Item 1A. Risk Factors
Item 1A. Risk Factors.
You should consider carefully the risks and uncertainties described
below, together with all of the other information contained in this Annual Report. If any of the following events occur, our business,
financial condition and operating results may be materially adversely affected. In that event, the trading price of our securities could
decline, and you could lose all or part of your investment. The risks and uncertainties described below are not the only ones we face.
Additional risks and uncertainties that we are unaware of, or that we currently believe are not material, may also become important factors
that adversely affect our business or results of operations. For a summary of these Risk Factors, see “Summary Risk Factors.”
Risks Related to Estrella’s Operating
History and Financial Condition
We are a clinical stage biotechnology company
with a history of losses. We expect to continue to incur significant losses for the foreseeable future and may never achieve or maintain
profitability.
We are a clinical-stage biotechnology company with a history of losses.
Since our inception, we have devoted substantially all of our resources to organizing and staffing our company, business planning, raising
capital, and conducting discovery, research and development activities for our product candidates, and we have incurred significant operating
losses. Our net losses were approximately $13.1 million and $8.8 million for the year ended December 31, 2025, and the unaudited twelve
months ended December 31, 2024, respectively. As of December 31, 2025, and December 31, 2024, we had an accumulated deficit of approximately
$37.0 million and $23.9 million, respectively. Substantially all of our losses have resulted from expenses incurred in connection with
regulatory filings, research and development, and from general and administrative costs associated with our operations. To date, we have
not generated any revenue from product sales, and we have not sought or obtained regulatory approval for any product candidate. Furthermore,
we do not expect to generate any revenue from product sales for the foreseeable future, and we expect to continue to incur significant
operating losses for the foreseeable future due to the cost of research and development, preclinical studies, clinical trials, and the
regulatory approval process for our current and potential future product candidates.
We expect our net losses to
increase substantially as we:
● continue our ongoing clinical trial of EB103;
● continue the development of our preclinical programs;
● acquire and license technologies, if any are discovered, that
are aligned with our product candidates;
● seek regulatory approval of EB103;
● incur expenses related to the discovery and development of
any potential future product candidates;
● expand our operational, financial, and management systems
and increase personnel, including personnel to support our preclinical and clinical development and commercialization efforts;
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● continue to develop, perfect, and defend our intellectual
property portfolio; and
● incur additional legal, accounting, or other expenses in operating
our business, including the additional costs associated with operating as a public company.
However, the amount of our
future losses is uncertain. Our ability to achieve or sustain profitability, if ever, will depend on, among other things, successfully
developing product candidates, obtaining regulatory approvals to market and commercialize product candidates, manufacturing any approved
products on commercially reasonable terms, entering into potential future alliances, establishing a sales and marketing organization or
suitable third-party alternatives for any approved product, and raising sufficient funds to finance business activities. If we, or our
potential future collaborators, are unable to commercialize one or more of our product candidates, or if sales revenue from any product
candidate that receives approval is insufficient, we will not achieve or sustain profitability, which could have a material adverse effect
on our business, financial condition, results of operations, and prospects.
We will need substantial additional funds
to advance development of product candidates, and we cannot guarantee that we will have sufficient funds available in the future to develop
and commercialize our current or potential future product candidates and technologies.
The development of biotechnology
product candidates is capital-intensive. If any of our current or potential future product candidates enter and advance through preclinical
studies and clinical trials, we will need substantial additional funds to expand our development, regulatory, manufacturing, marketing,
and sales capabilities. We will require significant funds to continue to develop our product candidates and conduct further research and
development, including preclinical studies and clinical trials. In addition, we expect to incur significant additional costs associated
with operating as a public company.
As of December 31, 2025, and December 31, 2024, we had approximately
$1.4 million and $0.9 million, respectively, in cash and cash equivalents. Our future capital requirements and the period for which our
existing resources will support our operations may vary significantly from what we expect. Because the length of time and activities associated
with successful research and development of platform technologies and product candidates is highly uncertain, we are unable to estimate
the actual funds we will require for development and any approved marketing and commercialization activities. The timing and amount of
our operating expenditures will depend largely on:
● the timing and progress of preclinical and clinical development
of our current and potential future product candidates;
● the number and scope of preclinical and clinical programs
we decide to pursue;
● the terms of any third-party manufacturing contract or biomanufacturing
partnership we may enter into;
● our ability to maintain our current licenses, conduct our research
and development programs and establish new strategic partnerships and collaborations;
● the progress of the development efforts of our existing strategic
partners and third parties with whom we may in the future enter into collaboration and research and development agreements;
● the costs involved in obtaining, maintaining, enforcing, and
defending patents and other intellectual property rights;
● the cost and timing of regulatory approvals; and
● our efforts to enhance operational systems and hire additional
personnel, including personnel to support development of our product candidates and satisfy our obligations as a public company.
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To date, we have
primarily financed our operations through the sale of equity securities. We may seek to raise any necessary additional capital
through a combination of public or private equity offerings, debt financings, collaborations, strategic alliances, licensing
arrangements, grants, and other marketing and distribution arrangements. We cannot assure you that we will be successful in
acquiring additional funding at levels sufficient to fund our operations or on terms favorable to us. If we are unable to obtain
adequate financing when needed, we may have to delay, reduce the scope of or suspend one or more of our preclinical studies,
clinical trials, research and development programs or commercialization efforts. Because of the numerous risks and uncertainties
associated with the development and commercialization of our current and potential future product candidates and the extent to which
we may enter into collaborations with third parties to participate in their development and commercialization, we are unable to
estimate the amounts of increased capital outlays and operating expenditures associated with our current and anticipated preclinical
studies and clinical trials, including related manufacturing costs. To the extent that we raise additional capital through
collaborations, strategic alliances, or licensing arrangements with third parties, we may have to relinquish valuable rights to our
current and potential future product candidates, future revenue streams or research programs or grant licenses on terms that may not
be favorable to us. If we do raise additional capital through public or private equity or convertible debt offerings, the ownership
interest of our existing stockholders will be diluted, and the terms of these securities may include liquidation or other
preferences that adversely affect our stockholders’ rights. If we raise additional capital through debt financing, we may be
subject to covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making capital
expenditures, or declaring dividends.
We do not expect to realize
revenue from product sales or royalties from licensed products for the foreseeable future, if at all, and unless and until our current
and potential future product candidates are clinically tested, approved for commercialization, and successfully marketed.
Members of our management team have limited
experience in managing the day-to-day operations of a public company and, as a result, we may incur additional expenses associated
with the management of our company.
Members of our management team
have limited experience in managing the day-to-day operations of a public company. As a result, we may need to obtain outside assistance
from legal, accounting, investor relations, or other professionals that could be more costly than planned. We may also hire additional
personnel to comply with additional SEC reporting requirements. These compliance costs will make some activities significantly more time-consuming
and costly. If we lack cash resources to cover these costs in the future, our failure to comply with reporting requirements and other
provisions of securities laws could negatively affect our stock price and adversely affect our potential results of operations, cash flow
and financial condition.
Our consolidated financial statements expressing substantial doubt
about our ability to continue as a going concern due to our history of recurring losses and our expectation that negative cash flows from
operations will continue until we can generate sufficient revenue. Our ability to continue as a going concern requires that we obtain
sufficient funding to finance our operations.
We have incurred significant
operating losses to date, and it is possible we may never generate a profit. Our consolidated financial statements included elsewhere
in this Annual Report have been prepared on a going concern basis, which contemplates the realization of assets and satisfaction of liabilities
in the ordinary course of business. These consolidated financial statements do not include any adjustments relating to the recoverability
and classification of recorded asset amounts or the amounts and classification of liabilities that might result from the outcome of these
uncertainties related to our ability to operate on a going concern basis.
In assessing our liquidity and the significant doubt about our ability to continue as a going concern, we monitor
and analyze cash on hand and operating expenditure commitments. We have concluded that our recurring losses from operations of approximately
$13.1 million for the year ended December 31, 2025; accumulated deficit of approximately $37.0 million as of December 31, 2025; and net
operating cash outflow of approximately $1.8 million for the year ended December 31, 2025, and need for additional financing to fund future
operations raise substantial doubt about our ability to continue as a going concern. Similarly, our independent registered public accounting
firm has included an explanatory paragraph in its report on our consolidated financial statements expressing substantial doubt about our
ability to continue as a going concern. However, our management is of the opinion that we will not have sufficient funds to meet our working
capital requirements and debt obligations as they become due starting from one year from the date of this report due to the recurring
loss. Changes may occur beyond our control that would cause us to consume our available capital before that time, including changes in
and progress of our development activities and changes in regulation. Our future operations are highly dependent on a combination of factors,
including but not necessarily limited to (1) the success of our research and development programs; (2) the timely and successful completion
of any additional financing; (3) the development of competitive therapies by other biotechnology and pharmaceutical companies; (4) our
ability to manage growth of the organization; (5) our ability to protect our technology and products; and, ultimately (6) regulatory approval
and successful commercialization and market acceptance of our product candidates. Our future capital requirements will depend on many
factors, including:
● the scope, rate of progress, results, and costs of preclinical
studies, laboratory testing, and clinical trials for our product candidates;
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● the number and development requirements of product candidates
that we may pursue, and other indications for our current product candidates that we may pursue;
● the costs, timing and outcome of regulatory review of our
product candidates;
● the scope and costs of manufacturing arrangements;
● the cost associated with commercializing any approved product
candidates;
● the cost and timing of developing our ability to establish
sales and marketing capabilities, if any;
● the costs of preparing, filing and prosecuting patent applications,
maintaining, enforcing, and protecting our intellectual property rights, defending intellectual property-related claims, and obtaining
licenses to third-party intellectual property;
● the timing and amount of any milestone and royalty payments
we are required to make under our present or future license agreements;
● our ability to establish and maintain strategic partnerships
and collaborations, including any biomanufacturing partnerships or collaborations involving the use of our products, on favorable terms,
if at all; and
● the extent to which we acquire or in-license other product
candidates and technologies and associated intellectual property.
We will require additional
capital to complete our planned clinical development programs for our current product candidates to obtain regulatory approvals. Any additional
capital raising efforts may divert our management from their day-to-day activities, which may adversely affect our ability to develop
and commercialize our current and future product candidates, if approved.
In addition, we cannot guarantee
that future financing will be available on a timely basis, in sufficient amounts or on terms acceptable to us, if at all. Moreover, the
terms of any financing may adversely affect the holdings or the rights of our stockholders and the issuance of additional securities by
us, whether equity or debt, or the market perception that such issuances are likely to occur, could cause the market price of Common Stock
to decline. If we are unable to raise sufficient capital when needed, our business, financial condition and results of operations will
be harmed, and we will need to significantly modify our operational plans to continue as a going concern. If we are unable to continue
as a going concern, we might have to liquidate our assets and the values we receive for our assets in liquidation or dissolution could
be significantly lower than the values reflected in our consolidated financial statements.
Risks Related to the Development and Clinical
Testing of Our Product Candidates
Our current product candidates are in either
preclinical or clinical development. One or all of our current product candidates may fail in clinical development or suffer delays that
materially and adversely affect their commercial viability.
Our ability to achieve and
sustain profitability depends on obtaining regulatory approvals for and successfully commercializing product candidates, either with Eureka
pursuant to the Services Agreement or with other collaborators.
Before obtaining
regulatory approval for the commercial distribution of our product candidates, we or a collaborator must conduct extensive
preclinical studies and clinical trials to demonstrate the safety, purity, and efficacy of our product candidates in humans. We
cannot be certain of the timely completion or outcome of our preclinical studies and cannot predict if the FDA or other regulatory
authorities will accept our proposed clinical programs or protocols. As a result, we cannot be sure that we will be able to submit
additional investigational new drug applications (“INDs”) or similar applications for our proposed clinical programs on
the timelines we expect, if at all, and we cannot be sure that submission of such applications will result in the FDA or other
regulatory authorities allowing clinical trials to begin.
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Our current product candidates
are in either preclinical or clinical development, and we are subject to the risks of failure inherent in the development of product candidates
based on novel approaches. We have completed the second dose cohort in the Phase I dose-escalation portion of our STARLIGHT-1 Phase I/II
clinical trial of EB103, and an independent Data Safety Monitoring Board (DSMB) has completed its review of safety data from the Phase I
dose-escalation phase (n=9) and recommended advancing the trial into the Phase II expansion phase at the recommended Phase II
dose. In the Phase I dose-escalation phase, no treatment-related serious adverse events were reported, and the high-dose cohort achieved
a 100% complete response rate at Month 1 in all evaluable patients, many of whom were considered high-risk and ineligible for currently
available commercial CD19 products. However, these results are based on a small number of patients and limited follow-up and may not be
predictive of results in larger populations, additional cohorts, or later-stage trials, and there is no guarantee that we will be able
to successfully complete the clinical development of EB103 or any of our other product candidates or that any product candidate will ultimately
demonstrate a clinical benefit. Accordingly, you should consider our prospects in light of the costs, uncertainties, delays, and difficulties
frequently encountered by clinical-stage biotechnology companies such as ours.
We may not be able to access
the financial resources to continue the development of our current or potential future product candidates. This may be exacerbated if
we experience any issues that delay or prevent regulatory approval or commercialization, such as:
● negative or inconclusive results from our preclinical studies
or clinical trials, leading to a decision or requirement to conduct additional studies or abandon programs;
● product-related side effects experienced by participants in
our clinical trials;
● delays in submitting INDs for future candidates, or a suspension
or termination of a clinical trial once commenced;
● conditions imposed by the FDA or other regulatory authorities
regarding the scope or design of our clinical trials;
● delays in enrolling research subjects in clinical trials;
● high drop-out rates of research subjects;
● inadequate supply or quality of product candidate materials
for our clinical trials;
● chemistry, manufacturing, and control (“CMC”)
challenges associated with scaling up manufacturing;
● greater-than-anticipated clinical trial costs;
● poor effectiveness of our product candidates during clinical
trials;
● unfavorable FDA or other regulatory authority inspection of
a clinical trial or manufacturing site;
● failure of Eureka or our third-party contractors to comply
with regulatory requirements or meet their contractual obligations;
● delays and changes in regulatory requirements, policies, and
guidelines; or
● the FDA or other regulatory authorities interpreting our data
differently than we do.
Further, we, Eureka, and
any existing or potential future collaborator may never receive approval to market and commercialize any product candidate. Even if
regulatory approval is obtained, it may be for indications or patient populations that are not as broad as we intended or may
require labeling that includes significant use restrictions or safety warnings.
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We may not be successful in our efforts
to use and expand our use of the ARTEMIS ® platform to expand our pipeline of product candidates.
A key element of our strategy
is to use and advance our use of the ARTEMIS ® platform to design, test, and build our portfolio of product candidates focused
on the treatment of cancer. Our and Eureka’s research and development efforts to date have resulted in our discovery and preclinical
development of EB103 and other potential product candidates. We received IND clearance from the FDA for EB103 on March 2, 2023, and
have activated multiple clinical sites, including UC Davis Comprehensive Cancer Center and Baylor Scott & White Research Institute,
for the ongoing STARLIGHT-1 clinical trial (NCT06343311). An independent Data Safety Monitoring Board has completed its review of safety
data from the Phase I dose escalation portion of STARLIGHT-1 (n=9) and, based on the favorable safety profile observed, including
the absence of treatment-related serious adverse events and a 100% complete response rate at Month 1 in the high-dose cohort, has
recommended advancing the trial to the Phase II expansion phase at the recommended Phase II dose. The expansion phase is a multi-center,
open-label study designed to further evaluate the safety and preliminary efficacy of EB103 in patients with relapsed or refractory B-cell
non-Hodgkin’s lymphoma, and data from this expansion phase are expected to inform our pivotal trial strategy for EB103. However,
we cannot assure you that EB103 or any of our other existing or future product candidates will successfully complete clinical trials or
demonstrate these product candidates to be safe or effective therapeutics, and we may not be able to successfully develop any product
candidates. Even if we are successful in expanding our pipeline of product candidates, any additional product candidates that we identify
may not be suitable for clinical development or generate acceptable clinical data, including as a result of being shown to have unacceptable
effects or other characteristics that indicate that they are unlikely to be products that will receive marketing approval from the FDA
or other regulatory authorities or achieve market acceptance. If we do not successfully develop and commercialize product candidates,
we will not be able to generate product revenue in the future. Moreover, our ability to complete the clinical trial for EB103 or commence
and complete a clinical trial for any other product candidate may depend on our ability to obtain sufficient funding from various sources.
If we fail to obtain adequate funding we may have to delay, reduce, or terminate our clinical development programs.
Although we intend to explore other therapeutic
opportunities in addition to the product candidates that we are currently developing, we may fail to identify viable new product candidates
for clinical development for a number of reasons. If we fail to identify additional potential product candidates, our business could be
materially harmed.
Although a substantial amount
of our efforts will focus on the planned clinical trials and potential approval of the current and potential future product candidates
we are evaluating, we also intend to discover, develop, and globally commercialize additional targeted therapies beyond our current product
candidates to treat various forms of cancer and in a variety of therapeutic areas. Even if we identify investigational therapies that
initially show promise, we may fail to successfully develop and commercialize such products for many reasons, including the following:
● the research methodology used may not be successful in identifying
potential investigational therapies;
● competitors may develop alternatives that render our investigational
therapies obsolete;
● investigational therapies we develop may nevertheless be covered
by third parties’ patents or other exclusive rights;
● an investigational therapy may, on further study, be shown
to have harmful side effects or other characteristics that indicate it is unlikely to be effective or otherwise does not meet applicable
regulatory criteria;
● it may take greater human and financial resources than we
will possess to identify additional therapeutic opportunities for our product candidates or to develop suitable potential product candidates
through internal research programs, thereby limiting our ability to develop, diversify and expand our product portfolio;
● an investigational therapy may not be capable of being produced
in clinical or commercial quantities at an acceptable cost, or at all; and
● an approved product may not be accepted as safe and effective
by trial participants, the medical community or third-party payors.
Identifying new investigational
therapies requires substantial technical, financial, and human resources, whether or not any investigational therapies are ultimately
identified. Because we have limited financial and human resources, we may initially focus on research programs and product candidates
for a limited set of indications. As a result, we may forgo or delay pursuit of opportunities with other product candidates or for other
indications that later prove to have greater commercial potential or a greater likelihood of success. Our resource allocation decisions
may cause us to fail to capitalize on viable commercial products or profitable market opportunities. For example, if we do not accurately
evaluate the commercial potential or target market for a particular product candidate or technology, we may relinquish valuable rights
to that product candidate or technology through collaborations, 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 or technology.
Accordingly, there can be no
assurance that we will ever be able to identify additional therapeutic opportunities for our product candidates or to develop suitable
potential product candidates through internal research programs, which could materially adversely affect our future growth and prospects.
We may focus our efforts and resources on potential product candidates or other potential programs that ultimately prove to be unsuccessful.
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The occurrence of serious complications
or side effects in connection with use of our product candidates, either in clinical trials or post-approval, could lead to discontinuation
of our clinical development programs, refusal of regulatory authorities to approve our product candidates or, post-approval, revocation
of marketing authorizations or refusal to approve applications for new indications, which could severely harm our business, prospects,
operating results and financial condition.
Undesirable side effects caused
by any of our current or potential future product candidates could cause regulatory authorities to interrupt, delay or halt clinical trials
and could result in a more restrictive label or the delay or denial of regulatory approval by the FDA or other regulatory authorities.
It is likely that there will be side effects associated with their use. Results of our clinical trials could reveal a high and unacceptable
severity and prevalence of these side effects. It is possible that safety events or concerns such as these or others could negatively
affect the development of our product candidates, including adversely affecting patient enrollment among the patient populations that
we intend to treat. In such an event, our trials could be suspended or terminated, and the FDA or other regulatory authorities could order
us to cease further development of or deny approval of a product candidate for any or all targeted indications. Such side effects could
also affect patient recruitment or the ability of enrolled patients to complete the trial or result in potential product liability claims.
There can be no guarantee that our current or future product candidates will not cause such effects in clinical trials. Any of these occurrences
may materially and adversely affect our business and financial condition and impair our ability to generate revenues.
Further, clinical trials by
their nature utilize a sample of the potential patient population. With a limited number of patients and limited duration of exposure,
rare and severe side effects of a product candidate may only be uncovered when a significantly larger number of patients are exposed to
the product candidate or when patients are exposed for a longer period of time.
In the event that any of our
current or potential future product candidates receives regulatory approval and we or others identify undesirable side effects caused
by one of these products, any of the following events could occur, which could result in the loss of significant revenue to us and materially
and adversely affect our results of operations and business:
● regulatory authorities may withdraw their approval of the
product or seize the product;
● we may be required to recall the product or change the way
the product is administered to patients;
● additional restrictions may be imposed on the marketing of
the particular product or the manufacturing processes for the product or any component thereof;
● we may be subject to fines, injunctions, or the imposition
of civil or criminal penalties;
● regulatory authorities may require the addition of labeling
statements, such as a “black box” warning or a contraindication;
● we may be required to create a medication guide outlining
the risks of such side effects for distribution to patients;
● we could be sued and held liable for harm caused to patients;
● the product may become less competitive; and
● our reputation may suffer.
Any of these events could prevent
us from achieving or maintaining market acceptance of the particular product candidate, if approved, and could significantly harm our
business, results of operations and prospects.
While our IND for EB103 was cleared by the
FDA on March 2, 2023 and we believe our pipeline will yield additional INDs, we may not be able to file additional INDs to commence
clinical trials on the timelines we expect, and even if we are able to, the FDA may not permit us to proceed.
While we expect our pipeline
to yield multiple INDs in addition to the IND for EB103, which was cleared by the FDA on March 2, 2023, we cannot be sure that submission
of future INDs will result in the FDA allowing testing and clinical trials to begin, or that, once clinical trials for our product candidates
begin, issues will not arise that suspend or terminate such clinical trials. For our ongoing STARLIGHT-1 trial of EB103, we have completed
the second dose cohort in the Phase I dose-escalation portion of the study, and an independent Data Safety Monitoring Board (DSMB)
has completed its review of safety data from the Phase I dose-escalation phase (n=9) and recommended advancing the trial into the
Phase II expansion phase at the recommended Phase II dose. In the Phase I portion of STARLIGHT-1, no treatment-related
serious adverse events were reported, and the high-dose cohort achieved a 100% complete response rate at Month 1 in all evaluable
patients, including high-risk patients who were not eligible for currently available commercial CD19 products, such as a patient with
CNS lymphoma. However, these data are based on a small number of patients and early-stage observations, and they may not be predictive
of results in larger patient populations or later-stage trials. In addition, the manufacturing of our additional product candidates remains
an emerging and evolving field. Accordingly, we expect chemistry, manufacturing and controls (CMC) topics, including product specifications,
release criteria and comparability, to be a focus of IND reviews and ongoing regulatory interactions, which may delay the clearance of
future INDs or restrict or delay the conduct of our clinical trials.
Additionally, even if regulatory
authorities initially agree with the design and implementation of clinical trials described in an IND or clinical trial application, we
cannot guarantee that such regulatory authorities will not change their requirements in the future, require us to modify trial design,
add new endpoints or safety monitoring, or impose additional pauses or holds.
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In addition to the
submission of an IND to the FDA before initiation of a clinical trial in the United States, certain human clinical trials
involving recombinant or synthetic nucleic acid molecules are subject to oversight by institutional biosafety committees
(“IBCs”) under the National Institutes of Health (“NIH”) Guidelines for Research Involving Recombinant or
Synthetic Nucleic Acid Molecules (the “NIH Guidelines”). Under the NIH Guidelines, research involving the deliberate
transfer of recombinant or synthetic nucleic acid molecules, or DNA or RNA derived from such molecules, into human subjects (human
gene transfer) requires IBC approval and other applicable regulatory authorizations before initiation. Our EB103 and other
ARTEMIS ® T-cell product candidates are generated using lentiviral vectors and therefore involve the introduction of
recombinant or synthetic nucleic acid molecules into human subjects, which is considered human gene transfer under these guidelines.
As a result, our clinical trials may be subject to IBC review and approval at each participating institution, in addition to
institutional review board (IRB) and FDA requirements. The IBC assesses the safety of the research and identifies any potential risk
to public health or the environment, and its review and any associated biosafety requirements may result in additional time, cost
and complexity before sites can be activated or patients can be enrolled, and may delay the initiation or conduct of our clinical
trials. While the NIH Guidelines are only mandatory for institutions that receive certain types of NIH funding, many institutions,
sponsors and CROs voluntarily follow them, and we expect that our gene-transfer studies will generally be required to comply with
IBC oversight.
Interim, topline and preliminary data that
we announce or publish from time to time for any clinical trials that we initiate may change as more patient data become available or
as additional analyses are conducted, and as the data are subject to audit and verification procedures that could result in material changes
in the final data.
From time to time, we may publicly
disclose interim, preliminary, or topline data from our preclinical studies and clinical trials, which is based on a preliminary analysis
of then-available data, and the results and related findings and conclusions are subject to change following a more comprehensive review
of the data related to the particular trial. We also make assumptions, estimations, calculations, and conclusions as part of our analyses
of data, and we may not have received or had the opportunity to fully and carefully evaluate all data. As a result, the interim, preliminary,
or topline results that we report may differ from future results of the same trials, or different conclusions or considerations may qualify
such results, once additional data have been received and fully evaluated. Topline data also remain subject to audit and verification
procedures that may result in the final data being materially different from the preliminary data we previously published. As a result,
topline data should be viewed with caution until the final data are available. From time to time, we may also disclose interim, preliminary,
or topline data from our clinical studies. Interim, topline, or preliminary data from clinical trials that we may complete are subject
to the risk that one or more of the clinical outcomes may materially change as patient enrollment continues and more patient data become
available. Adverse differences between preliminary, topline, or interim data and final data could significantly harm our business prospects.
