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Form 8-K

sec.gov

8-K — Aclaris Therapeutics, Inc.

Accession: 0001104659-26-119231

Filed: 2026-10-27

Period: 2026-10-27

CIK: 0001557746

SIC: 2834 (PHARMACEUTICAL PREPARATIONS)

Item: Entry into a Material Definitive Agreement

Item: Financial Statements and Exhibits

Documents

8-K — tm2628355d1_8k.htm (Primary)

EX-1.1 — EXHIBIT 1.1 (tm2628355d1_ex1-1.htm)

EX-4.1 — EXHIBIT 4.1 (tm2628355d1_ex4-1.htm)

EX-5.1 — EXHIBIT 5.1 (tm2628355d1_ex5-1.htm)

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8-K — FORM 8-K

8-K (Primary)

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0001557746

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2026-10-27

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of

The Securities Exchange Act of 1934

​

Date of Report (Date of earliest event

reported): October 27, 2026

Aclaris Therapeutics, Inc.

(Exact name of registrant as specified in

its charter)

Delaware

001-37581

46-0571712

(State or other jurisdiction of

incorporation)

(Commission File Number)

(IRS Employer

Identification No.)

701 Lee Road, Suite 103

Wayne, PA 19087

(Address of principal executive offices,

including zip code)

(484) 324-7933

(Registrant’s telephone number, including

area code)

N/A

(Former name or former address, if changed

since last report)

Check the appropriate box below if the Form 8-K filing is intended

to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

¨ Written

communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

¨ Soliciting material pursuant to Rule

14a-12 under the Exchange Act (17 CFR 240.14a-12)

¨ Pre-commencement communications pursuant

to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

¨ Pre-commencement communications pursuant

to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the

Act:

Title of Each Class:

Trading

Symbol(s)

Name of Each Exchange on which

Registered

Common Stock, $0.00001 par value

ACRS

The Nasdaq Stock Market, LLC

Indicate by check mark whether the registrant is an emerging growth

company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange

Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company ¨

If an emerging growth company, indicate

by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial

accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨

Item 1.01

Entry into a Material Definitive Agreement.

On October 27, 2026, Aclaris

Therapeutics, Inc. (the “Company”) entered into an underwriting agreement (the “Underwriting Agreement”) with

Leerink Partners LLC, Piper Sandler & Co. and Cantor Fitzgerald & Co., as representatives of the underwriters (the “Underwriters”)

listed therein, to issue and sell 7,785,714 shares of common stock of the Company, par value $0.00001 per share (“Common Stock”)

and pre-funded warrants to purchase 6,500,000 shares of Common Stock (the “Pre-Funded Warrants”), in an underwritten offering

pursuant to an effective registration statement on Form S-3 (File No. 333-298084) and a related prospectus and prospectus supplement,

in each case filed with the Securities and Exchange Commission (the “Offering”). The offering price is $3.50 per share of

Common Stock and $3.49999 per Pre-Funded Warrant. The Company estimates that the net proceeds from the Offering will be approximately

$46.7 million, after deducting underwriting discounts and commissions and estimated offering expenses. The closing of the Offering is

expected to occur on October 28, 2026, subject to customary closing conditions.

The Pre-Funded Warrants have

a per share exercise price of $0.00001, subject to proportional adjustments in the event of stock splits or combinations or similar events.

The Pre-Funded Warrants are exercisable at any time after the date of issuance and will not expire until exercised in full.

A holder of Pre-Funded Warrants may not exercise the warrant if the holder, together with its affiliates, would beneficially

own more than 9.99% of the number of shares of Common Stock outstanding immediately after giving effect to such exercise. A holder of Pre-Funded Warrants

may increase or decrease this percentage to a percentage not in excess of 19.99% by providing notice to the Company, provided that any

increase will not be effective until the 61st day after such notice is delivered to the Company.

The Underwriting Agreement

contains customary representations, warranties, covenants and agreements by the Company, indemnification obligations of the Company and

the Underwriters, including for liabilities under the Securities Act of 1933, as amended (the “Securities Act”), other obligations

of the parties and termination provisions. The representations, warranties and covenants contained in the Underwriting Agreement were

made only for purposes of such agreement and as of specific dates, were solely for the benefit of the parties to such agreement, and may

be subject to limitations agreed upon by the contracting parties.

Copies of the Underwriting

Agreement and the form of Pre-Funded Warrant are filed as Exhibit 1.1 and 4.1, respectively, to this Current Report on Form 8-K and are

incorporated herein by reference. The foregoing description of the Underwriting Agreement and the Pre-Funded Warrants is qualified in

its entirety by reference to such exhibits. A copy of the opinion of Cooley LLP as to the legality of the shares of Common Stock, the

Pre-Funded Warrants and the shares of Common Stock underlying the Pre-Funded Warrants to be issued and sold in the Offering and related

consent is filed as Exhibit 5.1 to this Current Report on Form 8-K.

Cautionary Note Regarding Forward-Looking Statements

This Current Report on Form

8-K contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and

Section 21E of the Exchange Act, and such forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities

Litigation Reform Act of 1995. These statements may be identified by words such as “anticipate,” “believe,” “expect,”

“intend,” “may,” “plan,” “potential,” “will,” and similar expressions, and

are based on the Company’s current beliefs and expectations. These forward-looking statements include statements about the Company’s

offering, such as the expected net proceeds and anticipated closing date. These statements involve risks and uncertainties that could

cause actual results to differ materially from those reflected in such statements. Risks and uncertainties that may cause actual results

to differ materially include uncertainties related to market conditions and the completion of the offering on the anticipated terms or

at all, and other risks and uncertainties that are described in the Risk Factors section of the Company’s Annual Report on Form

10-K for the year ended December 31, 2025, and other filings the Company makes with the U.S. Securities and Exchange Commission from time

to time. These documents are available under the “SEC Filings” page of the “Investors” section of the Company’s

website at www.aclaristx.com. Any forward-looking statements speak only as of the date of this Current Report on Form 8-K and are based

on information available to the Company as of the date of this Current Report on Form 8-K, and the Company assumes no obligation to, and

does not intend to, update any forward-looking statements, whether as a result of new information, future events or otherwise.

Item 9.01

Financial Statements and Exhibits.

(d) Exhibits

Exhibit

Number

Exhibit

Description

1.1

Underwriting Agreement by and among Aclaris Therapeutics,

Inc., Leerink Partners LLC, Piper Sandler & Co. and Cantor Fitzgerald & Co., dated October 27, 2026.

4.1

Form of Pre-Funded Warrant

to Purchase Common Stock.

5.1

Opinion of Cooley LLP.

23.1

Consent of Cooley LLP (included

in Exhibit 5.1).

104

The cover page from Aclaris

Therapeutics, Inc.’s Form 8-K filed on October 27, 2026, formatted in Inline XBRL.

SIGNATURES

Pursuant to the requirements

of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto

duly authorized.

ACLARIS THERAPEUTICS, INC.

By:

/s/ Kevin Balthaser

Date: October 27, 2026

Kevin Balthaser

Chief Financial Officer

EX-1.1 — EXHIBIT 1.1

EX-1.1

Filename: tm2628355d1_ex1-1.htm · Sequence: 2

Exhibit 1.1

7,785,714 Shares

Pre-Funded Warrants to Purchase 6,500,000 Shares

of Common Stock

Aclaris Therapeutics, Inc.

UNDERWRITING AGREEMENT

October 27, 2026

LEERINK PARTNERS LLC

PIPER SANDLER & CO.

CANTOR FITZGERALD & CO.

As Representatives of the several Underwriters

c/o LEERINK PARTNERS LLC

1301 Avenue of the Americas, 5th Floor

New York, New York 10019

c/o PIPER SANDLER & CO.

350 North 5th Street, Suite 1000

Minneapolis, Minnesota 55401

c/o CANTOR FITZGERALD & CO.

110 East 59th Street

New York, New York 10022

Ladies and Gentlemen:

Introductory. Aclaris Therapeutics, Inc., a Delaware corporation

(the “Company”), proposes to issue and sell to the several underwriters named in Schedule A (the “Underwriters”)

(i) an aggregate of 7,785,714 shares of its common stock, par value $0.00001 per share (the “Shares”) and (ii) pre-funded

warrants of the Company to purchase an aggregate of 6,500,000 Shares (the “Pre-Funded Warrants”). The 7,785,714 Shares

to be sold by the Company are called the “Offered Shares.” The Offered Shares, together with the Pre-Funded Warrants,

are collectively called the “Offered Securities.” Shares issuable upon exercise of the Pre-Funded Warrants are called

the “Warrant Shares.”

Leerink Partners LLC (“Leerink Partners”),

Piper Sandler & Co. (“Piper Sandler”) and Cantor Fitzgerald & Co. (“Cantor”) have

agreed to act as representatives of the several Underwriters (in such capacity, the “Representatives”) in connection

with the offering and sale of the Offered Securities. To the extent there are no additional underwriters listed on Schedule A,

the term “Representatives” as used herein shall mean you, as Underwriters, and the term “Underwriters” shall mean

either the singular or the plural, as the context requires.

The Company has prepared and filed with the Securities

and Exchange Commission (the “Commission”) a shelf registration statement on Form S-3, File No. 333-298084,

including a base prospectus (the “Base Prospectus”) to be used in connection with the offering and sale of the Offered

Securities. Such registration statement, as amended, including the financial statements, exhibits and schedules thereto, in the form in

which it became effective under the Securities Act of 1933, as amended, and the rules and regulations promulgated thereunder (collectively,

the “Securities Act”), including all documents incorporated or deemed to be incorporated by reference therein and any

information deemed to be a part thereof at the time of effectiveness pursuant to Rule 430B under the Securities Act, is called the

“Registration Statement.” As used herein, the term “Prospectus” shall mean the prospectus supplement

to the Base Prospectus that describes the Offered Securities and the offering thereof, together with the Base Prospectus, in the form

first used by the Underwriters to confirm sales of the Offered Securities or in the form first made available to the Underwriters by the

Company to meet requests of purchasers pursuant to Rule 173 under the Securities Act. References herein to the Prospectus shall refer

to both the prospectus supplement and the Base Prospectus components of such prospectus. As used herein, “Applicable Time”

is 6:10 a.m. (New York City time) on October 27, 2026. As used herein, “free writing prospectus” has the

meaning set forth in Rule 405 under the Securities Act, and “Time of Sale Prospectus” means the Base Prospectus,

as amended or supplemented immediately prior to the Applicable Time, together with the free writing prospectuses, if any, identified in

Schedule B hereto, and the Pricing Information. As used herein, “Pricing Information” means (i) the number

of Offered Securities offered for sale and (ii) the offering price per Offered Security, in each case as set forth on the cover page of

the Prospectus. As used herein, “Road Show” means a “road show” (as defined in Rule 433 under the

Securities Act) relating to the offering of the Offered Securities contemplated hereby that is a “written communication” (as

defined in Rule 405 under the Securities Act). As used herein, “Written Testing-the-Waters Communication” means

each written communication (within the meaning of Rule 405 under the Securities Act) that is made in reliance on Rule 163B under

the Securities Act by the Company or any person authorized to act on behalf of the Company to one or more potential investors that are

qualified institutional buyers (“QIBs”) and/or institutions that are accredited investors (“IAIs”),

as such terms are respectively defined in Rule 144A and Rule 501(a) under the Securities Act, to determine whether such

investors might have an interest in the offering of the Offered Securities; “Oral Testing-the-Waters Communication”

means each oral communication, if any, made in reliance on Rule 163B under the Securities Act by the Company or any person authorized

to act on behalf of the Company made to one or more QIBs and/or one or more IAIs to determine whether such investors might have an interest

in the offering of the Offered Securities; “Marketing Materials” means any materials or information provided to investors

by, or with the approval of, the Company in connection with the marketing of the offering of the Offered Securities, including any roadshow

or investor presentations made to investors by the Company (whether in person or electronically); and “Permitted Testing-the-Waters

Communication” means the Written Testing-the-Waters Communication(s) and Marketing Materials listed on Schedule C

attached hereto.

All references in this Agreement to the Registration

Statement, the Base Prospectus and the Prospectus shall include the documents incorporated or deemed to be incorporated by reference therein.

All references in this Agreement to financial statements and schedules and other information which are “contained,” “included”

or “stated” in, or “part of” the Registration Statement, the Base Prospectus, the Time of Sale Prospectus or the

Prospectus, and all other references of like import, shall be deemed to mean and include all such financial statements and schedules and

other information which is or is deemed to be incorporated by reference in the Registration Statement, the Base Prospectus, the Time of

Sale Prospectus or the Prospectus, as the case may be. All references in this Agreement to amendments or supplements to the Registration

Statement, the Base Prospectus, the Time of Sale Prospectus or the Prospectus shall be deemed to mean and include the filing of any document

under the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder (collectively, the “Exchange

Act”) that is or is deemed to be incorporated by reference in the Registration Statement, the Base Prospectus, or the Prospectus,

as the case may be. All references in this Agreement to (i) the Registration Statement, the Base Prospectus or the Prospectus, any

amendments or supplements to any of the foregoing, or any free writing prospectus, shall include any copy thereof filed with the Commission

pursuant to its Electronic Data Gathering, Analysis and Retrieval System (“EDGAR”) and (ii) the Prospectus shall

be deemed to include any “electronic Prospectus” provided for use in connection with the offering of the Offered Securities

as contemplated by Section 3(n) of this Agreement.

-2-

In the event that the Company has only one subsidiary,

then all references herein to “subsidiaries” of the Company shall be deemed to refer to such single subsidiary, mutatis

mutandis.

The Company hereby confirms its agreements with

the Underwriters as follows:

Section 1.         Representations

and Warranties of the Company. The Company hereby represents, warrants and covenants to each Underwriter, as of the date of this Agreement

and as of the Closing Date (as hereinafter defined) as follows:

(a)           Compliance

with Registration Requirements. The Registration Statement has become effective under the Securities Act. The Company has complied,

to the Commission’s satisfaction, with all requests of the Commission for additional or supplemental information, if any. No stop

order suspending the effectiveness of the Registration Statement is in effect and no proceedings for such purpose have been instituted

or are pending or, to the knowledge of the Company, are contemplated or threatened by the Commission. At the time the Registration Statement

was originally filed with the Commission, as well as at the time the Company or any person acting on its behalf (within the meaning,

for this clause only, of Rule 163(c) under the Securities Act) made any offer relating to the Offered Securities in reliance

on the exemption of Rule 163 under the Securities Act, the Company was a “well known seasoned issuer” as defined in

Rule 405 under the Securities Act. The Registration Statement is an “automatic shelf registration statement,” as defined

in Rule 405 under the Securities Act, and became effective on August 6, 2026. The Company has not received from the Commission

any notice pursuant to Rule 401(g)(2) under the Securities Act objecting to the Company’s use of the automatic shelf

registration form. The documents incorporated or deemed to be incorporated by reference in the Registration Statement, the Time of Sale

Prospectus and the Prospectus, at the time they were or hereafter are filed with the Commission, or became effective under the Exchange

Act, as the case may be, complied and will comply in all material respects with the requirements of the Exchange Act.

(b)           Disclosure.

The Prospectus when first used or filed, as applicable, complied in all material respects with the Securities Act and, if filed by electronic

transmission pursuant to EDGAR, was identical (except as may be permitted by Regulation S-T under the Securities Act) to the copy

thereof delivered to the Underwriters for use in connection with the offer and sale of the Offered Securities. Each of the Registration

Statement and any post-effective amendment thereto, at the time it became or becomes effective, complied and will comply in all material

respects with the Securities Act and did not and will not contain any untrue statement of a material fact or omit to state a material

fact required to be stated therein or necessary to make the statements therein not misleading. As of the Applicable Time, the Time of

Sale Prospectus did not, and at the Closing Date will not, contain any untrue statement of a material fact or omit to state a material

fact necessary to make the statements therein, in the light of the circumstances under which they were made, not misleading. The Prospectus,

as of its date, did not, and at the Closing Date will not, contain any untrue statement of a material fact or omit to state a material

fact necessary in order to make the statements therein, in the light of the circumstances under which they were made, not misleading.

The representations and warranties set forth in the three immediately preceding sentences do not apply to statements in or omissions from

the Registration Statement or any post-effective amendment thereto, or the Prospectus or the Time of Sale Prospectus, or any amendments

or supplements thereto, made in reliance upon and in conformity with written information relating to any Underwriter furnished to the

Company in writing by the Representatives expressly for use therein, it being understood and agreed that the only such information consists

of the information described in Section 9(b) below. There are no contracts or other documents required to be described in the

Time of Sale Prospectus or the Prospectus or to be filed as an exhibit to the Registration Statement which have not been described or

filed as required.

-3-

(c)           Free

Writing Prospectuses; Road Show. As of the determination date referenced in Rule 164(h) under the Securities Act, the

Company was not, is not or will not be (as applicable) an “ineligible issuer” in connection with the offering of the Offered

Securities pursuant to Rules 164, 405 and 433 under the Securities Act. Each free writing prospectus that the Company is required

to file pursuant to Rule 433(d) under the Securities Act has been, or will be, filed with the Commission in accordance with

the requirements of the Securities Act. Each free writing prospectus that the Company has filed, or is required to file, pursuant to Rule 433(d) under

the Securities Act or that was prepared by or on behalf of or used or referred to by the Company complies or will comply in all material

respects with the requirements of Rule 433 under the Securities Act, including timely filing with the Commission or retention where

required and legending, and each such free writing prospectus, as of its issue date and at all subsequent times through the completion

of the offer and sale of the Offered Securities did not, does not and will not include any information that conflicted, conflicts or will

conflict with the information contained in the Registration Statement or the Prospectus. Except for the free writing prospectuses, if

any, identified in Schedule B, and electronic road shows, if any, furnished to you before first use, the Company has not prepared,

used or referred to, and will not, without your prior written consent, prepare, use or refer to, any free writing prospectus. Each Road

Show, when considered together with the Time of Sale Prospectus, did not, as of the Applicable Time, contain any untrue statement of a

material fact or omit to state a material fact necessary to make the statements therein, in the light of the circumstances under which

they were made, not misleading.

(d)           Distribution

of Offering Material By the Company. Prior to the completion of the Underwriters’ distribution of the Offered Securities,

the Company has not distributed and will not distribute any offering material in connection with the offering and sale of the Offered

Securities other than the Registration Statement, the Time of Sale Prospectus, the Prospectus or any free writing prospectus reviewed

and consented to by the Representatives and the free writing prospectuses, if any, identified on Schedule B hereto.

(e)           Incorporated

Documents. The documents incorporated or deemed to be incorporated by reference in the Registration Statement, the Time of Sale

Prospectus and the Prospectus, when they were filed with the Commission, complied in all material respects with the requirements of the

Exchange Act, and none of such documents contain any untrue statement of a material fact or omit to state a material fact necessary to

make the statements therein, in the light of the circumstances under which they were made, not misleading; and any further documents so

filed and incorporated or deemed to be incorporated by reference in the Registration Statement, the Time of Sale Prospectus and the Prospectus,

when such documents are filed with the Commission, will comply in all material respects with the requirements of the Exchange Act and

will not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements therein, in

the light of the circumstances under which they were made, not misleading.

(f)            Statistical

and Market-Related Data. The statistical, demographic and market-related data included or incorporated by reference in the Registration

Statement, the Time of Sale Prospectus and the Prospectus are based on or derived from sources that the Company believes to be reliable

and accurate or represent the Company’s good faith estimates that are made on the basis of data derived from such sources.

(g)           Disclosure

Controls and Procedures; Deficiencies in or Changes to Internal Control Over Financial Reporting. The Company has established

and maintains disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)), which (i) are

designed to ensure that material information relating to the Company, including its consolidated subsidiaries, is made known to the Company’s

principal executive officer and its principal financial officer by others within those entities, particularly during the periods in which

the periodic reports required under the Exchange Act are being prepared; (ii) have been evaluated by management of the Company for

effectiveness as of the end of the Company’s most recent fiscal quarter; and (iii) are effective in all material respects to

perform the functions for which they were established. Based on the most recent evaluation of its disclosure controls and procedures,

the Company is not aware of (A) any significant deficiencies or material weaknesses in the design or operation of internal control

over financial reporting which are reasonably likely to adversely affect the Company’s ability to record, process, summarize and

report financial information; or (B) any fraud, whether or not material, that involves management or other employees who have a significant

role in the Company’s internal control over financial reporting. The Company is not aware of any change in its internal control

over financial reporting that has occurred during its most recent fiscal quarter that has materially affected, or is reasonably likely

to materially affect, the Company’s internal control over financial reporting.

-4-

(h)           Authorization

of the Agreement. This Agreement has been duly authorized, executed and delivered by, and is a valid and binding agreement of,

the Company, enforceable in accordance with its terms, except as rights to indemnification hereunder may be limited by applicable law

and except as the enforcement hereof may be limited by bankruptcy, insolvency, reorganization, moratorium or other similar laws relating

to or affecting the rights and remedies of creditors or by general equitable principles.

(i)            Authorization

of the Offered Securities. The Offered Shares have been duly authorized for issuance and sale pursuant to this Agreement and,

when issued and delivered by the Company against payment therefor pursuant to this Agreement, will be validly issued, fully paid and nonassessable;

and the issuance and sale of the Offered Shares is not subject to any preemptive rights, rights of first refusal or other similar rights

that have not been duly waived. The Pre-Funded Warrants have been duly authorized by the Company and, when executed and delivered by the

Company, will be valid and binding agreements of the Company, enforceable against the Company in accordance with their terms, except as

the enforcement thereof may be limited by bankruptcy, insolvency, reorganization, moratorium or other similar laws relating to or affecting

the rights and remedies of creditors or by general equitable principles. The Warrant Shares have been duly authorized and validly reserved

for issuance upon exercise of the Pre-Funded Warrants in a number sufficient to meet the current exercise requirements. The Warrant Shares,

when issued and delivered upon exercise of the Pre-Funded Warrants in accordance therewith, will be validly issued, fully paid and nonassessable,

and the issuance of the Warrant Shares is not subject to any preemptive rights, rights of first refusal or other similar rights to subscribe

for or purchase the Warrant Shares.

(j)           XBRL.

The interactive data in eXtensible Business Reporting Language included or incorporated by reference in the Registration Statement, the

Time of Sale Prospectus and the Prospectus fairly presents the information called for in all material respects and has been prepared in

accordance with the Commission’s rules and guidelines applicable thereto.

(k)           No

Applicable Registration or Other Similar Rights. There are no persons with registration or other similar rights to have any equity

or debt securities registered for sale under the Registration Statement or included in the offering contemplated by this Agreement, except

for such rights as have been duly waived.

(l)            No

Material Adverse Change. Except as otherwise disclosed in the Registration Statement, the Time of Sale Prospectus and the Prospectus,

subsequent to the respective dates as of which information is given in the Registration Statement, the Time of Sale Prospectus and the

Prospectus: (i) there has been no material adverse change, or any development that could reasonably be expected to result in a material

adverse change, in (A) the condition, financial or otherwise, or in the earnings, business, operations or prospects, whether or not

arising from transactions in the ordinary course of business, of the Company and its subsidiaries, considered as one entity or (B) the

ability of the Company to consummate the transactions contemplated by this Agreement or perform its obligations hereunder (any such change

is called a “Material Adverse Change”); (ii) the Company and its subsidiaries, considered as one entity,

have not incurred any material liability or obligation, indirect, direct or contingent, not in the ordinary course of business nor entered

into any material transaction or agreement not in the ordinary course of business; and (iii) there has been no dividend or distribution

of any kind declared, paid or made by the Company or, except for dividends paid to the Company or other subsidiaries, by any of its subsidiaries

on any class of capital stock or repurchase or redemption by the Company or any of its subsidiaries of any class of capital stock.

