EX-4.4





 Exhibit 4.4 

EXECUTION VERSION 

DECIPHER BIOSCIENCES, INC. 

AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT 

THIS AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT (this “Agreement”) is made as
of March 29, 2019 (the “Effective Date”), by and among DECIPHER BIOSCIENCES, INC., a Delaware corporation (formerly known as GenomeDx Inc., the “Company”),
and each of the investors listed on Schedule A attached hereto (each, an “Investor,” and collectively, the “Investors”). 

RECITALS 

WHEREAS, the Company and certain Investors are parties to that certain Sixth Amended and Restated Investors’
Rights Agreement, dated October 4, 2018 (the “Prior Agreement”); 
 WHEREAS, certain of the
Investors (the “Series 3 Investors”) have agreed to purchase from the Company, and the Company has agreed to sell to the Series 3 Investors, shares of Series 3 Preferred (as defined below) on the terms and conditions set forth in
the Series 3 Preferred Stock Purchase Agreement dated of even date herewith among the Company and the Series 3 Investors (the “Purchase Agreement” and together with the Prior Agreement, the “Series 3 Purchase
Agreements”); 
 WHEREAS, the obligations in the Purchase Agreement are conditioned upon the execution and
delivery of this Agreement; 
 WHEREAS, Section 6.7 of the Prior Agreement provides that
the Prior Agreement may be amended only with the written consent of the Company and the holders of at least a majority of the Registrable Securities (as defined in the Prior Agreement) outstanding immediately prior to the execution of this
Agreement; and 
 WHEREAS, the parties to the Prior Agreement desire to amend and restate the Prior Agreement and
accept the rights and covenants hereof in lieu of their rights and covenants under the Prior Agreement. 
 NOW,
THEREFORE, the parties hereby agree as follows: 
 1.    Definitions. For purposes of this
Agreement: 
 1.1    “Affiliate” and its correlative terms mean, with respect to any
specified Person, any other Person who, directly or indirectly, controls, is controlled by, or is under common control with such Person, including, without limitation, any general partner, managing member, investment adviser, officer, trustee or
director of such Person or any venture capital fund or registered investment company now or hereafter existing that is controlled by one or more general partners or managing members of, or shares the same management company or investment adviser
with, such Person. 
 1.2    “Certificate of Incorporation” means the Company’s
Amended and Restated Certificate of Incorporation, as amended from time to time. 












 1.3    “Common Stock” means the
Company’s Common Stock, par value $0.0001 per share. 
 1.4     “Damages” means
any loss, damage, or liability (joint or several) to which a party hereto may become subject under the Securities Act, the Exchange Act, or other federal or state law, insofar as such loss, damage, or liability (or any action in respect thereof)
arises out of or is based upon (i) any untrue statement or alleged untrue statement of a material fact contained in any registration statement of the Company, including any preliminary prospectus or final prospectus contained therein or any
amendments or supplements thereto; (ii) an omission or alleged omission to state therein a material fact required to be stated therein, or necessary to make the statements therein not misleading; or (iii) any violation or alleged violation
by the indemnifying party (or any of its agents or Affiliates) of the Securities Act, the Exchange Act, any state securities law, or any rule or regulation promulgated under the Securities Act, the Exchange Act, or any state securities
law. 
 1.5    “Derivative Securities” means any securities or rights convertible into,
or exercisable or exchangeable for (in each case, directly or indirectly), Common Stock, including options and warrants. 

1.6     “Exchange Act” means the Securities Exchange Act of 1934, as amended, and the
rules and regulations promulgated thereunder. 
 1.7    “Excluded Registration” means
(i) a registration relating to the sale of securities to employees of the Company or a subsidiary pursuant to a stock option, stock purchase, employee benefit or similar plan; (ii) a registration relating to a corporate reorganization or
other SEC Rule 145 transaction; (iii) a registration on any registration form that does not permit secondary sales; (iv) a registration on any form that does not include substantially the same information as would be required to be
included in a registration statement covering the sale of the Registrable Securities; or (v) a registration relating to the offer and sale of debt securities and/or Common Stock issuable upon conversion of those debt securities. 

1.8    “Exempted Securities” has the meaning given to such term in the Certificate of
Incorporation. 
 1.9    “Form S-1” means such
form under the Securities Act as in effect on the date hereof or any successor registration form under the Securities Act subsequently adopted by the SEC. 

1.10    “Form S-3” means such form under the
Securities Act as in effect on the date hereof or any successor or similar registration form under the Securities Act subsequently adopted by the SEC that permits incorporation of substantial information by reference to other documents filed by the
Company with the SEC. 
 1.11    “Future
Non-Participant” has the meaning given to such term in the Certificate of Incorporation. 

1.12    “GAAP” means generally accepted accounting principles in the United States. 












 1.13     “Holder” means any holder of
Registrable Securities who is a party to this Agreement. 
 1.14    “Immediate Family
Member” means a child, stepchild, grandchild, parent, stepparent, grandparent, spouse, sibling, mother-in-law, father-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law, including adoptive relationships, of a natural
person referred to herein. 
 1.15    “Initiating Holders” means, collectively, Holders
who properly initiate a registration request under this Agreement. 
 1.16    “IPO”
means the Company’s first underwritten public offering of its Common Stock under the Securities Act. 

1.17    “Key Employee” means any executive-level employee (including division director
and vice president-level positions) as well as any employee who, either alone or in concert with others, develops, invents, programs, or designs any Company Intellectual Property (as defined in the Purchase Agreement). 

1.18    “Major Investor” means any Investor that, individually or together with such
Investor’s Affiliates, holds at least 2,247,000 shares of Preferred Stock (as adjusted for any stock split, stock dividend, combination, or other recapitalization or reclassification effected after the date hereof). 

1.19    “Majority Preferred Directors” means the affirmative vote or written consent by
at least a majority of the Preferred Directors. 
 1.20    “New Securities” means,
collectively, equity securities of the Company, whether or not currently authorized, as well as rights, options, or warrants to purchase such equity securities, or securities of any type whatsoever that are, or may become, convertible or
exchangeable into or exercisable for such equity securities. 
 1.21    “Person” means
any individual, corporation, partnership, trust, limited liability company, association or other entity. 

1.22    “Preferred Directors” has the meaning given to it in the Voting Agreement. 

1.23    “Preferred Stock” means, collectively, the Company’s Series 1 Preferred
Stock (“Series 1 Preferred”), the Company’s Series 2 Preferred Stock (“Series 2 Preferred”) and the Company’s Series 3 Preferred Stock (“Series 3 Preferred”). 

1.24    “Preferred Stockholders” means the holders of Preferred Stock and
“Preferred Stockholder” means any one of them. 
 1.25    “Qualified Initial
Public Offering” has the meaning set forth in the Certificate of Incorporation. 












 1.26    “Registrable Securities” means,
collectively, the Series 1 Registrable Securities, the Series 2 Registrable Securities and the Series 3 Registrable Securities. Notwithstanding the foregoing, the Company shall in no event be obligated to register any Preferred Stock, and Holders of
Registrable Securities will not be required to convert their Preferred Stock into Common Stock in order to exercise the registration rights granted hereunder, until immediately before the closing of the offering to which the registration relates.

 1.27    “Restricted Securities” means the securities of the Company required to bear
the legend set forth in Section 2.12(b). 
 1.28    “SEC”
means the United States Securities and Exchange Commission. 
 1.29    “SEC Rule 144”
means Rule 144 promulgated by the SEC under the Securities Act. 
 1.30    “SEC Rule
145” means Rule 145 promulgated by the SEC under the Securities Act. 

1.31    “Securities Act” means the Securities Act of 1933, as amended, and the rules and
regulations promulgated thereunder. 
 1.32    “Selling Expenses” means all
underwriting discounts, selling commissions, and stock transfer taxes applicable to the sale of Registrable Securities, and fees and disbursements of counsel for any Holder, except for the fees and disbursements of the Selling Holder Counsel borne
and paid by the Company as provided in Section 2.6. 
 1.33    “Series
1 Registrable Securities” means (i) the Common Stock issuable or issued upon conversion of the Series 1 Preferred; (ii) any Common Stock, or any Common Stock issued or issuable (directly or indirectly) upon conversion and/or
exercise of any other securities of the Company, acquired by the Investors after the date hereof (other than Series 2 Preferred and Series 3 Preferred); and (iii) any Common Stock issued as (or issuable upon the conversion or exercise of any
warrant, right, or other security that is issued as) a dividend or other distribution with respect to, or in exchange for or in replacement of, the shares referenced in clauses (i) and (ii) above; excluding in all cases, however, any Series 1
Registrable Securities sold by a Person in a transaction in which the applicable rights under this Agreement are not assigned pursuant to Section 6.1, and excluding for purposes of Section 2 any shares for which registration
rights have terminated pursuant to Section 2.13 of this Agreement. 

