  or  that  have  existing  antibodies  that  we  can  license  for  inclusion  in  our  ADCs.  We  have  also  entered  into  license
agreements  with  biotechnology  companies  that  own  certain  patent  rights  and  related  know-how  that  enable  us  to  develop  new  ADC  platforms.  These
strategic partnerships have facilitated the acceleration of our proprietary pipeline.

Recepta license for the NaPi2b antibody

In July 2015, we entered into a license agreement with Recepta Biopharma S.A., or Recepta, a Brazilian biopharmaceutical company, licensing Recepta’s
NaPi2b antibody for use in UpRi and XMT-1592 and granting Recepta the exclusive right to commercialize UpRi and XMT-1592 in Brazil, which was
amended in September 2021. We refer to this as the Recepta License. Under the Recepta License, Recepta granted us an exclusive license and sub-license
with respect to certain patents licensed by Recepta from Ludwig Institute for Cancer Research and technology owned by Recepta to develop and exploit
products containing Recepta’s NaPi2b antibody, including UpRi and XMT-1592, worldwide for the diagnosis, prophylaxis and treatment of human cancer.
We  granted  Recepta  an  exclusive  license  under  our  rights  in  such  patents  and  technology  and  certain  of  our  ADC-related  patents  and  technology  to
commercialize any such products developed by us, including UpRi and XMT-1592, in Brazil. We are responsible for using commercially reasonable efforts
to develop and commercialize products under the Recepta License globally, with at least one trial site in our Phase 3 clinical trials, and at our own expense
in certain major markets. Recepta may conduct development activities in Brazil at its own expense after providing us the opportunity to first conduct such
activities at Recepta’s expense. If a product is successfully developed and commercialized by Recepta in Brazil, we will use diligent efforts to enter into an
agreement for the supply of such products to Recepta for sale in Brazil.

Under the Recepta License, we paid Recepta an upfront payment of $1 million during the year ended December 31, 2015 and are obligated to pay Recepta
up to $65.5 million in development, regulatory and commercial milestones and tiered royalties in the low-single digit percentages on net sales of products
outside of Brazil until the expiration of the royalty term if products are successfully developed and commercialized. Through December 31, 2021, we have
incurred $4.0 million and paid $2.8 million in development milestone payments. We are entitled to receive tiered royalties in the low- to mid-single digit
percentages  on  net  sales  of  products  in  Brazil  until  the  expiration  of  the  royalty  term  if  products  are  successfully  developed  and  commercialized.  The
royalty term means, on a product-by-product and country-by-country basis, the period ending upon the later of (i) with respect to products commercialized
by Mersana, the expiration of the last-to-expire Recepta patent that covers the product in such country (including the term of any applicable supplementary
protection certificate) or with respect to products commercialized by Recepta, the expiration of the last-to-expire Mersana patent that covers the product in
Brazil (including the term of any applicable supplementary protection certificate) or (ii) 10 years from the date of first commercial sale of such product in
such country. Upon the expiration of each royalty term in each country for each applicable product, the exclusive

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licenses granted to each party under the agreement will become fully-paid up and royalty-free. The Recepta License will remain in effect until otherwise
terminated as set forth below. We may terminate the Recepta License for convenience in its entirety or on a country-by-country basis (except with respect
to  Brazil)  or  product-by-product  basis  upon  180  days’  prior  written  notice  for  a  termination  in  its  entirety  or  upon  45  days’  prior  written  notice  for  a
termination in part. Each party may terminate the Recepta License in its entirety upon bankruptcy or similar proceedings of the other party, upon a patent
challenge by the other party or upon an uncured material breach of the agreement by the other party. However, if such breach only relates to one country,
the Recepta License may only be terminated with respect to such country.

Synaffix commercial license agreement    

In January 2019, we entered into a commercial license agreement with Synaffix B.V., or Synaffix, which we amended and restated in November 2021 to
expand our relationship with Synaffix. We refer to the amended and restated agreement as the Synaffix License. Under the Synaffix License, we have the
right  to  develop,  manufacture  and  commercialize  ADCs  directed  to  targets  using  Synaffix’s  proprietary  site-specific  conjugation  technology  for  up  to
twelve targets. Through December 31, 2021, we have licensed two targets from Synaffix in connection with our development of XMT-1592 and XMT-
1660,  for  which  we  have  paid  $1.5  million  in  license  fees,  and  $0.8  million  in  milestone  payments.  We  are  required  to  make  milestone  payments  to
Synaffix of up to an aggregate of $28.0 million in development and regulatory milestones and up to $20.0 million in one-time sales milestones based on the
achievement  of  annual  sales  objectives  for  each  of  these  two  targets.  Additionally,  we  paid  upfront  fees  of  $2.5  million  at  the  time  of  amending  and
restating  the  Synaffix  License  in  November  2021,  which  may  be  applied  to  reservation  and  license  fees  associated  with  our  selection  of  the  next  three
targets. Upon licensing any future targets, we will be obligated to pay in the range of $48.0 million to $117.0 million for issuance, development, regulatory
and one-time sales milestones. We further amended the Synaffix License in February 2022 in connection with the Janssen Collaboration and agreed to pay
Synaffix  an  additional  fee  of  $1.5  million  which  may  be  applied  to  future  reservation  and  license  fees,  as  well  as  certain  portions  of  potential  future
development milestones.

Upon commencement of commercial sales of any ADC product directed to a licensed target, if any, we are required to pay to Synaffix tiered royalties in the
low-single digit percentages on net sales of the respective products. The Synaffix License remains in effect on a country-by-country and licensed product-
by-licensed product basis until the expiration of the last-to-expire valid claim in a patent licensed under the Synaffix License covering such product in such
country. Upon the expiration of the Synaffix License for each licensed product in each country, the licenses granted to us for such product in such country
will become fully paid-up and perpetual. We may terminate the Synaffix License in its entirety or on a licensed product-by-licensed product basis at any
time. Either party may terminate the Synaffix License, subject to a specified notice and cure period, for a breach by the other party of a material provision
of the agreement or upon an insolvency-related event experienced by the other party.

Manufacturing

We do not own or operate and currently have no plans to establish any current good manufacturing practices, or cGMP, compliant manufacturing facilities.
We currently rely, and expect to continue to rely, on external Contract Manufacturing Organizations, or CMOs, for the manufacture of product to support
our  activities  through  regulatory  approval  and  commercial  manufacturing.  We  have  personnel  with  pharmaceutical  development  and  manufacturing
experience who are responsible for the relationships with our CMOs. In the future, we expect to use these CMOs to manufacture commercial supply of our
products, which will require these CMOs to increase scale of production. We do not currently have qualified alternate suppliers in the event the current
CMOs  that  we  utilize  are  unable  to  scale  production  for  commercial  manufacturing.  The  Dolaflexin,  Dolasynthen  and  Immunosynthen  manufacturing
processes involve readily available starting materials and use unit operations that are well-precedented in the field of chemical/pharmaceutical production.
The current UpRi supply chain utilizes the same vendors that we could use for commercialization. The current XMT-1592 supply chain utilizes the same
vendors  that  we  could  use  for  commercialization  with  the  exception  of  components  necessary  for  the  Synaffix  bioconjugation  technology,  where  the
identification of a commercially capable vendor is ongoing. The current supply chains for XMT-1660 and XMT-2056 have several vendors in common, and
based on what we know today, we believe we could use these vendors for commercialization purposes.

Government regulation

The  research,  development,  testing,  manufacture,  quality  control,  packaging,  labeling,  storage,  record-keeping,  distribution,  import,  export,  promotion,
advertising, marketing, sale, pricing and reimbursement of drug and biologic products are extensively regulated by governmental authorities in the United
States  and  other  countries.  The  processes  for  obtaining  regulatory  approvals  in  the  United  States  and  in  foreign  countries  and  jurisdictions,  along  with
compliance with applicable statutes and regulations and other regulatory requirements, both pre-approval and post-approval, require the expenditure of

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substantial time and financial resources. The regulatory requirements applicable to biological product development, approval and marketing are subject to
change, and regulations and administrative guidance often are revised or reinterpreted by the agencies in ways that may have a significant impact on our
business.

U.S. government regulation of biological products

In the United States, the FDA licenses biological products, or biologics, under the Public Health Service Act, or the PHSA, and regulates such products
under the Food, Drug and Cosmetic Act, or FDCA. A company, institution, or organization which takes responsibility for the initiation and management of
a clinical development program for such products, and for their regulatory approval, is typically referred to as a sponsor. A sponsor seeking approval to
market and distribute a new biologic in the United States must satisfactorily complete each of the following steps:

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completion of preclinical laboratory tests, animal studies and formulation studies according to good laboratory practices, or GLP, regulations or
other applicable regulations;

design of a clinical protocol and submission to the FDA of an IND, which must become effective before human clinical trials may begin and must
be updated when certain changes are made;

approval by an independent institutional review board, or IRB, or ethics committee representing each clinical trial site before each clinical trial
may be initiated;

performance  of  adequate  and  well-controlled  human  clinical  trials  in  accordance  with  applicable  IND  regulations,  good  clinical  practices,  or
GCPs, and other clinical-trial related regulations to evaluate the safety and efficacy of the investigational product for each proposed indication;

preparation  and  submission  to  the  FDA  of  a  BLA  requesting  marketing  approval  for  one  or  more  proposed  indications,  including  payment  of
application user fees;

review of the BLA by an FDA advisory committee, where applicable;

satisfactory  completion  of  one  or  more  FDA  inspections  of  the  manufacturing  facility  or  facilities  at  which  the  biologic  is  produced  to  assess
compliance with cGMP requirements to assure that the facilities, methods and controls are adequate to preserve the product’s identity, strength,
quality and purity;

satisfactory completion of any FDA audits of clinical trial sites to assure compliance with GCPs and the integrity of the clinical data submitted in
support of the BLA; and

FDA  review  and  approval  of  the  BLA,  which  may  be  subject  to  additional  post-  approval  requirements,  including  the  potential  requirement  to
implement a Risk Evaluation and Mitigation Strategy, or REMS, and any post- approval clinical trials required by the FDA.

Preclinical studies

Before a sponsor begins testing a product candidate with potential therapeutic value in humans, the product candidate enters the preclinical testing stage.
Preclinical tests include laboratory evaluations of product chemistry, formulation and stability, as well as other studies to evaluate, among other things, the
toxicity of the product candidate. The conduct of the preclinical tests and formulation of the compounds for testing must comply with federal regulations
and  requirements,  including  GLP  regulations  and  standards  and  the  United  States  Department  of  Agriculture’s  Animal  Welfare  Act,  if  applicable. The
results of the preclinical tests, together with manufacturing information and analytical data, are submitted to the FDA as part of an IND.

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Some long-term preclinical testing, such as animal tests of reproductive adverse events and carcinogenicity, and long-term toxicity studies, may continue
after the IND is submitted.

The IND and IRB processes

An IND is an exemption from the FDCA that allows an unapproved product candidate to be shipped in interstate commerce for use in an investigational
clinical  trial  and  a  request  for  FDA  authorization  to  administer  such  investigational  product  to  humans.  An  IND  must  be  secured  prior  to  interstate
shipment and administration of any product candidate that is not the subject of an approved BLA. In support of a request for an IND, sponsors must submit
a  protocol  for  each  clinical  trial  and  any  subsequent  protocol  amendments  must  be  submitted  to  the  FDA  as  part  of  the  IND.  An  IND  automatically
becomes effective 30 days after receipt by the FDA, unless before that time the FDA raises concerns or questions related to one or more proposed clinical
trials and places the trial on a clinical hold. In such a case, the IND sponsor and the FDA must resolve any outstanding concerns before the clinical trial
may proceed. As a result, submission of an IND may not result in the FDA allowing clinical trials to commence.

Following commencement of a clinical trial under an IND, the FDA may also place a clinical hold or partial clinical hold on that trial. A clinical hold is an
order issued by the FDA to the sponsor to delay a proposed clinical investigation or to suspend an ongoing investigation. A partial clinical hold is a delay
or suspension of only part of the clinical work requested under the IND. For example, a partial clinical hold might state that a specific protocol or part of a
protocol may not proceed, while other parts of a protocol or other protocols may do so. No more than 30 days after the imposition of a clinical hold or
partial clinical hold, the FDA will provide the sponsor a written explanation of the basis for the hold. Following the issuance of a clinical hold or partial
clinical hold, a clinical investigation may only resume once the FDA has notified the sponsor that the investigation may proceed. The FDA will base that
determination on information provided by the sponsor correcting the deficiencies previously cited or otherwise satisfying the FDA that the investigation
can  proceed  or  recommence.  Occasionally,  clinical  holds  are  imposed  due  to  manufacturing  issues  that  may  present  safety  issues  for  the  clinical  trial
subjects.

A sponsor may choose, but is not required, to conduct a foreign clinical trial under an IND. When a foreign clinical trial is conducted under an IND, all
IND requirements must be met unless waived by the FDA. When a foreign clinical trial is not conducted under an IND, the sponsor must ensure that the
trial complies with certain regulatory requirements of the FDA in order to use the trial data as support for an IND or application for marketing approval.
Specifically,  the  trials  must  be  conducted  in  accordance  with  GCP,  including  undergoing  review  and  receiving  approval  by  an  independent  ethics
committee, or IEC, and seeking and receiving informed consent from subjects. GCP requirements encompass both ethical and data integrity standards for
clinical trials. The FDA’s regulations are intended to help ensure the protection of human subjects enrolled in non-IND foreign clinical trials, as well as the
quality and integrity of the resulting data.

In addition to the foregoing IND requirements, an IRB representing each institution participating in the clinical trial must review and approve the plan for
any clinical trial before it commences at that institution, and the IRB must conduct continuing review and re-approve the trial at least annually. The IRB,
which must operate in compliance with FDA regulations, must review and approve, among other things, the clinical trial protocol and informed consent
information to be provided to trial subjects and must monitor the trial until completed. An IRB can suspend or terminate approval of a clinical trial at its
institution, or an institution it represents, if the clinical trial is not being conducted in accordance with the IRB’s requirements or if the product candidate
has been associated with unexpected serious harm to patients.

Additionally, some trials are overseen by an independent group of qualified experts organized by the trial sponsor, known as a data safety monitoring board,
or DSMB. This group provides authorization as to whether or not a trial may move forward at designated checkpoints based on review of available data
from the trial, to which only the DSMB maintains access. Suspension or termination of development during any phase of a clinical trial can occur if the
DSMB determines that the participants or patients are being exposed to an unacceptable health risk.

Expanded access

Expanded access, sometimes called “compassionate use,” is the use of investigational new products outside of clinical trials to treat patients with serious or
immediately life-threatening diseases or conditions when there are no comparable or satisfactory alternative treatment options. The rules and regulations
related to expanded access are intended to improve access to investigational products for patients who may benefit from investigational therapies. FDA
regulations allow access to investigational products under an IND by the company or the treating physician for treatment purposes on a case-by-case basis
for: individual patients (single-patient IND applications for treatment in emergency settings and non-emergency settings);

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intermediate-size  patient  populations;  and  larger  populations  for  use  of  the  investigational  product  under  a  treatment  protocol  or  Treatment  IND
Application.

When considering an IND application for expanded access to an investigational product with the purpose of treating a patient or a group of patients, the
sponsor and treating physicians or investigators will determine suitability when all of the following criteria apply: patient(s) have a serious or immediately
life-threatening disease or condition, and there is no comparable or satisfactory alternative therapy to diagnose, monitor, or treat the disease or condition;
the potential patient benefit justifies the potential risks of the treatment and the potential risks are not unreasonable in the context or condition to be treated;
and  the  expanded  use  of  the  investigational  product  for  the  requested  treatment  will  not  interfere  with  the  initiation,  conduct  or  completion  of  clinical
investigations that could support marketing approval of the product or otherwise compromise the potential development of the product.

There is no obligation for a sponsor to make its investigational products available for expanded access; however, as required by amendments to the FDCA
included in the 21st Century Cures Act, or the Cures Act, passed in 2016, if a sponsor has a policy regarding how it responds to expanded access requests
with respect to product candidates in development to treat serious diseases or conditions, it must make that policy publicly available. Sponsors are required
to make such policies publicly available upon the earlier of initiation of a Phase 2 or Phase 3 trial for a covered investigational product; or 15 days after the
investigational product receives designation from the FDA as a breakthrough therapy, fast track product, or regenerative medicine advanced therapy.

In addition, on May 30, 2018, the Right to Try Act was signed into law. The law, among other things, provides a federal framework for certain patients to
access  certain  investigational  new  products  that  have  completed  a  Phase  1  clinical  trial  and  that  are  undergoing  investigation  for  FDA  approval.  Under
certain  circumstances,  eligible  patients  can  seek  treatment  without  enrolling  in  clinical  trials  and  without  obtaining  FDA  permission  under  the  FDA
expanded access program. There is no obligation for a manufacturer to make its products available to eligible patients as a result of the Right to Try Act,
but the manufacturer must develop an internal policy and respond to patient requests according to that policy.

Human clinical trials

Clinical  trials  involve  the  administration  of  the  investigational  product  candidate  to  human  subjects  under  the  supervision  of  a  qualified  investigator  in
accordance with GCP requirements which include, among other things, the requirement that all research subjects provide their informed consent in writing
before they participate in any clinical trial. Clinical trials are conducted under written clinical trial protocols detailing, among other things, the objectives of
the trial, inclusion and exclusion criteria, the parameters to be used in monitoring safety and the effectiveness criteria to be evaluated. Each protocol, and
any  subsequent  material  amendment  to  the  protocol,  must  be  submitted  to  the  FDA  as  part  of  the  IND,  and  progress  reports  detailing  the  status  of  the
clinical  trials  must  be  submitted  to  the  FDA  annually.  The  FDA  has  issued  regulations  authorizing  a  sponsor  to  transfer  certain  responsibilities  for  the
conduct of a clinical trial to a contract research organization, or CRO.

Human clinical trials are typically conducted in three sequential phases, but the phases may overlap or be combined. Additional trials may also be required
after approval.

Phase 1 clinical trials are initially conducted in a limited population, which may be healthy volunteers or subjects with the target disease, to test the product
candidate for safety, including adverse effects, dose tolerance, absorption, metabolism, distribution, excretion and pharmacodynamics in healthy humans or
in  patients.  During  Phase  1  clinical  trials,  information  about  the  product  candidate’s  pharmacokinetics  and  pharmacological  effects  may  be  obtained  to
permit the design of well-controlled and scientifically valid Phase 2 clinical trials.

Phase 2 clinical trials are generally conducted in a limited patient population to identify possible adverse effects and safety risks, evaluate the efficacy of
the product candidate for specific targeted indications and determine dose tolerance and optimal dosage. Multiple Phase 2 clinical trials may be conducted
by the sponsor to obtain information prior to beginning larger and more costly Phase 3 clinical trials. Phase 2 clinical trials are typically well-controlled and
closely monitored.

Phase 3  clinical  trials  proceed  if  the  Phase  2  clinical  trials  demonstrate  that  a  dose  range  of  the  product  candidate  is  potentially  effective  and  has  an
acceptable safety profile. Phase 3 clinical trials are undertaken using a larger patient population to further evaluate dosage, provide substantial evidence of
clinical efficacy and further test for safety in an expanded and diverse patient population at multiple geographically dispersed clinical trial sites. A well-
controlled,  statistically  robust  Phase  3  clinical  trial  may  be  designed  to  deliver  the  data  that  regulatory  authorities  will  use  to  decide  whether  or  not  to
approve, and, if approved, how to appropriately label a new biologic product. Such Phase 3 clinical trials are referred to as “pivotal” trials.

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A clinical trial may combine the elements of more than one phase and the FDA often requires more than one Phase 3 trial to support marketing approval of
a product candidate. A company’s designation of a clinical trial as being of a particular phase is not necessarily indicative that the trial will be sufficient to
satisfy the FDA requirements of that phase because this determination cannot be made until the protocol and data have been submitted to and reviewed by
the FDA. Moreover, as noted above, a pivotal trial is a clinical trial that is believed to satisfy FDA requirements for the evaluation of a product candidate’s
safety and efficacy such that it can be used, alone or with other pivotal or non-pivotal trials, to support regulatory approval. Generally, pivotal trials are
Phase 3 trials, but they may be Phase 2 trials if the design provides a well-controlled and reliable assessment of clinical benefit, particularly in an area of
unmet medical need.

In  some  cases,  the  FDA  may  approve  a  BLA  for  a  product  candidate  but  require  the  sponsor  to  conduct  additional  clinical  trials  to  further  assess  the
product candidate’s safety and effectiveness after approval. Such post-approval trials, typically referred to as Phase 4 clinical trials, may be conducted after
initial marketing approval. These trials are used to gain additional experience from the treatment of a larger number of patients in the intended treatment
group.  In  certain  instances,  the  FDA  may  mandate  the  performance  of  Phase  4  clinical  trials,  such  as  to  verify  clinical  benefit  in  the  case  of  products
approved under accelerated approval regulations. Failure to exhibit due diligence with regard to conducting mandatory Phase 4 clinical trials could result in
withdrawal of FDA approval for products.

In  August  2018,  the  FDA  released  a  draft  guidance  entitled  “Expansion  Cohorts:  Use  in  First-In-Human  Clinical  Trials  to  Expedite  Development  of
Oncology Drugs and Biologics,” which outlines how developers can utilize an adaptive trial design commonly referred to as a seamless trial design in early
stages  of  oncology  biological  product  development  (i.e.,  the  first-in-human  clinical  trial)  to  compress  the  traditional  three  phases  of  trials  into  one
continuous trial called an expansion cohort trial. Information to support the design of individual expansion cohorts are included in IND applications and
assessed by FDA. Expansion cohort trials can potentially bring efficiency to product development and reduce developmental costs and time.

Finally, sponsors of clinical trials are required to register and disclose certain clinical trial information on a public registry (clinicaltrials.gov) maintained by
the U.S. National Institutes of Health, or NIH. In particular, information related to the product, patient population, phase of investigation, clinical trial sites
and investigators and other aspects of the clinical trial is made public as part of the registration of the clinical trial. The NIH’s Final Rule on registration and
reporting requirements for clinical trials became effective in 2017, and both NIH and the FDA have recently signaled the government’s willingness to begin
enforcing those requirements against non-compliant clinical trial sponsors.

Interactions with FDA during the clinical development program

Following the clearance of an IND and the commencement of clinical trials, the sponsor will continue to have interactions with the FDA. Progress reports
detailing the results of clinical trials must be submitted annually within 60 days of the anniversary dates that the IND went into effect and more frequently
if  serious  adverse  events  occur.  These  reports  must  include  a  development  safety  update  report,  or  DSUR.  In  addition,  IND  safety  reports  must  be
submitted to the FDA for any of the following: serious and unexpected suspected adverse reactions; findings from other trials or animal or in vitro testing
that suggest a significant risk in humans exposed to the product; and any clinically important increase in the occurrence of a serious suspected adverse
reaction over that listed in the protocol or investigator brochure. Phase 1, Phase 2 and Phase 3 clinical trials may not be completed successfully within any
specified period, or at all. The FDA will typically inspect one or more clinical sites to assure compliance with GCP and the integrity of the clinical data
submitted.

In addition, sponsors are given opportunities to meet with the FDA at certain points in the clinical development program. Specifically, sponsors may meet
with the FDA prior to the submission of an IND (Pre-IND meeting), at the end of Phase 2 clinical trial (EOP2 meeting) and before a BLA is submitted
(Pre-BLA meeting). Meetings at other times may also be requested. There are three types of meetings that occur between sponsors and the FDA. Type A
meetings are those that are necessary for an otherwise stalled product development program to proceed or to address an important safety issue. Type B
meetings include pre-IND and pre-BLA meetings, as well as end of phase meetings such as EOP2 meetings. A Type C meeting is any meeting other than a
Type A or Type B meeting regarding the development and review of a product, including for example meetings to facilitate early consultations on the use
of a biomarker as a new surrogate endpoint that has never been previously used as the primary basis for product approval in the proposed context of use.

Manufacturing and other regulatory requirements

Concurrent with clinical trials, sponsors usually complete additional animal safety studies, develop additional information about the chemistry and physical
characteristics of the product candidate and finalize a process for manufacturing commercial quantities of the product candidate in accordance with cGMP
requirements. The manufacturing process must be capable of consistently producing quality batches of the product candidate and, among other criteria, the
sponsor must develop methods

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for testing the identity, strength, quality, and purity of the finished product. Additionally, appropriate packaging must be selected and tested, and stability
studies must be conducted to demonstrate that the product candidate does not undergo unacceptable deterioration over its shelf life.

Specifically, the FDA’s regulations require that pharmaceutical products be manufactured in specific approved facilities and in accordance with cGMPs.
The cGMP regulations include requirements relating to organization of personnel, buildings and facilities, equipment, control of components and product
containers and closures, production and process controls, packaging and labeling controls, holding and distribution, laboratory controls, records and reports
and returned or salvaged products. Manufacturers and other entities involved in the manufacture and distribution of approved pharmaceuticals are required
to  register  their  establishments  with  the  FDA  and  some  state  agencies,  and  they  are  subject  to  periodic  unannounced  inspections  by  the  FDA  for
compliance with cGMPs and other requirements. Inspections must follow a “risk-based schedule” that may result in certain establishments being inspected
more  frequently.  Manufacturers  may  also  have  to  provide,  on  request,  electronic  or  physical  records  regarding  their  establishments.  Delaying,  denying,
limiting, or refusing inspection by the FDA may lead to a product being deemed to be adulterated. Changes to the manufacturing process, specifications or
container  closure  system  for  an  approved  product  are  strictly  regulated  and  often  require  prior  FDA  approval  before  being  implemented.  The  FDA’s
regulations  also  require,  among  other  things,  the  investigation  and  correction  of  any  deviations  from  cGMP  and  the  imposition  of  reporting  and
documentation requirements upon the sponsor and any third-party manufacturers involved in producing the approved product.

Pediatric trials

Under the Pediatric Research Equity Act, or PREA, applications and certain types of supplements to applications must contain data that are adequate to
assess  the  safety  and  effectiveness  of  the  product  for  the  claimed  indications  in  all  relevant  pediatric  subpopulations,  and  to  support  dosing  and
administration for each pediatric subpopulation for which the product is safe and effective. The sponsor must submit an initial Pediatric Study Plan, or PSP,
within 60 days of an end-of-phase 2 meeting or as may be agreed between the sponsor and the FDA. Those plans must contain an outline of the proposed
pediatric  clinical  trial  or  trials  that  the  sponsor  plans  to  conduct,  including  trial  objectives  and  design,  age  groups,  relevant  endpoints  and  statistical
approach, or a justification for not including such detailed information, and any request for a deferral of pediatric assessments or a full or partial waiver of
the requirement to provide data from pediatric trials along with supporting information. The sponsor and the FDA must reach agreement on a final plan. A
sponsor can submit amendments to an agreed-upon initial PSP at any time if changes to the pediatric plan need to be considered based on data collected
from nonclinical studies, early phase clinical trials, and/or other clinical development programs.

For  investigational  products  intended  to  treat  a  serious  or  life-threatening  disease  or  condition,  the  FDA  must,  upon  the  request  of  a  sponsor,  meet  to
discuss preparation of the initial PSP or to discuss deferral or waiver of pediatric assessments. In addition, the FDA will meet early in the development
process to discuss pediatric study plans with sponsors, and the FDA must meet with sponsors by no later than the end-of-phase 1 meeting for serious or
life-threatening diseases and by no later than ninety days after the FDA’s receipt of the PSP.

The FDA may, on its own initiative or at the request of the sponsor, grant deferrals for submission of some or all pediatric data until after approval of the
product for use in adults, or full or partial waivers from the pediatric data requirements. A deferral may be granted for several reasons, including a finding
that the product or therapeutic candidate is ready for approval for use in adults before pediatric trials are complete or that additional safety or effectiveness
data needs to be collected before the pediatric trials begin. The law now requires the FDA to send a PREA Non-Compliance letter to sponsors who have
failed to submit their pediatric assessments required under PREA, have failed to seek or obtain a deferral or deferral extension or have failed to request
approval for a required pediatric formulation. Unless otherwise required by regulation, the pediatric data requirements do not apply to products with orphan
designation, although FDA has recently taken steps to limit what it considers abuse of this statutory exemption in PREA. The FDA also maintains a list of
diseases that are exempt from PREA requirements due to low prevalence of disease in the pediatric population.

Expedited review programs

The  FDA  is  authorized  to  expedite  the  review  of  applications  in  several  ways.  Under  the  Fast  Track  program,  the  sponsor  of  a  product  candidate  may
request the FDA to designate the product for a specific indication as a Fast Track product concurrent with or after the filing of the IND. Candidate products
are eligible for Fast Track designation if they are intended to treat a serious or life-threatening condition and demonstrate the potential to address unmet
medical needs for the condition. Fast Track designation applies to the combination of the product candidate and the specific indication for which it is being
studied. In

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addition to other benefits, such as the ability to have greater interactions with the FDA, the FDA may initiate review of sections of a Fast Track application
before the application is complete, a process known as rolling review.

Any  product  candidate  submitted  to  the  FDA  for  marketing,  including  under  a  Fast  Track  program,  may  be  eligible  for  other  types  of  FDA  programs
intended to expedite development and review, such as breakthrough therapy designation, priority review and accelerated approval.

•

•

•

•

Breakthrough therapy designation. To qualify for the breakthrough therapy program, product candidates must be intended to treat a serious or life-
threatening  disease  or  condition  and  preliminary  clinical  evidence  must  indicate  that  such  product  candidates  may  demonstrate  substantial
improvement on one or more clinically significant endpoints over existing therapies. The FDA will seek to ensure the sponsor of a breakthrough
therapy  product  candidate  receives  intensive  guidance  on  an  efficient  development  program,  intensive  involvement  of  senior  managers  and
experienced staff on a proactive, collaborative and cross-disciplinary review and rolling review.

Priority  review.  A  product  candidate  is  eligible  for  priority  review  if  it  treats  a  serious  condition  and,  if  approved,  it  would  be  a  significant
improvement in the safety or effectiveness of the treatment, diagnosis or prevention compared to marketed products. FDA aims to complete its
review of priority review applications within six months as opposed to 10 months for standard review.

Accelerated approval. Biologic products studied for their safety and effectiveness in treating serious or life-threatening illnesses and that provide
meaningful therapeutic benefit over existing treatments may receive accelerated approval. Accelerated approval means that a product candidate
may be approved on the basis of adequate and well controlled clinical trials establishing that the product candidate has an effect on a surrogate
endpoint that is reasonably likely to predict a clinical benefit, or on the basis of an effect on a clinical endpoint other than survival or irreversible
morbidity or mortality or other clinical benefit, taking into account the severity, rarity and prevalence of the condition and the availability or lack
of alternative treatments. As a condition of approval, the FDA may require that a sponsor of a biologic product candidate receiving accelerated
approval perform adequate and well controlled post-marketing clinical trials. In addition, the FDA currently requires as a condition for accelerated
approval pre-approval of promotional materials.

Regenerative advanced therapy. With passage of the 21st Century Cures Act, or the Cures Act, in December 2016, Congress authorized the FDA
to accelerate review and approval of products designated as regenerative advanced therapies. A product is eligible for this designation if it is a
regenerative medicine therapy that is intended to treat, modify, reverse or cure a serious or life-threatening disease or condition and preliminary
clinical evidence indicates that the product candidate has the potential to address unmet medical needs for such disease or condition. The benefits
of a regenerative advanced therapy designation include early interactions with the FDA to expedite development and review, benefits available to
breakthrough therapies, potential eligibility for priority review and accelerated approval based on surrogate or intermediate endpoints.

None of these expedited programs changes the standards for approval but each may help expedite the development or approval process governing product
candidates.

Submission and filing of BLAs

Assuming successful completion of the required clinical testing, the results of the preclinical studies and clinical trials, along with information relating to
the product’s chemistry, manufacturing, controls, safety updates, patent information, abuse information and proposed labeling, are submitted to the FDA as
part of an application requesting approval to market the product candidate for one or more indications. To support marketing approval, the data submitted
must  be  sufficient  in  quality  and  quantity  to  establish  the  safety,  potency  and  purity  of  the  biological  product  to  the  satisfaction  of  the  FDA.  The  fee
required for the submission and review of an application under the Prescription Drug User Fee Act, or PDUFA, is substantial (for example, for FY2022 this
application fee is approximately $3.1 million), and the sponsor of an approved application is also subject to an annual program fee, currently more than
$369,000  per  eligible  prescription  product.  These  fees  are  typically  adjusted  annually,  and  exemptions  and  waivers  may  be  available  under  certain
circumstances, including where the applicant is a small business submitting its first human therapeutic application for review.

The  FDA  conducts  a  preliminary  review  of  all  applications  within  60  days  of  receipt  and  must  inform  the  sponsor  at  that  time  or  before  whether  an
application is sufficiently complete to permit substantive review. In pertinent part, FDA’s regulations state that an application “shall not be considered as
filed until all pertinent information and data have been received” by the FDA. In the event that FDA determines that an application does not satisfy this
standard, it will issue a Refuse to File, or RTF,

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determination  to  the  applicant.  Typically,  an  RTF  will  be  based  on  administrative  incompleteness,  such  as  clear  omission  of  information  or  sections  of
required  information  such  that  substantive  and  meaningful  review  is  precluded.  The  FDA  may  request  additional  information  rather  than  accept  an
application  for  filing.  In  this  event,  the  application  must  be  resubmitted  with  the  additional  information.  The  resubmitted  application  is  also  subject  to
review before the FDA accepts it for filing.

After  the  submission  is  accepted  for  filing,  the  FDA  begins  an  in-depth  substantive  review  of  the  application.  The  FDA  reviews  the  application  to
determine,  among  other  things,  whether  the  proposed  product  is  safe  and  effective  for  its  intended  use,  whether  it  has  an  acceptable  purity  profile  and
whether the product is being manufactured in accordance with cGMP. Under the goals and policies agreed to by the FDA under PDUFA, the FDA has ten
months from the filing date in which to complete its initial review of a standard application that is a new molecular entity, and six months from the filing
date for an application with “priority review.” The review process may be extended by the FDA for three additional months to consider new information or
in  the  case  of  a  clarification  provided  by  the  applicant  to  address  an  outstanding  deficiency  identified  by  the  FDA  following  the  original  submission.
Despite these review goals, it is not uncommon for FDA review of an application to extend beyond the PDUFA goal date.

In connection with its review of an application, the FDA will typically submit information requests to the applicant and set deadlines for responses thereto.
The FDA will also conduct a pre-approval inspection of the manufacturing facilities for the new product to determine whether the manufacturing processes
and  facilities  comply  with  cGMPs.  The  FDA  will  not  approve  the  product  unless  it  determines  that  the  manufacturing  processes  and  facilities  are  in
compliance with cGMP requirements and are adequate to assure consistent production of the product within required specifications. The FDA also may
inspect the sponsor and one or more clinical trial sites to assure compliance with IND and GCP requirements and the integrity of the clinical data submitted
to the FDA.

Additionally, the FDA may refer an application, including applications for novel product candidates which present difficult questions of safety or efficacy,
to  an  advisory  committee  for  review,  evaluation  and  recommendation  as  to  whether  the  application  should  be  approved  and  under  what  conditions.
Typically, an advisory committee is a panel of independent experts, including clinicians and other scientific experts that reviews, evaluates and provides a
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 such recommendations when making final decisions on approval.

The FDA also may require submission of a REMS if it determines that a REMS is necessary to ensure that the benefits of the product outweigh its risks and
to assure the safe use of the product. The REMS could include medication guides, physician communication plans, assessment plans and/or elements to
assure  safe  use,  such  as  restricted  distribution  methods,  patient  registries  or  other  risk  minimization  tools.  The  FDA  determines  the  requirement  for  a
REMS, as well as the specific REMS provisions, on a case-by-case basis. If the FDA concludes a REMS is needed, the sponsor of the application must
submit a proposed REMS and the FDA will not approve the application without a REMS.

Decisions on BLAs

After  evaluating  the  application  and  all  related  information,  including  the  advisory  committee  recommendations,  if  any,  and  inspection  reports  of
manufacturing  facilities  and  clinical  trial  sites,  the  FDA  will  issue  either  a  Complete  Response  Letter,  or  CRL,  or  an  approval  letter.  To  reach  this
determination,  the  FDA  must  determine  that  the  expected  benefits  of  the  proposed  product  outweigh  its  potential  risks  to  patients.  This  assessment  is
informed by the severity of the underlying condition and how well patients’ medical needs are addressed by currently available therapies; uncertainty about
how the premarket clinical trial evidence will extrapolate to real-world use of the product in the post-market setting; and whether risk management tools are
necessary to manage specific risks.

A CRL indicates that the review cycle of the application is complete, and the application will not be approved in its present form. A CRL generally outlines
the deficiencies in the submission and may require substantial additional testing or information in order for the FDA to reconsider the application. The CRL
may require additional clinical or other data, additional pivotal Phase 3 clinical trial(s) and/or other significant and time- consuming requirements related to
clinical trials, preclinical studies or manufacturing. If a CRL is issued, the applicant will have one year to respond to the deficiencies identified by the FDA,
at which time the FDA can deem the application withdrawn or, in its discretion, grant the applicant an additional six month extension to respond. The FDA
has committed to reviewing resubmissions in response to an issued CRL in either two or six months depending on the type of information included. Even
with the submission of this additional information, however, the FDA ultimately may decide that the application does not satisfy the regulatory criteria for
approval.

An approval letter, on the other hand, authorizes commercial marketing of the product with specific prescribing information for specific indications. That
is, the approval will be limited to the conditions of use (e.g., patient population, indication) described

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in  the  FDA-approved  labeling.  Further,  depending  on  the  specific  risk(s)  to  be  addressed,  the  FDA  may  require  that  contraindications,  warnings  or
precautions be included in the product labeling, require that post-approval trials, including Phase 4 clinical trials, be conducted to further assess a product’s
safety  after  approval,  require  testing  and  surveillance  programs  to  monitor  the  product  after  commercialization  or  impose  other  conditions,  including
distribution and use restrictions or other risk management mechanisms under a REMS which can materially affect the potential market and profitability of
the product. The FDA may prevent or limit further marketing of a product based on the results of post-marketing trials or surveillance programs. After
approval,  some  types  of  changes  to  the  approved  product,  such  as  adding  new  indications,  manufacturing  changes  and  additional  labeling  claims,  are
subject to further testing requirements and FDA review and approval.

Post-approval requirements

Following  approval  of  a  new  prescription  product,  the  manufacturer,  the  approved  product  and  the  product’s  manufacturing  locations  are  subject  to
pervasive  and  continuing  regulation  by  the  FDA,  governing,  among  other  things,  monitoring  and  record-keeping  activities,  reporting  of  adverse
experiences with the product and product problems to the FDA, product sampling and distribution, manufacturing and promotion and advertising. Although
physicians may prescribe legally available products for unapproved uses or patient populations (i.e., “off-label uses”), manufacturers may not market or
promote such uses. The FDA and other agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses, and a company that
is found to have improperly promoted off-label uses may be subject to significant liability. In September 2021, the FDA published final regulations which
describe the types of evidence that the agency will consider in determining the intended use of a biologic.

If a company is found to have promoted off-label uses, it may become subject to administrative and judicial enforcement by the FDA, the Department of
Justice, or the Office of the Inspector General of the Department of Health and Human Services, as well as state authorities. This could subject a company
to a range of penalties that could have a significant commercial impact, including civil and criminal fines and agreements that materially restrict the manner
in which a company promotes or distributes products, as well as adverse public relations and reputational harm. The federal government has levied large
civil and criminal fines against companies for alleged improper promotion, and has also requested that companies enter into consent decrees or permanent
injunctions under which specified promotional conduct is changed or curtailed.

Further, if there are any modifications to the product, including changes in indications, labeling or manufacturing processes or facilities, the sponsor may be
required  to  submit  and  obtain  FDA  approval  of  a  new  application  or  supplement,  which  may  require  the  sponsor  to  develop  additional  data  or  conduct
additional preclinical studies and clinical trials. Securing FDA approval for new indications is similar to the process for approval of the original indication
and requires, among other things, submitting data from adequate and well-controlled clinical trials to demonstrate the product’s safety and efficacy in the
new indication. Even if such trials are conducted, the FDA may not approve any expansion of the labeled indications for use in a timely fashion, or at all.
There also are continuing, annual user fee requirements that are now assessed as program fees for certain products.

In addition, the FDA may withdraw the 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 mandatory revisions to the approved labeling
to  add  new  safety  information,  imposition  of  post-market  clinical  trials  requirement  to  assess  new  safety  risks  or  imposition  of  distribution  or  other
restrictions under a REMS program.

Other potential consequences include, among other things:

•

•

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

safety alerts, Dear Healthcare Provider letters, press releases or other communications containing warnings or other safety information about a
product;

• mandated modification of promotional materials and labeling and issuance of corrective information;

•

fines, warning letters, untitled letters or other enforcement-related letters or clinical holds on post-approval clinical trials;

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•

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•

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

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

injunctions or the imposition of civil or criminal penalties; and

consent decrees, corporate integrity agreements, debarment, or exclusion from federal health care programs.

Regulatory exclusivity governing biologics

When  a  biological  product  is  licensed  for  marketing  by  FDA  with  approval  of  a  BLA,  the  product  may  be  entitled  to  certain  types  of  market  and  data
exclusivity barring FDA from approving competing products for certain periods of time. In March 2010, the Patient Protection and Affordable Care Act
was enacted in the United States and included the Biologics Price Competition and Innovation Act of 2009, or the BPCIA. The BPCIA amended the PHSA
to  create  an  abbreviated  approval  pathway  for  biological  products  that  are  biosimilar  to  or  interchangeable  with  an  FDA-licensed  reference  biological
product. To date, the FDA has approved a number of biosimilars and the first interchangeable biosimilar product was approved on July 30, 2021 and a
second product previously approved as a biosimilar was designated as interchangeable in October 2021.

Under  the  BPCIA,  a  manufacturer  may  submit  an  application  for  a  product  that  is  “biosimilar  to”  a  previously  approved  biological  product,  which  the
statute  refers  to  as  a  “reference  product.”  In  order  for  the  FDA  to  approve  a  biosimilar  product,  it  must  find  that  there  are  no  clinically  meaningful
differences  between  the  reference  product  and  the  proposed  biosimilar  product  in  terms  of  safety,  purity  and  potency.  The  biosimilar  sponsor  may
demonstrate that its product is biosimilar to the reference product on the basis of data from analytical studies, animal studies and one or more clinical trials
to demonstrate safety, purity and potency in one or more appropriate conditions of use for which the reference product is approved.

For the FDA to approve a biosimilar product as interchangeable with a reference product, the agency must find not only that the product is biosimilar to the
reference product but also that it can be expected to produce the same clinical results as the reference product such that the two products may be switched
without  increasing  safety  risks  or  risks  of  diminished  efficacy  relative  to  exclusive  use  of  the  reference  biologic.  Upon  licensure  by  the  FDA,  an
interchangeable biosimilar may be substituted for the reference product without the intervention of the health care provider who prescribed the reference
product. Following approval of the interchangeable biosimilar product, the FDA may not grant interchangeability status for any second biosimilar until one
year after the first commercial marketing of the first interchangeable biosimilar product.

A reference biological product is granted 12 years of exclusivity from the time of first licensure of the product, and the FDA will not accept an application
for  a  biosimilar  or  interchangeable  product  based  on  the  reference  biological  product  until  four  years  after  the  date  of  first  licensure  of  the  reference
product. Even if a product is considered to be a reference product eligible for exclusivity, however, another company could market a competing version of
that product if the FDA approves a full BLA for such product containing the sponsor’s own preclinical data and data from adequate and well‑controlled
clinical trials to demonstrate the safety, purity, and potency of their product. There have been recent government proposals to reduce the 12-year reference
product exclusivity period, but none has been enacted to date. At the same time, since passage of the BPCIA, many states have passed laws or amendments
to laws, which address pharmacy practices involving biosimilar products.

Orphan drug designation and exclusivity

Orphan drug designation in the United States is designed to encourage sponsors to develop products intended for treatment of rare diseases or conditions.
In the United States, a rare disease or condition is statutorily defined as a condition that affects fewer than 200,000 individuals in the United States or that
affects  more  than  200,000  individuals  in  the  United  States  and  for  which  there  is  no  reasonable  expectation  that  the  cost  of  developing  and  making
available the product for the disease or condition will be recovered from sales of the product in the United States.

Orphan drug designation qualifies a company for tax credits and potentially market exclusivity for seven years following the date of the product’s approval
if granted by the FDA. An application for designation as an orphan product can be made any time prior to the filing of an application for approval to market
the product. A product becomes an orphan when it receives orphan drug designation from the Office of Orphan Products Development at the FDA based on
acceptable confidential requests. The product must then go through the review and approval process like any other product.

A sponsor may request orphan drug designation of a previously unapproved product or new orphan indication for an already marketed product. In addition,
a sponsor of a product that is otherwise the same product as an already approved orphan drug

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may seek and obtain orphan drug designation for the subsequent product for the same rare disease or condition if it can present a plausible hypothesis that
its product may be clinically superior to the first approved product. More than one sponsor may receive orphan drug designation for the same product for
the same rare disease or condition, but each sponsor seeking orphan drug designation must file a complete request for designation.

If a product with orphan designation receives the first FDA approval for the disease or condition for which it has such designation or for a select indication
or use within the rare disease or condition for which it was designated, the product generally will receive orphan drug exclusivity. Orphan drug exclusivity
means  that  the  FDA  may  not  approve  another  sponsor’s  marketing  application  for  the  same  product  for  the  same  disease  or  condition  for  seven  years,
except in certain limited circumstances. If a product designated as an orphan drug ultimately receives marketing approval for an indication broader than
what was designated in its orphan drug application, it may not be entitled to exclusivity.

The period of market exclusivity begins on the date that the marketing application is approved by the FDA and applies only to the disease or condition for
which  the  product  has  been  designated.  Orphan  drug  exclusivity  will  not  bar  approval  of  another  product  under  certain  circumstances,  including  if  the
company with orphan drug exclusivity is not able to meet market demand or the subsequent product is shown to be clinically superior to the approved
product on the basis of greater efficacy or safety, or providing a major contribution to patient care. Under Omnibus legislation signed by President Trump
on December 27, 2020, the requirement for a product to show clinical superiority applies to drug products that received orphan drug designation before
enactment of amendments to the FDCA in 2017 but have not yet been approved by FDA.

In September 2021, the Court of Appeals for the 11th Circuit held that, for the purpose of determining the scope of market exclusivity, the term “same
disease or condition” in the statute means the designated “rare disease or condition” and could not be interpreted by the FDA to mean the “indication or
use.”  Thus,  the  court  concluded,  orphan  drug  exclusivity  applies  to  the  entire  designated  disease  or  condition  rather  than  the  “indication  or  use.”  It  is
unclear how this court decision will be implemented by the FDA.

Pediatric exclusivity

Pediatric  exclusivity  is  a  type  of  non‑patent  marketing  exclusivity  in  the  United  States  and,  if  granted,  provides  for  the  attachment  of  an  additional  six
months of exclusivity. For biologic products, the six month period may be attached to any existing regulatory exclusivities but not to any patent terms. The
conditions for pediatric exclusivity include the FDA’s determination that information relating to the use of a new product in the pediatric population may
produce health benefits in that population, the FDA making a written request for pediatric clinical trials, and the sponsor agreeing to perform, and reporting
on, the requested clinical trials within the statutory timeframe. This six‑month exclusivity may be granted if a sponsor submits pediatric data that fairly
respond to a written request from the FDA for such data. The data do not need to show the product to be effective in the pediatric population studied. If
reports of requested pediatric studies are submitted to and accepted by the FDA within the statutory time limits, whatever statutory or regulatory periods of
exclusivity or patents that cover the product are extended by six months. Although this is not a patent term extension, it effectively extends the regulatory
period during which the FDA cannot approve another application.

Patent term restoration and extension

In the United States, a patent claiming a new product, its method of use or its method of manufacture may be eligible for a limited patent term extension
under the Hatch‑Waxman Act, which permits a patent extension of up to five years for patent term lost during product development and FDA regulatory
review. Assuming grant of the patent for which the extension is sought, the restoration period for a patent covering a product is typically one‑half the time
between  the  effective  date  of  the  IND  involving  human  beings  and  the  submission  date  of  the  BLA,  plus  the  time  between  the  submission  date  of  the
application and the ultimate approval date. Patent term restoration cannot be used to extend the remaining term of a patent past a total of 14 years from the
product’s approval date in the United States. Only one patent applicable to an approved product is eligible for the extension, and the application for the
extension must be submitted prior to the expiration of the patent for which extension is sought. A patent that covers multiple products for which approval is
sought can only be extended in connection with one of the approvals. The USPTO reviews and approves the application for any patent term extension in
consultation with the FDA.

Companion diagnostics

In  August  2014,  the  FDA  issued  final  guidance  clarifying  the  requirements  that  will  apply  to  approval  of  therapeutic  products  and  in vitro  companion
diagnostics. According to the guidance, for novel biologics, a companion diagnostic device and its corresponding therapeutic should be approved or cleared
contemporaneously by the FDA for the use indicated in the therapeutic product’s labeling. Approval or clearance of the companion diagnostic device will
ensure that the device has been

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adequately evaluated and has adequate performance characteristics in the intended population. In July 2016, the FDA issued a draft guidance intended to
assist sponsors of the therapeutic product and in vitro companion diagnostic device on issues related to co-development of the products.

The  2014  guidance  also  explains  that  a  companion  diagnostic  device  used  to  make  treatment  decisions  in  clinical  trials  of  a  biologic  product  candidate
generally will be considered an investigational device, unless it is employed for an intended use for which the device is already approved or cleared. If used
to make critical treatment decisions, such as patient selection, the diagnostic device generally will be considered a significant risk device under the FDA’s
Investigational Device Exemption, or IDE, regulations. Thus, the sponsor of the diagnostic device will be required to comply with the IDE regulations.
According to the guidance, if a diagnostic device and a product are to be studied together to support their respective approvals, both products can be studied
in  the  same  investigational  study,  if  the  study  meets  both  the  requirements  of  the  IDE  regulations  and  the  IND  regulations.  The  guidance  provides  that
depending on the details of the study plan and subjects, a sponsor may seek to submit an IND application alone, or both an IND- and IDE-application.

In April 2020, the FDA issued additional guidance which describes considerations for the development and labeling of companion diagnostic devices to
support the indicated uses of multiple biological oncology products, when appropriate. This guidance builds upon existing policy regarding the labeling of
companion diagnostics. In its 2014 guidance, the FDA stated that if evidence is sufficient to conclude that the companion diagnostic is appropriate for use
with a specific group of therapeutic products, the companion diagnostic’s intended use/indications for use should name the specific group of therapeutic
products,  rather  than  specific  products.  The  2020  guidance  expands  on  the  policy  statement  in  the  2014  guidance  by  recommending  that  companion
diagnostic  developers  consider  a  number  of  factors  when  determining  whether  their  test  could  be  developed,  or  the  labeling  for  approved  companion
diagnostics could be revised through a supplement, to support a broader labeling claim such as use with a specific group of oncology therapeutic products
(rather than listing an individual therapeutic product(s)).

Under  the  FDCA,  in  vitro  diagnostics,  including  companion  diagnostics,  are  regulated  as  medical  devices.  In  the  United  States,  the  FDCA  and  its
implementing  regulations,  and  other  federal  and  state  statutes  and  regulations  govern,  among  other  things,  medical  device  design  and  development,
preclinical and clinical testing, premarket clearance or approval, registration and listing, manufacturing, labeling, storage, advertising and promotion, sales
and distribution, export and import and post-market surveillance. Unless an exemption applies, diagnostic tests require pre-notification marketing clearance
or approval from the FDA prior to commercial distribution.

The FDA previously has required in vitro companion diagnostics intended to select the patients who will respond to the product candidate to obtain pre-
market approval, or PMA, simultaneously with approval of the therapeutic product candidate. The PMA process, including the gathering of clinical and
preclinical data and the submission to and review by the FDA, can take several years or longer. It involves a rigorous premarket review during which the
sponsor must prepare and provide the FDA with reasonable assurance of the device’s safety and effectiveness and information about the device and its
components regarding, among other things, device design, manufacturing and labeling. PMA applications are subject to an application fee.

Healthcare compliance

In  the  United  States,  biopharmaceutical  manufacturers  and  their  products  are  subject  to  extensive  regulation  at  the  federal  and  state  level,  such  as  laws
intended to prevent fraud and abuse in the healthcare industry. Healthcare providers and third-party payors play a primary role in the recommendation and
prescription of pharmaceutical products that are granted marketing approval. Arrangements with providers, consultants, third-party payors, and customers
are subject to broadly applicable fraud and abuse, anti-kickback, false claims laws, reporting of payments to healthcare providers and patient privacy laws
and  regulations  and  other  healthcare  laws  and  regulations  that  may  constrain  our  business  and/or  financial  arrangements.  Restrictions  under  applicable
federal  and  state  healthcare  laws  and  regulations,  including  certain  laws  and  regulations  applicable  only  if  we  have  marketed  products,  include  the
following:

•

•

federal false claims, false statements and civil monetary penalties laws prohibiting, among other things, any person from knowingly presenting, or
causing to be presented, a false claim for payment of government funds or knowingly making, or causing to be made, a false statement to get a
false claim paid;

federal  healthcare  program  anti-kickback  law,  which  prohibits,  among  other  things,  persons  from  offering,  soliciting,  receiving  or  providing
remuneration, directly or indirectly, to induce either the referral of an individual for, or the purchasing or ordering of, a good or service for which
payment may be made under federal healthcare programs such as Medicare and Medicaid;

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•

•

•

•

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the  federal  Health  Insurance  Portability  and  Accountability  Act  of  1996,  or  HIPAA,  which,  in  addition  to  privacy  protections  applicable  to
healthcare providers and other entities, prohibits executing a scheme to defraud any healthcare benefit program or making false statements relating
to healthcare matters;

federal laws that require pharmaceutical manufacturers to report certain calculated product prices to the government or provide certain discounts
or rebates to government authorities or private entities, often as a condition of reimbursement under government healthcare programs;

federal Open Payments (or federal “sunshine” law), which requires pharmaceutical and medical device companies to monitor and report certain
financial interactions with certain healthcare providers to the Center for Medicare & Medicaid Services, or CMS, within the U.S. Department of
Health  and  Human  Services,  or  HHS,  for  re-disclosure  to  the  public,  as  well  as  ownership  and  investment  interests  held  by  certain  healthcare
providers and their immediate family members;

federal  consumer  protection  and  unfair  competition  laws,  which  broadly  regulate  marketplace  activities  and  activities  that  potentially  harm
consumers;

analogous  state  laws  and  regulations,  including:  state  anti-kickback  and  false  claims  laws;  state  laws  requiring  pharmaceutical  companies  to
comply with specific compliance standards, restrict financial interactions between pharmaceutical companies and healthcare providers or require
pharmaceutical companies to report information related to payments to health care providers or marketing expenditures; and state laws governing
privacy, security and breaches of health information in certain circumstances, many of which differ from each other in significant ways and often
are not preempted by HIPAA, thus complicating compliance efforts; and

laws  and  regulations  prohibiting  bribery  and  corruption  such  as  the  Foreign  Corrupt  Practices  Act,  which,  among  other  things,  prohibits  U.S.
companies  and  their  employees  and  agents  from  authorizing,  promising,  offering,  or  providing,  directly  or  indirectly,  corrupt  or  improper
payments or anything else of value to foreign government officials, employees of public international organizations or foreign government-owned
or affiliated entities, candidates for foreign public office, and foreign political parties or officials thereof.

Violations of these laws are punishable by criminal and/or civil sanctions, including, in some instances, exclusion from participation in federal and state
health care programs, such as Medicare and Medicaid. Ensuring compliance is time consuming and costly. Similar healthcare laws and regulations exist in
the European Union and other jurisdictions, including reporting requirements detailing interactions with and payments to healthcare providers and laws
governing the privacy and security of personal information.

Healthcare reform

A primary trend in the U.S. healthcare industry and elsewhere is cost containment. There have been a number of federal and state proposals during the last
few years regarding the pricing of pharmaceutical products, limiting coverage and reimbursement for medical products and other changes to the healthcare
system in the United States.

In  March  2010,  the  United  States  Congress  enacted  the  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and  Education
Reconciliation  Act  of  2010,  or  collectively  the  PPACA,  which,  among  other  things,  includes  changes  to  the  coverage  and  payment  for  pharmaceutical
products  under  government  healthcare  programs.  Other  legislative  changes  have  been  proposed  and  adopted  since  the  PPACA  was  enacted.  In  August
2011, the Budget Control Act of 2011, among other things, created measures for spending reductions by Congress. A Joint Select Committee on Deficit
Reduction, tasked with recommending a targeted deficit reduction of at least $1.2 trillion for the years 2013 through 2021, was unable to reach required
goals, thereby triggering the legislation’s automatic reduction to several government programs. These changes included aggregate reductions to Medicare
payments to providers of up to 2% per fiscal year, which went into effect in April 2013 and will remain in effect through 2031. These Medicare sequester
reductions have been suspended through the end of March 2022. From April 2022 through June 2022, a 1% sequester cut will be in effect, with the full 2%
cut resuming thereafter.

Since enactment of the PPACA, there have been, and continue to be, numerous legal challenges and Congressional actions to repeal and replace provisions
of the law. For example, with enactment of the Tax Cuts and Jobs Act of 2017, or the Tax Act, which was signed by President Trump on December 22,
2017,  Congress  repealed  the  “individual  mandate.”  The  repeal  of  this  provision,  which  requires  most  Americans  to  carry  a  minimal  level  of  health
insurance, became effective in 2019. On December

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14,  2018,  a  U.S.  District  Court  judge  in  the  Northern  District  of  Texas  ruled  that  the  individual  mandate  portion  of  the  PPACA  is  an  essential  and
inseverable feature of the PPACA, and therefore because the mandate was repealed as part of the Tax Act, the remaining provisions of the PPACA are
invalid as well. The U.S. Supreme Court heard this case on November 10, 2020 and, on June 17, 2021, dismissed this action after finding that the plaintiffs
do not have standing to challenge the constitutionality of the ACA. Litigation and legislation over the PPACA are likely to continue, with unpredictable and
uncertain results.

The  Trump  Administration  also  took  executive  actions  to  undermine  or  delay  implementation  of  the  PPACA,  including  directing  federal  agencies  with
authorities and responsibilities under the PPACA to waive, defer, grant exemptions from, or delay the implementation of any provision of the PPACA that
would impose a fiscal or regulatory burden on states, individuals, healthcare providers, health insurers, or manufacturers of pharmaceuticals or medical
devices. On January 28, 2021, however, President Biden rescinded those orders and issued a new executive order that directs federal agencies to reconsider
rules and other policies that limit access to healthcare, and consider actions that will protect and strengthen that access. Under this order, federal agencies
are  directed  to  re-examine:  policies  that  undermine  protections  for  people  with  pre-existing  conditions,  including  complications  related  to  COVID‑19;
demonstrations and waivers under Medicaid and the PPACA that may reduce coverage or undermine the programs, including work requirements; policies
that undermine the Health Insurance Marketplace or other markets for health insurance; policies that make it more difficult to enroll in Medicaid and under
the PPACA; and policies that reduce affordability of coverage or financial assistance, including for dependents.

Pharmaceutical prices

The prices of prescription pharmaceuticals have also been the subject of considerable discussion in the United States. There have been several recent U.S.
congressional  inquiries,  as  well  as  proposed  and  enacted  state  and  federal  legislation  designed  to,  among  other  things,  bring  more  transparency  to
pharmaceutical  pricing,  review  the  relationship  between  pricing  and  manufacturer  patient  programs,  and  reduce  the  costs  of  pharmaceuticals  under
Medicare  and  Medicaid.  In  2020,  President  Trump  issued  several  executive  orders  intended  to  lower  the  costs  of  prescription  products  and  certain
provisions  in  these  orders  have  been  incorporated  into  regulations.  These  regulations  include  an  interim  final  rule  implementing  a  most  favored  nation
model  for  prices  that  would  tie  Medicare  Part  B  payments  for  certain  physician-administered  pharmaceuticals  to  the  lowest  price  paid  in  other
economically advanced countries, effective January 1, 2021. That rule, however, has been subject to a nationwide preliminary injunction and, on December
29, 2021, CMS issued a final rule to rescind it. With issuance of this rule, CMS stated that it will explore all options to incorporate value into payments for
Medicare Part B pharmaceuticals and improve beneficiaries' access to evidence-based care.

In addition, in October 2020, the HHS and the FDA published a final rule allowing states and other entities to develop a Section 804 Importation Program,
or SIP, to import certain prescription products from Canada into the United States. The final rule is currently the subject of ongoing litigation, but at least
six states (Vermont, Colorado, Florida, Maine, New Mexico, and New Hampshire) have passed laws allowing for the importation of products from Canada
with the intent of developing SIPs for review and approval by the FDA. Further, on November 20, 2020, HHS finalized a regulation removing safe harbor
protection for price reductions from pharmaceutical manufacturers to plan sponsors under Part D, either directly or through pharmacy benefit managers,
unless the price reduction is required by law. The implementation of the rule has been delayed by the Biden administration from January 1, 2022 to January
1, 2023 in response to ongoing litigation. The rule also creates a new safe harbor for price reductions reflected at the point-of-sale, as well as a new safe
harbor for certain fixed fee arrangements between pharmacy benefit managers and manufacturers, the implementation of which have also been delayed by
the Biden administration until January 1, 2023.

On July 9, 2021, President Biden signed Executive Order 14063, which focuses on, among other things, the price of pharmaceuticals. The Order directs the
HHS to create a plan within 45 days to combat “excessive pricing of prescription pharmaceuticals and enhance domestic pharmaceutical supply chains, to
reduce the prices paid by the federal government for such pharmaceuticals, and to address the recurrent problem of price gouging.” On September 9, 2021,
HHS released its plan to reduce pharmaceutical prices. The key features of that plan are to: (a) make pharmaceutical prices more affordable and equitable
for  all  consumers  and  throughout  the  health  care  system  by  supporting  pharmaceutical  price  negotiations  with  manufacturers;  (b)  improve  and  promote
competition  throughout  the  prescription  pharmaceutical  industry  by  supporting  market  changes  that  strengthen  supply  chains,  promote  biosimilars,  and
increase transparency; and (c) foster scientific innovation to promote better healthcare and improve health by supporting public and private research and
making sure that market incentives promote discovery of valuable and accessible new treatments.

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At the state level, individual states are increasingly aggressive in passing legislation and implementing regulations designed to control pharmaceutical and
biological  product  pricing,  including  price  or  patient  reimbursement  constraints,  discounts,  restrictions  on  certain  product  access  and  marketing  cost
disclosure  and  transparency  measures,  and,  in  some  cases,  designed  to  encourage  importation  from  other  countries  and  bulk  purchasing.  A  number  of
states,  for  example,  require  pharmaceutical  manufacturers  and  other  entities  in  the  supply  chain,  including  health  carriers,  pharmacy  benefit  managers,
wholesale distributors, to disclose information about pricing of pharmaceuticals. In addition, regional healthcare organizations and individual hospitals are
increasingly using bidding procedures to determine what pharmaceutical products and which suppliers will be included in their prescription pharmaceutical
and other healthcare programs. These measures could reduce the ultimate demand for our products, once approved, or put pressure on our product pricing.
We expect that additional state and federal healthcare reform measures will be adopted in the future, any of which could limit the amounts that federal and
state governments will pay for healthcare products and services, which could result in reduced demand for our product candidates or additional pricing
pressures.

Federal and state data privacy laws

There are multiple privacy and data security laws that may impact our business activities, in the United States and in other countries where we conduct
trials or where we may do business in the future. These laws are evolving and may increase both our obligations and our regulatory risks in the future. In
the health care industry generally, under HIPAA, the HHS has issued regulations to protect the privacy and security of protected health information, or PHI,
used  or  disclosed  by  covered  entities  including  certain  healthcare  providers,  health  plans  and  healthcare  clearinghouses.  HIPAA  also  regulates
standardization of data content, codes and formats used in healthcare transactions and standardization of identifiers for health plans and providers. HIPAA
also imposes certain obligations on the business associates of covered entities that obtain protected health information in providing services to or on behalf
of covered entities. HIPAA may apply to us in certain circumstances and may also apply to our business partners in ways that may impact our relationships
with them. Our clinical trials are regulated by the Common Rule, which also includes specific privacy-related provisions. In addition to federal privacy
regulations, there are a number of state laws governing confidentiality and security of health information that may be applicable to our business. In addition
to possible federal civil and criminal penalties for HIPAA violations, state attorneys general are authorized 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, state attorneys general (along
with private plaintiffs) have brought civil actions seeking injunctions and damages resulting from alleged violations of HIPAA’s privacy and security rules.
State attorneys general also have authority to enforce state privacy and security laws. New laws and regulations governing privacy and security may be
adopted in the future as well.

At  the  state  level,  California  has  enacted  legislation  that  has  been  dubbed  the  first  “GDPR-like”  law  in  the  United  States.  Known  as  the  California
Consumer Privacy Act, or CCPA, it creates new individual privacy rights for consumers (as that word is broadly defined in the law) and places increased
privacy and security obligations on entities handling personal data of consumers or households. The CCPA went into effect on January 1, 2020 and requires
covered  companies  to  provide  new  disclosures  to  California  consumers,  provide  such  consumers  new  ways  to  opt-out  of  certain  sales  of  personal
information, and allow for a new cause of action for data breaches. Additionally, effective starting on January 1, 2023, the California Privacy Rights Act, or
CPRA, will significantly modify the CCPA, including by expanding consumers’ rights with respect to certain sensitive personal information. The CPRA
also creates a new state agency that will be vested with authority to implement and enforce the CCPA and the CPRA. The CCPA and CPRA could impact
our business activities depending on how it is interpreted and exemplifies the vulnerability of our business to not only cyber threats but also the evolving
regulatory  environment  related  to  personal  data  and  individually  identifiable  health  information.  These  provisions  may  apply  to  some  of  our  business
activities.  In  addition,  other  states,  including  Virginia  and  Colorado,  already  have  passed  state  privacy  laws  and  other  states  will  likely  be  considering
similar laws in the near future.

Because of the breadth of these laws and the narrowness of the statutory exceptions and regulatory safe harbors available under such laws, it is possible that
some of our current or future business activities, including certain clinical research, sales and marketing practices and the provision of certain items and
services  to  our  customers,  could  be  subject  to  challenge  under  one  or  more  of  such  privacy  and  data  security  laws.  The  heightening  compliance
environment and the need to build and maintain robust and secure systems to comply with different privacy compliance and/or reporting requirements in
multiple  jurisdictions  could  increase  the  possibility  that  a  healthcare  company  may  fail  to  comply  fully  with  one  or  more  of  these  requirements.  If  our
operations are found to be in violation of any of the privacy or data security laws or regulations described above that are applicable to us, or any other laws
that apply to us, we may be subject to penalties, including potentially significant criminal, civil and administrative penalties, damages, fines, contractual
damages, reputational harm, diminished profits and future earnings, additional reporting requirements and/or oversight if we become subject to a consent
decree or similar agreement to resolve allegations of non-compliance with these laws, and the curtailment or restructuring of our operations, any of which

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could adversely affect our ability to operate our business and our results of operations. To the extent that any product candidates we may develop, once
approved, are sold in a foreign country, we may be subject to similar foreign laws.

Approval and regulation of medical products in the European Union

In  addition  to  regulations  in  the  United  States,  we  will  be  subject  to  a  variety  of  foreign  regulations  governing  clinical  trials  and  commercial  sales  and
distribution of our products outside of the United States. Whether or not we obtain FDA approval for a product candidate, we must obtain approval by the
comparable regulatory authorities of foreign countries or economic areas, such as the 27-member European Union, before we may commence clinical trials
or market products in those countries or areas. In the European Union, our product candidates also may be subject to extensive regulatory requirements. As
in  the  United  States,  medicinal  products  can  be  marketed  only  if  a  marketing  authorization  from  the  competent  regulatory  agencies  has  been  obtained.
Similar to the United States, the various phases of preclinical and clinical research in the European Union are subject to significant regulatory controls.

With the exception of the European Union and European Economic Area, or EEA, applying the harmonized regulatory rules for medicinal products, the
approval process and requirements governing the conduct of clinical trials, product licensing, pricing and reimbursement vary greatly between countries
and jurisdictions and can involve additional testing and additional administrative review periods. The time required to obtain approval in other countries
and jurisdictions might differ from and be longer than that required to obtain FDA approval. Regulatory approval in one country or jurisdiction does not
ensure  regulatory  approval  in  another,  but  a  failure  or  delay  in  obtaining  regulatory  approval  in  one  country  or  jurisdiction  may  negatively  impact  the
regulatory process in others.

Clinical trials

On January 31, 2022, the new Clinical Trials Regulation (EU) No 536/2014 became effective in the European Union and replaced the prior Clinical Trials
Directive  2001/20/EC.  The  new  regulation  aims  at  simplifying  and  streamlining  the  authorization,  conduct  and  transparency  of  clinical  trials  in  the
European Union. Under the new coordinated procedure for the approval of clinical trials, the sponsor of a clinical trial to be conducted in more than one
Member State of the European Union, or EU Member State, will only be required to submit a single application for approval. The submission will be made
through  the  Clinical  Trials  Information  System,  a  new  clinical  trials  portal  overseen  by  the  EMA  and  available  to  clinical  trial  sponsors,  competent
authorities of the EU Member States and the public.

The new regulation did not change the preexisting requirement that a sponsor must obtain prior approval from the competent national authority of the EU
Member State in which the clinical trial is to be conducted. If the clinical trial is conducted in different EU Member States, the competent authorities in
each of these EU Member States must provide their approval for the conduct of the clinical trial. Furthermore, the sponsor may only start a clinical trial at a
specific clinical site after the applicable ethics committee has issued a favorable opinion.

Parties  conducting  certain  clinical  trials  must,  as  in  the  United  States,  post  clinical  trial  information  in  the  European  Union  at  the  EudraCT  website:
https://eudract.ema.europa.eu.

Marketing authorization in the European Union

Marketing authorization applications, or MAAs, can be filed either under the so-called centralized or national authorization procedures, albeit through the
mutual recognition or decentralized procedure for a product to be authorized in more than one EU Member State.

The centralized procedure provides for the grant of a single marketing authorization following a favorable opinion by the European Medicines Agency, or
EMA,  that  is  valid  in  all  EU  Member  States,  as  well  as  Iceland,  Liechtenstein  and  Norway,  which  are  part  of  the  EEA.  The  centralized  procedure  is
compulsory  for  medicines  produced  by  specified  biotechnological  processes,  products  designated  as  orphan  medicinal  products,  advanced-therapy
medicines (such as gene-therapy, somatic cell-therapy or tissue-engineered medicines) and products with a new active substance indicated for the treatment
of specified diseases, such as HIV/ AIDS, cancer, diabetes, neurodegenerative disorders or autoimmune diseases and other immune dysfunctions and viral
diseases.  The  centralized  procedure  is  optional  for  products  that  represent  a  significant  therapeutic,  scientific  or  technical  innovation,  or  whose
authorization would be in the interest of public health. Under the centralized procedure the maximum timeframe for the evaluation of an MAA by the EMA
is  210  days,  excluding  clock  stops,  when  additional  written  or  oral  information  is  to  be  provided  by  the  sponsor  in  response  to  questions  asked  by  the
Committee for Medicinal Products for Human Use, or the CHMP. Accelerated assessment might be granted by the CHMP in exceptional

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cases,  when  a  medicinal  product  is  expected  to  be  of  a  major  public  health  interest,  particularly  from  the  point  of  view  of  therapeutic  innovation.  The
timeframe for the evaluation of an MAA under the accelerated assessment procedure is of 150 days, excluding stop-clocks.

There are also two other possible routes to authorize medicinal products in several EU countries, which are available for investigational medicinal products
that fall outside the scope of the centralized procedure:

• Decentralized procedure. Using the decentralized procedure, a sponsor may apply for simultaneous authorization in more than one EU country of
medicinal  products  that  have  not  yet  been  authorized  in  any  EU  country  and  that  do  not  fall  within  the  mandatory  scope  of  the  centralized
procedure. The sponsor may choose a member state as the reference member State to lead the scientific evaluation of the application.

• Mutual recognition procedure.  In  the  mutual  recognition  procedure,  a  medicine  is  first  authorized  in  one  EU  Member  State  (which  acts  as  the
reference  member  state),  in  accordance  with  the  national  procedures  of  that  country.  Following  this,  further  marketing  authorizations  can  be
progressively  sought  from  other  EU  countries  in  a  procedure  whereby  the  countries  concerned  agree  to  recognize  the  validity  of  the  original,
national marketing authorization produced by the reference member state.

Under  the  above-described  procedures,  before  granting  the  marketing  authorization,  the  EMA  or  the  competent  authorities  of  the  Member  States  of  the
EEA make an assessment of the risk-benefit balance of the product on the basis of scientific criteria concerning its quality, safety and efficacy.

Conditional approval

In particular circumstances, EU legislation (Article 14–a Regulation (EC) No 726/2004 (as amended by Regulation (EU) 2019/5 and Regulation (EC) No
507/2006  on  Conditional  Marketing  Authorizations  for  Medicinal  Products  for  Human  Use)  enables  sponsors  to  obtain  a  conditional  marketing
authorization prior to obtaining the comprehensive clinical data required for an application for a full marketing authorization. Such conditional approvals
may  be  granted  for  product  candidates  (including  medicines  designated  as  orphan  medicinal  products)  if  (1)  the  product  candidate  is  intended  for  the
treatment, prevention or medical diagnosis of seriously debilitating or life-threatening diseases; (2) the product candidate is intended to meet unmet medical
needs  of  patients;  (3)  a  marketing  authorization  may  be  granted  prior  to  submission  of  comprehensive  clinical  data  provided  that  the  benefit  of  the
immediate availability on the market of the medicinal product concerned outweighs the risk inherent in the fact that additional data are still required; (4) the
risk-benefit balance of the product candidate is positive, and (5) it is likely that the sponsor will be in a position to provide the required comprehensive
clinical trial data. A conditional marketing authorization may contain specific obligations to be fulfilled by the marketing authorization holder, including
obligations  with  respect  to  the  completion  of  ongoing  or  new  clinical  trials  and  with  respect  to  the  collection  of  pharmacovigilance  data.  Conditional
marketing authorizations are valid for one year, and may be renewed annually, if the risk-benefit balance remains positive, and after an assessment of the
need for additional or modified conditions or specific obligations. The timelines for the centralized procedure described above also apply with respect to
the review by the CHMP of applications for a conditional marketing authorization.

Pediatric trials

Prior  to  obtaining  a  marketing  authorization  in  the  European  Union,  sponsors  have  to  demonstrate  compliance  with  all  measures  included  in  an  EMA-
approved  Pediatric  Investigation  Plan,  or  PIP,  covering  all  subsets  of  the  pediatric  population,  unless  the  EMA  has  granted  a  product-specific  waiver,  a
class waiver or a deferral for one or more of the measures included in the PIP. The respective requirements for all marketing authorization procedures are
set forth in Regulation (EC) No 1901/2006, which is referred to as the Pediatric Regulation. This requirement also applies when a company wants to add a
new indication, pharmaceutical form or route of administration for a medicine that is already authorized. The Pediatric Committee of the EMA, or PDCO,
may  grant  deferrals  for  some  medicines,  allowing  a  company  to  delay  development  of  the  medicine  in  children  until  there  is  enough  information  to
demonstrate its effectiveness and safety in adults. The PDCO may also grant waivers when development of a medicine in children is not needed or is not
appropriate because (a) the product is likely to be ineffective or unsafe in part or all of the pediatric population; (b) the disease or condition occurs only in
adult population; or (c) the product does not represent a significant therapeutic benefit over existing treatments for pediatric population. Before a marketing
authorization application can be filed, or an existing marketing authorization can be amended, the EMA determines that companies actually comply with
the agreed studies and measures listed in each relevant PIP.

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PRIME designation

In March 2016, the EMA launched an initiative to facilitate development of product candidates in indications, often rare, for which few or no therapies
currently exist. The PRIority MEdicines, or PRIME, scheme is intended to encourage product development in areas of unmet medical need and provides
accelerated assessment of products representing substantial innovation reviewed under the centralized procedure. Products from small- and medium-sized
enterprises, or SMEs, may qualify for earlier entry into the PRIME scheme than larger companies. Many benefits accrue to sponsors of product candidates
with PRIME designation, including but not limited to, early and proactive regulatory dialogue with the EMA, frequent discussions on clinical trial designs
and other development program elements, and accelerated marketing authorization application assessment once a dossier has been submitted. Importantly,
a dedicated agency contact and rapporteur from the CHMP or Committee for Advanced Therapies are appointed early in the PRIME scheme, facilitating
increased understanding of the product at EMA’s Committee level. A kick-off meeting initiates these relationships and includes a team of multidisciplinary
experts at the EMA to provide guidance to the sponsor on the overall development and regulatory strategies.

Periods of authorization and renewals

A  marketing  authorization  is  valid  for  five  years  in  principle  and  the  marketing  authorization  may  be  renewed  after  five  years  on  the  basis  of  a  re-
evaluation of the risk-benefit balance by the EMA or by the competent authority of the authorizing member state. To this end, the marketing authorization
holder  must  provide  the  EMA  or  the  competent  authority  with  a  consolidated  version  of  the  file  in  respect  of  quality,  safety  and  efficacy,  including  all
variations  introduced  since  the  marketing  authorization  was  granted,  at  least  nine  months  before  the  marketing  authorization  ceases  to  be  valid.  Once
renewed, the marketing authorization is valid for an unlimited period, unless the European Commission or the competent authority decides, on justified
grounds relating to pharmacovigilance, to proceed with one additional five-year renewal. Any authorization which is not followed by the actual placing of
the product on the EU market (in case of centralized procedure) or on the market of the authorizing member state within three years after authorization
ceases to be valid (the so-called sunset clause).

Regulatory requirements after marketing authorization

As in the United States, both marketing authorization holders and manufacturers of medicinal products are subject to comprehensive regulatory oversight
by  the  EMA  and  the  competent  authorities  of  the  individual  EU  Member  States  both  before  and  after  grant  of  the  manufacturing  and  marketing
authorizations. The holder of an EU marketing authorization for a medicinal product must, for example, comply with EU pharmacovigilance legislation and
its related regulations and guidelines which entail many requirements for conducting pharmacovigilance, or the assessment and monitoring of the safety of
medicinal  products.  The  manufacturing  process  for  medicinal  products  in  the  European  Union  is  also  highly  regulated  and  regulators  may  shut  down
manufacturing facilities that they believe do not comply with regulations. Manufacturing requires a manufacturing authorization, and the manufacturing
authorization  holder  must  comply  with  various  requirements  set  out  in  the  applicable  EU  laws,  including  compliance  with  EU  cGMP  standards  when
manufacturing medicinal products and active pharmaceutical ingredients.

In the European Union, the advertising and promotion of approved products are subject to EU Member States’ laws governing promotion of medicinal
products, interactions with clinicians, misleading and comparative advertising and unfair commercial practices. In addition, other legislation adopted by
individual  EU  Member  States  may  apply  to  the  advertising  and  promotion  of  medicinal  products.  These  laws  require  that  promotional  materials  and
advertising  in  relation  to  medicinal  products  comply  with  the  product’s  Summary  of  Product  Characteristics,  or  SmPC,  as  approved  by  the  competent
authorities. Promotion of a medicinal product that does not comply with the SmPC is considered to constitute off-label promotion, which is prohibited in
the European Union.

Regulatory exclusivity

In the European Union, new products authorized for marketing (i.e., reference products) qualify for eight years of data exclusivity and an additional two
years of market exclusivity upon marketing authorization. The data exclusivity period prevents generic sponsors from relying on the preclinical and clinical
trial data contained in the dossier of the reference product when applying for a generic marketing authorization in the European Union during a period of
eight years from the date on which the reference product was first authorized in the European Union. The market exclusivity period prevents a successful
generic sponsor from commercializing its product in the European Union until ten years have elapsed from the initial authorization of the reference product
in the European Union. The ten-year market exclusivity period can be extended to a maximum of eleven years if, during the first eight years of those ten
years, the marketing authorization holder obtains an authorization for one or more new therapeutic indications which, during the scientific evaluation prior
to their authorization, are held to bring a significant clinical benefit in comparison with existing therapies.

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Orphan drug designation and exclusivity

The criteria for designating an orphan medicinal product in the European Union are similar in principle to those in the United States. Under Article 3 of
Regulation  (EC)  141/2000,  a  medicinal  product  may  be  designated  as  orphan  if  (1)  it  is  intended  for  the  diagnosis,  prevention  or  treatment  of  a  life-
threatening or chronically debilitating condition, (2) either (a) such condition affects no more than five in 10,000 persons in the European Union when the
application  is  made,  or  (b)  the  product,  without  the  benefits  derived  from  orphan  status,  would  not  generate  sufficient  return  in  the  European  Union  to
justify  investment  and  (3)  there  exists  no  satisfactory  method  of  diagnosis,  prevention  or  treatment  of  such  condition  authorized  for  marketing  in  the
European Union, or if such a method exists, the product will be of significant benefit to those affected by the condition. The term ‘significant benefit’ is
defined in Regulation (EC) 847/2000 to mean a clinically relevant advantage or a major contribution to patient care.

Orphan medicinal products are eligible for financial incentives such as reduction of fees or fee waivers and are, upon grant of a marketing authorization,
entitled  to  ten  years  of  market  exclusivity  for  the  approved  therapeutic  indication.  During  this  ten  year  market  exclusivity  period,  the  EMA  or  the
competent authorities of the Member States of the EEA, cannot accept an application for a marketing authorization for a similar medicinal product for the
same  indication.  A  similar  medicinal  product  is  defined  as  a  medicinal  product  containing  a  similar  active  substance  or  substances  as  contained  in  an
authorized orphan medicinal product, and which is intended for the same therapeutic indication. The application for orphan designation must be submitted
before  the  application  for  marketing  authorization.  The  sponsor  will  receive  a  fee  reduction  for  the  marketing  authorization  application  if  the  orphan
designation has been granted, but not if the designation is still pending at the time the marketing authorization is submitted. Orphan designation does not
convey any advantage in, or shorten the duration of, the regulatory review and approval process.

The ten-year market exclusivity in the European Union may be reduced to six years if, at the end of the fifth year, it is established that the product no longer
meets the criteria for orphan designation, for example, if the product is sufficiently profitable not to justify maintenance of market exclusivity. Additionally,
marketing authorization may be granted to a similar product for the same indication at any time if: (1) the second sponsor can establish that its product,
although similar, is safer, more effective or otherwise clinically superior; (2) the sponsor consents to a second orphan medicinal product application; or (3)
the sponsor cannot supply enough orphan medicinal product.

Pediatric exclusivity

If a sponsor obtains a marketing authorization in all EU Member States, or a marketing authorization granted in the centralized procedure by the European
Commission, and the trial results for the pediatric population are included in the product information, even when negative, the medicine is then eligible for
an  additional  six-month  period  of  qualifying  patent  protection  through  extension  of  the  term  of  the  Supplementary  Protection  Certificate,  or  SPC,  or
alternatively a one year extension of the regulatory market exclusivity from ten to eleven years, as selected by the marketing authorization holder.

Patent term extensions

The  European  Union  also  provides  for  patent  term  extension  through  Supplementary  Protection  Certificates,  or  SPCs.  The  rules  and  requirements  for
obtaining  a  SPC  are  similar  to  those  in  the  United  States.  An  SPC  may  extend  the  term  of  a  patent  for  up  to  five  years  after  its  originally  scheduled
expiration date and can provide up to a maximum of fifteen years of marketing exclusivity for a product. In certain circumstances, these periods may be
extended for six additional months if pediatric exclusivity is obtained. Although SPCs are available throughout the European Union, sponsors must apply
on a country‑by‑country basis. Similar patent term extension rights exist in certain other foreign jurisdictions outside the European Union.

Reimbursement and pricing of prescription pharmaceuticals

In  the  European  Union,  similar  political,  economic  and  regulatory  developments  to  those  in  the  United  States  may  affect  our  ability  to  profitably
commercialize  our  product  candidates,  if  approved.  In  markets  outside  of  the  United  States  and  the  European  Union,  reimbursement  and  healthcare
payment  systems  vary  significantly  by  country  and  many  countries  have  instituted  price  ceilings  on  specific  products  and  therapies.  In  many  countries,
including those of the European Union, the pricing of prescription pharmaceuticals is subject to governmental control and access. In these countries, pricing
negotiations with governmental authorities can take considerable time after the receipt of marketing approval for a product. To obtain reimbursement or
pricing approval in some countries, pharmaceutical firms may be required to conduct a clinical trial that compares the cost-effectiveness of the product to
other available therapies.

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Approval of companion diagnostic devices

In the European Union, medical devices such as companion diagnostics must comply with the General Safety and Performance Requirements, or SPRs,
detailed in Annex I of the EU Medical Devices Regulation (Regulation (EU) 2017/745), or MDR which came into force on May 26, 2021 and replaced the
previously  applicable  EU  Medical  Devices  Directive  (Council  Directive  93/42/EEC).  Compliance  with  SPRs  and  additional  requirements  applicable  to
companion medical devices is a prerequisite to be able to affix the CE Mark of Conformity to medical devices, without which they cannot be marketed or
sold. To demonstrate compliance with the SPRs, a manufacturer must undergo a conformity assessment procedure, which varies according to the type of
medical device and its classification. The MDR is meant to establish a uniform, transparent, predictable, and sustainable regulatory framework across the
European Union for medical devices.

Separately,  the  regulatory  authorities  in  the  European  Union  also  adopted  a  new  In  Vitro  Diagnostic  Regulation,  or  IVDR,  (EU)  2017/746,  which  will
become effective in May 2022. The new regulation will replace the In Vitro Diagnostics Directive (IVDD) 98/79/EC. Manufacturers wishing to apply to a
notified body for a conformity assessment of their in vitro diagnostic medical device have until May 2022 to update their Technical Documentation to meet
the requirements and comply with the new, more stringent Regulation. Once applicable, the regulation will, among other things: strengthen the rules on
placing  devices  on  the  market  and  reinforce  surveillance  once  they  are  available;  establish  explicit  provisions  on  manufacturers’  responsibilities  for  the
follow-up of the quality, performance, and safety of devices placed on the market; improve the traceability of medical devices throughout the supply chain
to the end-user or patient through a unique identification number; set up a central database to provide patients, healthcare professionals and the public with
comprehensive  information  on  products  available  in  the  European  Union;  and  strengthen  rules  for  the  assessment  of  certain  high-risk  devices,  such  as
implants, which may have to undergo an additional check by experts before they are placed on the market.

General Data Protection Regulation

Many  countries  outside  of  the  United  States  maintain  rigorous  laws  governing  the  privacy  and  security  of  personal  information.  The  collection,  use,
disclosure,  transfer,  or  other  processing  of  personal  data,  including  personal  health  data,  regarding  individuals  who  are  located  in  the  EEA,  and  the
processing of personal data that takes place in the EEA, is subject to the General Data Protection Regulation, or GDPR, which became effective on May 25,
2018.  The  GDPR  is  wide-ranging  in  scope  and  imposes  numerous  requirements  on  companies  that  process  personal  data,  and  it  imposes  heightened
requirements  on  companies  that  process  health  and  other  sensitive  data,  such  as  requiring  in  many  situations  that  a  company  obtain  the  consent  of  the
individuals  to  whom  the  sensitive  personal  data  relate  before  processing  such  data.  Examples  of  obligations  imposed  by  the  GDPR  on  companies
processing  personal  data  that  fall  within  the  scope  of  the  GDPR  include  providing  information  to  individuals  regarding  data  processing  activities,
implementing  safeguards  to  protect  the  security  and  confidentiality  of  personal  data,  appointing  a  data  protection  officer,  providing  notification  of  data
breaches and taking certain measures when engaging third-party processors.

The GDPR also imposes strict rules on the transfer of personal data to countries outside the EEA, including the United States, and permits data protection
authorities to impose large penalties for violations of the GDPR, including potential fines of up to €20 million or 4% of annual global revenues, whichever
is greater. The GDPR also confers a private right of action on data subjects and consumer associations to lodge complaints with supervisory authorities,
seek judicial remedies, and obtain compensation for damages resulting from violations of the GDPR. Compliance with the GDPR is a rigorous and time-
intensive process that may increase the cost of doing business or require companies to change their business practices to ensure full compliance. In July
2020,  the  Court  of  Justice  of  the  European  Union,  or  the  CJEU,  invalidated  the  EU-U.S.  Privacy  Shield  framework,  one  of  the  mechanisms  used  to
legitimize  the  transfer  of  personal  data  from  the  EEA  to  the  United  States.  The  CJEU  decision  also  drew  into  question  the  long-term  viability  of  an
alternative  means  of  data  transfer,  the  standard  contractual  clauses,  for  transfers  of  personal  data  from  the  EEA  to  the  United  States.  Following  the
withdrawal of the United Kingdom from the European Union, the U.K. Data Protection Act 2018 applies to the processing of personal data that takes place
in the United Kingdom and includes parallel obligations to those set forth by GDPR.

Brexit and the regulatory framework in the United Kingdom

The United Kingdom’s withdrawal from the European Union took place on January 31, 2020. The European Union and the United Kingdom reached an
agreement on their new partnership in the Trade and Cooperation Agreement, or the Agreement, which was applied provisionally beginning on January 1,
2021  and  which  entered  into  force  on  May  1,  2021.  The  Agreement  focuses  primarily  on  free  trade  by  ensuring  no  tariffs  or  quotas  on  trade  in  goods,
including  healthcare  products  such  as  medicinal  products.  Thereafter,  the  European  Union  and  the  United  Kingdom  will  form  two  separate  markets
governed by two distinct regulatory and legal regimes. As such, the Agreement seeks to minimize barriers to trade in goods while accepting that border
checks will become inevitable as a consequence that the United Kingdom is no longer part of the single market. As of

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January 1, 2021, the Medicines and Healthcare products Regulatory Agency, or the MHRA, became responsible for supervising medicines and medical
devices in Great Britain, comprising England, Scotland and Wales under domestic law whereas Northern Ireland continues to be subject to EU rules under
the Northern Ireland Protocol. The MHRA will rely on the Human Medicines Regulations 2012 (SI 2012/1916) (as amended), or the HMR, as the basis for
regulating  medicines.  The  HMR  has  incorporated  into  the  domestic  law  the  body  of  EU  law  instruments  governing  medicinal  products  that  pre-existed
prior to the United Kingdom’s withdrawal from the European Union.

Intellectual property

We  actively  seek  to  protect  the  proprietary  technology  that  we  consider  important  to  our  business,  including  pursuing  patents  that  cover  our  ADC
platforms, proprietary compositions of matter, ADC product candidates and methods of using and manufacturing the same, as well as any other relevant
inventions and improvements that are considered commercially important to the development of our business. We also rely on trade secrets, know-how and
continuing technological innovation to develop and maintain our proprietary and intellectual property position.

Our  commercial  success  will  depend  significantly  on  our  ability  to  obtain  and  maintain  patents  and  other  proprietary  protection  for  the  technology,
inventions and improvements we consider important to our business, and to defend our patents, preserve the confidentiality of our trade secrets and operate
without infringing the patents and proprietary rights of third parties. Our policy is to seek to protect our proprietary and intellectual property position by,
among  other  methods,  filing  U.S.,  international  (under  Patent  Cooperation  Treaty,  or  PCT)  and  foreign  patent  applications  related  to  our  proprietary
technology,  inventions  and  improvements  that  we  consider  to  be  important  to  the  development  and  implementation  of  our  business.  We  also  believe  in
protecting our unpatented trade secrets and know-how and continuing our technological innovation to develop our business and to maintain our competitive
position.

The term of individual patents depends upon the legal term for patents in the countries in which they are obtained. In most countries, including the United
States,  the  patent  term  is  20  years  from  the  earliest  filing  date  of  a  non-provisional  patent  application.  In  the  United  States,  a  patent’s  term  may  be
lengthened by patent term adjustment, which compensates a patentee for administrative delays by the USPTO in examining and granting a patent or may be
shortened if a patent is terminally disclaimed over an earlier filed patent. The term of a patent that covers a drug or biological product may also be eligible
for  patent  term  extension  when  FDA  approval  is  granted,  provided  statutory  and  regulatory  requirements  are  met.  In  the  future,  if  and  when  our  drug
candidates receive approval by the FDA or foreign regulatory authorities, we expect to apply for patent term extensions on issued patents covering those
drugs, depending upon the length of the clinical trials for each drug and other factors. There can be no assurance that any of our pending patent applications
will issue or that we will benefit from any patent term extension or favorable adjustments to the terms of any of our patents.

As with other biotechnology and pharmaceutical companies, our ability to maintain and solidify our proprietary and intellectual property position for our
drug  candidates  and  technologies  will  depend  on  our  success  in  obtaining  effective  patent  claims  and  enforcing  those  claims  if  granted.  However,  our
pending patent applications, and any patent applications that we may in the future file or license from third parties, may not result in the issuance of patents.
We also cannot predict the breadth of claims that may be allowed or enforced in our patents. Any issued patents that we may currently own or license or
may receive in the future may be challenged, invalidated, circumvented or have the scope of their claims narrowed. For example, we cannot be certain of
the priority of inventions covered by pending third party patent applications. If third parties prepare and file patent applications in the United States that
also claim technology or therapeutics to which we have rights, we may have to participate in interference proceedings in the USPTO to determine priority
of  invention,  which  could  result  in  substantial  costs  to  us,  even  if  the  eventual  outcome  is  favorable  to  us,  which  is  highly  unpredictable.  In  addition,
because of the extensive time required for clinical development and regulatory review of a drug candidate we may develop, it is possible that, before any of
our drug candidates can be commercialized, any related patent may expire or remain in force for only a short period following commercialization, thereby
limiting  the  protection  such  patent  would  afford  the  respective  product  and  any  competitive  advantage  such  patent  may  provide.  For  more  information
regarding the risks related to our intellectual property, please see “Risk factors—Risks related to our intellectual property.”

As of January 31, 2022, we owned, in all of our patent portfolios, 22 issued U.S. patents, 13 pending non-provisional U.S. patent applications, five pending
provisional  U.S.  patent  applications,  102  issued  foreign  patents,  five  pending  PCT  patent  applications  and  138  pending  foreign  patent  applications
(including four allowed foreign patent applications) in a number of foreign jurisdictions, including, but being not limited to, Argentina, Australia, Brazil,
Canada,  China,  Europe,  Eurasia,  Gulf  Cooperation  Council,  Hong  Kong,  Israel,  India,  Japan,  Mexico,  Macau,  Pakistan,  New  Zealand,  Russia,  South
Korea,  South  Africa,  and  Taiwan.  Our  10  issued  U.S.  patents  covering  our  Fleximer  ADC  platform  are  projected  to  expire  in  2032,  excluding  any
additional term for patent term adjustments or patent term extensions; our two issued U.S. patents covering our Dolaflexin

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ADC  platform  are  projected  to  expire  in  2034  and  2038,  excluding  any  additional  term  for  patent  term  adjustments  or  patent  term  extensions;  our  one
issued U.S. patent covering our STING agonist payload is projected to expire in 2040, excluding any additional term for patent term adjustments or patent
term  extensions;  our  additional  nine  issued  U.S.  patents  are  projected  to  expire  between  2032  and  2037,  excluding  any  additional  term  for  patent  term
adjustments or patent term extensions; and any patent that may issue from our pending U.S. applications is projected to expire between 2037 and 2042, in
each case, excluding any additional term for patent term adjustments or patent term extensions. In addition, we have exclusively in licensed four issued
U.S. patents and one issued European patent for the NaPi2b antibody from Recepta, which Recepta licensed from Ludwig Institute for Cancer Research.
These in-licensed issued U.S. and European patents are projected to expire in 2029, excluding any additional term for patent term adjustments or patent
term extensions. Recepta still owns one pending Brazilian patent application for the NaPi2b antibody, which is not licensed to us. A patent issuing from this
Brazilian patent application is projected to expire in 2029. We have also non-exclusively in-licensed from Synaffix certain patents and patent applications
for  their  proprietary  site-specific  conjugation  technology.  These  in-licensed  Synaffix  patents  and  patent  applications  are  seven  issued  US  patents,  four
pending  non-provisional  U.S.  patent  applications,  eight  issued  foreign  patents,  one  pending  PCT  patent  applications  and  14  pending  foreign  patent
applications,  in  a  number  of  foreign  jurisdictions,  including,  but  being  not  limited  to,  China,  Europe,  India,  Japan,  and  Netherlands.  These  in-licensed
issued  U.S.  and  European  patents  are  projected  to  expire  from  2031  to  2040,  excluding  any  additional  term  for  patent  term  adjustments  or  patent  term
extensions. We have so far not filed for patent protection in all national and regional jurisdictions where such protection may be available. In addition, we
may decide to abandon national and regional patent applications before they are granted. Finally, the grant proceeding of each national or regional patent is
an  independent  proceeding  which  may  lead  to  situations  in  which  applications  might  in  some  jurisdictions  be  refused  by  the  relevant  registration
authorities, while granted by others. It is also quite common that depending on the country, various scopes of patent protection may be granted on the same
product candidate or technology.

The intellectual property portfolio of our ADC platforms, our ADC product candidates and components thereof and companion diagnostics are summarized
below. Some of these portfolios are in very early stages and prosecution has yet to commence on some of the pending patent applications. Prosecution is a
lengthy process, during which the scope of the claims initially submitted for examination by the USPTO may be narrowed (sometimes significantly) by the
time they issue, if they issue at all. We expect this to be the case with respect to our pending patent applications referred to below.

Fleximer ADC platform
The  intellectual  property  portfolio  for  our  Fleximer  ADC  platform  is  directed  to  compositions  of  matter  for  the  Fleximer  ADCs,  as  well  as  methods  of
using and making these novel conjugates, compositions of matter for Fleximer drug conjugates prior to conjugation with the antibody or antibody fragment
and methods of making the same, and compositions of matter for our proprietary auristatin DolaLock compounds and conjugates thereof (e.g., to Fleximer
and/or an antibody or antibody fragment). As of January 31, 2022, we owned 10 issued U.S. patents, one pending non-provisional U.S. patent application,
48  issued  foreign  patents,  and  four  pending  foreign  patent  applications  (including  one  allowed  foreign  patent  application)  in  a  number  of  foreign
jurisdictions,  including,  but  not  limited  to,  Australia,  Brazil,  Canada,  China,  Europe,  Hong  Kong,  Israel,  India,  Japan,  Macau,  Mexico,  Russia,  South
Korea, and Taiwan. Any U.S. or foreign patent issuing from the pending applications covering the Fleximer ADC platform is projected to expire in 2032,
excluding any additional term for patent term adjustments or patent term extensions.

Dolaflexin ADC platform

The intellectual property portfolio for our Dolaflexin ADC platform is directed to compositions of matter for the Dolaflexin ADCs, as well as methods of
using  and  making  these  novel  conjugates,  compositions  of  matter  for  Dolaflexin  drug  conjugates  prior  to  conjugation  with  the  antibody  or  antibody
fragment and methods of making the same. As of January 31, 2022, we owned two issued U.S. patents, 34 issued foreign patent, and 11 pending foreign
patent applications in a number of foreign jurisdictions, including, but not limited to, Australia, Brazil, Canada, China, Eurasia, Europe, Hong Kong, Israel,
India, Japan, South Korea, Mexico, Russia, South Africa and Taiwan. Any U.S. or foreign patent issuing from the pending applications covering Dolaflexin
ADC  platform  is  projected  to  expire  in  2034,  and  any  U.S.  or  foreign  patent  issuing  from  the  pending  applications  covering  the  method  of  making  the
Dolaflexin ADC is projected to expire in 2038, excluding any additional term for patent term adjustments or patent term extensions.

