Exhibit 4.4


 


GLOBAL AMENDMENT


 


This Global Amendment (this
 “Amendment”) is entered into as of April 14, 2022 by and among Streeterville Capital, LLC, a Utah limited liability
company (“Lender”), Jaguar Health, Inc. a Delaware corporation (“Jaguar”), and Napo Pharmaceuticals, Inc.,
a Delaware corporation (“Napo,” and together with Jaguar, “Borrower”). Capitalized terms used in
this Amendment without definition shall have the meanings given to them in the Note (as defined below).


 


A.          Borrower
previously sold and issued to Lender that certain Secured Promissory Note dated January 19, 2021 in the original principal amount
of $6,220,812.50 (the “Note”).


 


B.           Lender
and Borrower have agreed, subject to the terms, amendments, conditions and understandings expressed in this Amendment, to amend the Note
as set forth herein.


 


NOW, THEREFORE, for good and
valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:


 


1.            Recitals.
Each of the parties hereto acknowledges and agrees that the recitals set forth above in this Amendment are true and accurate and are hereby
incorporated into and made a part of this Amendment.


 


2.            Definitions.
For purposes of this Amendment, the following terms will have the following meanings:


 


(a)            “Exchange
Amount” means the amount of the Note that Borrower desires to exchange for Exchange Shares.


 


(b)            “Exchange
Cap” means the maximum number of Exchange Shares that could be issued to Lender without violating The Nasdaq Capital Market
rules related to the aggregation of offerings under Nasdaq Listing Rule 5635(d), if applicable.


 


(c)            “Exchange
Conditions” means: (a) with respect to the applicable Exchange Date all of the Exchange Shares would be (i) registered
for trading under applicable federal and state securities laws, (ii) freely tradable under Rule 144, or (iii) otherwise
freely tradable without the need for registration under any applicable federal or state securities laws; (b) the applicable Exchange
Shares would be eligible for immediate resale by Lender; (c) no Event of Default shall have occurred under the Note; (d) if
Jaguar’s Common Stock is trading on OTCQB or OTCQX, the Exchange Amount is less than or equal to twenty-five percent (25%) of the
median daily dollar trading volume of Jaguar’s Common Stock during the ten (10) Trading Days preceding the Exchange Date; and
(e) the Common Stock is trading on Nasdaq, NYSE, OTCQB or OTCQX.


 


(d)            “Exchange
Date” means the date that an Exchange Notice is submitted by Borrower to Lender.


 


(e)            “Exchange
Notice” means a notice delivered by Borrower to Lender specifying the Exchange Amount to be exchanged and the number of Exchange
Shares to be issued.


 






    


     


    

 


(f)            “Exchange
Shares” the number of shares of Jaguar’s Common Stock to be issued pursuant to an applicable Exchange Notice.


 


(g)            “Nasdaq
Minimum Price” means such term as defined in Nasdaq Listing Rule 5635(d).


 


3.            Borrower
Exchange Right. The Note is hereby amended to grant Borrower the right to exchange from time to time at Borrower’s sole discretion
any Exchange Amount for Exchange Shares at a price per share equal to the Nasdaq Minimum Price as of each applicable Exchange Date. Notwithstanding
the foregoing, Borrower will not have the right to exchange any Exchange Amount and issue any Exchange Shares to Lender if: (a) the
issuance of such Exchange Shares would cause Lender’s beneficial ownership to exceed 4.99% of Jaguar’s issued and outstanding
Common Stock as of such date; (b) any of the Exchange Conditions has not been satisfied as of the applicable Exchange Date; and (c) the
total cumulative number of Exchange Shares to be issued to Lender would exceed the Exchange Cap unless (i) stockholder approval is
obtained to issue more than the Exchange Cap or (ii) the Common Stock is not listed for quotation on Nasdaq or NYSE American. The
Exchange Cap shall be appropriately adjusted for any reorganization, recapitalization, non-cash dividend, stock split, reverse stock split
or other similar transaction. Following delivery of an Exchange Notice, Borrower may not deliver another Exchange Notice to Lender for
at least three (3) Trading Days.


 


4.            Representations
and Warranties. In order to induce Lender to enter into this Amendment, Borrower, for itself, and for its affiliates, successors and
assigns, hereby acknowledges, represents, warrants and agrees as follows:


 


       (a)             Borrower
has full power and authority to enter into this Amendment and to incur and perform all obligations and covenants contained herein, all
of which have been duly authorized by all proper and necessary action. No consent, approval, filing or registration with or notice to
any governmental authority is required as a condition to the validity of this Amendment or the performance of any of the obligations of
Borrower hereunder.