1.34    “Series 2 Registrable Securities” means (i) the Common Stock issuable or
issued upon conversion of the Series 2 Preferred; (ii) any Common Stock, or any Common Stock issued or issuable (directly or indirectly) upon conversion and/or exercise of any other securities of the Company, acquired by Investors after
the date hereof (other than Series 1 Preferred and Series 3 Preferred); and (iii) any Common Stock issued as (or issuable upon the conversion or exercise of any warrant, right, or other security that is issued as) a dividend or other
distribution with respect to, or in exchange for or in replacement of, the shares referenced in clauses (i) and (ii) above; excluding in all cases, however, any Series 2 Registrable Securities sold by a Person in a transaction in which the
applicable rights under this Agreement are not assigned pursuant to  












 
Section 6.1, and excluding for purposes of Section 2 any shares for which registration rights have terminated pursuant to Section 2.13 of this
Agreement. 
 1.35     “Series 3 Registrable Securities” means (i) the Common
Stock issuable or issued upon conversion of the Series 3 Preferred; (ii) any Common Stock, or any Common Stock issued or issuable (directly or indirectly) upon conversion and/or exercise of any other securities of the Company, acquired by
Investors after the date hereof (other than Series 1 Preferred and Series 2 Preferred); and (iii) any Common Stock issued as (or issuable upon the conversion or exercise of any warrant, right, or other security that is issued as) a dividend or
other distribution with respect to, or in exchange for or in replacement of, the shares referenced in clauses (i) and (ii) above; excluding in all cases, however, any Series 3 Registrable Securities sold by a Person in a transaction in which
the applicable rights under this Agreement are not assigned pursuant to Section 6.1, and excluding for purposes of Section 2 any shares for which registration rights have terminated pursuant to
Section 2.13 of this Agreement. 
 1.36    “Tekla Funds”
means, collectively, Tekla Healthcare Investors, Tekla Life Sciences Investors, Tekla World Healthcare Fund, Tekla Healthcare Opportunities Fund and/or any Affiliates of the foregoing. 

1.37    “then outstanding” means, with respect to the Series 1 Registrable Securities,
Series 2 Registrable Securities and Series 3 Registrable Securities, as applicable, the number of shares determined by adding the number of shares of outstanding Common Stock that are Registrable Securities and the number of shares of Common Stock
issuable (directly or indirectly) pursuant to then exercisable and/or convertible securities that are Registrable Securities. 

1.38     “Voting Agreement” means that certain Amended and Restated Voting Agreement, by
and among the Company, the Investors and certain stockholders of the Company of even date herewith. 

2.    Registration Rights. The Company covenants and agrees as follows: 

2.1    Demand Registration. 

(a)    Form S-1 Demand. If (i) at any time
after five (5) years after July 20, 2018, the Company receives a request from Holders of a majority of the Registrable Securities then outstanding, that the Company file a Form S-1 registration
statement with respect to Registrable Securities then outstanding having an anticipated aggregate offering price of at least $20,000,000 or, if earlier, (ii) at any time after one hundred eighty (180) days after the effective date of the
registration statement for the IPO, the Company receives a request from Holders of at least thirty percent (30%) of the Registrable Securities then outstanding, that the Company file a Form S-1 registration
statement with respect to Registrable Securities then outstanding having an anticipated aggregate offering price of at least $10,000,000, then, in each case, the Company shall (a) within ten (10) days after the date such request is given,
give notice thereof (the “Demand Notice”) to all Holders other than the Initiating Holders; and (b) as soon as practicable, and in any event within sixty (60) days after the date such request is made by the Initiating
Holders, file a Form S-1 registration statement under the Securities Act covering all Registrable Securities that the Initiating Holders requested to be registered and any additional Registrable Securities













 
requested to be included in such registration by any other Holders, as specified by notice given by each such Holder to the Company within twenty (20) days after the date the Demand Notice
is given, and in each case, subject to the limitations of Section 2.1(c) and Section 2.3. 

(b)    Form S-3 Demand. If at any time when it is eligible
to use a Form S-3 registration statement, the Company receives a request from Holders of at least twenty-five percent (25%) of the Registerable Securities then outstanding that the Company file a Form S-3 registration statement with respect to Registrable Securities then outstanding, of such Holders having an anticipated aggregate offering price, net of selling expenses, of at least $3,000,000, then the
Company shall (i) within ten (10) days after the date such request is given, give a Demand Notice to all Holders other than the Initiating Holders; and (ii) as soon as practicable, and in any event within forty-five (45) days
after the date such request is made by the Initiating Holders, file a Form S-3 registration statement under the Securities Act covering all Registrable Securities requested to be included in such registration
by any other Holders, as specified by notice given by each such Holder to the Company within twenty (20) days after the date the Demand Notice is given, and in each case, subject to the limitations of Section 2.1(c)
and Section 2.3. 
 (c)    Notwithstanding the foregoing obligations, if the
Company furnishes to Holders requesting a registration pursuant to this Section 2.1 a certificate signed by the Company’s Chief Executive Officer or other most senior executive officer stating that in the good faith
judgment of the Company’s Board of Directors (the “Board of Directors”) it would be materially detrimental to the Company and its stockholders for such registration statement to be filed in the near future and that it is,
therefore, in the best interests of the Company to defer the filing of such registration statement, then the Company shall have the right to defer taking action with respect to such filing, and any time periods with respect to filing or
effectiveness thereof shall be tolled correspondingly, for a period of not more than ninety (90) days after the request of the Initiating Holders is given; provided, however, that the Company may not invoke this right more than
once in any twelve (12) month period; and provided further, that the Company shall not register any securities for its own account or that of any other stockholders during such ninety (90) day period other than an Excluded
Registration. 
 (d)    The Company shall not be obligated to effect, or to take any action to effect,
any registration pursuant to Section 2.1(a): (i) during the period that is within ninety (90) days before the Company’s good faith estimate of the date of filing of, and ending on a date that is one hundred eighty
(180) days after the effective date of, a Company-initiated registration; provided, that the Company is actively employing in good faith commercially reasonable efforts to cause such registration statement to become effective;
(ii) after the Company has effected two registrations pursuant to Section 2.1(a); or (iii) if the Initiating Holders propose to dispose of shares of Registrable Securities that may be immediately registered on
Form S-3 pursuant to a request made pursuant to Section 2.1(b). The Company shall not be obligated to effect, or to take any action to effect, any registration pursuant to
Section 2.1(b) (i) during the period that is within thirty (30) days before the Company’s good faith estimate of the date of filing of, and ending on a date that is ninety (90) days after the effective date of, a
Company-initiated registration; provided, that the Company is actively employing in good faith commercially reasonable efforts to cause such registration statement to become effective; or (ii) if the Company has effected one registration
at the request of Holders of Registrable Securities pursuant to Section 2.1(b) within the twelve (12) month period immediately preceding the date of such request. A registration shall not be counted













 
as “effected” for purposes of this Section 2.1(d) until such time as the applicable registration statement has been declared effective by the SEC, unless the
Initiating Holders withdraw their request for such registration, elect not to pay the registration expenses therefor, and forfeit their right to one demand registration statement pursuant to Section 2.6, in which case such
withdrawn registration statement shall be counted as “effected” for purposes of this Section 2.1(d). 

2.2    Company Registration. If the Company proposes to register (including, for this purpose, a
registration effected by the Company for stockholders other than the Holders) any Common Stock under the Securities Act in connection with the public offering of such securities solely for cash (other than in an Excluded Registration), the Company
shall, at such time, promptly give each Holder notice of such registration. Upon the request of each Holder given within twenty (20) days after such notice is given by the Company, the Company shall, subject to the provisions of
Section 2.3, use its commercially reasonable efforts to include in such registration all of the Registrable Securities that each such Holder has requested to be included in such registration. The Company shall have the
right to terminate or withdraw any registration initiated by it under this Section 2.2 before the effective date of such registration, whether or not any Holder has elected to include Registrable Securities in such
registration. The expenses (other than Selling Expenses) of such withdrawn registration shall be borne by the Company in accordance with Section 2.6. 

2.3    Underwriting Requirements. 

(a)    If, pursuant to Section 2.1, the Initiating Holders intend to
distribute the Registrable Securities covered by their request by means of an underwriting, they shall so advise the Company as a part of their request made pursuant to Section 2.1, and the Company shall include such
information in the Demand Notice. The underwriter(s) will be selected by the Company and shall be reasonably acceptable to at least a fifty-five percent (55%) in interest of the Initiating Holders. In such event, the right of any Holder to
include such Holder’s Registrable Securities in such registration shall be conditioned upon such Holder’s participation in such underwriting and the inclusion of such Holder’s Registrable Securities in the underwriting to the extent
provided herein. All Holders proposing to distribute their securities through such underwriting shall (together with the Company as provided in Section 2.4(e)) enter into an underwriting agreement in customary form with the
underwriter(s) selected for such underwriting. Notwithstanding any other provision of this Section 2.3, if the managing underwriter(s) advise(s) the Initiating Holders in writing that marketing factors require a limitation
on the number of shares to be underwritten, then the Initiating Holders shall so advise all Holders of Registrable Securities that otherwise would be underwritten pursuant hereto, and the number of Registrable Securities that may be included in the
underwriting shall be allocated among such Holders of Registrable Securities, including the Initiating Holders, in proportion (as nearly as practicable) to the number of Registrable Securities owned by each Holder or in such other proportion as
shall mutually be agreed to by all such selling Holders; provided, however, that the number of Registrable Securities held by the Holders to be included in such underwriting shall not be reduced unless all other securities of the Company are
first entirely excluded from the underwriting. To facilitate the allocation of shares in accordance with the above provisions, the Company or the underwriters may round the number of shares allocated to any Holder to the nearest one hundred
(100) shares. 
 (b)    In connection with any offering involving an underwriting of shares of the
Company’s capital stock pursuant to Section 2.2, the Company shall not be required to 












 
include any of the Holders’ Registrable Securities in such underwriting unless the Holders accept the terms of the underwriting as agreed upon between the Company and its underwriters, and
then only in such quantity as the underwriters in their sole discretion determine will not jeopardize the success of the offering by the Company. If the total number of securities, including Registrable Securities, requested by stockholders to be
included in such offering exceeds the number of securities to be sold (other than by the Company) that the underwriters in their reasonable discretion determine is compatible with the success of the offering, then the Company shall be required to
include in the offering only that number of such securities, including Registrable Securities, which the underwriters and the Company in their sole discretion determine will not jeopardize the success of the offering. If the underwriters determine
that less than all of the Registrable Securities requested to be registered can be included in such offering, then the Registrable Securities that are included in such offering shall be allocated among the selling Holders in proportion (as nearly as
practicable to) to the number of Registrable Securities (regardless of class) owned by each selling Holder or in such other proportions as shall mutually be agreed to by all such selling Holders. To facilitate the allocation of shares in accordance
with the above provisions, the Company or the underwriters may round the number of shares allocated to any Holder to the nearest one hundred (100) shares. Notwithstanding the foregoing, in no event shall (i) the number of Registrable
Securities included in the offering be reduced unless all other securities (other than securities to be sold by the Company) are first entirely excluded from the offering or (ii) the number of Registrable Securities included in the offering be
reduced below thirty percent (30%) of the total number of securities included in such offering, unless such offering is the IPO, in which case the selling Holders may be excluded further if the underwriters make the determination described above and
no other stockholder’s securities are included in such offering. For purposes of the provision in this Section 2.3(b) concerning apportionment, for any selling Holder that is a partnership, limited liability company,
corporation or other entity, the partners, members, retired partners, retired members, stockholders, and Affiliates of such Holder, or the estates and Immediate Family Members of any such partners, retired partners, members, and retired members and
any trusts for the benefit of any of the foregoing Persons, shall be deemed to be a single “selling Holder,” and any pro rata reduction with respect to such “selling Holder” shall be based upon the aggregate number of Registrable
Securities owned by all Persons included in such “selling Holder,” as defined in this sentence. 