-5-

(m)          Independent

Accountants. PricewaterhouseCoopers LLP, which has expressed its opinion with respect to the financial statements (which term

as used in this Agreement includes the related notes thereto) filed with the Commission as a part of or incorporated by reference in the

Registration Statement, the Time of Sale Prospectus and the Prospectus is (i) an independent public or certified public accountant

as required by the Securities Act and the Exchange Act, (ii) in compliance with the applicable requirements relating to the qualification

of accountants under Rule 2-01 of Regulation S-X; and (iii) a registered public accounting firm as defined by the Public Company

Accounting Oversight Board (the “PCAOB”) whose registration has not been suspended or revoked and who has not requested

such registration to be withdrawn.

(n)           Preparation

of the Financial Statements. The financial statements filed with the Commission as a part of or incorporated by reference in the

Registration Statement, the Time of Sale Prospectus, and the Prospectus present fairly, in all material respects, the consolidated financial

position of the Company and its subsidiaries as of and at the dates indicated and the results of their operations, changes in stockholders’

equity and cash flows for the periods specified. Such financial statements have been prepared in conformity with generally accepted accounting

principles as applied in the United States (“GAAP”) applied on a consistent basis throughout the periods involved,

except as may be expressly stated in the related notes thereto and except in the case of unaudited financial statements, which are subject

to normal and recurring year-end adjustments and do not contain certain footnotes as permitted by the applicable rules of the Commission.

No other financial statements or supporting schedules are required to be included in or incorporated in the Registration Statement, the

Time of Sale Prospectus or the Prospectus. The financial data set forth or incorporated in the Registration Statement, the Time of Sale

Prospectus and the Prospectus fairly present, in all material respects, the information set forth therein on a basis consistent with that

of the audited or unaudited financial statements contained, as applicable, incorporated or deemed to be incorporated in the Registration

Statement, the Time of Sale Prospectus and the Prospectus. To the Company’s knowledge, no person who has been suspended or barred

from being associated with a registered public accounting firm, or who has failed to comply with any sanction pursuant to Rule 5300

promulgated by the PCAOB, has participated in or otherwise aided the preparation of, or audited, the financial statements, supporting

schedules or other financial data filed with the Commission as a part of the Registration Statement, the Time of Sale Prospectus or the

Prospectus.

(o)           Company’s

Accounting System. The Company and each of its subsidiaries make and keep accurate books and records and maintain a system of

internal accounting controls sufficient to provide reasonable assurance that (i) transactions are executed in accordance with management’s

general or specific authorization; (ii) transactions are recorded as necessary to permit preparation of financial statements in conformity

with GAAP and to maintain accountability for assets; (iii) access to assets is permitted only in accordance with management’s

general or specific authorization; (iv) the recorded accountability for assets is compared with existing assets at reasonable intervals

and appropriate action is taken with respect to any differences; and (v) the interactive data in eXtensible Business Reporting Language

included or incorporated by reference in the Registration Statement, the Time of Sale Prospectus and the Prospectus fairly presents the

information called for in all material respects and is prepared in accordance with the Commission’s rules and guidelines applicable

thereto.

-6-

(p)           Incorporation

and Good Standing of the Company. The Company has been duly incorporated and is validly existing as a corporation in good standing

under the laws of the State of Delaware and has the power and authority (corporate or other) to own, lease and operate its properties

and to conduct its business as described in the Registration Statement, the Time of Sale Prospectus and the Prospectus and to enter into

and perform its obligations under this Agreement. The Company is duly qualified as a foreign corporation to transact business and is

in good standing in each jurisdiction (to the extent such concept applies) in which such qualification is required, whether by reason

of the ownership or leasing of property or the conduct of business, except where the failure to so qualify or to be in good standing,

individually or in the aggregate, would not reasonably be expected to result in a Material Adverse Change.

(q)           Incorporation

and Good Standing of the Company’s Subsidiaries. Each subsidiary of the Company has been duly incorporated or organized,

as the case may be, and is validly existing as a corporation, partnership or limited liability company, as applicable, in good standing

under the laws of the jurisdiction of its incorporation or organization and has the power and authority (corporate or other) to own, lease

and operate its properties and to conduct its business as described in the Registration Statement, the Time of Sale Prospectus and the

Prospectus and is duly qualified as a foreign corporation, partnership or limited liability company, as applicable, to transact business

and is in good standing (to the extent such concept applies) in each jurisdiction in which such qualification is required, whether by

reason of the ownership or leasing of property or the conduct of business, except where the failure to so qualify or be in good standing

would not reasonably be expected, individually or in the aggregate, to result in a Material Adverse Change. All of the issued and outstanding

capital stock or other equity or ownership interests of each subsidiary have been duly authorized and validly issued, are fully paid and

nonassessable and are owned by the Company, directly or through subsidiaries, free and clear of any security interest, mortgage, pledge,

lien, encumbrance or adverse claim. The Company does not own or control, directly or indirectly, any corporation, association or other

entity other than (i) the subsidiaries listed on Exhibit 21.1 to the Company’s most recent annual report on Form 10-K

and (ii) such other entities omitted from Exhibit 21.1 which, when such omitted entities are considered in the aggregate as

a single subsidiary, would not constitute a “significant subsidiary” within the meaning of Rule 1-02(w) of Regulation

S-X.

(r)           Capitalization

and Other Capital Stock Matters. The authorized, issued and outstanding capital stock of the Company is as set forth in the Registration

Statement, the Time of Sale Prospectus and the Prospectus under the caption “Description of Capital Stock” (other than for

subsequent issuances, if any, pursuant to employee benefit plans described in the Registration Statement, the Time of Sale Prospectus

and the Prospectus or upon the conversion or exercise of outstanding options, convertible securities or warrants or vesting of restricted

stock units, in each case as described in the Registration Statement, the Time of Sale Prospectus and the Prospectus). The Shares (including

the Offered Shares and the Warrant Shares) and the Pre-Funded Warrants conform in all material respects to the descriptions thereof contained

in the Registration Statement, the Time of Sale Prospectus and the Prospectus. All of the issued and outstanding Shares have been duly

authorized and validly issued, are fully paid and nonassessable and have been issued in compliance with applicable federal and state securities

laws. None of the outstanding Shares were issued in violation of any preemptive rights, rights of first refusal or other similar rights

to subscribe for or purchase securities of the Company that have not been duly waived or satisfied. There are no authorized or outstanding

options, warrants, preemptive rights, rights of first refusal or other rights to purchase, or equity or debt securities convertible into

or exchangeable or exercisable for, any capital stock of the Company or any of its subsidiaries other than those accurately described

in all material respects in the Registration Statement, the Time of Sale Prospectus and the Prospectus. The description of the Company’s

stock option, stock bonus and other stock plans or arrangements, and the options or other rights granted thereunder, set forth in the

Registration Statement, the Time of Sale Prospectus and the Prospectus, accurately and fairly presents in all material respects the information

required to be shown with respect to such plans, arrangements, options and rights.

-7-

(s)           Stock

Exchange Listing. The Company is subject to and in compliance in all material respects with the reporting requirements of Section 13

or Section 15(d) of the Exchange Act. The Company’s common stock is registered pursuant to Section 12(b) of

the Exchange Act and is listed on The Nasdaq Global Select Market (the “Nasdaq”), and the Company has taken no action

designed to, or reasonably likely to have the effect of, terminating the registration of the Company’s common stock under the Exchange

Act or delisting the Company’s common stock from the Nasdaq, nor has the Company received any notification that the Commission

or the Nasdaq is contemplating terminating such registration or listing. To the Company’s knowledge, it is in compliance with all

applicable listing requirements of Nasdaq.

(t)            Non-Contravention

of Existing Instruments; No Further Authorizations or Approvals Required. Neither the Company nor any of its subsidiaries is in

violation of its charter or by-laws, partnership agreement or operating agreement or similar organizational document, as applicable, or

is in default (or, with the giving of notice or lapse of time, would be in default) (“Default”) under any indenture,

mortgage, loan or credit agreement, note, contract, franchise, lease or other instrument to which the Company or any of its subsidiaries

is a party or by which it or any of them may be bound (including, without limitation, any credit agreement, indenture, pledge agreement,

security agreement or other instrument or agreement evidencing, guaranteeing, securing or relating to indebtedness of the Company or any

of its subsidiaries ), or to which any of the property or assets of the Company or any of its subsidiaries is subject (each, an “Existing

Instrument”), except for such Defaults as would not, individually or in the aggregate, result in a Material Adverse Change.

The Company’s execution, delivery and performance of this Agreement and the Pre-Funded Warrants, consummation of the transactions

contemplated hereby and thereby and by the Registration Statement, the Time of Sale Prospectus and the Prospectus and the issuance and

sale of the Offered Securities (including the use of proceeds from the sale of the Offered Securities as described in the Registration

Statement, the Time of Sale Prospectus and the Prospectus under the caption “Use of Proceeds”) (i) have been duly authorized

by all necessary corporate action and will not result in any violation of the provisions of the charter or by-laws, partnership agreement

or operating agreement or similar organizational document of the Company or any subsidiary, as applicable; (ii) will not conflict

with or constitute a breach of, or Default under, or result in the creation or imposition of any lien, charge or encumbrance upon any

property or assets of the Company or any of its subsidiaries pursuant to, or require the consent of any other party to, any Existing Instrument,

except for such conflicts, breaches, Defaults, liens, charges or encumbrances as would not, individually or in the aggregate, result in

a Material Adverse Change; and (iii) will not result in any violation of any law, administrative regulation or administrative or

court decree applicable to the Company or any subsidiary, except as would not reasonably be expected, individually or in the aggregate,

to result in a Material Adverse Change. No consent, approval, authorization or other order of, or registration or filing with, any court

or other governmental or regulatory authority or agency, is required for the Company’s execution, delivery and performance of this

Agreement and consummation of the transactions contemplated hereby and by the Registration Statement, the Time of Sale Prospectus and

the Prospectus, except such as have been obtained or made by the Company and are in full force and effect under the Securities Act, applicable

state securities or blue sky laws, and from the Financial Industry Regulatory Authority (“FINRA”).

(u)           No

Material Actions or Proceedings. Except as otherwise disclosed in the Registration Statement, the Time of Sale Prospectus and

the Prospectus, there are no material legal or governmental actions, suits or proceedings pending or, to the Company’s knowledge,

threatened (i) against or affecting the Company or any of its subsidiaries; (ii) which have as the subject thereof any officer

or director of, or property owned or leased by, the Company or any of its subsidiaries; or (iii) relating to environmental or discrimination

matters; where in any such case (A) there is a reasonable possibility that such action, suit or proceeding might be determined adversely

to the Company, such subsidiary or such officer or director, (B) any such action, suit or proceeding, if so determined adversely,

would reasonably be expected to result in a Material Adverse Change or adversely affect the consummation of the transactions contemplated

by this Agreement, or (C) any such action, suit or proceeding is or would be material in the context of the sale of Offered Securities.

Except as otherwise disclosed in the Registration Statement, the Time of Sale Prospectus and the Prospectus, no material labor dispute

with the employees of the Company or any of its subsidiaries, or with the employees of any principal supplier, manufacturer, customer

or contractor of the Company, exists or, to the Company’s knowledge, is threatened or imminent.

-8-

(v)            Intellectual

Property Rights. The Company and its subsidiaries own or possess the valid right to use all (i) patents, patent applications,

trademarks, trademark registrations, service marks, service mark registrations, Internet domain name registrations, copyrights, copyright

registrations, licenses, trade secret rights (“Intellectual Property Rights”) and (ii) inventions, software, works

of authorships, trademarks, service marks, trade names, databases, formulae, know how, Internet domain names and other intellectual

property (including trade secrets and other unpatented and/or unpatentable proprietary confidential information, systems, or procedures)

(collectively, “Intellectual Property Assets”) necessary to conduct their respective businesses described in the Registration

Statement, the Time of Sale Prospectus and the Prospectus, except where the failure to own or possess the valid right to use the Intellectual

Property Assets would not, individually or in the aggregate, result in a Material Adverse Change. The Company and its subsidiaries have

not received any opinion from their legal counsel concluding that any activities of their respective businesses infringe, misappropriate,

or otherwise violate, valid and enforceable Intellectual Property Rights of any other person. The Company and its subsidiaries have not

received written notice of any challenge, which is to their knowledge still pending, by any other person to the rights of the Company

and its subsidiaries with respect to any Intellectual Property Rights or Intellectual Property Assets owned or used by the Company or

its subsidiaries that would reasonably be expected to result in a Material Adverse Change. To the knowledge of the Company, the Company

and its subsidiaries’ respective businesses as now conducted do not give rise to any infringement of, any misappropriation of, or

other violation of, any valid and enforceable Intellectual Property Rights of any other person. All licenses for the use of the Intellectual

Property Rights described in the Registration Statement, the Time of Sale Prospectus and the Prospectus are valid, binding upon, and enforceable

by or against the parties thereto in accordance to its terms. The Company has complied in all material respects with, and is not in breach

nor has received any asserted or threatened claim of breach of any Intellectual Property Rights license, and the Company has no knowledge

of any breach or anticipated breach by any other person to any Intellectual Property Rights license. Except as described in the Registration

Statement, the Time of Sale Prospectus or the Prospectus, no claim has been made against the Company alleging the infringement by the

Company of any patent, trademark, service mark, trade name, copyright, trade secret, license in or other intellectual property right or

franchise right of any person that would reasonably be expected to result in a Material Adverse Change. The Company has taken all reasonable

steps to protect, maintain and safeguard its Intellectual Property Rights, including the execution of appropriate nondisclosure and confidentiality

agreements. The consummation of the transactions contemplated by this Agreement will not result in the loss or impairment of or payment

of any additional amounts with respect to, nor require the consent of any other person in respect of, the Company’s right to own,

use, or hold for use any of the Intellectual Property Rights as owned, used or held for use in the conduct of the business as currently

conducted.

(w)           All

Necessary Permits, etc. Except as otherwise disclosed in the Registration Statement, the Time of Sale Prospectus and the

Prospectus, the Company and each subsidiary possess such valid and current certificates, authorizations or permits issued by the appropriate

state, federal or foreign regulatory agencies or bodies necessary for the ownership or lease of its properties or the conduct of its business

(“Permits”) as described in the Registration Statement, the Time of Sale Prospectus and the Prospectus, or to permit

all clinical and nonclinical studies and trials conducted by or on behalf of the Company and its subsidiaries, except where failure to

so possess would not reasonably be expected to, individually or in the aggregate, result in a Material Adverse Change; and neither

the Company nor any subsidiary has received, or has any reason to believe that it will receive, any notice of proceedings relating to

the revocation or modification of, or non-compliance with, any such certificate, authorization or permit which, singly or in the aggregate,

if the subject of an unfavorable decision, ruling or finding, could result in a Material Adverse Change.

-9-

(x)           Title

to Properties. The Company and its subsidiaries have good and marketable title to all of the real and personal property and other

assets reflected as owned in the financial statements referred to in Section 1(n) above (or elsewhere in the Registration Statement,

the Time of Sale Prospectus or the Prospectus), in each case free and clear of any security interests, mortgages, liens, encumbrances,

equities, adverse claims and other defects, except such as would not reasonably be expected, individually or in the aggregate, to have

a Material Adverse Change. The real property, improvements, equipment and personal property held under lease by the Company or any of

its subsidiaries are held under valid and enforceable leases, with such exceptions as are not material and do not materially interfere

with the use made or proposed to be made of such real property, improvements, equipment or personal property by the Company or such subsidiary.

(y)           Tax

Law Compliance. The Company and its consolidated subsidiaries have filed all necessary federal, state and foreign income, property

and franchise tax returns (or have properly requested extensions thereof) and have paid all taxes required to be paid by any of them and,

if due and payable, any related or similar assessment, fine or penalty levied against any of them except as may be being contested in

good faith and by appropriate proceedings. The Company has made adequate charges, accruals and reserves in the applicable financial statements

referred to in Section 1(n) above in respect of all federal, state and foreign income, property and franchise taxes for all

periods as to which the tax liability of the Company or any of its consolidated subsidiaries has not been finally determined.

(z)           Company

Not an “Investment Company.” The Company is not, and after receipt of payment for the Offered Securities will not

be, an “investment company” within the meaning of the Investment Company Act of 1940, as amended (the “Investment

Company Act”).

(aa)         Insurance.

Except as otherwise disclosed in the Registration Statement, the Time of Sale Prospectus and the Prospectus, each of the Company and its

subsidiaries are insured by recognized, financially sound and reputable institutions with policies in such amounts and with such deductibles

and covering such risks as are generally deemed adequate and customary for their businesses including, but not limited to, policies covering

real and personal property owned or leased by the Company and its subsidiaries against theft, damage, destruction, acts of vandalism and

earthquakes and policies covering the Company and its subsidiaries for product liability claims and clinical trial liability claims. The

Company has no reason to believe that it or any subsidiary will not be able (i) to renew its existing insurance coverage as and when

such policies expire; or (ii) to obtain comparable coverage from similar institutions as may be necessary or appropriate to

conduct its business as now conducted and at a cost that would not result in a Material Adverse Change. Neither of the Company nor any

subsidiary has been denied any insurance coverage which it has sought or for which it has applied.

(bb)         No

Price Stabilization or Manipulation; Compliance with Regulation M. Neither the Company nor any of its subsidiaries has taken,

directly or indirectly, any action designed to or that would reasonably be expected to cause or result in stabilization or manipulation

of the price of the Shares or any other “reference security” (as defined in Rule 100 of Regulation M under the Exchange

Act (“Regulation M”)), whether to facilitate the sale or resale of the Offered Securities or otherwise, and has taken

no action which would directly or indirectly violate Regulation M. The Company acknowledges that the Underwriters may engage in passive

market making transactions in the Shares on the Nasdaq in accordance with Regulation M. The Shares are “actively traded securities”

(as defined in Regulation M).

-10-

(cc)         Related

Party Transactions. There are no business relationships or related-party transactions involving the Company or any of its subsidiaries

or any other person required to be described in Registration Statement, the Time of Sale Prospectus or the Prospectus which have not

been described as required.

(dd)         FINRA

Matters. All of the information provided to the Underwriters or to counsel for the Underwriters by the Company, its officers and

directors and the holders of any securities (debt or equity) or options to acquire any securities of the Company in connection with letters,

filings or other supplemental information provided to FINRA pursuant to FINRA Rules 5110, 5190 and 5121 is true, complete and correct.

The Company meets the definition of an “experienced issuer” as specified in FINRA Rule 5110(j)(6). Neither the Company

nor any of its affiliates directly, or indirectly through one or more intermediaries, controls, or is controlled by, or is under common

control with, or is a person associated with any member firm of FINRA.

(ee)         No

Unlawful Contributions or Other Payments. Except as otherwise disclosed in Registration Statement, the Time of Sale Prospectus

or the Prospectus, neither the Company nor any of its subsidiaries nor, to the Company’s knowledge, any employee or agent of the

Company or any subsidiary, has made any contribution or other payment to any official of, or candidate for, any federal, state or foreign

office in violation of any law or of the character required to be disclosed in the Registration Statement, the Time of Sale Prospectus

and the Prospectus.

(ff)           Compliance

with Environmental Laws. Except as otherwise described in Registration Statement, the Time of Sale Prospectus or the Prospectus,

and except as would not, individually or in the aggregate, result in a Material Adverse Change (i) neither the Company nor any of

its subsidiaries is in violation of any federal, state, local or foreign law or regulation relating to pollution or protection of human

health or the environment (including, without limitation, ambient air, surface water, groundwater, land surface or subsurface strata)

or wildlife, including without limitation, laws and regulations relating to emissions, discharges, releases or threatened releases of

chemicals, pollutants, contaminants, wastes, toxic substances, hazardous substances, petroleum and petroleum products (collectively, “Materials

of Environmental Concern”), or otherwise relating to the manufacture, processing, distribution, use, treatment, storage, disposal,

transport or handling of Materials of Environmental Concern (collectively, “Environmental Laws”), which violation includes,

but is not limited to, noncompliance with any permits or other governmental authorizations required for the operation of the business

of the Company or its subsidiaries under applicable Environmental Laws, or noncompliance with the terms and conditions thereof, nor has

the Company or any of its subsidiaries received any written communication, whether from a governmental authority, citizens group, employee

or otherwise, that alleges that the Company or any of its subsidiaries is in violation of any Environmental Law; (ii) there is no

claim, action or cause of action filed with a court or governmental authority, no investigation with respect to which the Company has

received written notice, and no written notice by any person or entity alleging potential liability for investigatory costs, cleanup costs,

governmental responses costs, natural resources damages, property damages, personal injuries, attorneys’ fees or penalties arising

out of, based on or resulting from the presence, or release into the environment, of any Material of Environmental Concern at any location

owned, leased or operated by the Company or any of its subsidiaries, now or in the past (collectively, “Environmental Claims”),

pending or, to the Company’s knowledge, threatened against the Company or any of its subsidiaries or any person or entity whose

liability for any Environmental Claim the Company or any of its subsidiaries has retained or assumed either contractually or by operation

of law; and (iii) to the Company’s knowledge, there are no past or present actions, activities, circumstances, conditions,

events or incidents, including, without limitation, the release, emission, discharge, presence or disposal of any Material of Environmental

Concern, that reasonably could result in a violation of any Environmental Law or form the basis of a potential Environmental Claim against

the Company or any of its subsidiaries or against any person or entity whose liability for any Environmental Claim the Company or any

of its subsidiaries has retained or assumed either contractually or by operation of law.

-11-

(gg)         ERISA

Compliance. The Company and its subsidiaries and any “employee benefit plan” (as defined under the Employee Retirement

Income Security Act of 1974, as amended, and the regulations and published interpretations thereunder (collectively, “ERISA”))

established or maintained by the Company, its subsidiaries or their “ERISA Affiliates” (as defined below), are in compliance

in all material respects with ERISA. “ERISA Affiliate” means, with respect to the Company or any of its subsidiaries,

any member of any group of organizations described in Sections 414(b), (c), (m) or (o) of the Internal Revenue Code of 1986,

as amended, and the regulations and published interpretations thereunder (the “Code”) of which the Company or such

subsidiary is a member. No “reportable event” (as defined under ERISA) has occurred or is reasonably expected to occur with

respect to any “employee benefit plan” established or maintained by the Company, its subsidiaries or any of their ERISA Affiliates.

Except as would not reasonably be expected, individually or in the aggregate, to result in a Material Adverse Change, no “employee

benefit plan” established or maintained by the Company, its subsidiaries or any of their ERISA Affiliates, if such “employee

benefit plan” were terminated, would have any “amount of unfunded benefit liabilities” (as defined under ERISA). Neither

the Company, its subsidiaries nor any of their ERISA Affiliates has incurred or reasonably expects to incur any liability under (i) Title

IV of ERISA with respect to termination of, or withdrawal from, any “employee benefit plan” or (ii) Sections 412, 4971,

4975 or 4980B of the Code. Each employee benefit plan established or maintained by the Company, its subsidiaries or any of their ERISA

Affiliates that is intended to be qualified under Section 401(a) of the Code is so qualified and nothing has occurred, whether

by action or failure to act, which would cause the loss of such qualification.