UpRi ADC

The intellectual property portfolio for UpRi, our leading NaPi2b ADC product candidate is directed to compositions of matter for our novel ADC based on
exclusively  in  licensed  NaPi2b  antibody  and  our  Dolaflexin  platform,  as  well  as  methods  of  using,  making  these  novel  conjugates,  methods  of
administration  and  companion  diagnostics.  As  of  January  31,  2021,  we  owned  four  pending  non-provisional  U.S.  patent  applications  (including  one
allowed U.S. patent application), 37 pending foreign patent applications, and one pending PCT application directed to the composition of matter for UpRi,
methods of using and making

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same, companion diagnostics for UpRi ADC and UpRi dosing regimens. We also intend to enter the national/regional phase of the pending PCT patent
application in foreign jurisdictions, including, but not limited to, Australia, Brazil, Canada, China, Eurasia, Europe, Hong Kong, Israel, India, Japan, South
Korea, Macau, Mexico and South Africa. Any U.S. or foreign patent issuing from the pending applications covering UpRi is projected to expire in 2037,
and any U.S. or foreign patent issuing from the pending applications covering UpRi companion diagnostics is projected to expire in 2038, excluding any
additional term for patent term adjustments or patent term extensions, and any U.S. or foreign patent issuing from the pending applications covering the
UpRi dosing regimens is projected to expire in 2039.

In addition, as mentioned above, we have exclusively in licensed four issued U.S. patents and one issued European patent for the novel NaPi2b antibody
from Recepta, which Recepta licensed from Ludwig Institute for Cancer Research. These in licensed issued U.S. and European patents are projected to
expire  in  2029,  excluding  any  additional  term  for  patent  term  adjustments  or  patent  term  extensions.  Recepta  still  owns  one  pending  Brazilian  patent
application for the NaPi2b antibody, which is not licensed to us. A patent issuing from this Brazilian patent application is projected to expire in 2029.

Dolasynthen ADC platform

The intellectual property portfolio for our novel Dolasynthen platform is directed to compositions of matter for the novel scaffold and ADCs thereof, as
well as methods of using and making these novel conjugates and scaffolds. As of January 31, 2022, we owned one issued U.S. patent, two pending non-
provisional U.S. patent application, 30 pending foreign patent applications. in a number of foreign jurisdictions, including, but not limited to, Australia,
Brazil, Canada, China, Eurasia, Europe, Hong Kong, Israel, India, Japan, Macau, Mexico, South Korea, and Taiwan. Any U.S. or foreign patent issuing
from the pending applications covering the novel Dolasynthen platform is projected to expire between 2037 and 2039, excluding any additional term for
patent term adjustments or patent term extensions.

XMT-1592 ADC

The intellectual property portfolio for XMT-1592, our other NaPi2b ADC product candidate, is directed to compositions of matter for our novel ADC based
on  exclusively  in  licensed  NaPi2b  antibody  and  our  Dolasynthen  platform,  as  well  as  methods  of  using,  making,  and  administration  of  these  novel
conjugates. As of January 31, 2022, we owned one pending non-provisional U.S. patent application, three pending foreign patent applications, including
Taiwan,  and  one  pending  PCT  patent  application.  We  intend  to  enter  the  national/regional  phase  of  the  PCT  patent  applications  in  a  number  of  foreign
jurisdictions,  including,  but  not  limited  to,  Australia,  Brazil,  Canada,  China,  Eurasia,  Europe,  Hong  Kong,  Israel,  India,  Japan,  Macau,  Mexico,  South
Korea, New Zealand, South Africa, Saudi Arabia, and United Arab Emirates. Any U.S. or foreign patent issuing from the pending applications covering
XMT-1592 is projected to expire in 2041, excluding any additional term for patent term adjustments or patent term extensions.

In addition, as described above with respect to NaPi2b antibody, we have exclusively in-licensed four issued U.S. patents and one issued European patent
for  the  novel  NaPi2b  antibody  from  Recepta,  which  Recepta  licensed  from  Ludwig  Institute  for  Cancer  Research.  These  in-licensed  issued  U.S.  and
European patents are projected to expire in 2029, excluding any additional term for patent term adjustments or patent term extensions. Recepta still owns
one pending Brazilian patent application for the NaPi2b antibody, which is not licensed to us. A patent issuing from this Brazilian patent application is
projected  to  expire  in  2029.  We  have  also  non-exclusively  in-licensed  from  Synaffix  certain  patents  and  patent  applications  for  their  proprietary  site-
specific conjugation technology. These in-licensed Synaffix patents and patent applications are seven issued US patents, four pending non-provisional U.S.
patent applications, eight issued foreign patents, one pending PCT patent applications and 14 pending foreign patent applications, in a number of foreign
jurisdictions,  including,  but  being  not  limited  to,  China,  Europe,  India,  Japan,  and  Netherlands.  These  in-licensed  issued  U.S.  and  European  patents  are
projected to expire from 2031 to 2040, excluding any additional term for patent term adjustments or patent term extensions.

XMT-1660 ADC

The intellectual property portfolio for XMT-1660, our site-specific B7-H4 ADC product candidate is directed to compositions of matter for our novel ADC
based on our novel B7-H4 antibody and our Dolasynthen platform, as well as methods of using, making these novel conjugates and administration of these
novel  conjugates.  As  of  January  31,  2022,  we  owned  one  pending  non-provisional  U.S.  patent  application,  one  pending  provisional  application,  three
pending foreign patent applications, including Taiwan, and one pending PCT patent application. We intend to enter the national/regional phase of the PCT
patent applications in a number of foreign jurisdictions, including, but not limited to, Australia, Brazil, Canada, China, Eurasia, Europe, Hong Kong, Israel,
India, Japan, Macau, Mexico, South Korea, New Zealand, South Africa, Saudi Arabia, and United Arab Emirates. Any U.S. or foreign patent issuing from
the  pending  applications  covering  XMT-1660  is  projected  to  expire  in  2042,  excluding  any  additional  term  for  patent  term  adjustments  or  patent  term
extensions.

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Immunosynthen ADC platform and XMT-2056

The intellectual property portfolio for our novel Immunosynthen platform is directed to compositions of matter for the novel STING agonists and ADCs
thereof, including XMT-2056, our Her-2 ADC development candidate that targets a novel epitope of HER2, as well as methods of using and methods of
making these novel payloads and ADCs. As of January 31, 2022, we owned one issued U.S. patent, one pending non-provisional U.S. patent applications,
five pending foreign patent applications, including Taiwan, and two pending PCT patent applications related to our the novel STING agonists, and one
pending  non-provisional  U.S.  patent  application,  three  pending  foreign  patent  applications,  including  Taiwan,  and  one  pending  PCT  patent  applications
related to our Immunosynthen platform. We intend to enter the national/regional phase of the PCT patent applications in a number of foreign jurisdictions,
including,  but  not  limited  to,  Australia,  Brazil,  Canada,  China,  Eurasia,  Europe,  Hong  Kong,  Israel,  India,  Japan,  Macau,  Mexico,  South  Korea,  New
Zealand,  South  Africa,  Saudi  Arabia,  and  United  Arab  Emirates.  Any  U.S.  or  foreign  patent  issuing  from  the  pending  applications  covering  the  novel
STING  agonists  is  projected  to  expire  between  2040  and  2041,  and  any  U.S.  or  foreign  patent  issuing  from  the  pending  applications  covering  the
Immunosynthen  platform  and  XMT-2056  is  projected  to  expire  in  2041,  excluding  any  additional  term  for  patent  term  adjustments  or  patent  term
extensions.

In addition to the above with respect to XMT-2056 as of January 31, 2022, we owned two issued U.S. patent, one pending non-provisional U.S. patent
applications, seven issued foreign patent, and 11 pending foreign patent applications (including one allowed foreign patent application), in a number of
foreign  jurisdictions,  including,  but  not  limited  to,  Australia,  Brazil,  Canada,  China,  Eurasia,  Europe,  Hong  Kong,  Israel,  India,  Japan,  Macau,  Mexico,
South Korea, New Zealand and Taiwan, directed to the novel Her-2 antibody. Any U.S. or foreign patent issuing from the pending applications covering the
novel Her-2 antibody is projected to expire in 2035, excluding any additional term for patent term adjustments or patent term extensions.

In  addition  to  patents,  we  rely  upon  unpatented  trade  secrets  and  know-how  and  continuing  technological  innovation  to  develop  and  maintain  our
competitive position. We seek to protect our proprietary information, in part, by executing confidentiality and assignment of inventions agreements with
our employees and consultants, which agreements may also include appropriate non-competition and non-solicit agreements depending on level and role,
as well as confidentiality agreements with our collaborators and scientific advisors. We have also executed agreements requiring assignment of inventions
with selected scientific advisors and collaborators. The confidentiality agreements we enter into are designed to protect our proprietary information and the
agreements  or  clauses  requiring  assignment  of  inventions  to  us  are  designed  to  grant  us  ownership  of  technologies  that  are  developed  through  our
relationship with the respective counterparty. We cannot guarantee, however, that we will have executed such agreements with all applicable employees
and contractors, or that these agreements will afford us adequate protection of our intellectual property and proprietary information rights. Trade secrets and
know-how can be difficult to protect. In particular, we anticipate that with respect to our technology platforms, trade secrets and know-how will over time
be  disseminated  within  the  industry  through  independent  development  and  public  presentations  describing  the  methodology.  For  more  information
regarding the risks associated with our trade secrets, please see “Risk factors—Risks related to our intellectual property—Confidentiality agreements with
employees and third parties may not prevent unauthorized disclosure of trade secrets and other proprietary information.”

Competition

The biotechnology and biopharmaceutical industries, and the oncology subsector, are characterized by rapid evolution of technologies, fierce competition
and strong defense of intellectual property. Any product candidates that we successfully develop and commercialize will have to compete with existing
therapies and new therapies that may become available in the future. While we believe that our proprietary ADC platforms and scientific expertise provide
us with competitive advantages, a wide variety of institutions, including large biopharmaceutical companies, specialty biotechnology companies, academic
research  departments  and  public  and  private  research  institutions,  are  actively  developing  potentially  competitive  products  and  technologies.  These
competitors generally fall within the following categories:

New  cancer  treatments:  Many  global  pharmaceutical  companies,  as  well  as  medium  and  small  biotechnology  companies,  are  pursuing  new  cancer
treatments whether small molecules, biologics or ADCs. Any of these treatments could prove to be superior clinically to our products.

ADC  platforms:  Although  Dolaflexin,  Dolasynthen,  Immunosynthen  and  other  initiatives  we  have  underway  are  highly  differentiated  and  proprietary,
many companies continue to invest in innovation in the ADC field including new payload classes, new conjugation approaches and new targeting moieties.
Any of these initiatives could lead to a platform that has superior properties to ours. We are also aware of multiple companies with ADC technologies that
may be competitive to our platforms, including Daiichi Sankyo, ImmunoGen, Gilead (Immunomedics), Pfizer and SeaGen. These companies or their

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partners, including Astellas, AstraZeneca, AbbVie, Genentech/Roche and Takeda, may develop product candidates which compete in the same indications
as  our  current  and  future  product  candidates.  Multiple  companies  are  also  developing  immune  stimulating  ADCs  which  could  compete  with  our
Immunosynthen products, including Bolt Biotherapeutics, Inc., Takeda, and Silverback Therapeutics, Inc. We expect to compete based on our innovative
technology  and  the  efficacy,  safety  and  tolerability  profile  of  our  ADCs  compared  to  other  product  candidates  but  if  our  ADCs  are  not  demonstrably
superior in these respects, we may not be able to compete effectively.

Ovarian cancer: The first indication that we are targeting for UpRi, our most advanced clinical candidate, is ovarian cancer. There are multiple therapies
currently available to treat both newly diagnosed and relapsed ovarian cancer, including platinum agents, non-platinum chemotherapy, PARP inhibitors and
bevacizumab.  In  addition,  multiple  investigational  product  candidates  are  in  development  to  treat  these  ovarian  cancer  patients,  including  the  following
investigational  ADCs:  mirvetuximab  soravtansine  (Immunogen),  MORAb-202  (Eisai  Co.,  Ltd.  and  Bristol  Myers  Squibb)  and  STRO-002  (Sutro
Biopharma). Our ability to compete effectively with these and other emerging ovarian cancer treatments will depend on our ability to differentiate UpRi
from these other therapies based on target patient selection, efficacy and tolerability. If we are unable to effectively differentiate UpRi, this will negatively
impact our ability to compete in ovarian cancer.

Many  of  our  competitors,  either  alone  or  with  strategic  partners,  have  substantially  greater  financial,  technical  and  human  resources  than  we  do.
Accordingly, our competitors may be more successful than us in obtaining approval for treatments and achieving widespread market acceptance, rendering
our treatments obsolete or non-competitive. Accelerated merger and acquisition activity in the biotechnology and biopharmaceutical industries may result
in even more resources being concentrated among a smaller number of our competitors. These companies also compete with us in recruiting and retaining
qualified  scientific  and  management  personnel,  establishing  clinical  trial  sites  and  patient  enrollment  for  clinical  trials  and  acquiring  technologies
complementary  to,  or  necessary  for,  our  programs.  Smaller  or  early-stage  companies  may  also  prove  to  be  significant  competitors,  particularly  through
collaborative  arrangements  with  large  and  established  companies.  Our  commercial  opportunity  could  be  substantially  limited  in  the  event  that  our
competitors  develop  and  commercialize  products  that  are  more  effective,  safer,  more  convenient  or  less  expensive  than  our  comparable  products.  In
geographies that are critical to our commercial success, competitors may also obtain regulatory approvals before us, resulting in our competitors building a
strong market position in advance of our products’ entry. We believe the factors determining the success of our programs will be the efficacy, safety and
tolerability of our product candidates.

Employees and Human Capital

As of January 31, 2022, we had 169 full time employees, including 90 with M.D., Ph.D. or other advanced degrees. Of these full time employees, 128 are
engaged in research and development and 41 are engaged in general and administrative activities. None of our employees are represented by a labor union
or covered by a collective bargaining agreement. We consider our relationship with our employees to be good.

We believe that our future success largely depends upon our continued ability to attract and retain highly skilled employees. Our human capital objectives
include,  as  applicable,  identifying,  recruiting,  retaining,  incentivizing  and  integrating  our  existing  and  additional  employees,  and  focusing  on  employee
well-being  and  workplace  safety.  We  provide  our  employees  with  competitive  salaries  and  bonuses,  opportunity  for  equity  ownership,  development
programs that enable continued learning and growth, and a robust employment package that promotes wellness across all aspects of their lives, including
healthcare, retirement planning, and paid time off.

We also believe that fostering diversity, equity, and inclusion is a key element to discovering, developing, and bringing therapies to patients with cancer. As
of January 31, 2022, 56% of our global workforce and 40% of our leadership (at the executive director level and above) were female. We strive to build a
workforce representative of the communities and patients we serve and to nurture an inclusive culture where all voices are welcomed, heard, and respected.

Facilities

Our corporate headquarters are located in Cambridge, Massachusetts. We occupy approximately 45,000 square feet of office and laboratory space that we
lease in the multi-tenant building in which our corporate headquarters are located. Our lease expires in March 2026. We have an option to extend the lease
term  for  an  additional  five  years  thereafter.  We  believe  that  this  office  and  laboratory  space  is  sufficient  to  meet  our  current  needs  and  that  suitable
additional space will be available as and when needed.

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Corporate Information

We were incorporated in 2001 as a Delaware corporation. Our principal executive offices are located at 840 Memorial Drive, Cambridge, MA 02139, and
our  telephone  number  is  617-498-0020.  Our  internet  site  is  www.mersana.com.  We  routinely  make  available  important  information  free  of  charge,
including copies of our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to those reports
filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act, as soon as reasonably practicable after such reports are electronically filed with,
or furnished to, the SEC. We recognize our website as a key channel of distribution to reach public investors and as a means of disclosing material non-
public  information  to  comply  with  our  disclosure  obligations  under  SEC  Regulation  FD.  Information  contained  on  our  website  shall  not  be  deemed
incorporated into, or to be part of this Annual Report on Form 10-K, and any website references are not intended to be made through active hyperlinks.

ITEM 1A.    RISK FACTORS

The following risk factors and other information included in this Annual Report on Form 10-K should be carefully considered. The risks and uncertainties
described below are not the only ones we face. Additional risks and uncertainties not presently known to us or that we currently believe to be immaterial
may  also  adversely  affect  our  business.  If  any  of  the  following  risks  occur,  our  business,  financial  condition,  results  of  operations  and  future  growth
prospects could be materially and adversely affected. We undertake no obligation to update any forward-looking statements, whether as a result of new
information, future events or otherwise.

Risks related to development and approval of our ADC product candidates

Failure of a discovery program or product candidate may occur at any stage of preclinical or clinical development, and, because our and our partner’s
discovery programs and our product candidates are in early stages of preclinical or clinical development, there is a high risk of failure and we or our
partners may never succeed in obtaining regulatory approval and generating revenue from such discovery programs or product candidates.

Our early clinical results for UpRi (upifitamab rilsodotin), our lead product candidate, our early preclinical results for XMT-1592 and the early results from
preclinical studies or clinical trials of any other current or future product candidates, are not necessarily predictive of the results from our ongoing or future
discovery programs, preclinical studies or clinical trials. Promising results in preclinical studies and early encouraging clinical results of a drug candidate
may not be predictive of similar results in later-stage preclinical studies or in humans during clinical trials. Many companies in the pharmaceutical and
biotechnology industries have suffered significant setbacks in clinical trials after achieving positive results in earlier stages of clinical development, and we
cannot be certain that we will not face similar setbacks. These companies’ setbacks have been caused by, among other things, preclinical findings made
while clinical trials were underway or safety or efficacy events in preclinical or clinical trials, including previously unreported adverse events. Similarly,
the design of a clinical trial can determine whether its results will support approval of a product and flaws in the design of a clinical trial may not become
apparent until the clinical trial is well advanced.

Any  clinical  trials  that  we  may  conduct  may  not  demonstrate  the  efficacy  and  safety  necessary  to  obtain  regulatory  approval  to  market  our  product
candidates. In addition, clinical trial results for one of our product candidates or for competitor products utilizing similar technology, may raise concerns
about  the  safety  or  efficacy  of  other  products  in  our  pipeline.  If  the  results  of  our  ongoing  or  future  clinical  trials  are  inconclusive  with  respect  to  the
efficacy of our product candidates or if we do not meet the clinical endpoints with statistical significance or if there are safety concerns or adverse events
associated with our product candidates, we may be prevented or delayed in obtaining marketing approval for our product candidates. For example, patients
in  our  ongoing  Phase  1b/2  clinical  trial  of  UpRi  have  experienced  serious  adverse  events,  including  without  limitation  death,  pneumonitis,  renal
impairment,  abdominal  pain,  fatigue,  vomiting,  sepsis,  and  pyrexia.  We  expect  that  certain  patients  in  ongoing  and  future  clinical  trials  will  experience
additional serious adverse events, including those that may result in death, as our product candidates progress through clinical development.

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
dosing regimen and other clinical trial protocols and the rate of dropout among clinical trial participants. Moreover, preclinical and clinical data are often
susceptible  to  varying  interpretations  and  analyses,  and  many  companies  that  believed  their  product  candidates  performed  satisfactorily  in  preclinical
studies and clinical trials have nonetheless failed to obtain U.S. Food and Drug Administration (FDA) approval. Even if we, or our collaborators, believe
that the results of clinical trials of our product candidates warrant marketing approval, the FDA or comparable foreign regulatory authorities may disagree
and may not grant marketing approval of our product candidates.

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Alternatively, even if we obtain regulatory approval, that approval may be for indications or patient populations that are not as broad as intended or desired
or  may  require  labeling  that  includes  significant  use  or  distribution  restrictions  or  safety  warnings.  We  may  also  be  required  to  perform  additional  or
unanticipated clinical trials to obtain approval or be subject to additional post-marketing testing requirements to maintain regulatory approval. In addition,
regulatory  authorities  may  withdraw  their  approval  of  a  product  or  impose  restrictions  on  its  distribution,  such  as  in  the  form  of  a  risk  evaluation  and
mitigation  strategy  (REMS)  program.  The  failure  to  obtain  timely  regulatory  approval  of  product  candidates,  any  product  marketing  limitations  or  a
product withdrawal would negatively impact our business, results of operations and financial condition.

Interim, top-line and preliminary data from our 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 clinical trials. Positive preliminary data may not be predictive of such
trial’s subsequent or overall results. Interim data from clinical trials that we may complete do not necessarily predict final results and are subject to the risk
that one or more of the clinical outcomes may materially change as patient enrollment continues and more patient data become available. For example, we
have reported interim data from our ongoing Phase 1b/2 clinical trial of UpRi, but we have not yet reported final data from the trial. 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 or top-line data
we may publish. As a result, interim and preliminary data should be viewed with caution until the final data are available. Adverse differences between
preliminary or interim data and final data could significantly harm our business prospects.

We  currently  have  only  two  ADC  product  candidates,  UpRi  and  XMT-1592,  in  clinical  trials.  A  failure  of  any  of  our  product  candidates  in  clinical
development would adversely affect our business and may require us to discontinue development of other ADC product candidates based on the same
technology.

UpRi  and  XMT-1592  are  currently  our  only  clinical-stage  development  product  candidates.  While  we  have  certain  other  preclinical  programs  in
development and we intend to develop other product candidates, including XMT-1660 and XMT-2056 each for which we plan to submit investigational
new  drug,  or  IND,  applications  in  2022,  it  will  take  additional  investment  and  time  for  such  programs  to  reach  the  clinical  stage  of  development.  In
addition, we have other product candidates in our current pipeline that are based on the same platforms as UpRi and XMT-1592. If either product candidate
fails  in  development  as  a  result  of  any  underlying  problem  with  our  platforms,  then  we  may  be  required  to  discontinue  development  of  the  product
candidates that are based on the same technologies. If we were required to discontinue development of UpRi or XMT-1592, or if UpRi or XMT-1592 were
to  fail  to  receive  regulatory  approval  or  were  to  fail  to  achieve  sufficient  market  acceptance,  we  could  be  prevented  from  or  significantly  delayed  in
achieving profitability.

Events  that  may  delay  or  prevent  successful  commencement,  enrollment  or  completion  of  clinical  trials  of  our  product  candidates  could  result  in
increased costs to us as well as a delay in obtaining, or failure to obtain, regulatory approval, or cause us to suspend or terminate a clinical trial, which
could prevent us from commercializing our product candidates on a timely basis, or at all.

We  cannot  guarantee  that  clinical  trials,  including  our  ongoing  and  future  anticipated  additional  clinical  trials  of  UpRi,  our  lead  product  candidate,  and
XMT-1592, will be conducted as planned or completed on schedule, if at all. A failure of one or more clinical trials can occur at any stage of testing, and
other events may cause us to temporarily or permanently cease a clinical trial. Events that may prevent successful or timely commencement, enrollment or
completion of clinical development include, among others:

•

•

•

•

delays in reaching a consensus with regulatory agencies on trial design;

delays in reaching, or failing to reach, agreement on acceptable terms with prospective clinical research organizations, or CROs, and clinical trial
sites;

difficulties in obtaining required Institutional Review Board, or IRB, or Ethics Committee, or EC, approval at each clinical trial site;

challenges in recruiting and enrolling suitable patients to participate in clinical trials that meet the criteria of the protocol for the clinical trial;

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•

•

•

•

•

•

•

•

•

imposition of a clinical hold by regulatory agencies or IRBs or ECs for any reason, including safety concerns or after an inspection of clinical
operations or trial sites;

failure by CROs, other third parties or us to adhere to clinical trial requirements;

failure to perform in accordance with the FDA’s good clinical practices, or GCP, or applicable regulatory guidelines in other countries;

inadequate quantity or quality of a product candidate or other materials necessary to conduct clinical trials, including, for example, delays in the
testing, validation, manufacturing or delivery of the product candidates to the clinical sites;

patients  not  completing  participation  in  a  trials  or  not  returning  for  post-treatment  follow-up,  including  as  a  result  of  the  ongoing  COVID-19
pandemic;

expected or unexpected safety issues, including occurrence of serious adverse events, or SAEs, associated with our product candidates in clinical
trials that are viewed as outweighing the product candidate’s potential benefits or reports may arise from preclinical or clinical testing of other
similar cancer therapies that raise safety or efficacy concerns about our product candidates;

changes in regulatory requirements or guidance that require amending or submitting new clinical protocols or submitting additional data;

lack of adequate funding to continue the clinical trial; or

geopolitical or other events that unexpectedly disrupt, delay or generally interfere in regional or worldwide operations of clinical trial sites, clinical
vendors or other operations relevant to the conduct of relevant development activities.

Delays, including delays caused by the above factors, can be costly and could negatively affect our ability to complete a clinical trial. If we or our partners
are not able to successfully complete clinical trials, we or they will not be able to obtain regulatory approval and will not be able to commercialize our
product candidates or our partners’ product candidates based on our technology.

An inability to enroll sufficient numbers of patients in our clinical trials could result in increased costs and longer development periods for our product
candidates.

Clinical trials require sufficient patient enrollment, which is a function of many factors, including:

•

•

•

•

•

•

•

•

•

the size and nature of the patient population;

the severity of the disease under investigation;

the nature and complexity of the trial protocol, including eligibility criteria for the trial;

the design of the trial;

the number of clinical trial sites and the proximity of patients to those sites;

standard of care in the diseases under investigation;

the commitment of clinical investigators to identify eligible patients;

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;

the risk that patients enrolled in clinical trials will drop out of the trials before completion or, because they are late-stage cancer patients, will not
survive the full terms of the clinical trials;

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•

•

the ability of our clinical trial sites to continue key activities, such as clinical trial site data monitoring and patient visits, due to limitations on
travel imposed or recommended by federal or state governments, employers and others as a result of the COVID-19 pandemic or other worldwide
events; and

the risk that patients may be affected by COVID-19 or measures taken in response to the COVID-19 pandemic and are unable to travel to our
clinical trial sites.

In addition, our clinical trials will compete with other clinical trials for product candidates that are in the same therapeutic areas as our current and future
product candidates. This competition will reduce the number and types of patients available to us, because some patients who might have opted to enroll in
our trials may instead opt to enroll in a trial conducted by one of our competitors. Since the number of qualified clinical investigators is limited, we expect
to conduct some of our clinical trials at the same clinical trial sites that some of our competitors use, which will reduce the number of patients who are
available for our clinical trials at such sites. Moreover, because our current and future product candidates represent a departure from more commonly used
methods for cancer treatment, potential patients and their doctors may be inclined to use conventional therapies, such as chemotherapy, rather than enroll
patients in our ongoing or any future clinical trial.

Challenges in recruiting and enrolling suitable patients to participate in clinical trials that meet the criteria of the protocol could increase costs and result in
delays to our current development plan for UpRi, our lead product candidate, XMT-1592 or any other current or future product candidate.

Our product candidates or ADCs developed or commercialized by our competitors may cause undesirable side effects or have other properties that halt
their clinical development, delay or prevent regulatory approval of our product candidates or limit their commercial potential.

Undesirable side effects caused by our product candidates or ADCs being developed or commercialized by our partners or competitors could cause us or
regulatory authorities to interrupt, delay or halt clinical trials and could result in a more restrictive label or the denial of regulatory approval by the FDA or
other regulatory authorities and potential product liability claims. Further, clinical trials by their nature utilize a sample of the potential patient population.
With a limited number of subjects and limited duration of exposure, rare and severe side effects of our product candidates or those of our competitors may
only  be  uncovered  with  a  significantly  larger  number  of  patients  exposed  to  the  drug.  SAEs,  including  death,  deemed  to  be  caused  by  our  product
candidates or those of our competitors, either before or after receipt of marketing approval, could have a material adverse effect on the development of our
product candidates and our business as a whole.

Patients in our ongoing clinical trials have experienced SAEs, including without limitation death, pneumonitis, renal impairment, abdominal pain, fatigue,
vomiting, sepsis, and pyrexia. We expect that certain patients in ongoing and future trials will experience additional SAEs, including those that may result
in death, as our product candidates progress through clinical development. These or additional undesirable side effects caused by our product candidates or
those of our competitors, either before or after receipt of marketing approval, could result in a number of potentially significant negative consequences,
including:

•

•

our clinical trials may be put on hold;

treatment-related side effects could affect patient recruitment for our clinical trials;

• we may be unable to obtain regulatory approval for our product candidates;

•

•

•

regulatory authorities may withdraw or limit their approvals of our product candidates;

regulatory authorities may require the addition of labeling statements, such as a contraindication, black box warnings or additional warnings;

the FDA may require development of a REMS with Elements to Assure Safe Use as a condition of approval or post-approval;

• we may decide to remove such product candidates from the marketplace;

• we may be subject to regulatory investigations and government enforcement actions;

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

•

our reputation may suffer.

Any  of  these  events  could  prevent  us  from  achieving  or  maintaining  market  acceptance  of  our  product  candidates  and  could  substantially  increase
commercialization costs.

We may choose not to develop a potential product candidate, or we may suspend or terminate one or more discovery or preclinical programs or our
product candidates.

At any time and for any reason, we may determine that one or more of our discovery programs, preclinical programs or product candidates does not have
sufficient potential to warrant the allocation of resources toward such program or product candidate. Furthermore, because we have limited financial and
personnel resources, we have placed significant focus on the development of our product candidates UpRi and XMT-1592. Accordingly, we may choose
not to develop a product candidate or elect to suspend or terminate one or more of our discovery or preclinical programs. If we suspend or terminate a
program or product candidate in which we have invested significant resources, we will have expended resources on a program or product candidate that
will not provide a full return on our investment. We may also cease developing a product candidate for a particular indication. For example, in November
2021, we determined to cease developing UpRi as a single agent in patients with NSCLC and determined to focus future development on patients with
ovarian cancer. As a result, we may have missed an opportunity to have allocated those resources to potentially more productive uses, including existing or
future programs or product candidates. If we do not accurately evaluate the commercial potential or target market for a particular future product candidate,
we may relinquish valuable rights to future product candidates through collaboration, licensing or other royalty arrangements.

We or our partners may fail to discover and develop additional potential product candidates.

Our and our partners’ research programs to identify new product candidates will require substantial technical, financial and human resources, and we or our
partners  may  be  unsuccessful  in  our  or  their  efforts  to  identify  new  product  candidates.  If  we  or  our  partners  are  unable  to  identify  suitable  additional
product  candidates  for  preclinical  and  clinical  development,  our  or  their  ability  to  develop  product  candidates  and  our  ability  to  obtain  revenues  from
commercializing our products or to receive royalties from our partners’ sales of their products in future periods could be compromised, which could result
in significant harm to our financial position and adversely impact our stock price.

Risks related to our financial position and need for additional capital

We have incurred net losses since our inception, we have no products approved for commercial sale and we anticipate that we will continue to incur
substantial operating losses for the foreseeable future. We may never achieve or sustain profitability.

We have incurred net losses since our inception. Our net loss was $170.1 million for the year ended December 31, 2021. As of December 31, 2021, we had
an accumulated deficit of $450.5 million. We do not know when or whether we will become profitable. To date, we have not commercialized any products
and  therefore  have  never  generated  any  revenues  from  the  sale  of  products,  and  we  do  not  expect  to  generate  any  product  revenues  in  the  foreseeable
future. Our losses have resulted principally from costs incurred in our discovery and development activities. Our net losses may fluctuate significantly from
quarter to quarter and year to year.

We have devoted most of our financial resources to research and development, including our clinical and preclinical development activities. To date, we
have financed our operations primarily with the proceeds from our initial public offering, our follow-on public offerings in 2019 and 2020, the use of our
at-the-market, or ATM, equity offering program, and our strategic partnerships. The amount of our future net losses will depend, in part, on the rate of our
future expenditures. We have not completed pivotal clinical trials for any product candidate and only have two product candidates in clinical trials. It will
be  several  years,  if  ever,  before  we  have  a  product  candidate  ready  for  commercialization.  Even  if  we  obtain  regulatory  approval  to  market  a  product
candidate, our future revenues would depend upon the size of the market or markets in which our product candidates received such approval and our ability
to achieve sufficient market acceptance, reimbursement from third-party payors and adequate market share for our product candidates in those markets.

We  expect  to  continue  to  incur  significant  expenses  and  operating  losses  over  the  next  several  years.  We  anticipate  that  our  expenses  will  increase
significantly in connection with our ongoing activities, as we:

•

continue clinical development activities for our clinical product candidates UpRi and XMT-1592;

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•

•

•

•

•

•

develop a diagnostic assay for the NaPi2b biomarker;

complete IND-enabling studies for our preclinical development candidates XMT-2056 and XMT-1660;

continue activities to discover, validate and develop additional product candidates;

obtain marketing approvals for our current and future product candidates for which we complete clinical trials;

develop a sustainable and scalable manufacturing process for our product candidates, including establishing and maintaining commercially viable
supply and manufacturing relationships with third parties;

address any competing technological and market developments;

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

•

hire additional research, development and general and administrative personnel.

If we are required by the FDA or any equivalent foreign regulatory authority to perform clinical trials or preclinical trials in addition to those we currently
expect to conduct, or if there are any delays in completing the clinical trials of UpRi, XMT-1592, or any other current or future product candidates, our
expenses could increase.

To  become  and  remain  profitable,  we  must  succeed  in  developing  our  product  candidates,  obtaining  regulatory  approval  for  them,  and  manufacturing,
marketing and selling those products for which we may obtain regulatory approval. We may not succeed in these activities, and we may never generate
revenue from product sales or strategic partnerships in an amount sufficient to achieve profitability. Even if we achieve profitability in the future, we may
not be able to sustain profitability in subsequent periods. Our failure to become or remain profitable would depress our market value and could impair our
ability to raise capital, expand our business, discover or develop other product candidates or continue our operations.

We have a credit facility that requires us to comply with certain operating covenants and places restrictions on our operating and financial flexibility.

In October 2021, we entered into a Loan and Security Agreement, or the New Credit Facility, with Oxford Finance LLC as the collateral agent and a lender,
and SVB as a lender, together, the Lenders. Pursuant to the New Credit Facility, as amended in February 2022, we may borrow up to an aggregate of $100
million,  which  includes  $60  million  available  immediately,  $20  million  in  a  tranche  that  is  subject  to  meeting  certain  development  milestones,  and  an
additional tranche of $20 million, which is subject to conditional approval from the Lenders. The New Credit Facility is secured by substantially all of our
personal property owned or later acquired, excluding intellectual property (but including the right to payments and proceeds from intellectual property), and
a negative pledge on intellectual property.

The New Credit Facility also includes customary representations and warranties, affirmative and negative covenants and conditions to drawdowns, as well
as customary events of default. Certain of the customary negative covenants limit our ability, among other things, to incur future debt, grant liens, make
investments, make acquisitions, distribute dividends, make certain restricted payments and sell assets, subject in each case to certain exceptions. Our failure
to comply with these covenants would result in an event of default under the Loan Agreement and could result in the acceleration of the obligations we owe
pursuant to the New Credit Facility.

We will require substantial additional financing to achieve our goals, and a failure to obtain this necessary capital when needed could force us to delay,
limit, reduce or terminate our product development or commercialization efforts.

Our cash and cash equivalents were $177.9 million as of December 31, 2021. We have utilized substantial amounts of cash since our inception and expect
that  we  will  continue  to  expend  substantial  resources  for  the  foreseeable  future  developing  UpRi,  XMT-1592,  and  any  other  current  or  future  product
candidates. These expenditures may include costs associated with research and development, conducting preclinical studies and clinical trials, potentially
obtaining regulatory approvals and manufacturing products, as well as marketing and selling products approved for sale, if any, and potentially acquiring
new technologies. In addition, other unanticipated costs may arise. Because the outcome of our planned and anticipated clinical trials is highly uncertain,
we cannot reasonably estimate the actual amounts necessary to successfully complete the development and commercialization of our product candidates.
Our costs will increase if we experience any delays in our clinical trials for UpRi, XMT-1592 or any other current or future product candidates, including
delays  in  enrollment  of  patients.  We  also  incur  costs  associated  with  operating  as  a  public  company,  hiring  additional  personnel  and  expanding  our
facilities.

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Our future capital requirements depend on many factors, including:

•

•

•

•

•

•

•

•

•

the  scope,  progress,  results  and  costs  of  researching  and  developing  UpRi,  XMT-1592  and  any  other  current  or  future  product  candidates  and
conducting preclinical studies and clinical trials;

the timing of, and the costs involved in, obtaining regulatory approvals for UpRi, XMT-1592 and any other current or future product candidates if
preclinical studies and clinical trials are successful;

the  cost  of  manufacturing  UpRi,  XMT-1592  and  any  other  current  or  future  product  candidates  for  clinical  trials  in  preparation  for  regulatory
approval and in preparation for commercialization;

the cost of commercialization activities for UpRi, XMT-1592 and any other current or future product candidates, if any product candidates are
approved for sale, including manufacturing, marketing, sales and distribution costs;

our ability to establish and maintain strategic partnerships, licensing or other arrangements and the financial terms of such agreements;

the costs involved in preparing, filing, prosecuting, maintaining, defending and enforcing patent claims, including litigation costs and the outcome
of such litigation;

the timing, receipt and amount of sales of, or royalties on, our future products, if any, or products developed by our partners;

the emergence of competing cancer therapies and other adverse market developments; and

the requirement for or the cost of developing companion diagnostics and/or complementary diagnostics.

As of December 31, 2021, we had cash and cash equivalents of $177.9 million and, subsequently, we received a $40 million upfront payment under the
Janssen Collaboration and $45.6 million of net proceeds received from sales of our common stock under our 2020 ATM. In addition, we currently have the
option  to  borrow  $35  million  under  the  New  Credit  Facility.  Taken  together,  we  believe  that  our  current  cash  and  cash  equivalents  plus  the  available
borrowings under the New Credit Facility will be sufficient to fund our current operating plan commitments into the second half of 2023. However, we
have based these estimates on assumptions that may prove to be wrong, and our operating plan may change as a result of many factors currently unknown
to us and we may need additional funds sooner than planned. Additional funds may not be available when we need them on terms that are acceptable to us,
or  at  all.  Our  ability  to  borrow  funds  under  the  New  Credit  Facility  is  subject  to  us  complying  with  the  applicable  covenants  at  the  time  we  request  a
drawdown. If adequate funds are not available to us on a timely basis, we may be required to delay, limit, reduce or terminate preclinical studies, clinical
trials or other development activities for one or more of our product candidates or delay, limit, reduce or terminate our establishment of sales and marketing
capabilities or other activities that may be necessary to commercialize our product candidates. In addition, we may seek additional capital due to favorable
market conditions or strategic considerations even if we believe we have sufficient funds for our current or future operating plans.

Raising additional capital may cause dilution to our existing stockholders, restrict our operations or require us to relinquish rights to our technologies
or ADC product candidates.

Until  such  time,  if  ever,  as  we  can  generate  substantial  product  revenues,  we  expect  to  finance  our  capital  need  through  a  variety  of  means,  including
through  private  and  public  equity  offerings,  debt  financings,  collaborations,  strategic  alliances  and  licensing  arrangements.  To  the  extent  that  we  raise
additional  capital  through  the  sale  of  equity  or  convertible  debt  securities,  the  ownership  interests  of  our  common  stockholders  will  be  diluted,  and  the
terms of such equity or convertible debt securities may include liquidation or other preferences that are senior to or otherwise adversely affect the rights of
our common stockholders. Additional debt financing, if available, may involve agreements that include covenants limiting or restricting our ability to take
certain actions, such as incurring future debt, making capital expenditures, declaring dividends or encumbering our assets to secure future indebtedness,
each of which could adversely impact our ability to conduct our business and execute our operating plan. If we raise additional funds through strategic
partnerships  with  third  parties,  we  may  have  to  relinquish  valuable  rights  to  our  technologies,  including  our  platforms,  or  product  candidates,  or  grant
licenses on terms that are not favorable to us. If we are unable to raise additional funds through equity or debt financing when needed, we may be required
to  delay,  limit,  reduce  or  terminate  our  product  development  or  commercialization  efforts  for  UpRi,  XMT-1592,  or  any  other  current  or  future  product
candidates, or grant rights to third parties to develop and market product candidates that we would otherwise prefer to develop and market ourselves.

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We may expend our resources to pursue a particular product candidate and fail to capitalize on product candidates that may be more profitable or for
which there is a greater likelihood of success.

Because  we  have  limited  financial  and  managerial  resources,  we  focus  on  specific  product  candidates.  As  a  result,  we  may  forgo  or  delay  pursuit  of
opportunities with other product candidates that later prove to have greater commercial potential. Our resource allocation decisions may cause us to fail to
capitalize on viable commercial products or profitable market opportunities. Failure to properly assess potential product candidates could result in our focus
on product candidates with low market potential, which would harm our business and financial condition. Our spending on current and future research and
development programs and product candidates for specific indications may not yield any commercially viable product candidates. If we do not accurately
evaluate the commercial potential or target market for a particular product candidate, we may relinquish valuable rights to that product candidate through
partnering,  licensing  or  other  royalty  arrangements  in  cases  in  which  it  would  have  been  more  advantageous  for  us  to  retain  sole  development  and
commercialization rights to such product candidate.

Risks related to our reliance on third parties

Because  we  rely  on  third-party  manufacturing  and  supply  partners,  our  supply  of  research  and  development,  preclinical  and  clinical  development
materials may become limited or interrupted or may not be of satisfactory quantity or quality.

We rely on third-party contract manufacturers to manufacture our preclinical and clinical trial product supplies, and we lack the internal resources and the
capability to manufacture any product candidates on a clinical or commercial scale. The facilities used by our contract manufacturers to manufacture the
active  pharmaceutical  ingredient  and  final  drug  product  must  be  acceptable  to  the  FDA  and  other  comparable  foreign  regulatory  agencies  pursuant  to
inspections  that  would  be  conducted  after  we  submit  our  marketing  application  or  relevant  foreign  regulatory  submission  to  the  applicable  regulatory
agency. There can be no assurance that our preclinical and clinical development product supplies will be sufficient, uninterrupted or of satisfactory quality
or continue to be available at acceptable prices. If our contract manufacturers cannot successfully manufacture material that conforms to our specifications
and the strict regulatory requirements of the FDA or applicable foreign regulatory agencies, they will not be able to secure or maintain regulatory approval
for  their  manufacturing  facilities.  Any  replacement  of  our  manufacturers  could  require  significant  effort  and  expertise  because  there  may  be  a  limited
number of qualified replacements.

The  manufacturing  process  for  a  product  candidate  is  subject  to  FDA  and  foreign  regulatory  authority  review.  Suppliers  and  manufacturers  must  meet
applicable manufacturing requirements and undergo rigorous facility and process validation tests required by regulatory authorities in order to comply with
regulatory  standards,  such  as  cGMP.  We  have  no  direct  control  over  our  contract  manufacturers’  ability  to  maintain  adequate  quality  control,  quality
assurance and qualified personnel. In the event that any of our manufacturers fails to comply with regulatory requirements or to perform its obligations to
us in relation to quality, timing or otherwise, or if our supply of components or other materials becomes limited or interrupted for other reasons, we may be
forced to manufacture the materials ourselves, for which we currently do not have the capabilities or resources, or enter into an agreement with another
third party, which we may not be able to do on reasonable terms, if at all. In some cases, the technical skills or technology required to manufacture our
product candidates may be unique or proprietary to the original manufacturer and we may have difficulty transferring such skills or technology to another
third party and a feasible alternative may not exist. These factors would increase our reliance on such manufacturer or require us to obtain a license from
such manufacturer in order to have another third-party manufacture our product candidates. If we are required to change manufacturers for any reason, we
will  be  required  to  verify  that  the  new  manufacturer  maintains  facilities  and  procedures  that  comply  with  quality  standards  and  with  all  applicable
regulations  and  guidelines.  The  delays  associated  with  the  verification  of  a  new  manufacturer  could  negatively  affect  our  ability  to  develop  product
candidates in a timely manner or within budget. Our reliance on contract manufacturers also exposes us to the possibility that they, or third parties with
access to their facilities, will have access to and may appropriate our trade secrets or other proprietary information.

We expect to continue to rely on third-party manufacturers if we receive regulatory approval for any product candidate. To the extent that we have existing,
or enter into future, manufacturing arrangements with third parties, we will depend on these third parties to perform their obligations in a timely manner
consistent with contractual and regulatory requirements, including those related to quality control and assurance. If we are unable to obtain or maintain
third-party manufacturing for product candidates, or to do so on commercially reasonable terms, we may not be able to develop and commercialize our
product candidates successfully. Our or a third party’s failure to execute on our manufacturing requirements and comply with cGMP could adversely affect
our business in a number of ways, including:

•

•

a delay or inability to initiate or continue clinical trials of product candidates under development;

delay in submitting regulatory applications, or delay or failure to receive regulatory approvals, for product candidates;

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•

•

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loss of the cooperation of an existing or future strategic partner;

subjecting third-party manufacturing facilities or our manufacturing facilities to additional inspections by regulatory authorities;

a requirement to cease distribution or to recall batches of our product candidates;

in the event of approval to market and commercialize a product candidate, an inability to meet commercial demands for our products; and

fines, adverse publicity, and civil and criminal enforcement and sanctions.

We, or our third-party manufacturers, may be unable to successfully scale-up manufacturing of our ADC product candidates in sufficient quality and
quantity, which would delay or prevent us from developing our ADC product candidates and commercializing approved products, if any.

In order to conduct clinical trials of our product candidates and commercialize any approved product candidates, we, or our manufacturing partners, will
need to manufacture them in large quantities. We, or our manufacturing partners, may be unable to successfully increase the manufacturing capacity for any
of  our  product  candidates  in  a  timely  or  cost-effective  manner,  or  at  all.  In  addition,  quality  issues  may  arise  during  scale-up  activities.  If  we,  or  any
manufacturing partners, are unable to successfully scale up the manufacture of our product candidates in sufficient quality and quantity, the development,
testing and clinical trials of that product candidate may be delayed or infeasible, and regulatory approval or commercial launch of any resulting product
may be delayed or not obtained, which could significantly harm our business. We have evaluated which third-party manufacturers to engage for scale-up to
commercial supply of our product candidates, including UpRi and XMT-1592, and we have begun to transfer and scale-up certain manufacturing activities.
If we are unable to obtain or maintain third-party manufacturing for commercial supply of our product candidates, or to do so on commercially reasonable
terms, we may not be able to develop and commercialize our product candidates successfully.

We rely on third parties to conduct preclinical studies and clinical trials for UpRi and XMT-1592 and if such third parties do not properly, timely and
successfully perform their obligations to us, we may not be able to obtain regulatory approvals for UpRi, XMT-1592, or any other current or future
ADC product candidates.

We  designed  the  ongoing  clinical  trials  for  UpRi  and  XMT-1592,  and  we  intend  to  design  any  future  clinical  trials  for  any  future  unpartnered  product
candidates that we may develop if preclinical studies are successful. However, we rely on CROs, clinical sites, investigators and other third parties to assist
in managing, monitoring and otherwise carrying out many of these trials. As a result, we have less direct control over the conduct, timing and completion
of these clinical trials and the management of data developed through clinical trials than would be the case if we were relying entirely upon our own staff.
These  CROs,  investigators  and  other  third  parties  are  not  our  employees  and  we  have  limited  control  over  the  amount  of  time  and  resources  that  they
dedicate  to  our  programs.  We  compete  with  many  other  companies  for  the  resources  of  these  third  parties.  These  third  parties  may  have  contractual
relationships with other entities, some of which may be our competitors, which may draw time and resources from our programs. The third parties with
whom  we  contract  might  not  be  diligent,  careful  or  timely  in  conducting  our  preclinical  studies  or  clinical  trials,  or  complying  with  cGLP  or  cGCP,  as
applicable, resulting in the preclinical studies or clinical trials being delayed or unsuccessful.

The third parties on whom we rely generally may terminate their engagements at any time, and having to enter into alternative arrangements would delay
development and commercialization of our product candidates. Communicating with outside parties can also be challenging, potentially leading to mistakes
as well as difficulties in coordinating activities. Outside parties may:

•

•

•

•

•

have staffing difficulties;

fail to comply with contractual obligations;

experience regulatory compliance issues;

undergo changes in priorities or become financially distressed; or

form relationships with other entities, some of which may be our competitors.

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The  FDA  and  comparable  foreign  regulatory  authorities  require  compliance  with  regulations  and  standards,  including  GCP,  for  designing,  conducting,
monitoring, recording, analyzing and reporting the results of clinical trials to assure that the data and results are credible and accurate and that the rights,
integrity and confidentiality of trial participants are protected. Although we rely, and intend to continue to rely, on third parties to conduct our clinical trials,
they are not our employees, and we are responsible for ensuring that each of these clinical trials is conducted in accordance with its general investigational
plan,  protocol  and  other  requirements.  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 any violations of laws and regulations during the conduct of our clinical trials, we could be
subject to untitled and warning letters or enforcement action that may include civil penalties up to and including criminal prosecution.

If these third parties do not successfully carry out their duties under their agreements, if the quality or accuracy of the data they obtain is compromised due
to their failure to adhere to clinical trial protocols or to regulatory requirements, or if they otherwise fail to comply with clinical trial protocols or meet
expected deadlines, the clinical trials of our product candidates may not meet regulatory requirements. The FDA enforces GCP regulations through periodic
inspections  of  clinical  trial  sponsors,  principal  investigators  and  trial  sites.  If  we  or  our  CROs  fail  to  comply  with  applicable  GCPs  or  other  regulatory
requirements,  the  clinical  data  generated  in  our  clinical  trials  may  be  deemed  unreliable,  third  parties  may  need  to  be  replaced,  we  may  be  subject  to
negative publicity, fines and civil or criminal sanctions, and preclinical development activities or clinical trials may be extended, delayed, suspended or
terminated. If any of these events occur, we may not be able to obtain regulatory approval of our product candidates on a timely basis or at all.

We  depend  on  strategic  partnerships  with  other  companies  to  assist  in  the  research,  development  and  commercialization  of  our  ADC  platforms  and
ADC product candidates. If our existing partners do not perform as expected, this may negatively affect our ability to commercialize our ADC product
candidates, generate revenues through technology licensing, or otherwise negatively affect our business.

We  have  established  strategic  partnerships  and  intend  to  continue  to  establish  strategic  partnerships  with  third  parties  to  research,  develop  and
commercialize  our  platforms  and  existing  and  future  product  candidates.  In  February  2022,  we  entered  into  a  collaboration  agreement  with  Janssen
Biotech, Inc. for the research, development and commercialization of ADC candidates leveraging our Dolasynthen platform. We had also entered into a
collaboration  agreement  with  Merck  KGaA  for  the  development  and  commercialization  of  ADC  candidates  leveraging  our  Dolaflexin  platform.  Under
these collaborations, we will depend on our partners to design and conduct their clinical trials. As a result, we will not be able to control or oversee the
conduct of these programs by our partners and those programs may not be successful, which may negatively impact our business operations. In addition, if
any of these partners withdraw support for these programs or proposed products or otherwise impair their development or experience negative results, our
business and our product candidates could be negatively affected.

Our  partners  may  terminate  their  agreements  with  us  for  cause  under  certain  circumstances  or  at  will  in  certain  cases  and  discontinue  use  of  our
technologies.  In  addition,  we  cannot  control  the  amount  and  timing  of  resources  our  partners  may  devote  to  products  utilizing  or  incorporating  our
technology. Moreover, our relationships with our partners may divert significant time and effort of our scientific staff and management team and require
effective  allocation  of  our  resources  to  multiple  internal  and  collaborative  projects.  Our  partners  may  fail  to  perform  their  obligations  under  the
collaboration agreements or may not perform their obligations in a timely manner. If conflicts arise between our partners and us, the other party may act in
a manner adverse to us and could limit our ability to implement our strategies. If any of our partners terminate or breach our agreements with them, or
otherwise fail to complete their obligations in a timely manner, it may have a detrimental effect on our financial position by reducing or eliminating the
potential for us to receive technology access and license fees, milestones and royalties, reimbursement of development costs, as well as possibly requiring
us to devote additional efforts and incur costs associated with pursuing internal development of product candidates. Furthermore, if our partners do not
prioritize and commit sufficient resources to programs associated with our product candidates or collaboration product candidates, we or our partners may
be unable to commercialize these product candidates, which would limit our ability to generate revenue and become profitable.

Our partners may separately pursue competing products, therapeutic approaches or technologies to develop treatments for the diseases targeted by us or our
partners. Competing products, either developed by the partners or to which the partners have rights, may result in the withdrawal of partner support for our
product candidates. Even if our partners continue their contributions to the strategic partnerships, they may nevertheless determine not to actively pursue
the development or commercialization of any resulting products. Additionally, if our partners pursue different clinical or regulatory strategies with their
product  candidates  based  on  our  platforms  or  technologies,  adverse  events  with  their  product  candidates  could  negatively  affect  our  product  candidates
utilizing similar technologies. Any of these developments could harm our product development efforts.

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To date, we have depended on a small number of partners for a substantial portion of our revenue. The loss of any one of these partners could result in
a material decline in our revenue.

We have entered into strategic partnerships with a limited number of companies. To date, a substantial portion of our revenue has resulted from payments
made under agreements with our strategic partners, and we expect that a portion of our revenue will continue to come from strategic partnerships. The loss
of any of our partners, or the failure of our partners to perform their obligations under their agreements with us, including paying license or technology
fees, milestone payments, royalties or reimbursements, could have a material adverse effect on our financial performance. Payments under our existing and
future  strategic  partnerships  are  also  subject  to  significant  fluctuations  in  both  timing  and  amount,  which  could  cause  our  revenue  to  fall  below  the
expectations of securities analysts and investors and cause a decrease in our stock price.

We  may  seek  to  establish  additional  strategic  partnerships,  and  if  we  are  not  able  to  establish  them  on  commercially  reasonable  terms,  or  maintain
them, we may have to alter our development and commercialization plans.

We continue to strategically evaluate our partnerships and, as appropriate, we expect to enter into additional strategic partnerships in the future, including
potentially  with  major  biotechnology  or  biopharmaceutical  companies.  We  face  significant  competition  in  seeking  appropriate  partners  for  our  product
candidates, and the negotiation process is time-consuming and complex. In order for us to successfully partner our product candidates, potential partners
must view these product candidates as economically valuable in markets they determine to be attractive in light of the terms that we are seeking and other
available products for licensing by other companies. Even if we are successful in our efforts to establish strategic partnerships, the terms that we agree upon
may not be favorable to us, and we may not be able to maintain such strategic partnerships if, for example, development or approval of a product candidate
is delayed or sales of an approved product are disappointing. Any delay in entering into strategic partnership agreements related to our product candidates
could delay the development and commercialization of such candidates and reduce their competitiveness even if they reach the market. If we are not able to
generate revenue under our strategic partnerships when and in accordance with our expectations or the expectations of industry analysts, this failure could
harm our business and have an immediate adverse effect on the trading price of our common stock.

If we fail to establish and maintain additional strategic partnerships related to our unpartnered product candidates, we will bear all of the risk and costs
related to the development of any such product candidate, and we may need to seek additional financing, hire additional employees and otherwise develop
expertise,  such  as  regulatory  expertise,  for  which  we  have  not  budgeted.  If  we  were  not  successful  in  seeking  additional  financing,  hiring  additional
employees or developing additional expertise, our cash burn rate would increase or we would need to take steps to reduce our rate of product candidate
development. This could negatively affect the development of any unpartnered product candidate.

Risks related to commercialization of our ADC product candidates

Our future commercial success depends upon attaining significant market acceptance of our ADC product candidates, if approved, among physicians,
patients and health care payors.

Even if we obtain regulatory approval for UpRi, XMT-1592, or any other current or future product candidates that we may develop or acquire in the future,
the  product  candidate  may  not  gain  market  acceptance  among  physicians,  health  care  payors,  patients  and  the  broader  healthcare  community.  Market
acceptance of any approved products depends on a number of factors, including:

•

•

•

•

•

•

•

the efficacy and safety of the product, as demonstrated in clinical trials;

the indications for which the product is approved and the label approved by regulatory authorities for use with the product, including any warnings
that may be required on the label;

acceptance by physicians and patients of the product as a safe and effective treatment;

the cost, safety and efficacy of treatment in relation to alternative treatments;

the availability of adequate reimbursement and pricing by third-party payors and government authorities;

relative convenience and ease of administration;

the prevalence and severity of adverse side effects; and

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•

the effectiveness of our sales and marketing efforts.

Perceptions of any product are influenced by perceptions of competitors’ products that are in the same class of drugs or have a similar mechanism of action.
As  a  result,  adverse  public  perception  of  our  competitors’  products  may  negatively  impact  the  market  acceptance  of  our  product  candidates.  Market
acceptance is critical to our ability to generate significant revenue and become profitable. Any therapeutic candidate, if approved and commercialized, may
be accepted in only limited capacities or not at all. If any approved products are not accepted by the market to the extent that we expect, we may not be able
to generate significant revenue and our business would suffer.

The  incidence  and  prevalence  for  target  patient  populations  of  our  drug  candidates  have  not  been  established  with  precision.  If  the  market
opportunities for our drug candidates are smaller than we estimate or if any approval that we obtain is based on a narrower definition of the patient
population, our revenue and ability to achieve profitability will be adversely affected, possibly materially.

The precise incidence and prevalence of ovarian cancer and other cancers with NaPi2b expression are unknown. Our projections of both the number of
people  who  have  these  diseases,  as  well  as  the  subset  of  people  with  these  diseases  who  have  the  potential  to  benefit  from  treatment  with  our  product
candidates, are based on estimates. The total addressable market opportunity for UpRi or XMT-1592 for the treatment of ovarian cancer and non-squamous
non-small cell lung cancer with NaPi2b expression will ultimately depend upon, among other things, the diagnosis criteria included in the final label for
UpRi or XMT-1592, if our product candidates are approved for sale for these indications, acceptance by the medical community and patient access, drug
pricing and reimbursement. The number of patients who can be treated with our product candidates may turn out to be lower than expected, patients may
not be otherwise amenable to treatment with our drugs, 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.

If we are unable to establish sales, marketing and distribution capabilities, we may not be successful in commercializing our product candidates if and
when they are approved.

We  do  not  have  a  sales  or  marketing  infrastructure  and  have  no  experience  in  the  sale,  marketing  or  distribution  of  products.  To  achieve  commercial
success  for  any  product  for  which  we  have  obtained  marketing  approval,  we  will  need  to  establish  a  sales  and  marketing  organization  or  pursue  a
collaborative arrangement for such sales and marketing.

In  the  future,  we  expect  to  build  a  focused  sales  and  marketing  infrastructure  to  market  UpRi,  XMT-1592,  and  any  other  current  or  future  product
candidates in the United States and certain foreign jurisdictions, if and when they are approved. There are risks involved with establishing our own sales,
marketing and distribution capabilities.

For example, recruiting and training a sales force is expensive and time consuming and could delay any product launch. If the commercial launch of a
product  candidate  for  which  we  recruit  a  sales  force  and  establish  marketing  capabilities  is  delayed  or  does  not  occur  for  any  reason,  we  would  have
prematurely  or  unnecessarily  incurred  these  commercialization  expenses.  This  may  be  costly,  and  our  investment  would  be  lost  if  we  cannot  retain  or
reposition our sales and marketing personnel.

Factors that may inhibit our efforts to commercialize our products on our own include:

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our inability to recruit, train and retain adequate numbers of effective sales and marketing personnel;

the inability of sales personnel to obtain access to physicians;

the lack of adequate numbers of physicians to prescribe any future products;

the lack of complementary products to be offered by sales personnel, which may put us at a competitive disadvantage relative to companies with
more extensive product lines; and

unforeseen costs and expenses associated with creating an independent sales and marketing organization.

If we are unable to establish our own sales, marketing and distribution capabilities and enter into arrangements with third parties to perform these services,
our  product  revenues  and  our  profitability,  if  any,  are  likely  to  be  lower  than  if  we  were  to  market,  sell  and  distribute  any  products  that  we  develop
ourselves.

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In addition, we may not be successful in entering into arrangements with third parties to sell, market and distribute certain of our product candidates outside
of the United States or may be unable to do so on terms that are favorable to us. We likely will have limited control over such third parties, and any of them
may fail to devote the necessary resources and attention to sell and market our products effectively. If we do not establish sales, marketing and distribution
capabilities successfully, either on our own or in collaboration with third parties, we will not be successful in commercializing our product candidates.

Reimbursement may be limited or unavailable in certain market segments for our ADC product candidates, which could make it difficult for us to sell
our products profitably.

In both domestic and foreign markets, sales of any of our product candidates, if approved, will depend, in part, on the extent to which the costs of our
products will be covered by third-party payors, such as government health programs, commercial insurance and managed health care organizations. These
third-party payors decide which drugs will be covered and establish reimbursement levels for those drugs. The containment of health care costs has become
a priority of foreign and domestic governments as well as private third-party payors. The prices of drugs have been a focus in this effort. Governments and
private third-party payors have attempted to control costs by limiting coverage and the amount of reimbursement for particular medications, which could
affect  our  ability  to  sell  our  product  candidates  profitably.  Cost-control  initiatives  could  cause  us  to  decrease  the  price  we  might  establish  for  products,
which could result in lower than anticipated product revenues.

Reimbursement by a third-party payor may depend upon a number of factors, including the third-party payor’s determination that use of a product is:

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a covered benefit under its health plan;

safe, effective and medically necessary;

appropriate for the specific patient;

cost-effective; and

neither experimental nor investigational.

Adverse pricing limitations may hinder our ability to recoup our investment in UpRi, XMT-1592, or any other current or future product candidates, even if
such product candidates obtain marketing approval.

Obtaining coverage and reimbursement approval for a product from a government or other third-party payor is a time consuming and costly process that
could require us to provide supporting scientific, clinical and cost-effectiveness data for the use of our products to the payor. Further, there is significant
uncertainty  related  to  third-party  payor  coverage  and  reimbursement  of  newly  approved  drugs.  We  may  not  be  able  to  provide  data  sufficient  to  gain
acceptance  with  respect  to  coverage  and  reimbursement.  We  cannot  be  sure  that  coverage  or  adequate  reimbursement  will  be  available  for  any  of  our
product candidates. Also, we cannot be sure that reimbursement amounts will not reduce the demand for, or the price of, our products. If reimbursement is
not available or is available only to limited levels, we may not be able to commercialize certain of our products. In addition, in the United States, third-
party payors are increasingly attempting to contain health care costs by limiting both coverage and the level of reimbursement of new drugs. As a result,
significant uncertainty exists as to whether and how much third-party payors will reimburse patients for their use of newly approved drugs, which in turn
will put pressure on the pricing of drugs. Manufacturers further may be required to offer price concessions to achieve sales or favorable coverage.

Price controls may be imposed in foreign markets, which may adversely affect our future profitability.

In  some  countries,  including  member  states  of  the  European  Union,  the  pricing  of  prescription  drugs  is  subject  to  governmental  control.  Additional
countries may adopt similar approaches to the pricing of prescription drugs. In such countries, pricing negotiations with governmental authorities can take
considerable time after receipt of marketing approval for a product. In addition, there can be considerable pressure by governments and other stakeholders
on  prices  and  reimbursement  levels,  including  as  part  of  cost  containment  measures.  Political,  economic  and  regulatory  developments  may  further
complicate pricing negotiations, and pricing negotiations may continue after reimbursement has been obtained. Reference pricing used by various European
Union member states and parallel distribution, or arbitrage between low-priced and high-priced member states, can further reduce prices. In some countries,
we may be required to conduct a clinical trial or other trials that compare the cost-effectiveness of our product candidates to other available therapies in
order  to  obtain  or  maintain  reimbursement  or  pricing  approval.  We  cannot  be  sure  that  such  prices  and  reimbursement  will  be  acceptable  to  us  or  our
strategic partners. Publication of discounts by third-party payors or authorities may lead to further pressure on the prices or reimbursement levels

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within the country of publication and other countries. If pricing is set at unsatisfactory levels or if reimbursement of our products is unavailable or limited
in scope or amount, our revenues from sales by us or our strategic partners and the potential profitability of our product candidates in those countries would
be negatively affected.

We face substantial competition, and if our competitors develop and market products that are more effective, safer or less expensive than any of our
current or future product candidates, our commercial opportunities will be negatively impacted.

The biotechnology and biopharmaceutical industries are characterized by rapidly advancing technologies, intense competition and a strong emphasis on
proprietary  products.  Many  third  parties  compete  with  us  in  developing  various  approaches  to  cancer  therapy.  They  include  pharmaceutical  companies,
biotechnology companies, academic institutions and other research organizations. Any treatments developed by our competitors could be superior to our
product  candidates.  It  is  possible  that  these  competitors  will  succeed  in  developing  technologies  that  are  more  effective  than  our  platforms  or  product
candidates or that would render our platforms obsolete, noncompetitive or not economical. We anticipate that we will face increased competition in the
future as additional companies enter our market and scientific developments surrounding other cancer therapies continue to accelerate.

We are also aware of multiple companies with ADC technologies that may be competitive to our platforms, including Daiichi Sankyo, ImmunoGen, Gilead
(Immunomedics),  Pfizer  and  SeaGen.  These  companies  or  their  partners,  including  Astellas,  AstraZeneca,  AbbVie,  Genentech/Roche  and  Takeda,  may
develop product candidates which compete in the same indications as our current and future product candidates. Multiple companies are also developing
immune  stimulating  ADCs  which  could  compete  with  our  Immunosynthen  products,  including  Bolt  Biotherapeutics,  Inc.,  Takeda,  and  Silverback
Therapeutics, Inc. We expect to compete on improved efficacy, safety and tolerability compared to other product candidates and if our products are not
demonstrably superior in these respects compared to other approved therapeutics, we may not be able to compete effectively. Products we may develop in
the future are also likely to face competition from other products and therapies, some of which we may not currently be aware.

Many  of  our  competitors  have  significantly  greater  financial  resources  and  expertise  in  research  and  development,  manufacturing,  preclinical  studies,
conducting  clinical  trials,  obtaining  regulatory  approval  and  marketing  than  we  do.  In  addition,  many  of  these  competitors  are  active  in  seeking  patent
protection  and  licensing  arrangements  in  anticipation  of  collecting  royalties  for  use  of  technology  that  they  have  developed.  Large  pharmaceutical
companies, in particular, have extensive experience in clinical testing, obtaining marketing approvals, establishing clinical trial sites, recruiting patients and
in manufacturing pharmaceutical products and may succeed in discovering, developing and commercializing products in our field before we do. Smaller or
early-stage companies may also prove to be significant competitors, particularly through strategic partnerships with large and established companies. These
third parties compete with us in recruiting and retaining qualified scientific and management personnel, as well as in acquiring technologies complementary
to our programs.

In addition, if our product candidates are approved and commercialized, we may face competition from biosimilars. The route to market for biosimilars was
established  with  the  passage  of  the  Health  Care  Reform  Act  in  March  2010.  The  Biologics  Price  Competition  and  Innovation  Act  of  2009,  or  BPCIA,
establishes  a  pathway  for  the  FDA  approval  of  follow-on  biologics  and  provides  twelve  years  data  exclusivity  for  reference  products.  The  BPCIA  is
complex  and  continues  to  be  interpreted  and  implemented  by  the  FDA.  In  addition,  government  proposals  have  sought  to  reduce  the  12-year  reference
product exclusivity period. Further, since the BPCIA was enacted as part of the overall Health Care Reform Act, current litigation challenges to that Act,
discussed  more  in  full  below,  could  impact  the  validity  of  the  BPCIA.  As  a  result,  there  still  remains  significant  uncertainty  as  to  the  ultimate  impact,
implementation and regulatory interpretation of the BPCIA.

In  Europe,  the  European  Medicines  Agency  has  issued  guidelines  for  approving  products  through  an  abbreviated  pathway,  and  biosimilars  have  been
approved in Europe. If a biosimilar version of one of our potential products were approved in the United States or Europe, it could have a negative effect on
sales and gross profits of the potential product and our financial condition.

With  respect  to  our  current  and  potential  future  product  candidates,  we  believe  that  our  ability  to  compete  effectively  and  develop  products  that  can  be
manufactured cost-effectively and marketed successfully will depend on our ability to:

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advance our technology platforms;

obtain and maintain intellectual property protection for our technologies and products;

obtain required government and other public and private approvals on a timely basis;

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attract and retain key personnel;

commercialize effectively;

obtain reimbursement for our products in approved indications;

comply  with  applicable  laws,  regulations  and  regulatory  requirements  and  restrictions  with  respect  to  the  commercialization  of  our  products,
including with respect to any changed or increased regulatory restrictions; and

enter into additional strategic partnerships to advance the development and commercialization of our product candidates.

Risks related to our intellectual property

If we are unable to obtain or protect intellectual property rights related to our technology and ADC product candidates, or if our intellectual property
rights are inadequate, we may not be able to compete effectively.

Our success depends in large part on our ability to obtain and maintain protection with respect to our intellectual property and proprietary technology. We
rely upon a combination of patents, trade secret protection and confidentiality agreements to protect the intellectual property related to our platforms and
our  product  candidates,  including  UpRi  and  XMT-1592.  The  patent  position  of  biopharmaceutical  companies  is  generally  uncertain  because  it  involves
complex  legal  and  factual  considerations  and  has,  in  recent  years,  been  the  subject  of  much  litigation.  As  a  result,  the  issuance,  scope,  validity,
enforceability and commercial value of our patent rights is highly uncertain. The standards applied by the United States Patent and Trademark Office, or
USPTO, and foreign patent offices in granting patents are not always applied uniformly or predictably. For example, there is no uniform worldwide policy
regarding patentable subject matter or the scope of claims allowable in patents. In addition, changes in either the patent laws or interpretation of the patent
laws in the United States and other countries may diminish the value of our patents or narrow the scope of our patent protection. The patent prosecution
process  is  expensive,  complex  and  time-consuming,  and  we  may  not  be  able  to  file,  prosecute,  maintain,  enforce  or  license  all  necessary  or  desirable
patents and patent applications at a reasonable cost or in a timely manner. It is also possible that we fail to identify patentable aspects of our research and
development output before it is too late to obtain patent protection. There is no assurance that all potentially relevant prior art relating to our patents and
patent  applications  has  been  found.  We  may  be  unaware  of  prior  art  that  could  be  used  to  invalidate  an  issued  patent  or  prevent  our  pending  patent
applications from issuing as patents.

The patent applications that we own or in-license may fail to result in issued patents, and even if they do issue as patents, such patents may not cover our
platforms and product candidates in the United States or in other countries. The issuance of a patent is not conclusive as to its inventorship, scope, validity
or enforceability, and our patents may be challenged in the courts or patent offices in the United States and abroad. Such challenges may result in loss of
exclusivity  or  in  patent  claims  being  narrowed,  invalidated  or  held  unenforceable,  which  could  limit  our  ability  to  stop  others  from  using  or
commercializing similar or identical technology and products, or limit the duration of the patent protection of our technology and product candidates. For
example, even if patent applications we license or own do successfully issue as patents and even if such patents cover our platforms and product candidates,
third parties may challenge their validity, enforceability or scope, which may result in such patents being narrowed or invalidated. Furthermore, even if they
are  unchallenged,  our  patents  and  patent  applications  may  not  provide  adequate  protection  or  exclusivity  for  our  ADC  platform  or  product  candidates,
prevent others from designing around our claims or otherwise provide us with a competitive advantage. Any of these outcomes could impair our ability to
prevent competition from third parties, which may have an adverse impact on our business.

If patent applications we own or have in-licensed with respect to our platforms or our product candidates fail to issue as patents, if their breadth or strength
of protection is threatened, or if they fail to provide meaningful exclusivity, it could dissuade companies from collaborating with us. We cannot offer any
assurances about which, if any, patents will issue, the breadth of any such patents or whether any issued patents will be found invalid and unenforceable or
will be threatened by third parties. Any successful challenge to these patents or any other patents owned by or licensed to us could deprive us of rights
necessary for the successful development and commercialization of any product candidate. Since patent applications in the United States and most other
countries are confidential for a period of time after filing, and some remain so until issued, we cannot be certain that we were the first to file any patent
application related to a product candidate. Furthermore, if third parties have filed such patent applications, an interference proceeding in the United States
can  be  initiated  by  the  USPTO  or  a  third-party  to  determine  who  was  the  first  to  invent  any  of  the  subject  matter  covered  by  the  patent  claims  of  our
applications. In addition, patents have a limited lifespan. In the United States, the natural expiration of a patent is generally 20 years after it is filed. Various
extensions may be available; however, the life of a patent and the protection it affords is limited. Given the amount of time required for the development,
testing and regulatory review of new product candidates, our owned or in-licensed patents protecting such

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candidates might expire before or shortly after such candidates are commercialized. If we encounter delays in obtaining regulatory approvals, the period of
time during which we could market a drug under patent protection could be further reduced. Even if patents covering our product candidates are obtained,
once the patent life has expired for a product, we may be open to competition from similar or generic products. The launch of a generic version of one of
our products in particular would be likely to result in an immediate and substantial reduction in the demand for our product, which could have a material
adverse effect on our business, financial condition, results of operations and prospects.

On September 16, 2011, the Leahy-Smith America Invents Act, or the Leahy-Smith Act, was signed into law, which could increase the uncertainties and
costs surrounding the prosecution of our patent applications and the enforcement or defense of our issued patents. The Leahy-Smith Act includes a number
of  significant  changes  to  U.S.  patent  law.  These  include  provisions  that  affect  the  way  patent  applications  are  prosecuted,  redefine  prior  art,  may  affect
patent litigation and switch the U.S. patent system from a “first-to-invent” system to a “first-to-file” system. Under a first-to-file system, assuming the other
requirements for patentability are met, the first inventor to file a patent application generally will be entitled to the patent on an invention regardless of
whether  another  inventor  had  made  the  invention  earlier.  These  provisions  also  allow  third-party  submission  of  prior  art  to  the  USPTO  during  patent
prosecution and set forth additional procedures to attack the validity of a patent by the USPTO administered post grant proceedings. The USPTO developed
additional regulations and procedures to govern administration of the Leahy-Smith Act, and many of the substantive changes to patent law associated with
the  Leahy-Smith  Act,  and,  in  particular,  the  first-to-file  provisions,  only  became  effective  on  March  16,  2013.  Accordingly,  it  is  not  clear  what,  if  any,
impact the Leahy-Smith Act will have on the operation of our business. The Leahy-Smith Act and its implementation could increase the uncertainties and
costs  surrounding  the  prosecution  of  our  patent  applications  and  the  enforcement  or  defense  of  our  issued  patents,  all  of  which  could  have  a  material
adverse effect on our business, financial condition, results of operations and prospects.

Any loss of patent protection could have a material adverse impact on our business. We may be unable to prevent competitors from entering the market
with a product that is similar to or the same as our product candidates.

Issued  patents  covering  UpRi,  XMT-1592,  and  any  other  current  or  future  ADC  product  candidates  could  be  found  invalid  or  unenforceable  if
challenged in court or before the USPTO or comparable foreign authority.

If we or one of our licensing partners initiate legal proceedings against a third party to enforce a patent covering UpRi, XMT-1592, or any other current or
future product candidates, the defendant could counterclaim that the patent covering our product candidate is invalid or unenforceable. In patent litigation
in the United States, defendant counterclaims alleging invalidity or unenforceability are commonplace, and there are numerous grounds upon which a third
party can assert invalidity or unenforceability of a patent. Grounds for a validity challenge could be, among other things, an alleged failure to meet any of
several  statutory  requirements,  including  lack  of  novelty,  obviousness,  lack  of  written  description  or  non-enablement.  Grounds  for  an  unenforceability
assertion  could  be,  among  other  things,  an  allegation  that  someone  connected  with  prosecution  of  the  patent  withheld  relevant  information  from  the
USPTO, or made a misleading statement, during prosecution. Third parties may also raise similar claims before administrative bodies in the United States
or abroad, even outside the context of litigation. Such mechanisms include re-examination, inter partes review, post-grant review, interference proceedings,
derivation  proceedings  and  equivalent  proceedings  in  foreign  jurisdictions  (e.g.,  opposition  proceedings).  Such  proceedings  could  result  in  revocation,
cancellation  or  amendment  to  our  patents  in  such  a  way  that  they  no  longer  cover  and  protect  our  product  candidates.  The  outcome  following  legal
assertions of invalidity and unenforceability is unpredictable. With respect to the validity of our patents, for example, we cannot be certain that there is no
invalidating  prior  art  of  which  we,  our  licensors,  our  patent  counsel  and  the  patent  examiner  were  unaware  during  prosecution.  If  a  third  party  were  to
prevail on a legal assertion of invalidity or unenforceability, we would lose at least part, and perhaps all, of the patent protection on one or more of our
product candidates. Any such loss of patent protection could have a material adverse impact on our business, financial condition, results of operations and
prospects.

If we fail to comply with our obligations under any license, strategic partnership or other agreements, we may be required to pay damages and could
lose intellectual property rights that are necessary for developing and protecting our ADC product candidates.

We rely, in part, on license, collaboration and other agreements. We may need to obtain additional licenses from others to advance our research or allow
commercialization of our product candidates and it is possible that we may be unable to obtain additional licenses at a reasonable cost or on reasonable
terms, if at all. The licensing or acquisition of third party intellectual property rights is a competitive area, and several more established companies may
pursue  strategies  to  license  or  acquire  third  party  intellectual  property  rights  that  we  may  consider  attractive.  These  established  companies  may  have  a
competitive  advantage  over  us  due  to  their  size,  capital  resources  and  greater  clinical  development  and  commercialization  capabilities.  In  addition,
companies that perceive us to be a competitor may be unwilling to assign or license rights to use. We also may be

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

In addition, our existing licenses and collaboration agreements, including our license with Recepta Biopharma S.A., or Recepta, for intellectual property
covering  the  NaPi2b  antibody  in  UpRi  and  XMT-1592,  and  our  license  with  Synaffix  B.V.,  or  Synaffix,  for  intellectual  property  covering  components
included  in  the  Dolasynthen  platform,  impose,  and  any  future  licenses,  collaborations  or  other  agreements  we  enter  into  are  likely  to  impose,  various
development, commercialization, funding, milestone, royalty, diligence, sublicensing, insurance, patent prosecution and enforcement or other obligations
on us. If we breach any of these obligations, or use the intellectual property licensed to us in an unauthorized manner, we may be required to pay damages
and the licensor may have the right to terminate the license, including, in the case of our agreement with Recepta, the license for the rights covering the
NaPi2b  antibody  in  UpRi  and  XMT-1592,  and  in  the  case  of  our  agreement  with  Synaffix,  the  license  for  the  rights  covering  components  in  the
Dolasynthen  platform.  Any  of  the  foregoing  could  result  in  us  being  unable  to  develop,  manufacture  and  sell  products  that  are  covered  by  the  licensed
technology  or  enable  a  competitor  to  gain  access  to  the  licensed  technology.  Disputes  may  arise  regarding  intellectual  property  subject  to  a  licensing,
collaboration or other agreements, including:

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•

•

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

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

the sublicensing of patent and other rights under our collaborative development relationships;

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

the inventorship and ownership of inventions and know how resulting from the joint creation or use of intellectual property by our licensors and us
and our partners; and

the priority of invention of patented technology.

In addition, the agreements under which we currently license intellectual property or technology to or from third parties are complex, and certain provisions
in such agreements may be susceptible to multiple interpretations. The resolution of any contract interpretation disagreement that may arise could narrow
what we believe to be the scope of our rights to the relevant intellectual property or technology, or increase what we believe to be our financial or other
obligations under the relevant agreement, either of which could have a material adverse effect on our business, financial condition, results of operations and
prospects.  Moreover,  if  disputes  over  intellectual  property  that  we  have  licensed  prevent  or  impair  our  ability  to  maintain  our  current  licensing
arrangements on commercially acceptable terms, we may be unable to successfully develop and commercialize the affected product candidates.

In  some  circumstances,  we  may  not  have  the  right  to  control  the  preparation,  filing  and  prosecution  of  patent  applications,  or  to  maintain  the  patents,
covering  the  technology  that  we  license  from  third  parties.  For  example,  pursuant  to  our  license  agreement  with  Recepta,  Ludwig  Institute  for  Cancer
Research Ltd., a co-owner of the intellectual property, retains control of such activities. Therefore, we cannot be certain that these patents and applications
will be prosecuted, maintained and enforced in a manner consistent with the best interests of our business. If our licensors fail to obtain or maintain such
intellectual property, or lose rights to such intellectual property, the rights we have licensed and our exclusivity may be reduced or eliminated and our right
to develop and commercialize any of our products that are subject to such licensed rights could be adversely affected.

Moreover, our rights to our in-licensed patents and patent applications are 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. In addition, while we cannot currently determine the
amount of the royalty obligations we would be required to pay on sales of future products, if any, the amounts may be significant. The amount of our future
royalty  obligations  will  depend  on  the  technology  and  intellectual  property  we  use  in  products  that  we  successfully  develop  and  commercialize,  if  any.
Therefore, even if we successfully develop and commercialize products, we may be unable to achieve or maintain profitability. Any of the foregoing could
have a material adverse effect on our competitive position, business, financial conditions, results of operations and prospects.

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If we are unable to successfully obtain rights to required third-party intellectual property rights or maintain the existing intellectual property rights we have,
we  may  have  to  abandon  development  of  the  relevant  program  or  product  candidate  and  our  business,  financial  condition,  results  of  operations  and
prospects could suffer.

We may become involved in lawsuits to protect or enforce our intellectual property or to defend against intellectual property claims, which could be
expensive, time consuming and unsuccessful.

Competitors and other third parties may infringe our patents or misappropriate or otherwise violate our owned and in-licensed intellectual property rights.
To counter infringement or unauthorized use, litigation or other intellectual property proceedings may be necessary to enforce or defend our owned and in-
licensed  intellectual  property  rights,  to  protect  our  trade  secrets  or  to  determine  the  validity  and  scope  of  our  own  intellectual  property  rights  or  the
proprietary rights of others. Such litigation or proceedings can be expensive and time consuming, and any such claims could provoke defendants to assert
counterclaims against us, including claims alleging that we infringe their patents or other intellectual property rights. We may not have sufficient financial
or  other  resources  to  adequately  conduct  such  litigation  or  proceedings.  Many  of  our  current  and  potential  competitors  have  the  ability  to  dedicate
substantially  greater  resources  to  litigate  intellectual  property  rights  than  we  can  and  have  more  mature  and  developed  intellectual  property  portfolios.
Accordingly, despite our efforts, we may not be able to prevent third parties from infringing upon or misappropriating our intellectual property. Even if
resolved  in  our  favor,  litigation  or  other  intellectual  property  proceedings  could  result  in  substantial  costs  and  diversion  of  management  attention  and
resources, which could harm our business and financial results.

In  addition,  in  a  litigation  or  other  proceeding,  a  court  or  administrative  judge  may  decide  that  a  patent  owned  by  or  licensed  to  us  is  invalid  or
unenforceable, or a court may refuse to stop the other party from using the technology at issue on the grounds that our patents do not cover the technology
in question. An adverse result in any litigation or other proceeding could put one or more of our patents at risk of being invalidated, held unenforceable or
interpreted  narrowly.  Furthermore,  because  of  the  substantial  amount  of  discovery  required  in  connection  with  intellectual  property  litigation  and  other
proceedings, there is a risk that some of our confidential information could be compromised by disclosure during this type of litigation. During the course
of any patent or other intellectual property litigation or other proceeding, there could be public announcements of the results of hearings, rulings on motions
and other interim proceedings or developments and if securities analysts or investors regard these announcements as negative, the perceived value of our
product candidates, programs or intellectual property could be diminished. Accordingly, the market price of our common stock may decline. Any of the
foregoing could have a material adverse effect on our business, financial conditions, results of operations and prospects.

Third-party claims of intellectual property infringement or misappropriation may prevent or delay our development and commercialization efforts.

Our commercial success depends in part on our ability and the ability of our strategic partners to develop, manufacture, market and sell product candidates
and use our proprietary technologies without infringing, misappropriating or otherwise violating the patents and proprietary rights of third parties. There is
a substantial amount of litigation, both within and outside the United States, involving patent and other intellectual property rights in the biopharmaceutical
industries,  including  patent  infringement  lawsuits,  interferences,  oppositions,  reexamination,  inter  partes  review,  derivation  and  post  grant  review
proceedings before the USPTO and corresponding foreign patent offices. Numerous U.S. and foreign issued patents and pending patent applications owned
by third parties exist in the fields in which we are developing and may develop our product candidates. As the biopharmaceutical industries expand and
more patents are issued, the risk increases that our product candidates may be subject to claims of infringement of the patent rights of third parties.

Third parties may assert that we, our customers, licensees or parties indemnified by us are employing their proprietary technology without authorization or
have infringed upon, misappropriated or otherwise violated their intellectual property or other rights, regardless of their merit. For example, we may be
subject to claims that we are infringing the patent, trademark or copyright rights of third parties, or that our employees have misappropriated or divulged
their  former  employers’  trade  secrets  or  confidential  information.  There  may  be  third-party  patents  or  patent  applications  with  claims  to  materials,
formulations, methods of manufacture or methods for treatment related to the use or manufacture of our product candidates, that we failed to identify. For
example, applications filed before November 29, 2000 and certain applications filed after that date that will not be filed outside the United States remain
confidential  until  issued  as  patents.  Except  for  certain  exceptions,  including  the  preceding  exceptions,  patent  applications  in  the  United  States  and
elsewhere  are  generally  published  only  after  a  waiting  period  of  approximately  18  months  after  the  earliest  filing,  and  sometimes  not  at  all.  Therefore,
patent applications covering our platforms or our product candidates could have been filed by others without our knowledge. Additionally, pending patent
applications  which  have  been  published  can,  subject  to  certain  limitations,  be  later  amended  in  a  manner  that  could  cover  our  platforms,  our  product
candidates or the use or manufacture of our product candidates.

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Even if we believe a third party’s claims against us are without merit, a court of competent jurisdiction could hold that such third party’s patent is valid,
enforceable and cover aspects of our product candidates, including the materials, formulations, methods of manufacture, methods of analysis, or methods
for  treatment,  in  which  case,  such  third  party  would  be  able  to  block  our  ability  to  develop  and  commercialize  the  applicable  technology  or  product
candidate  until  such  patent  expired  or  unless  we  obtain  a  license  and  we  may  be  required  to  pay  such  third-party  monetary  damages,  which  could  be
substantial. Such licenses may not be available on acceptable terms, if at all. Even if we were able to obtain a license, the rights may be nonexclusive,
which  could  result  in  our  competitors  gaining  access  to  the  same  intellectual  property  and  it  could  require  us  to  make  substantial  licensing  and  royalty
payments. Ultimately, we could be prevented from commercializing a product, or be forced to cease some aspect of our business operations, if, as a result
of actual or threatened patent infringement claims, we are unable to enter into licenses on acceptable terms.

Parties  making  claims  against  us  may  also  obtain  injunctive  or  other  equitable  relief,  which  could  effectively  block  our  ability  to  further  develop  and
commercialize  our  technologies  or  one  or  more  of  our  product  candidates.  Defending  against  claims  of  patent  infringement,  misappropriation  of  trade
secrets  or  other  violations  of  intellectual  property  could  be  costly  and  time  consuming,  regardless  of  the  outcome.  Thus,  even  if  we  were  to  ultimately
prevail, or to settle at an early stage, such litigation could burden us with substantial unanticipated costs. In addition, litigation or threatened litigation could
result in significant demands on the time and attention of our management team, distracting them from the pursuit of other company business. In the event
of  a  successful  claim  of  infringement  against  us,  in  addition  to  potential  injunctive  relief,  we  may  have  to  pay  substantial  damages,  including  treble
damages  and  attorneys’  fees  for  willful  infringement,  pay  royalties,  redesign  our  infringing  products  or  obtain  one  or  more  licenses  from  third  parties,
which may be impossible or require substantial time and monetary expenditure.

We may face a claim of misappropriation if a third party believes that we inappropriately obtained and used trade secrets of such third party. If we are
found to have misappropriated a third party’s trade secrets, we may be prevented from further using such trade secrets, limiting our ability to develop our
product candidates, we may be required to obtain a license to such trade secrets which may not be available on commercially reasonable terms or at all and
may be non-exclusive, and we may be required to pay damages, which could be substantial. Any of the foregoing could have a material adverse effect on
our business, financial condition, results of operations and prospects.

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

Filing, prosecuting and defending patents on product candidates in all countries throughout the world where we expect there to be significant markets for
our products could be prohibitively expensive, and the laws of foreign countries may not protect our rights to the same extent as the laws of the United
States.  In  addition,  our  intellectual  property  license  agreements  may  not  always  include  worldwide  rights.  For  example,  certain  U.S.  and  foreign  issued
patents and patent applications are licensed to us by Recepta on a worldwide basis, except that Recepta retains exclusive rights in such patents and patent
applications in Brazil. Consequently, we may not be able to prevent third parties from practicing our inventions in all countries outside the United States.
Competitors may use our technologies in jurisdictions where we have not obtained patent protection to develop their own products and, further, may export
otherwise infringing products to territories where we have patent protection or licenses but enforcement is not as strong as that in the United States. These
products  may  compete  with  our  products,  and  our  patents  or  other  intellectual  property  rights  may  not  be  effective  or  sufficient  to  prevent  them  from
competing.

Additionally, the laws of some foreign countries do not protect intellectual property rights to the same extent as the laws of the United States, and many
companies have encountered significant problems in protecting and defending such rights in foreign jurisdictions. The legal systems of certain countries,
particularly certain developing countries, do not favor the enforcement of patents and other intellectual property protection, particularly those relating to
biotechnology,  which  could  make  it  difficult  for  us  to  stop  the  infringement  of  our  licensed  and  owned  patents  or  marketing  of  competing  products  in
violation  of  our  intellectual  property  and  proprietary  rights  generally.  Proceedings  to  enforce  our  intellectual  property  and  proprietary  rights  in  foreign
jurisdictions could result in substantial costs and divert our efforts and attention from other aspects of our business, could put our patents at risk of being
invalidated  or  interpreted  narrowly,  could  put  our  patent  applications  at  risk  of  not  issuing  as  patents,  and  could  provoke  third  parties  to  assert  claims
against us. We may not prevail in any lawsuits that we initiate, and the damages or other remedies awarded, if any, may not be commercially meaningful.
Accordingly, our efforts to enforce our intellectual property and proprietary rights around the world may be inadequate to obtain a significant commercial
advantage from the intellectual property that we develop or license.

Many  countries  have  compulsory  licensing  laws  under  which  a  patent  owner  may  be  compelled  to  grant  licenses  to  third  parties.  In  addition,  many
countries limit the enforceability of patents against government agencies or government contractors. In these countries, the patent owner may have limited
remedies, which could materially diminish the value of such patent. If we or any

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of our licensors is forced to grant a license to third parties with respect to any patents relevant to our business, our competitive position may be impaired,
and our business, financial condition, results of operations and prospects may be adversely affected.

Confidentiality  agreements  with  employees  and  third  parties  may  not  prevent  unauthorized  disclosure  of  trade  secrets  and  other  proprietary
information.

In addition to the protection afforded by patents, we rely on trade secret protection and confidentiality agreements to protect proprietary know-how that is
not patentable or that we elect not to patent, processes for which patents are difficult to enforce and any other elements of our platform technology and
discovery and development processes that involve proprietary know-how, information or technology that is not covered by patents. However, trade secrets
can  be  difficult  to  protect.  We  seek  to  protect  our  proprietary  technology  and  processes,  in  part,  by  entering  into  confidentiality  agreements  with  our
employees, consultants and outside scientific advisors, contractors and partners. We cannot guarantee that we have entered into such agreement with each
party that may have or have had access to our trade secrets or proprietary technology and processes. Additionally, our confidentiality agreements and other
contractual protections may not be adequate to protect our intellectual property from unauthorized disclosure, third-party infringement or misappropriation.
We  may  not  have  adequate  remedies  in  the  case  of  a  breach  of  any  such  agreements,  and  our  trade  secrets  and  other  proprietary  information  could  be
disclosed to our competitors or others may independently develop substantially equivalent or superior proprietary information and techniques or otherwise
gain access to our trade secrets or disclose such technologies.

Enforcing  a  claim  that  a  third  party  illegally  obtained  and  is  using  any  of  our  trade  secrets  is  expensive  and  time  consuming,  and  the  outcome  is
unpredictable.  In  addition,  some  courts  outside  and  within  the  United  States  sometimes  are  less  willing  to  protect  trade  secrets.  Misappropriation  or
unauthorized disclosure of our trade secrets could impair our competitive position and may have a material adverse effect on our business.

We may be subject to claims by third parties asserting that our licensors, employees, consultants, advisors or we have misappropriated their intellectual
property, or claiming ownership of what we regard as our own intellectual property.

Many  of  our  and  our  licensors’  employees,  including  our  senior  management,  consultants  or  advisors  are  currently,  or  previously  were,  employed  at
universities or other biotechnology or pharmaceutical companies, including our competitors or potential competitors. Some of these employees, including
members  of  our  senior  management,  executed  proprietary  rights,  non-disclosure  and  non-competition  agreements,  or  similar  agreements,  in  connection
with such previous employment. Although we try to ensure that our employees, consultants and advisors do not use the proprietary information or know-
how of others in their work for us, we may be subject to claims that we or these individuals have used or disclosed intellectual property, including trade
secrets or other proprietary information, of any such individual’s current or former employer. Litigation may be necessary to defend against such claims. If
we fail in defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights or personnel or sustain
damages.  Such  intellectual  property  rights  could  be  awarded  to  a  third  party,  and  we  could  be  required  to  obtain  a  license  from  such  third  party  to
commercialize our technology or products. Such a license may not be available on commercially reasonable terms or at all. Even if we are successful in
defending against such claims, litigation could result in substantial costs and be a distraction to management. Any of the foregoing may have a material
adverse effect on our business, financial condition, results of operations and prospects.

In addition, while it is our policy to require our employees and contractors who may be involved in the conception or development of intellectual property
to execute agreements assigning such intellectual property to us, we may be unsuccessful in executing such an agreement with each party who, in fact,
conceives  or  develops  intellectual  property  that  we  regard  as  our  own.  The  assignment  of  intellectual  property  rights  may  not  be  self-executing  or  the
assignment agreements may be breached, and we may be forced to bring claims against third parties, or defend claims that they may bring against us, to
determine the ownership of what we regard as our intellectual property.

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If we do not obtain patent term extension and data exclusivity for any product candidates we may develop, our business may be materially harmed.

Depending upon the timing, duration and specifics of any FDA marketing approval of any product candidates we may develop, one or more of our owned
or in-licensed U.S. patents may be eligible for limited patent term extension under the Drug Price Competition and Patent Term Restoration Act of 1984, or
Hatch-Waxman Amendments. The Hatch-Waxman Amendments permit a patent term extension of up to five years as compensation for the patent term lost
during the FDA regulatory review process. A patent term extension cannot extend the remaining term of a patent beyond a total of 14 years from the date of
product approval, only one patent may be extended and only those claims covering the approved drug, a method for using it or a method for manufacturing
it may be extended. However, we may not be granted an extension because of, for example, failing to exercise due diligence during the testing phase or
regulatory review process, failing to apply within applicable deadlines, failing to apply prior to expiration of relevant patents, or otherwise failing to satisfy
applicable requirements. Moreover, the applicable time period or the scope of patent protection afforded could be less than we request. If we are unable to
obtain  patent  term  extension  or  the  term  of  any  such  extension  is  less  than  we  request,  our  competitors  may  obtain  approval  of  competing  products
following our patent expiration, and our business, financial condition, results of operations and prospects could be materially harmed.

Obtaining  and  maintaining  our  patent  protection  depends  on  compliance  with  various  procedural,  document  submission,  fee  payment,  and  other
requirements  imposed  by  government  patent  agencies,  and  our  patent  protection  could  be  reduced  or  eliminated  for  non-compliance  with  these
requirements.

Periodic maintenance fees, renewal fees, annuity fees and various other government fees on patents and patent applications will be due to be paid to the
USPTO and various government patent agencies outside of the United States over the lifetime of our owned or licensed patents and applications. In certain
circumstances, we rely on our licensing partners to pay these fees due to U.S. and non-U.S. patent agencies. The USPTO and various non-U.S. government
agencies require compliance with several procedural, documentary, fee payment and other similar provisions during the patent application process. We are
also dependent on our licensors to take the necessary action to comply with these requirements with respect to our licensed intellectual property. In some
cases, an inadvertent lapse can be cured by payment of a late fee or by other means in accordance with the applicable rules. There are situations, however,
in which non-compliance can result in abandonment or lapse of the patent or patent application, resulting in a partial or complete loss of patent rights in the
relevant jurisdiction. In such an event, potential competitors might be able to enter the market with similar or identical products or technology, which could
have a material adverse effect on our business, financial condition, results of operations and prospects.

Intellectual property rights do not necessarily address all potential threats.

The degree of future protection afforded by our intellectual property rights is uncertain because intellectual property rights have limitations and may not
adequately protect our business or permit us to maintain our competitive advantage. For example:

•

others may be able to make ADC products that are similar to any product candidates we may develop or utilize similar ADC-related technology
but that are not covered by the claims of the patents that we license or may own in the future;

• we, or our license partners or current or future strategic partners, might not have been the first to make the inventions covered by the issued patent

or pending patent application that we license or may own in the future;

• we, or our license partners or current or future strategic partners, might not have been the first to file patent applications covering certain of our or

their inventions;

•

•

•

•

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

it is possible that our pending licensed patent applications or those that we may own in the future will not lead to issued patents;

issued patents that we hold rights to may be held invalid or unenforceable, including as a result of legal challenges by our competitors;

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

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

•

the patents of others may harm our business; and

• we may choose not to file a patent in order to maintain certain trade secrets or know how, and a third party may subsequently file a patent covering

such intellectual property.

Should any of these events occur, they could have a material adverse effect on our business, financial condition, results of operations and prospects.

Risks related to regulatory approval and other legal compliance matters

Even if we complete the necessary preclinical studies and clinical trials, the regulatory approval process is expensive, time consuming and uncertain
and may prevent us from obtaining approvals for the commercialization of some or all of our product candidates. As a result, we cannot predict when
or if, and in which territories, we will obtain marketing approval to commercialize a product candidate.

The research, testing, manufacturing, labeling, approval, selling, marketing, promotion and distribution of products are subject to extensive regulation by
the FDA and comparable foreign regulatory authorities. We are not permitted to market our product candidates in the United States or in other countries
until we receive approval of a biologics licensing application, or BLA, from the FDA or marketing approval from applicable regulatory authorities outside
the United States. Our product candidates are in various stages of development and are subject to the risks of failure inherent in development. We have not
submitted an application for or received marketing approval for any of our product candidates in the United States or in any other jurisdiction. We have no
experience as a company in filing and supporting the applications necessary to gain marketing approvals and expect to rely on third-party CROs to assist us
in this process.