Further, others, including
regulatory agencies, may not accept or agree with our assumptions, estimates, calculations, conclusions, or analyses or may interpret
or weigh the importance of data differently, which could impact the value of the particular program, the approvability or commercialization
of the particular product candidate or product and the value of our company in general. In addition, the information we choose to publicly
disclose regarding a particular study or clinical trial is based on what is typically extensive information, and you or others may not
agree with what we determine is the material or otherwise appropriate information to include in our disclosure, and any information we
determine not to disclose may ultimately be deemed significant with respect to future decisions, conclusions, views, activities or otherwise
regarding a particular product, product candidate or our business. If the topline data that we report differ from actual results, or if
others, including regulatory authorities, disagree with the conclusions reached, our ability to obtain approval for, and commercialize,
our product candidates may be harmed, which could harm our business, operating results, prospects, or financial condition.
We and our collaborators may not achieve
projected discovery and development milestones and other anticipated key events in the time frames that we or they announce, which could
have an adverse impact on our business and could cause our stock price to decline.
From time to time, we expect
that we will make public statements regarding the expected timing of certain milestones and key events, such as the commencement and completion
of preclinical and IND-enabling studies in our product candidate discovery programs with collaborators as well as the commencement and
completion of planned clinical trials in those programs. The actual timing of these events can vary dramatically due to a number of factors
such as delays or failures in our or any current or future collaborators’ product candidate discovery and development programs,
the amount of time, effort and resources committed by us and any current or future collaborators, and the numerous uncertainties inherent
in the development of therapies. As a result, there can be no assurance that our or any current or future collaborators’ programs
will advance or be completed in the time frames we or they announce or expect. If we or any collaborators fail to achieve one or more
of these milestones or other key events as planned, our business could be materially adversely affected, and the price of our Common Stock
could decline.
Clinical trials are expensive, time-consuming,
and difficult to design and implement.
Human clinical trials
are expensive and difficult to design and implement, in part because they are subject to rigorous regulatory requirements. Because
our current and potential future product candidates are based on new technologies and discovery approaches, we expect that they will
require extensive research and development and have substantial manufacturing and processing costs. In addition, the FDA or other
regulatory authorities may require us to perform additional testing before commencing clinical trials and be hesitant to allow us to
enroll patients impacted with our targeted disease indications in our future clinical trials. If we are unable to enroll patients
impacted by our targeted disease indications in our future clinical trials, we would be delayed in obtaining potential
proof-of-concept data in humans, which could extend our development timelines. In addition, costs to treat patients and to treat
potential side effects that may result from our product candidates may be significant. Accordingly, our clinical trial costs are
likely to be high and could have a material adverse effect on our business, financial condition, results of operations and
prospects.
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If we encounter difficulties enrolling patients
in our clinical trials, our clinical development activities could be delayed or otherwise adversely affected.
We may not be able to initiate
or continue any clinical trials for our current or potential future product candidates if we are unable to locate and enroll a sufficient
number of eligible patients to participate in these trials as required by the FDA or other regulatory authorities. We cannot predict how
difficult it will be to enroll patients for trials in the indications we are studying. We may experience difficulties in patient enrollment
in our clinical trials for a variety of reasons. The enrollment of patients depends on many factors, including:
● the severity of the disease under investigation;
● patient eligibility criteria defined in the clinical trial
protocol;
● the size of the patient population required for analysis of
the trial’s primary endpoints;
● the proximity and availability of clinical trial sites for
prospective patients;
● willingness of physicians to refer their patients to our clinical
trials;
● our ability to recruit clinical trial investigators with the
appropriate competencies and experience;
● clinicians’ and patients’ perceptions as to the
potential advantages of the product candidate being studied in relation to other available therapies, including any new drugs that may
be approved for the indications we are investigating;
● our ability to obtain and maintain patient consents;
● the risk that patients enrolled in clinical trials will drop
out of the trials before completion; and
● factors we may not be able to control, such as current or
potential pandemics, that may limit the availability of patients, principal investigators or staff or clinical sites to participate in
our clinical trials.
In addition, our future
clinical trials will compete with other clinical trials for product candidates that are in the same therapeutic areas as our product
candidates, and 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 being 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 clinical
trial sites. Additionally, because some of our clinical trials will be in patients with advanced disease who may experience disease
progression or adverse events independent from our product candidates, such patients may be unevaluable for purposes of the trial
and, as a result, we may require additional enrollment. Delays in patient enrollment may result in increased costs or may affect the
timing or outcome of the planned clinical trials, which could prevent completion of these trials and adversely affect our ability to
advance the development of our product candidates.
If clinical trials for our product candidates
are prolonged, delayed, or stopped, we may be unable to seek or obtain regulatory approval and commercialize our product candidates on
a timely basis, or at all, which would require us to incur additional costs and delay our receipt of any product revenue.
We may experience delays in
our ongoing or future preclinical studies or clinical trials, and we do not know whether future preclinical studies or clinical trials
will begin on time, need to be redesigned, enroll an adequate number of patients on time, or be completed on schedule, if at all. The
commencement or completion of these clinical trials could be substantially delayed or prevented by many factors, including:
● further discussions with the FDA or comparable foreign regulatory
authorities regarding the scope or design of our clinical trials, including the endpoint measures required for regulatory approval and
our statistical plan;
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● the limited number of, and competition for, suitable study
sites and investigators to conduct our clinical trials, many of which may already be engaged in other clinical trial programs with similar
patients, including some that may be for the same indications as our product candidates;
● any delay or failure to obtain timely approval or agreement
to commence a clinical trial in any of the countries where enrollment is planned;
● inability to obtain sufficient funds required for a clinical
trial;
● clinical holds on, or other regulatory objections to, a new
or ongoing clinical trial;
● delay or failure to manufacture sufficient quantities or inability
to produce quantities of consistent quality, purity and potency of the product candidate for our clinical trials;
● delay or failure to reach agreement on acceptable clinical
trial agreement terms or clinical trial protocols with prospective sites or CROs, the terms of which can be subject to extensive negotiation
and may vary significantly among different sites or CROs;
● delay or failure to obtain institutional review board (“IRB”)
or ethics committee approval to conduct a clinical trial at a prospective site;
● the FDA or other comparable foreign regulatory authorities
may require us to submit additional data or impose other requirements before permitting us to initiate a clinical trial;
● slower than expected rates of patient recruitment and enrollment;
● failure of patients to complete the clinical trial;
● the inability to enroll a sufficient number of patients in
studies to ensure adequate statistical power to detect statistically significant treatment effects;
● unforeseen safety issues, including severe or unexpected drug-related
adverse effects experienced by patients, including possible deaths;
● lack of efficacy or failure to measure a statistically significant
clinical benefit within the dose range with an acceptable safety margin during clinical trials;
● termination of our clinical trials by one or more clinical
trial sites;
● inability or unwillingness of patients or clinical investigators
to follow our clinical trial protocols;
● inability to monitor patients adequately during or after treatment
by us or our CROs;
● our CROs or clinical study sites failing to comply with regulatory
requirements or meet their contractual obligations to us in a timely manner, or at all, deviating from the protocol or dropping out of
a study;
● inability to address any noncompliance with regulatory requirements
or safety concerns that arise during the course of a clinical trial;
● the need to suspend, repeat or terminate clinical trials as
a result of non-compliance with regulatory requirements, inconclusive or negative results or unforeseen complications in testing; and
● the suspension or termination of our clinical trials upon
a breach or pursuant to the terms of any agreement with, or for any other reason by, any future strategic collaborator that has responsibility
for the clinical development of any of our product candidates.
Changes in regulatory requirements,
policies, and guidelines may also occur and we may need to significantly modify our clinical development plans to reflect these changes
with appropriate regulatory authorities. These changes may require us to renegotiate terms with CROs or resubmit clinical trial protocols
to IRBs for re-examination, which may impact the costs, timing, or successful completion of a clinical trial. Our clinical trials may
be suspended or terminated at any time by us, the FDA, other regulatory authorities, the IRB overseeing the clinical trial at issue, any
of our clinical trial sites with respect to that site, or us.
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Any failure or significant
delay in commencing or completing clinical trials for our product candidates, any failure to obtain positive results from clinical trials,
any safety concerns related to our product candidates, or any requirement to conduct additional clinical trials or other testing of our
product candidates beyond those that we currently contemplate would adversely affect our ability to obtain regulatory approval and our
commercial prospects and ability to generate product revenue will be diminished.
If we decide to seek orphan drug designation
for one or more of our product candidates, we may be unsuccessful or may be unable to maintain the benefits associated with orphan drug
designation for our current or future product candidates that we may develop.
Under the Orphan Drug Act,
the FDA may designate a product candidate as an orphan drug if it is a drug or biologic product intended to treat a rare disease or condition,
which is generally defined as a patient population of fewer than 200,000 individuals annually in the United States, or where there
is no reasonable expectation that the cost of developing the product will be recovered from sales in the United States. We may seek
orphan drug designation for certain indications for our product candidates in the future. Orphan drug designation neither shortens the
development time or regulatory review time of a drug nor gives the drug any advantage in the regulatory review or approval process. Orphan
drug designation can entitle a party to financial incentives such as opportunities for grant funding towards clinical trial costs, tax
advantages and user-fee waivers.
In addition, if a product candidate
with an orphan drug designation receives the first marketing approval for the indication for which it has such designation, the product
is entitled to a period of marketing exclusivity, which precludes the FDA from approving another marketing application for the same drug
for the same indication for seven years. The FDA may reduce the seven-year exclusivity if the same drug from a competitor demonstrates
clinical superiority to the product with orphan exclusivity or if the FDA finds that the holder of the orphan exclusivity has not shown
that it can assure the availability of sufficient quantities of the orphan product to meet the needs of patients with the disease or condition
for which the drug was designated. Even if one of our product candidates receives orphan exclusivity, the FDA can still approve other
drugs that have a different active ingredient for use in treating the same indication or disease.
In addition, exclusive
marketing rights in the United States may be limited if we seek approval for an indication broader than the orphan-designated
indication or may be lost if the FDA later determines that the request for designation was materially defective or if the
manufacturer is unable to assure sufficient quantities of the product to meet the needs of patients with the rare disease or
condition. Further, even if we obtain orphan drug exclusivity for a product, that exclusivity may not effectively protect the
product from competition because different drugs with different active moieties can be approved for the same condition, and while we
may seek orphan drug designation for our product candidates, we may never receive such designations. In addition, the FDA may
reevaluate the Orphan Drug Act and its regulations and policies. We do not know if, when, or how the FDA may change the orphan drug
regulations and policies in the future, and it is uncertain how any changes might affect our business. Depending on what changes the
FDA may make to its orphan drug regulations and policies, our business could be adversely impacted.
We may not be able to conduct, or contract
with others to conduct, animal testing in the future, which could harm our research and development activities.
Certain laws and regulations
relating to drug development require us to test our product candidates on animals before initiating clinical trials involving humans.
Animal testing activities have been the subject of controversy and adverse publicity. Animal rights groups and other organizations and
individuals have attempted to stop animal testing activities by pressing for legislation and regulation in these areas and by disrupting
these activities through protests and other means. To the extent the activities of these groups are successful, our research and development
activities may be interrupted or delayed.
Risks Related to Third Parties
We rely on third parties to conduct our
preclinical studies and our clinical trial for EB103, and plan to rely on third parties to conduct any clinical trials for our other product
candidates, and those third parties may not perform satisfactorily.
We expect to rely on third-party
clinical investigators, CROs, clinical data management organizations, and consultants to design, conduct, supervise, and monitor certain
preclinical studies and any clinical trials. Because we intend to rely on these third parties and will not have the ability to conduct
certain preclinical studies or clinical trials independently, we will have less control over the timing, quality, and other aspects of
such preclinical studies and clinical trials than we would have had we conducted them on our own. These investigators, CROs, clinical
data management organizations, and consultants will not be our employees and we will have limited control over the amount of time and
resources that they dedicate to our programs. Some of these third parties may terminate their engagements with us at any time. We also
expect to have to negotiate budgets and contracts with CROs, clinical trial sites and contract manufacturing organizations and we may
not be able to do so on favorable terms, which may result in delays to our development timelines and increased costs. If we need to enter
into alternative arrangements with, or replace or add any third parties, it would involve substantial cost and require extensive management
time and focus, or involve a transition period, and may delay our drug development activities, as well as materially impact our ability
to meet our desired clinical development timelines. 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 which we may contract might
not be diligent, careful, or timely in conducting our preclinical studies or clinical trials, resulting in the preclinical studies or
clinical trials being delayed or unsuccessful.
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Our reliance on these
third parties for such drug development activities will reduce our control over these activities. As a result, we will have less
direct control over the conduct, timing, and completion of preclinical studies and clinical trials and the management of data
developed through preclinical studies and clinical trials than would be the case if we were relying entirely upon our own staff.
Nevertheless, we will be responsible for ensuring that each of our studies and trials is conducted in accordance with applicable
protocol, legal, and regulatory requirements and scientific standards, including good laboratory practice (“GLP”), good
clinical practice (“GCP”), Current Good Manufacturing Practice (“cGMP”), and Current Good Tissue Practice
(“cGTP”), and our reliance on third parties does not relieve us of our regulatory responsibilities. For example, we will
remain responsible for ensuring that each of our clinical trials is conducted in accordance with the general investigational plan
and protocols for the trial. Moreover, the FDA and other regulatory authorities require us to comply with GCP standards, regulations
for conducting, recording, and reporting the results of clinical trials to assure that data and reported results are reliable and
accurate and that the rights, integrity, and confidentiality of trial participants are protected. Regulatory authorities enforce
these GCP requirements through periodic inspections of trial sponsors, principal investigators, and trial sites. If we or any of our
CROs, clinical sites and investigators fail to comply with applicable GCP requirements, the clinical data generated in our clinical
trials may be deemed unreliable and the FDA, European Medicines Agency (“EMA”), or other regulatory authorities may
require us to perform additional clinical trials before approving our marketing applications. There can be no assurance that upon
inspection by a given regulatory authority, such regulatory authority will determine that any of our clinical trials substantially
comply with GCP regulations. In addition, our clinical trials must be conducted with product candidates produced under cGMP
regulations and will require a large number of test patients. Our failure or any failure by these third parties to comply with these
regulations or to recruit a sufficient number of patients, may require us to repeat clinical trials, which would delay the
regulatory approval process. Moreover, our business may be implicated if any of these third parties violates FDA regulatory
requirements as well as federal or state healthcare laws and regulations or healthcare privacy and security laws.
If these third parties do not
successfully carry out their contractual duties, meet expected deadlines or conduct our clinical trials in accordance with regulatory
requirements or our stated protocols, or if these third parties need to be replaced, we will not be able to obtain, or may be delayed
in obtaining, marketing approvals for our product candidates and will not be able to, or may be delayed in our efforts to, successfully
commercialize our product candidates. As a result, our financial results and the commercial prospects for our product candidates would
be harmed, our costs could increase and our ability to generate revenue could be delayed.
We depend on strategic partnerships, such as the Licensing Agreement with Eureka and may in the future depend
on collaborations, such as our prior Collaboration Agreement with Imugene, for the development and commercialization of EB103, EB104,
and future product candidates in certain indications, and if these arrangements are unsuccessful, this could impair our ability to generate
revenues and materially harm our results of operations.
Our business strategy for the research of EB103’s use in conjunction with CF33-CD19t was previously dependent
upon maintaining our arrangement with Imugene under the Collaboration Agreement, which concluded its research plan on August 30, 2023.
Our ongoing strategy relies on arrangements with strategic partners, research collaborators, and others, such as the Licensing Agreement
with Eureka, which grants us an exclusive license to use ARTEMIS® technology in connection with CD19 and CD22 in the Licensed Territory.
These agreements provide for, among other things, intellectual property rights and significant future payments should certain development,
regulatory, and commercial milestones be achieved.
As a result, we may not be able to conduct these collaborations in the manner or on the time schedule we previously
contemplated, which may negatively impact our business operations.
Additionally, the development and commercialization of potential product candidates under our collaboration agreements
could be substantially delayed, and our ability to receive future funding could be substantially impaired if one or more of our collaborators:
● shifts its priorities and resources away from our collaborations
due to a change in business strategies, or a merger, acquisition, sale, or downsizing of its company or business unit;
● ceases development in therapeutic areas which are the subject
of our collaboration;
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● fails to select a product candidate for advancement into preclinical
development, clinical development, or subsequent clinical development into a marketed product;
● changes the success criteria for a particular product candidate,
thereby delaying or ceasing development of such product candidate;
● significantly delays the initiation or conduct of certain
activities which could delay our receipt of milestone payments tied to such activities, thereby impacting our ability to fund our own
activities;
● develops a product candidate that competes, either directly
or indirectly, with our product candidates;
● does not obtain the requisite regulatory approval of a product
candidate;
● does not successfully commercialize a product candidate;
● encounters regulatory, resource or quality issues and is unable
to meet demand requirements;
● exercises its rights under the agreement to terminate the
collaboration, or otherwise withdraws support for, or otherwise impairs development under the collaboration;
● disagrees on the research, development or commercialization
of a product candidate resulting in a delay in milestones, royalty payments, or termination of research and development activities for
such product candidate; and
● uses our proprietary information or intellectual property
in such a way as to jeopardize our rights in such property.
In addition, the termination
of our existing collaborations or any future strategic partnership or collaboration arrangement that we enter into may prevent us from
receiving any milestone, royalty payment, sharing of profits, and other benefits under such agreement. Furthermore, disagreements with
these parties could require or result in litigation or arbitration, which would be time-consuming and expensive. Any of these events could
have a material adverse effect on our ability to develop and commercialize any of our product candidates and may adversely impact our
business, prospects, financial condition, and results of operations.
We may not realize the anticipated benefits of our prior collaboration agreement with Imugene.
Our prior collaboration with Imugene, which concluded its research plan on August 30, 2023, explored the therapeutic
potential of a combination of Imugene’s CF33-CD19t in conjunction with EB103 for the treatment of solid tumors. However, Imugene
could develop therapies outside of our collaboration that do not utilize EB103. For example, Imugene could develop an oncolytic virus
that forces tumors to express a protein other than CD19 for a “mark and kill” approach to treating solid tumors, which would
require a combination with a T-cell therapy other than EB103.
We may not be able to enter into additional
strategic transactions on acceptable terms, if at all, which could adversely affect our ability to develop and commercialize current and
potential future product candidates and technologies, impact our cash position, increase our expenses and present significant distractions
to our management.
From time to time, we consider
strategic transactions, such as collaborations, geographic partnerships for the co-development and/or co-commercialization of our product
candidates in selected territories, acquisitions of companies, asset purchases, joint ventures, out-or in-licensing of product candidates
or technologies and biomanufacturing partnerships. For example, we will evaluate and, if strategically attractive, seek to enter into
collaborations, including with biotechnology or biopharmaceutical companies, contract development manufacturing organizations, or hospitals.
The competition for collaborators is intense, and the negotiation process is time-consuming and complex. If we are not able to enter into
strategic transactions, we may not have access to required liquidity or expertise to further develop our current or potential future product
candidates. Any such collaboration, or other strategic transaction, may require us to incur non-recurring or other charges, increase our
near-and long-term expenditures and pose significant integration or implementation challenges or disrupt our management or business.
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We also 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, but we may not be able to realize the benefit of acquiring such assets. Conversely, any new collaboration that
we do enter into may be on terms that are not optimal for us, our product candidates, or our technologies. These transactions would entail
numerous operational and financial risks, including:
● exposure to unknown liabilities;
● disruption of our business and diversion of our management’s
time and attention in order to negotiate and manage a collaboration or develop acquired products, product candidates, or technologies;
● incurrence of substantial debt or dilutive issuances of equity
securities to pay transaction consideration or costs;
● higher-than-expected collaboration, acquisition or integration
costs, write-downs of assets or goodwill or impairment charges, or increased amortization expenses;
● difficulty and cost in facilitating the collaboration or combining
the operations and personnel of any acquired business;
● impairment of relationships with key suppliers, manufacturers,
or customers of any acquired business due to changes in management and ownership; and
● the inability to retain key employees of any acquired business.
Accordingly, although there
can be no assurance that we will undertake or successfully complete any transactions of the nature described above, any transactions that
we do complete may be subject to the foregoing or other risks and our business could be materially harmed by such transactions. Conversely,
any failure to enter any collaboration or other strategic transaction that would be beneficial to us could delay the development and potential
commercialization of our product candidates and technologies and have a negative impact on the competitiveness of any product candidate
or technology that reaches market.
In addition, to the extent
that any future collaborators terminate a collaboration agreement, we may be forced to independently develop our current and future product
candidates and technologies, including funding preclinical studies or clinical trials, assuming marketing and distribution costs and maintaining,
enforcing and defending intellectual property rights, or, in certain instances, abandon product candidates and technologies altogether,
any of which could result in a change to our business plan and have a material adverse effect on our business, financial condition, results
of operations and prospects.
The manufacturing of our product candidates
is complex. We may encounter difficulties in production, and because we currently rely on Eureka as our sole supplier of clinical drug
product, any such difficulties or any disruption in our relationship with Eureka could delay or halt our clinical programs and, if approved,
commercial supply.
The manufacture of biopharmaceutical
products is complex and requires significant expertise, including the development of advanced manufacturing techniques and process controls.
The process of manufacturing our product candidates is also extremely susceptible to product loss due to contamination, equipment failure
or improper installation or operation of equipment, operator error, inconsistency in yields, variability in product characteristics and
difficulties in scaling the production process. Even minor deviations from normal manufacturing processes could result in reduced production
yields, product defects and other supply disruptions. If microbial, viral or other contaminations are discovered in our product candidates
or the manufacturing facilities in which they are made, the facilities may need to be closed for an extended period of time to investigate
and remedy the contamination. As a result of these complexities, the cost to manufacture biologics in general, and our cell-based product
candidates in particular, is generally higher than traditional small molecule chemical compounds, and the manufacturing process is less
reliable and is more difficult to reproduce.
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We currently do not own
or operate any manufacturing facilities and have limited personnel with manufacturing experience. We rely entirely on Eureka
Therapeutics, Inc., our parent and controlling stockholder, to manufacture EB103 and our other ARTEMIS ® T-cell
product candidates for our preclinical studies and clinical trials under our license and services arrangements, and Eureka is
currently our sole supplier of clinical drug product. Eureka manufactures our product candidates at a limited number of
facilities. If Eureka experiences any manufacturing, quality, safety, regulatory or other operational problems, if it fails to
perform its obligations in accordance with applicable specifications, cGMP requirements or other regulatory requirements, if it is
unable or unwilling to supply us with sufficient quantities of our product candidates on a timely basis and at acceptable costs, or
if our arrangements with Eureka are terminated or materially disrupted, we would not have an immediately available alternative
source of supply. Identifying, qualifying and transferring our manufacturing processes to one or more replacement manufacturers
would be time-consuming and costly, would require additional regulatory filings and approvals, and could involve unforeseen
technical challenges. Any such transition could result in substantial delays in our ongoing or planned clinical trials, increased
development and manufacturing costs, and, if our product candidates are approved, interruptions or delays in commercial supply.
Any adverse developments affecting
manufacturing operations for our product candidates, whether at Eureka or any future third-party manufacturer, may result in shipment
delays, inventory shortages, lot failures, product withdrawals or recalls, or other interruptions in the supply of our products. We may
also have to take inventory write-offs and incur other charges and expenses for products that fail to meet specifications, undertake costly
remediation efforts, or seek more costly manufacturing alternatives. Furthermore, it is too early to estimate our cost of goods sold.
The actual cost to manufacture our product candidates could be greater than we expect because we are early in our development efforts.
Changes in methods of product candidate
manufacturing or formulation may result in the need to perform new clinical trials, which would require additional costs and cause delay.
As product candidates are developed
through preclinical to late-stage clinical trials towards approval and commercialization, it is common that various aspects of the development
program, such as manufacturing methods and formulation, are altered along the way in an effort to optimize yield and manufacturing batch
size, minimize costs and achieve consistent quality and results. Such changes carry the risk that they will not achieve these intended
objectives. Any of these changes could cause our product candidates to perform differently and affect the results of ongoing, planned,
or future clinical trials conducted with the altered materials. This could delay completion of clinical trials, require the conduct of
bridging clinical trials or the repetition of one or more clinical trials, increase clinical trial costs, delay approval of our product
candidates and jeopardize our ability to commence product sales and generate revenue.
Risks Related to Our Business and Operations
If the market opportunities for our current
and potential future product candidates, are smaller than we believe they are, our future product revenues may be adversely affected,
and our business may suffer.
Our understanding of the number
of people who suffer from diseases that our current product candidates may be able to treat are based on estimates. These estimates may
prove to be incorrect, and new studies may reduce the estimated incidence or prevalence of these diseases. The number of patients in the
United States or elsewhere may turn out to be lower than expected, may not be otherwise amenable to treatment with our current or
potential future product candidates or patients may become increasingly difficult to identify and access, all of which would adversely
affect our business prospects and financial condition. In particular, the treatable population for our candidates may further be reduced
if our estimates of addressable populations are erroneous or sub-populations of patients do not derive benefit from our product candidates.
Further, there are several
factors that could contribute to making the actual number of patients who receive our current or potential future product candidates less
than the potentially addressable market. These include the lack of widespread availability of, and limited reimbursement for, new therapies
in many underdeveloped markets.
Our management has a limited understanding
of artificial intelligence (“AI”), and may not be able to fully assess potential risks posed to our business by AI or to capture
any potential benefits to our business AI could provide. In the event AI is used to better effect by our competitors it could lead to
countervailing discoveries that may undermine our current pipeline. Our limited understanding of AI could also lead to potential security
risks and breaches.
The potential adoption and
integration of Artificial Intelligence (AI) in our operations present a range of risks that could adversely affect our business. AI technologies
are evolving rapidly, and our management has limited ability to fully assess or predict the potential long-term risks and disruptions
they may bring. As AI technologies continue to develop, we may face significant challenges in adapting to new market conditions or operational
realities, as competitors may leverage AI to gain competitive advantages or disrupt established business models.
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Moreover, AI systems have the
potential to make unforeseen or unintended discoveries that may disrupt existing products, services, or business strategies. These countervailing
discoveries could render our current operations or offerings obsolete, or cause unforeseen consequences that are difficult to mitigate.