(c)    For purposes of Section 2.1, a registration shall not be counted as
“effected” if, as a result of an exercise of the underwriter’s cutback provisions in Section 2.3(a), fewer than fifty percent (50%) of the total number of Registrable Securities that Holders
have requested to be included in such registration statement are actually included. 

2.4    Obligations of the Company. Whenever required under this Section 2
to effect the registration of any Registrable Securities, the Company shall, as expeditiously as reasonably possible: 

(a)    prepare and file with the SEC a registration statement with respect to such Registrable Securities
and use its commercially reasonable efforts to cause such registration statement to become effective and, upon the request of the Holders of a majority of the Registrable Securities registered thereunder, keep such registration statement effective
for a period of up to one hundred twenty (120) days or, if earlier, until the distribution contemplated in the registration statement has been completed; provided, however, that (i) such one hundred twenty













 
(120) day period shall be extended for a period of time equal to the period the Holder refrains, at the request of an underwriter of Common Stock (or other securities) of the Company, from
selling any securities included in such registration, and (ii) in the case of any registration of Registrable Securities on Form S-3 that are intended to be offered on a continuous or delayed basis,
subject to compliance with applicable SEC rules, such one hundred twenty (120) day period shall be extended for up to sixty (60) days, if necessary, to keep the registration statement effective until all such Registrable Securities are
sold; 
 (b)    prepare and file with the SEC such amendments and supplements to such registration
statement, and the prospectus used in connection with such registration statement, as may be necessary to comply with the Securities Act in order to enable the disposition of all securities covered by such registration statement for the period set
forth in Section 2.4(a); 
 (c)    furnish to the selling Holders such
numbers of copies of a prospectus, including a preliminary prospectus, as required by the Securities Act, and such other documents as the Holders may reasonably request in order to facilitate their disposition of their Registrable Securities; 

(d)    use its commercially reasonable efforts to register and qualify the securities covered by such
registration statement under such other securities or blue-sky laws of such jurisdictions as shall be reasonably requested by the selling Holders; provided, however, that the Company shall not be
required to qualify to do business or to file a general consent to service of process in any such states or jurisdictions, unless the Company is already subject to service in such jurisdiction and except as may be required by the Securities Act;

 (e)    in the event of any underwritten public offering, enter into and perform its obligations
under an underwriting agreement, in usual and customary form, with the underwriter(s) of such offering, provided such underwriting agreement contains reasonable and customary provisions, and provided further, that each Holder
participating in such underwriting shall also enter into and perform its obligations under such an agreement; 

(f)    use its commercially reasonable efforts to cause all such Registrable Securities covered by such
registration statement to be listed on a national securities exchange or trading system and each securities exchange and trading system (if any) on which similar securities issued by the Company are then listed; 

(g)    provide a transfer agent and registrar for all Registrable Securities registered pursuant to this
Agreement and provide a CUSIP number for all such Registrable Securities, in each case not later than the effective date of such registration; 

(h)    promptly make available for inspection by the selling Holders, any managing underwriter(s)
participating in any disposition pursuant to such registration statement, and any attorney or accountant or other agent retained by any such underwriter or selected by the selling Holders, all financial and other records, pertinent corporate
documents, and properties of the Company, and cause the Company’s officers, directors, employees, and independent accountants to supply all information reasonably requested by any such seller, underwriter, attorney, accountant, or agent, in
each case, as necessary or advisable to verify the accuracy of the 












 
information in such registration statement and to conduct appropriate due diligence in connection therewith; 

(i)    notify each selling Holder, promptly after the Company receives notice thereof, of the time when
such registration statement has been declared effective or a supplement to any prospectus forming a part of such registration statement has been filed; and 

(j)    after such registration statement becomes effective, notify each selling Holder of any request by
the SEC that the Company amend or supplement such registration statement or prospectus. 

2.5    Furnish Information. It shall be a condition precedent to the obligations of the Company to
take any action pursuant to this Section 2 with respect to the Registrable Securities of any selling Holder that such Holder shall furnish to the Company such information regarding itself, the Registrable Securities held by
it, and the intended method of disposition of such securities as is reasonably required to effect the registration of such Holder’s Registrable Securities. 

2.6    Expenses of Registration. All expenses (other than Selling Expenses) incurred in connection
with registrations, filings, or qualifications pursuant to Section 2, including all registration, filing, and qualification fees; printers’ and accounting fees; fees and disbursements of counsel for the Company; and
the reasonable fees and disbursements, not to exceed $50,000, of one counsel for the selling Holders (“Selling Holder Counsel”), shall be borne and paid by the Company; provided, however, that the Company shall not be
required to pay for any expenses of any registration proceeding begun pursuant to Section 2.1 if the registration request is subsequently withdrawn at the request of the Holders of seventy percent (70%) of the
Registrable Securities to be registered (in which case all selling Holders shall bear such expenses pro rata based upon the number of Registrable Securities that were to be included in the withdrawn registration), unless the Holders of seventy
percent (70%) of the Registrable Securities agree to forfeit their right to one registration pursuant to Section 2.1(a) or Section 2.1(b); provided further, that if, at the time of such withdrawal, the
Holders shall have learned of a material adverse change in the condition, business, or prospects of the Company from that known to the Holders at the time of their request and have withdrawn the request with reasonable promptness after learning of
such information then the Holders shall not be required to pay any of such expenses and shall not forfeit their right to one registration pursuant to Section 2.1(a) or Section 2.1(b). All Selling Expenses relating to
Registrable Securities registered pursuant to this Section 2 shall be borne and paid by the Holders pro rata on the basis of the number of Registrable Securities registered on their behalf. 

2.7    Delay of Registration. No Holder shall have any right to obtain or seek an injunction
restraining or otherwise delaying any registration pursuant to this Agreement as the result of any controversy that might arise with respect to the interpretation or implementation of this Section 2. 

2.8    Indemnification. If any Registrable Securities are included in a registration statement
under this Section 2: 












 (a)    To the extent permitted by law, the Company will
indemnify and hold harmless each selling Holder, and the partners, members, officers, directors, trustees, investment advisors and stockholders of each such Holder; legal counsel and accountants for each such Holder; any underwriter (as defined in
the Securities Act) for each such Holder; and each Person, if any, who controls such Holder or underwriter within the meaning of the Securities Act or the Exchange Act, against any Damages, and the Company will pay to each such Holder, underwriter,
controlling Person, or other aforementioned Person any legal or other expenses reasonably incurred thereby in connection with investigating or defending any claim or proceeding from which Damages may result, as such expenses are incurred;
provided that the indemnity agreement contained in this Section 2.8(a) shall not apply to amounts paid in settlement of any such claim or proceeding if such settlement is effected without the consent of the Company,
which consent shall not be unreasonably withheld, nor shall the Company be liable for any Damages to the extent that they arise out of or are based upon actions or omissions made in reliance upon and in conformity with written information furnished
by or on behalf of any such Holder, underwriter, controlling Person, or other aforementioned Person expressly for use in connection with such registration. 

(b)    To the extent permitted by law, each selling Holder, severally and not jointly, will indemnify and
hold harmless the Company, and each of its directors, each of its officers who has signed the registration statement, each Person (if any), who controls the Company within the meaning of the Securities Act, legal counsel and accountants for the
Company, any underwriter (as defined in the Securities Act), any other Holder selling securities in such registration statement, and any controlling Person of any such underwriter or other Holder, against any Damages, in each case only to the extent
that such Damages arise out of or are based upon actions or omissions made in reliance upon and in conformity with written information furnished by or on behalf of such selling Holder expressly for use in connection with such registration; and each
such selling Holder will pay to the Company and each other aforementioned Person any legal or other expenses reasonably incurred thereby in connection with investigating or defending any claim or proceeding from which Damages may result, as such
expenses are incurred; provided, however, that the indemnity agreement contained in this Section 2.8(b) shall not apply to amounts paid in settlement of any such claim or proceeding if such settlement is effected
without the consent of the Holder, which consent shall not be unreasonably withheld; and provided further, that in no event shall the aggregate amounts payable by any Holder by way of indemnity or contribution under
Sections 2.8(b) and 2.8(d) exceed the proceeds from the offering received by such Holder (net of any Selling Expenses paid by such Holder), except in the case of fraud or willful misconduct by such Holder. 

