MARKER THERAPEUTICS, INC. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (form 10-K)

The following discussion of our financial condition, changes in financial
condition, plan of operations and results of operations should be read in
conjunction with (i) our audited consolidated financial statements as of
December 31, 2022 and December 31, 2021 and (ii) the section entitled
“Business”, included in this annual report. The discussion contains
forward-looking statements that involve risks, uncertainties and assumptions.
Our actual results may differ materially from those anticipated in these
forward-looking statements as a result of many factors.

Company Overview


We are a clinical-stage immuno-oncology company specializing in the development
and commercialization of novel T cell-based immunotherapies for the treatment of
hematological malignancies and solid tumor indications.  We developed our lead
product candidates from our multiTAA-specific T cell technology, which is based
on the manufacture of non-engineered, tumor-specific T cells that recognize
multiple tumor associated antigens, or TAAs. MultiTAA-specific T cells are able
to recognize multiple tumor targets to produce broad spectrum anti-tumor
activity.  When infused into a cancer patient, the multiTAA-specific T cells are
designed to kill cancer cells expressing the TAA targets and potentially recruit
the patient's immune system to participate in the cancer killing process.

We licensed the underlying technology for multiTAA-specific T cell therapy from
BCM in March 2018. BCM had utilized the therapy in seven exploratory clinical
trials. In these studies, BCM treated over 150 patients suffering from a variety
of cancers including lymphoma, multiple myeloma, acute myeloid leukemia, acute
lymphoblastic leukemia, pancreatic cancer, breast cancer and various sarcomas.
In those studies, BCM saw evidence of clinical benefit, expansion of infused
cells, epitope spreading, and decreased toxicity compared to other cellular
therapies.

We are advancing three product candidates as part of our multiTAA-specific T
cell program for:

1. autologous treatment of lymphoma, and selected solid tumors

2. allogeneic T cells for the treatment of acute myeloid leukemia, or AML

3. off-the-shelf products in various indications

Our current clinical development programs are:

? MT-401 for the treatment of post-transplant AML, currently in a Phase 2

clinical trial

? MT-401-OTS for the treatment of AML, for which we expect to dose the first

patient in a Phase 2 clinical trial in 2023

? MT-601 for the treatment of pancreatic cancer, for which we have a cleared IND

from the FDA to initiate a Phase 1 trial in the fourth quarter of 2023

? MT-601 for the treatment of lymphoma, for which we have a cleared IND from the

FDA and initiated a Phase 1 trial in the first quarter of 2023



We believe that the simplicity of our manufacturing process allows additional
modifications to expand multiTAA-specific T cell recognition of cancer targets.
For example, we are currently analyzing the potential for a 12-antigen
multiTAA-specific T cell therapy and assessing the potential for combination
therapies for our multiTAA-specific T cell products.

We have positioned ourselves to be in full control of our research and
development and clinical manufacturing needs by establishing a fully validated,
FDA registered, manufacturing facility. We believe that this has key advantages
that distinguish us from our competitors, particularly because we are less
reliant on contract manufacturing organizations, which are expensive and often
have long lead times, shortages of skilled labor and a backlog of customers.

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Reverse Stock Split

On May 24, 2022, we held our annual meeting of stockholders at which our
stockholders approved a proposal to effect an amendment to our certificate of
incorporation, as amended, to implement a reverse stock split at a ratio within
a range between and including one-for three (1:3) and one-for-twelve (1:12) and
a corresponding reduction in the total number of authorized shares of our common
stock. On January 24, 2023, our board of directors approved the filing of a
certificate of amendment to our amended and restated certificate of
incorporation (the "Amendment") with the Secretary of State of the State of
Delaware to affect the one-for-ten (1:10)  Reverse Stock Split of our
outstanding common stock and a reduction in the total number of authorized
shares of our common stock from 300,000,000 to 30,000,000 (the "Shares
Reduction"). The Amendment became effective at 5:00 p.m. Eastern Time on January
26, 2023.

Pursuant to the Amendment, at the effective time of the Amendment, every ten
(10) shares of our issued and outstanding common stock was automatically
combined into one (1) issued and outstanding share of common stock and the
authorized shares of our common stock was reduce from 300,000,000 to 30,000,000,
without any change in par value per share. The Reverse Stock Split affected all
shares of our common stock outstanding immediately prior to the effective time
of the Amendment. No fractional shares were issued as a result of the Reverse
Stock Split. Stockholders of record who would otherwise be entitled to receive a
fractional share received a cash payment in lieu thereof. As a result of the
Reverse Stock Split, proportionate adjustments were made to the per share
exercise price and/or the number of shares issuable upon the exercise or vesting
of all stock options and warrants issued by us and outstanding immediately prior
to the effective time of the Amendment, which resulted in a proportionate
decrease in the number of shares of our common stock reserved for issuance upon
exercise or vesting of such stock options and warrants and a proportionate
increase in the exercise price of all such stock options and warrants. In
addition, the number of shares reserved for issuance under our equity
compensation plans immediately prior to the effective time of the Amendment were
reduced proportionately. All share and per share amounts of common stock
presented in this Annual Report on Form 10-K have been retroactively adjusted to
reflect the one-for-10 (1:10) Reverse Stock Split.