As AI-driven developments evolve, the risk of encountering these unintended outcomes increases, and our ability to anticipate or control
them may be limited.
Additionally, the rapid deployment
of AI by competitors could create significant competitive risks. Competitors may be able to develop or adopt AI technologies faster than
we can, potentially outpacing our innovation or efficiency improvements. This could result in a loss of market share, reduced profitability,
and increased difficulty in maintaining a competitive position within our industry.
AI systems, if not adequately
secured, could expose our company to cybersecurity threats, including data breaches, intellectual property theft, and system compromises.
The exploitation of such vulnerabilities could lead to reputational damage, legal liabilities, and regulatory penalties.
Given these risks, our management
may not be able to fully identify, assess, or address all the potential negative consequences associated with AI. As such, AI-related
risks, including those from competitors’ advancements, security breaches, and unforeseen discoveries, could materially disrupt our
operations and adversely affect our financial performance.
We face competition from companies that
have developed or may develop product candidates for the treatment of the diseases that we may target, including companies developing
novel therapies and platform technologies. If these companies develop therapies or platform technologies more rapidly than we do, or if
their therapies or platform technologies are more effective or have fewer side effects, our ability to develop and successfully commercialize
therapies may be adversely affected.
The development and commercialization
of T-cell therapies is highly competitive. We compete with a variety of large pharmaceutical companies, multinational biopharmaceutical
companies, other biopharmaceutical companies, and specialized biotechnology companies, as well as technology and therapeutics being developed
at universities and other research institutions. Our competitors are often larger and better funded than we are. Our competitors have
developed, are developing, or will develop product candidates and processes competitive with ours. Competitive therapeutic treatments
include those that have already been approved and accepted by the medical community and any new treatments that are currently in development
or that enter the market. We believe that a significant number of product candidates are currently under development, and may become commercially
available in the future, for the treatment of conditions for which we may try to develop product candidates. There is intense and rapidly
evolving competition in the biotechnology and biopharmaceutical fields. We believe that while EB103, EB104, EB201 and research relating
to the use of EB103 in conjunction with CF33-CD19t, their associated intellectual property, the characteristics of our current and potential
future product candidates, and our scientific and technical know-how together give us a competitive advantage in this space, competition
from many sources remains.
Many of our competitors have
significantly greater financial, technical, manufacturing, marketing, sales, and supply resources or experience than we do. If we successfully
obtain approval for any product candidate, we will face competition based on many different factors, including the safety and effectiveness
of our product candidates, the ease with which our product candidates can be administered, the timing and scope of regulatory approvals
for these product candidates, the availability and cost of manufacturing, marketing and sales capabilities, price, reimbursement coverage,
and patent position. Competing products and product candidates could present superior treatment alternatives, including by being more
effective, safer, less expensive, or marketed and sold more effectively than any products we may develop. Competitive products and product
candidates may make any product we develop obsolete or noncompetitive before we recover the expense of developing and commercializing
such product. Such competitors could also recruit our employees, which could negatively impact our level of expertise and our ability
to execute our business plan.
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Any inability to attract and retain qualified
key management, technical personnel and employees would impair our ability to implement our business plan.
Our success largely depends
on the continued service of our and Eureka’s key executive management, advisors, and other specialized personnel. Our and Eureka’s
senior management may terminate their employment with us and Eureka, as applicable, at any time. We do not maintain “key person”
insurance for any of our employees. The loss of one or more members of our or Eureka’s executive team, management team, or other
key employees or advisors could delay our research and development programs and have a material adverse effect on our business, financial
condition, results of operations, and prospects.
Recruiting and retaining qualified
scientific and clinical personnel and, if we progress the development of any of our product candidates, commercialization, manufacturing,
and sales and marketing personnel, will be critical to our success. The loss of the services of members of our or Eureka’s senior
management or other key employees could impede the achievement of our research, development, and commercialization objectives and seriously
harm our ability to successfully implement our business strategy. Furthermore, replacing members of our or Eureka’s senior management
and key employees may be difficult and may take an extended period of time because of the limited number of individuals in our industry
with the breadth of skills and experience required to successfully develop, gain regulatory approval of, and commercialize our product
candidates. Our success also depends on our and Eureka’s ability to continue to attract, retain, and motivate highly skilled junior,
mid-level, and senior managers, as well as and Eureka’s junior, mid-level, and senior scientific and medical personnel. Competition
to hire from this limited candidate pool is intense, and we and Eureka may be unable to hire, train, retain or motivate these key personnel
on acceptable terms given the competition among numerous pharmaceutical and biotechnology companies for similar personnel. We and Eureka
also experience competition for the hiring of scientific and clinical personnel from universities and research institutions.
In addition, through the Services
Agreement with Eureka, we rely on consultants and advisors, including scientific and clinical advisors, to assist us in formulating our
research and development and commercialization strategy. Such consultants and advisors are also consultants and advisors to Eureka, and
may have additional commitments under consulting or advisory contracts with other entities, that may limit their availability to us and
adversely impact the benefits we realize from the Services Agreement and our research and development and commercialization strategy.
We may experience difficulties in managing
our growth and expanding our operations.
As our current and potential
future product candidates enter and advance through preclinical studies and any clinical trials, we will need to expand our development,
regulatory, and manufacturing capabilities or contract with other organizations to provide these capabilities for us.
To manage our anticipated future
growth, we will continue to implement and improve our managerial, operational, and financial systems and continue to recruit and train
additional qualified personnel. Due to our limited financial resources and the complexity in managing a company with such anticipated
growth, we may not be able to effectively manage the expansion of our operations or recruit and train additional qualified personnel.
The expansion of our operations may lead to significant costs and may divert our management and business development resources. Any inability
to manage growth could delay the execution of our business plans or disrupt our operations.
In addition, future growth
imposes significant added responsibilities on members of management, including: identifying, recruiting, integrating, maintaining, and
motivating additional employees; managing our internal development efforts effectively, including the clinical and FDA review process
for our product candidates, while complying with our contractual obligations to contractors and other third parties; and improving our
operational, financial and management controls, reporting systems and procedures.
We may also experience difficulties
in the discovery and development of potential future product candidates if we are unable to meet demand as we grow our operations. In
the future, we also expect to have to manage additional relationships with collaborators, suppliers, and other organizations. Our ability
to manage our operations and future growth will require us to continue to improve our operational, financial, and management controls,
reporting systems, and procedures, and to secure adequate facilities for our operational needs. We may not be able to implement improvements
to our management information and control systems in an efficient or timely manner and may discover deficiencies in existing systems and
controls.
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If any of our product candidates is approved
for marketing and commercialization in the future and we are unable to develop sales, marketing, and distribution capabilities on our
own or enter into agreements with third parties to perform these functions on acceptable terms, we will be unable to successfully commercialize
any such future products.
We will need to develop internal
sales, marketing, and distribution capabilities to commercialize each current and potential future product candidate that gains, if ever,
FDA or other regulatory authority approval, which would be expensive and time-consuming, or enter into collaborations with third parties
to perform these services. If we decide to market any approved products directly, we will need to commit significant financial and managerial
resources to develop a marketing and sales force with technical expertise and supporting distribution, administration, and compliance
capabilities. If we rely on third parties with such capabilities to market any approved products or decide to co-promote products with
third parties, we will need to establish and maintain marketing and distribution arrangements with third parties, and there can be no
assurance that we will be able to enter into such arrangements on acceptable terms or at all. In entering into third-party marketing or
distribution arrangements, any revenue we receive will depend upon the efforts of the third parties and we cannot assure you that such
third parties will establish adequate sales and distribution capabilities or be successful in gaining market acceptance for any approved
product. If we are not successful in commercializing any product approved in the future, either on our own or through third parties, our
business and results of operations could be materially and adversely affected.
Public opinion and scrutiny of immunotherapy
approaches may impact public perception of Estrella and product candidates, or may adversely affect our ability to conduct our business
and our business plans.
Public perception may be influenced
by claims, such as claims that immunotherapies are unsafe, unethical, or immoral and, consequently, our approach may not gain the acceptance
of the public or the medical community. Negative public reaction to immunotherapy in general could result in greater government regulation
and stricter labeling requirements of immunotherapy products, including any of our product candidates, and could cause a decrease in the
demand for any products we may develop. Adverse public attitudes may adversely impact our ability to enroll clinical trials. Moreover,
our success will depend upon physicians specializing in the treatment of those diseases that our product candidates target prescribing,
and their patients being willing to receive, treatments that involve the use of our product candidates in lieu of, or in addition to,
existing treatments they are already familiar with and for which greater clinical data may be available. More restrictive government regulations
or negative public opinion could have an adverse effect on our business or financial condition and may delay or impair the development
and commercialization of our product candidates or demand for any products we may develop. Adverse events in our clinical trials, even
if not ultimately attributable to our product candidates, and the resulting publicity could result in increased governmental regulation,
unfavorable public perception, potential regulatory delays in the testing or approval of our potential product candidates, stricter labeling
requirements for those product candidates that are approved and a decrease in demand for any such product candidates.
Our potential future international operations
may expose us to business, political, operational, and financial risks associated with doing business outside of the United States.
Our business is subject to
risks associated with conducting business internationally. Some of our future clinical trials may be conducted outside of the United States
and we may enter into key supply arrangements or do other business with persons outside of the United States. Furthermore, if we
or any future collaborator succeeds in developing any products, we anticipate marketing them in the European Union and other jurisdictions
in addition to the United States. If approved, we or any future collaborator may hire sales representatives and conduct physician
and patient association outreach activities outside of the United States. Doing business internationally involves a number of risks,
including but not limited to:
● multiple, conflicting, and changing laws and regulations such
as those relating to privacy, data protection and cybersecurity, tax laws, export and import restrictions, employment laws, regulatory
requirements, and other governmental approvals, permits and licenses;
● failure by us to obtain and maintain regulatory approvals
for the commercialization of our product candidates in various countries;
● rejection or qualification of foreign clinical trial data
by the competent authorities of other countries;
● additional potentially relevant third-party patent rights;
● complexities and difficulties in obtaining, maintaining, protecting
and enforcing our intellectual property rights;
● difficulties in staffing and managing foreign operations;
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● complexities associated with managing multiple payor reimbursement
regimes, government payors or patient self-pay systems;
● limits in our ability to penetrate international markets;
● financial risks, such as longer payment cycles, difficulty
collecting accounts receivable, the impact of local and regional financial crises on demand, and payment for our products and exposure
to foreign currency exchange rate fluctuations;
● natural disasters, political and economic instability, including
wars, terrorism and political unrest, outbreak of disease, boycotts, curtailment of trade, and other business restrictions;
● certain expenses including, among others, expenses for travel,
translation, and insurance; and
● regulatory and compliance risks that relate to anti-corruption
compliance and record-keeping that may fall within the purview of the U.S. Foreign Corrupt Practices Act, its accounting provisions
or its anti-bribery provisions or provisions of anti-corruption or anti-bribery laws in other countries.
Any of these factors could
harm our ongoing international operations and supply chain, as well as any future international expansion and operations and, consequently,
our business, financial condition, prospects and results of operations.
Our business entails a significant risk
of product liability, and our inability to obtain sufficient insurance coverage could have a material adverse effect on our business,
financial condition, results of operations and prospects.
As we conduct preclinical studies
and future clinical trials of our current and potential future product candidates, we will be exposed to significant product liability
risks inherent in the development, testing, manufacturing, and marketing of these product candidates. Product liability claims could delay
or prevent completion of our development programs. If we succeed in marketing products, such claims could result in an FDA investigation
of the safety and effectiveness of our products, our manufacturing processes and facilities or our marketing programs and potentially
a recall of our products or more serious enforcement action, limitations on the approved indications for which they may be used or suspension
or withdrawal of approvals. Regardless of the merits or eventual outcome, liability claims may also result in decreased demand for our
products, injury to our reputation, costs to defend the related litigation, a diversion of management’s time and our resources,
substantial monetary awards to trial participants or patients and a decline in our stock price. Any insurance we have or may obtain may
not provide sufficient coverage against potential liabilities. Furthermore, clinical trial and product liability insurance is becoming
increasingly expensive. As a result, we or any future collaborators may be unable to obtain sufficient insurance at a reasonable cost
to protect us against losses caused by product liability claims that could have a material adverse effect on our business, financial condition,
results of operations and prospects.
Our employees, principal investigators,
consultants, and commercial collaborators may engage in misconduct or other improper activities, including noncompliance with regulatory
standards and requirements.
We are exposed to the
risk of fraud or other misconduct by our employees, principal investigators, consultants, and commercial collaborators. Misconduct
by employees could include intentional failures to comply with FDA regulations, provide accurate information to the FDA, comply with
manufacturing standards we may establish, comply with federal and state healthcare fraud and abuse laws and regulations, report
financial information or data accurately or 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. Such 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 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.
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 material adverse effect on our business and financial condition, including the imposition of significant
criminal, civil and administrative fines or other sanctions, such as monetary penalties, damages, fines, disgorgement, imprisonment,
exclusion from participation in government-funded healthcare programs, such as Medicare and Medicaid, integrity obligations,
reputational harm and the curtailment or restructuring of our operations.
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We depend on sophisticated information technology
systems and data processing to operate our business. If we experience security or data privacy breaches or other unauthorized or improper
access to, use of, or destruction of our proprietary or confidential data, employee data or personal data, we may face costs, significant
liabilities, harm to our brand, and business disruption.
We rely on information technology
systems and data processing that we or our service providers, collaborators, consultants, contractors, or partners operate to collect,
process, transmit and store electronic information in our day-to-day operations, including a variety of personal data, such as name,
mailing address, email addresses, phone number and potentially clinical trial information. Additionally, we, and our service providers,
collaborators, consultants, contractors or partners, do or will collect, receive, store, process, generate, use, transfer, disclose, make
accessible, protect, and share personal information, health information, and other information to host or otherwise process some of our
anticipated future clinical data and that of users, to develop our products, to operate our business, for clinical trial purposes, for
legal and marketing purposes, and for other business-related purposes. Our internal computer systems and data processing and those of
our third-party vendors, consultants, collaborators, contractors, or partners, including future CROs may be vulnerable to a cyber-attack
(including supply chain cyber-attacks), malicious intrusion, breakdown, destruction, loss of data privacy, actions or inactions by our
employees or contractors that expose security vulnerabilities, theft, or destruction of intellectual property or other confidential or
proprietary information, business interruption or other significant security incidents. As the cyber-threat landscape evolves, these attacks
are growing in frequency, level of persistence, sophistication, and intensity, and are becoming increasingly difficult to detect. In addition
to traditional computer “hackers,” threat actors, software bugs, malicious code (such as viruses and worms), employee theft
or misuse, denial-of-service attacks (such as credential stuffing), phishing and ransomware attacks, sophisticated nation-state and nation-state
supported actors now engage in attacks (including advanced persistent threat intrusions). Furthermore, because the techniques used to
obtain unauthorized access to, or to sabotage, systems change frequently and often are not recognized until launched against a target,
we may be unable to anticipate these techniques or implement adequate preventative measures. We may also experience security breaches
that may remain undetected for an extended period.
Our IT infrastructure is
limited given the size and scope of our operations, and we have not conducted a formal standalone IT or cybersecurity risk
assessment, nor do we have a dedicated cybersecurity officer. Our process for assessing, identifying and managing cybersecurity
risks is not fully integrated into an enterprise-wide risk management program, and we do not have a formal internal process to
oversee and identify cybersecurity threats and risks associated with our reliance on Eureka’s third-party IT support provider.
Instead, we have adopted cybersecurity principles modeled on those used by Eureka, and our IT support is outsourced to
Eureka’s third-party provider. While we have implemented certain technical and organizational
measures — including reliance on cloud-based storage (rather than on-premises servers) with daily backups and
periodic restore testing, multi-factor authentication for access to our Office 365 environment, role-based access controls for
financial data stored on SharePoint, and email protections such as spam/malware filtering, data loss prevention and basic
encryption — these measures are limited and evolving and may prove inadequate to prevent or detect all cybersecurity
threats. Cybersecurity oversight for Estrella is integrated into Eureka’s IT governance framework and the third-party IT
provider, and although our CEO and board receive updates and are responsible for ensuring that cybersecurity measures relevant to
Estrella are in place, our dependence on Eureka’s IT Governance Committee and its external IT provider may reduce our direct
visibility into, and control over, certain cybersecurity risks.
There can be no assurance
that we, our service providers, collaborators, consultants, contractors, or partners will be successful in efforts to detect, prevent
or fully recover systems or data from all breakdowns, service interruptions, attacks or breaches of systems that could adversely affect
our business and operations and/or result in the loss of critical or sensitive data. Any failure by us or our service providers, collaborators,
consultants, contractors or partners to detect, prevent, respond to or mitigate security breaches or improper access to, use of, or inappropriate
disclosure of any of this information or other confidential or sensitive information, including patients’ personal data, or the
perception that any such failure has occurred, could result in claims, litigation, regulatory investigations and other proceedings, significant
liability under state, federal and international law, and other financial, legal or reputational harm to us. Further, such failures or
perceived failures could result in liability and a material disruption of our development programs and our business operations, which
could lead to significant delays or setbacks in our research, delays to commercialization of our product candidates, lost revenues, or
other adverse consequences, any of which could have a material adverse effect on our business, results of operations, financial condition,
prospects and cash flow. For example, the loss or alteration of clinical trial data from future clinical trials could result in delays
in our regulatory approval efforts and significantly increase our costs to recover or reproduce the data.
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Additionally, applicable laws
and regulations relating to privacy, data protection or cybersecurity, external contractual commitments, and internal privacy and security
policies may require us to notify relevant stakeholders if there has been a security breach, including affected individuals, business
partners and regulators. Such disclosures are costly, and the disclosures or any actual or alleged failure to comply with such requirements
could lead to a materially adverse impact on the business, including negative publicity, a loss of confidence in our services or security
measures by our business partners or breach of contract claims. There can be no assurance that the limitations of liability in our contracts
would be enforceable or adequate or would otherwise protect us from liabilities or damages if we fail to comply with applicable data protection
laws, privacy policies or other data protection obligations related to information security or security breaches.
If we do not comply with laws regulating
the protection of the environment and health and human safety, our business could be adversely affected.
We are subject to numerous
environmental, health, and safety laws and regulations, including those governing laboratory procedures and the handling, use, storage,
treatment and disposal of hazardous materials and wastes. Our operations involve the use of hazardous materials, including chemicals and
biological materials. Our operations also produce hazardous waste products. We generally contract with third parties for the disposal
of these materials and wastes. We cannot eliminate the risk of contamination or injury from these materials. In the event of contamination
or injury resulting from our use of hazardous materials, we could be held liable for any resulting damages, and any liability could exceed
our resources. We also could incur significant costs associated with civil or criminal fines and penalties for failure to comply with
such laws and regulations.
Although we maintain 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 or hazardous materials. In
addition, 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.
Our business, operations, financial position and clinical development plans and timelines could be materially
adversely affected by the continuing military action in Ukraine, the war between Israel and Hamas, and the armed conflict between the
United States/Israel and Iran.
As a result of the military action commenced in February 2022 by the Russian Federation and Belarus in Ukraine,
the war between Israel and Hamas commenced in October 2023, and the armed conflict commenced on February 28, 2026 by the United States
and Israel against Iran (including joint airstrikes targeting Iranian leadership, nuclear facilities, ballistic missile programs, and
military sites, with Iranian retaliatory missile and drone strikes on US bases, Israel, and Gulf states), and related economic sanctions
imposed or that may in the future be imposed by certain governments, our financial position and operations may be materially and adversely
affected. As our ability to continue to operate will be dependent on raising debt and equity finance, any adverse impact to those markets
as a result of these conflicts, including due to increased market volatility (such as surges in energy prices), decreased availability
in third-party financing and/or a deterioration in the terms on which it is available (if at all), could negatively impact our business,
results of operations, cash flows, financial condition, and/or prospects. The extent of any potential impact is not yet determinable,
however.
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Recent volatility in capital markets and
lower market prices for our securities may affect our ability to access new capital through sales of shares of our Common Stock or issuance
of indebtedness, which may harm our liquidity, limit our ability to grow our business, pursue acquisitions or improve our operating infrastructure
and restrict our ability to compete in our markets.
Our operations consume substantial
amounts of cash, and we intend to continue to make significant investments to support our business growth, respond to business challenges
or opportunities, develop new solutions, retain or expand our current levels of personnel, improve our existing solutions, enhance our
operating infrastructure, and potentially acquire complementary businesses and technologies. Our future capital requirements may be significantly
different from our current estimates and will depend on many factors, including the need to:
● finance unanticipated working capital requirements;
● develop or enhance our technological infrastructure and our
existing solutions;
● pursue acquisitions or other strategic relationships; and
● respond to competitive pressures.
Accordingly, we may need to
pursue equity or debt financings to meet our capital needs. With uncertainty in the capital markets and other factors, such financing
may not be available on terms favorable to us or at all. If we raise additional funds through further issuances of equity or convertible
debt securities, our existing stockholders could suffer significant dilution, and any new equity securities we issue could have rights,
preferences, and privileges superior to those of holders of Estrella common stock. Any debt financing secured by us in the future could
involve additional restrictive covenants relating to our capital-raising activities and other financial and operational matters, which
may make it more difficult for us to obtain additional capital and to pursue business opportunities, including potential acquisitions.
If we are unable to obtain adequate financing or financing on terms satisfactory to us, we could face significant limitations on our ability
to invest in our operations and otherwise suffer harm to our business.
Inflation and higher interest rates could
increase our operating costs and adversely affect our liquidity and ability to raise capital.
While inflation in the United States
has moderated since its recent peak in June 2022, it remains above the Federal Reserve’s long-term 2.0% target, and interest
rates remain elevated compared to the decade prior to the COVID-19 pandemic. Higher inflation and a sustained higher-rate environment
may result in increased operating costs, reduced liquidity, lower valuations, and limitations on our ability to access credit or otherwise
raise debt and equity capital on acceptable terms. In addition, continued volatility in financial markets, uncertainty around future monetary
policy, and any renewed increase in inflationary pressures may further heighten these risks.
Risks Related to the Separation and Our Relationship
with Eureka
We will incur incremental costs as a standalone
public company.
For operational matters outside
of the scope of the Services Agreement we entered with Eureka, we may hire additional employees, or out-source certain functions, systems,
and infrastructure through contracts with third parties. These initiatives may be costly to implement. To the extent we implement any
of these initiatives, we may incur additional operating costs, and the amount and timing of such costs is uncertain.
Eureka currently performs
or supports many important corporate functions for us pursuant to the Services Agreement. The Services Agreement may be terminated
by mutual agreement at any time. Following the termination of, or the expiration of the term of, the Services Agreement, we may not
be able to replace the services or enter into appropriate third-party arrangements on terms and conditions, including cost,
comparable to those that we will receive from Eureka under our Services Agreement. Additionally, after the Services Agreement
terminates, we may be unable to sustain the services at the same levels or obtain the same benefits as when we were receiving such
services and benefits from Eureka. If we are required to operate these functions separately in the future, and we do not have our
own adequate systems and business functions in place at that time, or are unable to obtain them from other providers, we may not be
able to operate our business effectively or at comparable costs, and our profitability may decline.
We also share office space
with Eureka pursuant to an office sharing agreement that commenced in August 2022. If Eureka were to leave or lose its office space,
we may not have adequate facilities to operate our business effectively and as required by the Collaboration Agreement or the costs of
our office space could increase.
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Certain of our officers or directors may
have actual or potential conflicts of interest because of their equity interests in or positions with Eureka.
Our CEO, President, and director, Dr. Liu, currently
serves as the CEO and President of Eureka and is also a beneficial owner of more than 10% of Eureka’s outstanding equity. Accordingly,
Dr. Liu devotes less than full time to the operation of our business. Pursuant to his employment agreement, Dr. Liu is expected
to fulfill his duties as our CEO, but is not required to provide a specific number of hours to our business per week or per month.
Dr. Liu’s position
at Eureka and the ownership by our officers and directors of any Eureka equity or equity awards, or Estrella equity awards the vesting
for which is based in part on the total stockholder return of Eureka, creates, or may create the appearance of, conflicts of interest
when these officers or directors are faced with decisions that could have different implications for Eureka than for us. These potential
conflicts could arise, for example, over matters such as the desirability of changes in our business and operations, funding and capital
matters, regulatory matters, intellectual property-related conflicts, including those relating to potential improvements to the ARTEMIS ®
platform, possible acquisitions or other corporate opportunities, and agreements with Eureka relating to the Separation or otherwise,
allocation of resources and personnel pursuant to the Services Agreement, employee retention or recruiting, or our dividend policy.
In addition, our officers or
directors may own Eureka common stock or equity awards. Certain of our officers, including Dr. Liu, and our director nominees have
holdings of Eureka common stock or equity awards that have a material monetary value.
We rely on Eureka for our research and development
efforts.
Pursuant to the Services Agreement,
Eureka currently performs or supports our important research and development activities. The Services Agreement may be terminated by mutual
agreement at any time. Following the termination of, or the expiration of the term of, the Services Agreement, we may not be able to replace
the research and development-related services that Eureka provides or enter into appropriate third-party arrangements on terms and conditions,
including cost, comparable to those that we will receive from Eureka. Additionally, after the Services Agreement terminates, we may be
unable to sustain the research and development-related services at the same levels or obtain the same benefits as when we were receiving
such services and benefits from Eureka. If we are required to operate these research and development functions separately in the future,
and we do not have our own adequate systems and business functions in place at that time, or are unable to obtain them from other providers,
we may not be able to operate our business effectively.
Additionally, our CEO and President,
Dr. Liu, currently serves as the CEO and President of Eureka. Dr. Liu may have a conflict of interest in allocating resources
and personnel between Estrella and Eureka, including pursuant to the Services Agreement, which may adversely impact the benefits we realize
from the Services Agreement and our research and development and commercialization strategy.
Risks Related to Our Intellectual Property
If we are unable to obtain
or protect intellectual property rights related to our in-licensed technology, future technologies and current or future product candidates,
or if our intellectual property rights are inadequate, our competitors could develop and commercialize products and technology similar
or identical to ours, and we may not be able to compete effectively in our market or successfully commercialize any product candidates
we may develop.