The  process  of  obtaining  marketing  approvals,  both  in  the  United  States  and  abroad,  is  lengthy,  expensive  and  uncertain.  It  may  take  many  years,  if
approval is obtained at all, and can vary substantially based upon a variety of factors, including the type, complexity and novelty of the product candidates
involved.  Securing  marketing  approval  requires  the  submission  of  extensive  preclinical  and  clinical  data  and  supporting  information,  including
manufacturing information, to regulatory authorities for each therapeutic indication to establish the product candidate’s safety and efficacy. The FDA or
other  regulatory  authorities  may  determine  that  our  product  candidates  are  not  safe  and  effective,  only  moderately  effective  or  have  undesirable  or
unintended side effects, toxicities or other characteristics that preclude our obtaining marketing approval or prevent or limit commercial use.

In  addition,  changes  in  marketing  approval  policies  during  the  development  period,  changes  in  or  the  enactment  or  promulgation  of  additional  statutes,
regulations  or  guidance  or  changes  in  regulatory  review  for  each  submitted  product  application,  may  cause  delays  in  the  approval  or  rejection  of  an
application. Regulatory authorities have substantial discretion in the approval process and varying interpretations of the data obtained from preclinical and
clinical testing could delay, limit or prevent marketing approval of a product candidate. Any marketing approval we ultimately obtain may be limited or
subject to restrictions or post-approval commitments that render the approved product not commercially viable.

Failure to obtain marketing approval in foreign jurisdictions would prevent our product candidates from being marketed abroad. Any approval we may
be granted for our product candidates in the United States would not assure approval of our product candidates in foreign jurisdictions and any of our
product candidates that may be approved for marketing in a foreign jurisdiction will be subject to risks associated with foreign operations.

We  intend  to  market  our  current  product  candidates,  including  UpRi,  our  lead  product  candidate,  and  XMT-1592,  each,  if  approved,  in  international
markets either directly or through partnerships. In order to market and sell our products in the European Union and other foreign jurisdictions, we must
obtain separate marketing approvals and comply with numerous and varying regulatory requirements. The approval procedure varies among countries and
can involve additional testing. The time required to obtain approval may differ substantially from that required to obtain FDA approval. The marketing
approval process outside the United States generally includes all of the risks associated with obtaining FDA approval. We may not obtain approvals from
regulatory authorities outside the United States on a timely basis, if at all. Approval by the FDA does not ensure approval by regulatory authorities in other
countries or jurisdictions, and approval by one regulatory authority outside the United States does not ensure approval by regulatory authorities in other
countries or jurisdictions or by the FDA. We may file for marketing approvals but not receive necessary approvals to commercialize our products in any
market.

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In many countries outside the United States, a product candidate must also be approved for reimbursement before it can be sold in that country. In some
cases, the price that we intend to charge for our products, if approved, is also subject to approval. Obtaining non-U.S. regulatory approvals and compliance
with non-U.S. regulatory requirements could result in significant delays, difficulties and costs for us and could delay or prevent the introduction of our
product candidates in certain countries. In addition, if we fail to obtain the non-U.S. approvals required to market our product candidates outside the United
States or if we fail to comply with applicable non-U.S. regulatory requirements, our target markets will be reduced and our ability to realize the full market
potential of our product candidates will be harmed and our business, financial condition, results of operations and prospects may be adversely affected.

Additionally, we could face heightened risks with respect to seeking marketing approval in the United Kingdom as a result of the withdrawal of the United
Kingdom from the European Union, commonly referred to as Brexit. The United Kingdom is no longer part of the European Single Market and European
Union  Customs  Union.  As  of  January  1,  2021,  the  Medicines  and  Healthcare  products  Regulatory  Agency,  or  the  MHRA,  became  responsible  for
supervising medicines and medical devices in Great Britain, comprising England, Scotland and Wales under domestic law, whereas Northern Ireland will
continue  to  be  subject  to  European  Union  rules  under  the  Northern  Ireland  Protocol.  Any  delay  in  obtaining,  or  an  inability  to  obtain,  any  marketing
approvals, as a result of Brexit or otherwise, may force us to restrict or delay efforts to seek regulatory approval in the United Kingdom for our product
candidates, which could significantly and materially harm our business.

We expect that we will be subject to additional risks in commercializing any of our product candidates that receive marketing approval outside the United
States,  including  tariffs,  trade  barriers  and  regulatory  requirements;  economic  weakness,  including  inflation,  or  political  instability  in  particular  foreign
economies  and  markets;  compliance  with  tax,  employment,  immigration  and  labor  laws  for  employees  living  or  traveling  abroad;  foreign  currency
fluctuations, which could result in increased operating expenses and reduced revenue, and other obligations incident to doing business in another country;
and workforce uncertainty in countries where labor unrest is more common than in the United States.

Any product candidate for which we obtain marketing approval is subject to ongoing regulation and could be subject to restrictions or withdrawal from
the market, and we may be subject to substantial penalties if we fail to comply with regulatory requirements, when and if any of our product candidates
are approved.

Any product candidate for which we obtain marketing approval will be subject to continual requirements of and review by the FDA and other regulatory
authorities.  These  requirements  include  submissions  of  safety  and  other  post-marketing  information  and  reports,  registration  and  listing  requirements,
cGMP  requirements  relating  to  quality  control  and  manufacturing,  quality  assurance  and  corresponding  maintenance  of  records  and  documents,  and
requirements regarding the distribution of samples to physicians and recordkeeping. In addition, the approval may be subject to limitations on the indicated
uses for which the product may be marketed or to the conditions of approval, or contain requirements for costly post-marketing testing and surveillance to
monitor the safety or efficacy of the medicine, including the requirement to implement a risk evaluation and mitigation strategy. Accordingly, if we receive
marketing approval for one or more of our product candidates, we will continue to expend time, money and effort in all areas of regulatory compliance,
including manufacturing, production, product surveillance and quality control. If we fail to comply with these requirements, we could have the marketing
approvals for our products withdrawn by regulatory authorities and our ability to market any products could be limited, which could adversely affect our
ability to achieve or sustain profitability.

We must also comply with requirements concerning advertising and promotion for any of our product candidates for which we obtain marketing approval.
Promotional communications with respect to prescription products are subject to a variety of legal and regulatory restrictions and must be consistent with
the information in the product’s approved labeling. Thus, we will not be able to promote any products we develop for indications or uses for which they are
not approved. The FDA and other agencies, including the Department of Justice, or the DOJ, closely regulate and monitor the post-approval marketing and
promotion  of  products  to  ensure  that  they  are  marketed  and  distributed  only  for  the  approved  indications  and  in  accordance  with  the  provisions  of  the
approved  labeling.  In  September  2021,  the  FDA  published  final  regulations  which  describe  the  types  of  evidence  that  the  agency  will  consider  in
determining the intended use of a drug or biologic. Violations of the Federal Food, Drug, and Cosmetic Act and other statutes, including the False Claims
Act, relating to the promotion and advertising of prescription products may lead to investigations and enforcement actions alleging violations of federal and
state health care fraud and abuse laws, as well as state consumer protection laws.

Failure to comply with regulatory requirements, may yield various results, including:

•

restrictions on such products, manufacturers or manufacturing processes;

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•

•

•

restrictions on the labeling or marketing of a product;

restrictions on distribution or use of a product;

requirements to conduct post-marketing studies or clinical trials;

• warning letters or untitled letters;

• withdrawal of the products from the market;

•

•

•

•

•

•

•

•

•

•

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

recall of products;

damage to relationships with collaborators;

unfavorable press coverage and damage to our reputation;

fines, restitution or disgorgement of profits or revenues;

suspension or withdrawal of marketing approvals;

refusal to permit the import or export of our products;

product seizure;

injunctions or the imposition of civil or criminal penalties; and

litigation involving patients using our products.

Similar restrictions apply to the approval of our products in the European Union. The holder of a marketing authorization is required to comply with a
range of requirements applicable to the manufacturing, marketing, promotion and sale of medicinal products. These include compliance with the European
Union’s  stringent  pharmacovigilance  or  safety  reporting  rules,  which  can  impose  post-authorization  studies  and  additional  monitoring  obligations;  the
manufacturing of authorized medicinal products, for which a separate manufacturer’s license is mandatory; and the marketing and promotion of authorized
drugs, which are strictly regulated in the European Union and are also subject to EU Member State laws.

Accordingly, in connection with our currently approved products and assuming we, or our collaborators, receive marketing approval for one or more of our
product  candidates,  we,  and  our  collaborators,  and  our  and  their  contract  manufacturers  will  continue  to  expend  time,  money  and  effort  in  all  areas  of
regulatory compliance, including manufacturing, production, product surveillance and quality control. If we, and our collaborators, are not able to comply
with post-approval regulatory requirements, our or our collaborators’ ability to market any future products could be limited, which could adversely affect
our ability to achieve or sustain profitability. Further, the cost of compliance with post-approval regulations may have a negative effect on our operating
results and financial condition.

We  may  seek  certain  designations  for  our  product  candidates,  including  but  not  limited  to  Breakthrough  Therapy,  Fast  Track  and  Priority  Review
designations in the United States, and PRIME Designation in the European Union, but we might not receive such designations, and even if we do, such
designations may not lead to a faster development or regulatory review or approval process.

We may seek certain designations for one or more of our product candidates that could expedite review and approval by the FDA. A Breakthrough Therapy
product  is  defined  as  a  product  that  is  intended,  alone  or  in  combination  with  one  or  more  other  products,  to  treat  a  serious  condition,  and  preliminary
clinical  evidence  indicates  that  the  product  may  demonstrate  substantial  improvement  over  existing  therapies  on  one  or  more  clinically  significant
endpoints, such as substantial treatment effects observed early in clinical development. For products that have been designated as Breakthrough Therapies,
interaction and communication between the FDA and the sponsor of the trial can help to identify the most efficient path for clinical development while
minimizing the number of patients placed in ineffective control regimens.

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The FDA may also designate a product for Fast Track review if it is intended, whether alone or in combination with one or more other products, for the
treatment  of  a  serious  or  life  threatening  disease  or  condition,  and  it  demonstrates  the  potential  to  address  unmet  medical  needs  for  such  a  disease  or
condition.  For  Fast  Track  products,  sponsors  may  have  greater  interactions  with  the  FDA  and  the  FDA  may  initiate  review  of  sections  of  a  Fast  Track
product’s  application  before  the  application  is  complete.  This  rolling  review  may  be  available  if  the  FDA  determines,  after  preliminary  evaluation  of
clinical data submitted by the sponsor, that a Fast Track product may be effective. In August 2020, the FDA granted Fast Track Designation for UpRi for
the treatment of patients with platinum-resistant high-grade serous ovarian cancer who have received up to three prior lines of systemic therapy or patients
who have received four prior lines of systemic therapy regardless of platinum status.

We may also seek a priority review designation for one or more of our product candidates. If the FDA determines that a product candidate offers major
advances  in  treatment  or  provides  a  treatment  where  no  adequate  therapy  exists,  the  FDA  may  designate  the  product  candidate  for  priority  review.  A
priority review designation means that the goal for the FDA to review an application is six months, rather than the standard review period of ten months.

These designations are within the discretion of the FDA. Accordingly, even if we believe that one of our product candidates meets the criteria for these
designations,  the  FDA  may  disagree  and  instead  determine  not  to  make  such  designation.  Further,  even  if  we  receive  a  designation,  the  receipt  of  such
designation for a product candidate may not result in a faster development or regulatory review or approval process compared to products considered for
approval under conventional FDA procedures and does not assure ultimate approval by the FDA. In addition, even if one or more of our product candidates
qualifies for these designations, the FDA may later decide that the product candidates no longer meet the conditions for qualification or decide that the time
period for FDA review or approval will not be shortened.

In the European Union, we may seek PRIME designation for our product candidates in the future. PRIME is a voluntary program aimed at enhancing the
EMA’s role to reinforce scientific and regulatory support in order to optimize development and enable accelerated assessment of new medicines that are of
major public health interest with the potential to address unmet medical needs. The program focuses on medicines that target conditions for which there
exists no satisfactory method of treatment in the European Union or even if such a method exists, it may offer a major therapeutic advantage over existing
treatments. PRIME is limited to medicines under development and not authorized in the European Union and the applicant intends to apply for an initial
marketing authorization application through the centralized procedure. To be accepted for PRIME, a product candidate must meet the eligibility criteria in
respect of its major public health interest and therapeutic innovation based on information that is capable of substantiating the claims.

The benefits of a PRIME designation include the appointment of a CHMP rapporteur to provide continued support and help to build knowledge ahead of a
marketing  authorization  application,  early  dialogue  and  scientific  advice  at  key  development  milestones,  and  the  potential  to  qualify  products  for
accelerated review, meaning reduction in the review time for an opinion on approvability to be issued earlier in the application process. PRIME enables an
applicant to request parallel EMA scientific advice and health technology assessment advice to facilitate timely market access. Even if we receive PRIME
designation for any of our product candidates, the designation may not result in a materially faster development process, review or approval compared to
conventional  EMA  procedures.  Further,  obtaining  PRIME  designation  does  not  assure  or  increase  the  likelihood  of  EMA’s  grant  of  a  marketing
authorization.

Inadequate funding for the FDA, the Securities and Exchange Commission and other government agencies, including from government shut downs,
or  other  disruptions  to  these  agencies’  operations,  could  hinder  their  ability  to  hire  and  retain  key  leadership  and  other  personnel,  prevent  new
products  and  services  from  being  developed  or  commercialized  in  a  timely  manner  or  otherwise  prevent  those  agencies  from  performing  normal
business functions on which the operation of our business may rely, which could negatively impact our business.

The ability of the FDA to review and approve new products can be affected by a variety of factors, including government budget and funding levels, ability
to hire and retain key personnel and accept the payment of user fees, and statutory, regulatory and policy changes. Average review times at the agency have
fluctuated  in  recent  years  as  a  result.  Disruptions  at  the  FDA  and  other  agencies  may  also  slow  the  time  necessary  for  new  product  candidates  to  be
reviewed and/or approved by necessary government agencies, which would adversely affect our business. In addition, government funding of the Securities
and Exchange Commission, or SEC, and other government agencies on which our operations may rely, including those that fund research and development
activities, is subject to the political process, which is inherently fluid and unpredictable.

Disruptions  at  the  FDA  and  other  agencies  may  also  slow  the  time  necessary  for  new  product  candidates  to  be  reviewed  and/or  approved  by  necessary
government agencies, which would adversely affect our business. For example, over the last several

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years the U.S. government has shut down several times and certain regulatory agencies, such as the FDA and the SEC, have had to furlough critical FDA,
SEC and other government employees and stop critical activities. If a prolonged government shutdown occurs, it could significantly impact the ability of
the FDA to timely review and process our regulatory submissions, which could have a material adverse effect on our business. Further, future government
shutdowns could impact our ability to access the public markets and obtain necessary capital in order to properly capitalize and continue our operations.

Separately, in response to the COVID-19 pandemic, a number of companies announced receipt of complete response letters due to the FDA’s inability to
complete required inspections for their applications. As of May 26, 2021, the FDA noted it was continuing to ensure timely reviews of applications for
medical products during the ongoing COVID-19 pandemic in line with its user fee performance goals and conducting mission critical domestic and foreign
inspections to ensure compliance of manufacturing facilities with FDA quality standards. However, the FDA may not be able to continue its current pace
and  review  timelines  could  be  extended,  including  where  a  pre-approval  inspection  or  an  inspection  of  clinical  sites  is  required  and  due  to  the  ongoing
COVID-19  pandemic  and  travel  restrictions,  the  FDA  is  unable  to  complete  such  required  inspections  during  the  review  period.  Regulatory  authorities
outside the United States may adopt similar restrictions or other policy measures in response to the COVID-19 pandemic and may experience delays in
their regulatory activities. If a prolonged government shutdown or other disruption occurs, it could significantly impact the ability of the FDA to timely
review and process our regulatory submissions, which could have a material adverse effect on our business. Future shutdowns or other disruptions could
also affect other government agencies such as the SEC, which may also impact our business by delaying review of our public filings, to the extent such
review is necessary, and our ability to access the public markets.

We  are  currently  conducting  clinical  trials  for  UpRi,  and  may  conduct  future  clinical  trials  for  our  other  product  candidates  at  sites  outside  of  the
United  States,  and  the  FDA  may  not  accept  data  from  trials  conducted  in  such  locations  or  the  complexity  of  regulatory  burdens  may  otherwise
adversely impact us.

We are currently conducting and we plan to continue to conduct clinical trials outside of the United States. Although the FDA may accept data from clinical
trials conducted outside the United States, acceptance of these data is subject to conditions imposed by the FDA. For example, the clinical trial must be
well designed and conducted and be performed by qualified investigators in accordance with GCPs. If the foreign data is the sole basis for a marketing
application, then the data must be applicable to the U.S. population and U.S. medical practice in ways that the FDA deems clinically meaningful and the
FDA must be able to validate the data through an on-site inspection, if necessary. In addition, while these clinical trials are subject to the applicable local
laws, FDA acceptance of the data will depend on its determination that the trials also complied with all applicable U.S. laws and regulations. If the FDA
does not accept the data from any clinical trial that we conduct outside the United States, it would likely result in the need for additional clinical trials,
which would be costly and time-consuming and could delay or permanently halt our development of the applicable product candidates.

Our ability to successfully initiate, enroll and complete a clinical trial in any country outside of the United States is subject to numerous additional risks
unique to conducting business in jurisdictions outside the United States, including:

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difficulty in establishing or managing relationships with qualified CROs, physicians and clinical trial sites;

different local standards for the conduct of clinical trials;

difficulty in complying with various and complex import laws and regulations when shipping drug to certain countries;

the  potential  burden  of  complying  with  a  variety  of  laws,  medical  standards  and  regulatory  requirements,  including  the  regulation  of
pharmaceutical and biotechnology products and treatments;

lack of consistency in standard of care from country to country;

diminished protection of intellectual property in some countries;

foreign exchange fluctuations;

cultural differences in medical practice and clinical research; and

changes in country or regional regulatory requirements.

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Furthermore, the COVID-19 pandemic may also have an impact on our ability to successfully conduct trials outside of the United States. For example, we
are conducting UPLIFT in countries where clinical trial site staff have been diverted to care for COVID-19 patients and where regulatory authorities are
short staffed due to the COVID-19 pandemic. If we have difficulty conducting our clinical trials in jurisdictions outside the United States as planned, we
may need to delay, limit or terminate ongoing or planned clinical trials, any of which could have a material adverse effect on our business.

Accelerated approval by the FDA, even if granted for UpRi or any other current or future product candidates, may not lead to a faster development or
regulatory review or approval process and it does not increase the likelihood that our product candidates will receive marketing approval.

We may seek approval of UpRi and any of our other current and future product candidates using the FDA’s accelerated approval pathway. A product may
be eligible for accelerated approval if it treats a serious or life-threatening condition, generally provides a meaningful advantage over available therapies,
and  demonstrates  an  effect  on  a  surrogate  endpoint  that  is  reasonably  likely  to  predict  clinical  benefit.  The  FDA  or  other  applicable  regulatory  agency
makes the determination regarding whether a surrogate endpoint is reasonably likely to predict long-term clinical benefit.

Prior to seeking such accelerated approval, we will seek feedback from the FDA and otherwise evaluate our ability to seek and receive such accelerated
approval. As a condition of approval, the FDA requires that a sponsor of a product receiving accelerated approval perform an adequate and well-controlled
post-marketing confirmatory clinical trial or trials. These confirmatory trials must be completed with due diligence and we may be required to evaluate
different or additional endpoints in these post-marketing confirmatory trials. These confirmatory trials may require enrollment of more patients than we
currently anticipate and will result in additional costs, which may be greater than the estimated costs we currently anticipate. In addition, the FDA currently
requires as a condition for accelerated approval preapproval of promotional materials, which could adversely impact the timing of the commercial launch of
the product.

There  can  be  no  assurance  that  the  FDA  will  agree  with  any  proposed  surrogate  endpoints  or  that  we  will  decide  to  pursue  or  submit  an  BLA  for
accelerated approval or any other form of expedited development, review or approval. Similarly, there can be no assurance that, after feedback from FDA,
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,  there  can  be  no
assurance that such submission or application will be accepted or that any expedited review or approval will be granted on a timely basis, or at all.

The FDA may withdraw approval of a product candidate approved under the accelerated approval pathway if, for example, the trial required to verify the
predicted  clinical  benefit  of  our  product  candidate  fails  to  verify  such  benefit  or  does  not  demonstrate  sufficient  clinical  benefit  to  justify  the  risks
associated  with  the  drug.  The  FDA  may  also  withdraw  approval  if  other  evidence  demonstrates  that  our  product  candidate  is  not  shown  to  be  safe  or
effective under the conditions of use, we fail to conduct any required post approval trial of our product candidate with due diligence or we disseminate false
or misleading promotional materials relating to our product candidate. A failure to obtain accelerated approval or any other form of expedited development,
review or approval for our product candidates, or withdrawal of a product candidate, would result in a longer time period for commercialization of such
product candidate, could increase the cost of development of such product candidate and could harm our competitive position in the marketplace.

Even  if  we  do  receive  accelerated  approval,  we  may  not  experience  a  faster  development  or  regulatory  review  or  approval  process,  and  receiving
accelerated approval does not provide assurance of ultimate full FDA approval.

If  we  or  our  third-party  collaborators  are  unable  to  successfully  develop  and  commercialize  any  required  companion  diagnostics  for  our  product
candidates or engage a third party to do so, or we or they experience significant delays in doing so, we may not realize the full potential of our product
candidates.

If  a  companion  diagnostic  is  required  for  the  label  for  UpRi,  our  lead  product  candidate,  XMT-1592,  or  any  of  our  other  current  or  future  product
candidates, therefore conditioning our ability to market such product candidates on the commercial availability of an approved companion diagnostic, we
may seek approval for our validated assay as a companion diagnostic or we may contract with third parties to create and obtain approval for a companion
diagnostic. To be successful in developing and commercializing such a companion diagnostic, we need to address a number of scientific, technical and
logistical  challenges.  We  have  little  experience  in  the  development  and  commercialization  of  companion  diagnostics  and  may  not  be  successful  in
developing and commercializing appropriate companion diagnostics to pair with UpRi, XMT-1592, or any of our other current or future product candidates.
Companion  diagnostics  are  subject  to  regulation  by  the  FDA  and  equivalent  foreign  regulatory  authorities  as  medical  devices  and  require  separate
regulatory approval prior to commercialization. Given our limited

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experience  in  developing  diagnostics,  we  may  rely  in  part  or  in  whole  on  third  parties  for  their  design,  manufacture  and  commercialization.  We,  our
collaborators or such third parties may encounter difficulties in developing and obtaining approval for the companion diagnostics, including issues relating
to selectivity/specificity, analytical validation, reproducibility or clinical validation. Any delay or failure by us, our collaborators or such third parties to
develop or obtain regulatory approval of the companion diagnostics could delay or prevent approval of our product candidates. If we, or any third parties
that  we  may  contract  with  to  assist  us,  are  unable  to  successfully  develop  and  commercialize  companion  diagnostics  for  our  product  candidates,  or
experience delays in doing so:

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the  development  of  UpRi,  XMT-1592,  and  our  other  current  or  future  product  candidates,  may  be  adversely  affected  if  we  are  unable  to
appropriately select patients for enrollment in our clinical trials;

our  product  candidates  may  not  receive  marketing  approval  if  safe  and  effective  use  of  a  product  candidate  depends  on  the  availability  of  an
companion diagnostic and/or complementary diagnostics and such diagnostic is not commercially available or otherwise approved or cleared by
the appropriate regulatory authority; and

• we may not realize the full commercial potential of any product candidates that receive marketing approval if, among other reasons, we are unable

to appropriately select patients who are likely to benefit from therapy with our products, if approved.

If any of these events were to occur, our business would be harmed, possibly materially.

In addition, third-party collaborators may encounter production difficulties that could constrain the supply of the companion diagnostics, and both they and
we may have difficulties gaining acceptance of the use of the companion diagnostics in the clinical community. If such companion diagnostics fail to gain
market acceptance, it would have an adverse effect on our ability to derive revenues from sales of our product candidates, if approved. In addition, any
diagnostic  company  with  whom  we  contract  may  decide  to  discontinue  selling  or  manufacturing  the  companion  diagnostic  that  we  anticipate  using  in
connection with development and commercialization of our product candidates or our relationship with such diagnostic company may otherwise terminate.
We may not be able to enter into arrangements with another diagnostic company to obtain supplies of an alternative diagnostic test for use in connection
with the development and commercialization of our product candidates or do so on commercially reasonable terms, which could adversely affect and/or
delay the development or commercialization of our product candidates.

Our activities, including our interactions with healthcare providers, third party payors, patients and government officials, are, and will continue to be,
subject to extensive regulation involving health care, anti-corruption, data privacy and security and consumer protection laws. Failure to comply with
applicable laws could result in substantial penalties, contractual damages, reputational harm, diminished revenues and curtailment or restructuring of
our operations.

Our activities may now or in the future be directly or indirectly subject to various federal and state laws related to health care, anti-corruption, data privacy
and security consumer protection. If we obtain FDA approval for any of our product candidates and begin commercializing those products in the United
States,  our  potential  exposure  under  such  laws  will  increase  significantly,  and  our  costs  associated  with  compliance  with  such  laws  are  also  likely  to
increase. These laws include, but are not limited to:

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federal false claims, false statements and civil monetary penalties laws prohibiting, among other things, any person from knowingly presenting, or
causing to be presented, a false claim for payment of government funds or knowingly making, or causing to be made, a false statement to get a
false claim paid;

the  federal  anti-kickback  law,  which  prohibits,  among  other  things,  persons  from  offering,  soliciting,  receiving  or  providing  any  remuneration,
directly or indirectly, to induce, either the referral of an individual for, or the purchasing or ordering of a good or service, for which payment may
be made under federal health care programs such as the Medicare and Medicaid;

the federal anti-kickback prohibition known as Eliminating Kickbacks in Recovery Act, enacted in 2018, which prohibits certain payments related
to referrals of patients to certain providers (recovery homes, clinical treatment facilities and laboratories) and applies to services reimbursed by
private health plans as well as government health care programs;

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the federal law known as Health Insurance Portability and Accountability Act of 1996, or HIPAA, which, in addition to privacy protections to
healthcare providers and other entities, prohibits executing a scheme to defraud any healthcare benefit program (which may include private health
plans) or making false statements relating to healthcare matters;

the  Food,  Drug,  and  Cosmetic  Act,  which  among  other  things,  strictly  regulates  drug  marketing,  prohibits  manufacturers  from  marketing  such
products for off-label use and regulates the distribution of samples;

federal laws that require pharmaceutical manufacturers to report certain calculated product prices to the government or provide certain discounts
or rebates to government authorities or private entities, often as a condition of reimbursement under government healthcare programs;

the  so-called  “federal  sunshine”  law,  which  requires  pharmaceutical  and  medical  device  companies  to  monitor  and  report  certain  financial
interactions with teaching hospitals, physicians and certain non-physician practitioners to the federal government for re-disclosure to the public;

the privacy, security and breach provisions of HIPAA, which impose obligations on certain “covered entities” (healthcare providers, health plans
and  healthcare  clearinghouses)  and  certain  of  their  “business  associate”  contractors  with  respect  to  safeguarding  the  privacy,  security  and
transmission of individually identifiable health information;

federal and state laws and regulations, including state security breach notification laws, state health information privacy laws, and federal and state
consumer protection laws, govern the collection, use, disclosure and protection of health-related and other personal information.

federal  consumer  protection  and  unfair  competition  laws,  which  broadly  regulate  marketplace  activities  and  activities  that  potentially  harm
consumers;

the Foreign Corrupt Practices Act, or FCPA, a United States law which regulates certain financial relationships with foreign government officials
(which could include, for example, certain medical professionals); and

state  law  analogues  of  each  of  the  above  federal  laws,  such  as  anti-kickback  and  false  claims  laws  which  may  apply  to  items  or  services
reimbursed by any third-party payor, including private health plans, state privacy laws, state consumer protection laws, and state laws regulating
interactions  between  pharmaceutical  manufacturers  and  healthcare  providers,  requiring  disclosure  of  such  financial  interactions  or  mandating
adoption of certain compliance standards, many of which differ from each other in significant ways and often are not preempted by federal laws,
thus complicating compliance efforts.

In addition, the regulatory approval and commercialization of any of our product candidates outside the United States will also likely subject us to foreign
equivalents of the health care laws mentioned above, among other foreign laws.

Efforts  to  ensure  that  our  business  arrangements  will  comply  with  applicable  health  care  laws  may  involve  substantial  costs.  It  is  possible  that
governmental and enforcement authorities will conclude that our business practices may not comply with current or future statutes, regulations or case law
interpreting applicable fraud and abuse or other health care laws and regulations. If our operations are found to be in violation of any of the laws described
above  or  any  other  governmental  regulations  that  apply  to  us,  we  may  be  subject  to  penalties,  including,  without  limitation,  civil,  criminal  and
administrative penalties, damages, monetary fines, disgorgement, possible exclusion from participation in Medicare, Medicaid and other federal health care
programs, contractual damages, reputational harm, diminished profits and future earnings and curtailment or restructuring of our operations.

Current and future legislation may increase the difficulty and cost for us to obtain reimbursement for our product candidates.

In  the  United  States  and  some  foreign  jurisdictions,  there  have  been  and  continue  to  be  a  number  of  legislative  and  regulatory  changes  and  proposed
changes regarding the healthcare system that could, among other things, prevent or delay marketing approval of our product candidates, restrict or regulate
post-approval activities and affect our ability to profitably sell any products for which we obtain marketing approval. We expect that current laws, as well
as other healthcare reform measures that may be adopted in the future, may result in more rigorous coverage criteria and in additional downward pressure
on the price

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that  we  may  receive  for  any  approved  products.  If  reimbursement  of  our  products  is  unavailable  or  limited  in  scope,  our  business  could  be  materially
harmed.

In  March  2010,  President  Obama  signed  into  law  the  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and  Education
Affordability Reconciliation Act, collectively the ACA. In addition, other legislative changes have been proposed and adopted since the ACA was enacted.
In August 2011, the Budget Control Act of 2011, among other things, created measures for spending reductions by Congress. A Joint Select Committee on
Deficit  Reduction,  tasked  with  recommending  a  targeted  deficit  reduction  of  at  least  $1.2  trillion  for  the  years  2013  through  2021,  was  unable  to  reach
required goals, thereby triggering the legislation’s automatic reduction to several government programs. These changes included aggregate reductions to
Medicare  payments  to  providers  of  up  to  2%  per  fiscal  year,  which  went  into  effect  in  April  2013  and  will  remain  in  effect  through  2031  under  the
Coronavirus Aid, Relief, and Economic Security Act, or the CARES Act. These Medicare sequester reductions have been suspended through the end of
March 2022. From April 2022 through June 2022, a 1% sequester cut will be in effect, with the full 2% cut resuming thereafter. The American Taxpayer
Relief Act of 2012, among other things, reduced Medicare payments to several providers and increased the statute of limitations period for the government
to recover overpayments to providers from three to five years. These laws may result in additional reductions in Medicare and other healthcare funding and
otherwise affect the prices we may obtain for any of our products or product candidates for which we may obtain regulatory approval or the frequency with
which any such product is prescribed or used.

Since enactment of the ACA, there have been and continue to be, numerous legal challenges and Congressional actions to repeal and replace provisions of
the  law.  For  example,  with  enactment  of  the  Tax  Cuts  for  Jobs  Act,  or  TCJA,  in  2017,  Congress  repealed  the  “individual  mandate.”  The  repeal  of  this
provision, which requires most Americans to carry a minimal level of health insurance, became effective in 2019. Further, on December 14, 2018, a U.S.
District Court judge in the Northern District of Texas ruled that the individual mandate portion of the ACA is an essential and inseverable feature of the
ACA and therefore because the mandate was repealed as part of the TCJA, the remaining provisions of the ACA are invalid as well. The U.S. Supreme
Court heard this case on November 10, 2020 and on June 17, 2021, dismissed this action after finding that the plaintiffs do not have standing to challenge
the constitutionality of the ACA. Litigation and legislation over the ACA are likely to continue, with unpredictable and uncertain results.

The  Trump  Administration  also  took  executive  actions  to  undermine  or  delay  implementation  of  the  ACA,  including  directing  federal  agencies  with
authorities and responsibilities under the ACA to waive, defer, grant exemptions from or delay the implementation of any provision of the ACA that would
impose a fiscal or regulatory burden on states, individuals, healthcare providers, health insurers or manufacturers of pharmaceuticals or medical devices.
On January 28, 2021, however, President Biden revoked those orders and issued a new Executive Order which directs federal agencies to reconsider rules
and other policies that limit Americans’ access to health care and consider actions that will protect and strengthen that access. Under this order, federal
agencies  are  directed  to  re-examine:  policies  that  undermine  protections  for  people  with  pre-existing  conditions,  including  complications  related  to
COVID-19; demonstrations and waivers under Medicaid and the ACA that may reduce coverage or undermine the programs, including work requirements;
policies that undermine the Health Insurance Marketplace or other markets for health insurance; policies that make it more difficult to enroll in Medicaid
and the ACA; and policies that reduce affordability of coverage or financial assistance, including for dependents.

We expect that these healthcare reforms, as well as other healthcare reform measures that may be adopted in the future, may result in additional reductions
in Medicare and other healthcare funding, more rigorous coverage criteria, new payment methodologies and additional downward pressure on the price that
we  receive  for  any  approved  product  and/or  the  level  of  reimbursement  physicians  receive  for  administering  any  approved  product  we  might  bring  to
market.  Reductions  in  reimbursement  levels  may  negatively  impact  the  prices  we  receive  or  the  frequency  with  which  our  products  are  prescribed  or
administered. Any reduction in reimbursement from Medicare or other government programs may result in a similar reduction in payments from private
payors.  Accordingly,  such  reforms,  if  enacted,  could  have  an  adverse  effect  on  anticipated  revenue  from  product  candidates  that  we  may  successfully
develop and for which we may obtain marketing approval and may affect our overall financial condition and ability to develop or commercialize product
candidates.

The prices of prescription pharmaceuticals in the United States and foreign jurisdictions are subject to considerable legislative and executive actions
and could impact the prices we obtain for our products, if and when licensed.

The prices of prescription pharmaceuticals have also been the subject of considerable discussion in the United States. There have been several recent U.S.
congressional  inquiries,  as  well  as  proposed  and  enacted  state  and  federal  legislation  designed  to,  among  other  things,  bring  more  transparency  to
pharmaceutical  pricing,  review  the  relationship  between  pricing  and  manufacturer  patient  programs,  and  reduce  the  costs  of  pharmaceuticals  under
Medicare  and  Medicaid.  In  2020,  President  Trump  issued  several  executive  orders  intended  to  lower  the  costs  of  prescription  products  and  certain
provisions in these orders

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have been incorporated into regulations. These regulations include an interim final rule implementing a most favored nation model for prices that would tie
Medicare Part B payments for certain physician-administered pharmaceuticals to the lowest price paid in other economically advanced countries, effective
January  1,  2021.  That  rule,  however,  has  been  subject  to  a  nationwide  preliminary  injunction  and,  on  December  29,  2021,  the  Center  for  Medicare  &
Medicaid Services, or CMS, issued a final rule to rescind it. With issuance of this rule, CMS stated that it will explore all options to incorporate value into
payments for Medicare Part B pharmaceuticals and improve beneficiaries' access to evidence-based care.

In addition, in October 2020, HHS and the FDA published a final rule allowing states and other entities to develop a Section 804 Importation Program, or
SIP, to import certain prescription drugs from Canada into the United States. The final rule is currently the subject of ongoing litigation, but at least six
states (Vermont, Colorado, Florida, Maine, New Mexico, and New Hampshire) have passed laws allowing for the importation of drugs from Canada with
the  intent  of  developing  SIPs  for  review  and  approval  by  the  FDA. Further,  on  November  20,  2020,  HHS  finalized  a  regulation  removing  safe  harbor
protection for price reductions from pharmaceutical manufacturers to plan sponsors under Part D, either directly or through pharmacy benefit managers,
unless the price reduction is required by law. The implementation of the rule has been delayed by the Biden administration from January 1, 2022 to January
1, 2023 in response to ongoing litigation. The rule also creates a new safe harbor for price reductions reflected at the point-of-sale, as well as a new safe
harbor for certain fixed fee arrangements between pharmacy benefit managers and manufacturers, the implementation of which have also been delayed by
the Biden administration until January 1, 2023.

On July 9, 2021, President Biden signed Executive Order 14063, which focuses on, among other things, the price of pharmaceuticals. The order directs the
Department  of  Health  and  Human  Services,  or  HHS,  to  create  a  plan  within  45  days  to  combat  “excessive  pricing  of  prescription  pharmaceuticals  and
enhance domestic pharmaceutical supply chains, to reduce the prices paid by the federal government for such pharmaceuticals, and to address the recurrent
problem of price gouging.” On September 9, 2021, HHS released its plan to reduce pharmaceutical prices. The key features of that plan are to: (a) make
pharmaceutical  prices  more  affordable  and  equitable  for  all  consumers  and  throughout  the  health  care  system  by  supporting  pharmaceutical  price
negotiations with manufacturers; (b) improve and promote competition throughout the prescription pharmaceutical industry by supporting market changes
that  strengthen  supply  chains,  promote  biosimilars  and  generic  drugs,  and  increase  transparency;  and  (c)  foster  scientific  innovation  to  promote  better
healthcare  and  improve  health  by  supporting  public  and  private  research  and  making  sure  that  market  incentives  promote  discovery  of  valuable  and
accessible new treatments.

At the state level, individual states are increasingly aggressive in passing legislation and implementing regulations designed to control pharmaceutical and
biological  product  pricing,  including  price  or  patient  reimbursement  constraints,  discounts,  restrictions  on  certain  product  access  and  marketing  cost
disclosure  and  transparency  measures,  and,  in  some  cases,  designed  to  encourage  importation  from  other  countries  and  bulk  purchasing.  In  addition,
regional healthcare organizations 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. These measures could reduce the ultimate demand for our products,
once approved, or put pressure on our product pricing. We expect that additional state and federal healthcare reform measures will be adopted in the future,
any  of  which  could  limit  the  amounts  that  federal  and  state  governments  will  pay  for  healthcare  products  and  services,  which  could  result  in  reduced
demand for our product candidates or additional pricing pressures.

In the European Union, similar political, economic and regulatory developments may affect our ability to profitably commercialize our product candidates,
if approved. In markets outside of the United States and the European Union, reimbursement and healthcare payment systems vary significantly by country
and many countries have instituted price ceilings on specific products and therapies. In many countries, including those of the European Union, the pricing
of prescription pharmaceuticals is subject to governmental control and access. In these countries, pricing negotiations with governmental authorities can
take considerable time after the receipt of marketing approval for a product. To obtain reimbursement or pricing approval in some countries, we or our
collaborators may be required to conduct a clinical trial that compares the cost-effectiveness of our product to other available therapies. If reimbursement of
our products is unavailable or limited in scope or amount or if pricing is set at unsatisfactory levels, our business could be materially harmed.

We are subject to stringent privacy laws, information security laws, regulations, policies and contractual obligations related to data privacy and security
and changes in such laws, regulations, policies, contractual obligations and failure to comply

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with  such  requirements  could  subject  us  to  significant  fines  and  penalties,  which  may  have  a  material  adverse  effect  on  our  business,  financial
condition or results of operations.

We  are  subject  to  data  privacy  and  protection  laws  and  regulations  that  apply  to  the  collection,  transmission,  storage  and  use  of  personally-identifying
information, which among other things, impose certain requirements relating to the privacy, security and transmission of personal information, including
comprehensive regulatory systems in the United States, European Union and United Kingdom. The legislative and regulatory landscape for privacy and
data  protection  continues  to  evolve  in  jurisdictions  worldwide,  and  there  has  been  an  increasing  focus  on  privacy  and  data  protection  issues  with  the
potential to affect our business. Failure to comply with any of these laws and regulations could result in enforcement action against us, including fines,
imprisonment of company officials and public censure, claims for damages by affected individuals, damage to our reputation and loss of goodwill, any of
which could have a material adverse effect on our business, financial condition, results of operations or prospects.

There  are  numerous  U.S.  federal  and  state  laws  and  regulations  related  to  the  privacy  and  security  of  personal  information.  In  particular,  regulations
promulgated pursuant to HIPAA establish privacy and security standards that limit the use and disclosure of individually identifiable health information, or
protected health information, and require the implementation of administrative, physical and technological safeguards to protect the privacy of protected
health information and ensure the confidentiality, integrity and availability of electronic protected health information. Determining whether protected health
information  has  been  handled  in  compliance  with  applicable  privacy  standards  and  our  contractual  obligations  can  be  complex  and  may  be  subject  to
changing interpretation. These obligations may be applicable to some or all of our business activities now or in the future.

If we are unable to properly protect the privacy and security of protected health information, we could be found to have breached our contracts. Further, if
we fail to comply with applicable privacy laws, including applicable HIPAA privacy and security standards, we could face civil and criminal penalties.
HHS  enforcement  activity  can  result  in  financial  liability  and  reputational  harm,  and  responses  to  such  enforcement  activity  can  consume  significant
internal resources. In addition, state attorneys general are authorized to bring civil actions seeking either injunctions or damages in response to violations
that threaten the privacy of state residents. We cannot be sure how these regulations will be interpreted, enforced or applied to our operations. In addition to
the risks associated with enforcement activities and potential contractual liabilities, our ongoing efforts to comply with evolving laws and regulations at the
federal and state level may be costly and require ongoing modifications to our policies, procedures and systems.

Similar to the laws in the United States, there are significant privacy and data security laws that apply in Europe and other countries. The collection, use,
disclosure, transfer, or other processing of personal data, including personal health data, regarding individuals who are located in the European Economic
Area, or the EEA, and the processing of personal data that takes place in the EEA, is regulated by the General Data Protection Regulation, or GDPR, which
went into effect in May 2018 and which imposes obligations on companies that operate in our industry with respect to the processing of personal data and
the cross-border transfer of such data. The GDPR imposes onerous accountability obligations requiring data controllers and processors to maintain a record
of  their  data  processing  and  policies.  If  our  or  our  partners’  or  service  providers’  privacy  or  data  security  measures  fail  to  comply  with  the  GDPR
requirements, we may be subject to litigation, regulatory investigations, enforcement notices requiring us to change the way we use personal data and/or
fines  of  up  to  20  million  Euros  or  up  to  4%  of  the  total  worldwide  annual  turnover  of  the  preceding  financial  year,  whichever  is  higher,  as  well  as
compensation claims by affected individuals, negative publicity, reputational harm and a potential loss of business and goodwill.

The GDPR places restrictions on the cross-border transfer of personal data from the European Union to countries that have not been found by the European
Commission to offer adequate data protection legislation, such as the United States. There are ongoing concerns about the ability of companies to transfer
personal data from the EU to other countries. In  July  2020,  the  Court  of  Justice  of  the  European  Union,  or  the  CJEU,  invalidated  the  EU-U.S.  Privacy
Shield,  one  of  the  mechanisms  used  to  legitimize  the  transfer  of  personal  data  from  the  EEA  to  the  United  States. The  CJEU  decision  also  drew  into
question the long-term viability of an alternative means of data transfer, the standard contractual clauses, for transfers of personal data from the EEA to the
United States. While we were not self-certified under the Privacy Shield, this CJEU decision may lead to increased scrutiny on data transfers from the EEA
to the United States generally and increase our costs of compliance with data privacy legislation as well as our costs of negotiating appropriate privacy and
security agreements with our vendors and business partners.

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Laws and regulations governing any international operations we may have in the future may preclude us from developing, manufacturing and selling
certain products outside of the United States and require us to develop and implement costly compliance programs.

If  we  further  expand  our  operations  outside  the  United  States,  we  will  need  to  dedicate  additional  resources  to  comply  with  U.S.  laws  regarding
international operations and the laws and regulations in each jurisdiction in which we operate and plan to operate. The FCPA prohibits any U.S. individual
or business from paying, offering or authorizing payment or offering of anything of value, directly or indirectly, to any foreign official, political party or
candidate  for  the  purpose  of  influencing  any  act  or  decision  of  the  foreign  entity  in  order  to  assist  the  individual  or  business  in  obtaining  or  retaining
business. The FCPA also obligates companies whose securities are listed in the United States to comply with certain accounting provisions requiring the
company to maintain books and records that accurately and fairly reflect all transactions of the company, including international subsidiaries and to devise
and maintain an adequate system of internal accounting controls for international operations.

Compliance with the FCPA is expensive and difficult, particularly in countries in which corruption is a recognized problem. In addition, the FCPA presents
particular challenges in the pharmaceutical industry because in many countries, hospitals are operated by the government and doctors and other hospital
employees  are  considered  foreign  officials.  Certain  payments  to  hospitals  in  connection  with  clinical  trials  and  other  work  have  been  deemed  to  be
improper payments to government officials and have led to FCPA enforcement actions.

Various  laws,  regulations  and  executive  orders  also  restrict  the  use  and  dissemination  outside  of  the  United  States  or  the  sharing  with  certain  non-U.S.
nationals,  of  information  classified  for  national  security  purposes,  as  well  as  certain  products  and  technical  data  relating  to  those  products.  Further,  the
provision of benefits or advantages to physicians to induce or encourage the prescription, recommendation, endorsement, purchase, supply, order or use of
medicinal products is prohibited in the European Union. The provision of benefits or advantages to physicians is also governed by the national anti-bribery
laws of E.U. Member States, such as the U.K. Bribery Act 2010. Infringement of these laws could result in substantial fines and imprisonment. Payments
made to physicians in certain E.U. Member States must be publicly disclosed. Moreover, agreements with physicians often must be the subject of prior
notification and approval by the physician’s employer, his or her competent professional organization and/or the regulatory authorities of the individual
E.U. Member States. These requirements are provided in the national laws, industry codes or professional codes of conduct applicable in the E.U. Member
States. Failure to comply with these requirements could result in reputational risk, public reprimands, administrative penalties, fines or imprisonment.

If we expand our presence outside of the United States , it will require us to dedicate additional resources to comply with these laws and these laws may
preclude us from developing, manufacturing or selling certain products and product candidates outside of the United States, which could limit our growth
potential and increase our development costs. The failure to comply with laws governing international business practices may result in substantial civil and
criminal penalties and suspension or debarment from government contracting. The SEC also may suspend or bar issuers from trading securities on U.S.
exchanges for violations of the FCPA’s accounting provisions.

We and our third-party contract manufacturers must comply with environmental, health and safety laws and regulations, and failure to comply with
these laws and regulations could expose us to significant costs or liabilities.

We and our third-party manufacturers are subject to numerous environmental, health and safety laws and regulations, including those governing laboratory
procedures and the use, generation, manufacture, distribution, storage, handling, treatment, remediation and disposal of hazardous materials and wastes.
Hazardous chemicals, including flammable and biological materials, are involved in certain aspects of our business, and we cannot eliminate the risk of
injury or contamination from the use, generation, manufacture, distribution, storage, handling, treatment or disposal of hazardous materials and wastes. In
the  event  of  contamination  or  injury,  or  failure  to  comply  with  environmental,  health  and  safety  laws  and  regulations,  we  could  be  held  liable  for  any
resulting damages and any such liability could exceed our assets and resources. We could also incur significant costs associated with civil or criminal fines
and penalties for failure to comply with such laws and regulations.

Although we maintain workers’ compensation insurance to cover us for costs and expenses we may incur due to injuries to our employees resulting from
the  use  of  hazardous  materials,  this  insurance  may  not  provide  adequate  coverage  against  potential  liabilities.  We  do  not  maintain  insurance  for
environmental liability or toxic tort claims that may be asserted against us in connection with our storage or disposal of biological, hazardous or radioactive
materials.

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Environmental, health and safety laws and regulations are becoming increasingly more stringent. We may incur substantial costs in order to comply with
current or future environmental, health and safety laws and regulations. These current or future laws and regulations may impair our research, development
or production efforts. Our failure to comply with these laws and regulations also may result in substantial fines, penalties or other sanctions.

Further,  with  respect  to  the  operations  of  our  third-party  contract  manufacturers,  it  is  possible  that  if  they  fail  to  operate  in  compliance  with  applicable
environmental, health and safety laws and regulations or properly dispose of wastes associated with our products, we could be held liable for any resulting
damages, suffer reputational harm or experience a disruption in the manufacture and supply of our product candidates or products.

Our  employees  may  engage  in  misconduct  or  other  improper  activities,  including  noncompliance  with  regulatory  standards  and  requirements  and
insider trading.

We  are  exposed  to  the  risk  of  employee  fraud  or  other  misconduct.  Misconduct  by  employees  could  include  intentional  failures  to  comply  with  FDA
regulations, to provide accurate information to the FDA, to comply with manufacturing standards we have established, to comply with federal and state
healthcare fraud and abuse laws and regulations, to report financial information or data accurately or to disclose unauthorized activities to us. In particular,
sales, marketing and business arrangements in the healthcare industry are subject to extensive laws and regulations intended to prevent fraud, kickbacks,
self-dealing and other abusive practices. These laws and regulations may restrict or prohibit a wide range of pricing, discounting, marketing and promotion,
sales  commission,  customer  incentive  programs  and  other  business  arrangements.  Employee  misconduct  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 employee 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 or regulations. Additionally, we are subject to the risk that a person could allege such fraud or other misconduct, even if none occurred. If
any such actions are instituted against us, and we are not successful in defending ourselves or asserting our rights, those actions could have a significant
impact on our business, including the imposition of civil, criminal and administrative penalties, damages, monetary fines, disgorgement, possible exclusion
from participation in Medicare, Medicaid and other federal health care programs, contractual damages, reputational harm, diminished profits and future
earnings  and  curtailment  or  restructuring  of  our  operations,  any  of  which  could  adversely  affect  our  ability  to  operate  our  business  and  our  results  of
operations.

Risks related to our business and industry

If we fail to attract and keep senior management and key scientific personnel, we may be unable to successfully develop our ADC product candidates,
conduct our clinical trials and commercialize our ADC product candidates.

Our ability to compete in the highly competitive biotechnology and biopharmaceutical industries depends upon our ability to attract, motivate and retain
highly  qualified  managerial,  scientific  and  medical  personnel.  We  are  highly  dependent  on  members  of  our  senior  management,  including  Anna
Protopapas, our President and Chief Executive Officer. The loss of the services of any of our senior management could impede the achievement of our
research,  development  and  commercialization  objectives.  Also,  each  of  these  persons  may  terminate  their  employment  with  us  at  any  time.  We  do  not
maintain “key person” insurance for any of our executives or other employees.

Recruiting and retaining qualified scientific, clinical, sales and marketing personnel will also be critical to our success. We conduct our operations at our
facility  in  Cambridge,  Massachusetts,  in  a  region  that  is  headquarters  to  many  other  biopharmaceutical  companies  and  many  academic  and  research
institutions. Competition for skilled personnel is intense and the turnover rate can be high, which may limit our ability to hire and retain highly qualified
personnel  on  acceptable  terms  or  at  all.  We  may  not  be  able  to  attract  and  retain  these  personnel  on  acceptable  terms  given  the  competition  among
numerous pharmaceutical and biotechnology companies for similar personnel. In addition, we rely on consultants and advisors, including scientific and
clinical advisors, to assist us in formulating our research and development and commercialization strategy. Our consultants and advisors, may be employed
or have commitments under consulting or advisory contracts with other entities that may limit their availability to us.

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We may encounter difficulties in managing our growth and expanding our operations successfully.

As  we  seek  to  advance  our  product  candidates  through  clinical  trials  and  commercialization,  we  will  need  to  expand  our  development,  regulatory,
manufacturing, marketing and sales capabilities or contract with third parties to provide these capabilities for us. As our operations expand, we expect that
we  will  need  to  manage  additional  relationships  with  various  strategic  partners,  suppliers  and  other  third  parties.  Future  growth  will  impose  significant
added  responsibilities  on  members  of  management.  Our  future  financial  performance  and  our  ability  to  commercialize  our  product  candidates  and  to
compete effectively will depend, in part, on our ability to manage any future growth effectively. To that end, we must be able to manage our development
efforts and clinical trials effectively and hire, train and integrate additional management, administrative and, if necessary, sales and marketing personnel.
Due to our limited financial resources and the limited experience of our management team in managing a company with such anticipated growth, we may
not be able to accomplish these tasks, and our failure to accomplish any of them could prevent us from successfully growing our company or disrupt our
operations.

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

We  face  an  inherent  risk  of  product  liability  as  a  result  of  the  clinical  testing  of  our  product  candidates  and  will  face  an  even  greater  risk  if  we
commercialize any products. For example, we may be sued if any product we develop causes, or is perceived to cause, 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 and 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 candidates. Even a successful defense would require significant financial and management resources.
Regardless of the merits or eventual outcome, liability claims may result in:

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injury to our reputation;

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

• withdrawal of clinical trial participants;

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costs to defend the related litigations;

a diversion of management’s time and our resources;

substantial monetary awards to clinical trial participants or patients;

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

loss of revenue;

the inability to commercialize our product candidates; and

a decline in our stock price.

Failure to obtain and retain sufficient product liability insurance at an acceptable cost to protect against potential product liability claims could prevent or
inhibit  the  commercialization  of  products  we  develop.  We  currently  carry  product  liability  insurance  covering  our  clinical  trials  in  the  amount  of  $10
million in the aggregate. Although we maintain such insurance, any claim that may be brought against us could result in a court judgment or settlement in
an amount that is not covered, in whole or in part, by our insurance or that is in excess of the limits of our insurance coverage. Our insurance policies also
have various exclusions, and we may be subject to a product liability claim for which we have no coverage. In such instance, we might have to pay any
amounts awarded by a court or negotiated in a settlement that exceed our coverage limitations or that are not covered by our insurance, and we may not
have, or be able to obtain, sufficient capital to pay such amounts. 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 candidates, which could adversely affect our business, financial condition, results of operations and prospects.

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We may acquire assets or form strategic alliances in the future, and we may not realize the benefits of such acquisitions.

We may acquire additional technologies and assets, form strategic alliances or create joint ventures with third parties that we believe will complement or
augment our existing business. If we acquire assets with promising markets or technologies, we may not be able to realize the benefit of acquiring such
assets if we are unable to successfully integrate them with our existing technologies. We may encounter numerous difficulties in developing, manufacturing
and  marketing  any  new  products  resulting  from  a  strategic  alliance  or  acquisition  that  delay  or  prevent  us  from  realizing  their  expected  benefits  or
enhancing our business. We cannot be assured that, following any such acquisition, we will achieve the expected synergies to justify the transaction.

Our  internal  computer  systems,  or  those  of  our  strategic  partners,  third-party  collaborators  or  other  contractors  or  consultants,  may  fail  or  suffer
security breaches, which could adversely affect our business, including through material disruptions of our programs or business operations.

Our  internal  information  technology  systems  and  those  of  our  current  or  future  strategic  partners,  third  party  collaborators  and  other  contractors  and
consultants  are  vulnerable  to  service  interruptions  or  security  breaches,  including  from  cyber-attacks,  computer  viruses,  ransomware,  malware,
unauthorized access, natural disasters, terrorism, war and telecommunication and electrical failures. If a failure, accident or security breach were to occur
and  cause  interruptions  in  our  operations  or  the  operations  of  those  third  parties  with  which  we  contract,  it  could  result  in  a  material  disruption  of  our
programs and our business operations. We could lose access to our trade secrets or other proprietary information or experience other disruptions, which
could require a substantial expenditure of resources to remedy. For example, the loss of clinical trial data for our product candidates could result in delays
in our regulatory approval efforts and significantly increase our costs to recover or reproduce the data.

We  could  also  be  subject  to  risks  caused  by  misappropriation,  misuse,  leakage,  falsification  or  intentional  or  accidental  release  or  loss  of  information
maintained in our information systems and networks, including personal information of our employees or others. Outside parties may attempt to penetrate
our systems or those of the third parties with which we contract or to coerce or fraudulently induce our employees or employees of such third parties to
disclose sensitive information to gain access to our data. The number and complexity of these threats continue to increase over time. Although we develop
and  maintain  systems  and  controls  designed  to  prevent  these  events  from  occurring,  and  we  have  a  process  to  identify  and  mitigate  threats,  such  risks
cannot  be  eliminated.  Furthermore,  there  can  be  no  assurance  that  we,  or  those  third  parties  with  which  we  contract,  will  promptly  detect  any  such
disruption  or  security  breach,  if  at  all.  Additionally,  the  development  and  maintenance  of  these  systems,  controls  and  processes  is  costly  and  requires
ongoing  monitoring  and  updating  as  technologies  change  and  efforts  to  overcome  security  measures  become  more  sophisticated.  To  the  extent  that  any
disruption or security breach results in a loss of or damage to our data or applications or other data or applications relating to our technology or product
candidates,  or  inappropriate  disclosure  of  confidential  or  proprietary  information,  we  could  incur  liabilities,  our  competitive  position  and  the  market
perception of the effectiveness of our security measures could be harmed, our credibility could be damaged and the further development of our product
candidates could be delayed.

Risks related to our common stock

If our stock price is volatile, our stockholders could incur substantial losses.

Our stock price has been and may continue to be volatile. During the period from February 25, 2019 to February 25, 2022, the closing price of our common
stock  ranged  from  a  high  of  $27.59  per  share  to  a  low  of  $1.45  per  share.  The  market  price  of  shares  of  our  common  stock  could  be  subject  to  wide
fluctuations in response to many risk factors listed in this “Risk Factors” section, and others beyond our control, including:

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results and timing of preclinical studies and clinical trials of our current or future product candidates, including UpRi and XMT-1592;

results of clinical trials of our competitors’ products;

failure to adequately protect our trade secrets;

the terms on which we raise additional capital or our ability to raise it;

commencement or termination of any strategic partnership or licensing arrangement;

regulatory developments, including actions with respect to our products or our competitors’ products;

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actual or anticipated fluctuations in our financial condition and operating results;

publication of research reports by securities analysts about us or our competitors or our industry;

our failure or the failure of our competitors to meet analysts’ projections or guidance that we or our competitors may give to the market;

additions and departures of key personnel;

strategic  decisions  by  us  or  our  competitors,  such  as  acquisitions,  divestitures,  spin-offs,  joint  ventures,  strategic  investments  or  changes  in
business strategy;

the passage of legislation or other regulatory developments affecting us or our industry;

changes in the structure of healthcare payment systems;

fluctuations in the valuation of companies perceived by investors to be comparable to us;

sales of our common stock by us (including pursuant to the pre-funded warrants described below), our insiders or our other stockholders;

speculation in the press or investment community;

announcement or expectation of additional financing efforts;

changes in market conditions for biopharmaceutical stocks; and

changes in general market and economic conditions.

In addition, the stock market has historically experienced significant volatility, particularly with respect to pharmaceutical, biotechnology and other life
sciences  company  stocks.  The  volatility  of  pharmaceutical,  biotechnology  and  other  life  sciences  company  stocks  often  does  not  relate  to  the  operating
performance of the companies represented by the stock. As a result of this volatility, stockholders may not be able to sell their common stock at or above
the price for which they paid for their shares. As we operate in a single industry, we are especially vulnerable to these factors to the extent that they affect
our industry or our products, or to a lesser extent our markets. Furthermore, as a result of this volatility, we may not be able to maintain compliance with
listing requirements of the Nasdaq Stock Market. In the past, securities class action litigation has often been initiated against companies following periods
of volatility in their stock price. This type of litigation could result in substantial costs and divert our management’s attention and resources, and could also
require us to make substantial payments to satisfy judgments or to settle litigation.

Our  principal  stockholders  and  management  own  a  significant  percentage  of  our  stock  and  are  able  to  exercise  significant  influence  over  matters
subject to stockholder approval.

As of December 31, 2021, our executive officers, directors and stockholders who own more than 5% of our outstanding common stock, together with their
respective affiliates, beneficially owned a significant amount of our common stock, including shares subject to outstanding options and warrants that are
exercisable within 60 days after such date. Accordingly, these stockholders, if they act together, could be able to exert a significant degree of influence over
our management and affairs and over matters requiring stockholder approval, including the election of our board of directors and approval of significant
corporate transactions. This concentration of ownership could have the effect of entrenching our management or board of directors, delaying or preventing
a change in control or otherwise discouraging a potential acquirer from attempting to obtain control of us, which in turn could have a material and adverse
effect on the fair market value of our common stock.

We do not expect to pay any cash dividends for the foreseeable future.

We do not anticipate that we will pay any cash dividends to holders of our common stock in the foreseeable future. Instead, we plan to retain any earnings
to maintain and expand our operations. In addition, our credit facility contains terms and any future debt financing arrangement may contain additional
terms prohibiting or limiting the amount of dividends that may be declared or paid on our common stock. Accordingly, investors must rely on sales of their
common stock after price appreciation, which may never occur, as the only way to realize any return on their investment.

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Provisions  in  our  amended  and  restated  certificate  of  incorporation,  our  amended  and  restated  by-laws  and  Delaware  law  may  have  anti-takeover
effects that could discourage an acquisition of us by others, even if an acquisition would be beneficial to our stockholders, and may prevent attempts by
our stockholders to replace or remove our current management.

Our  amended  and  restated  certificate  of  incorporation,  amended  and  restated  by-laws  and  Delaware  law  contain  provisions  that  may  have  the  effect  of
discouraging,  delaying  or  preventing  a  change  in  control  of  us  or  changes  in  our  management  that  stockholders  may  consider  favorable,  including
transactions in which our stockholders might otherwise receive a premium for their shares. Our amended and restated certificate of incorporation and by-
laws include provisions that:

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authorize “blank check” preferred stock, which could be issued by our board of directors without stockholder approval and may contain voting,
liquidation, dividend and other rights superior to our common stock;

create a classified board of directors whose members serve staggered three-year terms;

specify that special meetings of our stockholders can be called only by our board of directors;

prohibit stockholder action by written consent;

establish an advance notice procedure for stockholder approvals to be brought before an annual meeting of our stockholders, including proposed
nominations of persons for election to our board of directors;

provide that vacancies on our board of directors may be filled only by a majority of directors then in office, even though less than a quorum;

provide that our directors may be removed only for cause;

specify that no stockholder is permitted to cumulate votes at any election of directors;

expressly authorize our board of directors to have discretion to modify, alter or repeal our amended and restated by-laws; and

require  supermajority  votes  of  the  holders  of  our  common  stock  to  amend  specified  provisions  of  our  amended  and  restated  certificate  of
incorporation and amended and restated by-laws.

In addition, because we are incorporated in the State of Delaware, we are governed by the provisions of Section 203 of the General Corporation Law of the
State of Delaware, or the DGCL, which prohibits a person who owns in excess of 15% of our outstanding voting stock from merging or combining with us
for a period of three years after the date of the transaction in which the person acquired in excess of 15% of our outstanding voting stock, unless the merger
or combination is approved in a prescribed manner.

Any provision of our amended and restated certificate of incorporation, amended and restated by-laws or Delaware law that has the effect of delaying or
deterring a change in control could limit the opportunity for our stockholders to receive a premium for their shares of our common stock, and could also
affect the price that some investors are willing to pay for our common stock.

Our ability to use net operating losses and certain tax credit carryforwards may be subject to certain limitations.

For the years ended December 31, 2021, 2020 and 2019, we recorded no income tax benefit for the net operating losses incurred in each year, due to the
uncertainty of realizing a benefit from those items. We have incurred net operating losses (NOLs) since our inception. As of December 31, 2021, we have
federal NOLs of approximately $403.6 million and state NOLs of approximately $337.1 million. Of the $403.6 million of federal NOLs, $34.1 million
expire at various dates through 2037. The remaining $369.4 million of federal NOLs do not expire. The state NOLs will expire at various dates through
2041. As of December 31, 2021, we had Federal and State research and development tax credit carryforwards of approximately $10.1 million and $3.1
million,  respectively,  which  expire  at  various  dates  through  2041.  Under  the  2017  Tax  Act,  federal  NOLs  incurred  in  2018  and  in  future  years  may  be
carried forward indefinitely, but the deductibility of such federal NOLs is limited. It is uncertain if and to what extent various states will conform to the
2017  Tax  Act.  In  addition,  under  Section  382  of  the  Internal  Revenue  Code,  and  corresponding  provisions  of  state  law,  if  a  corporation  undergoes  an
“ownership change,” which is generally defined as a greater than 50% change, by value, in its equity ownership over a three-year period, the corporation’s
ability to use its pre-change NOLs and other pre-change tax attributes to offset its post-change income or taxes may be limited. Our past issuances of stock
and other changes in our stock ownership may have resulted in ownership changes within the

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meaning of Section 382 of the Code; accordingly, our pre-change NOLs may be subject to limitation under Section 382. If we determine that we have not
undergone an ownership change, the Internal Revenue Service could challenge our analysis, and our ability to use our NOLs to offset taxable income could
be limited by Section 382 of the Code. Future changes in our stock ownership, some of which are outside of our control, could result in ownership changes
under Section 382 of the Code further limiting our ability to utilize our NOLs. Our NOLs may also be impaired under state law. Accordingly, we may not
be able to utilize a material portion of our NOLs. We have determined that ownership changes have occurred since our inception and that certain NOLs and
research and development tax credit carryforwards will be subject to limitation. We may also have incurred subsequent ownership changes. Furthermore,
our ability to utilize our NOLs is conditioned upon our attaining profitability and generating U.S. federal taxable income. We have incurred net losses since
our  inception  and  anticipate  that  we  will  continue  to  incur  significant  losses  for  the  foreseeable  future;  thus,  we  do  not  know  whether  or  when  we  will
generate  the  U.S.  federal  taxable  income  necessary  to  utilize  our  NOLs.  We  have  recorded  a  full  valuation  allowance  related  to  our  NOLs  and  other
deferred tax assets due to the uncertainty of the ultimate realization of the future benefits of those assets.

Our amended and restated certificate of incorporation designates the state or federal courts within the State of Delaware as the exclusive forum for
certain  types  of  actions  and  proceedings  that  may  be  initiated  by  our  stockholders,  which  could  limit  our  stockholders’  ability  to  obtain  a  favorable
judicial forum for disputes with us or our directors, officers or employees.

Our amended and restated certificate of incorporation provides that, subject to limited exceptions, the Court of Chancery of the State of Delaware will be
the exclusive forum for (1) any derivative action or proceeding brought on our behalf, (2) any action asserting a claim of breach of a fiduciary duty owed
by any of our directors, officers or other employees to us or our stockholders, (3) any action asserting a claim against us arising pursuant to any provision
of  the  DGCL,  our  amended  and  restated  certificate  of  incorporation  or  our  amended  and  restated  by-laws,  (4)  any  action  to  interpret,  apply,  enforce  or
determine the validity of our amended and restated certificate of incorporation or amended and restated by-laws or (5) any other action asserting a claim
against us that is governed by the internal affairs doctrine, in each case subject to the Court of Chancery having personal jurisdiction over the indispensable
parties named as defendants therein. Any person or entity that purchases or otherwise acquires any interest in shares of our capital stock shall be deemed to
have  notice  of  and  to  have  consented  to  the  provisions  of  our  amended  and  restated  certificate  of  incorporation  described  above.  This  choice  of  forum
provision may limit a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors, officers or other
employees, which may discourage such lawsuits against us and our directors, officers and employees. Alternatively, if a court were to find these provisions
of our amended and restated certificate of incorporation inapplicable to, or unenforceable in respect of, one or more of the specified types of actions or
proceedings,  we  may  incur  additional  costs  associated  with  resolving  such  matters  in  other  jurisdictions,  which  could  adversely  affect  our  business  and
financial condition.

This exclusive forum provision would not apply to suits brought to enforce a duty or liability created by the Securities Exchange Act of 1934, as amended,
which provides for exclusive jurisdiction of the federal courts. It could apply, however, to a suit that falls within one or more of the categories enumerated
in the exclusive forum provision and asserts claims under the Securities Act of 1933, as amended, or the Securities Act, inasmuch as Section 22 of the
Securities Act creates concurrent jurisdiction for federal and state courts over all suits brought to enforce any duty or liability created by the Securities Act
or the rules and regulations thereunder, provided, that with respect to claims under the Securities Act, our stockholders will not be deemed to have waived
our compliance with the federal securities laws and the rules and regulations thereunder.

If securities analysts do not publish research or reports about our business or if they publish negative evaluations of our stock, the price of our stock
and trading volume could decline.

The trading market for our common stock depends, in part, on the research and reports that industry or financial analysts publish about us or our business.
If one or more of the analysts covering our business downgrade their evaluations of our stock, the price of our stock could decline. If one or more of these
analysts cease to cover our stock or fail to regularly publish reports on us, we could lose visibility in the market for our stock, which in turn could cause our
stock price to decline.

A portion of our total outstanding shares may be sold into the market in the near future, which could cause the market price of our common stock to
decline significantly, even if our business is doing well.

Sales of a significant number of shares of our common stock in the public market could occur at any time. These sales, or the perception in the market that
the holders of a large number of shares of common stock intend to sell shares, could reduce the market price of our common stock.

We have registered substantially all shares of common stock that we may issue under our equity compensation plans. These shares can be freely sold in the
public market upon issuance and once vested, subject to volume limitations applicable to

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affiliates. If any of these additional shares are sold, or if it is perceived that they will be sold, in the public market, the market price of our common stock
could decline.

General risk factors

Our business is subject to risks arising from the outbreaks of disease, such as epidemics or pandemics, including the ongoing COVID-19 pandemic.

The widespread infection of COVID-19 in the United States and abroad has caused significant volatility and uncertainty in U.S. and international markets,
which could result in a prolonged economic downturn that may disrupt our business, including by adversely affecting our ability to conduct financings on
terms acceptable to us, if at all.

In addition, we may experience disruptions that could severely impact our business, preclinical studies and clinical trials, including:

• Our  clinical  trials  may  be  adversely  affected,  delayed  or  interrupted,  including,  for  example,  site  initiation,  patient  recruitment  and  enrollment,
availability  of  clinical  trial  materials,  and  data  analysis.  Some  patients  and  clinical  investigators  may  not  be  able  to  comply  with  clinical  trial
protocols and patients may choose to withdraw from our trials or we may have to pause enrollment or we may choose to or be required to pause
enrollment and or patient dosing in our ongoing clinical trials in order to preserve health resources and protect clinical trial participants, which
could delay our clinical trials or impact the strength or validity of our clinical trial data. It is unknown how long these pauses or disruptions could
continue.

• We currently rely on third parties to, among other things, manufacture raw materials, manufacture our product candidates for our clinical trials,
shipping of investigational drugs and clinical trial samples, perform quality testing and supply other goods and services to run our business. If any
such  third  party  in  our  supply  chain  for  materials  are  adversely  impacted  by  restrictions  resulting  from  the  coronavirus  pandemic,  including
staffing shortages, raw material supplies, production slowdowns or disruptions in delivery systems, our supply chain may be disrupted, limiting
our ability to manufacture our product candidates for our clinical trials and conduct our research and development operations.

• Our increased reliance on personnel working from home may negatively impact productivity, or disrupt, delay, or otherwise adversely impact our
business.  In  addition,  this  could  increase  our  cyber  security  risk,  create  data  accessibility  concerns,  and  make  us  more  susceptible  to
communication disruptions, any of which could adversely impact our business operations or delay necessary interactions with local and federal
regulators, ethics committees, manufacturing sites, research or clinical trials sites and other important agencies and contractors.

• Our employees and contractors conducting research and development activities may not be able to access our laboratory for an extended period of
time as a result of the closure of our offices and the possibility that governmental authorities further modify current restrictions. As a result, this
could  delay  timely  completion  of  preclinical  activities,  including  completing  IND-enabling  studies  or  our  ability  to  select  future  development
candidates, and initiation of additional clinical trials for other of our development programs

• Health  regulatory  agencies  globally  may  experience  disruptions  in  their  operations  as  a  result  of  the  COVID-19  pandemic.  The  FDA  and
comparable foreign regulatory agencies may have slower response times or be under-resourced to continue to monitor our clinical trials and, as a
result, review, inspection, and other timelines may be materially delayed. It is unknown how long these disruptions could continue, were they to
occur. Any prolongation or de-prioritization of our clinical trials or delay in regulatory review resulting from such disruptions could materially
affect the development of our product candidates. For example, regulatory authorities may require that we not distribute a product candidate lot
until the relevant agency authorizes its release. Such release authorization may be delayed as a result of the COVID-19 pandemic and could result
in delays to our clinical trials.

•

The  COVID-19  pandemic  may  cause  the  trading  prices  for  our  common  shares  and  other  biopharmaceutical  companies'  shares  to  be  highly
volatile. As a result, we may face difficulties raising capital through sales of our common shares or such sales may be on unfavorable terms. In
addition,  a  recession,  depression  or  other  sustained  adverse  market  event  resulting  from  the  spread  of  the  coronavirus  could  materially  and
adversely affect our business and the value of our common shares.

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The COVID-19 pandemic continues to evolve rapidly. The ultimate impact of the coronavirus pandemic on our business operations is highly uncertain and
subject to change and will depend on future developments, which cannot be accurately predicted, including the duration of the pandemic, the emergence
and severity of new variants of the virus, additional or modified government actions, new information that will emerge concerning the severity and impact
of COVID-19, the timing, availability, efficacy, adoption and distribution of vaccines or other preventative treatments and other actions taken to contain
coronavirus  or  address  its  impact  in  the  short  and  long  term,  among  others.  We  do  not  yet  know  the  full  extent  of  potential  delays  or  impacts  on  our
business, our clinical trials, our research programs, healthcare systems or the global economy.

We, or the third parties upon whom we depend, may be adversely affected by serious disasters.

Any  unplanned  event,  such  as  a  flood,  fire,  explosion,  earthquake,  extreme  weather  condition,  medical  epidemic,  power  shortage,  telecommunication
failure or other natural or human-made accident or incident that results in us being unable to fully use our facilities, or the facilities of third parties with
which we contract, may have a material and adverse effect on our ability to operate our business and may have significant negative consequences on our
financial and operating conditions. Loss of access to these facilities or operations may result in increased costs, delays in the development of our current or
future product candidates or the interruption of our business operations for a substantial period of time.

There can be no assurance that the amounts of insurance that we maintain will be sufficient to satisfy any damages and losses in the event a serious disaster
or  similar  event  occurs.  If  our  facilities,  or  the  manufacturing  facilities  of  our  third-party  contract  manufacturers,  are  unable  to  operate  because  of  an
accident or incident or for any other reason, even for a short period of time, any or all of our research and development programs and commercialization
efforts may be harmed.

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

Our results of operations could be adversely affected by general conditions in the global economy, geopolitical considerations and global financial market
conditions.  For  example,  the  global  financial  crisis  caused  extreme  volatility  and  disruptions  in  the  capital  and  credit  markets.  We  cannot  assure
stockholders  that  deterioration  of  the  global  credit  and  financial  markets  would  not  negatively  impact  our  stock  price,  our  current  portfolio  of  cash
equivalents or investments, or our ability to meet our financing objectives. If the current equity and credit markets deteriorate, it may make any necessary
debt or equity financing more difficult, more costly, and more dilutive. Failure to secure any necessary financing in a timely manner and on favorable terms
could  have  a  material  adverse  effect  on  our  growth  strategy,  financial  performance  and  stock  price  and  could  require  us  to  delay  or  abandon  clinical
development  plans.  A  weak  or  declining  economy,  or  emerging  or  actual  geopolitical  risks  could  also  strain  our  suppliers  and  vendors  involved  in  our
clinical development activities. Any of the foregoing could harm our business and we cannot anticipate all of the ways in which the current economic and
geopolitical climate and financial market conditions could adversely impact our business.

ITEM 1B.    UNRESOLVED STAFF COMMENTS.

None.

ITEM 2.    PROPERTIES.

Our corporate headquarters are located in Cambridge, Massachusetts. We occupy approximately 45,000 square feet of office and laboratory space that we
lease in a multi-tenant building in which our corporate headquarters are located, which lease expires in March 2026. We have an option to extend the lease
term  for  an  additional  five  years  thereafter.  We  believe  that  this  office  and  laboratory  space  is  sufficient  to  meet  our  current  needs,  and  that  suitable
additional space will be available as and when needed.

ITEM 3.    LEGAL PROCEEDINGS.

We are not currently party to any material legal proceedings. Although the results of litigation and claims cannot be predicted with certainty, as of the date
of this Annual Report on Form 10-K, we do not believe we are party to any claim or litigation, the outcome of which, if determined adversely to us, would
individually or in the aggregate be reasonably expected to have a material adverse effect on our business.

ITEM 4.    MINE SAFETY DISCLOSURES.

Not applicable.

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PART II

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

EQUITY SECURITIES

Certain Information Regarding the Trading of Our Common Stock

Our common stock trades under the symbol “MRSN” on the Nasdaq Global Select Market. As of February 25, 2022, there were 18 holders of record of
shares of our common stock. The actual number of stockholders is greater than this number of record holders, and includes stockholders who are beneficial
owners, but whose shares are held in street name by brokers and other nominees.

Dividend Policy

We have never declared nor paid cash dividends on our common stock. We currently intend to retain all of our future earnings, if any, to finance the growth
and development of our business. We do not intend to pay cash dividends in respect of our common stock in the foreseeable future. In addition, our loan
and security agreement with Silicon Valley Bank and Oxford Finance LLC contains restrictive covenants that prohibit us, subject to certain exceptions,
from paying dividends on our common stock. Any future determination to pay cash dividends will be made at the discretion of our board of directors and
will  depend  on  restrictions  and  other  factors  our  board  of  directors  may  deem  relevant.  Investors  should  not  purchase  our  common  stock  with  the
expectation of receiving cash dividends.

Stock Performance Graph

The following performance graph and related information shall not be deemed to be “soliciting material” or to be “filed” with the Securities and Exchange
Commission, or SEC, for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or the Exchange Act, nor shall such information be
incorporated by reference into any future filing under the Exchange Act or Securities Act of 1933, as amended, or the Securities Act, except to the extent
that we specifically incorporate it by reference into such filing.

The following graph compares the performance of our common stock to the Nasdaq Composite Index and to the Nasdaq Biotechnology Index from June
28, 2017 (the first date that shares of our common stock were publicly traded) through December 31, 2021, which was the last trading day of the year. The
comparison assumes $100 was invested in our common stock and in each of the foregoing indices after the market closed on June 28, 2017, and it assumes
reinvestment of dividends, if any. The stock price performance included in this graph is not necessarily indicative of future stock price performance.

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Recent Sales of Unregistered Securities

On January 19, 2021, we granted our chief human resources officer an option to purchase 100,000 shares of our common stock, on April 26, 2021, we
granted our chief legal officer an option to purchase 112,500 shares of our common stock, on August 18, 2021, we granted our senior vice president and
chief manufacturing officer an option to purchase 112,500 shares of our common stock and on October 27, 2021, we granted our senior vice president,
strategic  product  planning  &  program  leadership  an  option  to  purchase  112,500  shares  of  our  common  stock,  each  as  an  inducement  to  employment  in
accordance  with  Nasdaq  Listing  Rule  5635(c)(4).  No  underwriters  were  involved  in  the  foregoing  issuances  of  securities.  The  securities  were  issued
pursuant  to  Section  4(a)(2)  under  the  Securities  Act  of  1933,  as  amended,  relating  to  transactions  by  an  issuer  not  involving  any  public  offering.  The
recipients either received adequate information about us or had access, through other relationships, to such information.

Each stock option is scheduled to become exercisable as to 25% of the shares underlying the option on the first anniversary of the date of grant, and as to an
additional 8.33% of the shares underlying the option at the end of each successive quarter following such date, subject to each recipient’s continued service.
The option granted to our chief human resources officer has an exercise price of $21.67, the option granted to our chief legal officer has an exercise price of
$16.98 per share, the option granted to our senior vice president and chief manufacturing officer has an exercise price of $11.56 per share and the option
granted to our senior vice president, strategic product planning & program leadership has an exercise price of $8.63 per share.

Purchases of Equity Securities by the Issuer and Affiliates Purchasers

Neither we nor any affiliated purchaser or anyone acting on behalf of us or an affiliated purchaser made any purchases of shares of our common stock
during the fourth quarter of 2021.

ITEM 6.    [RESERVED]

ITEM 7.    MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The  following  discussion  and  analysis  of  our  financial  condition  and  results  of  operations  should  be  read  in  conjunction  with  our  audited  financial
statements and related notes appearing elsewhere in this Annual Report on Form 10-K.

Our actual results and timing of certain events may differ materially from the results discussed, projected, anticipated, or indicated in any forward-looking
statements. We caution you that forward-looking statements are not guarantees of future performance and that our actual results of operations, financial
condition and liquidity, and the development of the industry in which we operate may differ materially from the forward-looking statements contained in
this Annual Report. In addition, even if our results of operations, financial condition and liquidity, and the development of the industry in which we operate
are consistent with the forward-looking statements contained in this Annual Report, they may not be predictive of results or developments in future periods.

The following information and any forward-looking statements should be considered in light of factors discussed elsewhere in the Annual Report on Form
10-K, including those risks identified under Part II, Item 1A. Risk Factors.

We caution readers not to place undue reliance on any forward-looking statements made by us, which speak only as of the date they are made. We disclaim
any obligation, except as specifically required by law and the rules of the Securities and Exchange Commission, or SEC, to publicly update or revise any
such statements to reflect any change in our expectations or in events, conditions or circumstances on which any such statements may be based, or that
may affect the likelihood that actual results will differ from those set forth in the forward-looking statements.

For  our  discussion  and  analysis  of  the  year  ended  December  31,  2020  compared  to  the  year  ended  December  31,  2019,  please  refer  to  “Item  7.
Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations”  in  our  Annual  Report  on  Form  10-K  for  the  year  ended
December 31, 2020, as filed with the SEC on February 26, 2021.

Overview

We are a clinical-stage biopharmaceutical company focused on developing antibody drug conjugates, or ADCs, that offer a clinically meaningful benefit
for  cancer  patients  with  significant  unmet  need.  We  have  leveraged  over  20  years  of  industry  learning  in  the  ADC  field  to  develop  proprietary  and
differentiated technology platforms that enable us to develop ADCs designed to have improved efficacy, safety and tolerability relative to existing ADC
therapies.

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We  believe  that  our  innovative  platforms,  including  Dolaflexin  and  Dolasynthen,  delivering  our  proprietary  auristatin  DolaLock  payload,  as  well  as
Immunosynthen, which delivers our novel proprietary stimulator of interferon genes, or STING, agonist ImmunoLock payload, together comprise a highly
efficient product engine that has enabled a robust discovery pipeline for us and our partners. Our ADCs in preclinical studies and clinical trials include
first-in-class molecules that target multiple tumor types with high unmet medical need. Our belief is that our novel ADCs may have more favorable safety
and efficacy compared to more traditional existing ADCs developed using first-generation technology.

Our goal is to become a leading oncology company by leveraging the potential of our innovative and differentiated ADC technologies and the experience
and competencies of our management team to identify, acquire and develop promising ADC product candidates and to commercialize cancer therapeutics
that are improvements over existing treatments.

UpRi (upifitamab rilsodotin), our first-in-class ADC targeting the sodium-dependent phosphate transport protein NaPi2b, utilizes the Dolaflexin platform to
deliver about 10 DolaLock payload molecules per antibody. We believe the NaPi2b antigen is broadly expressed in ovarian cancer and other cancers with
limited expression in normal tissue. We are currently evaluating UpRi in platinum-resistant ovarian cancer in a single-arm registrational trial, which we
refer to as UPLIFT, for which we expect to complete enrollment in the third quarter of 2022. We are also conducting a Phase 1/2 umbrella combination
trial,  which  we  refer  to  as  UPGRADE.  The  first  combination  we  are  exploring  is  the  combination  of  UpRi  with  carboplatin,  a  standard  platinum
chemotherapy broadly used in the treatment of platinum-sensitive ovarian cancer. We may explore other combinations in the future. We expect to report
interim  data  from  UPGRADE  in  the  second  half  of  2022.  In  the  second  quarter  of  2022,  we  expect  to  initiate  enrollment  in  a  randomized  placebo-
controlled Phase 3 trial, which we refer to as UP-NEXT, to evaluate UpRi as single agent maintenance treatment in patients with platinum-sensitive ovarian
cancer that have high NaPi2b expression. Together, data from these trials have the potential to establish the safety and efficacy of UpRi across a wide range
of ovarian cancer patients, from those who are platinum-resistant and heavily pre-treated to those in earlier lines of the disease.

XMT-1592  was  created  using  our  Dolasynthen  platform  and  also  targets  NaPi2b.  XMT-1592  comprises  the  same  proprietary  NaPi2b  antibody  and
auristatin  DolaLock  payload  with  controlled  bystander  effect  as  in  UpRi,  with  the  additional  features  that  our  Dolasynthen  platform  offers,  including
homogeneity, site-specific bioconjugation and precise drug-to-antibody ratio, or DAR. We are conducting a Phase 1 dose exploration trial of XMT-1592 in
patients with ovarian cancer and non-small cell lung cancer, NSCLC, adenocarcinoma, which we expect to complete in the second half of 2022.

Our  early-stage  programs  include  XMT-1660,  a  B7-H4-targeted  Dolasynthen  ADC,  as  well  as  XMT-2056,  a  STING-agonist  ADC  developed  using  our
novel Immunosynthen platform and targeting a novel epitope of human epidermal growth factor receptor 2, or HER2. Our goal is to rapidly progress these
candidates through investigational new drug, or IND, -enabling studies. We expect to initiate a Phase 1 clinical trial of each of XMT-1660 and XMT-2056
in mid-2022. We believe that these development candidates provide significant opportunities in areas of high unmet need such as breast cancer and other
tumors. We also have two earlier stage preclinical candidates, which we refer to as XMT-2068 and XMT-2175, both of which leverage our Immunosynthen
platform and target tumor-associated antigens.

In  addition,  we  have  established  strategic  research  and  development  partnerships  with  Janssen  Biotech,  Inc.,  or  Janssen,  and  Merck  KGaA  for  the
development and commercialization of additional ADC product candidates leveraging our proprietary Dolasynthen and Dolaflexin platform technologies
against a limited number of targets selected by our partners. We believe the potential of our ADC technologies, supported by our scientific and technical
expertise  and  enabled  by  our  intellectual  property  strategy,  all  support  our  independent  and  collaborative  efforts  to  discover  and  develop  life-changing
ADCs for patients fighting cancer.

In February 2022, we entered into a research collaboration and license agreement with Janssen to collaborate on the discovery and research of Dolasynthen
ADCs for up to three antigen targets utilizing Janssen’s antibodies, with Janssen leading development, manufacturing and commercialization worldwide.
We refer to this as the Janssen Collaboration. Upon execution of the agreement we received an upfront payment of $40 million. Our primary objective in
entering  into  the  Janssen  Collaboration  was  to  collaborate  with  a  leading  global  pharmaceutical  company  to  further  validate  the  potential  of  our
Dolasynthen  platform,  to  enable  the  development  of  novel  ADC  product  candidates,  to  provide  near  term  non-dilutive  funding  and  to  drive  significant
long-term value.

Since  inception,  our  operations  have  focused  on  building  our  platforms,  identifying  potential  product  candidates,  producing  drug  substance  and  drug
product material for use in preclinical studies, conducting preclinical and toxicology studies, manufacturing clinical trial material and conducting clinical
trials, establishing and protecting our intellectual property, staffing our company and raising capital. We do not have any products approved for sale and
have not generated any revenue from

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product sales. We have funded our operations primarily through our strategic partnerships, private placements of our convertible preferred stock, public
offerings of our common stock and an at-the-market, or ATM, equity offering program.

Since  inception,  we  have  incurred  significant  cumulative  operating  losses.  Our  net  losses  were  $170.1  million  and  $88.0  million  for  the  years  ended
December 31, 2021 and 2020, respectively. As of December 31, 2021, we had an accumulated deficit of $450.5 million. We expect to continue to incur
significant expenses and operating losses over the next several years. We anticipate that our expenses will increase significantly in connection with our
ongoing activities, as we:

•

•

•

•

continue clinical development activities for our clinical product candidates, UpRi, including UPLIFT, UPGRADE and UP-NEXT, and XMT-1592;

continue diagnostic development efforts with respect to the NaPi2b biomarker;

complete IND-enabling studies and commence clinical trials for our preclinical development candidates XMT-1660 and XMT-2056;

continue activities to discover, validate and develop additional product candidates, including XMT-2068 and XMT-2175;

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

•

hire additional research, development and general and administrative personnel.

Impact of COVID-19 on Our Business

We are continuing to monitor the impact of the coronavirus, or COVID-19, pandemic on our operations and ongoing clinical and preclinical development,
as well as discovery efforts. Mitigation activities to minimize COVID-19-related operation disruptions are ongoing and include:

• We are currently enrolling patients at clinical sites in different geographic areas around the world in our ongoing clinical trials, though staffing
constraints  have  become  an  increasing  challenge  for  the  clinical  sites  with  which  we  work.  If  staffing  challenges  persist,  we  may  experience
associated  delays  in  trial  enrollment.  We  are  in  the  process  of  initiating  additional  clinical  sites  both  inside  and  outside  the  United  States  to
increase  enrollment,  which  we  believe  could  also  mitigate  this  potential  risk.  Consistent  with  FDA  guidance,  we  allow  for  remote  patient
monitoring and remote testing, when reasonably possible.

•

To  the  best  of  our  knowledge,  our  contract  research  and  manufacturing  partners  continue  to  operate  their  operations  at  or  near  normal  levels,
though  staffing  constraints  and  sourcing  of  raw  and  other  materials  have  become  an  increasing  challenge  for  our  vendors.  If  staffing  and/or
material sourcing challenges continue, we may experience associated delays in our laboratory, clinical or manufacturing services. We believe we
currently have appropriate service support and sufficient inventory of UpRi and XMT-1592 to support our ongoing clinical trials, and we currently
expect to have sufficient inventory of XMT-1660 and XMT-2056 to commence Phase 1 clinical trials in 2022. We have planned research, clinical
and  manufacturing  activities  to  address  all  currently  anticipated  future  needs.  We  continue  to  monitor  the  research  clinical  and  manufacturing
operations of our vendors.

The  ultimate  impact  of  the  COVID-19  pandemic  on  our  business  operations  is  highly  uncertain  and  subject  to  change  and  will  depend  on  future
developments, which cannot be accurately predicted. While the pandemic did not materially affect our financial results and business operations in the year
ended December 31, 2021, we are unable to predict the impact that COVID-19 will have on our financial position and operating results in future periods
due  to  numerous  uncertainties.  Management  continues  to  actively  monitor  the  situation  and  the  possible  effects  on  our  financial  condition,  operations,
suppliers, vendors, our workforce and the overall industry. For additional information about risks and uncertainties related to the COVID-19 pandemic that
may impact our business, our financial condition or our results of operations, see “Part I, Item 1A—Risk Factors” in this Annual Report on Form 10-K.

Financial Operations Overview

Revenue

To date, we have not generated any revenue from the sale of products. All of our revenue has been generated from strategic partnerships.

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In June 2014, we entered into an agreement with Merck KGaA for the development and commercialization of ADC product candidates utilizing Fleximer
for  up  to  six  target  antigens.  Merck  KGaA  is  responsible  for  generating  antibodies  against  the  target  antigens  and  we  are  responsible  for  generating
Fleximer and our proprietary payloads and conjugating this to the antibody to create the ADC product candidates. Merck KGaA has the exclusive right to
and is responsible for the further development and commercialization of these ADC product candidates. In May 2018, we entered into a supply agreement
with Merck KGaA for the supply of materials that could be used for IND-enabling studies and clinical trials.

For the years ended December 31, 2021 and 2020, we recognized revenue of an immaterial amount and $0.8 million, respectively, related to the Merck
KGaA agreements.

For the foreseeable future, we expect substantially all of our revenue to be generated from our collaboration agreements with Janssen, Merck KGaA and
Asana BioSciences. Given the uncertain nature and timing of clinical development, we cannot predict when or whether we will receive further milestone
payments or any royalty payments under these collaborations.

For information about our revenue recognition policy, see the Notes to Consolidated Financial Statements included in this Annual Report on Form 10-K.

Expenses

Research and Development Expenses

Research and development expenses include our drug discovery efforts, manufacturing, and the development of our product candidates, which consist of:

•

•

•

•

•

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

costs of funding research and development performed by third parties that conduct research, preclinical activities, manufacturing and clinical trials
on our behalf;

laboratory supplies;

facility costs, including rent, depreciation and maintenance expenses; and

upfront and milestone payments under our third-party licensing agreements.

Research  and  development  costs  are  expensed  as  incurred.  Costs  of  certain  activities,  such  as  manufacturing,  preclinical  studies  and  clinical  trials,  are
generally recognized based on an evaluation of the progress to completion of specific tasks. Costs for certain development activities, such as clinical trials,
are recognized based on an evaluation of the progress to completion of specific tasks using data such as patient enrollment, clinical site activations and
information provided to us by the third parties with whom we contract.

Research and development activities are central to our business model. Product candidates in later stages of clinical development generally have higher
development  costs  than  those  in  earlier  stages  of  clinical  development,  primarily  due  to  the  increased  size  and  duration  of  later-stage  clinical  trials  and
manufacturing costs. We expect that our future research and development costs will continue to increase over current levels, depending on the progress of
our clinical development programs. There are numerous factors associated with the successful development and commercialization of any of our product
candidates, including future trial design and various regulatory requirements, many of which cannot be determined with accuracy at our current stage of
development. Additionally, future commercial and regulatory factors beyond our control may impact our clinical development programs and plans.

A  significant  portion  of  our  research  and  development  costs  have  been  external  costs,  which  we  track  on  a  program-by-program  basis  following  IND
submission. We have not historically tracked all of our internal research and development expenses on a program-by-program basis as they are deployed
across multiple projects under development. The following table summarizes our external research and development expenses, by program, following IND
submission for the years ended December 31, 2021, 2020 and 2019. All external research and development expenses not attributable to the UpRi and XMT-
1592 programs are captured within preclinical and discovery costs. These costs relate to XMT-1592 prior to its IND submission in early 2020, as well as
our preclinical development candidates XMT-1660, XMT-2056, XMT-2068 and XMT-2175, and additional earlier discovery stage programs and certain
unallocated costs. Our internal research and development costs are primarily personnel-related costs, stock-based compensation costs, and facility costs,
including depreciation, and lab consumables.

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(in thousands)
UpRi external costs
XMT-1592 external costs
XMT-1522 external costs
Preclinical and discovery costs
Internal research and development costs

Total research and development costs

2021

45,511  $
9,126 
— 
28,464 
48,912 
132,013  $

$

$

Year Ended
December 31,
2020

18,689  $
7,180 
— 
9,883 
31,284 
67,036  $

2019

9,461 
— 
1,936 
16,980 
26,663 
55,040 

The  successful  development  of  our  product  candidates  is  highly  uncertain.  As  such,  we  cannot  reasonably  estimate  or  know  the  nature,  timing  and
estimated costs of the efforts that will be necessary to complete the remainder of the development of our product candidates. We are also unable to predict
when, if ever, we will generate revenue from commercialization and sale of any of our product candidates that obtain regulatory approval. This is due to the
numerous risks and uncertainties associated with developing drugs, including the uncertainty of:

•

•

•

•

•

•

•

•

successful completion of preclinical studies and IND-enabling studies;

successful enrollment in and completion of clinical trials;

receipt of marketing approvals from applicable regulatory authorities;

establishing commercial manufacturing capabilities or making arrangements with third-party manufacturers;

obtaining and maintaining patent and trade secret protection and regulatory exclusivity for our product candidates;

commercializing the product candidates, if and when approved, whether alone or in collaboration with others;

continued acceptable safety profile of the drugs following approval; and

our ability to overcome existing and emerging competitive threats to the successful commercialization of our products.

A change in the outcome of any of these variables with respect to the development, manufacture or commercialization of any of our product candidates
would significantly change the costs, timing and viability associated with the development of that product candidate.

General and Administrative Expenses

General and administrative expenses consist primarily of salaries and other employee-related costs, including stock-based compensation, for personnel in
executive, finance, accounting, business development, legal, information technology and human resources functions. Other significant costs include facility
costs  not  otherwise  included  in  research  and  development  expenses,  legal  fees  relating  to  patent  and  corporate  matters,  and  fees  for  accounting  and
consulting services.

We anticipate that our general and administrative expenses will increase in the future to support continued research and development activities, including
increased costs related to the hiring of additional personnel, fees to outside consultants and patent costs, among other expenses.

Other Income (Expense)

Other  income  (expense)  consists  primarily  of  interest  income  earned  on  cash  equivalents  and  marketable  securities.  Interest  expense  is  related  to
borrowings under the credit facilities. These borrowings bear a floating per annum rate interest, as well as a final payment of either 4.25% on the Prior
Credit Facility or 5.5% on the New Credit Facility, as defined below, of the amounts drawn, that is being recorded as interest expense over the term through
the maturity date using the effective-interest method. Also included in interest expense is the amortization of the deferred financing costs and the accretion
of debt discount relating to the credit facilities.

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Results of Operations

Comparison of Years Ended December 31, 2021 and 2020

The following table summarizes our results of operations for the years ended December 31, 2021 and 2020, together with the changes in those items:

(in thousands)
Collaboration revenue
Operating expenses:

Research and development
General and administrative

Total operating expenses
Other income (expense):

Interest income
Interest expense

Total other income (expense), net

Net loss

Collaboration Revenue

Year Ended
December 31,

2021

2020

Dollar Change

43  $

828  $

(785)

132,013 
36,888 
168,901 

65 
(1,267)
(1,202)
(170,060) $

67,036 
21,902 
88,938 

424 
(359)
65 
(88,045) $

64,977 
14,986 
79,963 

(359)
(908)
(1,267)
(82,015)

$

$

Collaboration revenue was less than $0.1 million during the year ended December 31, 2021, compared to $0.8 million during the year ended December 31,
2020. During the year ended December 31, 2020, we recognized $0.8 million of revenue as a result of the completion of research services associated with a
target included in the Merck KGaA Agreement.

Research and Development Expense

Research and development expense was $132.0 million for the year ended December 31, 2021, compared to $67.0 million for the year ended December 31,
2020. The overall increase of $65.0 million was primarily attributable to the following:

•

•

•

•

•

an increase of $28.7 million related to manufacturing and clinical development activities for UpRi;

an increase of $14.7 million related to preclinical and discovery stage programs including XMT-1660 and XMT-2056;

an increase of $10.8 million related to employee compensation (excluding stock-based compensation), primarily due to an increase in headcount
supporting the growth of our research and development activities;

an increase of $5.3 million related to manufacturing and clinical development activities for XMT-1592; and

an increase of $0.8 million related to other research services and supplies costs.

These increased costs were partially offset by the following:

•

a decrease of $1.3 million related to the favorable resolution of an outstanding payable balance.

Stock-based compensation expense included in research and development expenses increased by $6.0 million primarily as a result of increased headcount.

We expect our research and development expenses to increase as we continue our clinical development of UpRi and XMT-1592 and continue to advance
our preclinical product candidate pipeline and invest in improvements in our ADC technologies.

General and Administrative Expense

General and administrative expense increased by $15.0 million from $21.9 million for the year ended December 31, 2020 to $36.9 million for the year
ended December 31, 2021. The increase in general and administrative expense was primarily attributable to an increase of $4.1 million related to employee
compensation (excluding stock-based compensation), related to

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an increase in headcount, and an increase of $5.7 million related to consulting and professional fees. Stock-based compensation increased by $5.1 million
also primarily as a result of increased headcount.

We expect that our general and administrative expense will increase in future periods as we expand our operations. These increases will likely include legal,
auditing fees, additional insurance premiums and general compliance and consulting expenses.

