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ACTUATE THERAPEUTICS, INC. (ACTU)

CIK: 0001652935. SIC: 2834 Pharmaceutical Preparations. Latest 10-K as of: 2026-03-26.

SIC breadcrumb: Manufacturing > Chemicals And Allied Products > SIC 2834 Pharmaceutical Preparations

SEC company page: https://www.sec.gov/edgar/browse/?CIK=1652935. Latest filing source: 0001683168-26-002257.

Informational only - descriptive public-record data, not investment advice.

Business

Read ACTU's verbatim Item 1 Business section from its latest 10-K: Business.

Risk Factors

Read ACTU's verbatim Item 1A Risk Factors from its latest 10-K: Risk Factors.

Selected Fundamentals

MetricValueUnitFYFiled
Net income-22,227,852USD20252026-03-26
Assets14,035,910USD20252026-03-26

Financials

Annual standardized facts from SEC companyfacts as of latest extracted filing date 2026-03-26. Source: https://data.sec.gov/api/xbrl/companyfacts/CIK0001652935.json. Derived margins, ratios, and free cash flow are computed from the extracted annual SEC facts.

Download these verified figures (annual + quarterly, with per-value filing provenance): JSON · CSV

Flow metrics use full-year FY periods from 10-K/10-K/A filings; balance-sheet metrics use FY-end instants. Free cash flow = operating cash flow - capital expenditures. Missing metrics are omitted rather than fabricated.

Metric2022202320242025
Net income-24,744,620-27,285,328-22,227,852
Operating income-24,973,829-25,160,734-22,495,312
Diluted EPS-17.24-3.26-1.06
Operating cash flow-21,625,167-21,842,648-19,206,253
Assets2,995,5669,318,44814,035,910
Liabilities8,443,6759,214,2626,111,907
Stockholders' equity-75,305,432-99,626,513104,1867,924,003
Cash and cash equivalents8,641,62213,159,423

Ratios

ROE and ROA use period-end equity/assets. Liabilities / equity uses total liabilities divided by stockholders' equity. Current ratio uses current assets divided by current liabilities when both are reported.

Metric2022202320242025
Return on equity-280.51%
Return on assets-158.36%
Liabilities / equity88.440.77
Current ratio0.431.052.39

Industry Peer Context

Each number-line places ACTU against the min, median, and max of latest reported values among companies in the same SIC industry when at least three peers report that ratio.

ROE peer context

ACTU ROE versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 2834; peer count 170.ACTU ROE versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 2834; peer count 170.170 SIC peersMin -441.6%Median -31.4%Max 128.7%ACTU -280.5%

ROA peer context

ACTU ROA versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 2834; peer count 186.ACTU ROA versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 2834; peer count 186.186 SIC peersMin -163.7%Median -21.9%Max 71.5%ACTU -158.4%

Financial Charts

ACTU net income, last 3 periods. Source: SEC companyfacts FY2025.ACTU net income, last 3 periods. Source: SEC companyfacts FY2025.ACTU Net incomeLatest point: FY2025 = -$22.2MSource: SEC companyfacts FY2025.Fiscal yearNet income-$250.0M-$125.0M$0.0BFY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001683168-26-002257; filed 2026-03-26. Concept: NetIncomeLoss. Source concepts: us-gaap:NetIncomeLoss.

ACTU operating income, last 3 periods. Source: SEC companyfacts FY2025.ACTU operating income, last 3 periods. Source: SEC companyfacts FY2025.ACTU Operating incomeLatest point: FY2025 = -$22.5MSource: SEC companyfacts FY2025.Fiscal yearOperating income-$250.0M-$125.0M$0.0BFY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001683168-26-002257; filed 2026-03-26. Concept: OperatingIncomeLoss. Source concepts: us-gaap:OperatingIncomeLoss.

ACTU diluted eps, last 3 periods. Source: SEC companyfacts FY2025.ACTU diluted eps, last 3 periods. Source: SEC companyfacts FY2025.ACTU Diluted EPSLatest point: FY2025 = -$1.06/shareSource: SEC companyfacts FY2025.Fiscal yearDiluted EPS (USD/share)-$20.00/share-$10.00/share$0.00/shareFY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001683168-26-002257; filed 2026-03-26. Concept: EarningsPerShareDiluted. Source concepts: us-gaap:EarningsPerShareDiluted.

ACTU operating cash flow, last 3 periods. Source: SEC companyfacts FY2025.ACTU operating cash flow, last 3 periods. Source: SEC companyfacts FY2025.ACTU Operating cash flowLatest point: FY2025 = -$19.2MSource: SEC companyfacts FY2025.Fiscal yearOperating cash flow-$250.0M-$125.0M$0.0BFY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001683168-26-002257; filed 2026-03-26. Concept: NetCashProvidedByUsedInOperatingActivities. Source concepts: us-gaap:NetCashProvidedByUsedInOperatingActivities.

ACTU assets, last 3 periods. Source: SEC companyfacts FY2025.ACTU assets, last 3 periods. Source: SEC companyfacts FY2025.ACTU AssetsLatest point: FY2025 = $14.0MSource: SEC companyfacts FY2025.Fiscal yearAssets$0.0B$125.0M$250.0M$3.0MFY2023$9.3MFY2024$14.0MFY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001683168-26-002257; filed 2026-03-26. Concept: Assets. Source concepts: us-gaap:Assets.

ACTU liabilities, last 3 periods. Source: SEC companyfacts FY2025.ACTU liabilities, last 3 periods. Source: SEC companyfacts FY2025.ACTU LiabilitiesLatest point: FY2025 = $6.1MSource: SEC companyfacts FY2025.Fiscal yearLiabilities$0.0B$125.0M$250.0M$8.4MFY2023$9.2MFY2024$6.1MFY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001683168-26-002257; filed 2026-03-26. Concept: Liabilities. Source concepts: us-gaap:Liabilities.

ACTU stockholders' equity, last 4 periods. Source: SEC companyfacts FY2025.ACTU stockholders' equity, last 4 periods. Source: SEC companyfacts FY2025.ACTU Stockholders' equityLatest point: FY2025 = $7.9MSource: SEC companyfacts FY2025.Fiscal yearStockholders' equity-$250.0M$0.0B$250.0MFY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001683168-26-002257; filed 2026-03-26. Concept: StockholdersEquity. Source concepts: us-gaap:StockholdersEquity.

ACTU cash and cash equivalents, last 2 periods. Source: SEC companyfacts FY2025.ACTU cash and cash equivalents, last 2 periods. Source: SEC companyfacts FY2025.ACTU Cash and cash equivalentsLatest point: FY2025 = $13.2MSource: SEC companyfacts FY2025.Fiscal yearCash and cash equivalents$0.0B$125.0M$250.0M$8.6MFY2024$13.2MFY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001683168-26-002257; filed 2026-03-26. Concept: CashAndCashEquivalentsAtCarryingValue. Source concepts: us-gaap:CashAndCashEquivalentsAtCarryingValue.

Quarterly

Quarterly standardized facts from SEC companyfacts as of latest extracted filing date 2026-05-14. Source: https://data.sec.gov/api/xbrl/companyfacts/CIK0001652935.json.

Flow metrics use discrete quarter-length periods from 10-Q/10-Q/A filings. Q4 revenue and net income are derived only when annual FY and nine-month YTD facts exist for the same fiscal year; derived Q4 values are labeled. EPS Q4 is not derived.

QuarterEnd DateRevenueNet IncomeDiluted EPSMethod
2024-Q22024-03-31-8,296,059reported discrete quarter
2024-Q22024-06-30-4.20reported discrete quarter
2024-Q32024-06-30-6,572,219reported discrete quarter
2024-Q32024-09-30-0.55reported discrete quarter
2024-Q42024-12-31-6,446,089derived Q4 = FY annual - nine-month YTD
2025-Q12025-03-31-6,317,024-0.32reported discrete quarter
2025-Q22025-03-31-6,317,024reported discrete quarter
2025-Q22025-06-30-0.30reported discrete quarter
2025-Q32025-06-30-5,949,405reported discrete quarter
2025-Q32025-09-30-0.25reported discrete quarter
2025-Q42025-12-31-4,553,953derived Q4 = FY annual - nine-month YTD
2026-Q12026-03-31-5,625,749-0.24reported discrete quarter

Quarterly Charts

ACTU quarterly net income, last 8 periods. Source: SEC companyfacts 2026-Q1.ACTU quarterly net income, last 8 periods. Source: SEC companyfacts 2026-Q1.ACTU Quarterly Net incomeLatest point: 2026-Q1 = -$5.6MSource: SEC companyfacts 2026-Q1.Fiscal quarterQuarterly Net income-$250.0M-$125.0M$0.0B2024-Q22024-Q32024-Q42025-Q12025-Q22025-Q32025-Q42026-Q1

Figure provenance: SEC companyfacts. Latest point: FY 2026 ended 2026-03-31; accession 0001683168-26-003909; filed 2026-05-14. Concept: NetIncomeLoss. Source concepts: us-gaap:NetIncomeLoss.

ACTU quarterly diluted eps, last 6 periods. Source: SEC companyfacts 2026-Q1.ACTU quarterly diluted eps, last 6 periods. Source: SEC companyfacts 2026-Q1.ACTU Quarterly Diluted EPSLatest point: 2026-Q1 = -$0.24/shareSource: SEC companyfacts 2026-Q1.Fiscal quarterQuarterly Diluted EPS (USD/share)-$6.00/share-$3.00/share$0.00/share2024-Q22024-Q32025-Q12025-Q22025-Q32026-Q1

Figure provenance: SEC companyfacts. Latest point: FY 2026 ended 2026-03-31; accession 0001683168-26-003909; filed 2026-05-14. Concept: EarningsPerShareDiluted. Source concepts: us-gaap:EarningsPerShareDiluted.

Macro Cross-References

Latest quarter (10-Q)

Latest 10-Q source: 0001683168-26-003909.

Extracted structurally from real Item 2 body heading to real Item 3/4 boundary. Confidence: high. Filing date: 2026-05-14. Report date: 2026-03-31.

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion and
analysis of the financial condition and results of our operations should be read together with the financial statements and related notes
of Actuate Therapeutics, Inc. included in Part I Item 1 of this Quarterly Report on Form 10-Q (“Quarterly Report” or
“Report”) and with our audited consolidated financial statements and the related notes thereto for the year ended December
31, 2025, filed with the Securities and Exchange Commission (the “SEC”) on March 26, 2026.

This discussion and analysis
contains forward-looking statements reflecting our management’s current expectations that involve risks, uncertainties and assumptions.
See the section entitled “Cautionary Note Regarding Forward-Looking Statements.” Our actual results and the timing of events
may differ materially from those described in or implied by these forward-looking statements due to a number of factors, including those
discussed below and elsewhere in this Report, particularly those set forth under “Risk Factors.”

Business Overview

We are a clinical stage biopharmaceutical
company focused on developing therapies for the treatment of high impact, difficult to treat cancers through the inhibition of glycogen
synthase kinase-3 (“GSK-3”). We are developing elraglusib, an ATP-competitive small molecule that is designed to enter cancer
cells and block the function of the enzyme glycogen synthase kinase-3 beta (“GSK-3β”), a master regulator of complex
biological signaling cascades, including those mediated by oncogenes, that lead to tumor cell survival, growth, migration, and invasion.
We believe that the blockade of GSK-3β signaling ultimately results in the death of the cancer cells and the regulation of anti-tumor
immunity. There are no approved high-affinity inhibitors of GSK-3β, and we believe elraglusib is one of the most advanced GSK-3β
inhibitors in clinical development.

We have exclusively licensed elraglusib,
a proprietary and patent protected GSK-3 inhibitor developed in a collaboration between The Board of Trustees of the University of Illinois-Chicago
(“UIC”) and Northwestern University (“NU”).

