Item 1.01 Entry into a Material Definitive Agreement.

On October 27, 2021, Adhera Therapeutics, Inc. (the "Company") and an institutional investor who holds two convertible promissory notes (the "Notes") agreed to extend the maturity date of each of the Notes by six months. The $220,500 Note issued in August 2021 had its maturity date extended to February 17, 2023 and the $66,500 Note issued in June 2021 had its maturity date extended to December 25, 2022.

Item 2.03. Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant.

The information set forth in Item 1.01 of this Current Report on Form 8-K is hereby incorporated by reference into this Item 2.03 in its entirety.

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