# EDGAR Filing Document

**Accession Number:** 0001055951
**File Stem:** 0000947871-23-000178
**Filing Date:** 2023-2
**Character Count:** 18808
**Document Hash:** a5ebdb41f5d37fc4ed75499914d8c4c4
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0000947871-23-000178.hdr.sgml**: 20230214

**ACCESSION NUMBER**: 0000947871-23-000178

**CONFORMED SUBMISSION TYPE**: SC 13G/A

**PUBLIC DOCUMENT COUNT**: 2

**FILED AS OF DATE**: 20230214

**DATE AS OF CHANGE**: 20230214

**GROUP MEMBERS**: ORBIMED CAPITAL GP VII LLC

**GROUP MEMBERS**: ORBIMED CAPITAL LLC

**SUBJECT COMPANY**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Mereo Biopharma Group plc
- **CENTRAL INDEX KEY:** 0001719714
- **STANDARD INDUSTRIAL CLASSIFICATION:** PHARMACEUTICAL PREPARATIONS [2834]
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** X0
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** SC 13G/A
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 005-91444
- **FILM NUMBER:** 23630573

**BUSINESS ADDRESS:**
- **STREET 1:** ONE CAVENDISH PLACE
- **STREET 2:** FOURTH FLOOR
- **CITY:** LONDON
- **STATE:** X0
- **ZIP:** W1G0QF
- **BUSINESS PHONE:** 4403330237300

**MAIL ADDRESS:**
- **STREET 1:** ONE CAVENDISH PLACE
- **STREET 2:** FOURTH FLOOR
- **CITY:** LONDON
- **STATE:** X0
- **ZIP:** W1G0QF
**FILED BY**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** ORBIMED ADVISORS LLC
- **CENTRAL INDEX KEY:** 0001055951
- **IRS NUMBER:** 133976876
- **STATE OF INCORPORATION:** DE

**FILING VALUES:**
- **FORM TYPE:** SC 13G/A

**BUSINESS ADDRESS:**
- **STREET 1:** 601 LEXINGTON AVENUE
- **STREET 2:** 54TH FLOOR
- **CITY:** NEW YORK
- **STATE:** NY
- **ZIP:** 10022
- **BUSINESS PHONE:** (212) 739-6400

**MAIL ADDRESS:**
- **STREET 1:** 601 LEXINGTON AVENUE
- **STREET 2:** 54TH FLOOR
- **CITY:** NEW YORK
- **STATE:** NY
- **ZIP:** 10022

**UNITED STATES**

**SECURITIES AND EXCHANGE COMMISSION<br> Washington, DC 20549**

**SCHEDULE 13G**

(Amendment No. 2)\*

**Under the Securities Exchange Act of 1934**

---

| |
|:---|
| **Mereo BioPharma Group plc** |
| &nbsp;&nbsp;(Name of Issuer) |
| &nbsp;&nbsp;**Ordinary Share, nominal value £0.003, represented by American Depository Share** |
| &nbsp;&nbsp;(Title of Class of Securities) |
| &nbsp;&nbsp;**589492107\*\*** |
| &nbsp;&nbsp;(CUSIP Number) |
| &nbsp;&nbsp;**December 31, 2022** |
| &nbsp;&nbsp;(Date of Event Which Requires Filing of this Statement) |

---

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☐ Rule 13d-1(b)

☒ Rule 13d-1(c)

☐ Rule 13d-1(d)

\*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

\*\*There is no CUSIP number assigned to the Ordinary Shares. CUSIP number 589492107 has been assigned to the American Depositary Shares ("ADSs") of the Issuer, which are quoted on the Nasdaq Global Market under the symbol "MREO." Each ADS represents 5 Ordinary Shares.

