Financial Performance - Translarna generated 79.2millioninnetsalesduringthequarterendedMarch31,2022[213].−Emflazaachieved48.6 million in net sales for the same quarter[213]. - For the three months ended March 31, 2022, net product sales outside of the United States were 81.2million,comparedto47.8 million for the same period in 2021, representing a 70.0% increase[246]. - Net product sales in the United States for the same period were 48.6million,upfrom43.5 million in 2021, indicating an 11.8% growth[246]. - Net product revenue for the three months ended March 31, 2022, was 129.8million,anincreaseof38.6 million, or 42%, from 91.3millionforthesameperiodin2021[267].−Translarnanetproductrevenueswere79.2 million for the three months ended March 31, 2022, an increase of 32.7million,or7046.5 million for the same period in 2021[267]. - Emflaza net product revenues were 48.6millionforthethreemonthsendedMarch31,2022,anincreaseof5.1 million, or 12%, compared to 43.5millionforthesameperiodin2021[267].−RoyaltyrevenueforthethreemonthsendedMarch31,2022,was18.9 million, an increase of 12.2million,orover1006.7 million for the same period in 2021[269]. Research and Development - The company anticipates reporting results from the placebo-controlled trial of Study 041 by the end of Q2 2022[214]. - The company initiated a Phase 2 study of PTC518 for Huntington's disease in Q1 2022, expecting initial results by the end of 2022[222]. - A registration-directed Phase 3 trial for PTC923 for phenylketonuria was initiated in Q3 2021, with results expected by the end of 2022[227]. - The company completed a Phase 1 trial for PTC857, which was well-tolerated, and initiated a Phase 2 trial for amyotrophic lateral sclerosis in Q1 2022[226]. - The company expects to incur ongoing research and development expenses for its products and product candidates, including studies for emvododstat for COVID-19 and other therapeutic areas[238]. - Research and development expenses for the three months ended March 31, 2022, were 140.1million,anincreaseof5.6 million, or 4%, from 134.5millionforthesameperiodin2021[274].RegulatoryandMarketAccess−ThemarketingauthorizationforTranslarnaintheEEAissubjecttoannualreviewandrenewal,witharenewalrequestsubmittedinFebruary2022[214].−ThecompanyexpectsaregulatorydecisiononWaylivraforfamilialpartiallipodystrophyinthesecondhalfof2022[220].−Thecompany’sabilitytogeneraterevenuefromTranslarnaisdependentonmaintainingmarketingauthorizationsandsecuringmarketaccessinvariousterritories[283].−ThecompanyplanstosubmitaBLAtotheFDAforPTC−AADCinthethirdquarterof2022[294].ExpensesandFinancialObligations−Thecompanyhadanaccumulateddeficitof2,224.7 million as of March 31, 2022, with a net loss of 126.7millionforthethreemonthsendedMarch31,2022[236].−Selling,generalandadministrativeexpenseswere73.3 million for the three months ended March 31, 2022, an increase of 12.2million,or2061.1 million for the same period in 2021[275]. - Interest expense, net was 23.5millionforthethreemonthsendedMarch31,2022,anincreaseof4.4 million, or 23%, from 19.2millionforthesameperiodin2021[277].−Thecompanyexpectsselling,generalandadministrativeexpensestoincreaseinfutureperiodsduetoongoingcommercializationefforts[261].−Thecompanyanticipatessignificantexpensesrelatedtocommercializationeffortsinvariousregions,includingtheUnitedStatesandEEA,andongoingresearchanddevelopmentcosts[294].−Thecompanyexpectstopay70.0 million to former equityholders of Agilis upon achieving certain milestones in 2022 related to PTC-AADC[306]. - The company may need to obtain substantial additional funding to sustain operations and achieve profitability[308]. Cash Flow and Financing - As of March 31, 2022, the company had cash, cash equivalents, and marketable securities totaling 587.8million[290].−Netcashusedinoperatingactivitieswas97.4 million for the three months ended March 31, 2022, compared to 100.2millionforthesameperiodin2021[291].−Thecompanyincurrednetcashprovidedbyinvestingactivitiesof49.0 million for the three months ended March 31, 2022, primarily due to net sales and redemption of marketable securities[292]. - The company closed a private offering of 150.0millioninaggregateprincipalamountof3.00145.4 million after expenses[285]. - The company believes its cash flows from product sales and existing cash will be sufficient to fund operating expenses for at least the next twelve months[298]. Impact of COVID-19 - The COVID-19 pandemic has not significantly affected revenue generation, but may impact future revenue due to operational challenges[210]. Product Pipeline - The company has a pipeline of product candidates focused on multiple therapeutic areas, including rare diseases and oncology[230]. - The company may seek to expand its product pipeline through in-licensing or acquiring rights to new products, which could increase future capital requirements[239]. - The company expects to incur substantial costs in connection with regulatory submissions and commercialization efforts for its products[294].