(c)    Promptly after receipt by an indemnified party under this Section 2.8 of
notice of the commencement of any action (including any governmental action) for which a party may be entitled to indemnification hereunder, such indemnified party will, if a claim in respect thereof is to be made against any indemnifying party
under this Section 2.8, give the indemnifying party notice of the commencement thereof. The indemnifying party shall have the right to participate in such action and, to the extent the indemnifying party so desires,
participate jointly with any other indemnifying party to which notice has been given, and to assume the defense thereof with counsel mutually satisfactory to the parties; provided, however, that an indemnified party (together with all other
indemnified parties that may be represented without conflict by one counsel) shall have the right to retain one separate counsel, with the fees and 












 
expenses to be paid by the indemnifying party, if representation of such indemnified party by the counsel retained by the indemnifying party would be inappropriate due to actual or potential
differing interests between such indemnified party and any other party represented by such counsel in such action. The failure to give notice to the indemnifying party within a reasonable time of the commencement of any such action shall relieve
such indemnifying party of any liability to the indemnified party under this Section 2.8, to the extent that such failure materially prejudices the indemnifying party’s ability to defend such action. The failure to
give notice to the indemnifying party will not relieve it of any liability that it may have to any indemnified party otherwise than under this Section 2.8. 

(d)    To provide for just and equitable contribution to joint liability under the Securities Act in any
case in which either (i) any party otherwise entitled to indemnification hereunder makes a claim for indemnification pursuant to this Section 2.8 but it is judicially determined (by the entry of a final judgment or
decree by a court of competent jurisdiction and the expiration of time to appeal or the denial of the last right of appeal) that such indemnification may not be enforced in such case, notwithstanding the fact that this
Section 2.8 provides for indemnification in such case, or (ii) contribution under the Securities Act may be required on the part of any party hereto for which indemnification is provided under this
Section 2.8, then, and in each such case, such parties will contribute to the aggregate losses, claims, damages, liabilities, or expenses to which they may be subject (after contribution from others) in such proportion as
is appropriate to reflect the relative fault of each of the indemnifying party and the indemnified party in connection with the statements, omissions, or other actions that resulted in such loss, claim, damage, liability, or expense, as well as to
reflect any other relevant equitable considerations. The relative fault of the indemnifying party and of the indemnified party shall be determined by reference to, among other things, whether the untrue or allegedly untrue statement of a material
fact, or the omission or alleged omission of a material fact, relates to information supplied by the indemnifying party or by the indemnified party and the parties’ relative intent, knowledge, access to information, and opportunity to correct
or prevent such statement or omission; provided, however, that, in any such case, (x) no Holder will be required to contribute any amount in excess of the public offering price of all such Registrable Securities offered and sold by such
Holder pursuant to such registration statement, and (y) no Person guilty of fraudulent misrepresentation (within the meaning of Section 11(f) of the Securities Act) will be entitled to contribution from any Person who
was not guilty of such fraudulent misrepresentation; and provided further, that in no event shall a Holder’s liability pursuant to this Section 2.8(d), when combined with the amounts paid or payable by such
Holder pursuant to Section 2.8(b), exceed the proceeds from the offering received by such Holder (net of any Selling Expenses paid by such Holder), except in the case of willful misconduct or fraud by such Holder. 

(e)    Notwithstanding the foregoing, to the extent that the provisions on indemnification and
contribution contained in the underwriting agreement entered into in connection with the underwritten public offering are in conflict with the foregoing provisions, the provisions in the underwriting agreement shall control. 

(f)    Unless otherwise superseded by an underwriting agreement entered into in connection with the
underwritten public offering, the obligations of the Company and Holders under this Section 2.8 shall survive the completion of any offering of Registrable 












 
Securities in a registration under this Section 2, and otherwise shall survive the termination of this Agreement. 

2.9    Reports Under Exchange Act. With a view to making available to the Holders the benefits of
SEC Rule 144 and any other rule or regulation of the SEC that may at any time permit a Holder to sell securities of the Company to the public without registration or pursuant to a registration on Form S-3, the
Company shall: 
 (a)    make and keep available adequate current public information, as those terms
are understood and defined in SEC Rule 144, at all times after the effective date of the registration statement filed by the Company for the IPO; 

(b)    use commercially reasonable efforts to file with the SEC in a timely manner all reports and other
documents required of the Company under the Securities Act and the Exchange Act (at any time after the Company has become subject to such reporting requirements); and 

(c)    furnish to any Holder, so long as the Holder owns any Registrable Securities, forthwith upon
request (i) to the extent accurate, a written statement by the Company that it has complied with the reporting requirements of SEC Rule 144 (at any time after ninety (90) days after the effective date of the registration statement filed by
the Company for the IPO), the Securities Act, and the Exchange Act (at any time after the Company has become subject to such reporting requirements), or that it qualifies as a registrant whose securities may be resold pursuant to Form S-3 (at any time after the Company so qualifies); (ii) a copy of the most recent annual or quarterly report of the Company and such other reports and documents so filed by the Company; and (iii) such other
information as may be reasonably requested in availing any Holder of any rule or regulation of the SEC that permits the selling of any such securities without registration (at any time after the Company has become subject to the reporting
requirements under the Exchange Act) or pursuant to Form S-3 (at any time after the Company so qualifies to use such form). 

2.10    Limitations on Subsequent Registration Rights. From and after the date of this Agreement,
the Company shall not, without the prior written consent of the Holders of a majority of the Registrable Securities then outstanding, enter into any agreement with any holder or prospective holder of any securities of the Company that would
(i) provide to such holder the right to include securities in any registration on other than a subordinate basis after all Holders have had the opportunity to include in the registration and offering all shares of Registrable Securities that
they wish to so include or (ii) allow such holder or prospective holder to initiate a demand for registration of any securities held by such holder or prospective holder. 

2.11    “Market
Stand-off” Agreement. Each Holder hereby agrees that it will not, without the prior written consent of the managing underwriter, during the period commencing on the date of the
final prospectus relating to the IPO and ending on the date specified by the Company and the managing underwriter (such period not to exceed one hundred eighty (180) days, which period may be extended upon the request of the managing
underwriter, to the extent required by any FINRA rules, for an additional period of up to fifteen (15) days if the Company issues or proposes to issue an earnings or other public release within fifteen (15) days of the expiration of the 180-day lockup period), (i) lend, offer, pledge, sell, contract to sell, sell any option or contract 












 
to purchase, purchase any option or contract to sell, grant any option, right, or warrant to purchase, or otherwise transfer or dispose of, directly or indirectly, any shares of Common Stock or
any securities convertible into or exercisable or exchangeable (directly or indirectly) for Common Stock held immediately before the effective date of the registration statement for such offering or (ii) enter into any swap or other
arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of such securities, whether any such transaction described in clause (i) or (ii) above is to be settled by delivery of Common Stock or
other securities, in cash, or otherwise. The foregoing provisions of this Section 2.11 shall not apply to the sale of any shares to an underwriter pursuant to an underwriting agreement, and shall be applicable to the
Holders only if all officers and directors are subject to the same restrictions and the Company uses commercially reasonable efforts to obtain a similar agreement from all stockholders individually owning more than one percent (1%) of the
Company’s outstanding Common Stock (after giving effect to conversion into Common Stock of all outstanding Preferred Stock of the Company). The underwriters in connection with such registration are intended
third-party beneficiaries of this Section 2.11 and shall have the right, power, and authority to enforce the provisions hereof as though they were a party hereto. Each Holder further
agrees to execute such agreements as may be reasonably requested by the underwriters in connection with such registration that are consistent with this Section 2.11 or that are necessary to give further effect thereto. Any
discretionary waiver or termination of the restrictions of any or all of such agreements by the Company or the underwriters shall apply pro rata to all Holders subject to such agreements, based on the number of shares subject to such agreements,
provided that this sentence shall not apply to any discretionary waiver or termination under this Section 2.11 if the aggregate number of released shares does not exceeds one percent (1%) of the total outstanding voting shares of the Company.

 2.12    Restrictions on Transfer. 

(a)    The Preferred Stock and the Registrable Securities shall not be sold, pledged, or otherwise
transferred, and the Company shall not recognize and shall issue stop-transfer instructions to its transfer agent with respect to any such sale, pledge, or transfer, except upon the conditions specified in this Agreement, which conditions are
intended to ensure compliance with the provisions of the Securities Act. A transferring Holder will cause any proposed purchaser, pledgee, or transferee of the Preferred Stock and the Registrable Securities held by such Holder to agree to take and
hold such securities subject to the provisions and upon the conditions specified in this Agreement. 

(b)    Each certificate or instrument representing (i) the Preferred Stock, (ii) the
Registrable Securities, and (iii) any other securities issued in respect of the securities referenced in clauses (i) and (ii), upon any stock split, stock dividend, recapitalization, merger, consolidation, or similar event, shall
(unless otherwise permitted by the provisions of Section 2.12(c)) be stamped or otherwise imprinted with a legend substantially in the following form (in addition to any legends required by applicable securities laws and/or
a legend restricting resale of such securities): 
 THE SHARES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER
THE SECURITIES ACT OF 1933 OR THE SECURITIES LAWS OF ANY STATE, AND HAVE BEEN ACQUIRED FOR INVESTMENT AND NOT WITH A VIEW TO, OR IN CONNECTION WITH, 












 
THE SALE OR DISTRIBUTION THEREOF, AND MAY BE OFFERED, SOLD, ASSIGNED, PLEDGED, TRANSFERRED OR OTHERWISE DISPOSED OF IN THE UNITED STATES ONLY PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER
THE SECURITIES ACT OF 1933 OR PURSUANT TO AN APPLICABLE EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT OF 1933 AND, IF REQUESTED BY GENOMEDX INC. (THE “COMPANY”), UPON DELIVERY OF AN OPINION OF COUNSEL IN A FORM SATISFACTORY TO THE
COMPANY AND ITS COUNSEL THAT SUCH REGISTRATION IS NOT REQUIRED UNDER THE SECURITIES ACT OF 1933. 
 THE SECURITIES
REPRESENTED HEREBY MAY BE TRANSFERRED ONLY IN ACCORDANCE WITH THE TERMS OF AN AGREEMENT BETWEEN THE COMPANY AND THE STOCKHOLDER, A COPY OF WHICH IS ON FILE WITH THE SECRETARY OF THE COMPANY. 