Financial Overview

Research and Development Expenses


To date, our research and development expenses have related primarily to the
development of our clinical platform and the identification and development of
our product candidates. Clinical and research and development expenses consist
of expenses incurred in performing research and development activities, cost of
our clinical trials, including compensation, share-based compensation expense
and benefits for research and development employees and consultants, facilities
expenses, overhead expenses, cost of supplies, manufacturing expenses, fees paid
to third parties and other outside expenses.

Clinical costs are expensed as incurred. Costs and timing of clinical trials and
development of our product candidates will depend on a variety of factors that
include, but are not limited to, the following:

? per patient clinical trial costs;

? the number of patients that participate in the clinical trials;

? the number of sites included in the clinical trials;

? the length of time required to enroll eligible patients;

? the number of doses that patients receive;

? the drop-out or discontinuation rates of patients;

? potential additional safety monitoring or other studies requested by regulatory

agencies;

? the duration of patient follow-up;

? the efficacy and safety profile of the product candidates; and


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? the ability to successfully manufacture patient doses.



In addition, the potential for success of each product candidate will depend on
numerous factors, including clinical trial outcomes, acceptance by regulatory
authorities, competition, manufacturing capability and commercial viability. We
determine which programs to pursue and how much to fund each program in response
to ongoing scientific assessments, competitive developments, clinical trial
results, as well as an assessment of each product candidate's commercial
potential. We anticipate our research and development costs will continue to
increase over the next several years due to increased spending on the clinical
development and manufacturing of our product candidates.

General and Administrative Expenses

General and administrative expenses consist primarily of salaries and other
related costs, including share-based compensation, for personnel in executive,
finance, accounting, business development, legal and human resources functions.
Other significant costs include facility costs not otherwise included in
research and development expenses, legal fees relating to patent and corporate
matters, insurance costs and professional fees for consultancy, accounting,
audit and investor relations.

We anticipate that our general and administrative expenses will increase in the
future to support our continued research and development activities, and the
potential commercialization of our product candidates.

Income Taxes

We did not recognize any income tax expense for the years ended December 31,
2022
and 2021.


Other Income (Expense)

Other income (expense), net consists of interest income and arbitration
settlement expenses.

Results of Operations For the Years Ended December 31, 2022 and 2021


The following table summarizes the results of our operations (rounded to the
thousand except for per share amounts) for the years ended December 31, 2022 and
2021, together with the changes to those items:

                                                 For the Years Ended
                                                    December 31,
                                                2022              2021                  Change
Revenues:
Grant income                               $    3,514,000    $    1,242,000    $   2,272,000        183 %
Related party service revenue                   5,500,000                 -        5,500,000        100 %
Total revenues                                  9,014,000         1,242,000        7,772,000        626 %
Operating expenses:
Research and development                       26,139,000        27,795,000      (1,656,000)        (6) %
General and administrative                     12,820,000        12,925,000        (105,000)        (1) %
Total operating expenses                       38,959,000        40,720,000      (1,761,000)        (4) %
Loss from operations                         (29,946,000)      (39,478,000)        9,532,000       (24) %
Other income (expense):
Arbitration settlement                          (233,000)       (2,407,000)
       2,174,000       (90) %
Interest income                                   248,000             6,000          242,000      4,033 %
Net loss                                   $ (29,931,000)    $ (41,879,000)    $  11,948,000       (29) %

Net loss per share, basic and diluted $ (3.58) $ (5.47)

    $        1.89       (35) %
Weighted average number of common
shares outstanding                              8,351,000         7,651,000          700,000          9 %


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Revenue

We did not generate any revenue during the years ended December 31, 2022 and
2021, respectively, from the sales or licensing of our product candidates.

In August 2021, we received notice of a Product Development Research award
totaling approximately $13.1 million from the Cancer Prevention and Research
Institute of Texas
, or CPRIT, to support our Phase 2 clinical trial of MT-401.

During the years ended December 31, 2022 and 2021, respectively, we recognized
$3.4 million and $1.2 million of revenue associated with the CPRIT grant.


On September 13, 2022, we received notice from the FDA that we had been awarded
a $2.0 million grant from the FDA's Orphan Products Grant program to support our
Phase 2 clinical trial of MT-401 for the treatment of post-transplant AML.
During the year ended December 31, 2022, we recognized $0.1 million of revenue
associated with the FDA grant.

