You should read the following discussion and analysis of our financial condition
and results of operations together with our financial statements and the related
notes included elsewhere in this Annual Report. Some of the information
contained in this discussion and analysis or set forth elsewhere in this Annual
Report, including information with respect to our plans and strategy for our
business and related financing, includes forward-looking statements that involve
risks and uncertainties. As a result of many factors, including those factors
set forth in the "Risk Factors" section of this Annual Report, our actual
results could differ materially from the results described in or implied by
these forward-looking statements.

Overview


We are a clinical-stage biopharmaceutical company developing a pipeline of novel
product candidates against validated molecular targets in indications of high
unmet medical need. We focus on molecules and pathways whose role in the disease
process is well known based on prior research, but have previously failed to
yield successful products due to poor efficacy and tolerability. Our unique
approach to drug development leverages recent technological advances to design
improved drugs, employs early use of biomarkers to confirm biological activity
and focuses on abbreviated regulatory pathways. Our first molecular target is
aldose reductase, or AR, an enzyme that converts glucose to sorbitol

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under oxidative stress conditions, and is implicated in multiple diseases. Prior
attempts to inhibit this enzyme were hindered by nonselective, nonspecific
inhibition, which resulted in limited efficacy and significant off-target safety
effects. The detrimental consequences of AR activation have been well
established by decades of prior research. Our AR program currently includes
three small molecules, which are all potent and selective inhibitors of AR, but
are engineered to have unique tissue permeability profiles to target different
disease states, including diabetic complications, heart disease and rare
metabolic diseases. Using similar strategies to our ARI program, we have also
developed a program targeting selective inhibition of phosphatidylinositol
3-kinase, or PI3K, subunits, which has produced an early-stage oncology
pipeline. The result of this unique multifaceted approach to drug development is
a portfolio of highly specific and selective product candidates that we believe
are significantly de-risked and can move quickly through the development
process.

AT-007 is a novel central nervous system, or CNS, penetrant ARI that we are
developing for the treatment of rare metabolic diseases, including Galactosemia,
a devastating rare pediatric metabolic disease that affects how the body
processes a simple sugar called galactose, and for which there is no known cure
or approved treatment available. The U.S. Food and Drug Administration, or FDA,
has granted both orphan drug designation and rare pediatric disease designation
to AT-007 for the treatment of Galactosemia and in June 2021, the FDA granted
Fast Track Designation to AT-007 for the treatment of Galactosemia. We have
completed an adult study in healthy volunteers and Galactosemia patients,
demonstrating that AT-007 is safe and well tolerated, and significantly reduces
plasma galactitol levels vs. placebo. Galactitol is a toxic metabolite of
galactose, which is formed in Galactosemia patients by aberrant activity of
aldose reductase when galactose is present at high levels. A pediatric study is
underway in children with Galactosemia, assessing the impact of AT-007 vs.
placebo on safety, biomarker reduction of galactitol, and long-term functional
outcomes. On April 13, 2021, we presented data featuring a cross-sectional
analysis of nineteen pediatric patients with Classic Galactosemia, providing
meaningful insight on the progressive worsening of the central nervous system
phenotype with age. On October 18, 2021 we reported biomarker data from the
pediatric ACTION-Galactosemia Kids study. The results demonstrate a substantial
reduction in plasma galactitol of approximately 40%, which was statistically
significant (p<0.001) vs. placebo. We previously reported a baseline analysis of
the 47 children enrolled in the study which demonstrated a clear correlation
between baseline galactitol levels and baseline clinical functional outcomes.
The long-term functional outcomes portion of the pediatric study is ongoing.

AT-007 is also being studied in a rare disease caused by Sorbitol Dehydrogenase
deficiency, called SORD deficiency. Aldose Reductase is the first enzyme in the
polyol pathway, converting glucose to sorbitol. AR is then followed by Sorbitol
Dehydrogenase, which converts sorbitol to fructose. Patients with SORD
deficiency accumulate very high levels of sorbitol in their cells and tissues as
a result of the enzyme deficiency, which results in tissue toxicities such as
peripheral neuropathy and motor neuron disease. Recent research in drosophila
and cell models of SORD deficiency demonstrated that treatment with an ARI that
blocks sorbitol production may provide benefit in this disease. Preclinical
studies on AT-007 have demonstrated significant reduction in sorbitol levels in
fibroblasts from SORD deficient patients. Treatment with AT-007 in the
drosophila model of SORD prevented the disease phenotype and protected from
neuronal degeneration. On October 25, 2021, we reported data from a pilot
open-label study in 8 SORD Deficiency patients. AT-007 reduced blood sorbitol
levels by approximately 66% from baseline through 30 days of treatment. AT-007
was safe and well tolerated in all treated patients. In December 2021 we
initiated a Phase 2/3 registrational study in patients with SORD Deficiency,
which will take place at multiple clinical sites in the US and Europe. We are in
the process of discussing regulatory requirements for approval in SORD
deficiency and plan to advance AT-007 towards registration for this indication.