We believe elraglusib represents
a “pipeline in a molecule” with a broad opportunity for us to potentially initiate and advance multiple drug development programs
around our lead asset based on its multimodal mechanisms of action, data emerging from completed or ongoing clinical studies and nonclinical
biological, cellular, and animal data. Animal tumor model data, clinical study data and AI-based computational approaches have identified
a number of areas of unmet clinical need in cancer treatment where elraglusib may play an interventional role, including pancreatic, metastatic
melanoma, lung, colon, breast, renal, and ovarian cancer, leukemias and lymphomas, as well as some pediatric cancers including Ewing sarcoma,
neuroblastoma and pediatric leukemias.

To date, we have treated over
500 patients with elraglusib as an IV injection (“Elraglusib Injection”) in Phase 1 and Phase 2 studies. We have also developed
an oral formulation of elraglusib (“Elraglusib Oral Tablet”), which we believe will allow us to pursue a number of cancer
indications with a more convenient dose delivery option for patients with the ability to dose patients on a daily basis. We filed an Investigational
New Drug (“IND”) application with the FDA in April 2026 to advance the Elraglusib Oral Tablet into a Phase 1/2 clinical study
to identify the maximum tolerated dose and Recommended Phase 2 Dose (“RP2D”) in adult patients with advanced, refractory cancers
and we recently received FDA clearance to proceed with the Phase 1/2 clinical study. Once we have determined a RP2D, several Phase 2 or
registrational studies have been identified for further clinical development of Elraglusib Oral Tablet, subject to additional funding,
based on data from previous studies, including but not limited to, first-line metastatic pancreatic ductal adenocarcinoma (“mPDAC”),
refractory, metastatic melanoma, refractory, metastatic colorectal cancer, and non-small cell lung cancer.

Column 1Column 2
17

In addition, we have generated
promising results with a once weekly IV infusion of elraglusib in first-line treatment of patients with mPDAC. Our Phase 2 study in mPDAC,
known as Actuate-1801 Part 3B study, is a randomized, controlled Phase 2 study that enrolled 286 patients with no prior systemic treatment
for metastatic disease. The primary endpoint for this study was median overall survival (“mOS”), with overall survival (“OS”)
summarized throughout the study by estimates of 1-year survival. Updated data results presented at the American Society of Clinical Oncology
(“ASCO”) Genitourinary Cancers Symposium (“ASCO GI”) in January 2026 utilizing a data cutoff as of November 22,
2025 showed that the study met its primary endpoint, demonstrating a statistically significant improvement in mOS with elraglusib plus
gemcitabine/nab-paclitaxel (“GnP”) versus GnP alone. Data presented at ASCO GI included:

·Statistically significant benefit in mOS in the elraglusib/GnP arm vs GnP control arm (mOS 10.1 months vs. 7.2 months, p=0.02, HR=0.62);
·Near doubling of the 12-month survival rate, from 22.3% in the GnP arm to 44.4% in the elraglusib/GnP arm; and
·Almost fivefold increase in 24-month survival rate, from 2.6% in the GnP control arm to 12.9% in the elraglusib/GnP arm, emphasizing the potential for long-term clinical benefit.

While these data are impressive
with once weekly dosing, we believe we can further improve the outcome of patients using the Elraglusib Oral Tablet at the RP2D, including
a more frequent dosing regimen to be identified in the Phase 1 study. We believe this strategy will further align with other new approaches
to treating mPDAC with investigational products that are delivered orally to patients. In addition, the safety profile of elraglusib in
over 500 patients to date shows the product is well tolerated as a monotherapy and in combination with chemotherapy. We believe this will
allow the Elraglusib Oral Tablet to be combined with other investigational products, including but not limited to RAS and MEK inhibitors,
where possible additive or synergistic mechanisms of action may potentiate better outcomes for patients treated with combination therapy
including elraglusib.

In addition to our development plans for the Elraglusib
Oral Tablet, we have advanced the Elraglusib Injection in pediatric cancer patients with recurrent/refractory solid cancers. This study,
Actuate-1902, is a Phase 1/2 study that evaluated escalating doses of elraglusib as a single agent as well as in combination with irinotecan
or cyclophosphamide/topotecan in the Phase 1 portion of the study. Patients in this Actuate-1902 study also experienced a number of objective
responses in the combination chemotherapy arms, and based on this data, we identified Ewing sarcoma and neuroblastoma as possible new
indications for further development of Elraglusib Injection, pending additional funding primarily focused on non-dilutive sources or capital,
further expanding the potential use and positive therapeutic impact of elraglusib.

Components of Our Results of Operations

Our operating expenses consist
of (i) research and development expenses and (ii) general and administrative expenses.

Research and Development Expenses

Research and development expenses
consist primarily of external and internal costs incurred in performing clinical and nonclinical development activities. Our external
research and development costs primarily consists of the cost incurred under agreements with hospitals to treat and monitor patients enrolled
in our clinical studies, contract research organizations and contract manufacturers, consultants and other third parties to conduct and
support our clinical studies and nonclinical studies. Our internal research and development costs primarily include research and development
personnel-related expenses such as employee compensation, benefits, employer taxes, insurance, and stock-based compensation.

We expense research and development
costs as incurred. We currently only have one product candidate, elraglusib. Therefore, since our inception, substantially all of our
research and development costs were related to the development of elraglusib. We track research and development expenses on an aggregate
basis and not on an indication-by-indication or treatment setting-by-treatment setting basis.

Column 1Column 2
18

Although research and development
activities are central to our business model, the successful development of elraglusib and any future product candidates is highly uncertain.
There are numerous factors associated with the successful development of any product candidate such as elraglusib, including future study
design and various regulatory requirements, many of which cannot be determined with accuracy at this time based on our stage of development.
In addition, future regulatory factors beyond our control may impact our clinical development programs. Product candidates in later stages
of clinical development generally have higher development costs than those in earlier stages of clinical development, primarily due to
the increased number of patients and duration of later-stage clinical studies. As a result, we expect our research and development expenses
to increase substantially in connection with our ongoing and planned clinical and nonclinical development activities in the near term
and in the future, provided we are able to raise additional capital. At this time, we cannot accurately estimate or know the nature, timing
and costs of the efforts that will be necessary to complete the nonclinical and clinical development of elraglusib and any future product
candidates. Our future research and development expenses may vary significantly based on a wide variety of factors such as:

·the results of our clinical studies and nonclinical studies of elraglusib and any future product candidates we may choose to pursue, including any modifications to clinical development plans based on feedback that we may receive from regulatory authorities;
·per patient clinical study costs;
·the number of clinical studies required for approval;
·the number of sites included in the clinical study and the number of countries in which the studies are conducted;
·the number of patients that participate in the clinical studies, the drop-out or discontinuation rates of patients, and the length of time required to enroll eligible patients;
·the number of doses that patients receive;
·the potential additional safety monitoring requested by regulatory agencies;
·the duration of patient participation in the clinical studies and follow-up;
·the cost and timing of manufacturing elraglusib and any future product candidates;
·the costs, if any, of obtaining third-party drugs for use in our combination clinical studies;
·the extent of changes in government regulation and regulatory guidance;
·the efficacy and safety profile of elraglusib and any future product candidates;
·the timing, receipt, and terms of any approvals from applicable regulatory authorities; and
·the extent to which we establish additional collaboration, license, or other arrangements.

A change in the outcome of any
of these variables with respect to the development of elraglusib or any future product candidates could significantly change the costs
and timing associated with the development of that produ

[Excerpt truncated for page length; source filing is linked above.]

Latest 10-K MD&A

Extracted structurally from real Item 7 body heading to real Item 7A/8 boundary. Confidence: high. Filing date: 2026-03-26. Report date: 2025-12-31.

Item 7. Management’s Discussion and Analysis of Financial
Condition and Results of Operations.

The following discussion
and analysis of the financial condition and results of our operations should be read together with the consolidated financial statements
and related notes of Actuate Therapeutics, Inc. included in Part II Item 8 of this Annual Report on Form 10-K (“Annual Report”
or “Report”).

This discussion and analysis
contain forward-looking statements reflecting our management’s current expectations that involve risks, uncertainties and assumptions.
See the section entitled “Cautionary Note Regarding Forward-Looking Statements.” Our actual results and the timing of events
may differ materially from those described in or implied by these forward-looking statements due to a number of factors, including those
discussed below and elsewhere in this Report, particularly those set forth under “Risk Factors.”

Business Overview

We are a clinical stage biopharmaceutical
company focused on developing therapies for the treatment of high impact, difficult to treat cancers through the inhibition of glycogen
synthase kinase-3 (GSK-3). We are developing elraglusib, an ATP-competitive small molecule that is designed to enter cancer cells and
block the function of the enzyme glycogen synthase kinase-3 beta (“GSK-3β”), a master regulator of complex biological
signaling cascades, including those mediated by oncogenes, that lead to tumor cell survival, growth, migration, and invasion. We believe
that the blockade of GSK-3β signaling ultimately results in the death of the cancer cells and the regulation of anti-tumor immunity.
There are no approved high-affinity inhibitors of GSK-3β, and we believe elraglusib is one of the most advanced GSK-3β inhibitors
in clinical development. Elraglusib was originally known as 9-ING-41 but was granted the elraglusib International Nonproprietary Names
(“INN”) and United States Adopted Names (“USAN”) generic name in 2021.

We have exclusively licensed
elraglusib, a proprietary and patent protected GSK-3 inhibitor developed in a collaboration between The Board of Trustees of the University
of Illinois-Chicago (“UIC”) and Northwestern University (“NU”).

Column 1Column 2
68

We believe elraglusib represents
a “pipeline in a molecule” with a broad opportunity for us to potentially initiate and advance multiple drug development programs
around our lead asset based on its multimodal mechanisms of action, data emerging from completed or ongoing clinical trials and non-clinical
biological, cellular, and animal data. Animal tumor model data, clinical trial data and AI-based computational approaches have identified
a number of areas of unmet clinical need in cancer treatment where elraglusib may play an interventional role, including pancreatic, metastatic
melanoma, lung, colon, breast, renal, and ovarian cancer, leukemias and lymphomas, as well as some pediatric cancers including Ewing sarcoma,
neuroblastoma and pediatric leukemias.

To date, we have treated over
500 patients with elraglusib as an IV injection (“Elraglusib Injection”) in Phase 1 and Phase 2 studies. Our most advanced
clinical indication is first-line metastatic pancreatic ductal adenocarcinoma (“mPDAC”). Our Phase 2 study in mPDAC, known
as Actuate-1801 Part 3B study, is a randomized, controlled Phase 2 trial that enrolled 286 patients with no prior systemic treatment for
metastatic disease. The primary endpoint for this study was mOS, with OS summarized throughout the study by estimates of 1-year survival.
Updated data results presented at the American Society of Clinical Oncology (“ASCO”) Genitourinary Cancers Symposium (“ASCO
GI”) in January 2026 utilizing a data cutoff as of November 22, 2025 showed that the trial met its primary endpoint, demonstrating
a statistically significant improvement in mOS with elraglusib plus gemcitabine/nab-paclitaxel (“GnP”) versus GnP alone. Data
presented at ASCO GI included:

·Statistically significant benefit in mOS in the elraglusib/GnP arm vs GnP control arm (mOS 10.1 months vs. 7.2 months, p=0.02, HR=0.62);
·Near doubling of the 12-month survival rate, from 22.3% in the GnP arm to 44.4% in the elraglusib/GnP arm; and
·Almost fivefold increase in 24-month survival rate, from 2.6% in the GnP control arm to 12.9% in the elraglusib/GnP arm, emphasizing the potential for long-term clinical benefit.

In addition to treating mPDAC,
Elraglusib Injection is also being evaluated in pediatric cancer patients with recurrent/refractory solid cancers. This study, Actuate-1902,
is a Phase 1/2 study that evaluated escalating doses of elraglusib as a single agent as well as in combination with irinotecan or cyclophosphamide/topotecan
in the Phase 1 portion of the trial. Patients in this Actuate-1902 study also experienced a number of objective responses in the combination
chemotherapy arms, and based on this data, we identified Ewing sarcoma and neuroblastoma as new indications for further development of
Elraglusib Injection, further expanding the potential of elraglusib.

