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1018-00004 · Penterra Pharmaceuticals Corp · Closing
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CALDERWOOD & HARKNESS LLP 280 Park Avenue, 34th Floor New York, New York 10017

CLOSING BINDER INDEX AND TABLE OF CONTENTS

Master Clinical Trial Agreement and Ancillary Agreements

Protocol PPC-4871-III (CLARION — Clinical Assessment of Response with Longitudinal Investigation in ONcology)

Between

PENTERRA PHARMACEUTICALS CORP. (Sponsor)

and

VERIDIAN HEALTH RESEARCH NETWORK, INC. (Site Network)

Signing Date: June 28, 2023 Closing Date: July 5, 2023 Effective Date: July 18, 2023

Total Deal Value: $80,000,000

Matter Number: 1018-00004 Responsible Partner: Miriam Calloway Billing Partner: Joel Strauss

Date of Binder Assembly: July 18, 2023

CLOSING BINDER — INDEX AND TABLE OF CONTENTS

MASTER CLINICAL TRIAL AGREEMENT AND ANCILLARY AGREEMENTS

Protocol PPC-4871-III (CLARION)

Penterra Pharmaceuticals Corp. / Veridian Health Research Network, Inc.

Matter No. 1018-00004

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VOLUME I — PRINCIPAL TRANSACTION AGREEMENT

Volume I contains the fully executed Master Clinical Trial Agreement between Penterra Pharmaceuticals Corp. and Veridian Health Research Network, Inc., together with all execution-version signature pages of the parties thereto. The Master Clinical Trial Agreement was executed on June 28, 2023, with a closing date of July 5, 2023, and an effective date of July 18, 2023.

Tab 1 — Execution Version: Master Clinical Trial Agreement

Tab 2 — MCTA Signature Pages — Penterra Pharmaceuticals Corp.

Tab 3 — MCTA Signature Pages — Veridian Health Research Network, Inc.

Tab 4 — MCTA Signature Pages — Graystone University Medical Center (Lead Site)

VOLUME II — MCTA EXHIBITS

Volume II contains the executed exhibits to the Master Clinical Trial Agreement, identified as Exhibits A through K. These exhibits are incorporated by reference into, and form an integral part of, the MCTA. Each exhibit is tabbed separately for ease of reference.

Tab 5 — Exhibit A: Protocol Synopsis (PPC-4871-III / CLARION)

Tab 6 — Exhibit B: Budget and Payment Schedule

Budget Summary:

Payment Terms: Net 45 days from receipt of a proper invoice submitted in accordance with the invoicing procedures set forth in the MCTA.

Per-Patient Milestone Payments: The per-patient site fee of $52,000 per subject is payable in four equal installments of $13,000 each, triggered upon achievement of the following milestones: (i) subject randomization; (ii) completion of the Week 12 assessment visit; (iii) completion of the Week 24 assessment visit; and (iv) subject study completion (including early termination with required follow-up data collection).

Start-Up Fee Installments: The start-up fee of $75,000 per site is payable in two equal installments: (i) $37,500 upon site activation (defined as IRB approval, site initiation visit completion, and regulatory document package clearance); and (ii) $37,500 upon enrollment of the first patient at such site.

Tab 7 — Exhibit C: Form of Individual Site Agreement (Joinder)

Tab 8 — Exhibit D: Subject-Injury Indemnification Provisions

(a) Sponsor Indemnification of Sites and Investigators:

Penterra Pharmaceuticals Corp. shall indemnify, defend, and hold harmless each participating Veridian Network site and each investigator from and against all claims, losses, damages, liabilities, costs, and expenses (including reasonable attorneys' fees) arising from injuries to clinical trial subjects, subject to the following limitations and conditions:

• Per-Subject Medical Care Cap: $500,000 per subject for costs of medical care arising from study-related injuries.

• Aggregate Cap: $15,000,000 in the aggregate across all sites and all subjects for the duration of the study.

• Product-Defect Claims: Sponsor indemnification is uncapped with respect to claims arising from defects in the investigational product (penterafenib), including manufacturing defects, design defects, and failure to provide adequate warnings in the Investigator's Brochure.

(b) Carve-Outs from Sponsor Indemnification:

Sponsor indemnification does not extend to claims arising from: (i) the negligence or willful misconduct of an investigator or site personnel; (ii) unauthorized deviations from the Protocol; or (iii) a material breach by the site or investigator of the MCTA or the applicable Individual Site Agreement.

(c) Reciprocal Site Indemnification:

Each Veridian Network site shall indemnify, defend, and hold harmless Penterra from and against claims arising from the negligence or willful misconduct of such site or its personnel, subject to the following limitations:

• Per-Site / Per-Occurrence Cap: $5,000,000 per site per occurrence.