We also plan to initiate a clinical development program on AT-007 in another
pediatric rare disease, called PMM2-CDG. PMM2-CDG is a glycosylation disorder
caused by deficiencies in the enzyme phosphomannomutase 2, which leads to CNS
symptoms similar to galactosemia, including low IQ, tremor, and speech and motor
problems. Aldose Reductase is over-activated in this disease as a compensatory
consequence of PMM2 deficiency, and a CNS penetrant ARI may be a compelling
clinical option. Initial data in fibroblast cell lines derived from PMM2-CDG
patients demonstrates that AT-007 treatment increases phosphomannomutase 2
activity. The FDA has granted pediatric rare disease designation and orphan
designation for AT-007 in PMM2-CDG.

AT-001 is a novel ARI with broad systemic exposure and peripheral nerve permeability that we are developing for the treatment of diabetic cardiomyopathy, or DbCM, a fatal fibrosis of the heart, for which no treatments are



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available. We completed a Phase 1/2 clinical trial evaluating AT-001 in
approximately 120 patients with type 2 diabetes, in which no drug-related
adverse effects or tolerability issues were observed. In September 2019, we
announced the initiation of a Phase 3 registrational trial of AT-001 in DbCM.
The study, called ARISE-HF, is designed to evaluate AT-001's ability to improve
or prevent the decline of functional capacity in patients with DbCM at high risk
of progression to overt heart failure. Although we did experience enrollment
delays in 2020 associated with the Covid-19 pandemic, modifications were made to
the trial to include additional sites and geographies to address
Covid-19-related issues.

AT-003 is a novel ARI designed to cross through the back of the eye when dosed
orally, and has demonstrated strong retinal penetrance, for the treatment of
diabetic retinopathy, or DR. DR is an ophthalmic disease that occurs in diabetic
patients and for which treatments are currently limited to high-cost biologics
requiring intravitreal administration. DR has been linked to AR activity,
including elevations in sorbitol and subsequent changes in retinal blood
vessels, which distorts vision and leads to permanent blindness.

AT-104 is a dual selective PI3K inhibitor in preclinical development for T Cell Acute Lymphoblastic Leukemia ("T-ALL"). AT-104 has demonstrated significant benefit in both in vitro and in vivo models of T-ALL. In September 2020 we received pediatric rare disease designation for AT-104 in T-ALL.



As we advance our product candidates forward in additional indications, such as
SORD deficiency, PMM2-CDG and retinopathy, we anticipate potential moderate
growth in our clinical development and operations teams to support the
additional clinical trials, as well as addition of a medical affairs team to
support the late stage indications and preparations for commercialization.

Since inception in 2016, our operations have focused on developing our product
candidates, organizing and staffing our company, business planning, raising
capital, establishing our intellectual property portfolio and conducting
clinical trials. We do not have any product candidates approved for sale and
have not generated any revenue.

We have incurred significant operating losses since inception in 2016. Our
ability to generate product revenue sufficient to achieve profitability will
depend on the successful development and commercialization of one or more of our
product candidates. Our net loss was $105.6 million for the year ended December
31, 2021. As of December 31, 2021, we had an accumulated deficit of $266.3
million. We expect to continue to incur significant expenses and increasing
operating losses for the foreseeable future in connection with our ongoing
activities. Furthermore, we expect to incur additional costs associated with
operating as a public company, including significant legal, accounting, investor
relations and other expenses. As of December 31, 2021, we had cash and cash
equivalents and short-term investments of $80.8 million.