Our success depends in part
on our ability to obtain and maintain protection for our in-licensed intellectual property rights and proprietary technology. We rely
on a combination of patents, trademarks, trade secret protection and confidentiality agreements, including in-licenses of intellectual
property rights and biologic materials of others, to protect our current or future product candidates, methods used to manufacture our
current or future product candidates and methods for treating patients using our current or future product candidates.
We in-license patents and patent
applications relating to our product candidates. There is no guarantee that any patents covering our product candidates will issue from
the patent applications we in-license, or from any patent applications that we may file in the future, or, if they do, that the issued
claims will provide adequate protection for our product candidates, or any meaningful competitive advantage. Further, there is no assurance
that any such patents issued will not be infringed, designed around, invalidated by third parties or effectively prevent others from commercializing
competitive technologies, products or product candidates.
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The patent prosecution process
is expensive, complex and time-consuming. Patent license negotiations also can be complex and protracted, with uncertain results. 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 will fail to identify patentable aspects of our research and development output
before it is too late to obtain patent protection. The patent applications that we in-license may fail to result in issued patents, and,
even if they do issue as patents, such patents may not cover our current or future technologies or product candidates in the United States
or in other countries or provide sufficient protection from competitors. In addition, the coverage claimed in a patent application can
be significantly reduced before the patent is issued, and its scope can be reinterpreted after issuance. We do not have exclusive control
over the preparation, filing and prosecution of patent applications under certain of our in-license agreements, and we may not have the
right to control the preparation, filing and prosecution of patent applications, or to maintain the rights to patents, that we may file
and then out-license to third parties. Therefore, these patents and applications may not be prosecuted and enforced in a manner consistent
with the best interests of our business. Even if our in-licensed patent applications issue as patents, they may not issue in a form that
will provide us with any meaningful protection, prevent competitors from competing with us or otherwise provide us with any competitive
advantage. Our competitors may be able to circumvent our in-licensed patents by developing similar or alternative product candidates in
a non-infringing manner.
Further, although we make reasonable
efforts to ensure patentability of our in-licensed inventions and our future inventions, we cannot guarantee that all of the potentially
relevant prior art relating to our in-licensed patents and any patent applications that we may file in the future has been or will be
found. For example, publications of discoveries in scientific literature often lag behind the actual discoveries, and patent applications
in the United States and other jurisdictions are typically not published until 18 months after filing, and in some cases not
at all. Additionally, pending patent applications that have been published can, subject to certain limitations, be later amended in a
manner that could cover our licensed platform technologies, our product candidates, or the use of our technologies. We thus cannot know
with certainty whether our licensors were the first to file for patent protection of our licensors’ inventions. In addition, the
United States Patent and Trademark Office (“USPTO”) might require that the term of a patent issuing from a pending patent
application be disclaimed and limited to the term of another patent that is commonly owned or that names a common inventor. There is no
assurance that all potentially relevant prior art relating to our in-licensed patents has been found. For this reason, and because there
is no guarantee that any prior art search is absolutely correct and comprehensive, we may be unaware of prior art that could be used to
invalidate an issued patent that we license or to prevent any patent applications that we may file in the future from issuing as patents.
Invalidation of any patent rights with respect to our in-licensed patents could materially harm our business.
Moreover, the patent
positions of biotechnology companies like ours are generally uncertain because they may involve complex legal and factual
considerations that have, in recent years, been the subject of legal development and change. The relevant patent laws and their
interpretation, both inside and outside of the United States, is also uncertain. Changes in either the patent laws or their
interpretation in the United States and other jurisdictions may diminish our ability to protect our platform technology or
product candidates and could affect the value of such intellectual property. In particular, our ability to stop third parties from
making, using, selling, offering to sell or importing products that infringe, misappropriate or otherwise violate our intellectual
property will depend in part on our success in obtaining and enforcing patent claims that cover our in-licensed platform technology
and inventions, our product candidates, future inventions and improvements. We cannot guarantee that patents will be granted with
respect to any patent applications we may file or in license in the future, nor can we be sure that any patents that may be granted
to us or our licensors in the future will be commercially useful in protecting our products, or the methods of use or manufacture of
those products. Additionally, third parties, including our former employees and collaborators, may challenge the ownership or
inventorship of our licensed or future patent rights to claim that they are entitled to ownership and inventorship interest, and we
may not be successful in defending against such claims. However, we are not currently facing any such challenges. Moreover, issued
patents do not guarantee the right to practice our in-licensed or owned technology or inventions in relation to the
commercialization of our products. Issued patents only allow us to block — in some cases — potential
competitors from practicing the claimed inventions of the issued patents.
The standards applied by the
USPTO and foreign patent offices in granting patents are not always certain and moreover, 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. The
in-licensed patents and patent applications, and our potential future patent applications, if any, may not result in patents being issued
in the United States or in other jurisdictions which protect our technology or products or which effectively prevent others from
commercializing competitive technologies and products. Changes in either the patent laws or interpretation of the patent laws in the United States
and other countries may diminish the value of any patent applications we may file in the future or narrow the scope of any patent protection
we may obtain from any such patent applications. In addition, the laws of foreign countries may not protect our rights to the same extent
as the laws of the United States.
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Further, patents and other
intellectual property rights in the pharmaceutical and biotechnology space are evolving and involve many risks and uncertainties. For
example, third parties may have blocking patents that could be used to prevent us from commercializing our product candidates and any
future product candidates and practicing the in-licensed proprietary technology, and any issued patents may be challenged, invalidated
or circumvented, which could limit our ability to stop competitors from marketing related products or could limit the term of patent protection
that otherwise may exist for our product candidate and any future product candidates. In addition, the scope of the rights granted under
any issued patents may not provide us with protection or competitive advantages against competitors or other parties with similar technology.
Additionally, our competitors may initiate legal proceedings, such as declaratory judgment actions in federal court or reexaminations
or an inter partes review at the USPTO in an attempt to invalidate or narrow the scope of our in-licensed patents. However, neither
we nor our licensors are currently facing any such proceedings. Furthermore, our competitors or other parties may independently develop
similar technologies that are outside the scope of the rights granted under any issued patents. For these reasons, we may face competition
with respect to our product candidates and any future product candidates. Moreover, because of the extensive time required for development,
testing and regulatory review of a potential product, it is possible that, before any particular product candidate can be commercialized,
any patent protection for such product candidate may expire or remain in force for only a short period following commercialization, thereby
reducing the commercial advantage the patent provides.
Even if patents do successfully
issue from any patent applications we may file in the future, and even if such patents cover our in-licensed current technologies or any
future technologies or product candidates, third parties may challenge their validity, enforceability or scope, which may result in such
patents being narrowed, invalidated, or held unenforceable. Any successful challenge to these patents or to any other patents licensed
to us could deprive us of rights necessary for the successful commercialization of any current or future technologies or product candidates
that we may develop. Likewise, if such patent applications with respect to our development programs and current or future technologies
or product candidates fail to issue, if their breadth or strength is threatened, or if they fail to provide meaningful exclusivity, other
companies could be dissuaded from collaborating with us to develop current or future technologies or product candidates. Lack of valid
and enforceable patent protection could threaten our ability to commercialize current or future products and could prevent us from maintaining
exclusivity with respect to the invention or feature claimed in the patent applications. Any failure to obtain or any loss of patent protection
could have a material adverse impact on our business and ability to achieve profitability. We may be unable to prevent competitors from
entering the market with a product that is similar or identical to any of our current or potential future product candidates or from utilizing
technologies similar to those in our in-licensed T-cell immunotherapy technologies.
The filing of a patent application
or the issuance of a patent is not conclusive as to its ownership, inventorship, scope, patentability, validity or enforceability. Issued
patents and patent applications may be challenged in the courts and in the patent office in the United States and abroad. For example,
any potential future patent applications filed by us or our licensors, or any patents that issue therefrom, may be challenged through
third-party submissions, opposition or derivation proceedings. By further example, any such issued patents may be challenged through reexamination,
inter partes review or post-grant review proceedings before the USPTO, or in declaratory judgment actions or counterclaims. An
adverse determination in any such submission, proceeding or litigation could prevent the issuance of, reduce the scope of, invalidate
or render unenforceable our in-licensed patent rights or any patent rights arising from issuance of a patent based on an application that
we may file in the future, result in the loss of exclusivity, limit our ability to stop others from using or commercializing similar or
identical platforms and product candidates, or allow third parties to compete directly with us without payment to us. In addition, if
the breadth or strength of protection provided by any patents that might result from our in-licensed patent applications or any patent
applications that we may file in the future is threatened, it could dissuade companies from collaborating with us to license, develop
or commercialize current or future platforms or product candidates. Any of the foregoing could have a material adverse effect on our business,
financial condition, results of operations and prospects.
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Moreover, we may in the future co-own additional patents and patent applications with third parties pursuant to agreements that we may enter
into. If we are unable to obtain an exclusive license to any such third-party co-owners’ interest in such patents or patent application,
such co-owners may be able to license their rights to other third parties, including our competitors, and our competitors could market
competing products and technology. We may need the cooperation of any such co-owners to enforce such patents against third parties, and
such cooperation may not be provided to us. Any of the foregoing could have a material adverse effect on our competitive position, business
prospects and financial conditions.
Our in-licensed patent rights
may be subject to a reservation of rights by one or more third parties, such as the U.S. government. In addition, our rights in such
inventions may be subject to certain requirements to manufacture product candidates embodying such inventions in the United States.
Any exercise by the U.S. government of such rights could harm our competitive position, business, financial condition, results of
operations and prospects.
Our in-licensed patent rights may not cover
our products or processes, including ARTEMIS ® , or any otherwise viable commercial products or processes and/or may be invalid
or unenforceable
We have not specifically evaluated
the scope of coverage, validity, or enforceability of our in-licensed patent rights. These patents may not cover any of our current or
future products or processes, including ARTEMIS ® platform technology, or any otherwise viable commercial products or processes.
Even if the patents do cover any of our current or future products, we have not evaluated whether and how easily a competitor may be able
to design and market a competing product that does not infringe on any of our in-licensed patent rights. The in-licensed patent rights
may have no commercial value. The in-licensed patent rights may be invalid or unenforceable for a variety of reasons including, non-patentable
subject matter, anticipation, on-sale bar, public use bar, public disclosure, obviousness, inadequate written description, inadequate
disclosure, lack of enablement, estoppel, laches, implied license, failure to mark, misuse, and/or inequitable conduct.
Our licenses and other material contracts
may be invalid, unenforceable, or limited as to intellectual property and/or may impede, limit, or eliminate our ability to secure or
protect our intellectual property, including in-licensed patent rights and any future developments.
We have not specifically evaluated
the scope, validity, or enforceability of Eureka’s license of patent rights to Estrella. The license may not be valid, may be unenforceable,
may have a limited scope, and may not confer adequate rights or standing. These risks may undermine our ability to enforce, control, and
protect our in-licensed patent rights. We have not specifically evaluated the scope, validity, enforceability, or commercial usefulness
of materials contracts as they relate to intellectual property. These contracts may not enable development of commercially valuable intellectual
property and may materially limit or eliminate our ability to secure or protect our intellectual property, including in-licensed patent
rights.
The patent protection and patent prosecution
for some of our product candidates and technologies may be dependent on third parties.
While we normally seek to obtain
the right to control prosecution, maintenance and enforcement of the patents relating to our product candidates and technologies, there
may be times when the filing and prosecution activities for patents and patent applications relating to our product candidates and technologies
are controlled by our licensors or collaborators. Our licensors may not successfully prosecute the patent applications to which we are
licensed. Even if patents are issued in respect of these patent applications, our licensors may fail to maintain these patents, may determine
not to pursue litigation against other companies that are infringing these patents, or may pursue such litigation less aggressively than
we would.
If any of our licensors or
collaborators fail to prosecute, maintain and enforce such patents and patent applications in a manner consistent with the best interests
of our business, including by payment of all applicable fees for patents covering our product candidates and technologies, we could lose
our rights to the intellectual property or our exclusivity with respect to those rights, our ability to develop and commercialize those
product candidates and technologies may be adversely affected and we may not be able to prevent competitors from making, using and selling
competing product candidates. In addition, even where we have the right to control the prosecution of patents and patent applications
we have licensed from third parties, we may still be adversely affected or prejudiced by actions or inactions of our licensees, our current
and future licensors and their counsel that took place prior to the date upon which we assumed control over patent prosecution.
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Further, we may have limited
control over the manner in which our licensors initiate an infringement proceeding against a third-party infringer of the intellectual
property rights, or defend certain of the intellectual property that is licensed to us. It is possible that the licensors’ infringement
proceeding(s) or defense activities may be less vigorous than had we conducted them ourselves.
We may be unable to acquire or in-license
any relevant third-party intellectual property rights that we identify as necessary or important to our business operations.
Because our development programs
may in the future require the use of proprietary rights held by third parties, the growth of our business may depend in part on our ability
to acquire, in-license or use these third-party proprietary rights. We may be unable to acquire or in-license any compositions, methods
of use, processes or other third-party intellectual property rights from third parties that we identify as necessary for our product candidates.
The licensing of third-party intellectual property rights is a competitive area, and more established companies may pursue strategies
to license or acquire third-party intellectual property rights that we may consider attractive or necessary. More 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 us. We also may be unable to
license or acquire third-party intellectual property rights on terms that would allow us to make an appropriate return on our investment
or at all. Even if we are able to obtain a license, it may be non-exclusive, thereby giving our competitors access to the same technologies
licensed to us. If we are unable to license such technology, or if we are forced to license such technology on unfavorable terms, our
business could be materially harmed. If we are unable to obtain a necessary license, we may be unable to develop or commercialize the
affected current or future product candidates, which could materially harm our business, and the third parties owning such intellectual
property rights could seek either an injunction prohibiting our sales, or, with respect to our sales, an obligation on our part to pay
royalties or other forms of compensation. Any of the foregoing could harm our competitive position, business, financial condition, results
of operations and prospects.
Further, our licensors may
retain certain rights under their agreements with us, including the right to use the underlying technology for noncommercial academic
and research use, to publish general scientific findings from research related to the technology, and to make customary scientific and
scholarly disclosures of information relating to the technology. It is difficult to monitor whether our licensors limit their use of the
technology to these uses, and we could incur substantial expenses to enforce our rights to our licensed technology in the event of misuse.
Additionally, some intellectual
property that we have in-licensed may have been discovered through government funded programs and thus may be subject to federal regulations
such as “march-in” rights, certain reporting requirements and a preference for U.S.-based companies. Compliance with such
regulations may limit our exclusive rights, and limit our ability to contract with non-U.S. manufacturers. As a result, the U.S. government
may have certain rights to intellectual property embodied in our current or future product candidates pursuant to the Bayh-Dole Act of 1980
(“Bayh-Dole Act”) and implementing regulations. These U.S. government rights in certain inventions developed under a
government-funded program include a non-exclusive, non-transferable, irrevocable worldwide license to use inventions for any governmental
purpose. In addition, the U.S. government may have the right to require us or our licensors to grant exclusive, partially exclusive,
or non-exclusive licenses to any of these inventions to a third party if it determines that: (i) adequate steps have not been taken
to commercialize the invention; (ii) government action is necessary to meet public health or safety needs; or (iii) government
action is necessary to meet requirements for public use under federal regulations (also referred to as “march-in rights”).
The U.S. government also has the right to take title to these inventions made through government funded programs if we, or the applicable
licensor, fail to disclose the invention to the government and fail to file an application to register the intellectual property within
specified time limits. These time limits have recently been changed by regulation, and may change in the future. Intellectual property
generated under a government-funded program is also subject to certain reporting requirements, compliance with which may require us or
the applicable licensor to expend substantial resources. In addition, the U.S. government requires that any products embodying the
subject invention or produced through the use of the subject invention be manufactured substantially in the United States. The manufacturing
preference requirement can be waived if the owner of the intellectual property can show that reasonable but unsuccessful efforts have
been made to grant licenses on similar terms to potential licensees that would be likely to manufacture substantially in the United States
or that under the circumstances domestic manufacture is not commercially feasible. This preference for U.S. manufacturers may limit
our ability to contract with non-U.S. product manufacturers for products covered by such intellectual property. To the extent any
of our current or future intellectual property is generated through the use of U.S. government funding, the provisions of the Bayh-Dole
Act may similarly apply.
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We currently, and in the future may continue to, enter into agreements involving licenses or collaborations that
provide for access or sharing of intellectual property. These intellectual property-related agreements may impose certain obligations
and restrictions on our ability to develop and commercialize our product candidates and technologies that are the subject of such licenses.
We license rights from licensors
to use certain intellectual property relevant to one or more of our current and future product candidates. In the future, we may need
to obtain additional licenses from others to advance our research and development activities or allow the commercialization of our current
and future product candidates we may identify and pursue. These existing license agreements impose, and any future license 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. For example, we are a party to the License Agreement with Eureka and Eureka
Therapeutics (Cayman), Inc.
In addition, certain of our
future agreements with licensors may limit or delay our ability to consummate certain transactions, may impact the value of those transactions,
or may limit our ability to pursue certain activities. For example, we may in the future enter into license agreements that are not assignable
or transferable, or that require the licensor’s express consent in order for an assignment or transfer to take place.
Further, we or our licensors,
if any, may fail to identify patentable aspects of inventions made in the course of development and commercialization activities before
it is too late to obtain patent protection on them. Therefore, we may miss potential opportunities to strengthen our patent position.
It is possible that defects of form in the preparation or filing of our in-licensed patents may exist, or may arise in the future, for
example with respect to proper priority claims, inventorship, claim scope, or requests for patent term adjustments. If we or our licensors
fail to establish, maintain or protect such patents and other intellectual property rights, such rights may be reduced or eliminated.
If our licensors are not fully cooperative or disagree with us as to the prosecution, maintenance or enforcement of any patent rights,
such patent rights could be compromised. If there are material defects in the form, preparation, prosecution, or enforcement of our in-licensed
patents, such patents may be invalid and/or unenforceable, and such applications may never result in valid, enforceable patents. Any of
these outcomes could impair our ability to prevent competition from others, which may have an adverse impact on our business, financial
conditions, results of operations and prospects.
Furthermore, we may not have
the right to control the preparation, filing, prosecution, maintenance, enforcement and defense of patents and patent applications that
we license from licensors. In certain circumstances, our licensed patent rights are subject to our reimbursing our licensors for their
patent prosecution and maintenance costs. If our licensors and future licensors fail to prosecute, maintain, enforce and defend patents
we may license, or lose rights to licensed patents or patent applications, our licensed rights may be reduced or eliminated. In such circumstances,
our right to develop and commercialize any of our products or product candidates that is the subject of such licensed rights could be
materially adversely affected. Even where we have the right to control prosecution of patents and patent applications under license from
licensors, we may still be adversely affected or prejudiced by actions or inactions of our predecessors or licensors and their counsel
that took place prior to us assuming control over patent prosecution.
Our technology acquired or
licensed currently or in the future from various licensors is or may be subject to retained rights. Our predecessors or licensors do and
may retain certain rights under their agreements with us, including the right to use the underlying technology for non-commercial academic
and research use, to publish general scientific findings from research related to the technology, and to make customary scientific and
scholarly disclosures of information relating to the technology. It is difficult to monitor whether our predecessors or licensors limit
their use of the technology to these uses, and we could incur substantial expenses to enforce our rights to our licensed technology in
the event of misuse.
If we are limited in our ability
to utilize acquired or licensed technologies, or if we lose our rights to critical in-licensed technology, we may be unable to successfully
develop, out-license, market and sell our product candidates, which could prevent or delay new product introductions. Our business strategy
depends on the successful development of acquired technologies and licensed technology into commercial product candidates. Therefore,
any limitations on our ability to utilize these technologies may impair our ability to develop, out-license or market and sell our product
candidates.
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If we fail to comply with our obligations under any existing or future license, collaboration or other intellectual
property-related agreements, we may be required to pay damages and could lose intellectual property rights that may be necessary for developing,
commercializing and protecting our current or future technologies or product candidates or we could lose certain rights to grant sublicenses.
We have certain obligations
to licensors from whom we license certain patent rights that are relevant to one or more current and future product candidates. In the
future, we may need to obtain additional licenses from others to advance our research and development activities or allow the commercialization
of our current and future product candidates. Our existing license agreements impose, and any future license 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, including diligence obligations with respect
to development and commercialization of product candidates covered by the intellectual property licensed to us, or use the intellectual
property licensed to us in an unauthorized manner or we are subject to bankruptcy-related proceedings, we may be required to pay damages
and the licensor may have the right to terminate the respective agreement or materially modify the terms of the license, such as by rendering
currently exclusive licenses non-exclusive. License termination or modification could result in our inability to develop, manufacture
and sell products that are covered by the licensed intellectual property or could enable a competitor to gain access to the licensed
intellectual property.
In certain circumstances,
our licensed patent rights are subject to our reimbursing our licensors for their patent prosecution and maintenance costs. If our licensors
and future licensors fail to prosecute, maintain, enforce and defend patents we may license, or lose rights to licensed patents or patent
applications, our licensed rights may be reduced or eliminated. In such circumstances, our right to develop and commercialize any of
our products or product candidates that are the subject of such licensed rights could be materially adversely affected.
Our current or future licensors
may own or control intellectual property that has not been licensed to us and, as a result, we may be subject to claims, regardless of
their merit, that we are infringing, misappropriating or otherwise violating the licensor’s intellectual property rights. In addition,
while we cannot currently determine the amount of the royalty obligations we would be required to pay on sales of future products if
infringement or misappropriation were found, those amounts could 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.
Disputes may arise between
us and our present and future licensors regarding intellectual property subject to a licensing agreement, including:
● the scope of rights granted under the license agreement and
other interpretation-related issues, including but not limited to our right to transfer or assign the license;
● whether and the extent to which our product candidates, technology
and processes infringe on intellectual property of the licensor that is not subject to the licensing agreement;
● our right to sublicense patents and other rights to others,
including the terms and conditions thereof;
● our diligence obligations with respect to the development
and commercialization of our product candidates that are covered by the license agreement, and what activities satisfy those diligence
obligations;
● our right to transfer or assign the license;
● 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 collaborators; and
● the
priority of invention of patented technology.
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If disputes over intellectual property that we license in the future prevent or impair our ability to maintain
our licensing arrangements on acceptable terms, we may not be able to successfully develop and commercialize the affected product candidates,
which would have a material adverse effect on our business, financial condition, results of operations and prospects.
In addition, the agreements
under which we currently license intellectual property or technology from licensors 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 wh ich
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, which could have a material
adverse effect on our business, financial condition, results of operations and prospects.
In addition, while we currently
do not have any liens, security interests, or other encumbrances on the intellectual property that we own, we may, in the future, need
to obtain a loan or a line of credit that will require that we put up our intellectual property as collateral to our lenders or creditors.
If we do so, and we violate the terms of any such loan or credit agreement, our lenders or creditors may take possession of such intellectual
property, including the rights to receive proceeds derived from such
intellectual property.
Patent terms may not be able to protect
our competitive position for an adequate period of time with respect to our current or future technologies or product candidates.
Patents have a limited
lifespan. The term of individual patents and applications in-licensed to us and in our portfolio in the future depends upon the
legal term of patents in the countries in which they are obtained. In most countries in which we would file, including the
United States, the patent term is 20 years from the earliest date of filing a non-provisional patent application.
Extensions of a patent term may be available, but there is no guarantee that such patents may be eligible for extension, or that we
would succeed in obtaining any particular extension, and no guarantee any such extension would confer a patent term for a sufficient
period of time to exclude others from commercializing product candidates similar or identical to ours. In the United States,
the term of a patent may be eligible for patent term adjustment, which permits patent term restoration as compensation for delays
incurred at the USPTO during the patent prosecution process. In addition, for patents that cover an FDA-approved drug, the Drug
Price Competition and Patent Term Restoration Act of 1984 (the “Hatch-Waxman Act”) permits a patent term
extension of up to five years beyond the expiration of the patent. While the length of the patent term extension is related to
the length of time the drug is under regulatory review, patent term extension cannot extend the remaining term of a patent beyond a
total of 14 years from the date of product approval, and only one patent per approved drug — and only those
claims covering the approved drug, a method for using it or a method for manufacturing it — may be extended under
the Hatch-Waxman Act. Similar provisions are available in Europe and other foreign jurisdictions to extend the term of a patent that
covers an approved drug. In the future, if and when our products receive FDA approval or applicable approval in other jurisdictions,
we expect to apply for patent term extensions on any issued patents covering those products in the United States and other
jurisdictions where such extensions are available; however, there is no guarantee that the applicable authorities, including the FDA
in the United States, will agree with our assessment of whether such extensions should be granted, and if granted, the length
of such extensions. An extension may not be granted 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. If a patent term extension is not granted or the term of any such
extension is less than requested, the period during which we can enforce such patent rights for the applicable product candidate
will be shortened and our competitors may obtain approval to market competing products sooner. As a result, our revenue from
applicable products could be reduced. Further, if this occurs, our competitors may be able to launch their products earlier by
taking advantage of our investment in development and clinical trials along with our clinical and preclinical data. This could have
a material adverse effect on our business and ability to achieve profitability.
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The life of a patent and the
protection it affords are limited. As a result, our in-licensed patent portfolio provides us with limited rights that may not last for
a sufficient period of time to exclude others from commercializing product candidates similar or identical to ours. Even if patents covering
our product candidates are obtained, once the patent life has expired, we may be open to competition from competitive products, including
generics or biosimilars. For example, given the large amount of time required for the research, development, testing and regulatory review
of new product candidates, patents protecting such candidates might expire before or shortly after such candidates are commercialized.
As a result, our in-licensed patent portfolio may not provide us with sufficient rights to exclude others from commercializing products
similar or identical to ours.
Changes in U.S. patent law or the patent
law of other countries or jurisdictions could diminish the value of patents in general, thereby impairing our ability to protect our current
or any future technologies or product candidates.