We have developed several
oral dosage forms of elraglusib, which we believe will allow us to expand the number of cancer indications that we are able to target
and allow us to further explore more convenient dose delivery options for patients. A clinical candidate tablet, the Elraglusib Oral Tablet,
has been selected for further development and, subject to future funding, we are planning a Phase 1 study to identify the maximum tolerated
dose and RP2D for Elraglusib Oral Tablet in adult patients with advanced, refractory cancers. Once we have determined a RP2D, several
Phase 2 studies have been identified for further clinical development of Elraglusib Oral Tablet, subject to additional funding, based
on data from previous studies, including but not limited to, refractory, metastatic melanoma and refractory, metastatic colorectal cancer,
and non-small cell lung cancer.

Components of Our Results of Operations

Since our inception in 2015,
we have focused substantially all of our resources on organizing and staffing our Company, business planning, raising capital, establishing
and maintaining our intellectual property portfolio, conducting research, preclinical studies, and clinical trials, establishing arrangements
with third parties for the manufacture of elraglusib, and providing general and administrative support for these operations. We do not
have any products approved for sale and have not generated any revenue from product sales since inception.

Our operating expenses consist
of (i) research and development expenses and (ii) general and administrative expenses.

Column 1Column 2
69

Research and Development Expenses

Research and development expenses
consist primarily of external and internal costs incurred in performing clinical and preclinical development activities. Our external
research and development costs primarily consists of the cost incurred under agreements with hospitals to treat and monitor patients enrolled
in our clinical trials, contract research organizations and contract manufacturers, consultants and other third parties to conduct and
support our clinical trials and preclinical studies. Our internal research and development costs primarily include research and development
personnel-related expenses such as employee compensation, employer taxes, group insurance benefits, and stock-based compensation.

We expense research and development
costs as incurred. We currently only have one product candidate, elraglusib. Therefore, since our inception, substantially all of our
research and development costs were related to the development of elraglusib. We track research and development expenses on an aggregate
basis and not on an indication-by-indication or treatment setting-by-treatment setting basis.

Although research and development
activities are central to our business model, the successful development of elraglusib and any future product candidates is highly uncertain.
There are numerous factors associated with the successful development of any product candidate such as elraglusib, including future trial
design and various regulatory requirements, many of which cannot be determined with accuracy at this time based on our stage of development.
In addition, future regulatory factors beyond our control may impact our clinical development programs. Product candidates in later stages
of clinical development generally have higher development costs than those in earlier stages of clinical development, primarily due to
the increased number of patients and duration of later-stage clinical trials. As a result, we expect our research and development expenses
to increase substantially in connection with our ongoing and planned clinical and preclinical development activities in the near term
and in the future, provided we are able to raise additional capital. At this time, we cannot accurately estimate or know the nature, timing
and costs of the efforts that will be necessary to complete the preclinical and clinical development of elraglusib and any future product
candidates. Our future research and development expenses may vary significantly based on a wide variety of factors such as:

·the results of our clinical trials and preclinical studies of elraglusib and any future product candidates we may choose to pursue, including any modifications to clinical development plans based on feedback that we may receive from regulatory authorities;
·per patient trial costs;
·the number of trials required for approval;
·the number of sites included in the trials and the number of countries in which the trials are conducted;
·the number of patients that participate in the trials, the drop-out or discontinuation rates of patients, and the length of time required to enroll eligible patients;
·the number of doses that patients receive;
·the potential additional safety monitoring requested by regulatory agencies;
·the duration of patient participation in the trials and follow-up;
·the cost and timing of manufacturing elraglusib and any future product candidates;
·the costs, if any, of obtaining third-party drugs for use in our combination trials;
·the extent of changes in government regulation and regulatory guidance;
·the efficacy and safety profile of elraglusib and any future product candidates;
·the timing, receipt, and terms of any approvals from applicable regulatory authorities; and
·the extent to which we establish additional collaboration, license, or other arrangements.

A change in the outcome of
any of these variables with respect to the development of elraglusib or any future product candidates could significantly change the costs
and timing associated with the development of that product candidate. We may never succeed in obtaining regulatory approval for any product
candidate.

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General and Administrative Expenses

General and administrative
expenses consist primarily of personnel-related expenses such as employee compensation, benefits, and stock-based compensation, for our
personnel in executive and other administrative functions. General and administrative expenses also include legal fees relating to patent
and corporate matters and professional fees paid for accounting, auditing, consulting and tax services, as well as other costs such as
insurance costs, board of director fees, investor and public relations, and travel expenses.

We anticipate our general
and administrative expenses will increase in the future as we expand our operations, including increasing our headcount to support our
continued research and development activities and preparing for later-stage clinical trials and potential commercialization of elraglusib.
We also anticipate we will continue to incur increased accounting, audit, legal, regulatory, compliance, director and officer insurance,
and investor and public relations expenses associated with operating as a public company.

Other Income (Expense)

Change in Fair Value of Warrant Liability

We previously had outstanding
warrants that required liability classification. The warrants were recorded at fair value upon issuance and were subject to remeasurement
to fair value at each balance sheet date, with any changes in fair value recognized in other income (expense), net. The warrant liabilities
were remeasured upon the closing of our IPO and marked to market to its fair value before being reclassified to equity.

Loss on Issuance of Related Party Convertible
Notes Payable; Change in Estimated Fair Value of Related Party Convertible Notes Payable

Upon issuance of certain notes
payable, we elected to apply the fair value option in accordance with Accounting Standards Codification (“ASC”) 825, Financial
Instruments. In certain circumstances, the estimated fair value at issuance may be greater than the principal amount at issuance.
The fair value of these notes payable was estimated at each reporting period while outstanding. These notes payable were converted into
common stock upon the closing of the IPO in August 2024.

Interest Expense

Interest expense represents
interest owed to UIC under our license agreement with UIC, whereby UIC agreed to defer amounts owed to UIC under a former sublicense agreement
in the amount of $404,991.

Interest Income

Interest income represents
interest earned on our cash and cash equivalents at the then prevailing market rates.

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Results of Operations

Comparison of the Year Ended December 31, 2025 and 2024:

The following table summarizes our results of operations
for the year ended December 31, 2025 and 2024:

Year Ended December 31,
20252024Change
Operating expenses:
Research and development$10,292,620$18,676,276$(8,383,656)
General and administrative12,202,6926,484,4585,718,234
Total operating expenses22,495,31225,160,734(2,665,422)
Loss from operations(22,495,312)(25,160,734)2,665,422
Other income (expense):
Change in estimated fair value of warrant liability (non-cash)(78,903)78,903
Gain on settlement of warrants (non-cash)343,240(343,240)
Loss on issuance of related party convertible notes payable at fair value (non-cash)(400,000)400,000
Change in estimated fair value of related party convertible notes payable (non-cash)(2,192,507)2,192,507
Interest expense(20,250)(18,717)(1,533)
Interest income287,710222,29365,417
Total other income (expense), net267,460(2,124,594)2,392,054
Net loss$(22,227,852)$(27,285,328)$5,057,476

Research and Development Expenses

The following table summarizes
our research and development expenses for the year ended December 31, 2025 and 2024:

Year Ended December 31,
20252024Change
External clinical trial expenses$5,051,488$13,387,974$(8,336,486)
Chemistry, Manufacturing & Control (“CMC”) related costs753,7131,707,132(953,419)
Preclinical and biomarker research972,646397,408575,238
Personnel and consulting expenses3,514,7733,183,762331,011
Total research and development expenses$10,292,620$18,676,276$(8,383,656)
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The decrease in research and
development expenses of $8,383,656 for the year ended December 31, 2025 compared to the prior year was primarily due to (i) a decrease
in external clinical trial expenses of $8,336,486 mostly related to lower patient fees and CRO costs associated with fewer patients on
study related to the randomized Phase 2 mPDAC trial (Actuate-1801 Part 3B) as the trial winds down and (ii) a decrease in CMC related
costs of $953,419 primarily due to the timing of drug product manufacturing and stability studies. These decreases were partially offset
by (i) an increase in preclinical and biomarker studies of $575,238, driven by new studies completed during 2025, and (ii) an increase
in personnel and consulting expenses of $331,011, primarily due to higher non-cash stock-based compensation expense of $314,933.

General and Administrative Expenses

The
following table summarizes our general and administrative expenses for the year ended December 31, 2025 and 2024:

Year Ended December 31,
20252024Change
Personnel-related expenses$7,605,193$3,770,893$3,834,300
Professional and consulting fees3,085,6581,937,2821,148,376
Other expenses1,511,841776,283735,558
Total general and administrative expenses$12,202,692$6,484,458$5,718,234

The increase in general and
administrative expenses of $5,718,234 for the year ended December 31, 2025 compared to the prior year was primarily due to (i) an increase
in personnel-related expenses of $3,834,300 mostly due to an increase in non-cash stock-based compensation expense of $3,735,935 related
to awards granted to employees, non-employee members of the board of directors, and consultants of the Company combined with an increase
in payroll and related expenses primarily related to the hiring of the Company’s chief financial officer in June 2024, an increase
in base salaries for certain administrative employees, offset by a decrease in bonus expense, (ii) an increase in professional and consulting
fees of $1,148,376 primarily due to an increase in (a) investor and public relation fees, (b) consulting fees associated with increased
administrative support, and (c) legal fees related to routine corporate activities, which amounts were offset by a decrease in board member
search fees and valuation services and (iii) an increase in other expenses of $735,558 primarily due to an increase in the cost of directors
and officers insurance, board fees, listing fees, and other public company expenses.

Other Income (Expense)

Other income (expense), net,
for the year ended December 31, 2025 and 2024 is comprised of the following:

·Change in fair value of warrant liability —During the year ended December 31, 2024, we recognized an increase in fair value of the warrant liability of $78,903 based on the estimated fair value of warrant liability using the Black-Scholes valuation model at August 14, 2024 (closing date of the Company’s IPO). As of December 31, 2024, there were no Redeemable Convertible Preferred Stock Warrants outstanding and no related warrant liability.
·Gain on settlement of warrants — During the year ended December 31, 2024, we recognized a gain on settlement of warrants of $343,240 on the closing date of the Company’s IPO, representing the difference between the estimated fair value at December 31, 2023 and the estimated fair value upon conversion of the warrants into shares of common stock on August 14, 2024.
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·Loss on issuance of related party convertible notes payable at fair value — The loss on issuance of the Related Party Convertible Notes Payable of $400,000 for the year ended December 31, 2024 represents the difference between the estimated fair value of the Related Party Convertible Notes Payable on the issuance date and the principal amount of the note on the issuance date based on the valuation assumptions.
·Change in estimated fair value of Related Party Convertible Notes Payable — The change in the estimated fair value of the Related Party Convertible Notes Payable of $2,192,507 for the year ended December 31, 2024 represents the difference between the estimated fair value at issuance and the estimated fair value upon conversion into common stock on August 14, 2024.
·Interest expense — Interest expense for the year ended December 31, 2025 and 2024 represents interest accrued on amounts owed under a license agreement with UIC, whereby UIC agreed to defer amounts payable to UIC under a former sublicense agreement in the amount of $404,991 in exchange for an interest-bearing license payable.
·Interest income — Interest income for the year ended December 31, 2025 and 2024 represents interest earned on cash and cash equivalents based on the prevailing market rates. The increase in interest income for the year ended December 31, 2025 compared to the prior year is primarily due to a higher average cash balance on hand in 2025 compared to 2024.

Liquidity and Capital Resources

Sources of Liquidity

Since our inception, we have
not generated any revenue from product sales and have incurred significant operating losses and negative cash flows from operations. We
expect to incur significant expenses and operating losses in the foreseeable future as we advance the clinical development of elraglusib
and any future product candidates.

On March 27, 2025, we entered
into a common stock purchase agreement (the “Committed Equity Facility”) with B. Riley Principal Capital II (“B. Riley”)
giving the Company the right, but not the obligation, to sell to B. Riley over a 36-month period up to the lesser of (i) $50 million of
newly issued shares of our common stock and (ii) 3,904,374 shares of the Company’s common stock. During the year ended December
31, 2025, we received net proceeds of $3,800,465 in exchange for 539,967 shares of common stock sold under the Committed Equity Facility.
As of December 31, 2025, we had 3,364,407 shares of common stock in remaining capacity under our Committed Equity Facility.