January 2020 Secondary Public Offering


In January 2020, we issued and sold 2,741,489 shares of our common stock at a
public offering price of $45.50 per share, with an additional 411,223 shares
sold pursuant to the underwriters' full exercise of their option to purchase
additional shares in the Secondary Public Offering. We received aggregate
proceeds, net of underwriting discounts and commissions and offering costs of
$134.1 million.

February 2021 Secondary Public Offering


In February 2021, we issued and sold 3,000,000 shares of common stock at a
public offering price of $23.00 per share, with an additional 450,000 shares
sold pursuant to the underwriters' full exercise of their option to purchase
additional shares in the February Offering. We received aggregate proceeds, net
of underwriting discounts and commissions and offering costs of $74.4 million.

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Components of Our Results of Operations

Revenue



Since inception, we have not generated any revenue and do not expect to generate
any revenue from the sale of products in the near future. If our development
efforts for our product candidates are successful and result in regulatory
approval, or if we enter into collaboration or license agreements with third
parties, we may generate revenue in the future from a combination of product
sales or payments from collaboration or license agreements.

Operating Expenses

Research and Development Expenses



Research and development expenses consist primarily of costs incurred for our
research activities, including our discovery efforts and the development of our
product candidates, and include:

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

? compensation expense for employees engaged in research and development

functions;

? fees paid to consultants for services directly related to our product

development and regulatory efforts;

expenses incurred under agreements with contract research organizations, or

? CROs, as well as contract manufacturing organizations, or CMOs, and consultants

that conduct and provide supplies for our preclinical studies and clinical

trials;

? costs associated with preclinical activities and development activities;

? costs associated with our technology and our intellectual property portfolio;

and

? costs related to compliance with regulatory requirements.




We expense research and development costs as incurred. Costs for external
development activities are recognized based on an evaluation of the progress to
completion of specific tasks using information provided to us by our vendors.
Payments for these activities are based on the terms of the individual
agreements, which may differ from the pattern of costs incurred, and are
reflected in our financial statements as prepaid or accrued research and
development expenses.

Research and development costs also include costs incurred in connection with
certain licensing arrangements. Before a compound receives regulatory approval,
we record upfront and milestone payments made by us to third parties under
licensing arrangements as expense. Upfront payments are recorded when incurred,
and milestone payments are recorded when the specific milestone has been
achieved. Once a compound receives regulatory approval, we will record any
milestone payments in Identifiable intangible assets, less accumulated
amortization and, unless the asset is determined to have an indefinite life, we
will amortize the payments on a straight-line basis over the remaining agreement
term or the expected product life cycle, whichever is shorter.

Research and development activities are central to our business model. We expect
that our research and development expenses will continue to increase for the
foreseeable future as we continue clinical development for our product
candidates and continue to discover and develop additional product candidates.
If any of our product candidates enter into later stages of clinical
development, they will generally have higher development costs than those in
earlier stages of clinical development, primarily due to the increased size and
duration of later-stage clinical trials. Historically, we have incurred research
and development expenses that primarily relate to the development of AT-007,
AT-001 and our ARI program. As we advance our product candidates, we expect to
allocate our direct external research and development costs across each of the
indications or product candidates.

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The following table summarizes our research and development expenses for the years ended December 31, 2021 and 2020:



                                                         Year Ended
                                                       December 31,
(in thousands)                                        2021        2020
Product pipeline research and development expenses
AT-001                                              $ 22,861    $ 26,897
AT-007                                                30,669      25,753
Personnel-related expenses                             5,529       3,351
Stock-based compensation                               2,759       2,580
Other expenses                                           752       3,207
Total research and development expenses             $ 62,570    $ 61,788

General and Administrative Expenses

General and administrative expenses consist primarily of salaries and other related costs, including stock-based compensation, for personnel in our executive, finance, and commercial functions. General and administrative expenses also include professional fees for legal, accounting, auditing, tax and consulting services; travel expenses; and facility-related expenses, which include allocated expenses for rent and maintenance of facilities and other operating costs.


Commercial expenses consist of payroll expense for commercial personnel, as well
as marketing, market research, market access, and other focused investments to
support launch of drug candidates, generate evidence of commercial potential and
value proposition, and maximize potential business development deal leverage.
Commercial expenses are included in general and administrative expenses.

We expect that our general and administrative expenses will increase in the
future as we increase our general and administrative headcount to support our
continued research and development and potential commercialization of our
product candidates. We also expect to incur increased expenses associated with
being a public company, including costs of accounting, audit, legal, regulatory
and tax compliance services; director and officer insurance costs; and investor
and public relations costs.