Changes in either the
patent laws or interpretation of the patent laws in the United States or elsewhere could increase the uncertainties and costs
surrounding the prosecution of patent applications and the enforcement or defense of issued patents. The United States has
enacted and implemented wide-ranging patent reform legislation. On September 16, 2011, the Leahy-Smith America Invents Act (the
“Leahy-Smith Act”) was signed into law, which could increase the uncertainties and costs surrounding the prosecution of
any potential future owned patents and our in-licensed patents and the enforcement or defense of any potential future owned patents
or our in-licensed 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. A third party that
files a patent application in the USPTO after March 16, 2013, but before us, could therefore be awarded a patent covering an
invention of ours even if we had made the invention before it was made by such third party. This will require us to be cognizant of
the time from invention to filing of a patent application. Since patent applications in the United States and most other
countries are confidential for a period of time after filing or until issuance, we cannot be certain that we or our licensors were
the first to either (i) file any patent application related to our product candidates or (ii) invent any of the inventions
claimed in our or our licensor’s patents or patent applications. The Leahy-Smith Act also allows third-party submission of
prior art to the USPTO during patent prosecution and sets forth additional procedures to challenge the validity of a patent by
USPTO-administered post-grant proceedings, including derivation, reexamination, inter partes review, post-grant review and
interference 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, 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 in-licensed patents and any patent applications we may file in the future and the enforcement or defense of
our in-licensed patents and any patents we may own in the future, all of which could have a material adverse impact on our business
prospects and financial condition.
As referenced above, for example,
courts in the U.S. continue to refine the heavily fact-and-circumstance-dependent jurisprudence defining the scope of patent protection
available for therapeutics, narrowing the scope of patent protection available in certain circumstances or weakening the rights of patent
owners in certain situations. This creates uncertainty about our ability to obtain patents in the future and the value of such patents.
In addition, the patent positions of companies in the development and commercialization of pharmaceuticals are particularly uncertain.
Recent U.S. Supreme Court rulings have narrowed the scope of patent protection available in certain circumstances and weakened the
rights of patent owners in certain situations. This combination of events has created uncertainty with respect to the validity and enforceability
of patents, once obtained. Depending on future actions by the U.S. Congress, the federal courts and the USPTO, the laws and regulations
governing patents could change in unpredictable ways that could have a material adverse effect on our existing patent portfolio and our
ability to protect and enforce our intellectual property in the future. We cannot provide assurance that future developments in U.S. Congress,
the federal courts and the USPTO will not adversely impact any patents we may own in the future or our in-licensed patents or any patent
applications we may file in the future. The laws and regulations governing patents could change in unpredictable ways that could weaken
our and our licensors’ ability to obtain new patents or to enforce our existing in-licensed patents and patents that we might obtain
or in-license in the future. Similarly, changes in patent law and regulations in other countries or jurisdictions or changes in the governmental
bodies that enforce them or changes in how the relevant governmental authority enforces patent laws or regulations may have a material
adverse effect on our and our licensors’ ability to obtain new patents or to protect and enforce our in-licensed patents or patents
that we may obtain or in-license in the future.
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We or our licensors may be subject to lawsuits
or litigation to protect or enforce our in-licensed patents or other intellectual property, which could result in substantial costs and
liability and prevent us from commercializing our potential products.
Third parties may attempt to
invalidate our or our licensors’ intellectual property rights via procedures including but not limited to patent infringement lawsuits,
declaratory judgment actions, interferences, oppositions and inter partes reexamination proceedings before the USPTO, U.S. courts
and foreign patent offices or foreign courts. An adverse determination in any such submission or proceeding could reduce the scope or
enforceability of, or invalidate, our licensor’s patent rights, which could adversely affect our competitive position. Because of
a lower evidentiary standard necessary to invalidate a patent claim in USPTO proceedings compared to the evidentiary standard in United States
federal courts, a third party could potentially provide evidence in a USPTO proceeding sufficient for the USPTO to hold a claim invalid
even though the same evidence would be insufficient to invalidate the claim if first presented in a district court action. Accordingly,
a third party may attempt to use the USPTO procedures to invalidate our licensors’ patent claims that would not have been invalidated
if first challenged by the third party in a district court action. Even if such rights are not directly challenged, disputes could lead
to the weakening of our or our licensors’ intellectual property rights. Our defense against any attempt by third parties to circumvent
or invalidate our intellectual property rights could be costly to us, could require significant time and attention of our management,
and could have a material and adverse impact on our profitability, financial condition and prospects or ability to successfully compete.
We or our licensors may find
it necessary to pursue claims or to initiate lawsuits to protect or enforce our in-licensed patent or other intellectual property rights.
The cost to us in defending or initiating any litigation or other proceedings relating to our in-licensed patent or other intellectual
property rights, even if resolved in our favor, could be substantial, particularly in a foreign jurisdiction, and any litigation or other
proceeding would divert our management’s attention. Such litigation or proceedings could materially increase our operating losses
and reduce the resources available for development activities or any future sales, marketing or distribution activities. Some of our competitors
may be able to more effectively sustain the costs of complex patent litigation because they have substantially greater resources. Uncertainties
resulting from the initiation and continuation of patent litigation or other proceedings could delay our research and development efforts
and materially limit our ability to continue our operations.
If we or our licensors were
to initiate legal proceedings against a third party to enforce a patent covering one of our product candidates or our technology, the
defendant could counterclaim that such patent is invalid or unenforceable. In patent litigation in the United States, defendant counterclaims
alleging invalidity or unenforceability of the asserted patent are commonplace. Grounds for a validity challenge could be an alleged failure
to meet any of several statutory requirements, for example, claiming patent-ineligible subject matter, lack of novelty, indefiniteness,
lack of written description, non-enablement, anticipation or obviousness. Grounds for an unenforceability assertion could be an allegation
that someone connected with prosecution of the patent withheld relevant information from the USPTO or made a misleading statement during
prosecution. The outcome of such invalidity and unenforceability claims is unpredictable. With respect to the validity question, for example,
we cannot be certain that there is no invalidating prior art of which we or our licensors and the patent examiner were unaware during
prosecution. If a defendant were to prevail on a legal assertion of invalidity or unenforceability, we could lose at least part, and perhaps
all, of the patent protection for one or more of our product candidates or certain aspects of our platform technologies. Such a loss of
patent protection could have a material adverse effect on our business, financial condition, results of operations and prospects. Patents
and other intellectual property rights also will not protect our product candidates and technologies if competitors or third parties design
around such product candidates and technologies without legally infringing, misappropriating or violating our in-licensed patents or other
intellectual property rights.
We may not be able to protect our intellectual
property rights throughout the world, which could negatively impact our business.
Filing, prosecuting and defending
patents on current or future technologies or product candidates in all countries throughout the world would be prohibitively expensive,
and our intellectual property rights in some countries outside the United States can be less extensive than those in the United States.
In addition, the laws of some countries do not protect intellectual property rights to the same extent as laws in the United States.
Consequently, we may not be able to prevent third parties from practicing our inventions in all countries outside the United States,
or from selling or importing products made using our inventions in and into the United States or other countries. Competitors or
other third parties may use our licensed technologies to develop their own products in jurisdictions where our licensors or we have not
obtained patent protection and, further, may export infringing product candidates to territories where our licensors or we may in the
future have patent protections, but enforcement is not as strong as that in the United States. These product candidates may compete
with our products, and our in-licensed patents or other intellectual property rights may not be effective or sufficient to prevent them
from competing.
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Many companies have encountered
significant difficulties in protecting and defending such rights in such jurisdictions. The legal systems of certain countries, including
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 any in-licensed patents or patents that we may obtain
in the future in other countries, or the marketing of competing products in violation of our intellectual property and proprietary rights
generally. Proceedings to enforce our in-licensed intellectual property and other proprietary rights in foreign jurisdictions could result
in substantial costs and could divert our efforts and attention from other aspects of our business. Such proceedings could also put any
in-licensed patents or patents that we may hold in the future at risk of being invalidated or interpreted narrowly, could put our in-licensed
patent applications or patent applications that we may file in the future at risk of not issuing, and could provoke third parties to assert
claims against us or our licensors. We or our licensors may not prevail in any lawsuits or other adversarial proceedings that we or our
licensors initiate, and the damages or other remedies awarded, if any, may not be commercially meaningful. Accordingly, our and our licensors’
efforts to enforce such 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 in-license.
Further, 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 its patents. If we or any of our licensors are forced to grant a license
to third parties with respect to any patents relevant to our business, our competitive position in the relevant jurisdiction may be impaired
and our business prospects may be materially adversely affected.
Third parties may initiate legal proceedings
alleging that we are infringing, misappropriating or violating their intellectual property rights, or seeking to invalidate or avoid our
in-licensed patent rights, the outcome of which would be uncertain and could have a material adverse impact on the success of our business.
Our commercial success depends,
in part, upon our ability or the ability of our potential future collaborators to develop, manufacture, market and sell our current or
any future product candidates and to use our proprietary technologies without infringing, misappropriating or violating the proprietary
and intellectual property 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 biotechnology and pharmaceutical industries, including patent infringement
lawsuits, interferences, oppositions and inter partes review proceedings before the USPTO, U.S. courts, foreign patent offices
or foreign courts. As the field of cell therapies advances, patent applications are being processed by national patent offices around
the world. There is uncertainty about which patents will issue, and, if they do, there is uncertainty as to when, to whom, and with what
claims. Any claims of patent infringement, or claims asserting invalidity, unenforceability, or invalidity of our in-licensed patent rights,
asserted by third parties would be time consuming and could:
● result in invalidation, unenforceability, scope limitation,
or other adverse judgments against our in-licensed patents;
● result in costly litigation that may cause negative publicity;
● divert the time and attention of our technical personnel
and management;
● cause development delays;
● prevent us from commercializing any of our product candidates
until the asserted patent expires or is held finally invalid or not infringed in a court of law;
● require us to develop non-infringing technology, which may
not be possible on a cost-effective basis;
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● subject us to substantial damages for infringement, which
we may have to pay if a court decides that the product candidate or technology at issue infringes on or violates the third party’s
rights, and, if the court finds that the infringement was willful, we could be ordered to pay treble damages and the patent owner’s
attorneys’ fees; or
● require us to enter into royalty or licensing agreements,
which may not be available on commercially reasonable terms, or at all, or which might be non-exclusive, which could result in our competitors
gaining access to the same technology.
Some of our competitors may
be able to sustain the costs of complex patent litigation more effectively than we can because they have substantially greater resources.
In addition, any uncertainties resulting from the initiation and continuation of any litigation could have a material adverse effect on
our ability to raise the funds necessary to continue our operations or could otherwise have a material adverse effect on our business,
results of operations, financial condition and prospects.
Numerous U.S. and
foreign issued patents and pending patent applications, which are owned by third parties, exist in the fields in which we are
pursuing development candidates. As the biotechnology and pharmaceutical industries expand and more patents are issued, the risk
increases that we may be subject to claims of infringement of the patent rights of third parties. Because patent applications can
take many years to issue, there may also be currently pending patent applications that may later result in issued patents that
our technology or product candidates may infringe. Further, we cannot guarantee that we are aware of all patents and patent
applications potentially relevant to our technology or products. We may not be aware of potentially relevant third-party patents or
applications for several reasons. For example, U.S. applications filed before November 29, 2000, and certain
U.S. applications filed after that date that will not be filed outside the U.S. remain confidential until a patent issues.
Patent applications filed in the United States (after November 29, 2000) and elsewhere are published approximately
18 months after the earliest filing for which priority is claimed, with such earliest filing date being commonly referred to as
the priority date. Therefore, patent applications covering our product candidates or platform technologies could have been filed by
others without our knowledge. Any such patent application may have priority over our in-licensed patent applications or patents or
any patent applications that we may file in the future and any patents issued therefrom, which could require us to obtain rights to
issued patents covering such technologies. Additionally, claims pending in patent applications that have been published can, subject
to certain limitations, be later amended in a manner that could cover our platform, our product candidates or the use of our
technologies.
Although no third party has
asserted a claim of patent infringement against us as of the date of this Annual Report, others may hold proprietary rights that could
prevent our product candidates from being marketed. We or our licensors, or any future strategic collaborator, may be party to, or be
threatened with, adversarial proceedings or litigation regarding intellectual property rights with respect to our current or any potential
future product candidates and technologies, including derivation, reexamination, inter partes review or post-grant review before
the USPTO and similar proceedings in jurisdictions outside of the United States such as opposition proceedings. In some instances,
we may be required to indemnify our licensors for the costs associated with any such adversarial proceedings or litigation. Third parties
may assert infringement claims against us, our licensors or our strategic collaborators based on existing patents or patents that may
be granted in the future, regardless of their merit. There is a risk that third parties may choose to engage in litigation or other adversarial
proceedings with us, our licensors or our strategic collaborators to enforce or otherwise assert their patent rights. Even if we believe
such claims are without merit, a court of competent jurisdiction could hold that these third-party patents are not invalid, and that they
are enforceable and have been infringed, which could have a material adverse impact on our ability to utilize our platform technologies
or to commercialize our current or any future product candidates. In order to successfully challenge the validity of any such U.S. patent
in federal court, we would need to overcome a presumption of validity by presenting clear and convincing evidence of invalidity. There
is no assurance that a court of competent jurisdiction, even if presented with evidence we believe to be clear and convincing, would invalidate
the claims of any such U.S. patent.
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Further, we cannot guarantee
that we will be able to successfully settle or otherwise resolve such adversarial proceedings or litigation. If we are unable to successfully
settle future claims on terms acceptable to us, we may be required to engage in or to continue costly, unpredictable and time-consuming
litigation and may be prevented from or experience substantial delays in marketing our product candidates. If we, or our licensors, or
any future strategic collaborators are found to infringe, misappropriate or violate a third-party patent or other intellectual property
rights, we could be required to pay damages, including treble damages and attorney’s fees, if we are found to have willfully infringed.
In addition, we, or our licensors, or any future strategic collaborators may choose to seek, or be required to seek, a license from a
third party, which may not be available on commercially reasonable terms, if at all. Even if a license can be obtained on commercially
reasonable terms, the rights may be non-exclusive, which could give our competitors access to the same technology or intellectual property
rights licensed to us, and we could be required to make substantial licensing and royalty payments. Parties making claims against us may
obtain injunctive or other equitable relief, which could effectively block our ability to further develop and commercialize our current
or future product candidates. We could be forced, including by court order, to cease utilizing, developing, manufacturing and commercializing
our platform technologies or product candidates deemed to be infringing. We may be forced to redesign current or future technologies or
products. Defense of these claims, regardless of their merit, would involve substantial litigation expense and would be a substantial
diversion of employee resources from our business. Any of the foregoing could have a material adverse effect on our ability to generate
revenue or achieve profitability and possibly prevent us from generating revenue sufficient to sustain our operations.
Thus, it is possible that one
or more third parties will hold patent rights to which we will need a license, which may not be available on reasonable terms or at all.
If such third parties refuse to grant us a license to such patent rights on reasonable terms or at all, we may be required to expend significant
time and resources to redesign our technology, product candidates or the methods for manufacturing our product candidates, or to develop
or license replacement technology, all of which may not be commercially or technically feasible. In such case, we may not be able to market
such technology or product candidates and may not be able to perform research and development or other activities covered by these patents.
This could have a material adverse effect on our ability to commercialize our product candidates and our business and financial condition.
Lastly, if our
in-licensed technology or products are found to infringe the intellectual property rights of third parties, these third parties may
assert infringement claims against our licensees and other parties with whom we have business relationships, and we may be required
to indemnify those parties for any damages they suffer as a result of these claims. The claims may require us to initiate or defend
protracted and costly litigation on behalf of licensees and other parties regardless of the merits of these claims. If any of these
claims succeed, we may be forced to pay damages on behalf of those parties or may be required to obtain licenses for the products
they use.
Intellectual property litigation may lead
to unfavorable publicity that harms our reputation and causes the market price of our Common Stock to decline.
During the course of any intellectual
property litigation, there could be public announcements of the initiation of the litigation as well as results of hearings, rulings on
motions and other interim proceedings or developments in the litigation. If securities analysts or investors regard these announcements
as negative, the perceived value of our existing product candidates, approved products, programs, or intellectual property could be diminished.
Accordingly, the market price of shares of our Common Stock may decline. Such announcements could also harm our reputation or the market
for our future products, which could have a material adverse effect on our business.
Intellectual property rights of third parties
could adversely affect our ability to commercialize our current in-licensed technologies or future technologies or product candidates,
and we might be required to litigate or obtain licenses from third parties to develop or market our current in-licensed technologies or
future technologies or product candidates, which may not be available on commercially reasonable terms or at all.
Because the immunotherapy landscape
is still evolving, it is difficult to conclusively assess our freedom to operate without infringing, misappropriating, or violating third-party
rights. The scope of a patent claim is determined by an interpretation of the law, the written disclosure in a patent and the patent’s
prosecution history. Our interpretation of the relevance or the scope of a patent or a pending application may be incorrect. For example,
we may incorrectly determine that our products are not covered by a third-party patent or may incorrectly predict whether a third-party’s
pending application will issue with claims of relevant scope. Also, our determination of the expiration date of any patent in the United States
or abroad that we consider relevant may be incorrect.
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There are numerous companies
that have pending patent applications and issued patents broadly covering cell therapy generally or covering related inventions that may
be relevant for product candidates that we wish to develop. There may be third-party patents and patent applications that claim aspects
of our current or potential future product candidates and modifications that we may need to apply to our current or potential future product
candidates. There are also many issued patents that claim inventions that may be relevant to products we wish to develop. The holders
of such patents may be able to block our ability to develop and commercialize the applicable product candidate unless we obtain a license
or until such patent expires. In either case, such a license may not be available on commercially reasonable terms or at all, or it may
be non-exclusive, which could result in our competitors gaining access to the same intellectual property.
Our competitive position may
materially suffer if patents issued to third parties or other third-party intellectual property rights cover our current in-licensed technologies
or future technologies, product candidates or elements thereof or our manufacture or uses relevant to our development plans. In such cases,
we may not be in a position to develop or commercialize current in-licensed technologies or future technologies or product candidates
unless we successfully pursue litigation to narrow or invalidate the third-party intellectual property right concerned, or enter into
a license agreement with the intellectual property right holder, if available on commercially reasonable terms. There may be issued patents
of which we are not aware, held by third parties that, if found to be valid and enforceable, could be alleged to be infringed by our current
in-licensed technologies or future technologies or product candidates. There also may be pending patent applications of which we are not
aware that may result in issued patents, which could be alleged to be infringed by our current in-licensed technologies or future technologies
or product candidates. If such an infringement claim should successfully be brought, we may be required to pay substantial damages or
be forced to abandon our current in-licensed technologies or future technologies or product candidates or to seek a license from any patent
holders. No assurances can be given that a license will be available on commercially reasonable terms, if at all.
Third-party intellectual
property right holders may also actively bring infringement, misappropriation, or other claims alleging violations of intellectual
property rights against us. We cannot guarantee that we will be able to successfully settle or otherwise resolve such claims. If we
are unable to successfully settle future claims on terms acceptable to us, we may be required to engage in or to continue costly,
unpredictable, and time-consuming litigation and may be prevented from or experience substantial delays in marketing our product
candidates. If we fail in any such dispute, in addition to being forced to pay damages, we may be temporarily or permanently
prohibited from commercializing any of our current in-licensed technologies or future technologies or product candidates that are
held to be infringing, misappropriating, or otherwise violating third-party intellectual property rights. We might, if possible,
also be forced to redesign current or future technologies or product candidates so that we no longer infringe, misappropriate, or
violate the third-party intellectual property rights. Any of these events, even if we were ultimately to prevail, could require us
to divert substantial financial and management resources that we would otherwise be able to devote to our business, which could have
a material adverse effect on our financial condition and results of operations.
If we are unable to protect the confidentiality
of our trade secrets, our business and competitive position would be harmed.
In addition to seeking patent
protection for certain aspects of our current in-licensed technologies or future technologies and product candidates, we rely on trade
secrets, including confidential and unpatented know-how, technology and other proprietary information, to maintain our competitive position
and to protect aspects of our business that are not amenable to, or that we do not consider appropriate for, patent protection. Elements
of our product candidates, including processes for their preparation and manufacture, may involve proprietary know-how, information, or
technology that is not covered by patents, and thus for these aspects we may consider trade secrets and know-how to be our primary intellectual
property.
Trade secrets and know-how
can be difficult to protect. We seek to protect trade secrets and confidential and unpatented know-how, in part, by entering into non-disclosure
and confidentiality agreements with parties who have access to such knowledge, such as our employees, corporate collaborators, outside
scientific collaborators, contract research organizations, contract manufacturers, consultants, advisors and other third parties. We also
enter into confidentiality and invention or patent assignment agreements with our employees and consultants under which they are obligated
to maintain confidentiality and to assign their inventions to us. However, we cannot be certain that such agreements have been entered
into with all relevant parties, and we cannot be certain that our trade secrets and other confidential proprietary information will not
be disclosed or that competitors will not otherwise gain access (such as through a cybersecurity breach) to our trade secrets or independently
develop substantially equivalent information and techniques. Moreover, individuals with whom we have such agreements may not comply with
their terms. Any of these parties may breach such agreements and disclose our proprietary information, including our trade secrets, and
we may not be able to obtain adequate remedies for any such breaches. In addition, we take other appropriate precautions, such as physical
and technological security measures, to guard against misappropriation of our proprietary technology by third parties.
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We may also become involved
in inventorship disputes relating to inventions and patents developed by our employees or consultants under such agreements. Enforcing
a claim that a party illegally disclosed or misappropriated a trade secret, or securing title to an employee- or consultant-developed
invention if a dispute arises, is difficult, expensive and time-consuming, and the outcome is unpredictable. In addition, some courts
in the United States and certain foreign jurisdictions disfavor or are unwilling to protect trade secrets. We may need to share our
proprietary information, including trade secrets, with future business partners, collaborators, contractors and others located in countries
at heightened risk of theft of trade secrets, including through direct intrusion by private parties or foreign actors, and those affiliated
with or controlled by state actors. Further, if any of our trade secrets were to be lawfully obtained or independently developed by a
competitor, we would have no right to prevent that competitor from using the technology or information to compete with us. If, in the
future, any of our trade secrets were to be disclosed to or independently developed by a competitor, our competitive position would be
materially and adversely harmed.
We may be subject to claims that we or our
employees or consultants have wrongfully used or disclosed alleged trade secrets or other proprietary information of third parties, including
our employees’ or consultants’ former employers or their clients.
We are party to various
contracts under which we are obligated to maintain the confidentiality of trade secrets or other confidential and proprietary
information of third parties, including our licensors and strategic partners. In addition, many of our employees or consultants and
our licensors’ employees or consultants were previously employed at universities or biotechnology or biopharmaceutical
companies, including our competitors or potential competitors. We may be subject to claims that one or more of these employees or
consultants or we have inadvertently or otherwise used or disclosed trade secrets or other proprietary information of third parties,
including former employers of our employees and consultants. Litigation or arbitration may be necessary to defend against these
claims. If we fail in defending such claims, in addition to paying monetary damages, we may lose valuable intellectual property
rights or personnel or may be enjoined from using such intellectual property. Any such proceedings and possible aftermath would
likely divert significant resources from our core business, including distracting our technical and management personnel from their
normal responsibilities. A loss of key research personnel or their work product could limit our ability to commercialize, or prevent
us from commercializing, our current in-licensed technologies or future technologies or product candidates, which could materially
harm our business. Even if we are successful in defending against any such claims, litigation or arbitration could result in
substantial costs and could be a distraction to management.
Our licensors or we may be subject to claims
challenging the inventorship of our in-licensed patents and other intellectual property.
We or our licensors may be
subject to claims that former employees, collaborators or other third parties have an interest in our in-licensed patents as an inventor
or co-inventor, or in our trade secrets or other intellectual property as a contributor to its development. The failure to name the proper
inventors on a patent application can result in the patents issuing thereon being unenforceable. Inventorship disputes may arise from
conflicting views regarding the contributions of different individuals named as inventors, the effects of foreign laws where foreign nationals
are involved in the development of the subject matter of the patent, conflicting obligations of third parties involved in developing our
product candidates or as a result of questions regarding co-ownership of potential joint inventions. For example, we or our licensors
may have inventorship disputes arise from conflicting obligations of employees, consultants or others who are involved in developing our
product candidates. Litigation may be necessary to defend against these and other claims challenging inventorship or our licensors’
ownership of our in-licensed patents, our trade secrets or other intellectual property. Alternatively, or additionally, we may enter into
agreements to clarify the scope of our rights in such intellectual property. If we or our licensors fail in defending any such claims,
in addition to paying monetary damages, we may lose valuable intellectual property rights, such as exclusive ownership of, or right to
use, intellectual property that is important to our product candidates. Even if we are successful in defending against such claims, litigation
could result in substantial costs and be a distraction to management and other employees.
Also, our licensors may have
relied on third-party consultants or collaborators or on funds from third parties, such as the U.S. government, such that our licensors
are not the sole and exclusive owners of the patents we in-licensed. If other third parties have ownership rights or other rights to our
in-licensed patents, they may be able to license such patents to our competitors, and our competitors could market competing products
and technology. This could have a material adverse effect on our competitive position, business, financial condition, results of operations
and prospects.
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Further, 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 obtaining such executed agreements 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. Such claims could have a material adverse
effect on our business, financial condition, results of operations and prospects.
Obtaining and maintaining patent protection
depends on compliance with various procedural, document submission, fee payment and other requirements imposed by government patent agencies,
and our licensors’ 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 or 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 in-licensed patents and any
patent rights we may own or in-license in the future. The USPTO and various non-U.S. patent offices require compliance with
several procedural, documentary, fee payment and other similar provisions during the patent application process. We employ reputable
law firms and other professionals to help us comply with these requirements, and we are also dependent on our licensors to take the
necessary action to comply with these requirements with respect to our in-licensed intellectual property. In many cases, an
inadvertent lapse, by our patent counsel or other applicable patent maintenance vendors, 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 partial or complete loss of patent rights in the relevant
jurisdiction. Non-compliance events that could result in abandonment or lapse of a patent or patent application include, but are not
limited to, failure to respond to official actions within prescribed time limits, non-payment of fees and failure to properly
legalize and submit formal documents. In such an event, potential competitors might be able to enter the market with similar or
identical product candidates or platforms, which could have a material adverse effect on our business prospects and financial
condition.