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

---

| | | |
|:---|:---|:---|
| &nbsp;&nbsp;**CUSIP No. 589492107** | &nbsp;&nbsp; **SCHEDULE 13G** | &nbsp;&nbsp;**Page 2 of 8 Pages** |

---

---

| | | | | |
|:---|:---|:---|:---|:---|
| 1 | NAME OF REPORTING PERSONS<br>OrbiMed Capital GP VII LLC | NAME OF REPORTING PERSONS<br>OrbiMed Capital GP VII LLC | NAME OF REPORTING PERSONS<br>OrbiMed Capital GP VII LLC | NAME OF REPORTING PERSONS<br>OrbiMed Capital GP VII LLC |
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ |  |
| 3 | SEC USE ONLY | SEC USE ONLY | SEC USE ONLY | SEC USE ONLY |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 5 | SOLE VOTING POWER<br>0 | SOLE VOTING POWER<br>0 |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 6 | SHARED VOTING POWER<br>8,302,904 (1) | SHARED VOTING POWER<br>8,302,904 (1) |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 7 | SOLE DISPOSITIVE POWER<br>0 | SOLE DISPOSITIVE POWER<br>0 |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 8 | SHARED DISPOSITIVE POWER<br>8,302,904 (1) | SHARED DISPOSITIVE POWER<br>8,302,904 (1) |
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>8,302,904 (1) | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>8,302,904 (1) | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>8,302,904 (1) | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>8,302,904 (1) |
| 10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | □ |
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>4.74% | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>4.74% | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>4.74% | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>4.74% |
| 12 | TYPE OF REPORTING PERSON<br>OO | TYPE OF REPORTING PERSON<br>OO | TYPE OF REPORTING PERSON<br>OO | TYPE OF REPORTING PERSON<br>OO |

---

&nbsp;&nbsp;&nbsp;&nbsp;(1) This total consists of: (i) 4,621,799 ordinary shares represented by American
Depository Shares (the "Ordinary Shares") of Mereo BioPharma Group plc (the "Issuer") and (ii) 3,681,105 Ordinary
Shares issuable upon the exercise of warrants, the exercise of which is subject to a beneficial ownership limitation of 9.99% of the Issuer's
outstanding Ordinary Shares.

---

| | | |
|:---|:---|:---|
| &nbsp;&nbsp;**CUSIP No. 589492107** | &nbsp;&nbsp; **SCHEDULE 13G** | &nbsp;&nbsp;**Page 3 of 8 Pages** |

---

---

| | | | | |
|:---|:---|:---|:---|:---|
| 1 | NAME OF REPORTING PERSONS<br>OrbiMed Advisors LLC | NAME OF REPORTING PERSONS<br>OrbiMed Advisors LLC | NAME OF REPORTING PERSONS<br>OrbiMed Advisors LLC | NAME OF REPORTING PERSONS<br>OrbiMed Advisors LLC |
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ |  |
| 3 | SEC USE ONLY | SEC USE ONLY | SEC USE ONLY | SEC USE ONLY |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 5 | SOLE VOTING POWER<br>0 | SOLE VOTING POWER<br>0 |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 6 | SHARED VOTING POWER<br>10,378,591 (1) | SHARED VOTING POWER<br>10,378,591 (1) |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 7 | SOLE DISPOSITIVE POWER<br>0 | SOLE DISPOSITIVE POWER<br>0 |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 8 | SHARED DISPOSITIVE POWER<br>10,378,591 (1) | SHARED DISPOSITIVE POWER<br>10,378,591 (1) |
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>10,378,591 (1) | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>10,378,591 (1) | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>10,378,591 (1) | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>10,378,591 (1) |
| 10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | □ |
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>5.92% | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>5.92% | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>5.92% | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>5.92% |
| 12 | TYPE OF REPORTING PERSON<br>IA | TYPE OF REPORTING PERSON<br>IA | TYPE OF REPORTING PERSON<br>IA | TYPE OF REPORTING PERSON<br>IA |

---

&nbsp;&nbsp;&nbsp;&nbsp;(1) This total consists of: (i) 5,777,210 Ordinary Shares and (ii) 4,601,381
Ordinary Shares issuable upon the exercise of warrants, the exercise of which is subject to a beneficial ownership limitation of 9.99%
of the Issuer's outstanding Ordinary Shares.