Other Income (Expense), Net

Other income (expense), net consists of interest income (expense), net, and
other income (expense), net. Interest income (expense), net consists primarily
of our interest income on our cash and cash equivalents and marketable
securities. Other income (expense), net consists primarily of realized gains and
losses on sales of marketable securities.

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Results of Operations

The following table summarizes our results of operations:



                                       Years Ended

                                      December 31,
(in thousands)                     2021           2020
Operating expenses:
Research and development        $    62,570    $   61,788
General and administrative           43,048        32,678
Total operating expenses            105,618        94,466
Loss from operations              (105,618)      (94,466)
Other income (expense), net:
Interest income (expense), net          555           559
Other income (expense)                (521)          (54)
Other income (expense), net              34           505
Net loss                        $ (105,584)    $ (93,961)

Research and Development Expenses

The following table summarizes our research and development expenses:



                                                     Year Ended
                                                   December 31,
(in thousands)                                    2021        2020       Increase / (Decrease)
Clinical and pre-clinical                       $ 40,323    $ 28,736    $                11,587

Drug manufacturing and formulation                11,910      24,424       

           (12,514)
Personnel expenses                                 5,529       3,351                      2,178
Stock-based compensation                           2,759       2,580                        179
Regulatory and other                               2,049       2,697                      (648)

Total research and development expenses         $ 62,570    $ 61,788    $                   782


Research and development expenses for the year ended December 31, 2021 were $62.6 million, compared to $61.8 million for the year ended December 31, 2020. The increase of approximately $0.8 million was primarily related to:

an increase in clinical and pre-clinical expense of $11.6 million, primarily

? related to the progression of the AT-007 ACTION-Galactosemia adult extension

and the AT-007 ACTION-Galactosemia Kids pediatric registrational study;

a decrease in drug manufacturing and formulation expenses of $12.5 million

? primarily related to the completion and release of AT-001 and AT-007 drug

product batches in the three months ended March 31, 2021;

? an increase in personnel expenses of $2.2 million due to the increase in

headcount in support of our clinical program pipeline;

an increase in stock-based compensation of $0.2 million due to new stock option

? and restricted stock unit grants, offset by forfeitures of stock option and

restricted stock unit grants;

? a decrease of regulatory and other expenses of $0.6 million primarily related

to the UM license fees recognized during the year ended December 31, 2020.




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General and Administrative Expenses

The following table summarizes our general and administrative expenses:



                                                     Year Ended
                                                   December 31,
(in thousands)                                    2021        2020       Increase / (Decrease)
Legal and professional fees                     $  6,340    $  8,451    $               (2,111)
Commercial expenses                               11,341       5,746                      5,595
Personnel expenses                                 6,617       5,651                        966
Stock-based compensation                           8,418       5,446                      2,972
Insurance expenses                                 4,399       3,764                        635
Other expenses                                     5,933       3,620                      2,313

Total general and administrative expenses       $ 43,048    $ 32,678    $                10,370


General and administrative expenses were $43.0 million for the year ended December 31, 2021, compared to $32.7 million for the year ended December 31, 2020. The increase of approximately $10.4 million was primarily related to:

? a decrease in professional and legal fees of $2.1 million due to lower external

consulting and legal fees;

? an increase of $5.6 million related to increased commercial expenditures;

? an increase in personnel expenses of $1.0 million and an increase in

stock-based compensation of $3.0 million due to an increase in headcount;

? an increase of insurance expenses of $0.6 million related to increased

directors and officers liability insurance costs; and

? an increase in other expenses of $2.3 million, primarily relating to increased

costs of rent and other office expenses.

Other Income (Expense), Net



Other income (expense), net was income of approximately $34,000 for the year
ended December 31, 2021, compared to income of $0.5 million for the year ended
December 31, 2020. The decrease was primarily related to realized losses
incurred by our available-for-sale securities portfolio during the year ended
December 31, 2021.

