**EXHIBIT      10.19**

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**CONVERTIBLE      NOTE AND WARRANT PURCHASE AGREEMENT**

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**CONVERTIBLE      NOTE AND WARRANT PURCHASE AGREEMENT**
*Agreement*
*Company*
*Purchaser*
*Purchasers*

*Notes*
*Warrants*
** **

**ARTICLE      I**

**DEFINITIONS      AND TERMS OF NOTES AND WARRANTS**

**1.1**
**Definitions**

*Action*

*Affiliate*

*Agreement*

*Business      Day*

*Closing*

*Closing      Date*

*Commission*

*Common      Stock*

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*Common      Stock Equivalents*

*Company*

*Conversion      Shares*

*Disclosure      Schedules*

*Effective      Date*

*Environmental      Laws*

*Exchange      Act*

*FDC      Act*

*GAAP*

*Governmental      Authorizations*

*Hazardous      Substances*

*Indemnified      Party*

*Indemnifying      Party*

*Intellectual      Property*

*Investor      Rights Agreement*

*Lien*

*Material      Adverse Effect*

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*Notes*

*Person*

*Placement      Agent Warrants*

*Premises*

*Purchaser*

*Registration      Statement*

*Rights*

*Rule      144*

*SEC      Reports*

*Securities*

*Securities      Act*

*“Security      Agreement”*

*Subscription      Amount*

*Subsidiary*

*Trading      Day*

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*Trading      Market*

*Transaction      Documents*

*Warrants*

*Warrant      Shares*

**1.2**
**Terms      of the Notes and Warrants**
**.**

**ARTICLE      II**

**PURCHASE      AND SALE**

**2.1**
**Closing**
**.**

*Closing*
*Closing      Date*

** **

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*Escrow      Agent*
*Closing      Escrow Agreement*

**2.2**
**Conditions      to Obligations of Purchasers to Effect the Closing**

** **

*Secretary’s      Certificate*

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**2.3.**
**Conditions      to Obligations of the Company to Effect the Closing**

**ARTICLE      III**

**REPRESENTATIONS      AND WARRANTIES**

**3.1**
**Representations      and Warranties of the Company**

**(a)      **
**Subsidiaries**

**(b)      **
**Organization      and Qualification**

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*Material      Adverse Effect*

**(c)      **
**Authorization;      Enforceability**

**(d)      **
**No      Conflicts**

**(e)      **
**Filings,      Consents and Approvals**

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**(f)      **
**Issuance      of the Securities**

**(g)      **
**Capitalization**

**(h)**
**SEC      Reports; Financial Statements; Liabilities**

*SEC      Reports*

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*GAAP*

**(i)      **
**Material      Changes**

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**(j)      **
**Litigation**
*Action*

**(k)      **
**Labor      Relations**

**(l)      **
**Compliance**

**(m)      **
**Licenses;      Compliance With FDA and Other Regulatory Requirements.**

*Governmental      Authorizations*

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*FDC      Act*
*Regulatory      Authority*

**(n)      **
**Title      to Assets**

**(o)**
**Intellectual      Property. **

*Rights*
*Intellectual      Property*

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**(p)**
**Insurance**

**(q)**
**Transactions      With Affiliates and Employees**

**(r)      **
**Internal      Accounting Controls**

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**(s)      **
**Certain      Fees**

**(t)      **
**Private      Placement; Integrated Offering**

**(u)      **
**Charter,      Bylaws and Corporate Records.**

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**(v)      **
**Registration      Rights**

**(w)      **
**Listing      and Maintenance Requirements**

**(x)**
**Taxes.      **

**(y)**
**Environmental      Matters. **
*Premises*
*Hazardous      Substances*

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*Environmental      Laws*

**(z)      **
**Disclosure**

**(aa)**
**No      Additional Representations.**

**(bb)      Poison Pill.**

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**3.2      **
**Representations      and Warranties of the Purchasers**
**.      **

**(a)      **
**Organization;      Authority; Enforceability**

**(b)      **
**General      Solicitation**

**(c)      **
**No      Public Sale or Distribution**
*provided,      however*

**(d)      **
**Accredited      Investor Status**

**(e)      **
**Residency**
** **

**(f)      **
**Reliance      on Exemptions**

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**(g)      **
**Information**

**(h)      **
**No      Governmental Review**

**(i)      **
**Experience      of Such Purchaser**

**ARTICLE      IV**

**OTHER      AGREEMENTS OF THE PARTIES**

**4.1**
**Transfer      Restrictions**
**.**

*      provided, however*

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** **

*SECURITIES      ACT*
*ACCREDITED      INVESTOR*

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**4.2      **
**Furnishing      of Information**
**.      **

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**4.3**
**Integration**
**.**

**4.4**
**Limitation      on Future Financing**
**.**

**4.5**
**Publicity**
**.      **

**4.6**
**Non-Public      Information**
**.**

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**4.7**
**Use      of Proceeds**
**.**