In April 2022, we entered into a binding services agreement, or the Service
Agreement, with Wilson Wolf. Pursuant to the Services Agreement, Wilson Wolf
made a cash payment to us in the amount of $8.0 million, as consideration for
certain training and research services. During the year ended December 31, 2022,
we recognized $5.5 million of revenue associated with the Services agreement.

Operating Expenses

Operating expenses incurred during the fiscal year ended December 31, 2022 were
$39.0 million compared to $40.7 million in the prior year. Significant changes
and expenditures in operating expenses are outlined as follows:

Research and Development Expense

Research and development expenses decreased by 6% to $26.1 million for the year
ended December 31, 2022, compared to $27.8 million for the year ended December
31, 2021.

The decrease of $1.7 million in 2022 was primarily attributable to the
following:

o decrease of $1.7 million in sponsored research and consulting expenses from BCM

agreements,

o decrease of $1.4 million in process development expenses,

o decrease of $0.6 million in technology licensing fees due to termination of

Mayo license agreements, described below,

o decrease of $0.3 million in consulting expenses,

o decrease of $0.2 million in stock-based compensation expenses, offset by

o increase of $1.5 million in headcount-related expenses as we increased the

number of research and development personnel,

o increase of $0.7 million in depreciation expense due to increased capital

investments, and

o increase of $0.3 million in vaccine-based clinical trial expenses related to

the termination of the Mayo license agreements, described below.

Included in research and development expenses are expenses related to agreements
with BCM.


In November 2018 and February 2020, we entered in Sponsored Research Agreements
with BCM, which provided for the conduct of research for us by credentialed
personnel at BCM's Center for Cell and Gene Therapy.  During the years ended
December 31, 2022 and 2021, we incurred $0 and $0.03 million of expenses related
to these agreements, respectively.

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In September 2019, we entered in a Clinical Supply Agreement with BCM, which
provided for BCM to provide to us multi tumor antigen specific products.  During
the years ended December 31, 2022 and 2021, we incurred $0.7 million and $1.2
million related to this agreement, respectively.

In October 2019, we entered in a Workforce Grant Agreement with BCM, which
provided for BCM to provide to us manpower costs of projects for manufacturing,
quality control testing and validation run activities.  During the years ended
December 31, 2022 and 2021, we incurred $0.4 million and $1.1 million related to
this agreement, respectively.

In August 2020, we entered in a Clinical Trial Agreement with BCM, which
provided for BCM to provide to us investigator-initiated research studies.

During the years ended December 31, 2022 and 2021, we incurred $0 and $0.5
million
related to this agreement, respectively.

In October 2022, we and Mayo Foundation for Medical Education and Research, or
Mayo, mutually agreed to terminate the (i) Patent and Know-How License Agreement
dated March 25, 2012, the (ii) License and Assignment Agreement dated July 21,
2015, and the (iii) License and Assignment Agreement effective May 4, 2016,
which we collectively refer to as the License Agreements, in accordance with and
subject to the terms of those agreements, pursuant to which Mayo granted the
Company license grants to patent rights, know-how and materials in each of the
License Agreements (as defined therein) that were directed to our peptide-based
immunotherapeutic vaccine programs.

Under the terms of the termination, the License Agreements are of no further
force or effect. All license grants under the License Agreements are terminated
and all rights therein revert to Mayo. We also will assign Mayo all of the INDs
covered under the License Agreements, including any interest in any clinical
trials relating to any IND.

General and Administrative Expenses


General and administrative expenses decreased by 1% to $12.8 million for the
year ended December 31, 2022 from $12.9 million during the prior period. The
decrease in general and administrative expenses of $0.1 million mainly comprised
the following:

o increase of $0.6 million in severance expense related to headcount reductions,

o increase of $0.5 million in advisory and professional fees,

o increase of $0.1 million in other general and administrative expenses, offset

by

o decrease of $0.1 million in other headcount-related expenses,

o decrease of $0.5 million in stock-based compensation,

decrease of $0.4 million in rent and utility expenses, in part due to the

o termination of our office lease at 3200 Southwest Freeway, Suite 2500 in

Houston, and

o decrease of $0.3 million in recruiting expenses.



In August 2022, we implemented changes to our organizational structure as part
of an operational cost reduction plan to conserve our available capital by
reducing headcount in our general and administrative function by approximately
23.5%, including the separation of the Company's Chief Financial Officer.