• Aggregate Cap: $20,000,000 in the aggregate across all Veridian Network sites.

(d) Notice Requirement:

The party seeking indemnification must provide written notice to the indemnifying party within 30 calendar days of becoming aware of a claim or potential claim giving rise to an indemnification obligation.

(e) Defense and Settlement Procedures:

The indemnifying party shall have the right to assume and control the defense of any indemnified claim, subject to the indemnified party's right to participate with separate counsel at its own expense. No settlement may be agreed to without the prior written consent of the indemnified party, which consent shall not be unreasonably withheld, conditioned, or delayed.

Tab 9 — Exhibit E: Insurance Requirements and Certificate Forms

(a) Penterra Clinical Trial Liability Insurance:

• Carrier: Briarcliff Mutual Insurance Company

• Policy Number: BM-CTL-2023-04182

• Limits: $25,000,000 per occurrence / $75,000,000 in the aggregate

• Subject-Injury Sublimit: $10,000,000 per occurrence / $50,000,000 in the aggregate

• Additional Insureds: Veridian Health Research Network, Inc. and each participating Veridian Network site shall be named as additional insureds under the policy

(b) Veridian / Site Insurance:

• Required Coverage: General liability and professional liability insurance

• Minimum Limits: $5,000,000 per occurrence / $10,000,000 in the aggregate

• Applicable To: Veridian Health Research Network, Inc. and each participating Veridian Network site

(c) Certificate Exchange Deadline:

All certificates of insurance shall be exchanged within 15 business days of execution of the MCTA (i.e., by July 21, 2023).

(d) Forms:

Exhibit E includes the prescribed forms for: (i) certificate of insurance; and (ii) additional insured endorsement.

Tab 10 — Exhibit F: Confidentiality and Data Protection Provisions

Permitted Disclosures: Confidential Information may be disclosed to: (i) Institutional Review Boards with jurisdiction over the conduct of the study at a participating site; (ii) regulatory authorities (including the FDA, EMA, and other health authorities) as required by applicable law or regulation; and (iii) each party's legal counsel, auditors, and consultants, provided that such recipients are bound by obligations of confidentiality no less restrictive than those set forth in Exhibit F.

Data Security Obligations: Each party shall implement and maintain reasonable administrative, technical, and physical safeguards to protect Confidential Information against unauthorized access, use, or disclosure, consistent with industry standards for the protection of clinical trial data and personal health information.

HIPAA Compliance: The parties acknowledge that the conduct of the CLARION trial will involve the use and disclosure of Protected Health Information ("PHI") as defined under the Health Insurance Portability and Accountability Act of 1996, as amended, and the regulations promulgated thereunder at 45 C.F.R. Parts 160 and 164. The parties shall comply with all applicable requirements of HIPAA and shall enter into Business Associate Agreements as necessary.

Tab 11 — Exhibit G: Intellectual Property and Publication Rights

(a) Ownership of Clinical Trial Data: Penterra Pharmaceuticals Corp. retains exclusive ownership of all clinical trial data generated in connection with the CLARION trial, including but not limited to case report form data, laboratory data, imaging data, pharmacokinetic and pharmacodynamic data, biomarker data, and safety data.

(b) Pre-Existing intellectual Property: Each party retains all right, title, and interest in and to its pre-existing intellectual property. Nothing in the MCTA or this Exhibit G shall be construed to transfer ownership of any party's pre-existing intellectual property to any other party.

(c) Joint Inventions: Inventions that are jointly developed by personnel of Penterra and personnel of a participating site or the Veridian Network shall be governed by the intellectual Property Side Letter executed concurrently with the MCTA (see Tab 24 of this closing binder).

(d) Publication Rights: Investigators may publish the results of the CLARION trial, subject to the following conditions:

• Investigators shall submit proposed manuscripts, abstracts, and presentations to Penterra for review at least 60 calendar days prior to the intended date of submission for publication or presentation.

• Penterra may review the proposed publication solely for the purpose of identifying Confidential Information and patentable subject matter.

• If Penterra identifies patentable subject matter, the investigator shall delay submission for up to an additional 90 calendar days beyond the initial 60-day review period to permit Penterra to file appropriate patent applications.

• Multi-center publications shall take priority over single-site publications.

