The following discussion and analysis should be read in conjunction with our
consolidated financial statements and related notes included elsewhere in this
Annual Report on Form 10-K. This discussion and analysis contains
forward-looking statements based upon current beliefs, plans and expectations
that involve risks, uncertainties and assumptions, such as statements regarding
our plans, objectives, expectations, intentions and projections. Our actual
results and the timing of selected events could differ materially from those
anticipated in these forward-looking statements as a result of several factors,
including those set forth in Part I, Item 1A, "Risk Factors" in this Annual
Report on Form 10-K. See the sections entitled "Risk Factors" and "Cautionary
Note Regarding Forward-Looking Statements."

Company Overview



We are a clinical stage pharmaceutical company focused on treating metabolic and
inflammatory diseases to minimize their long- term complications and improve the
lives of patients. We have an innovative pipeline of first-in-class small
molecule clinical and pre-clinical drug candidates. Our lead program is TTP399,
an orally administered, small molecule, liver-selective glucokinase activator
("GKA") as an adjunctive therapy to insulin for the treatment of type 1 diabetes
("T1D").

Recent Developments

On July 27, 2022, the Company appointed Paul Sekhri as President and Chief
Executive Officer (CEO) effective August 1, 2022, and Mr. Sekhri was confirmed
as a member of the board of directors on August 9, 2022. Mr. Sekhri brings
nearly 30 years of healthcare experience, including serving as President and CEO
of several healthcare companies, experience in several senior business
development and strategy roles and he has been a director on more than 30
private, public company and non-profit boards.

On December 13, 2022. the Company announced the appointment of Steven Tuch as
Chief Financial Officer effective December 8, 2022. Mr. Tuch brings more than 20
years of financial and business development experience with multiple life
science companies during various stages of financial planning and development.

The following table summarizes our drug candidates, their partnership status and their respective stages of development:


                    [[Image Removed: vtvt-20221231_g1.jpg]]

Our Type 1 Diabetes Program - TTP399



The Company is planning two pivotal, placebo-controlled clinical trials of
TTP399 in subjects with T1D and has engaged with the FDA on the optimal clinical
trial designs for these studies. The studies will recruit a total of
approximately 1,000 patients across two studies, and at least one of the studies
will be one year of treatment. The FDA and the Company
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have agreed on the primary endpoint for the studies as the difference between
placebo and TTP399-treated group in number of hypoglycemia events. We expect
site-specific startup activities and patient enrollment for these pivotal
studies to begin in the second half of 2023.

In October 2021, we announced positive results of a mechanistic study of TTP399
in patients with T1D. The study demonstrated that patients with T1D taking
TTP399 experienced no increase in ketone levels relative to placebo during a
period of acute insulin withdrawal, indicating no increased risk of
ketoacidosis. Consistent with previous clinical studies, improved fasting plasma
glucose levels and fewer hypoglycemic events were observed in the TTP399 treated
group during the week of treatment prior to the insulin withdrawal test. The
results of the mechanistic study provided additional evidence to support the
idea that treatment with TTP399 will not increase the risk of diabetic
ketoacidosis ("DKA") in patients with T1D. The data demonstrate that in contrast
to agents such as SGLT2 inhibitors and GLP­1RAs, TTP399 does not increase the
risk of ketoacidosis when used as an adjunctive therapy to insulin in
individuals with T1D. Moreover, these findings support prior studies that
demonstrate that TTP399 improves glucose control and reduces hypoglycemia and
suggests a protective effect of TTP399 against acidosis in people with T1D. Full
study results were published in the Diabetes Obesity and Metabolism journal in
conjunction with the 82nd American Diabetes Association Scientific Sessions on
June 6, 2022.

In April 2021, we announced that the FDA granted Breakthrough Therapy Designation ("BTD") for TTP399 as an adjunctive therapy to insulin for the treatment of T1D. This designation provides a sponsor with added support and the potential to expedite development and review timelines for a promising new investigational medicine.