Liquidity and Capital Resources



Since our inception through December 31, 2021, we have not generated any revenue
and have incurred significant operating losses and negative cash flows from our
operations. The accompanying financial statements have been prepared assuming
the continuation of the Company as a going concern. The Company has not yet
established an ongoing source of revenues sufficient to cover its operating
costs and is dependent on debt and equity financing to fund its operations. The
report of our independent registered public accounting firm on our financial
statements for the year ended December 31, 2021 includes an explanatory
paragraph regarding the existence of substantial doubt about our ability to
continue as a going concern. While we believe that our cash and cash equivalents
of $80.8 million at December 31, 2021 will be sufficient to fund our operations
through year end 2022, given our planned expenditures for the next several
years, we have concluded and our independent registered public accounting firm
has agreed with our conclusion that there is still a substantial doubt regarding
our ability to continue as a going concern.

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Cash Flows

The following table summarizes our cash flows for each of the periods presented:

                                                               Year Ended
                                                             December 31,
(in thousands)                                             2021          2020
Net cash used in operating activities                   $ (90,728)    $ 

(78,209)

Net cash provided by/(used in) investing activities 12,433 (19,469) Net cash provided by financing activities

                   74,717       

136,294

Net increase (decrease) in cash and cash equivalents $ (3,578) $ 38,616




Operating Activities

During the year ended December 31, 2021, operating activities used cash of
$90.7 million, due to our net losses of $105.6 million, a decrease in operating
lease liability of $0.4 million, a decrease in financed insurance premium of
$4.4 million, a decrease of $3.3 million in accrued expense, and a decrease in
prepaid expenses of $1.7 million. This is partially offset by increases of $8.8
million in accounts payable, $11.2 million in non-cash stock-based compensation
expense, and $4.3 million of amortization of insurance premium, and $0.4 million
in amortization of operating lease right-of-use assets.

During the year ended December 31, 2020, operating activities used cash of $78.2 million, primarily comprising cash research and development spending, related to increased clinical and pre-clinical activities, drug manufacturing and formulation development.

Investing Activities



Net cash provided by investing activities for the year ended December 31, 2021
was $12.4 million relating to our purchases of available-for-sale marketable
securities for $121.6 million and proceeds from the sale and maturities of
available-for-sale marketable securities for $134.0 million.

Net cash used in investing activities for the year ended December 31, 2020 was $19.5 million relating to our purchases of available-for-sale marketable securities for $134.7 million and proceeds from the sale and maturities of available-for-sale marketable securities for $115.2 million.

Financing Activities



During the year ended December 31, 2021, net cash provided by financing
activities was $74.7 million, primarily from the cash proceeds from the
secondary offering of $74.4 million, $0.5 million from the exercise of stock
options for common stock under the 2019 Plan, and $69,000 from the exercise of
warrants for common stock, and $4.4 million from the proceeds from financed
insurance premium. This was partially offset by the repayment of short-term
borrowings of $4.7 million.

In June 2020, we entered into an equity distribution agreement (the "2020 Equity
Distribution Agreement") with Goldman Sachs & Co. LLC as a sales agent, to sell
shares of our common stock, from time to time, having an aggregate offering
price of up to $100 million. As of December 31, 2021, we had received no
proceeds from the sale of shares of common stock pursuant to the 2020 Equity
Distribution Agreement. The 2020 Equity Distribution Agreement was terminated as
of January 24, 2022.

During the year ended December 31, 2020, net cash provided by financing activities was $136.3 million, primarily from the cash proceeds from the secondary offering of $134.1 million.



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Funding Requirements

We expect our expenses to increase substantially in connection with our ongoing
activities, particularly as we advance the preclinical activities and clinical
trials of our product candidates. We believe that our expenses may increase
significantly if and as we:

 ? continue the ongoing and planned development of our product candidates;

? initiate, conduct and complete any ongoing, anticipated or future preclinical

studies and clinical trials for our current and future product candidates;

? seek marketing approvals for any product candidates that successfully complete

clinical trials;

establish a sales, marketing, manufacturing and distribution infrastructure to

? commercialize any current or future product candidate for which we may obtain

marketing approval;

? seek to discover and develop additional product candidates;

? continue to build a portfolio of product candidates through the acquisition or

in-license of drugs, product candidates or technologies;

? maintain, protect and expand our intellectual property portfolio;

? hire additional clinical, regulatory and scientific personnel; and

add operational, financial and management information systems and personnel,

? including personnel to support our product development and planned future

commercialization efforts.

Furthermore, we have and expect to incur additional costs associated with operating as a public company, including significant legal, accounting, investor relations and other expenses.