Tab 12 — Exhibit H: Regulatory Compliance Representations and Covenants

• 21 C.F.R. Part 11 — Electronic Records; Electronic Signatures

• 21 C.F.R. Part 50 — Protection of Human Subjects

• 21 C.F.R. Part 54 — Financial Disclosure by Clinical Investigators

• 21 C.F.R. Part 56 — Institutional Review Boards

• 21 C.F.R. Part 312 — Investigational New Drug Application

• ICH E6(R2) — Guideline for Good Clinical Practice (GCP)

• Federal Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b))

• Physician Payments Sunshine Act / Open Payments (42 U.S.C. § 1320a-7h) — All payments and transfers of value to investigators shall be reported in accordance with the Open Payments program administered by the Centers for Medicare & Medicaid Services (CMS).

• Fair Market Value Representations — All compensation payable to investigators under the MCTA and any Individual Site Agreement has been determined to be consistent with fair market value for the services rendered, based on a fair market value assessment conducted by an independent third-party valuation firm.

Tab 13 — Exhibit I: Form of Investigator Undertaking

• Compliance with Protocol PPC-4871-III (CLARION), including all amendments approved by the Sponsor and the applicable IRB;

• Compliance with Good Clinical Practice (GCP) as set forth in ICH E6(R2) and applicable FDA regulations;

• Compliance with all applicable federal, state, and local regulations governing the conduct of clinical trials;

• Completion of financial disclosure obligations pursuant to 21 C.F.R. Part 54, including the submission of FDA Form 3455 (Disclosure: Financial Interests and Arrangements of Clinical Investigators) and FDA Form 3454 (Certification: Financial Interests and Arrangements of Clinical Investigators);

• Compliance with the confidentiality provisions set forth in the MCTA and Exhibit F thereto;

• Acknowledgment of Penterra's exclusive ownership of all clinical trial data generated in connection with the CLARION trial; and

• Agreement to cooperate with Sponsor-initiated audits and regulatory inspections.

Tab 14 — Exhibit J: Safety Reporting Procedures

(a) Serious Adverse Event (SAE) Reporting Timeline:

Each site shall report all serious adverse events to the Sponsor and to Meridian Contract Research Organization, Inc. (the designated CRO for safety data management) within 24 hours of the site becoming aware of the event. Reports shall be submitted via the Pinnacle Data Solutions EDC platform and confirmed by facsimile or email to the Penterra Pharmacovigilance Department.

(b) IND Safety Report Obligations:

• Fatal or Life-Threatening Events: The Sponsor shall submit IND safety reports to the FDA within 7 calendar days of initial receipt of information for any unexpected fatal or life-threatening suspected adverse reaction.

• All Other IND Safety Reports: The Sponsor shall submit IND safety reports within 15 calendar days for all other events meeting the criteria for expedited reporting under 21 C.F.R. § 312.32.

(c) CRO Coordination:

Meridian Contract Research Organization, Inc. shall serve as the central coordinator for safety data management, including the receipt, processing, assessment, and tracking of all SAE reports from participating sites. Meridian shall maintain a global safety database for the CLARION trial and shall provide periodic safety reports to the Sponsor.

(d) Site Expedited Reporting Responsibilities:

Each site shall maintain a local safety reporting process to ensure timely identification, documentation, and reporting of all adverse events, serious adverse events, and suspected unexpected serious adverse reactions (SUSARs). Sites shall designate a qualified safety reporting contact and shall ensure that site personnel are trained on the safety reporting procedures set forth in this Exhibit J.

Tab 15 — Exhibit K: Approved Subcontractors List

Each subcontractor listed above has entered into, or will enter into, a separate services agreement with the Sponsor and/or the Site Network, as applicable. All subcontractors are subject to the confidentiality, data protection, and regulatory compliance obligations set forth in the MCTA.

VOLUME III — SCHEDULE

Volume III contains the schedule to the Master Clinical Trial Agreement identifying all participating Veridian Network sites.

Tab 16 — Schedule 1: List of Participating Veridian Network Sites (38 Sites)

Lead Sites:

The remaining 36 sites, with their respective site numbers, institution names, addresses, principal investigators, IRBs of record, and planned enrollment allocations, are set forth in the complete Schedule 1 document behind this tab. Total planned enrollment across all 38 sites is 1,200 subjects.

VOLUME IV — INDIVIDUAL SITE AGREEMENTS (REPRESENTATIVE JOINDERS)

Volume IV contains executed Individual Site Agreements (joinders) for the first five representative participating Veridian Network sites (Sites 001 through 005). Additional joinder agreements will be executed on a rolling basis as sites complete the activation process and will be added to this volume as supplemental tabs.