G42 Investments



On May 31, 2022, the Company announced entry into agreements that include a
$25.0 million investment by G42 Investments AI Holding RSC Ltd. ("G42
Investments"). Under the terms of the agreements, the Company agreed to sell G42
Investments 10,386,274 shares of the Company's Class A common stock at an issue
price of $2.41 per share, with $12.5 million paid in cash at closing, and the
remaining amount of $12.5 million payable on May 31, 2023 pursuant to a
promissory note (the "G42 Promissory Note"). The agreements also provide for the
potential issuance of $30.0 million in additional shares of Class A common stock
to G42 Investments (or cash in lieu of such issuance at the option of G42
Investments) if the FDA approves the marketing and sale of a pharmaceutical
product containing TTP399 as the active ingredient for treatment of T1D in the
United States. The agreements set forth the terms under which the Company and an
affiliate of G42 Investments plan to collaborate on clinical trials for
pharmaceutical products that contain TTP399 and grant G42 Investments an
exclusive license to develop and commercialize pharmaceutical products
containing TTP399 in a specified territory, principally consisting of the Middle
East, North Africa and Central Asia. On February 28, 2023, the Company and G42
Investments amended the G42 Purchase Agreement and modified the G42 Promissory
Note to accelerate the payment due under the note. Pursuant to the amendment, on
February 28, 2023, the Company received $12.0 million, which reflected the
original amount due under the G42 Promissory Note less a 3.75% discount, in full
satisfaction of the note.

CinRx Purchase Agreement

On July 25, 2022, the Company announced entry into agreements that included a
$10.0 million investment by CinPax, LLC ("CinPax"), a subsidiary of CinRx
Pharma, LLC ("CinRx"). Under the terms of the agreements, CinPax acquired
4,154,549 shares of Class A common stock of vTv at an issue price of
approximately $2.41 per share, with $6.0 million paid in cash at closing, and
the remaining amount of $4.0 million was paid to the Company on November 22,
2022. The agreements also provide for the issuance of 1,200,000 warrants to
CinRx to acquire additional shares of Class A common stock that become
exercisable upon agreed vesting triggers (including FDA approval of TTP399). In
addition to the investment, the Company and CinRx entered into a Master Service
Agreement whereby CinRx provides the Company with consulting, preclinical and
clinical trial services, as enumerated in project proposals negotiated between
the Company and CinRx from time to time.

Holding Company Structure

vTv Therapeutics Inc. is a holding company, and its principal asset is a
controlling equity interest in vTv Therapeutics LLC ("vTv LLC"), the principal
operating subsidiary. We have determined that vTv LLC is a variable-interest
entity ("VIE") for accounting purposes and that vTv Therapeutics Inc. is the
primary beneficiary of vTv LLC because (through its managing member interest in
vTv LLC and the fact that the senior management of vTv Therapeutics Inc. is also
the senior management of vTv LLC) it has the power to direct all of the
activities of vTv LLC, which include those that most significantly impact vTv
LLC's economic performance. vTv Therapeutics Inc. has therefore consolidated vTv
LLC's results under the VIE accounting model in its consolidated financial
statements.

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Financial Overview

Revenue

To date, we have not generated any revenue from drug sales. Our revenue has been
primarily derived from up-front proceeds and research fees under collaboration
and license agreements.

In the future, we may generate revenue from a combination of product sales,
license fees, milestone payments and royalties from the sales of products
developed under licenses of our intellectual property. We expect that any
revenue we generate will fluctuate from quarter to quarter as a result of the
timing and amount of license fees, milestone and other payments, and the amount
and timing of payments that we receive upon the sale of our products, to the
extent any are successfully commercialized. If we fail to complete the
development of our drug candidates in a timely manner or obtain regulatory
approval for them, our ability to generate future revenue and our results of
operations and financial position will be materially adversely affected.

Research and Development Expenses



Since our inception, we have focused our resources on our research and
development activities, including conducting preclinical studies and clinical
trials, manufacturing development efforts and activities related to regulatory
filings for our drug candidates. We recognize research and development expenses
as they are incurred. Our direct research and development expenses consist
primarily of external costs such as fees paid to investigators, consultants,
central laboratories and contract research organizations in connection with our
clinical trials, and costs related to acquiring and manufacturing clinical trial
materials. Our indirect research and development costs consist primarily of cash
and share-based compensation costs, the cost of employee benefits and related
overhead expenses for personnel in research and development functions. Since we
typically use our employee and infrastructure resources across multiple research
and development programs such costs are not allocated to the individual
projects.

From our inception, including our predecessor companies, through December 31,
2022, we have incurred approximately $612.5 million in research and development
expenses.

Our research and development expenses by project for the years ended December 31, 2022, 2021 and 2020 were as follows (in thousands):



                                                           Years Ended 

December 31,


                                                       2022          2021          2020
       Direct research and development expense:
       TTP399                                       $  9,611      $  2,608      $    917
       HPP737                                              -         2,762           493
       Azeliragon                                          -           822         6,103
       Other projects                                    563           717           683
       Indirect research and development expense       2,183         6,415         2,819
       Total research and development expense       $ 12,357      $ 13,324      $ 11,015

We plan to continue to incur significant research and development expenses for the foreseeable future as we continue the development of TTP399 and further advance the development of our other drug candidates, subject to the availability of additional funding.