If our trademarks and trade names are not
adequately protected, then we may not be able to build name recognition in our markets of interest and our business may be adversely affected.
We use and will continue to
use registered and/or unregistered trademarks or trade names to brand and market ourselves and our products. Our trademarks or trade names
may be challenged, infringed, circumvented, declared generic or determined to be infringing on other marks. We may not be able to protect
our rights to these trademarks and trade names or may be forced to stop using these names, which we use for name recognition by potential
collaborators or customers in our markets of interest. At times, competitors may adopt trade names or trademarks similar to ours, thereby
impeding our ability to build brand identity and possibly leading to market confusion. In addition, there could be potential trade name
or trademark infringement claims brought by owners of other trademarks or trademarks that incorporate variations of our registered or
unregistered trademarks or trade names. Over the long term, if we are unable to establish name recognition based on our trademarks and
trade names, we may not be able to compete effectively, and our business may be materially adversely affected.
We may also license our trademarks
and trade names to third parties, such as distributors. Though these license agreements may provide guidelines for how our trademarks
and trade names may be used, a breach of these agreements or misuse of our trademarks and trade names by our licensees may jeopardize
our rights in or diminish the goodwill associated with our trademarks and trade names.
Intellectual property rights do not necessarily
address all potential threats to our business.
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. The following examples are illustrative:
● others may be able to create T-cell therapies that are similar
to our product candidates, but that are not covered by the claims of any patents that we own, license or control;
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● we, our licensors, or any strategic collaborators might not
have been the first to make the inventions covered by the issued patents or pending patent applications that we own, license or control
or may own, license or control in the future;
● we or our licensors might not have been the first to file
patent applications covering certain of our in-licensed inventions;
● others may independently develop the same, similar, or alternative
technologies without infringing, misappropriating, or violating our in-licensed intellectual property rights;
● it is possible that any patent applications we may file in
the future will not lead to issued patents;
● issued patents that we in-license, control or may own in
the future may not provide us with any competitive advantages, or may be narrowed or held invalid or unenforceable, including as a result
of legal challenges;
● our competitors might conduct research and development activities
in the United States and other countries that provide a safe harbor from patent infringement claims for certain research and development
activities, as well as in countries where we do not have patent rights, and may then use the information learned from such activities
to develop competitive products for sale in our major commercial markets;
● we may choose not to file a patent application in order to
maintain certain trade secrets or know-how, and a third party may subsequently file a patent application covering such trade secrets
or know-how; and
● the patents of others may have an adverse effect on our business.
Should any of these events
occur, they could have a material adverse impact on our business, financial condition, results of operations and prospects.
If any negative data were to arise with
respect to the use of our licensed technology in territories where such technology is licensed to a third party, it could negatively affect
our ability to develop our product candidates in territories where we license such technology.
Pursuant to the Syracuse License
Agreement, Eureka licensed to JW Therapeutics (Cayman) Co. Ltd (“JW”) the rights to use ARTEMIS ® technology
in connection with CD19 and CD22 in Greater China and the ASEAN countries (the “JW Territory”). The JW License allows JW to
conduct research and development (but not commercialize) in the U.S., and for Eureka and Estrella to conduct research and development
(but not commercialize) in the JW Territory. Accordingly, we may experience conflicts or have potential intellectual property-related
disputes with JW in connection with the development of our product candidates. Additionally, if any negative data were to arise from the
JW Territory with respect to the use of ARTEMIS ® technology in the JW Territory, it could negatively affect our ability
to develop our product candidates and adversely impact our success in the Licensed Territory.
Risks Related to Government Regulation
Clinical development includes a lengthy
and expensive process with an uncertain outcome, and results of earlier studies and trials may not be predictive of future trial results.
All of our current product
candidates are in preclinical or clinical development and their risk of failure is high. It is impossible to predict when or if our candidates
or any potential future product candidates will prove effective in humans or will receive regulatory approval. Before obtaining marketing
approval from regulatory authorities for the sale of any product candidate, we must complete preclinical studies for our current product
candidates and then conduct extensive clinical trials to demonstrate the safety, purity and potency, or efficacy of that product candidate
in humans. Clinical testing is expensive and can take many years to complete, and its outcome is inherently uncertain. Failure can
occur at any time during the development process. The results of preclinical studies and clinical trials of any of our current or potential
future product candidates may not be predictive of the results of later-stage clinical trials. Product candidates in later stages of clinical
trials may fail to show the desired safety and efficacy traits despite having progressed through preclinical studies and initial clinical
trials. A number of companies in the pharmaceutical industry have suffered significant setbacks in advanced clinical trials due to lack
of efficacy or safety profiles, notwithstanding promising results in earlier trials.
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We may experience delays in
completing our preclinical studies and initiating or completing our clinical studies. We do not know whether planned preclinical studies
and clinical trials will be completed on schedule or at all, or whether planned clinical trials will begin on time, need to be redesigned,
enroll patients on time or be completed on schedule, if at all. Our development programs may be delayed for a variety of reasons, including
delays related to:
● the FDA or other regulatory authorities requiring us to submit
additional data or imposing other requirements before permitting us to initiate a clinical trial;
● obtaining regulatory approval to commence a clinical trial;
● reaching agreement on acceptable terms with prospective CROs
and clinical trial sites, the terms of which can be subject to extensive negotiation and may vary significantly among different CROs
and clinical trial sites;
● obtaining IRB or ethics committee approval at each clinical
trial site;
● recruiting suitable patients to participate in a clinical
trial;
● having patients complete a clinical trial or return for post-treatment
follow-up;
● clinical trial sites deviating from trial protocol or dropping
out of a trial;
● the FDA placing the clinical trial on hold;
● subjects failing to enroll or remain in our trial at the
rate we expect;
● subjects choosing an alternative treatment for the indication
for which we are developing or other product candidates, or participating in competing clinical trials;
● lack of adequate funding to continue the clinical trial;
● subjects experiencing severe or unexpected drug-related adverse
events;
● any changes to our manufacturing process that may be necessary
or desired;
● adding new clinical trial sites; and
● manufacturing sufficient quantities of our product candidates
for use in clinical trials.
Furthermore, we expect to rely
on our CROs and clinical trial sites to ensure the proper and timely conduct of our clinical trials and, while we expect to enter into
agreements governing their committed activities, we have limited influence over their actual performance.
We could encounter delays if
prescribing physicians encounter unresolved ethical issues associated with enrolling patients in clinical trials of our current or potential
future product candidates in lieu of prescribing existing treatments that have established safety and efficacy profiles. Further, a clinical
trial may be suspended or terminated by us, our collaborators, the IRBs of the institutions in which such trials are being conducted,
the Data Safety Monitoring Board for such trial or by the FDA or other regulatory authorities due to a number of factors, including failure
to conduct the clinical trial in accordance with regulatory requirements or our clinical protocols, inspection of the clinical trial operations
or trial site by the FDA or other regulatory authorities resulting in the imposition of a clinical hold, unforeseen safety issues or adverse
side effects, failure to demonstrate a benefit from using a drug or therapeutic biologic, changes in governmental regulations or administrative
actions or lack of adequate funding to continue the clinical trial.
Moreover, principal investigators
for our clinical trials may serve as scientific advisors or consultants to us from time to time and receive cash or equity compensation
in connection with such services. If these relationships and any related compensation result in perceived or actual conflicts of interest,
or a regulatory authority concludes that the financial relationship may have affected the interpretation of the trial, the integrity of
the data generated at the applicable clinical trial site may be questioned and the utility of the clinical trial itself may be jeopardized,
which could result in the delay or rejection of the marketing application we submit. Any such delay or rejection could prevent or delay
us from commercializing our current or future product candidates.
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If we experience delays in
the completion of, or termination of, any clinical trial of any of our current or potential future product candidates, the commercial
prospects of such product candidate will be harmed, and our ability to generate product revenue from such product candidates will be delayed.
In addition, any delays in completing our clinical trials will increase our costs, slow our product development and approval process and
jeopardize our ability to commence product sales and generate revenue. Any of these occurrences may have a material adverse effect on
our business, financial condition, results of operations and prospects. In addition, many of the factors that cause, or lead to, a delay
in the commencement or completion of clinical trials may also ultimately lead to the denial of regulatory approval of our current or potential
future product candidates.
We may be unable to obtain U.S. or
foreign regulatory approval and, as a result, be unable to commercialize our current or potential future product candidates.
Our current and any potential
future product candidates are subject to extensive governmental regulations relating to, among other things, research, testing, development,
manufacturing, safety, efficacy, approval, recordkeeping, reporting, labeling, storage, packaging, advertising and promotion, pricing,
marketing, and distribution of therapeutic biologics. Rigorous preclinical testing and clinical trials and an extensive regulatory approval
process are required to be successfully completed in the U.S. and in many foreign jurisdictions before a new drug or therapeutic
biologic can be marketed in the U.S. or foreign jurisdictions. Satisfaction of these and other regulatory requirements is costly,
time-consuming, uncertain and subject to unanticipated delays. It is possible that none of the product candidates we may develop will
obtain the regulatory approvals necessary for us or our potential future collaborators to begin selling them.
The time required to obtain
FDA and other approvals is unpredictable but typically takes many years following the commencement of clinical trials, depending
upon the type, complexity, and novelty of the product candidate. The standards that the FDA and its foreign counterparts use when regulating
us require judgment and can change, which makes it difficult to predict with certainty how they will be applied. Any analysis we perform
of data from preclinical and clinical activities is subject to confirmation and interpretation by regulatory authorities, which could
delay, limit or prevent regulatory approval. We may also encounter unexpected delays or increased costs due to new government regulations,
for example, from future legislation or administrative action, or from changes in regulatory policy during the period of product development,
clinical trials and regulatory review in the United States and other jurisdictions. It is impossible to predict whether legislative
changes will be enacted, or whether FDA or foreign regulations, guidance or interpretations will be changed, or what the impact of such
changes, if any, may be.
Any delay or failure in obtaining
required approvals could have a material adverse effect on our ability to generate revenue from the particular product candidate for which
we are seeking approval. Further, we and our potential future collaborators may never receive approval to market and commercialize any
product candidate. Even if we or a potential future collaborator obtains regulatory approval, the approval may be for targets, disease
indications or patient populations that are not as broad as we intended or desired or may require labeling that includes significant use
or distribution restrictions or safety warnings.
Once a product obtains regulatory
approval, numerous post approval requirements apply, including periodic monitoring and reporting obligations, review of promotional material,
reports on ongoing clinical trials and adverse events and inspections of manufacturing facilities. In addition, material changes to approved
products, including any changes to the manufacturing process or labeling, require further review by the appropriate authorities before
marketing. Approvals may also be withdrawn or revoked due to safety, effectiveness, or potency concerns, including as a result of adverse
events reported in patients or ongoing clinical trials, or failure to comply with cGMP. In addition to revocation or withdrawal of
approvals, we and our partners may be subject to warnings, fines, recalls, criminal prosecution or other sanctions if we fail to comply
with regulatory requirements. If we or our partners are unable to obtain or maintain regulatory approvals for our products and product
candidates, our business, financial position, results of operations and future growth prospects will be negatively impacted and we or
our partners may be subject to sanctions. If any of our product candidates prove to be ineffective, unsafe, or commercially unviable,
we may have to re-engineer our current or potential future product candidates, and our entire pipeline could have little, if any, value,
which could require us to change our focus and approach to product candidate discovery and therapeutic development, which would have a
material adverse effect on our business, financial condition, results of operations and prospects.
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We will also be subject to
numerous foreign regulatory requirements governing, among other things, the conduct of clinical trials, manufacturing and marketing authorization,
pricing, and third-party reimbursement. The foreign regulatory approval process varies among countries and may include all of the risks
associated with FDA approval described above as well as risks attributable to the satisfaction of local regulations in foreign jurisdictions.
Moreover, the time required to obtain approval in a foreign jurisdiction may differ from that required to obtain FDA approval.
Obtaining and maintaining regulatory approval
of our product candidates in one jurisdiction does not mean that we will be successful in obtaining regulatory approval of our product
candidates in other jurisdictions.
If we succeed in developing
any products, we intend to market them in the United States, as well as the European Union and other foreign jurisdictions. In order
to market and sell our products in other jurisdictions, we must obtain separate marketing approvals and comply with numerous and varying
regulatory requirements.
Obtaining and maintaining regulatory
approval of our product candidates in one jurisdiction does not guarantee that we will be able to obtain or maintain regulatory approval
in any other jurisdiction, but a failure or delay in obtaining regulatory approval in one jurisdiction may have a negative effect on the
regulatory approval process in others. For example, even if the FDA grants marketing approval of a product candidate, comparable regulatory
authorities in foreign jurisdictions must also approve the manufacturing, marketing and promotion of the product candidate in those countries.
Approval procedures vary among jurisdictions and can involve requirements and administrative review periods different from those in the
United States, including additional preclinical studies or clinical trials as clinical trials conducted in one jurisdiction may not
be accepted by regulatory authorities in other jurisdictions. In many jurisdictions outside the United States, a product candidate
must be approved for reimbursement before it can be approved for sale in that jurisdiction. In some cases, the price that we intend to
charge for our products is also subject to approval.
Obtaining foreign regulatory
approvals and compliance with foreign regulatory requirements could result in significant delays, difficulties and costs for us and could
delay or prevent the introduction of our products in certain countries. If we or any partner we work with fails to comply with the regulatory
requirements in international markets or fails to receive applicable marketing approvals, our target market will be reduced, and our ability
to realize the full market potential of our product candidates will be harmed.
In the past, Eureka has conducted proof-of-concept
studies outside of the United States and collaborated with third parties on investigator-initiated studies (“IIS”). We
may in the future conduct certain of our clinical trials for our product candidates outside of the United States or use data from
proof of concept or IIS studies from outside the United States to support our IND applications and design clinical development programs.
However, the FDA and other foreign equivalents may not accept data from such trials, in which case our development plans will be delayed,
which could materially harm our business.
In the past, Eureka has conducted
proof-of-concept studies outside of the United States and collaborated with third parties on investigator-initiated studies (“IIS”).
We may in the future conduct certain of our clinical trials for our product candidates outside of the United States or use data from
proof of concept or IIS studies from outside the United States to support our IND applications and design clinical development programs.
Although the FDA may accept data from clinical trials conducted outside the United States, acceptance of this data is subject to
certain conditions imposed by the FDA. In cases where data from foreign clinical trials are intended to serve as the basis for marketing
approval in the United States, the FDA will not approve the application on the basis of foreign data alone unless (i) those
data are applicable to the U.S. population and U.S. medical practice; (ii) the studies were performed by clinical investigators
of recognized competence; and (iii) the data are considered valid without the need for an on-site inspection by the FDA or, if the
FDA considers such an inspection to be necessary, the FDA is able to validate the data through an on-site inspection or other appropriate
means. For studies that are conducted only at sites outside of the United States and not subject to an IND, the FDA requires the
clinical trial to have been conducted in accordance with GCPs, and the FDA must be able to validate the data from the clinical trial through
an on-site inspection if it deems such inspection necessary. For such studies not subject to an IND, the FDA generally does not provide
advance comment on the clinical protocols for the studies, and therefore there is an additional potential risk that the FDA could determine
that the study design or protocol for a non-U.S. clinical trial was inadequate, which could require us to conduct additional clinical
trials. There can be no assurance the FDA will accept data from clinical trials conducted outside of the United States. If the FDA
does not accept data from our clinical trials of our product candidates, it would likely result in the need for additional clinical trials,
which would be costly and time consuming and delay or permanently halt our development of our product candidates.
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Many foreign regulatory
bodies have similar approval requirements. In addition, such foreign trials would be subject to the applicable local laws of the
foreign jurisdictions where the trials are conducted. There can be no assurance that the FDA or any similar foreign regulatory
authority will accept data from trials conducted outside of the United States or the applicable jurisdiction. If the FDA or any
similar foreign regulatory authority does not accept such data, it would result in the need for additional trials, which would be
costly and time-consuming and delay aspects of our business plan, and which may result in our product candidates not receiving
approval or clearance for commercialization in the applicable jurisdiction.
Conducting clinical trials
outside of the United States also exposes us to additional risks, including risks associated with:
● additional foreign regulatory requirements;
● foreign exchange fluctuations;
● compliance with foreign manufacturing, customs, shipment
and storage requirements;
● cultural differences in medical practice and clinical research;
and
● diminished protection of intellectual property in some countries.
Even if we receive regulatory approval for
any of our current or potential future product candidates, we will be subject to ongoing regulatory obligations and continued regulatory
review, which may result in significant additional expense. Additionally, our current or potential future product candidates, if approved,
could be subject to labeling and other restrictions and market withdrawal and we may be subject to penalties if we fail to comply with
regulatory requirements or experience unanticipated problems with our products.
Any regulatory approvals that
we or potential future collaborators obtain for any of our current or potential future product candidates will be subject to limitations
on the approved indicated uses for which a product may be marketed or may be subject to the conditions of approval, or contain requirements
for potentially costly post-marketing testing, and surveillance to monitor the safety and efficacy of such product candidate. In addition,
if the FDA or any other regulatory authority approves any of our current or potential future product candidates, the manufacturing processes,
labeling, packaging, distribution, adverse event reporting, storage, import, export, advertising, promotion and recordkeeping for such
product will be subject to extensive and ongoing regulatory requirements. These requirements include submissions of safety and other post-marketing
information and reports, registration, as well as continued compliance with cGMP and good clinical practices for any clinical trials that
we conduct post-approval. In addition, manufacturers and manufacturers’ facilities are required to comply with extensive FDA and
comparable foreign regulatory authority requirements, including ensuring that quality control and manufacturing procedures conform to
cGMP and cGTP regulations and applicable product tracking and tracing requirements.
Later discovery of previously
unknown problems with a product candidate, including adverse events of unanticipated severity or frequency, or with our third-party manufacturers
or manufacturing processes, or failure to comply with regulatory requirements, may result in, among other things:
● restrictions on the marketing or manufacturing of the product
candidate, withdrawal of the product candidate from the market or voluntary or mandatory product recalls;
● fines, warning letters, untitled letters or holds on clinical
trials;
● refusal by the FDA to approve pending applications or supplements
to approved applications filed by us or our strategic collaborators;
● suspension or revocation of product approvals;
● suspension of any ongoing clinical trials;
● product seizure or detention or refusal to permit the import
or export of products; and
● injunctions or the imposition of civil or criminal penalties
or monetary fines.
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The occurrence of any event
or penalty described above may inhibit our ability to commercialize our product candidates and generate revenue.
The FDA has the authority to
require a risk evaluation and mitigation strategy (“REMS”) as part of a biologics license application (“BLA”)
or after approval, which may impose further requirements or restrictions on the distribution or use of an approved product, such as limiting
prescribing to certain physicians or medical centers that have undergone specialized training, limiting treatment to patients who meet
certain safe-use criteria and requiring treated patients to enroll in a registry.
Furthermore, the FDA strictly
regulates marketing, labeling, advertising and promotion of products that are placed on the market. Products may be promoted only for
the approved indications and in accordance with the provisions of the approved label. While physicians may prescribe, in their independent
professional medical judgment, products for off-label uses as the FDA does not regulate the behavior of physicians in their choice of
drug treatments, the FDA does restrict a manufacturer’s communications on the subject of off-label use of their products. Companies
may only share truthful and not misleading information that is otherwise consistent with a product’s FDA approved labeling. The
FDA and other authorities 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 including, among other things, adverse publicity,
warning letters, corrective advertising and potential civil and criminal penalties. The federal government has levied large civil and
criminal fines against companies for alleged improper promotion of off-label use and has enjoined companies from engaging in off-label
promotion. The FDA and other regulatory authorities have also required that companies enter into consent decrees or permanent injunctions
under which specified promotional conduct is changed or curtailed.
Occurrence of any of the foregoing
could have a material adverse effect on our business and results of operations. The FDA’s and other regulatory authorities’
policies may change, and additional government regulations may be enacted that could prevent, limit or delay regulatory approval of our
product candidates. We cannot predict the likelihood, nature or extent of government regulation that may arise from future legislation
or administrative action, either in the United States or abroad. If we are slow or unable to adapt to changes in existing requirements
or the adoption of new requirements or policies, or if we are not able to maintain regulatory compliance, we may lose any marketing approval
that we may have obtained and we may not achieve or sustain profitability, which would adversely affect our business.
Any product candidates for which we intend
to seek approval as biologic products may face competition sooner than anticipated.
The Affordable Care Act includes
a subtitle called the Biologics Price Competition and Innovation Act of 2009 (“BPCIA”) which created an abbreviated
approval pathway for biological products that are biosimilar to or interchangeable with an FDA-licensed reference biological product.
Under the BPCIA, an application for a biosimilar product may not be submitted to the FDA until four years following the date that
the reference product was first licensed by the FDA. In addition, the approval of a biosimilar product may not be made effective
by the FDA until twelve years from the date on which the reference product was first licensed. During this twelve-year period of
exclusivity, another company may still market a competing version of the reference product if the FDA approves a full BLA for the competing
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 its product. The law is complex. The BPCIA could have a material adverse effect on the future commercial
prospects for our biological products.
We believe that any of our
future product candidates approved as a biological product under a BLA should qualify for the twelve-year period of exclusivity. However,
there is a risk that this exclusivity could be shortened due to Congressional action or otherwise, or that the FDA will not consider our
product candidates to be reference products for competing products, potentially creating the opportunity for generic competition sooner
than anticipated. Other aspects of the BPCIA, some of which may impact the BPCIA exclusivity provisions, have also been the subject of
recent litigation. Moreover, the extent to which a biosimilar, once approved, could be substituted for any one of our reference products
in a way that is similar to traditional generic substitution for non-biological products will depend on a number of marketplace and regulatory
factors that are still developing.
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Healthcare legislative reform measures may
have a material adverse effect on our business and results of operations.
In the United States and
some foreign jurisdictions, there have been, and continue to be, several legislative and regulatory changes and proposed changes regarding
the healthcare system that could prevent or delay marketing approval of product candidates, restrict or regulate post-approval activities,
and affect our ability to profitably sell any product candidates for which we obtain marketing approval.
Among policy makers and payors
in the United States and elsewhere, there is significant interest in promoting changes in healthcare systems with the stated goals
of containing healthcare costs, improving quality and/or expanding access. In the United States, the pharmaceutical industry has
been a particular focus of these efforts and has been significantly affected by major legislative initiatives. In March 2010, the
Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act (collectively, the “ACA,”)
was passed, which substantially changed the way healthcare is financed by both the government and private insurers, and significantly
impacts the U.S. pharmaceutical industry.
Since its enactment, there
have been judicial, congressional and executive branch challenges and amendments to certain aspects of the ACA. For example, on August 16,
2022, the Inflation Reduction Act of 2022 (“IRA”) was signed into law, which among other things, extends enhanced
subsidies for individuals purchasing health insurance coverage in ACA marketplaces through plan year 2025. The IRA also eliminates the
“donut hole” under the Medicare Part D program beginning in 2025 by significantly lowering the beneficiary maximum out-of
pocket cost and through a newly established manufacturer discount program. It is possible the ACA will be subject to judicial or congressional
challenges and amendments in the future.
On July 4, 2025, the annual
reconciliation bill, the OBBBA was signed into law which is expected to reduce Medicaid spending and enrollment by implementing work requirements
for some beneficiaries, capping state-directed payments, reducing federal funding, and limiting provider taxes used to fund the program.
OBBBA also narrows access to ACA marketplace exchange enrollment and declines to extend the ACA enhanced advanced premium tax credits,
set to expire in 2025, which, among other provisions in the law, are anticipated to reduce the number of Americans with health insurance.
Also, there has been heightened
governmental scrutiny recently over the manner in which drug manufacturers set prices for their marketed products, which have resulted
in several congressional inquiries, presidential executive orders, and proposed and enacted federal and state legislation designed to,
among other things, bring more transparency to product pricing, review the relationship between pricing and manufacturer patient programs,
and reform government program reimbursement methodologies for drug products. For example, the IRA, among other things, (1) directs
the U.S. Department of Health and Human Services (“HHS”) to negotiate the price of certain high-expenditure, single-source
drugs covered under Medicare that have been on the market for at least 7 years (the “Medicare Drug Price Negotiation Program”)
and (2) imposes rebates under Medicare Part B and Medicare Part D to penalize price increases that outpace inflation. These
provisions began to effect progressively in fiscal year 2023. On August 15, 2024, HHS announced the agreed-upon reimbursement prices
of the first ten drugs that were subject to price negotiations, although the Medicare Drug Price Negotiation Program is currently subject
to legal challenges. On January 17, 2025, HHS elected up to fifteen additional products covered under Part D for price negotiation
in 2025. Each year thereafter more Part B and Part D products will become subject to the Medicare Drug Price Negotiation Program.
On December 8, 2023, the National Institute of Standards and Technology published for comment a Draft Interagency Guidance Framework
for Considering the Exercise of March-In Rights which for the first time includes the price of a product as one factor an agency can use
when deciding to exercise march-in rights. While march-in rights have not previously been exercised, it is uncertain if that will continue
under the new framework.
Individual states in the
United States have also become increasingly active in passing legislation and implementing regulations designed to control
pharmaceutical product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product
access and marketing cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other
countries and bulk purchasing. For example, on January 5, 2024, the FDA approved Florida’s Section 804 Importation
Program (“SIP”) proposal to import certain drugs from Canada for specific state healthcare programs. It is unclear how
this program will be implemented, including which drugs will be chosen, and whether it will be subject to legal challenges in the
United States or Canada. Other states have also submitted SIP proposals that are pending review by the FDA. In addition,
regional healthcare authorities and individual hospitals are increasingly using bidding procedures to determine what pharmaceutical
products and which suppliers will be included in their prescription drug and other healthcare programs. We expect that additional
state and federal healthcare reform measures will be adopted in the future.