Total Other Income (Expense), Net

Total  other  expense,  net,  was  $1.2  million  for  the  year  ended  December  31,  2021  and  total  other  income,  net,  was  $0.1  million  for  the  year  ended
December 31, 2020. In each period, other expense consisted primarily of interest on our borrowings under the credit facilities, offset by interest income on
cash  equivalents  and  short-term  marketable  securities.  For  the  year  ended  December  31,  2021,  other  expense  included  a  $0.4  million  loss  on
extinguishment related to the repayment of the Prior Credit Facility, as defined below.

Liquidity and Capital Resources

Sources of Liquidity

We have financed our operations primarily with the proceeds from our initial public offering, our follow-on public offerings in 2019 and 2020, the use of
our ATM equity offering program and our strategic partnerships. In July 2018 we established an ATM, or the 2018 ATM, pursuant to which we were able to
offer and sell up to $75.0 million of our common stock from time to time at prevailing market prices. During the year ended December 31, 2020, we sold
approximately 10.9 million shares of common stock and received net proceeds of $63.0 million under our 2018 ATM. In addition, in June 2020, we sold
9.2 million shares of common stock in a follow-on public offering and received net proceeds of approximately $164.0 million.

In May 2020, we terminated the 2018 ATM and established a new ATM, or the 2020 ATM, pursuant to which we are able to sell up to $100.0 million of
our common stock from time to time at prevailing market prices. During the year ended December 31, 2021, we sold approximately 4.0 million shares of
common stock under the 2020 ATM for net proceeds of $43.1 million. As of December 31, 2021, we had $55.9 million of availability under the 2020 ATM.
Subsequent to December 31, 2021 and through February 25, 2022, we sold 9.5 million shares of common stock resulting in net proceeds of $45.6 million
under the 2020 ATM offerings. Approximately $9.4 million remains unsold and available for sale under the 2020 ATM.

On May 8, 2019, we entered into a term loan agreement with Silicon Valley Bank, or SVB, which was subsequently amended on June 29, 2019, August 28,
2020, and August 27, 2021, as amended, the Prior Credit Facility. Pursuant to the Prior Credit Facility we were permitted, subject to certain conditions, to
borrow term loans in an aggregate amount of up to $30.0 million, of which $5.2 million were funded upon execution of the 2020 amendment to the Prior
Credit Facility.

On October 29, 2021, we entered into a Loan and Security Agreement, or the New Credit Facility, with Oxford Finance LLC as the collateral agent and a
lender, and SVB as a lender, together the Lenders, which was further amended on February 17, 2022. The New Credit Facility provides in aggregate up to
$100 million, which includes $60 million available immediately, $20 million in one tranche that is subject to meeting certain development milestones, and
an additional tranche of $20 million, which is subject to conditional approval from the Lenders. Upon the closing date, we drew $25 million, of which $5.5
million was used to repay in full the existing balance and satisfy our existing obligations to SVB under the Prior Credit Facility. The New Credit Facility is
secured  by  substantially  all  of  our  personal  property  owned  or  later  acquired,  excluding  intellectual  property  (but  including  the  right  to  payments  and
proceeds from intellectual property), and a negative pledge on intellectual property, which ensures that the Lender’s rights to repayment would be senior to
the rights of the holders of our common stock in the event of liquidation. Upon entering into the New Credit Facility, we terminated all commitments by
SVB to extend further credit under the Prior Credit Facility and all guarantees and security interests granted by us to SVB under the Prior Credit Facility.

As of December 31, 2021, we had cash and cash equivalents of $177.9 million. In addition to our existing cash and cash equivalents, we are eligible to earn
milestone and other payments under our collaboration agreements with Janssen, Merck KGaA and Asana. Our ability to earn the milestone payments and
the timing of earning these amounts are dependent upon the timing and outcome of our development, regulatory and commercial activities and, as such, are
uncertain at this time.

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Cash Flows

The following table provides information regarding our cash flows for the years ended December 31, 2021, 2020 and 2019:

(in thousands)
Net cash used in operating activities
Net cash provided by (used in) investing activities
Net cash provided by financing activities

Increase (decrease) in cash, cash equivalents and restricted cash

Net Cash Used in Operating Activities

2021
(139,988) $
(648)
63,646 
(76,990) $

$

$

Year Ended
December 31,
2020

(74,696) $
37,027 
230,412 
192,743  $

2019

(67,744)
(27,293)
97,704 
2,667 

Net cash used in operating activities was $140.0 million for the year ended December 31, 2021 and primarily consisted of a net loss of $170.1 million
adjusted for changes in our net working capital and other non-cash items including stock-based compensation of $18.4 million and depreciation of $0.9
million. Net cash used in operating activities was $74.7 million for the year ended December 31, 2020 and primarily consisted of a net loss of $88.0 million
adjusted for non-cash items including stock-based compensation of $7.2 million and depreciation of $1.0 million.

Net Cash Provided by (Used in) Investing Activities

Net cash used in investing activities was $0.6 million during the year ended December 31, 2021 compared to net cash provided by investing activities of
$37.0 million during the year ended December 31, 2020. Net cash used in investing activities for the year ended December 31, 2021 consisted primarily of
the purchase of property and equipment. Net cash provided by investing activities for the year ended December 31, 2020 consisted primarily of maturities
of marketable securities.

Net Cash Provided by Financing Activities

Net  cash  provided  by  financing  activities  was  $63.6  million  during  the  year  ended  December  31,  2021  compared  to  net  cash  provided  by  financing
activities of $230.4 million during the year ended December 31, 2020. During the year ended December 31, 2021 cash provided by financing activities
consisted primarily of the proceeds from the use of the 2020 ATM of $43.1 million and issuance of debt, net of issuance costs, of $24.0 million under the
New Credit Facility, as well as proceeds from exercise of stock options of $1.8 million, partially offset by repayment of debt of $5.5 million to repay the
Prior Credit Facility. During the year ended December 31, 2020, cash provided by financing activities consisted primarily of $164.0 million related to the
follow-on public offering and the proceeds from the use of the 2018 ATM of $63.0 million, as well as proceeds from exercise of stock options of $3.1
million.

Funding Requirements

We expect our cash expenditures to increase in connection with our ongoing activities, particularly as we continue the research and development of, initiate
clinical trials of, and seek marketing approval for our product candidates. In addition, if we obtain marketing approval for any of our product candidates,
we expect to incur significant commercialization expenses related to drug sales, marketing, manufacturing and distribution to the extent that such sales,
marketing and distribution are not the responsibility of potential collaborators.

As of December 31, 2021 we had cash and cash equivalents of $177.9 million and, subsequently, we received a $40 million upfront payment under the
Janssen Collaboration and $45.6 million of net proceeds received from sales of our common stock under our 2020 ATM. In addition, we currently have the
option  to  borrow  $35  million  under  the  New  Credit  Facility.  Taken  together,  we  believe  that  our  current  cash  and  cash  equivalents  plus  the  available
borrowings under the New Credit Facility will be sufficient to fund our current operating plan commitments into the second half of 2023. Our forecast of
the period of time through which our financial resources will be adequate to support our operations is a forward-looking statement and involves risks and
uncertainties, and actual results could vary as a result of a number of factors. We have based this estimate on assumptions that may prove to be wrong, and
we could utilize our available capital resources sooner than we currently expect. Our future capital requirements will depend on many factors, including:

•

the scope, progress, results and costs of drug discovery, preclinical development, laboratory testing and clinical trials for our product candidates;

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•

•

•

•

•

•

•

•

•

the scope, prioritization and number of our research and development programs;

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

our ability to establish and maintain collaborations on favorable terms, if at all;

the achievement of milestones or occurrence of other developments that trigger payments under any collaboration agreements we obtain;

the extent to which we are obligated to reimburse, or entitled to reimbursement of, clinical trial costs under future collaboration agreements, if
any;

the  costs  of  preparing,  filing  and  prosecuting  patent  applications,  maintaining  and  enforcing  our  intellectual  property  rights  and  defending
intellectual property-related claims;

the extent to which we acquire or in-license other product candidates and technologies;

the costs of securing manufacturing arrangements for clinical and commercial production; and

the costs of establishing or contracting for sales and marketing capabilities if we obtain regulatory approvals to market our product candidates.

Identifying  potential  product  candidates  and  conducting  preclinical  testing  and  clinical  trials  is  a  time-consuming,  expensive  and  uncertain  process  that
takes many years to complete, and we may never generate the necessary data or results required to obtain marketing approval and achieve drug sales. In
addition, our product candidates, if approved, may not achieve commercial success. Our commercial revenues, if any, will be derived from sales of drugs
that we do not expect to be commercially available for many years, if at all. Accordingly, we will need to continue to rely on additional financing to achieve
our business objectives. Adequate additional financing may not be available to us on acceptable terms, or at all.

Until such time, if ever, as we can generate substantial product revenues, we expect to finance our cash needs through a combination of equity offerings,
debt financings, strategic partnerships and licensing arrangements. To the extent that we raise additional capital through the sale of equity or convertible
debt  securities,  the  ownership  interests  of  our  common  stockholders  will  be  diluted,  and  the  terms  of  these  securities  may  include  liquidation  or  other
preferences that adversely affect the rights of our common stockholders. We currently have access to the New Credit Facility, as described above, along
with funds to potentially be earned in connection with our agreements with Janssen, Merck KGaA and Asana BioSciences, if research and development
activities are successful under those agreements. Future additional debt financing, if available, may involve agreements that include covenants limiting or
restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends.

If we raise funds through additional strategic partnerships or licensing arrangements with third parties, we may have to relinquish valuable rights to our
technologies,  future  revenue  streams,  research  programs  or  product  candidates  or  to  grant  licenses  on  terms  that  may  not  be  favorable  to  us.  If  we  are
unable  to  raise  additional  funds  through  equity  or  debt  financings  when  needed,  we  may  be  required  to  delay,  limit,  reduce  or  terminate  our  drug
development or future commercialization efforts or grant rights to develop and market product candidates that we would otherwise prefer to develop and
market ourselves.

Contractual Obligations

The following table summarizes our significant contractual obligations as of payment due date by period at December 31, 2021:

(in thousands)
Lease commitments(1)
Long-term debt obligations(2)

Total

Total

Less than
1 Year

1 to 3
Years

3 to 5
Years

More than
5 years

$

$

17,916  $
34,416 
52,332  $

4,064  $
2,155 
6,219  $

8,339  $
6,391 
14,730  $

5,513  $

25,870 
31,383  $

— 
— 
— 

__________________________________
(1) Represents  future  minimum  lease  payments  under  our  non-cancelable  operating  and  finance  leases,  which  expire  through  February  2024.  The

minimum lease payments above do not include any related common area maintenance charges or real estate taxes.

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(2) Represents future debt principal plus interest and final payments under the term loan under the New Credit Facility, which is payable in full on October

1, 2026. Refer to Note 7, Debt, in the Notes to Consolidated Financial Statements.

We enter into agreements in the normal course of business with third parties to assist us with preclinical, clinical, manufacturing, and other products and
services  for  operating  purpose.  Certain  of  these  agreements  include  termination  rights  subject  to  termination  fees  or  wind  down  costs.  Under  such
agreements, we are contractually obligated to make certain payments to the parties with whom we contract upon termination, primarily to reimburse them
for their unrecoverable outlays incurred prior to cancellation and for wind-down activities. The exact amounts of such obligations are dependent on the
timing of termination and the exact terms of the relevant agreement and cannot be reasonably estimated. At December 31, 2021, we had cancellable open
purchase orders of $138.7 million in total under agreements for preclinical, clinical, manufacturing, and other products and services for operating purposes.
These amounts represent only our estimate of those items for which we had a contractual commitment to pay at December 31, 2021, assuming we would
not cancel these agreements. The actual amounts we expect to pay in the future to the third parties under such agreements may differ from the cancellable
open purchase order amounts.

In July 2015, we entered into a license agreement with Recepta Biopharma S.A., or Recepta, as amended, for the NaPi2b antibody. We refer to this as the
Recepta License. Under the Recepta License, we paid Recepta an upfront payment of $1.0 million and are obligated to pay Recepta up to $65.5 million in
development, regulatory and commercial milestones and tiered royalties in the low-single digit percentages on net sales of products outside of Brazil until
the expiration of the royalty term. Upon the expiration of each royalty term in each country for each applicable product, the exclusive licenses granted to
each  party  under  the  Recepta  License  will  become  fully-paid  up  and  royalty-free.  We  have  incurred  $4.0  million  and  paid  $2.8  million  in  development
milestone payments to date under the Recepta License.

In January 2019, we entered into a commercial license agreement with Synaffix B.V., or Synaffix, which we amended and restated in November 2021 to
expand our relationship with Synaffix. We refer to the amended and restated agreement as the Synaffix License. Under the Synaffix License, we have the
right  to  develop,  manufacture  and  commercialize  ADCs  directed  to  targets  using  Synaffix’s  proprietary  site-specific  conjugation  technology  for  up  to
twelve targets. Through December 31, 2021, we have licensed two targets from Synaffix in connection with our development of XMT-1592 and XMT-
1660,  for  which  we  have  paid  $1.5  million  in  license  fees,  and  $0.8  million  in  milestone  payments.  We  are  required  to  make  milestone  payments  to
Synaffix of up to an aggregate of $28.0 million in development and regulatory milestones and up to $20.0 million in one-time sales milestones based on the
achievement  of  annual  sales  objectives  for  each  of  these  two  targets.  Additionally,  we  paid  upfront  fees  of  $2.5  million  at  the  time  of  amending  and
restating  the  Synaffix  License  in  November  2021,  which  may  be  applied  to  reservation  and  license  fees  associated  with  our  selection  of  the  next  three
targets. Upon licensing any future targets, we will be obligated to pay in the range of $48.0 million to $117.0 million for issuance, development, regulatory
and one-time sales milestones. We further amended the Synaffix License in February 2022 in connection with the Janssen Collaboration and agreed to pay
Synaffix  an  additional  fee  of  $1.5  million  which  may  be  applied  to  future  reservation  and  license  fees,  as  well  as  certain  portions  of  potential  future
development milestones.

Upon commencement of commercial sales of any ADC product directed to a licensed target, if any, we are required to pay to Synaffix tiered royalties in the
low-single digit percentages on net sales of the respective products. The Synaffix License remains in effect on a country-by-country and licensed product-
by-licensed product basis until the expiration of the last-to-expire valid claim in a patent licensed under the Synaffix License covering such product in such
country. Upon the expiration of the Synaffix License for each licensed product in each country, the licenses granted to us for such product in such country
will become fully paid-up and perpetual. We may terminate the Synaffix License in its entirety or on a licensed product-by-licensed product basis at any
time. Either party may terminate the Synaffix License, subject to a specified notice and cure period, for a breach by the other party of a material provision
of the agreement or upon an insolvency-related event experienced by the other party.

Critical Accounting Policies and Significant Judgements and Estimates

Our  management's  discussion  and  analysis  of  our  financial  condition  and  results  of  operations  are  based  on  our  financial  statements,  which  have  been
prepared in accordance with U.S. generally accepted accounting principles. The preparation of these financial statements requires us to make judgments
and  estimates  that  affect  the  reported  amounts  of  assets,  liabilities,  revenues,  and  expenses  and  the  disclosure  of  contingent  assets  and  liabilities  in  our
financial statements. We base our estimates on historical experience, known trends and events, and various other factors that are believed to be reasonable
under the circumstances. Actual results may differ from these estimates under different assumptions or conditions. On an ongoing basis, we evaluate our
judgments and estimates in light of changes in circumstances, facts and experience. The effects of material revisions in estimates, if any, will be reflected in
the financial statements prospectively from the date of change in estimates.

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We believe that our most critical accounting policies are those relating to revenue recognition and accrued research and development expenses as discussed
in the Notes to Consolidated Financial Statements included in this Annual Report on Form 10-K.

Revenue Recognition

We enter into collaboration agreements which are within the scope of Accounting Standards Update 2014-09, Revenue from Contracts with Customers, or
Topic 606, under which we license rights to our technology and certain of our product candidates and perform research and development services for third
parties.  The  terms  of  these  arrangements  typically  include  payment  of  one  or  more  of  the  following:  non-refundable,  up-front  fees;  reimbursement  of
research and development costs; development, regulatory and commercial milestone payments; and royalties on net sales of licensed products.

Under  Topic  606,  an  entity  recognizes  revenue  when  its  customer  obtains  control  of  promised  goods  or  services,  in  an  amount  that  reflects  the
consideration which the entity expects to receive in exchange for those goods or services. To determine the appropriate amount of revenue to be recognized
for arrangements determined to be within the scope of Topic 606, we perform the following five steps: (i) identification of contract(s) with a customer; (ii)
determination of whether the promised goods or services are performance obligations; (iii) measurement of the transaction price, including the constraint
on variable consideration; (iv) allocation of the transaction price to the performance obligations; and (v) recognition of revenue when (or as) we satisfy
each performance obligation. We only apply the five-step model to contracts when it is probable that the entity will collect consideration it is entitled to in
exchange for the goods or services it transfers to the customer.

The  promised  good  or  services  in  our  arrangements  typically  consist  of  license  rights  to  our  intellectual  property  and  research  and  development
services. We also have optional additional items in contracts, which are considered marketing offers and are accounted for as separate contracts with the
customer  if  such  option  is  elected  by  the  customer,  unless  the  option  provides  a  material  right  which  would  not  be  provided  without  entering  into  the
contract. Performance obligations are promised goods or services in a contract to transfer a distinct good or service to the customer. Promised goods or
services are considered distinct when (i) the customer can benefit from the good or service on its own or together with other readily available resources or
(ii) the promised good or service is separately identifiable from other promises in the contract. In assessing whether promised goods or services are distinct,
we consider factors such as the stage of development of the underlying intellectual property, the capabilities of the customer to develop the intellectual
property on their own or whether the required expertise is readily available.

We  estimate  the  transaction  price  based  on  the  amount  expected  to  be  received  for  transferring  the  promised  goods  or  services  in  the  contract.  The
consideration may include both fixed consideration and variable consideration. At the inception of each arrangement that includes variable consideration
and at each reporting period, we evaluate the amount of potential payment and the likelihood that the payments will be received. We utilize either the most
likely  amount  method  or  expected  amount  method  to  estimate  the  amount  expected  to  be  received  based  on  which  method  better  predicts  the  amount
expected to be received. If it is probable that a significant revenue reversal would not occur, the variable consideration is included in the transaction price.

Our contracts often include development and regulatory milestone payments. At contract inception and at each reporting period, we evaluate whether the
milestones  are  considered  probable  of  being  reached  and  estimate  the  amount  to  be  included  in  the  transaction  price  using  the  most  likely  amount
method.  If  it  is  not  probable  that  a  significant  revenue  reversal  would  not  occur,  the  associated  milestone  value  is  included  in  the  transaction
price. Milestone payments that are not within our control or the licensee’s control, such as regulatory approvals, are not included in the transaction price. At
the end of each subsequent reporting period, we re-evaluate the probability of achievement of such development milestones and any related constraint, and
if necessary, adjust our estimate of the overall transaction price.

For  arrangements  that  include  sales-based  royalties,  including  milestone  payments  based  on  the  level  of  sales,  and  the  license  is  deemed  to  be  the
predominant item to which the royalties relate, we recognize revenue at the later of (i) when the related sales occur, or (ii) when the performance obligation
to which some or all of the royalty has been allocated has been satisfied (or partially satisfied).

We allocate the transaction price based on the estimated standalone selling price of the underlying performance obligations or in the case of certain variable
consideration to one or more performance obligations. We must develop assumptions that require judgment to determine the standalone selling price for
each  performance  obligation  identified  in  the  contract.  We  utilize  key  assumptions  to  determine  the  standalone  selling  price,  which  may  include  other
comparable  transactions,  pricing  considered  in  negotiating  the  transaction  and  the  estimated  costs  to  complete  the  respective  performance
obligation. Certain variable consideration is allocated specifically to one or more performance obligations in a contract when the terms of the variable

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consideration relate to the satisfaction of the performance obligation and the resulting amounts allocated to each performance obligation are consistent with
the amounts we would expect to receive for each performance obligation.

For performance obligations consisting of licenses and other promises, we utilize judgment to assess the nature of the combined performance obligation to
determine whether the combined performance obligation is satisfied over time or at a point in time and, if over time, the appropriate method of measuring
progress  for  purposes  of  recognizing  revenue  from  non-refundable,  up-front  fees.  We  evaluate  the  measure  of  progress  each  reporting  period  and,  if
necessary, adjust the measure of performance and related revenue recognition. If the license to our intellectual property is determined to be distinct from the
other performance obligations identified in the arrangement, we will recognize revenue from non-refundable, up-front fees allocated to the license when the
license is transferred to the customer and the customer is able to use and benefit from the license.

Collaborative Arrangements

We  record  the  elements  of  our  collaboration  agreements  that  represent  joint  operating  activities  in  accordance  with  ASC  Topic  808,  Collaborative
Arrangements. Accordingly, the elements of the collaboration agreements that represent activities in which both parties are active participants and to which
both parties are exposed to the significant risks and rewards that are dependent on the commercial success of the activities, are recorded as collaborative
arrangements.  We  consider  the  guidance  in  Topic  606  in  determining  the  appropriate  treatment  for  the  transactions  between  us  and  our  collaborative
partners and the transactions between us and third parties. Generally, the classification of transactions under the collaborative arrangements is determined
based on the nature and contractual terms of the arrangement along with the nature of the operations of the participants. To the extent revenue is generated
from a collaboration, we will recognize our share of the net sales on a gross basis if we are deemed to be the principal in the transactions with customers, or
on a net basis if we are instead deemed to be the agent in the transactions with customers, consistent with the guidance in Topic 606.

Accrued Research and Development Expenses

As part of the process of preparing our financial statements, we are required to estimate our accrued expenses as of each balance sheet date. This process
involves reviewing open contracts and purchase orders, communicating with our personnel to identify services that have been performed on our behalf and
estimating the level of service performed and the associated cost incurred for the service when we have not yet been invoiced or otherwise notified of the
actual cost. The majority of our service providers invoice us monthly in arrears for services performed or when contractual milestones are met. We make
estimates of our accrued expenses as of each balance sheet date based on facts and circumstances known to us at that time. We periodically confirm the
accuracy of our estimates with the service providers and make adjustments if necessary. The significant estimates in our accrued research and development
expenses include the costs incurred for services performed by our vendors in connection with research and development activities for which we have not
yet been invoiced.

We record our expenses related to research and development activities based upon our estimates of the services received and efforts expended pursuant to
quotes and contracts with vendors that conduct research and development on our behalf. The financial terms of these agreements are subject to negotiation,
vary from contract to contract and may result in uneven payment flows. There may be instances in which payments made to our vendors will exceed the
level of services provided and result in a prepayment of the research and development expense. In accruing service fees, we estimate the time period over
which  services  will  be  performed,  enrollment  of  subjects,  number  of  sites  activated  and  the  level  of  effort  to  be  expended  in  each  period.  If  the  actual
timing  of  the  performance  of  services  or  the  level  of  effort  varies  from  our  estimate,  we  adjust  the  accrued  or  prepaid  expense  balance
accordingly. Although we do not expect our estimates to be materially different from amounts actually incurred, if our estimates of the status and timing of
services performed differ from the actual status and timing of services performed, we may report amounts that are too high or too low in any particular
period. To date, there have been no material differences from our estimates to the amounts actually incurred. Significant judgement is involved in making
the above estimates.

Recent accounting pronouncements

See  Note  2,  Recently  Adopted  Accounting  Pronouncements,  in  the  Notes  to  Consolidated  Financial  Statements  for  a  description  of  recent  accounting
pronouncements applicable to our business.

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ITEM 7A.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Interest Rate Risks

We are exposed to market risk related to changes in interest rates. As of December 31, 2021, we had cash and cash equivalents of $177.9 million, primarily
held in money market mutual funds consisting of U.S. government-backed securities. Our primary exposure to market risk is interest rate sensitivity, which
is affected by changes in the general level of U.S. interest rates, particularly because our investments, including cash equivalents and marketable securities
are  invested  in  U.S.  Treasury  obligations,  commercial  paper  and  corporate  bonds.  However,  we  believe  that  due  to  the  short-term  duration  of  our
investment portfolio and low-risk profile of our investments, an immediate 100 basis points change in interest rates would not have a material effect on the
fair market value of our investments portfolio.

The interest rate on our New Credit Facility is sensitive to changes in interest rates. Interest accrues on borrowings under the credit facility at a floating rate
equal to the greater of (i) 8.50% and (ii) the prime rate plus 5.25%. We do not currently engage in any hedging activities against changes in interest rates.
As of December 31, 2021, there was $25.0 million outstanding under the New Credit Facility and a potential change in the associated interest rates would
be immaterial to the results of our operations.

Foreign Currency Exchange Rate Risks

We are currently not exposed to market risk related to changes in foreign currency exchange rates, but we may contract with vendors that are located in
Asia and Europe and may be subject to fluctuations in foreign currency rates at that time.

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ITEM 8.    FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

Mersana Therapeutics, Inc.

Index to Consolidated Financial Statements

Report of Independent Registered Public Accounting Firm (PCAOB ID: 42)

Consolidated Balance Sheets

Consolidated Statements of Operations and Comprehensive Loss

Consolidated Statements of Stockholders’ Equity

Consolidated Statements of Cash Flows

Notes to Consolidated Financial Statements

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95

97

98

99

100

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Report of Independent Registered Public Accounting Firm

To the Stockholders and the Board of Directors of Mersana Therapeutics, Inc.

Opinion on the Financial Statements

We  have  audited  the  accompanying  consolidated  balance  sheets  of  Mersana  Therapeutics,  Inc.  (the  Company)  as  of  December  31,  2021  and  2020,  the
related consolidated statements of operations and comprehensive loss, and stockholders’ equity and cash flows for each of the three years in the period
ended  December  31,  2021,  and  the  related  notes  (collectively  referred  to  as  the  “consolidated  financial  statements”).  In  our  opinion,  the  consolidated
financial statements present fairly, in all material respects, the financial position of the Company at December 31, 2021 and 2020, and the results of its
operations and its cash flows for each of the three years in the period ended December 31, 2021, in conformity with U.S. generally accepted accounting
principles.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company’s
internal  control  over  financial  reporting  as  of  December  31,  2021,  based  on  criteria  established  in  Internal  Control-Integrated  Framework  issued  by  the
Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) and our report dated February 28, 2022 expressed an unqualified
opinion thereon.

Basis for Opinion

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

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable
assurance  about  whether  the  financial  statements  are  free  of  material  misstatement,  whether  due  to  error  or  fraud.  Our  audits  included  performing
procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to
those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits
also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the
financial statements. We believe that our audits provide a reasonable basis for our opinion.

Critical Audit Matter

The  critical  audit  matter  communicated  below  is  a  matter  arising  from  the  current  period  audit  of  the  financial  statements  that  was  communicated  or
required  to  be  communicated  to  the  audit  committee  and  that:  (1)  relate  to  accounts  or  disclosures  that  are  material  to  the  financial  statements  and  (2)
involved our especially challenging, subjective or complex judgments. The communication of the critical audit matter does not alter in any way our opinion
on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion
on the critical audit matter or on the account or disclosure to which it relates.

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Description of the
Matter

Accrued & Prepaid Clinical Expenses

As  summarized  in  Note  6  to  the  consolidated  financial  statements,  the  Company’s  accrual  for  clinical  expenses  totaled  $7.9
million  as  of  December  31,  2021.  In  addition,  the  Company’s  Prepaid  Expenses  and  Other  Current  Assets  and  Other  Assets
accounts  totaled  $13.3  million,  which  included  amounts  that  were  paid  in  advance  of  services  pursuant  to  clinical  trials  as  of
December 31, 2021. As discussed in Note 2 to the consolidated financial statements, the Company is required to estimate clinical
costs incurred and related accruals or remaining prepaid expenses based on certain information, including actual costs incurred or
level  of  effort  expended,  as  provided  by  its  vendors.  Payments  for  such  activities  are  based  on  the  terms  of  the  individual
arrangements, which may differ from the pattern of costs incurred.

Auditing the Company’s accrued and prepaid clinical expenses was complex and judgmental, as the amounts are based on various
estimates from third-party vendors, as well as other inputs estimated by members of management, such as, actual costs incurred
but not yet billed, estimated project timelines, and the costs associated with these services. Furthermore, due to the duration of the
Company’s ongoing research and development activities and the timing of invoicing received from third parties, the actual
amounts incurred are not typically known by the date the financial statements are issued.

How We Addressed
the Matter in Our
Audit

We obtained an understanding, evaluated the design, and tested the operating effectiveness of the controls over the Company’s
process for recording accrued and prepaid clinical expenses. These procedures included controls over management’s review of
inputs used, as well as the completeness and accuracy of the underlying data, in estimating the accrual and prepaid.

To test the accrued and prepaid clinical expenses, our audit procedures included, among others, testing the accuracy and
completeness of the underlying data used in the estimates and evaluating the significant assumptions noted above that are used by
management to estimate the amounts recorded. We corroborated the progress of research and development activities through
discussion with the Company’s research and development personnel that oversee the research and development projects. We also
inspected the Company’s contracts with third parties and any pending change orders to assess the impact on amounts recorded.
Additionally, we reviewed information received by the Company directly from certain sites and other third parties, which
included third parties’ estimates of costs incurred to date. We also performed analytical procedures over fluctuations in accrued
and prepaid clinical expenses by vendor, study, or other significant work order throughout the period subject to audit and
inspected subsequent invoices received from third parties to assess the impact to the accrued and prepaid balances.

/s/ Ernst & Young LLP

We have served as the Company’s auditor since 2013.
Boston, Massachusetts
February 28, 2022

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Mersana Therapeutics, Inc.

Consolidated Balance Sheets

(in thousands, except share and per share data)

Table of Contents

Assets
Current assets:

Cash and cash equivalents
Prepaid expenses and other current assets

Total current assets
Property and equipment, net
Operating lease right-of-use assets
Other assets
Total assets

Liabilities and stockholders’ equity
Current liabilities:

Accounts payable
Accrued expenses
Deferred revenue
Operating lease liabilities
Other liabilities

Total current liabilities
Operating lease liabilities
Long-term debt, net
Other liabilities
Total liabilities
Commitments (Note 13)
Stockholders' equity
Preferred stock, $0.0001 par value; 25,000,000 shares authorized; 0 shares issued and outstanding at December 31,
2021 and December 31, 2020, respectively
Common stock, $0.0001 par value; 175,000,000 shares authorized; 73,709,056 and 68,841,288 shares issued and
outstanding at December 31, 2021 and December 31, 2020, respectively
Additional paid-in capital
Accumulated deficit
Total stockholders’ equity
Total liabilities and stockholders’ equity

December 31,
2021

December 31,
2020

$

$

$

$

177,947  $
10,951 
188,898 
1,968 
12,889 
2,356 
206,111  $

12,321  $
28,716 
3,944 
2,303 
239 
47,523 
11,247 
24,626 
974 
84,370 

255,094 
3,486 
258,580 
1,730 
10,936 
2,153 
273,399 

8,340 
16,146 
3,987 
1,437 
93 
30,003 
10,158 
4,977 
174 
45,312 

— 

— 

7 
572,213 
(450,479)
121,741 
206,111  $

7 
508,499 
(280,419)
228,087 
273,399 

The accompanying notes are an integral part of these consolidated financial statements.

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Collaboration revenue
Operating expenses:

Research and development
General and administrative

Total operating expenses
Other income (expense):

Interest income
Interest expense

Total other income (expense), net
Net loss
Other comprehensive loss:

Mersana Therapeutics, Inc.

Consolidated Statements of Operations and Comprehensive Loss

(in thousands, except share and per share data)

2021

Year ended December 31,
2020

2019

43  $

828  $

42,123 

132,013 
36,888 
168,901 

65 
(1,267)
(1,202)
(170,060) $

— 

(170,060) $

(170,060) $

(2.41) $

67,036 
21,902 
88,938 

424 
(359)
65 
(88,045) $

(25)
(88,070) $

(88,045) $

(1.43) $

55,040 
17,283 
72,323 

2,226 
(234)
1,992 
(28,208)

33 
(28,175)

(28,208)

(0.65)

$

$

$

$

$

Unrealized gain (loss) on marketable securities

Comprehensive loss

Net loss attributable to common stockholders — basic and diluted

Net loss per share attributable to common stockholders — basic and diluted

Weighted-average number of shares of common stock used in net loss per share attributable to
common stockholders — basic and diluted

70,580,949 

61,485,205 

43,492,113 

The accompanying notes are an integral part of these consolidated financial statements.

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Mersana Therapeutics, Inc.

Consolidated Statements of Stockholders’ Equity

(in thousands, except share and per share data)

Balance at December 31, 2018

Issuance of common stock under public offering, net of issuance costs
of $5,587
Exercise of stock options and warrants
Purchase of common stock under ESPP
Retirement of common stock in exchange for common stock warrant
Issuance of common stock warrant in exchange for retirement of
common stock
Stock-based compensation expense
Other comprehensive income
Net loss

Balance at December 31, 2019

Issuance of common stock from at-the-market transactions, net of
issuance costs of $2,176
Issuance of common stock under public offering, net of issuance costs
of $10,809
Exercise of common stock warrant in exchange for common stock
Exercise of stock options
Purchase of common stock under ESPP
Stock-based compensation expense
Other comprehensive loss
Net loss

Balance at December 31, 2020

Issuance of common stock from at-the-market transactions, net of
issuance costs of $988
Exercise of stock options
Vesting of restricted stock units, net of employee tax obligation
Purchase of common stock under ESPP
Stock-based compensation expense
Net loss

Balance at December 31, 2021

Common Stock

Shares
23,234,472  $

Amount

24,437,500 
150,978 
140,073 
(2,575,000)

— 
— 
— 
— 

45,388,023  $

10,900,599 

9,200,000 
2,574,971 
697,428 
80,267 
— 
— 
— 

68,841,288  $

3,961,074 
421,381 
407,060 
78,253 
— 
— 

73,709,056  $

Additional
Paid-in
Capital

Accumulated Other
Comprehensive Loss

Accumulated
Deficit

3  $

172,966  $

(8) $

(164,166) $

Stockholders' Equity
8,795 

2 
— 
— 
— 

— 
— 
— 
— 
5  $

1 

1 
— 
— 
— 
— 
— 
— 
7  $

— 
— 
— 
— 
— 
— 
7  $

92,160 
175 
489 
(8,986)

8,986 
4,872 
— 
— 
270,662  $

62,976 

163,990 
— 
3,138 
561 
7,172 
— 
— 
508,499  $

43,087 
1,837 
(259)
640 
18,409 
— 
572,213  $

— 
— 
— 
— 

— 
— 
33 
—
25  $

— 

— 
— 
— 
— 
— 
(25)
—
—  $

— 
— 
— 
— 
— 
— 
—  $

— 
— 
— 
— 

— 
— 
— 
(28,208)
(192,374) $

— 

— 
— 
— 
— 
— 
— 
(88,045)
(280,419) $

— 
— 
— 
— 
— 
(170,060)
(450,479) $

92,162 
175 
489 
(8,986)

8,986 
4,872 
33 
(28,208)
78,318 

62,977 

163,991 
— 
3,138 
561 
7,172 
(25)
(88,045)
228,087 

43,087 
1,837 
(259)
640 
18,409 
(170,060)
121,741 

The accompanying notes are an integral part of these consolidated financial statements.

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Mersana Therapeutics, Inc.

Consolidated Statements of Cash Flows

(in thousands)

Cash flows from operating activities

Net loss

Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation
Net amortization of premiums and discounts on investments
Stock-based compensation
Other non-cash items

Changes in operating assets and liabilities:

Accounts receivable
Prepaid expenses and other current assets
Other assets
Accounts payable
Accrued expenses
Operating lease assets
Operating lease liabilities
Deferred revenue
Other liabilities

Net cash used in operating activities

Cash flows from investing activities
Maturities of marketable securities
Purchase of marketable securities
Purchase of property and equipment

Net cash (used in) provided by investing activities

Cash flows from financing activities

Net proceeds from public offering of common stock
Net proceeds from use of ATM
Proceeds from exercise of stock options
Proceeds from purchases of common stock under ESPP
Payment of employee tax obligations related to vesting of restricted stock units
Proceeds from issuance of debt, net of issuance costs
Repayment of debt
Payments under finance lease obligations

Net cash provided by financing activities

Increase (decrease) in cash, cash equivalents and restricted cash
Cash, cash equivalents and restricted cash, beginning of period
Cash, cash equivalents and restricted cash, end of period

Supplemental disclosures of non-cash activities:

Fair value of common stock retired in exchange for issuance of common stock warrant
Purchases of property and equipment in accounts payable and accrued expenses
Debt financing costs in accrued expenses
Cash paid for interest
Right-of-use assets obtained in exchange for operating lease liabilities
Right-of-use assets obtained in exchange for financing lease liabilities

2021

Year ended December 31,
2020

2019

$

(170,060) $

(88,045) $

(28,208)

855 
— 
18,409 
723 

— 
(2,734)
(718)
483 
12,570 
1,829 
(1,827)
(43)
525 
(139,988)

— 
— 
(648)
(648)

— 
43,087 
1,837 
640 
(259)
24,042 
(5,486)
(215)
63,646 

1,010 
(86)
7,172 
148 

— 
(1,950)
(700)
942 
7,280 
1,642 
(1,281)
(828)
— 
(74,696)

37,500 
— 
(473)
37,027 

163,990 
63,036 
3,138 
561 
— 
(197)
— 
(116)
230,412 

(76,990)
255,415 
178,425  $

192,743 
62,672 
255,415  $

—  $
—  $
—  $
429  $
3,783  $
609  $

—  $
102  $
—  $
234  $
9,980  $
—  $

$

$
$
$
$
$
$

1,245 
(222)
4,872 
103 

459 
2,179 
— 
(3,110)
(3,569)
1,771 
(1,883)
(41,381)
— 
(67,744)

27,000 
(53,688)
(605)
(27,293)

92,162 
— 
175 
489 
— 
4,965 
— 
(87)
97,704 

2,667 
60,005 
62,672 

8,986 
— 
180 
132 
4,369 
429 

The accompanying notes are an integral part of these consolidated financial statements.

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements

1. Nature of Business and Basis of Presentation

Mersana Therapeutics, Inc. is a clinical stage biopharmaceutical company focused on developing antibody drug conjugates (ADCs) that offer a clinically
meaningful benefit for cancer patients with significant unmet need. The Company has leveraged over 20 years of industry learning in the ADC field to
develop  proprietary  and  differentiated  technology  platforms  that  enable  it  to  design  ADCs  to  have  improved  efficacy,  safety  and  tolerability  relative  to
existing ADC therapies. The Company’s innovative platforms, which include Dolaflexin and Dolasynthen, each delivering its DolaLock payload, as well as
Immunosynthen, delivering the novel stimulator of interferon genes (STING) agonist ImmunoLock payload, together provide an efficient product engine
that has enabled a robust discovery pipeline for the Company and its partners. The Company’s clinical candidates include upifitamab rilsodotin (UpRi) and
XMT-1592. The Company's early stage programs include XMT-1660, a Dolasynthen ADC targeting B7-H4, as well as XMT-2056, a STING agonist ADC
developed  using  the  Company's  Immunosynthen  platform  and  targeting  a  novel  epitope  of  human  epidermal  growth  factor  receptor  2  (HER2).  The
Company also has two earlier stage preclinical candidates, XMT-2068 and XMT-2175, both of which leverage the Company's Immunosynthen platform
and target tumor-associated antigens.

The  Company's  lead  product  candidate,  UpRi,  is  a  first-in-class  Dolaflexin  ADC  targeting  NaPi2b,  an  antigen  broadly  expressed  in  ovarian  cancer  and
other cancers. The Company is currently evaluating UpRi in platinum-resistant ovarian cancer in a single-arm registrational trial, referred to as UPLIFT, for
which the Company expects to complete enrollment in the third quarter of 2022. The Company is also conducting a Phase 1/2 umbrella combination trial,
referred to as UPGRADE. The first combination the Company is exploring is the combination of UpRi with carboplatin, a standard platinum chemotherapy
broadly used in the treatment of platinum-sensitive ovarian cancer. The Company may explore other combinations in the future. The Company expects to
report interim data from UPGRADE in the second half of 2022. In the second quarter of 2022, the Company expects to initiate enrollment in a randomized
placebo-controlled  Phase  3  trial,  referred  to  as  UP-NEXT,  to  evaluate  UpRi  as  single  agent  maintenance  treatment  in  patients  with  recurrent  platinum-
sensitive ovarian cancer that have high NaPi2b expression.

The  Company's  second  clinical  candidate,  XMT-1592,  is  a  NaPi2b-targeted  ADC  leveraging  the  Dolasynthen  platform.  The  Company  is  conducting  a
Phase 1 dose exploration trial in patients with ovarian cancer and non-small cell lung cancer, or NSCLC, which it expects to complete in the second half of
2022.

The Company is subject to risks common to companies in the biotechnology industry, including but not limited to, the need for additional capital, risks of
failure of preclinical studies and clinical trials, the need to obtain marketing approval and reimbursement for any drug product candidate that it may identify
and  develop,  the  need  to  successfully  commercialize  and  gain  market  acceptance  of  its  product  candidates,  dependence  on  key  personnel,  protection  of
proprietary  technology,  compliance  with  government  regulations,  development  of  technological  innovations  by  competitors,  reliance  on  third  party
manufacturers and the ability to transition from pilot-scale production to large-scale manufacturing of products.

The Company has incurred net losses since inception. The Company’s net loss was $170,060, $88,045 and $28,208 for the years ended December 31, 2021,
2020 and 2019, respectively. The Company expects to continue to incur operating losses for at least the next several years. As of December 31, 2021, the
Company  had  an  accumulated  deficit  of  $450,479.  The  future  success  of  the  Company  is  dependent  on,  among  other  factors,  its  ability  to  identify  and
develop  its  product  candidates  and  ultimately  upon  its  ability  to  attain  profitable  operations.  The  Company  has  devoted  substantially  all  of  its  financial
resources  and  efforts  to  research  and  development  and  general  and  administrative  expense  to  support  such  research  and  development.  Net  losses  and
negative operating cash flows have had, and will continue to have, an adverse effect on the Company’s stockholders’ equity and working capital.

The Company believes that its currently available funds will be sufficient to fund the Company’s operations through at least the next twelve months from
the issuance of this Annual Report on Form 10-K. Management’s belief with respect to its ability to fund operations is based on estimates that are subject to
risks and uncertainties. If actual results are different from management’s estimates, the Company may need to seek additional funding.

The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States
(U.S. GAAP) and the rules and regulations of the Securities and Exchange Commission (SEC).

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

Any reference in these notes to applicable guidance is meant to refer to the authoritative U.S. GAAP as found in the Accounting Standards Codification
(ASC) and Accounting Standards Updates (ASU) of the Financial Accounting Standards Board (FASB). All dollar amounts, except per share data in the
text and tables herein, are stated in thousands unless otherwise indicated.

2. Summary of Significant Accounting Policies

Principles of Consolidation

The  accompanying  consolidated  financial  statements  include  those  of  the  Company  and  its  wholly  owned  subsidiary,  Mersana  Securities  Corp.  All
intercompany balances and transactions have been eliminated.

Use of Estimates

The  preparation  of  the  Company's  consolidated  financial  statements  in  conformity  with  U.S.  GAAP  requires  management  to  make  estimates  and
assumptions that affect the reported amounts of assets, liabilities, equity, revenue, expenses and related disclosure of contingent assets and liabilities at the
date  of  the  financial  statements  and  reported  amounts  of  revenue  and  expenses  during  the  reporting  period.  On  an  ongoing  basis,  the  Company's
management  evaluates  its  estimates  which  include,  but  are  not  limited  to,  management's  judgments  with  respect  to  the  identification  of  performance
obligations and standalone selling prices of those performance obligations within its revenue arrangements, accrued preclinical, manufacturing and clinical
expenses, valuation of stock-based awards and income taxes. Actual results could differ from those estimates.

Segment Information

Operating segments are defined as components of an enterprise about which separate discrete information is available for evaluation by the chief operating
decision-maker, or decision making group, in deciding how to allocate resources and assess performance. The Company views its operations and manages
its business as a single operating segment, which is the business of discovering and developing ADCs.

Research and Development

Research and development costs are expensed as incurred and include:

•

•

•

•

•

•

•

•

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

fees  and  expenses  incurred  under  agreements  with  contract  research  organizations,  investigative  sites  and  other  entities  in  connection  with  the
conduct of preclinical studies, clinical trials and related services;

the  cost  of  acquiring,  developing  and  manufacturing  ADC  product  candidates,  clinical  trial  materials  and  other  research  and  development
materials;

fees and costs related to regulatory filings and activities;

costs associated with collaboration agreements and license fees and milestone payments related to license agreements;

costs associated with creating and obtaining approval for the NaPi2b companion or complementary diagnostic biomarker;

facilities, depreciation and other expenses, which include direct and allocated expenses for rent, utilities, maintenance of facilities, insurance and
other supplies; and

other costs associated with clinical, preclinical, discovery and other research activities.

Costs for certain development activities, such as preclinical studies, clinical trials and manufacturing development activities, are recognized based on an
evaluation of the progress to completion of specific tasks using data such as patient enrollment, clinical site activations, and information provided to the
Company by its vendors on their actual costs incurred or level of effort

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

expended. Payments for these activities are based on the terms of the individual arrangements, which may differ from the pattern of costs incurred, and are
reflected on the consolidated balance sheets as prepaid or accrued preclinical, manufacturing and clinical expenses.

Revenue Recognition

The  Company  enters  into  collaboration  agreements  which  are  within  the  scope  of  Accounting  Standards  Update  (ASU)  No.  2014-9,  Revenue  from
Contracts with Customers (Topic 606), under which the Company licenses rights to its technology and certain of the Company’s product candidates and
performs research and development services for third parties. The terms of these arrangements typically include payment of one or more of the following:
non-refundable,  up-front  fees;  reimbursement  of  research  and  development  costs;  development,  regulatory  and  commercial  milestone  payments;  and
royalties on net sales of licensed products.

Under  Topic  606,  an  entity  recognizes  revenue  when  its  customer  obtains  control  of  promised  goods  or  services,  in  an  amount  that  reflects  the
consideration which the entity expects to receive in exchange for those goods or services. To determine the appropriate amount of revenue to be recognized
for arrangements determined to be within the scope of Topic 606, the Company performs the following five steps: (i) identification of contract(s) with a
customer; (ii) determination of whether the promised goods or services are performance obligations; (iii) measurement of the transaction price, including
the constraint on variable consideration; (iv) allocation of the transaction price to the performance obligations; and (v) recognition of revenue when (or as)
the  Company  satisfies  each  performance  obligation. The  Company  only  applies  the  five-step  model  to  contracts  when  it  is  probable  that  the  entity  will
collect consideration it is entitled to in exchange for the goods or services it transfers to the customer.

The promised good or services in the Company’s arrangement typically consist of license rights to the Company’s intellectual property and research and
development  services.  The  Company  also  has  optional  additional  items  in  contracts,  which  are  considered  marketing  offers  and  are  accounted  for  as
separate contracts with the customer if such option is elected by the customer, unless the option provides a material right which would not be provided
without  entering  into  the  contract.  Performance  obligations  are  promised  goods  or  services  in  a  contract  to  transfer  a  distinct  good  or  service  to  the
customer. Promised goods or services are considered distinct when (i) the customer can benefit from the good or service on its own or together with other
readily available resources or (ii) the promised good or service is separately identifiable from other promises in the contract. In assessing whether promised
goods or services are distinct, the Company considers factors such as the stage of development of the underlying intellectual property, the capabilities of the
customer to develop the intellectual property on their own or whether the required expertise is readily available.

The  Company  estimates  the  transaction  price  based  on  the  amount  expected  to  be  received  for  transferring  the  promised  goods  or  services  in  the
contract. The consideration may include both fixed consideration and variable consideration. At the inception of each arrangement that includes variable
consideration  and  at  each  reporting  period,  the  Company  evaluates  the  amount  of  potential  payment  and  the  likelihood  that  the  payments  will  be
received. The Company utilizes either the most likely amount method or expected value method to estimate the amount expected to be received based on
which method better predicts the amount of consideration to which the Company will be entitled. If it is probable that a significant revenue reversal would
not occur, the variable consideration is included in the transaction price. We assessed each of our revenue generating arrangements in order to determine
whether a significant financing component exists and concluded that a significant financing component does not exist in any of our arrangements because:
(a) the promised consideration approximates the cash selling price of the promised goods and services; and (b) timing of payment approximates the transfer
of goods and services and performance is over a relatively short period of time within the context of the entire term of the contract.

The Company’s contracts often include development and regulatory milestone payments. At contract inception and at each reporting period, the Company
evaluates whether the milestones are considered probable of being reached and estimates the amount to be included in the transaction price using the most
likely amount method. If it is probable that a significant revenue reversal would not occur, the associated milestone value is included in the transaction
price.  Milestone  payments  that  are  not  within  the  Company’s  control  or  the  licensee’s  control,  such  as  regulatory  approvals,  are  not  included  in  the
transaction price. At the end of each subsequent reporting period, the Company re-evaluates the probability of achievement of such development milestones
and any related constraint, and if necessary, adjusts its estimate of the overall transaction price. Any such adjustments are recorded on a cumulative catch-
up basis, which would affect license, collaboration and other revenues and earnings in the period of adjustment.

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

For  arrangements  that  include  sales-based  royalties,  including  milestone  payments  based  on  the  level  of  sales,  and  the  license  is  deemed  to  be  the
predominant  item  to  which  the  royalties  relate,  the  Company  recognizes  revenue  at  the  later  of  (i)  when  the  related  sales  occur,  or  (ii)  when  the
performance  obligation  to  which  some  or  all  of  the  royalty  has  been  allocated  has  been  satisfied  (or  partially  satisfied). To  date,  the  Company  has  not
recognized any royalty revenue resulting from any of the Company’s collaboration arrangements.

The Company allocates the transaction price based on the estimated standalone selling price of the underlying performance obligations or in the case of
certain variable consideration to one or more performance obligations. The Company must develop assumptions that require judgment to determine the
standalone  selling  price  for  each  performance  obligation  identified  in  the  contract.  The  Company  utilizes  key  assumptions  to  determine  the  standalone
selling price, which may include other comparable transactions, pricing considered in negotiating the transaction and the estimated costs to complete the
respective performance obligation. Certain variable consideration is allocated specifically to one or more performance obligations in a contract when the
terms  of  the  variable  consideration  relate  to  the  satisfaction  of  the  performance  obligation  and  the  resulting  amounts  allocated  to  each  performance
obligation are consistent with the amounts the Company would expect to receive for each performance obligation.

For performance obligations consisting of licenses and other promises, the Company utilizes judgment to assess the nature of the combined performance
obligation to determine whether the combined performance obligation is satisfied over time or at a point in time and, if over time, the appropriate method
of  measuring  progress  for  purposes  of  recognizing  revenue  from  non-refundable,  up-front  fees.  The  Company  evaluates  the  measure  of  progress  each
reporting period and, if necessary, adjusts the measure of performance and related revenue recognition. If the license to the Company’s intellectual property
is  determined  to  be  distinct  from  the  other  performance  obligations  identified  in  the  arrangement,  the  Company  will  recognize  revenue  from  non-
refundable, up-front fees allocated to the license when the license is transferred to the customer and the customer is able to use and benefit from the license.

The Company receives payments from its customers based on billing schedules established in each contract. Such billings generally have 30-day terms.
Up-front  payments  and  fees  are  recorded  as  deferred  revenue  upon  receipt  or  when  due  until  the  Company  performs  its  obligations  under  these
arrangements. Amounts are recorded as accounts receivable when the right to consideration is unconditional.

Collaborative Arrangements

The  Company  records  the  elements  of  its  collaboration  agreements  that  represent  joint  operating  activities  in  accordance  with  ASC  Topic
808, Collaborative Arrangements (ASC 808). Accordingly, the elements of the collaboration agreements that represent activities in which both parties are
active participants and to which both parties are exposed to the significant risks and rewards that are dependent on the commercial success of the activities,
are  recorded  as  collaborative  arrangements.  The  Company  also  considers  the  guidance  in  ASC  Topic  606  by  analogy  in  determining  the  appropriate
treatment for the transactions between the Company and its collaborative partners and the transactions between the Company and third parties. Generally,
the classification of transactions under the collaborative arrangements is determined based on the nature and contractual terms of the arrangement along
with the nature of the operations of the participants. To the extent revenue is generated from a collaboration, the Company will recognize its share of the net
sales on a gross basis if it is deemed to be the principal in the transactions with customers, or on a net basis if it is instead deemed to be the agent in the
transactions with customers, consistent with the guidance in Topic 606.

Fair Value Measurements

Fair value is defined as the price that would be received upon sale of an asset or paid to transfer a liability between market participants at measurement
dates. ASC Topic 820, Fair Value Measurement (ASC 820), establishes a three-level valuation

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

hierarchy  for  instruments  measured  at  fair  value.  The  hierarchy  is  based  on  the  transparency  of  inputs  to  the  valuation  of  an  asset  or  liability  as  of  the
measurement date. The three levels are defined as follows:

Level 1—Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2—Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for
the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

Level 3—Inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Cash and Cash Equivalents

The Company considers all highly liquid investments with an original maturity, or a remaining maturity at the time of purchase, of three months or less to
be cash equivalents. The Company invests excess cash primarily in money market funds, commercial paper and government agency securities, which are
highly liquid and have strong credit ratings. These investments are subject to minimal credit and market risks. Cash and cash equivalents are stated at cost,
which approximates market value.

Cash and cash equivalents

Restricted cash included in other assets, noncurrent

Total cash, cash equivalents and restricted cash per statement of cash flows

Other Assets

Year ended December 31, 2021

Year ended December 31, 2020

Beginning
of period

End
of period

Beginning
of period

End
of period

$

$

255,094  $

321 
255,415  $

177,947  $

478 
178,425  $

62,351  $

321 
62,672  $

255,094 

321 
255,415 

The Company recorded other assets of $2,356 and $2,153 as of December 31, 2021 and 2020, respectively, comprised of $1,418 and $1,832, respectively,
held by a service provider, restricted cash of $478 and $321, respectively, held as a security deposit for a standby letter of credit related to a facility lease,
and $460 as of December 31, 2021 of deferred financing costs related to the New Credit Facility (as defined below) with Silicon Valley Bank (SVB) and
Oxford Financial LLC (Oxford). For additional information regarding the New Credit Facility, please refer to Note 7, Debt, to these consolidated financial
statements.

Accounting for Stock-based Compensation

The Company accounts for its stock-based compensation in accordance with ASC Topic 718 Compensation—Stock Compensation (ASC 718). ASC 718
requires all stock-based payments to employees, directors and non-employees to be recognized as expense in the statements of operations based on their
grant date fair values. The Company estimates the fair value of options granted using the Black-Scholes option pricing model. The Black-Scholes option
pricing model requires inputs based on certain subjective assumptions, including (a) the expected stock price volatility, (b) the calculation of expected term
of  the  award,  (c)  the  risk-free  interest  rate  and  (d)  expected  dividends.  Due  to  the  lack  of  a  public  market  for  the  Company's  common  stock  prior  to
completion  of  the  initial  public  offering  and  a  lack  of  company-specific  historical  and  implied  volatility  data,  the  Company  has  based  its  estimate  of
expected  volatility  on  the  historical  volatility  of  a  group  of  similar  companies  that  are  publicly  traded.  The  historical  volatility  is  calculated  based  on  a
period  of  time  commensurate  with  the  expected  term  assumption.  The  computation  of  expected  volatility  is  based  on  the  historical  volatility  of  a
representative group of companies with similar characteristics to the Company, including stage of product development and life science industry focus. The
Company uses the simplified method as prescribed by the SEC Staff Accounting Bulletin No. 107, Share-Based Payment, to calculate the expected term for
options granted to employees as it does not have sufficient historical exercise data to provide a reasonable basis upon which to estimate the expected term.
For options granted to non-employees, the Company utilizes the contractual term of the arrangement as the basis for the expected term assumption. The
risk-free interest rate is based on a

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

treasury  instrument  whose  term  is  consistent  with  the  expected  term  of  the  stock  options.  The  expected  dividend  yield  is  assumed  to  be  zero  as  the
Company has never paid dividends and has no current plans to do so.

The Company determines the fair value of each restricted stock unit (RSU), at its grant date based on the closing market price of the Company’s common
stock on that date. For stock-based compensation subject to service-based vesting conditions, the Company recognizes stock-based compensation expense
equal to the grant date fair value of stock-based compensation on a straight-line basis over the requisite service period.

The Company records forfeitures as a cumulative adjustment in the period in which they occur.

Net Loss per Share

Basic net loss per share of common stock is calculated by dividing the net loss attributable to common stockholders by the weighted-average number of
shares  outstanding  and,  for  the  year  ended  December  31,  2019,  2,575,000  Exchange  Warrants  (as  defined  in  Note  8,  Stockholders' Equity)  outstanding
during the period, without further consideration for potentially dilutive securities. In accordance with ASC Topic 260, Earnings Per Share, the Exchange
Warrants are included in the computation of basic net loss per share because the exercise price is negligible and they are fully vested and exercisable at any
time after the original issuance date. Diluted net loss per share is computed by dividing the net loss attributable to common stockholders by the weighted-
average number of common shares and potentially dilutive securities outstanding for the period determined using the treasury stock method. For purposes
of the diluted net loss per share calculation, stock options, unvested RSUs and warrants to purchase common stock are considered to be potentially dilutive
securities, but are excluded from the calculation of diluted net loss per share because their effect would be anti-dilutive and therefore, basic and diluted net
loss per share were the same for all periods presented.

The following table sets forth the outstanding potentially dilutive securities that have been excluded from the calculation of diluted net loss per share
because to include them would be anti-dilutive (in common stock equivalent shares):

Stock options
Unvested restricted stock units
Warrants

Property and Equipment

2021
8,342,429 
817,609 
39,474 
9,199,512 

Year ended December 31,
2020
6,112,948 
716,767 
39,474 
6,869,189 

2019
4,720,772 
447,336 
39,474 
5,207,582 

Property and equipment is stated at cost, less accumulated depreciation. Depreciation is computed using the straight-line method over the estimated useful
life of each asset as follows:

Computer equipment, office equipment and software
Laboratory equipment
Leasehold improvements

3 years
5 years
Shorter of useful life or life of lease

Upon retirement or sale, the cost of the assets disposed of and the related accumulated depreciation are eliminated from the balance sheet and related gains
or losses are reflected in the statement of operations. There were no material sales of assets during the years ended December 31, 2021, 2020 and 2019.

The Company reviews its long-lived assets for impairment whenever events or changes in business circumstances indicate that the carrying amount of the
assets  may  not  be  fully  recoverable.  If  an  impairment  review  is  performed  to  evaluate  an  asset  for  recoverability,  the  Company  compares  forecasts  of
undiscounted  cash  flows  expected  to  result  from  the  use  and  eventual  disposition  of  the  asset  to  its  carrying  value.  If  the  carrying  amount  of  the  asset
exceeds its estimated undiscounted future net cash flows, an impairment charge is recognized in the amount by which the carrying amount of the asset
exceeds the fair value of the asset. The Company did not recognize impairment charges during the years ended December 31, 2021, 2020 and 2019.

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Leases

Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

Consistent with ASC Topic 842, Leases, the Company determines if an arrangement is a lease at inception. Operating leases are included in right-of-use
lease  assets  (ROU  assets),  current  portion  of  lease  obligations  and  long-term  lease  obligations  on  the  Company’s  consolidated  balance  sheets.  Assets
subject to finance leases are included in property and equipment, and the related lease obligation is included in other current liabilities and other long-term
liabilities on the Company’s consolidated balance sheets. Lease assets are tested for impairment in the same manner as long-lived assets used in operations.
Lease expense for operating leases is recognized on a straight-line basis over the lease term as an operating expense while expense for financing leases is
recognized  as  depreciation  expense  and  interest  expense  using  the  effective  interest  method.  The  Company  has  elected  the  short-term  lease  recognition
exemption for short-term leases, which allows the Company not to recognize lease liabilities and ROU assets on the consolidated balance sheets for leases
with an original term of twelve months or less.

ROU assets represent the Company’s right to use an underlying asset for the lease term, and lease obligations represent the Company’s obligation to make
lease payments arising from the lease. Operating lease liabilities and their corresponding ROU assets are initially recorded based on the present value of
lease payments over the expected remaining lease term. When determining the lease term, the Company includes options to extend or terminate the lease
when it is reasonably certain that the option will be exercised. Certain adjustments to the ROU asset may be required for items such as incentives received.
The  interest  rate  implicit  in  lease  contracts  is  typically  not  readily  determinable.  As  a  result,  the  Company  utilizes  its  incremental  borrowing  rate  to
discount lease payments. The incremental borrowing rate reflects the fixed rate at which the Company could borrow, on a collateralized basis, the amount
of the lease payments in the same currency, for a similar term, in a similar economic environment. Prospectively, the Company will adjust the ROU assets
for straight-line rent expense, or any incentives received and remeasure the lease liability at the net present value using the same incremental borrowing rate
that was in effect as of the lease commencement or transition date.

The Company has lease agreements with lease and non-lease components, which are generally accounted for separately.

Patent Costs

The  Company  expenses  patent  application  and  related  legal  costs  as  incurred  and  classifies  such  costs  as  general  and  administrative  expenses  in  the
accompanying consolidated statements of operations.

Income Taxes

The Company accounts for income taxes in accordance with ASC Topic 740, Accounting for Income Taxes,  which  provides  for  deferred  taxes  using  an
asset and liability approach. The Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events that have been
included in the financial statements or tax returns. The Company determines its deferred tax assets and liabilities based on differences between financial
reporting and tax bases of assets and liabilities, which are measured using the enacted tax rates and laws that will be in effect when the differences are
expected to reverse. Valuation allowances are provided if, based upon the weight of available evidence, it is more likely than not that some or all of the
deferred tax assets will not be realized.

The  Company  recognizes  the  effect  of  income  tax  positions  only  if  those  positions  are  more  likely  than  not  to  be  sustained.  Recognized  income  tax
positions are measured at the largest amount that is more likely than not to be realized. Changes in recognition or measurement are reflected in the period in
which the change in judgment occurs.

Comprehensive Income (Loss)

Comprehensive income (loss) comprises net loss and other comprehensive loss. For the year ended December 31, 2021, comprehensive loss equaled net
loss.  For  the  years  ended  December  31,  2020  and  2019,  other  comprehensive  income  (loss)  consisted  of  changes  in  unrealized  income  and  loss  on
marketable securities.

Concentration of Credit Risk and Off-balance Sheet Risk

The  Company  has  no  financial  instruments  with  off-balance  sheet  risk,  such  as  foreign  exchange  contracts,  option  contracts,  or  other  foreign  hedging
arrangements. Financial instruments that potentially subject the Company to concentrations of credit risk

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

primarily consist of cash equivalents and marketable securities. Under its investment policy, the Company limits amounts invested in such securities by
credit rating, maturity, industry group, investment type and issuer, except for securities issued by the U.S. government. The Company has not experienced
any credit losses and does not believe that it is subject to any significant concentrations of credit risk from these financial instruments.

Recently Adopted Accounting Pronouncements

In December 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes, as part of its initiative to
reduce complexity in the accounting standards. The amendments in ASU 2019-12 eliminate certain exceptions related to the approach for intraperiod tax
allocation, the methodology for calculating income taxes in an interim period and the recognition of deferred tax liabilities for outside basis differences.
ASU 2019-12 also clarifies and simplifies other aspects of the accounting for income taxes. The amendments in ASU 2019-12 are effective for the fiscal
years beginning after December 15, 2020. The adoption of this standard did not have a material impact on the Company’s consolidated financial statements
and related disclosures.

3. Collaboration Agreements

Merck KGaA

In June 2014, the Company entered into a Collaboration and Commercial License Agreement with Merck KGaA (the Merck KGaA Agreement). Upon the
execution of the Merck KGaA Agreement, Merck KGaA paid the Company a non-refundable technology access fee of $12,000 for the right to develop
ADCs directed to six exclusive targets over a specified period of time. No additional fees are due when a target is designated and the commercial license to
the target is granted. Merck KGaA will be responsible for the product development and marketing of any products resulting from this collaboration.

Under the terms of the Merck KGaA Agreement, the Company and Merck KGaA develop research plans to evaluate Merck KGaA's antibodies as ADCs
incorporating the Company's technology. The Company receives reimbursement for its efforts under the research plans. The goal of the research plans is to
provide Merck KGaA with sufficient information to formally nominate a development candidate and begin IND-enabling studies or cease development on
the designated target.

In  addition  to  the  payments  received  for  research  and  development  activities  performed  on  behalf  of  Merck  KGaA,  the  Company  could  be  eligible  to
receive up to a total of $780,000 in future milestones related to all targets under the Merck KGaA Agreement, plus low to mid-single digit royalties on the
commercial sales of any resulting products during the applicable royalty term. The total milestones are categorized as follows: development milestones
$84,000;  regulatory  milestones  $264,000;  and  sales  milestones  $432,000.  There  are  six  individual  development  milestones  per  target,  payable  upon  the
completion of various activities, from the delivery of ADCs meeting defined specifications, through the dosing in a Phase 3 clinical trial. There are five
regulatory milestones, which are payable upon regulatory approvals for a first indication in each of the U.S., European Union and Japanese markets and
regulatory approvals for both a second and a third indication in the United States. There are three individual commercial milestones, which are payable
upon the attainment of certain defined thresholds for annual net sales.

Prior to 2020, the Company had received $3,000 related to development milestones under the Merck KGaA Agreement. There have been no additional
milestone payments in the years ended December 31, 2021 or 2020. The next potential milestone payment the Company will be eligible to receive will be a
development milestone of $500 on Merck KGaA's designation of a preclinical development candidate for any target. Revenue will be recognized when
achievement of the milestone is considered probable.

Unless  earlier  terminated,  the  Merck  KGaA  Agreement  will  expire  upon  the  expiration  of  the  last  royalty  term  for  a  product  under  the  Merck  KGaA
Agreement, after which time, Merck KGaA will have a perpetual, royalty-free license, or if Merck KGaA does not designate any ADC product candidates
produced by the Company under the Merck KGaA Agreement as preclinical development candidates, upon the expiration of the last to expire research
program. Merck KGaA may terminate the Merck KGaA Agreement in its entirety or with respect to any target for convenience upon 60 days' prior written
notice. Each party may terminate the Merck KGaA Agreement in its entirety upon bankruptcy or similar proceedings of the other party or upon an uncured
material  breach  of  the  Merck  KGaA  Agreement  by  the  other  party.  However,  if  such  breach  only  relates  to  one  target,  the  agreement  may  only  be
terminated with respect to such target.

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

In May 2018, the Company entered into a Supply Agreement with Merck KGaA (the Merck KGaA Supply Agreement). Under the terms of the Merck
KGaA Supply Agreement, the Company will provide Merck KGaA preclinical non-GMP ADC drug substance and clinical GMP drug substance for use in
clinical  trials  associated  with  one  of  the  antibodies  designated  under  the  Merck  KGaA  Agreement.  The  Company  receives  fees  for  its  efforts  under  the
Merck  KGaA  Supply  Agreement  and  reimbursement  equal  to  the  supply  cost.  The  Company  may  also  enter  into  future  supply  agreements  to  provide
clinical supply material should Merck KGaA pursue clinical development of any other candidates nominated under the Merck KGaA Agreement.

Accounting Analysis

The  Company  identified  the  following  performance  obligations  under  the  Merck  KGaA  Agreement:  (i)  exclusive  license  and  research  services  for  six
designated targets, (ii) rights to future technological improvements and (iii) participation of project team leaders and providing joint research committee
services.

The Company has concluded that each license for a designated target is not distinct from the research services performed related to the designated target as
Merck KGaA cannot obtain the benefit of the license without the related research services. Each license for a designated target and the related services
performance obligation is considered distinct from every other license for a designated target and related services performance obligation as each research
plan is pursued independent of every other research plan for other designated targets.

The Company utilizes the expected value approach to estimate the amount of consideration related to the payment of fees associated with development and
research  services.  The  Company  utilizes  the  most  likely  amount  approach  to  estimate  any  development  and  regulatory  milestone  payments  to  be
received. As of the date of initial application of Topic 606, there were no milestones payments that had not already been received, included in the estimated
transaction  price.  The  Company  considered  the  stage  of  development  and  the  remaining  risks  associated  with  the  remaining  development  required  to
achieve the milestone, as well as whether the achievement of the milestone is outside the control of the Company or Merck KGaA. The milestone payment
amounts were fully constrained, as a result of the uncertainty whether any of the associated milestones would be achieved. The Company has determined
that any commercial milestones and sales based royalties will be recognized when the related sales occur as they were determined to relate predominantly
to the license granted and therefore have also been excluded from the transaction price.

The transaction price was allocated to the performance obligations based on the relative estimated standalone selling prices of each performance obligation
or  in  the  case  of  certain  variable  consideration  to  one  or  more  performance  obligations.  The  estimated  standalone  selling  prices  for  performance
obligations, that include a license and research services, were developed using the estimated selling price of the license and an estimate of the overall effort
to perform the research service and an estimated market rate for research services. The estimated standalone selling price of the licenses was established
based on comparable transactions. The estimated standalone selling price for the rights to future technological improvements was developed based on the
estimated selling prices of a license or rights received, as well as considering the probability that additional technology would be made available or the
probability the counterpart would utilize the technology. The estimated standalone selling price for the joint research committee services was developed
using an estimate of the time and costs incurred to participate in the committees.

The Company re-evaluates the transaction price in each reporting period and as uncertain events are resolved or other changes in circumstances occur. As
of December 31, 2021 and 2020, the total estimated transaction price for the Merck KGaA Agreement was $21,325. The transaction price of $21,325 was
allocated to the performance obligations as follows: approximately $3,941 for each of the license and corresponding research and development services
units of account for the first and second designated targets; $3,439 for each of the license and corresponding research and development services units of
account for the third and sixth designated target; $3,152 for the license and corresponding research and development services unit of account for the fourth
designated target; $2,746 for the license and corresponding research and development services unit of account for the fifth designated target; $425 for rights
to future technological improvements; and $242 for joint research committee services.

The Company is recognizing revenue related to the exclusive license and research and development services performance obligation over the estimated
period of the research and development services using a proportional performance model. The Company measures proportional performance based on the
costs incurred relative to the total costs expected to be incurred. To

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

the extent that the Company receives fees for the research services as they are performed, these amounts are recorded as deferred revenue. Revenue related
to future technological improvements and joint research committee services will be recognized ratably over the performance period (which in the case of
the  joint  research  committee  services  approximate  the  time  and  cost  incurred  each  period),  which  are  10  and  5  years,  respectively.  The  Company  is
continuing to reassess the estimated remaining term at each subsequent reporting period.

As of December 31, 2021, the Company has completed its research service obligations associated with four of the six designated targets. During the years
ended December 31, 2021, 2020 and 2019, the Company recorded collaboration revenue of $43, $828 and $853, respectively, related to its efforts under the
Merck  KGaA  Agreement.  During  the  year  ended  December  31,  2019,  the  Company  recognized  collaboration  revenue  and  corresponding  research  and
development expense of $1,280 related to the Merck KGaA Supply Agreement. There were no amounts recognized during the years ended December 31,
2021 and 2020 related to the Merck KGaA Supply Agreement. There was no balance in accounts receivable related to the Merck KGaA Agreement and
Merck KGaA Supply Agreement as of either December 31, 2021 or December 31, 2020.

As  of  December  31,  2021  and  2020,  the  Company  had  recorded  $3,944  and  $3,987,  respectively,  in  deferred  revenue  related  to  the  Merck  KGaA
Agreement and Merck KGaA Supply Agreement that will be recognized over the remaining performance period.

Takeda XMT-1522 Strategic Partnership

In January 2016, the Company entered into a Development Collaboration and Commercial License Agreement with Takeda Pharmaceutical, Inc.'s wholly
owned  subsidiary,  Millennium  Pharmaceuticals,  Inc.  for  the  development  and  commercialization  of  XMT-1522  (the  XMT-1522  Agreement).  Under  the
XMT-1522 Agreement, Takeda was granted the exclusive right to commercialize XMT-1522 outside of the United States and Canada. Under the XMT-
1522  Agreement,  the  Company  was  responsible  for  conducting  certain  Phase  1  development  activities  for  XMT-1522,  including  the  ongoing  Phase  1
clinical trial, at its own expense. The parties agreed to collaborate on the further development of XMT-1522 in accordance with a global development plan
(Post-Phase 1 Development). On January 2, 2019, the Company received notice from Takeda stating that Takeda was exercising its right to terminate the
XMT-1522 Agreement upon 30 days’ prior written notice. The XMT-1522 Agreement terminated in accordance with its provisions, and the Company and
Takeda wound down activities related to the XMT-1522 Agreement as of March 31, 2019. Under the XMT-1522 Agreement, the Company and Takeda
shared equally all agreed Post-Phase 1 Development costs through the date of termination and for a period of 30 days after the effective termination date.

Takeda Strategic Research and Development Partnership

In  March  2014,  the  Company  entered  into  a  Research  Collaboration  and  Commercial  License  Agreement  with  Takeda’s  wholly  owned  subsidiary,
Millennium Pharmaceuticals, Inc. (the 2014 Agreement). The 2014 Agreement was amended in January 2015 and amended and restated in January 2016
(the 2016 Restated Agreement). The agreements provided Takeda with the right to develop ADCs directed to a total of seven exclusive targets, designated
by Takeda, over a specified period of time. On January 2, 2019, the Company received notice from Takeda stating that Takeda was exercising its right to
terminate the 2016 Restated Agreement upon 45 days’ prior written notice. The 2016 Restated Agreement terminated in accordance with its provisions, and
the Company and Takeda wound down activities related to the 2016 Restated Agreement as of March 31, 2019.

Accounting Analysis

The Company’s collaboration agreements with Takeda were terminated following receipt of written notices during the first quarter of 2019. As there are no
further performance obligations, the Company recognized the remaining deferred revenue of $39,965 related to the termination of the Takeda agreements in
the first quarter of 2019.

Prior to the termination of the agreements, the Company had identified 14 performance obligations in the agreements. The Company concluded that the
license related to each of the designated targets was not distinct from the research services performed related to each of the designated targets as Takeda
could not have obtain the benefit of the license without the related research services. Each license to a designated target and the related service performance
obligation was considered distinct from every other license to a designated target and related services performance obligation as each research plan was
pursued independent of the any other research plans for other designated targets. Further, the material rights provided were determined

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

to  be  distinct  from  the  other  performance  obligations  in  the  arrangement  as  they  were  options  in  the  contract  Takeda  agreements  and  not  required  for
Takeda to obtain the benefit of the other promised goods or services in the arrangement. Similarly, the Company concluded that the XMT-1522 license and
the  related  research  and  development  services,  including  the  Phase  1  development  and  the  transfer  of  certain  materials  and  know-how  related  to  the
Company's  manufacturing  processes,  were  one  performance  obligation.  The  license  to  the  Company's  intellectual  property  was  not  determined  to  be
distinct  from  the  research  and  related  development  services  that  the  Company  was  obligated  to  perform.  For  the  year  ended  December  31,  2019,  the
Company recorded total revenue of $39,965 related to its efforts under the 2016 Restated Agreement and the XMT-1522 Agreement. The Company did not
record any revenue under the 2016 Restated Agreement and the XMT-1522 Agreement in the years ended December 31, 2021 and 2020.

The Company concluded that the Post-Phase 1 Development activities under the XMT-1522 Agreement represented joint operating activities in which both
parties were active participants and of which both parties were exposed to significant risks and rewards that are dependent on the commercial success of the
activities.  Accordingly,  the  Company  accounted  for  the  Post-Phase  1  Development  activities  in  accordance  with  ASC  808.  For  the  year  ended
December 31, 2019, the Company was billed approximately $200 from Takeda representing Post-Phase 1 Development costs incurred by Takeda. These
amounts have been reflected as research and development costs in the consolidated statement of operations. During the year ended December 31, 2019, the
Company billed Takeda $195 related to ASC 808 costs.

Summary of Contract Assets and Liabilities

The following table presents changes in the balances of our contract assets and liabilities during the years ended December 31, 2021 and December 31,
2020:

Year ended December 31, 2021
Contract assets

Contract liabilities:

Deferred revenue

Year ended December 31, 2020
Contract assets

Contract liabilities:

Deferred revenue

Balance at
Beginning
of Period

Additions

Deductions

Balance at
End of Period

—  $

3,987  $

—  $

—  $

—  $

— 

43  $

3,944 

Balance at
Beginning
of Period

Additions

Deductions

Balance at
End of Period

—  $

—  $

—  $

— 

4,815  $

—  $

828  $

3,987 

$

$

$

$

During the year ended December 31, 2021, the Company recognized the following revenues as a result of changes in the contract asset and the contract
liability balances in the respective periods.

Revenue recognized in the period from:
Amounts included in the contract liability at the beginning of the period
Performance obligations satisfied in previous periods

Other Revenue

Year ended December 31,

2021

2020

$
$

43  $
—  $

828 
— 

The Company has provided limited services for a collaboration partner, Asana BioSciences. For the years ended December 31, 2021, 2020 and 2019, the
Company recorded revenue of $0, $0 and $25, respectively, related to these services. The next

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

potential  milestone  the  Company  is  eligible  to  receive  is  $2,500  upon  dosing  the  fifth  patient  in  a  Phase  1  clinical  trial  by  Asana  BioSciences.  As  of
December 31, 2021, the Company considered this next milestone to be fully constrained as there is considerable judgment involved in determining whether
it  is  probable  that  a  significant  revenue  reversal  would  occur.  As  part  of  its  evaluation  of  the  constraint,  the  Company  considered  numerous  factors,
including  the  fact  that  achievement  of  the  milestone  is  outside  the  control  of  the  Company  and  there  is  a  high  level  of  uncertainty  in  achieving  this
milestone,  as  this  would  require  initiation  of  clinical  trials  by  the  collaboration  partner.  The  Company  reevaluates  the  probability  of  achievement  of  a
milestone subject to constraint at each reporting period and as uncertain events are resolved or other changes in circumstances occur.

4. Fair Value Measurements

The carrying amounts reflected in the consolidated balance sheets for prepaid expenses and other current assets, accounts payable and accrued expenses
approximate their fair values due to their short-term nature.

As of December 31, 2021 and 2020, the carrying value of the Company’s outstanding borrowing under the Prior Credit Facility and New Credit Facility (as
defined below, respectively) approximated fair value (a Level 2 fair value measurement), reflecting interest rates currently available to the Company. The
Prior Credit Facility and New Credit Facility are discussed in more detail in Note 7, Debt.

5. Property and Equipment

Property and equipment consists of the following as of December 31, 2021 and 2020:

Laboratory equipment
Leasehold improvements
Computer equipment and office equipment
Total property and equipment at cost
Less: Accumulated depreciation

December 31,
2021

December 31,
2020

$

$

6,725  $
1,906 
1,019 
9,650 
(7,682)
1,968  $

6,520 
1,886 
959 
9,365 
(7,635)
1,730 

The Company recorded assets under finance leases of $609, $0, and $429 as property and equipment during the years ended December 31, 2021, 2020 and
2019, respectively. Financing leases are discussed in more detail in Note 10, Leases. Depreciation expense for the years ended December 31, 2021, 2020
and 2019 was $855, $1,010 and $1,245, respectively.

6. Accrued Expenses

Accrued expenses consist of the following as of December 31, 2021 and 2020:

Accrued manufacturing expenses
Accrued clinical expenses
Accrued payroll and related expenses
Accrued preclinical expenses
Accrued professional fees
Accrued other

112

December 31,
2021

December 31,
2020

$

$

8,476  $
7,879 
7,319 
3,848 
909 
285 
28,716  $

4,157 
5,126 
5,412 
619 
757 
75 
16,146 

Table of Contents

7. Debt

Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

On May 8, 2019, the Company entered into a loan and security agreement (the Original Agreement) with SVB pursuant to which the Company borrowed
$5,000. The Original Agreement accrued interest at a floating per annum rate equal to the greater of (i) 4.0% and (ii) 1.50% below the Prime Rate. The
Original Agreement had an interest-only period through August 31, 2020.

On  August  28,  2020,  the  Company  entered  into  a  second  amendment  (the  Second  Amendment)  to  the  Original  Agreement  with  SVB  (the  Prior  Credit
Facility). Pursuant to the Second Amendment, the Company drew $5,200 upon execution of the Second Amendment, the proceeds of which were used to
repay the Company’s existing balance under the Original Agreement and satisfy its obligations to SVB. The Amended Credit Facility accrued interest at a
floating per annum rate equal to the greater of (i) 4.25% and (ii) 1.00% above the Prime Rate.

On October 29, 2021, the Company entered into a loan and security agreement (the New Credit Facility) with SVB and Oxford (Oxford and SVB, together
the Lenders). Pursuant to the New Credit Facility, the Company can borrow term loans in an aggregate amount of $100,000, which includes (i) $60,000 in
up  to  three  principal  advances  through  December  31,  2022,  (ii)  an  additional  $10,000  in  one  principal  advance,  if  the  Company  reaches  certain
development  milestone  events  through  December  31,  2022,  (iii)  an  additional  $10,000  in  one  principal  advance,  if  the  Company  reaches  additional
development  milestone  events  through  June  30,  2023  and  (iv)  an  additional  tranche  of  $20,000,  subject  to  conditional  approval  from  the  Lenders.  The
Company drew $25,000 upon execution of the New Credit Facility, of which $5,500 of the proceeds was used to repay the existing balance under the Prior
Credit Facility and satisfy its obligations to SVB, resulting in the recording of a $398 loss on extinguishment, which is presented within interest expense for
the year ended December 31, 2021 on the Consolidated Statements of Operations and Comprehensive Loss. Upon entering into the New Credit Facility, the
Company terminated all commitments by SVB to extend further credit under the Prior Credit Facility and all guarantees and security interests granted by
the Company to SVB under the Prior Credit Facility.

The New Credit Facility bears interest at a floating per annum rate equal to the greater of (i) 8.50% and (ii) 5.25% above the Prime Rate. Interest is payable
monthly in arrears on the first day of each month. The Company is obligated to make interest-only payments through November 1, 2024, followed by equal
monthly principal payments and applicable interest through the maturity date of October 1, 2026 (the Maturity Date). If certain development milestones are
met, then the interest-only period will be extended to November 1, 2025.

The  Company  is  also  required  to  make  a  final  payment  to  the  Lenders  equal  to  4.25%  of  the  principal  amount  of  the  term  loans  then  extended  to  the
Company. This final payment is accreted under the effective interest method over the life of each term loan. The term loans are secured by substantially all
of the Company’s assets, except for its intellectual property which is subject to a negative pledge, and certain other customary exclusions.

At the Company’s option, it may prepay the outstanding principal balance of any term loans in whole but not in part, subject to a prepayment fee of: (a)
3.0% of the term loans then extended to the Company if the prepayment occurs on or prior to the first anniversary of the funding date of such term loan, (b)
2.0% of the term loans then extended to the Company if the prepayment occurs after the first anniversary of the funding date of such term loan but on or
prior to the second anniversary of the funding date of such term loan, or (c) 1.0% of the term loans then extended to the Company if the prepayment occurs
after the second anniversary of the funding date of such term loan but before the Maturity Date. The New Credit Facility includes customary affirmative
and  restrictive  covenants  applicable  to  the  Company.  Affirmative  covenants  include,  among  others,  covenants  requiring  the  Company  to  maintain  its
corporate existence and governmental approvals, deliver certain financial reports, maintain insurance coverage and satisfy certain requirements regarding
deposit  accounts.  The  restrictive  covenants  include,  among  others,  requirements  relating  to  the  Company’s  ability  to  transfer  collateral,  incur  additional
indebtedness, engage in mergers or acquisitions, pay dividends or make other distributions, make investments, create liens, sell assets and agree to a change
in control, in each case subject to certain customary exceptions.

The Company’s payment obligations under the New Credit Facility are subject to acceleration upon the occurrence of specified events of default, which
include, but are not limited to, the occurrence of a material adverse change in the Company’s business, operations, or financial or other condition. Amounts
outstanding upon the occurrence of an event of default are payable upon the Lenders' demand and shall accrue interest at an additional rate of 5.0% per
annum of the past due amount outstanding. As of December 31, 2021, the Company was in compliance with all covenants under the New Credit Facility.
As such, as of

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

December 31, 2021, the classification of the loan balance as stated on the balance sheet was based on the timing of defined future payment obligations.

In connection with entering into the New Credit Facility, the Company paid $958 in costs, of which $210 was paid to Lenders and $748 was paid to third
parties. Certain costs were recorded as a reduction of the carrying amount on the term loan and amortized as interest expense using the effective-interest
method,  which  was  comprised  of  $151  of  the  costs  paid  to  the  Lenders  and  $273  of  the  costs  paid  to  third  parties.  The  remaining  costs  of  $533  were
capitalized in other assets related to the Company's right to borrow additional amounts from the Lenders in the future and amortized to interest expense
over the relevant draw period on a straight-line basis.

As of December 31, 2021, there was $25,000 outstanding under the New Credit Facility and the debt consisted of the following:

Total debt
Less: Current portion of long-term-debt
Total debt, net of current portion
Debt financing costs, net of accretion
Accretion related to final payment

Long-term debt, net

As of December 31, 2021, the estimated future principal payments due are as follows:

2022
2023
2024
2025
2026

Total debt

December 31,
2021

25,000 
— 
25,000 
(410)
36 
24,626 

— 
— 
2,083 
12,500 
10,417
25,000 

$

$

$

$

During the year ended December 31, 2021 and 2020, the Company recognized $797 and $340, respectively, of interest expense related to the Prior Credit
Facility and New Credit Facility, as applicable.

8. Stockholders’ Equity

Preferred stock

As of December 31, 2021, the Company had 25,000,000 shares of authorized preferred stock. No shares of preferred stock have been issued.

At-the-market equity offering program

In July 2018, the Company established an at-the-market (ATM) equity offering program (the 2018 ATM) pursuant to which it could offer and sell up to
$75,000  of  its  common  stock  from  time  to  time  at  prevailing  market  prices.  During  the  year  ended  December  31,  2020,  the  Company  sold  10,900,599
shares  of  common  stock  and  received  net  proceeds  of  $62,976  through  the  2018  ATM.  In  May  2020,  the  Company  terminated  the  2018  ATM  and
established a new ATM equity offering program (the 2020 ATM) pursuant to which it is able to sell up to $100,000 of its common stock from time to time
at prevailing market prices. As of December 31, 2021, the Company had sold 3,961,074 shares of common stock and received net proceeds of $43,087
under the 2020 ATM.

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Follow-on offering

Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

In June 2020, the Company sold 9,200,000 shares of common stock, in an underwritten public offering price to the public of $19.00 per share. Net proceeds
to the Company after deducting fees, commissions and other expenses related to the offering were $163,990.

Warrants

In connection with a 2013 Series A-1 Preferred Stock issuance, the Company granted to certain investors warrants to purchase 129,491 shares of common
stock. The warrants have a $0.05 per share exercise price and a contractual life of 10 years. The fair value of these warrants was recorded as a component
of equity at the time of issuance. As of December 31, 2021 and 2020 there were warrants to purchase 39,474 shares of common stock. During the year
ended December 31, 2021, there were no exercises of warrants in exchange for shares of common stock.

Exchange warrants

On November 26, 2019, the Company entered into an exchange agreement with entities affiliated with Biotechnology Value Fund, L.P. (the Exchanging
Stockholders), pursuant to which the Exchanging Stockholders exchanged an aggregate of 2,575,000 shares of common stock for warrants (the Exchange
Warrants)  to  purchase  an  aggregate  of  2,575,000  shares  of  common  stock  (subject  to  adjustment  in  the  event  of  any  stock  dividends  and  splits,  reverse
stock split, merger or consolidation, change of control, reorganization or similar transaction, as described in the Exchange Warrants), with an exercise price
of $0.0001 per share.

In  accordance  with  ASC  Topic  505,  Equity,  the  Company  recorded  the  retirement  of  the  common  stock  exchanged  as  a  reduction  of  common  shares
outstanding and a corresponding debit to additional paid-in-capital at the fair value of the Exchange Warrants on the issuance date. While outstanding, the
Exchange Warrants were classified as equity in accordance with ASC Topic 480, Distinguishing Liabilities from Equity, and the fair value of the Exchange
Warrants was recorded as a credit to additional paid-in capital and is not subject to remeasurement. The Company determined that the fair value of the
Exchange Warrants is substantially similar to the fair value of the retired shares on the issuance date due to the negligible exercise price for the Exchange
Warrants.  On  March  2,  2020,  the  Exchanging  Stockholders  exercised  the  Exchange  Warrants  in  full  on  a  net  cashless  exercise  basis,  resulting  in  the
issuance of 2,574,971 shares of common stock.

Common Stock

The holders of the common stock are entitled to one vote for each share held. Common stockholders are not entitled to receive dividends, unless declared
by the Board of Directors of the Company (the Board).

As of December 31, 2021 and 2020 there were 9,199,512 and 6,869,189 shares of common stock, respectively, reserved for the exercise of outstanding
stock options and warrants.

Stock options
Restricted stock units
Warrants

9. Stock Options

Stock option plans

December 31,
2021
8,342,429 
817,609 
39,474 
9,199,512 

December 31,
2020
6,112,948 
716,767 
39,474 
6,869,189 

As of June 30, 2017, there were 3,141,625 options outstanding under the Company’s 2007 Stock Incentive Plan. The 2007 Plan expired in June 2017. Any
cancellations or forfeitures of options granted under the 2007 Stock Incentive Plan will increase the options available under the 2017 Stock Incentive Plan
as described below.

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

In  June  2017  the  Company’s  shareholders  approved  the  2017  Stock  Incentive  Plan  (the  2017  Plan  or  the  Plan).  Under  the  2017  Plan  initially,  up  to
2,255,000 shares of common stock may be granted to the Company's employees, officers, directors, consultants and advisors in the form of options, RSUs
or other stock-based awards. The number of shares of common stock issuable under the Plan cumulatively increases annually by 4% of the outstanding
shares or such lesser amount determined by the Board. The terms of the awards made under the Plan are determined by the Board, subject to the provisions
of the Plan. In January 2021, the number of shares of common stock issuable under the 2017 Plan was increased by 2,753,651 shares. As of December 31,
2021  there  were  1,308,183  shares  available  for  future  issuance  under  the  Plan.  During  the  year  ended  December  31,  2021,  the  Company  granted  to
employees 715,716 RSUs and options to purchase 2,870,720 shares of common stock under the 2017 Plan.

Under the 2017 Plan, both with respect to incentive stock options and nonqualified stock options, the exercise price per share will equal the fair market
value of the common stock on the date of grant, as determined by the Board, and the vesting period is generally four years. Options granted under the Plan
expire no later than 10 years from the date of grant. Options under the 2007 Plan were granted at an exercise price established by the Board (or a committee
thereof) that was not less than the fair market value of the underlying common stock on the date of grant and subject to such vesting provisions determined
by  the  Board  (or  a  committee  thereof).  The  Board  may  accelerate  vesting  or  otherwise  adjust  the  terms  of  granted  options  in  the  case  of  a  merger,
consolidation, dissolution, or liquidation of the Company.

Inducement awards

The  Company  grants  to  its  employees,  upon  approval  by  the  Board,  options  to  purchase  shares  of  common  stock  as  an  inducement  to  employment  in
accordance  with  Nasdaq  Listing  Rule  5635(c)(4).  The  securities  are  issued  pursuant  to  Section  4(a)(2)  under  the  Securities  Act  of  1933,  as  amended,
relating to transactions by an issuer not involving any public offering. These options are subject to terms substantially the same as the options granted under
the 2017 Plan. As of December 31, 2021 there were options to purchase 757,500 shares of common stock granted as inducement awards outstanding.

Stock option activity

A summary of the activity is as follows:

Outstanding at January 1, 2021
Granted
Exercised
Cancelled

Outstanding at December 31, 2021

Vested and expected to vest at December 31, 2021

Exercisable at December 31, 2021

Number
of Shares

Weighted-
Average
Exercise Price

Weighted Average
Remaining
Contractual Term

Aggregate
Intrinsic Value

6,112,948  $
3,308,220  $
(421,381) $
(657,358) $
8,342,429  $
8,342,429  $
3,997,529  $

7.84 
16.78 
4.36 
11.76 

11.25 

11.25 

7.63 

7.3 $

114,729 

7.2 $

7.2 $

5.5 $

8,458 

8,458 

7,539 

The weighted-average grant date fair value of options granted during the years ended December 31, 2021, 2020 and 2019, was $11.71, $7.99 and $2.47 per
share, respectively. The total intrinsic value of options exercised during the years ended December 31, 2021, 2020 and 2019, was $4,299, $11,147, and
$202, respectively. The aggregate intrinsic value represents the difference between the exercise price and the selling price received by option holders upon
the exercise of stock options during the period.

Cash received from the exercise of stock options was $1,837, $3,138 and $175 for the years ended December 31, 2021, 2020 and 2019, respectively.

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Restricted stock units

Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

The Company periodically issues RSUs with a service condition to certain officers and other employees that typically vest between one year and four years
from the grant date.

A summary of the RSU activity under the 2017 Plan is as follow:

Unvested at January 1, 2021
Granted
Vested
Forfeited

Unvested at December 31, 2021

Number
of Shares

Weighted-Average
Remaining
Contractual Term

Aggregate
Intrinsic Value

Weighted-Average
Grant Date
Fair Value

716,767 
715,716 
(419,336)
(195,538)
817,609 

1.0 $
— 
— 
— 

1.5 $

19,073  $
$
$
$

5,086  $

6.00 
18.39 
5.33 
12.34 

15.68 

The total fair value of RSUs vested during the years ended December 31, 2021, 2020 and 2019, was $5,790, $0, and, $0, respectively.

Stock-based compensation expense

The Company uses the provisions of ASC 718, Stock Compensation, to account for all stock-based awards to employees and non-employees.

The measurement date for awards is generally the date of grant. Stock-based compensation expense is recognized over the requisite service period, which is
generally the vesting period, using the straight-line method.

The following table presents stock-based compensation expense by award type included within the Company’s consolidated statement of operations and
comprehensive loss:

Stock options

Restricted stock units

Employee stock purchase plan

Stock-based compensation expense included in Total operating expenses

2021

Year ended December 31,
2020

2019

$

$

14,528  $

3,522 

359 
18,409  $

5,725  $

1,187 

260 
7,172  $

4,230 

410 

232 
4,872 

The following table presents stock-based compensation expense as reflected in the Company’s consolidated statements of operations and comprehensive
loss:

Research and development
General and administrative

Stock-based compensation expense included in Total operating expenses

2021

Year ended December 31,
2020

2019

$

$

9,984  $
8,425 
18,409  $

3,841  $
3,331 
7,172  $

2,245 
2,627 
4,872 

As of December 31, 2021, there was $38,958 and $9,929 of unrecognized compensation expense related to unvested stock options and unvested RSUs,
respectively, that is expected to be recognized over a weighted average period of 2.6 years and 2.8 years, respectively.

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

The fair value of each option award is estimated on the date of grant using the Black–Scholes option pricing model with the following weighted average
assumptions:

Risk-free interest rate

Expected dividend yield

Expected term (years)

Expected stock price volatility

2021

December 31,
2020

2019

0.9 %

— %

6.06

82 %

1.2 %

— %

6.05

74 %

2.3 %

— %

5.99

74 %

Expected volatility for the Company’s common stock is determined based on the historical volatility of comparable publicly traded companies. The risk-
free interest rate is based on the yield of U.S. Treasury securities consistent with the expected term of the option. No dividend yield was assumed as the
Company has not historically and does not expect to pay dividends on its common stock. The expected term of the options granted is based on the use of
the simplified method, in which the expected term is presumed to be the mid-point between the vesting date and the end of the contractual term.

The fair value of RSUs is determined based on the closing price of the Company’s common stock on the date of grant.

Employee Stock Purchase Plan

During the year ended December 31, 2017, the Board adopted and the Company's stockholders approved the 2017 employee stock purchase plan (the 2017
ESPP). The Company initially reserved 225,000 shares of common stock for issuance under the 2017 ESPP, plus an annual increase, to be added as of
January 1st of each year, equal to the least of (i) 450,000 shares of common stock; (ii) one percent of the number of shares of common stock outstanding as
of the close of business on the immediately preceding December 31st; and (iii) the number of shares of common stock determined by the Board on or prior
to such date for such year, up to maximum of 4,725,000 shares of common stock in the aggregate. During the years ended December 31, 2021 and 2020 the
Company issued 78,253 and 80,267 shares, respectively, under the 2017 ESPP. As of December 31, 2021, there were 566,565 shares available for issuance.

10. Leases

The Company has an operating lease for its office and lab space in Cambridge, MA and operating and finance leases for certain equipment. In March 2020,
the Company entered into the Seventh Amendment to the office and lab space lease (the Office Lease) to extend the term of the lease through March 2026.
The Company has an option to extend the lease term of the Office Lease for an additional five years.

On April 5, 2021, the Company entered into an Eighth Amendment to the Office Lease, which granted the Company additional office space in its existing
building  for  five  years,  beginning  July  1,  2021,  and  committed  the  Company  to  lease  payments  of  $4,983  over  that  period  (the  Expansion  Lease).  In
connection with the Expansion Lease, the Company increased the balance of the security deposit by increasing the standby letter of credit for the benefit of
its landlord by $157. The Expansion Lease also provided the Company with a tenant improvement allowance of $51. Independent from the option under
the Office Lease, the Company has an option to extend the lease term of the Expansion Lease for an additional five years. The Company’s exercise of the
options to extend the lease terms of both the Office Lease and Expansion Lease were not considered reasonably certain as of December 31, 2021.

The Expansion Agreement is a lease modification accounted for as a separate contract, because it expands the scope of the Office Lease and the additional
lease payments are commensurate with market rents. The Company assessed the lease classification of the Expansion Lease as of the date of signing and
determined that the Expansion Lease should be accounted for as an operating lease. The right-of-use asset and corresponding operating lease liability have
been calculated based on the present value of lease payments over the lease term. The Company determined the appropriate incremental borrowing rate to
utilize as a discount rate by using a synthetic credit rating which was estimated based on an analysis of outstanding debt of companies with similar credit
and financial profiles. Since the operating lease is a net lease, as the non-lease components (i.e., common area maintenance) are paid separately from rent
based on actual costs incurred, such non-lease components were not included in the right-of-use (ROU) asset and liability and are reflected as an expense in
the period incurred.

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

As a result of the signing of the Expansion Lease in April 2021, the Company recorded an increase of $3,783 to its ROU asset and lease liabilities in the
second quarter of 2021.

The  Company  had  a  standby  letter  of  credit  agreement  for  the  benefit  of  its  landlord  in  the  amount  of  $478  in  connection  with  the  Office  Lease  and
Expansion  Lease  as  of  December  31,  2021  and  $321  in  connection  with  the  Office  Lease  as  of  December  31,  2020,  collateralized  by  a  money  market
account.

The Company has remaining finance lease terms of one year to five years for certain equipment, some of which include options to purchase at fair value.
For the year ended December 31, 2021, the Company recorded assets under finance leases of $609 as property and equipment.