The successful development of our clinical and preclinical drug candidates is
highly uncertain. At this time, we cannot reasonably estimate the nature, timing
or costs of the efforts that will be necessary to complete the remainder of the
development of any of our clinical or preclinical drug candidates or the period,
if any, in which material net cash inflows from these drug candidates may
commence. This is due to the numerous risks and uncertainties associated with
the development of our drug candidates, including:

•the uncertainty of the scope, rate of progress and expense of our ongoing, as well as any additional, clinical trials and other research and development activities;

•the potential benefits of our candidates over other therapies;

•our ability to market, commercialize and achieve market acceptance for any of our drug candidates that we are developing or may develop in the future;


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•future clinical trial results;

•our ability to enroll patients in our clinical trials;

•the timing and receipt of any regulatory approvals; and

•the filing, prosecuting, defending and enforcing of patent claims and other intellectual property rights, and the expense of doing so.



A change in the outcome of any of these variables with respect to the
development of a drug candidate could mean a significant change in the costs and
timing associated with the development of that drug candidate. For example, if
the FDA or another regulatory authority were to require us to conduct clinical
trials beyond those that we currently anticipate will be required for the
completion of clinical development of a drug candidate, or if we experience
significant delays in enrollment in any of our clinical trials, we could be
required to expend significant additional financial resources and time with
respect to the development of that drug candidate.

General and Administrative Expenses



General and administrative expenses consist primarily of salaries, benefits and
related costs for employees in executive, finance, corporate development, human
resources and administrative support functions. Other significant general and
administrative expenses include accounting and legal services, expenses
associated with obtaining and maintaining patents, cost of various consultants,
occupancy costs and information systems.

Interest Income

Interest income represents non-cash interest income related to the imputed interest from our promissory note receivable, all of which are recognized in our Consolidated Statement of Operations using the effective interest method.

Interest Expense, Net



For periods prior to December 31, 2021, interest expense primarily consisted of
cash and non-cash interest expense related to our Venture Loan and Security
Agreement (the "Loan Agreement") with Horizon Technology Finance Corporation and
Silicon Valley Bank. The Loan Agreement was fully repaid and terminated in
December 2020. Cash interest on the Loan Agreement was recognized at a floating
interest rate equal to 10.5% plus the amount by which the one-month London
Interbank Offer Rate ("LIBOR") exceeded 0.5%. Non-cash interest expense
represented the amortization of the costs incurred in connection with the Loan
Agreement, the allocated fair value of the warrants to purchase shares of our
Class A common stock issued in connection with the Loan Agreement (the
"Warrants") and the accretion of the final interest payments (which were
required to be paid in cash upon maturity), all of which are recognized in our
Consolidated Statement of Operations using the effective interest method.

Other Income (Expense), Net



Other income/expense primarily consists of unrealized gains or losses
attributable to the changes in fair value of the equity investments held in our
licensees as well the recognition of changes in fair value of the warrants to
purchase shares of our Class A common stock held by related parties.

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Results of Operations

In this section, we discuss the results of our operations for the year ended
December 31, 2022, compared to the year ended December 31, 2021. For a
discussion of the year ended December 31, 2021, compared to the year ended
December 31, 2020, please refer to Part II, Item 7, "Management's Discussion and
Analysis of Financial Condition and Results of Operations" in our Annual Report
on Form 10-K for the year ended December 31, 2021.

Comparison of the years ended December 31, 2022 and 2021

The following table sets forth certain information concerning our results of operations for the periods shown:



(dollars in thousands)                                                            Year Ended
Statement of operations data:                              2022                    2021                     Change
Revenue                                               $         2,018       $            4,005       $            (1,987)
Operating expenses:
Research and development                                       12,357                   13,324                      (967)
General and administrative                                     12,201                   12,343                      (142)
Total operating expenses                                       24,558                   25,667                    (1,109)
Operating loss                                               (22,540)                 (21,662)                      (878)
Interest income                                                   352                        1                        351
Interest expense                                                 (15)                     (12)                        (3)
Other (expense) income, net                                   (2,670)                    4,057                    (6,727)
Loss before income taxes                                     (24,873)                 (17,616)                    (7,257)
Income tax provision                                              200                      115                         85
Net loss before noncontrolling interest                      (25,073)                 (17,731)                    (7,342)
Less: Net loss attributable to noncontrolling                 (5,909)                  (4,744)                    (1,165)

interest

Net loss attributable to vTv Therapeutics Inc. $ (19,164) $ (12,987) $

            (6,177)