On June 25, 2025, we entered
into a securities purchase agreement for a private placement of common stock and warrants with certain institutional and accredited investors,
which closed on June 27, 2025 (the “June 2025 Private Placement”). Under the June 2025 Private Placement, the Company received
aggregate net proceeds of $4,592,462 in exchange for the issuance of 666,497 shares of common stock and warrants to purchase up to 666,497
shares of common stock.

On September 10, 2025, we
entered into an underwriting agreement (the “Underwriter Agreement”) with Lucid Capital Markets, LLC (“Underwriter”)
relating to an underwritten public offering of 2,142,858 shares of common stock plus an over-allotment option to purchase up to an additional
321,428 shares of common stock at the public offering price of $7.00 per share, less underwriting discounts and commissions and other
offering expenses (“September 2025 Public Offering”). The offering closed on September 11, 2025, and the Company issued 2,464,286
shares of common stock to the Underwriter, including shares issued under the over-allotment option, in exchange for net proceeds of $15,573,966.

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On November 28, 2025, we entered
into an At Market Issuance Sales Agreement (the “ATM Agreement”) with B. Riley Securities, Inc. and Craig-Hallum Capital Group
LLC (each a “Sales Agent” and collectively the “Sales Agents”) with respect to an “at the market”
offering program (the “ATM Facility”), under which we may, from time to time, at our sole discretion, issue and sell through
the Sales Agents, up to $100 million of shares of common stock. Pursuant to the ATM Agreement, we may sell the shares through the Sales
Agents by any method permitted that is deemed an “at the market” offering as defined in Rule 415 under the Securities Act.
The Sales Agents will use commercially reasonable efforts consistent with their normal trading and sales practices to sell the shares
from time to time, based upon instructions from us, including any price or size limits or other customary parameters or conditions we
may impose. We will pay the Sales Agents a commission of up to 3.0% of the gross sales proceeds of any common stock sold through the Sales
Agents under the ATM Agreement, and we also have provided the Sales Agents with customary indemnification rights. During the year ended
December 31, 2025, the Company did not sell any shares of common stock under the ATM Facility. As of December, we had $100 million in
remaining capacity under our ATM Facility.

As of December 31,
2025, we had cash and cash equivalents of $13,159,423 and working capital of $7,936,503. We expect our expenses to increase substantially
in connection with our ongoing activities, particularly as we continue our development of, seek regulatory approval for, and potentially
commercialize elraglusib and potentially seek to discover and develop and/or license or acquire additional product candidates, conduct
our ongoing and planned clinical trials and preclinical studies, continue our research and development activities, utilize third parties
to manufacture elraglusib, hire additional personnel, expand and protect our intellectual property, and incur additional costs associated
with being a public company. Based on our current operating plan, we estimate that our existing cash and cash equivalents as of the date
of this Annual Report will not satisfy the Company’s operational and capital requirements beyond July 2026 without raising additional
capital. There can be no assurance that the Company will be able to raise sufficient proceeds in the future under the ATM Facility or
Committed Equity Facility or any additional financing will be available to the Company on acceptable terms, if at all.

Until such time, if ever,
as we can generate substantial product revenue, we expect to finance our operations through equity offerings, debt financings, or other
capital sources, including current or potential future collaborations, licenses, and other similar arrangements. As we seek additional
financing in the near future, we may be unable to raise additional funds or enter into such other arrangements when needed on favorable
terms or at all. Our ability to raise additional funds may be adversely impacted by business conditions, global economic conditions, disruptions
to, and volatility in, the credit and financial markets in the United States and worldwide, and diminished liquidity and credit availability.
To the extent we raise additional capital through the sale of equity or convertible debt securities, stockholders’ ownership interest
in our common stock will be diluted, and the terms of these securities may include liquidation or other preferences that adversely affect
the rights of our common stockholders. Debt financing and preferred equity financing, if available, may involve agreements that include
covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making acquisitions, engaging
in acquisition, merger or collaboration transactions, selling or licensing our assets, making capital expenditures, redeeming our stock,
making certain investments or declaring dividends. If we raise additional funds through collaborations or license agreements with third
parties, we may have to relinquish valuable rights to our technologies, future revenue streams, research programs or product candidates,
or grant licenses on terms that may not be favorable to us. If we are unable to raise additional funds through equity, debt, or other
financings when needed, we may be required to delay, limit, reduce or terminate our product development or future commercialization efforts
or grant rights to develop and market product candidates that we would otherwise prefer to develop and market ourselves, or even cease
operations.

Based on the above matters,
we have concluded that there is substantial doubt regarding the Company’s ability to continue as a going concern.

Material Cash Requirements for Known Contractual and Other Obligations

Research and Development Costs

We are continuing to invest
in our elraglusib clinical trials and have entered into contractual obligations with each clinical trial site. Each contract shall continue
until the completion of the trial at that site. Our clinical trial costs are dependent on, among other things, the size, number and length
of our clinical trials.

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Other Capital Requirements and Additional Royalty Obligations.

We enter into agreements in
the normal course of business with various vendors, which are generally cancellable upon notice. Payments due upon cancellation typically
consist only of payments for services provided or expenses incurred, including non-cancellable obligations of service providers, up to
the date of cancellation.

Cash Flow Summary

The following table provides a summary of our cash
flows for the year ended December 31, 2025 and 2024:

Year Ended December 31,
20252024
Net cash used in operating activities$(19,206,253)$(21,842,648)
Net cash provided by financing activities23,724,05427,525,611
Net change in cash and cash equivalents$4,517,801$5,682,963

Cash Flows From Operating Activities

Year Ended December 31,
2025 — Net cash used in operating activities for the year ended December 31, 2025 consisted of our net loss of
$22,227,852 combined with cash used by a net change in operating assets and liabilities of $3,045,312, which amounts were offset by non-cash
stock-based compensation expense of $6,046,661 and an increase in accrued interest on license payable of $20,250

Year Ended December 31,
2024 — Net cash used in operating activities for the year ended December 31, 2024 consisted of our net loss of
$27,285,328 combined with the non-cash gain on settlement of the warrant liability of $343,240, which amounts were offset by (i) non-cash
stock-based compensation expense of $1,995,793, (ii) a non-cash increase in the fair value of our warrant liability of $78,903, (iii)
a loss on issuance of Related Party Convertible Notes Payable at fair value of $400,000, (iv) the change in estimated fair value of Related
Party Convertible Notes Payable of $2,192,507, (v) an increase in accrued interest on license payable of $18,641, and (vi) cash provided
by a net change in operating assets and liabilities of $1,100,076.

Cash Flows From Financing Activities

Year Ended December 31,
2025 —During the year ended December 31, 2025, net cash provided by financing activities consisted of net proceeds received
of (i) $15,573,966 under the September 2025 Public Offering, (ii) $4,592,462 under the June 2025 Private Placement, (iii) $3,826,336 from
the sale of common stock to B. Riley under the Committed Equity Facility, and (iv) $34,115 from the exercise of stock options, which amounts
were offset by the payment of deferred offering costs of $302,825.

Year Ended December 31,
2024 — During the year ended December 31, 2024, net cash provided by financing activities primarily consisted
of net proceeds received from the closing of the IPO and Overallotment Option of $22,025,611 (net of underwriting discounts and commissions
and after payment of offering costs of $1,931,189), proceeds of $5,500,000 from the issuance of the Related Party Convertible Notes Payable,
and proceeds of $200,000 from the issuance of a related party short-term loan, which amount was offset by the payment of the related party
short-term loan of $200,000.

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Critical Accounting Policies and Significant Judgments and Estimates

Our financial statements are
prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”). The preparation
of our financial statements and related disclosures requires us to make estimates and judgments that affect the reported amounts of assets,
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 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 more detail in Note 2 to the accompanying consolidated financial statements included elsewhere in this Report,
we believe the following accounting policies are those most critical to the judgments and estimates used in the preparation of our financial
statements.

Research and Development Expenses and Related Accrued Expenses

In accordance with authoritative
guidance, the Company charges research and development costs to operations as incurred. Research and development expenses consist primarily
of personnel and related costs, external costs of outside vendors engaged clinical trials, contract manufacturers, consultants and other
third parties to conduct and support our clinical trials and preclinical studies.

As part of the process of
preparing our consolidated financial statements, we are required to estimate our research and development expenses as of each balance
sheet date. This process involves reviewing open contracts, including clinical site contracts, and communicating with our personnel to
identify services that have been performed on our behalf, and estimating the level of service performed and the associated cost incurred
for the service when we have not yet been invoiced or otherwise notified of the actual cost. We make estimates of our research and development
expenses as of each balance sheet date based on facts and circumstances known to us at that time. The significant estimates in our research
and development expenses include the costs incurred for services performed by our vendors in connection with services for which we have
not yet been invoiced. We base our expenses related to research and development activities on our estimates of the services received and
efforts expended pursuant to quotes and contracts with contractors and vendors that conduct research and development on our behalf. The
financial terms of these agreements are subject to negotiation, vary from contract to contract, and may result in uneven payment flows.
Advance payments for goods and services that will be used in future research and development activities are expensed when the activity
has been performed or when the goods have been received rather than when the payment is made. Although we do not expect our estimates
to be materially different from amounts actually incurred, if our estimates of the status and timing of services performed differ from
the actual status and timing of services performed, it could result in us reporting amounts that are too high or too low in any particular
period. To date, there have been no material differences between our estimates of such expenses and the amounts actually incurred.

Stock-Based Compensation

In April 2015 and August 2024,
the Company’s Board of Directors (“Board”) adopted the 2015 Stock Incentive Plan (“2015 Plan”) and the 2024
Stock Incentive Plan (“2024 Plan”), respectively. Under the 2015 Plan and 2024 Plan, the Company periodically grants equity-based
payment awards in the form of restricted common stock awards (“RSAs”), restricted stock units (“RSUs”), and stock
options to employees, directors, consultants and non-employees and records stock-based compensation expenses for awards of stock-based
payments based on their estimated fair value at the grant date.

The estimated fair value of
service-based RSAs and RSUs are measured at the grant date based on the estimated fair market value of the Company’s common stock
on the date of grant and is recognized as expense over the requisite service period, which is generally the awards’ vesting period.
The estimated fair value of performance-based RSAs is measured at the grant date based on the estimated fair value of shares expected
to be earned at the end of the performance period, and is recognized as expense ratably over the performance period based upon the probable
number of shares expected to vest.

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The Company accounts for the
grant of stock options based on the estimated fair value of the underlying option using the Black-Scholes valuation model on the date
of grant and are recognized as expense in the consolidated statement of operations on a straight-line basis over the requisite service
period, which is the vesting period. The Black-Scholes valuation model requires the input of subjective assumptions, including expected
volatility, expected dividend yield, expected term, risk-free rate of return and the estimated fair value of the underlying common stock
on the date of grant. Prior to the IPO, the Company regularly engaged a third-party valuation specialist to assist with estimates related
to the valuation of the Company’s common stock. Since the Company’s IPO, the fair value of our common stock was determined
based on the closing price of our common stock as reported on the date of grant on the primary stock exchange on which our common stock
is traded.

The Company classifies stock-based
compensation expense in the consolidated statements of operations in the same manner in which the award recipients’ payroll costs
are classified or in which the award recipients’ service payments are classified.

The Company recognizes forfeitures
related to stock-based compensation awards as they occur.

Off-Balance Sheet Arrangements

We did not have, during the
periods presented, and we do not currently have, any off-balance sheet arrangements, as defined in the rules and regulations of the SEC.

Recent Accounting Pronouncements

A description of recently
issued accounting standards that may potentially impact our financial position, results of operations, and cash flows is included in Note
2 to our consolidated financial statements in this Report.