The components of lease expense were as follows:

Operating lease cost

Finance lease cost:
Amortization of right-of-use assets
Interest on lease liabilities

Supplemental balance sheet information related to leases was as follows:

Operating leases:
Operating lease right-of-use assets
Operating lease liabilities, current
Operating lease liabilities

Finance leases:
Property and equipment, gross
Property and equipment, accumulated depreciation
Other liabilities, current
Other liabilities

Weighted-average remaining lease term:
Operating leases
Finance leases

Weighted-average discount rate:
Operating leases
Finance leases

119

2021

Years ended December 31,
2020

2019

3,502  $

2,755  $

2,160 

169  $
28 
197  $

101  $
21 
122  $

75 
20 
95 

$

$

$

Year ended December 31,

2021

2020

$
$
$

$
$
$
$

12,889 
2,303 
11,247 

1,038 
(345)
239 
449 

$
$
$

$
$
$
$

10,936 
1,437 
10,158 

429 
(176)
93 
174 

4.3 years
4.0 years

5.2 years
2.9 years

10.8 %
5.4 %

10.8 %
6.9 %

Table of Contents

Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

Supplemental cash flow information related to leases was as follows:

Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases
Operating cash flows from finance leases
Financing cash flows from finance leases

Year ended December 31,
2020
2021

$
$
$

3,241  $
28  $
215  $

2,394 
21 
116 

Rent expense was $3,390, $2,644 and $2,160 for the years ended December 31, 2021, 2020 and 2019, respectively.

Future minimum lease payments under non-cancellable leases as of December 31, 2021 were as follows:

2022
2023
2024
2025
2026 and thereafter
Total lease payments
Present value adjustment

Present value of lease liabilities

11. Income Taxes

Operating leases

Finance leases

$

$

3,795  $
3,909 
4,027 
4,147 
1,310 
17,188 
(3,638)
13,550  $

269 
262 
141 
48 
8 
728 
(40)
688 

For the years ended December 31, 2021, 2020 and 2019, the Company recorded no income tax benefit for the net operating losses incurred in each year,
due to its uncertainty of realizing a benefit from those items.

A reconciliation of income taxes computed using the U.S. federal statutory rate to that reflected in operations as of December 31, 2021, 2020 and 2019 are
as follows:

Income tax computed at federal statutory tax rate
State taxes, net of federal benefit
Permanent differences
General business credits
Stock compensation
Impact of ownership shift
Change in valuation allowance

2021

2020

2019

21.0 %
6.3 %
(0.2)%
3.8 %
0.1 %
— %
(31.0)%
— %

21.0 %
6.7 %
1.2 %
3.4 %
— %
— %
(32.3)%
— %

21.0 %
6.1 %
(2.0)%
10.3 %
— %
(53.3)%
17.9 %
— %

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

Deferred  income  taxes  reflect  the  net  tax  effects  of  temporary  differences  between  the  carrying  amounts  of  assets  and  liabilities  for  financial  reporting
purposes and the amounts used for income tax purposes. Significant components of the Company’s net deferred tax assets as of December 31, 2021 and
2020 are as follows:

Deferred tax assets:

Net operating losses
Tax credit carryforwards
Accrued expenses
Lease liabilities
Licensed technology
Deferred revenue
Depreciation
Other

Total gross deferred tax assets
Valuation allowance
Net deferred tax assets less valuation allowance
Deferred tax liabilities
Right-of-use assets

Total gross deferred tax liabilities

Net deferred taxes

2021

2020

$

106,055  $
12,424 
6,892 
3,698 
2,775 
1,076 
493 
71 
133,484 
(130,051)
3,433 

(3,433)
(3,433)

$

—  $

64,259 
5,670 
4,058 
3,166 
1,534 
1,088 
502 
84 
80,361 
(77,375)
2,986 

(2,986)
(2,986)
— 

The  Company  has  incurred  net  operating  losses  (NOL)  since  inception.  At  December  31,  2021,  the  Company  had  Federal  and  State  net  operating  loss
carryforwards  of  approximately  $403,579  and  $337,057,  respectively.  Of  the  $403,579  of  Federal  net  operating  loss  carryforwards,  $34,149  expire  at
various dates through 2037. The remaining $369,430 of Federal net operating loss carryforwards do not expire. The State net operating loss carryforwards
expire at various dates through 2041. At December 31, 2021, the Company had Federal and State research and development tax credit carryforwards of
approximately $10,077 and $3,061, respectively, which expire at various dates through 2041.

As  required  by  ASC  740,  management  of  the  Company  has  evaluated  the  evidence  bearing  upon  the  reliability  of  its  deferred  tax  assets.  Based  on  the
weight of available evidence, both positive and negative, management has determined that it is more likely than not that the Company will not realize the
benefits of all of these assets. Accordingly, the Company recorded a valuation allowance of $130,051 and $77,375 at December 31, 2021 and December 31,
2020,  respectively.  The  valuation  allowance  increased  by  $52,676  and  $28,468  during  the  years  ended  December  31,  2021  and  2020,  respectively,
primarily as a result of the Company’s net operating losses generated during the periods, respectively.

Utilization of the NOLs and research and development tax credit carryforwards may be subject to a substantial annual limitation under Section 382 due to
ownership  change  limitations  that  have  occurred  previously  or  that  could  occur  in  the  future  in  accordance  with  Section  382,  as  well  as  similar  state
provisions. These ownership changes may limit the amount of NOLs and research and development tax credit carryforwards that can be utilized annually to
offset future taxable income and tax, respectively. If a change in control as defined by Section 382 has occurred at any time since the Company’s formation,
utilization  of  its  NOLs  or  research  and  development  tax  credit  carryforwards  would  be  subject  to  an  annual  limitation  under  Section  382,  which  is
determined by first multiplying the value of the Company’s stock at the time of the ownership change by the applicable long-term tax-exempt rate, which
could then be subject to additional adjustments, as required. Any limitation may result in expiration of a portion of the NOLs or research and development
tax carryforwards before their utilization. The Company has determined that ownership changes have occurred through November 4, 2019 and that certain
NOLs and research and development tax credit carryforwards will be subject to limitation. The amounts presented do not include NOLs or research and
development tax credit carryforwards that will expire unused due to ownership changes.

The Company applies the accounting guidance in ASC 740 related to accounting for uncertainty in income taxes. The Company’s reserves related to taxes
are based on a determination of whether, and how much of, a tax benefit taken by the

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

Company in its tax filings or positions is more likely than not to be realized following resolution of any potential contingencies present related to the tax
benefit. As of December 31, 2021 and 2020, the Company had no unrecognized tax benefits.

The  Company  has  not  conducted  a  study  of  its  research  and  development  credit  carryforwards.  This  study  may  result  in  an  adjustment  to  research  and
development credit carryforwards; however, until a study is completed and any adjustment is known, no amounts are being presented as an uncertain tax
position.  A  full  valuation  allowance  has  been  provided  against  the  Company’s  research  and  development  credits  and,  if  an  adjustment  is  required,  this
adjustment would be offset by an adjustment to the valuation allowance. Thus, there would be no impact to the balance sheets or statements of operations if
an adjustment were required.

Interest and penalties related to uncertain tax positions would be classified as income tax expense in the accompanying statements of operations. As of
December 31, 2021 and 2020, the Company had no accrued interest or penalties related to uncertain tax positions.

The  Company  files  income  tax  returns  in  the  United  States  federal  tax  jurisdiction  and  four  state  jurisdictions.  The  Company  did  not  have  any  foreign
operations during the years ended December 31, 2021, 2020 and 2019. The statute of limitations for assessment by the Internal Revenue Service and state
tax authorities is closed for tax years prior to 2017, although carryforward attributes that were generated prior to tax year 2017 may still be adjusted upon
examination to the extent utilized in a future period. There are no federal or state audits currently in progress.

12. Employee Benefit Plan

The Company has a defined contribution plan established under Section 401(k) of the Internal Revenue Code (401(k) Plan), which covers substantially all
employees.  Employees  who  have  attained  the  age  of  21  are  eligible  to  participate  in  the  401(k)  Plan  with  no  service  requirement.  Employees  may
contribute up to 95% of eligible pay on a pre–tax basis up to the federal annual limits. For the period from January 1, 2019 to July 31, 2019, the Company
matched the employees’ contributions at 50% on the first 6% up to $6. For the period from August 1, 2019 to December 31, 2020 and for the year ended
December 31, 2021, the Company matched the employees’ contributions at 100% on the first 4% up to $7. For the years ended December 31, 2021, 2020
and 2019, the Company recorded expense of $764, $486 and $404, respectively, related to its contribution to its 401(k) Plan.

13. Commitments

License Agreements

During the years ended December 31, 2021, 2020 and 2019, the Company recorded research and development expense related to non-refundable license
payments of $3,075, $250, and $750, respectively. Further development milestones of $2,125, $750 and $600, respectively, were also recorded as research
and development expense during the years ended December 31, 2021, 2020 and 2019.

See Note 10, Leases, to these consolidated financial statements for the Company’s future obligations related to leases as of December 31, 2021.

14. Subsequent Events

Janssen Research Collaboration and License Agreement

In February 2022, the Company entered into the Janssen Collaboration pursuant to which the Company granted Janssen an exclusive license to use the
Company's  proprietary  Dolasynthen  platform  and  other  technology  to  develop,  manufacture  and  commercialize  ADCs  directed  to  up  to  three  targets
selected  by  Janssen.  The  Company  is  responsible  for  performing  bioconjugation  activities  to  create  ADCs  for  Janssen  based  on  antibodies  provided  by
Janssen. The Company will also perform certain chemistry, manufacturing and controls development and early stage manufacturing activities for ADCs
that Janssen progresses through development, up to and including the manufacturing of clinical drug substance, at Janssen’s cost. Except with respect to
this limited manufacturing, Janssen will be responsible for the further development, manufacturing and

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Mersana Therapeutics, Inc.
Notes to consolidated financial statements
(continued)

commercialization of the ADCs developed under the Janssen Collaboration, including obtaining any necessary regulatory approvals, at Janssen’s cost.

The Company received an upfront payment of $40,000 in February 2022. The Company is eligible to receive development and regulatory milestones with
an  aggregate  total  of  $501,000,  if  licensed  products  directed  to  all  three  Targets  are  advanced  by  Janssen.  The  Company  is  also  eligible  to  receive
commercial milestones with an aggregate total of $530,000 in the event of commercialization of three Targets by Janssen and tiered royalties based on mid-
single digits to low-double digits on future net sales of licensed ADCs

Unless earlier terminated, the Janssen Collaboration will continue in effect until the date on which the royalty term and all payment obligations with respect
to all licensed ADCs in all countries have expired.

Other Events

On February 2, 2022, the Company amended the Commercial License and Option Agreement with Synaffix B.V. (Synaffix) in connection with the Janssen
Collaboration, and agreed to pay Synaffix a non-refundable execution fee of $1,500 which will be applied against future target license fees or development
milestones.

Further in connection with the Janssen Collaboration, on February 17, 2022, the Company amended the New Credit Facility described in Note 7, Debt, to
these consolidated financial statements. Pursuant to this amendment the Company has agreed to replace the tranche B term loan and the tranche C term
loan with a single combined term loan tranche in an aggregate principal amount of $20,000. Also, the combined term loan tranche will now be available
any time on or prior to June 30, 2023, within 90 days of the Company achieving both of the prior tranche B and tranche C term loan milestones.

Subsequent  to  December  31,  2021  and  through  February  25,  2022,  the  Company  sold  9,493,776  shares  of  common  stock  resulting  in  net  proceeds  of
$45,579 from ATM offerings, with substantial participation from existing long-term investors. Approximately $9,414 remains unsold and available for sale
under the 2020 ATM.

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ITEM 9.    CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

None.

ITEM 9A.    CONTROLS AND PROCEDURES

Management’s Evaluation of our Disclosure Controls and Procedures

We maintain “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended, or
the Exchange Act, that are designed to ensure that information required to be disclosed in the reports that we file or submit under the Exchange Act is (1)
recorded,  processed,  summarized  and  reported  within  the  time  periods  specified  in  the  Securities  and  Exchange  Commission’s  rules  and  forms  and  (2)
accumulated  and  communicated  to  our  management,  including  our  principal  executive  and  principal  financial  officer,  as  appropriate  to  allow  timely
decisions  regarding  required  disclosure.  Our  management  recognizes  that  any  controls  and  procedures,  no  matter  how  well  designed  and  operated,  can
provide  only  reasonable  assurance  of  achieving  their  objectives  and  our  management  necessarily  applies  its  judgment  in  evaluating  the  cost-benefit
relationship of possible controls and procedures. Our disclosure controls and procedures are designed to provide reasonable assurance of achieving their
control objectives.

Our management, with the participation of our principal executive officer and principal financial officer, has evaluated the effectiveness of our disclosure
controls and procedures as of December 31, 2021, the end of the period covered by this Annual Report on Form 10-K. Based upon such evaluation, our
principal  executive  officer  and  principal  financial  officer  have  concluded  that  our  disclosure  controls  and  procedures  were  effective  at  the  reasonable
assurance level as of such date.

Internal Control Over Financial Reporting

Management’s Report on Internal Control Over Financial Reporting

Our  management  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  our  financial  reporting.  Internal  control  over  financial
reporting  is  defined  in  Rules  13a-15(f)  and  15d-15(f)  promulgated  under  the  Exchange  Act  as  a  process  designed  by,  or  under  the  supervision  of,  our
principal executive and principal financial officers and effected by our board of directors, management and other personnel to provide reasonable assurance
regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with U.S. generally accepted
accounting principles, or GAAP. Our internal control over financial reporting includes those policies and procedures that:

•

•

•

pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect our transactions and dispositions of our assets;

provide  reasonable  assurance  that  transactions  are  recorded  as  necessary  to  permit  preparation  of  financial  statements  in  accordance  with  U.S.
GAAP, and that our receipts and expenditures are being made only in accordance with authorizations of our management and directors; and

provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets that could have
a material effect on our financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  Projections  of  any  evaluation  of
effectiveness  to  future  periods  are  subject  to  the  risk  that  controls  may  become  inadequate  because  of  changes  in  conditions,  or  that  the  degree  of
compliance with the policies or procedures may deteriorate.

Our  management  assessed  the  effectiveness  of  our  internal  control  over  financial  reporting  as  of  December  31,  2021.  In  making  this  assessment,
management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in its 2013 Internal Control
—  Integrated  Framework.  Based  on  our  assessment,  our  management  has  concluded  that,  as  of  December  31,  2021,  our  internal  control  over  financial
reporting is effective based on those criteria.

The  effectiveness  of  our  internal  control  over  financial  reporting  as  of  December  31,  2021  has  been  audited  by  Ernst  &  Young  LLP,  an  independent
registered public accounting firm, as stated in their report which is included herein.

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Changes in Internal Control over Financial Reporting

No change in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) occurred during the three
months ended December 31, 2021 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Report of Independent Registered Public Accounting Firm

To the Stockholders and the Board of Directors of Mersana Therapeutics, Inc.

Opinion on Internal Control over Financial Reporting

We have audited Mersana Therapeutics, Inc.’s internal control over financial reporting as of December 31, 2021, based on criteria established in Internal
Control—Integrated  Framework  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (2013  framework)  (the  COSO
criteria). In our opinion, Mersana Therapeutics, Inc. (the Company) maintained, in all material respects, effective internal control over financial reporting as
of December 31, 2021, based on the COSO criteria.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United  States)  (PCAOB),  the  2021
consolidated financial statements of the Company and our report dated February 28, 2022 expressed an unqualified opinion thereon.

Basis for Opinion

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of
internal control over financial reporting included in the accompanying Management’s Annual Report on Internal Control Over Financial Reporting. Our
responsibility  is  to  express  an  opinion  on  the  Company’s  internal  control  over  financial  reporting  based  on  our  audit.  We  are  a  public  accounting  firm
registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether effective internal control over financial reporting was maintained in all material respects.

Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and
evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered
necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

Definition and Limitations of Internal Control Over Financial Reporting

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting
and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control
over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly
reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit
preparation  of  financial  statements  in  accordance  with  generally  accepted  accounting  principles,  and  that  receipts  and  expenditures  of  the  company  are
being  made  only  in  accordance  with  authorizations  of  management  and  directors  of  the  company;  and  (3)  provide  reasonable  assurance  regarding
prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial
statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of
effectiveness  to  future  periods  are  subject  to  the  risk  that  controls  may  become  inadequate  because  of  changes  in  conditions,  or  that  the  degree  of
compliance with the policies or procedures may deteriorate.

/s/ Ernst & Young LLP
Boston, Massachusetts
February 28, 2022

ITEM 9B.    OTHER INFORMATION

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2022 Inducement Stock Incentive Plan

On February 24, 2022, our Board of Directors adopted, upon recommendation of the compensation committee of our Board of Directors, or the Committee,
the 2022 Inducement Stock Incentive Plan, or the Inducement Plan, to be effective immediately. The Inducement Plan provides for the grant of nonstatutory
stock options, stock appreciation rights, restricted stock, restricted stock units, and other stock-based awards, collectively, the stock awards, with respect to
an aggregate of 2,000,000 shares of our common stock (subject to adjustment as provided in the Inducement Plan). Awards under the Inducement Plan may
only be granted to persons who (a) were not previously our employee or director or (b) are commencing employment with us following a bona fide period
of non-employment, in either case as an inducement material to the individual’s entering into employment with us and in accordance with the requirements
of Nasdaq Stock Market Rule 5635(c)(4). A complete copy of the Inducement Plan is attached hereto as Exhibit 10.28 to this Annual Report on Form 10-
K.

On February 28, 2022, our Board of Directors adopted, upon recommendation of the Committee, the nonstatutory stock option agreement and the restricted
stock  unit  agreement  for  use  in  the  grant  of  stock  options  and  restricted  stock  units  pursuant  to  the  Inducement  Plan.  All  stock  options  under  the
Inducement Plan shall be nonstatutory stock options. A complete copy of the forms of nonstatutory stock option agreement and the restricted stock unit
agreement are attached hereto as Exhibits 10.30 and 10.29, respectively, to this Annual Report on Form 10-K.

At-the-market Equity Offering Program

On February 28, 2022, we entered into a Sales Agreement, or Sales Agreement, with Cowen and Company, LLC, or Cowen, under which we may issue and
sell shares of common stock, from time to time, having an aggregate offering price of up to $100.0 million. Sales of common stock through Cowen may be
made by any method that is deemed an “at the market” offering as defined in Rule 415 promulgated under the Securities Act of 1933, as amended. Cowen
has agreed to use its commercially reasonable efforts consistent with its normal trading and sales practices to sell our shares of common stock based upon
our instructions. We are not obligated to make any sales of our common stock under the Sales Agreement. Any sales under the Sales Agreement will be
made  pursuant  to  our  registration  statement  on  Form  S-3  (File  No  333-260895),  which  became  effective  on  November  18,  2021,  and  pursuant  to  a
prospectus supplement relating to such offering to be filed with the Securities and Exchange Commission.

ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS

None.

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ITEM 10.    DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

PART III

The  information  required  by  this  Item  10  will  be  included  in  our  definitive  proxy  statement  to  be  filed  with  the  SEC  with  respect  to  our  2022  Annual
Meeting of Stockholders and is incorporated herein by reference.

We  post  our  Code  of  Business  Conduct  and  Ethics,  which  applies  to  our  directors,  officers,  and  employees,  including  our  principal  executive  officer,
principal financial officer, principal accounting officer or controller, or persons performing similar functions, in the “Corporate Governance” sub-section of
the  “Investors  &  Media”  section  (https://ir.mersana.com)  of  our  corporate  website  https://mersana.com/.  We  intend  to  disclose  on  our  website  any
amendments to, or waivers from, the Code of Business Conduct and Ethics that are required to be disclosed pursuant to the disclosure requirements of Item
5.05 of Form 8-K.

ITEM 11.    EXECUTIVE COMPENSATION

The  information  required  by  this  Item  11  will  be  included  in  our  definitive  proxy  statement  to  be  filed  with  the  SEC  with  respect  to  our  2022  Annual
Meeting of Stockholders and is incorporated here by reference.

ITEM  12.        SECURITY  OWNERSHIP  OF  CERTAIN  BENEFICIAL  OWNERS  AND  MANAGEMENT  AND  RELATED  STOCKHOLDER

MATTERS

The  information  required  by  this  Item  12  will  be  included  in  our  definitive  proxy  statement  to  be  filed  with  the  SEC  with  respect  to  our  2022  Annual
Meeting of Stockholders and is incorporated herein by reference.

ITEM 13.    CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

The  information  required  by  this  Item  13  will  be  included  in  our  definitive  proxy  statement  to  be  filed  with  the  SEC  with  respect  to  our  2022  Annual
Meeting of Stockholders and is incorporated herein by reference.

ITEM 14.    PRINCIPAL ACCOUNTING FEES AND SERVICES

The  information  required  by  this  Item  14  will  be  included  in  our  definitive  proxy  statement  to  be  filed  with  the  SEC  with  respect  to  our  2022  Annual
Meeting of Stockholders and is incorporated herein by reference.

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ITEM 15.    EXHIBITS, FINANCIAL STATEMENT SCHEDULES

Financial Statements

PART IV

For a list of the consolidated financial statements included herein, see Index to the Consolidated Financial Statements in this Annual Report on Form 10-K,
which is incorporated into this Item by reference.

Financial Statement Schedules

No financial statement schedules have been submitted because they are not required or are not applicable or because the information required is included in
the consolidated financial statements or the notes thereto.

Exhibits

See  the  Exhibit  Index  immediately  before  the  signature  page  of  this  Annual  Report  on  Form  10-K.  The  exhibits  listed  in  the  Exhibit  Index  are  filed  or
incorporated by reference as part of this Annual Report on Form 10-K.

ITEM 16.    FORM 10-K SUMMARY

None.

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Exhibit
Number
3.1

3.2

4.1

4.2

4.3

4.4

10.1†

10.2

10.3

10.4

10.5+

10.6+

10.7+

10.8+

10.9

Description of Exhibit

EXHIBIT INDEX

Fifth  Amended  and  Restated  Certificate  of  Incorporation  (incorporated  by  reference  to  Exhibit  3.1  to  the  Company’s  Current
Report on Form 8-K, File No. 001-38129, filed on July 10, 2017).

Amended and Restated Bylaws (incorporated by reference to Exhibit 3.2 to the Company’s Current Report on Form 8-K, File
No. 001-38129, filed on July 10, 2017).

Form of Common Stock Warrant (incorporated by reference to Exhibit 4.1 to the Company’s Form S-1, File No. 333-218412,
filed on June 1, 2017).

Third Amended and Restated Investor Rights Agreement, dated as of June 15, 2016, by and among Mersana Therapeutics, Inc.
and the Stockholders listed therein (incorporated by reference to Exhibit 4.2 to the Company’s Form S-1, File No. 333-218412,
filed on June 1, 2017).

Form of Exchange Warrant (incorporated by reference to Exhibit 4.1 to the Company’s Form 8-K, File No. 001-38129, filed on
November 27, 2019).

Description of Registrant’s Common Stock (incorporated by reference to Exhibit 4.4 to the Company's Form 10-K, File No. 001-
38129, filed on February 28, 2020).

Form  of  Indemnification  Agreement  (incorporated  by  reference  to  Exhibit  10.1  to  the  Company’s  Form  S-1/A,  File  No.  333-
218412, filed on June 16, 2017).

Commercial  Lease,  dated  February  24,  2009,  between  Mersana  Therapeutics,  Inc.  and  Rivertech  Associates  II,  LLC
(incorporated by reference to Exhibit 10.2 to the Company’s Form S-1, File No. 333-218412, filed on June 1, 2017).

Seventh  Lease  Extension  and  Modification  Agreement  to  the  Lease  Between  Rivertech  Associates  II  LLC  and  Mersana
Therapeutics,  Inc.,  dated  March  10,  2020,  by  and  between  Mersana  Therapeutics,  Inc.  and  Rivertech  Associates  II  LLC
(incorporated by reference to Exhibit 10.1 to the Company’s Form 10-Q, File No. 001-38129, filed on May 8, 2020).

Eighth  Lease  Modification  Agreement  to  the  Lease  Between  Rivertech  Associates  II  LLC  and  Mersana  Therapeutics,  Inc.,
effective  as  of  April  5,  2021,  by  and  between  Mersana  Therapeutics,  Inc.  and  Rivertech  Associates  II  LLC.  (incorporated  by
reference to Exhibit 10.1 to the Company's Form 10-Q, File No. 001-38129, filed on May 10, 2021).

Collaboration and Commercial License Agreement, dated June 23, 2014, by and between Mersana Therapeutics, Inc. and Merck
KGaA (incorporated by reference to Exhibit 10.4 to the Company’s Form S-1, File No. 333-218412, filed on June 1, 2017).

Amendment  1  to  the  Collaboration  and  Commercial  License  Agreement,  dated  June  1,  2016,  by  and  between  Mersana
Therapeutics,  Inc.  and  Merck  KGaA  (incorporated  by  reference  to  Exhibit  10.5  to  the  Company’s  Form  S-1,  File  No.  333-
218412, filed on June 1, 2017).

Amendment  2  to  the  Collaboration  and  Commercial  License  Agreement,  dated  August  12,  2016,  by  and  between  Mersana
Therapeutics,  Inc.  and  Merck  KGaA  (incorporated  by  reference  to  Exhibit  10.6  to  the  Company’s  Form  S-1,  File  No.  333-
218412, filed on June 1, 2017).

Amendment  3  to  the  Collaboration  and  Commercial  License  Agreement,  dated  February  28,  2017,  by  and  between  Mersana
Therapeutics,  Inc.  and  Merck  KGaA  (incorporated  by  reference  to  Exhibit  10.7  to  the  Company’s  Form  S-1,  File  No.  333-
218412, filed on June 1, 2017).

Amendment 4 to Collaboration and Commercial License Agreement dated May 15, 2018, by and between Mersana Therapeutics,
Inc. and Merck KGaA (incorporated by reference to Exhibit 10.1 to the Company’s Form 10-Q, File No. 001-38129, filed on
August 14, 2018).

10.10+

License, Development and Commercialization Agreement, dated July 9, 2015, by and between Mersana Therapeutics, Inc. and
Recepta Biopharma S.A. (incorporated by reference to Exhibit 10.8 to the Company’s Form S-1, File No. 333-218412, filed on
June 1, 2017).

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10.11

10.12

10.13+

10.14

10.15

10.16†

10.17†

10.18†

10.19†

10.20†

10.21†

10.22†

10.23†

10.24†

10.25†

10.26†

10.27†

10.28†

10.29†

First  Amendment  to  the  License,  Development  and  Commercialization  Agreement,  dated  August  19,  2019,  by  and  between
Mersana Therapeutics, Inc. and Recepta Biopharma S.A. (incorporated by reference to Exhibit 10.1 to the Company’s Form 10-
Q, File No. 001-38129, filed on November 6, 2019).

Second  Amendment  to  the  License,  Development  and  Commercialization  Agreement,  dated  September  28,  2021,  by  and
between Mersana Therapeutics, Inc. and Recepta Biopharma S.A. (incorporated by reference to Exhibit 10.1 to the Company's
Form 10-Q, File No. 001-38129, filed on November 9, 2021).

Agreement  Regarding  LICR  Technology,  dated  July  9,  2015,  by  and  between  Ludwig  Institute  for  Cancer  Research,  Recepta
Biopharma S.A. and Mersana Therapeutics, Inc. (incorporated by reference to Exhibit 10.9 to the Company’s Form S-1, File No.
333-218412, filed on June 1, 2017).

Loan and Security Agreement, dated October 29, 2021, by and between Oxford Finance LLC, Silicon Valley Bank and Mersana
Therapeutics, Inc.

Amended and Restated Commercial License and Option Agreement, dated November 23, 2021, by and between Synaffix B.V.
and Mersana Therapeutics, Inc.

Amended and Restated Offer Letter, by and between Mersana Therapeutics, Inc. and Anna Protopapas, dated March 17, 2017
(incorporated by reference to Exhibit 10.16 to the Company's Form S-1, File No. 333-218412, filed on June 1, 2017).

Offer Letter, by and between Mersana Therapeutics, Inc. and Arvin Yang, dated November 5, 2020 (incorporate by reference to
Exhibit 10.2 to the Company's Form 10-Q, File No. 001-38129, filed on May 10, 2021).

Offer Letter, by and between Mersana Therapeutics, Inc. and Brian DeSchuytner, dated June 10, 2019 (incorporated by reference
to Exhibit 10.3 to the Company’s Form 10-Q, File No. 001-38129, filed on May 8, 2020).

Amended  and  Restated  Offer  Letter,  by  and  between  Mersana  Therapeutics,  Inc.  and  Michael  Kaufman,  dated  March  8,  2017
(incorporated by reference to Exhibit 10.3 to the Company's Form 10-Q, File No. 001-38129, filed on May 10, 2021).

Amended  and  Restated  Offer  Letter,  by  and  between  Mersana  Therapeutics,  Inc.  and  Timothy  B.  Lowinger,  dated  March  8
(incorporated by reference to Exhibit 10.18 to the Company’s Form S-1, File No. 333-218412, filed on June 1, 2017).

2007 Stock Incentive Plan, as amended (incorporated by reference to Exhibit 10.19 to the Company’s Form S-1, File No. 333-
218412, filed on June 1, 2017).

Form  of  Incentive  Stock  Option  under  the  2007  Stock  Incentive  Plan  (incorporated  by  reference  to  Exhibit  10.20  to  the
Company’s Form S-1, File No. 333-218412, filed on June 1, 2017).

Form  of  Nonqualified  Stock  Option  under  the  2007  Stock  Incentive  Plan  (incorporated  by  reference  to  Exhibit  10.21  to  the
Company’s Form S-1, File No. 333-218412, filed on June 1, 2017).

2017 Stock Incentive Plan (incorporated by reference to Exhibit 10.22 to the Company’s Form S-1/A, File No. 333-218412, filed
on June 16, 2017).

Form  of  Incentive  Stock  Option  under  the  2017  Stock  Incentive  Plan  (incorporated  by  reference  to  Exhibit  10.23  to  the
Company’s Form S-1/A, File No. 333-218412, filed on June 16, 2017).

Form  of  Nonqualified  Stock  Option  under  the  2017  Stock  Incentive  Plan  (incorporated  by  reference  to  Exhibit  10.24  to  the
Company’s Form S-1/A, File No. 333-218412, filed on June 16, 2017).

Form of Restricted Stock Unit under the 2017 Stock Incentive Plan (incorporated by reference to Exhibit 10.1 to the Company's
Form 10-Q, File No. 333-38129, filed on August 6, 2021).

2022 Inducement Stock Incentive Plan

Form of Inducement Restricted Stock Unit under the 2022 Inducement Stock Incentive Plan

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10.30†

10.31†

10.32†

21.1*

23.1*

31.1*

31.2*

32.1**

101

104

Form of Non-statutory Stock Option under the 2022 Inducement Stock Incentive Plan

2017 Employee Stock Purchase Plan (incorporated by reference to Exhibit 10.25 to the Company’s Form S-1/A, File No. 333-
218412, filed on June 16, 2017).

2017 Cash Bonus Plan (incorporated by reference to Exhibit 10.26 to the Company’s Form S-1/A, File No. 333-218412, filed on
June 16, 2017).

Subsidiaries of Mersana Therapeutics, Inc.

Consent of Ernst & Young LLP.

Certification pursuant to Section 302 of Sarbanes Oxley Act of 2002 by Chief Executive Officer.

Certification pursuant to Section 302 of Sarbanes Oxley Act of 2002 by Chief Financial Officer.

Certification of periodic financial report pursuant to Section 906 of Sarbanes Oxley Act of 2002 by Chief Executive Officer and
Chief Financial Officer.

The  following  financial  and  related  information  from  Mersana  Therapeutics,  Inc.’s  Annual  Report  on  Form  10-K  for  the  year
ended December 31, 2021, formatted in Inline eXtensible Business Reportable Language (iXBRL) includes: (i) the Consolidated
Balance  Sheet;  (ii)  the  Consolidated  Statement  of  Operations  and  Comprehensive  Loss;  (iii)  the  Consolidated  Statement  of
Changes  in  Stockholders'  Equity;  (iv)  the  Consolidated  Statement  of  Cash  Flows;  and,  (v)  Notes  to  Consolidated  Financial
Statements.

The cover page from the Company’s Annual Report on Form 10-K for the year ended December 31, 2021, formatted in Inline
XBRL (contained in Exhibit 101).

*    Filed herewith.
**    Furnished herewith.
†    Indicates a management contract or compensatory plan.
+    Portions of this exhibit (indicated by asterisks) have been omitted pursuant to a request for confidential treatment and this exhibit has been submitted

separately to the Securities and Exchange Commission.

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

SIGNATURES

Date: February 28, 2022

Mersana Therapeutics, Inc.

/s/ Anna Protopapas

Anna Protopapas
President and Chief Executive Officer

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

Signature

/s/ ANNA PROTOPAPAS

Anna Protopapas

/s/ BRIAN DESCHUYTNER

Brian DeSchuytner

/s/ ASHISH MANDELIA

Ashish Mandelia

/s/ DAVID MOTT

David Mott

/s/ KRISTEN HEGE

Kristen Hege, M.D.

/s/ ANDREW A. F. HACK

Andrew A. F. Hack, M.D., Ph.D.

/s/ LAWRENCE M. ALLEVA

Lawrence M. Alleva

/s/ WILLARD H. DERE, M.D.

Willard H. Dere, M.D.

/s/ MARTIN H. HUBER, M.D.

Martin H. Huber, M.D.

/s/ ALLENE M. DIAZ

Allene M. Diaz

Title

Date

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

February 28, 2022

Chief Financial Officer (Principal Financial Officer)

February 28, 2022

Vice President, Controller (Principal Accounting Officer)

February 28, 2022

Chairman of the Board

Director

Director

Director

Director

Director

Director

132

February 28, 2022

February 28, 2022

February 28, 2022

February 28, 2022

February 28, 2022

February 28, 2022

February 28, 2022

Exhibit 10.14

Certain identified information has been excluded from the exhibit because it is both (i) not material and (ii) is the type of information that the registrant
treats as private or confidential. Double asterisks demote omissions.

LOAN AND SECURITY AGREEMENT

THIS LOAN AND SECURITY AGREEMENT (as the same may from time to time be amended, modified, supplemented or restated, this “Agreement”)
dated as of October 29, 2021 (the “Effective Date”) among OXFORD FINANCE LLC, a Delaware limited liability company with an office located at 115
South  Union  Street,  Suite  300,  Alexandria,  VA    22314  (“Oxford”),  as  collateral  agent  (in  such  capacity,  “Collateral  Agent”),  the  Lenders  listed  on
Schedule 1.1 hereof or otherwise a party hereto from time to time including Oxford in its capacity as a Lender and SILICON VALLEY BANK, a California
corporation  with  an  office  located  at  275  Grove  Street,  Suite  2-200,  Newton,  MA  02466  (“Bank”  or  “SVB”)  (each  a  “Lender”  and  collectively,  the
“Lenders”),  and  MERSANA  THERAPEUTICS,  INC.,  a  Delaware  corporation  with  offices  located  at  840  Memorial  Drive,  Cambridge,  MA  02139
(“Borrower”), provides the terms on which the Lenders shall lend to Borrower and Borrower shall repay the Lenders. The parties agree as follows:

1.    ACCOUNTING AND OTHER TERMS

1.1    Accounting  terms  not  defined  in  this  Agreement  shall  be  construed  in  accordance  with  GAAP.  Calculations  and  determinations  must  be
made in accordance with GAAP. Capitalized terms not otherwise defined in this Agreement shall have the meanings set forth in Section 13. All other terms
contained in this Agreement, unless otherwise indicated, shall have the meaning provided by the Code to the extent such terms are defined therein. All
references to “Dollars” or “$” are United States Dollars, unless otherwise noted.

2.    LOANS AND TERMS OF PAYMENT

2.1        Promise  to  Pay.  Borrower  hereby  unconditionally  promises  to  pay  each  Lender,  the  outstanding  principal  amount  of  all  Term  Loans
advanced to Borrower by such Lender and accrued and unpaid interest thereon and any other amounts due hereunder as and when due in accordance with
this Agreement.

2.2    Term Loans.

(a)    Availability.

(i)    Subject to the terms and conditions of this Agreement, the Lenders agree, severally and not jointly, during the Term A Draw
Period, to make term loans to Borrower in an aggregate amount of up to Sixty Million Dollars ($60,000,000.00) to be disbursed in an amount equal to
Twenty-Five Million Dollars ($25,000,000.00) on the Effective Date according to each Lender’s Term A Loan Commitment as set forth on Schedule 1.1
hereto, with the remaining Thirty-Five Million Dollars ($35,000,000.00) available to be disbursed, upon Borrower’s request, in up to three (3) additional
single  advances  according  to  each  Lender’s  Term A  Loan  Commitment  as  set  forth  on  Schedule 1.1  hereto  (such  term  loans  on  the  Effective  Date  and
thereafter are hereinafter referred to singly as a “Term A Loan”, and collectively as the “Term A Loans”). Each disbursement of Term A Loans after the
Effective Date shall be in an aggregate amount of at least Five Million Dollars ($5,000,000.00) and, unless the entire remaining amount of the Term A Loan
Commitment will be disbursed at such disbursement, in a denomination that is a whole number multiple of Five Million Dollars ($5,000,000.00). After
repayment, no Term A Loan may be re-borrowed.

(ii)    Subject to the terms and conditions of this Agreement and upon Borrower’s request, the Lenders agree, severally and not
jointly,  during  the  Term  B  Draw  Period,  to  make  term  loans  to  Borrower  in  an  aggregate  amount  equal  to  Ten  Million  Dollars  ($10,000,000.00)  and
disbursed in a single advance according to each Lender’s Term B Loan Commitment as set forth on Schedule 1.1 hereto (such term loans are hereinafter
referred to singly as a “Term B Loan”, and collectively as the “Term B Loans”). After repayment, no Term B Loan may be re-borrowed.

(iii)    Subject to the terms and conditions of this Agreement and upon Borrower’s request, the Lenders agree, severally and not
jointly,  during  the  Term  C  Draw  Period,  to  make  term  loans  to  Borrower  in  an  aggregate  amount  equal  to  Ten  Million  Dollars  ($10,000,000.00)  and
disbursed in a single advance according to each Lender’s Term C Loan Commitment as set forth on Schedule 1.1 hereto (such term loans are hereinafter
referred to singly as a “Term C Loan”, and collectively as the “Term C Loans”). After repayment, no Term C Loan may be re-borrowed.

(iv)    Subject to the terms and conditions of this Agreement, the Lenders may, in their sole discretion, agree to make term loans
to Borrower prior to the Amortization Date in an aggregate amount equal to Twenty Million Dollars ($20,000,000.00) in a single advance and, if made,
according to a commitment schedule to be provided by the Lenders prior to the Funding Date of such term loans (such term loans are hereinafter referred

to singly as a “Term D Loan”, and collectively as the “Term D Loans”; each Term A Loan, Term B Loan, Term C Loan or Term D Loan is hereinafter
referred  to  singly  as  a  “Term Loan”  and  the Term A  Loans,  the  Term  B  Loans,  the  Term  C  Loans  and  the  Term  D  Loans  are  hereinafter  referred  to
collectively as the “Term Loans”). After repayment, no Term D Loan may be re-borrowed.

(b)    Repayment. Borrower  shall  make  monthly  payments  of  interest  only  commencing  on  the  first  (1 )  Payment  Date  following  the
Funding  Date  of  each  Term  Loan,  and  continuing  on  the  Payment  Date  of  each  successive  month  thereafter  through  and  including  the  Payment  Date
immediately  preceding  the  Amortization  Date.  Borrower  agrees  to  pay,  on  the  Funding  Date  of  each  Term  Loan,  any  initial  partial  monthly  interest
payment otherwise due for the period between the Funding Date of such Term Loan and the first Payment Date thereof. Commencing on the Amortization
Date, and continuing on the Payment Date of each month thereafter, Borrower shall make consecutive equal monthly payments of principal, together with
applicable interest, in arrears, to each Lender, as calculated by Collateral Agent (which calculations shall be deemed correct absent manifest error) based
upon: (1) the amount of such Lender’s Term Loan, (2) the effective rate of interest, as determined in Section 2.3(a), and (3) a repayment schedule equal to
(y) twenty-four (24) months if the Amortization Date is November 1, 2024 and (z) twelve (12) months if the Amortization Date is November 1, 2025. All
unpaid principal and accrued and unpaid interest with respect to each Term Loan is due and payable in full on the Maturity Date. Each Term Loan may only
be prepaid in accordance with Sections 2.2(c) and 2.2(d).

st

(c)        Mandatory  Prepayments.  If  the  Term  Loans  are  accelerated  following  the  occurrence  of  an  Event  of  Default,  Borrower  shall
immediately pay to Lenders, payable to each Lender in accordance with its respective Pro Rata Share, an amount equal to the sum of: (i) all outstanding
principal of the Term Loans plus accrued and unpaid interest thereon through the prepayment date, (ii) the Final Payment, (iii) the Prepayment Fee, plus
(iv)  all  other  Obligations  that  are  due  and  payable,  including  Lenders’  Expenses  and  interest  at  the  Default  Rate  with  respect  to  any  past  due  amounts.
Notwithstanding (but without duplication with) the foregoing, on the Maturity Date, if the Final Payment had not previously been paid in full in connection
with the prepayment of the Term Loans in full, Borrower shall pay to Collateral Agent, for payment to each Lender in accordance with its respective Pro
Rata Share, the Final Payment in respect of the Term Loans.

(d)    Permitted Prepayment of Term Loans.

(i)    Borrower shall have the option at any time to prepay all, but not less than all, of the Term Loans advanced by the Lenders
under this Agreement, provided Borrower (i) provides written notice to Collateral Agent of its election to prepay the Term Loans at least ten (10) days prior
to such prepayment, and (ii) pays to the Lenders on the date of such prepayment, payable to each Lender in accordance with its respective Pro Rata Share,
an amount equal to the sum of (A) all outstanding principal of the Term Loans plus accrued and unpaid interest thereon through the prepayment date, (B)
the Final Payment, (C) the Prepayment Fee, plus (D) all other Obligations that are due and payable, including Lenders’ Expenses and interest at the Default
Rate with respect to any past due amounts.

(ii)    Notwithstanding anything herein to the contrary, Borrower shall also have the option to prepay part of the Term Loans
advanced by the Lenders under this Agreement at any time, provided Borrower (i) shall make no more than two (2) prepayments during the life of this
Agreement, (ii) provides written notice of its election to prepay the Term Loans at least ten (10) days prior to such prepayment, (iii) prepays such part of
the Term Loans in a denomination that is not less than Ten Million Dollars ($10,000,000.00) or, if in excess thereof, in integral whole number multiples of
One Million Dollars ($1,000,000.00), and (iv) pays to the Lenders on the date of such prepayment, payable to each Lender in accordance with its respective
Pro Rata Share, an amount equal to the sum of (A) the portion of outstanding principal of such Term Loans plus all accrued and unpaid interest thereon
through the prepayment date, (B) the applicable Final Payment, and (C) all other Obligations that are then due and payable, including Lenders’ Expenses
and interest at the Default Rate with respect to any past due amounts, (D) the applicable Prepayment Fee with respect to the portion of such Term Loans
being  prepaid,  and  (E)  a  portion  of  any  fee  that  would  have  otherwise  been  due  pursuant  to  Section  2.2(d)(i).  For  the  purposes  of  clarity,  any  partial
prepayment shall be applied pro-rata to all outstanding amounts under each Term Loan, and shall be applied pro-rata within each Term Loan tranche to
reduce amortization payments under Section 2.2(b) on a pro-rata basis.

2.3    Payment of Interest on the Credit Extensions.

(a)    Interest Rate. Subject to Section 2.3(b), the principal amount outstanding under the Term Loans shall accrue interest at a floating per
annum  rate  equal  to  the  Basic  Rate,  determined  by  Collateral  Agent  on  the  Funding  Date  of  the  applicable  Term  Loan  and  monthly  thereafter,  which
interest shall be payable monthly in arrears in accordance with Sections 2.2(b) and 2.3(e). Interest shall accrue on each Term Loan commencing on, and
including, the Funding Date of such Term Loan, and shall accrue on the principal amount outstanding under such Term Loan through and including the day
on which such Term Loan is paid in full.

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(b)    Default Rate. Immediately upon the occurrence and during the continuance of an Event of Default, Obligations shall accrue interest
at a floating per annum rate equal to the rate that is otherwise applicable thereto plus five percentage points (5.00%) (the “Default Rate”). Payment  or
acceptance of the increased interest rate provided in this Section 2.3(b) is not a permitted alternative to timely payment and shall not constitute a waiver of
any Event of Default or otherwise prejudice or limit any rights or remedies of Collateral Agent.

elapsed.

(c)        360-Day Year. Interest  shall  be  computed  on  the  basis  of  a  three  hundred  sixty  (360)  day  year,  and  the  actual  number  of  days

(d)    Debit of Accounts. Collateral Agent and each Lender may debit (or ACH) any deposit accounts, maintained by Borrower or any of
its Subsidiaries, including the Designated Deposit Account, for principal and interest payments or any other amounts Borrower owes Collateral Agent or
the  Lenders  under  the  Loan  Documents  when  due.  Any  such  debits  (or  ACH  activity)  shall  not  constitute  a  set-off.  Without  limiting  the  foregoing,
Collateral  Agent  and  each  Lender  shall  use  commercially  reasonable  efforts  to  notify  Borrower  for  the  reasons  of  debiting  of  any  amounts  (other  than
principal and interest payments) debited from Borrower's deposit accounts in respect of this Agreement after such debt has been made; provided, however,
failure to provide such notice shall not be considered a breach of any provision hereof by Collateral Agent or any Lender.

(e)    Payments. Except as otherwise expressly provided herein, all payments by Borrower under the Loan Documents shall be made to
the  respective  Lender  to  which  such  payments  are  owed,  at  such  Lender’s  office  in  immediately  available  funds  on  the  date  specified  herein.  Unless
otherwise provided, interest is payable monthly on the Payment Date of each month. Payments of principal and/or interest received after 2:00 p.m. Eastern
time are considered received at the opening of business on the next Business Day. When a payment is due on a day that is not a Business Day, the payment
is  due  the  next  Business  Day  and  additional  fees  or  interest,  as  applicable,  shall  continue  to  accrue  until  paid.  All  payments  to  be  made  by  Borrower
hereunder or under any other Loan Document, including payments of principal and interest, and all fees, expenses, indemnities and reimbursements, shall
be made without set-off, recoupment or counterclaim, in lawful money of the United States and in immediately available funds.

2.4    Secured Promissory Notes. The Term Loans shall be evidenced by a Secured Promissory Note or Notes in the form attached as Exhibit D
hereto (each a “Secured Promissory Note”), and shall be repayable as set forth in this Agreement. Borrower irrevocably authorizes each Lender to make
or  cause  to  be  made,  on  or  about  the  Funding  Date  of  any  Term  Loan  or  at  the  time  of  receipt  of  any  payment  of  principal  on  such  Lender’s  Secured
Promissory Note, an appropriate notation on such Lender’s Secured Promissory Note Record reflecting the making of such Term Loan or (as the case may
be) the receipt of such payment. The outstanding amount of each Term Loan set forth on such Lender’s Secured Promissory Note Record shall be prima
facie evidence of the principal amount thereof owing and unpaid to such Lender, but the failure to record, or any error in so recording, any such amount on
such Lender’s Secured Promissory Note Record shall not limit or otherwise affect the obligations of Borrower under any Secured Promissory Note or any
other Loan Document to make payments of principal of or interest on any Secured Promissory Note when due. Upon receipt of an affidavit of an officer of
a  Lender  as  to  the  loss,  theft,  destruction,  or  mutilation  of  its  Secured  Promissory  Note,  Borrower  shall  issue,  in  lieu  thereof,  a  replacement  Secured
Promissory Note in the same principal amount thereof and of like tenor.

2.5    Fees. Borrower shall pay to Collateral Agent:

(a)        Facility Fee. A  non-refundable  facility  fee  (the  “Facility  Fee”),  to  be  shared  between  the  Lenders  pursuant  to  their  respective
Commitment Percentages, due and payable as follows: (i) with respect to the Term A Loans made by the Lenders on the Effective Date, One Hundred
Twenty-Five Thousand Dollars ($125,000.00), which shall be fully earned and due and payable on the Effective Date, and (ii) with respect to each Term
Loan made by the Lenders after the Effective Date, an amount equal to the product of (A) one half of one percent (0.50%) and (B) the original principal
amount of such Term Loan, which shall be fully earned and due and payable on the Funding Date of such Term Loan;

Rata Shares;

Pro Rata Shares;

(b)    Final Payment. The Final Payment, when due hereunder, to be shared between the Lenders in accordance with their respective Pro

(c)    Prepayment Fee. The Prepayment Fee, when due hereunder, to be shared between the Lenders in accordance with their respective

documentation and negotiation of this Agreement) incurred through and after the Effective Date, when due; and

(d)    Lenders’ Expenses. All Lenders’ Expenses (including reasonable and documented out-of-pocket attorneys’ fees and expenses for

    3

(e)    Good Faith Deposit. Borrower has paid to Collateral Agent a deposit of [**] Dollars ($[**]) (the “Good Faith Deposit”), to initiate
Collateral Agent’s and Lenders’ due diligence review and documentation process. The Good Faith Deposit will be used to pay Lenders’ Expenses due on
the Effective Date, with the balance, if any, towards the Facility Fee due under Section 2.5(a) hereof; provided, however, Borrower shall be responsible for
the entire amount of Lenders’ Expenses payable under Section 2.5(d) hereof.

2.6    Withholding. Payments received by the Lenders from Borrower hereunder will be made free and clear of and without deduction for any and
all  present  or  future  taxes,  levies,  imposts,  duties,  deductions,  withholdings,  assessments,  fees  or  other  charges  imposed  by  any  governmental  authority
(including  any  interest,  additions  to  tax  or  penalties  applicable  thereto,  collectively,  “Taxes”). Specifically,  however,  if  at  any  time  any  Governmental
Authority, applicable law, regulation or international agreement requires Borrower to make any withholding or deduction from any such payment or other
sum payable hereunder to the Lenders, Borrower hereby covenants and agrees that the amount due from Borrower with respect to such payment or other
sum payable hereunder will be increased to the extent necessary to ensure that, after the making of such required withholding or deduction, each Lender
receives a net sum equal to the sum which it would have received had no withholding or deduction been required and Borrower shall pay the full amount
withheld  or  deducted  to  the  relevant  Governmental  Authority;  provided,  however,  Borrower  shall  not  be  required  to  pay  any  additional  amount  to  any
Lender with respect to Excluded Taxes. Borrower will, upon request, furnish the Lenders with proof reasonably satisfactory to the Lenders indicating that
Borrower has made such withholding payment; provided, however, that Borrower need not make any withholding payment if the amount or validity of
such withholding payment is contested in good faith by appropriate and timely proceedings and as to which payment in full is bonded or reserved against
by Borrower. The agreements and obligations of Borrower contained in this Section 2.6 shall survive the termination of this Agreement.

On the date of this Agreement, each Lender shall deliver to Borrower a complete and properly executed IRS Form W-9. If any assignee of a Lender’s rights
under Section 12.1 of this Agreement is not a “United States Person” as defined in Section 7701(a)(30) of the U.S. Internal Revenue Code (“Non-U.S.
Lender”), such Non-U.S. Lender shall, upon becoming party to this Agreement, deliver to Borrower a complete and properly executed IRS Form W-8BEN-
E (or W-8BEN, as applicable), W-8ECI or W-8IMY, as appropriate, or any successor form prescribed by the IRS, certifying that such Non-U.S. Lender is
entitled  to  an  exemption  from  U.S.  withholding  tax  on  interest  and  other  amounts  payable  under  this  Agreement.  Notwithstanding  the  foregoing,  (i)
Borrower shall not be required to pay any additional amount to any Non-U.S. Lender hereunder if such Non-U.S. Lender fails or is unable to deliver the
forms, certificates or other evidence described in the preceding sentence, unless such Non-U.S. Lender’s failure or inability to deliver such forms is the
result of any change in any applicable law, treaty or governmental rule, or any change in the interpretation thereof after such Non-U.S. Lender became a
party  to  this  Agreement  and  (ii)  Borrower  shall  not  be  required  to  pay  any  additional  amount  to  any  Non-U.S.  Lender  hereunder  with  respect  to  taxes
imposed under Sections 1471 through 1474 of the U.S. Internal Revenue Code, as of the date of this Agreement (or any amended or successor version that
is substantively comparable and not materially more onerous to comply with) and any current or future regulations or official interpretations thereof.

3.    CONDITIONS OF LOANS

3.1    Conditions Precedent to Initial Credit Extension. Each Lender’s obligation to make a Term A Loan is subject to the condition precedent
that Collateral Agent and each Lender shall consent to or shall have received, in form and substance satisfactory to Collateral Agent and each Lender, such
documents, and completion of such other matters, as Collateral Agent and each Lender may reasonably deem necessary or appropriate, including, without
limitation:

(a)    original Loan Documents, each duly executed by Borrower and each Subsidiary, as applicable;

Subsidiaries which require a Control Agreement pursuant to Section 6.6;

(b)        duly  executed  original  Control  Agreements  with  respect  to  any  Collateral  Accounts  maintained  by  Borrower  or  any  of  its

respect of the Term A Loans made by such Lender on the Effective Date;

(c)    duly executed original Secured Promissory Notes in favor of each Lender according to its Term A Loan Commitment Percentage in

Certificate, duly executed in blank;

(d)    subject to the Post Closing Letter, the certificate(s) for the Shares of Mersana Securities, together with Assignment(s) Separate from

equivalent agency) of Borrower’s and such Subsidiaries’ jurisdiction of

(e)        the  Operating  Documents  and  good  standing  certificates  of  Borrower  and  its  Subsidiaries  certified  by  the  Secretary  of  State  (or

    4

organization or formation and each jurisdiction in which Borrower and each Subsidiary is qualified to conduct business, each as of a date no earlier than
thirty (30) days prior to the Effective Date;

(f)    a completed Perfection Certificate for Borrower and each of its Subsidiaries;

(g)    the Annual Projections, for the current calendar year;

Operating Documents, corporate authorizations and other matters, in a form acceptable to Collateral Agent and the Lenders;

(h)    duly executed original officer’s certificate for Borrower and each Subsidiary that is a party to the Loan Documents, relating to the

(i)        certified  copies,  dated  as  of  date  no  earlier  than  thirty  (30)  days  prior  to  the  Effective  Date,  of  financing  statement  searches,  as
Collateral Agent shall request, accompanied by written evidence (including any UCC termination statements) that the Liens indicated in any such financing
statements either constitute Permitted Liens or have been or, in connection with the initial Credit Extension, will be terminated or released;

Subsidiaries’ leased locations;

(j)    subject to the Post Closing Letter, a landlord’s consent executed in favor of Collateral Agent in respect of all of Borrower’s and each

(k)    subject to the Post Closing Letter, a bailee waiver executed in favor of Collateral Agent in respect of each third party bailee with
respect to locations in the United States where Borrower or any Subsidiary maintains Collateral having a book value in excess of Three Million Dollars
($3,000,000.00);

(l)    a duly executed legal opinion of counsel to Borrower dated as of the Effective Date;

(m)    evidence satisfactory to Collateral Agent and the Lenders that the insurance policies required by Section 6.5 hereof are in full force
and effect, together with appropriate evidence showing loss payable and/or additional insured clauses or endorsements in favor of Collateral Agent, for the
ratable benefit of the Lenders;

(n)    a payoff letter from Silicon Valley Bank in respect of the Existing Indebtedness;

(o)    evidence that (i) the Liens securing the Existing Indebtedness will be terminated and (ii) the documents and/or filings evidencing
the perfection of such Liens, including without limitation any financing statements and/or control agreements, have or will, concurrently with the initial
Credit Extension, be terminated; and

(p)    payment of the fees and Lenders’ Expenses then due as specified in Section 2.5 hereof.

3.2    Conditions Precedent to all Credit Extensions. The obligation of each Lender to make each Credit Extension, including the initial Credit

Extension, is subject to the following conditions precedent:

executed Loan Payment/Advance Request Form in the form of Exhibit B-2 attached hereto;

(a)        receipt  by  (i)  the  Lenders  of  an  executed  Disbursement  Letter  in  the  form  of  Exhibit B-1  attached  hereto;  and  (ii)  SVB  of  an

(b)    the representations and warranties in Section 5 hereof shall be true, accurate and complete in all material respects on the date of the
Disbursement  Letter  (and  the  Loan  Payment/Advance  Request  Form)  and  on  the  Funding  Date  of  each  Credit  Extension;  provided,  however,  that  such
materiality qualifier shall not be applicable to any representations and warranties that already are qualified or modified by materiality in the text thereof;
and  provided,  further  that  those  representations  and  warranties  expressly  referring  to  a  specific  date  shall  be  true,  accurate  and  complete  in  all  material
respects  as  of  such  date,  and  no  Event  of  Default  shall  have  occurred  and  be  continuing  or  result  from  the  Credit  Extension.  Each  Credit  Extension  is
Borrower’s  representation  and  warranty  on  that  date  that  the  representations  and  warranties  in  Section  5  hereof  are  true,  accurate  and  complete  in  all
material respects; provided, however, that such materiality qualifier shall not be applicable to any representations and warranties that already are qualified
or modified by materiality in the text thereof; and provided, further that those representations and warranties expressly referring to a specific date shall be
true, accurate and complete in all material respects as of such date;

(c)    in such Lender’s sole but reasonable discretion, there has not been any Material Adverse Change;

    5

(d)    to the extent not delivered at the Effective Date, duly executed original Secured Promissory Notes, in number, form and content
acceptable  to  each  Lender,  and  in  favor  of  each  Lender  according  to  its  Commitment  Percentage,  with  respect  to  each  Credit  Extension  made  by  such
Lender after the Effective Date;

(e)    payment of the fees and Lenders’ Expenses then due as specified in Section 2.5 hereof; and

(f)    with respect to the Term B Loans only, in such Lender’s sole discretion, the [**].

3.3    Covenant to Deliver. Borrower agrees to deliver to Collateral Agent and the Lenders each item required to be delivered to Collateral Agent
under this Agreement as a condition precedent to any Credit Extension. Borrower expressly agrees that a Credit Extension made prior to the receipt by
Collateral Agent or any Lender of any such item shall not constitute a waiver by Collateral Agent or any Lender of Borrower’s obligation to deliver such
item, and any such Credit Extension in the absence of a required item shall be made in each Lender’s sole discretion.

3.4    Procedures for Borrowing. Subject to the prior satisfaction of all other applicable conditions to the making of a Term Loan set forth in this
Agreement, to obtain a Term Loan, Borrower shall notify the Lenders (which notice shall be irrevocable) by electronic mail, facsimile, or telephone by 2:00
p.m.  Eastern  time  five  (5)  Business  Days  prior  to  the  date  the  Term  Loan  is  to  be  made.  Together  with  any  such  electronic,  facsimile  or  telephonic
notification,  Borrower  shall  deliver  to  the  Lenders  by  electronic  mail  or  facsimile  a  completed  Disbursement  Letter  (and  the  Loan  Payment/Advance
Request Form, with respect to SVB) executed by a Responsible Officer or his or her designee. The Lenders may rely on any telephone notice given by a
person  whom  a  Lender  reasonably  believes  is  a  Responsible  Officer  or  designee.  On  the  Funding  Date,  each  Lender  shall  credit  and/or  transfer  (as
applicable) to the Designated Deposit Account, an amount equal to its Term Loan Commitment.

4.    CREATION OF SECURITY INTEREST

4.1    Grant of Security Interest. Borrower  hereby  grants  Collateral  Agent,  for  the  ratable  benefit  of  the  Lenders,  to  secure  the  payment  and
performance in full of all of the Obligations, a continuing security interest in, and pledges to Collateral Agent, for the ratable benefit of the Lenders, the
Collateral, wherever located, whether now owned or hereafter acquired or arising, and all proceeds and products thereof. Borrower  represents,  warrants,
and covenants that the security interest granted herein is and shall at all times continue to be a first priority perfected security interest in the Collateral,
subject only to Permitted Liens that are permitted by the terms of this Agreement to have priority to Collateral Agent’s Lien. If Borrower shall acquire a
commercial tort claim (as defined in the Code) with a value in excess of Two Hundred Fifty Thousand Dollars ($250,000.00), Borrower, shall promptly
notify  Collateral  Agent  in  a  writing  signed  by  Borrower,  as  the  case  may  be,  of  the  general  details  thereof  (and  further  details  as  may  be  required  by
Collateral Agent) and grant to Collateral Agent, for the ratable benefit of the Lenders, in such writing a security interest therein and in the proceeds thereof,
all upon the terms of this Agreement, with such writing to be in form and substance reasonably satisfactory to Collateral Agent.

Borrower acknowledges that it previously has entered, and/or may in the future enter, into Bank Services Agreements with Bank. Regardless of
the  terms  of  any  Bank  Services  Agreement,  Borrower  agrees  that  any  amounts  Borrower  owes  Bank  thereunder  shall  be  deemed  to  be  Obligations
hereunder and that it is the intent of Borrower and Bank to have all such Obligations secured by the first priority perfected security interest in the Collateral
granted herein (subject only to Permitted Liens that may have superior priority to Bank’s Lien in this Agreement).

If  this  Agreement  is  terminated,  Collateral  Agent’s  Lien  in  the  Collateral  shall  continue  until  the  Obligations  (other  than  inchoate  indemnity
obligations and any other obligations which, by their terms, are to survive the termination of this Agreement) are repaid in full in cash. Upon payment in
full in cash of the Obligations (other than inchoate indemnity obligations and any other obligations which, by their terms, are to survive the termination of
this Agreement) and at such time as the Lenders’ obligation to make Credit Extensions has terminated, Collateral Agent shall, at the sole cost and expense
of Borrower, release its Liens in the Collateral and all rights therein shall revert to Borrower. In the event (x) all Obligations (other than inchoate indemnity
obligations and any other obligations which, by their terms, are to survive the termination of this Agreement), except for Bank Services, are satisfied in full,
and (y) this Agreement is terminated, Bank shall terminate the security interest granted herein upon Borrower providing cash collateral acceptable to Bank
in  its  good  faith  business  judgment  for  Bank  Services,  if  any.  In  the  event  such  Bank  Services  consist  of  outstanding  Letters  of  Credit,  Borrower  shall
provide to Bank cash collateral in an amount equal to (x) if such Letters of Credit are denominated in Dollars, then one hundred five percent (105.00%);
and  (y)  if  such  Letters  of  Credit  are  denominated  in  a  Foreign  Currency,  then  one  hundred  ten  percent  (110.00%),  of  the  Dollar  Equivalent  of  the  face
amount of all such Letters of

    6

Credit plus all interest, fees, and costs due or to become due in connection therewith (as estimated by Bank in its good faith business judgment), to secure
all of the Obligations relating to such Letters of Credit.

4.2    Authorization to File Financing Statements. Borrower hereby authorizes Collateral Agent to file financing statements or take any other
action required to perfect Collateral Agent’s security interests in the Collateral, without notice to Borrower, with all appropriate jurisdictions to perfect or
protect  Collateral  Agent’s  interest  or  rights  under  the  Loan  Documents,  including  a  notice  that  any  disposition  of  the  Collateral,  except  to  the  extent
permitted by the terms of this Agreement, by Borrower, or any other Person, shall be deemed to violate the rights of Collateral Agent under the Code.

4.3    Pledge of Collateral. Borrower hereby pledges, assigns and grants to Collateral Agent, for the ratable benefit of the Lenders, a security
interest  in  all  the  Shares,  together  with  all  proceeds  and  substitutions  thereof,  all  cash,  stock  and  other  moneys  and  property  paid  thereon,  all  rights  to
subscribe  for  securities  declared  or  granted  in  connection  therewith,  and  all  other  cash  and  non-cash  proceeds  of  the  foregoing,  as  security  for  the
performance of the Obligations. On the Effective Date, or, to the extent not certificated as of the Effective Date, within ten (10) days of the certification of
any Shares, the certificate or certificates for the Shares will be delivered to Collateral Agent, accompanied by an instrument of assignment duly executed in
blank by Borrower. To the extent required by the terms and conditions governing the Shares, Borrower shall cause the books of each entity whose Shares
are part of the Collateral and any transfer agent to reflect the pledge of the Shares. Upon the occurrence and during the continuance of an Event of Default
hereunder, Collateral Agent may effect the transfer of any securities included in the Collateral (including but not limited to the Shares) into the name of
Collateral  Agent  and  cause  new  (as  applicable)  certificates  representing  such  securities  to  be  issued  in  the  name  of  Collateral  Agent  or  its  transferee.
Borrower will execute and deliver such documents, and take or cause to be taken such actions, as Collateral Agent may reasonably request to perfect or
continue the perfection of Collateral Agent’s security interest in the Shares. Unless an Event of Default shall have occurred and be continuing, Borrower
shall be entitled to exercise any voting rights with respect to the Shares and to give consents, waivers and ratifications in respect thereof, provided that no
vote shall be cast or consent, waiver or ratification given or action taken which would be inconsistent with any of the terms of this Agreement or which
would constitute or create any violation of any of such terms. All such rights to vote and give consents, waivers and ratifications shall terminate upon the
occurrence and continuance of an Event of Default.

5.    REPRESENTATIONS AND WARRANTIES

Borrower represents and warrants to Collateral Agent and the Lenders as follows:

5.1    Due Organization, Authorization: Power and Authority. Borrower and each of its Subsidiaries is duly existing and in good standing as a
Registered Organization in its jurisdictions of organization or formation and Borrower and each of its Subsidiaries is qualified and licensed to do business
and is in good standing in any jurisdiction in which the conduct of its businesses or its ownership of property requires that it be qualified except where the
failure  to  do  so  could  not  reasonably  be  expected  to  have  a  Material  Adverse  Change.  In  connection  with  this  Agreement,  Borrower  and  each  of  its
Subsidiaries has delivered to Collateral Agent a completed perfection certificate signed by an officer of Borrower or such Subsidiary (each a “Perfection
Certificate” and collectively, the “Perfection Certificates”). Borrower represents and warrants that (a) Borrower and each of its Subsidiaries’ exact legal
name  is  that  which  is  indicated  on  its  respective  Perfection  Certificate  and  on  the  signature  page  of  each  Loan  Document  to  which  it  is  a  party;
(b) Borrower and each of its Subsidiaries is an organization of the type and is organized in the jurisdiction set forth on its respective Perfection Certificate;
(c) each Perfection Certificate accurately sets forth each of Borrower’s and its Subsidiaries’ organizational identification number or accurately states that
Borrower or such Subsidiary has none; (d) each Perfection Certificate accurately sets forth Borrower’s and each of its Subsidiaries’ place of business, or, if
more than one, its chief executive office as well as Borrower’s and each of its Subsidiaries’ mailing address (if different than its chief executive office);
(e) except as may be set forth on its Perfection Certificate, Borrower and each of its Subsidiaries (and each of its respective predecessors) have not, in the
past five (5) years, changed its jurisdiction of organization, organizational structure or type, or any organizational number assigned by its jurisdiction; and
(f)  all  other  information  set  forth  on  the  Perfection  Certificates  pertaining  to  Borrower  and  each  of  its  Subsidiaries,  is  accurate  and  complete  (it  being
understood and agreed that Borrower and each of its Subsidiaries may from time to time update certain information in the Perfection Certificates (including
the  information  set  forth  in  clause  (d)  above)  after  the  Effective  Date  to  the  extent  Borrower  is  permitted  by  one  or  more  specific  provisions  in  this
Agreement or any other Loan Document; such updated Perfection Certificates subject to the review and approval of Collateral Agent unless such facts,
events or circumstances being updated first arose or occurred after the Effective Date and do not constitute a breach, default, or Event of Default under this
Agreement or any other Loan Document. If Borrower or any of its Subsidiaries is not now a Registered Organization but later becomes one, Borrower shall
notify Collateral Agent of such occurrence and provide Collateral Agent with such Person’s organizational identification number within five (5) Business
Days of receiving such organizational identification number.

    7

The execution, delivery and performance by Borrower and each of its Subsidiaries of the Loan Documents to which it is a party have been duly
authorized, and do not (i) conflict with any of Borrower’s or such Subsidiaries’ organizational documents, including its respective Operating Documents,
(ii) contravene, conflict with, constitute a default under or violate any material Requirement of Law applicable thereto, (iii) contravene, conflict or violate
any applicable order, writ, judgment, injunction, decree, determination or award of any Governmental Authority by which Borrower or such Subsidiary, or
any of their property or assets may be bound or affected, (iv) require any action by, filing, registration, or qualification with, or Governmental Approval
from,  any  Governmental  Authority  (except  for  filings  with  the  Securities  and  Exchange  Commission  which  do  not  require  any  consent  by  any
Governmental Authority, such Governmental Approvals which have already been obtained and are in full force and effect or are being obtained pursuant to
Section 6.1(b), or filings required to perfect the security interest granted herein) or (v) constitute an event of default under any material agreement by which
Borrower  or  any  of  such  Subsidiaries,  or  their  respective  properties,  is  bound.  Neither  Borrower  nor  any  of  its  Subsidiaries  is  in  default  under  any
agreement to which it is a party or by which it or any of its assets is bound in which such default could reasonably be expected to have a Material Adverse
Change.

5.2    Collateral.

(a)    Borrower and each of its Subsidiaries have good title to, have rights in, and the power to transfer each item of the Collateral upon
which it purports to grant a Lien under the Loan Documents, free and clear of any and all Liens except Permitted Liens, and neither Borrower nor any of its
Subsidiaries have any Deposit Accounts, Securities Accounts, Commodity Accounts or other investment accounts other than the Collateral Accounts or the
other  investment  accounts,  if  any,  described  in  the  Perfection  Certificates  delivered  to  Collateral  Agent  in  connection  herewith  with  respect  of  which
Borrower or such Subsidiary has given Collateral Agent notice and taken such actions as are necessary to give Collateral Agent a perfected security interest
therein to the extent required under this Agreement. The Accounts are bona fide, existing obligations of the Account Debtors.

(b)    On the Effective Date, and except as disclosed on the Perfection Certificate (i) the Collateral is not in the possession of any third
party bailee (such as a warehouse), and (ii) no such third party bailee possesses components of the Collateral in excess of Five Hundred Thousand Dollars
($500,000.00). None of the components of the Collateral (other than (1) inventory in transit, and (2) laptops (and related electronic computer equipment)
and mobile phones) shall be maintained at locations other than as disclosed in the Perfection Certificates on the Effective Date or as permitted pursuant to
Section 6.11.

for sale is in all material respects of marketable quality.

(c)    All unexpired Inventory is in all material respects of good quality, free from material defects, and all unexpired Inventory held out

(d)    Borrower and each of its Subsidiaries is the sole owner of the Intellectual Property each respectively purports to solely own, free
and clear of all Liens other than Permitted Liens. Except as noted on the Perfection Certificates, in connection with the Permitted License Amendment
Transaction,  or  as  otherwise  disclosed  pursuant  to  the  terms  of  this  Agreement  (to  the  extent  Borrower  is  permitted  to  take  such  action  resulting  in  the
applicable update by one or more specific provisions of this Agreement), neither Borrower nor any of its Subsidiaries is a party to, nor is bound by, any
material  license  or  other  material  agreement  with  respect  to  which  Borrower  or  such  Subsidiary  is  the  licensee  that  (i)  prohibits  or  otherwise  restricts
Borrower  or  its  Subsidiaries  from  granting  a  security  interest  in  Borrower’s  or  such  Subsidiaries’  interest  in  such  material  license  or  other  material
agreement or any other property, or (ii) for which a default under or termination of could interfere with Collateral Agent’s or any Lender’s right to sell any
Collateral.  Borrower  shall  promptly  (and  in  any  event  within  ten  (10)  Business  Days)  provide  written  notice  to  Collateral  Agent  and  each  Lender  of
Borrower or any of its Subsidiaries entering into or becoming bound by any material license or other material agreement with respect to which Borrower or
any Subsidiary is the licensee (other than over-the-counter software that is commercially available to the public).

5.3    Litigation. Except as disclosed (i) on the Perfection Certificates, or (ii) in accordance with Section 6.9 hereof, there are no actions, suits,
investigations,  or  proceedings  pending  or,  to  the  knowledge  of  the  Responsible  Officers,  threatened  in  writing  by  or  against  Borrower  or  any  of  its
Subsidiaries involving more than Two Hundred Fifty Thousand Dollars ($250,000.00).

5.4        No  Material  Deterioration  in  Financial  Condition;  Financial  Statements. All  consolidated  financial  statements  for  Borrower  and  its
Subsidiaries,  delivered  to  Collateral  Agent  fairly  present,  in  conformity  with  GAAP,  in  all  material  respects  the  consolidated  financial  condition  of
Borrower and its Subsidiaries, and the consolidated results of operations of Borrower and its Subsidiaries (subject to normal year-end adjustments to reflect
the non-cash impact of accounting for stock compensation or other non-cash equity items and the absence of footnotes) as of the dates and for the periods
presented. There has not been any material deterioration in the

    8

consolidated financial condition of Borrower and its Subsidiaries since the date of the most recent financial statements submitted to any Lender.

5.5    Solvency. Borrower is Solvent, and Borrower and each of its Subsidiaries, taken as a whole, is Solvent.

5.6        Regulatory  Compliance.  Neither  Borrower  nor  any  of  its  Subsidiaries  is  an  “investment  company”  or  a  company  “controlled”  by  an
“investment  company”  under  the  Investment  Company  Act  of  1940,  as  amended.  Neither Borrower nor any of its Subsidiaries is engaged as one of its
important activities in extending credit for margin stock (under Regulations X, T and U of the Federal Reserve Board of Governors). Borrower and each of
its Subsidiaries has complied in all material respects with the Federal Fair Labor Standards Act. Neither Borrower nor any of its Subsidiaries is a “holding
company”  or  an  “affiliate”  of  a  “holding  company”  or  a  “subsidiary  company”  of  a  “holding  company”  as  each  term  is  defined  and  used  in  the  Public
Utility Holding Company Act of 2005. Neither Borrower nor any of its Subsidiaries has violated any laws, ordinances or rules, the violation of which could
reasonably be expected to have a Material Adverse Change. Neither Borrower’s nor any of its Subsidiaries’ properties or assets has been used by Borrower
or such Subsidiary or, to Borrower’s knowledge, by previous Persons, in disposing, producing, storing, treating, or transporting any hazardous substance
other than in material compliance with applicable laws. Borrower and each of its Subsidiaries has obtained all consents, approvals and authorizations of,
made all declarations or filings with, and given all notices to, all Governmental Authorities that are necessary to continue their respective businesses as
currently conducted.

None of Borrower, any of its Subsidiaries, or any of Borrower’s or its Subsidiaries’ Affiliates or any of their respective agents acting or benefiting
in  any  capacity  in  connection  with  the  transactions  contemplated  by  this  Agreement  is  (i)  in  violation  of  any  Anti-Terrorism  Law,  (ii)  engaging  in  or
conspiring to engage in any transaction that evades or avoids, or has the purpose of evading or avoiding or attempts to violate, any of the prohibitions set
forth in any Anti-Terrorism Law, or (iii) is a Blocked Person. None of Borrower, any of its Subsidiaries, or to the knowledge of Borrower and any of their
Affiliates or agents, acting or benefiting in any capacity in connection with the transactions contemplated by this Agreement, (x) conducts any business or
engages  in  making  or  receiving  any  contribution  of  funds,  goods  or  services  to  or  for  the  benefit  of  any  Blocked  Person,  or  (y)  deals  in,  or  otherwise
engages in any transaction relating to, any property or interest in property blocked pursuant to Executive Order No. 13224, any similar executive order or
other Anti-Terrorism Law.

5.7    Investments. Neither Borrower nor any of its Subsidiaries owns any stock, shares, partnership interests or other equity securities except for

Permitted Investments.

5.8        Tax  Returns  and  Payments;  Pension  Contributions. Borrower  and  each  of  its  Subsidiaries  has  timely  filed  or  have  timely  obtained
extensions for filing all required tax returns and reports, and Borrower and each of its Subsidiaries, has timely paid all foreign, federal, state, and local
Taxes owed by Borrower and such Subsidiaries, in all jurisdictions in which Borrower or any such Subsidiary is subject to Taxes, including the United
States, unless (a) such Taxes are being contested in accordance with the following sentence or (b) in the case of state or local Taxes, if such Taxes do not,
individually or in the aggregate, exceed Fifty Thousand Dollars ($50,000.00). Borrower and each of its Subsidiaries, may defer payment of any contested
Taxes,  provided  that  Borrower  or  such  Subsidiary,  (a)  in  good  faith  contests  its  obligation  to  pay  the  Taxes  by  appropriate  proceedings  promptly  and
diligently instituted and conducted, (b) notifies Collateral Agent in writing of the commencement of, and any material development in, the proceedings, and
(c) posts bonds or takes any other steps required to prevent the Governmental Authority levying such contested Taxes from obtaining a Lien upon any of
the Collateral that is other than a “Permitted Lien.” Neither Borrower nor any of its Subsidiaries is aware of any claims or adjustments proposed for any of
Borrower’s  or  such  Subsidiaries’,  prior  tax  years  which  could  result  in  additional  Taxes  becoming  due  and  payable  by  Borrower  or  its  Subsidiaries  in
excess  of  Fifty  Thousand  Dollars  ($50,000.00),  except  to  the  extent  that  such  Taxes  are  being  contested  in  accordance  with  the  immediately  preceding
sentence. Borrower and each of its Subsidiaries have paid all amounts necessary to fund all present pension, profit sharing and deferred compensation plans
in accordance with their terms, and neither Borrower nor any of its Subsidiaries have, withdrawn from participation in, and have not permitted partial or
complete termination of, or permitted the occurrence of any other event with respect to, any such plan which could reasonably be expected to result in any
liability of Borrower or its Subsidiaries, including any liability to the Pension Benefit Guaranty Corporation or its successors or any other Governmental
Authority.

5.9        Use  of  Proceeds. Borrower  shall  use  the  proceeds  of  the  Credit  Extensions  solely  as  working  capital  and  to  fund  its  general  business
requirements  in  accordance  with  the  provisions  of  this  Agreement,  and  not  for  personal,  family,  household  or  agricultural  purposes.  A  portion  of  the
proceeds of the Term A Loans shall be used by Borrower to repay the Existing Indebtedness in full on the Effective Date.

    9

5.10    Shares. Borrower has full power and authority to create a first lien on the Shares and no disability or contractual obligation exists that
would prohibit Borrower from pledging the Shares pursuant to this Agreement. To Borrower’s knowledge, there are no subscriptions, warrants, rights of
first refusal or other restrictions on transfer relative to, or options exercisable with respect to the Shares. The Shares have been and will be duly authorized
and validly issued, and are fully paid and non-assessable. To Borrower’s knowledge, the Shares are not the subject of any present or threatened suit, action,
arbitration, administrative or other proceeding, and Borrower knows of no reasonable grounds for the institution of any such proceedings.

5.11    Full Disclosure. No written representation, warranty or other statement of Borrower or any of its Subsidiaries in any certificate or written
statement given to Collateral Agent or any Lender, as of the date such representation, warranty, or other statement was made, taken together with all such
written  certificates  and  written  statements  given  to  Collateral  Agent  or  any  Lender,  contains  any  untrue  statement  of  a  material  fact  or  omits  to  state  a
material fact necessary to make the statements contained in the certificates or statements not misleading in light of the circumstances under which they
were  made  (it  being  recognized  that  the  projections  and  forecasts  provided  by  Borrower  in  good  faith  and  based  upon  reasonable  assumptions  are  not
viewed as facts and that actual results during the period or periods covered by such projections and forecasts may differ from the projected or forecasted
results).

5.12        Definition  of  “Knowledge.”  For  purposes  of  the  Loan  Documents,  whenever  a  representation  or  warranty  is  made  to  Borrower’s
knowledge  or  awareness,  to  the  “best  of”  Borrower’s  knowledge,  or  with  a  similar  qualification,  knowledge  or  awareness  means  the  actual  knowledge,
after reasonable investigation, of the Responsible Officers.

6.    AFFIRMATIVE COVENANTS

Borrower shall, and shall cause each of its Subsidiaries to, do all of the following:

6.1    Government Compliance.

(a)    Maintain its and all its Subsidiaries’ legal existence and good standing in their respective jurisdictions of organization and maintain
qualification in each jurisdiction in which the failure to so qualify could reasonably be expected to have a Material Adverse Change. Comply with all laws,
ordinances and regulations to which Borrower or any of its Subsidiaries is subject, the noncompliance with which could reasonably be expected to have a
Material Adverse Change.

(b)    Obtain and keep in full force and effect, all of the material Governmental Approvals necessary for the performance by Borrower and
its Subsidiaries of their respective businesses and obligations under the Loan Documents and the grant of a security interest to Collateral Agent for the
ratable benefit of the Lenders, in all of the Collateral. Borrower shall promptly notify Collateral Agent of any material Governmental Approvals obtained
by  Borrower  or  any  of  its  Subsidiaries  and  unless  otherwise  requested  by  Collateral  Agent,  on  or  before  the  next  Reporting  Date,  provide  copies  to
Collateral Agent of such material Governmental Approvals.

6.2    Financial Statements, Reports, Certificates.

(a)    Deliver to each Lender:

(i)    as soon as available, but no later than forty-five (45) days after the last day of each fiscal quarter, a company prepared
consolidated  and  consolidating  balance  sheet,  income  statement  and  cash  flow  statement  covering  the  consolidated  operations  of  Borrower  and  its
Subsidiaries for such quarter certified by a Responsible Officer and in a form reasonably acceptable to Collateral Agent;

(ii)    as soon as available, but no later than one hundred twenty (120) days after the last day of Borrower’s fiscal year or within
five (5) days of filing with the SEC, audited consolidated financial statements prepared under GAAP, consistently applied, together with an unqualified
opinion (provided that such unqualified opinion may contain going concern explanatory language as it relates to Borrower’s cash levels) on the financial
statements from Ernst & Young LLP or another an independent certified public accounting firm acceptable to Collateral Agent in its reasonable discretion;

(iii)    as soon as available after approval thereof by Borrower’s Board of Directors, but no later than thirty (30) days after the
last day of each of Borrower’s fiscal years, Borrower’s annual financial projections for the entire current fiscal year as approved by Borrower’s Board of
Directors, which such annual financial projections shall be set forth in a quarter-by-quarter format (such annual financial projections as originally delivered
to Collateral Agent and the Lenders are referred to herein as the “Annual Projections”; provided that, any

    10

revisions to the Annual Projections approved by Borrower’s Board of Directors shall be delivered to Collateral Agent and the Lenders no later than seven
(7) Business Days after such approval);

or holders of Subordinated Debt;

(iv)    within five (5) days of delivery, copies of all statements, reports and notices made available to Borrower’s security holders

Commission,

(v)    Within five (5) Business Days of filing, all reports on Form 10-K, 10-Q and 8-K filed with the Securities and Exchange

(vi)    prompt notice of (y) in the event that Borrower is no longer subject to the reporting requirements under the Securities
Exchange Act of 1934, as amended, prompt notice of any material change to the capitalization table of Borrower, and (z) any amendments of the Operating
Documents of Borrower or any of its Subsidiaries, together with any copies reflecting such amendments or changes with respect thereto;

Intellectual Property;

(vii)        prompt  notice  of  any  event  that  could  reasonably  be  expected  to  materially  and  adversely  affect  the  value  of  the

(viii)    as soon as available, but no later than thirty (30) days after the last day of each month, copies of the month-end account
statements for each Collateral Account maintained by Borrower or its Subsidiaries, which statements may be provided to Collateral Agent and each Lender
by Borrower or directly from the applicable institution(s); and

(ix)    other information as reasonably requested by Collateral Agent or any Lender.

Notwithstanding  the  foregoing,  notices  or  documents  required  to  be  delivered  pursuant  to  the  terms  hereof  (to  the  extent  any  such  information  or
documents  are  included  in  materials  otherwise  filed  with  the  SEC)  may  be  delivered  electronically  and  if  so  delivered,  shall  be  deemed  to  have  been
delivered on the date on which (i) Borrower posts such documents, or provides a link thereto, on Borrower’s website on the internet at Borrower’s website
address, or (ii) on which such documents are posted on Borrower’s behalf on the website of the Securities and Exchange Commission.

signed by a Responsible Officer.

(b)    No later than thirty (30) days after the last day of each month, deliver to each Lender, a duly completed Compliance Certificate

(c)    Keep proper books of record and account in accordance with GAAP in all material respects, in which full, true and correct entries
shall be made of all dealings and transactions in relation to its business and activities. Borrower shall, and shall cause each of its Subsidiaries to, allow, at
the  sole  cost  of  Borrower  (once  in  any  given  fiscal  year  unless  an  Event  of  Default  has  occurred  and  is  continuing,  in  which  case  all  such  visits  or
inspections shall be at the cost of the Borrower), Collateral Agent or any Lender, during regular business hours upon reasonable prior notice (provided that
no  notice  shall  be  required  when  an  Event  of  Default  has  occurred  and  is  continuing),  to  visit  and  inspect  any  of  its  properties,  to  examine  and  make
abstracts or copies from any of its books and records, and to conduct a collateral audit and analysis of its operations and the Collateral. Such audits shall be
conducted no more often than once every year unless (and more frequently if) an Event of Default has occurred and is continuing.

6.3        Inventory;  Returns. Keep  all  unexpired  Inventory  in  all  material  respects  in  good  condition,  free  from  material  defects,  and  keep  all
unexpired Inventory held out for sale in all material respects in marketable condition. Returns and allowances between Borrower, or any of its Subsidiaries,
and their respective Account Debtors shall follow Borrower’s, or such Subsidiary’s, customary practices as they exist at the Effective Date. Borrower must
promptly notify Collateral Agent and the Lenders of all returns, recoveries, disputes and claims that involve more than Five Hundred Thousand Dollars
($500,000.00), individually or in the aggregate, in any calendar year.

6.4    Taxes; Pensions. Timely file or obtain extensions for filing and require each of its Subsidiaries to timely file, all required tax returns and
reports and timely pay, and require each of its Subsidiaries to timely pay, all foreign, federal, state, and local Taxes, assessments, deposits and contributions
owed by Borrower or its Subsidiaries, except for (i) deferred payment of any Taxes contested pursuant to the terms of Section 5.8 hereof, and shall deliver
to  Lenders,  on  demand,  appropriate  certificates  attesting  to  such  payments,  and  (ii)  any  failure  to  timely  pay  or  file  state  or  local  Taxes  in  an  amount,
individually or in the aggregate, in excess of Fifty Thousand Dollars ($50,000.00), and pay all amounts necessary to fund all present pension, profit sharing
and deferred compensation plans in accordance with the terms of such plans.

    11

6.5    Insurance. Keep Borrower’s and its Subsidiaries’ business and the Collateral insured for risks and in amounts standard for companies in
Borrower’s  and  its  Subsidiaries’  industry  and  location  and  as  Collateral  Agent  may  reasonably  request.  Insurance  policies  shall  be  in  a  form,  with
companies,  and  in  amounts  that  are  reasonably  satisfactory  to  Collateral  Agent  and  Lenders.  All  property  policies  shall  have  a  lender’s  loss  payable
endorsement showing Collateral Agent as lender loss payee and waive subrogation against Collateral Agent, and all liability policies shall show, or have
endorsements showing, Collateral Agent, as additional insured. The Collateral Agent shall be named as lender loss payee and/or additional insured with
respect to any such insurance providing coverage in respect of any Collateral, and each provider of any such insurance shall agree, by endorsement upon
the policy or policies issued by it or by independent instruments furnished to the Collateral Agent, that it will give the Collateral Agent thirty (30) days
prior written notice (or ten (10) days prior written notice in the event of cancellation for non-payment) before any such policy or policies shall be materially
altered or canceled. At  Collateral  Agent’s  request,  Borrower  shall  deliver  certified  copies  of  policies  and  evidence  of  all  premium  payments.  Proceeds
payable  under  any  policy  shall,  at  Collateral  Agent’s  option,  be  payable  to  Collateral  Agent,  for  the  ratable  benefit  of  the  Lenders,  on  account  of  the
Obligations. Notwithstanding the foregoing, (a) so long as no Event of Default has occurred and is continuing, Borrower shall have the option of applying
the  proceeds  of  any  casualty  policy  up  to  Five  Hundred  Thousand  Dollars  ($500,000.00)  with  respect  to  any  loss,  but  not  exceeding  Five  Hundred
Thousand Dollars ($500,000.00), in the aggregate for all losses under all casualty policies in any one year, toward the replacement or repair of destroyed or
damaged property; provided that any such replaced or repaired property (i) shall be of better, equal or like value as the replaced or repaired Collateral and
(ii)  shall  be  deemed  Collateral  in  which  Collateral  Agent  has  been  granted  a  first  priority  security  interest,  and  (b)  after  the  occurrence  and  during  the
continuance of an Event of Default, all proceeds payable under such casualty policy shall, at the option of Collateral Agent, be payable to Collateral Agent,
for the ratable benefit of the Lenders, on account of the Obligations. If Borrower or any of its Subsidiaries fails to obtain insurance as required under this
Section 6.5 or to pay any amount or furnish any required proof of payment to third persons, Collateral Agent and/or any Lender may make, at Borrower’s
expense, all or part of such payment or obtain such insurance policies required in this Section 6.5, and take any action under the policies Collateral Agent
or such Lender deems prudent.

6.6    Operating Accounts.

(a)    Maintain all of Borrower’s and its Subsidiaries’ (excluding Mersana Securities) Collateral Accounts that are operating accounts or
hold  excess  cash  with  Bank  or  its  Affiliates;  provided,  however,  that  all  Collateral  Accounts  (other  than  Excluded  Accounts)  of  Borrower  shall  be
maintained in accounts which are subject to a Control Agreement in favor of Collateral Agent. Borrower shall also conduct all of its primary banking with
Bank and Bank’s Affiliates, including, without limitation, cash management, letters of credit and business credit cards.

(b)    Borrower shall provide Collateral Agent five (5) days’ prior written notice before Borrower or any of its Subsidiaries establishes
any Collateral Account (other than Excluded Accounts) after the Effective Date at or with any Person other than Bank or its Affiliates. In addition, for each
Collateral  Account  that  Borrower  or  any  Guarantor,  at  any  time  maintains,  Borrower  or  such  Guarantor  shall  cause  the  applicable  bank  or  financial
institution at or with which such Collateral Account is maintained to execute and deliver a Control Agreement or other appropriate instrument with respect
to such Collateral Account to perfect Collateral Agent’s Lien in such Collateral Account in accordance with the terms hereunder prior to the establishment
of  such  Collateral  Account,  which  Control  Agreement  may  not  be  terminated  without  prior  written  consent  of  Collateral  Agent.  The  provisions  of  the
previous sentence shall not apply to Collateral Accounts (i) exclusively used for payroll, payroll taxes and other employee wage and benefit payments to or
for the benefit of Borrower’s, or any of its Subsidiaries’, employees and identified to Collateral Agent by Borrower as such in the Perfection Certificates,
(ii) held by Mersana Securities, or (iii) subject to a lien permitted by clauses (k), (n) and (o) of “Permitted Liens” for all such Collateral Accounts at any
time ((i) through (iii) collectively, the “Excluded Accounts”).

accordance with Sections 6.6(a) and (b).

(c)        Neither  Borrower  nor  any  of  its  Subsidiaries  shall  maintain  any  Collateral  Accounts  except  Collateral  Accounts  maintained  in

(d)    At all times Borrower shall maintain unrestricted (other than restrictions in favor of Collateral Agent and the Lenders) cash in one or
more Collateral Accounts subject to Control Agreements in favor of Collateral Agent in an aggregate amount of not less than an amount equal to the lesser
of (a) one hundred five percent (105.00%) of the outstanding Obligations and (b) the amount of Borrower’s and all of its Subsidiaries’ (including Mersana
Securities) total consolidated cash. Bank may restrict withdrawals or transfers by or on behalf of Borrower that would violate this Section 6.6(d), regardless
of whether an Event of Default exists at such time.

6.7    Protection of Intellectual Property Rights. Borrower and each of its Subsidiaries shall: (a) use commercially reasonable efforts to protect,

defend and maintain the validity and enforceability of its Intellectual

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Property that is material to Borrower’s business; (b) promptly advise Collateral Agent in writing upon becoming aware of any material infringement by a
third party of its Intellectual Property; and (c) not allow any Intellectual Property material to Borrower’s business to be abandoned, forfeited or dedicated to
the public without Collateral Agent’s prior written consent.

6.8    Litigation Cooperation. Commencing on the Effective Date and continuing through the termination of this Agreement, make available to
Collateral Agent and the Lenders, at reasonable times and upon reasonable notice, without expense to Collateral Agent or the Lenders, Borrower and each
of  Borrower’s  officers,  employees  and  agents  and  Borrower’s  Books,  to  the  extent  that  Collateral  Agent  or  any  Lender  may  reasonably  deem  them
necessary to prosecute or defend any third-party suit or proceeding instituted by or against Collateral Agent or any Lender, and which is with respect to any
Collateral or relating to Borrower.

6.9        Notices  of  Litigation  and  Default. Borrower  will  give  prompt  written  notice  to  Collateral  Agent  and  the  Lenders  of  any  litigation  or
governmental proceedings pending or threatened (in writing) against Borrower or any of its Subsidiaries, which could reasonably be expected to result in
damages  or  costs  to  Borrower  or  any  of  its  Subsidiaries  of  Two  Hundred  Fifty  Thousand  Dollars  ($250,000.00)  or  more  or  which  could  reasonably  be
expected to have a Material Adverse Change. Without limiting or contradicting any other more specific provision of this Agreement, promptly (and in any
event within three (3) Business Days) upon Borrower becoming aware of the existence of any Event of Default or event which, with the giving of notice or
passage of time, or both, would constitute an Event of Default, Borrower shall give written notice to Collateral Agent and the Lenders of such occurrence,
which such notice shall include a reasonably detailed description of such Event of Default or event which, with the giving of notice or passage of time, or
both, would constitute an Event of Default.

6.10    [Reserved].

6.11    Landlord Waivers; Bailee Waivers. In the event that Borrower or any of its Subsidiaries, after the Effective Date, intends to add any new
offices  or  business  locations,  including  warehouses,  or  otherwise  store  any  portion  of  the  Collateral  with,  or  deliver  any  portion  of  the  Collateral  to,  a
bailee, in each case pursuant to Section 7.2, then Borrower or such Subsidiary will provide prior written notice thereof to Collateral Agent, and, in the event
that the new location is the chief executive office of the Borrower or such Subsidiary or the Collateral at any such new location is valued in excess of Three
Million Dollars ($3,000,000.00) in the aggregate and located in the United States, such bailee or landlord, as applicable, must execute and deliver a bailee
waiver  or  landlord  waiver,  as  applicable,  in  form  and  substance  reasonably  satisfactory  to  Collateral  Agent  prior  to  the  addition  of  any  new  offices  or
business locations, or any such storage with or delivery to any such bailee, as the case may be.

6.12        Creation/Acquisition  of  Subsidiaries. In  the  event  Borrower,  or  any  of  its  Subsidiaries  creates  or  acquires  any  Subsidiary  (including,
without limitation, pursuant to a Division), Borrower shall provide prior written notice to Collateral Agent and each Lender of the creation or acquisition of
such new Subsidiary and take all such action as may be reasonably required by Collateral Agent or any Lender to cause each such Subsidiary to become a
co-Borrower hereunder or to guarantee the Obligations of Borrower under the Loan Documents and, in each case, grant a continuing pledge and security
interest in and to the assets of such Subsidiary (substantially as described on Exhibit A hereto); and Borrower (or its Subsidiary, as applicable) shall grant
and pledge to Collateral Agent, for the ratable benefit of the Lenders, a perfected security interest in the Shares of each such newly created Subsidiary.

6.13    Further Assurances.

Collateral Agent’s Lien in the Collateral or to effect the purposes of this Agreement.

(a)    Execute any further instruments and take further action as Collateral Agent or any Lender reasonably requests to perfect or continue

(b)        Deliver  to  Collateral  Agent  and  Lenders,  within  five  (5)  days  after  the  same  are  sent  or  received,  copies  of  all  material
correspondence, reports, documents and other filings with any Governmental Authority that could reasonably be expected to have a material adverse effect
on any of the Governmental Approvals material to Borrower’s business or otherwise could reasonably be expected to have a Material Adverse Change.

7.    NEGATIVE COVENANTS

Borrower  shall  not,  and  shall  not  permit  any  of  its  Subsidiaries  to,  do  any  of  the  following  without  the  prior  written  consent  of  the  Required

Lenders:

7.1        Dispositions.  Convey,  sell,  lease,  transfer,  assign,  or  otherwise  dispose  of  (including,  without  limitation,  pursuant  to  a  Division)

(collectively, “Transfer”), or permit any of its Subsidiaries to Transfer, all or any

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part of its business or property, except for Transfers (a) of Inventory in the ordinary course of business; (b) of worn out, surplus or obsolete Equipment;
(c) in connection with Permitted Liens, Permitted Investments and Permitted Licenses; (d) from any Subsidiary of Borrower to Borrower, or between or
among co-Borrowers or secured Guarantors hereunder; (e) of cash and Cash Equivalents in connection with transactions in the ordinary course of business
that (i) are approved by Borrower’s Board of Directors (to the extent Board approval is required by Borrower’s policies or other organizational documents),
(ii)  are  customary  for  the  Borrower’s  industry  and  (iii)  not  otherwise  prohibited  hereunder;  (f)  mandated  destruction  of  pre-clinical  and  clinical  trial
supplies;  and  (g)  other  Transfers  of  property,  other  than  Intellectual  Property,  having  a  book  value  not  exceeding  Five  Hundred  Thousand  Dollars
($500,000.00) in the aggregate during any fiscal year.

7.2    Changes in Business, Management, Ownership, or Business Locations. (a) Engage in or permit any of its Subsidiaries to engage in any
business other than the businesses engaged in by Borrower as of the Effective Date or reasonably related or incidental thereto; (b) liquidate or dissolve; or
(c)  (i)  any  Key  Person  shall  cease  to  be  actively  engaged  in  the  management  of  Borrower  unless  written  notice  thereof  is  provided  to  Collateral  Agent
within ten (10) days of such change, or (ii) consummate any transaction or series of related transactions in which the stockholders of Borrower who were
not stockholders immediately prior to the first such transaction own more than forty nine percent (49%) of the voting stock of Borrower immediately after
giving effect to such transaction or related series of such transactions (other than by the sale of Borrower’s equity securities in a public offering, a private
placement of public equity or to venture capital or institutional investors so long as Borrower identifies to Collateral Agent the venture capital investors or
institutional investors prior to the closing of the transaction). Borrower shall not, without at least ten (10) days’ prior written notice to Collateral Agent:
(A) add any new offices or business locations, including warehouses, except in accordance with the provisions of Section 6.11; (B) change its jurisdiction
of organization, (C) change its organizational structure or type, (D) change its legal name, or (E) change any organizational number (if any) assigned by its
jurisdiction of organization.

7.3    Mergers or Acquisitions. Merge or consolidate, or permit any of its Subsidiaries to merge or consolidate, with any other Person, or acquire,
or permit any of its Subsidiaries to acquire, all or substantially all of the capital stock, shares or property of another Person (including, without limitation,
pursuant to a Division). A Subsidiary may merge or consolidate into another Subsidiary (provided such surviving Subsidiary is a “co-Borrower” hereunder
or has provided a secured Guaranty of Borrower’s Obligations hereunder) or with (or into) Borrower provided Borrower is the surviving legal entity, and as
long as no Event of Default is occurring prior thereto or arises as a result therefrom.