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The current Trump administration
is pursuing policies to reduce regulations and expenditures across government including at HHS, the FDA, CMS and related agencies. These
actions, presently directed by executive orders or memoranda from the Office of Management and Budget, may propose policy changes that
create additional uncertainty for our business. These actions and proposals include, for example, (1) directives to reduce agency
workforce and cut programs; (2) rescinding a Biden administration executive order tasking the Center for Medicare and Medicaid Innovation
to consider new payment and healthcare models to limit drug spending; (3) eliminating the Biden administration’s executive
order that directed HHS to establish an AI task force and develop a strategic plan; (4) directing HHS and other agencies to lower
prescription drug costs through a variety of initiatives, including by improving upon the Medicare Drug Price Negotiation Program and
establishing Most-Favored-Nation pricing for pharmaceutical products; (5) imposing tariffs of imported pharmaceutical products; and
(6) directing certain federal agencies to enforce existing law regarding hospital and price plan transparency and by standardizing
prices across hospitals and health plans. Additionally, Congress may introduce and ultimately pass health care related legislation that
could impact the drug approval process and make changes to the Medicare Drug Price Negotiation Program created under the IRA. We
expect additional health reform measures may be implemented in the future, particularly given the recent change in administration.
We cannot predict what healthcare
reform initiatives may be adopted in the future, particularly in light of the recent U.S. presidential and congressional elections.
We expect that these and other healthcare reform measures that may be adopted in the future, may result in more rigorous coverage criteria
and additional downward pressure on the price that we receive for any approved drug. Any reduction in reimbursement from Medicare or other
government programs may result in a similar reduction in payments from private payors. The implementation of cost containment measures
or other healthcare reforms may prevent us from being able to generate revenue, attain profitability, or commercialize our drugs.
Failure to comply with health and data protection
laws and regulations could lead to government enforcement actions (which could include civil or criminal penalties), private litigation
or adverse publicity and could negatively affect our operating results and business.
We may collect, receive, store,
process, generate, use, transfer, disclose, make accessible, protect and share personal information, health information and other sensitive
information to develop our products, to operate our business, for clinical trial purposes, for legal and marketing purposes, and for other
business-related purposes.
To date, our IT infrastructure remains limited in size and scope, and
our privacy, data protection, and cybersecurity policies are continually evolving. Although we have implemented certain security measures
to protect our financial data and communications, we cannot guarantee that our current physical, technical, organizational, and administrative
safeguards will be sufficient to prevent data loss, theft, or security breaches, or that we will remain in compliance in all material
respects with all evolving Privacy and Security Requirements.
We and any potential
future collaborators, partners, or service providers may be subject to federal, state, and foreign data protection laws,
regulations, and regulatory guidance, the number and scope of which is changing, subject to differing applications and
interpretations, and which may be inconsistent among jurisdictions, or in conflict with other rules, laws, or contractual
obligations. In the United States, numerous federal and state laws and regulations, including federal health information
privacy laws, such as the Health Insurance Portability and Accountability Act (“HIPAA”), state data breach notification
laws, state health information privacy laws and federal and state consumer protection laws, that govern the collection, use,
disclosure and protection of health-related and other personal information could apply to our operations or the operations of any
future potential collaborators or service providers. In addition, we may obtain health information from third parties (including
research institutions from which we obtain clinical trial data) that are subject to privacy and security requirements under HIPAA,
or other privacy and data security laws. Depending on the facts and circumstances, we could be subject to civil or criminal
penalties if we obtain, use, or disclose individually identifiable health information maintained by a HIPAA-covered entity in a
manner that is not authorized or permitted by HIPAA, or if we otherwise violate applicable privacy and data security laws.
International data
protection laws, including the EU’s General Data Protection Regulation (“GDPR”), may also apply to health-related
and other personal information obtained outside of the United States. The GDPR went into effect on May 25, 2018, and imposes
stringent data protection requirements for processing of personal data of individuals within the European Economic Area
(“EEA”) as well as potential fines for noncompliant companies of up to the greater of €20 million or 4% of
annual global revenue. The GDPR imposes numerous requirements for the collection, use and disclosure of personal data, including
stringent requirements relating to consent and the information that must be shared with data subjects about how their personal
information is used, the obligation to notify regulators and affected individuals of personal data breaches, extensive internal
privacy governance obligations and obligations to honor expanded rights of individuals in relation to their personal
information.
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In addition, the GDPR
places restrictions on cross-border data transfers. On July 10, 2023, the European Commission adopted an adequacy decision for the
EU-US Data Privacy Framework, which remains in effect as of February 2026 and enables transfers of personal data from the EEA to
U.S. entities certified under the framework. Similarly, the Swiss-U.S. Data Privacy Framework was extended in September 2023 to
align with the EU-US framework, facilitating data transfers from Switzerland to certified U.S. entities. Furthermore, the European
Commission’s Standard Contractual Clauses, updated in June 2021, continue to serve as a primary mechanism for data transfers
where adequacy decisions do not apply, subject to transfer impact assessments and supplementary measures as required. If we are
investigated by a European data protection authority, we may face fines and other penalties. Any such investigation or charges by
European data protection authorities could have a negative effect on our existing business and on our ability to attract and retain
new clients or pharmaceutical partners. We may also experience hesitancy, reluctance, or refusal by European or multi-national
clients or pharmaceutical partners to continue to use our products due to the potential risk exposure as a result of the current
(and, in particular, future) data protection obligations imposed on them by certain data protection authorities in interpretation of
current law, including the GDPR. Such clients or pharmaceutical partners may also view any alternative approaches to compliance
as being too costly, too burdensome, too legally uncertain, or otherwise objectionable and therefore decide not to do business with
us. Any of the foregoing could materially harm our business, prospects, financial condition, and results of operations.
The GDPR has increased
our responsibilities and potential liability in relation to personal data processed subject to the GDPR, and we may be required to
put in place additional mechanisms to ensure compliance with the GDPR, including as implemented by individual countries. Companies
now have to comply with the GDPR and also the United Kingdom GDPR (“UK GDPR”), which, together with the amended UK Data
Protection Act 2018, retains the GDPR in UK national law. The UK GDPR mirrors the fines under the GDPR, i.e., fines up to the
greater of £17.5 million or 4% of global turnover. In addition, the European Commission renewed the UK adequacy decisions
under the GDPR and the Law Enforcement Directive in December 2025, extending them until December 2031, enabling continued free flow
of personal data from EEA member states to the UK. These decisions are subject to a mid-term review after four years and may be
renewed further based on ongoing assessments. Similarly, the UK has determined that it considers all of the EEA to be adequate for
the purposes of data protection. This ensures that data flows between the UK and the EEA remain unaffected. Compliance with the GDPR
and applicable laws and regulations relating to privacy and data protection of EEA Member States and the UK is a rigorous and
time-intensive process that may increase our cost of doing business or require us to change our business practices, and despite
those efforts, there is a risk that we may be subject to fines and penalties, litigation and reputational harm in connection with
our European activities. In addition, any failure by us (or our business partners who handle personal data) to comply with GDPR and
applicable laws and regulations relating to privacy and data protection of EEA member states and the UK may result in regulators
prohibiting our processing of the personal data of EEA data subjects, which could impact our operations and ability to develop our
products and provide our services, including interrupting or ending EEA clinical trials.
In addition, states are constantly adopting new laws or amending existing
laws, requiring attention to frequently changing regulatory requirements. For example, California enacted the California Consumer Privacy
Act (the “CCPA”) on June 28, 2018, which took effect on January 1, 2020. The CCPA gives California residents expanded rights
to access and delete their personal information, opt out of certain personal information sharing and receive detailed information about
how their personal information is used by requiring covered companies to provide new disclosures to California consumers (as that term
is broadly defined and can include any of our current or future employees who may be California residents) and provide such residents
new ways to opt-out of certain sales of personal information. The CCPA provides for civil penalties for violations, as well as a private
right of action for data breaches and statutory damages, which is expected to increase data breach class action litigation and result
in significant exposure to costly legal judgments and settlements. Although the law includes limited exceptions for health-related information,
including clinical trial data, such exceptions may not apply to all of our operations and processing activities. As we expand our operations
and trials (both preclinical and clinical), the CCPA may increase our compliance costs and potential liability. Some observers have noted
that the CCPA could mark the beginning of a trend towards more stringent privacy legislation in the United States. In November 2020, California
passed the California Privacy Rights Act (the “CPRA”) which amends and expands the CCPA. The CPRA imposes additional data
protection obligations on covered businesses, including additional consumer rights processes, limitations on data uses, new audit requirements
for higher risk data, and opt outs for certain uses of sensitive data. It also expands the types of data breaches subject to the CCPA’s
private right of action, provides for increased penalties for CPRA violations concerning California residents under the age of 16 and
creates a new California data protection agency authorized to issue substantive regulations, which has resulted in increased privacy and
information security enforcement. The majority of the provisions have been in effect since January 1, 2023, and additional compliance
investment and potential business process changes may be required. New regulations under the CCPA and CPRA took effect on January 1, 2026,
including requirements for risk assessments, cybersecurity audits, and opt-out confirmation mechanisms. The CPRA has created additional
uncertainty and may increase our cost of compliance. As of February 2026, at least 18 other states have enacted comprehensive consumer
privacy laws similar to the CCPA and CPRA, including Virginia (effective January 1, 2023), Colorado (effective July 1, 2023), Connecticut
(effective July 1, 2023), Utah (effective December 31, 2023), Florida (effective July 1, 2024), Texas (effective July 1, 2024), Oregon
(effective July 1, 2024), Montana (effective October 1, 2024), Delaware (effective January 1, 2025), Iowa (effective January 1, 2025),
Tennessee (effective July 1, 2025), Indiana (effective January 1, 2026), and Nebraska (effective January 1, 2025), with additional states
expected to follow. These laws vary in scope but generally grant consumers rights to access, delete, and opt out of the sale or sharing
of their personal information, and impose obligations on businesses such as data minimization, purpose limitation, and security requirements.
In the event that we are subject to or affected by HIPAA, the GDPR, the CCPA, the CPRA or other domestic privacy and data protection laws,
any liability from failure to comply with the requirements of these laws could adversely affect our financial condition.
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Compliance with U.S. and
international data protection laws and regulations could require us to take on more onerous obligations in our contracts, restrict
our ability to collect, use and disclose data, or in some cases, impact our ability to operate in certain jurisdictions. Laws and
regulations worldwide relating to privacy, data protection and cybersecurity are, and are likely to remain, uncertain for the
foreseeable future. While we strive to comply with applicable laws and regulations relating to privacy, data protection and
cybersecurity, external and internal privacy and security policies and contractual obligations relating to privacy, data protection
and cybersecurity to the extent possible, we may at times fail to do so, or may be perceived to have failed to do so. Moreover,
despite our efforts, we may not be successful in achieving compliance if our personnel, collaborators, partners or vendors do not
comply with applicable laws and regulations relating to privacy, data protection and cybersecurity, external and internal privacy
and security policies and contractual obligations relating to privacy, data protection and cybersecurity. Actual or perceived
failure to comply with any laws and regulations relating to privacy, data protection or cybersecurity in the U.S. or foreign
jurisdictions could result in government enforcement actions (which could include civil or criminal penalties), private litigation
or adverse publicity and could negatively affect our operating results and business. Moreover, clinical trial subjects about whom we
or our potential collaborators or service providers obtain information, as well as the providers who share this information with us,
may contractually limit our ability to use and disclose the information. Claims that we have violated individuals’ privacy
rights, failed to comply with applicable laws or regulations, or breached our contractual obligations, even if we are not found
liable, could be expensive and time consuming to defend, result in regulatory actions and proceedings, in addition to private claims
and litigation, and could result in adverse publicity that could harm our business.
We also are, or may be asserted
to be, subject to the terms of our external and internal privacy and security policies, representations, certifications, publications,
and frameworks and contractual obligations to third parties related to privacy, data protection, information security, and processing.
Failure to comply or the perceived failure to comply with any of these, or if any of these policies or any of our representations, certifications,
publications, or frameworks are, in whole or part, found or perceived to be inaccurate, incomplete, deceptive, unfair, or misrepresentative
of our actual practices, could result in reputational harm, result in litigation, cause a material adverse impact to business operations
or financial results, and otherwise result in other material harm to our business.
If we or our existing or potential future
collaborators, manufacturers or service providers fail to comply with healthcare laws and regulations, we or they could be subject to
enforcement actions, which could affect our ability to develop, market and sell our product candidates and may harm our reputation.
Healthcare providers, physicians,
and third-party payors, among others, will play a primary role in the prescription and recommendation of any product candidates for which
we obtain marketing approval. Our current and future arrangements with third-party payors, providers, and customers, among others, may
expose us to broadly applicable fraud and abuse and other healthcare laws and regulations that may constrain the business or financial
arrangements and relationships through which we market, sell, and distribute our product candidates for which we obtain marketing approval.
Restrictions under applicable federal and state healthcare laws and regulations in the United States and other countries, include
the following:
● the federal Anti-Kickback Statute, which prohibits, among
other things, a person or entity from knowingly and willfully soliciting, offering, paying, receiving or providing remuneration, directly
or indirectly, in cash or in kind, to induce or reward either the referral of an individual for, or the purchase, lease order, arranging
for or recommendation of, any good, facility, item or service, for which payment may be made, in whole or in part, by a federal healthcare
program, such as Medicare or Medicaid. A person or entity does not need to have actual knowledge of the statute or specific intent to
violate it in order to have committed a violation;
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● federal civil and criminal false claims laws, including the
federal False Claims Act, which provides for civil whistleblower or qui tam actions, and civil monetary penalties laws, that impose penalties
against individuals or entities for knowingly presenting, or causing to be presented, to the federal government, claims for payment that
are false or fraudulent or making a false statement to avoid, decrease or conceal an obligation to pay money to the federal government.
In addition, the government may assert that a claim including items and services resulting from a referral made in violation of the federal
Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act;
● HIPAA, which imposes criminal and civil liability for executing
a scheme to defraud any healthcare benefit program, or knowingly and willfully falsifying, concealing, or covering up a material fact
or making any materially false statement in connection with the delivery of or payment for healthcare benefits, items, or services. Similar
to the federal Anti-Kickback Statute, a person or entity does not need to have actual knowledge of the statute or specific intent to
violate it in order to have committed a violation;
● HIPAA, as amended by the Health Information Technology for
Economic and Clinical Health Act (“HITECH”) and its implementing regulations, including the Final Omnibus Rule published
in January 2013, which impose obligations on certain covered entity healthcare providers, health plans and healthcare clearinghouses
as well as their business associates and their subcontractors that perform certain services involving the use or disclosure of individually
identifiable health information, including mandatory contractual terms, with respect to safeguarding the privacy, security and transmission
of individually identifiable health information, and require notification to affected individuals and regulatory authorities of certain
breaches of security of individually identifiable health information. HITECH also created new tiers of civil monetary penalties, amended
HIPAA to make civil and criminal penalties directly applicable to business associates, and gave state attorneys general new authority
to file civil actions for damages or injunctions in federal courts to enforce the federal HIPAA laws and seek attorneys’ fees and
costs associated with pursuing federal civil actions. In addition, there may be additional federal, state, and non-U.S. laws which
govern the privacy and security of health and other personal information in certain circumstances, many of which differ from each other
in significant ways and may not have the same effect, thus complicating compliance efforts;
● the federal false statements statute, which prohibits knowingly
and willfully falsifying, concealing, or covering up a material fact or making any materially false statement in connection with the
delivery of or payment for healthcare benefits, items, or services;
● the federal physician payment transparency requirements,
sometimes referred to as the “Sunshine Act” under the Affordable Care Act, require certain manufacturers of drugs, devices,
biologics and medical supplies that are reimbursable under Medicare, Medicaid, or the Children’s Health Insurance Program to report
to the CMS information related to transfers of value made to physicians (currently defined to include doctors, dentists, optometrists,
podiatrists and chiropractors) and teaching hospitals, as well as ownership and investment interests of such physicians and their immediate
family members. Effective January 1, 2022, these reporting obligations extend to include payments and transfers of value, made during
the previous year to certain non-physician providers, including physician assistants, nurse practitioners, clinical nurse specialists,
certified registered nurse anesthetists, anesthesiologist assistants and certified nurse midwives; and
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● analogous local, state and foreign laws and regulations,
such as state anti-kickback and false claims laws that may apply to healthcare items or services reimbursed by third party payors, including
private insurers, local, state and foreign transparency laws that require manufacturers to report information related to payments and
transfers of value to other healthcare providers and healthcare entities, marketing expenditures, or drug pricing, state laws that require
pharmaceutical companies to register certain employees engaged in marketing activities in the location and comply with the pharmaceutical
industry’s voluntary compliance guidelines and the relevant compliance guidance promulgated by the federal government, and state
and foreign laws governing the privacy and security 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.
Ensuring that our future business
arrangements with third parties comply with applicable healthcare laws and regulations could involve substantial costs. It is possible
that governmental authorities will conclude that our business practices, including our relationships with physicians and other healthcare
providers, some of whom are compensated in the form of stock options for consulting services provided, may not comply with current or
future statutes, regulations, agency guidance or case law involving applicable fraud and abuse or other healthcare laws and regulations.
If our operations are found to be in violation of any such requirements, we may be subject to penalties, including criminal and significant
civil monetary penalties, damages, fines, imprisonment, disgorgement, contractual damages, reputational harm, exclusion from participation
in government healthcare programs, integrity obligations, injunctions, recall or seizure of products, total or partial suspension of production,
denial or withdrawal of pre-marketing product approvals, private qui tam actions brought by individual whistleblowers in the name of the
government, refusal to allow us to enter into supply contracts, including government contracts, additional reporting requirements and
oversight if subject to a corporate integrity agreement or similar agreement to resolve allegations of non-compliance with these laws,
and the curtailment or restructuring of our operations, any of which could adversely affect our ability to operate our business and our
results of operations. Although effective compliance programs can mitigate the risk of investigation and prosecution for violations of
these laws, these risks cannot be entirely eliminated. Any action against us for an alleged or suspected violation could cause us to incur
significant legal expenses and could divert our management’s attention from the operation of our business, even if our defense is
successful. Therefore, even if we are successful in defending against any such actions that may be brought against us, our business may
be impaired. If any of the above occur, our ability to operate our business and our results of operations could be adversely affected.
In addition, achieving and sustaining compliance with applicable laws and regulations may be costly to us in terms of money, time, and
resources.
If we fail to comply with U.S. and
foreign regulatory requirements, regulatory authorities could limit or withdraw any marketing or commercialization approvals we may receive
and subject us to other penalties that could materially harm our business.
Even if we receive
marketing and commercialization approval of a product candidate, we will be subject to continuing regulatory requirements, including
in relation to adverse patient experiences with the product and clinical results that are reported after a product is made
commercially available, both in the United States and any foreign jurisdiction in which we seek regulatory approval. The FDA
and other regulatory authorities have significant post-market authority, including the authority to require labeling changes based
on new safety information and to require post-market studies or clinical trials to evaluate safety risks related to the use of a
product or to require withdrawal of the product candidate from the market. The FDA and other regulatory authorities also have the
authority to require a REMS after approval, which may impose further requirements or restrictions on the distribution or use of an
approved drug or therapeutic biologic. The manufacturer and manufacturing facilities we use to make a future product, if any, will
also be subject to periodic review and inspection by the FDA and other regulatory authorities, including for continued compliance
with cGMP and cGTP requirements. The discovery of any new or previously unknown problems with our third-party manufacturers,
manufacturing processes or facilities may result in restrictions on the product candidate, manufacturer, or facility, including
withdrawal of the product candidate from the market. We intend to rely on third-party manufacturers and we will not have control
over compliance with applicable rules and regulations by such manufacturers. Any product promotion and advertising will also be
subject to regulatory requirements and continuing regulatory review. If we or our existing or future collaborators, manufacturers or
service providers fail to comply with applicable continuing regulatory requirements in the U.S. or foreign jurisdictions in
which we seek to market our products, we or they may be subject to, among other things, fines, warning letters, holds on clinical
trials, delay of approval or refusal by the FDA, or other regulatory authorities to approve pending applications or supplements to
approved applications, suspension or withdrawal of regulatory approval, product recalls and seizures, administrative detention of
products, refusal to permit the import or export of products, operating restrictions, injunction, civil penalties, and criminal
prosecution.
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Even if we are able to commercialize any
product candidate, such product candidate may become subject to unfavorable pricing regulations or third-party coverage and reimbursement
policies, which would harm our business.
In the United States and
markets in other countries, patients generally rely on third-party payors to reimburse all or part of the costs associated with their
treatment. Adequate coverage and reimbursement from governmental healthcare programs, such as Medicare and Medicaid, and private health
insurers is critical to new product acceptance.
There is also significant uncertainty
related to the insurance coverage and reimbursement of newly approved products and coverage may be more limited than the purposes for
which the medicine is approved by the FDA or comparable foreign regulatory authorities. In the United States, the principal decisions
about reimbursement for new medicines are typically made by the CMS, an agency within the U.S. Department of Health and Human Services.
CMS decides whether and to what extent a new medicine will be covered and reimbursed under Medicare and private payors tend to follow
CMS to a substantial degree.
Our ability to commercialize
any products successfully will depend, in part, on the extent to which coverage and adequate reimbursement for these products and related
treatments will be available from third-party payors, such as government authorities, private health insurers and health maintenance organizations.
Patients who are prescribed medications for the treatment of their conditions generally rely on third-party payors to reimburse all or
part of the costs associated with their prescription drugs. Coverage and adequate reimbursement from government healthcare programs, such
as Medicare and Medicaid, and private health insurers are critical to new product acceptance. Patients are unlikely to use our future
products, if any, unless coverage is provided and reimbursement is adequate to cover a significant portion of the cost. Obtaining coverage
and adequate reimbursement for our product candidates may be particularly difficult because of the higher prices often associated with
drugs administered under the supervision of a physician. Similarly, because our product candidates are physician-administered, separate
reimbursement for the product itself may or may not be available. Instead, the administering physician may or may not be reimbursed for
providing the treatment or procedure in which our product is used.
Cost-containment is a
priority in the U.S. healthcare industry and elsewhere. As a result, government authorities and other third-party payors have
attempted to control costs by limiting coverage and the amount of reimbursement for particular medications. Increasingly,
third-party payors are requiring that drug companies provide them with predetermined discounts from list prices and are challenging
the prices charged for medical products. Third-party payors also may request additional clinical evidence beyond the data required
to obtain marketing approval, requiring a company to conduct expensive pharmacoeconomic studies in order to demonstrate the medical
necessity and cost-effectiveness of its product. Commercial third-party payors often rely upon Medicare coverage policy and payment
limitations in setting their reimbursement rates, but also have their own methods and approval process apart from Medicare
determinations. Therefore, coverage and reimbursement for pharmaceutical products in the U.S. can differ significantly from
payor to payor. We cannot be sure that coverage and adequate reimbursement will be available for any product that we commercialize
and, if reimbursement is available, that the level of reimbursement will be adequate. Coverage and reimbursement may impact the
demand for, or the price of, any product candidate for which we obtain marketing approval. If coverage and reimbursement are not
available or are available only at limited levels, we may not be able to successfully commercialize any product candidate for which
we obtain marketing approval.
Additionally, the regulations
that govern regulatory approvals, pricing and reimbursement for new drugs and therapeutic biologics vary widely from country to country.
Some countries require approval of the sale price of a drug or therapeutic biologic before it can be marketed. In many countries, the
pricing review period begins after marketing approval is granted. In some foreign markets, prescription pharmaceutical pricing remains
subject to continuing governmental control even after initial approval is granted. As a result, we might obtain regulatory approval for
a product in a particular country, but then be subject to price regulations that delay our commercial launch of the product, possibly
for lengthy time periods, and negatively impact the revenues we are able to generate from the sale of the product in that country. Adverse
pricing limitations may hinder our ability to recoup our investment in one or more product candidates, even if our product candidates
obtain regulatory approval.
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We are subject to U.S. and foreign
anti-corruption and anti-money laundering laws with respect to our operations and non-compliance with such laws can subject us to criminal
or civil liability and harm our business.
We are subject to the U.S. Foreign
Corrupt Practices Act of 1977, as amended (the “FCPA”), the U.S. domestic bribery statute contained in 18 U.S.C.
§ 201, the U.S. Travel Act, the USA PATRIOT Act, and possibly other state and national anti-bribery and anti-money laundering
laws in countries in which we conduct activities. Anti-corruption laws are interpreted broadly and prohibit companies and their employees,
agents, third-party intermediaries, joint venture partners and collaborators from authorizing, promising, offering or providing, directly
or indirectly, improper payments or benefits to recipients in the public or private sector. We interact with officials and employees of
government agencies and government-affiliated hospitals, universities, and other organizations. In addition, we may engage third-party
intermediaries to promote our clinical research activities abroad or to obtain necessary permits, licenses and other regulatory approvals.
We can be held liable for the corrupt or other illegal activities of these third-party intermediaries, our employees, representatives,
contractors, collaborators, and agents, even if we do not explicitly authorize or have actual knowledge of such activities.
In connection with the Business
Combination, Estrella adopted a Code of Business Conduct and Ethics and we expect to prepare and implement policies and procedures to
ensure compliance with such code. The Code of Business Conduct and Ethics mandates compliance with the FCPA and other anti-corruption
laws applicable to our business throughout the world. However, we cannot assure you that our employees and third-party intermediaries
will comply with the Code of Business Conduct and Ethics or such anti-corruption laws. Noncompliance with anti-corruption and anti-money
laundering laws could subject us to whistleblower complaints, investigations, sanctions, settlements, prosecution, other enforcement actions,
disgorgement of profits, significant fines, damages, other civil and criminal penalties or injunctions, suspension, or debarment from
contracting with certain persons, the loss of export privileges, reputational harm, adverse media coverage and other collateral consequences.
If any subpoenas, investigations, or other enforcement actions are launched, or governmental or other sanctions are imposed, or if we
do not prevail in any possible civil or criminal litigation, our business, results of operations and financial condition could be materially
harmed. In addition, responding to any action will likely result in a materially significant diversion of management’s attention
and resources and significant defense and compliance costs and other professional fees. In certain cases, enforcement authorities may
even cause us to appoint an independent compliance monitor which can result in added costs and administrative burdens.