Other Income /(Expense)

Arbitration settlement


An arbitration proceeding was brought against us before the Financial Industry
Regulatory Authority, Inc., or FINRA by a broker seeking to be paid compensation
for two financing transactions that occurred in 2018, a warrant conversion and a
private placement, each brokered by another broker.  The broker's claims were
based on a placement agent agreement for a private placement it brokered in

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2017, under which it alleged it was entitled to compensation for the 2018
transactions. The FINRA panel found in favor of the broker and awarded the
broker $2.4 million for compensation, interest and attorney fees.  As of
December 31, 2021, we recorded an accrual of $2.4 million in accrued liabilities
on our consolidated balance sheet and a $2.4 million charge to other expenses.
On September 17, 2021, the broker filed a petition to confirm the FINRA
arbitration award in the Supreme Court of New York for the County of New York.
 We removed the case to the United States District Court for the Southern
District of New York on September 27, 2021.  On October 22, 2021, we filed a
motion in federal court to vacate the award.  On March 9, 2022, we were notified
that our motion to vacate the award was denied and the broker was awarded an
additional $0.1 million in interest.  Post judgment interest accrued at 1.02%
until the judgment was paid.  We paid the $2.5 million judgment on March 24,
2022.  On January 4, 2023, we were notified that the broker was awarded an
additional $0.1 million in attorneys' fees, which we recorded to other expenses
during fiscal year ending December 31, 2022. We paid the $0.1 million on January
9, 2023.

Interest Income

Interest income was $0.2 million and $6,000 for the years ended December 31,
2022 and 2021, respectively, and was attributable to interest income relating to
funds that are held in U.S. Treasury notes and U.S. government agency-backed
securities.

Net Loss

The decrease in our net loss during the year ended December 31, 2022 compared to
the year ended December 31, 2021 was due to higher grant income and related
party service revenue, cost reductions in our research and development
activities and moderate stabilization of our clinical trial activities. We
anticipate that we will continue to incur net losses in the future as we
continue to invest in research and development activities, including clinical
development of our multiTAA T cell product candidates.

Liquidity and Capital Resources


We have not generated any revenues from the sales or licensing of our product
candidates since inception and only have limited revenue associated with grants.
We have financed our operations primarily through public and private offerings
of our stock and debt including warrants and the exercise thereof.

The following table sets forth our cash, cash equivalents and restricted cash
and working capital as of December 31, 2022 and 2021:


                                               December 31,       December 

31,

                                                   2022               2021
Cash, cash equivalents and restricted cash    $    11,782,000    $    43,497,000
Working capital                               $     8,837,000    $    33,081,000


Cash Flows

The following table summarizes our cash flows for the years ended December 31,
2022 and 2021:

                                                                   For the Years Ended
                                                                      December 31,
                                                                  2022              2021
Net cash provided by (used in):
Operating activities                                         $ (26,972,000)    $ (27,280,000)
Investing activities                                            (4,945,000)       (3,131,000)
Financing activities                                                202,000        52,556,000
Net (decrease) increase in cash, cash equivalents and
restricted cash                                              $ (31,715,000)    $   22,145,000


Operating Activities

Net cash used in operating activities during the year ended December 31, 2022
was $27.0 million. The use of cash primarily related to our net loss of $29.9
million and a $5.8 million decrease from changes in assets and liabilities. This
was in addition to $5.3 million of

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stock-based compensation, $2.8 million of depreciation expense, $0.9 million of
right-of-use asset amortization and lease liability accretion and a $0.3 million
gain on lease termination.

Net cash used in operating activities during the year ended December 31, 2021
was $27.3 million. The use of cash primarily related to our net loss of $41.9
million and a $5.5 million increase from changes in assets and liabilities. This
was in addition to $6.0 million of stock-based compensation, $2.1 million of
depreciation expense and $1.0 million of right-of-use asset amortization and
lease liability accretion.

Investing Activities
Net cash used in investing activities was $4.9 million and $3.1 million for the
purchase of property and equipment and construction in progress for the years
ended December 31, 2022 and 2021, respectively. This included the purchase of
$1.5 million and $1.6 million of property and equipment as well as $3.5 million
and $1.6 million for the purchase of construction in progress for the years
ended December 31, 2022 and 2021 respectively.

Purchases of property and equipment for the year ended December 31, 2022 were
predominantly comprised of laboratory equipment along with $0.1 million of
computers, software and equipment and $0.1 million of furniture and fixtures.
$3.5 million of purchases in construction in progress related to a second
modular cleanroom and the continued buildout of our manufacturing facility.

Purchases of property and equipment for the year ended December 31, 2021 were
comprised of $1.0 million in laboratory equipment, $0.2 million of computers,
software and equipment and $0.3 million of furniture and fixtures and $0.1
million of leasehold improvements. $1.6 million of purchases in construction in
progress related to a second modular cleanroom and the continued buildout of our
manufacturing facility.