Revenues

Revenues were $2.0 million and $4.0 million for the years ended December 31,
2022 and 2021, respectively. The revenue recognized in 2022 related to the
increase to the transaction price for the license performance obligations under
the amended license agreement with Huadong due to the satisfaction of a
development milestone. The revenue recognized in 2021 related to the
reallocation of revenue to the license and technology transfer performance
obligation made in connection with the First Huadong Amendment as well as
increases to the transaction prices for the license performance obligations
under the Newsoara License Agreement and the Reneo License Agreement due to the
satisfaction of development milestones.

Research and Development Expenses



Research and development expenses were $12.4 million and $13.3 million for the
years ended December 31, 2022 and 2021, respectively. The decrease in research
and development expenses during this period of approximately $1.0 million, or
7.3%, was primarily driven by (i) decreased spending of $2.8 million related to
the multiple ascending dose study for HPP737, due to its completion in 2021,
(ii) decrease of $2.0 million for a license payment in 2021 to Novo Nordisk for
the completion of TTP399 phase 2 studies in 2021, (iii) decreases in indirect
and other costs of $2.4 million primarily related to payroll and severance costs
due to the reduction in workforce, and (iv) and a decrease in clinical trial
costs of $0.8 million for azeliragon which was driven by discontinuance of its
development as a potential treatment of Alzheimer's disease in patients with
type 2 diabetes, partially offset by increases in TTP399 drug related costs of
$7.0 million and initial preparatory costs for the upcoming clinical trials.

General and Administrative Expenses



General and administrative expenses were $12.2 million and $12.3 million for the
years ended December 31, 2022 and 2021, respectively. The decrease in general
and administrative expenses during this period of approximately $0.1 million, or
1.2%, was primarily driven by (i) a decrease of $2.1 million in payroll costs
due to the reduction in workforce, (ii) a decrease of $0.7 million in severance
costs, and (iii) a decrease of $0.9 million in share-based expense, partially
offset by (iv) an increase in legal expense of $2.3 million, and v) an increase
of $1.3 million in other general and administrative costs.


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Interest Income



Interest income for the year ended December 31, 2022 is related to the imputed
interest on the G42 promissory note. Interest income for the year ended December
31, 2021, was insignificant.

Interest Expense, Net

Interest expense for the years ended December 31, 2022 and 2021, was insignificant.

Other Income / (Expense)



Other expense was $2.7 million for the year ended December 31, 2022 and was
driven by an unrealized loss recognized related to the Company's investment in
Reneo as well as the losses related to the change in the fair value of the
outstanding warrants to purchase shares of our Class A common stock issued to
related parties. Other income was $4.1 million for the year ended December 31,
2021, and was driven by an unrealized gain recognized related to the Company's
investment in Reneo as well as gains related to the change in fair value of the
outstanding warrants held by a related party.

Liquidity and Capital Resources

Liquidity and Going Concern



As of December 31, 2022, we had an accumulated deficit of $265.5 million. Since
our inception, we have experienced a history of negative cash flows from
operating activities. We anticipate that we will continue to incur losses for
the foreseeable future as we continue our clinical trials. Further, we expect
that we will need additional capital to continue to fund our operations. As of
December 31, 2022, we had cash and cash equivalents of $12.1 million. In
addition to available cash and cash equivalents, we are evaluating several
financing strategies to fund the on-going and future clinical trials of TTP399,
including direct equity investments and the potential licensing and monetization
of other Company programs. The Company received proceeds of $12.0 million from
the G42 promissory note on February 28, 2023 (See Note 20).