The Holders consent to the Company making a notation in its records and giving instructions to any transfer agent of the Restricted Securities
in order to implement the restrictions on transfer set forth in this Section 2.12. 

(c)    The holder of each certificate representing Restricted Securities, by acceptance thereof, agrees
to comply in all respects with the provisions of this Section 2. Before any proposed sale, pledge, or transfer of any Restricted Securities, unless there is in effect a registration statement under the Securities Act
covering the proposed transaction, the Holder thereof shall give notice to the Company of such Holder’s intention to effect such sale, pledge, or transfer. Each such notice shall describe the manner and circumstances of the proposed sale,
pledge, or transfer in sufficient detail and, if reasonably requested by the Company, shall be accompanied at such Holder’s expense by either (i) a written opinion of legal counsel who shall, and whose legal opinion shall, be reasonably
satisfactory to the Company, addressed to the Company, to the effect that the proposed transaction may be effected without registration under the Securities Act; (ii) a “no action” letter from the SEC to the effect that the proposed
sale, pledge, or transfer of such Restricted Securities without registration will not result in a recommendation by the staff of the SEC that action be taken with respect thereto; or (iii) any other evidence reasonably satisfactory to counsel
to the Company to the effect that the proposed sale, pledge, or transfer of the Restricted Securities may be effected without registration under the Securities Act, whereupon the Holder of such Restricted Securities shall be entitled to sell,
pledge, or transfer such Restricted Securities in accordance with the terms of the notice given by the Holder to the Company. The Company will not require such a legal opinion or “no action” letter in any transaction in which such Holder
distributes Restricted Securities to an Affiliate of such Holder for no consideration or transfers such Restricted Securities to an Affiliate(s) in connection with a reallocation of such Restricted Securities among such Affiliates, whether with or
without consideration; provided that each transferee agrees in writing to be subject to the terms of this Section 2.12. Each certificate or instrument evidencing the Restricted Securities transferred as above
provided shall bear, except if such transfer is made pursuant to SEC Rule 144, the appropriate restrictive legend set forth in Section 2.12(b), except that such certificate shall not bear such restrictive legend if, in
the opinion of counsel for such Holder and the Company, such legend is not required in order to establish compliance with any provisions of the Securities Act. 












 2.13    Termination of Registration Rights. The
right of any Holder to request registration or inclusion of Registrable Securities in any registration pursuant to Section 2.1 or Section 2.2 shall terminate upon the earliest to occur of: 

(a)    as to such Holder, upon the sale of all shares held by such Holder pursuant to an effective
registration statement under the Securities Act. 
 (b)    as to such Holder, such earlier time after
the IPO at which such Holder (i) can sell all shares held by it in compliance with Rule 144(b)(1)(i) or (ii) holds one percent (1%) or less of the Company’s outstanding Common Stock and all Registrable Securities held by such Holder
(together with any Affiliate of the Holder with whom such Holder must aggregate its sales under Rule 144) can be sold without limitation in any three (3)-month period without registration in compliance with Rule 144; or 

(c)    the fifth (5th) anniversary of the
consummation of the IPO. 
 3.    Information Rights. 

3.1    Delivery of Financial Statements. The Company shall deliver to each Major Investor,
provided that the Board of Directors has not reasonably determined that such Major Investor is a competitor of the Company: 

(a)    as soon as practicable, but in any event within one hundred eighty (180) days after the end
of each fiscal year of the Company or such later date as may be approved by the Majority Preferred Directors, (i) a balance sheet as of the end of such year, (ii) statements of income and of cash flows for such year, and a comparison
between (x) the actual amounts as of and for such fiscal year and (y) the comparable amounts for the prior year and as included in the Budget (as defined in Section 3.1(e)) for such year, with an explanation of
any material differences between such amounts and a schedule as to the sources and applications of funds for such year, and (iii) a statement of stockholders’ equity as of the end of such year, all such financial statements audited and
certified by independent public accountants of nationally recognized standing selected by the Company; 

(b)    as soon as practicable, but in any event within forty-five (45) days after the end of each of
the first three (3) quarters of each fiscal year of the Company, unaudited statements of income and of cash flows for the portion of the fiscal year ending on the expiry of such fiscal quarter, and a comparison between (x) the actual
amounts as of and for such period and (y) the comparable amounts for the same period in the prior fiscal year and as included in the Budget, and an unaudited balance sheet and a statement of stockholders’ equity as of the end of such
fiscal quarter, all prepared in accordance with GAAP (except that such financial statements may (i) be subject to normal year-end audit adjustments and (ii) not contain all notes thereto that may be
required in accordance with GAAP); 
 (c)    as soon as practicable, upon request by a Major Investor,
a statement showing the number of shares of each class and series and securities convertible into or exercisable for shares outstanding at the end of the most recently completed fiscal quarter, the Common Stock issuable upon conversion or exercise
of any outstanding securities convertible or exercisable for Common Stock and the exchange ratio or exercise price applicable thereto, and the number of 












 
shares of issued stock options and stock options not yet issued but reserved for issuance, if any, all in sufficient detail as to permit the Major Investors to calculate their respective
percentage equity ownership in the Company; 
 (d)    as soon as practicable, but in any event within
thirty (30) days after the end of each month or such later date as may be approved by the Majority Preferred Directors, unaudited statements of income and of cash flows for such month, and an unaudited balance sheet as of the end of such
month, all prepared in accordance with GAAP (except that such financial statements may (i) be subject to normal year-end audit adjustments and (ii) not contain all notes thereto that may be required
in accordance with GAAP); 
 (e)    (i) as soon as practicable, but in any event thirty (30) days
before the end of each fiscal year, a draft budget and business plan for the next fiscal year prepared on a monthly basis, including balance sheets, income statements, and statements of cash flow for such months (collectively, the
“Budget”), (ii) as soon as practicable, but in any event within fifteen (15) days after the end of each such fiscal year, a final Budget approved by the Board of Directors, and (iii) any other budgets or revised budgets
prepared by the Company and approved by the Board, promptly following such approval by the Board; and 

(f)    such other information relating to the financial condition, business, prospects, or corporate
affairs of the Company as any Major Investor may from time to time reasonably request; provided, however, that the Company shall not be obligated under this Section 3.1 to provide information (i) that the
Company reasonably determines in good faith to be a trade secret or confidential information (unless covered by an enforceable confidentiality agreement, in form acceptable to the Company) (ii), the disclosure of which would adversely affect the
attorney-client privilege between the Company and its counsel, or (iii) if the Company has reasonably determined that such Major Investor is a competitor of the Company. 

If, for any period, the Company has any subsidiary whose accounts are consolidated with those of the Company, then in respect of such period
the financial statements delivered pursuant to the foregoing sections shall be the consolidated and consolidating financial statements of the Company and all such consolidated subsidiaries. 

Notwithstanding anything else in this Section 3.1 to the contrary, the Company may cease providing the information
set forth in this Section 3.1 during the period starting with the date thirty (30) days before the Company’s good-faith estimate of the date of filing of a registration statement if it reasonably concludes it must
do so to comply with the SEC rules applicable to such registration statement and related offering; provided that the Company’s covenants under this Section 3.1 shall be reinstated at such time as the Company is
no longer actively employing its commercially reasonable efforts to cause such registration statement to become effective. 

3.2    Inspection. The Company shall permit each Major Investor or its authorized representatives
(provided that the Board of Directors has not reasonably determined that such Major Investor is a competitor of the Company), at such Major Investor’s expense, to visit and inspect the Company’s properties; examine its books of
account and records; and discuss the Company’s affairs, finances, and accounts with its officers, during normal business hours of the Company as may be reasonably requested by the Major Investor; provided, however, that the













 
Company shall not be obligated pursuant to this Section 3.2 to provide access to any information that it reasonably and in good faith considers to be a trade secret or
confidential information (unless covered by an enforceable confidentiality agreement, in form acceptable to the Company) or the disclosure of which would adversely affect the attorney-client privilege between the Company and its counsel. 

3.3    Confidentiality. Each Investor agrees that such Investor will keep confidential and will not
disclose, divulge, or use for any purpose (other than to monitor its investment in the Company) any confidential information obtained from the Company pursuant to the terms of this Agreement (including notice of the Company’s intention to file
a prospectus or registration statement), unless such confidential information (a) is known or becomes known to the public in general (other than as a result of a breach of this Section 3.3 by such Investor), (b) is or
has been independently developed or conceived by the Investor without use of the Company’s confidential information, or (c) is or has been made known or disclosed to the Investor by a third party without a breach of any obligation of
confidentiality such third party may have to the Company; provided, however, that an Investor may disclose confidential information (i) to its attorneys, accountants, consultants, and other professionals to the extent necessary to obtain
their services in connection with monitoring its investment in the Company or, to the extent necessary in connection with an Investor’s tax filings, financial reporting or accounting matters; (ii) to any prospective purchaser of any
Registrable Securities from such Investor, if such prospective purchaser agrees to be bound by the provisions of this Section 3.3; (iii) to any Affiliate, or current or prospective partner, member or stockholder, or wholly
owned subsidiary of such Investor in the ordinary course of business, or in connection with fund raising activity or reporting activity of the kind customarily provided with respect to investment activity that is undertaken in the ordinary course of
the business of the Investor, provided that such Investor informs such Person that such information is confidential and directs such Person to maintain the confidentiality of such information; or (iv) as may otherwise be required by law,
provided that the Investor promptly notifies the Company of such disclosure and takes reasonable steps to minimize the extent of any such required disclosure. 

