Clinical Trials and Regulatory Outlook - AXPAXLI is currently in two Phase 3 clinical trials for wet AMD, with the SOL-1 trial having randomized 344 subjects as of December 2024[101][102]. - The SOL-1 trial aims to assess the safety and efficacy of AXPAXLI compared to aflibercept, with a primary endpoint of maintaining visual acuity at Week 36[101][106]. - The SOL-R trial, initiated in June 2024, plans to enroll approximately 555 subjects and has a primary endpoint of non-inferiority in mean change in BCVA at Week 56[107][109]. - The FDA agreed that the SOL-R trial should support a potential NDA for AXPAXLI, indicating a favorable regulatory outlook[108]. - The company plans to submit an NDA for AXPAXLI for wet AMD if favorable results are obtained from the SOL-1 and SOL-R trials[109]. - The company is actively planning next steps for AXPAXLI in treating NPDR and DME following positive FDA feedback on trial design[110]. Financial Performance - DEXTENZA's net product revenue for Q1 2025 was 10.6million,adecreaseof4.1 million or 27.7% compared to Q1 2024, attributed to pricing strategy impacts[113]. - Product revenue decreased to 10.6millionforthethreemonthsendedMarch31,2025,downfrom14.7 million in the same period of 2024, reflecting a decline of 4.1millionyear−over−year[135].−Thecompanyreportedanetlossof64.1 million for the three months ended March 31, 2025, compared to a net loss of 64.8millioninthesameperiodof2024,animprovementof0.8 million[134]. - The company incurred net losses of 64.1millionforthethreemonthsendedMarch31,2025,andaccumulatedadeficitof955.1 million as of the same date[158][159]. - Cash used in operating activities was 44.7millionforthethreemonthsendedMarch31,2025,primarilyduetooperatingexpensesof74.6 million[168]. Expenses and Cost Management - Research and development expenses increased significantly to 42.9millionforthethreemonthsendedMarch31,2025,comparedto20.7 million in 2024, marking an increase of 22.1million[139].−Sellingandmarketingexpensesroseto14.1 million for the three months ended March 31, 2025, up from 10.2millionin2024,anincreaseof3.9 million[144]. - General and administrative expenses increased to 16.3millionforthethreemonthsendedMarch31,2025,comparedto14.1 million in 2024, reflecting a rise of 2.2million[146].−Thecompanyanticipatesthatresearchanddevelopmentexpenseswillcontinuetoincreasesignificantlyfortheremainderof2025andbeyondasitprogresseswithongoingclinicaltrials[142].CashandFinancing−AsofMarch31,2025,thecompanyhadcashandcashequivalentsof349.7 million and outstanding notes payable of 82.5millionundertheBaringsCreditFacility[154].−Thecompanyplanstofundfuturecapitalrequirementsthroughequityofferings,debtfinancings,andcollaborations,withnocommittedexternalsourcesoffundscurrentlyavailable[165].−Thecompanyreportedanetcashincreaseof287.1 million for the three months ended March 31, 2024, primarily from financing activities[171]. - The company has total contractual obligations of 91.0million,including82.5 million under the Barings Credit Agreement[173]. - The company has a secured term loan facility with a principal amount of 82.5millionunderacreditandsecurityagreementwithBaringsFinanceLLCasofMarch31,2025[187].MarketandSalesPerformance−In−MarketSalesofDEXTENZAwereapproximately40,000unitsinQ12025,aslightdecreaseofabout1,000unitsfromQ12024[114].−Thetotalgross−to−netprovisionsforDEXTENZAproductsaleswere49.43.8 million for the three months ended March 31, 2025, down from 3.9millionin2024,adecreaseof0.1 million[149]. - Interest expense decreased to 3.0millionforthethreemonthsendedMarch31,2025,from4.1 million in 2024, a reduction of 1.1million[150].−TheRoyaltyFeeDerivativeLiabilitywasvaluedat13.9 million as of March 31, 2025[188]. - The company is obligated to pay Incept a royalty equal to a low-single-digit percentage of net sales for Licensed Products in the Ophthalmic Field of Use[178]. - The company is also obligated to pay a mid-single-digit percentage royalty for Licensed Products in the Additional Field of Use[178]. - The company has no off-balance sheet arrangements as defined by the SEC regulations[179]. - An immediate 100 basis point change in interest rates would not have a material effect on the fair market value of the company's investment portfolio[185]. - The company evaluates its estimates and judgments related to revenue recognition and accrued research and development expenses on an ongoing basis[183]. - The company does not enter into financial instruments for trading or speculative purposes[186]. - Changes in the fair value of the Royalty Fee Derivative Liability have no impact on anticipated cash outflows related to this liability[188].