Based on our current operating plan, we may rely on the remaining availability
of $37.3 million under our Controlled Equity OfferingSM Sales Agreement (the
"Sales Agreement") with Cantor Fitzgerald & Co. ("Cantor Fitzgerald") pursuant
to which we could offer and sell, from time to time shares of our Class A common
stock (the "ATM Offering") and our ability to sell approximately 9.4 million
shares of Class A common stock to Lincoln Park Capital Fund, LLC ("Lincoln
Park") pursuant and subject to the limitations of the purchase agreement (the
"LPC Purchase Agreement"). However, the ability to use these sources of capital
is dependent on a number of factors, including the prevailing market price of
and the volume of trading in our Class A common stock. In addition to available
cash and cash equivalents and available funds discussed above, we are seeking
possible additional partnering opportunities for our GKA, GLP-1r and other drug
candidates which we believe may provide additional cash for use in our
operations and the continuation of the clinical trials for our drug candidates.
We are evaluating several financing strategies to fund our planned and ongoing
clinical trials, including direct equity investments and future public offerings
of our common stock. The timing and availability of such financing are not yet
known. We are currently in active discussions with respect to financing,
partnering and licensing transactions for the further development of TTP399, but
we may not be successful in completing such transactions. These factors raise
substantial doubt about our ability to continue as a going concern.

ATM Offering
We have entered into the Sales Agreement with Cantor Fitzgerald pursuant to
which we may offer and sell, from time to time, through or to Cantor Fitzgerald,
as sales agent or principal, shares of our Class A common stock having an
aggregate offering price of up to $68.5 million. We are not obligated to sell
any shares under the Sales Agreement. Under the terms of the Sales Agreement, we
will pay Cantor Fitzgerald a commission of up to 3% of the aggregate proceeds
from the sale of shares and reimburse certain legal fees or other disbursements.
As of December 31, 2022, we have sold $31.2 million worth of Class A common
stock under the ATM Offering for net proceeds of $30.3 million, leaving $37.3
million available to be sold.

Lincoln Park Purchase Agreement

We have entered into the LPC Purchase Agreement, pursuant to which we have the right to sell to Lincoln Park shares of the Company's Class A common stock having an aggregate value of up to $47.0 million. As of December 31, 2022, we


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have issued 5,331,306 of these shares for gross proceeds of approximately $11.1 million, leaving $35.9 million available to be sold.



Over the 36-month term of the LPC Purchase Agreement, we have the right, but not
the obligation, from time to time, in our sole discretion, to direct Lincoln
Park to purchase up to 250,000 shares per day (the "Regular Purchase Share
Limit") of the Class A common stock (each such purchase, a "Regular Purchase").
The Regular Purchase Share Limit will increase to 275,000 shares per day if the
closing price of the Class A common stock on the applicable purchase date is not
below $4.00 per share and will further increase to 300,000 shares per day if the
closing price of the Class A common stock on the applicable purchase date is not
below $5.00 per share. In any case, Lincoln Park's maximum obligation under any
single Regular Purchase will not exceed $2,000,000. The purchase price for
shares of Class A common stock to be purchased by Lincoln Park under a Regular
Purchase will be equal to the lower of (in each case, subject to the adjustments
described in the LPC Purchase Agreement): (i) the lowest sale price for the
Class A common stock on the applicable purchase date and (ii) the arithmetic
average of the three lowest closing sales prices for the Class A common stock
during the 10 consecutive trading days prior to the purchase date.

If we direct Lincoln Park to purchase the maximum number of shares of Class A
common stock that we may sell in a Regular Purchase, then in addition to such
Regular Purchase, and subject to certain conditions and limitations in the LPC
Purchase Agreement, we may direct Lincoln Park to make an "accelerated purchase"
and an "additional accelerated purchase", each of an additional number of shares
of Class A common stock which may not exceed the lesser of: (i) 300% of the
number of shares purchased pursuant to the corresponding Regular Purchase and
(ii) 30% of the total number of shares of the common stock traded during a
specified period on the applicable purchase date as set forth in the LPC
Purchase Agreement. The purchase price for such shares will be the lesser of (i)
97% of the volume weighted average price of the Class A common stock over a
certain portion of the date of sale as set forth in the LPC Purchase Agreement
and (ii) the closing sale price of the Class A common stock on the date of sale
(an "Accelerated Purchase"). Under certain circumstances and in accordance with
the LPC Purchase Agreement, we may direct Lincoln Park to purchase shares in
multiple Accelerated Purchases on the same trading day.

The LPC Purchase Agreement also prohibits us from directing Lincoln Park to
purchase any shares of its Class A common stock if those shares, when aggregated
with all other shares of Class A common stock then beneficially owned by Lincoln
Park and its affiliates, would result in Lincoln Park and its affiliates having
beneficial ownership, at any single point in time, of more than 9.99% of the
then total outstanding shares of Class A common stock as calculated pursuant to
Section 13(d) of the Securities Exchange Act of 1934, as amended, and Rule 13d-3
thereunder.