Emerging Growth Company Status and Smaller
Reporting Company Status

We are an emerging growth
company, as defined in the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”). The JOBS Act permits an emerging
growth company such as ours to take advantage of an extended transition period to comply with new or revised accounting standards. We
have elected to avail ourselves of such extended transition period, which means that when a standard is issued or revised and it has different
application dates for public or private companies, we can adopt the new or revised standard at the time private companies adopt the new
or revised standard and may do so until such time that we either (i) irrevocably elect to opt out of such extended transition period or
(ii) no longer qualify as an emerging growth company. We may choose to early adopt any new or revised accounting standards whenever such
early adoption is permitted for private companies. We will continue to remain an emerging growth company until the earliest of the following:
(1) the last day of the fiscal year following the fifth anniversary of the date of the completion of the IPO; (2) the last day of the
fiscal year in which our total annual gross revenue is equal to or more than $1.235 billion; (3) the date on which we have issued more
than $1.0 billion in nonconvertible debt during the previous three years; or (4) the date on which we are deemed to be a large accelerated
filer under the rules of the SEC.

We are also a smaller reporting
company as defined in the Securities Exchange Act of 1934, as amended (the “Exchange Act”). We may continue to be a smaller
reporting company even after we are no longer an emerging growth company. We may take advantage of certain of the scaled disclosures available
to smaller reporting companies and will be able to take advantage of these scaled disclosures for so long as our voting and non-voting
common stock held by non-affiliates is less than $250.0 million measured on the last business day of our second fiscal quarter, or our
annual revenue is less than $100.0 million during the most recently completed fiscal year and our voting and non-voting common stock held
by non-affiliates is less than $700.0 million measured on the last business day of our second fiscal quarter.

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MD&A history

Prior-year 10-K MD&A spans are extracted from SEC filings with the same bounded parser used for the latest filing. The latest 10-K appears above; prior years are below.

FY 2024 10-K MD&A

SEC filing source: 0001683168-25-001581.

Extracted structurally from real Item 7 body heading to real Item 7A/8 boundary. Confidence: high. Filing date: 2025-03-13. Report date: 2024-12-31.

Item 7. Management’s Discussion and Analysis of Financial Condition
and Results of Operations.

The following discussion and
analysis of the financial condition and results of our operations should be read together with the consolidated financial statements and
related notes of Actuate Therapeutics, Inc. included in Part II Item 8 of this Annual Report on Form 10-K (“Report”).

This discussion and analysis
contains forward-looking statements reflecting our management’s current expectations that involve risks, uncertainties and assumptions.
See the section entitled “Cautionary Note Regarding Forward-Looking Statements.” Our actual results and the timing of events
may differ materially from those described in or implied by these forward-looking statements due to a number of factors, including those
discussed below and elsewhere in this Report, particularly those set forth under “Risk Factors.”

Business Overview

We are a clinical stage biopharmaceutical
company focused on developing therapies for the treatment of high impact, difficult to treat cancers through the inhibition of glycogen
synthase kinase-3 (“GSK-3”). We are developing elraglusib (formerly 9-ING-41), an ATP-competitive small molecule that is designed
to enter cancer cells and block the function of the enzyme glycogen synthase kinase-3 beta (“GSK-3β”), a master regulator
of complex biological signaling cascades, including those mediated by oncogenes, that lead to tumor cell survival, growth, migration,
and invasion. We believe that the blockade of GSK-3β signaling ultimately results in the death of the cancer cells and the regulation
of anti-tumor immunity.

We have exclusively licensed a
portfolio of GSK-3 inhibitors developed in a collaboration between The Board of Trustees of the University of Illinois-Chicago (“UIC”)
and Northwestern University (“NU”). Elraglusib is the lead investigational product in our portfolio and is being evaluated
in a Phase 2 trial in patients with metastatic pancreatic ductal adenocarcinoma (“mPDAC”), our most advanced clinical indication
to date. We are also advancing a Phase 1/2 clinical trial in refractory pediatric malignancies, including Ewing sarcoma (“EWS”).

Elraglusib represents a broad
opportunity for us to potentially initiate and advance multiple drug development programs around our lead asset based on data emerging
from completed or ongoing Phase 1/2 trials and non-clinical biological, cellular, and animal data. Animal tumor model data, Phase 1/2
clinical data and AI-based computational approaches have identified a number of areas of unmet clinical need in cancer where elraglusib
may play an interventional role, including pancreatic, metastatic melanoma, lung, colon, breast, renal, and ovarian cancer, leukemias
and lymphomas, as well as some pediatric cancers including Ewing sarcoma, neuroblastoma and pediatric leukemias.

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Our lead clinical program, referred
to as Actuate-1801, is an intravenous (“IV”) injection solution of elraglusib (“Elraglusib Injection”) that we
are evaluating for the treatment of first-line mPDAC. In addition, Elraglusib Injection is also being evaluated in a Phase 1/2 clinical
trial in refractory pediatric malignancies and the data from this study (Actuate-1902) identified Ewing sarcoma as a potential second
indication for further development of Elraglusib Injection.

We have developed several oral
dosage forms of elraglusib, which we believe will allow us to expand the number of cancer indications that we are able to target and allow
us to further explore more convenient dose delivery options for patients. A clinical candidate tablet, the Elraglusib Oral Tablet, has
been selected for further development and we are planning a Phase 1 study (Actuate-2401) to identify the maximum tolerated dose (“MTD”)
and recommended Phase 2 dose (“RP2D”) for Elraglusib Oral Tablet in patients with advanced, refractory adult cancers subject
to future funding. Subject to additional funding, several Phase 2 studies have been identified for further clinical development of Elraglusib
Oral Tablet based on data from the Actuate-1801 study in indications, including but not limited to, refractory, metastatic melanoma and
refractory, metastatic colorectal cancer.

Since our inception in 2015, we
have focused substantially all of our resources on organizing and staffing our Company, business planning, raising capital, establishing
and maintaining our intellectual property portfolio, conducting research, preclinical studies, and clinical trials, establishing arrangements
with third parties for the manufacture of elraglusib, and providing general and administrative support for these operations. We do not
have any products approved for sale and have not generated any revenue from product sales since inception.

We have incurred significant operating
losses and negative cash flows from operations since our inception. Our net losses were $27,285,328 and $24,744,620 for the years ended
December 31, 2024 and 2023, respectively. As of December 31, 2024, we had an accumulated deficit of $132,379,849. Substantially all of
our net losses have resulted from costs incurred in connection with our research and development programs and, to a lesser extent, from
general and administrative costs associated with our operations. We expect to continue to incur significant expenses and operating losses
in the foreseeable future, and we anticipate these losses will increase substantially as we continue our development of, seek regulatory
approval for, and potentially commercialize elraglusib, and potentially seek to discover and develop additional product candidates, utilize
third parties to manufacture elraglusib, hire additional personnel, expand and protect our intellectual property, and incur additional
costs associated with being a public company. If we obtain regulatory approval for elraglusib, we expect to incur significant expenses
related to developing our commercialization capability to support product sales, marketing and distribution.

Because of the numerous risks
and uncertainties associated with pharmaceutical product development, we are unable to accurately predict the timing or amount of increased
expenses or when, or if, we will be able to achieve or maintain profitability. Even if we are able to generate product sales, we may not
become profitable. If we do not become profitable or are unable to sustain profitability on a continuing basis, then we may be unable
to continue our operations at planned levels and may be forced to reduce or terminate our operations.

As of December 31, 2024, we had
cash and cash equivalents of $8,641,622. Based on our current operating plan, we estimate that our existing cash and cash equivalents
as of the date of this Report will not satisfy the Company’s operational and capital requirements through twelve months from the
issuance date of the consolidated financial statements included in this Report.

Also, we will not generate revenue
from product sales unless and until we successfully complete clinical development and obtain regulatory approval for elraglusib or any
future product candidates, which we expect will take a number of years and may never occur. As a result, we will need substantial additional
funding to support our continuing operations and pursue our business strategy. Until such time we can generate significant revenue from
product sales, if ever, we expect to finance our operations through equity offerings, debt financings, or other capital sources, including
potential future collaborations, licenses, and other similar arrangements. As we seek additional financing in the near term, we may be
unable to raise additional funds or enter into such other agreements or arrangements when needed on favorable terms, or at all. If we
fail to raise capital or enter into such agreements or arrangements as, and when needed, we may delay, limit, reduce or terminate our
product development or future commercialization efforts or grant rights to develop and market product candidates that we would otherwise
prefer to develop and market ourselves, or even cease operations.

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Recent Developments

IPO

On August 14, 2024, the Company
completed the closing of its IPO of 2,800,000 shares of common stock at an initial offering price to the public of $8.00 per share, before
the underwriters discount of $0.56 per share. Additionally, the underwriters exercised their option (“Overallotment Option”)
to purchase an additional 420,000 shares at the same price of $8.00 per share less the underwriters discount on September 12, 2024. The
Company’s common shares began trading on the Nasdaq Global Market on August 13, 2024, under the symbol "ACTU". The Company
received net proceeds of approximately $22 million, after deducting discounts and commissions and other offering expenses of approximately
$3.7 million for the issuance of 3,220,000 shares of common stock of the Company, including shares issued under the Overallotment Option.

Upon the closing of the IPO and
Overallotment Option, we issued the underwriters warrants (“Underwriter Warrants”) to purchase up to 161,000 shares of common
stock, representing 5% of the shares of common stock issued under the IPO and Overallotment Option, at an exercise price of $10.00 per
share, representing 125% of the initial offering price. The Underwriter Warrants are not exercisable prior to February 8, 2025 (or 180-days
from the effective date of the registration statement), and expire on August 12, 2027. The Underwriter Warrants can only be exercised
on a cash basis through November 11, 2025 and only on a cashless basis on November 12, 2025 and thereafter.

In addition, the Company’s
Redeemable Convertible Preferred Stock, Related Party Convertible Notes Payable and in-the-money warrants to purchase the Company’s
Redeemable Convertible Preferred Stock converted into or were automatically exercised for, as applicable, common stock immediately prior
to the closing of the IPO.

Authorized Capital

Effective upon the closing of
the Company’s IPO, the Company’s authorized capital consists of 200,000,000 shares of common stock, $0.000001 par value per share,
and 10,000,000 shares of preferred stock, $0.000001 par value per share.

Reverse Stock Split

On May 31, 2024, the Company’s
board of directors approved a 1-for-1.8 reverse stock split of its issued and outstanding shares of common stock and stock option awards,
which was effected on June 7, 2024. All issued and outstanding shares of common stock (including outstanding RSAs), stock option awards
and per share data have been adjusted in these consolidated financial statements, on a retrospective basis, to reflect the reverse stock
split for all periods presented.

Components of Our Results of Operations

Our operating expenses consist
of (i) research and development expenses and (ii) general and administrative expenses.

Research and Development Expenses

Research and development expenses
consist primarily of external and internal costs incurred in performing clinical and preclinical development activities. Our external
research and development costs primarily consists of the cost incurred under agreements with hospitals to treat and monitor patients enrolled
in our clinical trials, contract research organizations and contract manufacturers, consultants and other third parties to conduct and
support our clinical trials and preclinical studies. Our internal research and development costs primarily include research and development
personnel-related expenses such as employee compensation, employer taxes, group insurance benefits, and stock-based compensation.

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We expense research and development
costs as incurred. We currently only have one product candidate, elraglusib. Therefore, since our inception, substantially all of our
research and development costs were related to the development of elraglusib. We track research and development expenses on an aggregate
basis and not on an indication-by-indication or treatment setting-by-treatment setting basis.

