FIRST AMENDMENT TO SUBLEASE AGREEMENT

Exhibit 10.14

EXECUTION COPY

FIRST AMENDMENT TO SUBLEASE AGREEMENT

This First Amendment to Sublease Agreement (“First Amendment”) is made and entered into as of December 22, 2008 by and between SMITH & NEPHEW, INC., a Delaware corporation (“Sublandlord”), having an address of 1450 Brooks Road, Memphis, TN 38116, and ADVANCED BIOHEALING, INC., a Delaware corporation (“Subtenant”), having an address of 347 Fifth Avenue, Suite 1407, New York, New York 10016.

RECITALS

A. Sublandlord entered into a certain Lease Agreement dated November 22, 2002 (“Master Lease”), as tenant, with ARE-10933 North Torrey Pines, LLC, a Delaware limited liability company (“Master Landlord”), as landlord, for the premises located at 10933 North Torrey Pines Road, Suite 600, La Jolla, California (the “Premises).

B. Sublandlord subsequently subleased the Premises to Subtenant pursuant to the terms and conditions of that certain Sublease Agreement dated May 25, 2006 (“S&N Sublease”). A copy of the S&N Sublease is attached hereto as Exhibit “A” and incorporated herein by this reference. All terms capitalized but undefined herein shall have the meanings ascribed to them in the S&N Sublease.

C. Concurrently with the execution of the S&N Sublease, Subtenant entered into a sublease agreement with Smith & Nephew Wound Management (La Jolla) (“SNWM”), an affiliate of Sublandlord, for those certain premises located adjacent to the Premises (“SNWM Sublease”). The S&N Sublease and the SNWM Sublease are sometimes hereinafter collectively referred to as the Sublease Agreements.

D. As security for Subtenant’s obligations under the Sublease Agreements, SNWM, Sublandlord and Subtenant entered into the Security Agreement, dated May 25, 2006, the Patent Security Agreement, dated May 25, 2006, and the Trademark Security Agreement, dated May 25, 2006 (collectively referred to herein as the “Security Agreements”) pursuant to which Subtenant granted SNWM and Sublandlord a security interest in certain properties described therein.

E. Now, all parties mutually desire to (i) terminate the Security Agreements pursuant to the Security Agreement Termination and Security Discharge Agreement dated as of the date hereof, and (ii) amend the Sublease Agreements to provide for a cash security deposit in lieu of the security interests under the Security Agreements, as hereinafter set forth.

NOW, THEREFORE, in consideration of the foregoing recitals, the mutual promises contained in this First Amendment, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Sublandlord and Subtenant agree as follows:

AGREEMENTS

1. Section 5.1 of the S&N Sublease is hereby deleted in its entirety and restated as follows:

“5.1 The Initial Sublease Term is hereby extended to December 31, 2011 (“Extension Term”) The Extension Term shall be on the same terms and provisions of the Initial Sublease Term, except that the (i) Base Sublease Rent shall be $23,056.37 per month; and (ii) Subtenant’s Operating Expense Contribution shall be $3,842.73 per month.”

2. Sections 5.2, 5.3 and 5.4 of the S&N Sublease are hereby deleted in their entirety.

3. Section 6 of the S&N Sublease, titled Security Deposit; Letter of Credit, is hereby deleted in its entirety and restated as follows:

“6. Security Deposit

6.1 Security Deposit. On or before December 31, 2008, Subtenant shall deposit with Sublandlord the sum of $69,169.11 Dollars (“Security Deposit”) as security for the faithful performance and observance by Subtenant of all of the terms, covenants and conditions of this Sublease on Subtenant’s part to be performed and observed. Sublandlord may use, apply or retain the whole or any part of the Security Deposit to the extent required for the payment of any Rent and any other sums as to which Subtenant may be in default hereunder beyond the expiration of applicable grace and notice periods and for any sum which Sublandlord may expend or may be required to expend by reason of Subtenant’s default beyond the expiration of applicable grace and notice periods in respect of any of the terms, covenants and conditions of this Sublease. In the event Subtenant is not in default of any Subtenant covenant hereunder, past any applicable grace and notice periods, then the Security Deposit shall be applied, in equal amounts, to the last three installments of the Base Sublease Rent due and owing hereunder by Subtenant. Sublandlord may commingle the Security Deposit with Sublandlord’s other funds Following any application of the Security Deposit, Subtenant, on demand, shall restore the Security Deposit to its original amount and Subtenant’s failure to do so within ten (10) days of written notice from Sublandlord shall be a default hereunder. In the event that Subtenant shall fully and faithfully comply with all of the terms, provisions, covenants and conditions of this Sublease, the Security Deposit, or so much thereof as shall not have been applied by Sublandlord as aforesaid, shall be returned to Subtenant promptly following the expiration date of the S&N Sublease or date of earlier termination and delivery of the entire possession of the Premises to Sublandlord.

6.2 Subtenant’s Acknowledgments Regarding Security Deposit. Subtenant acknowledges and agrees that the amount of the Security Deposit shall not be considered a measure of Sublandlord’s damages in case of Default by Subtenant or in any way limit such damages. In the event of bankruptcy or other debtor relief proceedings by or against Subtenant, proceeds of the Security Deposit shall be deemed to be applied first to the payment of rent and other charges due to Sublandlord, in the order the such rent or charges became due and owing, for all periods prior to filing of such proceedings.”

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[signature page follows]

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IN WITNESS WHEREOF, each of the parties hereto has caused this First Amendment to be duly executed as of the date first above written.

[Signature page to First Amendment To Sublease Agreement.]

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EXHIBIT A

[Sublease Agreement Attached]

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