Financing Activities

Net cash provided by financing activities was $0.2 million and $52.6 million
during the years ended December 31, 2022 and 2021, respectively. primarily due
to the net proceeds received from sales from the ATM Agreement (as defined
below) in 2022 and the underwritten public offering in 2021.

Future Capital Requirements


To date, we have not generated any revenues from the commercial sale of approved
drug products, and we do not expect to generate substantial revenue for at least
the next several years. If we fail to complete the development of our product
candidates in a timely manner or fail to obtain their regulatory approval, our
ability to generate future revenue will be compromised. We do not know when, or
if, we will generate any revenue from our product candidates, and we do not
expect to generate significant revenue unless and until we obtain regulatory
approval of, and commercialize, our product candidates. We expect our expenses
to increase in connection with our ongoing activities, particularly as we
continue the research and development of, continue or initiate clinical trials
of and seek marketing approval for our product candidates. In addition, if we
obtain approval for any of our product candidates, we expect to incur
significant commercialization expenses related to sales, marketing,
manufacturing and distribution. We anticipate that we will need substantial
additional funding in connection with our continuing operations. If we are
unable to raise capital when needed or on attractive terms, we could be forced
to delay, reduce or eliminate our research and development programs or future
commercialization efforts.

On March 16, 2021, the Company issued an aggregate of 3,228,286 shares of its
common stock, for net proceeds of $52.6 million, pursuant to an underwritten
public offering.

In August 2021, the Company received notice of a Product Development Research
award totaling approximately $13.1 million from the CPRIT to support the
Company's Phase 2 clinical trial of MT-401.  The CPRIT award is intended to
support the adjuvant arm of the Company's Phase 2 clinical trial evaluating
MT-401 when given as an adjuvant therapy to patients with acute myeloid leukemia
following a hematopoietic stem cell transplant. The primary objectives of the
adjuvant arm of the trial are to evaluate relapse-free survival after MT-401
treatment when compared with a randomized control group.  Through the date of
this filing, the Company has received $4.8 million of funds from the CPRIT
grant. The Company recorded $3.4 million of grant income related to the CPRIT
grant as revenue for the year ended December 31, 2022.

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On April 21, 2022, the Company entered into a binding Services Agreement, dated
April 12, 2022 (see Note 9), with Wilson Wolf. Mr. John Wilson is a member of
the Company's board of directors and is serving as the CEO of Wilson Wolf,
therefore Wilson Wolf is a related party. Wilson Wolf is in the business of
creating products and services intended to simplify and expedite the transition
of cell therapies and gene-modified cell therapies to mainstream society.
Pursuant to the Services Agreement, Wilson Wolf made a cash payment to the
Company in the amount of $8.0 million. For the year ending December 31, 2022,
the Company recognized $5.5 million of revenue pursuant to the Services
Agreement and at December 31, 2022, the Company recorded $2.5 million of related
party deferred revenue on its consolidated balance sheet.

On September 13, 2022, the Company received notice from the FDA that it had
awarded the Company a $2.0 million grant from the FDA's Orphan Products Grant
program to support the Company's Phase 2 clinical trial of MT-401 for the
treatment of post-transplant AML. The Company recorded $0.1 million of grant
income related to the FDA grant as revenue for the year ended December 31, 2022
and at December 31, 2022, the Company recorded $0.1 million of grant income
receivable. On March 13, 2023, the Company received $0.1 million of funds from
the FDA grant.

As of December 31, 2022, we had working capital of $8.8 million, compared to
working capital of $33.1 million as of December 31, 2021. Operating expenses
incurred during the fiscal year ended December 31, 2022 were $39.0 million
compared to $40.7 million in the prior year.  Based on our revised clinical and
research and development plans and our revised timing expectations related to
the progress of our programs, we expect that our cash and cash equivalents as of
December 31, 2022 will enable us to fund our operating expenses and capital
expenditure requirements into the third quarter of 2023.  We have based this
estimate on assumptions that may prove to be wrong, and we could utilize our
available capital resources sooner than we currently expect. Furthermore, our
operating plan may change, and we may need additional funds sooner than planned
in order to meet operational needs and capital requirements for product
development and commercialization. Because of the numerous risks and
uncertainties associated with the development and commercialization of our
product candidates and the extent to which we may enter into additional
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
clinical trials. Our future funding requirements will depend on many factors, as
we:

? initiate or continue clinical trials of our product candidates;

continue the research and development of our product candidates and seek to

? discover additional product candidates; seek regulatory approvals for our

product candidates if they successfully complete clinical trials;

? continue development of our manufacturing capabilities and our manufacturing

facility;

establish sales, marketing and distribution infrastructure and scale-up

? manufacturing capabilities to commercialize any product candidates that may

receive regulatory approval;

? evaluate strategic transactions we may undertake; and

enhance operational, financial and information management systems and hire

? additional personnel, including personnel to support development of our product

candidates and, if a product candidate is approved, our commercialization

efforts.