Although research and development
activities are central to our business model, the successful development of elraglusib and any future product candidates is highly uncertain.
There are numerous factors associated with the successful development of any product candidate such as elraglusib, including future trial
design and various regulatory requirements, many of which cannot be determined with accuracy at this time based on our stage of development.
In addition, future regulatory factors beyond our control may impact our clinical development programs. Product candidates in later stages
of clinical development generally have higher development costs than those in earlier stages of clinical development, primarily due to
the increased number of patients and duration of later-stage clinical trials. As a result, we expect our research and development expenses
will increase substantially in connection with our ongoing and planned clinical and preclinical development activities in the near term
and in the future, provided we are able to raise additional capital. At this time, we cannot accurately estimate or know the nature, timing
and costs of the efforts that will be necessary to complete the preclinical and clinical development of elraglusib and any future product
candidates. Our future research and development expenses may vary significantly based on a wide variety of factors such as:

·the results of our clinical trials and preclinical studies of elraglusib and any future product candidates we may choose to pursue, including any modifications to clinical development plans based on feedback that we may receive from regulatory authorities;
·per patient trial costs;
·the number of trials required for approval;
·the number of sites included in the trials and the number of countries in which the trials are conducted;
·the number of patients that participate in the trials, the drop-out or discontinuation rates of patients, and the length of time required to enroll eligible patients;
·the number of doses that patients receive;
·the potential additional safety monitoring requested by regulatory agencies;
·the duration of patient participation in the trials and follow-up;
·the cost and timing of manufacturing elraglusib and any future product candidates;
·the costs, if any, of obtaining third-party drugs for use in our combination trials;
·the extent of changes in government regulation and regulatory guidance;
·the efficacy and safety profile of elraglusib and any future product candidates;
·the timing, receipt, and terms of any approvals from applicable regulatory authorities; and
·the extent to which we establish additional collaboration, license, or other arrangements.

A change in the outcome of any
of these variables with respect to the development of elraglusib or any future product candidates could significantly change the costs
and timing associated with the development of that product candidate. We may never succeed in obtaining regulatory approval for any product
candidate.

General and Administrative Expenses

General and administrative expenses
consist primarily of personnel-related expenses such as employee compensation, benefits, and stock-based compensation, for our personnel
in executive and other administrative functions. General and administrative expenses also include legal fees relating to patent and corporate
matters and professional fees paid for accounting, auditing, consulting and tax services, as well as other costs such as insurance costs,
investor and public relations, and travel expenses.

We anticipate our general and
administrative expenses will increase substantially in the future as we expand our operations, including increasing our headcount to support
our continued research and development activities and preparing for later-stage clinical trials and potential commercialization of elraglusib.
We also anticipate we will continue to incur increased accounting, audit, legal, regulatory, compliance, director and officer insurance,
and investor and public relations expenses associated with operating as a public company.

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Other Income (Expense)

Change in Fair Value of Warrant Liability

On June 30, 2023, in connection
with the issuance of the Series C Redeemable Convertible Preferred Stock, we issued the placement agent warrants to purchase up to 18,223
shares of Series C Redeemable Convertible Preferred Stock (after giving effect to the conversion of such shares into common stock) at
an exercise price equivalent to $9.42 per share of common stock. The initial estimated fair value of these warrants of $93,863 was calculated
using the Black-Scholes valuation model and recorded as a reduction to Redeemable Convertible Preferred Stock and a corresponding increase
in the warrant liability.

In 2018, in connection with convertible
promissory note payable agreements, we issued the noteholders warrants to purchase shares of Series B-1 Redeemable Convertible Preferred
Stock, of which, warrants to purchase up to 76,376 shares of Series B Redeemable Convertible Preferred Stock (after giving effect to the
conversion of such shares into common stock) were issued at an exercise price equivalent to $5.27 per share of common stock and warrants
to purchase up to 76,376 shares of Series B Redeemable Convertible Preferred Stock (after giving effect to the conversion of such shares
into common stock) were issued at an exercise price equivalent to $10.55 per share of common stock.

The Redeemable Convertible Preferred
Stock Warrants required liability classification as the underlying Redeemable Convertible Preferred Stock was considered contingently
redeemable and could have obligated us to transfer assets to the holders at a future date upon occurrence of a deemed liquidation event.
The warrants were recorded at fair value upon issuance and were subject to remeasurement to fair value at each balance sheet date, with
any changes in fair value recognized in other income (expense), net. We adjusted the warrant liability for changes in fair value until
the earlier of the exercise, conversion, or expiration of the Redeemable Convertible Preferred Stock Warrants. In July 2024, the Redeemable
Convertible Preferred Stock Warrants were amended to provide that if underlying Redeemable Convertible Preferred Stock Warrants were out-of-the-money
based on the initial public offering price in the IPO, the out-of-the-money Redeemable Convertible Preferred Stock Warrants would convert
into warrants to purchase common stock. Accordingly, the Redeemable Convertible Preferred Stock Warrants were remeasured upon the closing
of the IPO and marked to market to its fair value before being reclassified to equity.

Loss on Issuance of Related Party Convertible Notes
Payable; Change in Estimated Fair Value of Related Party Convertible Notes Payable

On February 20, 2024, March 27,
2024, and May 8, 2024, the Company issued related party convertible notes in the amount of $3,000,000, $1,500,000, and $1,000,000 (collectively,
“Related Party Convertible Notes Payable”), respectively. The Related Party Convertible Notes Payable were measured at fair
value on their issuance date and remeasured at estimated fair value at the end of each reporting period with changes in fair value recognized
as a component of other income (expense). Upon issuance of the Related Party Convertible Notes Payable, we elected to apply the fair value
option to the Related Party Convertible Notes Payable in accordance with Accounting Standards Codification (“ASC”) 825, Financial
Instruments. In certain circumstances, the estimated fair value at issuance may be greater than the principal amount at issuance.
The loss on issuance of the Related Party Convertible Notes Payable represented the difference between the estimated fair value of the
Related Party Convertible Notes Payable on the issuance date and the gross proceeds received on the issuance date based on the valuation
assumptions, including but not limited to, the proximity in time to the IPO, the discount on conversion of the Related Party Convertible
Notes Payable upon a financing or IPO, and the increased probability weighted IPO scenario on the issuance date.

Prior to the closing of the Company’s
IPO, the fair value of the Related Party Convertible Notes Payable was estimated at each reporting period using a scenario-weighted binomial
lattice model to calculate equity values at different points in time leading up to a conversion event. Assumptions in the model included
but were not limited to the following: equity value, conversion price, accrued interest, volatility, risk-free interest rate, dividend
yield, time to a conversion event, and scenario weightings. Accrued interest on the Related Party Convertible Notes Payable was included
in the determination of the estimated fair value.

In connection with the closing
of the Company’s IPO on August 14, 2024, the Company issued Bios Clinical Opportunity Fund, LP 884,427 shares of its common stock
upon the conversion of the Related Party Convertible Notes Payable, including accrued interest thereon, at a conversion price of $6.40
per share, representing 80% of the IPO price of $8.00 per share. The Related Party Convertible Notes Payable was marked to market to its
fair value on the conversion date before being reclassified to equity. The aggregate fair value at the time of conversion was calculated
by multiplying the number of shares of common stock issued upon conversion by the fair value per share on the conversion date, which was
the closing price of the Company’s common stock on the Nasdaq Global Market on the closing date of the IPO.

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Interest Expense

Interest expense represents interest
owed to UIC under our license agreement with UIC, whereby UIC agreed to defer amounts owed to UIC under a former sublicense agreement
in the amount of $404,991.

Interest Income

Interest income represents interest
earned on our cash and cash equivalents at the then prevailing market rates.

Results of Operations

Comparison of the Year Ended December 31, 2024 and 2023:

The following table summarizes our results of operations
for the year ended December 31, 2024 and 2023:

Year Ended December 31,
20242023Change
Operating expenses:
Research and development$18,676,276$21,708,332$(3,032,056)
General and administrative6,484,4583,265,4973,218,961
Total operating expenses25,160,73424,973,829186,905
Loss from operations(25,160,734)(24,973,829)(186,905)
Other income (expense):
Change in estimated fair value of warrant liability (non-cash)(78,903)(79,822)919
Gain on settlement of warrants (non-cash)343,240343,240
Loss on issuance of related party convertible notes payable at fair value(400,000)(400,000)
Change in estimated fair value of related party convertible notes payable (non-cash)(2,192,507)(2,192,507)
Interest expense(18,717)(43,641)24,924
Interest income222,293352,672(130,379)
Total other income (expense), net(2,124,594)229,209(2,353,803)
Net loss$(27,285,328)$(24,744,620)$(2,540,708)
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Research and Development Expenses

The following table summarizes our research and development
expenses for the year ended December 31, 2024 and 2023:

Year Ended December 31,
20242023Change
External clinical trial expenses$13,412,743$13,986,355$(573,612)
Personnel and consulting expenses3,158,9933,675,373(516,380)
CMC related costs1,707,1322,246,280(539,148)
Preclinical and biomarker research397,4081,800,324(1,402,916)
Total research and development expenses$18,676,276$21,708,332$(3,032,056)

The decrease in research and development
expenses of $3,032,056 for the year ended December 31, 2024 compared to the prior year was primarily due to (i) a decrease in preclinical
and biomarker studies in the current period of $1,402,916 due to few contracted studies in the current year, (ii) a decrease in external
clinical trial expenses of $573,612 mostly related to lower contract research organizations (“CRO”) costs in the current year
related to the randomized Phase 2 mPDAC trial (Actuate-1801 Part 3B) associated with fewer patients on study, (iii) a decrease of $539,148
in Chemistry Manufacturing & Control (“CMC”) related costs due to a decrease in manufacturing costs of elraglusib in the
current period due to the timing of drug substance manufacturing to support the randomized Phase 2 mPDAC trial (Actuate-1801 Part 3B),
and (iv) a decrease in personnel and consulting expenses of $516,380 primarily due to a decrease in consulting fees in the current period
as certain consultants transitioned to full-time employment at an overall lower cost to the Company.

General and Administrative Expenses

The following
table summarizes our general and administrative expenses for the year ended December 31, 2024 and 2023:

Year Ended December 31,
20242023Change
Personnel-related expenses$3,770,893$1,827,250$1,943,643
Professional and consulting fees1,857,2491,083,243774,006
Other expenses856,316355,004501,312
Total general and administrative expenses$6,484,458$3,265,497$3,218,961

The increase in general and administrative
expenses of $3,218,961 for the year ended December 31, 2024 compared to the prior year was primarily due to (i) an increase in personnel-related
expenses of $1,943,643 primarily due to an increase in non-cash stock-based compensation expense of approximately $1.6 million related
to awards granted to the president and chief executive officer, the chief financial officer, members of the board of directors in connection
with the IPO, and other administrative award grants combined with an increase in payroll and bonus expense of approximately $0.3 million
mostly related to the hiring of the Company’s chief financial officer in connection with the IPO (ii) an increase in professional
and consulting fees of $774,006 primarily related to an increase in search firm related fees to identify and add three new board members
to the Company’s Board of Directors to comply with Nasdaq listing requirements, an increase in valuation services to support the
estimated fair market value of the Company’s common stock and other financial instruments, including the fair value of the Related
Party Convertible Notes Payable, an increase in legal fees related to additional corporate matters and intellectual property costs, and
an increase in audit and audit related fees associated with the annual and quarterly review of the Company’s financial statements,
and (iii) an increase in other expenses of $501,312 primarily due to an increase in the cost of directors and officer insurance during
the current period, combined with an increase in board fees, investor relations fees, and other public company expenses.