(hh)         Brokers.

Except for the Underwriters, there is no broker, finder or other party that is entitled to receive from the Company any brokerage or finder’s

fee or other fee or commission as a result of any transactions contemplated by this Agreement.

(ii)           No

Outstanding Loans or Other Extensions of Credit. Except as described in Registration Statement, the Time of Sale Prospectus or

the Prospectus, there are no outstanding loans, advances (except normal advances for business expenses in the ordinary course of business)

or guarantees or indebtedness by the Company to or for the benefit of any of the officers or directors of the Company or any of the immediate

family members of any of them.

(jj)           Compliance

with Laws. The Company has not been advised, and has no reason to believe, that it and each of its subsidiaries are not conducting

business in compliance with all applicable laws, rules and regulations of the jurisdictions in which it is conducting business, except

where failure to be so in compliance would not be reasonably expected to result in a Material Adverse Change.

(kk)        Dividend

Restrictions. Except as disclosed in the Registration Statement, the Time of Sale Prospectus and the Prospectus, no subsidiary

of the Company is prohibited or restricted, directly or indirectly, from paying dividends to the Company, or from making any other distribution

with respect to such subsidiary’s equity securities or from repaying to the Company or any other subsidiary of the Company any

amounts that may from time to time become due under any loans or advances to such subsidiary from the Company or from transferring any

property or assets to the Company or to any other subsidiary.

-12-

(ll)           Anti-Corruption

and Anti-Bribery Laws. Neither the Company nor any of its subsidiaries nor, to the knowledge of the Company, any director, officer,

agent, employee, affiliate or other person acting on behalf of the Company or any of its subsidiaries has, in the course of its actions

for, or on behalf of, the Company or any of its subsidiaries (i) used any corporate funds for any unlawful contribution, gift, entertainment

or other unlawful expenses relating to political activity; (ii) made or taken any act in furtherance of an offer, promise, or authorization

of any direct or indirect unlawful payment or benefit to any foreign or domestic government official or employee, including of any government-owned

or controlled entity or public international organization, or any political party, party official, or candidate for political office;

(iii) violated or is in violation of any provision of the U.S. Foreign Corrupt Practices Act of 1977, as amended (the “FCPA”),

the UK Bribery Act 2010, or any other applicable anti-bribery or anti-corruption law; or (iv) made, offered, authorized, requested,

or taken an act in furtherance of any unlawful bribe, rebate, payoff, influence payment, kickback or other unlawful payment or benefit.

The Company and its subsidiaries and, to the knowledge of the Company, the Company’s affiliates have conducted their respective

businesses in compliance with the FCPA and have instituted and maintain policies and procedures designed to ensure, and which are reasonably

expected to continue to ensure, continued compliance therewith.

(mm)       Money

Laundering Laws. The operations of the Company and its subsidiaries are, and have been conducted at all times, in compliance with

applicable financial recordkeeping and reporting requirements of the Currency and Foreign Transactions Reporting Act of 1970, as amended,

the money laundering statutes of all applicable jurisdictions, the rules and regulations thereunder and any related or similar applicable

rules, regulations or guidelines, issued, administered or enforced by any governmental agency (collectively, the “Money Laundering

Laws”) and no action, suit or proceeding by or before any court or governmental agency, authority or body or any arbitrator

involving the Company or any of its subsidiaries with respect to the Money Laundering Laws is pending or, to the knowledge of the Company,

threatened.

(nn)         Clinical

Studies. The preclinical tests and clinical trials, and other studies (collectively, “studies”) conducted by

or on behalf of or sponsored by the Company or any of its subsidiaries or in which the Company or any of its subsidiaries or their products

or product candidates have participated were and, if still pending, are being conducted in all material respects in accordance with the

protocols, procedures and controls designed and approved for such studies and all applicable laws and regulations, including, without

limitation, 21 C.F.R. Parts 50, 54, 56, 58, 312 and 812; each description of the results of such studies is accurate and complete in all

material respects and fairly presents the data derived from such studies, and the Company and its subsidiaries have no knowledge of any

other studies the results of which are inconsistent with, or otherwise call into question, the results described or referred to in Registration

Statement, the Time of Sale Prospectus or the Prospectus; no investigational new drug application filed by or on behalf of the Company

or any of its subsidiaries with the U.S. Food and Drug Administration (“FDA”) has been terminated or suspended by the

FDA, and neither the FDA nor any applicable foreign regulatory agency has commenced, or, to the knowledge of the Company, threatened to

initiate, any action to place a clinical hold order on, or otherwise terminate, delay or suspend, any proposed or ongoing studies conducted

or proposed to be conducted by or on behalf of the Company or any of its subsidiaries; the Company and its subsidiaries have made all

such filings and hold all such Permits for the operation of its business required by the FDA or any committee thereof or from any other

U.S. or foreign government or drug or medical device regulatory agency, or health care facility Institutional Review Board (collectively,

the “Regulatory Agencies”); and the Company and its subsidiaries have fulfilled and performed all of their material

obligations with respect to such Permits, and no event has occurred which allows, or after notice or lapse of time would allow, revocation

or termination thereof or results in any other material impairment of the rights of the holder of any such Permit.

-13-

(oo)         Compliance

with Health Care Laws. The Company and its subsidiaries are, and at all times have been, in compliance in all respects with all

applicable Health Care Laws (as defined below), and have not engaged in activities which are, as applicable, cause for false claims liability,

civil penalties, or mandatory or permissive exclusion from Medicare, Medicaid, or any other state health care program or federal health

care program, except as would not reasonably be expected, individually or in the aggregate, to have a Material Adverse Change. For purposes

of this Agreement, “Health Care Laws” means: (i) the Federal Food, Drug, and Cosmetic Act and the regulations

promulgated thereunder; (ii) all applicable federal, state, local and all applicable foreign health care related fraud and abuse

laws, including, without limitation, the U.S. Anti-Kickback Statute (42 U.S.C. Section 1320a-7b(b)), the U.S. Physician Payments

Sunshine Act (42 U.S.C. § 1320a-7h), the U.S. Civil False Claims Act (31 U.S.C. Section 3729 et seq.), the criminal False Claims

Law (42 U.S.C. § 1320a-7b(a)), all criminal laws relating to health care fraud and abuse, including but not limited to 18 U.S.C.

Sections 286 and 287, and the health care fraud criminal provisions under the U.S. Health Insurance Portability and Accountability Act

of 1996 (“HIPAA”) (42 U.S.C. Section 1320d et seq.), the exclusions law (42 U.S.C. § 1320a-7), the civil

monetary penalties law (42 U.S.C. § 1320a-7a), HIPAA, as amended by the Health Information Technology for Economic and Clinical Health

Act (42 U.S.C. Section 17921 et seq.) (“HITECH”), and the regulations promulgated pursuant to such statutes; (iii) Medicare

(Title XVIII of the Social Security Act); (iv) Medicaid (Title XIX of the Social Security Act); and (v) any and all other applicable

health care laws and regulations. Neither the Company nor any of its subsidiaries have received notice of any claim, action, suit, proceeding,

hearing, enforcement, audit, investigation, arbitration or other action from any court or arbitrator or governmental or regulatory authority

or third party alleging that any product operation or activity is in material violation of any Health Care Laws, and, to the Company’s

knowledge, no such claim, action, suit, proceeding, hearing, enforcement, audit, investigation, arbitration or other action is threatened.

Neither the Company nor any of its subsidiaries are a party to or have any ongoing reporting obligations pursuant to any corporate integrity

agreements, deferred prosecution agreements, monitoring agreements, consent decrees, settlement orders, plans of correction or similar

agreements with or imposed by any Regulatory Agency or other governmental or regulatory authority. Additionally, neither the Company nor

any of its subsidiaries, nor any of their respective employees, officers or directors has been excluded, suspended or debarred from participation

in any U.S. federal health care program or human clinical research or, to the knowledge of the Company, is subject to a governmental inquiry,

investigation, proceeding, or other similar action that could reasonably be expected to result in debarment, suspension, or exclusion.

(pp)         Sanctions.

Neither the Company nor any of its subsidiaries, directors, officers, or employees, nor, to the knowledge of the Company, after due inquiry,

any agent, affiliate or other person acting on behalf of the Company or any of its subsidiaries is currently the subject or the target

of any U.S. sanctions administered by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the U.S. Department

of State, the United Nations Security Council, the European Union, His Majesty’s Treasury of the United Kingdom, or other relevant

sanctions authority (collectively, “Sanctions”); nor is the Company or any of its subsidiaries located, organized or

resident in a country or territory that is the subject or the target of Sanctions, currently, the so-called Donetsk People’s Republic,

the so-called Luhansk People’s Republic, the non-government controlled areas of the Zaporizhzhia and Kherson Regions, Cuba, Iran,

North Korea and the Crimea Region (collectively, “Sanctioned Countries” and each, a “Sanctioned Country”);

and the Company will not directly or indirectly use the proceeds of this offering, or lend, contribute or otherwise make available such

proceeds to any subsidiary, or any joint venture partner or other person or entity, for the purpose of financing the activities of or

business with any person, or in any country or territory, that at the time of such financing, is the subject or the target of Sanctions

or in any other manner that will result in a violation by any person (including any person participating in the transaction whether as

underwriter, advisor, investor or otherwise) of applicable Sanctions. For the past five years, the Company and its subsidiaries have not

knowingly engaged in and are not now knowingly engaged in any dealings or transactions with any person that at the time of the dealing

or transaction is or was the subject or the target of Sanctions or with any Sanctioned Country.

(qq)         Sarbanes-Oxley.

The Company is in compliance, in all material respects, with all applicable provisions of the Sarbanes-Oxley Act of 2002, as amended,

and the rules and regulations promulgated thereunder.

-14-

(rr)         Duties,

Transfer Taxes, Etc. No stamp or other issuance or transfer taxes or duties and no capital gains, income, withholding or other

taxes are payable by the Underwriters in the United States or any political subdivision or taxing authority thereof or therein in connection

with the execution, delivery or performance of this Agreement by the Company or the sale and delivery by the Company of the Offered Securities.

(ss)         Cybersecurity.

To the Company’s knowledge, the Company and its subsidiaries’ information technology assets and equipment, computers, systems,

networks, hardware, software, websites, applications, and databases (collectively, “IT Systems”) are adequate for,

and operate and perform in all material respects as required in connection with the operation of the business of the Company and its subsidiaries

as currently conducted, free and clear of all material bugs, errors, defects, Trojan horses, time bombs, malware and other corruptants.

The Company and its subsidiaries have implemented and maintained commercially reasonable physical, technical and administrative controls,

policies, procedures, and safeguards to maintain and protect their material confidential information and the integrity, continuous operation,

redundancy and security of all IT Systems and data, including “Personal Data,” used in connection with their businesses. “Personal

Data” means (i) a natural person’s name, street address, telephone number, e-mail address, photograph, social security

number or tax identification number, driver’s license number, passport number, credit card number, bank information, or customer

or account number; (ii) any information which would qualify as “personally identifying information” under the Federal

Trade Commission Act, as amended; (iii) if applicable to the Company, “personal data” as defined by GDPR (as defined

below); (iv) if applicable to the Company, any information which would qualify as “protected health information” under

HIPAA, as amended by HITECH; and (v) any other piece of information that allows the identification of such natural person, or his

or her family, or permits the collection or analysis of any data related to an identified person’s health or sexual orientation.

To the Company’s knowledge, there have been no breaches, violations, outages or unauthorized uses of or accesses to the same, except

for those that have been remedied without material cost or liability or the duty to notify any other person, and there are no incidents

under internal review or investigations relating to the same. The Company and its subsidiaries are presently in material compliance with

all applicable laws or statutes and all judgments, orders, rules and regulations of any court or arbitrator or governmental or regulatory

authority, internal policies and contractual obligations relating to the privacy and security of IT Systems and Personal Data and to the

protection of such IT Systems and Personal Data from unauthorized use, access, misappropriation or modification.

(tt)           Compliance

with Data Privacy Laws. The Company and its subsidiaries are, and at all prior times were, in material compliance with all applicable

state and federal data privacy and security laws and regulations, including without limitation HIPAA as amended by HITECH, and the Company

and its subsidiaries have taken commercially reasonable actions to prepare to comply with, and since May 25, 2018, have been and

currently are in compliance with, the European Union General Data Protection Regulation (“GDPR”) (EU 2016/679) (collectively,

the “Privacy Laws”) in all material respects. To ensure compliance with the Privacy Laws, the Company and its subsidiaries

have in place, comply with, and take appropriate steps reasonably designed to ensure compliance in all material respects with their policies

and procedures relating to data privacy and security and the collection, storage, use, disclosure, handling, and analysis of Personal

Data (the “Policies”). The Company and its subsidiaries have at all times made all disclosures to users or customers

required by applicable laws and regulatory rules or requirements, and none of such disclosures made or contained in any Policy have,

to the knowledge of the Company, been inaccurate or in violation of any applicable laws and regulatory rules or requirements in any

material respect. The Company further certifies that neither it nor any subsidiary: (i) has received written notice of any actual

or potential liability under or relating to, or actual or potential violation of, any of the Privacy Laws, and has no knowledge of any

event or condition that would reasonably be expected to result in any such notice; (ii) is currently conducting or paying for, in

whole or in part, any investigation, remediation, or other corrective action pursuant to any Privacy Law; or (iii) is a party to

any order, decree, or agreement that imposes any obligation or liability under any Privacy Law.

-15-

(uu)         No

Reliance. The Company has not relied upon the Underwriters or the Underwriters’ legal counsel for any legal, tax or accounting

advice in connection with the offering and sale of the Offered Securities.

(vv)          Forward-Looking

Statements. No forward-looking statement (within the meaning of Section 27A of the Securities Act and Section 21E of

the Exchange Act) contained in the Registration Statement, the Time of Sale Prospectus or the Prospectus has been made or reaffirmed without

a reasonable basis or has been disclosed other than in good faith.

(ww)        Outbound

Investment Rule. Neither the Company nor any of its subsidiaries is a “covered foreign person,” as that term is defined

in 31 C.F.R. Section 850.209. Neither the Company nor any of its subsidiaries currently engage, or have plans to engage, directly

or indirectly, in a “covered activity,” as that term is defined in 31 C.F.R. Section 850.208.

(xx)         Parties

to Lock-Up Agreements. The Company has furnished to the Underwriters a letter agreement in the form attached hereto as Exhibit A

(the “Lock-up Agreement”) from each of the persons listed on Exhibit B. Such Exhibit B lists

under an appropriate caption the directors and executive officers of the Company. If any additional persons shall become directors or

executive officers of the Company prior to the end of the Lock-up Period (as defined below), the Company shall cause each such person,

prior to or contemporaneously with their appointment or election as a director or executive officer of the Company, to execute and deliver

to the Representatives a Lock-up Agreement.

(yy)         Communications.

The Company (i) has not alone engaged in communications with potential investors in reliance on Rule 163B under the Securities

Act other than Permitted Testing-the-Waters Communications with the consent of the Representatives with entities that are QIBs or IAIs

and (ii) has not authorized anyone other than the Representatives to engage in such communications; the Company reconfirms that the

Representatives have been authorized to act on its behalf in providing Marketing Materials or in making Oral Testing-the-Waters Communications

and Written Testing-the-Waters Communications; as of the Applicable Time, each Permitted Testing-the-Waters Communication, when considered

together with the Time of Sale Prospectus, did not, as of the Applicable Time, include an untrue statement of a material fact or omit

to state a material fact necessary in order to make the statements therein, in the light of the circumstances under which they were made,

not misleading; and each Permitted Testing-the-Waters Communication, if any, does not, as of the date hereof, conflict with the information

contained in the Registration Statement and the Prospectus.

Section 2.         Purchase,

Sale and Delivery of the Offered Securities.

(a)           The

Offered Securities. Upon the terms herein set forth, the Company agrees to issue and sell to the several Underwriters an aggregate

of 7,785,714 Offered Shares and an aggregate of 6,500,000 Pre-Funded Warrants. On the basis of the representations, warranties and agreements

herein contained, and upon the terms but subject to the conditions herein set forth, the Underwriters agree, severally and not jointly,

to purchase from the Company the respective number of Offered Shares and Pre-Funded Warrants set forth opposite their names on Schedule

A. The purchase price per Offered Share to be paid by the several Underwriters to the Company shall be $3.29 per share and the purchase

price per Pre-Funded Warrant to be paid by the several Underwriters to the Company shall be $3.28999.

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(b)           The

Closing Date. Delivery of the Offered Shares to be purchased by the Underwriters and payment therefor shall be made at the offices

of Covington & Burling LLP, 30 Hudson Yards, New York, NY 10001 (or such other place as may be agreed to by the Company and the

Representatives), and delivery of the Pre-Funded Warrants shall be made by the Company in accordance with instructions provided by the

Underwriters, in each case against payment therefor, at 9:00 a.m. New York City time, on October 28, 2026, or such other time

and date not later than 1:30 p.m. New York City time, on November 12, 2026 as the Representatives shall designate by notice

to the Company (the time and date of such closing are called the “Closing Date”). The Company hereby acknowledges that

circumstances under which the Representatives may provide notice to postpone the Closing Date as originally scheduled include, but are

not limited to, any determination by the Company or the Representatives to recirculate to the public copies of an amended or supplemented

Prospectus or a delay as contemplated by the provisions of Section 11.

(c)           [Reserved].

(d)           Offering

of the Offered Securities. The Representatives hereby advise the Company that the Underwriters intend to offer for sale, initially

on the terms set forth in the Registration Statement, the Time of Sale Prospectus and the Prospectus, their respective portions of the

Offered Securities as soon after this Agreement has been executed as the Representatives, in their sole judgment, have determined is advisable

and practicable.

(e)           Payment

for the Offered Securities.

(i)           Payment

for the Offered Securities shall be made at the Closing Date by wire transfer of immediately available funds to the order of the Company.

(ii)           It

is understood that the Representatives have been authorized, for their own account and the accounts of the several Underwriters, to accept

delivery of and receipt for, and make payment of the purchase price for, the Offered Securities. Each of Leerink Partners, Piper Sandler

and Cantor, acting individually and not as a Representative of the Underwriters, may (but shall not be obligated to) make payment for

any Offered Securities to be purchased by any Underwriter whose funds shall not have been received by the Representatives by the Closing

Date, for the account of such Underwriter, but any such payment shall not relieve such Underwriter from any of its obligations under this

Agreement.

(f)            Delivery

of the Offered Securities. Delivery of the Offered Shares at the Closing Date shall be made through the facilities of the Depository

Trust Company (“DTC”), unless the Representatives shall otherwise instruct, against release of a wire transfer of immediately

available funds for the amount of the purchase price therefor. The Offered Securities shall be registered in such names and denominations

as the Representatives shall have requested at least two full business days prior to the Closing Date and shall be made available for

inspection on the business day preceding the Closing Date at a location in New York City as the Representatives may designate. Notwithstanding

the foregoing, the Company and the Representatives shall instruct purchasers of the Pre-Funded Warrants to make payment

for the Pre-Funded Warrants on the Closing Date to the Company by wire transfer in immediately available funds to the account

specified by the Company at a purchase price of $3.49999 per Pre-Funded Warrant, in lieu of payment by the Underwriters for

such Pre-Funded Warrants, and the Company shall deliver such Pre-Funded Warrants to such purchasers on the Closing

Date against such payment, in lieu of the Company’s obligation to deliver such Pre-Funded Warrants to the Underwriters; provided

that, upon receipt by the Company of payment for the Pre-Funded Warrants, the Company shall promptly (but in no event later

than the Closing Date), pay $0.21 per such Pre-Funded Warrant to the Underwriters by wire transfer in immediately available

funds to the account specified by the Representatives. In the event that any purchaser of Pre-Funded Warrants fails to make

payment to the Company for all or part of such purchaser’s Pre-Funded Warrants on the Closing Date, the Representatives

may elect, by written notice to the Company, to receive Shares at the share purchase price specified in Section 2(a) in lieu

of all or a portion of such Pre-Funded Warrants to be delivered to the Underwriters under this Agreement.

-17-

Section 3.         Additional

Covenants.

The Company further covenants and agrees with each

Underwriter as follows:

(a)           Delivery

of Registration Statement, Time of Sale Prospectus and Prospectus. The Company shall furnish to you in New York City, without

charge, prior to 10:00 a.m. New York City time on the business day next succeeding the date of this Agreement and during the period

when a prospectus relating to the Offered Securities is required by the Securities Act to be delivered (whether physically or through

compliance with Rule 172 under the Securities Act or any similar rule) in connection with sales of the Offered Securities, as many

copies of the Time of Sale Prospectus, the Prospectus and any supplements and amendments thereto or to the Registration Statement as you

may reasonably request.

(b)           Representatives’

Review of Proposed Amendments and Supplements. During the period when a prospectus relating to the Offered Securities is required

by the Securities Act to be delivered (whether physically or through compliance with Rule 172 under the Securities Act or any similar

rule), the Company (i) will furnish to the Representatives for review, a reasonable period of time prior to the proposed time of

filing of any proposed amendment or supplement to the Registration Statement, a copy of each such amendment or supplement and (ii) will

not amend or supplement the Registration Statement (including any amendment or supplement through incorporation of any report filed under

the Exchange Act) without the Representatives’ prior written consent, which consent shall not be unreasonably withheld, conditioned

or delayed. Prior to amending or supplementing the Time of Sale Prospectus or the Prospectus (including any amendment or supplement through

incorporation of any report filed under the Exchange Act), the Company shall furnish to the Representatives for review, a reasonable amount

of time prior to the time of filing or use of the proposed amendment or supplement, a copy of each such proposed amendment or supplement.

The Company shall not file or use any such proposed amendment or supplement without the Representatives’ prior written consent,

which consent shall not be unreasonably withheld, conditioned or delayed. The Company shall file with the Commission within the applicable

period specified in Rule 424(b) under the Securities Act any prospectus required to be filed pursuant to such Rule.

(c)           Free

Writing Prospectuses. The Company shall furnish to the Representatives for review, a reasonable amount of time prior to the proposed

time of filing or use thereof, a copy of each proposed free writing prospectus or any amendment or supplement thereto prepared by or on

behalf of, used by, or referred to by the Company, and the Company shall not file, use or refer to any proposed free writing prospectus

or any amendment or supplement thereto without the Representatives’ prior written consent, which consent shall not be unreasonably

withheld, conditioned or delayed. The Company shall furnish to each Underwriter, without charge, as many copies of any free writing prospectus

prepared by or on behalf of, used by or referred to by the Company as such Underwriter may reasonably request. If at any time when a prospectus

is required by the Securities Act to be delivered (whether physically or through compliance with Rule 172 under the Securities Act

or any similar rule) in connection with sales of the Offered Securities (but in any event if at any time through and including the Closing

Date) there occurred or occurs an event or development as a result of which any free writing prospectus prepared by or on behalf of, used

by, or referred to by the Company conflicted or would conflict with the information contained in the Registration Statement or included

or would include an untrue statement of a material fact or omitted or would omit to state a material fact necessary in order to make the

statements therein, in the light of the circumstances prevailing at such time, not misleading, the Company shall promptly amend or supplement

such free writing prospectus to eliminate or correct such conflict so that the statements in such free writing prospectus as so amended

or supplemented will not include an untrue statement of a material fact or omit to state a material fact necessary in order to make the

statements therein, in the light of the circumstances prevailing at such time, not misleading, as the case may be; provided, however,

that prior to amending or supplementing any such free writing prospectus, the Company shall furnish to the Representatives for review,

a reasonable amount of time prior to the proposed time of filing or use thereof, a copy of such proposed amended or supplemented free

writing prospectus, and the Company shall not file, use or refer to any such amended or supplemented free writing prospectus without the

Representatives’ prior written consent, which consent shall not be unreasonably delayed, withheld or conditioned.