Cash Flows

                                                                               Year Ended December 31,
                                                                               2022                   2021
(dollars in thousands)
Net cash used in operating activities                                  $     (16,022)             $  (19,308)
Net cash used in investing activities                                            (21)                      -
Net cash provided by financing activities                                     14,754                  26,976
Net (decrease)/increase in cash and cash equivalents                   $      (1,289)             $    7,668


Operating Activities

For the year ended December 31, 2022, our net cash used in operating activities
decreased by $3.3 million from the prior year. The significant contributor to
the change in cash used during the year was working capital changes offset by
$6.8 million of cash received related to contract liabilities as a result from
the excess of the fair value of the Class A common stock issued to G42
Investments.

Investing Activities



For the year ended December 31, 2022, net cash used in investing activities was
insignificant. No cash was provided by or used in investing activities for the
year ended December 31, 2021.

Financing Activities

For the year ended December 31, 2022, net cash provided by financing activities
was $14.8 million, consisting primarily of net proceeds from sales of our Class
A common stock under the G42 Investments and CinRx Purchase
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Agreements. For the year ended December 31, 2021, net cash provided by financing
activities was driven by sales of shares of our Class A common stock during the
year ended December 31, 2021.

Future Funding Requirements



To date, we have not generated any revenue from drug product sales. We do not
know when, or if, we will generate any revenue from drug product sales. We do
not expect to generate revenue from drug sales unless and until we obtain
regulatory approval of and commercialize any of our drug candidates. At the same
time, we expect our expenses to continue or to increase in connection with our
ongoing development activities, particularly as we continue the research,
development and clinical trials of, and seek regulatory approval for, our drug
candidates. In addition, subject to obtaining regulatory approval of any of our
drug candidates, we expect to incur significant commercialization expenses for
product sales, marketing, manufacturing and distribution. We anticipate that we
will need substantial additional funding in connection with our continuing
operations.

Based on our current operating plan, we believe that our current cash and cash
equivalents and proceeds from the G42 promissory note of $12.0 million which was
received on February 28, 2023 (see Note 20) will allow us to meet our liquidity
requirements through the end of the second quarter of 2023. We plan to finance
our operations into the first quarter of 2024 through the use of our cash and
cash equivalents and based on current operating plans, we are evaluating several
financing strategies to fund the on-going and future clinical trials of TTP399,
including direct equity investments and the potential licensing and monetization
of other Company programs. The timing of any such transactions is not certain,
and we may not be able to complete such transactions on acceptable terms, or at
all. Even if we are able to complete such transactions, it may contain
restrictions on our operations or cause substantial dilution to our
stockholders. We have based our estimates on assumptions that may prove to be
wrong, and we may use our available capital resources sooner than we currently
expect. Because of the numerous risks and uncertainties associated with the
development and commercialization of our drug candidates, we are unable to
estimate the amounts of increased capital outlays and operating expenditures
necessary to complete the development of our drug candidates. Additionally, we
may rely on our ability to sell shares of our Class A common stock pursuant to
the ATM Offering and LPC Purchase Agreement. However, the ability to use these
sources of capital is dependent on a number of factors, including the prevailing
market price of and the volume of trading in the Company's Class A common stock,
and we may use our available capital resources sooner than we currently expect.

Our future capital requirements will depend on many factors, including:

•The progress, costs, results and timing of our planned trials to evaluate TTP399 as a potential adjunctive therapy for the treatment of type 1 diabetes;



•the willingness of the FDA to rely upon our completed and planned clinical and
preclinical studies and other work, as the basis for review and approval of our
drug candidates;

•the outcome, costs and timing of seeking and obtaining FDA and any other regulatory approvals;

•the number and characteristics of drug candidates that we pursue, including our drug candidates in preclinical development;

•the ability of our drug candidates to progress through clinical development successfully;

•our need to expand our research and development activities;

•the costs associated with securing, establishing and maintaining commercialization capabilities;

•the costs of acquiring, licensing or investing in businesses, products, drug candidates and technologies;

•our ability to maintain, expand and defend the scope of our intellectual property portfolio, including the amount and timing of any payments we may be required to make, or that we may receive, in connection with the licensing, filing, prosecution, defense and enforcement of any patents or other intellectual property rights;

•our need and ability to hire additional management and scientific and medical personnel;

•the effect of competing technological and market developments;

•our need to implement additional internal systems and infrastructure, including financial and reporting systems;



•the economic and other terms, timing and success of our existing licensing
arrangements and any collaboration, licensing or other arrangements into which
we may enter in the future;

•the amount of any payments we are required to make to M&F TTP Holdings Two LLC in the future under the Tax Receivable Agreement; and


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•the impact and duration of the COVID-19 outbreak / pandemic.