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Other Income (Expense)

Other income (expense), net, for
the year ended December 31, 2024 and 2023 is comprised of the following:

Column 1Column 2Column 3
·Change in fair value of warrant liability —During the year ended December 31, 2024 and 2023, we recognized an increase in fair value of the warrant liability of $78,903 and $79,822, respectively, based on the estimated fair value of warrant liability using the Black-Scholes valuation model at August 14, 2024 (closing date of the IPO) and December 31, 2023, respectively, which amounts are included in other income (expense) in the accompanying consolidated financial statements.
Column 1Column 2Column 3
·Gain on settlement of warrants — Upon the closing of the IPO on August 14, 2024, the Company’s Series B Redeemable Convertible Preferred Stock Warrants issued at an exercise price of $5.27 per share (in-the-money warrants) were automatically exercised and settled on a cashless basis for shares of our Series B Redeemable Convertible Preferred Stock, and such shares of Series B Redeemable Convertible Preferred Stock were subsequently converted into 26,070 shares of our common stock. Upon the settlement of the in-the-money warrants, the Company recorded a gain on settlement of $343,240, which amounts is included in other income (expense) in the accompanying consolidated financial statements.
Column 1Column 2Column 3
·Loss on issuance of related party convertible notes payable at fair value — The loss on issuance of the Related Party Convertible Notes Payable of $400,000 for the year ended December 31, 2024 represents the difference between the estimated fair value of the Related Party Convertible Notes Payable on the issuance date and the principal amount on the issuance date based on the valuation assumptions.
Column 1Column 2Column 3
·Change in estimated fair value of Related Party Convertible Notes Payable — The change in the estimated fair value of the Related Party Convertible Notes Payable of $2,192,507 for the year ended December 31, 2024 represents the difference between the estimated fair value at issuance and the estimated fair value upon conversion into common stock upon the closing of the IPO on August 14, 2024, which amount is included in other income (expense) in the accompanying consolidated financial statements.
Column 1Column 2Column 3
·Interest expense — Interest expense for the year ended December 31, 2024 and 2023 represents interest accrued on amounts owed under a license agreement with UIC, whereby UIC agreed to defer amounts payable to UIC under a former sublicense agreement in the amount of $404,991 in exchange for an interest-bearing license payable.
Column 1Column 2Column 3
·Interest income — Interest income for the year ended December 31, 2024 and 2023 represents interest earned on cash and cash equivalents based on the prevailing market rates. The decrease in interest income for the year ended December 31, 2024 compared to the prior year is primarily due to a lower average cash balance on hand in 2024 compared to 2023.

Liquidity and Capital Resources

Sources of Liquidity

Since our inception, we have not
generated any revenue from product sales and have incurred significant operating losses and negative cash flows from operations. We expect
to incur significant expenses and operating losses in the foreseeable future as we advance the clinical development of elraglusib and
any future product candidates. As of December 31, 2024, we had cash and cash equivalents of $8,641,622.

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Future Funding Requirements

We expect our expenses to increase
substantially in connection with our ongoing activities, particularly as we continue our development of, seek regulatory approval for,
and potentially commercialize elraglusib and potentially seek to discover and develop and/or license or acquire additional product candidates,
conduct our ongoing and planned clinical trials and preclinical studies, continue our research and development activities, utilize third
parties to manufacture elraglusib, hire additional personnel, expand and protect our intellectual property, and incur additional costs
associated with being a public company.

Cash used to fund our operating
expenses is impacted by the timing of when we pay these expenses, as reflected in the change in our outstanding prepaid expenses, accounts
payable, and other accrued expenses. The timing and amount of our funding requirements will depend on many factors, including:

·the costs and timing of, including invoicing for, clinical trials and preclinical studies of elraglusib and any future product candidates we may choose to pursue, including the costs of modification to clinical development plans based on feedback that we may receive from regulatory authorities and any third-party products used as combination agents in our clinical trials;
·the costs, timing and outcome of regulatory meetings and reviews of elraglusib or any future product candidates, including requirements of regulatory authorities in any additional jurisdictions in which we may seek approval for elraglusib and any future product candidates;
·the costs of obtaining, maintaining, enforcing and protecting our patents and other intellectual property and proprietary rights;
·our efforts to enhance operational systems and hire additional personnel to satisfy our obligations as a public company, including enhanced internal control over financial reporting;
·the costs associated with hiring additional personnel and consultants as our business grows, including additional executive officers and clinical development, regulatory, CMC, quality and commercial personnel;
·the timing and payment of milestone, royalty or other payments we must make pursuant to our existing and potential future license or collaboration agreements with third parties;
·the costs and timing of establishing or securing sales and marketing capabilities if elraglusib or any future product candidate is approved;
·our ability to achieve sufficient market acceptance, coverage, and adequate reimbursement from third-party payors and adequate market share and revenue for any approved products;
·our ability and strategic decision to develop future product candidates other than elraglusib, and the timing of such development, if any;
·the terms and timing of establishing and maintaining collaborations, licenses and other similar arrangements; and
·costs associated with any products or technologies that we may in-license or acquire.

Based on our current operating
plan, we estimate that our existing cash and cash equivalents as of the date of this Report will not satisfy the Company’s operational
and capital requirements through twelve months from the issuance date of the consolidated financial statements included in this Report.

We have no other committed sources
of capital. Until such time, if ever, as we can generate substantial product revenue, we expect to finance our operations through equity
offerings, debt financings, or other capital sources, including current or potential future collaborations, licenses, and other similar
arrangements. As we seek additional financing in the near future, we may be unable to raise additional funds or enter into such other
arrangements when needed on favorable terms or at all. To the extent we raise additional capital through the sale of equity or convertible
debt securities, stockholders’ ownership interest in our common stock will be diluted, and the terms of these securities may include
liquidation or other preferences that adversely affect the rights of our common stockholders. Debt financing and preferred equity financing,
if available, may involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring
additional debt, making acquisitions, engaging in acquisition, merger or collaboration transactions, selling or licensing our assets,
making capital expenditures, redeeming our stock, making certain investments or declaring dividends. If we raise additional funds through
collaborations or license agreements with third parties, we may have to relinquish valuable rights to our technologies, future revenue
streams, research programs or product candidates, or grant licenses on terms that may not be favorable to us. If we are unable to raise
additional funds through equity, debt, or other financings when needed, we may be required to delay, limit, reduce or terminate our product
development or future commercialization efforts or grant rights to develop and market product candidates that we would otherwise prefer
to develop and market ourselves, or even cease operations.

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Material Cash Requirements for Known Contractual and Other Obligations

Research and Development Costs

We are continuing to invest in
our elraglusib clinical trials and have entered into contractual obligations with each clinical trial site. Each contract shall continue
until the completion of the trial at that site. Our clinical trial costs are dependent on, among other things, the size, number and length
of our clinical trials.

Other Capital Requirements and Additional Royalty Obligations.

We enter into agreements in the
normal course of business with various vendors, which are generally cancellable upon notice. Payments due upon cancellation typically
consist only of payments for services provided or expenses incurred, including non-cancellable obligations of service providers, up to
the date of cancellation.

Cash Flow Summary

The following table provides a summary of our cash
flows for the year ended December 31, 2024 and 2023:

Year Ended December 31,
20242023
Net cash used in operating activities$(21,842,648)$(21,625,167)
Net cash provided by financing activities27,525,6114,134,516
Net change in cash and cash equivalents$5,682,963$(17,490,651)

Cash Flows From Operating Activities

Year Ended December 31, 2024 — Net
cash used in operating activities for the year ended December 31, 2024 consisted of our net loss of $27,285,328 combined with the non-cash
gain on settlement of the warrant liability of $343,240, which amounts were offset by (i) non-cash stock-based compensation expense of
$1,995,793, (ii) a non-cash increase in the fair value of our warrant liability of $78,903, (iii) a loss on issuance of Related Party
Convertible Notes Payable at fair value of $400,000, (iv) the change in estimated fair value of Related Party Convertible Notes Payable
of $2,192,507, (v) an increase in accrued interest on license payable of $18,641, and (vi) cash provided by a net change in operating
assets and liabilities of $1,100,076.

Year Ended December 31,
2023 — Net cash used in operating activities for the year ended December 31, 2023 consisted of our net loss
of $24,744,620, which amount was offset by (i) non-cash stock-based compensation expense of $423,539, (ii) a non-cash increase
in the fair value of our warrant liability of $79,822, (iii) an increase in accrued interest on license payable of $43,641, and (iv) cash
provided by a net change in operating assets and liabilities of $2,572,451.

Cash Flows From Financing Activities

Year Ended December 31, 2024 — During
the year ended December 31, 2024, net cash provided by financing activities primarily consisted of net proceeds received from the closing
of the IPO and Overallotment Option of $22,025,611 (net of underwriting discounts and commissions and after payment of offering costs
of $1,931,189), proceeds of $5,500,000 from the issuance of the Related Party Convertible Notes Payable, which amount was offset .

Year Ended December 31, 2023 — During
the year ended December 31, 2023, net cash provided by financing activities consisted of net proceeds of $4,134,516 related to the issuance
of Series C Redeemable Convertible Preferred Stock.

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Critical Accounting Policies and Significant Judgments and Estimates

Our financial statements are prepared
in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”). The preparation
of our financial statements and related disclosures requires us to make estimates and judgments that affect the reported amounts of assets,
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 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 more detail in Note 2 to the accompanying consolidated financial statements included elsewhere in this Report,
we believe the following accounting policies are those most critical to the judgments and estimates used in the preparation of our financial
statements.

Research and Development Expenses and Related Accrued Expenses

In accordance with authoritative
guidance, the Company charges research and development costs to operations as incurred. Research and development expenses consist primarily
of personnel and related costs, external costs of outside vendors engaged clinical trials, contract manufacturers, consultants and other
third parties to conduct and support our clinical trials and preclinical studies.

As part of the process of preparing
our consolidated financial statements, we are required to estimate our research and development expenses as of each balance sheet date.
This process involves reviewing open contracts, including clinical site contracts, and communicating with our personnel to identify services
that have been performed on our behalf, and estimating the level of service performed and the associated cost incurred for the service
when we have not yet been invoiced or otherwise notified of the actual cost. We make estimates of our research and development expenses
as of each balance sheet date based on facts and circumstances known to us at that time. The significant estimates in our research and
development expenses include the costs incurred for services performed by our vendors in connection with services for which we have not
yet been invoiced. We base our expenses related to research and development activities on our estimates of the services received and efforts
expended pursuant to quotes and contracts with contractors and vendors that conduct research and development on our behalf. The financial
terms of these agreements are subject to negotiation, vary from contract to contract, and may result in uneven payment flows. Advance
payments for goods and services that will be used in future research and development activities are expensed when the activity has been
performed or when the goods have been received rather than when the payment is made. Although we do not expect our estimates to be materially
different from amounts actually incurred, if our estimates of the status and timing of services performed differ from the actual status
and timing of services performed, it could result in us reporting amounts that are too high or too low in any particular period. To date,
there have been no material differences between our estimates of such expenses and the amounts actually incurred.

Stock-Based Compensation

In April 2015 and August 2024,
the Company’s Board of Directors (“Board”) adopted the 2015 Stock Incentive Plan (“2015 Plan”) and the 2024
Stock Incentive Plan (“2024 Plan”), respectively.

The Company periodically grants
equity-based payment awards in the form of restricted common stock awards (“RSAs”), restricted stock units (“RSUs”),
and stock options to employees, directors, consultants and non-employees and records stock-based compensation expenses for awards of stock-based
payments based on their estimated fair value at the grant date.

The estimated fair value of service-based
RSAs and RSAs are measured at the grant date based on the estimated fair market value of the Company’s common stock on the date
of grant and is recognized as expense over the requisite service period, which is generally the awards’ vesting period. The estimated
fair value of performance-based RSAs is measured at the grant date based on the estimated fair value of shares expected to be earned at
the end of the performance period, and is recognized as expense ratably over the performance period based upon the probable number of
shares expected to vest.

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The Company accounts for the grant
of stock options based on the estimated fair value of the underlying option using the Black-Scholes valuation model on the date of grant
and are recognized as expense in the consolidated statement of operations on a straight-line basis over the requisite service period,
which is the vesting period. The Black-Scholes valuation model requires the input of subjective assumptions, including expected volatility,
expected dividend yield, expected term, risk-free rate of return and the estimated fair value of the underlying common stock on the date
of grant. Prior to the IPO, the Company regularly engaged a third-party valuation specialist to assist with estimates related to the valuation
of the Company’s common stock. Post IPO, the fair value of our common stock is determined based on the closing price of our common
stock as reported on the date of grant on the primary stock exchange on which our common stock is traded.

The Company classifies stock-based
compensation expense in the consolidated statements of operations in the same manner in which the award recipients’ payroll costs
are classified or in which the award recipients’ service payments are classified.

The Company recognizes forfeitures
related to stock-based compensation awards as they occur.