---

| | | |
|:---|:---|:---|
| &nbsp;&nbsp;**CUSIP No. 589492107** | &nbsp;&nbsp; **SCHEDULE 13G** | &nbsp;&nbsp;**Page 4 of 8 Pages** |

---

---

| | | | |
|:---|:---|:---|:---|
| 1 | NAME OF REPORTING PERSONS<br>OrbiMed Capital LLC | NAME OF REPORTING PERSONS<br>OrbiMed Capital LLC | NAME OF REPORTING PERSONS<br>OrbiMed Capital LLC |
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP<br> (a) □<br> (b) □ |
| 3 | SEC USE ONLY | SEC USE ONLY | SEC USE ONLY |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware | CITIZENSHIP OR PLACE OF ORGANIZATION<br>Delaware |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 5 | SOLE VOTING POWER<br>7,129,003 (1) |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 6 | SHARED VOTING POWER<br>0 |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 7 | SOLE DISPOSITIVE POWER<br>7,129,003 (1) |
| NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | NUMBER OF<br> SHARES<br> BENEFICIALLY<br> OWNED BY<br> EACH<br> REPORTING<br> PERSON<br> WITH | 8 | SHARED DISPOSITIVE POWER<br>0 |
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>7,129,003 (1) | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>7,129,003 (1) | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON<br>7,129,003 (1) |
| 10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | □ |
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>4.07% | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>4.07% | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)<br>4.07% |
| 12 | TYPE OF REPORTING PERSON<br>IA | TYPE OF REPORTING PERSON<br>IA | TYPE OF REPORTING PERSON<br>IA |

---

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(1) This total consists of: (i) 4,828,312 Ordinary Shares and (ii) 2,300,691
Ordinary Shares issuable upon the exercise of warrants, the exercise of which is subject to a beneficial ownership limitation of 9.99%
of the Issuer's outstanding Ordinary Shares.

---

| | | |
|:---|:---|:---|
| &nbsp;&nbsp;**CUSIP No. 589492107** | &nbsp;&nbsp; **SCHEDULE 13G** | &nbsp;&nbsp;**Page 5 of 8 Pages** |

---

**Item 1.** **(a) Name of Issuer:**

Mereo BioPharma Group plc

**(b) Address of Issuer's Principal Executive Offices:**

4th Floor, One Cavendish Place

London, W1G 0QF, United Kingdom

**Item 2.** **(a) Name of Person Filing**:

OrbiMed Capital GP VII LLC

OrbiMed Capital LLC

OrbiMed Advisors LLC

**(b) Address of Principal Business Office:**

601 Lexington Avenue, 54th Floor

New York, NY 10022

**(c) Citizenship**:

Please refer to Item 4 on each cover page for each Reporting Person.

**(d) Title of Class of Securities:**

Ordinary Share, nominal value £0.003, represented by American Depository Share

**(e) CUSIP No.:**

589492107

---

| | | |
|:---|:---|:---|
| &nbsp;&nbsp;**CUSIP No. 589492107** | &nbsp;&nbsp; **SCHEDULE 13G** | &nbsp;&nbsp;**Page 6 of 8 Pages** |

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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; **Item 3.** <br> OrbiMed Capital GP VII LLC ("GP VII") is the general partner of OrbiMed Private Investments VII, LP. OrbiMed Advisors LLC ("Advisors") and OrbiMed Capital LLC ("Capital") are investment advisors in accordance with ss.240.13d-1(b)(1)(ii)(E) and Advisors is the managing member of GP VII.<br>

---

| | | |
|:---|:---|:---|
| &nbsp;&nbsp;**CUSIP No. 589492107** | &nbsp;&nbsp; **SCHEDULE 13G** | &nbsp;&nbsp;**Page 7 of 8 Pages** |

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**Item 4. Ownership:**

Information with respect to the Reporting Person's ownership as of December 31, 2021 is incorporated by reference to items (5) - (9) and (11) of the cover page for the Reporting Person.

**Item 5. Ownership of Five Percent or Less of a Class.**

If this statement is being filed to report the fact that as of the date hereof the Reporting Person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ☐.