Tab 17 — Individual Site Agreement: Graystone University Medical Center (Site 001)

Tab 18 — Individual Site Agreement: Lakemont Medical Center (Site 002)

Tab 19 — Individual Site Agreement: Haverford Regional Medical Center (Site 003)

Tab 20 — Individual Site Agreement: Cedar Falls University Hospital (Site 004)

Tab 21 — Individual Site Agreement: Weston Memorial Health System (Site 005)

VOLUME V — INVESTIGATOR AGREEMENTS

Volume V contains the executed investigator agreements for the Global Principal Investigator and the Co-Principal Investigator for the CLARION trial. These agreements set forth the individual obligations, compensation terms, regulatory responsibilities, and publication rights applicable to the named investigators.

Tab 22 — Principal Investigator Agreement: Dr. Catherine Aldridge, M.D., Ph.D.

Tab 23 — Co-Principal Investigator Agreement: Dr. Howard Matsuoka, M.D.

VOLUME VI — ANCILLARY AGREEMENTS

Volume VI contains the ancillary agreements executed in connection with the MCTA.

Tab 24 — Intellectual Property Side Letter (Execution Version)

VOLUME VII — CLOSING CERTIFICATES AND CORPORATE AUTHORIZATION DOCUMENTS

Volume VII contains all closing certificates, secretary's certificates, and officer's certificates delivered by the parties at or prior to the closing date of July 5, 2023, as conditions precedent to the effectiveness of the MCTA.

Tab 25 — Closing Certificate: Penterra Pharmaceuticals Corp.

Tab 26 — Closing Certificate: Veridian Health Research Network, Inc.

Tab 27 — Secretary's Certificate: Penterra Pharmaceuticals Corp.

Tab 28 — Secretary's Certificate: Veridian Health Research Network, Inc.

Tab 29 — Officer's Certificate: Penterra Pharmaceuticals Corp. (Representations and Warranties Bringdown)

VOLUME VIII — INSURANCE DOCUMENTS

Volume VIII contains all insurance-related documents delivered in connection with the MCTA, including certificates of insurance, transmittal letters, requests for additional insured endorsements, and site insurance certificate tracking materials.

Tab 30 — Certificate of Insurance: Penterra Pharmaceuticals Corp. (Briarcliff Mutual)

Tab 31 — Certificate of Insurance Transmittal Letter: Penterra to Veridian

Tab 32 — Letter to Briarcliff Mutual: Request for Additional Insured Endorsement

Tab 33 — Letter to Veridian: Request for Site Insurance Certificates

Tab 34 — Site Insurance Certificates (as received)

VOLUME IX — IRB APPROVALS (LEAD SITES)

Volume IX contains the IRB approval documentation for the lead sites in the CLARION trial. IRB approval for the lead sites was a condition precedent to closing under the MCTA.

Tab 35 — IRB Approval: Graystone University Institutional Review Board

Tab 36 — IRB Approval: Veridian Central IRB (Lakemont Medical Center and Network Sites)

VOLUME X — CONDITIONS PRECEDENT SATISFACTION

Volume X contains the internal memoranda and closing checklists documenting the satisfaction of all conditions precedent to the closing of the MCTA.

Tab 37 — Conditions Precedent Satisfaction Memorandum

(i) Delivery of Insurance Certificates (Tabs 30–34): Penterra's certificate of insurance from Briarcliff Mutual Insurance Company has been delivered and confirms coverage meeting the requirements of Exhibit E. Site insurance certificates are being collected on a rolling basis, with certificates from Sites 001 through 005 received as of the closing date.

(ii) IRB Approvals for Lead Sites (Tabs 35–36): IRB approval from the Graystone University Institutional Review Board (for Site 001) and central IRB approval from the Veridian Central IRB (for Site 002 and remaining network sites) have been received and are in full force and effect.

(iii) Executed Investigator Signature Pages (Tabs 22–23): The Principal Investigator Agreement with Dr. Catherine Aldridge, M.D., Ph.D., and the Co-Principal Investigator Agreement with Dr. Howard Matsuoka, M.D., have been fully executed.

(iv) Execution of All Ancillary Agreements (Tab 24): The intellectual Property Side Letter has been executed concurrently with the MCTA.

(v) Delivery of Corporate Authorization Documents (Tabs 27–29): Secretary's certificates from both Penterra and Veridian, together with the Officer's Certificate (representations and warranties bringdown) from Penterra, have been delivered and are in proper form.

Tab 38 — Closing Checklist

VOLUME XI — CORRESPONDENCE

Volume XI contains key correspondence generated during the negotiation, drafting, execution, and closing of the MCTA and ancillary agreements, organized chronologically. This volume is included to provide a complete record of the transaction history and to document the key decisions and compromises reached during the negotiation process.