Due to the numerous risks and uncertainties associated with the development of
our product candidates and programs, and because the extent to which we may
enter into collaborations with third parties for development of our product
candidates is unknown, we are unable to estimate the timing and amounts of
increased capital outlays and operating expenses associated with completing the
research and development of our product candidates. Our future funding
requirements, both near and long-term, will depend on many factors, including:

? the initiation, scope, progress, timing, costs and results of our ongoing and

planned clinical trials for our product candidates;

? the outcome, timing and cost of meeting regulatory requirements established by

the FDA and other comparable foreign regulatory authorities;

? the cost of filing, prosecuting, defending and enforcing our patent claims and

other intellectual property rights;

? the cost of defending potential intellectual property disputes, including

patent infringement actions;

? the achievement of milestones or occurrence of other developments that trigger

payments under the Columbia Agreements or other agreements we may enter into;

? the extent to which we are obligated to reimburse, or entitled to reimbursement

of, clinical trial costs under future collaboration agreements, if any;




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? the effect of competing technological and market developments;

? the cost and timing of completion of clinical or commercial-scale manufacturing

activities;

? the costs of operating as a public company;

? the extent to which we in-license or acquire other products and technologies;

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

all;

the cost of establishing sales, marketing and distribution capabilities for our

? product candidates in regions where we choose to commercialize our product

candidates, if approved; and

? the initiation, progress, timing and results of the commercialization our

product candidates, if approved, for commercial sale.

A change in the outcome of any of these variables with respect to the development of a product candidate could mean a significant change in the costs and timing associated with the development of that product candidate.



Until such time, if ever, that we can generate product revenue sufficient to
achieve profitability, we expect to finance our cash needs through offerings of
securities, PIPE, debt financings, collaborations or other strategic
transactions. The terms of financing may adversely affect the holdings or the
rights of our stockholders. Funding may not be available to us on acceptable
terms, or at all. If we are unable to obtain funding, we may be required to
delay, limit, reduce or terminate some or all of our research and product
development, product portfolio expansion or future commercialization efforts. 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.

Contractual Obligations and Commitments



The following table summarizes our contractual obligations as of December 31,
2021:

                                                             Payments Due By Period
                                                Less Than                                         More Than
(in thousands)                       Total       1 Year       1 to 3 Years      4 to 5 Years       5 Years

Operating lease commitments(1)      $ 1,446    $       507    $         939

   $            -    $          -
Total                               $ 1,446    $       507    $         939    $            -    $          -

(1) Represents future minimum lease payments under our operating leases for

office space.




Except as disclosed in the table above, we have no long-term debt or capital
leases and no material non-cancelable purchase commitments with service
providers, as we have generally contracted on a cancelable, purchase-order
basis. We enter into contracts in the normal course of business with CROs, CMOs
and other third parties for clinical trials, preclinical research studies and
testing and manufacturing services. These contracts are cancelable by us upon
prior notice. Payments due upon cancellation consist only of payments for
services provided or expenses incurred, including noncancelable obligations of
our service providers, up to the date of cancellation. These payments are not
included in the preceding table as the amount and timing of such payments are
not known.

We may incur potential contingent payments upon our achievement of clinical,
regulatory and commercial milestones, as applicable, or royalty payments that we
may be required to make under the 2016 and 2019 Columbia Agreements, the 2020
Miami License Agreement, the 2020 Miami Option Agreement, and the 2020 Miami
Research Agreement, pursuant to which we have in-licensed certain intellectual
property. Due to the uncertainty of the achievement and timing of the events
requiring payment under these agreements, the amounts to be paid by us are

not

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fixed or determinable at this time and are excluded from the table above. See the section titled "Business-Exclusive License Agreement with Columbia University" and "Business-License Agreement with University of Miami."

Critical Accounting Policies and Significant Judgments and Estimates


Our management's discussion and analysis of financial condition and results of
operations is based on our financial statements, which have been prepared in
accordance with U.S. generally accepted accounting principles, or U.S. GAAP. The
preparation of our financial statements and related disclosures requires us to
make estimates and assumptions that affect the reported amounts of assets and
liabilities, costs and expenses and the disclosure of contingent assets and
liabilities in our financial statements. We base our estimates on historical
experience, known trends and events and various other factors that we believe
are reasonable under the circumstances, the results of which form the basis for
making judgments about the carrying values of assets and liabilities that are
not readily apparent from other sources. We evaluate our estimates and
assumptions on an ongoing basis. Our actual results may differ from these
estimates under different assumptions or conditions.

