Financial Performance - The company has incurred net losses of 50.8millionand117.2 million for the three and nine months ended September 30, 2024, respectively, with an accumulated deficit of 628.9million[193].−Thecompanyhasnotgeneratedanyrevenuefromproductsalesanddoesnotexpecttodosofortheforeseeablefuture[198].−Thenetlossbeforeincometaxprovisionwas54.3 million for the three months ended September 30, 2024, compared to a net loss of 47.6millioninthesameperiodof2023[221].−NetlossforQ32024was50.8 million, compared to a net loss of 49.9millioninQ32023,reflectinganincreaseinoperationallosses[221].−NetlossfortheninemonthsendedSeptember30,2024,was117.2 million, a decrease in loss compared to 131.6millioninthesameperiodof2023[229].RevenueandCollaboration−Thecompanyhasreceivedgrossproceedsof1.4 billion from the sale of ordinary shares and 233.6millionfromcollaborationarrangementssinceitsinceptionin2009[192].−Collaborationrevenuesdecreasedby2.7 million to 2.7millionforthethreemonthsendedSeptember30,2024,downfrom5.4 million in the same period of 2023 [220]. - Collaboration revenues increased by 9.9millionto31.6 million for the nine months ended September 30, 2024, driven by collaborations with Novartis, Genentech, and Bayer [228]. Expenses and Costs - Total operating expenses increased by 10.4millionto66.5 million for the three months ended September 30, 2024, compared to 56.1millioninthesameperiodof2023[221].−Researchanddevelopmentexpensesincreasedby8.4 million to 48.3millionforthethreemonthsendedSeptember30,2024,comparedto39.9 million in the same period of 2023 [221]. - General and administrative expenses increased by 2.0millionto18.3 million for the three months ended September 30, 2024, primarily due to a 0.7millionincreaseinpersonnel−relatedcostsanda0.7 million increase in share-based compensation [224]. - Total operating expenses for the nine months ended September 30, 2024, were 173.8million,anincreaseof16.4 million compared to the same period in 2023 [229]. - Research and development expenses rose by 11.4millionto123.2 million for the nine months ended September 30, 2024, primarily due to increased clinical program expenses for zelenectide pevedotin [232]. - General and administrative expenses increased by 5.0millionto50.6 million for the nine months ended September 30, 2024, mainly due to higher personnel-related costs and share-based compensation [234]. Cash and Financing - As of September 30, 2024, the company had cash and cash equivalents of 890.9million,whichisexpectedtofundoperationsforatleast12months[197].−NetcashusedinoperatingactivitiesfortheninemonthsendedSeptember30,2024,was155.3 million, compared to 13.3millionforthesameperiodin2023[239].−NetcashprovidedbyfinancingactivitiesfortheninemonthsendedSeptember30,2024,was519.5 million, up from 249.6millioninthesameperiodof2023,representinga108.331.9 million related to the Loan Agreement on July 9, 2024, which included 30.0millioninoutstandingborrowings[246].ResearchandDevelopment−Thecompanyisfocusingonadvancingitsproductcandidates,includingconductingfutureclinicaltrialsforzelenectidepevedotin,BT5528,BT7480,andBT1718[194].−TheongoingPhaseIIexpansionoftheclinicaltrialforzelenectidepevedotincontributedtoa10.2 million increase in clinical program expenses [222]. - The company has incurred approximately 129.3 million in direct external expenses for the development of zelenectide pevedotin since its candidate nomination [223]. - The increase in R&D expenses was primarily due to 28.1 million in clinical program expenses for zelenectide pevedotin and $9.0 million in employee-related expenses [232]. Regulatory and Tax Considerations - Zelenectide pevedotin and BT5528 have both been granted Fast Track Designation by the FDA for the treatment of locally advanced or metastatic urothelial cancer [186]. - The U.K. research and development tax credit allows for a cash rebate of up to 33.35% of qualifying expenditures incurred prior to April 1, 2023 [216]. - The company is subject to potential changes in U.K. R&D tax credit regulations that may impact future claims for subcontracted R&D activities [217]. - The U.K. research and development tax credit is fully refundable and recorded as a reduction to research and development expenses, benefiting the company's financial position [214]. Future Outlook and Challenges - The company anticipates significant increases in expenses and capital requirements as it advances its product candidates into later-stage clinical trials [194]. - The company expects to incur significant commercialization expenses if marketing approval is obtained for any product candidates [249]. - The company is facing challenges due to high inflation rates and rising interest rates, which may impact operating results and capital raising efforts [260]. - The company may need to delay or reduce research and development programs if capital cannot be raised on attractive terms [260]. - There is a risk of dilution for existing shareholders if additional capital is raised through equity sales [256].