-18-

(d)           Filing

of Underwriter Free Writing Prospectuses. The Company shall not take any action that would result in an Underwriter or the Company

being required to file with the Commission pursuant to Rule 433(d) under the Securities Act a free writing prospectus prepared

by or on behalf of such Underwriter that such Underwriter otherwise would not have been required to file thereunder.

(e)           Amendments

and Supplements to Time of Sale Prospectus. If the Time of Sale Prospectus is being used to solicit offers to buy the Offered

Securities at a time when the Prospectus is not yet available to prospective purchasers, and any event shall occur or condition exist

as a result of which it is necessary to amend or supplement the Time of Sale Prospectus so that the Time of Sale Prospectus does not include

an untrue statement of a material fact or omit to state a material fact necessary in order to make the statements therein, in the light

of the circumstances when delivered to a prospective purchaser, not misleading, or if any event shall occur or condition exist as a result

of which the Time of Sale Prospectus conflicts with the information contained in the Registration Statement, or if, in the opinion of

counsel for the Company or counsel for the Underwriters, it is necessary to amend or supplement the Time of Sale Prospectus to comply

with applicable law, the Company shall (subject to Section 3(b) and Section 3(c) hereof) promptly prepare, file with

the Commission and furnish, at its own expense, to the Underwriters and to any dealer upon request, either amendments or supplements to

the Time of Sale Prospectus so that the statements in the Time of Sale Prospectus as so amended or supplemented will not include an untrue

statement of a material fact or omit to state a material fact necessary in order to make the statements therein, in the light of the circumstances

when delivered to a prospective purchaser, not misleading or so that the Time of Sale Prospectus, as amended or supplemented, will no

longer conflict with the information contained in the Registration Statement, or so that the Time of Sale Prospectus, as amended or supplemented,

will comply with applicable law.

(f)            Certain

Notifications and Required Actions. After the date of this Agreement, the Company shall promptly advise the Representatives in

writing of: (i) the receipt of any comments of, or requests for additional or supplemental information from, the Commission; (ii) the

time and date of any filing of any post-effective amendment to the Registration Statement or any amendment or supplement to the Time of

Sale Prospectus, any free writing prospectus or the Prospectus; (iii) the time and date that any post-effective amendment to the

Registration Statement becomes effective; and (iv) the issuance by the Commission of any stop order suspending the effectiveness

of the Registration Statement or any post-effective amendment thereto or any amendment or supplement to the Time of Sale Prospectus or

the Prospectus or of any order preventing or suspending the use of the Time of Sale Prospectus, any free writing prospectus or the Prospectus,

or of any proceedings to remove, suspend or terminate from listing or quotation the Shares from any securities exchange upon which they

are listed for trading or included or designated for quotation, or of the threatening or initiation of any proceedings for any of such

purposes. If the Commission shall enter any such stop order at any time, the Company will use its reasonable best efforts to obtain the

lifting of such order as soon as possible. Additionally, the Company agrees that it shall comply with all applicable provisions of Rule 424(b),

Rule 433 and Rule 430B under the Securities Act and will use its reasonable efforts to confirm that any filings made by the

Company under Rule 424(b) or Rule 433 were received in a timely manner by the Commission. If, after the date of this Agreement

and during any time when a prospectus is required by the Securities Act to be delivered (whether physically or through compliance with

Rule 172 under the Securities Act or any similar rule), the Company receives notice pursuant to Rule 401(g)(2) under the

Securities Act from the Commission or otherwise ceases to be eligible to use the automatic shelf registration form, the Company shall

promptly advise the Representatives in writing (which may be by electronic mail) of such notice or ineligibility and will (i) promptly

file a new registration statement or post-effective amendment on the proper form relating to the Offered Securities, (ii) use its

best efforts to cause such registration statement or post-effective amendment to be declared effective by the Commission as soon as reasonably

practicable and (iii) promptly notify the Representatives in writing (which may be by electronic mail) of such effectiveness.

-19-

(g)           Amendments

and Supplements to the Prospectus and Other Securities Act Matters. If any event shall occur or condition exist as a result of

which it is necessary to amend or supplement the Prospectus so that the Prospectus does not include an untrue statement of a material

fact or omit to state a material fact necessary in order to make the statements therein, in the light of the circumstances when the Prospectus

is delivered (whether physically or through compliance with Rule 172 under the Securities Act or any similar rule) to a purchaser,

not misleading, or if in the opinion of the Representatives or counsel for the Underwriters it is otherwise necessary to amend or supplement

the Prospectus to comply with applicable law, the Company agrees (subject to Section 3(b) and Section 3(c)) hereof to promptly

prepare, file with the Commission and furnish, at its own expense, to the Underwriters and to any dealer upon request, amendments or supplements

to the Prospectus so that the statements in the Prospectus as so amended or supplemented will not include an untrue statement of a material

fact or omit to state a material fact necessary in order to make the statements therein, in the light of the circumstances when the Prospectus

is delivered (whether physically or through compliance with Rule 172 under the Securities Act or any similar rule) to a purchaser,

not misleading or so that the Prospectus, as amended or supplemented, will comply with applicable law. Neither the Representatives’

consent to, nor delivery of, any such amendment or supplement shall constitute a waiver of any of the Company’s obligations under

Section 3(b) or Section 3(c).

(h)           Blue

Sky Compliance. The Company shall cooperate with the Representatives and counsel for the Underwriters to qualify or register the

Offered Securities for sale under (or obtain exemptions from the application of) the state securities or blue sky laws or Canadian provincial

securities laws (or other foreign laws) of those jurisdictions designated by the Representatives, shall comply with such laws and shall

continue such qualifications, registrations and exemptions in effect so long as required for the distribution of the Offered Securities.

The Company shall not be required to qualify as a foreign corporation or to take any action that would subject it to general service of

process in any such jurisdiction where it is not presently qualified or where it would be subject to taxation as a foreign corporation.

The Company will advise the Representatives promptly of the suspension of the qualification or registration of (or any such exemption

relating to) the Offered Securities for offering, sale or trading in any jurisdiction or any initiation or threat of any proceeding for

any such purpose, and in the event of the issuance of any order suspending such qualification, registration or exemption, the Company

shall use its reasonable best efforts to obtain the withdrawal thereof as soon as possible.

(i)            Use

of Proceeds. The Company shall apply the net proceeds from the sale of the Offered Securities sold by it in all material respects

in the manner described under the caption “Use of Proceeds” in the Registration Statement, the Time of Sale Prospectus and

the Prospectus.

(j)            Transfer

Agent. The Company shall engage and maintain, at its expense, a registrar and transfer agent for the Shares.

(k)           Earnings

Statement. The Company will make generally available to its security holders and to the Representatives as soon as practicable

an earnings statement (which need not be audited) covering a period of at least twelve months beginning with the first fiscal quarter

of the Company commencing after the date of this Agreement that will satisfy the provisions of Section 11(a) of the Securities

Act and the rules and regulations of the Commission thereunder; provided, however, that the requirements of this Section 3(k) shall

be satisfied to the extent that such financial statements are available on EDGAR.

-20-

(l)            Continued

Compliance with Securities Laws. The Company will comply with the Securities Act and the Exchange Act so as to permit the completion

of the distribution of the Offered Securities as contemplated by this Agreement, the Registration Statement, the Time of Sale Prospectus

and the Prospectus. Without limiting the generality of the foregoing, the Company will, during the period when a prospectus relating to

the Offered Securities is required by the Securities Act to be delivered (whether physically or through compliance with Rule 172

under the Securities Act or any similar rule), file on a timely basis with the Commission and the Nasdaq all reports and documents required

to be filed under the Exchange Act.

(m)          Listing.

The Company will use its best efforts to maintain the listing and trading, subject to notice of issuance, of the Offered Shares and the

Warrant Shares on the Nasdaq.

(n)           Company

to Provide Copy of the Prospectus in Form That May be Downloaded from the Internet. If requested by the Representatives,

the Company shall cause to be prepared and delivered, at its expense, within one business day from the effective date of this Agreement,

to the Representatives an “electronic Prospectus” to be used by the Underwriters in connection with the offering and

sale of the Offered Securities. As used herein, the term “electronic Prospectus” means a form of Prospectus, and any

amendment or supplement thereto, that meets each of the following conditions: (i) it shall be encoded in an electronic format, satisfactory

to the Representatives, that may be transmitted electronically by the Representatives and the other Underwriters to offerees and purchasers

of the Offered Securities; (ii) it shall disclose the same information as the paper Prospectus, except to the extent that graphic

and image material cannot be disseminated electronically, in which case such graphic and image material shall be replaced in the electronic

Prospectus with a fair and accurate narrative description or tabular representation of such material, as appropriate; and (iii) it

shall be in or convertible into a paper format or an electronic format, satisfactory to the Representatives, that will allow investors

to store and have continuously ready access to the Prospectus at any future time, without charge to investors (other than any fee charged

for subscription to the Internet as a whole and for on-line time). The Company hereby confirms that it has included or will include in

the Prospectus filed pursuant to EDGAR or otherwise with the Commission and in the Registration Statement at the time it became effective

an undertaking that, upon receipt of a request by an investor or his or her representative, the Company shall transmit or cause to be

transmitted promptly, without charge, a paper copy of the Prospectus.

(o)           Agreement

Not to Offer or Sell Additional Shares. During the period commencing on and including the date hereof and continuing through and

including the 60th day following the date of the Prospectus (such period being referred to herein as the “Lock-up Period”),

the Company will not, without the prior written consent of the Representatives (which consent may be withheld in their sole discretion),

directly or indirectly: (i) sell, offer to sell, contract to sell or lend any Shares or Related Securities (as defined below); (ii) effect

any short sale, or establish or increase any “put equivalent position” (as defined in Rule 16a-1(h) under the Exchange

Act) or liquidate or decrease any “call equivalent position” (as defined in Rule 16a-1(b) under the Exchange Act)

of any Shares or Related Securities; (iii) pledge, hypothecate or grant any security interest in any Shares or Related Securities;

(iv) in any other way transfer or dispose of any Shares or Related Securities; (v) enter into any swap, hedge or similar arrangement

or agreement that transfers, in whole or in part, the economic risk of ownership of any Shares or Related Securities, regardless of whether

any such transaction is to be settled in securities, in cash or otherwise; (vi) announce the offering of any Shares or Related Securities;

(vii) submit or file any registration statement under the Securities Act in respect of any Shares or Related Securities (other than

as contemplated by this Agreement with respect to the Offered Securities and other than filings of Form S-8 registration statements

relating to any stock-based compensation plans of the Company and its subsidiaries that are in existence at the Applicable Time and disclosed

in the Registration Statement, the Time of Sale Prospectus and the Prospectus (“Company Stock Plans”)); (viii) effect

a reverse stock split, recapitalization, share consolidation, reclassification or similar transaction affecting the outstanding Shares;

or (ix) publicly announce the intention to do any of the foregoing; provided, however, that the Company may (A) effect

the transactions contemplated hereby, (B) issue Shares or options to purchase Shares or restricted stock units, or issue Shares upon

exercise of options or vesting of restricted stock units pursuant to any Company Stock Plan described in the Registration Statement, the

Time of Sale Prospectus and the Prospectus, (C) issue and sell, from time to time, Shares pursuant to the conversion or exchange

of convertible or exchangeable securities or the exercise of options or warrants, in each case outstanding on the date hereof, (D) issue

Shares in connection with any joint venture, commercial or collaborative relationship or the acquisition or license by the Company of

the securities, businesses, property or other assets of another person or entity or pursuant to any employee benefit plan as assumed by

the Company in connection with any such acquisition; provided, however, that in the case of clause (D), (x) such Shares shall not

in the aggregate exceed five percent (5%) of the Company’s outstanding shares of common stock immediately following the consummation

of the offering of the Offered Securities contemplated by this Agreement and (y) the recipients thereof provide to the Representatives

a signed Lock-up Agreement in the form of Exhibit A hereto, or (E) issue and sell, from time to time, Shares pursuant

to the Second Amended and Restated Sales Agreement, dated August 6, 2026 (the “Sales Agreement”), by and among

the Company, Leerink Partners and Cantor, provided that no sales shall be made under the Sales Agreement until the 30th day following

the date of this Agreement. For purposes of the foregoing, “Related Securities” shall mean any options or warrants

or other rights to acquire Shares or any securities exchangeable or exercisable for or convertible into Shares, or to acquire other securities

or rights ultimately exchangeable or exercisable for, or convertible into, Shares.

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(p)           Future

Reports to the Representatives. During the period of five years hereafter for so long as the Company is subject to the reporting

requirements of the Exchange Act, the Company will furnish to the Representatives, c/o Leerink Partners LLC, at 1301 Avenue of the Americas,

5th Floor, New York, New York 10019, Attention: Stuart R. Nayman; c/o Piper Sandler & Co., at 350 North 5th Street, Suite 1000,

Minneapolis, Minnesota 55401, Attention: Equity Capital Markets; and c/o Cantor Fitzgerald & Co., at 110 East 59th Street, New

York, New York 10022, Attention: Equity Capital Markets, with copies to Cantor Fitzgerald & Co., 110 East 59th Street, New York,

New York 10022, Attention: General Counsel: (i) as soon as practicable after the end of each fiscal year, copies of the Company’s

Annual Report on Form 10-K containing the balance sheet of the Company as of the close of such fiscal year and statements of income,

stockholders’ equity and cash flows for the year then ended and the opinion thereon of the Company’s independent public or

certified public accountants; (ii) as soon as practicable after the filing thereof, copies of each proxy statement, Annual Report

on Form 10-K, Quarterly Report on Form 10-Q, Current Report on Form 8-K or other report filed by the Company with the Commission;

and (iii) as soon as available, copies of any report or communication of the Company furnished or made available generally to holders

of its capital stock; provided, however, that the requirements of this Section 3(p) shall be satisfied to the extent

that such reports, statement, communications, financial statements or other documents are available on EDGAR.

(q)           Investment

Limitation. The Company shall not invest or otherwise use the proceeds received by the Company from its sale of the Offered Securities

in such a manner as would require the Company or any of its subsidiaries to register as an investment company under the Investment Company

Act.

(r)           No

Stabilization or Manipulation; Compliance with Regulation M. The Company will not take, and will ensure that no affiliate of the

Company will take, directly or indirectly, any action designed to or that would reasonably be expected to cause or result in stabilization

or manipulation of the price of the Shares or any reference security with respect to the Shares, whether to facilitate the sale or resale

of the Offered Securities or otherwise, and the Company will, and shall cause each of its affiliates to, comply with all applicable provisions

of Regulation M.

-22-

(s)           Enforce

Lock-Up Agreements. During the Lock-up Period, the Company will enforce all agreements between the Company and any of its securityholders

that restrict or prohibit, expressly or in operation, the offer, sale or transfer of Shares or Related Securities or any of the other

actions restricted or prohibited under the terms of the form of Lock-up Agreement. In addition, the Company will direct the transfer agent

to place stop transfer restrictions upon any such securities of the Company that are bound by such “lock-up” agreements for

the duration of the periods contemplated in such agreements, including, without limitation, “lock-up” agreements entered into

by the Company’s officers and directors pursuant to Section 6(i) hereof.

(t)            Company

to Provide Interim Financial Statements. Prior to the Closing Date, the Company will furnish the Underwriters, as soon as they

have been prepared by or are available to the Company, a copy of any unaudited interim financial statements of the Company for any period

subsequent to the period covered by the most recent financial statements appearing in the Registration Statement and the Prospectus; provided,

however, that the requirements of this Section 3(t) shall be satisfied to the extent that such financial statements are

available on EDGAR.

(u)           Amendments

and Supplements to Permitted Testing-the-Waters Communications. If at any time following the distribution of any Permitted Testing-the-Waters

Communication, there occurred or occurs an event or development as a result of which such Permitted Testing-the-Waters Communication included

or would include an untrue statement of a material fact or omitted or would omit to state a material fact necessary in order to make the

statements therein, in the light of the circumstances existing at that subsequent time, not misleading, the Company will promptly notify

the Representatives and will promptly amend or supplement, at its own expense, such Permitted Testing-the-Waters Communication to eliminate

or correct such untrue statement or omission.

(v)           Warrant

Shares Reserved. The Company shall, at all times while any Pre-Funded Warrants are outstanding, reserve and keep

available out of the aggregate of its authorized but unissued and otherwise unreserved Shares, solely for the purpose of enabling it to

issue Warrant Shares upon exercise of such Pre-Funded Warrants, the number of Warrant Shares that are initially issuable and

deliverable upon the exercise of the then-outstanding Pre-Funded Warrants.

(w)          Commission

Filing Fees. The Company agrees to pay the required Commission filing fees relating to the Offered Securities within the time

required by Rule 456(b)(1) under the Securities Act without regard to the proviso therein and otherwise in accordance with the

Rules 456(b) and 457(r) under the Securities Act.

The Representatives, on behalf

of the several Underwriters, may, in their sole discretion, waive in writing the performance by the Company of any one or more of the

foregoing covenants or extend the time for their performance.

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Section 4.         Payment

of Expenses. The Company agrees to pay all costs, fees and expenses incurred in connection with the performance of its obligations

hereunder and in connection with the transactions contemplated hereby, including without limitation (i) all expenses incident to

the issuance and delivery of the Offered Securities (including all printing and engraving costs), (ii) all fees and expenses of

the registrar and transfer agent of the Shares, (iii) all necessary issue, transfer and other stamp taxes in connection with the

issuance and sale of the Offered Securities to the Underwriters, (iv) all fees and expenses of the Company’s counsel, independent

public or certified public accountants and other advisors, (v) all costs and expenses incurred in connection with the preparation,

printing, filing, shipping and distribution of the Registration Statement (including financial statements, exhibits, schedules, consents

and certificates of experts), the Time of Sale Prospectus, the Prospectus, any free writing prospectus prepared by or on behalf of, used

by, or referred to by the Company, each Permitted Testing-the-Waters Communication and all amendments and supplements thereto, and this

Agreement, (vi) all filing fees, attorneys’ fees and expenses incurred by the Company or the Underwriters in connection with

qualifying or registering (or obtaining exemptions from the qualification or registration of) all or any part of the Offered Securities

for offer and sale under the state securities or blue sky laws or the provincial securities laws of Canada, and, if requested by the

Representatives, preparing and printing a “Blue Sky Survey” or memorandum (such “Blue Sky Survey” or memorandum,

fees and expenses of counsel not to exceed $5,000) and a “Canadian wrapper,” and any supplements thereto, advising the Underwriters

of such qualifications, registrations and exemptions, (vii) the costs, fees and expenses incurred by the Underwriters in connection

with determining their compliance with the rules and regulations of FINRA related to the Underwriters’ participation in the

offering and distribution of the Offered Securities, including any related filing fees and the legal fees of, and disbursements by, counsel

to the Underwriters not to exceed $20,000 (exclusive of any filing fees) without the prior written consent of the Company, (viii) the

costs and expenses of the Company relating to investor presentations on any “road show”, any Permitted Testing-the-Waters

Communication or any Oral Testing-the-Waters Communication undertaken in connection with the offering of the Offered Securities, including,

without limitation, expenses associated with the preparation or dissemination of any electronic road show, expenses associated with the

production of road show slides and graphics, fees and expenses of any consultants engaged in connection with the road show presentations

with the prior approval of the Company, travel and lodging expenses of the representatives, employees and officers of the Company and

any such consultants, and 50% of the cost of any aircraft chartered in connection with the road show (the remaining 50% of the cost of

such aircraft to be paid by the Underwriters), (ix) the fees and expenses associated with listing the Offered Securities on the

Nasdaq, and (x) all other fees, costs and expenses of the nature referred to in Item 14 of Part II of the Registration Statement.

Except as provided in this ‎Section 4 or in ‎Section 7,

‎Section 9 or ‎Section 10 hereof,

the Underwriters shall pay their own expenses, including the fees and disbursements of their counsel and their own travel and lodging

expenses.

Section 5.         Covenant

of the Underwriters. Each Underwriter severally and not jointly covenants with the Company not to take any action that would result

in the Company being required to file with the Commission pursuant to Rule 433(d) under the Securities Act a free writing prospectus

prepared by or on behalf of such Underwriter that otherwise would not, but for such actions, be required to be filed by the Company under

Rule 433(d).

Section 6.         Conditions

of the Obligations of the Underwriters. The respective obligations of the several Underwriters hereunder to purchase and pay for the

Offered Securities as provided herein on the Closing Date shall be subject to the accuracy of the representations and warranties on the

part of the Company set forth in ‎Section 1 hereof as of the date hereof and as of

the Closing Date as though then made, to the timely performance by the Company of its covenants and other obligations hereunder, and to

each of the following additional conditions:

(a)           Comfort

Letter. On the date hereof, the Representatives shall have received from PricewaterhouseCoopers LLP, independent registered public

accountants for the Company, a letter dated the date hereof addressed to the Underwriters, in form and substance satisfactory to the Representatives,

containing statements and information of the type ordinarily included in accountant’s “comfort letters” to underwriters,

delivered according to Statement of Auditing Standards No. 72 (or any successor bulletin), with respect to the audited and unaudited

financial statements and certain financial information contained in the Registration Statement, the Time of Sale Prospectus, and each

free writing prospectus, if any.

-24-

(b)           Compliance

with Registration Requirements; No Stop Order; No Objection from FINRA. For the period from and after the date of this Agreement

and through and including the Closing Date:

(i)           The

Company shall have filed the Prospectus with the Commission (including the information previously omitted from the Registration Statement

pursuant to Rule 430B under the Securities Act) in the manner and within the time period required by Rule 424(b) under

the Securities Act; or the Company shall have filed a post-effective amendment to the Registration Statement containing the information

previously omitted from the Registration Statement pursuant to such Rule 430B, and such post-effective amendment shall have become

effective.

(ii)          No

stop order suspending the effectiveness of the Registration Statement or any post-effective amendment to the Registration Statement shall

be in effect, and no proceedings for such purpose shall have been instituted or threatened by the Commission.

(iii)         If

a filing has been made with FINRA, FINRA shall have raised no objection to the fairness and reasonableness of the underwriting terms and

arrangements.

(c)           No

Material Adverse Change or Ratings Agency Change. For the period from and after the date of this Agreement and through and including

the Closing Date:

(i)           in

the judgment of the Representatives there shall not have occurred any Material Adverse Change; and

(ii)           there

shall not have occurred any downgrading, nor shall any notice have been given of any intended or potential downgrading or of any review

for a possible change that does not indicate the direction of the possible change, in the rating accorded any securities of the Company

or any of its subsidiaries by any “nationally recognized statistical rating organization” as that term is used in Rule 15c3-1(c)(2)(vi)(F) under

the Exchange Act.