7.4    Indebtedness. Create, incur, assume, or be liable for any Indebtedness, or permit any Subsidiary to do so, other than Permitted Indebtedness.

7.5    Encumbrance. Create, incur, allow, or suffer any Lien on any of its property, or assign or convey any right to receive income, including the
sale of any Accounts, or permit any of its Subsidiaries to do so, except for Permitted Liens, or permit any Collateral not to be subject to the first priority
security interest granted herein (except for Permitted Liens that are permitted by the terms of this Agreement to have priority over Collateral Agent’s Lien),
or enter into any agreement, document, instrument or other arrangement (except with or in favor of Collateral Agent, for the ratable benefit of the Lenders)
with  any  Person  which  directly  or  indirectly  prohibits  or  has  the  effect  of  prohibiting  Borrower,  or  any  of  its  Subsidiaries,  from  assigning,  mortgaging,
pledging,  granting  a  security  interest  in  or  upon,  or  encumbering  any  of  Borrower’s  or  such  Subsidiary’s  Intellectual  Property,  except  as  is  otherwise
permitted in Section 7.1 hereof and the definition of “Permitted Liens” herein.

7.6    Maintenance of Collateral Accounts. Maintain any Collateral Account except pursuant to the terms of Section 6.6 hereof.

7.7        Distributions;  Investments.  (a)  Pay  any  dividends  (other  than  (i)  dividends  payable  solely  in  capital  stock  and  (ii)  dividends  by  any
Subsidiary  of  Borrower  to  Borrower)  or  make  any  distribution  or  payment  in  respect  of  or  redeem,  retire  or  purchase  any  capital  stock  (other  than  (i)
repurchases pursuant to the terms of employee stock purchase plans, employee restricted stock agreements, stockholder rights plans, director or consultant
stock option plans, or similar plans, provided such repurchases pursuant to this clause (i) and clause (iv) below do not exceed Two Hundred Fifty Thousand
Dollars  ($250,000.00)  in  the  aggregate  per  fiscal  year,  (ii)  convert  any  of  its  convertible  securities  into  other  securities  pursuant  to  the  terms  of  such
convertible securities or otherwise in exchange thereof, (iii) pay de minimis amounts of cash in lieu of fractional shares upon conversion of convertible
securities or upon any stock split or consolidation, provided such cash amounts do not exceed Fifty Thousand Dollars ($50,000.00) in the aggregate per
fiscal year, (iv) make purchases of capital stock or options to acquire such capital stock with the proceeds received from a substantially concurrent issuance
of capital stock or convertible securities, provided such repurchases pursuant to this clause (iv) and clause (i) above exceed Two Hundred Fifty Thousand
Dollars ($250,000.00) in the aggregate per fiscal year, and (v) make purchases of capital stock in connection with (1) the exercise of stock options or stock
appreciation rights or (2) the satisfaction of

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withholding tax obligations; in each case, by way of cashless (or, “net”) exercise) or (b) directly or indirectly make any Investment other than Permitted
Investments, or permit any of its Subsidiaries to do so.

7.8    Transactions with Affiliates. Directly or indirectly enter into or permit to exist any material transaction with any Affiliate of Borrower or
any of its Subsidiaries, except for (a) transactions that are in the ordinary course of Borrower’s or such Subsidiary’s business, upon fair and reasonable
terms  that  are  no  less  favorable  to  Borrower  or  such  Subsidiary  than  would  be  obtained  in  an  arm’s  length  transaction  with  a  non-affiliated  Person,
(b)  Subordinated  Debt  or  equity  investments  by  Borrower’s  investors  in  Borrower  or  its  Subsidiaries,  (c)  reasonable  and  customary  compensation  and
benefit arrangements (including the granting of options or other equity compensation arrangements) and any indemnification arrangements with employees,
officers, directors or consultants entered into in the ordinary course of business and approved by Borrower’s Board of Directors to the extent required by
Borrower’s organizational documents, and (d) transactions permitted by Section 7.1(d), the second sentence of Section 7.3, clause (i) of the definition of
Permitted Indebtedness, and clauses (f) and (g) of the definition of Permitted Investments.

7.9    Subordinated Debt. (a) Make or permit any payment on any Subordinated Debt, except under the terms of the subordination, intercreditor,
or  other  similar  agreement  to  which  such  Subordinated  Debt  is  subject,  or  (b)  amend  any  provision  in  any  document  relating  to  the  Subordinated  Debt
which  would  increase  the  amount  thereof,  except  to  the  extent  expressly  permitted  under  the  terms  of  the  subordination,  intercreditor,  or  other  similar
agreement to which such Subordinated Debt is subject, or adversely affect the subordination thereof to Obligations owed to the Lenders.

7.10    Compliance. Become an “investment company” or a company controlled by an “investment company”, under the Investment Company
Act of 1940, as amended, or undertake as one of its important activities extending credit to purchase or carry margin stock (as defined in Regulation U of
the Board of Governors of the Federal Reserve System), or use the proceeds of any Credit Extension for that purpose; fail to meet the minimum funding
requirements of ERISA, permit a Reportable Event or Prohibited Transaction, as defined in ERISA, to occur; fail to comply with the Federal Fair Labor
Standards Act or violate any other law or regulation, if the violation could reasonably be expected to have a Material Adverse Change, or permit any of its
Subsidiaries  to  do  so;  withdraw  or  permit  any  Subsidiary  to  withdraw  from  participation  in,  permit  partial  or  complete  termination  of,  or  permit  the
occurrence of any other event with respect to, any present pension, profit sharing and deferred compensation plan which could reasonably be expected to
result in any liability of Borrower or any of its Subsidiaries, including any such liability to the Pension Benefit Guaranty Corporation or its successors or
any other Governmental Authority.

7.11        Compliance  with  Anti-Terrorism  Laws. Collateral  Agent  hereby  notifies  Borrower  and  each  of  its  Subsidiaries  that  pursuant  to  the
requirements  of  Anti-Terrorism  Laws,  and  Collateral  Agent’s  policies  and  practices,  Collateral  Agent  is  required  to  obtain,  verify  and  record  certain
information and documentation that identifies Borrower and each of its Subsidiaries and their principals, which information includes the name and address
of  Borrower  and  each  of  its  Subsidiaries  and  their  principals  and  such  other  information  that  will  allow  Collateral  Agent  to  identify  such  party  in
accordance with Anti-Terrorism Laws. Neither Borrower nor any of its Subsidiaries shall, nor shall Borrower or any of its Subsidiaries permit any Affiliate
to, directly or indirectly, knowingly enter into any documents, instruments, agreements or contracts with any Person listed on the OFAC Lists. Borrower
and each of its Subsidiaries shall immediately notify Collateral Agent if Borrower or such Subsidiary has knowledge that Borrower, or any Subsidiary or
Affiliate of Borrower, is listed on the OFAC Lists or (a) is convicted on, (b) pleads nolo contendere to, (c) is indicted on, or (d) is arraigned and held over
on charges involving money laundering or predicate crimes to money laundering. Neither Borrower nor any of its Subsidiaries shall, nor shall Borrower or
any of its Subsidiaries, permit any Affiliate to, directly or indirectly, (i) conduct any business or engage in any transaction or dealing with any Blocked
Person, including, without limitation, the making or receiving of any contribution of funds, goods or services to or for the benefit of any Blocked Person,
(ii) deal in, or otherwise engage in any transaction relating to, any property or interests in property blocked pursuant to Executive Order No. 13224 or any
similar executive order or other Anti-Terrorism Law, or (iii) engage in or conspire to engage in any transaction that evades or avoids, or has the purpose of
evading or avoiding, or attempts to violate, any of the prohibitions set forth in Executive Order No. 13224 or other Anti-Terrorism Law.

8.    EVENTS OF DEFAULT

Any one of the following shall constitute an event of default (an “Event of Default”) under this Agreement:

8.1    Payment Default. Borrower fails to (a) make any payment of principal or interest on any Credit Extension on its due date, or (b) pay any
other Obligations within three (3) Business Days after such Obligations are due and payable (which three (3) Business Day grace period shall not apply to
payments due on the Maturity Date or

    15

the date of acceleration pursuant to Section 9.1 (a) hereof). During the cure period, the failure to cure the payment default is not an Event of Default (but no
Credit Extension will be made during the cure period);

8.2    Covenant Default.

(a)        Borrower  or  any  of  its  Subsidiaries  fails  or  neglects  to  perform  any  obligation  in  Sections  6.2  (Financial  Statements,  Reports,
Certificates), 6.4 (Taxes), 6.5 (Insurance), 6.6 (Operating Accounts), 6.7 (Protection of Intellectual Property Rights), 6.9 (Notice of Litigation and Default),
6.11 (Landlord Waivers; Bailee Waivers), 6.12 (Creation/Acquisition of Subsidiaries) or 6.13 (Further Assurances) or Borrower violates any covenant in
Section 7; or

(b)    Borrower, or any of its Subsidiaries, fails or neglects to perform, keep, or observe any other term, provision, condition, covenant or
agreement contained in this Agreement or any Loan Documents, and as to any default (other than those specified in this Section 8) under such other term,
provision, condition, covenant or agreement that can be cured, has failed to cure the default within fifteen (15) days after the occurrence thereof; provided,
however, that if the default cannot by its nature be cured within the fifteen (15) day period or cannot after diligent attempts by Borrower be cured within
such fifteen (15) day period, and such default is likely to be cured within a reasonable time, then Borrower shall have an additional period (which shall not
in  any  case  exceed  thirty  (30)  days)  to  attempt  to  cure  such  default,  and  within  such  reasonable  time  period  the  failure  to  cure  the  default  shall  not  be
deemed an Event of Default (but no Credit Extensions shall be made during such cure period). Grace periods provided under this Section shall not apply,
among other things, to financial covenants or any other covenants set forth in subsection (a) above;

8.3    Material Adverse Change. A Material Adverse Change occurs;

8.4    Attachment; Levy; Restraint on Business.

(a)    (i) The service of process seeking to attach, by trustee or similar process, any funds of Borrower or any of its Subsidiaries or of any
entity under control of Borrower or its Subsidiaries on deposit with any Lender or any Lender’s Affiliate or any bank or other institution at which Borrower
or any of its Subsidiaries maintains a Collateral Account, or (ii) a notice of lien, levy, or assessment is filed against Borrower or any of its Subsidiaries or
their  respective  assets  by  any  government  agency,  and  the  same  under  subclauses  (i)  and  (ii)  hereof  are  not,  within  ten  (10)  days  after  the  occurrence
thereof, discharged or stayed (whether through the posting of a bond or otherwise); provided, however, no Credit Extensions shall be made during any ten
(10) day cure period; and

trustee or receiver, or (ii) any court order enjoins, restrains, or prevents Borrower or any of its Subsidiaries from conducting any part of its business;

(b)    (i) any material portion of Borrower’s or any of its Subsidiaries’ assets is attached, seized, levied on, or comes into possession of a

8.5    Insolvency. (a) Borrower or any of its Subsidiaries is or becomes Insolvent; (b) Borrower or any of its Subsidiaries begins an Insolvency
Proceeding; or (c) an Insolvency Proceeding is begun against Borrower or any of its Subsidiaries and not dismissed or stayed within forty-five (45) days
(but no Credit Extensions shall be made while Borrower or any Subsidiary is Insolvent and/or until any Insolvency Proceeding is dismissed);

8.6    Other Agreements. There is a default in any agreement to which Borrower or any of its Subsidiaries is a party with a third party or parties
resulting in a right by such third party or parties, whether or not exercised, to accelerate the maturity of any Indebtedness in an amount in excess of Five
Hundred Thousand Dollars ($500,000.00) or that could reasonably be expected to have a Material Adverse Change;

8.7    Judgments. One or more judgments, orders, or decrees for the payment of money in an amount, individually or in the aggregate, of at least
Five Hundred Thousand Dollars ($500,000.00) (not covered by independent third-party insurance as to which liability has been accepted by such insurance
carrier) shall be rendered against Borrower or any of its Subsidiaries and shall remain unsatisfied, unvacated, or unstayed for a period of ten (10) days after
the entry thereof (provided that no Credit Extensions will be made prior to the satisfaction, vacation, or stay of such judgment, order or decree);

8.8        Misrepresentations.  Borrower  or  any  of  its  Subsidiaries  or  any  Person  acting  for  Borrower  or  any  of  its  Subsidiaries  makes  any
representation,  warranty,  or  other  statement  now  or  later  in  this  Agreement,  any  Loan  Document  or  in  any  writing  delivered  to  Collateral  Agent  and/or
Lenders  or  to  induce  Collateral  Agent  and/or  the  Lenders  to  enter  this  Agreement  or  any  Loan  Document,  and  such  representation,  warranty,  or  other
statement is incorrect in any material respect when made;

    16

8.9        Subordinated  Debt. A  default  or  breach  occurs  under  any  agreement  between  Borrower  or  any  of  its  Subsidiaries  and  any  creditor  of
Borrower  or  any  of  its  Subsidiaries  that  signed  a  subordination,  intercreditor,  or  other  similar  agreement  with  Collateral  Agent  or  the  Lenders,  or  any
creditor that has signed such an agreement with Collateral Agent or the Lenders breaches any terms of such agreement;

8.10    Guaranty. (a) Any Guaranty terminates or ceases for any reason to be in full force and effect; (b) any Guarantor does not perform any
obligation or covenant under any Guaranty; (c) any circumstance described in Sections 8.3, 8.4, 8.5, 8.7, or 8.8 occurs with respect to any Guarantor, or
(d) the liquidation, winding up, or termination of existence of any Guarantor;

8.11    Governmental Approvals. Any Governmental Approval shall have been revoked, rescinded, suspended, modified in an adverse manner, or
not  renewed  in  the  ordinary  course  for  a  full  term  and  such  revocation,  rescission,  suspension,  modification  or  non-renewal  has  resulted  in  or  could
reasonably be expected to result in a Material Adverse Change;

8.12    Lien Priority. Any Lien created hereunder or by any other Loan Document shall at any time fail to constitute a valid and perfected Lien on
any of the Collateral purported to be secured thereby, subject to no prior or equal Lien, other than Permitted Liens which are permitted to have priority in
accordance with the terms of this Agreement; provided that such circumstance is not due to Collateral Agent’s failure to file an appropriate continuation
financing statement, amendment financing statement or initial financing statement; or

8.13        Delisting.  The  shares  of  common  stock  of  Borrower  are  delisted  from  NASDAQ  Capital  Market  because  of  failure  to  comply  with
continued listing standards thereof or due to a voluntary delisting which results in such shares not being listed on any other nationally recognized stock
exchange in the United States having listing standards at least as restrictive as the NASDAQ Capital Market.

9.    RIGHTS AND REMEDIES

9.1    Rights and Remedies.

(a)        Upon  the  occurrence  and  during  the  continuance  of  an  Event  of  Default,  Collateral  Agent  may,  and  at  the  written  direction  of
Required Lenders shall, without notice or demand, do any or all of the following: (i) deliver notice of the Event of Default to Borrower, (ii) by notice to
Borrower  declare  all  Obligations  immediately  due  and  payable  (but  if  an  Event  of  Default  described  in  Section  8.5  occurs  all  Obligations  shall  be
immediately due and payable without any action by Collateral Agent or the Lenders) or (iii) by notice to Borrower suspend or terminate the obligations, if
any, of the Lenders to advance money or extend credit for Borrower’s benefit under this Agreement or under any other agreement between Borrower and
Collateral Agent and/or the Lenders (but if an Event of Default described in Section 8.5 occurs all obligations, if any, of the Lenders to advance money or
extend credit for Borrower’s benefit under this Agreement or under any other agreement between Borrower and Collateral Agent and/or the Lenders shall
be immediately terminated without any action by Collateral Agent or the Lenders).

continuance of an Event of Default, Collateral Agent shall have the right, without notice or demand, to do any or all of the following:

(b)    Without limiting the rights of Collateral Agent and the Lenders set forth in Section 9.1(a) above, upon the occurrence and during the

(i)    foreclose upon and/or sell or otherwise liquidate, the Collateral;

or (b) any amount held or controlled by Collateral Agent or any Lender owing to or for the credit or the account of Borrower; and/or

(ii)    apply to the Obligations any (a) balances and deposits of Borrower that Collateral Agent or any Lender holds or controls,

(iii)    commence and prosecute an Insolvency Proceeding or consent to Borrower commencing any Insolvency Proceeding.

during the continuance of an Event of Default, Collateral Agent shall have the right, without notice or demand, to do any or all of the following:

(c)    Without limiting the rights of Collateral Agent and the Lenders set forth in Sections 9.1(a) and (b) above, upon the occurrence and

    17

(i)    settle or adjust disputes and claims directly with Account Debtors for amounts on terms and in any order that Collateral
Agent considers advisable, notify any Person owing Borrower money of Collateral Agent’s security interest in such funds, and verify the amount of such
account;

(ii)    make any payments and do any acts it considers necessary or reasonable to protect the Collateral and/or its security interest
in the Collateral. Borrower shall assemble the Collateral if Collateral Agent requests and make it available in a location as Collateral Agent reasonably
designates.  Collateral  Agent  may  enter  premises  where  the  Collateral  is  located,  take  and  maintain  possession  of  any  part  of  the  Collateral,  and  pay,
purchase, contest, or compromise any Lien which appears to be prior or superior to its security interest and pay all expenses incurred. Borrower grants
Collateral Agent a license to enter and occupy any of its premises, without charge, to exercise any of Collateral Agent’s rights or remedies;

(iii)    ship, reclaim, recover, store, finish, maintain, repair, prepare for sale, and/or advertise for sale, the Collateral. Collateral
Agent is hereby granted a non-exclusive, royalty-free license or other right to use, without charge, Borrower’s and each of its Subsidiaries’ labels, patents,
copyrights, mask works, rights of use of any name, trade secrets, trade names, trademarks, service marks, and advertising matter, or any similar property as
it pertains to the Collateral, in completing production of, advertising for sale, and selling any Collateral and, in connection with Collateral Agent’s exercise
of its rights under this Section 9.1, Borrower’s and each of its Subsidiaries’ rights under all licenses and all franchise agreements inure to Collateral Agent,
for the benefit of the Lenders;

(iv)        place  a  “hold”  on  any  account  maintained  with  Collateral  Agent  or  the  Lenders  and/or  deliver  a  notice  of  exclusive
control,  any  entitlement  order,  or  other  directions  or  instructions  pursuant  to  any  Control  Agreement  or  similar  agreements  providing  control  of  any
Collateral;

(v)    demand and receive possession of Borrower’s Books;

(vi)    appoint a receiver to seize, manage and realize any of the Collateral, and such receiver shall have any right and authority
as any competent court will grant or authorize in accordance with any applicable law, including any power or authority to manage the business of Borrower
or any of its Subsidiaries;

Loan Documents or at law or equity, including all remedies provided under the Code (including disposal of the Collateral pursuant to the terms thereof);

(vii)    subject to clauses 9.1(a) and (b), exercise all rights and remedies available to Collateral Agent and each Lender under the

(viii)    for any Letters of Credit, demand that Borrower (i) deposit cash with Bank in an amount equal to (x) if such Letters of
Credit are denominated in Dollars, then one hundred five percent (105.00%); and (y) if such Letters of Credit are denominated in a Foreign Currency, then
one hundred ten percent (110.00%), of the Dollar Equivalent of the aggregate face amount of all Letters of Credit remaining undrawn (plus all interest,
fees, and costs due or to become due in connection therewith (as estimated by Bank in its good faith business judgment)), to secure all of the Obligations
relating to such Letters of Credit, as collateral security for the repayment of any future drawings under such Letters of Credit, and Borrower shall forthwith
deposit and pay such amounts, and (ii) pay in advance all letter of credit fees scheduled to be paid or payable over the remaining term of any Letters of
Credit; and

(ix)    terminate any FX Contracts.

Notwithstanding any provision of this Section 9.1 to the contrary, upon the occurrence of any Event of Default, Collateral Agent shall have the right to
exercise  any  and  all  remedies  referenced  in  this  Section  9.1  without  the  written  consent  of  Required  Lenders  following  the  occurrence  of  an  Exigent
Circumstance. As used in the immediately preceding sentence, “Exigent Circumstance” means any event or circumstance that, in the reasonable judgment
of  Collateral  Agent,  imminently  threatens  the  ability  of  Collateral  Agent  to  realize  upon  all  or  any  material  portion  of  the  Collateral,  such  as,  without
limitation, fraudulent removal, concealment, or abscondment thereof, destruction or material waste thereof, or failure of Borrower or any of its Subsidiaries
after reasonable demand to maintain or reinstate adequate casualty insurance coverage, or which, in the judgment of Collateral Agent, could reasonably be
expected to result in a material diminution in value of the Collateral.

9.2    Power of Attorney. Borrower hereby irrevocably appoints Collateral Agent as its lawful attorney-in-fact, exercisable upon the occurrence
and during the continuance of an Event of Default, to: (a) endorse Borrower’s or any of its Subsidiaries’ name on any checks or other forms of payment or
security; (b) sign Borrower’s or any of its Subsidiaries’ name on any invoice or bill of lading for any Account or drafts against Account Debtors; (c) settle
and adjust disputes and claims about the Accounts directly with Account Debtors, for

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amounts and on terms Collateral Agent determines reasonable; (d) make, settle, and adjust all claims under Borrower’s insurance policies; (e) pay, contest
or settle any Lien, charge, encumbrance, security interest, and adverse claim in or to the Collateral, or any judgment based thereon, or otherwise take any
action to terminate or discharge the same; and (f) transfer the Collateral into the name of Collateral Agent or a third party as the Code or any applicable law
permits. Borrower hereby appoints Collateral Agent as its lawful attorney-in-fact to sign Borrower’s or any of its Subsidiaries’ name on any documents
necessary  to  perfect  or  continue  the  perfection  of  Collateral  Agent’s  security  interest  in  the  Collateral  regardless  of  whether  an  Event  of  Default  has
occurred until all Obligations (other than inchoate indemnity obligations and any other obligations which, by their terms, are to survive the termination of
this  Agreement)  have  been  satisfied  in  full  and  Collateral  Agent  and  the  Lenders  are  under  no  further  obligation  to  make  Credit  Extensions  hereunder.
Collateral Agent’s foregoing appointment as Borrower’s or any of its Subsidiaries’ attorney in fact, and all of Collateral Agent’s rights and powers, coupled
with  an  interest,  are  irrevocable  until  all  Obligations  (other  than  inchoate  indemnity  obligations  and  any  other  obligations  which,  by  their  terms,  are  to
survive  the  termination  of  this  Agreement)  have  been  fully  repaid  and  performed  and  Collateral  Agent’s  and  the  Lenders’  obligation  to  provide  Credit
Extensions terminates.

9.3    Protective Payments. If Borrower or any of its Subsidiaries fail to obtain the insurance called for by Section 6.5 or fails to pay any premium
thereon or fails to pay any other amount which Borrower or any of its Subsidiaries is obligated to pay under this Agreement or any other Loan Document,
Collateral Agent may obtain such insurance or make such payment, and all amounts so paid by Collateral Agent are Lenders’ Expenses and immediately
due and payable, bearing interest at the Default Rate, and secured by the Collateral. Collateral Agent will make reasonable efforts to provide Borrower with
notice of Collateral Agent obtaining such insurance or making such payment at the time it is obtained or paid or within a reasonable time thereafter. No
such payments by Collateral Agent are deemed an agreement to make similar payments in the future or Collateral Agent’s waiver of any Event of Default.

9.4    Application of Payments and Proceeds. Notwithstanding anything to the contrary contained in this Agreement, upon the occurrence and
during the continuance of an Event of Default, (a) Borrower irrevocably waives the right to direct the application of any and all payments at any time or
times thereafter received by Collateral Agent from or on behalf of Borrower or any of its Subsidiaries of all or any part of the Obligations, and, as between
Borrower on the one hand and Collateral Agent and Lenders on the other, Collateral Agent shall have the continuing and exclusive right to apply and to
reapply  any  and  all  payments  received  against  the  Obligations  in  such  manner  as  Collateral  Agent  may  deem  advisable  notwithstanding  any  previous
application by Collateral Agent, and (b) the proceeds of any sale of, or other realization upon all or any part of the Collateral shall be applied: first, to the
Lenders’ Expenses; second, to accrued and unpaid interest on the Obligations (including any interest which, but for the provisions of the United States
Bankruptcy  Code,  would  have  accrued  on  such  amounts);  third,  to  the  principal  amount  of  the  Obligations  outstanding;  and  fourth,  to  any  other
indebtedness or obligations of Borrower owing to Collateral Agent or any Lender under the Loan Documents. Any balance remaining shall be delivered to
Borrower or to whoever may be lawfully entitled to receive such balance or as a court of competent jurisdiction may direct. In carrying out the foregoing,
(x) amounts received shall be applied in the numerical order provided until exhausted prior to the application to the next succeeding category, and (y) each
of the Persons entitled to receive a payment in any particular category shall receive an amount equal to its pro rata share of amounts available to be applied
pursuant thereto for such category. Any reference in this Agreement to an allocation between or sharing by the Lenders of any right, interest or obligation
“ratably,” “proportionally” or in similar terms shall refer to Pro Rata Share unless expressly provided otherwise. Collateral Agent, or if applicable, each
Lender, shall promptly remit to the other Lenders such sums as may be necessary to ensure the ratable repayment of each Lender’s portion of any Term
Loan  and  the  ratable  distribution  of  interest,  fees  and  reimbursements  paid  or  made  by  Borrower.  Notwithstanding  the  foregoing,  a  Lender  receiving  a
scheduled  payment  shall  not  be  responsible  for  determining  whether  the  other  Lenders  also  received  their  scheduled  payment  on  such  date;  provided,
however, if it is later determined that a Lender received more than its ratable share of scheduled payments made on any date or dates, then such Lender
shall remit to Collateral Agent or other Lenders such sums as may be necessary to ensure the ratable payment of such scheduled payments, as instructed by
Collateral Agent. If any payment or distribution of any kind or character, whether in cash, properties or securities, shall be received by a Lender in excess
of its ratable share, then the portion of such payment or distribution in excess of such Lender’s ratable share shall be received by such Lender in trust for
and  shall  be  promptly  paid  over  to  the  other  Lender  for  application  to  the  payments  of  amounts  due  on  the  other  Lenders’  claims.  To  the  extent  any
payment  for  the  account  of  Borrower  is  required  to  be  returned  as  a  voidable  transfer  or  otherwise,  the  Lenders  shall  contribute  to  one  another  as  is
necessary to ensure that such return of payment is on a pro rata basis. If any Lender shall obtain possession of any Collateral, it shall hold such Collateral
for itself and as agent and bailee for Collateral Agent and other Lenders for purposes of perfecting Collateral Agent’s security interest therein.

9.5    Liability for Collateral. So long as Collateral Agent and the Lenders comply with reasonable banking practices regarding the safekeeping
of  the  Collateral  in  the  possession  or  under  the  control  of  Collateral  Agent  and  the  Lenders,  Collateral  Agent  and  the  Lenders  shall  not  be  liable  or
responsible for: (a) the safekeeping of the Collateral; (b) any loss or damage to the Collateral; (c) any diminution in the value of the Collateral; or (d) any

    19

act or default of any carrier, warehouseman, bailee, or other Person. Borrower bears all risk of loss, damage or destruction of the Collateral.

9.6        No  Waiver;  Remedies  Cumulative. Failure  by  Collateral  Agent  or  any  Lender,  at  any  time  or  times,  to  require  strict  performance  by
Borrower of any provision of this Agreement or any other Loan Document shall not waive, affect, or diminish any right of Collateral Agent or any Lender
thereafter to demand strict performance and compliance herewith or therewith. No waiver hereunder shall be effective unless signed by Collateral Agent
and the Required Lenders and then is only effective for the specific instance and purpose for which it is given. The rights and remedies of Collateral Agent
and  the  Lenders  under  this  Agreement  and  the  other  Loan  Documents  are  cumulative.  Collateral  Agent  and  the  Lenders  have  all  rights  and  remedies
provided under the Code, any applicable law, by law, or in equity. The exercise by Collateral Agent or any Lender of one right or remedy is not an election,
and Collateral Agent’s or any Lender’s waiver of any Event of Default is not a continuing waiver. Collateral Agent’s or any Lender’s delay in exercising
any remedy is not a waiver, election, or acquiescence.

9.7    Demand Waiver. Borrower waives, to the fullest extent permitted by law, demand, notice of default or dishonor, notice of payment and
nonpayment, notice of any default, nonpayment at maturity, release, compromise, settlement, extension, or renewal of accounts, documents, instruments,
chattel paper, and guarantees held by Collateral Agent or any Lender on which Borrower or any Subsidiary is liable.

10.    NOTICES

All notices, consents, requests, approvals, demands, or other communication (collectively, “Communication”) by any party to this Agreement or
any other Loan Document must be in writing and shall be deemed to have been validly served, given, or delivered: (a) upon the earlier of actual receipt and
three (3) Business Days after deposit in the U.S. mail, first class, registered or certified mail return receipt requested, with proper postage prepaid; (b) upon
transmission, when sent by facsimile or electronic mail transmission; (c) one (1) Business Day after deposit with a reputable overnight courier with all
charges prepaid; or (d) when delivered, if hand-delivered by messenger, all of which shall be addressed to the party to be notified and sent to the address,
facsimile number, or email address indicated below. Any of Collateral Agent, Lender or Borrower may change its mailing address, facsimile number, or
email address by giving the other party written notice thereof in accordance with the terms of this Section 10.

    20

If to Borrower:

MERSANA THERAPEUTICS, INC.
840 Memorial Drive
Cambridge, MA 02139
Attn: Legal Department
Email: [**]

with a copy (which shall not
constitute notice) to:

WILMER CUTLER PICKERING HALE AND DORR
LLP
th
1225 17  Street, Suite 2600
Denver, CO 80202
Attn: Chalyse Robinson
Fax: (720) 274-3133
Email: chalyse.robinson@wilmerhale.com

If to Collateral Agent:

with a copy to

OXFORD FINANCE LLC
115 South Union Street 
Suite 300 
Alexandria, VA  22314
Attention: Legal Department
Fax: [**]
Email: [**]

SILICON VALLEY BANK
275 Grove Street, Suite 2-200
Newtown, MA 02466
Attn: Lauren Cole
Fax: [**]
Email: [**]

with a copy (which shall not
constitute notice) to:

th

DLA PIPER LLP (US)
500 8  Street, NW
Washington, DC 20004
Attn: Eric E. Eisenberg
Fax: (202) 799-5211
Email: eric.eisenberg@us.dlapiper.com

11.    CHOICE OF LAW, VENUE AND JURY TRIAL WAIVER

New York law governs the Loan Documents without regard to principles of conflicts of law. Borrower, Lenders and Collateral Agent each submit to the
exclusive  jurisdiction  of  the  State  and  Federal  courts  in  the  City  of  New  York,  Borough  of  Manhattan.  NOTWITHSTANDING  THE  FOREGOING,
COLLATERAL AGENT AND THE LENDERS SHALL HAVE THE RIGHT TO BRING ANY ACTION OR PROCEEDING AGAINST BORROWER
OR  ITS  PROPERTY  IN  THE  COURTS  OF  ANY  OTHER  JURISDICTION  WHICH  COLLATERAL  AGENT  AND  THE  LENDERS  (IN
ACCORDANCE WITH THE PROVISIONS OF SECTION 9.1) DEEM NECESSARY OR APPROPRIATE TO REALIZE ON THE COLLATERAL OR
TO  OTHERWISE  ENFORCE  COLLATERAL  AGENT’S  AND  THE  LENDERS’  RIGHTS  AGAINST  BORROWER  OR  ITS  PROPERTY.  Borrower
expressly  submits  and  consents  in  advance  to  such  jurisdiction  in  any  action  or  suit  commenced  in  any  such  court,  and  Borrower  hereby  waives  any
objection that it may have based upon lack of personal jurisdiction, improper venue, or forum non conveniens and hereby consents to the granting of such
legal or equitable relief as is deemed appropriate by such court. Borrower hereby waives personal service of the summons, complaints, and other process
issued in such action or suit and agrees that service of such summons, complaints, and other process may be made by registered or certified mail addressed
to Borrower at the address set forth in, or subsequently provided by Borrower in accordance with, Section 10 of this Agreement and that service so made
shall  be  deemed  completed  upon  the  earlier  to  occur  of  Borrower’s  actual  receipt  thereof  or  three  (3)  days  after  deposit  in  the  U.S.  mails,  first  class,
registered or certified mail return receipt requested, proper postage prepaid.

TO  THE  FULLEST  EXTENT  PERMITTED  BY  APPLICABLE  LAW,  BORROWER,  COLLATERAL  AGENT,  AND  THE  LENDERS  EACH
WAIVE  THEIR  RIGHT  TO  A  JURY  TRIAL  OF  ANY  CLAIM  OR  CAUSE  OF  ACTION  ARISING  OUT  OF  OR  BASED  UPON  THIS
AGREEMENT, THE LOAN DOCUMENTS OR ANY CONTEMPLATED TRANSACTION, INCLUDING CONTRACT, TORT, BREACH OF
DUTY AND ALL OTHER CLAIMS. THIS WAIVER IS A MATERIAL INDUCEMENT FOR

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EACH PARTY TO ENTER INTO THIS AGREEMENT. EACH PARTY HAS REVIEWED THIS WAIVER WITH ITS COUNSEL.

12.    GENERAL PROVISIONS

12.1    Successors and Assigns. This Agreement binds and is for the benefit of the successors and permitted assigns of each party. Borrower may
not transfer, pledge or assign this Agreement or any rights or obligations under it without Collateral Agent’s and each Lender’s prior written consent (which
may be granted or withheld in Collateral Agent’s and each Lender’s discretion, subject to Section 12.6). The Lenders have the right, without the consent of
or notice to Borrower, to sell, transfer, assign, pledge, negotiate, or grant participation in (any such sale, transfer, assignment, negotiation, or grant of a
participation, a “Lender Transfer”) all or any part of, or any interest in, the Lenders’ obligations, rights, and benefits under this Agreement and the other
Loan  Documents;  provided,  however,  that  any  such  Lender  Transfer  (other  than  a  transfer,  pledge,  sale  or  assignment  to  an  Eligible  Assignee)  of  its
obligations, rights, and benefits under this Agreement and the other Loan Documents shall require the prior written consent of the Required Lenders (such
approved assignee, an “Approved Lender”). Borrower and Collateral Agent shall be entitled to continue to deal solely and directly with such Lender in
connection with the interests so assigned until Collateral Agent shall have received and accepted an effective assignment agreement in form satisfactory to
Collateral Agent executed, delivered and fully completed by the applicable parties thereto, and shall have received such other information regarding such
Eligible Assignee or Approved Lender as Collateral Agent reasonably shall require. Notwithstanding anything to the contrary contained herein, so long as
no Event of Default has occurred and is continuing, no Lender Transfer (other than a Lender Transfer in connection with (x) assignments by a Lender due
to a forced divestiture at the request of any regulatory agency; or (y) upon the occurrence of a default, event of default or similar occurrence with respect to
a Lender’s own financing or securitization transactions) shall be permitted, without Borrower’s consent, to any Person which is an Affiliate or Subsidiary
of Borrower, a direct competitor of Borrower or a vulture hedge fund, each as determined by Collateral Agent.

12.2    Indemnification. Borrower agrees to indemnify, defend and hold Collateral Agent and the Lenders and their respective directors, officers,
employees, agents, attorneys, or any other Person affiliated with or representing Collateral Agent or the Lenders (each, an “Indemnified Person”) harmless
against: (a) all obligations, demands, claims, and liabilities (collectively, “Claims”) asserted by any other party in connection with; related to; following; or
arising  from,  out  of  or  under,  the  transactions  contemplated  by  the  Loan  Documents;  and  (b)  all  losses  or  Lenders’  Expenses  incurred,  or  paid  by
Indemnified  Person  in  connection  with;  related  to;  following;  or  arising  from,  out  of  or  under,  the  transactions  contemplated  by  the  Loan  Documents
between Collateral Agent, and/or the Lenders and Borrower (including reasonable and documented attorneys’ fees and expenses), except for Claims and/or
losses directly caused by such Indemnified Person’s gross negligence or willful misconduct. Borrower hereby further indemnifies, defends and holds each
Indemnified  Person  harmless  from  and  against  any  and  all  liabilities,  obligations,  losses,  damages,  penalties,  actions,  judgments,  suits,  claims,  costs,
expenses  and  disbursements  of  any  kind  or  nature  whatsoever  (including  the  reasonable  and  documented  fees  and  disbursements  of  counsel  for  such
Indemnified  Person)  in  connection  with  any  investigative,  response,  remedial,  administrative  or  judicial  matter  or  proceeding,  whether  or  not  such
Indemnified  Person  shall  be  designated  a  party  thereto  and  including  any  such  proceeding  initiated  by  or  on  behalf  of  Borrower,  and  the  reasonable
expenses of investigation by engineers, environmental consultants and similar technical personnel and any commission, fee or compensation claimed by
any broker (other than any broker retained by Collateral Agent or Lenders) asserting any right to payment for the transactions contemplated hereby which
may be imposed on, incurred by or asserted against such Indemnified Person as a result of or in connection with the transactions contemplated hereby and
the use or intended use of the proceeds of the loan proceeds except for liabilities, obligations, losses, damages, penalties, actions, judgments, suits, claims,
costs, expenses and disbursements directly caused by such Indemnified Person’s gross negligence or willful misconduct.

12.3    Time of Essence. Time is of the essence for the performance of all Obligations in this Agreement.

12.4    Severability of Provisions. Each provision of this Agreement is severable from every other provision in determining the enforceability of

any provision.

12.5    Correction of Loan Documents. Collateral Agent and the Lenders may correct patent errors and fill in any blanks in this Agreement and
the other Loan Documents consistent with the agreement of the parties; provided that, the Collateral Agent and the Lenders provide Borrower with at least
five (5) days prior written notice of such correction. In the event of any objection by Borrower to such correction, such correction shall be made solely by
an amendment singed by Collateral Agent, Lenders and Borrower.

12.6    Amendments in Writing; Integration. (a) No amendment, modification, termination or waiver of any provision of this Agreement or any

other Loan Document, no approval or consent thereunder, or any consent

    22

to  any  departure  by  Borrower  or  any  of  its  Subsidiaries  therefrom,  shall  in  any  event  be  effective  unless  the  same  shall  be  in  writing  and  signed  by
Borrower, Collateral Agent and the Required Lenders provided that:

Loan Commitment or Commitment Percentage shall be effective as to such Lender without such Lender’s written consent;

(i)    no such amendment, waiver or other modification that would have the effect of increasing or reducing a Lender’s Term

without Collateral Agent’s written consent or signature;

(ii)    no such amendment, waiver or modification that would affect the rights and duties of Collateral Agent shall be effective

(iii)    no such amendment, waiver or other modification shall, unless signed by all the Lenders directly affected thereby, (A)
reduce the principal of, rate of interest on or any fees with respect to any Term Loan or forgive any principal, interest (other than default interest) or fees
(other than late charges) with respect to any Term Loan (B) postpone the date fixed for, or waive, any payment of principal of any Term Loan or of interest
on any Term Loan (other than default interest) or any fees provided for hereunder (other than late charges or for any termination of any commitment); (C)
change the definition of the term “Required Lenders” or the percentage of Lenders which shall be required for the Lenders to take any action hereunder;
(D) release all or substantially all of any material portion of the Collateral, authorize Borrower to sell or otherwise dispose of all or substantially all or any
material portion of the Collateral or release any Guarantor of all or any portion of the Obligations or its guaranty obligations with respect thereto, except, in
each  case  with  respect  to  this  clause  (D),  as  otherwise  may  be  expressly  permitted  under  this  Agreement  or  the  other  Loan  Documents  (including  in
connection with any disposition permitted hereunder); (E) amend, waive or otherwise modify this Section 12.6 or the definitions of the terms used in this
Section 12.6 insofar as the definitions affect the substance of this Section 12.6; (F) consent to the assignment, delegation or other transfer by Borrower of
any of its rights and obligations under any Loan Document or release Borrower of its payment obligations under any Loan Document, except, in each case
with respect to this clause (F), pursuant to a merger or consolidation permitted pursuant to this Agreement; (G) amend any of the provisions of Section 9.4
or amend any of the definitions of Pro Rata Share, Term Loan Commitment, Commitment Percentage or that provide for the Lenders to receive their Pro
Rata Shares of any fees, payments, setoffs or proceeds of Collateral hereunder; (H) subordinate the Liens granted in favor of Collateral Agent securing the
Obligations; or (I) amend any of the provisions of Section 12.10. It is hereby understood and agreed that all Lenders shall be deemed directly affected by an
amendment, waiver or other modification of the type described in the preceding clauses (C), (D), (E), (F), (G) and (H) of the preceding sentence;

(iv)        the  provisions  of  the  foregoing  clauses  (i),  (ii)  and  (iii)  are  subject  to  the  provisions  of  any  interlender  or  agency
agreement among the Lenders and Collateral Agent pursuant to which any Lender may agree to give its consent in connection with any amendment, waiver
or modification of the Loan Documents only in the event of the unanimous agreement of all Lenders.

time to time designate covenants in this Agreement less restrictive by notification to a representative of Borrower.

(b)    Other than as expressly provided for in Section 12.6(a)(i)-(iii), Collateral Agent may, if requested by the Required Lenders, from

(c)    This Agreement and the Loan Documents represent the entire agreement about this subject matter and supersede prior negotiations
or  agreements.  All  prior  agreements,  understandings,  representations,  warranties,  and  negotiations  between  the  parties  about  the  subject  matter  of  this
Agreement and the Loan Documents merge into this Agreement and the Loan Documents.

12.7    Counterparts. This Agreement may be executed in any number of counterparts and by different parties on separate counterparts, each of

which, when executed and delivered, is an original, and all taken together, constitute one Agreement.

12.8    Survival. All covenants, representations and warranties made in this Agreement continue in full force and effect until this Agreement has
terminated  pursuant  to  its  terms  and  all  Obligations  (other  than  inchoate  indemnity  obligations  and  any  other  obligations  which,  by  their  terms,  are  to
survive the termination of this Agreement) have been satisfied. Without limiting the foregoing, except as otherwise provided in Section 4.1, the grant of
security  interest  by  Borrower  in  Section  4.1  shall  survive  until  the  termination  of  all  Bank  Services  Agreements.  The  obligation  of  Borrower  in
Section 12.2 to indemnify each Lender and Collateral Agent, as well as the confidentiality provisions in Section 12.9 below, shall survive until the statute
of limitations with respect to such claim or cause of action shall have run.

12.9    Confidentiality. In handling any confidential information of Borrower and its Subsidiaries, the Lenders and Collateral Agent shall exercise
the same degree of care that it exercises for their own proprietary information, but disclosure of information may be made: (a) subject to the terms and
conditions of this Agreement,

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to the Lenders’ and Collateral Agent’s Subsidiaries or Affiliates, or in connection with a Lender’s own financing or securitization transactions and upon the
occurrence of a default, event of default or similar occurrence with respect to such financing or securitization transaction; (b) to prospective transferees
(other than those identified in (a) above) or purchasers of any interest in the Credit Extensions (provided, however, the Lenders and Collateral Agent shall,
except upon the occurrence and during the continuance of an Event of Default, obtain such prospective transferee’s or purchaser’s agreement to the terms
of  this  provision  or  to  similar  confidentiality  terms);  (c)  as  required  by  law,  regulation,  subpoena,  or  other  order;  (d)  to  Lenders’  or  Collateral  Agent’s
regulators  or  as  otherwise  required  in  connection  with  an  examination  or  audit;  (e)  as  Collateral  Agent  reasonably  considers  appropriate  in  exercising
remedies under the Loan Documents; and (f) to third party service providers of the Lenders and/or Collateral Agent so long as such service providers have
executed  a  confidentiality  agreement  with  the  Lenders  and  Collateral  Agent  with  terms  no  less  restrictive  than  those  contained  herein.  Confidential
information does not include information that either: (i) is in the public domain or in the Lenders’ and/or Collateral Agent’s possession when disclosed to
the Lenders and/or Collateral Agent, or becomes part of the public domain after disclosure to the Lenders and/or Collateral Agent; or (ii) is disclosed to the
Lenders and/or Collateral Agent by a third party, if the Lenders and/or Collateral Agent does not know that the third party is prohibited from disclosing the
information. Collateral Agent and the Lenders may use confidential information for any purpose relating to the administration of this Agreement, including,
without  limitation,  for  the  development  of  client  databases,  reporting  purposes,  and  market  analysis,  in  each  case  on  an  aggregated  basis  without  any
identifying information regarding the Borrower or its Subsidiaries. The provisions of the immediately preceding sentence shall survive the termination of
this  Agreement.  The  agreements  provided  under  this  Section  12.9  supersede  all  prior  agreements,  understanding,  representations,  warranties,  and
negotiations between the parties about the subject matter of this Section 12.9.

12.10    Public Announcement. Notwithstanding  anything  else  herein  to  the  contrary,  Borrower  hereby  agrees  that  Collateral  Agent  and  each
Lender  may,  with  Borrower’s  consent  (such  consent  not  to  be  unreasonably  withheld  or  delayed),  make  a  public  announcement  of  the  transactions
contemplated  by  this  Agreement,  and  may  publicize  the  same  on  its  company  website,  in  marketing  materials,  newspapers  and  other  publications,  and
otherwise, and in connection therewith may use Borrower’s name, tradenames, logos, and any information related to the transactions to the extent such
information is not confidential.

12.11    Right of Set Off. Borrower hereby grants to Collateral Agent and to each Lender, a lien, security interest and right of set off as security
for  all  Obligations  to  Collateral  Agent  and  each  Lender  hereunder,  whether  now  existing  or  hereafter  arising  upon  and  against  all  deposits,  credits,
collateral  and  property,  now  or  hereafter  in  the  possession,  custody,  safekeeping  or  control  of  Collateral  Agent  or  the  Lenders  or  any  entity  under  the
control of Collateral Agent or the Lenders (including a Collateral Agent affiliate) or in transit to any of them. At any time after the occurrence and during
the continuance of an Event of Default, without demand or notice, Collateral Agent or the Lenders may set off the same or any part thereof and apply the
same to any liability or obligation of Borrower even though unmatured and regardless of the adequacy of any other collateral securing the Obligations.
ANY AND ALL RIGHTS TO REQUIRE COLLATERAL AGENT TO EXERCISE ITS RIGHTS OR REMEDIES WITH RESPECT TO ANY OTHER
COLLATERAL  WHICH  SECURES  THE  OBLIGATIONS,  PRIOR  TO  EXERCISING  ITS  RIGHT  OF  SETOFF  WITH  RESPECT  TO  SUCH
DEPOSITS, CREDITS OR OTHER PROPERTY OF BORROWER ARE HEREBY KNOWINGLY, VOLUNTARILY AND IRREVOCABLY WAIVED.

12.12    Silicon Valley Bank as Agent. Collateral Agent hereby appoints Silicon Valley Bank (“SVB”) as its agent (and SVB hereby accepts such
appointment) for the purpose of perfecting Collateral Agent’s Liens in assets which, in accordance with Article 8 or Article 9, as applicable, of the Code
can be perfected by possession or control, including without limitation, all deposit accounts maintained at SVB.

12.13        Cooperation  of  Borrower.  If  necessary,  Borrower  agrees  to  (i)  execute  any  documents  (including  new  Secured  Promissory  Notes)
reasonably required to effectuate and acknowledge each assignment of a Term Loan Commitment or Loan to an assignee in accordance with Section 12.1,
(ii)  make  Borrower’s  management  available  to  meet  with  Collateral  Agent  and  prospective  participants  and  assignees  of  Term  Loan  Commitments  or
Credit  Extensions  (which  meetings  shall  be  conducted  during  normal  business  hours  and  upon  reasonable  prior  written  no  more  often  than  twice  every
twelve months unless an Event of Default has occurred and is continuing), and (iii) assist Collateral Agent or the Lenders in the preparation of information
relating to the financial affairs of Borrower as any prospective participant or assignee of a Term Loan Commitment or Term Loan reasonably may request.
Subject  to  the  provisions  of  Section  12.9,  Borrower  authorizes  each  Lender  to  disclose  to  any  prospective  participant  or  assignee  of  a  Term  Loan
Commitment (other than, in the absence of the occurrence and continuance of an Event of Default, a direct competitor of Borrower or a vulture hedge fund,
each as determined by Collateral Agent), any and all information in such Lender’s possession concerning Borrower and its financial affairs which has been
delivered to such Lender by or on behalf of Borrower pursuant to this Agreement, or which has been delivered to such Lender by or on behalf of Borrower
in connection with such Lender’s credit evaluation of Borrower prior to entering into this Agreement.

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13.    DEFINITIONS

13.1    Definitions. As used in this Agreement, the following terms have the following meanings:

“Account” is any “account” as defined in the Code with such additions to such term as may hereafter be made, and includes, without limitation,

all accounts receivable and other sums owing to Borrower.

“Account Debtor” is any “account debtor” as defined in the Code with such additions to such term as may hereafter be made.

“Affiliate” of any Person is a Person that owns or controls directly or indirectly the Person, any Person that controls or is controlled by or is under
common  control  with  the  Person,  and  each  of  that  Person’s  senior  executive  officers,  directors,  partners  and,  for  any  Person  that  is  a  limited  liability
company, that Person’s managers and members.

“Agreement” is defined in the preamble hereof.

“Amortization Date” is, November 1, 2024; provided, however, if Borrower achieves the Term C Milestone, then the Amortization Date with

respect to all Term Loans shall automatically be extended to November 1, 2025.

“Annual Projections” is defined in Section 6.2(a).

“Anti-Terrorism Laws” are any laws relating to terrorism or money laundering, including Executive Order No. 13224 (effective September 24,

2001), the USA PATRIOT Act, the laws comprising or implementing the Bank Secrecy Act, and the laws administered by OFAC.

“Approved Fund” is any (i) investment company, fund, trust, securitization vehicle or conduit that is (or will be) engaged in making, purchasing,
holding or otherwise investing in commercial loans and similar extensions of credit in the ordinary course of its business or (ii) any Person (other than a
natural person) which temporarily warehouses loans for any Lender or any entity described in the preceding clause (i) and that, with respect to each of the
preceding clauses (i) and (ii), is administered or managed by (a) a Lender, (b) an Affiliate of a Lender or (c) a Person (other than a natural person) or an
Affiliate of a Person (other than a natural person) that administers or manages a Lender.

“Approved Lender” is defined in Section 12.1.

“Bank Services” are any products, credit services, and/or financial accommodations previously, now, or hereafter provided to Borrower or any of
its Subsidiaries by Bank or any Bank Affiliate, including, without limitation, any letters of credit, cash management services (including, without limitation,
merchant  services,  direct  deposit  of  payroll,  business  credit  cards,  and  check  cashing  services),  interest  rate  swap  arrangements,  and  foreign  exchange
services as any such products or services may be identified in Bank’s various agreements related thereto (each, a “Bank Services Agreement”).

“Bank” is defined in the preamble hereof.

“Basic Rate” is, with respect to each Term Loan, the per annum rate of interest (based on a year of three hundred sixty (360) days) equal to the
greater of (a) eight and one half of one percent (8.50%) and (b) (i) the Prime Rate on the last Business Day of the month that immediately precedes the
month in which the interest will accrue, plus (ii) five and one quarter of one percent (5.25%). Notwithstanding the foregoing, the Basic Rate for the Term
Loans for the period from the Effective Date through and including October 31, 2021 shall be eight and one half of one percent (8.50%).

“Biologics License Application” means an application for licensure of a biological product submitted to the FDA under 42 U.S.C. § 262(k) for

permission to introduce, or deliver for introduction, a biologic product into interstate commerce.

“Blocked Person” is any Person: (a) listed in the annex to, or is otherwise subject to the provisions of, Executive Order No. 13224, (b) a Person
owned or controlled by, or acting for or on behalf of, any Person that is listed in the annex to, or is otherwise subject to the provisions of, Executive Order
No. 13224, (c) a Person with which any Lender is prohibited from dealing or otherwise engaging in any transaction by any Anti-Terrorism Law,

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(d) a Person that commits, threatens or conspires to commit or supports “terrorism” as defined in Executive Order No. 13224, or (e) a Person that is named
a “specially designated national” or “blocked person” on the most current list published by OFAC or other similar list.

“Borrower” is defined in the preamble hereof.

“Borrower’s  Books”  are  Borrower’s  or  any  of  its  Subsidiaries’  books  and  records  including  ledgers,  federal,  and  state  tax  returns,  records
regarding  Borrower’s  or  its  Subsidiaries’  assets  or  liabilities,  the  Collateral,  business  operations  or  financial  condition,  and  all  computer  programs  or
storage or any equipment containing such information.

“Business Day” is any day that is not a Saturday, Sunday or a day on which Collateral Agent is closed.

“Cash Equivalents” are (a) marketable direct obligations issued or unconditionally guaranteed by the United States or any agency or any State
thereof having maturities of not more than one (1) year from the date of acquisition; (b) commercial paper maturing no more than one (1) year after its
creation and having the highest rating from either Standard & Poor’s Ratings Group or Moody’s Investors Service, Inc.; (c) certificates of deposit maturing
no more than one (1) year after issue provided that the account in which any such certificate of deposit is maintained is subject to a Control Agreement in
favor of Collateral Agent (unless such account is an Excluded Account); and (d) money market funds at least ninety-five percent (95.00%) of the assets of
which constitute Cash Equivalents of the kinds described in clauses (a) through (c) of this definition. For the avoidance of doubt, the direct purchase by
Borrower or any of its Subsidiaries of any Auction Rate Securities, or purchasing participations in, or entering into any type of swap or other derivative
transaction, or otherwise holding or engaging in any ownership interest in any type of Auction Rate Security by Borrower or any of its Subsidiaries shall be
conclusively  determined  by  the  Lenders  as  an  ineligible  Cash  Equivalent,  and  any  such  transaction  shall  expressly  violate  each  other  provision  of  this
Agreement  governing  Permitted  Investments.  Notwithstanding  the  foregoing,  Cash  Equivalents  does  not  include  and  Borrower,  and  each  of  its
Subsidiaries,  are  prohibited  from  purchasing,  purchasing  participations  in,  entering  into  any  type  of  swap  or  other  equivalent  derivative  transaction,  or
otherwise holding or engaging in any ownership interest in any type of debt instrument, including, without limitation, any corporate or municipal bonds
with a long-term nominal maturity for which the interest rate is reset through a dutch auction and more commonly referred to as an auction rate security
(each, an “Auction Rate Security”).

“Claims” are defined in Section 12.2.

“Code” is the Uniform Commercial Code, as the same may, from time to time, be enacted and in effect in the State of New York; provided, that, to
the extent that the Code is used to define any term herein or in any Loan Document and such term is defined differently in different Articles or Divisions of
the  Code,  the  definition  of  such  term  contained  in  Article  or  Division  9  shall  govern;  provided  further,  that  in  the  event  that,  by  reason  of  mandatory
provisions of law, any or all of the attachment, perfection, or priority of, or remedies with respect to, Collateral Agent’s Lien on any Collateral is governed
by the Uniform Commercial Code in effect in a jurisdiction other than the State of New York, the term “Code” shall mean the Uniform Commercial Code
as enacted and in effect in such other jurisdiction solely for purposes of the provisions thereof relating to such attachment, perfection, priority, or remedies
and for purposes of definitions relating to such provisions.

“Collateral” is any and all properties, rights and assets of Borrower described on Exhibit A.

“Collateral Account” is any Deposit Account, Securities Account, or Commodity Account, or any other bank account maintained by Borrower or

any Subsidiary at any time.

“Collateral Agent” is, Oxford, not in its individual capacity, but solely in its capacity as agent on behalf of and for the benefit of the Lenders.

“Commitment Percentage” is set forth in Schedule 1.1, as amended from time to time.

“Commodity Account” is any “commodity account” as defined in the Code with such additions to such term as may hereafter be made.

“Communication” is defined in Section 10.

“Compliance Certificate” is that certain certificate in the form attached hereto as Exhibit C.

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“Contingent Obligation”  is,  for  any  Person,  any  direct  or  indirect  liability,  contingent  or  not,  of  that  Person  for  (a)  any  indebtedness,  lease,
dividend, letter of credit or other obligation of another such as an obligation directly or indirectly guaranteed, endorsed, co-made, discounted or sold with
recourse by that Person, or for which that Person is directly or indirectly liable; (b) any obligations for undrawn letters of credit for the account of that
Person; and (c) all obligations from any interest rate, currency or commodity swap agreement, interest rate cap or collar agreement, or other agreement or
arrangement designated to protect a Person against fluctuation in interest rates, currency exchange rates or commodity prices; but “Contingent Obligation”
does not include endorsements in the ordinary course of business. The amount of a Contingent Obligation is the stated or determined amount of the primary
obligation  for  which  the  Contingent  Obligation  is  made  or,  if  not  determinable,  the  maximum  reasonably  anticipated  liability  for  it  determined  by  the
Person in good faith; but the amount may not exceed the maximum of the obligations under any guarantee or other support arrangement.

“Control  Agreement”  is  any  control  agreement  entered  into  among  the  depository  institution  at  which  Borrower  or  any  of  its  Subsidiaries
maintains a Deposit Account or the securities intermediary or commodity intermediary at which Borrower or any of its Subsidiaries maintains a Securities
Account  or  a  Commodity  Account,  Borrower  and  such  Subsidiary,  and  Collateral  Agent  pursuant  to  which  Collateral  Agent  obtains  control  (within  the
meaning of the Code) for the benefit of the Lenders over such Deposit Account, Securities Account, or Commodity Account.

“Copyrights” are any and all copyright rights, copyright applications, copyright registrations and like protections in each work or authorship and

derivative work thereof, whether published or unpublished and whether or not the same also constitutes a trade secret.

“Credit Extension” is any Term Loan or any other extension of credit by Collateral Agent or Lenders for Borrower’s benefit.

“Default Rate” is defined in Section 2.3(b).

“Deposit Account” is any “deposit account” as defined in the Code with such additions to such term as may hereafter be made.

“Designated Deposit Account” is Borrower’s deposit account, account number ending with [**] maintained with Bank.

“Disbursement Letter” is that certain form attached hereto as Exhibit B-1.

“Division”  means,  in  reference  to  any  Person  which  is  an  entity,  the  division  of  such  Person  into  two  (2)  or  more  separate  Persons,  with  the
dividing Person either continuing or terminating its existence as part of such division, including, without limitation, as contemplated under Section 18-217
of the Delaware Limited Liability Company Act for limited liability companies formed under Delaware law, or any analogous action taken pursuant to any
other applicable law with respect to any corporation, limited liability company, partnership or other entity.

“Dollar Equivalent” is, at any time, (a) with respect to any amount denominated in Dollars, such amount, and (b) with respect to any amount
denominated in a Foreign Currency, the equivalent amount therefor in Dollars as determined by Bank at such time on the basis of the then-prevailing rate of
exchange in San Francisco, California, for sales of the Foreign Currency for transfer to the country issuing such Foreign Currency.

“Dollars,” “dollars” and “$” each mean lawful money of the United States.

“Effective Date” is defined in the preamble hereof.

“Eligible  Assignee”  is  (i)  a  Lender,  (ii)  an  Affiliate  of  a  Lender,  (iii)  an  Approved  Fund  and  (iv)  any  commercial  bank,  savings  and  loan
association or savings bank or any other entity which is an “accredited investor” (as defined in Regulation D under the Securities Act of 1933, as amended)
and which extends credit or buys loans as one of its businesses, including insurance companies, mutual funds, lease financing companies and commercial
finance companies, in each case, which either (A) has a rating of BBB or higher from Standard & Poor’s Rating Group and a rating of Baa2 or higher from
Moody’s Investors Service, Inc. at the date that it becomes a Lender or (B) has total assets in excess of Five Billion Dollars ($5,000,000,000.00), and in
each  case  of  clauses  (i)  through  (iv),  which,  through  its  applicable  lending  office,  is  capable  of  lending  to  Borrower  without  the  imposition  of  any
withholding or similar taxes; provided that notwithstanding the foregoing, “Eligible Assignee” shall not include, unless an Event of Default has occurred
and  is  continuing,  (i)  Borrower  or  any  of  Borrower’s  Affiliates  or  Subsidiaries  or  (ii)  a  direct  competitor  of  Borrower  or  a  vulture  hedge  fund,  each  as
determined by

    27

Collateral Agent. Notwithstanding the foregoing, (x) in connection with assignments by a Lender due to a forced divestiture at the request of any regulatory
agency, the restrictions set forth herein shall not apply and Eligible Assignee shall mean any Person or party and (y) in connection with a Lender’s own
financing or securitization transactions, the restrictions set forth herein shall not apply and Eligible Assignee shall mean any Person or party providing such
financing  or  formed  to  undertake  such  securitization  transaction  and  any  transferee  of  such  Person  or  party  upon  the  occurrence  of  a  default,  event  of
default or similar occurrence with respect to such financing or securitization transaction; provided that no such sale, transfer, pledge or assignment under
this clause (y) shall release such Lender from any of its obligations hereunder or substitute any such Person or party for such Lender as a party hereto until
Collateral Agent shall have received and accepted an effective assignment agreement from such Person or party in form satisfactory to Collateral Agent
executed, delivered and fully completed by the applicable parties thereto, and shall have received such other information regarding such Eligible Assignee
as Collateral Agent reasonably shall require.

“Equipment”  is  all  “equipment”  as  defined  in  the  Code  with  such  additions  to  such  term  as  may  hereafter  be  made,  and  includes  without

limitation all machinery, fixtures, goods, vehicles (including motor vehicles and trailers), and any interest in any of the foregoing.

“ERISA” is the Employee Retirement Income Security Act of 1974, as amended, and its regulations.

“Excluded Taxes” means, with respect to a Lender, any Taxes imposed on or measured by net income (however denominated), franchise Taxes,
and branch profits Taxes imposed as a result of such Lender being organized under the laws of, or having its principal office or its applicable lending office
located  in,  the  jurisdiction  imposing  such  Tax  (or  any  political  subdivision  thereof)  or  that  are  imposed  as  a  result  of  a  present  or  former  connection
between such Lender and the jurisdiction imposing such Tax (other than connections arising solely from such Lender becoming a party to this Agreement
and performing its obligations and receiving payments under such Agreement).

“Existing Indebtedness” is the indebtedness of Borrower to Silicon Valley Bank in the aggregate principal outstanding amount as of the Effective
Date of approximately Five Million Two Hundred Thousand Dollars ($5,200,000) pursuant to that certain Loan and Security Agreement, dated as of May
9, 2019, entered into by and between Silicon Valley Bank and Borrower, as amended.

“Event of Default” is defined in Section 8.

“Facility Fee” is defined in Section 2.5(a).

“FDA” means the U.S. Food and Drug Administration or any successor thereto.

“Federal Reserve Bank of New York’s Website” means the website of the Federal Reserve Bank of New York at http://www.newyorkfed.org, or

any successor source. 

“Final Payment” is a payment (in addition to and not a substitution for the regular monthly payments of principal plus accrued interest) due on
the earliest to occur of (a) the Maturity Date, or (b) the acceleration of any Term Loan, or (c) the prepayment of a Term Loan pursuant to Section 2.2(c) or
(d),  equal  to  the  original  principal  amount  of  any  funded  Term  Loan  being  repaid,  multiplied  by  the  Final  Payment  Percentage,  payable  to  Lenders  in
accordance with their respective Pro Rata Shares.

“Final Payment Percentage” is four and one quarter of one percent (4.25%).

“Foreign Currency” means lawful money of a country other than the United States.

“Foreign Subsidiary” is a Subsidiary that is not an entity organized under the laws of the United States or any territory thereof.

“Funding Date” is any date on which a Credit Extension is made to or on account of Borrower which shall be a Business Day.

“FX Contract” is any foreign exchange contract by and between Borrower and Bank under which Borrower commits to purchase from or sell to

Bank a specific amount of Foreign Currency on a specified date.

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“GAAP”  is  generally  accepted  accounting  principles  set  forth  in  the  opinions  and  pronouncements  of  the  Accounting  Principles  Board  of  the
American  Institute  of  Certified  Public  Accountants  and  statements  and  pronouncements  of  the  Financial  Accounting  Standards  Board  or  in  such  other
statements by such other Person as may be approved by a significant segment of the accounting profession in the United States, which are applicable to the
circumstances as of the date of determination.

“General Intangibles” are all “general intangibles” as defined in the Code in effect on the date hereof with such additions to such term as may
hereafter be made, and includes without limitation, all copyright rights, copyright applications, copyright registrations and like protections in each work of
authorship and derivative work, whether published or unpublished, any patents, trademarks, service marks and, to the extent permitted under applicable
law,  any  applications  therefor,  whether  registered  or  not,  any  trade  secret  rights,  including  any  rights  to  unpatented  inventions,  payment  intangibles,
royalties, contract rights, goodwill, franchise agreements, purchase orders, customer lists, route lists, telephone numbers, domain names, claims, income
and other tax refunds, security and other deposits, options to purchase or sell real or personal property, rights in all litigation presently or hereafter pending
(whether in contract, tort or otherwise), insurance policies (including without limitation key man, property damage, and business interruption insurance),
payments of insurance and rights to payment of any kind.

“Good Faith Deposit” is defined in Section 2.5(e).

“Governmental Approval” is any consent, authorization, approval, order, license, franchise, permit, certificate, accreditation, registration, filing

or notice, of, issued by, from or to, or other act by or in respect of, any Governmental Authority.

“Governmental Authority” is any nation or government, any state or other political subdivision thereof, any agency, authority, instrumentality,
regulatory body, court, central bank or other entity exercising executive, legislative, judicial, taxing, regulatory or administrative functions of or pertaining
to government, any securities exchange and any self-regulatory organization.

“Guarantor” is any Person providing a Guaranty in favor of Collateral Agent.

“Guaranty” is any guarantee of all or any part of the Obligations, as the same may from time to time be amended, restated, modified or otherwise

supplemented.

“Indebtedness” is (a) indebtedness for borrowed money or the deferred price of property or services, such as reimbursement and other obligations
for  surety  bonds  and  letters  of  credit,  (b)  obligations  evidenced  by  notes,  bonds,  debentures  or  similar  instruments,  (c)  capital  lease  obligations,  and
(d) Contingent Obligations. Notwithstanding anything to the contrary herein and strictly for the purposes of clause (c) of the definition of Indebtedness and
for no other purpose, any obligations of a Person that are or would have been treated as operating leases or capital leases for purposes of GAAP prior to the
issuance by the Financial Accounting Standards Board on February 25, 2016 of an Accounting Standards Update (Topic 842) (the “ASU”) shall continue to
be accounted for as operating leases or capital leases (whether or not such operating lease obligations or capital lease obligations, as applicable, were in
effect  on  such  date)  notwithstanding  the  fact  that  such  obligations  are  required  in  accordance  with  the  ASU  (on  a  prospective  or  retroactive  basis  or
otherwise) to be treated as capitalized lease obligations in accordance with GAAP.

“Indemnified Person” is defined in Section 12.2.

“Insolvency Proceeding”  is  any  proceeding  by  or  against  any  Person  under  the  United  States  Bankruptcy  Code,  or  any  other  bankruptcy  or
insolvency  law,  including  assignments  for  the  benefit  of  creditors,  compositions,  extensions  generally  with  its  creditors,  or  proceedings  seeking
reorganization, arrangement, or other relief.

“Insolvent” means not Solvent.

“Intellectual Property” means all of Borrower’s or any Subsidiary’s right, title and interest in and to the following:

(a)    its Copyrights, Trademarks and Patents;

operating manuals;

(b)        any  and  all  trade  secrets  and  trade  secret  rights,  including,  without  limitation,  any  rights  to  unpatented  inventions,  know-how,

(c)    any and all source code;

    29

(d)    any and all design rights which may be available to Borrower;

obligation, to sue for and collect such damages for said use or infringement of the Intellectual Property rights identified above; and

(e)    any and all claims for damages by way of past, present and future infringement of any of the foregoing, with the right, but not the

(f)    all amendments, renewals and extensions of any of the Copyrights, Trademarks or Patents.

“Inventory” is all “inventory” as defined in the Code in effect on the date hereof with such additions to such term as may hereafter be made, and
includes without limitation all merchandise, raw materials, parts, supplies, packing and shipping materials, work in process and finished products, including
without  limitation  such  inventory  as  is  temporarily  out  of  any  Person’s  custody  or  possession  or  in  transit  and  including  any  returned  goods  and  any
documents of title representing any of the above.

“Investment” is any beneficial ownership interest in any Person (including stock, partnership interest or other securities), and any loan, advance,

payment or capital contribution to any Person.

“Key Person”  is  each  of  Borrower’s  (i)  Chief  Executive  Officer,  who  is  Anna  Protopapas  as  of  the  Effective  Date,  (ii)  the  principal  financial
officer, who is Brian C. DeSchuytner as of the Effective Date, and (iii) the principal scientific officer, who is Timothy B. Lowinger, PhD as of the Effective
Date.

“Lender” is any one of the Lenders.

“Lenders” are the Persons identified on Schedule 1.1 hereto and each assignee that becomes a party to this Agreement pursuant to Section 12.1.

“Lenders’ Expenses” are all audit fees and expenses, costs, and expenses (including reasonable and documented out-of-pocket attorneys’ fees and
expenses,  as  well  as  appraisal  fees,  fees  incurred  on  account  of  lien  searches,  inspection  fees,  and  filing  fees)  for  preparing,  amending,  negotiating,
administering,  defending  and  enforcing  the  Loan  Documents  (including,  without  limitation,  those  incurred  in  connection  with  appeals  or  Insolvency
Proceedings) or otherwise incurred by Collateral Agent and/or the Lenders in connection with the Loan Documents.

“Letter of Credit” is a standby or commercial letter of credit issued by Bank upon request of Borrower based upon an application, guarantee,

indemnity, or similar agreement.

“Lien” is a claim, mortgage, deed of trust, levy, charge, pledge, security interest, or other encumbrance of any kind, whether voluntarily incurred

or arising by operation of law or otherwise against any property.

“Loan Documents”  are,  collectively,  this  Agreement,  the  Perfection  Certificates,  each  Compliance  Certificate,  each  Disbursement  Letter,  each
Loan Payment/Advance Request Form and any Bank Services Agreement, the Post Closing Letter, any subordination agreements, any note, or notes or
guaranties executed by Borrower or any other Person, and any other present or future agreement entered into by Borrower, any Guarantor or any other
Person for the benefit of the Lenders and Collateral Agent in connection with this Agreement; all as amended, restated, or otherwise modified.

“Loan Payment/Advance Request Form” is that certain form attached hereto as Exhibit B-2.

“Material Adverse Change” is (a) a material impairment in the perfection or priority of Collateral Agent’s Lien in the Collateral or in the value
of such Collateral; (b) a material adverse change in the business, operations or condition (financial or otherwise) of either (i) Borrower or (ii) Borrower and
its Subsidiaries, taken as a whole; or (c) a material impairment of the prospect of repayment of any portion of the Obligations.

“Maturity Date” is, for each Term Loan, October 1, 2026.

“Mersana Securities”  means  Mersana  Securities  Corp.,  a  corporation  organized  under  the  laws  of  the  Commonwealth  of  Massachusetts  and  a

Subsidiary of Borrower.

“Obligations” are all of Borrower’s obligations to pay when due any debts, principal, interest, Lenders’ Expenses, the Prepayment Fee, the Final

Payment, and other amounts Borrower owes the Lenders now or later, in

    30

connection  with,  related  to,  following,  or  arising  from,  out  of  or  under,  this  Agreement  or,  the  other  Loan  Documents,  or  otherwise,  including,  without
limitation,  all  obligations  relating  to  letters  of  credit  (including  reimbursement  obligations  for  drawn  and  undrawn  letters  of  credit),  cash  management
services, and foreign exchange contracts, if any, and including interest accruing after Insolvency Proceedings begin (whether or not allowed) and debts,
liabilities,  or  obligations  of  Borrower  assigned  to  the  Lenders  and/or  Collateral  Agent,  and  the  performance  of  Borrower’s  duties  under  the  Loan
Documents.

“OFAC” is the U.S. Department of Treasury Office of Foreign Assets Control.

“OFAC Lists” are, collectively, the Specially Designated Nationals and Blocked Persons List maintained by OFAC pursuant to Executive Order
No. 13224, 66 Fed. Reg. 49079 (Sept. 25, 2001) and/or any other list of terrorists or other restricted Persons maintained pursuant to any of the rules and
regulations of OFAC or pursuant to any other applicable Executive Orders.

“Operating Documents” are, for any Person, such Person’s formation documents, as certified by the Secretary of State (or equivalent agency) of
such  Person’s  jurisdiction  of  organization  on  a  date  that  is  no  earlier  than  thirty  (30)  days  prior  to  the  Effective  Date,  and,  (a)  if  such  Person  is  a
corporation, its bylaws in current form, (b) if such Person is a limited liability company, its limited liability company agreement (or similar agreement), and
(c) if such Person is a partnership, its partnership agreement (or similar agreement), each of the foregoing with all current amendments or modifications
thereto.

“Patents”  means  all  patents,  patent  applications  and  like  protections  including  without  limitation  improvements,  divisions,  continuations,

renewals, reissues, extensions and continuations-in-part of the same.

“Payment Date” is the first (1 ) calendar day of each calendar month, commencing on December 1, 2021.

st

“Perfection Certificate” and “Perfection Certificates” is defined in Section 5.1.

“Permitted Indebtedness” is:

(a)    Borrower’s Indebtedness to the Lenders and Collateral Agent under this Agreement and the other Loan Documents;

(b)    Indebtedness existing on the Effective Date and disclosed on the Perfection Certificate(s);

(c)    Subordinated Debt;

(d)    unsecured Indebtedness to trade creditors incurred in the ordinary course of business;

(e)    Indebtedness consisting of capitalized lease obligations and purchase money Indebtedness, in each case incurred by Borrower or any
of its Subsidiaries to finance the acquisition, repair, improvement or construction of fixed or capital assets of such person, provided that (i) the aggregate
outstanding principal amount of all such Indebtedness does not exceed [**] Dollars ($[**]) at any time and (ii) the principal amount of such Indebtedness
does  not  exceed  the  lower  of  the  cost  or  fair  market  value  of  the  property  so  acquired  or  built  or  of  such  repairs  or  improvements  financed  with  such
Indebtedness (each measured at the time of such acquisition, repair, improvement or construction is made);

(f)    Indebtedness incurred as a result of endorsing negotiable instruments received in the ordinary course of Borrower’s business;

(g)    other unsecured Indebtedness in an aggregate amount outstanding at any time not to exceed [**] Dollars ($[**]);

(h)    Indebtedness between or among co-Borrowers or secured Guarantors hereunder;

(i)    Indebtedness consisting of Investments under clause (f) of the definition of “Permitted Investments”;

(j)    Indebtedness relating to insurance premium financing arrangements, not to exceed [**] Dollars ($[**]) outstanding at any time;

    31

not to exceed [**] Dollars ($[**]) at any time outstanding;

(k)    any obligations owing with respect to corporate credit cards or merchant services in an aggregate amount outstanding at any time

(l)    Indebtedness in respect of letters of credit, bank guarantees, bonds and similar instruments issued for the account of the Borrower or
any  Subsidiary  in  the  ordinary  course  of  business  supporting  obligations  under  (A)  workers’  compensation,  unemployment  insurance  and  other  social
security laws and (B) bids, trade contracts, leases, statutory obligations, surety and appeal bonds, performance bonds and obligations of a like nature; in an
aggregate amount for (A) and (B) not to exceed [**] Dollars ($[**]) at any time;

a check, draft or similar instrument in the ordinary course of business;

(m)    Indebtedness of either Borrower and its respective Subsidiaries arising from the honoring by a bank or other financial institution of

(n)    Indebtedness representing deferred compensation, severance, pension and health and welfare retirement benefits or the equivalent
thereof to current and former employees of either Borrower or its Subsidiaries incurred in the ordinary course of business or in connection with Permitted
Investments, not to exceed [**] Dollars ($[**]) in the aggregate in any fiscal year; and

(o)        extensions,  refinancings,  modifications,  amendments  and  restatements  of  any  items  of  Permitted  Indebtedness  (a)  through
(n) above, provided that the principal amount thereof is not increased or the terms thereof are not modified to impose materially more burdensome terms
upon Borrower, or its Subsidiary, as the case may be.

“Permitted Investments” are:

(a)    Investments disclosed on the Perfection Certificate(s) and existing on the Effective Date;

(b)    (i) Investments consisting of cash and Cash Equivalents held in Borrower’s Collateral Accounts that are maintained in accordance
with Section 6.6 of this Agreement, and (ii) any other Investments permitted by Borrower’s investment policy, as amended from time to time, provided that
such investment policy (and any such amendment thereto) has been approved in writing by Collateral Agent;

course of Borrower;

(c)    Investments consisting of the endorsement of negotiable instruments for deposit or collection or similar transactions in the ordinary

Section 6.6;

(d)    Investments consisting of Collateral Accounts in which Collateral Agent has a perfected security interest to the extent required by

(e)    Investments in connection with Transfers permitted by Section 7.1;

(f)    Investments (i) by Borrower in Mersana Securities so long as no Event of Default has occurred and is continuing or would result
from such Investments (ii) by Borrower in Subsidiaries (other than Mersana Securities) not to exceed [**] Dollars ($[**]) in the aggregate in any fiscal
year, (iii) between or among co-Borrowers or secured Guarantors hereunder, and (iv) by Subsidiaries in Borrower;

(g)    Investments consisting of (i) travel advances and employee relocation loans and other employee loans and advances in the ordinary
course of business, and (ii) loans to employees, officers or directors relating to the purchase of equity securities of Borrower or its Subsidiaries pursuant to
employee stock purchase plans or agreements approved by Borrower’s Board of Directors; not to exceed [**] Dollars ($[**]) in the aggregate for (i) and
(ii) in any fiscal year;

in settlement of delinquent obligations of, and other disputes with, customers or suppliers arising in the ordinary course of business;

(h)    Investments (including debt obligations) received in connection with the bankruptcy or reorganization of customers or suppliers and

not Affiliates, in the ordinary course of business; provided that this paragraph (i) shall not apply to Investments of Borrower in any Subsidiary;

(i)    Investments consisting of notes receivable of, or prepaid royalties and other credit extensions, to customers and suppliers who are

licensing of technology, the development of technology or the providing of

(j)    Investments in joint ventures or strategic alliances in the ordinary course of Borrower’s business consisting of the non-exclusive

    32

technical  support;  provided  that  any  cash  Investments  by  Borrower  or  its  Subsidiaries  for  such  Investments  do  not  exceed  [**]  Dollars  ($[**])  in  the
aggregate in any fiscal year;

(k)    the formation or acquisition of Subsidiaries after the Effective Date, subject to compliance with Section 6.12 of this Agreement; and

(l)    other Investments not to exceed [**] Dollars ($[**]) in the aggregate in any fiscal year.

“Permitted  Licenses”  are  (A)  licenses  of  over-the-counter  software  that  is  commercially  available  to  the  public,  and  (B)  non-exclusive  and
exclusive licenses for the use of the Intellectual Property of Borrower or any of its Subsidiaries entered into in the ordinary course of business, provided,
that, with respect to each such license described in clause (B), (i) no Event of Default has occurred or is continuing at the time of such license; (ii) the
license constitutes an arms-length transaction, the terms of which, on their face, do not provide for a sale or assignment of any Intellectual Property and do
not restrict the ability of Borrower or any of its Subsidiaries, as applicable, to pledge, grant a security interest in or lien on, or assign or otherwise Transfer
any Intellectual Property; (iii) in the case of any exclusive license, (x) Borrower delivers three (3) days’ prior written notice and a brief summary of the
terms of the proposed license to Collateral Agent and the Lenders and delivers to Collateral Agent and the Lenders copies of the final executed licensing
documents in connection with the exclusive license promptly upon consummation thereof, and (y) any such license could not result in a legal transfer of
title of the licensed property but may be exclusive in respects other than territory and may be exclusive as to territory only as to discrete geographical areas
outside of the United States (other than the Permitted License Transaction, which may be a worldwide exclusive license); and (iv) all upfront payments,
royalties, milestone payments or other proceeds arising from the licensing agreement that are payable to Borrower or any of its Subsidiaries are paid to a
Deposit Account that is governed by a Control Agreement.

“Permitted  License  Amendment  Transaction”  means  an  amendment  of  that  certain  Commercial  License  and  Option  Agreement  between
Borrower and Synaffix B.V. dated as of January 3, 2019 pursuant to which Borrower licenses additional Intellectual Property from Synaffix B.V. and/or its
Affiliates so long as (a) such amendment is entered into within thirty (30) days of the effective date of the Permitted License Transaction, (b) no Event of
Default has occurred or is continuing at the time of entering into such amendment, and (c) the aggregate amount of upfront payments paid by Borrower to
Synaffix B.V. and/or its Affiliates pursuant to such amendment does not exceed Ten Million Dollars ($10,000,000.00).

“Permitted License Transaction” means a collaboration and worldwide exclusive license agreement between Borrower and Johnson & Johnson
or its Affiliates (“J&J”),  pursuant  to  which  Borrower  will  apply  its  proprietary  technology  platforms  to  up  to  three  (3)  antibody  targets  identified  and
provided by J&J and for which Borrower will receive at least Twenty Million Dollars ($20,000,000.00) in upfront cash proceeds.

“Permitted Liens” are:

Documents;

(a)    Liens existing on the Effective Date and disclosed on the Perfection Certificates or arising under this Agreement and the other Loan

(b)    Liens for taxes, fees, assessments or other government charges or levies, either (i) not due and payable or (ii) being contested in
good faith and for which Borrower maintains adequate reserves on its Books, provided that no notice of any such Lien has been filed or recorded under the
Internal Revenue Code of 1986, as amended, and the Treasury Regulations adopted thereunder;

(c)    Liens securing Indebtedness permitted under clause (e) of the definition of “Permitted Indebtedness,” provided that (i) such Liens
exist prior to the acquisition of, or attach substantially simultaneous with, or within twenty (20) days after the, acquisition, lease, repair, improvement or
construction  of,  such  property  financed  or  leased  by  such  Indebtedness  and  (ii)  such  Liens  do  not  extend  to  any  property  of  Borrower  other  than  the
property (and proceeds thereof) acquired, leased or built, or the improvements or repairs, financed by such Indebtedness;

(d)    Liens of materialmen, mechanics, carriers, warehousemen, suppliers, landlords or other Persons that are possessory in nature arising
in the ordinary course of business so long as such Liens attach only to Inventory, securing liabilities in the aggregate amount not to exceed [**] Dollars
($[**]), and which are not delinquent or remain payable without penalty or which are being contested in good faith and by appropriate proceedings which
proceedings have the effect of preventing the forfeiture or sale of the property subject thereto;

    33

obligations incurred in the ordinary course of business (other than Liens imposed by ERISA);

(e)        Liens  to  secure  payment  of  workers’  compensation,  employment  insurance,  old-age  pensions,  social  security  and  other  like

(f)    leases or subleases of real property granted in the ordinary course of Borrower’s business (or, if referring to another Person, in the
ordinary  course  of  such  Person’s  business),  and  leases,  subleases,  non-exclusive  licenses  or  sublicenses  of  personal  property  (other  than  Intellectual
Property) granted in the ordinary course of Borrower’s business (or, if referring to another Person, in the ordinary course of such Person’s business), if the
leases, subleases, licenses and sublicenses do not prohibit granting Collateral Agent or any Lender a security interest therein;

(g)        banker’s  liens,  rights  of  setoff  and  Liens  in  favor  of  financial  institutions  incurred  in  the  ordinary  course  of  business  arising  in
connection with Borrower’s deposit accounts or securities accounts held at such institutions solely to secure payment of fees and similar costs and expenses
and provided such accounts are maintained in compliance with Section 6.6 hereof;

not constituting an Event of Default under Section 8.4 or 8.7;

(h)    Liens arising from judgments (or appeal or other surety bonds relating to such judgments), decrees or attachments in circumstances

(i)    Liens consisting of Permitted Licenses;

(j)        Liens  in  favor  of  customs  and  revenue  authorities  in  the  ordinary  course  of  business,  to  secure  payment  of  customs  duties  in
connection with the importation of goods; provided, however, the aggregate amount of such payments so secured at any given time shall not exceed [**]
Dollars ($[**]) and such Liens shall be restricted to the goods imported in connection with which such payments;

(k)    deposits to secure the performance of leases entered into in the ordinary course of business and not representing an obligation for
borrowed money so long as (i) each such deposit is made at the commencement of a lease or its renewal when there is no underlying default under such
lease and (ii) the aggregate amount of all such outstanding deposits does not exceed [**] Dollars ($[**]);

Borrower’s owned real property not interfering in any material respect with the ordinary course of Borrower’s business;

(l)        easements,  reservations,  rights-of-way,  restrictions,  minor  defects  or  irregularities  in  title  and  other  similar  Liens  affecting

permitted by clause (j) of the definition of “Permitted Indebtedness” and not to exceed [**] Dollars ($[**]) at any time;

(m)    Liens granted in the ordinary course of business in connection with the financing of insurance premiums securing Indebtedness

the definition of “Permitted Indebtedness” and not to exceed [**] Dollars ($[**]) at any time;

(n)    Liens solely on cash collateral pledged to secure Indebtedness in respect of corporate credit cards permitted pursuant to clause (k) of

($[**]) at any time; and

(o)    deposits to secure Indebtedness permitted by clause (l) of the definition of “Permitted Indebtedness” and not to exceed [**] Dollars

(p)    Liens incurred in the extension, renewal or refinancing of the Indebtedness secured by Liens described in (a) through (o), but any
extension, renewal or replacement Lien must be limited to the property encumbered by the existing Lien and the principal amount of the Indebtedness may
not increase.

“Person” is any individual, sole proprietorship, partnership, limited liability company, joint venture, company, trust, unincorporated organization,

association, corporation, institution, public benefit corporation, firm, joint stock company, estate, entity or government agency.

“Post Closing Letter” is that certain Post Closing Letter dated as of the Effective Date by and between Collateral Agent and Borrower.

“Prepayment Fee”  is,  with  respect  to  any  Term  Loan  subject  to  prepayment  prior  to  the  Maturity  Date,  whether  by  mandatory  or  voluntary

prepayment, acceleration or otherwise, an additional fee payable to the Lenders in amount equal to:

    34

Funding Date of such Term Loan, three percent (3.00%) of the principal amount of such Term Loan prepaid;

(i)    for a prepayment made on or after the Funding Date of such Term Loan through and including the first anniversary of the

(ii)    for a prepayment made after the date which is after the first anniversary of the Funding Date of such Term Loan through
and including the second anniversary of the Funding Date of such Term Loan, two percent (2.00%) of the principal amount of the Term Loans prepaid; and

prior to the Maturity Date, one percent (1.00%) of the principal amount of the Term Loans prepaid.

(iii)    for a prepayment made after the date which is after the second anniversary of the Funding Date of such Term Loan and

“Prime Rate” is the rate of interest per annum from time to time published in the money rates section of The Wall Street Journal or any successor
publication thereto as the “prime rate” then in effect; provided that if such rate of interest, as set forth from time to time in the money rates section of The
Wall Street Journal, becomes unavailable for any reason as determined by Collateral Agent, the “Prime Rate” shall mean the rate of interest per annum
announced by Bank as its prime rate in effect at its principal office in the State of California (such Bank announced Prime Rate not being intended to be the
lowest rate of interest charged by Bank in connection with extensions of credit to debtors).

“Pro Rata Share” is, as of any date of determination, with respect to each Lender, a percentage (expressed as a decimal, rounded to the ninth
decimal place) determined by dividing the outstanding principal amount of Term Loans held by such Lender by the aggregate outstanding principal amount
of all Term Loans.

“Registered Organization” is any “registered organization” as defined in the Code with such additions to such term as may hereafter be made.

“Relevant  Governmental  Body” means  the  Federal  Reserve  Board  and/or  the  Federal  Reserve  Bank  of  New  York,  or  a  committee  officially

endorsed or convened by the Federal Reserve Board and/or the Federal Reserve Bank of New York or any successor thereto. 

“Reporting Date” means the date of the next Compliance Certificate is delivered or required to delivered pursuant to Section 6.2(b).

“Required Lenders” means (i) for so long as all of the Persons that are Lenders on the Effective Date (each an “Original Lender”)  have  not
assigned  or  transferred  any  of  their  interests  in  their  Term  Loan,  Lenders  holding  one  hundred  percent  (100%)  of  the  aggregate  outstanding  principal
balance of the Term Loan, or (ii) at any time from and after any Original Lender has assigned or transferred any interest in its Term Loan, Lenders holding
at least sixty six percent (66%) of the aggregate outstanding principal balance of the Term Loan and, in respect of this clause (ii), (A) each Original Lender
that has not assigned or transferred any portion of its Term Loan, (B) each assignee or transferee of an Original Lender’s interest in the Term Loan, but only
to the extent that such assignee or transferee is an Affiliate or Approved Fund of such Original Lender, and (C) any Person providing financing to any
Person described in clauses (A) and (B) above; provided, however, that this clause (C) shall only apply upon the occurrence of a default, event of default or
similar occurrence with respect to such financing.

“Requirement of Law” is as to any Person, the organizational or governing documents of such Person, and any law (statutory or common), treaty,
rule or regulation or determination of an arbitrator or a court or other Governmental Authority, in each case applicable to or binding upon such Person or
any of its property or to which such Person or any of its property is subject.

“Responsible Officer” is any of the President, Chief Executive Officer, Treasurer or principal financial officer of Borrower acting alone.

“Secured Promissory Note” is defined in Section 2.4.

“Secured Promissory Note Record”  is  a  record  maintained  by  each  Lender  with  respect  to  the  outstanding  Obligations  owed  by  Borrower  to

Lender and credits made thereto.

“Securities Account” is any “securities account” as defined in the Code with such additions to such term as may hereafter be made.

    35

“Shares” is one hundred percent (100%) of the issued and outstanding capital stock, membership units or other securities owned or held of record

by Borrower or Borrower’s Subsidiary, in any Subsidiary.

“Solvent” is, with respect to any Person: the fair salable value of such Person’s consolidated assets (including goodwill minus disposition costs)
exceeds the fair value of such Person’s liabilities; such Person is not left with unreasonably small capital after the transactions in this Agreement; and such
Person is able to pay its debts (including trade debts) as they mature.

“Subordinated Debt”  is  indebtedness  incurred  by  Borrower  or  any  of  its  Subsidiaries  subordinated  to  all  Indebtedness  of  Borrower  and/or  its
Subsidiaries to the Lenders (pursuant to a subordination, intercreditor, or other similar agreement in form and substance satisfactory to Collateral Agent and
the Lenders entered into between Collateral Agent, Borrower, and/or any of its Subsidiaries, and the other creditor), on terms acceptable to Collateral Agent
and the Lenders.

“Subsidiary” is, with respect to any Person, any Person of which more than fifty percent (50%) of the voting stock or other equity interests (in the

case of Persons other than corporations) is owned or controlled, directly or indirectly, by such Person or through one or more intermediaries.

“Term  A  Draw  Period”  is  the  period  commencing  on  the  Effective  Date  and  ending  on  the  earlier  of  (i)  December  31,  2022  and  (ii)  the

occurrence of an Event of Default.

“Term B Draw Period” is the period commencing on the date of the occurrence of the Term B Milestone and ending on the earliest of (i) the date
that is ninety (90) days after the occurrence of the Term B Milestone, (ii) December 31, 2022 and (iii) the occurrence of an Event of Default; provided,
however, that the Term B Draw Period shall not commence if on the date of the occurrence of the Term B Milestone an Event of Default has occurred and
is continuing.

“Term B Milestone”  means  Borrower’s  delivery  to  Collateral  Agent  and  Lenders  of  evidence,  satisfactory  to  Collateral  Agent  and  Lenders  in

their reasonable discretion, that Borrower has [**].

“Term C Draw Period” is the period commencing on the date of the occurrence of the Term C Milestone and ending on the earliest of (i) the date
that is ninety (90) days after the occurrence of the Term C Milestone, (ii) June 30, 2023 and (iii) the occurrence of an Event of Default; provided, however,
that  the  Term  C  Draw  Period  shall  not  commence  if  on  the  date  of  the  occurrence  of  the  Term  C  Milestone  an  Event  of  Default  has  occurred  and  is
continuing.

“Term C Milestone”  means  Borrower’s  delivery  to  Collateral  Agent  and  Lenders  of  evidence,  satisfactory  to  Collateral  Agent  and  Lenders  in

their sole but reasonable discretion, that Borrower [**].

“Term Loan” is defined in Section 2.2(a)(iv) hereof.

“Term A Loan” is defined in Section 2.2(a)(i) hereof.

“Term B Loan” is defined in Section 2.2(a)(ii) hereof.

“Term C Loan” is defined in Section 2.2(a)(iii) hereof.

“Term D Loan” is defined in Section 2.2(a)(iv) hereof.

“Term  Loan  Commitment”  is,  for  any  Lender,  the  obligation  of  such  Lender  to  make  a  Term  Loan,  up  to  the  principal  amount  shown  on

Schedule 1.1. “Term Loan Commitments” means the aggregate amount of such commitments of all Lenders.

“Trademarks” means any trademark and servicemark rights, whether registered or not, applications to register and registrations of the same and

like protections, and the entire goodwill of the business of Borrower connected with and symbolized by such trademarks.

“Transfer” is defined in Section 7.1.

[Balance of Page Intentionally Left Blank]

    36

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as of the Effective Date.

BORROWER:

MERSANA THERAPEUTICS, INC.

By /s/ Brian DeSchuytner    
Name: Brian DeSchuytner    
Title: Chief Financial Officer    

COLLATERAL AGENT AND LENDER:

OXFORD FINANCE LLC

By /s/ Colette H. Featherly    
Name: Colette H. Featherly    
Title: Senior Vice President    

LENDER:

SILICON VALLEY BANK

By /s/ Lauren Cole    
Name: Lauren Cole    
Title: Director    

[Signature Page to Loan and Security Agreement]

Lender
OXFORD FINANCE LLC
SILICON VALLEY BANK
TOTAL

Lender
OXFORD FINANCE LLC
SILICON VALLEY BANK
TOTAL

Lender
OXFORD FINANCE LLC
SILICON VALLEY BANK
TOTAL

Lender
OXFORD FINANCE LLC
SILICON VALLEY BANK
TOTAL

SCHEDULE 1.1

Lenders and Commitments

Term A Loans
Term Loan Commitment
$30,000,000.00
$30,000,000.00
$60,000,000.00

Term B Loans
Term Loan Commitment
$5,000,000.00
$5,000,000.00
$10,000,000.00

Term C Loans
Term Loan Commitment
$5,000,000.00
$5,000,000.00
$10,000,000.00

Aggregate (all Term Loans)
Term Loan Commitment
$40,000,000.00
$40,000,000.00
$80,000,000.00

Commitment Percentage
50%
50%
100.00%

Commitment Percentage
50%
50%
100.00%

Commitment Percentage
50%
50%
100.00%

Commitment Percentage
50%
50%
100.00%

Exhibit 10.15

CONFIDENTIAL
EXECUTION COPY

Certain identified information has been excluded from the exhibit because it is both (i) not material and (ii) is the type of
information that the registrant treats as private or confidential. Double asterisks denote omissions.

AMENDED AND RESTATED COMMERCIAL LICENSE AND OPTION AGREEMENT

BETWEEN

SYNAFFIX B.V.

AND

MERSANA THERAPEUTICS, INC.

DATED AS OF JANUARY 3, 2019,

AS AMENDED AND RESTATED ON 22 NOVEMBER 2021

ARTICLE 1 DEFINITIONS    1

ARTICLE 2 LICENSES, SUPPLY AND TECHNOLOGY TRANSFER    14

2.1.    Non-Exclusive License and Research License    14
2.2.    Option Right and Non-Exclusive License for Additional Targets    15

2.3.    [**] Products.    18
2.4.    Sublicenses    19
2.5.    Manufacturing    20

2.6.    Supply Agreement    20
2.7.    Tech Transfer    20

2.8.    Contract Manufacturing    22
2.9.    Target Substitution.    22
2.10.    Agent    24

2.11.    No Other Rights    24
2.12.    Bankruptcy    24
ARTICLE 3 PAYMENTS    25

3.1.    Initial Target License Issuance Fee    25
3.2.    Additional Target License Issuance Fee    25
3.3.    Amendment Fee.    25

3.4.    Development Milestone Payments    25
3.5.    Sales Milestone Payments    27
3.6.    Payment of Royalties    29

3.7.    Payment Method    30
3.8.    Currency Conversion    31

3.9.    Late Payment Interest    31
3.10.    Records    31
3.11.    Taxes    31

3.12.    Audit Rights    31

ARTICLE 4 PRODUCT ACTIVITIES    32

4.1.    Diligence    32

4.2.    Annual Reports    32
4.3.    Responsibilities    32
4.4.    Regulatory Matters    33

ARTICLE 5 INTELLECTUAL PROPERTY    34

5.1.    Ownership of Remodeled Antibodies    34
5.2.    Improvements    34

5.3.    Other Intellectual Property    35

    1

5.4.    Patent Maintenance and Prosecution    35
5.5.    Patent Term Extensions    35
5.6.    Licensed Patents and Licensed Know-How Enforcement and Defense    36

5.7.    Defense of Infringement Claims of Licensed Technology    36
5.8.    Cooperation    36
ARTICLE 6 CONFIDENTIALITY    36

6.1.    Confidentiality Obligations    36
6.2.    Permitted Usage    37

6.3.    Terms of Agreement    37
6.4.    Permitted Publications    38
6.5.    Public Announcements    38

ARTICLE 7 REPRESENTATIONS, WARRANTIES AND COVENANTS    39

7.1.    General    39
7.2.    Representations and Covenants of MERSANA    40

7.3.    Representations of SNFX    40
7.4.    Covenants of SNFX    41
7.5.    DISCLAIMER    41

ARTICLE 8 INDEMNIFICATION; INSURANCE    41
8.1.    Indemnification by MERSANA    41

8.2.    Indemnification by SNFX    42
8.3.    Procedure    42
8.4.    Insurance    42

ARTICLE 9 LIMITATION OF LIABILITY    43

9.1.    LIMITATION    43

ARTICLE 10 TERM AND TERMINATION    43

10.1.    Term    43
10.2.    Termination    43
10.3.    Effect of Expiration or Termination    44

ARTICLE 11 GENERAL PROVISIONS    46
11.1.    Entire Agreement    46
11.2.    Modification; Waiver    46

11.3.    Further Assurances    46
11.4.    Force Majeure    46

11.5.    Assignments    46
11.6.    Performance by Affiliates    46
11.7.    Relationship of the Parties    47

11.8.    No Third Party Beneficiaries    47
11.9.    No Use of Names    47

11.10.    Notices    47
11.11.    Dispute Resolution    48

11.12.    Submission to Court for Resolution    48
11.13.    Governing Law    48
11.14.    Headings    48

11.15.    Severability    48
11.16.    Equitable Relief    49
11.17.    Counterparts    49

AMENDED AND RESTATED COMMERCIAL LICENSE AND OPTION AGREEMENT

This  Amended  and  Restated  Commercial  License  and  Option  Agreement  (the  “CLOA”)  is  effective  as  of
November 22, 2021 (the “Amendment Date”), by and between Synaffix B.V., with an office at Pivot Park Oss, Noord-Brabant,
Kloosterstraat  9,  5349  AB,  Oss,  The  Netherlands  (“SNFX”)  and  Mersana  Therapeutics,  Inc.,  with  an  office  at  840  Memorial
Drive, Cambridge, Massachusetts 02139, USA (“MERSANA”). SNFX and MERSANA are each referred to herein by name or,
individually, as a “Party” or, collectively, as “Parties.” This CLOA amends and restates in its entirety that certain Commercial
License and Option Agreement, dated as of January 3, 2019 (the “Effective Date”),  by  and  between  the  Parties  (the  “Original
Agreement”), pursuant to Section 11.2 thereof.

