Financial Position - The company reported an accumulated deficit of 410.1millionasofSeptember30,2022,comparedto372.3 million as of December 31, 2021[87]. - Cash, cash equivalents, restricted cash, and available-for-sale investments totaled 79.6millionasofSeptember30,2022,downfrom107.9 million as of December 31, 2021[87]. - As of September 30, 2022, the company has material cash requirements primarily related to its operating lease and financing lease agreements, totaling significant ongoing obligations[102]. - The company anticipates financing its cash needs through equity offerings, grant funding, collaborations, and strategic partnerships, with potential dilution of existing stockholder interests[101]. Research and Development - The company initiated a global pivotal Phase 3 clinical trial (EFZO-FIT™ study) for efzofitimod, aiming to enroll 264 subjects with pulmonary sarcoidosis[76]. - Efzofitimod received orphan drug designation from the FDA for the treatment of sarcoidosis and systemic sclerosis, and fast track designation for pulmonary sarcoidosis[73]. - The Phase 1b/2a clinical trial for efzofitimod showed positive results in 37 patients, demonstrating consistent dose response on key efficacy endpoints[74]. - The company has focused resources on the efzofitimod program, delaying the initiation of a Phase 1 study for ATYR2810 due to current market conditions[81]. - The company has been advancing its discovery pipeline of tRNA synthetases and NRP2 antibodies, with new programs announced in February 2021[79]. - Research and development expenses increased to 9.9millionforthethreemonthsendedSeptember30,2022,upfrom5.1 million in the same period in 2021, representing a 4.7millionincrease[118].−FortheninemonthsendedSeptember30,2022,researchanddevelopmentexpenseswere27.9 million, compared to 17.3millionin2021,reflectinga10.6 million increase[121]. - The increase in research and development expenses was primarily due to 3.0millioninstart−upcostsfortheEFZO−FIT™studyandincreasedmanufacturingcosts[118].−Thecompanyanticipatesthatresearchanddevelopmentexpenseswillcontinuetoriseinfutureyears,focusingonclinicaldevelopmentandmanufacturingofefzofitimod[111].−TheongoingCOVID−19pandemichascauseddelaysinclinicaltrials,impactingthetimelinesandcostsofproductcandidates[112].−Thecompanyisunabletoestimatewithcertaintythecostsandtimelinesforfutureclinicaltrialsduetotheunpredictablenatureofdevelopment[114].CollaborationandFunding−ThecompanyenteredintoacollaborationwithKyorinPharmaceuticalforthedevelopmentandcommercializationofefzofitimodinJapan,withpotentialmilestonepaymentsofupto165 million[77]. - The company received an upfront payment of 8.0millionandamilestonepaymentof2.0 million under the Kyorin Agreement, with potential additional payments of up to 165.0millionbasedonfuturemilestones[94].−ThecompanycompletedapublicofferinginSeptember2021,raisingapproximately80.6 million from the sale of 10,781,250 shares at 8.00pershare[89].−Thecompanyenteredintoan"at−the−market"offeringprogramallowingthesaleofupto65.0 million in common stock, generating approximately 3.1millioninnetproceedsfrom951,175sharessoldataweighted−averagepriceof3.55 per share during the nine months ended September 30, 2022[91]. - Under a previous offering program, the company sold 986,267 shares at a weighted-average price of 4.75pershare,resultinginnetproceedsof4.4 million in 2021[92]. - The company has a common stock purchase agreement with Aspire Capital, allowing for the sale of up to 20.0millioninshares,with4.8 million remaining available for issuance as of September 30, 2022[93]. Operating Performance - For the nine months ended September 30, 2022, net cash used in operating activities was (31.5)million,anincreasefrom(25.0) million in the same period of 2021, primarily due to increased R&D expenditures[96]. - Net cash provided by investing activities was 45.2millionfortheninemonthsendedSeptember30,2022,comparedto(42.2) million in 2021, reflecting timing differences in investment transactions[97]. - Financing activities generated 4.6millioninnetproceedsfromstockissuanceduringtheninemonthsendedSeptember30,2022,significantlylowerthan80.6 million in the same period of 2021[98]. - The company has not generated any revenues from product sales to date and expects expenses to increase as it advances clinical development and seeks marketing approval for product candidates[99]. General and Administrative Expenses - General and administrative expenses for the three months ended September 30, 2022, were 3.6million,anincreaseof1.0 million from 2.6millionin2021[119].−GeneralandadministrativeexpensesfortheninemonthsendedSeptember30,2022,totaled10.6 million, up from 8.1millionin2021,markinga2.5 million increase[122]. - Other income for the three months ended September 30, 2022, was 0.2million,comparedto59,000 in 2021, indicating an increase of 188,000[120].−OtherincomefortheninemonthsendedSeptember30,2022,was0.6 million, up from 0.2millionin2021,representinga0.5 million increase[123]. Market Conditions - The ongoing COVID-19 pandemic and geopolitical tensions have introduced significant uncertainties affecting the company's operations and financial performance[86].