(d)           Opinion

of Counsel for the Company. On the Closing Date, the Representatives shall have received the opinion and negative assurance letter

of Cooley LLP, counsel for the Company, dated as of such date, in form and substance reasonably satisfactory to the Representatives.

(e)           Opinion

of Intellectual Property Counsel. On the Closing Date, the Representatives shall have received the opinion of DLA Piper LLP, counsel

for the Company with respect to intellectual property matters, dated as of such date, in form and substance reasonably satisfactory to

the Representatives.

(f)           Opinion

of Counsel for the Underwriters. On the Closing Date, the Representatives shall have received the opinion and negative assurance

letter of Covington & Burling LLP, counsel for the Underwriters in connection with the offer and sale of the Offered Securities,

in form and substance reasonably satisfactory to the Representatives, dated as of such date.

(g)           Officers’

Certificate. On the Closing Date, the Representatives shall have received a certificate executed by the Chief Executive Officer

or President of the Company and the Chief Financial Officer of the Company, dated as of such date, to the effect set forth in Section 6(b)(ii) and

further to the effect that:

(i)           for

the period from and including the date of this Agreement through and including such date, there has not occurred any Material Adverse

Change;

-25-

(ii)           the

representations, warranties and covenants of the Company set forth in Section 1 of this Agreement are true and correct with the same

force and effect as though expressly made on and as of such date; and

(iii)         the

Company has complied with all the agreements hereunder and satisfied all the conditions on its part to be performed or satisfied hereunder

at or prior to such date.

(h)           Bring-down

Comfort Letter. On the Closing Date the Representatives shall have received from PricewaterhouseCoopers LLP, independent registered

public accountants for the Company, a letter dated such date, in form and substance satisfactory to the Representatives, which letter

shall: (i) reaffirm the statements made in the letter furnished by them pursuant to ‎Section 6(a),

except that the specified date referred to therein for the carrying out of procedures shall be no more than three business days prior

to the Closing Date; and (ii) cover certain financial information contained in the Prospectus.

(i)            Lock-Up

Agreements. On or prior to the date hereof, the Company shall have furnished to the Representatives an agreement in the form of

Exhibit A hereto from each of the persons listed on Exhibit B hereto, and each such agreement shall be in full

force and effect on the Closing Date.

(j)            [Reserved].

(k)           CFO

Certificate. On the date of this Agreement and on the Closing Date, the Company shall have furnished to the Representatives a

certificate, dated the respective dates of delivery thereof and addressed to the Underwriters, of its chief financial officer with respect

to certain financial data contained in the Time of Sale Prospectus and the Prospectus, providing “management comfort” with

respect to such information, in form and substance reasonably satisfactory to the Representatives.

(l)           Additional

Documents. On or before the Closing Date, the Representatives and counsel for the Underwriters shall have received such information,

documents and opinions as they may reasonably request for the purposes of enabling them to pass upon the issuance and sale of the Offered

Securities as contemplated herein, or in order to evidence the accuracy of any of the representations and warranties, or the satisfaction

of any of the conditions or agreements, herein contained; and all proceedings taken by the Company in connection with the issuance and

sale of the Offered Securities as contemplated herein and in connection with the other transactions contemplated by this Agreement shall

be satisfactory in form and substance to the Representatives and counsel for the Underwriters.

(m)          Warrants.

The Representatives shall have received a form of Pre-Funded Warrant in form and substance reasonably acceptable to the Representatives.

If any condition

specified in this ‎Section 6 is not satisfied when and as required to be satisfied, this

Agreement may be terminated by the Representatives by notice from the Representatives to the Company at any time on or prior to the Closing

Date, which termination shall be without liability on the part of any party to any other party, except that ‎Section 4,

‎Section 7, ‎Section 9 and ‎Section 10

shall at all times be effective and shall survive such termination.

Section 7.         Reimbursement

of Underwriters’ Expenses. If this Agreement is terminated by the Representatives pursuant to ‎Section 6,

Section 11 or ‎Section 12, or if the sale to the Underwriters of the Offered

Securities on the Closing Date is not consummated because of any refusal, inability or failure on the part of the Company to perform any

agreement herein or to comply with any provision hereof, the Company agrees to reimburse the Representatives and the other Underwriters

(or such Underwriters as have terminated this Agreement with respect to themselves), severally, upon demand for all documented out-of-pocket

expenses that shall have been reasonably incurred by the Representatives and the other Underwriters in connection with the proposed purchase

and the offering and sale of the Offered Securities, including, but not limited to, fees and disbursements of counsel, printing expenses,

travel expenses, postage, facsimile and telephone charges, subject to the limits contained in Sections 4(vi)-(viii). For the avoidance

of doubt, it is understood that the Company will not pay or reimburse any costs, fees or expenses incurred by any Underwriter that defaults

on its obligations to purchase the Offered Securities.

-26-

Section 8.         Effectiveness

of this Agreement. This Agreement shall become effective upon the execution and delivery hereof by the parties hereto.

Section 9.         Indemnification.

(a)            Indemnification

of the Underwriters. The Company agrees to indemnify and hold harmless each Underwriter, its affiliates, directors, officers,

employees and agents, and each person, if any, who controls any Underwriter within the meaning of the Securities Act or the Exchange Act

against any loss, claim, damage, liability or expense, as incurred, to which such Underwriter or such affiliate, director, officer, employee,

agent or controlling person may become subject, under the Securities Act, the Exchange Act, other federal or state statutory law or regulation,

or the laws or regulations of foreign jurisdictions where Offered Securities have been offered or sold or at common law or otherwise (including

in settlement of any litigation, if such settlement is effected with the written consent of the Company), insofar as such loss, claim,

damage, liability or expense (or actions in respect thereof as contemplated below) arises out of or is based upon (i) any untrue

statement or alleged untrue statement of a material fact contained in the Registration Statement, or any amendment thereto, or the 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 (ii) any untrue statement or alleged untrue statement of a material fact included in the Time of Sale Prospectus, any free writing

prospectus that the Company has used, referred to or filed, or is required to file, pursuant to Rule 433(d) of the Securities

Act, any Marketing Material, any Written Testing-the-Waters Communication or the Prospectus (or any amendment or supplement to the foregoing),

or the omission or alleged omission to state therein a material fact necessary in order to make the statements, in the light of the circumstances

under which they were made, not misleading; or (iii) any act or failure to act or any alleged act or failure to act by any Underwriter

in connection with, or relating in any manner to, the Offered Securities or the offering contemplated hereby, and which is included as

part of or referred to in any loss, claim, damage, liability or action arising out of or based upon any matter covered by clause (i) or

(ii) above; and to reimburse each Underwriter and each such affiliate, director, officer, employee, agent and controlling person

for any and all expenses (including the fees and disbursements of counsel) as such expenses are incurred by such Underwriter or such affiliate,

director, officer, employee, agent or controlling person in connection with investigating, defending, settling, compromising or paying

any such loss, claim, damage, liability, expense or action; provided, however, that the foregoing indemnity agreement shall not

apply to any loss, claim, damage, liability or expense to the extent, but only to the extent, arising out of or based upon any untrue

statement or alleged untrue statement or omission or alleged omission made in reliance upon and in conformity with information relating

to any Underwriter furnished to the Company by the Representatives in writing expressly for use in the Registration Statement, the Time

of Sale Prospectus, any such free writing prospectus, any Marketing Material, any Written Testing-the-Waters Communication or the Prospectus

(or any amendment or supplement thereto), it being understood and agreed that the only such information consists of the information described

in ‎Section 9(b) below. The indemnity agreement set forth in this ‎Section 9(a) shall

be in addition to any liabilities that the Company may otherwise have.

-27-

(b)           Indemnification

of the Company, its Directors and Officers. Each Underwriter agrees, severally and not jointly, to indemnify and hold harmless

the Company, each of its directors, each of its officers who signed the Registration Statement and each person, if any, who controls the

Company within the meaning of the Securities Act or the Exchange Act, against any loss, claim, damage, liability or expense, as incurred,

to which the Company, or any such director, officer or controlling person may become subject, under the Securities Act, the Exchange Act,

or other federal or state statutory law or regulation, or at common law or otherwise (including in settlement of any litigation, if such

settlement is effected with the written consent of such Underwriter), insofar as such loss, claim, damage, liability or expense (or actions

in respect thereof as contemplated below) arises out of or is based upon (i) any untrue statement or alleged untrue statement of

a material fact contained in the Registration Statement, or any amendment thereto, or any 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 (ii) any untrue statement

or alleged untrue statement of a material fact included in the Time of Sale Prospectus, any free writing prospectus that the Company has

used, referred to or filed, or is required to file, pursuant to Rule 433 of the Securities Act, any Written Testing-the-Waters Communication

or the Prospectus (or any such amendment or supplement) or the omission or alleged omission to state therein a material fact necessary

in order to make the statements, in the light of the circumstances under which they were made, not misleading, in each case to the extent,

but only to the extent, that such untrue statement or alleged untrue statement or omission or alleged omission was made in the Registration

Statement, the Time of Sale Prospectus, such free writing prospectus, such Written Testing-the-Waters Communication or the Prospectus

(or any such amendment or supplement), in reliance upon and in conformity with information relating to such Underwriter furnished to the

Company by the Representatives in writing expressly for use therein; and to reimburse the Company, or any such director, officer or controlling

person for any and all expenses (including the fees and disbursements of counsel) as such expenses are incurred by the Company, or any

such director, officer, or controlling person in connection with investigating, defending, settling, compromising or paying any such loss,

claim, damage, liability, expense or action. The Company hereby acknowledges that the only information that the Representatives have furnished

to the Company expressly for use in the Registration Statement, the Time of Sale Prospectus, any free writing prospectus that the Company

has filed, or is required to file, pursuant to Rule 433(d) of the Securities Act, any Written Testing-the-Waters Communication

or the Prospectus (or any amendment or supplement to the foregoing) are the statements set forth in the first sentence of the fourth paragraph

under the caption “Underwriting,” the first sentence of the first paragraph under the caption “Underwriting—Commission

and Expenses” and the first sentence of the first paragraph under the caption “Underwriting—Stabilization” in

the Prospectus. The indemnity agreement set forth in this ‎Section 9(b) shall be in

addition to any liabilities that each Underwriter may otherwise have.

(c)           Notifications

and Other Indemnification Procedures. Promptly after receipt by an indemnified party under this ‎Section 9

of notice of the commencement of any action, such indemnified party will, if a claim in respect thereof is to be made against an indemnifying

party under this ‎Section 9, notify the indemnifying party in writing of the commencement

thereof, but the omission to so notify the indemnifying party will not relieve the indemnifying party from any liability which it may

have to any indemnified party to the extent the indemnifying party is not materially prejudiced as a proximate result of such failure

and shall not in any event relieve the indemnifying party from any liability that it may have otherwise than on account of this indemnity

agreement. In case any such action is brought against any indemnified party and such indemnified party seeks or intends to seek indemnity

from an indemnifying party, the indemnifying party will be entitled to participate in, and, to the extent that it shall elect, jointly

with all other indemnifying parties similarly notified, by written notice delivered to the indemnified party promptly after receiving

the aforesaid notice from such indemnified party, to assume the defense thereof with counsel reasonably satisfactory to such indemnified

party; provided, however, that if the defendants in any such action include both the indemnified party and the indemnifying party

and the indemnified party shall have reasonably concluded that a conflict may arise between the positions of the indemnifying party and

the indemnified party in conducting the defense of any such action or that there may be legal defenses available to it and/or other indemnified

parties which are different from or additional to those available to the indemnifying party, the indemnified party or parties shall have

the right to select separate counsel to assume such legal defenses and to otherwise participate in the defense of such action on behalf

of such indemnified party or parties. Upon receipt of notice from the indemnifying party to such indemnified party of such indemnifying

party’s election to so assume the defense of such action and approval by the indemnified party of counsel, the indemnifying party

will not be liable to such indemnified party under this ‎Section 9 for any legal or other

expenses subsequently incurred by such indemnified party in connection with the defense thereof unless (i) the indemnified party

shall have employed separate counsel in accordance with the proviso to the preceding sentence (it being understood, however, that the

indemnifying party shall not be liable for the fees and expenses of more than one separate counsel (together with local counsel), representing

the indemnified parties who are parties to such action), which counsel (together with any local counsel) for the indemnified parties shall

be selected by the Representatives (in the case of counsel for the indemnified parties referred to in Section 9(a) above) or

by the Company (in the case of counsel for the indemnified parties referred to in Section 9(b) above) or (ii) the indemnifying

party shall not have employed counsel satisfactory to the indemnified party to represent the indemnified party within a reasonable time

after notice of commencement of the action or (iii) the indemnifying party has authorized in writing the employment of counsel for

the indemnified party at the expense of the indemnifying party, in each of which cases the fees and expenses of counsel shall be at the

expense of the indemnifying party and shall be paid as they are incurred.

-28-

(d)           Settlements.

The indemnifying party under this ‎Section 9 shall not be liable for any settlement of any

proceeding effected without its written consent, but if settled with such consent or if there be a final judgment for the plaintiff, the

indemnifying party agrees to indemnify the indemnified party against any loss, claim, damage, liability or expense by reason of such settlement

or judgment. Notwithstanding the foregoing sentence, if at any time an indemnified party shall have requested an indemnifying party to

reimburse the indemnified party for fees and expenses of counsel as contemplated by ‎Section 9(c) hereof,

the indemnifying party shall be liable for any settlement of any proceeding effected without its written consent if (i) such settlement

is entered into more than 30 days after receipt by such indemnifying party of the aforesaid request and (ii) such indemnifying

party shall not have reimbursed the indemnified party in accordance with such request prior to the date of such settlement. No indemnifying

party shall, without the prior written consent of the indemnified party, effect any settlement, compromise or consent to the entry of

judgment in any pending or threatened action, suit or proceeding in respect of which any indemnified party is or could have been a party

and indemnity was or could have been sought hereunder by such indemnified party, unless such settlement, compromise or consent includes

an unconditional release of such indemnified party from all liability on claims that are the subject matter of such action, suit or proceeding

and does not include an admission of fault or culpability or a failure to act by or on behalf of such indemnified party.

Section 10.        Contribution.

If the indemnification provided for in ‎Section 9 is for any reason held to be unavailable

to or otherwise insufficient to hold harmless an indemnified party in respect of any losses, claims, damages, liabilities or expenses

referred to therein, then each indemnifying party shall contribute to the aggregate amount paid or payable by such indemnified party,

as incurred, as a result of any losses, claims, damages, liabilities or expenses referred to therein (i) in such proportion as is

appropriate to reflect the relative benefits received by the Company, on the one hand, and the Underwriters, on the other hand, from the

offering of the Offered Securities pursuant to this Agreement or (ii) if the allocation provided by clause (i) above is

not permitted by applicable law, in such proportion as is appropriate to reflect not only the relative benefits referred to in clause (i) above

but also the relative fault of the Company, on the one hand, and the Underwriters, on the other hand, in connection with the statements

or omissions which resulted in such losses, claims, damages, liabilities or expenses, as well as any other relevant equitable considerations.

The relative benefits received by the Company, on the one hand, and the Underwriters, on the other hand, in connection with the offering

of the Offered Securities pursuant to this Agreement shall be deemed to be in the same respective proportions as the total proceeds from

the offering of the Offered Securities pursuant to this Agreement (before deducting expenses) received by the Company, and the total underwriting

discounts and commissions received by the Underwriters, in each case as set forth on the front cover page of the Prospectus, bear

to the aggregate initial public offering price of the Offered Securities as set forth on such cover. The relative fault of the Company,

on the one hand, and the Underwriters, on the other hand, shall be determined by reference to, among other things, whether any such untrue

or alleged untrue statement of a material fact or omission or alleged omission to state a material fact relates to information supplied

by the Company, on the one hand, or the Underwriters, on the other hand, and the parties’ relative intent, knowledge, access to

information and opportunity to correct or prevent such statement or omission.

-29-

The amount paid or

payable by a party as a result of the losses, claims, damages, liabilities and expenses referred to above shall be deemed to include,

subject to the limitations set forth in ‎Section 9(c), any legal or other fees or expenses

reasonably incurred by such party in connection with investigating or defending any action or claim. The provisions set forth in ‎Section 9(c) with

respect to notice of commencement of any action shall apply if a claim for contribution is to be made under this ‎Section 10;

provided, however, that no additional notice shall be required with respect to any action for which notice has been given under

‎Section 9(c) for purposes of indemnification.

The Company and the

Underwriters agree that it would not be just and equitable if contribution pursuant to this ‎Section 10

were determined by pro rata allocation (even if the Underwriters were treated as one entity for such purpose) or by any other method of

allocation which does not take account of the equitable considerations referred to in this ‎Section 10.

Notwithstanding the

provisions of this ‎Section 10, no Underwriter shall be required to contribute any amount

in excess of the underwriting discounts and commissions received by such Underwriter in connection with the Offered Securities underwritten

by it and distributed to the public. No person guilty of fraudulent misrepresentation (within the meaning of Section 11(f) of

the Securities Act) shall be entitled to contribution from any person who was not guilty of such fraudulent misrepresentation. The Underwriters’

obligations to contribute pursuant to this ‎Section 10 are several, and not joint, in proportion

to their respective underwriting commitments as set forth opposite their respective names on Schedule A. For purposes of this ‎Section 10,

each affiliate, director, officer, employee and agent of an Underwriter and each person, if any, who controls an Underwriter within the

meaning of the Securities Act or the Exchange Act shall have the same rights to contribution as such Underwriter, and each director of

the Company, each officer of the Company who signed the Registration Statement, and each person, if any, who controls the Company within

the meaning of the Securities Act and the Exchange Act shall have the same rights to contribution as the Company.

Section 11.        Default

of One or More of the Several Underwriters. If, on the Closing Date any one or more of the several Underwriters shall fail

or refuse to purchase Offered Securities that it or they have agreed to purchase hereunder on such date, and the aggregate number of Offered

Securities which such defaulting Underwriter or Underwriters agreed but failed or refused to purchase does not exceed 10% of the aggregate

number of the Offered Securities to be purchased on such date, the Representatives may make arrangements satisfactory to the Company for

the purchase of such Offered Securities by other persons, including any of the Underwriters, but if no such arrangements are made by such

date, the other Underwriters shall be obligated, severally and not jointly, in the proportions that the number of Offered Shares and Pre-Funded

Warrants set forth opposite their respective names on Schedule A bears to the aggregate number of Offered Shares and Pre-Funded

Warrants set forth opposite the names of all such non-defaulting Underwriters, or in such other proportions as may be specified by the

Representatives with the consent of the non-defaulting Underwriters, to purchase the Offered Securities which such defaulting Underwriter

or Underwriters agreed but failed or refused to purchase on such date. If, on the Closing Date any one or more of the Underwriters shall

fail or refuse to purchase Offered Securities and the aggregate number of Offered Securities with respect to which such default occurs

exceeds 10% of the aggregate number of Offered Securities to be purchased on such date, and arrangements satisfactory to the Representatives

and the Company for the purchase of such Offered Securities are not made within 48 hours after such default, this Agreement shall terminate

without liability of any party to any other party except that the provisions of ‎Section 4,

Section 7, ‎Section 9 and ‎Section 10

shall at all times be effective and shall survive such termination. In any such case either the Representatives or the Company shall have

the right to postpone the Closing Date, but in no event for longer than seven days in order that the required changes, if any, to the

Registration Statement and the Prospectus or any other documents or arrangements may be effected.

-30-

As used in this Agreement,

the term “Underwriter” shall be deemed to include any person substituted for a defaulting Underwriter under this ‎Section 11.

Any action taken under this ‎Section 11 shall not relieve any defaulting Underwriter from

liability in respect of any default of such Underwriter under this Agreement.

Section 12.       Termination

of this Agreement. Prior to the purchase of the Offered Securities by the Underwriters on the Closing Date, this Agreement

may be terminated by the Representatives by notice given to the Company if at any time: (i) trading or quotation in any of the Company’s

securities shall have been suspended or limited by the Commission or by the Nasdaq, or trading in securities generally on either the Nasdaq

or the NYSE shall have been suspended or limited, or minimum or maximum prices shall have been generally established on any of such stock

exchanges; (ii) a general banking moratorium shall have been declared by any of federal, New York, or Pennsylvania authorities; (iii) there

shall have occurred any outbreak or escalation of national or international hostilities or any crisis or calamity, or any change in the

United States or international financial markets, or any substantial change or development involving a prospective substantial change

in United States’ or international political, financial or economic conditions, as in the judgment of the Representatives is material

and adverse and makes it impracticable to market the Offered Securities in the manner and on the terms described in the Time of Sale Prospectus

or the Prospectus or to enforce contracts for the sale of securities; (iv) in the judgment of the Representatives there shall have

occurred any Material Adverse Change; or (v) the Company shall have sustained a loss by strike, fire, flood, earthquake, accident

or other calamity of such character as in the judgment of the Representatives may interfere materially with the conduct of the business

and operations of the Company regardless of whether or not such loss shall have been insured. Any termination pursuant to this ‎Section 12

shall be without liability on the part of (a) the Company to any Underwriter, except that the Company shall be obligated to reimburse

the expenses of the Representatives and the other Underwriters pursuant to ‎Section 4

or ‎Section 7 hereof or (b) any Underwriter to the Company; provided, however,

that the provisions of ‎Section 9 and ‎Section 10

shall at all times be effective and shall survive such termination.

Section 13.       No

Advisory or Fiduciary Relationship. The Company acknowledges and agrees that (a) the purchase and sale of the Offered Securities

pursuant to this Agreement, including the determination of the public offering price of the Offered Securities and any related discounts

and commissions, is an arm’s-length commercial transaction between the Company, on the one hand, and the several Underwriters, on

the other hand, (b) in connection with the offering contemplated hereby and the process leading to such transaction, each Underwriter

is and has been acting solely as a principal and is not the agent or fiduciary of the Company, or its stockholders, creditors, employees

or any other party, (c) no Underwriter has assumed or will assume an advisory or fiduciary responsibility in favor of the Company

with respect to the offering contemplated hereby or the process leading thereto (irrespective of whether such Underwriter has advised

or is currently advising the Company on other matters) and no Underwriter has any obligation to the Company with respect to the offering

contemplated hereby except the obligations expressly set forth in this Agreement, (d) the Underwriters and their respective affiliates

may be engaged in a broad range of transactions that involve interests that differ from those of the Company, and (e) the Underwriters

have not provided any legal, accounting, regulatory or tax advice with respect to the offering contemplated hereby and the Company has

consulted its own legal, accounting, regulatory and tax advisors to the extent it deemed appropriate.

-31-

Section 14.       Representations

and Indemnities to Survive Delivery. The respective indemnities, agreements, representations, warranties and other statements

of the Company, of its officers and of the several Underwriters set forth in or made pursuant to this Agreement will remain in full force

and effect, regardless of any investigation made by or on behalf of any Underwriter or the Company or any of its or their partners, officers

or directors or any controlling person, as the case may be, and, anything herein to the contrary notwithstanding, will survive delivery

of and payment for the Offered Securities sold hereunder and any termination of this Agreement.

Section 15.       Notices.

