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ARS Pharmaceuticals(SPRY) - 2025 Q1 - Quarterly Report

Product Overview - nef y is the first and only FDA and EC-approved needle-free epinephrine product, with an estimated initial addressable market opportunity of approximately $3 billion in annual net sales in the U.S. for 6.5 million patients currently prescribed an epinephrine autoinjector [198]. - The FDA approved nef y 2 mg on August 9, 2024, and the commercial launch began on September 23, 2024, targeting high-volume prescribers accounting for approximately 55% of prescriptions [204][207]. - The design of nef y aims to eliminate needle-related apprehension and pain, improving portability and ease of use, which is expected to increase prescriptions for epinephrine [201]. - The company estimates that up to 90% of patients prescribed an epinephrine device are not achieving optimal treatment outcomes with current injectable formulations [200]. Market and Regulatory Environment - Approximately 20 million people in the U.S. have been diagnosed with severe Type I allergic reactions, with only 3.2 million filling their active epinephrine autoinjector prescriptions in 2023 [199]. - Regulatory review for nef y is ongoing in Canada, the U.K., China, Japan, and Australia, with decisions anticipated by mid-2025 in the U.K. and the second half of 2025 in Japan [208]. Financial Performance - The company reported a net loss from operations of $37.2 million for the three months ended March 31, 2025, compared to a net loss of $13.2 million for the same period in 2024, with an accumulated deficit of $157.2 million [212]. - Product revenue for the three months ended March 31, 2025, was $7.8 million, compared to $0 for the same period in 2024 [240]. - Total revenue for the three months ended March 31, 2025, was $8.0 million, reflecting a significant increase from $0 in the prior year [240]. - The net loss for the three months ended March 31, 2025, was $33.9 million, a 230% increase from the net loss of $10.3 million in the same period in 2024 [240]. Expenses and Cash Flow - Selling, general and administrative expenses surged to $41.1 million for the three months ended March 31, 2025, compared to $8.0 million in the prior year, an increase of 413% [240]. - Research and development expenses decreased to $3.0 million for the three months ended March 31, 2025, down from $5.2 million in the same period in 2024, a reduction of 44% [242]. - Net cash used in operating activities was $40.7 million in Q1 2025, compared to $6.7 million in Q1 2024, reflecting a significant increase in operational losses [247][248]. - Cash and cash equivalents as of March 31, 2025, amounted to $275.7 million, providing liquidity for future operations [245]. Collaborations and Agreements - The ALK Collaboration Agreement includes an upfront payment of $145 million and potential regulatory and commercialization milestones of up to $320 million, with tiered royalty payments on net sales in the mid- to high-teens [215][217]. - The ALK Co-Promotion Agreement obligates ALK U.S. to promote nef y to up to 9,000 pediatricians starting in May 2025 [219]. - ALK U.S. is eligible for performance-based bonuses starting in the second year of the partnership, equal to 30% of net sales exceeding a specified market share threshold [222]. Future Outlook and Funding - The company expects zero-cost inventory of $10.9 million to be depleted by mid-2026, impacting future cost of goods sold [227]. - The company expects existing cash and revenues to meet anticipated cash requirements for at least the next three years, supporting commercial manufacturing and clinical trials [252]. - Future funding requirements will depend on various factors, including the costs of clinical trials and commercialization activities for new products [254]. - The company has contingent payment obligations of $11.0 million under the Aegis Agreement, based on achieving certain commercial milestones [260]. - The remaining milestone payment obligations to Recordati are approximately $5.4 million, contingent upon achieving regulatory and commercial milestones [261]. Reporting Status - The company is classified as a "smaller reporting company" under the Exchange Act, which may allow it to continue relying on certain disclosure exemptions [269]. - The market value of the company's stock held by non-affiliates must be less than $250 million to maintain its status as a smaller reporting company [269]. - The company can present only the two most recent fiscal years of audited financial statements in its Annual Report on Form 10-K due to its smaller reporting company status [269]. - The company has reduced disclosure obligations regarding executive compensation and other matters as a smaller reporting company [269]. - Quantitative and qualitative disclosures about market risk are not required for smaller reporting companies [270].