3.4    Termination of Information Rights. The covenants set forth in
Sections 3.1 and 3.2 shall terminate and be of no further force or effect upon the consummation of the Qualified Initial Public Offering. 

4.    Rights to Future Stock Issuances and Securities. 

4.1    Right of First Offer. Subject to the terms and conditions of this
Section 4.1 and applicable securities laws, if the Company proposes to offer or sell any New Securities, the Company shall first offer such New Securities to each Preferred Stockholder. Each Preferred Stockholder shall be
entitled to apportion the right of first offer hereby granted to it among itself and its Affiliates in such proportions as it deems appropriate. 

(a)    The Company shall give notice (the “Offer Notice”) to each Preferred Stockholder,
stating (i) its bona fide intention to offer such New Securities, (ii) the number of such New Securities to be offered, and (iii) the price and terms, if any, upon which it proposes to offer such New Securities. 












 (b)    By notification to the Company within twenty
(20) days after the Offer Notice is given, each Preferred Stockholder may elect to purchase or otherwise acquire, at the price and on the terms specified in the Offer Notice, up to that portion of such New Securities which equals the proportion
that the Common Stock issued and held, or issuable (directly or indirectly) upon conversion or exercise, as applicable, of the Preferred Stock and any other Derivative Securities then held, by such Preferred Stockholder bears to the total Common
Stock of the Company then outstanding (assuming full conversion or exercise, as applicable, of all Preferred Stock and other Derivative Securities). At the expiration of such twenty (20) day period, the Company shall promptly notify each
Preferred Stockholder that elects to purchase or acquire all the shares available to it (each, a “Fully Exercising Investor”) of any other Preferred Stockholder’s failure to do likewise. During the ten (10) day period
commencing after the Company has given such notice, each Fully Exercising Investor may, by giving notice to the Company, elect to purchase or acquire, in addition to the number of shares specified above, up to that portion of the New Securities for
which Preferred Stockholders were entitled to subscribe but that were not subscribed for by the Preferred Stockholders which is equal to the proportion that the Common Stock issued and held, or issuable (directly or indirectly) upon conversion
and/or exercise, as applicable, of Preferred Stock and any other Derivative Securities then held, by such Fully Exercising Investor bears to the Common Stock issued and held, or issuable (directly or indirectly) upon conversion or exercise, as
applicable, of the Preferred Stock and any other Derivative Securities then held, by all Fully Exercising Investors who wish to purchase such unsubscribed New Securities. The closing of any sale pursuant to this
Section 4.1(b) shall occur within the later of one hundred twenty (120) days after the date that the Offer Notice is given and the date of initial sale of New Securities pursuant to Section 4.1(c). 

(c)    If all New Securities referred to in the Offer Notice are not elected to be purchased or acquired
as provided in Section 4.1(b), the Company may, during the ninety (90) day period following the expiration of the periods provided in Section 4.1(b), offer and sell the remaining unsubscribed
portion of such New Securities to any Person or Persons at a price not less than, and upon terms no more favorable to the offeree than, those specified in the Offer Notice. If the Company does not enter into an agreement for the sale of the New
Securities within such period, or if such agreement is not consummated within thirty (30) days after the execution thereof, the right provided hereunder shall be deemed to be revived and such New Securities shall not be offered unless first
reoffered to the Preferred Stockholders in accordance with this Section 4.1. 

(d)    The right of first offer in this Section 4.1 shall not be applicable to
(i) Exempted Securities; (ii) shares of Common Stock issued in the IPO; or (iii) the issuance of shares of Series 3 Preferred to purchasers pursuant to the Purchase Agreement. 

4.2    Termination. The covenants set forth in Section 4.1 shall
terminate and be of no further force or effect upon the consummation of the Qualified Initial Public Offering. 

5.    Additional Covenants. 

5.1    Insurance. The Company shall maintain, from financially sound and reputable insurers
Directors and Officers liability insurance, in an amount not less than $3,000,000 and on terms and conditions satisfactory to the Board of Directors until such time as the Board of Directors determines that such insurance should be discontinued. The
policy shall not be 












 
cancelable by the Company without prior approval by the Board of Directors, including the Majority Preferred Directors. 

5.2    Employee Agreements. The Company will cause (i) each person now or hereafter employed
by it or by any subsidiary (or engaged by the Company or any subsidiary as a consultant/independent contractor) with access to confidential information and/or trade secrets to enter into a nondisclosure and proprietary rights assignment agreement
and (ii) each Key Employee to enter into a one (1) year noncompetition and nonsolicitation agreement, substantially in the form approved by the Board of Directors. In addition, the Company shall not amend, modify, terminate, waive, or
otherwise alter, in whole or in part, any of the above-referenced agreements or any restricted stock agreement between the Company and any employee, without the approval of the Board of Directors, including the Majority Preferred Directors. 

5.3    Employee Stock. Unless otherwise approved by the Board of Directors, including the
Majority Preferred Directors, all future employees and consultants of the Company who purchase, receive options to purchase, or receive awards of shares in the capital of the Company after the date hereof shall be required to execute restricted
stock or option agreements, as applicable, providing for (i) vesting of shares over a four (4) year period, with the first twenty-five percent (25%) of such shares vesting following twelve (12) months of continued employment or
service, and the remaining shares vesting in equal monthly installments over the following thirty-six (36) months, and (ii) a market stand-off provision
substantially similar to that in Section 2.11. In addition, unless otherwise approved by the Board of Directors, including the Majority Preferred Directors, the Company shall retain a “right of first refusal” on
employee transfers until the Qualified Initial Public Offering, and shall have the right to repurchase unvested shares at cost upon termination of employment of a holder of restricted stock. 

5.4    Matters Requiring Majority Preferred Directors’ Approval. The Company
hereby covenants and agrees with each of the Investors that it shall not (and shall cause any of its direct or indirect subsidiaries to not), without approval of a majority of the Board of Directors, including the Majority Preferred Directors: 

(a)    approve the Company’s annual operating budget (including any material amendments thereto);

 (b)    incur any additional indebtedness for borrowed money following the date of this Agreement in
excess of $1,000,000 in the aggregate; 
 (c)    approve any sale, license, pledge, encumbrance, or
other transfer of any intellectual property, other than licenses, pledges or encumbrances in the ordinary course of business; 

(d)    enter into material contracts affecting the Company’s right to compete in the industry in
which it operates; 
 (e)    enter into joint ventures or partnerships or establish non-wholly owned subsidiaries; 












 (f)    appoint or remove the Chief Executive Officer or
the Chief Financial Officer; 
 (g)    change the Company’s current line of business in any
material respect, enter into new lines of business or exit the current line of business; or 

(h)    adopt or amend employment contracts or benefit plans for the Company’s senior management.

 5.5    Board Matters; Committees. Unless otherwise determined by the vote of a majority
of the directors then in office, the Board of Directors shall meet at least four (4) times per year in accordance with an agreed-upon schedule. The Company shall reimburse the non-employee directors for
all reasonable out-of-pocket travel expenses incurred (consistent with the Company’s travel policy, if any) in connection with attending meetings of the Board of
Directors and committees of the Board of Directors of which any such director is a member and attending other Company events at the Company’s request. The Company will maintain, an audit and compensation committee, each of which shall consist
solely of non-management directors and shall include the Majority Preferred Directors; provided, that a Preferred Director shall not be required to serve on any such committee to the extent such
director is not willing or able to so serve. The Preferred Directors shall be entitled to sit on any committee of the Board of Directors, and the board (or similar body) of any subsidiary of the Company. 

5.6    Successor Indemnification. If the Company or any of its successors or assignees consolidates
with or merges into any other Person and is not the continuing or surviving corporation or entity of such consolidation or merger, then to the extent necessary, proper provision shall be made so that the successors and assignees of the Company
assume the obligations of the Company with respect to indemnification of members of the Board of Directors as in effect immediately before such transaction, whether such obligations are contained in the Certificate of Incorporation or elsewhere, as
the case may be. 
 5.7    Termination of Covenants. The covenants set forth in this
Section 5, except for Section 5.6, shall terminate and be of no further force or effect upon the consummation of a Qualified Initial Public Offering. 

5.8    Additional Purchasers. The Parties to this Agreement specifically acknowledge and agree that
the Company may issue additional shares of Series 3 Preferred after the date of this Agreement pursuant to the Purchase Agreement; provided that such additional purchasers execute a counterpart to this Agreement and become a party hereto. 

6.    Miscellaneous. 

6.1    Successors and Assigns. The rights under this Agreement may only be assigned (and only
with all related obligations) by a Holder to a transferee of Registrable Securities that (i) is an Affiliate of a Holder; (ii) is a Holder’s Immediate Family Member or trust for the benefit of an individual Holder or one or more of
such Holder’s Immediate Family Members; or (iii) after such transfer, holds at least 150,000 shares of Registrable Securities (subject to appropriate adjustment for stock splits, stock dividends, combinations, and other recapitalizations);
provided, however, that (x) the Company is, within a reasonable time after such 












 
transfer, furnished with written notice of the name and address of such transferee and the Registrable Securities with respect to which such rights are being transferred; and (y) such
transferee agrees in a written instrument delivered to the Company to be bound by and subject to the terms and conditions of this Agreement, including the provisions of Section 2.11. For the purposes of determining the number of shares
of Registrable Securities held by a transferee, the holdings of a transferee (1) that is an Affiliate or stockholder of a Holder; (2) who is a Holder’s Immediate Family Member; or (3) that is a trust for the benefit of an
individual Holder or such Holder’s Immediate Family Member shall be aggregated together and with those of the transferring Holder; provided further, that all transferees who would not qualify individually for assignment of rights shall
have a single attorney-in-fact for the purpose of exercising any rights, receiving notices, or taking any action under this Agreement. If a Holder of more than one class
of Registrable Securities does not, at the time of transfer irrevocably designate the Registrable Securities being transferred to a transferee as Series 1 Registrable Securities, Series 2 Registrable Securities or Series 3 Registrable Securities,
such Holder shall be deemed to have transferred a pro rata amount of each class of Registrable Securities held by such Holder, determined based on the total number Registrable Securities of each class held by such Holder. The terms and conditions of
this Agreement inure to the benefit of and are binding upon the respective successors and permitted assignees of the parties. Nothing in this Agreement, express or implied, is intended to confer upon any party other than the parties hereto or their
respective successors and permitted assignees any rights, remedies, obligations or liabilities under or by reason of this Agreement, except as expressly provided herein. 