All communications hereunder shall be in writing and shall be mailed, hand delivered or telecopied and confirmed to the parties hereto

as follows:

If to the Representatives:

Leerink Partners LLC

1301 Avenue of the Americas, 5th Floor

New York, New York 10019

Attention: Stuart R. Nayman

Piper Sandler & Co.

350 North 5th Street, Suite 1000

Minneapolis, Minnesota 55401

Attention: General Counsel

Cantor Fitzgerald & Co.

110 East 59th Street

New York, New York 10022

Facsimile: (212) 829-4708

Attention: General Counsel

with a copy to:

Covington & Burling LLP

30 Hudson Yards

New York, New York 10001

Attention: Brian K. Rosenzweig

If to the Company:

Aclaris Therapeutics, Inc.

701 Lee Road, Suite 103

Wayne, Pennsylvania 19087

Attention: Legal Department

E-mail:

with a copy to:

Cooley LLP

11951 Freedom Drive, 14th Floor

Reston, Virginia 20190-5640

Facsimile: (703) 456-8100

Attention: Mark Ballantyne, Esq.

E-mail:

Any party hereto may change the address for receipt of communications

by giving written notice to the others.

-32-

Section 16.       Successors.

This Agreement will inure to the benefit of and be binding upon the parties hereto, including any substitute Underwriters pursuant to

‎Section 11 hereof, and to the benefit of the affiliates, directors, officers, employees,

agents and controlling persons referred to in ‎Section 9 and ‎Section 10,

and in each case their respective successors, and no other person will have any right or obligation hereunder. The term “successors”

shall not include any purchaser of the Offered Securities as such from any of the Underwriters merely by reason of such purchase.

Section 17.       Partial

Unenforceability. The invalidity or unenforceability of any section, paragraph or provision of this Agreement shall not affect the

validity or enforceability of any other section, paragraph or provision hereof. If any section, paragraph or provision of this Agreement

is for any reason determined to be invalid or unenforceable, there shall be deemed to be made such minor changes (and only such minor

changes) as are necessary to make it valid and enforceable.

Section 18.       Recognition

of the U.S. Special Resolution Regimes.

(a)           In

the event that any Underwriter that is a Covered Entity becomes subject to a proceeding under a U.S. Special Resolution Regime, the transfer

from such Underwriter of this Agreement, and any interest and obligation in or under this Agreement, will be effective to the same extent

as the transfer would be effective under the U.S. Special Resolution Regime if this Agreement, and any such interest and obligation, were

governed by the laws of the United States or a state of the United States.

(b)           In

the event that any Underwriter that is a Covered Entity or a BHC Act Affiliate of such Underwriter becomes subject to a proceeding under

a U.S. Special Resolution Regime, Default Rights under this Agreement that may be exercised against such Underwriter are permitted to

be exercised to no greater extent than such Default Rights could be exercised under the U.S. Special Resolution Regime if this Agreement

were governed by the laws of the United States or a state of the United States.

For purposes of this Agreement, (A) “BHC Act Affiliate”

has the meaning assigned to the term “affiliate” in, and shall be interpreted in accordance with, 12 U.S.C. § 1841(k);

(B) “Covered Entity” means any of the following: (i) a “covered entity” as that term is defined

in, and interpreted in accordance with, 12 C.F.R. § 252.82(b); (ii) a “covered bank” as that term is defined in,

and interpreted in accordance with, 12 C.F.R. § 47.3(b); or (iii) a “covered FSI” as that term is defined in, and

interpreted in accordance with, 12 C.F.R. § 382.2(b); (C) “Default Right” has the meaning assigned to that

term in, and shall be interpreted in accordance with, 12 C.F.R. §§ 252.81, 47.2 or 382.1, as applicable; and (D) “U.S.

Special Resolution Regime” means each of (i) the Federal Deposit Insurance Act and the regulations promulgated thereunder

and (ii) Title II of the Dodd-Frank Wall Street Reform and Consumer Protection Act and the regulations promulgated thereunder.

Section 19.       Governing

Law Provisions. This Agreement shall be governed by and construed in accordance with the internal laws of the State of New

York applicable to agreements made and to be performed in such state. Any legal suit, action or proceeding arising out of or based upon

this Agreement or the transactions contemplated hereby may be instituted in the federal courts of the United States of America located

in the Borough of Manhattan in the City of New York or the courts of the State of New York in each case located in the Borough of Manhattan

in the City of New York (collectively, the “Specified Courts”), and each party irrevocably submits to the exclusive

jurisdiction (except for proceedings instituted in regard to the enforcement of a judgment of any such court, as to which such jurisdiction

is non-exclusive) of such courts in any such suit, action or proceeding. Service of any process, summons, notice or document by mail to

such party’s address set forth above shall be effective service of process for any suit, action or other proceeding brought in any

such court. The parties irrevocably and unconditionally waive any objection to the laying of venue of any suit, action or other proceeding

in the Specified Courts and irrevocably and unconditionally waive and agree not to plead or claim in any such court that any such suit,

action or other proceeding brought in any such court has been brought in an inconvenient forum.

-33-

Section 20.       General

Provisions. This Agreement constitutes the entire agreement of the parties to this Agreement and supersedes all prior written or oral

and all contemporaneous oral agreements, understandings and negotiations with respect to the subject matter hereof. This Agreement may

be executed in two or more counterparts, each one of which shall be an original, with the same effect as if the signatures thereto and

hereto were upon the same instrument, provided that a facsimile or pdf signature including any electronic signatures complying with the

U.S. federal ESIGN Act of 2000, e.g., www.docusign.com shall be considered due execution and shall be binding upon the signatory thereto

with the same force and effect as if the signature were an original, not a facsimile or pdf (or other electronic reproduction of a) signature.

This Agreement may not be amended or modified unless in writing by all of the parties hereto, and no condition herein (express or implied)

may be waived unless waived in writing by each party whom the condition is meant to benefit. The section headings herein are for the convenience

of the parties only and shall not affect the construction or interpretation of this Agreement.

Each of the parties

hereto acknowledges that it is a sophisticated business person who was adequately represented by counsel during negotiations regarding

the provisions hereof, including, without limitation, the indemnification provisions of ‎Section 9

and the contribution provisions of ‎Section 10, and is fully informed regarding said provisions.

Each of the parties hereto further acknowledges that the provisions of ‎Section 9 and ‎Section 10

hereof fairly allocate the risks in light of the ability of the parties to investigate the Company, its affairs and its business in order

to assure that adequate disclosure has been made in the Registration Statement, the Time of Sale Prospectus, each free writing prospectus

and the Prospectus (and any amendments and supplements to the foregoing), as contemplated by the Securities Act and the Exchange Act.

-34-

If the foregoing is in accordance with your understanding

of our agreement, kindly sign and return to the Company the enclosed copies hereof, whereupon this instrument, along with all counterparts

hereof, shall become a binding agreement in accordance with its terms.

Very truly yours,

ACLARIS THERAPEUTICS, INC.

By:

/s/ Neal Walker

Name:

Neal Walker

Title:

Chief Executive Officer

The foregoing Underwriting Agreement is hereby

confirmed and accepted by the Representatives in New York, New York as of the date first above written.

LEERINK PARTNERS LLC

PIPER SANDLER & CO.

CANTOR FITZGERALD & CO.

For themselves and as Representatives of the several Underwriters

named in Schedule A hereto.

LEERINK PARTNERS LLC

By:

/s/ Dan Dubin

Name:

Dan Dubin, M.D.

Title:

Vice Chairman, Head of BioPharma Investment

Banking

PIPER SANDLER & CO.

By:

/s/ Paul Scansaroli

Name:

Paul Scansaroli

Title:

Managing Director

CANTOR FITZGERALD & CO.

By:

/a/ Asif Ahmed

Name:

Asif Ahmed

Title:

Managing Director

[Signature Page to Underwriting

Agreement]

Schedule A

Underwriters

Number of

Offered Shares

to be Purchased

Number of Pre-

Funded Warrants

to be Purchased

Leerink Partners LLC

2,958,571

2,470,000

Piper Sandler & Co.

2,102,143

1,755,000

Cantor Fitzgerald & Co.

2,024,286

1,690,000

LifeSci Capital LLC

700,714

585,000

Total

7,785,714

6,500,000

Schedule B

Free Writing Prospectuses Included in the

Time of Sale Prospectus

None.

Schedule C

Permitted Testing-the-Waters Communications

None.

Exhibit A

Form of Lock-up Agreement

October [●], 2026

Leerink Partners LLC

Piper Sandler & Co.

Cantor Fitzgerald & Co.

As Representatives of the several Underwriters

c/o Leerink Partners LLC

1301 Avenue of the Americas, 5th Floor

New York, New York 10019

c/o Piper Sandler & Co.

350 North 5th Street, Suite 1000

Minneapolis, Minnesota 55401

c/o Cantor Fitzgerald & Co.

110 East 59th Street

New York, New York 10022

RE:         Aclaris Therapeutics, Inc.

(the “Company”)

Ladies & Gentlemen:

The undersigned is an owner of shares of common

stock, par value $0.00001 per share, of the Company (“Shares”) or of securities convertible into or exchangeable or

exercisable for Shares (together with Shares, “Securities”). The Company proposes to conduct an offering of Securities

(the “Offering”) for which Leerink Partners LLC, Piper Sandler & Co. and Cantor Fitzgerald & Co.

(together, the “Representatives”) will act as the representatives of the underwriters. The undersigned recognizes that

the Offering will benefit each of the Company and the undersigned. The undersigned acknowledges that the underwriters are relying on the

representations and agreements of the undersigned contained in this letter agreement in conducting the Offering and, at a subsequent date,

in entering into an underwriting agreement (the “Underwriting Agreement”) and other underwriting arrangements with

the Company with respect to the Offering.

Annex A sets forth definitions for capitalized

terms used in this letter agreement that are not defined in the body of this letter agreement. Those definitions are a part of this letter

agreement.

In consideration of the foregoing, and for other

good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the undersigned hereby agrees that, during

the Lock-up Period, the undersigned will not (and will cause any Family Member not to), without the prior written consent of the Representatives,

which may withhold their consent in their sole discretion:

3

· Sell

or Offer to Sell any Shares or Related Securities currently or hereafter owned either of

record or beneficially (as defined in Rule 13d-3 under the Exchange Act) by the undersigned

[(which shall not include Aisling Shares (as defined below)] or such Family Member,

· enter into any Swap,

· make any demand for, or exercise any right with

respect to, the registration under the Securities Act of the offer and sale of any Shares or Related Securities, or cause to be filed

a registration statement, prospectus or prospectus supplement (or an amendment or supplement thereto) with respect to any such registration,

or

· publicly announce any intention to do any of

the foregoing.

[For purposes of this letter agreement, in no event

shall Shares or Related Securities include any shares owned either of record or beneficially directly or indirectly by Aisling Capital

IV, LP or any affiliate thereof (the “Aisling Shares”), and in no event shall the Aisling Shares be restricted by,

or subject to, this letter agreement.]

The foregoing will not apply to the registration

of the offer and sale of the Securities, and the sale of the Securities to the underwriters, in each case as contemplated by the Underwriting

Agreement. In addition, the foregoing will not apply to:

(i) the transfer of Shares or Related Securities by gift or by will or intestate succession to the legal representative,

heir, beneficiary or any Family Member or to a trust whose beneficiaries consist exclusively of one or more of the undersigned and/or

Family Member(s);

(ii) transfers or dispositions of the undersigned’s Shares or Related Securities to any corporation,

partnership, limited liability company or other entity all of the beneficial ownership interests of which are held by the undersigned

or any Family Member;

(iii) distributions of the undersigned’s Shares or Related Securities to partners, members, stockholders

or other equityholders of the undersigned, provided that any such transfer or distribution shall not involve a disposition of value;

(iv) the transfer of Shares or Related Securities by operation of law, including pursuant to a domestic order

or negotiated divorce settlement;

(v) the exercise of options to purchase Shares granted under any equity incentive plan or stock purchase plan

of the Company, existing as of the date hereof and described in the Prospectus, provided that the underlying Shares shall continue to

be subject to the restrictions on transfer set forth in this letter agreement;

(vi) the establishment of a trading plan pursuant to Rule 10b5-1 under the Exchange Act for the transfer

of Shares, provided that such plan does not provide for any transfers of Shares or Related Securities during the Lock-up Period;

(vii) subject to the provisions below regarding stop transfer instructions with the Company’s transfer

agent and registrar, the transfer or disposal of Shares acquired in the open market following the Offering; and

4

(viii) the transfer of Shares (A) to the Company as forfeitures to satisfy tax withholding obligations of

the undersigned in connection with the vesting or exercise of equity awards by the undersigned pursuant to the Company’s equity

incentive plans existing as of the date hereof and described in the Prospectus, (B) pursuant to a net exercise or cashless exercise

by the undersigned of outstanding equity awards pursuant to the Company’s equity incentive plans existing as of the date hereof

and described in the Prospectus, including any transfer of Shares to the Company for the payment of tax withholdings or remittance payments

due as a result of the vesting, settlement or exercise of such equity awards, or sales of Shares pursuant to a “sell-to-cover” arrangement

upon the vesting, settlement or exercise of such equity awards solely to cover tax withholding obligations in connection with such transaction

and any transfer of Shares to the Company for the payment of taxes as a result of such transaction, provided that any Shares acquired

upon the net exercise or cashless exercise of equity awards described in this clause (B) shall be subject to the restrictions set

forth in this letter agreement, or (C) pursuant to a bona fide third-party tender offer for all outstanding shares of the Company,

merger, consolidation or other similar transaction made to all holders of the Company’s securities involving a change of control

of the Company (including, without limitation, the entering into any lock-up, voting or similar agreement pursuant to which the undersigned

may agree to transfer, sell, tender or otherwise dispose of common stock or other such securities in connection with such transaction,

or vote any common stock or other such securities in favor of any such transaction), provided that in the event that such tender offer,

merger, consolidation or other such transaction is not completed, such securities held by the undersigned shall remain subject to the

provisions of this letter agreement, provided that, in the case of a transfer pursuant to clause (A) or (B) above, if the undersigned

is required to make a filing under the Exchange Act reporting a reduction in beneficial ownership of Shares during the Lock-up Period,

the undersigned shall include a statement in such report to the effect that the purpose of such transfer was to cover tax obligations

of the undersigned in connection with such exercise;

provided, however, that (A) in

any such case, it shall be a condition to a transfer pursuant to subparagraphs (i), (ii), (iii) and (iv) that each transferee

executes and delivers to the Representatives an agreement in form and substance satisfactory to the Representatives stating that such

transferee is receiving and holding such Shares and/or Related Securities subject to the provisions of this letter agreement and agrees

not to Sell or Offer to Sell such Shares and/or Related Securities, engage in any Swap or engage in any other activities restricted under

this letter agreement except in accordance with this letter agreement (as if such transferee had been an original signatory hereto), and

(B) in any such case it shall be a condition to a transfer that prior to the expiration of the Lock-up Period, no public disclosure

or filing under the Exchange Act by any party to the transfer (donor, donee, transferor or transferee) shall be required, or made voluntarily,

reporting a reduction in beneficial ownership of Shares in connection with such transfer, except as provided in subparagraph (viii) above.

The undersigned also agrees and consents to the

entry of stop transfer instructions with the Company’s transfer agent and registrar against the transfer of Shares and/or Related

Securities held by the undersigned and the undersigned’s Family Members, if any, except in compliance with the foregoing restrictions.

With respect to the Offering only, the undersigned

waives any registration rights relating to registration under the Securities Act of the offer and sale of any Shares and/or any Related

Securities owned either of record or beneficially by the undersigned, including any rights to receive notice of the Offering.

5

The undersigned confirms that the undersigned

has not, and has no knowledge that any Family Member has, directly or indirectly, taken any action designed to or that might reasonably

be expected to cause or result in the stabilization or manipulation of the price of any security of the Company to facilitate the sale

of the Shares. The undersigned will not, and will cause any Family Member not to take, directly or indirectly, any such action.

The undersigned acknowledges and agrees that the

underwriters have not provided any recommendation or investment advice nor have the underwriters solicited any action from the undersigned

with respect to the Offering and the undersigned has consulted their own legal, accounting, financial, regulatory and tax advisors to

the extent deemed appropriate.

Whether or not the Offering occurs as currently

contemplated or at all depends on market conditions and other factors. The Offering will only be made pursuant to the Underwriting Agreement,

the terms of which are subject to negotiation between the Company and the underwriters.

The undersigned hereby represents and warrants

that the undersigned has full power, capacity and authority to enter into this letter agreement. This letter agreement is irrevocable

and will be binding on the undersigned and the successors, heirs, personal representatives and assigns of the undersigned.

This letter agreement may be delivered via facsimile,

electronic mail (including pdf or any electronic signature complying with the U.S. federal ESIGN Act of 2000, e.g., www.docusign.com or

www.echosign.com) or other transmission method and any counterpart so delivered shall be deemed to have been duly and validly delivered

and be valid and effective for all purposes.

This letter agreement shall be governed by, and

construed in accordance with, the laws of the State of New York.

If (i) the Company notifies the Representatives

in writing that it does not intend to proceed with the Offering, (ii) the Underwriting Agreement is not executed before November 15,

2026, or (iii) the Underwriting Agreement (other than the provisions thereof that survive termination) terminates or is terminated

prior to payment for and delivery of the Offered Securities (as defined in the Underwriting Agreement), then in each case, this letter

agreement shall automatically, and without any action on the part of any other party, terminate and be of no further force and effect,

and the undersigned shall automatically be released from the obligations under this letter agreement.

6

Signature

Printed Name of Person Signing

(Indicate capacity of person signing if  signing as custodian or trustee, or on behalf  of an entity)

[Signature Page to Lock-up Agreement]

Annex A

Certain Defined Terms

Used in Lock-up Agreement

For purposes of the letter agreement to which

this Annex A is attached and of which it is made a part:

· “Call Equivalent Position”

shall have the meaning set forth in Rule 16a-1(b) under the Exchange Act.

· “Exchange Act” shall mean

the Securities Exchange Act of 1934, as amended.

· “Family Member” shall mean

the spouse of the undersigned, an immediate family member of the undersigned or an immediate family member of the undersigned’s

spouse, in each case living in the undersigned’s household or whose principal residence is the undersigned’s household (regardless

of whether such spouse or family member may at the time be living elsewhere due to educational activities, health care treatment, military

service, temporary internship or employment or otherwise). “Immediate family member” as used above shall have the meaning

set forth in Rule 16a-1(e) under the Exchange Act.

· “Lock-up Period” shall mean

the period beginning on the date hereof and continuing through the close of trading on the date that is 60 days after the date of the

Prospectus (as defined in the Underwriting Agreement).

· “Put Equivalent Position”

shall have the meaning set forth in Rule 16a-1(h) under the Exchange Act.

· “Related Securities” shall

mean any options or warrants or other rights to acquire Shares or any securities exchangeable or exercisable for or convertible into Shares,

or to acquire other securities or rights ultimately exchangeable or exercisable for or convertible into Shares.

· “Securities Act” shall mean

the Securities Act of 1933, as amended.

· “Sell or Offer to Sell” shall

mean to:

– sell, offer to sell, contract to sell or lend,

– effect any short sale or establish or increase a Put Equivalent Position or liquidate or decrease any

Call Equivalent Position,

– pledge, hypothecate or grant any security interest in, or

– in any other way transfer or dispose of,

in each case whether

effected directly or indirectly.

· “Swap” shall mean any swap,

hedge or similar arrangement or agreement that transfers, in whole or in part, the economic risk of ownership of Shares or Related Securities,

regardless of whether any such transaction is to be settled in securities, in cash or otherwise.

Capitalized terms not defined in this Annex A

shall have the meanings given to them in the body of this lock-up agreement.

Exhibit B

Directors and Officers

Directors:

Neal Walker

Christopher Molineaux

Hugh Davis

Maxine Gowen

William Humphries

Anand Mehra

Vincent Milano

Andrew Schiff

Officers:

Neal Walker

Kevin Balthaser

Hugh Davis

Jesse Hall

Roland Kolbeck

James Loerop

EX-4.1 — EXHIBIT 4.1

EX-4.1

Filename: tm2628355d1_ex4-1.htm · Sequence: 3

Exhibit 4.1

PRE-FUNDED COMMON STOCK PURCHASE WARRANT

ACLARIS THERAPEUTICS, INC.

Warrant Shares:

Date of Issuance:                           ,

2026 (such date, the “Issue Date”)

Warrant No.: PF-[     ]

THIS PRE-FUNDED COMMON STOCK PURCHASE WARRANT

(the “Warrant”) certifies that, for value received, the registered holder hereof or its permitted assigns (the “Holder”)

is entitled, upon the terms and subject to the limitations on exercise and the conditions set forth herein, at any time on or after the

Issue Date, to subscribe for and purchase from Aclaris Therapeutics, Inc., a Delaware corporation (the “Company”),

up to                         shares

(the “Warrant Shares”) of the Company’s common stock, par value $0.00001 per share (“Common Stock”).

The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b).

This Warrant has been issued pursuant to (i) the terms of the Underwriting Agreement, dated October [•], 2026, among the

Company on the one hand and, on the other, Leerink Partners LLC, Piper Sandler & Co. and Cantor Fitzgerald & Co., as

representatives of the several underwriters named therein, (ii) the Company’s registration statement on Form S-3 (Commission

File No. 333-298084) and (iii) the Company’s prospectus supplement dated as of October [•], 2026.

Section 1. Definitions. For

purposes of this Warrant, the following terms shall have the following meanings:

(a) “Affiliate” means

any Person that, directly or indirectly through one or more intermediaries, controls or is controlled by or is under common control with

a Person, as such terms are used in and construed under Rule 405 under the Securities Act of 1933, as amended (the “1933

Act”).

(b) “Attribution Parties”

means, collectively, the following Persons and entities: (i) any investment vehicle, including any funds, feeder funds or managed

accounts, currently, or from time to time after the Issue Date, directly or indirectly managed or advised by the Holder’s investment

manager, (ii) any direct or indirect Affiliates of the Holder or any of the foregoing, (iii) any Person acting or who could

be deemed to be acting as a Group together with the Holder or any of the foregoing and (iv) any other Persons whose beneficial ownership

of Common Stock would or could be aggregated with the Holder’s and the other Attribution Parties for purposes of Section 13(d) or

Section 16 of the Securities Exchange Act of 1934, as amended (the “1934 Act”). For clarity, the purpose of the

foregoing is to subject collectively the Holder and all other Attribution Parties to the Maximum Percentage (as defined in Section 2(e)).

(c) “Business Day” means

any day except any Saturday, any Sunday, any day that is a federal legal holiday in the United States or any day on which banking institutions

in the city of New York, New York are authorized or required by law or other governmental action to remain closed.

(d) “Closing Sale Price”

means, for any security as of any date, the last trade price for such security on the Trading Market for such security, as reported by

the Trading Market, or, if such Trading Market begins to operate on an extended hours basis and does not designate the last trade price,

then the last trade price of such security prior to 4:00 P.M., New York City time, as reported by Bloomberg Financial Markets, or if

the foregoing do not apply, the last trade price of such security in the over-the-counter market on the electronic bulletin board for

such security as reported by Bloomberg Financial Markets. If the Closing Sale Price cannot be calculated for a security on a particular

date on any of the foregoing bases, the Closing Sale Price of such security on such date shall be the fair market value as mutually determined

by the Company and the Holder. If the Company and the Holder are unable to agree upon the fair market value of such security, then the

Board of Directors of the Company shall use its good faith judgment to determine the fair market value. The Board of Directors’

determination shall be binding upon all parties absent demonstrable error. All such determinations shall be appropriately adjusted for

any stock dividend, stock split, stock combination or other similar transaction during the applicable calculation period..