While our significant accounting policies are described in greater detail in
Note 1 to our financial statements appearing elsewhere in this Annual Report, we
believe that the following accounting policies are those most critical to the
judgments and estimates used in the preparation of our financial statements.

Accrued Research and Development Expenses



We expense all costs incurred in performing research and development activities.
Research and development expenses include materials and supplies, preclinical
expenses, manufacturing expenses, contract services and other outside expenses.
As part of the process of preparing our financial statements, we are required to
estimate our accrued research and development expenses. We make estimates of our
accrued expenses as of each balance sheet date in the financial statements based
on facts and circumstances known to us at that time. There may be instances in
which payments made to our vendors will exceed the level of services provided
and result in a prepayment of the expense. In accruing service fees, we estimate
the time period over which services will be performed and the level of effort to
be expended in each period. If the actual timing of the performance of services
or the level of effort varies from the estimate, we adjust the accrual or the
amount of prepaid expenses accordingly. Although we do not expect our estimates
to be materially different from amounts actually incurred, our understanding of
the status and timing of services performed relative to the actual status and
timing of services performed may vary and may result in reporting amounts that
are too high or too low in any particular period. To date, there have not been
any material adjustments to our prior estimates of accrued research and
development expenses. Nonrefundable advance payments for goods or services to be
received in the future for use in research and development activities are
deferred and capitalized. The capitalized amounts are expensed as the related
goods are delivered or the services are performed.

Research and development costs also include costs incurred in connection with
certain licensing arrangements. Before a compound receives regulatory approval,
we record upfront and milestone payments made by us to third parties under
licensing arrangements as expense. Upfront payments are recorded when incurred,
and milestone payments are recorded when the specific milestone has been
achieved. Once a compound receives regulatory approval, we will record any
milestone payments in Identifiable intangible assets, less accumulated
amortization and, unless the asset is determined to have an indefinite life, we
will amortize the payments on a straight-line basis over the remaining agreement
term or the expected product life cycle, whichever is shorter.

Stock-Based Compensation

We account for our stock-based compensation as expense in the statements of operations based on the awards' grant date fair values. We account for forfeitures as they occur by reversing any expense recognized for unvested awards.



We estimate the fair value of options granted using the Black-Scholes option
pricing model. The Black-Scholes option pricing model requires inputs based on
certain subjective assumptions, including (a) the expected stock price
volatility, (b) the calculation of expected term of the award, (c) the risk-free
interest rate and (d) expected dividends. Due

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to a historical lack of a public market for our common stock and a lack of
company-specific historical and implied volatility data, we have based our
estimate of expected volatility on the historical volatility of a group of
similar companies that are publicly traded. The historical volatility is
calculated based on a period of time commensurate with the expected term
assumption. The computation of expected volatility is based on the historical
volatility of a representative group of companies with similar characteristics
to us, including stage of product development and life science industry focus.
We use the simplified method as allowed by the SEC Staff Accounting Bulletin
No. 107, Share-Based Payment, to calculate the expected term for options granted
as we do not have sufficient historical exercise data to provide a reasonable
basis upon which to estimate the expected term. The risk-free interest rate is
based on a treasury instrument whose term is consistent with the expected term
of the stock options. The expected dividend yield is assumed to be zero as we
have never paid dividends and have no current plans to pay any dividends on our
common stock. The fair value of stock-based payments is recognized as expense
over the requisite service period which is generally the vesting period.

Off-Balance Sheet Arrangements

We have not entered into any off-balance sheet arrangements and do not have any holdings in variable interest entities.

Recently Issued Accounting Pronouncements



A description of recently issued accounting pronouncements that may potentially
impact our financial position and results of operations is disclosed in Note 1
to our financial statements appearing elsewhere in this Annual Report.

Emerging Growth Company Status


The Jumpstart Our Business Startups Act of 2012 permits an "emerging growth
company" such as us to take advantage of an extended transition period to comply
with new or revised accounting standards applicable to public companies until
those standards would otherwise apply to private companies. We have irrevocably
elected to "opt out" of this provision and, as a result, we will comply with new
or revised accounting standards when they are required to be adopted by public
companies that are not emerging growth companies.

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