Financial Data and Key Metrics Changes - As of March 31, 2025, the company's cash, cash equivalents, and marketable securities totaled approximately 144.8million[23]−RevenuesforQ12025werezero,comparedtoapproximately4.9 million for Q1 2024, with the previous revenue being from a 40milliondistributionagreementfullyrecognizedbytheendof2024[23][24]−OperatingexpensesforQ12025wereapproximately16.2 million for R&D, up from 10.1millioninQ12024,andgeneralandadministrativeexpenseswereapproximately3.1 million, compared to 1.8millioninQ12024[24]−ThenetlossforQ12025wasapproximately24.4 million, compared to a net loss of approximately 9.8millionforQ12024[25]BusinessLineDataandKeyMetricsChanges−ThecompanyisfocusedontheBLAfordaramycin,aimedattreatingDuchennemusculardystrophy(DMD)cardiomyopathy,withastrongemphasisonthesafetyandefficacydatasupportingtheapplication[5][8]−Thecompanyhasbeenprovidingdaramycintoallopen−labelextensionpatientsforoverthreeyears,withnearlyallHOPE−threepatientsnowinopen−labelextension[15]MarketDataandKeyMetricsChanges−ThecompanyisnegotiatingwithNipponShinyakuforthedistributionofderamycininEurope,withthenegotiationperiodextendedthroughtheendofQ22025[18]−Thecompanyisalsoexploringopportunitiesforitstechnologyinotherglobalmarkets[18]CompanyStrategyandDevelopmentDirection−Thecompanyaimstotransitionfromatranslationalmedicinecompanytoacommercialstageentity,activelyworkingwithNSPharmaonlaunchreadinessintheU.S.[12]−Thecompanyplanstohaveover100patientstransitionfromclinicaltocommercialproductfollowingpotentialBLAapproval[14]−Thecompanyisenhancingitsmedicalleadershiptoguidephysiciansthroughtheprescribingprocessfordaramycin[15]Management′sCommentsonOperatingEnvironmentandFutureOutlook−ManagementexpressedconfidenceinthestrengthofthedatasupportingtheBLAandtheunmetneedintreatingDMDcardiomyopathy,whichcouldleadtoFDAapproval[5][6]−ManagementnotedthattheFDAhasnotindicatedanysubstantiveissueswiththeapplication,providingconfidenceintheongoingreviewprocess[30]−Thecompanyhasacashbalanceofapproximately145 million, with a runway extending into 2027 without additional cash infusions [20] Other Important Information - The company is developing its Stealth Exosome Platform technology as part of a next-generation drug delivery platform, although this program has taken a backseat to daramycin [19] - The company is also working on a vaccine candidate for COVID-19 prevention under Project NextGen, with Phase 1 trials set to start in Q3 2025 [20] Q&A Session Summary Question: Has the site inspection in San Diego occurred? - The site inspection is scheduled for the upcoming quarter, and management feels prepared for it [28] Question: What is the status of negotiations with Nippon Shinyaku for Europe? - The company is actively negotiating and evaluating opportunities for commercialization in Europe, while also preparing to work directly with European authorities [37] Question: What are the key drivers of proof for the efficacy data? - The statistical significance of cardiac MRI data is a key driver, showing very little chance that the data is due to chance [46] Question: What is the plan if the FDA issues a CRL for efficacy? - The company would submit data from the HOPE-three trial for skeletal muscle dysfunction if a CRL is issued [55] Question: What is the plan for the PRV voucher? - The current plan is to sell the PRV voucher to strengthen the balance sheet [72]