 


       (b)            There
is no fact known to Borrower or which should be known to Borrower which Borrower has not disclosed to Lender on or prior to the date of
this Amendment which would or could materially and adversely affect the understanding of Lender expressed in this Amendment or any representation,
warranty, or recital contained in this Amendment.


 


       (c)             Except
as expressly set forth in this Amendment, Borrower acknowledges and agrees that neither the execution and delivery of this Amendment nor
any of the terms, provisions, covenants, or agreements contained in this Amendment shall in any manner release, impair, lessen, modify,
waive, or otherwise affect the liability and obligations of Borrower under the terms of the Note.


 






    2


     


    

 


       (d)            Borrower
has no defenses, affirmative or otherwise, rights of setoff, rights of recoupment, claims, counterclaims, actions or causes of action
of any kind or nature whatsoever against Lender, directly or indirectly, arising out of, based upon, or in any manner connected with,
the transactions contemplated hereby, whether known or unknown, which occurred, existed, was taken, permitted, or begun prior to the execution
of this Amendment and occurred, existed, was taken, permitted or begun in accordance with, pursuant to, or by virtue of any of the terms
or conditions of the Note. To the extent any such defenses, affirmative or otherwise, rights of setoff, rights of recoupment, claims,
counterclaims, actions or causes of action exist or existed, such defenses, rights, claims, counterclaims, actions and causes of action
are hereby waived, discharged and released. Borrower hereby acknowledges and agrees that the execution of this Amendment by Lender shall
not constitute an acknowledgment of or admission by Lender of the existence of any claims or of liability for any matter or precedent
upon which any claim or liability may be asserted.


 


       (e)             Borrower
represents and warrants that as of the date hereof no Events of Default or other material breaches exist under the Note, or have occurred
prior to the date hereof.


 


5.            Other
Terms Unchanged. The Note, as amended by this Amendment, remains and continues in full force and effect, constitutes legal, valid,
and binding obligations of each of the parties, and is in all respects agreed to, ratified, and confirmed. Any reference to the Note after
the date of this Amendment is deemed to be a reference to the Note as amended by this Amendment. If there is a conflict between the terms
of this Amendment and the Note, the terms of this Amendment shall control. No forbearance or waiver may be implied by this Amendment.
Borrower acknowledges that it is unconditionally obligated to pay the remaining balance of the Note and represents that such obligation
is not subject to any deductions, defenses, rights of offset, or counterclaims of any kind. Except as expressly set forth herein, the
execution, delivery, and performance of this Amendment shall not operate as a waiver of, or as an amendment to, any right, power, or remedy
of Lender under the Note, as in effect prior to the date hereof.


 


6.            No
Reliance. Borrower acknowledges and agrees that neither Lender nor any of its officers, directors, members, managers, equity holders,
representatives or agents has made any representations or warranties to Borrower or any of its agents, representatives, officers, directors,
or employees except as expressly set forth in this Amendment and the Note and, in making its decision to enter into the transactions contemplated
by this Amendment, Borrower is not relying on any representation, warranty, covenant or promise of Lender or its officers, directors,
members, managers, equity holders, agents or representatives other than as set forth in this Amendment.


 


7.            Counterparts.
This Amendment may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall
constitute one instrument. The parties hereto confirm that any electronic copy of another party’s executed counterpart of this Amendment
(or such party’s signature page thereof) will be deemed to be an executed original thereof.


 


8.            Further
Assurances. Each party shall do and perform or cause to be done and performed, all such further acts and things, and shall execute
and deliver all such other agreements, certificates, instruments and documents, as the other party may reasonably request in order to
carry out the intent and accomplish the purposes of this Amendment and the consummation of the transactions contemplated hereby.


 


[Remainder of page intentionally left blank]


 






    3


     


    

 


IN WITNESS WHEREOF, the undersigned have executed
this Amendment as of the date set forth above.


 


		BORROWER:
	 	 	 
		JAGUAR HEALTH, INC.
	 	 	 
		By:	/s/ Lisa Conte
	 	 	Lisa Conte, President and CEO
		 	 
	 	NAPO PHARMACEUTICALS, INC.
		 	 
	 	By:	/s/
    Lisa Conte
		 	Lisa Conte, President and CEO
	 	 	 
		 	 
	 	LENDER:
		 	 
	 	STEETERVILLE CAPITAL, LLC
		 	 
	 	By:	/s/
    John M. Fife
		 	John M. Fife, President




 


[Signature Page to Global Amendment]