Because all of our product candidates are in the early stages of clinical and
preclinical development and the outcome of these efforts is uncertain, we cannot
estimate the actual amounts necessary to successfully complete the development
and commercialization of product candidates or whether, or when, we may achieve
profitability. Until such time, if ever, that we can generate substantial
product revenue, we expect to finance our cash needs through a combination of
equity or debt financings and collaboration arrangements.

We plan to continue to fund our operations and capital funding needs through
equity and/or debt financing. We may also consider new collaborations or
selectively partner our technology. To the extent that we raise additional
capital through the sale of equity or convertible debt securities, the ownership
interests of our stockholders will be diluted, and the terms may include
liquidation or other preferences that adversely affect the rights of our
existing stockholders' common stock. The incurrence of indebtedness would result
in increased fixed payment obligations and could involve certain restrictive
covenants, such as limitations on our ability to incur additional debt,
limitations on our ability to acquire or license intellectual property rights
and other operating restrictions that could adversely impact

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our ability to conduct our business. If we raise additional funds through
strategic partnerships and alliances and licensing arrangements with third
parties, we may have to relinquish valuable rights to our technologies or
product candidates or grant licenses on terms unfavorable to us. We may also be
required to pay damages or have liabilities associated with litigation or other
legal proceedings involving our company.

In addition to the foregoing, based on our current assessment, we do not expect
any material impact on our long-term liquidity due to the COVID-19 pandemic.
However, we will continue to assess the effect of the pandemic on our
operations. Further, the COVID-19 pandemic, decades-high inflation and concerns
about an economic recession in the United States or other major markets has
resulted in, among other things, volatility in the capital markets that may have
the effect of reducing our ability to access capital, which could in the future
negatively affect our liquidity. In addition, a recession or market correction
due to these factors could materially affect our business and the value of
our
common stock.

ATM Agreement

In August 2021, we entered into a Controlled Equity OfferingSM Sales Agreement,
or the ATM Agreement, with Cantor Fitzgerald & Co. and RBC Capital Markets, LLC,
or the Sales Agents, pursuant to which we can offer and sell, from time to time
at our sole discretion through the Sales Agents, shares of our common stock
having an aggregate offering price of up to $75.0 million. Any shares of our
common stock sold will be issued pursuant to our shelf registration statement on
Form S-3 (File No. 333-258687), which the SEC declared effective on August 19,
2021; however, our use of the shelf registration statement on Form S-3 will be
limited for so long as we are subject to General Instruction I.B.6 of Form S-3,
which limits the amounts that we may sell under the registration statement and
in accordance with the ATM agreement. The Sales Agents will be entitled to
compensation under the Sales Agreement at a commission rate equal to 3.0% of the
gross sales price per share sold under the ATM Agreement, and we have provided
each of the Sales Agents with indemnification and contribution rights. During
the year ended December 31, 2022, we sold 60,651 shares of our common stock
under the ATM Agreement for net proceeds of $0.2 million.

Stock Purchase Agreement

On December 12, 2022, we entered into a purchase agreement, or the Purchase
Agreement, with Lincoln Park Capital Fund, LLC, or Lincoln Park, which provides
that, upon the terms and subject to the conditions of the agreement, we have the
right, but not the obligation, to sell to Lincoln Park up to $25,000,000 of
shares of our common stock, or the Purchase Shares, from time to time over a
24-month term, at a variable price with certain market-based terms as defined in
the agreement. The purchase agreement does not exhibit any of the
characteristics for liability classification under ASC Topic 480, Distinguishing
Liabilities from Equity.  During the year ended December 31, 2022, we did not
sell any shares of our stock under the Purchase Agreement.  In January 2023,
Lincoln Park was issued 180,410 shares of stock as a commitment fee at a value
of $0.5 million.

Going Concern

We have no sources of revenue to provide incoming cash flows to sustain our
future operations. As outlined above, our ability to pursue our planned business
activities is dependent upon our successful efforts to raise additional capital.

These factors raise substantial doubt regarding our ability to continue as a
going concern within one year after the date that the financial statements are
issued. Our consolidated financial statements have been prepared on a going
concern basis, which implies that we will continue to realize our assets and
discharge our liabilities in the normal course of business. Our financial
statements do not include any adjustments to the recoverability and
classification of recorded asset amounts and classification of liabilities that
might be necessary should we be unable to continue as a going concern.