**4.8**
**Reservation      of Common Stock**
**.**

**4.9**
**Listing      of Common Stock**
**.**

**4.10**
**Business      Operations**
**.**

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**(a)**
**Insurance**

**(b)**
**Corporate      Existence; Licenses.**

**(c)**
**Taxes      and Claims.**

**(d)**
**Affiliate      Transactions**

**4.11**
**Securities      Law Compliance**

**(a)**
**Securities      Act**

**(b)**
**State      Securities Law Compliance -- Sale**

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**(c)**
**State      Securities Law Compliance --Resale**

**4.12**
**Reverse      Stock Split**
**.      **
*1      for 5 Split*

**4.13      **
**Poison      Pill**
**.**

**4.14**
**Director      Designees**
**.      **
*SCO      Director Designees*
*SCO      Board Seats*

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**ARTICLE      V**

**INDEMNIFICATION,      TERMINATION AND DAMAGES**

**5.1**
**Survival      of Representations**
**.**

**5.2**
**Indemnification**
**.      **

*provided,      however*

**5.3**
**Indemnity      Procedure**
**.**

*Indemnifying      Party*
*Indemnified      Party*

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*provided,      however*

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**ARTICLE      VI**

**MISCELLANEOUS**

**6.1**
**Fees      and Expenses**
**.**

**6.2**
**Entire      Agreement**
**.**

**6.3**
**Notices**
**.**

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**6.4**
**Amendments;      Waivers**

**6.5**
**Construction**
**.**

**6.6**
**Successors      and Assigns**
**.**

**6.7**
**No      Third-Party Beneficiaries**
**.**

**6.8**
**Governing      Law.**

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**6.9      **
**Jurisdiction;      Venue; Service of Process**
**.**

**6.10      **
**Execution**
**.**

**6.11      **
**Severability**
**.**

**6.12**
**Replacement      of Securities**
**.**

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**6.13      **
**Remedies**
**.**

**6.14**
**Payment      Set Aside**
**.**

**6.15**
**Independent      Nature of Purchasers' Obligations and Rights**
**.      **

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**6.16**
**Waiver      of Trial by Jury**
**.**

**6.17**
**Further      Assurances**
**.**

*[Signature      pages follow.*
*]*

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**COMPANY:**

**ACCESS      PHARMACEUTICALS, INC.**

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**PURCHASERS:**

|                                       | Print Exact |  Name:                                | SCO                  Capital Partners LLC    |
|--------------------------------------------|-------------|--------------------------------------------|----------------------------------------------|
|                                       |        |
|         | By:         |                                            |  /s/                Steven H. Rouhandeh |
|                                       | Name:       | Steven H. Rouhandeh                        |
|                                       | Title       |                                            |  Chairman                               |
|                                       |             |                                       |
|                                       | Address:    | 1285                Avenue of the Americas |
|                                       |             |  35th                Floor            |
|                                       |             |  New                York, NY 10019    |
|                                       | Telephone:  |  212-554-4158                         |
|                                       | Facsimile   |  212-554-4058                         |
|                                       | Email       |                        |
|                                       | SSN/EIN     |  52-2247879                           |
|                                       | Amount of   | Investment $                               | 4,000,000.00                                 |

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**PURCHASERS:**

|                                       | Print Exact |  Name:                               |  Lake                    End Capial LLC |
|--------------------------------------------|-------------|-------------------------------------------|----------------------------------------------|
|                                       |        |
|         | By:         |                                           |  /s/                  Jeffrey B Davis   |
|                                       | Name:       | Jeffrey B. Davis                          |
|                                       | Title       |                                           |  Chairman                               |
|                                       |             |                                      |
|                                       | Address:    |  33                  Tall Oaks Drive |
|                                       |             |  Summit,                  NJ 07901   |
|                                       |             |                                      |
|                                       | Telephone:  |  212-554-4158                        |
|                                       | Facsimile   |  212-554-4058                        |
|                                       | Email       |                  |
|                                       | SSN/EIN     |  20-2334991                          |
|                                       | Amount of   | Investment $                              | 500,000.00                                   |

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**PURCHASERS:**

|                                       | Print Exact |  Name:                                                     |  Beach                    Capital LLC     |
|--------------------------------------------|-------------|-----------------------------------------------------------------|------------------------------------------------|
|                                       |        |
|         | By:         |                                                                 |  /s/                  Steven H. Rouhandeh |
|                                       | Name:       | Steven H. Rouhandeh                                             |
|                                       | Title       |                                                                 |  Chairman                                 |
|                                       |             |                                                            |
|                                       | Address:    |  1285                  Avenue of the Americas              |
|                                       |             |  35th                  Floor      |
|                                       |             |  New                  York, NY 10019                       |
|                                       | Telephone:  |  212-554-4158                                              |
|                                       | Facsimile   |  212-554-4058                                              |
|                                       | Email       |                                             |
|                                       | SSN/EIN     |  20-4249428                                                |
|                                       | Amount of   | Investment $                                                    | 500,000.00                                     |

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