(e) “Group” means a “group”

as that term is used in Section 13(d) of the 1934 Act and as defined in Rule 13d-5 thereunder.

(f) “Person” means an

individual, a limited liability company, a partnership, a joint venture, a corporation, a trust, an unincorporated organization, any

other entity and a government or any department or agency thereof.

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(g) “Standard Settlement Period”

means the standard settlement period, expressed in a number of Trading Days, for the Trading Market with respect to the Common Stock

that is in effect on the date of delivery of an applicable Notice of Exercise, which as of the Issue Date was “T+1.”

(h) “Trading Day” means

any day on which the Common Stock is traded on the Trading Market.

(i) “Trading Market”

means the principal securities exchange or securities market, including an over-the-counter market, on which the Common Stock is then

traded in the United States.

Section 2. Exercise.

(a) Exercise of Warrant. Subject

to the terms and conditions hereof, the purchase rights represented by this Warrant may be exercised, in whole or in part, at any time

or times on or after the Issue Date by delivery (whether via email or otherwise) to the Company (or such other office or agency of the

Company as it may designate by notice in writing to the registered Holder at the address of the Holder appearing on the books of the

Company) of a duly executed copy of the Notice of Exercise form annexed hereto (the “Notice of Exercise”) and by payment

to the Company of an amount equal to the aggregate Exercise Price of the Warrant Shares thereby purchased by wire transfer (or by notifying

the Company that this Warrant is being exercised pursuant to a Cashless Exercise (as defined below)). No ink-original Notice of Exercise

shall be required, nor shall any medallion guarantee (or other type of guarantee or notarization) of any Notice of Exercise form be required.

The Holder shall not be required to deliver the original Warrant in order to effect an exercise hereunder. Execution and delivery of

the Notice of Exercise Notice shall have the same effect as cancellation of the original Warrant and issuance of a new Warrant evidencing

the right to purchase the remaining number of Warrant Shares, if any. The Holder and the Company shall maintain records showing the number

of Warrant Shares purchased and the date of such purchases. The Holder and any assignee, by acceptance of this Warrant, acknowledge

and agree that, by reason of the provisions of this paragraph, following the purchase of a portion of the Warrant Shares hereunder, the

number of Warrant Shares available for purchase hereunder at any given time may be less than the amount stated on the face hereof.

(b) Exercise Price. The

aggregate exercise price of this Warrant, except for a nominal exercise price of $0.00001 per Warrant Share (subject to adjustment as

provided herein), was pre-funded to the Company on or prior to the Issue Date and, consequently, no additional consideration

(other than such nominal exercise price) shall be required to be paid by the Holder to effect any exercise of this Warrant. The Holder

shall not be entitled to the return or refund of all, or any portion, of such pre-paid aggregate exercise price under any circumstance

or for any reason whatsoever. The remaining unpaid exercise price per Warrant Share shall be $0.00001, subject to adjustment as provided

herein (the “Exercise Price”).

(c) Mechanics of Exercise.

(i). Delivery of Warrant Shares Upon Exercise.

Warrant Shares purchased hereunder shall be transmitted to the Holder by crediting the account of the Holder’s prime broker with

The Depository Trust Company (“DTC”) through its Deposit/Withdrawal at Custodian (“DWAC”) system

if the Company is then a participant in such system and either (A) there is an effective registration statement permitting the issuance

of the Warrant Shares to or resale of the Warrant Shares by the Holder or (B) the Warrant Shares are eligible for resale by the

Holder without volume or manner-of-sale limitations pursuant to Rule 144 (assuming cashless exercise of the Warrant), and otherwise

in book-entry form via a direct registration system (“DRS”) maintained by or on behalf of the Company’s transfer

agent no later than the number of Trading Days comprising the Standard Settlement Period after the receipt by the Company of the Notice

of Exercise (provided that payment of the Exercise Price (or notification of Cashless Exercise, if applicable) has then been received

by the Company) (such date, the “Warrant Share Delivery Date”). This Warrant shall be deemed to have been exercised

upon proper delivery of the Notice of Exercise and payment of the Exercise Price (or notification of Cashless Exercise). The Warrant

Shares shall be deemed to have been issued, and the Holder or any other person so designated to be named therein shall be deemed to have

become a holder of record of such shares for all purposes, as of the date the Warrant has been exercised. The Company shall use commercially

reasonable efforts to maintain a transfer agent that is a participant in the FAST program so long as this Warrant remains outstanding

and exercisable.

(ii). Delivery of New Warrant Upon Exercise.

If this Warrant shall have been exercised in part, the Company shall, at the request of a Holder, at the time of delivery of the certificate

or certificates representing Warrant Shares, deliver to the Holder a new Warrant evidencing the rights of the Holder to purchase the

unpurchased Warrant Shares called for by this Warrant, which new Warrant shall in all other respects be identical to this Warrant.

2

(iii). Compensation for Buy-In on Failure

to Timely Deliver Warrant Shares Upon Exercise. In addition to any other rights available to the Holder, if the Company fails to

cause its transfer agent to transmit to the Holder the Warrant Shares in accordance with the provisions of Section 2(c)(i) pursuant

to an exercise on or before the Warrant Share Delivery Date (other than a failure caused by incorrect or incomplete information provided

by the Holder to the Company), and if after such date the Holder is required by its broker to purchase (in an open market transaction

or otherwise) or the Holder’s brokerage firm otherwise purchases, shares of Common Stock to deliver in satisfaction of a sale by

the Holder of the Warrant Shares which the Holder anticipated receiving upon such exercise (a “Buy-In”), then the

Company shall promptly, and in any event within two (2) Business Days of receipt of notice from the Holder of the occurrence of

a Buy-In, either (A) pay in cash to the Holder the amount, if any, by which (x) the Holder’s total purchase price (including

brokerage commissions, if any) for the shares of Common Stock so purchased exceeds (y) the amount obtained by multiplying (1) the

number of Warrant Shares that the Company was required to deliver to the Holder in connection with the exercise at issue times (2) the

price at which the sell order giving rise to such purchase obligation was executed, or (B) at the option of the Holder, either reinstate

the portion of the Warrant an equivalent number of Warrant Shares for which such exercise was not honored (in which case such exercise

shall be deemed rescinded) or deliver to the Holder the number of shares of Common Stock that would have been issued had the Company

timely complied with its exercise and delivery obligations hereunder. For example, if the Holder purchases Common Stock having a total

purchase price of $11,000 to cover a Buy-In with respect to an attempted exercise of this Warrant with an aggregate sale price giving

rise to such purchase obligation of $10,000, under clause (A) of the immediately preceding sentence the Company shall be required

to pay the Holder $1,000. In connection with the foregoing, the Holder shall provide the Company written notice within three (3) Business

Days after the occurrence of a Buy-In, indicating the amounts payable to the Holder in respect of the Buy-In and, upon request of the

Company, evidence of the amount of such loss. Subject to Section 5(i), nothing herein shall limit a Holder’s right to pursue

any other remedies available to it hereunder, at law or in equity including, without limitation, a decree of specific performance and/or

injunctive relief with respect to the Company’s failure to timely deliver Warrant Shares upon exercise of the Warrant as required

pursuant to the terms hereof.

(iv). No Fractional Shares or Scrip. No

fractional shares or scrip representing fractional shares shall be issued upon the exercise of this Warrant. As to any fraction of a

share which the Holder would otherwise be entitled to purchase upon such exercise, the Company shall, at its election, either pay a cash

adjustment in respect of such final fraction in an amount equal to such fraction multiplied by the Exercise Price or round down to the

nearest whole share.

(v). Charges, Taxes and Expenses. Issuance

of certificates for Warrant Shares shall be made without charge to the Holder for any issue or transfer tax or other incidental expense

in respect of the issuance of such certificate, all of which taxes and expenses shall be paid by the Company, and such certificates shall

be issued in the name of the Holder or in such name or names as may be directed by the Holder; provided, however, that

in the event certificates for Warrant Shares are to be issued in a name other than the name of the Holder, this Warrant when surrendered

for exercise shall be accompanied by the Assignment Form attached hereto duly executed by the Holder and the Company may require,

as a condition thereto, the payment of a sum sufficient to reimburse it for any transfer tax incidental thereto.

(vi). Closing of Books. The Company will

not close its stockholder books or records in any manner which prevents the timely exercise of this Warrant pursuant to the terms hereof.

(d) Cashless Exercise. Notwithstanding

anything contained herein to the contrary, the Holder may exercise this Warrant, whether in whole or in part, and in lieu of making the

cash payment otherwise contemplated to be made to the Company upon such exercise in payment of the Exercise Price, by effecting a cashless

exercise of this Warrant pursuant to which the Holder shall receive upon such cashless exercise the “Net Number” of Warrant

Shares determined according to the following formula (a “Cashless Exercise”):

Net Number =      (A

x B) - (A x C)

B

3

For purposes of the foregoing formula:

A = the total number of shares of Common Stock with respect to which this

Warrant is then being exercised.

B = the Closing Sale Price of the shares of Common Stock on the date immediately

preceding the date of the Notice of Exercise.

C = the Exercise Price then in effect for the applicable Warrant Shares

at the time of such exercise.

In addition, if at the time of the proposed exercise

of this Warrant, there is not an effective registration statement for the sale of the Warrant Shares to the Holder for cash, then this

Warrant may only be exercised through a Cashless Exercise.

If Warrant Shares are issued in a Cashless Exercise,

the Company acknowledges and agrees that in accordance with Section 3(a)(9) of the 1933 Act, the Warrant Shares shall take

on the characteristics of the Warrant being exercised, and the holding period of the Warrant being exercised may be tacked on to the

holding period of the Warrant Shares. The Company agrees not to take any position contrary to this Section 2(d).

(e) Holder’s Exercise Limitations.

Notwithstanding anything to the contrary contained herein, the Company shall not effect the exercise of any portion of this Warrant,

and the Holder shall not have the right to exercise any portion of this Warrant, pursuant to the terms and conditions of this Warrant

and any such exercise shall be null and void and treated as if never made, to the extent that immediately prior to or after giving effect

to such exercise, the Holder together with the other Attribution Parties collectively would beneficially own in excess of 9.99% (the

“Maximum Percentage”) of the number of shares of Common Stock outstanding immediately after giving effect to such

exercise. For purposes of the foregoing sentence, the aggregate number of shares of Common Stock beneficially owned by the Holder and

the other Attribution Parties shall include the number of shares of Common Stock held by the Holder and all other Attribution Parties

plus the number of shares of Common Stock issuable upon exercise of this Warrant with respect to which the determination of such sentence

is being made, but shall exclude the number of shares of Common Stock which would be issuable upon (A) exercise of the remaining,

unexercised portion of this Warrant beneficially owned by the Holder or any of the other Attribution Parties and (B) exercise or

conversion of the unexercised or unconverted portion of any other securities of the Company (including, without limitation, any convertible

notes or convertible preferred stock or warrants, including the other Warrants) beneficially owned by the Holder or any other Attribution

Party subject to a limitation on conversion or exercise analogous to the limitation contained in this Section 2(e). For purposes

of this Section 2(e), beneficial ownership shall be calculated in accordance with Section 13(d) of the 1934 Act and the

rules and regulations promulgated thereunder, it being acknowledged by the Holder that the Company is not representing to the Holder

that such calculation is in compliance with Section 13(d) of the 1934 Act and the Holder is solely responsible for any schedules

required to be filed in accordance therewith. In addition, a determination as to any group status as contemplated above shall be determined

in accordance with Section 13(d) of the 1934 Act and the rules and regulations promulgated thereunder. For purposes of

this Warrant, in determining the number of outstanding shares of Common Stock the Holder may acquire upon the exercise of this Warrant

without exceeding the Maximum Percentage, the Holder may rely on the number of outstanding shares of Common Stock as reflected in (x) the

Company’s most recent Annual Report on Form 10-K, Quarterly Report on Form 10-Q and Current Reports on Form 8-K

or other public filing with the Securities and Exchange Commission (the “SEC”), as the case may be, (y) a more

recent public announcement by the Company or (z) any other written notice by the Company setting forth the number of shares of Common

Stock outstanding (the “Reported Outstanding Share Number”). If the Company receives a Notice of Exercise from the

Holder at a time when the actual number of outstanding shares of Common Stock is less than the Reported Outstanding Share Number, the

Company shall (i) notify the Holder in writing of the number of shares of Common Stock then outstanding and, to the extent that

such Exercise Notice would otherwise cause the Holder’s beneficial ownership, as determined pursuant to this Section 2(e),

to exceed the Maximum Percentage, the Holder must notify the Company of a reduced number of Warrant Shares to be purchased pursuant to

such Exercise Notice (the number of shares by which such purchase is reduced, the “Reduction Shares”) and (ii) as

soon as reasonably practicable, the Company shall return to the Holder any exercise price paid by the Holder for the Reduction Shares.

Upon the written request of the Holder, the Company shall within one (1) Business Day confirm in writing (including by electronic

mail) to the Holder that the number of shares of Common Stock then outstanding is not less than the Company’s most recently reported

outstanding share number or, if the number of shares of Common Stock then outstanding is less than the Company’s most recently

reported outstanding share number, the Company shall confirm in writing (including by electronic mail) to the Holder the number of shares

of Common Stock outstanding. In any case, the number of outstanding shares of Common Stock shall be determined after giving effect to

the conversion or exercise of securities of the Company, including this Warrant, by the Holder and any other Attribution Party since

the date as of which the Reported Outstanding Share Number was reported. In the event that the issuance of Common Stock to the Holder

upon exercise of this Warrant results in the Holder and the other Attribution Parties being deemed to beneficially own, in the aggregate,

more than the Maximum Percentage of the number of outstanding shares of Common Stock (as determined under Section 13(d) of

the 1934 Act), the number of shares so issued by which the Holder’s and the other Attribution Parties’ aggregate beneficial

ownership exceeds the Maximum Percentage (the “Excess Shares”) shall be deemed null and void and shall be cancelled

ab initio, and the Holder shall not have the power to vote or to transfer the Excess Shares. As soon as reasonably practicable after

the issuance of the Excess Shares has been deemed null and void, the Company shall return to the Holder the exercise price paid by the

Holder for the Excess Shares. Upon delivery of a written notice to the Company, the Holder may from time to time increase or decrease

the Maximum Percentage to any other percentage (not in excess of 19.99% of the issued and outstanding shares of Common Stock immediately

after giving effect to the issuance of the shares of Common Stock issuable upon exercise of this Warrant if exceeding that limit would

result in a change of control under Nasdaq Listing Rule 5635(b) or any successor rule) as specified in such notice; provided

that (i) any such increase in the Maximum Percentage will not be effective until the sixty-first (61st) day after such notice is

delivered to the Company and (ii) any such increase or decrease will apply only to the Holder and the other Attribution Parties

and not to any other holder of Warrants that is not an Attribution Party of the Holder. For purposes of clarity, the shares of Common

Stock issuable pursuant to the terms of this Warrant in excess of the Maximum Percentage shall not be deemed to be beneficially owned

by the Holder for any purpose including for purposes of Section 13(d) or Rule 16a-1(a)(1) of the 1934 Act. No prior

inability to exercise this Warrant pursuant to this paragraph shall have any effect on the applicability of the provisions of this paragraph

with respect to any subsequent determination of exercisability. The provisions of this paragraph shall be construed and implemented in

a manner otherwise than in strict conformity with the terms of this Section 2(e) to the extent necessary to correct this paragraph

or any portion of this paragraph which may be defective or inconsistent with the intended beneficial ownership limitation contained in

this Section 2(e) or to make changes or supplements necessary or desirable to properly give effect to such limitation. The

19.99% limitation contained in this paragraph may not be waived and both the nonwaivable 19.99% limitation and the Maximum Percentage

shall apply to a successor holder of this Warrant.

4

Section 3. Certain Adjustments.

(a) Subdivision or Combination of Common

Stock. If at any time while this Warrant is outstanding the Company subdivides (by any stock

split, stock dividend, recapitalization or otherwise) one or more classes of its outstanding shares of Common Stock into a greater number

of shares, the Exercise Price in effect immediately prior to such subdivision will be proportionately reduced and the number of Warrant

Shares will be proportionately increased. If at any time while this Warrant is outstanding the

Company combines (by combination, reverse stock split or otherwise) one or more classes of its outstanding shares of Common Stock into

a smaller number of shares, the Exercise Price in effect immediately prior to such combination will be proportionately increased and

the number of Warrant Shares will be proportionately decreased. Any adjustment under this Section 3(a) shall become effective

at the close of business on the date the subdivision or combination becomes effective.

(b) Subsequent Rights Offerings.

In addition to any adjustments pursuant to Section 3(a) above, if during such time as this Warrant is outstanding the Company

grants, issues or sells any rights to purchase stock, warrants, securities or other property, in each case pro rata to the record holders

of any class of shares of Common Stock (the “Purchase Rights”), then the Holder will be entitled to acquire, upon

the terms applicable to such Purchase Rights, the aggregate Purchase Rights which the Holder could have acquired if the Holder had held

the number of shares of Common Stock acquirable upon complete exercise of this Warrant (without regard to any limitations on exercise

hereof, including without limitation, Section 2(e) hereof) immediately before the date on which a record is taken for the grant,

issuance or sale of such Purchase Rights, or, if no such record is taken, the date as of which the record holders of shares of Common

Stock are to be determined for the grant, issue or sale of such Purchase Rights (provided, however, to the extent that

the Holder’s right to participate in any such Purchase Right would result in the Holder and

the other Attribution Parties exceeding the Maximum Percentage, then the Holder shall

not be entitled to participate in such Purchase Right to such extent (or beneficial ownership of such shares of Common Stock as a result

of such Purchase Right to such extent) and such Purchase Right to such extent shall be held in abeyance for the Holder until such time,

if ever, as its right thereto would not result in the Holder and the other Attribution Parties

exceeding the Maximum Percentage).

5

(c) Pro Rata Distributions. If at

any time while this Warrant is outstanding the Company shall declare or make any dividend or other distribution of its assets (or rights

to acquire its assets) to all holders of shares of Common Stock, by way of return of capital or otherwise (including, without limitation,

any distribution of cash, stock or other securities, property or options by way of a dividend, spin off, reclassification, corporate

rearrangement, scheme of arrangement or other similar transaction) (a “Distribution”), then, in each such case, the

Holder shall be entitled to participate in such Distribution to the same extent that the Holder would have participated therein if the

Holder had held the number of shares of Common Stock acquirable upon complete exercise of this Warrant (without regard to any limitations

on exercise hereof, including without limitation, Section 2(e) hereof) immediately before the date of which a record is taken

for such Distribution, or, if no such record is taken, the date as of which the record holders of shares of Common Stock are to be determined

for the participation in such Distribution (provided, however, to the extent that the Holder’s right to participate

in any such Distribution would result in the Holder and the other Attribution Parties exceeding

the Maximum Percentage, then the Holder shall not be entitled to participate in such Distribution

to such extent (or in the beneficial ownership of any shares of Common Stock as a result of such Distribution to such extent) and the

applicable portion of such Distribution shall be held in abeyance for the benefit of the Holder until such time, if ever, as its right

thereto would not result in the Holder and the other Attribution Parties exceeding the Maximum

Percentage).

(d) Fundamental Transaction. Unless

earlier exercised, this Warrant shall automatically be deemed fully exercised in accordance with the provisions of Section 2(d) hereof

immediately prior to the consummation of a Fundamental Transaction, without regard to any limitations on exercise contained herein, and

after the completion of such full exercise, shall be deemed terminated upon the consummation of such Fundamental Transaction. “Fundamental

Transaction” means that (A) the Company shall, directly or indirectly, in one or more related transactions, (i) consolidate

or merge with or into another Person in a transaction in which the Company is not the surviving entity or the stockholders of the Company

immediately prior to such merger or consolidation do not own, directly or indirectly, more than 50% of the voting power of the surviving

entity immediately after such merger or consolidation, (ii) sell, assign, transfer, convey or otherwise dispose of all or a majority

of the properties or assets of the Company on a consolidated basis to another Person, (iii) allow another Person to make a purchase,

tender or exchange offer that results in such Person acquiring more than 50% of the outstanding shares of Common Stock (not including

any shares of Common Stock held by the Person or Persons making or party to, or associated or affiliated with the Persons making or party

to, such purchase, tender or exchange offer), or (iv) consummate a stock purchase agreement or other business combination (including,

without limitation, a reorganization, recapitalization, spin-off or similar transaction) with another Person whereby (A) such other

Person acquires more than 50% of the outstanding shares of Common Stock (not including any shares of Common Stock held by the other Person

or other Persons making or party to, or associated or affiliated with the other Persons making or party to, such stock purchase agreement

or other business combination) or (B) any Person or Group is or shall become the beneficial owner (determined in accordance with

Section 13(d) of the 1934 Act and the rules and regulations promulgated thereunder), directly or indirectly, of more than

50% of the aggregate ordinary voting power represented by issued and outstanding Common Stock.

(e) Calculations. All calculations

under this Section 3 shall be made to the nearest cent or the nearest whole share, as the case may be. For purposes of this Section 3,

any calculation of the number of shares of Common Stock deemed to be issued and outstanding as of a given date shall not include treasury

shares, if any. In any case in which this Section 3 shall require that an adjustment in the Exercise Price be made effective as

of a record date for a specified event, if Holder exercises this Warrant after such record date, the Company may elect to defer, until

the occurrence of such event, the issuance of the shares of Common Stock and other capital stock of the Company in excess of the shares

of Common Stock and other capital stock of the Company, if any, issuable upon such exercise on the basis of the Exercise Price in effect

prior to such adjustment; provided, however, that in such case the Company shall deliver to the Holder a due bill or other

appropriate instrument evidencing the Holder’s right to receive such additional shares and/or other capital securities upon the

occurrence of the event requiring such adjustment.

(f) Par Value. Notwithstanding anything

to the contrary in this Warrant, in no event shall the Exercise Price be reduced below the par value of the Company’s Common Stock.

6

Section 4. Transfer of Warrant.

(a) Transferability. Subject to compliance

with any applicable securities laws, this Warrant and all rights hereunder are transferable, in whole or in part, upon surrender of this

Warrant at the principal office of the Company (or other designated agent), together with a written assignment of this Warrant substantially

in the form attached hereto duly executed by the Holder or its agent or attorney and funds sufficient to pay any transfer taxes payable

upon the making of such transfer. Upon such surrender and, if required, such payment, the Company shall execute and deliver a new Warrant

or Warrants in the name of the assignee or assignees, as applicable, and in the denomination or denominations specified in such instrument

of assignment, and shall issue to the assignor a new Warrant evidencing the portion of this Warrant not so assigned, and this Warrant

shall promptly be cancelled. The Warrant, if properly assigned in accordance herewith, may be exercised by a new holder for the purchase

of Warrant Shares without having a new Warrant issued.