Critical Accounting Policies and Estimates

The consolidated financial statements are prepared in conformity with U.S. GAAP,
which require the use of estimates, judgments and assumptions that affect the
reported amounts of assets and liabilities, the disclosure of contingent
liabilities at the date of the financial statements, and the reported amounts of
expenses in the periods presented.

On an ongoing basis, we evaluate our estimates and judgments, including those
related to accrued expenses and stock-based compensation. We base our estimates
on historical experience and on various other assumptions that we believe to be
reasonable under

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the circumstances, the results of which form the basis for making judgments
about the carrying values of assets and liabilities and the reported amounts of
expenses that are not readily apparent from other sources. Actual results could
differ from those estimates, particularly given the significant social and
economic disruptions and uncertainties associated with the ongoing coronavirus
pandemic and the COVID-19 control responses.

Property and Equipment


Leasehold improvements, furniture, equipment and software are recorded at cost
and are depreciated using the straight-line method over the estimated useful
lives of the related assets, which range from three to five years. Leasehold
improvements are amortized over the shorter of the estimated useful life or the
remaining lease term.

Property and equipment – Construction in Progress

In June 2020, the Company entered into a lease for a manufacturing facility in
Houston, Texas. In connection with the manufacturing facility, the Company has
incurred costs pursuant to an agreement with a vendor to design, engineer, build
and install modular cleanrooms in a manufacturing facility.  The facility's
construction was completed during December 2020, and a certificate of occupancy
was delivered to the Company in January 2021, and as such was placed into
service in January 2021.  All costs associated with the buildout were recorded
as either manufacturing equipment and/or leasehold improvements and amortized
over the estimated useful life of the asset and/or leasehold lease.

During the third and fourth quarters of 2021, and in connection with the
Company's manufacturing facility in Houston, Texas, the Company incurred $2.2
million of costs pursuant to an agreement with a vendor to build and eventually
install a second modular cleanroom.  Such costs were recorded in fixed assets -
construction in progress on the balance sheet as of December 31, 2021. Upon
completion and installation of the modular cleanroom in 2022, all costs
associated with the buildout, including $1.9 million of costs incurred during
the first quarter of 2022, were recorded as manufacturing equipment and
amortized over the estimated useful life.

Impairment Testing of Long-Lived Assets and Right-Of-Use Assets

Management reviews long-lived assets (including property and equipment) and
right-of-use assets for assets under operating leases for impairment whenever
events or changes in circumstances indicate that their carrying amount may not
be recoverable. Recoverability of assets is determined by first grouping the
long-lived assets at the lowest level for which there are identifiable cash
flows, and then comparing the carrying value of each asset group to its
forecasted undiscounted cash flows. If the evaluation of the forecasted cash
flows indicates that the carrying value of the assets is not recoverable, an
impairment charge is recognized for the amount in excess of the carrying amount
over its fair value. The Company performed a test for recoverability related to
its manufacturing facility in Houston, Texas at December 31, 2022 and concluded
that the carrying value of its long-lived assets was recoverable.

Stock-Based Compensation

The Company incurs stock-based compensation expense related to the issuance of
common stock and stock options. The Company estimates the fair value of stock
options granted using the Black-Scholes option pricing model. The Black-Scholes
option pricing model was developed for use in estimating the fair value of
traded options, which have no vesting restrictions and are fully transferable.
In addition, option valuation models require the input of highly subjective
assumptions, including the expected stock price volatility and expected option
life:

Expected Term - The expected life of stock options was estimated using the
"simplified method," as the Company has limited historical information to
develop reasonable expectations about future exercise patterns and post-vesting
employment termination behavior for its stock options grants. The simplified
method is based on the average of the vesting tranches and the contractual
life
of each grant.


Expected Volatility – The Company computes stock price volatility over expected
terms based on its historical common stock trading prices.

Risk-Free Interest Rate - The Company bases the risk-free interest rate on the
implied yield available on U. S. Treasury zero-coupon issues with an equivalent
remaining term.

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Expected Dividend - The Company has never declared or paid any cash dividends on
its common shares and does not plan to pay cash dividends in the foreseeable
future, and, therefore, uses an expected dividend yield of zero in its valuation
models.

The Company amortizes the fair value of the awards expected to vest on a
straight-line basis over the requisite service period of the awards.  The
Company recognizes fair value of stock options granted to nonemployees as
stock-based compensation expense over the period in which the related services
are received as if the Company had paid cash for those services.  Forfeitures
are accounted for as incurred.