Determination of Fair Value of Our Common Stock

Prior to the closing of the Company’s
IPO, there was no public market for our common stock. Therefore, the estimated fair value of our common stock prior to the date of the
Company’s IPO was determined by our board of directors as of the date of grant of each award, with input from management, considering
our most recently available third-party valuations of common stock and our board of directors’ assessment of additional objective
and subjective factors that it believed were relevant and which may have changed from the date of the most recent valuation through the
date of the grant. These third-party valuations were performed in accordance with the guidance outlined in the American Institute of Certified
Public Accountants’ Accounting and Valuation Guide, Valuation of Privately-Held-Company Equity Securities Issued as Compensation.
Our common stock valuations were prepared using either an option pricing method (OPM) or a hybrid method, both of which used market approaches
to estimate our enterprise value. The OPM treats common stock and preferred stock as call options on the total equity value of a company,
with exercise prices based on the value thresholds at which the allocation among the various holders of a company’s securities changes.
Under this method, the common stock has value only if the funds available for distribution to stockholders exceed the value of the preferred
stock liquidation preferences at the time of the liquidity event, such as a strategic sale or a merger. The hybrid method is a probability-weighted
expected return method (PWERM) where the equity value in one or more of the scenarios is calculated using an OPM. The PWERM is a scenario-based
methodology that estimates the fair value of common stock based upon an analysis of future values for us, assuming various outcomes. In
addition to considering the results of these third-party valuations, our board of directors considered various objective and subjective
factors to determine the fair value of our common stock as of each grant date, including:

·the prices at which we sold shares of preferred stock and the superior rights and preferences of the preferred stock relative to our common stock at the time of each grant;
·the progress of our research and development programs, including the status of preclinical studies and clinical trials for our product candidates;
·our stage of development and business strategy;
·external market conditions affecting the biotechnology industry and trends within the biotechnology industry;
·our financial position, including cash on hand, and our historical and forecasted performance and operating results;
·the lack of an active public market for our common stock and our preferred stock;
·the likelihood of achieving a liquidity event, such as an initial public offering, or IPO, or sale of our company in light of prevailing market conditions; and
·the analysis of IPOs and subsequent market performance of similar companies in the biotechnology industry.

The assumptions underlying these
valuations represented management’s best estimate, which involved inherent uncertainties and the application of management’s
judgment. As a result, if we had used significantly different assumptions or estimates, the fair value of our common stock and our stock-based
compensation expense could have been materially different.

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There were significant judgments
and estimates inherent in the determination of the fair value of our common stock. Historically, these judgments and estimates included
assumptions regarding our future operating performance, the time to complete an IPO or other liquidity event, and the determination of
the appropriate valuation methods.

Based on our early stage of development,
the difficulty in predicting the range of specific outcomes (and their likelihood), and other relevant factors, the market approach was
considered most appropriate for valuations prior to the closing of the IPO. The recent transactions method was utilized to determine the
value of the equity and the OPM allocated the equity value to the respective share classes. In determining the estimated fair value of
our common stock, our board of directors also considered the fact that our stockholders could not freely trade our common stock in the
public markets prior to the closing of the Company’s IPO. Accordingly, we applied discounts to reflect the lack of marketability
of our common stock based on the weighted-average expected time to liquidity.

Once a public trading market for
our common stock became established in connection with the completion of the Company’s IPO, it is no longer necessary for our board
of directors to estimate the fair value of our common stock in connection with our accounting for granted equity-based awards or for any
other such awards we may grant, as the fair value of our common stock is determined based on the closing price of our common stock as
reported on the date of grant on the primary stock exchange on which our common stock is traded.

Fair Value of Financial Instruments

Authoritative guidance requires
disclosure of the fair value of financial instruments. The Company applies fair value measurements to record fair value adjustments to
certain assets and liabilities and to determine fair value disclosures. The carrying amount of certain of the Company’s financial
instruments, including cash and cash equivalents, accounts payable and accrued liabilities, approximate their estimated fair values primarily
due to the short-term nature of the instruments or based on information obtained from market sources and management estimates. The Related
Party Convertible Notes Payable and the Redeemable Convertible Preferred Stock Warrant Liability were carried at fair value until the
closing of the IPO based on unobservable market inputs. The Company measures the fair value of certain of its financial liabilities on
a recurring basis. A fair value hierarchy is used to rank the quality and reliability of the information used to determine fair values.

Financial assets and liabilities
carried at fair value which is not equivalent to cost will be classified and disclosed in one of the following three categories:

·Level 1 — Quoted prices (unadjusted) in active markets for identical assets and liabilities;
·Level 2 — Inputs other than Level 1 that are observable, either directly or indirectly, such as unadjusted quoted prices for similar assets and liabilities, unadjusted quoted prices in the markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities; and
·Level 3 — Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. Level 3 assets and liabilities include those whose fair value measurements are determined using pricing models, discounted cash flow methodologies or similar valuation techniques and significant management judgment or estimation.

The Company reviews the fair value
hierarchy classification at each reporting date. Changes in the ability to observe valuation inputs may result in a reclassification of
levels for certain assets or liabilities within the fair value hierarchy. The Company did not have any transfers of assets and liabilities
between the levels of the fair value measurement hierarchy during the years presented.

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Redeemable Convertible Preferred Stock Warrants

The Company’s Redeemable
Convertible Preferred Stock Warrants required liability classification and accounting as the underlying Redeemable Convertible Preferred
Stock was considered contingently redeemable and could have obligated the Company to transfer assets to the holders at a future date upon
occurrence of a deemed liquidation event. The warrants were recorded at their estimated fair value upon issuance and were subject to remeasurement
to estimated fair value at each balance sheet date, with changes in the estimated fair value recognized as a component of other income
(expense) in the accompanying consolidated statements of operations. The Company adjusted the warrant liability for changes in estimated
fair value until the earlier of the exercise, conversion, or expiration of the Redeemable Convertible Preferred Stock Warrants. In July
2024, the Redeemable Convertible Preferred Stock Warrants were amended to provide that if underlying Redeemable Convertible Preferred
Stock Warrants were out-of-the-money based on the initial public offering price in the IPO, the out-of-the-money Redeemable Convertible
Preferred Stock Warrants would convert into warrants to purchase common stock with an exercise price per share that reflected the Conversion
Ratio then in effect for the underlying Redeemable Convertible Preferred Stock. Accordingly, the Redeemable Convertible Preferred Stock
Warrants were remeasured upon the closing of the IPO and marked to market to their fair value before being reclassified to equity

The Redeemable Convertible Preferred
Stock Warrant Liability was valued using the Black-Scholes valuation model, which requires the use of highly subjective assumptions to
determine the appropriate fair value of each warrant, including:

·Fair Value of Common Stock — See the subsection titled “— Determination of Fair Value of Our Common Stock” above.
·Expected Volatility — Prior to the closing of the Company’s IPO, there was no public market or trading history for our common stock. Therefore, the expected volatility was estimated based on the historical volatilities of common stock of comparable publicly traded companies, for a look-back period commensurate with the expected term of the warrant. The comparable companies were chosen based on their size, stage of their life cycle or area of specialty.
·Risk-Free Interest Rate — The risk-free interest rate used was based on the published U.S. Department of Treasury interest rates in effect at each measurement date for zero coupon U.S. Treasury notes with maturities approximating the expected remaining term of each warrant.
·Expected Dividend Yield — The expected dividend yield was zero as we have not paid dividends and do not anticipate paying a cash dividend in the foreseeable future.
·Expected Term — The expected term of each warrant represents the remaining contractual term of the underlying warrant.

Fair Value Option of Accounting for Related Party Convertible Notes
Payable

When financial instruments contain
various embedded derivatives which may require bifurcation and separate accounting of those derivatives apart from the entire host instrument,
if eligible, ASC 825, Financial Instruments (“ASC 825”) allows issuers to elect the fair value option (“FVO”)
of accounting for those instruments. The FVO may be elected on an instrument-by-instrument basis and is irrevocable unless a new election
date occurs. The FVO allows the issuer to account for the entire financial instrument at fair value with subsequent remeasurements of
that fair value recorded through the statements of operations at each reporting period until the conversion or payment of the Related
Party Convertible Notes Payable balance. A financial instrument is generally eligible for the FVO if, amongst other factors, no part of
the convertible, or contingently convertible, instrument is classified in stockholders’ equity.

Based on the eligibility assessment
discussed above, the Company concluded that its Related Party Convertible Notes Payable were eligible for the FVO and accordingly elected
to apply the FVO to its Related Party Convertible Notes Payable in accordance with ASC 825. Accordingly, the Related Party Convertible
Notes Payable were measured at fair value on their issuance dates and remeasured at estimated fair value at the end of each reporting
period with changes in fair value recognized as a component of other income (expense) in the consolidated statements of operations. The
primary reason for electing the fair value option was to address simplification and cost-benefit considerations that result from accounting
for hybrid financial instruments at fair value in their entirety versus bifurcation of the embedded derivatives from the debt hosts.

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The estimated fair values of the
Related Party Convertible Notes Payable were determined using valuation models that incorporated assumptions and estimates. The Company
assessed these assumptions and estimates at each financial reporting period as additional information impacting the assumptions was obtained.
Assumptions in the models included but were not limited to equity value, volatility, time to a conversion event, risk-free rate and scenario
weightings. The fair value measurements of the Related Party Convertible Notes Payable were based on significant inputs that were not
observable in the market and represented a Level 3 measurement. The change in fair value related to accrued interest was also included
within the single line of change in fair value of Related Party Convertible Notes Payable in the consolidated statements of operations.

In addition, in certain circumstances,
the estimated fair value at issuance may be greater than the face value at issuance. The loss on issuance of the Related Party Convertible
Notes Payable recorded during year ended December 31, 2024 represented the difference between the estimated fair value of the Related
Party Convertible Notes Payable and the gross proceeds received on the issuance date based on the assumptions, including the proximity
in time to the anticipated IPO, the discount on conversion of the Related Party Convertible Notes Payable, and the increased probability-weighted
IPO scenario. In connection with the closing of the Company’s IPO on August 14, 2024, the Related Party Convertible Notes Payable
were converted into common stock and no amounts are outstanding as of December 31, 2024.

Off-Balance Sheet Arrangements

We did not have, during the periods
presented, and we do not currently have, any off-balance sheet arrangements, as defined in the rules and regulations of the SEC.

Recent Accounting Pronouncements

A description of recently issued
accounting standards that may potentially impact our financial position, results of operations, and cash flows is included in Note 2 to
our consolidated financial statements in this Report.

Emerging Growth Company Status and Smaller Reporting
Company Status

We are an emerging growth company,
as defined in the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”). The JOBS Act permits an emerging growth company
such as ours to take advantage of an extended transition period to comply with new or revised accounting standards. We have elected to
avail ourselves of such extended transition period, which means that when a standard is issued or revised and it has different application
dates for public or private companies, we can adopt the new or revised standard at the time private companies adopt the new or revised
standard and may do so until such time that we either (i) irrevocably elect to opt out of such extended transition period or (ii) no longer
qualify as an emerging growth company. We may choose to early adopt any new or revised accounting standards whenever such early adoption
is permitted for private companies. We will continue to remain an emerging growth company until the earliest of the following: (1) the
last day of the fiscal year following the fifth anniversary of the date of the completion of the IPO; (2) the last day of the fiscal year
in which our total annual gross revenue is equal to or more than $1.235 billion; (3) the date on which we have issued more than $1.0 billion
in nonconvertible debt during the previous three years; or (4) the date on which we are deemed to be a large accelerated filer under the
rules of the SEC.

We are also a smaller reporting
company as defined in the Securities Exchange Act of 1934, as amended (the “Exchange Act”). We may continue to be a smaller
reporting company even after we are no longer an emerging growth company. We may take advantage of certain of the scaled disclosures available
to smaller reporting companies and will be able to take advantage of these scaled disclosures for so long as our voting and non-voting
common stock held by non-affiliates is less than $250.0 million measured on the last business day of our second fiscal quarter, or our
annual revenue is less than $100.0 million during the most recently completed fiscal year and our voting and non-voting common stock held
by non-affiliates is less than $700.0 million measured on the last business day of our second fiscal quarter.

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