BACKGROUND

WHEREAS SNFX Controls (as defined below) the Licensed Technology (as defined below); and

WHEREAS,  SNFX  desires  to  grant  to  MERSANA  a  non-exclusive  license,  and  MERSANA  desires  to  receive
from SNFX a non-exclusive license, to the Licensed Technology to Develop, Manufacture, Commercialize and otherwise Exploit
Products against Licensed Targets (each as defined below);

WHEREAS, SNFX granted such non-exclusive license to MERSANA in accordance with, and pursuant to, the

terms and conditions of the Original Agreement;

WHEREAS, the Parties wish to amend and restate the Original Agreement as set forth in this CLOA.

NOW,  THEREFORE,  in  consideration  of  the  foregoing  and  the  mutual  covenants  and  agreements  provided
herein, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, SNFX and
MERSANA hereby agree as follows:

ARTICLE 1
DEFINITIONS

elsewhere in this CLOA:

As  used  in  this  CLOA,  capitalized  terms  shall  have  the  meanings  indicated  in  this  Article  1  or  as  specified

1.1    “Additional Target Substitution Notice” has the meaning set forth in Section 2.9(b).

1.2    “Additional Target Substitution Right” has the meaning set forth in Section 2.9(b).

1.3        “Affiliate”  means,  with  respect  to  a  Party,  any  Person  that,  directly  or  indirectly,  through  one  (1)  or  more
intermediaries, controls, is controlled by, or is under common control with such Party. For purposes of this Section 1.1, the term
“control” means (a) the direct or indirect ownership of fifty percent (50%) or more of the voting securities entitled to elect the
directors or management of the entity, or (b) the ability to otherwise control the management thereof.

1.4    “Agent” means a Third Party escrow agent appointed by SNFX from time to time who shall confidentially maintain
a list of Unavailable Targets. On the Effective Date, the Agent is Prof. Jean-Paul Vulliéty, Partner at Lalive Avocats, 35, Rue de la
Mairie, P.O. Box 6569, 1211Geneva 6, Switzerland, having an email address at jpvulliety@lalive.law.

1.5    “Agent Term” has the meaning set forth in Section

1.6    “Antibody” means [**].

1.7        “Antibody-Drug Conjugates”  or  “ADC”  means  a  biopharmaceutical  molecule  for  targeted  therapy,  consisting  of

either [**] and in each case ((i) and (ii)) is linked, via chemical linker(s), to one or more molecules.

1.8    “Bankruptcy Code” has the meaning set forth in Section 2.12.

1.9        “Business  Day”  means  a  day  on  which  national  banks  located  in  the  Commonwealth  of  Massachusetts  and  the

Netherlands are open for commercial banking business other than a Saturday or Sunday.

1.10    “Calendar Quarter” means a three (3) month period beginning on January 1, April 1, July 1 or October 1 of any
Calendar Year, except that (a) the first Calendar Quarter of the Term shall extend from the Effective Date to the end of the first
full Calendar Quarter thereafter, and (b) the last Calendar Quarter of the Term shall end upon the expiration or termination of this
CLOA.

1.11    “Calendar Year” means (a) for the first Calendar Year, the period commencing on the Effective Date and ending on
December  31  of  the  year  during  which  the  Effective  Date  occurs,  (b)  for  the  last  Calendar  Year,  the  period  commencing  on
January 1 of the last year of the Term, and ending on the last day of the Term, and (c) each interim period of twelve (12) months
commencing on January 1 and ending on December 31.

1.12    “Clinical Trial” means a clinical investigation in human subjects that has been approved by a Regulatory Authority
and is intended to discover or verify the clinical, pharmacological or other pharmacodynamic effects of a Product, or to identify
any adverse reactions to a Product, or to study absorption, distribution, metabolism, or excretion of a Product with the objective
of ascertaining its safety, activity or efficacy.

1.13        “Commercialize”  or  “Commercialization”  means  any  and  all  activities  of  marketing,  promoting,  distributing,
offering  for  sale  or  selling  a  Product  in  the  Field  in  the  Territory,  including,  for  example,  marketing,  branding,  pricing,
distribution,  sales,  obtaining  health  insurance  reimbursement  coverage,  market  research,  business  analytics,  pharmacovigilance
and  medical  affairs  activities,  pre-commercial  launch  market  development  activities  conducted  in  anticipation  of  Regulatory
Approval  to  sell  or  market  the  Product,  seeking  Pricing  Approval  for  the  Product  (if  applicable),  preparing  advertising  and
promotional  materials,  sales  force  training,  and  all  interactions  and  correspondence  with  a  Regulatory  Authority  regarding
Clinical  Trials  commenced  following  Regulatory  Approval.  When  used  as  a  verb,  “Commercialize”  means  to  engage  in
Commercialization.

1.14    “Commercially Reasonable Efforts” means: (a) with respect to the efforts to be expended by a Party with respect to
any  objective  other  than  Developing,  Manufacturing,  Commercializing  or  otherwise  Exploiting  a  Product,  such  reasonable,
diligent, and good faith efforts as such Party would normally use to accomplish a similar objective under similar circumstances;
and (b) with respect to any objective relating to Developing, Manufacturing, Commercializing or otherwise Exploiting a Product
by a Party, that level of efforts and resources

that  such  Party  would  normally  devote  to  the  performance  of  such  activities  for  a  product  owned  by  it,  which  is  of  a  similar
commercial  potential  at  a  similar  stage  in  its  lifecycle,  in  each  case  taking  into  account  issues  of  safety  and  efficacy,  product
profile,  the  proprietary  position,  the  then-current  competitive  environment  for  such  product  and  the  likely  timing  of  such
product’s  entry  into  the  market,  the  pricing  and  launching  strategy  for  such  product,  the  regulatory  environment  and  status  of
such  product,  and  any  other  relevant  factors,  including  other  scientific,  technical  and  commercial  factors.  For  clarity,
Commercially  Reasonable  Efforts  will  not  mean  that  a  Party  guarantees  that  it  will  actually  accomplish  the  applicable  task  or
objective.

1.15        “Confidential Information”  means  all  information,  including  technical,  scientific  and  other  information,  Know-
How,  invention  disclosures,  patent  applications,  trade  secrets,  knowledge,  technology,  means,  methods,  processes,  practices,
proprietary materials, formulas, instructions, skills, techniques, procedures, specifications, data, results and other material, pre-
clinical  and  clinical  trial  results,  and  any  tangible  embodiments  of  any  of  the  foregoing,  and  any  scientific,  manufacturing,
marketing  and  business  plans,  any  financial  and  personnel  matters  relating  to  a  Party  or  its  present  or  future  products,  sales,
suppliers,  customers,  employees,  investors  or  business,  that  has  been  disclosed  by  or  on  behalf  of  such  Party  or  such  Party’s
Affiliates to the other Party or the other Party’s Affiliates, in any manner, whether orally, visually, or in tangible form, either in
connection with the discussions and negotiations pertaining to this CLOA or in the course of performing this CLOA.

1.16    “Control” or “Controlled” means, with respect to any information, material or Intellectual Property Right not in the
public domain, possession of the right, whether directly or indirectly, by a Party or its Affiliates, of the ability, whether by sole or
joint ownership, license or otherwise (other than by operation of the licenses and other grants in this CLOA) to grant the right to
access or use, or to grant a license, sublicense or other right (including the right to reference Regulatory Documentation) to or
under such information, material or Intellectual Property Right, as applicable, without violating the terms of any agreement or
other arrangement with any Third Party.

1.17        “Cover,”  “Covering”  or  “Covered”  means,  with  respect  to  a  Patent  in  a  country,  that  the  Development,
Manufacture  or  Commercialization  of  a  Product  in  such  country  would,  but  for  the  ownership  of  or  grant  of  a  license  to  such
Patent, infringe a Valid Claim of such Patent.

1.18    “CMO” or “CMOs” has the meaning set forth in Section 2.8.

1.19    “Develop” or “Development” means to discover, research or otherwise develop a process, compound or product,
including  conducting  non-clinical,  pre-clinical  and  clinical  research  and  development  activities,  including  toxicology,
pharmacology  and  other  pre-clinical  development  efforts,  test  method  development  and  stability  testing,  process  development,
formulation  development,  delivery  system  development,  quality  assurance  and  quality  control  development,  process  and
manufacturing  scale-up  and  other  manufacturing  activities  related  to  developing  a  product,  statistical  analysis,  clinical
pharmacology, clinical studies (including Clinical Trials and pre-approval studies), regulatory affairs, and Regulatory Approval
and clinical study regulatory activities.

1.20    “Development Milestone Event” has the meaning set forth in Section 3.3.

1.21    “Development Milestone Payment” has the meaning set forth in Section 3.3.

1.22    “EMA” means the European Medicines Agency and any successor agency thereto.

1.23    “EU” means all countries that are officially recognized as member states of the European Union as of the Effective
Date (which shall for the purposes of this CLOA include the United Kingdom even after it has ceased to be a member of the EU),
Norway, Switzerland and all countries that are officially added into and recognized as member states of the European Union after
the Effective Date.

1.24    “Executive Officer” shall mean for SNFX, the Chief Executive Officer of SNFX (or such individual’s designee),
and, for MERSANA, the Chief Executive Officer of MERSANA (or such individual’s designee). If either position is vacant or
either position does not exist, then the individual having the most nearly equivalent position (or such individual’s designee) shall
be deemed to be the Executive Officer of the relevant Party.

1.25        “Exploit”  means  make,  have  made,  import,  use,  sell  or  offer  for  sale,  including  to  research,  Develop,
Commercialize, register, Manufacture, have Manufactured, hold or keep (whether for disposal or otherwise), have used, export,
transport, distribute, promote, market or have sold or otherwise dispose of.

1.26        “FD&C  Act”  means  the  U.S.  Federal  Food,  Drug,  and  Cosmetic  Act  (21  U.S.C.  §301,  et  seq.),  as  amended,
together  with  any  rules,  regulations  and  requirements  promulgated  thereunder  (including  any  amendments,  additions,
supplements, extensions and modifications thereto).

1.27    “FDA” means the U.S. Food and Drug Administration, or any successor agency thereto.

1.28    “Field” means the therapeutic use of antibody-drug conjugates in all human conditions, diseases and disorders.

1.29    “Final Target Verification” has the meaning set forth in Section 2.2(b)(4).

1.30    “First Commercial Sale”  means,  with  respect  to  a  Product  in  any  country  in  the  Territory,  the  first  sale  of  such
Product  by  MERSANA  or  its  Affiliates  or  Sublicensees  to  a  Third  Party  in  such  country  for  which  monetary  value  has  been
received following, if required by Law to sell such Product, Regulatory Approval and Pricing Approval, but excluding the sale of
any Product for use in any Clinical Trial or for compassionate, named patient (paid or unpaid) use.

1.31    “Good Clinical Practices” or “GCP” means the then-current standards for designing, conducting, recording, and
reporting trials that involve the participation of human subjects as are required by applicable Regulatory Authorities or Law in
the relevant jurisdiction. In the United States, GCP shall be based on Good Clinical Practices established through FDA guidances
(including  Guideline  for  Good  Clinical  Practice  –  ICH  Harmonized  Tripartite  Guideline  (ICH  E6)),  and,  outside  the  United
States, GCP shall be based on Guideline for Good Clinical Practice – ICH Harmonized Tripartite Guideline (ICH E6), as each
may be amended or updated from time to time.

1.32    “Good Laboratory Practices” or “GLP” means the then-current good laboratory practice standards promulgated or
endorsed by the FDA, as defined in U.S. 21 C.F.R. Part 58 (or such other comparable regulatory standards in jurisdictions outside
the United States), as may be amended or updated from time to time.

1.33    “Good Manufacturing Practices” or “GMP” means all applicable then-current standards relating to manufacturing
practices  for  fine  chemicals,  intermediates,  bulk  products  or  finished  pharmaceutical  products,  including  (a)  all  applicable
requirements detailed in the FDA’s current Good Manufacturing Practices regulations, U.S. 21 C.F.R. Parts 210 and 211 and “The

Rules  Governing  Medicinal  Products  in  the  European  Community,  Volume  IV,  Good  Manufacturing  Practice  for  Medicinal
Products,” as each may be amended or updated from time to time, and (b) all applicable Laws promulgated by any Regulatory
Authority having jurisdiction over the manufacture of any Product, as applicable.

1.34    “Governmental Entity” means any regional, central, multi- or supra-national, federal, state, provincial, municipal
or  local  court,  commission,  council  or  governmental,  regulatory  or  administrative  body,  board,  bureau,  branch,  agency,
instrumentality, authority or tribunal, division or any subdivision thereof.

1.35        “Improvement”  or  “Improvements”  means  any  discovery,  invention,  idea,  contribution,  method,  finding,  trade
secret, or improvement, whether or not patentable, and all intellectual property therein, that is conceived, reduced to practice, or
otherwise Developed by or on behalf of a Party or its Affiliates, in the course of Developing or Manufacturing a Product for a
Licensed  Target  under  this  CLOA  and  the  Supply  Agreement,  that  is,  subject  to  Section  5.2,  a  modification,  improvement,
alteration or enhancement to the Licensed Technology or MERSANA Technology, as applicable.

1.36    “IND” means (a) in the United States, an Investigational New Drug Application, as defined in the FD&C Act, filed
with  the  FDA  that  is  required  to  be  filed  with  the  FDA  before  conducting  a  Clinical  Trial  (including  all  supplements  and
amendments that may be filed with respect to the foregoing), and (b) any foreign counterpart of the foregoing (such as a Clinical
Trial Application in the EU).

1.37    “Initial Target” means the first Target selected by MERSANA as of the Effective Date, identified as SLC34A2,
with  a  common  name  of  Sodium-dependent  phosphate  transport  protein  2B,  and  with  a  UniProtKB/Swiss-Prot  number  of
O95436.

1.38    “Initial Target License Fee” has the meaning set forth in Section 3.1.

1.39    “Initial Target Substitution Notice” has the meaning set forth in Section 2.9(a).

1.40    “Initial Target Substitution Right” has the meaning set forth in Section 2.9(a).

1.41    “Intellectual Property Rights”  means  Patents,  copyrights,  database  rights,  Know-How,  and  similar  rights  of  any
type (excluding trademarks) under the Laws of any Governmental Entity, including all applications, registrations, extensions and
renewals relating to any of the foregoing.

1.42    “Joint Improvement” has the meaning set forth in Section 5.2(c).

1.43    “Joint Improvement Patent” means any Patent that claims or discloses any discovery, invention, idea, contribution,

method, finding, trade secret or improvement included in a Joint Improvement.

1.44        “Know-How”  means  all  technical  information  and  other  technical  subject  matter,  proprietary  methods,  ideas,
concepts, formulations, discoveries, inventions, devices, technology, trade secrets, compositions, designs, formulae, know-how,
show-how,  specifications,  drawings,  techniques,  results,  data,  processes,  methods,  procedures,  designs  and  regulatory
correspondence  and  information  (including  pharmacological,  toxicological,  pre-clinical,  clinical  and  manufacturing  test  data,
manufacturing  protocols,  analytical  methods  and  data,  quality  control  data  and  process  validation),  whether  or  not  patentable,
including any tangible embodiments of the foregoing.

1.45        “Knowledge”  means,  with  respect  to  a  Party  or  its  Affiliates,  the  good  faith  understanding  of  the  facts  and
information in possession of an executive officer of, or in-house legal counsel of, or in-house patent agents employed by, such
Party  or  its  Affiliates  after  (a)  inquiry  of  in-house  employees  with  relevant  knowledge  and  outside  legal  counsel  and  (b)
reasonable investigation of the relevant internal records of a Party. For purposes of this definition, an “executive officer” shall
mean any person in the position of vice president, senior vice president, president or chief executive officer of a Party or any of
its Affiliates.

1.46     “Law” means, individually and collectively, any and all laws, statues, ordinances, orders, rules, rulings, directives
and regulations (including written governmental interpretations thereof, the guidance related thereto, or the application thereof)
of any kind whatsoever of any Governmental Entity or Regulatory Authority, and any judicial, governmental, or administrative
order, judgement, decree, or ruling, within the applicable jurisdiction.

1.47    “License” has the meaning set forth in Section 2.2(c).

1.48    “License Fee” means each of the license fees referred to in Sections 3.1 and 3.2 hereof, and “License Fees” means

all such license fees collectively.

1.49    “Licensed Know-How” means all Know-How, including the Know-How listed on Schedule 2 hereof, but only to
the  extent  (a)  Controlled  by  SNFX  or  any  of  its  Affiliates  as  of  the  Effective  Date  or  at  any  time  during  the  Term,  and  (b)
reasonably  necessary  or  useful  to  Develop,  Manufacture,  Commercialize  or  otherwise  Exploit  an  antibody-drug  conjugate
obtained by [**].

1.50    “Licensed Patents” means those Patents Controlled by SNFX or any of its Affiliates as of the Effective Date or at
any time during the Term, including those Patents listed in Schedule 1 attached hereto, that are reasonably necessary or useful to
Develop, Manufacture, Commercialize or otherwise Exploit an antibody-drug conjugate obtained by [**].

1.51    “Licensed Target” has the meaning set forth in Section 2.2(c).

1.52    “Licensed Technology” means the Licensed Know-How and the Licensed Patents.

1.53    “Litigation Costs” has the meaning set forth in Section 8.1.

1.54    “Losses” has the meaning set forth in Section 8.1.

1.55    “Major Market Country” means each of [**].

1.56    “Manufacture” or “Manufacturing” means all operations necessary or appropriate to make, test, release, package,
store, label, supply and ship a Product, in accordance with applicable packaging, controls, industry standards, GMPs, applicable
Laws, and the Product’s specifications.

1.57    “Manufacturing Processes” has the meaning set forth in Section 2.7.

1.58    “Material” or “Materials” has the meaning set forth in Section 2.6.

1.59    “Material Transfer Agreement” or “MTA” means that certain Materials Transfer Agreement by and between the
Parties with an effective date of November 17, 2017, as amended by that certain Materials Transfer Agreement Amendment #1
dated as of August 22, 2018, and as

further amended by that certain Materials Transfer Agreement Amendment #2 dated as of December 30, 2018, that are attached to
this CLOA as Exhibit A through Exhibit C, respectively.

1.60    “MERSANA Indemnitees” has the meaning set forth in Section 8.2.

1.61        “MERSANA  Technology”  means  MERSANA’s  proprietary  technology  used  for  the  creation,  identification,
Development, Manufacture, Commercialization or other Exploitation of antibody-drug conjugates, including, but not limited to,
linkers and payloads.

1.62    “Mutual Non-Disclosure Agreement” means that certain Mutual Non-Disclosure Agreement by and between the
Parties with an effective date of October 14, 2015, as amended by that certain Confidential  Disclosure  Agreement  Amendment
with an effective date of October 13, 2018.

1.63    “NDA” means a “New Drug Application,” as defined in the FD&C Act and applicable regulations promulgated
thereunder by the FDA and all amendments and supplements thereto filed with the FDA, or the equivalent application filed with
any  Regulatory  Authority,  including  all  documents,  data,  and  other  information  concerning  Product,  which  are  necessary  for
gaining Regulatory Approval to market and sell Product in the relevant jurisdiction.

1.64        “Net Sales”  means  the  gross  amounts  invoiced  for  a  Product  by  MERSANA,  its  Affiliates  and  their  respective
Sublicensees for sales or other disposition of such Product to a Third Party purchaser, less the following to the extent that the
following  are  directly  incurred  with  respect  to  a  Product,  or  allocated  specifically  to  a  Product  in  accordance  with  generally
accepted  accounting  principles  consistently  applied  across  the  books  and  records  of  MERSANA,  its  Affiliates  and  their
respective Sublicensees, as applicable:

reduce the selling price and are appropriately deducted from sales under appropriate accounting principles, consistently applied; 

(a)    customer, trade, quantity and cash discounts actually allowed with respect to such sales which effectively

(b)    rejected goods, damaged or defective goods, recalls, returns, rebates, field destroys, reimbursements,

chargebacks and other allowances actually allowed with respect to such sales;

(c)    retroactive price reductions that are actually allowed or granted;
(d)    deductions to the gross invoice price of Product imposed by Regulatory Authorities or other Governmental

Entities;

(e)    sales (such as VAT or its equivalent) and excise taxes, other consumption taxes, and customs duties

(excluding any taxes paid on the income from such sales) to the extent the selling Person is not otherwise entitled to a credit or a
refund for such taxes or duties;

(f)    a reasonable reserve for non-collectable receivables related to Product (provided that, such amounts shall not
exceed two percent (2%) of Net Sales in a given Calendar Year and that if such amounts are later collected, they shall be included
in Net Sales in the Calendar Quarter of collection); and

(g)    charges for packing, freight, shipping and insurance (to the extent separately stated on the invoice).

To the extent that MERSANA, its Affiliates and its Sublicensees receive consideration other than or in addition to cash

upon the sale or disposition of a Product to a Third Party

purchaser,  Net  Sales  for  such  Product  shall  be  calculated  based  on  the  average  price  of  such  Product  sold  for  cash  during  the
period based on the quantity of Product sold. The Parties agree that such price, less any cash consideration received with respect
to a Product, reflects the fair market value of any non-cash consideration received with respect to such Product.

Any Products for which no monetary consideration is received that are used for promotional or advertising purposes, used
for  free  samples,  or  otherwise  distributed  to  patients  unable  to  purchase  the  same  (including  patients  in  Clinical  Trials  or
compassionate  use  programs)  shall  not  be  included  in  Net  Sales.  Donations  for  charity  reasons  (to  avoid  doubt,  for  which  no
monetary consideration is received) shall also not be included in Net Sales.

If  any  Product  is  sold  as  part  of  a  Combination  Product  (as  defined  below),  the  Net  Sales  for  such  Product  shall  be
determined by multiplying the applicable Net Sales of the Product (as determined without the application of this paragraph) by
the fraction, A/(A+B), where A is the average per unit sale price of the Product component of the Combination Product when
sold separately as a stand-alone product in finished form in the country in which the Combination Product is sold and B is the
average per unit sale of the other active ingredients contained in the Combination Product when sold separately as stand-alone
products  in  finished  form  in  the  country  in  which  the  Combination  Product  is  sold,  in  each  case  during  the  applicable  royalty
reporting period in accordance with Section 3.6(b) or, if sales of such stand-alone products did not occur in such country in the
applicable period, then in the most recent royalty reporting period in which such sales of such stand-alone products occurred in
such country. If such average sale prices cannot be determined, Net Sales shall be mutually agreed upon by the Parties based on
the relative fair market value of each component, such agreement not to be unreasonably withheld. As used herein, “Combination
Product” means any pharmaceutical product that consists of a Product as well as one or more other active therapeutic ingredients,
other than an active therapeutic ingredient conjugated to such Product.

1.65    “Sublicensee Option” has the meaning set forth in Section 2.4(b).

1.66    “New Target” has the meaning set forth in Section 2.2(b)(4).

1.67    “Notice Period” has the meaning set forth in Section 10.2(b).

1.68    “Option” has the meaning set forth in Section 2.2(a).

1.69    “Option Notice” has the meaning set forth in Section 2.2(b)(5).

1.70    “Option Term” has the meaning set forth in Section 2.2(a).

1.71        “Patents”  means  any  and  all  national,  regional  and  international:  (a)  patents  and  pending  patent  applications
(including  provisional  patent  applications);  (b)  patent  applications  filed  from  the  foregoing  or  from  an  application  claiming
priority  to  the  foregoing,  including  all  provisional  applications,  converted  provisionals,  continuations,  continuations-in-part,
continued prosecution, divisional and substitute applications, renewals, continued prosecution applications and all patents granted
thereon;  (c)  patents-of-addition,  revalidations,  reissues,  reexaminations  and  extensions  or  restorations  (including  any
supplementary  protection  certificates  and  the  like)  by  existing  or  future  extension  or  restoration  mechanisms,  including  patent
term  adjustments,  patent  term  extensions,  supplementary  protection  certificates  or  the  equivalent  thereof;  (d)  inventor’s
certificates,  utility  models,  petty  patents,  innovation  patents  and  design  patents;  (e)  other  forms  of  government-issued  rights
substantially  similar  to  any  of  the  foregoing,  including  so-called  pipeline  protection  or  any  importation,  revalidation,
confirmation or introduction patent or registration patent or patent of additions to any of such foregoing; and (f) United States and
foreign counterparts of any of the foregoing.

1.72    “Person” means any individual, corporation, partnership, association, joint-stock company, trust, unincorporated

organization or government or political subdivision thereof.

1.73    “Phase 1 Trial” means (a) both a Phase 1a Trial and a Phase 1b Trial, or (b) a single trial that may contain elements

of both a Phase 1a Trial and a Phase 1b Trial.

(a)        “Phase  1a  Trial”  means  a  Clinical  Trial  of  a  compound,  the  principal  purpose  of  which  is  a  preliminary
determination of safety, pharmacokinetics, and pharmacodynamic parameters in healthy individuals or patients, as described in
21 C.F.R. 312.21(a), or a similar clinical study prescribed by the Regulatory Authorities in a foreign country.

(b)        “Phase  1b  Trial”  means  a  Clinical  Trial  of  a  compound,  the  principal  purpose  of  which  is  a  further
determination of safety and pharmacokinetics (including exploration of trends of a biomarker-based or clinical endpoint-based
efficacy relationship to dose which are not designed to be statistically significant) of the compound whether or not in combination
with concomitant treatment after an initial Phase 1a Clinical Trial, prior to commencement of Phase 2 Trials or Phase 3 Trials,
and which provides (itself or together with other available data) sufficient evidence of safety to be included in filings for a Phase
2 Trial or a Phase 3 Trial with Regulatory Authorities, or a similar clinical study prescribed by the Regulatory Authorities in a
foreign country.

1.74    “Phase 2 Trial” means a Clinical Trial of a product in any country that would satisfy the requirements of U.S. 21
C.F.R.  Part  312.21(b)  and  is  intended  to  explore  a  variety  of  doses,  dose  response,  and  duration  of  effect,  and  to  generate
evidence of clinical safety and effectiveness for a particular indication or indications in a target patient population, or a similar
clinical study prescribed by the relevant Regulatory Authorities in a country other than the United States.

1.75    “Phase 3 Trial” means a Clinical Trial of a product in any country that would satisfy the requirements of U.S. 21
C.F.R.  Part  312.21(c)  and  is  intended  to  (a)  establish  that  the  product  is  safe  and  efficacious  for  its  intended  use,  (b)  define
contraindications,  warnings,  precautions  and  adverse  reactions  that  are  associated  with  the  product  in  the  dosage  range  to  be
prescribed,  and  (c)  support  Regulatory  Approval  for  such  product,  or  a  similar  clinical  study  prescribed  by  the  relevant
Regulatory Authorities in a country other than the United States.

1.76        “Pivotal  Clinical  Trial”  means  a  Clinical  Trial  of  a  product  on  a  sufficient  number  of  subjects  that,  prior  to

commencement of the trial, satisfies both of the following ((a) and (b)):

(a)        such  trial  is  designed  to  establish  that  such  product  has  an  acceptable  safety  and  efficacy  profile  for  its
intended use, and to determine warnings, precautions, and adverse reactions that are associated with such product in the dosage
range  to  be  prescribed,  which  trial  is  intended  to  support  Regulatory  Approval  of  such  product,  or  a  similar  clinical  study
prescribed by the FDA, EMA or other applicable Regulatory Authority; and

(b)    such trial is a registration trial sufficient for filing an application for a Regulatory Approval for such product
in the U.S. or another country or some or all of an extra-national territory, as evidenced by (i) an agreement with or statement
from the FDA, the EMA or other applicable Regulatory Authority on a Special Protocol Assessment or equivalent, or (ii) other
guidance or minutes issued by the FDA, EMA or other applicable Regulatory Authority, for such registration trial.

1.77    “Preferentially Binds” shall mean, [**].

1.78    “Pricing Approval” means, in a country where a Governmental Entity authorizes reimbursement for, or approves or
determines pricing for, biopharmaceutical products, receipt (or, if required to make such authorization, approval or determination
effective, publication) of such reimbursement authorization or pricing approval or determination (as the case may be).

1.79    “Product” means any product comprising or consisting of an ADC that Preferentially Binds a Licensed Target that
uses or incorporates MERSANA Technology and (a) which uses or comprises the Licensed Technology; or (b) which is Covered
by any Valid Claim of the Licensed Patents.

1.80    “Prosecute” or “Prosecution” means, with respect to Patents, the filing for, prosecuting, responding to oppositions,
nullity actions, re-examinations, revocation actions and similar proceedings (including conducting or participating in interference
and oppositions) filed by Third Parties against, and maintaining, Patents.

1.81        “Regulatory  Approval”  means,  with  respect  to  a  country  or  jurisdiction  within  the  Territory,  final  regulatory
approval  (excluding  Pricing  Approval)  required  for  the  Manufacture  and  Commercialization  of  a  Product  for  a  disease  or
condition  in  accordance  with  the  Laws  of  such  country  or  jurisdiction.  In  the  United  States,  its  territories  and  possessions,
Regulatory  Approval  means  approval  of  a  NDA,  Biologics  License  Application  or  an  equivalent  by  the  FDA.  In  the  EU,
Regulatory Approval means marketing authorization from the EMA.

1.82    “Regulatory Authority” means any national (e.g., the FDA), supranational (e.g., the EMA), regional, state or local
regulatory  agency,  department,  bureau,  commission,  council  or  other  Governmental  Entity  in  any  jurisdiction  of  the  world
involved in the granting of Regulatory Approval or Pricing Approval for biopharmaceutical products.

1.83    “Regulatory Documentation” means all submissions to Regulatory Authorities and other Governmental Entities,
including for Clinical Trials, preclinical trials, tests, and biostudies, relating to a Product, including all INDs, NDAs, Biologics
License  Application,  Regulatory  Approvals  and  Pricing  Approvals,  as  well  as  all  correspondence  with  Governmental  Entities
(registration  and  licenses,  pricing  and  reimbursement  correspondence,  regulatory  drug  lists,  advertising  and  promotion
documents), adverse event files, complaint files, Manufacturing records and inspection reports.

1.84    “Representatives”  means  a  Party’s  Affiliates  and  its  and  their  officers,  directors,  employees,  contractors,  agents

(including internal and external legal counsel and accountants) and advisors.

1.85    “Reservation Fee” has the meaning set forth in Section 2.2(b)(7).

1.86    “Reservation Notice” has the meaning set forth in Section 2.2(b)(5).

1.87    “Reservation Period” has the meaning set forth in Section 2.2(b)(7).

1.88    “Reserved Target” has the meaning set forth in Section 2.2(b)(7).

1.89    “Royalty Term” means, on a Product-by-Product and country-by-country basis, the period beginning on the First
Commercial Sale of such Product in such country and ending on the expiration, cessation of enforceability or abandonment of the
last Valid Claim in all Licensed Patents that Cover such Product in such country.

1.90    “Sales Milestone Event” has the meaning set forth in Section 3.5.

1.91    “Sales Milestone Payment” has the meaning set forth in Section 3.5.

1.92    “Sublicense Agreement” has the meaning set forth in Section 2.4.

1.93        “Sublicensee”  means  a  Third  Party  to  whom  MERSANA  or  its  Affiliate  enters  into  a  Sublicense  Agreement
hereunder  to  Develop,  Manufacture,  Commercialize,  or  otherwise  Exploit  a  Product,  but  excluding  wholesalers  and  other
physical distributors. For the avoidance of doubt, if MERSANA sells to a wholesaler or other physical distributor, such sale to
such wholesaler or distributor shall be deemed a sale for purposes of calculating Net Sales hereunder.

1.94    “Sublicensee Option” has the meaning set forth in Section 2.4(b).

1.95    “Sublicensee Option Period” has the meaning set forth in Section 2.4(b).

1.96    “Sublicensee Targets” has the meaning set forth in Section 2.4(b).

1.97    “SNFX Indemnitees” has the meaning set forth in Section 8.1.

1.98    “Supply Agreement” shall mean the supply agreement to be negotiated and agreed upon between the Parties, the

key terms of which are attached as Schedule 3 hereto.

1.99        “Target”  means  (a)  a  specific  protein  as  defined  by  its  UniProtKB/Swiss-Prot  number  (including  any  glyco  or
lipoprotein  or  carbohydrate),  and  any  unique  fragment,  peptide,  epitope  or  isoform  thereof,  and  any  naturally  occurring  allelic
variant or splice variants thereof, that are encoded by the same gene (“Antigen”), or (b) [**].

1.100    “Target Approval Request Notice” has the meaning set forth in Section 2.2(b)(1).

1.101    “Tech Transfer” has the meaning set forth in Section 2.7.

1.102    “Term” has the meaning set forth in Section 10.1.

1.103    “Terminated Target” has the meaning set forth in Section 10.2(a).

1.104    “Termination Notice” has the meaning set forth in Section 2.4(b).

1.105    “Territory” means worldwide.

1.106    “Three-way Mutual Non-Disclosure Agreement” means that certain 3-Way Mutual Non-Disclosure Agreement by
and between the Parties and Me Jean-Paul Vulliety (escrow agent) with an effective date of August 2, 2018, as amended by that
certain Confidential Disclosure Agreement Amendment with an effective date of November 29, 2018 and that certain Confidential
Disclosure Agreement Amendment with an effective date of January 31, 2019, that are attached to this CLOA as Exhibit D and
Exhibit E, respectively, and that the Parties intend shall be further amended within [**] of the Amendment Date.

1.107    “Third Party” means any Person other than SNFX, MERSANA or any Affiliate of either SNFX or MERSANA.

1.108    “Unavailable Target” means, with respect to a Target [**] any Target for which (a) SNFX or any of its Affiliates
has granted an exclusive license or an exclusive option to a license, that in either case has not expired or terminated, to a Third
Party  to  Develop,  Manufacture,  Commercialize  and  otherwise  Exploit  a  product  (i)  against  the  Target,  or  (ii)  against  a  [**]
Antigen [**], in each case ((i) and (ii)) to the extent such exclusive license or

exclusive option would conflict with the grant of rights with respect to such Target to MERSANA hereunder prior to the date
Agent sends notice of Final Target Verification (as defined herein), the date of the Initial Target Substitution Notice or the date of
the Additional Target Substitution Notice, as applicable, to MERSANA, (b) SNFX has notified the Agent that it has exclusively
reserved  for  itself  or  its  Affiliates  such  Target  (without,  for  the  avoidance  of  doubt,  any  obligation  to  conduct  Development
activities with respect to such Target); provided that the number of such reserved Targets shall not exceed four (4) at any given
time  and  SNFX  will  not  substitute  any  such  reserved  Target  more  than  one  (1)  time  per  Calendar  Quarter,  or  (c)  SNFX  has
initiated a bona fide program for Development of a product against the Target, for which SNFX has approved a research plan, has
identified  an  antibody-drug  conjugate  or  other  product  against  such  Target  to  be  used  in  such  program,  and  has  commenced
activities to make an antibody-drug conjugate or other product against such Target, and in the case of clause (a), (b) or (c), SNFX
has provided written notice thereof to Agent prior to the date Agent sends notice of Final Target Verification to MERSANA, the
date  of  the  Initial  Target  Substitution  Notice  or  the  date  of  the  Additional  Target  Substitution  Notice,  as  applicable.  For  the
avoidance of doubt, [**].

1.109    “Valid Claim” means, with respect to a Patent in a country, any claim of an (a) issued patent that has not (i) been
held unpatentable, unenforceable or invalid by a court or other Governmental Entity of competent jurisdiction in a decision that is
not  appealed  or  is  unappealable,  or  (ii)  expired,  irretrievably  lapsed  or  been  abandoned,  revoked,  admitted  to  be  invalid  or
unenforceable through reissue, dedicated to the public or disclaimed, or (b) application for a Patent that (i) has been pending for
less than [**] years and is being prosecuted in good faith and has not been cancelled, withdrawn or abandoned or (ii) has not been
admitted to be invalid or unenforceable through reissue, reexamination, or disclaimer, and which is not subject to an interference
claim.

1.110    Unless the context of this CLOA otherwise requires: (a) words of any gender include each other gender; (b) words
using  the  singular  or  plural  number  also  include  the  plural  or  singular  number,  respectively;  (c)  the  terms  “hereof,”  “herein,”
“hereby” and derivative or similar words refer to this entire CLOA; (d) the terms “Article,” “Section” or “Exhibit” refer to the
specified Article, Section or Exhibit of this CLOA; and (e) the term “including” means “including without limitation” and “but
not limited to”; (f) the words “will” and “shall” have the same meaning, (g) the word “or” has the inclusive meaning represented
by  the  phrase  “and/or”,  and  (h)  all  references  to  monetary  amounts  are  to  United  States  of  America  currency  (U.S.  Dollars).
Whenever this CLOA refers to a number of days, such number shall refer to calendar days. The preamble to this CLOA and the
descriptive headings of Articles and Sections are inserted solely for convenience of reference and are not intended as complete or
accurate descriptions of the content of this CLOA or of such Articles or Sections.

ARTICLE 2
LICENSES, SUPPLY AND TECHNOLOGY TRANSFER

2.1.    Non-Exclusive License and Research License.

(a)    During the Term and thereafter as provided in Sections 10.3(a)(2) and 10.3(a)(3) and in accordance with the
terms and conditions of this CLOA, SNFX, on behalf of itself and its Affiliates, shall grant and does hereby grant to MERSANA
and its Affiliates a non-exclusive, transferable only in accordance with Section 11.5, royalty-bearing right and license, with the
right to grant sublicenses (through multiple tiers) only in accordance with Section 2.4, to and under the Licensed Technology to
Develop,  Manufacture,  Commercialize  and  otherwise  Exploit  Products  that  are,  in  each  case,  against  the  Initial  Target,  in  the
Field in the Territory.

Affiliates a non-exclusive, transferable only in accordance with

(b)        SNFX,  on  behalf  of  itself  and  its  Affiliates,  shall  grant  and  does  hereby  grant  to  MERSANA  and  its

Section  11.5,  royalty-free  right  and  license,  with  the  right  to  grant  sublicenses  (through  multiple  tiers)  solely  to  Third  Parties
acting on MERSANA’s behalf and in accordance with Section 2.4, to use the Materials (as defined herein) supplied pursuant to
Section  2.6  to  conduct  internal  research  and  perform  or  have  performed  Manufacturing  activities  for  such  research  for  the
purpose of determining whether to exercise an Option right hereunder (i) after confirmation that a Target is not an Unavailable
Target,  (ii)  after  reservation  of  such  Target  (including  payment  of  the  applicable  Reservation  Fee  for  such  Target)  pursuant  to
Section 2.2(b)(7), and (iii) during the corresponding Reservation Period for such Target.

2.2.    Option Right and Non-Exclusive License for Additional Targets

(a)    At any time on or after the Effective Date and until the Option Term expiration date set forth below in this
Section 2.2(a) for each Option, MERSANA shall have [**] options (represented by [**] (inclusive), and each an “Option”)  to
obtain a non-exclusive license under the Licensed Technology for Products against an additional Target (i.e., [**]) in the Field, in
the Territory, provided however, that each such additional Target selected for an Option is not an Unavailable Target on the day
that the Agent provides notice of Final Target Verification (as defined below) to MERSANA for such Target. On an Option-by-
Option  basis,  each  Option  may  be  exercised  from  the  Effective  Date  until  the  corresponding  Option  Term  expiration  date
provided below (as applied to each Target, the “Option Term” for such Target), and the Option right for each of [**] will expire
on the corresponding Option Term expiration date shown below if such Option right remains unexercised on such expiration date.

Option Number
[**]
[**]
[**]
[**]
[**]
[**]
[**]
[**]
[**]
[**]
[**]

Option Term Expiration Date
[**]
[**]
[**]
[**]
[**]
[**]
[**]
[**]
[**]
[**]
[**]

corresponding Target set forth in Section 2.2(a) as follows:

(b)    During any applicable Option Term, MERSANA may exercise its reservation rights and Option rights for the

(1)    MERSANA shall send a written notice to the Agent identifying the Target [**] it wishes to confirm is
not  an  Unavailable  Target  or  reserve  for  the  purpose  of  the  grant  of  a  License  under  Section  2.2(c)  of  this  CLOA  (“Target
Approval Request Notice”).

(2)    Within [**] days after its receipt of the Target Approval Request Notice, the Agent shall verify, and
confirm  in  writing  to  MERSANA  and  SNFX,  whether  each  requested  Target  is  an  Unavailable  Target  and,  if  a  Target  is  an
Unavailable  Target,  whether  the  Unavailable  Target  is  an  Unavailable  Target  as  a  result  of  clause  (b)  or  clause  (c)  of  Section
1.108.

(3)    If the proposed Target is an Unavailable Target, MERSANA will not have exhausted any of its rights
to designate another Target and the above procedure may be repeated by MERSANA until such a notice is made with respect to a
Target that is not an Unavailable Target; and provided, further, that such process shall not extend or otherwise alter the Option
Term specified for any given Target as set forth in Section 2.2(a).

(4)        If  the  Target  requested  by  MERSANA  is  not  an  Unavailable  Target,  the  Agent  shall  confirm  in
writing  to  MERSANA  that  the  Target  is  available  for  the  grant  of  a  License  within  [**]  days  after  its  receipt  of  the  Target
Approval Request Notice (“Final Target Verification”). Following the date the Agent sends a Final Target Verification notice to
MERSANA, SNFX shall not take any action that would result in a Target becoming an Unavailable Target (i) during the [**]
period in Section 2.2(b)(5), (ii) during the applicable Reservation Period (as defined below, if applicable) if MERSANA reserves
such  Target  pursuant  to  the  Target  reservation  process  set  forth  in  Sections  2.2(b)(5)  and  2.2(b)(7),  including  paying  the
applicable Reservation Fee, or (iii) if MERSANA provides an Option Notice (as defined below), during the [**] that MERSANA
has  to  pay  the  respective  License  Fee  (if  any)  under  Section  2.2(b)(6).  MERSANA  shall  not  provide  any  additional  Target
Approval  Request  Notices  in  any  Calendar  Quarter  [**]  after  Agent  has  confirmed  in  writing  to  MERSANA  [**]  in  such
Calendar  Quarter  that  a  [**]  is  not  an  Unavailable  Target  and  is  available  for  the  grant  of  a  License.  For  clarity,  [**]  in  any
particular  Calendar  Quarter  described  above,  MERSANA  shall  not  be  limited  in  the  number  of  times  it  provides  a  Target
Approval Request Notice, and Agent shall not be limited in the number of times it processes a Target Approval Request Notice.

(5)        Within  [**]  Days  after  receiving  such  Final  Target  Verification,  MERSANA  may  provide  written
notification to SNFX of its right to either (i) in respect of Options [**] (inclusive) and Options [**] (inclusive) only, reserve the
Target subject to Section 2.2(b)(7) (the “Reservation Notice”) or (ii) in respect of Options [**] (inclusive), exercise the Option
right under this Section 2.2(b) (the “Option Notice”), and in the case of either (i) or (ii), the Reservation Notice or Option Notice
(as  applicable)  shall  indicate  the  identity  of  the  Target  [**],  which  shall  be  specified  by  its  common  name(s)  and
UniProtKB/Swiss-Prot number(s).

(6)    With  respect  to  each  Option  Notice,  within  [**]  days  after  MERSANA  provides  SNFX  with  such
Option  Notice,  and  following  receipt  of  a  written  invoice,  MERSANA  shall  pay  the  appropriate  License  Fee  to  SNFX,  as  set
forth in Section 3.2, with respect to such Target.

(7)        During  the  applicable  Option  Terms,  MERSANA  may,  with  respect  to  each  of  Options  [**]
(inclusive) and Options [**] (inclusive), exercise its right to reserve a Target that is not an Unavailable Target (each, a “Reserved
Target”) pursuant to a Reservation Notice, for a period of up to [**] months each (the “Reservation Period”); provided that, (A)
MERSANA may unreserve a Reserved Target at any time upon written notice to SNFX, with the Reservation Period for such
Reserved Target being deemed to expire on the date of such written notice; and (B) if the Option Term has expired in respect of
an  Option  without  any  Target  being  reserved  in  accordance  with  this  Section  2.2(b)(7),  MERSANA’s  right  to  reserve  a  Target
with respect to such Option shall also expire. With respect to any Reserved Target, SNFX shall not take any action that would
result in such Target becoming an Unavailable Target during the applicable Reservation Period. MERSANA shall pay to SNFX a
one-time non-refundable reservation issuance fee for each Reserved Target (each a “Reservation Fee”) in the following

amounts, as applicable: (i) [**] U.S. Dollars (U.S. $[**]) for each of Option [**]; and (ii) [**] U.S. Dollars (U.S. $[**]) for each
of Options [**] (inclusive); which shall be payable within [**] days after MERSANA provides SNFX with a Reservation Notice
for such Target, and following receipt of a written invoice from SNFX. If MERSANA subsequently elects to exercise its Option
right  under  this  Section  2.2(b)  for  a  Reserved  Target  during  the  Reservation  Period,  then  MERSANA  shall  provide  an  Option
Notice and pay the remainder of the License Fee owed pursuant to the procedures set forth in Section 2.2(b)(6); provided that the
Reservation Fee(s) previously paid by MERSANA in relation to such Option shall be deducted from the License Fee owed by
MERSANA under Section 3.2 for such Target. If MERSANA does not subsequently elect to exercise its Option right under this
Section  2.2(b)  for  a  Reserved  Target  during  the  Reservation  Period,  then  the  Reservation  Fee  paid  by  MERSANA  for  such
Reserved Target shall be deemed to be final, nonrefundable and non-creditable against any other payments owed by MERSANA
to SNFX.

(c)        Only  upon  MERSANA  exercising  its  Option  right  for  a  given  Target  by  (i)  obtaining  Final  Target
Verification for such Target, (ii) providing its Option Notice for such Target, and (iii) making payment of the appropriate License
Fee  (if  applicable),  shall  the  Option  right  of  MERSANA  be  considered  fully  exercised  with  respect  to  such  Target  whereby,
during the Term and thereafter as provided in Section 10.3(a)(2), and in accordance with the terms and conditions of this CLOA,
SNFX, on behalf of itself and its Affiliates, shall grant and does hereby grant to MERSANA and its Affiliates a non-exclusive,
transferable only in accordance with Section 11.5, royalty-bearing right and license, with the right to grant sublicenses (through
multiple  tiers)  only  in  accordance  with  Section  2.4,  to  and  under  the  Licensed  Technology  to  Develop,  Manufacture,
Commercialize and otherwise Exploit Products that are, in each case, against such Target, in the Field in the Territory (each such
grant, a “License,” and each such Target, including the Initial Target, a “Licensed Target”).

(d)    SNFX shall be solely responsible for the Agent’s performance of its obligations under this CLOA and SNFX
shall be liable for any breach by the Agent of any such obligation or any error or omission of or by the Agent in performing such
obligations related to (i) the correct assessment and reservation of each Target; (ii) adherence to the timelines, both (i) and (ii) as
set  forth  in  Section  2.2(b)  and  in  Section  2.9,  and  (iii)  Agent’s  confidentiality  obligations  in  the  Three-Way  Mutual  Non-
Disclosure Agreement (or any similar three-way confidentiality agreement with an Agent entered into pursuant to Section 2.10).

(e)    For clarity, except as expressly provided herein, SNFX grants no other right or license, including any rights
or  licenses  to  the  Licensed  Technology  or  any  other  Intellectual  Property  Rights  not  otherwise  expressly  granted  herein.
Notwithstanding  anything  to  the  contrary  in  this  CLOA  and  without  limitation  of  any  rights  granted  or  reserved  to  SNFX
pursuant to any other term or condition of this CLOA, SNFX hereby expressly retains, on behalf of itself and its Affiliates and
sublicensees,  all  rights  in  and  to  the  Licensed  Technology,  including  with  respect  to  the  Licensed  Target,  to  Develop,
Manufacture, Commercialize and otherwise Exploit products inside and outside the Field throughout the Territory and nothing in
this CLOA shall be deemed or construed to in any way to restrict any such exploitation.

(f)    As of the Amendment Date, MERSANA shall be deemed to have exercised its Option right under Option
[**] with respect to the Target identified in a certain letter agreement signed by the Parties as of the Amendment Date, and such
Target shall be a Licensed Target that is Licensed pursuant to Section 2.2(c). [**].

2.3.    [**] Products. For the avoidance of doubt, if MERSANA is developing, or desires to develop, a Product containing a [**]
ADC  against  a  Target  [**]  and  wishes  to  reserve  such  Target  pursuant  to  Section  2.2(b)(7)  or  exercise  its  Option  pursuant  to
Section 2.2(c), MERSANA shall designate the Target [**] for the Target verification process set out in Section

2.2(b). Provided such Target is not an Unavailable Target, and subject to MERSANA exercising its rights in accordance with the
procedure  in  Section  2.2(b)(7)  or  Section  2.2(c)  (as  applicable),  the  corresponding  Reserved  Target  and  Licensed  Target  [**]
selected  by  MERSANA.  In  addition  and  for  clarity,  and  in  each  case  subject  to  Section  7.5(a):  (a)  where  MERSANA  or  its
Sublicensee Develops, Manufactures, Commercializes and otherwise Exploits a Product comprising a [**] ADC under a License
(i.e. the Licensed Target is a Target [**], SNFX shall not be prevented from (i) granting exclusive and non-exclusive licenses to
products that are directed to any [**] of such Licensed Target only; (ii) granting exclusive and non-exclusive licenses to products
that are directed to any individual Antigen of such Licensed Target and one (1) or more Antigens not included in such Licensed
Target;  or  (iii)  granting  non-exclusive  licenses  to  products  that  are  directed  [**]  in  such  Licensed  Target  (but  not  exclusive
licenses to [**] covered by such Licensed Target); and (b) where the Licensed Target [**] in accordance with this Section 2.3,
neither MERSANA nor its Sublicensees shall be permitted to Develop, Commercialize or otherwise Exploit a Product [**] under
the License to such Licensed Target, unless such Antigen is also, [**], a Licensed Target under this CLOA.

2.4.    Sublicenses.

(a)    The rights and licenses granted pursuant to Section 2.1 and Section 2.2 include the right to grant sublicenses
(through multiple tiers) to Third Parties pursuant to a written sublicense agreement (each a “Sublicense Agreement”); provided,
however, that (a) MERSANA or its Affiliate may only enter into Sublicense Agreements with respect to Licensed Targets, and
with respect to any specific Licensed Target, only after the corresponding License Fee for such Licensed Target has been paid to
SNFX; (b) MERSANA shall provide SNFX with a copy of each such Sublicense Agreement granted under this Section 2.4, and
any  amendment  thereto,  within  thirty  (30)  days following  execution  thereof,  it  being  understood  and  agreed  to  by  SNFX  that
commercially sensitive information may be redacted from such copies to the extent such information is not necessary to verify
compliance hereunder, and the terms, conditions and existence of such Sublicense Agreement and amendments thereto shall be
deemed  the  Confidential  Information  of  MERSANA;  (c)  any  such  Sublicense  Agreement  and  amendments  thereto  shall  be
consistent with and subject to the terms and conditions of this CLOA; (d) MERSANA shall remain fully responsible to SNFX for
the  performance  of  its  Sublicensee(s)  with  respect  to  MERSANA’s  obligations  under  the  terms  of  this  CLOA;  and  (e)
MERSANA  shall  reserve  the  right  under  each  Sublicense  Agreement  to  conduct  an  audit  of  its  Sublicensee  in  a  comparable
manner to Section 3.12. MERSANA shall remain obligated to make all payments due to SNFX under the terms of this CLOA
with respect to the activities of its Sublicensees.

(b)        If  SNFX  delivers  a  notice  of  termination  to  MERSANA  pursuant  to  any  of  Sections  10.2(b),  10.2(c)  or
10.2(d)  (each  a  “Termination  Notice”),  SNFX  will  grant,  and  hereby  grants,  an  option  (the  “Sublicensee  Option”)  to  each
Sublicensee  (that  is  not  (i)  at  the  time  of  such  termination,  in  material  breach  of  its  Sublicense  Agreement,  or  (ii)  the  party
challenging a Licensed Patent in respect of Section 10.2(d)) to enter into a license agreement directly with SNFX with respect to
Products against any Licensed Targets that are also within the scope of such Sublicensee’s sublicense from MERSANA under the
Licensed  Technology,  as  of  the  date  of  the  Termination  Notice  (such  Licensed  Targets,  the  “Sublicensee  Targets”).  Each
Sublicensee  may  exercise  its  Sublicensee  Option  by  providing  a  written  notice  to  SNFX  within  [**]  from  the  date  the
Termination  Notice  is  given  (“Sublicensee  Option  Period”).  If  a  Sublicensee  exercises  the  Sublicensee  Option  prior  to  the
expiration of the Sublicensee Option Period, SNFX and such Sublicensee shall enter into a license agreement directly with each
other (the “New License Agreement”) on substantially the same terms and conditions as those set forth in this CLOA, including
license scope, territory, duration of license grant and financial terms; provided that, for the avoidance of doubt, SNFX shall not be
required  to  agree  to  any  terms  in  such  New  License  Agreement  that  impose  any  obligations  on  SNFX  that  are  not  in  this
Agreement. On a Sublicensee-by-Sublicensee basis, this CLOA will not be deemed to be terminated with respect

to any Products against the Sublicensee Targets for the purposes of the Sublicense Agreement (but, for clarity, MERSANA and
its  Affiliates  shall  not  have  any  rights  in  respect  of  Products  against  such  Sublicensee  Targets  under  this  CLOA  following
MERSANA’s receipt of the Termination Notice, except as expressly provided in this CLOA (including Section 10.3(c))), until:
(1)  if  Sublicensee  does  not  exercise  the  Sublicensee  Option  during  the  Sublicensee  Option  Period,  the  expiration  of  the
Sublicensee Option Period; or (2) if Sublicensee exercises the Sublicensee Option during the Sublicensee Option Period, the date
when the New License Agreement is fully executed and is in full force and effect.

2.5.    Manufacturing. Except as otherwise set forth in this Article 2, MERSANA shall, with the exception of activities under the
Supply Agreement, be solely responsible for the cost and performance of Manufacturing and supplying, or having Manufactured
and  supplied,  Products  for  Development,  Commercialization  and  other  Exploitation  in  the  Territory.  In  this  role,  MERSANA
shall  have  the  right,  in  its  sole  discretion,  to  identify  and  manage  CMOs  (as  defined  below),  as  well  as  lead  all  supply  chain
management and quality control activities.

2.6.        Supply  Agreement.  The  Parties  shall  use  Commercially  Reasonable  Efforts  to  negotiate  and  execute  the  Supply
Agreement  consistent  with  the  terms  set  forth  herein  and  in  Schedule  3  attached  hereto  within  sixty  (60)  days  following  the
Effective Date. Pursuant to such Supply Agreement, SNFX will Manufacture and supply, or have Manufactured and supplied by
one  or  multiple  CMOs,  for  MERSANA  batches  of  certain  proprietary  components  of  the  Licensed  Technology  [**]  for  the
Manufacture of Products (the “Materials”), in such quantities and at such times as reasonably requested by MERSANA for any
pre-clinical activities and Phase 1 Trial of a Product and for use of the Materials in exercising the rights granted under Section
2.1(b).  The  Supply  Agreement  shall  contain  such  additional  terms  that  are  reasonable  and  customary  for  similar  supply
agreements  entered  into  by  biopharmaceutical  companies,  including  customary  quality  terms.  If  requested  by  MERSANA,  the
Parties shall use good faith efforts to enter into a mutually-agreeable quality agreement on customary terms. In the event that the
Parties are not able to execute the Supply Agreement (and quality agreement, if applicable) by the date that is [**] days after the
Effective Date, the Parties shall engage an independent expert mutually agreed upon by both Parties, the costs of which shall be
equally  shared  by  the  Parties,  and  each  Party  shall  submit  to  such  expert,  within  [**]  days  of  the  selection  of  the  expert,  all
applicable materials and information regarding the open areas of dispute in the Supply Agreement, and the expert shall provide
its determination on such open areas within [**] days thereafter, which determination shall be binding on the Parties. The Parties
acknowledge  and  agree  that,  as  of  the  Amendment  Date,  the  Parties  have  entered  into  a  Supply  Agreement  which  shall  be
deemed to have satisfied the terms of this Section 2.6 while such Supply Agreement is in effect.

2.7.    Tech Transfer.

(a)    MERSANA shall have the right, at any time after the Effective Date, to require SNFX to effect a transfer to
MERSANA, or any Affiliate or CMO designated by MERSANA, of SNFX’s Know-How relating to the then-current process for
the Manufacture of the Materials or the bioconjugation and Manufacture of remodeled antibodies using the Licensed Technology
(collectively, the “Manufacturing Processes”) as is necessary and useful to enable MERSANA to implement the Manufacturing
Processes  at  facilities  designated  by  MERSANA  (such  transfer,  the  “Tech  Transfer”).  SNFX  shall  provide,  and  shall  use
Commercially  Reasonable  Efforts  to  cause  its  CMOs  to  provide  (including  by  using  Commercially  Reasonable  Efforts  to
negotiate  contractual  obligations  for  such  CMOs  to  do  so  under  agreements  entered  into  following  the  Effective  Date),  the
reasonable  assistance  requested  by  MERSANA  to  enable  MERSANA  (or  its  Affiliates  or  designated  CMOs,  as  applicable)  to
implement the Manufacturing Processes at the facilities designated by MERSANA. If requested by MERSANA, such assistance
shall include facilitating the entering into of agreements with

applicable  CMOs  relating  to  the  Manufacture  of  the  Materials  and  the  bioconjugation  and  Manufacture  of  the  remodeled
antibodies using the Licensed Technology. Without limitation to the foregoing, in connection with each Tech Transfer:

(1)    SNFX shall make available, and shall use Commercially Reasonable Efforts to cause its CMOs to
make available (including by using Commercially Reasonable Efforts to negotiate contractual obligations for such CMOs to do
so  under  agreements  entered  into  following  the  Effective  Date),  to  MERSANA  (or  its  Affiliates  or  designated  CMOs,  as
applicable)  from  time  to  time  as  MERSANA  may  reasonably  request,  all  Manufacturing-related  Know-How  relating  to  the
Manufacturing  Processes,  and  all  documentation  constituting  material  support,  performance  advice,  shop  practice,  standard
operating  procedures,  specifications  as  to  materials  to  be  used  and  control  methods,  that  are  reasonably  necessary  or  useful  to
enable MERSANA (or its Affiliates or designated CMOs, as applicable) to use and practice the Manufacturing Processes;

(2)    SNFX shall cause all appropriate employees and representatives of SNFX and its Affiliates to meet
with, and shall use Commercially Reasonable Efforts to cause all appropriate employees and representatives of its CMOs to meet
with (including by using Commercially Reasonable Efforts to negotiate contractual obligations for such CMOs to do so under
agreements  entered  into  following  the  Effective  Date),  employees  or  representatives  of  MERSANA  (or  its  Affiliates  or
designated CMOs, as applicable) at the applicable Manufacturing facility at mutually convenient times to assist with the working
up  and  use  of  the  Manufacturing  Processes  and  with  the  training  of  MERSANA’s  personnel  (or  its  Affiliates’  or  designated
CMOs’  personnel,  as  applicable)  to  the  extent  reasonably  necessary  or  useful  to  enable  MERSANA  (or  its  Affiliates  or
designated CMOs, as applicable) to use and practice the Manufacturing Processes; and

(3)    SNFX shall provide, and shall use Commercially Reasonable Efforts to cause its CMOs to provide
(including  by  using  Commercially  Reasonable  Efforts  to  negotiate  contractual  obligations  for  such  CMOs  to  do  so  under
agreements  entered  into  following  the  Effective  Date),  such  other  assistance  as  MERSANA  (or  its  Affiliates  or  designated
CMOs, as applicable) may reasonably request to enable MERSANA (or its Affiliates or designated CMOs, as applicable) to use
and  practice  the  Manufacturing  Processes  and  otherwise  to  Manufacture  the  Materials  and  to  perform  bioconjugation  and
Manufacture the remodeled antibodies using the Licensed Technology.

(b)        MERSANA  shall  pay  to  CMOs  all  verifiable  costs  incurred  directly  as  a  result  of  performing  the  Tech
Transfer and pay to SNFX all verifiable, out-of-pocket costs and labor [**] incurred directly as a result of performing the Tech
Transfer.  MERSANA  shall  make  such  payment  within  [**]  days  following  SNFX  or  a  CMO  providing  MERSANA  with  an
invoice and reasonable supporting documentation (including receipts) therefor.

(c)    Without limiting the foregoing, in the event that SNFX makes any modification, improvement, alteration or
enhancement  relating  to  the  Manufacture  of  the  Materials  or  the  bioconjugation  or  Manufacture  of  the  remodeled  antibodies
using the Licensed Technology after completion of the activities set forth under this Section 2.7, SNFX shall promptly disclose
such  Improvement  to  MERSANA,  and  shall,  at  MERSANA’s  request,  perform  technology  transfer  with  respect  to  such
Improvement in the same manner as provided in this Section 2.7.

(d)        Access  to  Tech  Transfer  assistance  and  consultation  shall  be  requested  and  coordinated  through  a  single

contact person to be designated by SNFX.

2.8.    Contract Manufacturing.

(a)    Where SNFX, at its discretion, for any activities under the Supply Agreement, outsources the manufacture of
any Materials to Third Party manufacturing organization(s) (“CMOs”), SNFX shall ensure that all contracts for the manufacture
of  Materials  with  such  CMOs  comply  with  the  terms  and  conditions  of  this  CLOA  and  the  Supply  Agreement;  provided,
however, that SNFX’s right to use any such CMO is subject to (i) the Manufacturing Process for the Material implemented by
such CMO being consistent with the regulatory standards applicable to the conduct of pre-clinical studies and Phase 1 Trials and
(ii) MERSANA’s approval of such CMO after conducting a satisfactory audit, such approval not to be unreasonably withheld or
delayed. For  avoidance  of  doubt,  a  satisfactory  audit  includes  an  audit  where  all  identified  deficiencies  have  been  resolved  or
otherwise accepted by MERSANA.

(b)    For the activities conducted under 2.7(a), up to [**] and upon not less than [**] prior written notice, SNFX
will permit MERSANA or its designee, and to the extent it has the right to do so, cause its CMOs to permit MERSANA or its
designee, to inspect and audit the parts of its facility, or its CMOs’ facility where the Manufacture of the Materials is carried out
in order to assess SNFX’s or its CMOs’ compliance with the Supply Agreement (and any quality agreement), and to discuss any
related technical issues with SNFX’s or its CMOs’ management personnel. SNFX shall, and shall direct its CMOs, to the extent it
has the right to do so, to reasonably cooperate with each inspection by making all necessary information in SNFX’s or its CMOs’
possession  available  to  MERSANA  or  its  designee  for  a  reasonable  amount  of  time  to  permit  MERSANA  or  its  designee  to
conduct such inspection. All of the forgoing inspections and audits shall be at MERSANA’s sole cost and expense. SNFX shall
further provide MERSANA with copies of any audit findings of its CMOs promptly following the performance of an audit by
SNFX  of  any  CMO  of  SNFX;  provided  that,  if  required  under  the  applicable  agreement,  SNFX  shall  use  Commercially
Reasonable Efforts to obtain such CMO’s consent to provide such reports. In the event that any issues are identified in any audit
by MERSANA or its designee, SNFX shall, within thirty (30) days after it receives notice of such identified issues, provide a
written explanation thereof to MERSANA, including a corrective action plan that has been implemented to address such issues.
SNFX  shall  take  such  actions  as  may  be  necessary  to  correct  all  identified  issues  in  a  timely  manner  and  SNFX  shall  advise
MERSANA periodically (and at such times as MERSANA may otherwise reasonably request) in writing of progress being made,
as well as when such issues have been corrected. MERSANA shall not be liable for any costs or expenses incurred by SNFX to
correct such deficiencies of SNFX’s or its CMOs’ Manufacturing Processes.

2.9.    Target Substitution.

(a)        In  respect  of  the  Licensed  Targets  for  Option  [**]  (inclusive)  [**],  MERSANA  shall  have  the  right  to
substitute [**] of such Licensed Targets only, at any time prior to the earlier of (a) [**] such Licensed Target; or (b) [**] such
Licensed Target (“Initial Target Substitution Right”), [**].

(1)    If MERSANA is interested in exercising the Initial Target Substitution Right, it shall notify SNFX
and  the  Agent  thereof  without  disclosing  the  new  Target  (such  new  Target,  a  “Proposed  Initial  Target,”  and  such  notice,  an
“Initial Target Substitution Notice”) and shall separately specify to Agent the Proposed Initial Target and the Licensed Target to
be substituted. SNFX shall cause the Agent to notify MERSANA within [**] thereafter whether the Proposed Initial Target is an
Unavailable Target or not.

(2)    If the Proposed Initial Target is an Unavailable Target, the substitution right shall not be deemed to be
exercised  and  Agent  shall  notify  MERSANA  thereof.  In  such  case,  MERSANA  may  thereafter  exercise  its  Initial  Target
Substitution Right to substitute the same or different Licensed Target (as long as it is a Licensed Target for any of

Options [**] (inclusive)) with a different Proposed Initial Target in accordance with this Section 2.9(a), provided that the Initial
Target Substitution Right has not expired.

(3)    If the Proposed Initial Target is not an Unavailable Target, then MERSANA may exercise the Initial
Target Substitution Right by providing written notice thereof to SNFX within [**] of receiving notice that the Proposed Initial
Target is not an Unavailable Target, following which the substituted existing Licensed Target specified in Section 2.9(a)(1) shall
cease to be a Licensed Target and shall become a Terminated Target (unless, for clarity, MERSANA subsequently exercises its
Option right or Target substitution right with respect to such former Licensed Target and a different Option) and such Proposed
Initial Target shall be deemed a Licensed Target hereunder. For clarity, during such [**] period, the Proposed Initial Target shall
not be reserved for MERSANA and SNFX shall have no obligation to ensure that such Proposed Initial Target does not become
an Unavailable Target during such [**] period.

(b)    In respect of any Reserved Targets and Licensed Targets for Option [**] (inclusive) [**], MERSANA shall
have the right, with respect to each such Option, to either (i) substitute the Reserved Target for such Option (if any) at any time
during the Reservation Period for such Reserved Target, or (ii) substitute the Licensed Target for such Option (if any) at any time
prior to the earlier of (a) [**] such Licensed Target; or (b) [**] such Licensed Target (“Additional Target Substitution Right”).
For clarity, if MERSANA has already exercised its Additional Target Substitution Right with respect to the Reserved Target for
an Option, MERSANA will no longer have an Additional Target Substitution Right with respect to the Licensed Target for the
same Option.

(1)        If  MERSANA  is  interested  in  exercising  the  Additional  Target  Substitution  Right,  it  shall  notify
SNFX  and  the  Agent  thereof  without  disclosing  the  new  Target  (such  new  Target,  a  “Proposed  Additional  Target,”  and  such
notice, an “Additional Target Substitution Notice”) and shall separately specify to Agent the Proposed Additional Target and the
Reserved Target or Licensed Target (as applicable) to be substituted. SNFX shall cause the Agent to notify MERSANA within
[**] thereafter whether the Proposed Additional Target is an Unavailable Target or not.

(2)    If the Proposed Additional Target is an Unavailable Target, the substitution right shall not be deemed
to  be  exercised  and  Agent  shall  notify  MERSANA  thereof.  In  such  case,  MERSANA  may  thereafter  exercise  its  Additional
Target  Substitution  Right  for  such  Option  with  a  different  Proposed  Additional  Target  in  accordance  with  this  Section  2.9(b),
provided that the Additional Target Substitution Right for such Option has not expired.

(3)    If the Proposed Additional Target is not an Unavailable Target, then MERSANA may exercise the
Additional Target Substitution Right for such Option by providing written notice thereof to SNFX within [**] of receiving notice
that the Proposed Additional Target is not an Unavailable Target [**], following which the substituted existing Reserved Target
or  Licensed  Target  (as  applicable)  specified  in  Section  2.9(b)(1)  shall  cease  to  be  a  Reserved  Target  or  Licensed  Target  (as
applicable) and shall become a Terminated Target (unless, for clarity, MERSANA subsequently exercises its Target reservation
right,  Option  right  or  Target  substitution  right  with  respect  to  such  former  Licensed  Target  and  a  different  Option)  and  such
Proposed Additional Target shall be deemed a Reserved Target or Licensed Target (as applicable) hereunder. For clarity, during
such  [**]  period,  the  Proposed  Additional  Target  shall  not  be  reserved  for  MERSANA  and  SNFX  shall  have  no  obligation  to
ensure that such Proposed Additional Target does not become an Unavailable Target during such [**] period. In addition, such
[**] period with respect to the substitution of a Reserved Target shall not extend the Option Term in respect of any applicable
Option.

2.10.    Agent. SNFX shall ensure that (a) an Agent (such Agent not to be a director, officer or employee of either
Party  or  its  Affiliates)  has  been  appointed  to  perform  the  activities  under  this  Agreement  applicable  to  an  Agent,  at  all  times
during the period starting from the Effective Date until the expiration of each Option Term and the expiration of MERSANA’s
right to substitute a Target in accordance with Section 2.9 (the “Agent Term”), and (b) at all times during the Agent Term, SNFX
and such then-current Agent are parties to a three-way confidentiality agreement with MERSANA, which includes terms which
prohibit the Agent from disclosing to SNFX any Targets in a Target Approval Request Notice, Initial Target Substitution Notice
or  Additional  Target  Substitution  Notice  from  MERSANA,  until  and  unless  MERSANA  has  provided  a  Reservation  Notice,
Option Notice or a notice to exercise its Initial Target Substitution Right under Section 2.9(a) or to exercise its Additional Target
Substitution Right under Section 2.9(b), as applicable, with respect to such Target.

2.11.        No  Other  Rights. SNFX  and  MERSANA  each  acknowledges  and  agrees  that,  except  as  expressly  granted  under  this
CLOA, no right, title, or interest of any nature whatsoever is granted whether by implication, estoppel, reliance, or otherwise, by
either Party to the other Party. All rights with respect to other Intellectual Property Rights that are not specifically granted herein
are reserved.

2.12.    Bankruptcy. All rights and licenses granted under or pursuant to this CLOA, including amendments hereto, are, and will
otherwise be deemed to be, for purposes of Section 365(n) of 11 U.S.C. Section 101, et. seq. (“Bankruptcy Code”), licenses of
rights  to  “intellectual  property”  as  defined  under  Paragraph  101(35A)  of  the  Bankruptcy  Code,  and  any  comparable  Law  of  a
relevant jurisdiction. The Parties agree that MERSANA shall retain and may fully exercise all of its rights and elections under
applicable Law. The Parties further agree that, in the event of the commencement of bankruptcy proceeding by or against SNFX,
MERSANA shall be entitled to a complete duplicate of (or complete access to, as appropriate) any Licensed Technology which at
that date is known to be useful or necessary for the Development, Manufacture, Commercialization and other Exploitation of any
Products against a Licensed Target throughout the Territory and all embodiments of such Licensed Technology; and the same, if
not  already  in  MERSANA’s  possession,  will  be  promptly  delivered  to  MERSANA  (a)  upon  any  such  commencement  of  a
bankruptcy  proceeding,  upon  MERSANA’s  written  request  therefor  (which  request  must  identify  the  specific  Licensed
Technology), unless SNFX (or trustee on behalf of SNFX) elects within [**] days to continue to perform all of its obligations
under this CLOA or (b) if not delivered under (a) above, upon rejection of this CLOA by or on behalf of SNFX, upon written
request therefor by MERSANA.

ARTICLE 3
PAYMENTS

3.1.        Initial  Target  License  Issuance  Fee.  In  partial  consideration  of  the  rights  and  licenses  granted  by  SNFX  hereunder,
MERSANA  shall  pay  to  SNFX  a  one-time  non-refundable  and  non-creditable  license  issuance  fee  for  the  license  granted
hereunder with respect to the Initial Target of Seven Hundred and Fifty Thousand U.S. Dollars (U.S. $750,000.00) (the “Initial
Target License Fee”) within [**] days after the Effective Date following receipt of a written invoice from SNFX.

3.2.    Additional Target License Issuance Fee. In partial consideration of the rights and licenses granted by SNFX hereunder,
MERSANA shall pay to SNFX on a Licensed Target-by-Licensed Target basis (other than with respect to the Initial Target) a
one-time (for each Licensed Target) non-refundable and non-creditable license issuance fee of [**] (each license issuance fee for
a Licensed Target, together with the Initial Target License Fee, a “License Fee”) upon the issuance of each License for additional
Target for which MERSANA exercises its Option rights under Section 2.2, except that no such License Fee shall be payable in
respect of the Licensed

Targets for Option [**] (inclusive) if MERSANA exercises its Option rights under Section 2.2 in respect of such Targets. Each
License Fee owed under this Section 3.2 shall be paid within [**] days after MERSANA provides SNFX with an Option Notice
in accordance with Section 2.2(b)(5) following receipt of a written invoice from SNFX.

3.3.      Amendment  Fee.  In  partial  consideration  of  the  additional  rights  and  licenses  granted  by  SNFX  as  of  the  Amendment
Date,  MERSANA  shall  pay  to  SNFX  a  one-time  non-refundable  and  non-creditable  deal  expansion  fee  of  three  million  U.S.
Dollars (U.S. $3,000,000.00) within [**] after the Amendment Date following receipt of a written invoice from SNFX.

3.4.        Development  Milestone  Payments.  In  further  consideration  of  the  rights  and  licenses  granted  by  SNFX  hereunder,
MERSANA  shall  pay  to  SNFX  on  a  Licensed  Target-by-Licensed  Target  basis  the  one-time  (for  each  Licensed  Target),  non-
refundable  and  non-creditable  milestone  payments  set  forth  below  (each,  a  “Development Milestone Payment”)  upon  the  first
achievement  by  MERSANA  or  its  Affiliates  or  Sublicensees  of  each  of  the  corresponding  events  (each,  a  “Development
Milestone Event”). MERSANA shall notify SNFX pursuant to Section 11.10 within [**] days after achievement of the applicable
Development Milestone Event and shall pay the corresponding Development Milestone Payment within [**] days after receipt of
SNFX’s invoice therefor. For clarity, each Development Milestone Payment set forth below shall be due and payable one time
only for each Licensed Target (regardless of the number of Products or indications to achieve any such Development Milestone
Event for such Licensed Target) and the Development Milestone Payment amount is determined as shown in the table based upon
the Development Milestone Event and the date on which the License Fee was paid for such Licensed Target.

Development
Milestone Number

Development Milestone Event

Development
Milestone Payment
If License Fee for the
Licensed Target Paid
On or Before [**]

Development
Milestone Payment
If License Fee for the
Licensed Target Paid
On or After [**] but
on or before [**]

Development
Milestone Payment
If License Fee for the
Licensed Target Paid
On or After [**]

1.

2.
3.
4.
5.

First dosing of a patient in the
first Phase 1 Trial of a Product
against the applicable Licensed
Target.
[**]
[**]
[**]
[**]

$750,000

[**]
[**]
[**]
[**]

[**]

[**]
[**]
[**]
[**]

[**]

[**]
[**]
[**]
[**]

In  addition,  upon  the  [**],  MERSANA  shall  pay  to  SNFX  a  one-time,  non-refundable  and  non-creditable  Development
Milestone  Payment  of  [**]  dollars  ($[**]).  MERSANA  shall  notify  SNFX  pursuant  to  Section  11.10  within  [**]  after
achievement of such event [**] and shall pay such corresponding Development Milestone Payment within [**] after receipt of
SNFX’s invoice therefor.

The Parties understand and agree that, if MERSANA or its Affiliates or Sublicensees is able to accelerate the Development of a
Product  such  that  one  or  more  Clinical  Trials  that  would  have  represented  a  Development  Milestone  Event  (as  defined
immediately  above)  can  be  omitted,  the  corresponding  omitted  clinical-stage  Development  Milestone  Payment(s)  shall  still  be
paid in full by MERSANA to SNFX at the time that the next payable Development Milestone Payment is paid.

Notwithstanding  the  foregoing,  the  Development  Milestone  Payment  amounts  set  forth  in  this  Section  3.3  for  any  Licensed
Target for which the corresponding License Fee was paid on or before [**] will be reduced by [**], but only for such Licensed
Target.

3.5.    Sales Milestone Payments. In further consideration of the rights and licenses granted by SNFX hereunder, MERSANA
shall pay to SNFX on a Licensed Target-by-Licensed Target basis the one-time (for each Licensed Target), non-refundable and
non-creditable  milestone  payments  set  forth  below  (each,  a  “Sales  Milestone  Payment”)  upon  the  first  achievement  by
MERSANA or its Affiliates or Sublicensees of each of the corresponding events (each, a “Sales Milestone Event”). MERSANA
shall notify SNFX pursuant to Section 11.10 within [**] days after achievement of the applicable Sales Milestone Event and shall
pay the corresponding Sales Milestone Payment within [**] days after receipt of SNFX’s invoice therefor. For clarity, each Sales
Milestone Payment set forth below shall be due and payable one time only for each Licensed Target (regardless of the number of
Products or indications to achieve any such Sales Milestone Event for each such Licensed Target). All such notices issued from
MERSANA  to  SNFX  hereunder  shall  be  accompanied  by  a  written  statement  setting  forth  in  reasonable  detail  the  calculation
thereof.

Sales Milestone Event

[**]
[**]
[**]
[**]
[**]
[**]

Sales Milestone Payment
(Initial Target and
Licensed Targets for
Option [**] (inclusive))
[**]
[**]
[**]
[**]
[**]
[**]

Sales Milestone Payment (Licensed Targets for
Option [**] (inclusive))

[**]
[**]
[**]
[**]
[**]
[**]

3.6.    Payment of Royalties.

Royalty Term, MERSANA shall pay to SNFX on a Licensed Target-by-Licensed Target basis, the following royalties:

(a)        Royalty  Rate.  In  further  consideration  of  the  rights  and  licenses  granted  by  SNFX  hereunder,  during  the

(1)    in respect of the Initial Target and each of the Licensed Targets for Option [**] (inclusive), if any:

sold by MERSANA, its Affiliates and Sublicensees for that portion of such Net Sales less than [**]; and

(i)    [**] of Net Sales in a Calendar Year in the Territory of Products against such Licensed Target

(ii)    [**] of Net Sales in a Calendar Year in the Territory of Products against such Licensed Target
sold by MERSANA, its Affiliates and Sublicensees for that portion of such Net Sales greater than or equal to [**] and less than
[**]; and

sold by MERSANA, its Affiliates and Sublicensees for that portion of such Net Sales greater than or equal to [**].

(iii)    [**] of Net Sales in a Calendar Year in the Territory of Products against such Licensed Target

(2)    in respect of each of the Licensed Targets for Option [**] (inclusive), if any:

sold by MERSANA, its Affiliates and Sublicensees for that portion of such Net Sales less than [**];

(i)    [**] of Net Sales in a Calendar Year in the Territory of Products against such Licensed Target

sold by MERSANA, its Affiliates and Sublicensees for that portion of such Net Sales greater than or equal to [**];

(ii)    [**] of Net Sales in a Calendar Year in the Territory of Products against such Licensed Target

(iii)    [**] of Net Sales in a Calendar Year in the Territory of Products against such Licensed Target
sold by MERSANA, its Affiliates and Sublicensees for that portion of such Net Sales greater than or equal to [**] and less than
[**];

(iv)    [**] of Net Sales in a Calendar Year in the Territory of Products against such Licensed Target
sold by MERSANA, its Affiliates and Sublicensees for that portion of such Net Sales greater than or equal to [**] and less than
[**]; and

sold by MERSANA, its Affiliates and Sublicensees for that portion of such Net Sales greater than or equal to [**].

(v)    [**] of Net Sales in a Calendar Year in the Territory of Products against such Licensed Target

(b)    Payment of Royalties. MERSANA shall: (a) within [**] days following the end of each Calendar Quarter in
which a royalty payment accrues, provide to SNFX a report, on a Licensed Target-by-Licensed Target basis, for each country in
the Territory in which sales of Product occurred in the Calendar Quarter covered by such statement, specifying for such Calendar
Quarter: the number of Products sold; the gross sales and Net Sales; the royalties payable, including an accounting of itemized
deductions  taken  in  the  calculation  of  Net  Sales  in  accordance  with  MERSANA’s  normal  practices  used  to  prepare  its  audited
financial statements for internal and external reporting purposes and in accordance with GAAP; the applicable exchange rate to
convert foreign currency to U.S. Dollars under Section 3.8; and the royalty calculation and royalties payable in U.S. Dollars, and
(b) make the royalty payments owed to

SNFX hereunder in accordance with such royalty report in arrears, within [**] days from the end of each Calendar Quarter in
which such payment accrues.

by MERSANA with respect to each Product on a country-by-country basis in the Territory solely during the Royalty Term.

(c)    Royalty Term. Notwithstanding anything to the contrary, the royalties under this Section 3.6 shall be payable

(d)    Third Party Payments on Products. MERSANA shall be responsible for paying any amounts due to Third
Parties  under  any  agreement  between  MERSANA  and  such  Third  Party  in  connection  with  the  Development,  Manufacture  or
Commercialization of Product throughout the Territory.

3.7.    Payment Method. All payments made by MERSANA under this CLOA shall be made in U.S. Dollars, and such payments
shall be made by check or wire transfer to:

[**]            

Notwithstanding  the  foregoing,  SNFX  may  designate  another  bank  account  in  writing;  provided  that  such  other  account
information is provided to MERSANA at least thirty (30) days prior to any such payment becoming due hereunder.

3.8.    Currency Conversion. In the event that Products are sold in any country in the Territory in currencies other than U.S.
Dollars,  Net  Sales  shall  be  calculated  by  MERSANA  in  accordance  with  U.S.  generally  accepted  accounting  principles,
consistently  applied.  Net  Sales  in  currencies  other  than  U.S.  Dollars  shall  be  converted  into  U.S.  Dollars  using  MERSANA’s
standard conversion methodology for its own financial reporting.

3.9.    Late Payment Interest. Any payment due and payable to SNFX under the terms and conditions of this CLOA, including
any royalty payment, made by MERSANA after the date such payment is due and payable shall bear interest as of the day after
the date such payment was due and payable and shall continue to accrue such interest until such payment is made at a rate equal
to the lesser of either (a) [**] above the prime rate as reported by Citibank, New York, New York, as of the date such payment
was due and payable, or (b) the maximum rate permitted by applicable Law.

3.10.    Records. On a Product-by-Product basis, following the First Commercial Sale of such Product and thereafter during the
Term,  MERSANA  shall  maintain,  and  shall  cause  its  Affiliates  and  Sublicensees  to  maintain,  complete  and  accurate  records
sufficient to enable accurate calculation of royalties and other payments due SNFX hereunder. Such records and books of account
shall be preserved by MERSANA for a period of [**] years after the end of the period covered by such records and books of
account,  which  obligation  shall  survive  termination  of  this  CLOA.  MERSANA  must  direct  its  Affiliates  and  Sublicensees  to
provide reports and keep records in a manner consistent with this Section 3.10. MERSANA shall provide reports received from
any Affiliates and Sublicensees to SNFX with its applicable payments hereunder.

3.11.    Taxes. MERSANA may withhold from any payment made to SNFX under this CLOA any tax liability of SNFX required
to be withheld by MERSANA under the Laws of the United States or any other country or jurisdiction where MERSANA has
Commercialized Products. If any tax is required by Law to be withheld by MERSANA, MERSANA shall provide SNFX receipts
or  other  evidence  of  such  withholding  and  payment  to  the  appropriate  tax  authorities  on  a  timely  basis  following  such  tax
payment.  Each  Party  agrees  to  cooperate  with  the  other  Party  in  claiming  refunds  or  exemptions  from  such  deductions  or
withholdings under any relevant agreement or treaty which is in effect. The Parties shall discuss applicable mechanisms for

minimizing  such  taxes  to  the  extent  possible  in  compliance  with  applicable  Law.  In  addition,  the  Parties  shall  cooperate  in
accordance with applicable Law to minimize indirect taxes (such as value added tax, sales tax, consumption tax and other similar
taxes) in connection with this CLOA, provided that MERSANA shall be responsible for the payment of all such indirect taxes
associated with the Manufacture and Commercialization of Product and shall not deduct any such indirect tax amounts from the
payments due SNFX under this CLOA.

3.12.    Audit Rights. On a Product-by-Product basis, following the First Commercial Sale of such Product, MERSANA shall
permit  an  independent  certified  public  accountant  of  internationally  recognized  standing  designated  by  SNFX  and  reasonably
acceptable to MERSANA, to have access, no more than [**] during the Term and no more than [**] following the termination of
this CLOA, during regular business hours and upon at least [**] days written notice, to MERSANA’s records and books to the
extent necessary to determine the accuracy of Net Sales reported, and payments made, by MERSANA to SNFX within the [**]
period immediately preceding such an audit. The independent public accountant shall disclose to SNFX only (a) the accuracy of
Net Sales reported and the basis for royalty and other payments made to SNFX under this CLOA and (b) the difference, if any,
such  reported  and  paid  amounts  vary  from  amounts  determined  as  a  result  of  the  audit.  If  such  examination  results  in  a
determination  that  Net  Sales  or  payments  have  been  misstated,  over  or  under  paid  amounts  due  shall  be  paid  promptly  to  the
appropriate Party. If Net Sales are understated by greater than [**], the fees and expenses of such accountant shall be paid by
MERSANA;  otherwise  the  fees  and  expenses  of  such  accountant  shall  be  paid  by  SNFX.  All  matters  reviewed  by  such
independent public accountant shall be deemed Confidential Information of MERSANA subject to Article 6.

ARTICLE 4
PRODUCT ACTIVITIES

4.1.    Diligence.

(a)        MERSANA,  directly  or  through  one  or  more  of  its  Affiliates  or  Sublicensees,  will  use  Commercially
Reasonable Efforts to Develop, Manufacture, Commercialize, and otherwise Exploit at least one Product against each Licensed
Target in each Major Market Country.

(b)    In addition to the obligation under Section 4.1(a), MERSANA shall file an IND with the FDA for one (1)
Product within [**] of the Effective Date. In the event that MERSANA does not file an IND with the FDA for one (1) Product
within such [**] period, then, if this CLOA has not been terminated prior to such date, MERSANA shall pay [**] to SNFX as
SNFX’s sole remedy for MERSANA’s failure to so file such an IND. For the avoidance of doubt, MERSANA’s obligations under
this Section 4.1(b) shall have been fully satisfied and shall not apply to any other Product upon MERSANA either filing an IND
with the FDA for one (1) Product within [**] of the Effective Date or paying [**] to SNFX as set forth in this clause (b).

4.2.    Annual Reports. No later than January 31 of each year commencing on the Effective Date and ending, on a Product-by-
Product  basis,  at  the  end  of  the  applicable  Royalty  Term,  MERSANA  shall  submit  a  written  report  to  SNFX  covering  the
preceding Calendar Year. Each report will summarize MERSANA’s, its Affiliates’ and Sublicensees’ significant activities related
to the Development and Commercialization of at least one Product against each Licensed Target and the status of Clinical Trials
and  applications  for  Regulatory  Approval  necessary  for  Exploiting  such  Products.  Such  reports  will  be  deemed  MERSANA’s
Confidential Information in accordance with Article 6.

4.3.    Responsibilities. Except as otherwise set forth in this CLOA, MERSANA shall be solely responsible for the Development,
Manufacturing, Commercialization and Exploitation of all Products in the Field in the Territory. MERSANA shall bear [**] of all
costs and expenses associated with the Development, Manufacturing, Commercialization and Exploitation of Products.

4.4.    Regulatory Matters.

(a)    As between the Parties, MERSANA will (i) be solely responsible for, and will solely own, all applications
for Regulatory Approval and Pricing Approval with respect to a Product and (ii) have the sole right and responsibility to file all
INDs  and  make  all  other  filings  with  the  Regulatory  Authorities,  and  to  otherwise  seek  all  Regulatory  Approvals  and  Pricing
Approvals  for  the  Products,  in  the  Territory,  as  well  as  to  conduct  all  correspondence  and  communications  with  Regulatory
Authorities regarding such matters. Upon the Effective Date with respect to the Initial Target, and upon MERSANA exercising its
Option right for a Licensed Target (other than the Initial Target) in accordance with Section 2.2(c) during the Term and thereafter
as provided in Section 10.3(a)(2), SNFX, on behalf of itself and its Affiliates, shall grant and does hereby grant to MERSANA
and its Affiliates a non-exclusive, transferable in accordance with Section 11.5, “Right of Reference,” as that term is defined in
21  C.F.R.  §  314.3(b)  and  any  foreign  counterpart  of  such  regulation,  with  the  right  to  grant  such  a  Right  of  Reference  to
Sublicensees hereunder (through multiple tiers), to and under all data contained in any Regulatory Documentation Controlled by
SNFX  that  is  necessary  or  useful  to  Develop,  Manufacture,  Commercialize  or  otherwise  Exploit  a  Product  in  the  Field  in  the
Territory, and SNFX shall provide a signed statement to this effect, if requested by MERSANA, in accordance with 21 C.F.R. §
314.50(g)(3) (or any analogous applicable Law recognized outside of the United States).

(b)    SNFX shall provide MERSANA with reasonable cooperation and assistance in connection with regulatory
activities  for  each  Product  at  MERSANA’s  sole  cost  and  expense,  including  (i)  reasonable  assistance  in  preparing  filings  and
submissions  necessary  to  obtain  and  maintain  Regulatory  Approval  and  Pricing  Approval  (if  applicable)  for  each  Product,  (ii)
responding  to  reasonable  requests  by  MERSANA  for  additional  Regulatory  Documentation  (and  information  and  clinical  data
contained therein) related to such Product, and (iii) providing other technical information in SNFX’s Control that is necessary or
useful for MERSANA in connection with any application for Regulatory Approval or Pricing Approval for a Product; provided
that SNFX’s cooperation is subject to MERSANA’s reimbursement of any reasonable out-of-pocket costs incurred by SNFX and
[**]. Further, such access shall be requested and coordinated through a single contact person to be designated by SNFX.

(c)        MERSANA  shall  be  responsible  for  ensuring,  at  its  sole  expense,  that  the  Development,  Manufacturing,
Commercialization  and  other  Exploitation  of  all  Products  in  the  applicable  jurisdiction  within  the  Territory  are  in  compliance
with  applicable  Laws  in  all  material  respects,  including  all  rules  and  regulations  promulgated  by  applicable  Regulatory
Authorities. Specifically  and  without  limiting  the  foregoing,  MERSANA  shall  be  responsible  for  filing  all  compliance  filings,
certificates and safety reporting for the Products required by applicable Law at its sole expense in the Territory.

(d)    MERSANA shall be responsible for taking all actions related to adverse event reporting and other regulatory
obligations  that  are  legally  required  of  the  holder  of  a  Regulatory  Approval  application,  license,  registration  or  authorization
under applicable Law.

ARTICLE 5
INTELLECTUAL PROPERTY

5.1.    Ownership of Remodeled Antibodies. The Parties acknowledge and agree that MERSANA is and will be the sole and
exclusive owner of all right, title and interest in and to any Intellectual Property Rights to the extent related to any remodeled
antibody  against  a  Licensed  Target  for  which  the  License  Fee  has  been  paid,  and  that  are  conceived,  generated,  Developed  or
reduced to practice under this CLOA or the Supply Agreement that is derived from an antibody Controlled by MERSANA. For
the avoidance of doubt, MERSANA will be the sole and exclusive owner of all right, title and interest in and to any Intellectual
Property Rights related to any Products conceived, generated, Developed or reduced to practice under this CLOA or the Supply
Agreement  that  are  derived  from  a  remodeled  antibody  against  a  Licensed  Target  for  which  the  License  Fee  has  been  paid,
whether or not MERSANA Controls the intellectual property related to the antibody included in any such Product. Further, for
the  avoidance  of  doubt,  SNFX  will  be  the  sole  and  exclusive  owner  of  all  right,  title  and  interest  in  and  to  any  Licensed
Technology  used,  or  any  Improvements  to  the  Licensed  Technology  that  are  not  specific  to  a  remodeled  antibody  against  a
Licensed Target for which the License Fee has been paid.

5.2.    Improvements.

(a)    Subject to Section 5.2(c), any Improvements to the Licensed Technology conceived, generated, Developed or
reduced to practice solely by or on behalf of either Party or jointly by or on behalf of both Parties shall be exclusively owned by
SNFX  or  its  designee;  provided  that,  with  respect  to  any  Improvements  to  the  Licensed  Technology  conceived,  generated,
developed or reduced to practice by or on behalf of MERSANA individually or jointly with SNFX, such Improvements shall only
be owned by SNFX or its designee pursuant to this Section 5.2(a) to the extent that the applicable Licensed Technology has been
disclosed to MERSANA, or, in the case of Patents and Patent applications, that have been published. Subject to the preceding
sentence, MERSANA shall assign, and does hereby assign to SNFX or its designee, all of MERSANA’s right, title and interest in
and to any such Improvements to the Licensed Technology including all Intellectual Property Rights therein.

(b)        Subject  to  Section  5.2(c),  any  Improvements  to  the  MERSANA  Technology  conceived,  generated,
Developed  or  reduced  to  practice  solely  by  or  on  behalf  of  either  Party  or  jointly  by  or  on  behalf  of  both  Parties  shall  be
exclusively  owned  by  MERSANA  or  its  designee;  provided  that,  with  respect  to  any  Improvements  to  the  MERSANA
Technology  conceived,  generated,  developed  or  reduced  to  practice  by  or  on  behalf  of  SNFX  individually  or  jointly  with
MERSANA, such Improvements shall only be owned by MERSANA or its designee pursuant to this Section 5.2(b) to the extent
that the applicable MERSANA Technology has been disclosed to SNFX or, in the case of Patents and Patent application, that
have  been  published.  Subject  to  the  preceding  sentence,  SNFX  shall  assign,  and  does  hereby  assign  to  MERSANA  or  its
designee,  all  of  SNFX’s  right,  title  and  interest  in  and  to  any  such  Improvements  to  the  MERSANA  Technology  including  all
Intellectual Property Rights therein.

(c)    Any Improvement that is an Improvement to both the Licensed Technology and the MERSANA Technology
conceived, generated, developed or reduced to practice solely by or on behalf of either Party or jointly by or on behalf of both
Parties in the course or performing or exercising rights under this CLOA or the Supply Agreement (each, a “Joint Improvement”)
shall be jointly owned by SNFX and MERSANA or their respective designee (other than any Improvements that are specific to
the  remodeled  antibodies,  which  shall  be  solely  owned  by  MERSANA  pursuant  to  Section  5.1),  and  each  of  SNFX  and
MERSANA or their respective designee shall have, and does hereby have an undivided joint ownership interest in all rights, title,
and interest worldwide in and to such Joint Improvement and all Intellectual Property Rights therein, effective immediately upon
the  conception  or  reduction  to  practice  thereof.  In  accordance  with  the  foregoing,  SNFX  hereby  assigns  an  undivided  joint
ownership interest in and to such Joint Improvement to MERSANA, and MERSANA hereby assigns an

undivided joint ownership interest in and to such Joint Improvement to SNFX. Each Party shall have the right to practice, license
and sublicense (through multiple tiers), or otherwise Exploit any Joint Improvement without the consent of or accounting to the
other  Party.  In  the  event  that  any  Joint  Improvement  is  conceived,  generated,  developed  or  reduced  to  practice  hereunder,  the
Parties  shall  promptly  meet  to  discuss  and  determine  whether  to  seek  Patent  protection  thereon.  If  the  Parties  decide  to  seek
Patent  protection  for  any  Joint  Improvement,  the  Parties  will  mutually  agree  on  the  preparation,  filing,  prosecution  and
maintenance of any Joint Improvement Patent using Patent counsel that is reasonably acceptable to both Parties. The Parties shall
timely discuss in good faith an enforcement strategy (including the allocation of costs) with respect to any Joint Improvement
Patent and the allocation between the Parties of responsibility for enforcement of Joint Improvement Patents.

5.3.    Other Intellectual Property. Except as set forth above in this Article 5, all other Intellectual Property Rights invented,
conceived, generated, developed or reduced to practice solely by or on behalf of either Party or jointly by or on behalf of both
Parties in the course or performing or exercising rights under this CLOA or the Supply Agreement will be owned by the Party
that  invented,  conceived,  generated,  developed  or  reduced  to  practice  such  Intellectual  Property  Rights,  the  determination  of
which will be made in accordance with applicable Law in the United States.

5.4.        Patent  Maintenance  and  Prosecution.  SNFX  shall,  at  its  sole  expense  and  within  its  sole  discretion,  prepare,  file,
prosecute  and  maintain  the  Licensed  Patents  and  be  responsible  for  any  related  interference,  re-issuance,  re-examination  and
other opposition proceedings; provided that SNFX shall provide MERSANA with drafts of any filings that use MERSANA’s data
prior to their submission in sufficient time to allow MERSANA the reasonable opportunity to review, consider and substantively
comment thereon. SNFX may abandon any Licensed Patent or Licensed Patent claims in SNFX’s sole discretion.

5.5.    Patent Term Extensions. SNFX shall have the sole right, but not the obligation, to seek, in SNFX’s name, patent term
extensions, adjustments, restorations, or supplementary protection certificates under applicable Law for the Licensed Patents in
the Territory; it being understood and agreed that, if SNFX seeks a patent term extension, then MERSANA agrees to perform, at
SNFX’s  request  and  sole  expense,  any  reasonable  measures  required  by  applicable  Law  for  SNFX  to  obtain  such  extension.
SNFX, its agents and attorneys will give due consideration to all suggestions and comments of MERSANA regarding any such
activities, including the choice of which Licensed Patent to apply term extensions to, but in the event of a disagreement between
the Parties, SNFX shall have the final decision making authority. For clarity, (a) any such extended Licensed Patent will remain
included  in  the  definition  of  Valid  Claim  for  purposes  of  extending  the  Term  and  (b)  SNFX  shall  have  the  right,  in  its  sole
discretion, to abandon such Licensed Patent at any time.

5.6.        Licensed  Patents  and  Licensed  Know-How  Enforcement  and  Defense.  If  either  Party  becomes  aware  of  an
infringement by a Third Party of any Licensed Technology in the Territory, whether or not within the Field or with respect to a
Licensed Target, it shall notify the other Party as soon as practicable. Upon notice of an infringement  by  a  Third  Party  of  any
Licensed  Technology,  SNFX  shall  have  the  sole  right  (but  not  the  obligation)  at  its  sole  cost  to  take  the  appropriate  steps  to
enforce or defend any Licensed Patents in the Field against Third Parties. Any settlements, damages or other monetary awards
relating to such infringement or violation by a Third Party of any Licensed Patent recovered by SNFX pursuant to a suit, action
or proceeding brought pursuant to this Section 5.6 will be retained by SNFX.