**Item 6. Ownership of More Than Five Percent on Behalf of Another Person**.

The Reporting Persons are holding 9.99% of the shares in the aggregate on behalf of other persons who have the right to receive or the power to direct the receipt of dividends from, or proceeds from the sale of, such securities. No one such other person's interest in the securities whose ownership is reported here relates to more than five percent of the class. Advisors and Capital exercise investment and voting power over the shares through a management committee comprised of Carl L. Gordon, Sven H. Borho, and W. Carter Neild, each of whom disclaims beneficial ownership of the Common Stock reported herein.

**Item 7. Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.**

Not Applicable.

**Item 8. Identification and Classification of Members of the Group**.

Not Applicable.

**Item 9. Notice of Dissolution of Group**.

Not Applicable.

**Item 10. Certification.**

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

---

| | | |
|:---|:---|:---|
| &nbsp;&nbsp;**CUSIP No. 589492107** | &nbsp;&nbsp; **SCHEDULE 13G** | &nbsp;&nbsp;**Page 8 of 8 Pages** |

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**<u>SIGNATURES</u>**

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Dated: February 14, 2023

---

| | | |
|:---|:---|:---|
| **OrbiMed Advisors LLC** | **OrbiMed Advisors LLC** | **OrbiMed Advisors LLC** |
| By: | /s/Carl L. Gordon | /s/Carl L. Gordon |
|  | Name: | Carl L. Gordon |
|  | Title: | Member |
| **OrbiMed Capital LLC** | **OrbiMed Capital LLC** | **OrbiMed Capital LLC** |
| By: | /s/ Carl L. Gordon | /s/ Carl L. Gordon |
|  | Name: | Carl L. Gordon |
|  | Title: | Member |

---

---

| | | |
|:---|:---|:---|
| **OrbiMed Capital GP VII LLC**<br> By: OrbiMed Advisors LLC, its Managing Member | **OrbiMed Capital GP VII LLC**<br> By: OrbiMed Advisors LLC, its Managing Member | **OrbiMed Capital GP VII LLC**<br> By: OrbiMed Advisors LLC, its Managing Member |
| By: | /s/ Carl L. Gordon | /s/ Carl L. Gordon |
|  | Name: | Carl L. Gordon |
|  | Title: | Member of OrbiMed Advisors LLC |

---

## Ex-99

**EXHIBIT A**

**JOINT FILING AGREEMENT**

The undersigned hereby agree that the Statement on this Schedule 13G dated December 31, 2022 (the "Schedule 13G"), with respect to the Ordinary Share, par value £0.003 per share, of Mereo BioPharma Group plc is filed on behalf of each of us pursuant to and in accordance with the provisions of Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended, and that this Agreement shall be included as an Exhibit to this Schedule 13G. Each of the undersigned agrees to be responsible for the timely filing of the Schedule 13G, and for the completeness and accuracy of the information concerning itself contained therein. This Agreement may be executed in any number of counterparts, all of which taken together shall constitute one and the same instrument.

IN WITNESS WHEREOF, the undersigned have executed this Agreement as of February 14, 2023.

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| | | |
|:---|:---|:---|
| **OrbiMed Advisors LLC** | **OrbiMed Advisors LLC** | **OrbiMed Advisors LLC** |
| By: | /s/ Carl L. Gordon | /s/ Carl L. Gordon |
|  | Name: | Carl L. Gordon |
|  | Title: | Member |
| **OrbiMed Capital LLC** | **OrbiMed Capital LLC** | **OrbiMed Capital LLC** |
| By: | /s/ Carl L. Gordon | /s/ Carl L. Gordon |
|  | Name: | Carl L. Gordon |
|  | Title: | Member |
| <br> **OrbiMed Capital GP VII LLC**<br> By: OrbiMed Advisors LLC, its Managing Member | <br> **OrbiMed Capital GP VII LLC**<br> By: OrbiMed Advisors LLC, its Managing Member | <br> **OrbiMed Capital GP VII LLC**<br> By: OrbiMed Advisors LLC, its Managing Member |
| By: | /s/ Carl L. Gordon | /s/ Carl L. Gordon |
|  | Name: | Carl L. Gordon |
|  | Title: | Member of OrbiMed Advisors LLC |

---