Financial Data and Key Metrics Changes - The company reported total revenues of 74.1millionforQ12025,a6146 million in Q1 2024 [19] - Net sales revenue for IBSRELA was 44.4million,reflectinga5723.4 million, up approximately 55% from 15.2millioninthesamequarterlastyear[19][21]−Thecompanyrecordedanetlossofapproximately41.1 million or 0.17pershare,comparedtoanetlossof26.5 million or 0.11pershareintheprioryear[23]BusinessLineDataandKeyMetricsChanges−IBSRELAexperiencedstrongprescriptiondemand,withoneofthehighestprescriptiondemandquarterstodate[6]−Exposagrewby301 billion for IBSRELA and 750millionforExposa[24]Management′sCommentsonOperatingEnvironmentandFutureOutlook−ManagementexpressedconfidenceinthegrowthtrajectoryofIBSRELAandExposa,citingstrongpatientdemandandeffectivecommercialstrategies[5][10]−Thecompanyiscloselymonitoringmarketdynamicsandwillprovidefurtherupdatesasthelandscapeevolves[9]−Managementremainscommittedtobuildinglong−termvalueforshareholdersdespitecurrentmarketchallenges[10]OtherImportantInformation−Thecompanyreceiveda5 million milestone payment from a partner in China following the approval of a cannabinoid for hyperphosphatemia [22] - Research and development expenses increased to $14.9 million, reflecting greater engagement with scientific and medical communities [22] Q&A Session Summary Question: Expectations for the IBS C market improvement in Q2 - Management expects the IBS C market to improve as the year progresses, based on strong prescription demand observed in Q1 [31][32] Question: Details on the return reserve and its impact - The return reserve was deemed unnecessary due to zero returns and limited bottles in distribution, leading to modest improvements in gross to net going forward [29][30] Question: Insights on the Q1 contraction and its differences from previous years - The contraction is consistent with historical trends, but the company remains optimistic about future growth [35][37] Question: Long-term gross to net targets and updates on the China launch - Long-term guidance for gross to net is expected to be around 30% plus or minus 5% [40] Question: Discrepancies between reported revenue and script data for IBSRELA - Management acknowledged fluctuations in scripts and emphasized the importance of focusing on guidance rather than individual quarter performance [48][50] Question: Metrics for assessing the expanded field force's impact - Key metrics include increases in activity, new riders, and new/refill prescriptions, all of which showed positive trends in Q1 [56][57] Question: Updates on the Kidney Patient Act and potential external asset acquisitions - The Kidney Patient Act is viewed as a call option, and the company is actively pursuing external assets in renal and GI spaces [102][104]