(b) New Warrants. This Warrant may

be divided or combined with other Warrants upon presentation hereof at the aforesaid office of the Company (or other designated agent),

together with a written notice specifying the names and denominations in which new Warrants are to be issued, signed by the Holder or

its agent or attorney. Subject to compliance with Section 4(a), as to any transfer which may be involved in such division or combination,

the Company shall execute and deliver a new Warrant or Warrants in exchange for the Warrant or Warrants to be divided or combined in

accordance with such notice. All Warrants issued on transfers or exchanges shall be dated the Issue Date set forth on the first page of

this Warrant and shall be identical to this Warrant except as to the number of Warrant Shares issuable pursuant thereto.

(c) Warrant Register. The Company

shall initially serve as warrant agent under this Warrant. The Company shall register ownership of this Warrant, upon records to be maintained

by the Company for that purpose (the “Warrant Register”), in the name of the record Holder (which shall include the

initial Holder or, as the case may be, any assignee to which this Warrant is assigned hereunder) from time to time. Upon thirty (30)

days’ notice to the Holder, the Company may appoint a new warrant agent. Any corporation into which the Company or any new warrant

agent may be merged or any corporation resulting from any consolidation to which the Company or any new warrant agent shall be a party

or any corporation to which the Company or any new warrant agent transfers substantially all of its corporate trust or shareholders services

business shall be a successor warrant agent under this Warrant without any further act. Any such successor warrant agent shall promptly

cause notice of its succession as warrant agent to be mailed (by first class mail, postage prepaid) to the Holder at the Holder’s

last address as shown on the Warrant Register. The Company may deem and treat the registered Holder of this Warrant as the absolute owner

hereof for the purpose of any exercise hereof or any distribution to the Holder, and for all other purposes, absent actual notice to

the contrary.

Section 5. Miscellaneous.

(a) No Rights as Stockholder Until Exercise.

This Warrant does not entitle the Holder to any voting rights, dividends or other rights as a stockholder of the Company prior to the

exercise hereof as set forth in Section 2.

(b) Loss, Theft, Destruction or Mutilation

of Warrant. The Company covenants that upon receipt by the Company of evidence reasonably satisfactory to them of the loss, theft,

destruction or mutilation of this Warrant, and in case of loss, theft or destruction, of indemnity or security reasonably satisfactory

to it, and upon surrender and cancellation of such Warrant, if mutilated, the Company will make and deliver a new Warrant of like tenor

and dated as of such cancellation, in lieu of such Warrant or stock certificate.

(c) Saturdays, Sundays, Holidays, etc.

If the last or appointed day for the taking of any action or the expiration of any right required or granted herein shall not be a Business

Day, then such action may be taken or such right may be exercised on the next succeeding Business Day.

(d) Authorized Shares. The Company

covenants that, during the period the Warrant is outstanding, it will reserve from its authorized and unissued Common Stock a sufficient

number of shares to provide for the issuance of the Warrant Shares upon the exercise of any purchase rights under this Warrant (without

regard to any limitations on exercise contained herein). The Company further covenants that its issuance of this Warrant shall constitute

full authority to its officers who are charged with the duty of executing stock certificates to execute and issue the necessary certificates

for the Warrant Shares upon the exercise of the purchase rights under this Warrant. The Company will take all such reasonable action

as may be necessary to assure that such Warrant Shares may be issued as provided herein without violation of any applicable law or regulation,

or of any requirements of the Trading Market. The Company covenants that all Warrant Shares which may be issued upon the exercise of

the purchase rights represented by this Warrant will, upon exercise of the purchase rights represented by this Warrant and payment for

such Warrant Shares in accordance herewith, be duly authorized, validly issued, fully paid and nonassessable and free from all taxes,

liens and charges created by the Company in respect of the issuance thereof (other than taxes in respect of any transfer occurring contemporaneously

with such issuance). Except and to the extent as waived or consented to by the Holder, the Company shall not by any action, including,

without limitation, amending its certificate of incorporation or through any reorganization, transfer of assets, consolidation, merger,

dissolution, issuance or sale of securities or any other voluntary action, in each case to avoid or seek to avoid the observance or performance

of any of the terms of this Warrant, but will at all times in good faith assist in the carrying out of all such terms and in the taking

of all such actions as may be necessary or appropriate to protect the rights of Holder as set forth in this Warrant against impairment.

Without limiting the generality of the foregoing, the Company will (i) not increase the par value of any Warrant Shares above the

amount payable therefor upon such exercise immediately prior to such increase in par value, (ii) take all such action as may be

necessary or appropriate in order that the Company may validly and legally issue fully paid and nonassessable Warrant Shares upon the

exercise of this Warrant and (iii) use commercially reasonable efforts to obtain all such authorizations, exemptions or consents

from any public regulatory body having jurisdiction thereof, as may be, necessary to enable the Company to perform its obligations under

this Warrant.

7

(e) Governing Law. This Warrant shall

be governed by, and construed in accordance with, the laws of the State of New York without giving effect to the conflicts of law principles

thereof.

(f) Nonwaiver and Expenses. No course

of dealing or any delay or failure to exercise any right hereunder on the part of the Holder shall operate as a waiver of such right

or otherwise prejudice the Holder’s rights, powers or remedies. Without limiting any other provision of this Warrant, if the Company

willfully and knowingly fails to comply with any provision of this Warrant, which results in any material damages to the Holder, the

Company shall pay to the Holder such amounts as shall be sufficient to cover any costs and expenses including, but not limited to, reasonable

attorneys’ fees, including those of appellate proceedings, incurred by the Holder in collecting any amounts due pursuant hereto

or in otherwise enforcing any of its rights, powers or remedies hereunder.

(g) Notices.

(i). Notice Procedures. Any and all notices

or other communications or deliveries required or permitted to be provided hereunder shall be in writing and shall be deemed given and

effective on the earliest of: (a) the date of transmission, if such notice or communication is delivered via email at or prior to

5:30 p.m. (New York City time) on a Trading Day, (b) the next Trading Day after the date of transmission, if such notice or

communication is delivered via email on a day that is not a Trading Day or later than 5:30 p.m. (New York City time) on any Trading

Day, (c) the second (2nd) Trading Day following the date of mailing, if sent by U.S. nationally recognized overnight courier service

or by International Federal Express, (d) the third (3rd) Trading Day following the

date of mailing if sent by first-class registered or certified mail domestic, or (e) upon

actual receipt by the party to whom such notice is required to be given. The addresses for such communications shall be:

If to the Company:

Aclaris Therapeutics, Inc.

701 Lee Road, Suite 103

Wayne, PA 19087

Attention: Legal Department

With copy to:

Cooley LLP

11951 Freedom Drive

Reston, Virginia 20190-5640

Attention: Mark Ballantyne

8

If to the Holder:

To the address or email address set

forth in the Warrant Register, or as otherwise provided by the Holder to the Company in accordance with this Section 5(g)(i).

(ii). Adjustment to Exercise Price. Whenever

the Exercise Price or number of Warrant Shares is adjusted pursuant to any provision of Section 3, the Company shall, at the written

request of the Holder, promptly provide the Holder a notice setting forth the Exercise Price and number of Warrant Shares after such

adjustment and setting forth a brief statement of the facts requiring such adjustment.

(iii). Notice to Allow Exercise by the Holder.

After the Issue Date if (A) the Company shall declare a dividend (or any other distribution in whatever form) on the Common Stock,

(B) the Company shall declare a special nonrecurring cash dividend on or a redemption of the Common Stock, (C) the Company

shall authorize the granting to all holders of the Common Stock rights or warrants to subscribe for or purchase any shares of capital

stock of any class or of any rights, (D) the approval of any stockholders of the Company shall be required in connection with any

reclassification of the Common Stock, any consolidation or merger to which the Company is a party, any sale or transfer of all or substantially

all of the assets of the Company (which, for the avoidance of doubt, shall not include a license or other agreement granting rights to

intellectual property), or any compulsory share exchange whereby the Common Stock is converted into other securities, cash or property,

or (E) the Company shall authorize the voluntary or involuntary dissolution, liquidation or winding up of the affairs of the Company,

then, in each case, the Company shall cause to be mailed to the Holder at its last address as it shall appear upon the Warrant Register,

at least ten (10) calendar days prior to the applicable record or effective date hereinafter specified, a notice stating (x) the

date on which a record is to be taken for the purpose of such dividend, distribution, redemption, rights or warrants, or vote of stockholders,

or if a record is not to be taken, the date as of which the holders of the Common Stock of record to be entitled to such dividend, distributions,

redemption, rights or warrants are to be determined or (y) the date on which such reclassification, consolidation, merger, sale,

transfer, share exchange, dissolution, liquidation or winding up is expected to become effective or close, and the date as of which it

is expected that holders of the Common Stock of record shall be entitled to exchange their shares of the Common Stock for securities,

cash or other property deliverable upon such reclassification, consolidation, merger, sale, transfer, share exchange, dissolution, liquidation

or winding up; provided that the failure to mail such notice or any defect therein or in the mailing thereof shall not affect

the validity of the corporate action required to be specified in such notice. To the extent that any notice provided hereunder constitutes,

or contains, material, non-public information regarding the Company or any of its subsidiaries, the Company shall promptly file such

notice with the SEC pursuant to a Current Report on Form 8-K.

(h) Limitation of Liability. No provision

hereof, in the absence of any affirmative action by the Holder to exercise this Warrant to purchase Warrant Shares, and no enumeration

herein of the rights or privileges of the Holder, shall give rise to any liability of the Holder for the purchase price of any Common

Stock or as a stockholder of the Company, whether such liability is asserted by the Company or by creditors of the Company.

(i) Remedies. The Holder, in addition

to being entitled to exercise all rights granted by law, including recovery of damages, will be entitled to specific performance of its

rights under this Warrant. The Company agrees that monetary damages would not be adequate compensation for any loss incurred by reason

of a breach by it of the provisions of this Warrant and hereby agrees to waive and not to assert the defense in any action for specific

performance that a remedy at law would be adequate. Notwithstanding the foregoing or anything else herein to the contrary, if the Company

is for any reason unable to issue and deliver Warrant Shares upon exercise of this Warrant as required pursuant to the terms hereof,

the Company shall have no obligation to pay to the Holder any cash or other consideration or otherwise “net cash settle”

this Warrant.

(j) Successors and Assigns. Subject

to applicable securities laws, this Warrant and the rights and obligations evidenced hereby shall inure to the benefit of and be binding

upon the successors and permitted assigns of the Company and the successors and permitted assigns of the Holder. The provisions of this

Warrant are intended to be for the benefit of any Holder from time to time of this Warrant and shall be enforceable by the Holder or

holder of Warrant Shares.

(k) Amendment. This Warrant may be

modified or amended or the provisions hereof waived with the written consent of the Company and the Holder.

(l) Severability. Wherever possible,

each provision of this Warrant shall be interpreted in such manner as to be effective and valid under applicable law, but if any provision

of this Warrant shall be prohibited by or invalid under applicable law, such provision shall be ineffective to the extent of such prohibition

or invalidity, without invalidating the remainder of such provisions or the remaining provisions of this Warrant.

9

(m) Confidentiality. The Holder agrees

to keep confidential any proprietary information relating to the Company delivered by the Company hereunder; provided that nothing herein

shall prevent the Holder from disclosing such information: (i) to any holder of Warrants or Warrant Shares, (ii) to any Affiliate

of any holder of Warrants or Warrant Shares or any actual or potential transferee of the rights or obligations hereunder that agrees

to be bound by this Section 5(m), (iii) upon order, subpoena, or other process of any court or administrative agency or otherwise

required by law, (iv) upon the request or demand of any regulatory agency or authority having jurisdiction over such party, (v) which

has been publicly disclosed without breach of any obligation to the Company, (vi) which has been obtained from any Person that is

not a party hereto or an Affiliate of any such party without any breach of any obligation to the Company, (vii) in connection with

the exercise of any remedy, or the resolution of any dispute hereunder, (viii) to the legal counsel or certified public accountants

for any holder of Warrants or Warrant Shares, or (ix) as otherwise expressly contemplated by this Warrant. Notwithstanding the foregoing,

the Company shall not provide material, non-public information or confidential or proprietary information to the Holder without such

Holder’s written consent. If the Company does provide material, non-public information or confidential or proprietary information

to the Holder without such Holder’s written consent, the Company shall promptly file such information with the SEC pursuant to

a Current Report on Form 8-K and the Holder shall not be subject to any duty of confidentiality contained herein with respect to

such information.

(n) Dispute Resolution. In the case

of a dispute as to the determination of the Exercise Price or the arithmetic calculation of the Warrant Shares, the Company shall submit

the disputed determinations or arithmetic calculations via email within two (2) Business Days of receipt of the Notice of Exercise

giving rise to such dispute, as the case may be, to the Holder. If the Holder and the Company are unable to agree upon such determination

or calculation of the Exercise Price or the Warrant Shares within three (3) Business Days of such disputed determination or arithmetic

calculation being submitted to the Holder, then the Company shall, within two (2) Business Days submit via email (i) the disputed

determination of the Exercise Price to an independent, reputable investment bank selected by the Company and approved by the Holder or

(ii) the disputed arithmetic calculation of the Warrant Shares to the Company’s independent, outside accountant. The Company

shall cause at its expense the investment bank or the accountant, as the case may be, to perform the determinations or calculations and

notify the Company and the Holder of the results no later than ten (10) Business Days from the time it receives the disputed determinations

or calculations. Such investment bank’s or accountant’s determination or calculation, as the case may be, shall be binding

upon all parties absent demonstrable error. The expenses of the investment bank and accountant will be borne by the Company unless the

investment bank or accountant determines that the determination of the Exercise Price or the arithmetic calculation of the Warrant Shares

by the Holder was incorrect, in which case the expenses of the investment bank and accountant will be borne by the Holder.

(o) Headings. The headings used in

this Warrant are for the convenience of reference only and shall not, for any purpose, be deemed a part of this Warrant.

********************

(Signature Pages Follow)

10

IN WITNESS WHEREOF, the Company has caused this

Pre-Funded Common Stock Purchase Warrant to be executed by its officer thereunto duly authorized as of the date first above indicated.

ACLARIS

THERAPEUTICS, INC.

By:

Name:

Title:

11

NOTICE OF EXERCISE

TO: ACLARIS THERAPEUTICS, INC.

(1) The undersigned holder of Warrant No. PF-

hereby elects to purchase                               Warrant

Shares of the Company pursuant to the terms of the attached Warrant (only if exercised in full), and tenders herewith payment of the

exercise price in full, together with all applicable transfer taxes, if any.

(2) Payment shall take the form of (check

applicable box):

¨

Cash Exercise: lawful money of the United States; or

¨

Cashless Exercise: the cancellation of such number of Warrant Shares as is necessary,

in accordance with the formula set forth in Section 2(d), to exercise this Warrant with respect to the maximum number of Warrant

Shares purchasable pursuant to the cashless exercise procedure set forth in Section 2(d).

(3) Please issue said Warrant Shares in

the name of the undersigned or in such other name as is specified below:

(4) By its delivery of this Notice of Exercise,

the undersigned represents and warrants to the Company that in giving effect to the exercise evidenced hereby the Holder will not beneficially

own in excess of the number of shares of Common Stock (as determined in accordance with Section 13(d) of the Securities Exchange

Act of 1934, as amended) permitted to be owned under Section 2(e) of the Warrant to which this notice relates.

The Warrant Shares shall be delivered to the

following DWAC Account Number or in book-entry form via a direct registration system to:

[SIGNATURE OF HOLDER]

Name

of Investing Entity:

Signature

of Authorized Signatory of Investing Entity:

Name

of Authorized Signatory:

Title

of Authorized Signatory:

Date:

12

ASSIGNMENT FORM

(To assign the foregoing warrant, execute

this form and supply required information.

Do not use this form to exercise the warrant.)

FOR VALUE RECEIVED, [         ]

all of or [           ] shares of the foregoing Warrant and all rights evidenced

thereby are hereby assigned to

whose

address is

.

Dated:

Holder’s

Signature:

Holder’s

Address:

NOTE: The signature to this Assignment Form must

correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever.

13

EX-5.1 — EXHIBIT 5.1

EX-5.1

Filename: tm2628355d1_ex5-1.htm · Sequence: 4

Exhibit 5.1

Mark D. Ballantyne

T: +1 703 456 8084

mballantyne@cooley.com

October 27, 2026

Aclaris Therapeutics, Inc.

701 Lee Road, Suite 103

Wayne, Pennsylvania 19087

Ladies and Gentlemen:

We have acted as counsel to Aclaris Therapeutics, Inc.,

a Delaware corporation (the “Company”), in connection with the offering by the Company of (i) up to 7,785,714

shares (the “Shares”) of the Company’s common stock, par value $0.00001 per share (“Common

Stock”), and (ii) pre-funded warrants (the “Warrants”) to purchase up to 6,500,000 shares

of Common Stock (the “Warrant Shares”), pursuant to a Registration Statement on Form S-3 (File No. 333-298084)

(the “Registration Statement”) filed by the Company with the Securities and Exchange Commission (the “Commission”)

under the Securities Act of 1933, as amended (the “Securities Act”), the base prospectus included in the Registration

Statement (the “Base Prospectus”) and the prospectus supplement with respect to the Shares, the Warrants and

the Warrant Shares dated October 27, 2026, filed with the Commission pursuant to Rule 424 under the Securities Act (together

with the Base Prospectus, the “Prospectus”).

In connection with this opinion, we have examined

and relied upon (a) the Registration Statement and the Prospectus, (b) the form of the Warrants to be filed as an exhibit to

a Current Report on Form 8-K, (c) the Company’s certificate of incorporation and bylaws, each as currently in effect,

and such other records, documents, opinions, certificates, memoranda and instruments as in our judgment are necessary or appropriate

to enable us to render the opinion expressed below. We have assumed the genuineness of all signatures, the authenticity of all documents

submitted to us as originals, the conformity to originals of all documents submitted to us as copies, the accuracy, completeness and

authenticity of certificates of public officials, and the due authorization, execution and delivery of all documents by all persons other

than the Company. As to certain factual matters, we have relied upon a certificate of an officer of the Company and have not independently

verified such matters.

With regard to our opinion below with respect

to the Warrants and the Warrant Shares, we have assumed (i) that a sufficient number of shares of Common Stock will be available

for issuance under the Company’s certificate of incorporation at the time the Warrant Shares are issued and (ii) that the

consideration received by the Company upon exercise of the Warrants will be at least equal to the par value of the Warrant Shares.

Our opinion is expressed solely with respect

to the General Corporation Law of the State of Delaware and, as to the Warrants constituting binding obligations of the Company, the

laws of the State of New York. We express no opinion to the extent that any other laws are applicable to the subject matter hereof and

express no opinion and provide no assurance as to compliance with any federal or state securities law, rule or regulation.

Cooley LLP Reston Town Center

11951 Freedom Drive 14th Floor Reston, VA 20190-5656

t: +1 703 456 8000 f: +1 703 456 8100 cooley.com

Aclaris Therapeutics, Inc.

October 27, 2026

Page Two

With regard

to our opinion concerning the Warrants constituting binding obligations of the Company:

(i)           Our

opinion is subject to, and may be limited by, (a) applicable bankruptcy, reorganization, insolvency, moratorium, fraudulent conveyance,

debtor and creditor, and similar laws which relate to or affect creditors’ rights generally, and (b) general principles of

equity (including, without limitation, concepts of materiality, reasonableness, good faith and fair dealing) regardless of whether considered

in a proceeding in equity or at law;

(ii)          Our

opinion is subject to the qualification that (a) the enforceability of provisions for indemnification or limitations on liability

may be limited by applicable law and by public policy considerations, and (b) the availability of specific performance, an injunction

or other equitable remedies is subject to the discretion of the court before which the request is brought;

(iii)         We

express no opinion with respect to any provision of the Warrants that: (a) relates to the subject matter jurisdiction of any federal

court of the United States of America or any federal appellate court to adjudicate any controversy related to the Warrants; (b) specifies

provisions may be waived in writing, to the extent that an oral agreement or implied agreement by trade practice or course of conduct

has been created that modifies such provision; (c) contains a waiver of an inconvenient forum; (d) provides for liquidated

damages, default interest, late charges, monetary penalties, prepayment or make-whole payments or other economic remedies; (e) relates

to advance waivers of claims, defenses, rights granted by law, or notice, opportunity for hearing, evidentiary requirements, statutes

of limitations, trial by jury, service of process or procedural rights; (f) restricts non-written modifications and waivers; (g) provides

for the payment of legal and other professional fees where such payment is contrary to law or public policy; (h) relates to exclusivity,

election or accumulation of rights or remedies; or (i) provides that provisions of the Warrants are severable to the extent an essential

part of the agreed exchange is determined to be invalid and unenforceable; and

(iv)        We

express no opinion as to whether a state court outside of the State of New York or a federal court of the United States would give effect

to the choice of New York law or jurisdiction provided for in the Warrants.

On the basis of the foregoing, in reliance thereon

and subject to the assumptions, qualifications, limitations and exceptions set forth herein, we are of the opinion that (i) the

Shares, when sold and issued against payment therefor in accordance with the Registration Statement and the Prospectus, will be validly

issued, fully paid and nonassessable, (ii) the Warrants, when duly executed and delivered by the Company against payment therefor

as described in the Registration Statement and the Prospectus, will be binding obligations of the Company and (iii) the Warrant

Shares, when issued and paid for in accordance with the terms of the Warrants, will be validly issued, fully paid and nonassessable.

This opinion is limited to the matters expressly

set forth in this letter, and no opinion has been or should be implied, or may be inferred, beyond the matters expressly stated. This

opinion speaks only as to law and facts in effect or existing as of the date hereof, and we have no obligation or responsibility to update

or supplement this letter to reflect any facts or circumstances that may hereafter come to our attention or any changes in law that may

hereafter occur.

Cooley LLP Reston Town Center

11951 Freedom Drive 14th Floor Reston, VA 20190-5656

t: +1 703 456 8000 f: +1 703 456 8100 cooley.com

Aclaris Therapeutics, Inc.

October 27, 2026

Page Three

We consent to the reference to our firm under

the heading “Legal Matters” in the Prospectus and to the filing of this opinion as an exhibit to the Company’s Current

Report on Form 8-K to be filed with the Commission for incorporation by reference into the Registration Statement. In giving such

consents, we do not thereby admit that we are in the category of persons whose consent is required under Section 7 of the Securities

Act or the rules and regulations of the Commission thereunder.

Very truly yours,

Cooley LLP

By:

/s/ Mark D. Ballantyne

Mark D. Ballantyne

Cooley LLP Reston Town Center

11951 Freedom Drive 14th Floor Reston, VA 20190-5656

t: +1 703 456 8000 f: +1 703 456 8100 cooley.com

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Two-character EDGAR code representing the state or country of incorporation.

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The exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

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-Name Exchange Act

-Number 240

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The Tax Identification Number (TIN), also known as an Employer Identification Number (EIN), is a unique 9-digit value assigned by the IRS.

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Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

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Local phone number for entity.

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Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act.

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Reference 1: http://www.xbrl.org/2003/role/presentationRef

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Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act.

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Reference 1: http://www.xbrl.org/2003/role/presentationRef

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Title of a 12(b) registered security.

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Name of the Exchange on which a security is registered.

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-Number 240

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-Subsection d1-1

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Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act.

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Reference 1: http://www.xbrl.org/2003/role/presentationRef

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Trading symbol of an instrument as listed on an exchange.

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- Definition

Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.

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Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

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