6.2    Governing Law. This Agreement shall be governed by, and construed in accordance with, the
laws of the State of Delaware, regardless of the laws that might otherwise govern under applicable principles of conflicts of law. 

6.3    Currency. All references to currency in this Agreement are to United States dollars unless
otherwise specifically indicated. 
 6.4    Counterparts; Facsimile. This Agreement may be
executed and delivered by facsimile transmission or electronic mail (including in .pdf format) and in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. 

6.5    Titles and Subtitles. The titles and subtitles used in this Agreement are for convenience
only and are not to be considered in construing or interpreting this Agreement. 

6.6    Notices. All notices and other communications given or made pursuant to this Agreement shall
be in writing and shall be deemed effectively given upon the earlier of actual receipt or: (i) personal delivery to the party to be notified; (ii) when sent, if sent by electronic mail or facsimile during the recipient’s normal
business hours, and if not sent during normal business hours, then on the recipient’s next business day; (iii) five (5) days after having been sent by registered or certified mail, return receipt requested, postage prepaid; or
(iv) one (1) business day after the business day of deposit with a nationally recognized overnight courier, freight prepaid, specifying next-day delivery, with written verification of receipt. All
communications shall be sent to the respective parties at their addresses as set forth on Schedule A hereto, or to the principal office of the Company and to the attention of the President or Chief Executive Officer, in the
case 












 
of the Company, or to such email address, facsimile number, or address as subsequently modified by written notice given in accordance with this Section 6.6. 

6.7    Amendments and Waivers. Any term of this Agreement may be amended and the observance of any
term of this Agreement may be waived (either generally or in a particular instance, and either retroactively or prospectively) only with the written consent of the Company and the holders of at least a majority of the Registrable Securities then
outstanding; provided that the Company may in its sole discretion waive compliance with Section 2.12(c) (and the Company’s failure to object promptly in writing after notification of a proposed assignment
allegedly in violation of Section 2.12(c) shall be deemed to be a waiver); and provided further, that any provision hereof may be waived by any waiving party on such party’s own behalf, without the consent of
any other party. Notwithstanding the foregoing: 
 (a)    this Agreement may not be amended or
terminated and the observance of any term hereof may not be waived with respect to any Investor without the written consent of such Investor, unless such amendment, termination, or waiver applies to all Investors in the same fashion (it being agreed
that a waiver of the provisions of Section 4 with respect to a particular transaction shall be deemed to apply to all Investors in the same fashion if such waiver does so by its terms, notwithstanding the fact that certain
Investors may nonetheless, by agreement with the Company, purchase securities in such transaction); 
 The Company shall give prompt notice
of any amendment or termination hereof or waiver hereunder to any party hereto that did not consent in writing to such amendment, termination, or waiver. Any amendment, termination, or waiver effected in accordance with this
Section 6.7 shall be binding on all parties hereto, regardless of whether any such party has consented thereto or received notice thereof. No waivers of or exceptions to any term, condition, or provision of this Agreement,
in any one or more instances, shall be deemed to be or construed as a further or continuing waiver of any such term, condition, or provision. 

6.8    Severability. In case any one or more of the provisions contained in this Agreement is for
any reason held to be invalid, illegal or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provision of this Agreement, and such invalid, illegal, or unenforceable provision shall be reformed
and construed so that it will be valid, legal, and enforceable to the maximum extent permitted by law. 

6.9    Aggregation of Stock. All shares of Registrable Securities held or acquired by Affiliates
shall be aggregated together for the purpose of determining the availability of any rights under this Agreement and such Affiliated persons may apportion such rights as among themselves in any manner they deem appropriate. 

6.10    Entire Agreement. This Agreement (including any Schedules and Exhibits hereto) constitutes
the full and entire understanding and agreement among the parties with respect to the subject matter hereof, and any other written or oral agreement relating to the subject matter hereof existing between the parties is expressly canceled. The Prior
Agreement is superseded by the terms of this Agreement. 












 6.11    Delays or Omissions. No delay or omission
to exercise any right, power, or remedy accruing to any party under this Agreement, upon any breach or default of any other party under this Agreement, shall impair any such right, power, or remedy of such
non-breaching or non-defaulting party, nor shall it be construed to be a waiver of or acquiescence to any such breach or default, or to any similar breach or default
thereafter occurring, nor shall any waiver of any single breach or default be deemed a waiver of any other breach or default theretofore or thereafter occurring. All remedies, whether under this Agreement or by law or otherwise afforded to any
party, shall be cumulative and not alternative. 
 6.12    Acknowledgment. The Company
acknowledges that certain Investors and their Affiliated advisers and funds are registered investment companies, professional investment advisers, managers and/or funds and, as such, engage in the business of venture capital investing, among other
things, and therefore review the business plans and related proprietary information of many enterprises, including enterprises which may have products or services which compete directly or indirectly with those of the Company. Nothing in this
Agreement shall preclude or in any way restrict such Investors or their Affiliated advisers and funds from investing or participating in any particular enterprise whether or not such enterprise has products or services which compete with those of
the Company. 
 6.13    Tekla Funds. A copy of the Declaration of Trust, as amended and restated,
for each of Tekla Healthcare Investors, Tekla Life Sciences Investors, Tekla Healthcare Opportunities Fund and Tekla World Healthcare Fund is on file with the Secretary of State of The Commonwealth of Massachusetts, and notice is hereby given that
this Agreement is executed on behalf of the Tekla Funds by an officer or trustee of the Tekla Funds in his or her capacity as an officer or trustee of the Tekla Funds, and not individually and that the obligations of or arising out of this Agreement
are not binding upon any of the trustees, officers or shareholders individually but are binding only upon the assets and property of each of the respective Tekla Funds. 

[Remainder of Page Intentionally Left Blank] 












 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
  

							
	 COMPANY:
	 		 	 DECIPHER BIOSCIENCES, INC. 

				
		 		 	 By:
	 	 /s/ Tina S. Nova, Ph.D.

		 		 	 Name:
	 	 Tina S. Nova, Ph.D.

		 		 	 Title:
	 	 President and Chief Executive Officer



  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	 EVP TECHNOLOGY FUND III GMBH & CO. KG

		
	 By:
	 	 /s/ Dr. Frank
Mühlenbeck                        

	 Name:
	 	 Dr. Frank Mühlenbeck

	 Title:
	 	 Managing Director

		
	 By:
	 	 /s/ Dr. Stefan Herr

	 Name:
	 	 Dr. Stefan Herr

	 Title:
	 	 Managing Director




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	YONGCHENG (CAYMAN) LIMITED
		
	 By:
	 	 /s/ Dong
Jiaming                                        


	 Name:
	 	 Dong Jiaming

	 Title:
	 	 Director




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	 MSD HUMAN HEALTH HOLDING BV

		
	 By:
	 	 /s/ P.R.
Koopman                                        


	 Name:
	 	 P.R. Koopman

	 Title:
	 	 Director




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	 TEKLA WORLD HEALTHCARE FUND*

		
	 By:
	 	 /s/ Daniel R.
Omstead                            

	 Name:
	 	 Daniel R. Omstead

	 Title:
	 	 President



  

	*	 The name Tekla World Healthcare Fund is the designation of the Trustees for the time being under a
Declaration of Trust dated February 20, 1992, as amended, and all persons dealing with Tekla World Healthcare Fund must look solely to the trust property for the enforcement of any claim against Tekla World Healthcare Fund, as neither the
Trustees, officers nor shareholders assume any personal liability for the obligations entered into on behalf of Tekla World Healthcare Fund. 



  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	 TEKLA HEALTHCARE INVESTORS*

		
	 By:
	 	 /s/ Daniel R.
Omstead                            

	 Name:
	 	 Daniel R. Omstead

	 Title:
	 	 President



  

	*	 The name Tekla Healthcare Investors is the designation of the Trustees for the time being under a
Declaration of Trust dated February 20, 1992, as amended, and all persons dealing with Tekla Healthcare Investors must look solely to the trust property for the enforcement of any claim against Tekla Healthcare Investors, as neither the
Trustees, officers nor shareholders assume any personal liability for the obligations entered into on behalf of Tekla Healthcare Investors. 



  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	 TEKLA HEALTHCARE OPPORTUNITIES FUND*

		
	 By:
	 	 /s/ Daniel R.
Omstead                            

	 Name:
	 	 Daniel R.
Omstead                    

	 Title:
	 	 President



  

	*	 The name Tekla Healthcare Opportunities Fund is the designation of the Trustees for the time being under a
Declaration of Trust dated February 20, 1992, as amended, and all persons dealing with Tekla Healthcare Opportunities Fund must look solely to the trust property for the enforcement of any claim against Tekla Healthcare Opportunities Fund, as
neither the Trustees, officers nor shareholders assume any personal liability for the obligations entered into on behalf of Tekla Healthcare Opportunities Fund. 