Until such time, if ever, as we can generate substantial revenue from drug
sales, we expect to finance our cash needs through a combination of equity
offerings, debt financings, marketing and distribution arrangements and other
collaborations, strategic alliances and licensing arrangements. We currently
have committed external source of funds available through the ATM Offering and
LPC Purchase Agreement.

To the extent that we raise additional capital through the sale of equity or
convertible debt securities, the ownership interests of our common stockholders
will be diluted, and the terms of these securities may include liquidation or
other preferences that adversely affect the rights of our common stockholders.
Debt financing and preferred equity financing, if available, may involve
agreements that include covenants that will further limit or restrict our
ability to take specific actions, such as incurring additional debt, making
capital expenditures or declaring dividends. If we raise additional funds
through collaborations, strategic alliances or marketing, distribution or
licensing arrangements with third parties, we may be required to relinquish
valuable rights to our technologies, future revenue streams or drug candidates
or grant licenses on terms that may not be favorable to us. If we are unable to
obtain additional funding, we could be forced to delay, reduce or eliminate our
research and development programs or commercialization efforts, or pursue one or
more alternative strategies, such as restructuring, any of which could adversely
affect our business prospects.

Off-Balance Sheet Arrangements

As of December 31, 2022, we do not currently have outstanding any off-balance sheet arrangements as defined under SEC rules.

Discussion of Critical Accounting Policies and Estimates



Our management's discussion and analysis of our financial condition and results
of operations is based on our financial statements, which we have prepared in
accordance with generally accepted accounting principles in the United States
("GAAP"). The preparation of our financial statements requires us to make
estimates and assumptions that affect the reported amounts of assets and
liabilities and the disclosure of contingent assets and liabilities at the date
of our financial statements, as well as the reported revenues and expenses
during the reported periods. We evaluate these estimates and judgments on an
ongoing basis. We base our estimates on historical experience and on various
other factors that we believe are reasonable under the circumstances, the
results of which form the basis for making judgments about the carrying value of
assets and liabilities that are not readily apparent from other sources. Actual
results may differ from these estimates under different assumptions or
conditions.

While our significant accounting policies are more fully described in Note 2,
"Summary of Significant Accounting Policies," to our audited financial
statements, we believe that the following accounting policies related to revenue
recognition, research and development, income taxes, and share-based
compensation are the most critical for fully understanding and evaluating our
financial condition and results of operations.

Basis of Presentation



The Company is a holding company, and its principal asset is a controlling
equity interest in vTv LLC, the Company's principal operating subsidiary. The
Company has determined that vTv LLC is a VIE for accounting purposes and that
the Company is the primary beneficiary of vTv LLC because (through its managing
member interest in vTv LLC and the fact that the senior management of the
Company is also the senior management of vTv LLC) it has the power to direct all
of the activities of vTv LLC, which include those that most significantly impact
vTv LLC's economic performance. The Company has therefore consolidated vTv LLC's
results under the VIE accounting model in its consolidated financial statements.

Revenue Recognition



The majority of our revenue results from its license and collaboration
agreements associated with the development of investigational drug products. We
account for a contract when it has approval and commitment from both parties,
the rights of the parties are identified, payment terms are identified, the
contract has commercial substance and collectability of consideration is
probable. For each contract meeting these criteria, we identify the performance
obligations included within the contract. A performance obligation is a promise
in a contract to transfer a distinct good or service to the customer. We then
recognize revenue under each contract as the related performance obligations are
satisfied.

The transaction price under the contract is determined based on the value of the
consideration expected to be received in exchange for the transferred assets or
services. Development, regulatory and sales milestones included in our
collaboration agreements are considered to be variable consideration. The amount
of variable consideration expected to be received is included in the transaction
price when it becomes probable that the milestone will be met. For contracts
with multiple
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performance obligations, the contract's transaction price is allocated to each
performance obligation using our best estimate of the standalone selling price
of each distinct good or service in the contract. The primary method used to
estimate standalone selling price is the expected cost plus margin approach.
Revenue is recognized over the related period over which we expect the services
to be provided using a proportional performance model or a straight-line method
of recognition if there is no discernable pattern over which the services will
be provided.

See Note 2 "Summary of Significant Accounting Policies", to the Consolidated
Financial Statements in Item 15 of Part IV of this Annual Report on Form 10-K
for further information regarding the adoption of ASC 606, "Revenue From
Contracts With Customers" and the related changes in the recognition of revenue
that were adopted on January 1, 2018.