Tab 39 — Engagement Kick-Off Email

Tab 40 — Transmittal Letter: First Draft MCTA

Tab 41 — Email: Indemnification Issues Follow-Up

Tab 42 — Transmittal Letter: Second Draft MCTA

Tab 43 — Publication Rights Negotiation Correspondence

Tab 44 — Email: Scheduling In-Person Negotiation Session

Tab 45 — Email: Post-Negotiation Session Client Update

Tab 46 — Transmittal Letter: Near-Final Draft MCTA

Tab 47 — Matter Closing Confirmation Letter

VOLUME XII — DRAFT HISTORY (REFERENCE COPIES)

Volume XII contains reference copies of all major drafts, redlines, and negotiation documents generated during the drafting and negotiation of the MCTA. These documents are included for reference purposes only and do not form part of the executed transaction documents.

Tab 48 — First Draft MCTA

Tab 49 — Second Draft MCTA

Tab 50 — Redline: Second Draft Against First Draft

Tab 51 — Near-Final Draft MCTA

Tab 52 — Final Agreed Draft MCTA

Tab 53 — Redline: Final Draft Against Near-Final Draft

Tab 54 — Indemnification Term Sheet

VOLUME XIII — KEY REFERENCE DOCUMENTS (NOT PART OF TRANSACTION; INCLUDED FOR REFERENCE)

Volume XIII contains key reference documents that are not part of the executed transaction documents but are included in the closing binder for informational and reference purposes. These documents provide context for the engagement, the professional relationship between Calderwood & Harkness LLP and Penterra Pharmaceuticals Corp., and the post-closing obligations of the parties.

Tab 55 — Engagement Letter: Calderwood & Harkness LLP to Penterra Pharmaceuticals Corp.

Tab 56 — Retainer Agreement Acknowledgment Letter

Tab 57 — Closing Memorandum (Post-Closing Summary)

(a) Annual Insurance Renewals: Penterra's clinical trial liability insurance policy (Briarcliff Mutual, Policy No. BM-CTL-2023-04182) is subject to annual renewal. The first renewal date is March 31, 2024. Penterra must provide updated certificates of insurance to Veridian within 15 business days of each renewal.

(b) Remaining Site Joinder Executions: As of the effective date, executed Individual Site Agreements (joinders) have been received from Sites 001 through 005. Joinder agreements for the remaining 33 sites (Sites 006 through 038) will be executed on a rolling basis as sites complete the activation process.

(c) Key Milestone Dates:

• Target First Patient In (FPI): August 14, 2023

• Projected Last Patient In (LPI): February 2027 (42-month enrollment period)

• Projected Study Completion: August 2028 (60-month total study duration)

APPENDIX — KEY CONTACT INFORMATION

The following table sets forth the key contact information for each party, outside counsel, and key service providers in connection with the Master Clinical Trial Agreement for Protocol PPC-4871-III (CLARION).

Penterra Pharmaceuticals Corp. 200 Biopharma Boulevard, Suite 1400, Princeton, NJ 08540

Veridian Health Research Network, Inc. 750 Research Parkway, 8th Floor, Philadelphia, PA 19104

Calderwood & Harkness LLP (Counsel for Penterra Pharmaceuticals Corp.) 280 Park Avenue, 34th Floor, New York, NY 10017 101 Carnegie Center, Suite 500, Princeton, NJ 08540

Whitmore, Jansen & Callahan LLP (Counsel for Veridian Health Research Network, Inc.) 1500 Market Street, Suite 3200, Philadelphia, PA 19102

Briarcliff Mutual Insurance Company 55 Constitution Plaza, Hartford, CT 06103

Meridian Contract Research Organization, Inc. 9200 Corporate Boulevard, Raleigh, NC 27615

Pinnacle Data Solutions, Inc. 6000 Clearwater Drive, San Diego, CA 92121

Northbridge Bioanalytical Laboratories, Inc. 2900 Commerce Way, Baltimore, MD 21224

Castleton & Hargrove LLP (Regulatory Counsel) 1100 Connecticut Avenue NW, Suite 900, Washington, DC 20036

CERTIFICATION

This Closing Binder Index and Table of Contents was prepared by Calderwood & Harkness LLP and is current as of July 18, 2023. Volumes I through XIII contain fifty-seven (57) tabs representing all material documents, certificates, and deliverables relating to the Master Clinical Trial Agreement between Penterra Pharmaceuticals Corp. and Veridian Health Research Network, Inc. dated June 28, 2023 (effective July 18, 2023).

Matter Number: 1018-00004

Prepared by:

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