General Risk Factors
Disruptions at the FDA and other government
agencies caused by reductions in staffing, funding shortages or government shutdowns could hinder their ability to review regulatory submissions
or otherwise prevent new or modified products from being developed, approved or commercialized in a timely manner or at all, which
could negatively impact our business.
The ability of the FDA, the
European Medicines Agency (“EMA”) and other comparable foreign regulatory authorities to review and approve new products can
be affected by a variety of factors, including government budget and funding levels, agency efforts to reduce or restructure the federal
workforce, and broader statutory, regulatory and policy changes. In March 2025, the U.S. Department of Health and Human Services (“HHS”)
implemented a major restructuring that reduced HHS staffing by approximately 20,000 positions, including about 3,500 positions at the
FDA. Current and former FDA employees and industry observers have expressed concern that such cuts have eroded morale and disrupted the
agency’s regulatory work, even though HHS stated that core drug, device and food reviewers were intended to be protected. Further
reductions occurred in fiscal year 2026, with the FDA experiencing a net loss of an additional 473 employees, contributing to delays in
application reviews and slower response times across drug and biologics centers.
In late 2025,
the U.S. federal government experienced a partial shutdown following a lapse in appropriations, during which many federal employees
were furloughed and agencies, including the FDA, operated under contingency
plans with reduced staffing. During shutdown periods, the FDA typically limits activities to those deemed “essential,” which
can include certain safety-related functions but may delay or suspend review of some regulatory submissions, inspections and policy work.
Although funding was subsequently restored and furloughed employees were authorized to return to work, similar shutdowns or lapses in
appropriations could recur in the future.
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Disruptions and personnel turnover at the FDA and other agencies —
whether as a result of leadership changes, workforce reductions, hiring freezes, difficulty retaining key personnel, or government shutdowns
— may slow the time necessary for new drugs and biologics to be reviewed and/or approved. Cuts in FDA staffing or sustained uncertainty
around agency resources could result in longer response times, delays in the review of INDs or other applications, slower issuance of
regulations or guidance, or diminished ability to implement or enforce regulatory requirements in a timely fashion. If a prolonged government
shutdown occurs, or if staffing changes prevent the FDA, the USPTO, the SEC or other regulatory authorities from conducting their regular
inspections, reviews, or other regulatory activities, including formal and informal interactions with product developers, it could significantly
impact the timing of review and processing of our regulatory submissions and intellectual property filings, which could have a material
adverse effect on our business, financial condition and results of operations.
We or the related parties upon whom we depend may be adversely affected by natural disasters and our business
continuity and disaster recovery plans may not adequately protect us from a serious disaster.
We share our facilities with Eureka (“Facilities”) located in Emeryville, California, near major
earthquake faults, fire zones and the shore of San Francisco Bay. Any unplanned event, such as earthquake, flood, fire, explosion, extreme
weather condition, medical epidemics, power shortage, telecommunication failure, or other natural or man-made accidents or incidents that
result in us being unable to fully utilize the Facilities may have a material adverse effect on our ability to operate our business, particularly
on a daily basis and have significant negative consequences on our financial and operating conditions. Loss of access to the Facilities
may result in increased costs, delays in the development of our product candidates, or interruption of our business operations. Natural
disasters or pandemics such as the COVID-19 outbreak could further disrupt our operations and have a material adverse effect on our business,
financial condition, results of operations, and prospects. If a natural disaster, power outage or other event occurred that prevented
us from using all or a significant portion of the Facilities, that damaged critical infrastructure, such as research facilities or the
manufacturing facilities of our contract manufacturers, or that otherwise disrupted operations, it may be difficult or, in certain cases,
impossible, for us to continue our business for a substantial period of time. We may incur substantial expenses as a result of the limited
nature of our disaster recovery and business continuity plans, which could have a material adverse effect on our business. In the event
of an accident or incident at the Facilities, we cannot assure our investors that the amounts of insurance payable, if any, will be sufficient
to satisfy any damages and losses. If the Facilities or the manufacturing facilities of our 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 may be harmed. Any business interruption may have a material adverse effect on our business, financial condition, results of
operations, and prospects.
Our quarterly operating results may fluctuate
significantly or may fall below the expectations of investors or securities analysts, each of which may cause our stock price to fluctuate
or decline.
We expect our operating results
to be subject to quarterly fluctuations. Our net loss and other operating results will be affected by numerous factors, including:
● variations in the level of expense related to the ongoing
development of our product candidates or future development programs;
● results of preclinical studies and clinical trials, or the
addition or termination of preclinical studies and clinical trials or funding support by us or potential future collaborators;
● our execution of any collaboration, licensing, or similar
arrangements, and the timing of payments we may make or receive under potential future arrangements or the termination or modification
of any of our existing or potential future collaboration, licensing, or similar arrangements;
● any intellectual property infringement, misappropriation
or violation lawsuit or opposition, interference or cancellation proceeding in which we may become involved;
● 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;
● if any of our product candidates receives regulatory approval,
the terms of such approval and market acceptance and demand for such product candidates;
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● regulatory developments affecting our product candidates
or those of our competitors; and
● changes in general market and economic conditions.
If our quarterly operating
results fall below the expectations of investors or securities analysts, the price of our Common Stock could decline substantially. Furthermore,
any quarterly fluctuations in our operating results may, in turn, cause the price of our stock to fluctuate substantially. We believe
that quarterly comparisons of our financial results are not necessarily meaningful and should not be relied upon as an indication of our
future performance.
We may be subject to claims that our employees,
consultants, or independent contractors have wrongfully used or disclosed confidential information of third parties.
We have received confidential and proprietary information from third
parties. In addition, we employ individuals who were previously employed at other biotechnology or pharmaceutical companies. We may be
subject to claims that we or our employees, consultants, or independent contractors have inadvertently or otherwise used or disclosed
confidential information of these third parties or our employees’ former employers, or that we caused an employee to breach the
terms of his or her non-competition or non-solicitation agreement. Litigation may be necessary to defend against these claims. Even if
we are successful in defending against these claims, litigation could result in substantial cost and be a distraction to our management
and employees. If our defenses to these claims fail, in addition to requiring us to pay monetary damages, a court could prohibit us from
using technologies or features that are essential to our product candidates, if such technologies or features are found to incorporate
or be derived from the trade secrets or other proprietary information of the former employers. Moreover, any such litigation or the threat
thereof may adversely affect our reputation, our ability to form strategic alliances or sublicense our rights to collaborators, engage
with scientific advisors or hire employees or consultants, each of which would have an adverse effect on our business, results of operations,
financial condition, and prospects. Even if we are successful in defending against such claims, litigation could result in substantial
costs and be a distraction to management.
Our management team is not subject to non-competition
restrictions if they terminate their employment with us.
The employment agreements with
Dr. Liu and Mr. Xu do not contain non-competition covenants limiting their ability to compete with us if they terminate their
employment. Although the employment agreements contain customary confidentiality and non-solicitation covenants, the departure of one
or more of the members of our management team, followed by such departing member competing with us could diminish our strategic advantages
and could have an adverse effect on our business, results of operations, financial condition, and prospects. In addition, Dr. Liu’s
employment agreement does not contain invention assignment provisions. As a result, any invention by Dr. Liu would remain his intellectual
property and we would have no right to ownership of such invention.
Risks Related to our Securities
Our Common Stock price may be volatile.
Our Common Stock price is likely
to be volatile. The market price for our Common Stock may be influenced by many factors, including the other risks described in this section
of the prospectus entitled “ Risk Factors ” and the following:
● Estrella’s ability to advance its current or potential
future product candidates into the clinic;
● results of preclinical studies and clinical trials for Estrella’s
current or potential future product candidates, or those of its competitors or potential future collaborators;
● regulatory or legal developments in the United States
and other countries, especially changes in laws or regulations applicable to Estrella’s future products;
● the success of competitive products or technologies;
● introductions and announcements of new products by Estrella,
its future commercialization collaborators, or its competitors, and the timing of these introductions or announcements;
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● actions taken by regulatory authorities with respect to Estrella
future products, clinical trials, manufacturing process or sales and marketing terms;
● actual or anticipated variations in Estrella’s financial
results or those of companies that are perceived to be similar to Estrella;
● the success of Estrella’s efforts to acquire or in-license
additional technologies, products, or product candidates;
● developments concerning any future collaborations, including,
but not limited to, those with any sources of manufacturing supply and future commercialization collaborators;
● market conditions in the pharmaceutical and biotechnology
sectors;
● announcements by Estrella or its competitors of significant
acquisitions, strategic alliances, joint ventures or capital commitments;
● developments or disputes concerning patents or other proprietary
rights, including patents, litigation matters and Estrella’s ability to obtain patent protection for its products;
● Estrella’s ability or inability to raise additional
capital and the terms on which it is raised;
● the recruitment or departure of key personnel;
● changes in the structure of healthcare payment systems;
● actual or anticipated changes in earnings estimates or changes
in stock market analyst recommendations regarding our Common Stock, other comparable companies or the industry generally;
● Estrella’s failure or the failure of its competitors
to meet analysts’ projections or guidance that Estrella or its competitors may give to the market;
● fluctuations in the valuation of companies perceived by investors
to be comparable to Estrella;
● announcement and expectation of additional financing efforts;
● speculation in the press or investment community;
● trading volume of our Common Stock;
● sales of our Common Stock by us or our stockholders, including
sales of shares registered for resale under this or other registration statements, which could create or increase an overhang in the
market.
● the concentrated ownership of our Common Stock;
● changes in accounting principles;
● terrorist acts, acts of war or periods of widespread civil
unrest;
● the
termination or non-renewal of key agreements, such as the Service Agreement with Eureka;
● natural disasters, public health crises and other calamities;
and
● general economic, industry and market conditions.
In addition, stock markets
in general, and the markets for pharmaceutical, biopharmaceutical and biotechnology companies in particular, have experienced significant
volatility in recent years, often unrelated to the operating performance of the underlying businesses. This type of broad market
and industry volatility may adversely affect the trading price of our Common Stock, regardless of our operating performance.
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If we fail to maintain compliance with Nasdaq
listing standards, our Common Stock could be delisted, which could adversely affect the trading price and liquidity of our Common Stock
and subject us to additional trading restrictions, including the “penny stock” rules.
Our Common Stock is currently
listed on the Nasdaq Capital Market. To maintain this listing, we must satisfy ongoing requirements, including, among others, the minimum
bid price requirement under Nasdaq Listing Rule 5550(a)(2), which requires a minimum bid price of $1.00 per share, and the minimum market
value of listed securities requirement under Nasdaq Listing Rule 5550(b)(2). On November 19, 2024, we received notices from Nasdaq that
we were not in compliance with the minimum bid price requirement and the requirement to maintain a minimum of $2,500,000 in stockholders’
equity. We regained compliance with both of these requirements on December 11, 2024.
Subsequently, in April 2025,
we received a notice from Nasdaq that we were not in compliance with the minimum bid price requirement, and in August 2025 we received
a notice that we were not in compliance with the minimum market value of listed securities requirement. In September 2025, Nasdaq notified
us that we had regained compliance with both of these listing standards and that these matters were closed.
Additionally, on January 7, 2026, we received a notice from Nasdaq that we are not in compliance with Nasdaq
Listing Rule 5620(a) because we have not yet held an annual meeting of shareholders within twelve months of the end of the transition
period ended December 31, 2024. We submitted a plan to regain compliance, which Nasdaq accepted on February 27, 2026, granting us an extension
until June 29, 2026, to hold a joint 2025/2026 annual meeting. There can be no assurance that we will be able to regain compliance within
the extension period granted. If we do not satisfy the terms, Nasdaq will provide written notification that our securities will be delisted,
at which time we may appeal to a Hearings Panel.
In addition, there can be no assurance that we will continue to satisfy
Nasdaq’s other listing requirements related to minimum bid price or market value of listed securities in the future. Our stock price
may again fall below the $1.00 minimum bid price requirement, or our market value of listed securities or other metrics may fall below
applicable thresholds. Nasdaq has recently adopted changes that may shorten the time available to regain compliance with the minimum bid
price requirement and restrict the use of reverse stock splits to cure bid-price deficiencies. If we are unable to regain or maintain
compliance with Nasdaq’s listing standards within the applicable cure periods, our Common Stock could be subject to delisting.
If our Common Stock is
delisted from Nasdaq and is not listed on another national securities exchange, our Common Stock may be quoted on an
over-the-counter market. In that event, we could become subject to the Securities and Exchange Commission’s “penny
stock” rules, which generally apply to securities trading below $5.00 per share that are not listed on a national securities
exchange. These rules impose additional disclosure and suitability obligations on broker-dealers that effect transactions in penny
stocks, including obtaining a customer’s written consent before a transaction in a penny stock, which could reduce the number
of broker-dealers willing to make a market in our Common Stock and may further limit the liquidity and trading volume of our shares.
As a result, delisting from Nasdaq could adversely affect the trading price of our Common Stock, make it more difficult for
stockholders to sell their shares, impair our ability to raise additional capital on acceptable terms or at all, and could have a
material adverse effect on our business, financial condition and results of operations.
Estrella may incur significant costs from
class action litigation due to the expected stock volatility.
The trading price of our Common
Stock may fluctuate for many reasons, including as a result of public announcements regarding the progress of development efforts for
our platform and product candidates, the development efforts of collaborators or competitors, the addition or departure of key personnel,
variations in our quarterly operating results, changes in market valuations of biopharmaceutical and biotechnology companies, changes
in overall market conditions, or other factors discussed in this “Risk Factors” section. This risk is especially relevant
to us because biopharmaceutical and biotechnology companies have experienced significant stock price volatility in recent years and
continue to be among the industries most frequently targeted in securities class action lawsuits. In the past, securities class action
litigation has often been brought against public companies following periods of volatility in the market price of their securities, including
life sciences companies whose stock prices declined after clinical, regulatory or financing developments. If any of our stockholders were
to bring a securities class action lawsuit against us, even if the claims are without merit, we could incur substantial costs defending
the action, and such litigation could divert the time and attention of our management and other personnel from operating our business,
which could harm our business, operating results, financial condition and cash flows.
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We are a “controlled company”
within the meaning of Nasdaq listing rules and, as a result, can rely on exemptions from certain corporate governance requirements that
provide protection to shareholders of other companies.
As a result of Eureka Therapeutics, Inc. holding more than 50% of the
voting power of our board of directors, we will be a “controlled company” within the meaning of Nasdaq’s listing rules.
Therefore, we are not required to comply with certain corporate governance rules that would otherwise apply to us as a listed company
on Nasdaq including the requirement that compensation committee and nominating and corporate governance committee be composed entirely
of “independent” directors (as defined by Nasdaq’s listing rules). As a “controlled company” the Estrella
Board is not required to include a majority of “independent” directors. We do not intend to rely on those exemptions. However,
we cannot guarantee that this may not change going forward.
Should the interests of Eureka
Therapeutics, Inc. differ from those of other stockholders, it is possible that the other shareholders might not be afforded such protections
as might exist if the board of directors of us, or such committees, were required to have a majority, or be composed exclusively, of directors
who were independent of Eureka Therapeutics, Inc. or our management.
Estrella is an “emerging growth company”
and it cannot be certain if the reduced disclosure requirements applicable to emerging growth companies will make our Common Stock less
attractive to investors and may make it more difficult to compare performance with other public companies.
Estrella is an emerging growth
company as defined in the JOBS Act, and it intends to take advantage of certain exemptions from various reporting requirements that are
applicable to other public companies that are not emerging growth companies, including not being required to comply with the auditor attestation
requirements of Section 404 of the Sarbanes-Oxley Act, reduced disclosure obligations regarding executive compensation in periodic
reports and proxy statements, and exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and
stockholder approval of any golden parachute payments not previously approved. Investors may find our Common Stock less attractive because
Estrella will continue to rely on these exemptions. If some investors find our Common Stock less attractive as a result, there may be
a less active trading market for our Common Stock, and the stock price may be more volatile.
An emerging growth company
may elect to delay the adoption of new or revised accounting standards. Section 102(b)(2) of the JOBS Act allows Estrella to
delay adoption of new or revised accounting standards until those standards apply to non-public business entities. As a result, the consolidated
financial statements contained in this Annual Report and those that Estrella will file in the future may not be comparable to companies
that comply with the effective dates of revised accounting standards for public entities.
Future sales and issuances of Common Stock
or rights to purchase Common Stock could result in additional dilution of the percentage ownership of Estrella stockholders and could
cause the price of our Common Stock to fall.
Significant additional capital
will be needed in the future to continue our planned operations, including further development of our product candidates, payments under
the Services Agreement in connection with preparing regulatory filings, conducting preclinical studies and clinical trials, commercialization
efforts, expanded research and development activities and costs associated with operating as a public company. To raise capital, we may
sell Common Stock, convertible securities or other equity securities in one or more transactions at prices and in a manner as determined
from time to time. If we sell Common Stock, convertible securities or other equity securities, investors may be materially diluted by
subsequent sales. Such sales may also result in material dilution to existing stockholders, and new investors could gain rights, preferences
and privileges senior to the holders of our Common Stock.
Pursuant to our 2023 Omnibus
Incentive Plan (the “2023 Plan”), our board of directors or a committee appointed by the board to administer the 2023 Plan
(the “Incentive Plan Administrator”) is authorized to grant stock options and other equity awards to our employees, directors
and consultants. Initially, 3,520,123 shares of Common Stock were authorized for issuance under the 2023 Plan. On January 1, 2024,
under the plan’s evergreen provision, the share reserve automatically increased by 1,941,293 shares, and on January 1, 2025,
it increased by an additional 1,920,444 shares. In addition, on the first trading day of each subsequent calendar year, beginning
with calendar year 2026, the share reserve will automatically increase by up to 5% of the total number of shares of Common Stock outstanding
as of the last day of the immediately preceding calendar year, unless the Incentive Plan Administrator acts prior to January 1
of such year to provide that there will be no increase or a lesser increase in the share reserve for that year. Unless the Incentive Plan
Administrator acts not to increase, or to reduce the increase in, the number of shares available for issuance under the 2023 Plan, our
stockholders may experience additional dilution, which could cause the price of our Common Stock to fall. In 2024, options to purchase
3,600,000 shares of our Common Stock were granted to our employees, members of our board of directors and other consultants under the
2023 Plan.
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Estrella’s issuance of
additional shares of common stock or other equity securities of equal or senior rank would, all else being equal, have the following effects:
● existing stockholders’ proportionate ownership interest
in Estrella would decrease;
● the amount of cash available per share, including for payment
of dividends in the future, may decrease;
● the relative voting strength of each previously outstanding
share of common stock would be diminished; and
● the market price of shares of Common Stock may decline.
Estrella’s internal control over financial
reporting may not prevent or detect all errors or acts of fraud.
Estrella must design its internal
control over financial reporting to reasonably assure that information we must disclose in reports we file or submit under the Exchange Act
is accumulated and communicated to management, and recorded, processed, summarized, and reported within the time periods specified in
the rules and forms of the SEC. We believe that any disclosure controls and procedures or internal controls and procedures, no matter
how well-conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met.
These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because
of simple error or mistake. For example, our directors or executive officers could inadvertently fail to disclose a new relationship or
arrangement causing us to fail to make a required related party transaction disclosure. Additionally, controls can be circumvented by
the individual acts of some persons, by collusion of two or more people or by an unauthorized override of the controls. Accordingly, because
of the inherent limitations in our control system, misstatements due to error or fraud may occur and not be detected.
Estrella has identified material weaknesses
in its internal control over financial reporting which, if not corrected, could affect the reliability of Estrella’s consolidated
financial statements, and have other adverse consequences.
In connection with the audits of Estrella’s consolidated financial
statements for the fiscal year ended December 31, 2025, and the six-month transition period ended December 31, 2024, material weaknesses
in Estrella’s internal control over financial reporting were identified in relation to Estrella’s lack of qualified full-time
personnel with appropriate levels of accounting knowledge and experience to address complex U.S. GAAP accounting issues and to prepare
and review consolidated financial statements and related disclosures under U.S. GAAP. A material weakness is a deficiency or combination
of deficiencies in internal control over financial reporting such that there is a reasonable possibility that a material misstatement
of our consolidated financial statements would not be prevented or detected on a timely basis.
The identified material
weaknesses, if not corrected, could result in a material misstatement to Estrella’s consolidated financial statements that may
not be prevented or detected.
The Company has implemented
certain changes in its internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act)
to remediate the material weaknesses identified in fiscal year ended June 30, 2023. The implementation of the material aspects of this
plan took place during 2025 and 2024. Additional qualified out-sourced personnel with appropriate levels of accounting knowledge and
experience to address U.S. GAAP accounting issues have been added to prepare and review financial statements and related disclosures
under U.S. GAAP. Non-routine transactions are analyzed by the chief financial officer and third-party consultants to ensure proper accounting
treatment. Narratives and policies for the Company’s business processes that relate to financial statements have been put in place
to establish proper segregation of duties and internal controls. While the Company has remediated certain previously identified material
weaknesses, our chief executive officer and chief financial officer concluded that as of December 31, 2025, our disclosure controls and
procedures were not effective at the reasonable assurance level. If Estrella fails to establish and maintain proper internal financial
reporting controls, its ability to produce accurate financial statements or comply with applicable regulations could be impaired.
Estrella is a public company in the United States subject to the Sarbanes-Oxley
Act of 2002. Section 404 of the Sarbanes-Oxley Act of 2002, or Section 404, requires that we include a report from management on our internal
control over financial reporting in our annual reports on Form 10-K. In addition, if Estrella ceases to be an “emerging growth company,”
our independent registered public accounting firm may be required to attest to and report on the effectiveness of our internal control
over financial reporting.
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If Estrella fails to implement
any required improvements to its disclosure controls and procedures to address any material weaknesses in its internal control over financial
reporting, such material weaknesses could result in inaccuracies in Estrella’s consolidated financial statements and could also
impair its ability to comply with applicable financial reporting requirements and related regulatory filings on a timely basis.
In addition, Estrella’s
reporting obligations may place a significant strain on its management, operational, and financial resources and systems for the foreseeable
future. Estrella may be unable to timely complete its evaluation testing and any required remediation.
Reports published by analysts, including
projections in those reports that differ from Estrella’s actual results, could adversely affect the price and trading volume of
our Common Stock.
Estrella currently expects
that securities research analysts will establish and publish their own periodic financial projections for the business of Estrella. These
projections may vary widely and may not accurately predict the results that Estrella will actually achieve. Estrella’s stock price
may decline if its actual results do not match the projections of these securities research analysts. Similarly, if one or more of the
analysts who write reports on Estrella downgrades its stock or publishes inaccurate or unfavorable research about its business, Estrella’s
stock price could decline. If one or more of these analysts ceases coverage of Estrella or fails to publish reports on Estrella regularly,
its stock price or trading volume could decline. If no analysts commence coverage of Estrella, the trading price and volume for our Common
Stock could be adversely affected.
The obligations associated with being a
public company will involve significant expenses and will require significant resources and management attention, which may divert from
Estrella’s business operations.
As a public company,
Estrella is subject to the reporting requirements of the Exchange Act and the Sarbanes-Oxley Act. The Exchange Act
requires the filing of annual, quarterly, and current reports with respect to a public company’s business and financial
condition. The Sarbanes-Oxley Act requires, among other things, that a public company establish and maintain effective internal
control over financial reporting. As a result, Estrella will incur significant legal, accounting, and other expenses that Estrella
did not previously incur as a private company prior to the Business Combination. Estrella’s entire management team and many of
its other current or future employees will be required to devote substantial time to compliance, and Estrella may not effectively or
efficiently manage its transition into a public company.
These rules and regulations
have and will continue to result in Estrella incurring substantial legal and financial compliance costs and will make some activities
more time-consuming and costly. For example, these rules and regulations make it more difficult and more expensive for Estrella to obtain
and maintain director and officer liability insurance, and it may be required to accept reduced policy limits and coverage or incur substantially
higher costs to obtain or maintain the same or similar coverage in the future. As a result, it may be difficult for Estrella to attract
and retain qualified people to serve on its board of directors, its board committees, or as executive officers.
Provisions in Estrella’s Amended Charter,
Estrella’s amended and restated bylaws (the “Amended Bylaws”) and Delaware law may have anti-takeover effects that could
discourage an acquisition of Estrella 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, which could depress the trading price of our Common Stock.
Estrella’s Amended Charter,
the Amended Bylaws, 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 you might otherwise
receive a premium for your shares. Estrella’s Amended Charter and the Amended Bylaws include provisions that:
● permit the Estrella Board to issue up to 10,000,000 shares
of preferred stock, with any rights, preferences, and privileges as they may designate, including the right to approve an acquisition
or other change of control;
● provide that the number of directors of Estrella may be changed
only by resolution of Estrella Board;
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● provide that, subject to the rights of any series of preferred
stock to elect directors, directors may be removed only for cause by the holders of two-thirds (66 and 2/3%) of the voting power of all
of the then outstanding shares of voting stock of Estrella entitled to vote generally at an election of directors;
● provide that all vacancies, subject to the rights of any
series of preferred stock, including newly created directorships, may, except as otherwise required by law, be filled exclusively by
the affirmative vote of a majority of the directors then in office, even though less than a quorum, or by a sole remaining director;
● provide that stockholders seeking to present proposals before
a meeting of stockholders or seeking to nominate candidates for election as directors at a meeting of stockholders must provide advance
notice in writing, and specify requirements as to the form and content of such notice;
● provide that special meetings of Estrella’s stockholders
may be called by the Estrella Board; and
● provide that the Estrella Board will be divided into three
classes of directors, with only one class of directors being elected each year and each individual director serving a three-year term,
therefore making it more difficult for stockholders to change the composition of the board of directors.
These provisions, alone or
together, could delay or prevent hostile takeovers and changes in control or changes in our management. These provisions could also limit
the price that investors might be willing to pay in the future for shares of our Common Stock, thereby depressing the market price of
our Common Stock.
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, 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 Estrella’s
Amended Charter, Amended Bylaws 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.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.