Research and Development



Major components of research and development costs include cash compensation,
costs of preclinical studies, clinical trials and related clinical
manufacturing, costs of drug development, costs of materials and supplies,
facilities cost, overhead costs, regulatory and compliance costs, and fees paid
to consultants and other entities that conduct certain research and development
activities on our behalf. Costs incurred in research and development are
expensed as incurred.

We record accruals based on estimates of the services received, efforts expended
and amounts owed pursuant to contracts with numerous contract research
organizations. In the normal course of business, we contract with third parties
to perform various clinical study activities in the ongoing development of
potential products. The financial terms of these agreements are subject to
negotiation and variation from contract to contract and may result in uneven
payment flows. Payments under the contracts depend on factors such as the
achievement of certain events and the completion of portions of the clinical
study or similar conditions. The objective of our accrual policy is to match the
recording of expenses in our financial statements to the actual services
received and efforts expended. As such, expense accruals related to clinical
studies are recognized based on our estimate of the degree of completion of the
event or events specified in the specific clinical study.

We record nonrefundable advance payments we make for future research and development activities as prepaid expenses. Prepaid expenses are recognized as expense in the statements of operations as we receive the related goods or services.

Income Taxes



In connection with the IPO, vTv Therapeutics Inc. was formed. From August 1,
2015, vTv Therapeutics Inc. has been subject to corporate level income taxes.
Prior to July 30, 2015, our predecessor entities were taxed as partnerships and
all their income and deductions flowed through and were subject to tax at the
partner level.

vTv Therapeutics Inc. holds vTv Units and is required to recognize deferred tax
assets and liabilities for the difference between the financial reporting and
tax basis of its investment in vTv LLC.

Our income tax expense, deferred tax assets and liabilities and reserves for
unrecognized tax benefits reflect management's best assessment of estimated
future taxes to be paid. We are subject to income taxes in both the United
States and various state jurisdictions. Significant judgments and estimates are
required in determining the consolidated income tax expense.

We account for income taxes under the asset and liability method, which requires
the recognition of deferred tax assets and liabilities for the expected future
tax consequences of events included in the financial statements. Under this
method, we determine deferred tax assets and liabilities on the basis of
differences between the financial statement and tax bases of assets and
liabilities by using enacted tax rates in effect for the year in which the
differences are expected to reverse. The effect of a change in tax rates on
deferred tax assets and liabilities is recognized in income in the period in
which the enactment date occurs.

We recognize deferred tax assets to the extent we believe these assets are
more-likely-than-not to be realized. In making such a determination, we consider
all available positive and negative evidence, including future reversals of
existing taxable temporary differences, projected future taxable income, tax
planning strategies and recent results of operations.

We record uncertain tax positions on the basis of a two-step process in which
(1) we determine whether it is more-likely-than-not that the tax positions will
be sustained on the basis of the technical merits of the position and (2) for
those tax positions meeting the more-likely-than-not recognition threshold, we
recognize the largest amount of tax benefit that is more than 50% likely to be
realized upon ultimate settlement with the related tax authority.
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Interest and penalties related to income taxes are included in the benefit
(provision) for income taxes in our Consolidated Statement of Operations. We
have not incurred any significant interest or penalties related to income taxes
in any of the periods presented.

Share-Based Compensation



Compensation expense for share-based compensation awards issued is based on the
fair value of the award at the date of grant, and compensation expense is
recognized for those awards earned over the service period. The grant date fair
value of stock option awards is estimated using the Black-Scholes option pricing
formula. Expected volatility is based on the historical volatility of the
Company's Class A common stock over the most recent period commensurate with the
estimated expected term of the Company's stock options offering period which is
derived from historical experience. The risk-free rate is based on the U.S.
Treasury yield curve in effect at the time of grant. Due to a lack of historical
exercise data, we estimate the expected life of our outstanding stock options
using the simplified method specified under Staff Accounting Bulletin Topic
14.D.2. The fair value of restricted stock units ("RSU") grants are based on the
market value of our Class A common stock on the date of grant. We also estimate
the amount of share-based awards that are expected to be forfeited based on
historical employee turnover rates.

Effect of Recent Accounting Pronouncements

See discussion of recent accounting pronouncements in Note 2, "Summary of Significant Accounting Policies", to the Consolidated Financial Statements in Item 15 of Part IV of this Annual Report on Form 10-K.

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