5.7.    Defense of Infringement Claims of Licensed Technology. Subject to Section 8.1, in the event that a Third Party institutes
a  claim  against  a  Party  in  the  Territory  during  the  Term,  alleging  that  the  Development,  Manufacture,  Commercialization  or
Exploitation of the Products

in the Territory in accordance with this CLOA infringes or misappropriates the Intellectual Property Rights of such Third Party,
then  such  Party  shall  immediately  provide  the  other  Party  with  written  notice  of  such  claim  along  with  the  related  facts  in
reasonable detail. MERSANA shall have the first right, but not the obligation, at its sole cost and expense, and through counsel of
its choosing, to assume direction and control of the defense and settlement of any such claim brought against MERSANA, or,
subject to any Third Party obligations, any such claim brought against SNFX; provided that it shall not: (a) settle or otherwise
compromise  any  such  claims  brought  against  SNFX  that  would  materially  adversely  affect  SNFX;  or  (b)  assert  a  claim  or
counterclaim against such Third Party based on the Licensed Technology, without the written consent of SNFX, such consent not
to  be  unreasonably  withheld  or  delayed.  Without  limiting  the  foregoing,  MERSANA  shall  not  settle  any  such  claims  brought
against SNFX unless such settlement involves only the payment of money and includes a complete and unconditional release of
SNFX from all liability with respect thereto. SNFX shall assist and cooperate in connection with the defense of such claim upon
MERSANA’s reasonable request and at the sole cost and expense of MERSANA.

5.8.    Cooperation. In any suit, proceeding or dispute involving the infringement of any of the Licensed Patents in the Field or
misappropriation  of  any  of  the  Licensed  Know-How  in  the  Field,  the  Parties  shall  provide  each  other  with  reasonable
cooperation, and, upon the request and at the expense of the Party bringing suit, the other Party shall make available to the Party
bringing  suit,  at  reasonable  times  and  under  appropriate  conditions,  all  reasonable  and  relevant  personnel,  records,  papers,
information,  samples,  specimens,  and  the  like  in  its  possession.  Notwithstanding  any  other  provision  of  this  Article  5,  neither
Party shall make any settlements of any suit, proceeding or action relating to an infringement of the Licensed Patents in the Field
or  misappropriation  of  any  of  the  Licensed  Know-How  in  the  Field  that  would  materially  adversely  affect  the  other  Party  or
materially  adversely  affect  the  rights  and  licenses  granted  hereunder  without  first  obtaining  such  other  Party’s  prior  written
consent, such consent not to be unreasonably withheld or delayed.

ARTICLE 6
CONFIDENTIALITY

6.1.        Confidentiality  Obligations.  Each  Party  agrees  that,  during  the  Term  and  for  [**]  years  thereafter,  all  Confidential
Information of the other Party shall be maintained in confidence, and shall not be used for any purpose other than the purposes
expressly  permitted  by  this  CLOA,  and,  subject  to  Section  6.2,  shall  not  be  disclosed  to  any  Third  Party.  The  Mutual  Non-
Disclosure Agreement shall terminate as of the Effective Date and the provisions of this Article 6 and this CLOA shall supersede
the  Mutual  Non-Disclosure  Agreement  in  all  respects,  and  all  “Confidential  Information”  (as  defined  in  the  Mutual  Non-
Disclosure  Agreement)  exchanged  by  the  Parties  thereunder  shall  be  deemed  to  be  Confidential  Information  hereunder  and  be
subject only to the provisions of this Article 6 and CLOA as of and after the Effective Date. The foregoing obligations will not
apply to any portion of Confidential Information to the extent that it can be established by competent proof that such portion of
the Confidential Information:

(a)    was already known to the recipient or its Representatives, other than under an obligation of confidentiality, at

the time of disclosure;

to the recipient or its Representatives;

(b)    was generally available to the public or was otherwise part of the public domain at the time of its disclosure

and other than through any act or omission of the recipient in breach of this CLOA; or

(c)    became generally available to the public or otherwise becomes part of the public domain after its disclosure

(d)    was  subsequently  lawfully  disclosed  to  the  recipient  or  its  Representatives  by  a  Third  Party  other  than  in

contravention of a confidentiality obligation of such Third Party to the disclosing party.

6.2.    Permitted Usage. Each Party may use and disclose the Confidential Information of the other Party, in accordance with this
CLOA, as follows: (a) to its Representatives who have a need to know such Confidential Information to perform such Party’s
obligations  under  this  CLOA  and  who  are  bound  by  obligations  of  confidentiality  no  less  strict  than  those  contained  in  this
CLOA  (other  than  the  term  of  such  confidentiality  obligations,  which  shall  be  customary  for  the  applicable  situation),  (b)  to
exercise rights granted to or retained by such Party; (c) in connection with the Prosecution or enforcement of Licensed Patents or
Improvements,  in  accordance  with  this  CLOA;  or  (d)  in  connection  with  prosecuting  or  defending  litigation,  complying  with
applicable  governmental  regulations,  filing  for,  obtaining  and  maintaining  Regulatory  Approvals  and  Pricing  Approvals,  or  as
otherwise  required  by  Law,  but  provided  that  if  a  Party  is  required  by  Law  to  make  any  disclosure  of  the  other  Party’s
Confidential  Information,  it  will  give  reasonable  advance  notice  to  the  other  Party  of  such  disclosure  requirement  (if  legally
permitted),  it  will  disclose  only  for  the  sole  purpose  of  and  solely  to  the  extent  required  by  such  Law,  and  it  will  use  its
reasonable efforts to secure confidential treatment of such portion of the Confidential Information required to be disclosed.

6.3.    Terms of Agreement. The terms of this CLOA shall be the Confidential Information of both Parties, and subject to the
terms of this Article 6. Notwithstanding the foregoing, either Party may make a disclosure of the terms of this CLOA: (a) to any
bona fide financial advisors, accountants, investors, potential acquirers, or, in the case of MERSANA, potential sublicensees who
have undertaken substantive negotiation of a Sublicense Agreement with MERSANA in good faith and are bound in writing to
maintain the confidentiality of such disclosure to the same extent required of the Parties hereunder, (b) if required by applicable
Law,  or  (c)  as  otherwise  permitted  pursuant  to  Section  6.5.  A  Party  will  give  the  other  Party  written  notice  of  any  required
disclosure under (b) above (if legally permitted), which notice shall, to the extent reasonably practicable, be given a reasonable
period  of  time  in  advance  of  such  required  disclosure.  In  the  event  either  Party  is  required  to  file  this  CLOA  with  the  U.S.
Securities and Exchange Commission or any comparable non-U.S. Governmental Entity, such Party shall apply for confidential
treatment of this CLOA to the fullest extent permitted by applicable Law, shall provide the other Party a copy of the confidential
treatment request a reasonable enough time in advance of its filing to attempt to give the other Party a meaningful opportunity to
comment  thereon,  and  shall  incorporate  in  such  confidential  treatment  request  any  reasonable  comments  of  the  other  Party  (if
reasonably practicable).

6.4.    Permitted Publications.

(a)        In  the  event  MERSANA  desires  to  publish  or  present  any  information  with  respect  to  the  Licensed
Technology, MERSANA shall provide SNFX with a copy of such proposed publication or presentation no less than twenty (20)
days  prior  to  its  intended  submission  for  publication  or  public  disclosure.  SNFX  shall  respond  in  writing  promptly  and  in  no
event  later  than  ten  (10)  days  after  receipt  of  the  proposed  material,  with  one  or  more  of  the  following:  (a)  comments  on  the
proposed material, which MERSANA shall consider in good faith; (b) a specific statement of concern, based upon the need to
seek Patent protection or to block publication or public disclosure if SNFX reasonably determines that the proposed disclosure
includes  intellectual  property  that  should  be  maintained  as  a  trade  secret  to  protect  any  Licensed  Technology,  in  which  event
MERSANA agrees not to submit such publication or make such presentation that contains such information for at least forty-five
(45) days in order for SNFX to have the opportunity to seek Patent protection for any material in such publication or presentation
which  it  believes  is  patentable;  (c)  an  identification  of  SNFX’s  Confidential  Information  that  is  contained  in  the  material
reviewed, which MERSANA shall remove, if

requested by SNFX; or (d) an identification of any SNFX trade secret that is contained in the material reviewed and which SNFX
desires to maintain as a trade secret, which MERSANA shall remove, if requested by SNFX.

released by MERSANA without a requirement for re-approval.

(b)    The contents of any publication or presentation that has been reviewed and approved by SNFX may be re-

(c)        SNFX  shall  be  expressly  prohibited  from  publishing  or  presenting  any  information  with  respect  to  the
MERSANA Technology or any Product without MERSANA’s prior written consent, which may be withheld in its sole discretion.

6.5.    Public Announcements. The Parties agree that the press release attached hereto as Exhibit F regarding the existence of
this CLOA will be issued upon execution of this CLOA on the Effective Date. The Parties further agree that the press release
attached hereto as Exhibit G regarding the amendment and expansion of this CLOA will be issued by SNFX within [**] of the
Amendment Date. Additional public announcements or press releases regarding this CLOA may be issued by either Party at any
other  time  pending  approval  of  the  public  announcement  or  press  release  content  by  both  Parties,  such  approval  not  to  be
unreasonably withheld. Neither Party shall make any subsequent public announcement concerning this CLOA or the terms hereof
not previously made public without the prior written approval of the other Party, such consent not to be unreasonably withheld or
delayed by such other Party, with regard to the form, content, and precise timing of such announcement.

ARTICLE 7
REPRESENTATIONS, WARRANTIES AND COVENANTS

7.1.    General. Each Party represents and warrants, and covenants (as applicable), to the other Party, that:

(a)    as of the Effective Date and the Amendment Date, it is duly organized, validly existing and in good standing
under  the  Laws  of  its  jurisdiction  of  incorporation  or  organization  and  has  all  requisite  power  and  authority  to  conduct  its
business and engage in the transactions provided for in this CLOA;

(b)        as  of  the  Effective  Date  and  the  Amendment  Date,  the  execution,  delivery  and  performance  by  it  of  this
CLOA,  and  the  consummation  by  it  of  the  transactions  contemplated  hereby,  have  been  duly  authorized  and  approved  by  all
necessary corporate or equivalent action on its part. This CLOA has been duly executed and delivered by it and constitutes its
legal, valid and binding obligation, enforceable against it in accordance with its terms, except as enforceability may be limited by
applicable bankruptcy, insolvency or other laws relating to or affecting creditors’ rights generally;

(c)        as  of  the  Effective  Date  and  the  Amendment  Date,  the  execution,  delivery  and  performance  by  it  of  this
CLOA, and the consummation by it of the transactions contemplated hereby, do not and will not: (i) violate any applicable Laws;
(ii)  conflict  with,  or  result  in  the  breach  of  any  provision  of,  its  certificate  or  articles  of  incorporation,  bylaws  or  equivalent
organizational  documents;  (iii)  result  in  the  creation  of  any  lien  or  encumbrance  of  any  nature  upon  any  property  being
transferred  or  licensed  by  it  pursuant  to  this  CLOA;  or  (iv)  violate,  conflict  with,  result  in  the  breach  or  termination  of,  or
constitute  a  default  under  (or  event  which,  with  notice,  lapse  of  time  or  both,  would  constitute  a  default  under),  any  permit,
contract,  agreement  or  other  obligation  or  restriction  to  which  it  is  a  party  or  by  which  any  of  its  properties  or  businesses  are
bound;

(d)    as of the Effective Date and the Amendment Date, no authorization, consent or approval of, or notice to or
filing  with,  any  Regulatory  Authority  is  required  for  the  execution,  delivery  and  performance  by  it  of  this  CLOA  (excluding
approvals of Regulatory Authorities as contemplated herein);

(e)    where this CLOA refers to an action or obligation to be undertaken by a Party’s Affiliates, such Party will
cause  such  Affiliates,  during  the  Term,  to  undertake  such  obligations  or  other  actions,  and  such  Party  will  be  responsible  and
liable for any acts or omissions by its Affiliates;

Authority, or, to the best of such Party’s Knowledge, is the subject of debarment proceedings by a Regulatory Authority; and

(f)        it  shall  not  use,  during  the  Term,  any  employee  or  consultant  who  has  been  debarred  by  any  Regulatory

(g)    it will maintain throughout the Term all permits, licenses, registrations, and other forms of authorizations and
approvals from any Governmental Entity that are necessary or required to be obtained or maintained by such Party in order for
such  Party  to  execute  and  deliver  this  CLOA  and  to  perform  its  obligations  hereunder  in  a  manner  which  complies  with  all
applicable Laws.

7.2.    Covenants of MERSANA. MERSANA hereby covenants that, during the Term, it shall, and shall direct its Affiliates and
Sublicensees to, perform all of its obligations under this CLOA, and shall comply in all material respects with all applicable Laws
in the Development, Manufacture and Commercialization of the Product.

7.3.        Representations  of  MERSANA.  On  a  Licensed  Target-by-Licensed  Target  basis,  MERSANA  hereby  represents  and
warrants  to  SNFX  that,  to  its  Knowledge,  as  of  the  date  that  the  License  with  respect  to  a  Licensed  Target  is  granted,  the
Antibody or Antibodies that MERSANA intends to incorporate, as of such date, into each Product against such Licensed Target
[**].

7.4.        Representations  of  SNFX.  SNFX  hereby  represents  and  warrants  to  MERSANA,  as  of  the  Effective  Date  and  the
Amendment Date, and, except as stated otherwise, on each separate date that MERSANA receives a license to a Licensed Target
pursuant to Section 2.2(c), except as may be set forth in a disclosure schedule delivered by SNFX to MERSANA on each such
date, that:

(a)    SNFX or its Affiliates are the sole and exclusive owner(s) of the Licensed Technology, all of which is, except
for [**], free and clear of any liens, charges or encumbrances, and, except for any Patents disclosed by SNFX to MERSANA in
writing  prior  to  each  such  date,  to  SNFX’s  Knowledge,  neither  SNFX  nor  any  of  its  Affiliates  have  infringed  any  Patents  or
misappropriated any Know-How of a Third Party in connection with Developing the Licensed Technology.

(b)        Except  for  any  Patents  disclosed  by  SNFX  to  MERSANA  in  writing  prior  to  each  such  date,  to  SNFX’s
Knowledge, the practice of the Licensed Technology in the manner contemplated by this CLOA and disclosed by MERSANA to
SNFX as of the Effective Date does not infringe any Patents or misappropriate any Know-How of a Third Party;

(c)    SNFX or its Affiliates have complied in all material respects with all applicable Laws with respect to the
filing, prosecution and maintenance of the Licensed Patents, paid all maintenance and annuity fees with respect to the Licensed
Patents, and no dispute regarding inventorship has been alleged or threatened with respect to the Licensed Patents;

(d)    Except for the pending oppositions filed against [**], there are no actual, pending or, to SNFX’s Knowledge,
alleged  or  threatened,  adverse  actions,  suits,  claims,  interferences,  re-examinations,  oppositions,  inventorship  challenges  or
formal governmental investigations involving the Licensed Technology by or against SNFX or any of its Affiliates, in each case
that are in or before any Governmental Entity;

useful for MERSANA to Develop, Manufacture, Commercialize or otherwise Exploit Products as contemplated herein;

(e)    Schedule 1 includes a complete and correct list of the Licensed Patents, as of the Effective Date, necessary or

(f)    SNFX or its Affiliates have and will have the full right, power and authority to grant all of the right, title and
interest in the licenses and other rights granted or to be granted to MERSANA, its Affiliates or Sublicensees under this CLOA;
and

(g)        the  execution,  delivery  and  performance  by  SNFX  of  this  CLOA  and  its  compliance  with  the  terms  and
provisions hereof does not and will not violate or result in a breach of or default under any binding obligation or agreement of
SNFX existing as of the Effective Date.

7.5.    Covenants of SNFX.

(a)        SNFX  covenants  that  it  will  not,  during  the  Term,  undertake  any  obligation,  or  grant  any  right,  license,
interest or lien, that conflicts with its obligations, or the rights and licenses granted to MERSANA, under the terms of this CLOA,
or impairs the rights granted by SNFX to MERSANA under the terms of this CLOA.

(b)        Where  this  CLOA  refers  to  an  action  or  obligation  to  be  undertaken  by  the  Agent,  SNFX  will  cause  the
Agent, during the Term, to undertake such obligations or other actions, and SNFX will be responsible and liable for any acts or
omissions by the Agent.

7.6. 
  DISCLAIMER.  EXCEPT  AS  PROVIDED  IN  THIS  ARTICLE  7,  NEITHER  PARTY  MAKES  ANY
REPRESENTATION  OR  WARRANTY  (EXPRESS,  IMPLIED,  STATUTORY  OR  OTHERWISE)  WITH  RESPECT  TO  THE
SUBJECT  MATTER  OF  THIS  CLOA,  AND  EACH  PARTY  SPECIFICALLY  DISCLAIMS  ANY  AND  ALL  IMPLIED
WARRANTIES OR CONDITIONS OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, AND ALL
WARRANTIES  AND  CONDITIONS  OF  THE  VALIDITY  OF  THE  LICENSED  PATENTS  OR  NONINFRINGEMENT  OF
THIRD  PARTY  INTELLECTUAL  PROPERTY  RIGHTS.  THIS  SECTION  7.6  SHALL  NOT  BE  CONSTRUED  TO  LIMIT
EITHER PARTY’s OBLIGATIONS UNDER ARTICLE 8.

ARTICLE 8
INDEMNIFICATION; INSURANCE

8.1.    Indemnification by MERSANA. MERSANA shall indemnify, hold harmless, and defend SNFX and its Representatives
(“SNFX  Indemnitees”)  from  and  against  any  and  all  Third  Party  claims,  suits,  losses,  liabilities,  damages,  costs,  fees  and
expenses (including reasonable attorneys’ fees) (collectively, “Losses”) finally awarded to a Third Party by a court of competent
jurisdiction or agreed to in a settlement approved by MERSANA that results from any claim made or brought against a SNFX
Indemnitee by or on behalf of such Third Party, and subject to Section 8.3, any direct out-of-pocket costs and expenses (including
reasonable attorneys’ fees) (“Litigation Costs”) incurred by a SNFX Indemnitee while investigating or conducting the defense of
such  Third  Party  claim,  in  any  such  case,  solely  to  the  extent  such  claim  is  directly  based  on  or  directly  arises  out  of  (a)  the
breach  by  MERSANA  of  any  representation,  warranty  or  covenant  contained  in  this  CLOA,  (b)  the  negligence  or  willful
misconduct of MERSANA or its

 
 
Representatives or Sublicensees in connection with the performance of MERSANA’s obligations in this CLOA, (c) any actual
violation  by  MERSANA  of  applicable  Laws  in  the  Development,  Manufacture,  Commercialization  or  Exploitation  of  any
Product, (d) the Development, Manufacturing or Commercialization of a Product by MERSANA or its Affiliates or Sublicensees
(including  product  liability)  in  the  Territory,  or  (e)  the  Development,  Manufacture,  Commercialization  or  Exploitation  of  any
Product that infringes any Patent or misappropriates any Know-How owned or possessed by any Third Party (except to the extent
no such infringement or misappropriation would occur but for the practice of the Licensed Technology); provided, however, that
such  indemnification  right  shall  not  apply  to  any  Losses  or  Litigation  Costs  for  which  SNFX  is  obligated  to  indemnify
MERSANA under Section 8.2.

8.2.        Indemnification  by  SNFX.  SNFX  shall  indemnify,  hold  harmless,  and  defend  MERSANA  and  its  Representatives
(“MERSANA  Indemnitees”)  from  and  against  any  and  all  Losses  finally  awarded  to  a  Third  Party  by  a  court  of  competent
jurisdiction or agreed to in a settlement approved by SNFX that result from any claim made or bought against an MERSANA
Indemnitee  by  or  on  behalf  of  such  Third  Party,  and  subject  to  Section  8.3,  any  Litigation  Costs  incurred  by  a  MERSANA
Indemnitee while investigating or conducting the defense of such Third Party claim, in any such case, solely to the extent such
claim is directly based on or directly arises out of (a) the breach by SNFX of any representation, warranty or covenant contained
in this CLOA, (b) the negligence or willful misconduct of SNFX or its Representatives, licensees or sublicensees in connection
with  the  performance  of  SNFX’s  obligations  in  this  CLOA,  (c)  any  actual  violation  by  SNFX  of  applicable  Laws  in  its
performance of its obligations in this CLOA, or (d) any action or omission of the Agent in performing its obligations under or in
connection with this CLOA; provided, however, that such indemnification right shall not apply to any Losses or litigation costs
for which MERSANA is obligated to indemnify SNFX under Section 8.1.

8.3.        Procedure.  In  the  event  of  any  such  claim  against  any  MERSANA  Indemnitee  or  SNFX  Indemnitee  (individually,  an
“Indemnitee”), such Indemnitee shall promptly notify the other Party (the “Indemnifying Party”) in writing of the claim and the
Indemnifying Party shall manage and control, at its sole expense, the defense of the claim and its settlement; provided that the
failure to so notify promptly shall not relieve the Indemnifying Party of its obligations under this Article 8 except to the extent of
the  actual  prejudice  suffered  by  such  Indemnifying  Party  as  a  result  of  such  failure.  The  Indemnitee  shall  cooperate  with  the
Indemnifying Party and may, at its option and expense, be represented in and participate in any such action or proceeding. The
Indemnifying Party shall not be liable for any settlements, litigation costs or expenses incurred by any Indemnitee without the
Indemnifying  Party’s  written  authorization.  Notwithstanding  the  foregoing,  if  the  Indemnifying  Party  believes  that  any  of  the
exceptions  to  its  obligation  of  indemnification  of  the  Indemnitees  set  forth  in  Section  8.1  or  Section  8.2  may  apply,  the
Indemnifying Party shall promptly notify the Indemnitees, which shall then have the right to be represented in any such action or
proceeding by separate counsel at their expense; provided that the Indemnifying Party shall be responsible for payment of such
expenses  if  the  Indemnitees  are  ultimately  determined  to  be  entitled  to  indemnification  from  the  Indemnifying  Party.  The
Indemnifying Party shall not effect any settlement of any such claims without the consent of the Indemnitee, which consent shall
not be unreasonably withheld or delayed, unless such settlement involves only the payment of money and includes a complete
and unconditional release of the Indemnitee from all liability with respect thereto.

8.4.    Insurance. Each Party shall procure and maintain insurance, or shall self-insure, in each case, in a manner adequate to
cover its obligations hereunder and consistent with normal business practices of prudent companies similarly situated at all times
during  which  any  Product  is  being  Developed,  Manufactured,  Commercialized  or  otherwise  Exploited  hereunder.  Each  Party
shall procure insurance or self-insure at its own expense. Such insurance does not create a limit on either Party’s liability with
respect to its indemnification obligations under this Article 8.

Each Party shall provide the other Party with written evidence of such insurance or self-insurance upon request. Each Party shall
provide the other Party with written notice at least [**] days before the cancellation or non-renewal of such insurance.

ARTICLE 9
LIMITATION OF LIABILITY

9.1.        LIMITATION.  EXCEPT  FOR  ANY  LOSSES  THAT  RESULT  FROM  A  BREACH  OF  THE  CONFIDENTIALITY
OBLIGATIONS IN ARTICLE 6 OR ARE SUBJECT TO INDEMNIFICATION UNDER ARTICLE 8, OR LIABILITY THAT
IS THE CONSEQUENCE OF GROSS NEGLIGENCE OR WILLFUL MISCONDUCT OF A PARTY, IN NO EVENT SHALL
EITHER  PARTY  BE  LIABLE  TO  THE  OTHER  PARTY  FOR  ANY  SPECIAL,  CONSEQUENTIAL,  EXEMPLARY  OR
INCIDENTAL  DAMAGES  (INCLUDING  LOST  OR  ANTICIPATED  REVENUES  OR  PROFITS  RELATING  TO  THE
SAME),  HOWEVER  CAUSED  AND  ON  ANY  THEORY  OF  LIABILITY  ARISING  OUT  OF  THIS  CLOA,  WHETHER
SUCH CLAIM IS BASED ON CONTRACT, TORT (INCLUDING NEGLIGENCE) OR OTHERWISE, AND WHETHER OR
NOT SUCH PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE. THIS ARTICLE 9 SHALL NOT
BE CONSTRUED TO LIMIT EITHER PARTY’S OBLIGATIONS UNDER ARTICLE 8.

ARTICLE 10
TERM AND TERMINATION

10.1.    Term. This CLOA shall commence on the Effective Date and, on a country-by-country and Licensed Target-by-Licensed
Target basis, and, unless earlier terminated pursuant to this Article 10, shall remain in effect until the last to expire of any Royalty
Term for each Product against a Licensed Target in such country (the “Term”).

10.2.    Termination.

(a)    For Convenience. MERSANA shall have the right, at any time, to terminate this CLOA in its entirety or on
a Licensed Target-by-Licensed Target basis (in the event of termination of this CLOA on a Licensed Target-by-Licensed Target
basis  pursuant  to  this  Section  10.2(a)  or  Section  10.2(b),  each  such  terminated  Licensed  Target,  a  “Terminated  Target”)  by
providing not less than [**] days’ prior written notice to SNFX of such termination.

(b)        For  Material  Breach. If  either  Party  shall  at  any  time  breach  any  material  term,  condition  or  agreement
herein, and shall fail to have cured any such default or breach within [**] days (or [**] days if such default or breach is the non-
payment of any amounts due hereunder) (such period, the “Notice Period”)  after  receipt  of  written  notice  thereof  by  the  other
Party, then the other Party may, at its option, terminate this CLOA upon written notice to the other Party; provided that, in the
event such an uncured breach by either Party relates only to one or more, but not all, of the Licensed Targets, the non-breaching
Party shall only have the right to terminate this CLOA with respect to such Licensed Target(s); provided further, that the non-
breaching Party shall have the right to terminate this CLOA in its entirety in the event that such an uncured breach by the other
Party relates to at least [**] of the Licensed Targets; provided further, that if a breach is unrelated to any payment obligations
hereunder and cannot be cured within the Notice Period but the breaching Party commences actions to cure such breach within
the  Notice  Period,  the  Notice  Period  will  be  extended  for  an  additional  [**]  days  so  long  as  the  breaching  Party  thereafter
diligently continues such actions; and provided further that if either Party initiates a dispute resolution procedure under Section
11.11 to resolve the dispute for which termination is being sought during the Notice Period, the Notice Period will be tolled and
the termination will become effective only if such breach remains uncured for [**] days after the final resolution of the dispute
through such dispute resolution procedure (or, if

the breach is unrelated to any payment obligations hereunder and cannot be cured within such [**] day period after such final
resolution,  such  period  to  cure  such  breach  will  be  extended  for  a  subsequent  [**]  day  period  so  long  as  the  breaching  Party
diligently continues such actions to cure such breach). Any termination of this CLOA under this Section 10.2 shall not, however,
prejudice the right of the Party who terminates this CLOA to recover any payment due at the time of such termination.

(c)    For Bankruptcy. Either Party may terminate this CLOA (i) immediately upon written notice to the other
Party in the event the other Party is insolvent or initiates a voluntary proceeding under any applicable bankruptcy Law or code; or
(ii)  immediately  upon  written  notice  to  the  other  Party  in  the  event  the  other  Party  becomes  the  subject  of  an  involuntary
proceeding under any applicable bankruptcy Law or code and such proceeding is not dismissed or stayed within [**] days of its
commencement.

(d)        Patent  Challenge.  SNFX  may  terminate  this  CLOA  in  its  entirety  upon  [**]  days’  written  notice  to
MERSANA in the event MERSANA, or any of its Affiliates or Sublicensees, challenges in a legal or administrative proceeding
the validity or enforceability of a Valid Claim of any Licensed Patent (except as (i) required under a court order or subpoena or
(ii)  a  defense  against  a  claim,  action  or  proceeding  asserted  by  SNFX  against  MERSANA  or  any  of  its  Affiliates  or
Sublicensees); provided that any such termination shall not become effective if (A) such action has been withdrawn before the
end  of  the  aforementioned  notice  period  or  (B)  in  the  event  that  the  challenging  party  is  a  Sublicensee  of  MERSANA,
MERSANA  terminates  such  Sublicensee’s  Sublicense  Agreement  to  the  challenged  Licensed  Patent  before  the  end  of  the
aforementioned notice period. In addition, if the Valid Claim of a Licensed Patent is upheld, MERSANA shall reimburse SNFX
for its reasonable legal costs and expenses incurred in defending any such challenge.

10.3.    Effect of Expiration or Termination.

(a)    Rights and Obligations Upon Expiration or Termination.

(1)        Upon  expiration  or  termination  of  this  CLOA,  neither  Party  shall  have  any  further  rights  or
obligations hereunder in the Territory with respect to the Terminated Targets or under this CLOA in its entirety, as applicable,
except pursuant to any provisions hereunder that expressly survive such expiration or termination (including, for the avoidance of
doubt, this Section 10.3).

(2)    Upon  the  date  of  expiration  (but  not  earlier  termination)  of  each  Royalty  Term  with  respect  to  all
Products with respect to a Licensed Target in a country, the rights and licenses granted by SNFX or its Affiliates to MERSANA
and  its  Affiliates  under  this  CLOA  to  Develop,  Manufacture,  Commercialize  and  otherwise  Exploit  Products  against  such
Licensed  Target  in  the  Field  throughout  the  Territory  shall  convert  to  irrevocable,  perpetual,  non-exclusive,  royalty-free,  fully
paid-up, freely transferable, non-terminable rights and licenses, with the right to grant sublicenses (through multiple tiers), with
no further obligation to SNFX.

(3)    In the event of any termination by MERSANA pursuant to Sections 10.2(b) or 10.2(c), the rights and
licenses  granted  by  SNFX  or  its  Affiliates  to  MERSANA  and  its  Affiliates  under  this  CLOA  to  Develop,  Manufacture,
Commercialize and otherwise Exploit Products against a Licensed Target in the Field throughout the Territory shall convert to
irrevocable, perpetual, non-exclusive, freely transferable, non-terminable rights and licenses, with the right to grant sublicenses
(through  multiple  tiers),  subject  to  the  continued  payment  by  MERSANA  of  all  amounts  due  to  SNFX  pursuant  to  Article  3
during the applicable Royalty Term in a country;

MERSANA terminates pursuant to Section 10.2(a), as of the effective date of such termination of this CLOA:

(4)        In  the  event  of  any  termination  by  SNFX  pursuant  to  Sections  10.2(b),  10.2(c),  or  10.2(d)  or

(i)        this  CLOA  and  all  rights  and  licenses  granted  to  MERSANA  under  Sections  2.1,  2.2  and
4.4(a) shall terminate with respect to the Terminated Targets or with respect to all Licensed Targets, as applicable, and all such
applicable rights in the Licensed Technology shall revert to SNFX; and

(ii)    except as required for a Party to exercise its rights or fulfill its obligations under this Section
10.3,  each  Party  shall  return  to  the  other  Party  or  destroy  (at  the  disclosing  Party’s  option)  and  cease  using  all  Confidential
Information of the other Party (including, for the avoidance of doubt, the Licensed Know-How and all copies thereof) that are
solely related to the Terminated Targets or with respect to all Confidential Information if this CLOA is terminated in its entirety,
as  applicable;  provided,  however,  each  Party  may  retain  one  (1)  copy  of  such  Confidential  Information  for  archival  purposes.
Each  Party  shall  confirm  in  writing  to  the  other  Party  that  all  such  Confidential  Information,  except  one  (1)  copy  for  archival
purposes, has been returned to the other Party. Notwithstanding the foregoing, the obligation to return Confidential Information
shall  not  cover  information  that  is  required  to  be  retained  by  applicable  Law  or  information  maintained  on  routine  computer
system  backup  tapes,  disks  or  other  backup  storage  devices  as  long  as  such  backed-up  information  is  not  used,  disclosed  or
otherwise recovered from such backup devices.

(b)    Accrued Rights. Termination of this CLOA for any reason will be without prejudice to any rights that will
have accrued to the benefit of a Party prior to such termination. Such termination will not relieve a Party from accrued payment
obligations or from obligations which are expressly indicated to survive termination of this CLOA.

(c)        Survival. The  provisions  of  Sections  2.1(a)  (to  the  extent  set  forth  in  Section  10.3(a)(2)  and  10.3(a)(3)),
2.2(d)(3), 2.4(b), 2.11, 2.12, 5.1, 5.2, 5.3, 10.3 and Article 1, Article 3 (to the extent set forth in Section 10.3(a)(3)), Article 6,
Article 7, Article 8, Article 9 and Article 11 shall survive expiration or termination of this CLOA for the period so specified, if
any, or for perpetuity.

ARTICLE 11
GENERAL PROVISIONS

11.1.    Entire Agreement. The Parties acknowledge that this CLOA, together with the exhibits and schedules attached hereto,
sets  forth  the  entire  agreement  and  understanding  of  the  Parties  as  to  the  subject  matter  hereof,  and  supersedes  all  prior  and
contemporaneous discussions, agreements and writings in respect hereto, except for the Material Transfer Agreement which shall
remain  in  full  force  and  effect  between  SNFX  and  MERSANA,  and  the  Three-way  Mutual  Non-Disclosure  Agreement  which
shall remain in full force and effect between SNFX, MERSANA and Me Jean-Paul Vulliety. To the extent there is any conflict or
ambiguity between this CLOA and the Material Transfer Agreement (or any amendments thereto that may be agreed in the future
between the Parties), this CLOA shall control. To the extent there is any conflict or ambiguity between this CLOA and the Three-
way  Mutual  Non-Disclosure  Agreement  (or  any  amendments  thereto  that  may  be  agreed  in  the  future  between  the  parties
thereto), the Three-way Mutual Non-Disclosure Agreement shall control.

11.2.    Modification; Waiver. No waiver, modification, amendment or alteration of any provision of this CLOA will be valid or
effective unless made in writing and signed by each of the Parties. The failure of a Party to enforce any rights or provisions of the
CLOA shall not be

construed to be a waiver of such rights or provisions, or a waiver by such Party to thereafter enforce such rights or provisions or
any other rights or provisions hereunder.

11.3.    Further Assurances. Each Party agrees to execute, acknowledge, and deliver such further instruments and to do all such
other acts as may be necessary or appropriate in order to carry out the express provisions of this CLOA.

11.4.        Force  Majeure. Neither  Party  shall  be  held  responsible  for  any  delay  or  failure  in  performance  hereunder  caused  by
strikes, embargoes, unexpected government requirements, civil or military authorities, acts of God, earthquake, terrorism, or by
the public enemy or other causes reasonably beyond such Party’s control and without such Party’s fault or negligence; provided
that the affected Party notifies the unaffected Party as soon as reasonably possible, and resumes performance hereunder as soon
as reasonably possible following cessation of such force majeure event.

11.5.    Assignments. A Party shall not have the right to assign, by operation of law or otherwise, any of its rights or obligations
under this CLOA without the prior written consent of the other Party, which consent shall not be unreasonably withheld, except
that  either  Party  may  assign  or  transfer  this  CLOA  in  its  entirety,  without  the  written  consent  of  the  other  Party,  (a)  to  any
successor  in  interest  that  acquires  all  or  substantially  all  of  the  business  or  assets  of  a  Party  or  that  portion  of  the  business  or
assets of such Party pertaining to the subject matter of this CLOA (whether by merger, reorganization, acquisition, consolidation,
sale or otherwise) or (b) to its Affiliate; provided that any permitted assignee will assume all rights and obligations of its assignor
under this CLOA. Any assignment not in accordance with this Section 11.5 will be null and void.

11.6.    Performance by Affiliates. The Parties recognize that each may perform some or all of its obligations under this CLOA
through its Affiliates or may exercise some or all of its rights under this CLOA through its Affiliates; provided, however, that
each  Party  shall  remain  responsible  and  be  the  guarantor  of  the  performance  by  its  Affiliates  and  shall  cause  its  Affiliates  to
comply with the provisions of this CLOA in connection with such performance. In particular and without limitation, all Affiliates
of a Party that receive Confidential Information of the other Party pursuant to this CLOA shall be governed and bound by all
obligations set forth in Article 6. Each Party will prohibit all of its Affiliates from taking any action that such Party is prohibited
from taking under this CLOA as if such Affiliates were parties to this CLOA.

11.7.    Relationship of the Parties. The Parties shall perform their obligations under this CLOA as independent contractors and
nothing  in  this  CLOA  is  intended  or  will  be  deemed  to  constitute  a  partnership,  agency,  joint  venture  or  employer-employee
relationship between the Parties. Neither Party will have any right, power or authority to assume, create, or incur any expense,
liability, or obligation, express or implied, on behalf of the other.

11.8.    No Third Party Beneficiaries. Except for the rights to indemnification provided for under Article 8 above, all rights,
benefits and remedies under this CLOA are solely intended for the benefit of MERSANA and SNFX, and except for such rights
to indemnification expressly provided pursuant to Article 8, no Third Party shall have any rights whatsoever to: (a) enforce any
obligation  contained  in  this  CLOA;  (b)  seek  a  benefit  or  remedy  for  any  breach  of  this  CLOA;  or  (c)  take  any  other  action
relating to this CLOA under any legal theory, including actions in contract, tort (including negligence, gross negligence and strict
liability), or as a defense, setoff or counterclaim to any action or claim brought or made by the Parties.

11.9.    No Use of Names. Except as otherwise required under applicable Law or permitted under this CLOA, neither Party will
use the name, logo or trademark of the other Party or any of

its Affiliates or any of its or their Sublicensees in its advertising, press releases or marketing or promotional materials without the
prior written consent of such other Party.

11.10.    Notices. Any notice, request, delivery, approval or consent required or permitted to be given under this CLOA will be in
writing  and  will  be  deemed  to  have  been  sufficiently  given  if  delivered  in  person  (in  which  case,  it  will  be  effective  upon
delivery),  transmitted  by  facsimile,  if  facsimile  number  is  provided  below  (receipt  verified;  in  which  case,  it  will  be  effective
upon delivery), by express courier service (signature required; in which case, it will be effective two days after being deposited
with such courier service), or transmitted by email, if email is provided below (receipt verified; in which case, it will be effective
upon delivery) to the Party to which it is directed.

If to SNFX:    Synaffix B.V.

Industrielaan 63 
5349 AE, Oss
The Netherlands
Email:        p.vandesande@synaffix.com
Attention:     CEO 
With copy to:     legal@synaffix.com

If to MERSANA:    Mersana Therapeutics
840 Memorial Drive
Cambridge, Massachusetts 02139 USA
Facsimile: (617) 498-0109
Email: [**]
Attention: Legal Department

With a copy to:

Ropes & Gray LLP
800 Boylston Street
Boston, MA 02199
Attention: Marc Rubenstein
Fax: (617) 235-0706
Email: marc.rubenstein@ropesgray.com

11.11.        Dispute  Resolution.  The  Parties  agree  that  any  disputes  arising  with  respect  to  the  interpretation,  enforcement,
termination or invalidity of this CLOA (each, a “Dispute”) shall first be presented to the Parties’ respective Executive Officers
for resolution. If the Parties are unable to resolve a given Dispute pursuant to this Section 11.11 after discussions between the
Executive  Officers  within  ten  (10)  days  after  referring  such  Dispute  to  the  Executive  Officers,  either  Party  may,  at  its  sole
discretion, seek resolution of such matter in accordance with Section 11.12.

11.12.        Submission  to  Court  for  Resolution.  Subject  to  Section  11.11,  the  Parties  hereby  irrevocably  and  unconditionally
consent to the exclusive jurisdiction of the courts located in the Southern District of New York for any action, suit or proceeding
(other than appeals therefrom) arising out of or relating to this CLOA, and agree not to commence any action, suit or proceeding
(other than appeals therefrom) related thereto except in such courts. The Parties further hereby irrevocably and unconditionally
waive  any  objection  to  the  laying  of  venue  of  any  action,  suit  or  proceeding  (other  than  appeals  therefrom)  arising  out  of  or
relating to this CLOA in the courts of New York, and hereby further irrevocably and unconditionally waive and agree not to plead
or claim in any such court that any such action, suit or proceeding brought in any such court has been brought in an inconvenient
forum. Each Party further agrees that service of any process, summons, notice or document by registered mail to its address set
forth in Section 11.10 shall be

effective service of process for any action, suit or proceeding brought against it under this CLOA in any such court.

11.13.    Governing Law. This CLOA and all questions regarding its validity or interpretation, or the performance or breach of
this  CLOA,  shall  be  governed  by  and  construed  and  enforced  in  accordance  with  the  laws  of  the  State  of  New  York  and  the
Federal laws of the United States of America, without reference to conflicts of laws principles.

11.14.    Headings. The article, section and subsection headings contained herein are for the purposes of convenience only and
are not intended to define or limit the contents of the articles, sections or subsections to which such headings apply.

11.15.    Severability. When possible, each provision of this CLOA will be interpreted in such manner as to be effective and valid
under  applicable  Law,  but,  if  any  provision  of  this  CLOA  is  held  to  be  prohibited  by  or  invalid  under  applicable  Law,  such
provision will be ineffective but only to the extent of such prohibition or invalidity, without invalidating the remainder of such
provision or of this CLOA. The Parties will make a good faith effort to replace the invalid or unenforceable provision with a valid
one which in its economic effect is most consistent with the invalid or unenforceable provision.

11.16.    Equitable Relief. Nothing contained in this CLOA will deny any Party the right to seek injunctive or other equitable
relief from a court of competent jurisdiction in the context of prospective irreparable harm.

11.17.        Counterparts.  This  CLOA  may  be  executed  in  two  (2)  or  more  counterparts  (including  by  facsimile  or  electronic
signature), each of which shall be deemed an original and all of which together shall constitute one instrument.

[Signature Page Follows]

IN WITNESS WHEREOF, the Parties have executed this CLOA in duplicate originals by their duly authorized

representatives as of the Amendment Date.

SYNAFFIX B.V.

(“SNFX”)

By:/s/ Peter van de Sande    
Name: Peter van de Sande    
Title: Chief Executive Officer    
Date: November 23, 2021    

MERSANA THERAPEUTICS, INC.

(“MERSANA”)

By:/s/ Brian DeSchuytner    
Name: Brian DeSchuytner    
Title: Chief Financial Officer    
Date: November 22, 2021    

Exhibit 10.28

MERSANA THERAPEUTICS, INC.
2022 INDUCEMENT STOCK INCENTIVE PLAN

1.

DEFINED TERMS

The following terms, when used in the Plan (as defined below), have the meanings and are subject to the provisions set

forth below:

(a)

“Accounting  Rules”:  Financial  Accounting  Standards  Board  Accounting  Standards  Codification  Topic  718,  or

any successor provision.

(b)

“Administrator”: The Compensation Committee, except with respect to such matters that are not delegated to the
Compensation Committee by the Board (whether pursuant to committee charter or otherwise). The Compensation Committee (or
the  Board  acting  with  a  majority  of  the  Independent  Directors),  with  respect  to  such  matters  over  which  they  retain  authority
under the Plan or otherwise), to the extent permitted by applicable law and subject to any requirements under the Nasdaq Stock
Market Rules, may delegate (i) to one or more of its members (or one or more other members of the Board, including the full
Board) such of its duties, powers and responsibilities as it may determine; provided that the grant of any Award under the Plan
must be approved by the Company’s Independent Directors in order to comply with the exemption from the stockholder approval
requirement for “inducement grants” provided under Nasdaq Stock Market Rule 5635(c)(4); or (ii) to one or more officers of the
Company the power to grant Awards to the extent permitted by Section 152 or 157(c) of the Delaware General Corporation Law,
provided that the Compensation Committee (or Board, acting with a majority of the Independent Directors) shall fix the terms of
the Awards to be granted by such officers, the maximum number of shares subject to Awards that the officers may grant and the
time period in which such Awards may be granted, and, provided, further that no officer shall be authorized to grant Awards to
any “executive officer” of the Company (as defined by Rule 3b-7 under the Securities Exchange Act of 1934, as amended (the
“Exchange Act”) or to any “officer” of the Company (as defined by Rule 16(a)-1(f) under the Exchange Act. For purposes of the
Plan, the term “Administrator” will include the Board, the Compensation Committee, the Independent Directors, and the officer
or officers delegated authority under the Plan to the extent of such delegation, as applicable.

(c)

“Award”: Any or a combination of the following:

(1)

(2)

(3)

(4)

(5)

(6)

(7)

Stock Options.

SARs.

Restricted Stock.

Unrestricted Stock.

Stock Units, including Restricted Stock Units.

Performance Awards.

Awards (other than Awards described in (1) through (6) above) that are convertible into or otherwise based

on Stock.

(d)

“Board”: The Board of Directors of the Company.

(e)

“Cause”:  In  the  case  of  any  Participant  who  is  party  to  an  employment  or  severance-benefit  agreement  that
contains a definition of “Cause,” the definition set forth in such agreement applies with respect to such Participant for purposes of
the Plan for so long as such agreement is in effect. In every other case, “Cause” means, as determined by the Administrator, (i) a
substantial  failure  of  the  Participant  to  perform  the  Participant’s  duties  and  responsibilities  to  the  Company  or  any  of  its
subsidiaries  or  substantial  negligence  in  the  performance  of  such  duties  and  responsibilities;  (ii)  the  commission  by  the
Participant of a felony or a crime involving moral turpitude; (iii) the commission by the Participant of theft, fraud, embezzlement,
material  breach  of  trust  or  any  material  act  of  dishonesty  involving  the  Company  or  any  of  its  subsidiaries;  (iv)  a  significant
violation  by  the  Participant  of  the  code  of  conduct  of  the  Company  or  any  of  its  subsidiaries  of  any  material  policy  of  the
Company or any of its subsidiaries, or of any statutory or common law duty of loyalty to the Company or any of its subsidiaries;
(v) material breach of any of the terms of the Plan or any Award made under the Plan, or of the terms of any other agreement
between  the  Company  or  any  of  its  subsidiaries  and  the  Participant;  or  (vi)  other  conduct  by  the  Participant  that  could  be
expected to be harmful to the business, interests or reputation of the Company.

(f)

“Code”: The U.S. Internal Revenue Code of 1986, as from time to time amended and in effect, or any successor

statute as from time to time in effect.

(g)

(h)

“Compensation Committee”: The Compensation Committee of the Board.

“Company”: Mersana Therapeutics, Inc., a Delaware corporation.

(i)

“Covered Transaction”: Any of (i) a consolidation, merger or similar transaction or series of related transactions,
including  a  sale  or  other  disposition  of  stock,  in  which  the  Company  is  not  the  surviving  corporation  or  which  results  in  the
acquisition of all or substantially all of the Company’s then-outstanding common stock by a single person or entity or by a group
of  persons  and/or  entities  acting  in  concert;  (ii)  a  sale  or  transfer  of  all  or  substantially  all  the  Company’s  assets;  or  (iii)  a
dissolution or liquidation of the Company. Where a Covered Transaction involves a tender offer that is reasonably expected to be
followed by a merger described in clause (i) (as determined by the Administrator), the Covered Transaction will be deemed to
have occurred upon consummation of the tender offer.

(j)

“Date of Adoption”: The date the Plan was adopted by the Board.

(k)

“Director”: A member of the Board who is not an Employee.

(l)

“Employee”: Any person who is employed by the Company or any of its subsidiaries.

(m)

“Fair Market Value”: As of a particular date, (i) the closing price for a share of Stock reported on the Nasdaq
Stock Market (or any other national securities exchange on which the Stock is then listed) for that date or, if no closing price is
reported for that date, the closing price on the immediately preceding date on which a closing price was reported or (ii) in the
event that the Stock is not traded on a national securities exchange, the fair market value of a share of Stock determined by the
Administrator consistent with the rules of Section 409A to the extent applicable.

(n)
5605(a)(2).

“Independent  Directors”:  the  Company’s  independent  directors  (as  defined  in  Nasdaq  Stock  Market  Rule

(o)

“NSO” or “Non-Statutory Stock Option”: A Stock Option that is not intended to be an “incentive stock option”

within the meaning of Section 422.

- 2 -

(p)

(q)

“Participant”: A person who is granted an Award under the Plan.

“Performance Award”: An Award subject to Performance Criteria.

(r)

“Performance Criteria”: Specified criteria, other than the mere continuation of Service or the mere passage of
time, the satisfaction of which is a condition for the grant, exercisability, vesting or full enjoyment of an Award. A Performance
Criterion and any targets with respect thereto need not be based upon an increase, a positive or improved result or avoidance of
loss.  Performance  Criterion  may  include  an  objectively  determinable  measure  or  objectively  determinable  measures  of
performance  relating  to  any,  or  any  combination  of,  the  following  (measured  either  absolutely  or  comparatively  (including,
without limitation, by reference to an index or indices or the performance of one or more companies) and determined either on a
consolidated  basis  or,  as  the  context  permits,  on  a  divisional,  subsidiary,  line  of  business,  project  or  geographical  basis  or  in
combinations thereof and subject to such adjustments, if any, as the Administrator specifies): sales; revenues; assets; expenses;
earnings  before  or  after  deduction  for  all  or  any  portion  of  interest,  taxes,  depreciation,  or  amortization,  whether  or  not  on  a
continuing operations or an aggregate or per share basis; return on equity, investment, capital or assets; one or more operating
ratios; borrowing levels, leverage ratios or credit rating; market share; capital expenditures; cash flow; stock price; stockholder
return;  sales  of  particular  products  or  services;  customer  acquisition  or  retention;  acquisitions  and  divestitures  (in  whole  or  in
part);  joint  ventures  and  strategic  alliances;  spin-offs,  split-ups  and  the  like;  reorganizations;  recapitalizations,  restructurings,
financings (issuance of debt or equity) or refinancings; or strategic business criteria, consisting of one or more objectives based
on: meeting specified market penetration or value added, product development or introduction (including, without limitation, any
clinical  trial  accomplishments,  regulatory  or  other  filings  or  approvals,  or  other  product  development  milestones),  geographic
business expansion, cost targets, cost reductions or savings, customer satisfaction, operating efficiency, acquisition or retention,
employee  satisfaction,  information  technology,  corporate  development  (including,  without  limitation,  licenses,  innovation,
research  or  establishment  of  third-party  collaborations),  manufacturing  or  process  development,  legal  compliance  or  risk
reduction, patent application or issuance goals or any other metric determined by the Administrator. The Administrator may at
any time provide that one or more of the Performance Criteria applicable to such Award will be adjusted to reflect events (for
example, but without limitation, acquisitions or dispositions) occurring during the performance period that affect the applicable
Performance Criterion or Criteria or may waive the Performance Criteria.

(s)

in effect.

“Plan”: The Mersana Therapeutics, Inc. 2022 Inducement Stock Incentive Plan, as from time to time amended and

(t)

“Restricted Stock”: Stock subject to restrictions requiring that it be redelivered or offered for sale to the Company

if specified service or performance-based conditions are not satisfied.

(u)

“Restricted Stock Unit”: A Stock Unit that is, or as to which the delivery of Stock or cash in lieu of Stock is,

subject to the satisfaction of specified performance or other vesting conditions.

(v)

“SAR”: A right entitling the holder upon exercise to receive an amount (payable in cash or in shares of Stock of
equivalent value) equal to the excess of the Fair Market Value of the shares of Stock subject to the right over the base value from
which appreciation under the SAR is to be measured.

(w)

“Section 409A”: Section 409A of the Code and the regulations thereunder.

- 3 -

(x)

“Section 422”: Section 422 of the Code and the regulations thereunder.

(y)

“Service”: A Participant’s employment or other service with the Company or any of its subsidiaries. Service will
be deemed to continue, unless the Administrator otherwise determines at the time of grant of an Award or thereafter, so long as
the Participant is employed by, or otherwise is providing services to, the Company or any of its subsidiaries. If a Participant’s
employment or other service relationship is with any subsidiary of the Company and that entity ceases to be a subsidiary of the
Company, the Participant’s Service will be deemed to have terminated when the entity ceases to be a subsidiary of the Company
unless the Participant transfers Service to the Company or any of its remaining subsidiaries. Notwithstanding the foregoing, in
construing  the  provisions  of  any  Award  relating  to  the  payment  of  “nonqualified  deferred  compensation”  (subject  to  Section
409A) upon a termination or cessation of Service, references to termination or cessation of employment, separation from service,
retirement  or  similar  or  correlative  terms  will  be  construed  to  require  a  “separation  from  service”  (as  that  term  is  defined  in
Section 1.409A-1(h) of the Treasury Regulations) from the Company and from all other corporations and trades or businesses, if
any,  that  would  be  treated  as  a  single  “service  recipient”  with  the  Company  under  Section  1.409A-1(h)(3)  of  the  Treasury
Regulations. The Company may, but need not, elect in writing, subject to the applicable limitations under Section 409A, any of
the special elective rules prescribed in Section 1.409A-1(h) of the Treasury Regulations for purposes of determining whether a
“separation from service” has occurred. Any such written election will be deemed a part of the Plan.

(z)

“Stock”: Common stock of the Company, par value $0.0001 per share.

(aa)

“Stock Option”: An option entitling the holder to acquire shares of Stock upon payment of the exercise price.

(ab) “Stock  Unit”:  An  unfunded  and  unsecured  promise,  denominated  in  shares  of  Stock,  to  deliver  Stock  or  cash

measured by the value of Stock in the future.

(ac)

“Unrestricted Stock”: Stock not subject to any restrictions under the terms of the Award.

2.

PURPOSE

The Plan provides for the grant of Awards consisting of, or based on, Stock. The purposes of the Plan are to attract, retain
and  reward  persons  who  are  expected  to  make  important  contributions  to  the  Company  with  an  inducement  material  for  such
persons to enter into employment with the Company and its subsidiaries, to incentivize them to generate stockholder value, to
enable  them  to  participate  in  the  growth  of  the  Company  and  to  align  their  interests  with  the  interests  of  the  Company’s
stockholders.

3.

ADMINISTRATION

The  Administrator  has  discretionary  authority,  subject  only  to  the  express  provisions  of  the  Plan,  to  interpret  the  Plan;
determine  eligibility  for  and  grant  Awards;  determine,  modify  or  waive  the  terms  and  conditions  of  any  Award;  determine  the
form  of  settlement  of  Awards  (whether  in  cash,  shares  of  Stock,  other  Awards,  or  other  property);  prescribe  forms,  rules  and
procedures relating to the Plan and Awards; and otherwise do all things necessary or desirable to carry out the purposes of the
Plan. Determinations of the Administrator made under the Plan are conclusive and bind all persons.

- 4 -

4.

LIMITS ON AWARDS UNDER THE PLAN

(a) Number of Shares. Subject to adjustment as provided in Section 7(b), the maximum number of shares of Stock
that may be delivered in satisfaction of Awards under the Plan is 2,000,000 shares of Stock. For purposes of this Section 4(a),
shares of Stock shall not be treated as delivered under the Plan unless and until, and to the extent, they are actually issued and
delivered to a Participant. Without limiting the generality of the foregoing, shares of Stock withheld by the Company in payment
of the exercise price or purchase price of an Award or in satisfaction of tax withholding requirements with respect to an Award
and shares of Stock underlying any portion of an Award that is settled or that expires, becomes unexercisable, terminates or is
forfeited  to  or  repurchased  by  the  Company,  in  each  case,  without  the  delivery  of  Stock  shall  not  be  treated  as  delivered  in
satisfaction of Awards under the Plan.

(b)

Type  of  Shares.  Stock  delivered  by  the  Company  under  the  Plan  may  be  authorized  but  unissued  Stock  or

previously issued Stock acquired by the Company. No fractional shares of Stock will be delivered under the Plan.

5.

ELIGIBILITY AND PARTICIPATION

Awards  under  the  Plan  may  only  be  granted  to  persons  who  (a)  were  not  previously  an  Employee  or  Director  of  the
Company or (b) are commencing employment with the Company following a bona fide period of non-employment, in either case
as  an  inducement  material  to  the  individual’s  entering  into  employment  with  the  Company  and  in  accordance  with  the
requirements  of  Nasdaq  Stock  Market  Rule  5635(c)(4).  For  the  avoidance  of  doubt,  neither  consultants  nor  advisors  shall  be
eligible to participate in the Plan.

6.

RULES APPLICABLE TO AWARDS

(a) All Awards.

(1)

Award Provisions. The Administrator shall determine the terms of all Awards, subject to the limitations
provided  herein.  By  accepting  (or,  under  such  rules  as  the  Administrator  may  prescribe,  being  deemed  to  have  accepted)  an
Award, the Participant will be deemed to have agreed to the terms of the Award and the Plan.

(2)

Transferability.  Except  as  the  Administrator  otherwise  expressly  provides  in  accordance  with  the  third
sentence  of  this  Section  6(a)(2),  no  Awards  may  be  transferred  other  than  by  will  or  by  the  laws  of  descent  and  distribution.
During a Participant’s lifetime, except as the Administrator otherwise expressly provides in accordance with the third sentence of
this  Section  6(a)(2),  SARs  and  NSOs  may  be  exercised  only  by  the  Participant.  The  Administrator  may  permit  the  transfer  of
Awards, subject to applicable securities and other laws and such limitations as the Administrator may impose.

(3)

Vesting,  etc.  The  Administrator  shall  determine  the  time  or  times  at  which  an  Award  vests  or  becomes
exercisable  and  the  terms  on  which  a  Stock  Option  or  SAR  remains  exercisable.  Without  limiting  the  foregoing,  the
Administrator  may  at  any  time  accelerate  the  vesting  or  exercisability  of  an  Award,  regardless  of  any  adverse  or  potentially
adverse  tax  or  other  consequences  resulting  from  such  acceleration.  Unless  the  Administrator  expressly  provides  otherwise,
however, the following rules will apply if a Participant’s Service ceases:

Except  as  provided  in  (B)  and  (C)  below,  immediately  upon  the  cessation  of  the  Participant’s
Service each Stock Option and SAR that is then held by the Participant or by the Participant’s permitted transferees, if any, will
cease to be exercisable and

(A)

- 5 -

will terminate and all other Awards that are then held by the Participant or by the Participant’s permitted transferees, if any, to the
extent not already vested will be forfeited.

(B)

Subject  to  (C)  and  (D)  below,  all  vested  and  unexercised  Stock  Options  and  SARs  held  by  the
Participant or the Participant’s permitted transferees, if any, immediately prior to the cessation of the Participant’s Service, to the
extent then exercisable, will remain exercisable for the lesser of (i) a period of three months or (ii) the period ending on the latest
date on which such Stock Option or SAR could have been exercised without regard to this Section 6(a)(3), and will thereupon
immediately terminate.

(C)

Subject to (D) below, all vested and unexercised Stock Options and SARs held by a Participant or
the  Participant’s  permitted  transferees,  if  any,  immediately  prior  to  the  cessation  of  the  Participant’s  Service  due  to  his  or  her
death,  to  the  extent  then  exercisable,  will  remain  exercisable  for  the  lesser  of  (i)  the  one-year  period  ending  with  the  first
anniversary of the Participant’s death or (ii) the period ending on the latest date on which such Stock Option or SAR could have
been exercised without regard to this Section 6(a)(3), and will thereupon immediately terminate.

(D)

All  Stock  Options  and  SARs  (whether  or  not  vested  or  exercisable)  held  by  a  Participant  or  the
Participant’s  permitted  transferees,  if  any,  immediately  prior  to  the  cessation  of  the  Participant’s  Service  will  immediately
terminate upon such cessation of Service if the termination is for Cause or occurs in circumstances that in the determination of
the Administrator would have constituted grounds for the Participant’s Service to be terminated for Cause.

(4)

Recovery  of  Compensation.  The  Administrator  may  provide  in  any  case  that  any  outstanding  Award
(whether or not vested or exercisable) and the proceeds from the exercise or disposition of any Award or Stock acquired under
any  Award  will  be  subject  to  forfeiture  and  disgorgement  to  the  Company,  with  interest  and  other  related  earnings,  if  the
Participant  to  whom  the  Award  was  granted  violates  (i)  a  non-competition,  non-solicitation,  confidentiality  or  other  restrictive
covenant  by  which  he  or  she  is  bound  or  (ii)  any  Company  policy  applicable  to  the  Participant  that  provides  for  forfeiture  or
disgorgement  with  respect  to  incentive  compensation  that  includes  Awards  under  the  Plan.  In addition, the Administrator may
require forfeiture and disgorgement to the Company of any outstanding Award and the proceeds from the exercise or disposition
of  any  Award  or  Stock  acquired  under  any  Award,  with  interest  and  other  related  earnings,  to  the  extent  required  by  law  or
applicable stock exchange listing standards, including, without limitation, Section 10D of the Exchange Act, and any applicable
Company policy. Each Participant, by accepting or being deemed to have accepted an Award under the Plan, agrees to cooperate
fully  with  the  Administrator,  and  to  cause  any  and  all  permitted  transferees  of  the  Participant  to  cooperate  fully  with  the
Administrator, to effectuate any forfeiture or disgorgement required hereunder. Neither the Administrator nor the Company nor
any other person, other than the Participant and his or her permitted transferees, if any, will be responsible for any adverse tax or
other consequences to a Participant or his or her permitted transferees, if any, that may arise in connection with this Section 6(a)
(4).

(5)

Taxes. The delivery, vesting and retention of Stock, cash or other property under an Award are conditioned
upon full satisfaction by the Participant of all tax withholding requirements with respect to the Award. The Administrator shall
prescribe such rules for the withholding of taxes with respect to any Award as it deems necessary. The Administrator may hold
back  shares  of  Stock  from  an  Award  or  permit  a  Participant  to  tender  previously  owned  shares  of  Stock  in  satisfaction  of  tax
withholding  requirements  (but  not  in  excess  of  the  maximum  withholding  amount  consistent  with  the  award  being  subject  to
equity accounting treatment under the Accounting Rules).

- 6 -

(6)

Dividend  Equivalents,  etc.  The  Administrator  may  provide  for  the  payment  of  amounts  (on  terms  and
subject to conditions established by the Administrator) in lieu of cash dividends or other cash distributions with respect to Stock
subject to an Award whether or not the holder of such Award is otherwise entitled to share in the actual dividend or distribution in
respect  of  such  Award.  Any  entitlement  to  dividend  equivalents  or  similar  entitlements  will  be  established  and  administered
either  consistent  with  an  exemption  from,  or  in  compliance  with,  the  requirements  of  Section  409A.  Dividends  or  dividend
equivalent amounts payable in respect of Awards that are subject to restrictions may be subject to such limits or restrictions as the
Administrator may impose.

(7)

Rights Limited.  Nothing  in  the  Plan  may  be  construed  as  giving  any  person  the  right  to  be  granted  an
Award or to continued Service with the Company or any of its subsidiaries, or any rights as a stockholder except as to shares of
Stock actually issued under the Plan. The loss of existing or potential profit in Awards will not constitute an element of damages
in the event of termination of Service for any reason, even if the termination is in violation of an obligation of the Company or
any of its subsidiaries to the Participant.

under the Plan or awards made under other compensatory plans or programs of the Company or any of its subsidiaries.

(8)

Coordination  with  Other  Plans.  Awards  under  the  Plan  may  be  granted  in  tandem  with  other  Awards

(9)

 Section 409A.

(A) Without limiting the generality of Section 11(b) hereof, each Award will contain such terms as the
Administrator determines and will be construed and administered, such that the Award either qualifies for an exemption from the
requirements of Section 409A or satisfies such requirements.

(B)

If a Participant is deemed on the date of the Participant’s termination of Service to be a “specified
employee”  within  the  meaning  of  that  term  under  Section  409A(a)(2)(B),  then,  with  regard  to  any  payment  that  is  considered
nonqualified  deferred  compensation  under  Section  409A,  to  the  extent  applicable,  payable  on  account  of  a  “separation  from
service”,  such  payment  will  be  made  or  provided  on  the  date  that  is  the  earlier  of  (i)  the  expiration  of  the  six-month  period
measured from the date of such “separation from service” and (ii) the date of the Participant’s death (the “Delay Period”). Upon
the expiration of the Delay Period, all payments delayed pursuant to this Section 6(a)(9)(B) (whether they would have otherwise
been payable in a single lump sum or in installments in the absence of such delay) will be paid on the first business day following
the expiration of the Delay Period in a lump sum and any remaining payments due under the Award will be paid in accordance
with the normal payment dates specified for them in the applicable Award agreement.

payment.

(C)

For  purposes  of  Section  409A,  each  payment  made  under  this  Plan  will  be  treated  as  a  separate

(10)

Press Release. Promptly following the grant of an Award hereunder, the Company must disclose in a press
release  the  material  terms  of  the  grant,  the  number  of  shares  of  Stock  involved,  and,  if  required  by  law  or  the  Nasdaq  Stock
Market Rules, the identity of the Participant. Each Participant, by accepting an Award, consents to the foregoing.

(b)

Stock Options and SARs.

(1)

NSO. Each Stock Option granted pursuant to the Plan will an NSO.

- 7 -

(2)

Time and Manner of Exercise. Unless the Administrator expressly provides otherwise, no Stock Option
or  SAR  will  be  deemed  to  have  been  exercised  until  the  Administrator  receives  notice  of  exercise  in  a  form  acceptable  to  the
Administrator that is signed by the appropriate person and accompanied by any payment required under the Award. Any attempt
to exercise a Stock Option or SAR by any person other than the Participant (or a permitted transferee) will not be given effect
unless the Administrator has received such evidence as it may require that the person exercising the Award has the right to do so.

Exercise Price. The exercise price (or the base value from which appreciation is to be measured) of each
Award requiring exercise must be no less than 100% of the Fair Market Value of the Stock subject to the Award, determined as of
the date of grant, or such higher amount as the Administrator may determine in connection with the grant.

(3)

(4)

Payment of Exercise Price. Where the exercise of an Award is to be accompanied by payment, payment
of  the  exercise  price  must  be  by  cash  or  check  acceptable  to  the  Administrator  or,  if  so  permitted  by  the  Administrator  and  if
legally permissible, (i) through the delivery of previously acquired unrestricted shares of Stock, or the withholding of unrestricted
shares of Stock otherwise deliverable upon exercise, in either case, that have a Fair Market Value equal to the exercise price; (ii)
through a broker-assisted exercise program acceptable to the Administrator; (iii) by other means acceptable to the Administrator;
or (iv) by any combination of the foregoing permissible forms of payment. The delivery of previously acquired shares in payment
of the exercise price under clause (i) above may be accomplished either by actual delivery or by constructive delivery through
attestation of ownership, subject to such rules as the Administrator may prescribe.

of grant.

(5) Maximum Term. The maximum term of Stock Options and SARs must not exceed 10 years from the date

(6)

Repricing.  Except  in  connection  with  a  corporate  transaction  involving  the  Company  (which  term
includes, without limitation, any stock dividend, stock split, extraordinary cash dividend, recapitalization, reorganization, merger,
consolidation,  split-up,  spin-off,  combination,  or  exchange  of  shares)  or  as  otherwise  contemplated  by  Section  7  below,  the
Company may not, without obtaining stockholder approval, (i) amend the terms of outstanding Stock Options or SARs to reduce
the exercise price or base value of such Stock Options or SARs; (ii) cancel outstanding Stock Options or SARs in exchange for
Stock Options or SARs with an exercise price or base value that is less than the exercise price or base value of the original Stock
Options or SARs; or (iii) cancel outstanding Stock Options or SARs that have an exercise price or base value greater than the Fair
Market Value of a share of Stock on the date of such cancellation in exchange for cash or other consideration.

7.

EFFECT OF CERTAIN TRANSACTIONS

(a) Mergers,  etc.  Except  as  otherwise  expressly  provided  in  an  Award  agreement  or  by  the  Administrator,  the

following provisions will apply in the event of a Covered Transaction:

(1)

Assumption or Substitution. If the Covered Transaction is one in which there is an acquiring or surviving
entity, the Administrator may provide for (i) the assumption or continuation of some or all outstanding Awards or any portion
thereof  or  (ii)  the  grant  of  new  awards  in  substitution  therefor  by  the  acquiror  or  survivor  or  an  affiliate  of  the  acquiror  or
survivor.

Cash-Out  of  Awards.  Subject  to  Section  7(a)(5)  below,  the  Administrator  may  provide  for  payment  (a
“cash-out”), with respect to some or all Awards or any portion thereof, equal in the case of each affected Award or portion thereof
to the excess, if

(2)

- 8 -

any, of (i) the Fair Market Value of one share of Stock times the number of shares of Stock subject to the Award or such portion,
over (ii) the aggregate exercise or purchase price, if any, under the Award or such portion (in the case of a SAR, the aggregate
base value above which appreciation is measured), in each case on such payment terms (which need not be the same as the terms
of  payment  to  holders  of  Stock)  and  other  terms,  and  subject  to  such  conditions,  as  the  Administrator  determines;  provided,
however, for the avoidance of doubt, that if the per share exercise or purchase price (or base value) of an Award is equal to or
greater  than  the  Fair  Market  Value  of  one  share  of  Stock,  the  Award  may  be  cancelled  with  no  payment  due  hereunder  or
otherwise in respect of such Award.

(3)

Acceleration  of  Certain  Awards. Subject  to  Section  7(a)(5)  below,  the  Administrator  may  provide  that
any Award requiring exercise will become exercisable, in full or in part, and/or that the delivery of any shares of Stock remaining
deliverable under any outstanding Award of Stock Units (including Restricted Stock Units and Performance Awards to the extent
consisting  of  Stock  Units)  will  be  accelerated,  in  full  or  in  part,  in  each  case  on  a  basis  that  gives  the  holder  of  the  Award  a
reasonable opportunity, as determined by the Administrator, following exercise of the Award or the delivery of the shares, as the
case may be, to participate as a stockholder in the Covered Transaction.

(4)

Termination  of  Awards  upon  Consummation  of  Covered  Transaction.  Except  as  the  Administrator
may  otherwise  determine  in  any  case,  each  Award  will  automatically  terminate  (and  in  the  case  of  outstanding  shares  of
Restricted Stock, will automatically be forfeited) immediately upon consummation of the Covered Transaction, other than (i) any
Award  that  is  assumed  or  substituted  pursuant  to  Section  7(a)(1)  above  and  (ii)  any  Award  that  by  its  terms,  or  as  a  result  of
action taken by the Administrator, continues following the Covered Transaction.

(5)

Additional Limitations. Any share of Stock and any cash or other property delivered pursuant to Section
7(a)(2) or Section 7(a)(3) above with respect to an Award may, in the discretion of the Administrator, contain such restrictions, if
any,  as  the  Administrator  deems  appropriate  to  reflect  any  performance  or  other  vesting  conditions  to  which  the  Award  was
subject  and  that  did  not  lapse  (and  were  not  satisfied)  in  connection  with  the  Covered  Transaction.  For  purposes  of  the
immediately preceding sentence, a cash-out under Section 7(a)(2) above or an acceleration under Section 7(a)(3) above will not,
in and of itself, be treated as the lapsing (or satisfaction) of a performance or other vesting condition. In the case of Restricted
Stock that does not vest and is not forfeited in connection with the Covered Transaction, the Administrator may require that any
amounts delivered, exchanged or otherwise paid in respect of such Stock in connection with the Covered Transaction be placed in
escrow or otherwise made subject to such restrictions as the Administrator deems appropriate to carry out the intent of the Plan.

(b) Changes in and Distributions with Respect to Stock.

(1)

Basic  Adjustment  Provisions.  In  the  event  of  a  stock  dividend,  stock  split  or  combination  of  shares
(including  a  reverse  stock  split),  recapitalization  or  other  change  in  the  Company’s  capital  structure  that  constitutes  an  equity
restructuring within the meaning of the Accounting Rules, the Administrator shall make appropriate adjustments to the maximum
number of shares of Stock specified in Section 4(a) that may be issued under the Plan, and shall make appropriate adjustments to
the number and kind of shares of stock or securities underlying Awards then outstanding or subsequently granted, any exercise or
purchase prices (or base values) relating to Awards and any other provision of Awards affected by such change.

Section 7(b)(1) above to take into account distributions to

(2)

Certain  Other  Adjustments.  The  Administrator  may  also  make  adjustments  of  the  type  described  in

- 9 -

stockholders other than those provided for in Section 7(a) and 7(b)(1), or any other event, if the Administrator determines that
adjustments are appropriate to avoid distortion in the operation of the Plan and the requirements of Section 409A, to the extent
applicable.

include any stock or securities resulting from an adjustment pursuant to this Section 7.

(3)

Continuing Application of Plan Terms. References  in  the  Plan  to  shares  of  Stock  will  be  construed  to

8.

LEGAL CONDITIONS ON DELIVERY OF STOCK

The Company will not be obligated to deliver any shares of Stock pursuant to the Plan or to remove any restriction from shares of
Stock previously delivered under the Plan until: (i) the Company is satisfied that all legal matters in connection with the issuance
and delivery of such shares have been addressed and resolved; (ii) if the outstanding Stock is at the time of delivery listed on any
stock exchange or national market system, the shares to be delivered have been listed or authorized to be listed on such exchange
or system upon official notice of issuance; and (iii) all conditions of the Award have been satisfied or waived. The Company may
require, as a condition to the exercise of an Award or the delivery of shares of Stock under an Award, such representations or
agreements as counsel for the Company may consider appropriate to avoid violation of the Securities Act of 1933, as amended, or
any applicable state or non-U.S. securities law. Any Stock required to be issued to Participants under the Plan will be evidenced
in such manner as the Administrator may deem appropriate, including book-entry registration or delivery of stock certificates. In
the event that the Administrator determines that stock certificates will be issued to Participants under the Plan, the Administrator
may  require  that  certificates  evidencing  Stock  issued  under  the  Plan  bear  an  appropriate  legend  reflecting  any  restriction  on
transfer applicable to such Stock, and the Company may hold the certificates pending lapse of the applicable restrictions.

9.

AMENDMENT AND TERMINATION

The Administrator may at any time or times amend the Plan or any outstanding Award for any purpose which may at the
time  be  permitted  by  law,  and  may  at  any  time  terminate  the  Plan  as  to  any  future  grants  of  Awards;  provided,  however,  that
except as otherwise expressly provided in the Plan the Administrator may not, without the Participant’s consent, alter the terms of
an  Award  so  as  to  affect  materially  and  adversely  the  Participant’s  rights  under  the  Award,  unless  the  Administrator  expressly
reserved the right to do so at the time the Award was granted. Any amendments to the Plan will be conditioned upon stockholder
approval  only  to  the  extent,  if  any,  such  approval  is  required  by  law  (including  the  Code)  or  applicable  stock  exchange
requirements, as determined by the Administrator.

10.

OTHER COMPENSATION ARRANGEMENTS

The existence of the Plan or the grant of any Award will not affect the Company’s right to award a person bonuses or

other compensation in addition to Awards under the Plan.

11. MISCELLANEOUS

(a) Waiver of Jury Trial. By accepting or being deemed to have accepted an Award under the Plan, each Participant
waives any right to a trial by jury in any action, proceeding or counterclaim concerning any rights under the Plan and any Award,
or  under  any  amendment,  waiver,  consent,  instrument,  document  or  other  agreement  delivered  or  which  in  the  future  may  be
delivered in connection therewith, and agrees that any such action, proceedings or counterclaim will be tried before a court and
not  before  a  jury.  By  accepting  or  being  deemed  to  have  accepted  an  Award  under  the  Plan,  each  Participant  certifies  that  no
officer, representative,

- 10 -

or  attorney  of  the  Company  has  represented,  expressly  or  otherwise,  that  the  Company  would  not,  in  the  event  of  any  action,
proceeding or counterclaim, seek to enforce the foregoing waivers. Notwithstanding anything to the contrary in the Plan, nothing
herein is to be construed as limiting the ability of the Company and a Participant to agree to submit disputes arising under the
terms of the Plan or any Award made hereunder to binding arbitration or as limiting the ability of the Company to require any
eligible individual to agree to submit such disputes to binding arbitration as a condition of receiving an Award hereunder.

(b)

Limitation of Liability. Notwithstanding anything to the contrary in the Plan, neither the Company, nor any of its
subsidiaries, nor the Administrator, nor any person acting on behalf of the Company, any of its subsidiaries, or the Administrator,
will  be  liable  to  any  Participant,  to  any  permitted  transferee,  to  the  estate  or  beneficiary  of  any  Participant  or  any  permitted
transferee,  or  to  any  other  holder  of  an  Award  by  reason  of  any  acceleration  of  income,  or  any  additional  tax  (including  any
interest and penalties), asserted by reason of the failure of an Award to satisfy the requirements of Section 409A or by reason of
Section 4999 of the Code, or otherwise asserted with respect to the Award.

12.

ESTABLISHMENT OF SUB-PLANS

The Administrator may at any time and from time to time establish one or more sub-plans under the Plan (for local-law
compliance  purposes  or  other  administrative  reasons  determined  by  the  Administrator)  by  adopting  supplements  to  the  Plan
containing,  in  each  case,  such  limitations  on  the  Administrator’s  discretion  under  the  Plan,  and  such  additional  terms  and
conditions, as the Administrator deems necessary or desirable. Each supplement so established will be deemed to be part of the
Plan but will apply only to Participants within the group to which the supplement applies (as determined by the Administrator).

13.

GOVERNING LAW

(a) Certain  Requirements  of  Corporate  Law.  Awards  will  be  granted  and  administered  consistent  with  the
requirements of applicable Delaware law relating to the issuance of stock and the consideration to be received therefor, and with
the applicable requirements of the stock exchanges or other trading systems on which the Stock is listed or entered for trading, in
each case as determined by the Administrator.

(b) Other  Matters.  Except  as  otherwise  provided  by  the  express  terms  of  an  Award  agreement,  under  a  sub-plan
described  in  Section  12  or  as  provided  in  Section  13(a)  above,  the  domestic  substantive  laws  of  the  Commonwealth  of
Massachusetts govern the provisions of the Plan and of Awards under the Plan and all claims or disputes arising out of or based
upon the Plan or any Award under the Plan or relating to the subject matter hereof or thereof without giving effect to any choice
or conflict of laws provision or rule that would cause the application of the domestic substantive laws of any other jurisdiction.

(c)

Jurisdiction.  By  accepting  an  Award,  each  Participant  will  be  deemed  to  (i)  have  submitted  irrevocably  and
unconditionally to the jurisdiction of the federal and state courts located within the geographic boundaries of the United States
District  Court  for  the  District  of  Massachusetts  for  the  purpose  of  any  suit,  action  or  other  proceeding  arising  out  of  or  based
upon the Plan or any Award; (ii) agree not to commence any suit, action or other proceeding arising out of or based upon the Plan
or an Award, except in the federal and state courts located within the geographic boundaries of the United States District Court
for the District of Massachusetts; and (iii) waive, and agree not to assert, by way of motion as a defense or otherwise, in any such
suit, action or proceeding, any claim that he or she is not subject personally to the jurisdiction of the above-named courts that his
or  her  property  is  exempt  or  immune  from  attachment  or  execution,  that  the  suit,  action  or  proceeding  is  brought  in  an
inconvenient forum, that the venue

- 11 -

of the suit, action or proceeding is improper or that the Plan or an Award or the subject matter thereof may not be enforced in or
by such court.

- 12 -

Exhibit 10.29

Name:
Number of RSUs:
Date of Grant:
Vesting Commencement Date

[●]
[●]
[●]
[●]

MERSANA THERAPEUTICS, INC.

2022 INDUCEMENT STOCK INCENTIVE PLAN

RESTRICTED STOCK UNIT AGREEMENT

This agreement (this “Agreement”) evidences a grant of restricted stock units (“RSUs”) by Mersana Therapeutics, Inc.
(the  “Company”)  to  the  individual  named  above  (the  “Grantee”),  pursuant  to  and  subject  to  the  terms  of  the  Mersana
Therapeutics, Inc. 2022 Inducement Stock Incentive Plan (as from time to time amended and in effect, the “Plan”). Except as
otherwise defined herein, all capitalized terms used herein have the same meanings as in the Plan.

1.        Grant  of  RSUs.  In  consideration  of  the  employment  services  to  be  rendered  to  the  Company  by  the  Grantee  and  as  an
inducement material for the Grantee to enter into employment with the Company, the Company grants to the Grantee on the date
set forth above (the “Date of Grant”) the number of RSUs set forth above, giving the Grantee the conditional right to receive,
with respect to each RSU granted hereunder, without payment and pursuant to and subject to the terms and conditions set forth in
this Agreement and in the Plan, one share of Stock (a “Share”), subject to adjustment pursuant to Section 7 of the Plan in respect
of transactions occurring after the date hereof.

The  RSUs  are  granted  to  the  Grantee  pursuant  to  the  inducement  grant  exception  under  Nasdaq  Stock  Market  Rule

5635(c)(4), as an inducement that is material to the Grantee’s entering into employment with the Company.

2.    Vesting; Cessation of Service.

(a)    Vesting. Unless earlier terminated, forfeited, relinquished or expired, the RSUs will vest as to [25% of the shares on
each  of  the  first  [four]  anniversaries  of  the  Vesting  Commencement  Date  (each,  a  “Vesting  Date”)] ,  subject  to  Grantee's
continued Service through such Vesting Date.

1

(b)        Cessation  of  Service.  If  the  Grantee's  Service  ceases  for  any  reason,  except  as  expressly  provided  for  in  any
agreement  between  the  Grantee  and  the  Company  or  any  of  its  subsidiaries,  the  RSUs,  to  the  extent  not  then  vested,  will  be
immediately forfeited.

3.    Delivery of Shares. Subject to Section 4 below, the Company shall, as soon as practicable upon the vesting of any RSUs
subject to this Agreement (but in no event later than 30 days following a Vesting Date), effect delivery of the Shares with respect
to such vested RSUs to the Grantee (or, in the event of the Grantee's death, to the person to whom the Award has passed by will
or  the  laws  of  descent  and  distribution).  No  Shares  will  be  issued  pursuant  to  this  Agreement  unless  and  until  all  legal
requirements  applicable  to  the  issuance  or  transfer  of  such  Shares  have  been  complied  with  to  the  satisfaction  of  the
Administrator.

4.    Forfeiture; Recovery of Compensation.

1
 Vesting to be specified based on grant terms.

Exhibit 10.29

(a)        The  RSUs,  and  the  proceeds  from  the  issuance  or  disposition  of  the  Shares,  will  be  subject  to  forfeiture  and
disgorgement  to  the  Company,  with  interest  and  related  earnings,  if  at  any  time  the  Grantee  is  not  in  compliance  with  all
applicable provisions of this Agreement and the Plan.

(b)    By accepting, or being deemed to have accepted, the RSUs, the Grantee expressly acknowledges and agrees that his
or  her  rights,  and  those  of  any  permitted  transferee  of  the  RSUs,  including  the  right  to  any  Shares  or  proceeds  from  the
disposition  thereof,  are  subject  to  Section  6(a)(4)  of  the  Plan  (including  any  successor  provision).  Nothing  in  the  preceding
sentence may be construed as limiting the general application of Section 7 of this Agreement.

5.    Nontransferability. The RSUs may not be transferred except as expressly permitted under Section 6(a)(2) of the Plan.

6.    Withholding. The Grantee expressly acknowledges and agrees that the Grantee's rights hereunder, including the right to be
issued Shares in settlement of the RSUs subject to this Agreement, are subject to the Grantee's satisfaction of all taxes required to
be withheld, if any. At such time as the Grantee is not aware of any material nonpublic information about the Company or the
Stock, and the Grantee is not otherwise prevented from doing so under the Company’s Insider Trading Policy, the Grantee shall
execute  the  instruction  set  forth  in  Schedule A  attached  hereto  (the  “Durable  Automatic  Sale  Instruction”)  as  the  means  of
satisfying  such  tax  obligation.  If  the  Grantee  does  not  execute  the  Durable  Automatic  Sale  Instruction  prior  to  an  applicable
vesting date, then the Grantee agrees that if under applicable law the Grantee will owe taxes at such vesting date on the portion of
the award of RSUs then vested, the Company shall be entitled to immediate payment from the Grantee of the amount of any tax
required to be withheld by the Company. The Company shall not deliver any shares of Stock to the Grantee until it is satisfied
that all required withholdings have been made.

7.    Effect on Service. This grant of the RSUs will not give the Grantee any right to be retained in the Service of the Company or
any of its subsidiaries, affect the right of the Company or any of its subsidiaries to terminate the Grantee's Service at any time, or
affect any right of the Grantee to terminate his or her Service with the Company at any time.

8.    Provisions of the Plan. This Agreement is subject in its entirety to the provisions of the Plan, which are incorporated herein
by  reference.  A  copy  of  the  Plan  as  in  effect  on  the  Date  of  Grant  has  been  furnished  or  made  available  to  the  Grantee.  By
accepting, or being deemed to have accepted, all or any part of the RSUs, the Grantee agrees to be bound by the terms of the Plan
and this Agreement. In the event of any conflict between the terms of this Agreement and the Plan, the terms of the Plan will
control.

Exhibit 10.29

Schedule A

Durable Automatic Sale Instruction

This Durable Automatic Sale Instruction is being delivered to Mersana Therapeutics, Inc. (the “Company”) by the undersigned
on the date set forth below.

I hereby acknowledge that the Company has granted, or may in the future from time to time grant, to me restricted stock units
(“RSUs”) under the Company’s equity incentive plans as in effect from time to time.

I acknowledge that upon the vesting dates applicable to any such RSUs, I will have compensation income equal to the fair market
value of the shares of the Company’s common stock subject to the RSU that vest on such date and that the Company is required
to withhold income and employment taxes in respect of that compensation income on the applicable vesting date.

I desire to establish a process to satisfy such withholding obligation in respect of all RSUs that have been, or may in the future be,
granted by the Company to me through an automatic sale of a portion of the shares of the Company’s common stock that would
otherwise be issued to me on each applicable vesting date, such portion to be in an amount sufficient to satisfy such withholding
obligation, with the proceeds of such sale delivered to the Company in satisfaction of such withholding obligation.

I  understand  that  the  Company  has  arranged  for  the  administration  and  execution  of  its  equity  incentive  plans  and  the  sale  of
securities by plan participants thereunder pursuant to an Internet-based platform administered by a third party (the “Agent”) and
the Agent’s designated brokerage partner.

Upon any vesting of my RSUs from and after the date of this Durable Automatic Sale Instruction, I hereby appoint the Agent (or
any successor administrator) to automatically sell such number of shares of the Company’s common stock issuable with respect
to my RSUs that vest as is sufficient to generate net proceeds sufficient to satisfy the Company’s minimum statutory withholding
obligations with respect to the income recognized by me upon the vesting of the RSUs (based on minimum statutory withholding
rates for all tax purposes, including payroll and social security taxes, that are applicable to such income), and the Company shall
receive such net proceeds in satisfaction of such tax withholding obligation.

I hereby appoint the Chief Executive Officer, the Chief Financial Officer, the Chief Legal Officer and the Treasurer, and any of
them acting alone and with full power of substitution, to serve as my attorneys in fact to arrange for the sale of shares of common
stock in accordance with these durable automatic sale instructions. I agree to execute and deliver such documents, instruments
and  certificates  as  may  reasonably  be  required  in  connection  with  the  sale  of  the  shares  of  common  stock  pursuant  to  these
durable automatic sale instructions.

By signing below, I hereby represent to the Company that, as of the date hereof, I am not aware of any material nonpublic
information  about  the  Company  or  its  common  stock  and  that  I  am  not  prohibited  from  entering  into  these  durable
automatic sale instructions by the Company’s insider trading policy or otherwise. I have structured these automatic sale
instructions  to  constitute  a  “binding  contract”  relating  to  the  sale  of  common  stock,  consistent  with  the  affirmative
defense to liability under Section 10(b) of the Securities Exchange Act of 1934 under Rule 10b5-1(c) promulgated under
such Act.

Exhibit 10.29

Grantee

Print Name:                

Date:                    

                    
Exhibit 10.30

Name:
Number of Shares of Stock subject to the Stock Option:
Exercise Price Per Share:
Date of Grant:
Vesting Commencement Date

[●]
[●]
$[●]
[●]
[●]

MERSANA THERAPEUTICS, INC.
2022 INDUCEMENT STOCK INCENTIVE PLAN

NON-STATUTORY STOCK OPTION AGREEMENT

This  agreement  (this  “Agreement”)  evidences  a  stock  option  granted  by  the  Company  to  the  individual  named  above  (the
“Optionee”), pursuant to and subject to the terms of the Mersana Therapeutics, Inc. 2022 Inducement Stock Incentive Plan (as from time to
time amended and in effect, the “Plan”).

1.
Plan. The following terms have the following meanings:

Meaning of Certain Terms. Except as otherwise defined herein, all capitalized terms used herein have the same meaning as in the

(a)

“Beneficiary”: In the event of the Optionee’s death, the beneficiary named in the written designation (in a form acceptable to
the  Administrator)  most  recently  filed  with  the  Administrator  by  the  Optionee  prior  to  the  Optionee’s  death  and  not
subsequently revoked, or, if there is no such designated beneficiary, the executor or administrator of the Optionee’s estate.
An effective beneficiary designation will be treated as having been revoked only upon receipt by the Administrator, prior to
the Optionee’s death, of an instrument of revocation in a form acceptable to the Administrator.

(b)

“Option Holder”: The Optionee or, if at the relevant time the Stock Option has passed to a Beneficiary, the Beneficiary.

2.
Grant  of  Stock  Option.  In  consideration  of  the  employment  services  to  be  rendered  to  the  Company  by  the  Optionee  and  as  an
inducement material for the Optionee to enter into employment with the Company, the Company grants to the Optionee on the date set forth
above (the “Date of Grant”) an option (the “Stock Option”) to purchase, pursuant to and subject to the terms set forth in this Agreement and
in the Plan, up to the number of shares of Stock set forth above (the “Shares”), with an exercise price per Share as set forth above, in each
case, subject to adjustment pursuant to Section 7 of the Plan in respect of transactions occurring after the date hereof.

The Stock Option evidenced by this Agreement is a non-statutory option (that is, an option that does not qualify as an incentive stock
option under Section 422 of the Code) and is granted to the Optionee pursuant to the inducement grant exception under Nasdaq Stock Market
Rule 5635(c)(4), as an inducement that is material to the Optionee’s entering into employment with the Company.

3.

Vesting; Method of Exercise; Cessation of Service.

(a)

Vesting. The term “vest” as used herein with respect to the Stock Option or any portion thereof means to become exercisable
and the term “vested” as applied to any outstanding Stock Option means that the Stock Option is then exercisable, subject, in
each case, to the terms of the Plan. [Unless earlier terminated, forfeited, relinquished or expired, the Stock Option will vest
as to 25% of the Shares underlying such Stock Option upon the first anniversary of the Vesting Commencement Date, and as
to 6.25% of the Shares underlying such Stock Option on the last day of each three month period thereafter, in each case, with
the number of Shares that vest on any such date being rounded down to

the nearest whole share and the Stock Option becoming vested as to 100% of the Shares on the fourth anniversary of the
Vesting Commencement Date] , subject, in each case, to the Optionee remaining in continuous Service from the date of this
Agreement through such vesting date.

1

(b)

(c)

Exercise  of  the  Stock  Option. No  portion  of  the  Stock  Option  may  be  exercised  until  such  portion  vests.  Each  election  to
exercise any vested portion of the Stock Option will be subject to the terms and conditions of the Plan and must be in written
or  electronic  form  acceptable  to  the  Administrator,  signed  (including  by  electronic  signature)  by  the  Option  Holder  (or  in
such other form as is acceptable to the Administrator). Each such written or electronic exercise election must be received by
the  Company  at  its  principal  office  or  by  such  other  party  as  the  Administrator  may  prescribe  and  be  accompanied  by
payment in full of the exercise price as provided in the Plan. The latest date on which the Stock Option or any portion thereof
may be exercised is the 10th anniversary of the Date of Grant (the “Final Exercise Date”) and, if not exercised by such date,
the Stock Option or any remaining portion thereof will thereupon immediately terminate.

Cessation of Service. If the Optionee’s Service ceases, except as expressly provided for in an employment or other individual
agreement between the Optionee and the Company or its Affiliate, the Stock Option, to the extent not already vested, will be
immediately forfeited, and any vested portion of the Stock Option that is then outstanding will be treated as provided in the
Plan.

4.

Forfeiture; Recovery of Compensation.

(a)

(b)

The Stock Option, and the proceeds from the exercise or disposition of the Stock Option or the Shares, will be subject to
forfeiture  and  disgorgement  to  the  Company,  with  interest  and  related  earnings,  if  at  any  time  the  Optionee  is  not  in
compliance with all applicable provisions of this Agreement and the Plan.

By accepting, or being deemed to have accepted, the Stock Option, the Optionee expressly acknowledges and agrees that his
or her rights, and those of any permitted transferee of the Stock Option, under the Stock Option, including the right to any
Stock acquired under the Stock Option or proceeds from the disposition thereof, are subject to Section 6(a)(4) of the Plan
(including any successor provision). Nothing in the preceding sentence may be construed as limiting the general application
of Section 8 of this Agreement.

5.

Nontransferability. The Stock Option may not be transferred except as expressly permitted under Section 6(a)(2) of the Plan.

6.
Withholding.  The  exercise  of  the  Stock  Option  will  give  rise  to  “wages”  subject  to  withholding.  The  Optionee  expressly
acknowledges  and  agrees  that  the  Optionee’s  rights  hereunder,  including  the  right  to  be  issued  Shares  upon  exercise,  are  subject  to  the
Optionee promptly paying to the Company in cash or by check (or by such other means as may be acceptable to the Administrator) all taxes
required  to  be  withheld.  No  Shares  will  be  issued  pursuant  to  the  exercise  of  the  Stock  Option  unless  and  until  the  person  exercising  the
Stock Option has remitted to the Company an amount in cash sufficient to satisfy any federal, state, or local withholding tax requirements, or
has  made  other  arrangements  satisfactory  to  the  Company  with  respect  to  such  taxes.  The  Optionee  authorizes  the  Company  and  its
subsidiaries to withhold such amount from any amounts otherwise owed to the Optionee, but nothing in this sentence may be construed as
relieving the Optionee of any liability for satisfying his or her obligation under the preceding provisions of this Section.

7.
Effect on Service. Neither the grant of the Stock Option, nor the issuance of Shares upon exercise of the Stock Option, will give the
Optionee any right to be retained in the employ or service of the Company or any of its subsidiaries, affect the right of the Company or any of
its subsidiaries to

1
 Vesting to be specified based on terms of grant.

2

terminate the Optionee’s Service at any time, or affect any right of the Optionee to terminate his or her Service at any time.

8.
Provisions  of  the  Plan.  This  Agreement  is  subject  in  its  entirety  to  the  provisions  of  the  Plan,  which  are  incorporated  herein  by
reference. A copy of the Plan as in effect on the Date of Grant has been furnished or made available to the Optionee. By accepting, or being
deemed to have accepted, all or any part of the Stock Option, the Optionee agrees to be bound by the terms of the Plan and this Agreement.
In the event of any conflict between the terms of this Agreement and the Plan, the terms of the Plan will control.

9.
Acknowledgements. The Optionee acknowledges and agrees that (i) this Agreement may be executed in two or more counterparts,
each  of  which  will  be  an  original  and  all  of  which  together  will  constitute  one  and  the  same  instrument,  or,  alternatively,  may  be
acknowledged electronically in the Company’s designated electronic equity management system, (ii) this Agreement may be executed and
exchanged using facsimile, portable document format (PDF) or electronic signature, which, in each case, will constitute an original signature
for all purposes hereunder, and (iii) such signature by the Company will be binding against the Company and will create a legally binding
agreement when this Agreement is countersigned by the Optionee.

[Signature page follows.]

3

The Company, by its duly authorized officer, and the Optionee have executed this Agreement as of the Date of Grant.

MERSANA THERAPEUTICS, INC.
By:
Name:
Title:

Agreed and Accepted:
By

[Optionee’s Name]

Signature page to Non-Statutory Stock Option Agreement

Exhibit 21.1

Subsidiaries of the Registrant

Entity

State of Incorporation or Organization

Mersana Securities Corp.

Massachusetts

Exhibit 23.1

We consent to the incorporation by reference in the following Registration Statements:

Consent of Independent Registered Public Accounting Firm

(1) Registration Statement (Form S-3 No. 333-260895) of Mersana Therapeutics, Inc. and in the related Prospectus,
(2) Registration Statement (Form S-3 No. 333-238140) of Mersana Therapeutics, Inc. and in the related Prospectus,
(3) Registration Statement (Form S-8 No. 333-255975) pertaining to the Mersana Therapeutics, Inc. 2017 Stock Incentive Plan and Inducement Stock

Option Awards,

(4) Registration  Statement  (Form  S-8  No.  333-236775)  pertaining  to  the  Mersana  Therapeutics,  Inc.  2017  Stock  Incentive  Plan  and  the  Mersana

Therapeutics, Inc. 2017 Employee Stock Purchase Plan,

(5) Registration  Statement  (Form  S-8  No.  333-230159)  pertaining  to  the  Mersana  Therapeutics,  Inc.  2017  Stock  Incentive  Plan  and  the  Mersana

Therapeutics, Inc. 2017 Employee Stock Purchase Plan,

(6) Registration Statement (Form S-8 No. 333-222845) pertaining to the Mersana Therapeutics, Inc. 2017 Stock Incentive Plan, and
(7) Registration  Statement  (Form  S-8  No.  333-219388)  pertaining  to  the  Mersana  Therapeutics,  Inc.  2007  Stock  Incentive  Plan,  as  amended,  the

Mersana Therapeutics, Inc. 2017 Stock Incentive Plan and the Mersana Therapeutics, Inc. 2017 Employee Stock Purchase Plan;

of our report dated February 28, 2022, with respect to the consolidated financial statements of Mersana Therapeutics, Inc. and the effectiveness of internal
control over financial reporting of Mersana Therapeutics, Inc. included in this Annual Report (Form 10-K) of Mersana Therapeutics, Inc. for the year ended
December 31, 2021.

/s/ Ernst & Young LLP

Boston, Massachusetts
February 28, 2022

CERTIFICATIONS

Exhibit 31.1

I, Anna Protopapas, certify that:

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of Mersana Therapeutics, Inc.;

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this
report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-
15(f)) for the registrant and have:

a)

b)

c)

d)

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for
external purposes in accordance with generally accepted accounting principles;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report), that has materially affected, or is reasonably likely to
materially affect, the registrant’s internal control over financial reporting; and

5.

The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the
registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

a)

b)

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are
reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal
control over financial reporting.

Date: February 28, 2022

By:

/s/ Anna Protopapas
Anna Protopapas
President and Chief Executive Officer
(Principal Executive Officer)

Exhibit 31.2

I, Brian DeSchuytner, certify that:

CERTIFICATIONS

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of Mersana Therapeutics, Inc.;

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this
report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-
15(f)) for the registrant and have:

a)

b)

c)

d)

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for
external purposes in accordance with generally accepted accounting principles;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report), that has materially affected, or is reasonably likely to
materially affect, the registrant’s internal control over financial reporting; and

5.

The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the
registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a)

(b)

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are
reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal
control over financial reporting.

Date: February 28, 2022

By:

/s/ Brian DeSchuytner
Brian DeSchuytner

Chief Financial Officer
(Principal Financial Officer)

CERTIFICATIONS OF CEO AND CFO PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT
TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with this Annual Report on Form 10-K of Mersana Therapeutics, Inc. (the “Company”) for the year ended December 31, 2021 as filed with
the Securities and Exchange Commission on the date hereof (the “Report”), each of the undersigned officers of the company, hereby certifies, pursuant to
Section 1350 of Chapter 63 of Title 18, United States Code, that to the best of her or his knowledge:

(1)

(2)

the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the
Company.

Exhibit 32.1

Date: February 28, 2022

Date: February 28, 2022

By:

By:

/s/ Anna Protopapas
Anna Protopapas
President and Chief Executive Officer
(Principal Executive Officer)

/s/ Brian DeSchuytner
Brian DeSchuytner
Chief Financial Officer
(Principal Financial Officer)