  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	 TEKLA LIFE SCIENCES INVESTORS*

		
	 By:
	 	 /s/ Daniel R.
Omstead                            

	 Name:
	 	 Daniel R. Omstead

	 Title:
	 	 President



  

	*	 The name Tekla Life Sciences Investors is the designation of the Trustees for the time being under a
Declaration of Trust dated February 20, 1992, as amended, and all persons dealing with Tekla Life Sciences Investors must look solely to the trust property for the enforcement of any claim against Tekla Life Sciences Investors, as neither the
Trustees, officers nor shareholders assume any personal liability for the obligations entered into on behalf of Tekla Life Sciences Investors. 



  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	 UNITEDHEALTH GROUP VENTURES, LLC

		
	 By:
	 	 /s/ Rob
Webb                                        


	 Name:
	 	 Rob Webb

	 Title:
	 	 President




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	CRG PARTNERS III – PARALLEL FUND “B”
(CAYMAN) L.P.
	   BY: CRG PARTNERS III (CAYMAN) GP L.P.

	   ITS: GENERAL PARTNER

	         BY: CRG PARTNERS III GP LLC

	         ITS: GENERAL PARTNER

		
	 By:
	 	 /s/ Nathan
Hukill                            

	 Name:
	 	 Nathan Hukill

	 Title:
	 	 Authorized
Signatory                    

		
	 Witness:
	 	 /s/ Nicole
Nesson                            

	 Name:
	 	 Nicole Nesson




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	CRG PARTNERS III (CAYMAN) LEV AIV I L.P.
	   BY: CRG PARTNERS III (CAYMAN) GP L.P.

	   ITS: GENERAL PARTNER

	         BY: CRG PARTNERS III GP LLC

	         ITS: GENERAL PARTNER

		
	 By:
	 	 /s/ Nathan
Hukill                            

	 Name:
	 	 Nathan Hukill

	 Title:
	 	 Authorized Signatory

		
	 Witness:
	 	 /s/ Nicole
Nesson                            

	 Name:
	 	 Nicole Nesson




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	CRG PARTNERS III L.P.
	   BY: CRG PARTNERS III GP L.P.

	   ITS: GENERAL PARTNER

	         BY: CRG PARTNERS III GP LLC

	         ITS: GENERAL PARTNER

		
	 By:
	 	 /s/ Nathan
Hukill                                        


	 Name:
	 	 Nathan Hukill

	 Title:
	 	 Authorized Signatory

		
	 Witness:
	 	 /s/ Nicole
Nesson                                

	 Name:
	 	 Nicole Nesson




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

					
	CRG PARTNERS III – PARALLEL FUND “A” L.P.
	    BY: 	 	CRG PARTNERS III – PARALLEL FUND
“A” GP L.P.
	    ITS: 	 	GENERAL PARTNER
		 	BY:	 	CRG PARTNERS III – PARALLEL FUND
“A” GP LLC
		 	ITS:	 	GENERAL PARTNER
		
	By:	 	 /s/ Nathan Hukill

	Name:	 	Nathan Hukill
	Title:	 	Authorized Signatory
		
	Witness:	 	 /s/ Nicole Nesson

	Name:	 	Nicole Nesson



  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

					
	CRG PARTNERS III (CAYMAN) UNLEV AIV I L.P.
	     BY: 
	 	 CRG PARTNERS III - (CAYMAN) GP L.P.

	     ITS: 
	 	 GENERAL PARTNER

		 	 BY:
	 	 CRG PARTNERS III GP LLC

		 	 ITS:
	 	 GENERAL PARTNER

		
	 By:
	 	 /s/ Nathan Hukill

	 Name:
	 	 Nathan Hukill

	 Title:
	 	 Authorized Signatory

		
	 Witness:
	 	 /s/ Nicole Nesson

	 Name:
	 	 Nicole Nesson




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	CD-VENTURE GMBH
		
	 By:
	 	 /s/ Dirk Wilken

	 Name:
	 	 Dirk Wilken

	 Title:
	 	 Managing Director




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	ALBANY PRIVATE EQUITY PTY LTD.
		
	 By:
	 	 /s/ Peter Hall

	 Name:
	 	 Peter Hall

	 Title:
	 	 Director




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	BARRY D. PLOST
		
	 By:
	 	 /s/ Barry D. Plost




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	B.C. CAPITAL LTD.
		
	 By:
	 	 /s/ Brian Cooper

	 Name:
	 	 Brian Cooper

	 Title:
	 	 Chairman




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	ROSTAN GAMMA LIMITED
		
	 By:
	 	 /s/ Eric Cohen

	 Name:
	 	 Eric Cohen

	 Title:
	 	 Director




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	JEFFREY ZACKON
		
	 By:
	 	 /s/ Jeffrey Zackon




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	SHMULIK ZYSMAN
		
	 By:
	 	 /s/ Shmulik Zysman




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	THE MOSS FAMILY TRUST DATED
DECEMBER 22, 2004
		
	 By:
	 	 /s/ Gillian Moss

	 Name:
	 	 Gillian Moss

	 Title:
	 	 Trustee




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	OMER GALIN
		
	 By:
	 	 /s/ Omer Galin




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	ERIC LIEW
		
	 By:
	 	 /s/ Eric Liew




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	EITAN SHAPIRO
		
	 By:
	 	 /s/ Eitan Shapiro




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	MARC AND MARA DWORKSY LIVING TRUST
		
	 By:
	 	 /s/ Marc Dworsky

	 Name:
	 	 Marc Dworsky

	 Title:
	 	 Trustee

	
	MARC DWORSKY
		
	 By:
	 	 /s/ Marc Dworsky




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	SHAPIRO SHOW LTD.
		
	 By:
	 	 /s/ Eitan Shapiro

	 Name:
	 	 Eitan Shapiro

	 Title:
	 	 Chairman




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	BARRY SHAKED
		
	 By:
	 	 /s/ Barry Shaked




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	MICHAEL F. CROWLEY II AND CHRISTINE N. CROWLEY
		
	 By:
	 	 /s/ Michael F.
Crowley                    

	 Name:
	 	 Michael F. Crowley II

		
	 By:
	 	 /s/ Christine N. Crowley

	 Name:
	 	 Christine N. Crowley

	
	MICHAEL F. CROWLEY
		
	 By:
	 	 /s/ Michael F. Crowley




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	IAN GOLD
		
	 By:
	 	 /s/ Ian
Gold                                        





  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	AYOUNG JUN
		
	 By:
	 	 /s/ Ayoung
Jun                                        





  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	SHIPLEY FAMILY CHATHAM TRUST
		
	 By:
	 	 /s/ Jenot W.
Shipley                    

	 Name:
	 	 Jenot W. Shipley

	 Title:
	 	 Trustee




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	NATHAN SCHAFFER
		
	 By:
	 	 /s/ Nathan
Schaffer                    




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	BP MANAGEMENT, LTD.
		
	 By:
	 	 /s/ Gordon
Bennett                    

	 Name:
	 	 Gordon Bennett

	 Title:
	 	 Authorized Signatory




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	GORDON AND LISA BENNETT
		
	 By:
	 	 /s/ Gordon
Bennett                    

	 Name:
	 	 Gordon Bennett

		
	 By:
	 	 /s/ Lisa Bennett

	 Name:
	 	 Lisa Bennett




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 IN WITNESS WHEREOF, the parties have executed this Amended and
Restated Investors’ Rights Agreement as of the date first written above. 
 INVESTOR: 

 

			
	SARAH MAREL-SCHAFFER
		
	 By:
	 	 /s/ Sarah
Marel-Schaffer                    




  
 [SIGNATURE
PAGE TO AMENDED AND RESTATED INVESTORS’ RIGHTS AGREEMENT] 













 SCHEDULE A 

INVESTORS 
  

	
	 Name and Address

	 Tekla Healthcare Investors

	 Tekla Life Sciences Investors

	 Tekla Healthcare Opportunities Fund

	 Tekla World Healthcare Fund

	 CRG Partners III L.P.

	 CRG Partners III – Parallel Fund “A” L.P.

	 CRG Partners III (Cayman) L.P.

	 CRG Partners III – Parallel Fund “B” (Cayman) L.P.

	 CRG Partners III Cayman Lev AIV I LP

	 CRG Partners III Cayman Unlev AIV I LP

	 MSD Human Health Holding B.V.

	 UnitedHealth Group Ventures, LLC

	 EVP Technology Fund III GmbH & Co KG

	 CD-VENTURE

	 WS Investment Company, LLC (2011A)

	 Mayo Foundation for Medical Education and Research

	 SVB Financial Group

	 James E. Daverman

	 Bri Fi Investments, LLC

	 The David R and Molly D Brining Trust

	 Barry D. Plost

	 Barry Shaked

	 B.C. Capital Ltd.

	 Rostan Gamma Limited

	 Marc Dworsky, Trustee for the Marc and Mara Dworsky Living Trust December 1, 2008

	 Marc Dworsky

	 Eric Liew

	 Eitan Shapiro

	 Shapiro Show Ltd.

	 Omer Galin

	 Jeffrey Zackon

	 Michael F. Crowley and Christine N. Crowley

	 Michael F. Crowley

	 Ian Gold

	 Nathan Schaffer

	 Sarah Marel-Schaffer

	 BP Management, Ltd.

	 Gordon and Lisa Bennett

	 Shmulik Zysman

	 The Moss Family Trust dated December 22, 2004

	 Ayoung Jun

	 Robbins/Hanson Family Trust dated Sept 13, 1996

	 Shipley Family Chatham Trust

	 Albany Private Equity Pty Ltd

	 The Nima Taghavi Revocable Trust dated April 22, 2016

	 Yonghua International II L.P.



  
 A-1 














	
	 Name and Address

	 YH North America Capital L.P.

	 Yongcheng (Cayman) Limited



  
 A-2