Item 1.01 Entry into a Material Definitive Agreement.

On January 15, 2021, Spero Therapeutics, Inc. (the "Company") entered into an amended and restated license agreement (the "Amended Agreement") with Everest Medicines II Limited ("Everest") and the Company's wholly owned subsidiary, Spero Potentiator, Inc. ("Potentiator"), which amended and restated in its entirety the License Agreement, dated January 1, 2019, by and among Everest, Potentiator and the Company's wholly owned subsidiary, New Pharma License Holdings Limited (the "Original Agreement").

Pursuant to the Original Agreement, the Company (i) granted Everest an exclusive license under certain patents and know-how to develop, manufacture and commercialize the Company's product candidate SPR206 (the "Compound") or products that contain the Compound in Greater China, South Korea and certain Southeast Asian countries (the "Territory") and (ii) granted Everest an option to negotiate for an exclusive license to use certain intellectual property rights of Potentiator to develop and commercialize the Company's product candidate SPR741 in the Territory (the "SPR741 Option"). The Original Agreement included certain milestone dates and payments to the Company based on the parties' development plans for SPR206 at the time. The Amended Agreement modifies the dates and values of certain milestone events related to development and commercialization of the Compound. Everest will be now be making more significant investments in the development of SPR206 beyond what was contemplated at the time of the Original Agreement. The Original Agreement provided that the Company could receive up to $59.5 million upon achievement of certain milestones. The Amended Agreement provides that the Company may receive up to $38.0 million upon achievement of certain milestones, of which $2.0 million has been received to date. In addition, under the Amended Agreement, the Company assigned patents in the Territory to Everest, rather than licensing such patents to Everest, and the SPR741 Option and related provisions have been removed.

The foregoing description of the terms of the Amended Agreement does not purport to be complete and is qualified in its entirety by reference to the Amended Agreement, which the Company intends to file as an exhibit to its Annual Report on Form 10-K for the year ended December 31, 2020. The Company intends to seek confidential treatment for certain portions of the Amended Agreement pursuant to a Confidential Treatment Request to be submitted to the Securities and Exchange Commission pursuant to Rule 24b-2 under the Securities Exchange Act of 1934, as amended.





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