Grant Income


Grant Income represents funding under cost reimbursement programs from
government agencies and non-profit foundations for qualified research and
development activities performed by the Company. In applying the provisions of
ASC Topic 606, Revenue from Contracts with Customers ("ASC 606"), we determined
that grants and awards are out of the scope of ASC 606 because the funding
entities do not meet the definition of a "customer", as defined by ASC 606, as
there is not considered to be a transfer of control of goods or services. With
respect to each grant or award, the Company determines if it has a collaboration
in accordance with ASC Topic 808, Collaborative Arrangements ("ASC 808"). To the
extent the grant or award is within the scope of ASC 808, the Company recognizes
the award upon achievement of certain milestones as credits to research and
development expenses. For grant and awards outside the scope of ASC 808, the
Company applies ASC 606 by analogy, and revenue is recognized when the Company
incurs expenses related to the grants for the amount the Company is entitled to
under the provisions of the contract.

In August 2021, we received notice of a Product Development Research award
totaling approximately $13.1 million from CPRIT to support our Phase 2 clinical
trial of MT-401.


The Company determined that the CPRIT Contract is not in the scope of ASC 808 or
ASC 606. In accordance with ASC 730-20-25-8, the financial risk associated with
the research and development has been transferred to CPRIT, because repayment of
the grant depends solely on the results of research and development having
future economic benefit. The Company accounts for this arrangement as a contract
to perform research and development for others and applies ASC 606 by analogy.

The Company recognizes grant income when amounts eligible for reimbursement are
determinable and have been incurred, the applicable conditions under the grant
arrangements have been met, and collectability of amounts due is reasonably
assured or already received. The classification of costs incurred related to
grants is based on the nature of the activities performed by the Company. Grant
Income is recognized when the related costs are incurred.  Restricted cash
received from grants in advance of incurring qualifying costs is recorded as
deferred revenue and recognized as revenue when qualifying costs are incurred.
Qualifying grant income earned in advance of cash received from grants is
recognized as revenue and recorded as other receivable.  During the fourth
quarter of 2021, the Company received $2.4 million advancement of funds in
relation to the CPRIT grant.   The Company recorded $3.4 million of grant income
related to the CPRIT grant as revenue for the year ended December 31, 2022.

At

December 31, 2022, the Company recorded $2.3 million of grant income receivable,
which represented grant income earned in advance of the next tranche of funds to
be received from CPRIT.  In January 2023, the Company received $2.4 million from
CPRIT.

On September 13, 2022, the Company received notice from the FDA that it had
awarded the Company a $2.0 million grant from the FDA's Orphan Products Grant
program to support the Company's Phase 2 clinical trial of MT-401 for the
treatment of post-transplant AML. The Company recorded $0.1 million of grant
income related to the FDA grant as revenue for the year ended December 31, 2022
and at December 31, 2022, the Company recorded $0.1 million of grant income
receivable. On March 13, 2023, the Company received $0.1 million of funds from
the FDA grant.

Off-Balance Sheet Arrangements


We have not entered into any off-balance sheet arrangements that have or are
reasonably likely to have a current or future effect on our financial condition,
changes in financial condition, revenues, expenses, results of operations,
liquidity, capital expenditures or capital resources that is material to
investors.

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Tax Loss and Credit Carryforwards


As of December 31, 2022, we have approximately $135.2 million of federal and
$38.5 million of state net operating loss carryforwards that may be available to
offset future taxable income, if any. The federal net operating loss
carryforwards of $41.6 million, if not utilized, will expire between 2029 and
2037. The federal net operating loss carryforwards of $93.6 million generated in
2018 and thereafter are subject to an 80% limitation on taxable income, do not
expire and will carry forward indefinitely. The state net operating loss
carryforwards of $21.9 million, if not utilized, will begin to expire in 2035.
The state net operating loss carryforwards of $16.6 million generated in 2018
and thereafter are subject to an 80% limitation on taxable income, do not expire
and will carry forward indefinitely.  Any change in ownership greater than 50%
under Section 382 of the Internal Revenue Code places significant annual
limitations on the use of such net operating loss carryforwards.

At December 31, 2022 and 2021, we recorded a 100% valuation allowance against
our deferred tax assets of approximately $41.4 million and $36.4 million,
respectively, as our management believes it is uncertain that they will be fully
realized. If we determine in the future that we will be able to realize all or a
portion of our net operating loss carryforwards, an adjustment to valuation
allowance against our deferred tax assets would increase net income in the
period in which we make such a determination.

Inflation


Inflation affects the cost of raw materials, goods and services that we use. In
recent years, inflation has been modest. However, fluctuations in energy costs
and commodity prices can affect the cost of all raw materials and components.
The competitive environment somewhat limits our ability to recover higher costs
resulting from inflation by raising prices. Although we cannot precisely
determine the effects of inflation on our business, it is management's belief
that the effects on future revenues and operating results will not be
significant. We do not believe that inflation has had a material impact on our
results of operations for the periods presented, except with respect to
payroll-related costs and other costs arising from or related to
government-imposed regulations.

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