Financial Performance - The company reported net losses of 4.0millionforQ32024,comparedto3.4 million for Q3 2023, and 12.0millionfortheninemonthsendedSeptember30,2024,comparedto9.3 million for the same period in 2023[85]. - As of September 30, 2024, the company had an accumulated deficit of 37.8million[85].−Thecompanyhasnotrecognizedanyrevenuefromproductsalesanddoesnotexpecttogeneraterevenueintheforeseeablefuture[117].−Otherincome,netincreasedby739,712 from 464,693intheninemonthsendedSeptember30,2023,to1,204,405 in the same period of 2024[138]. - Collaboration revenue was 3,552,109fortheninemonthsendedSeptember30,2024,withnocollaborationrevenuesearnedinQ32024duetoincreasedspendingonCOYA302[129].−CashprovidedbyfinancingactivitiesduringtheninemonthsendedSeptember30,2024,was6.3 million, down from 14.3millioninthesameperiodof2023[145][150].ResearchandDevelopment−Theleadasset,COYA302,isacombinationoflowdoseinterleukin−2andCTLA4−Ig,targetingneurodegenerativedisorders[85].−TheproductcandidatepipelineincludesTreg−enhancingbiologics,Treg−derivedexosomes,andautologousTregcelltherapy,focusingonneurodegenerative,autoimmune,andmetabolicdiseases[83].−ThePhase2POCstudyofLDIL−2inALSpatientsshowednodeclineorminimaldeclineinALSFRS−Rscoresat24and48weeks,indicatingsafetyandtolerability[92].−ThePhase2trialofLDIL−2inAlzheimer′sdiseasedemonstratedaclinicallymeaningful4.93−pointimprovementinADAS−Cog14scorescomparedtoplacebo[98].−TheLDIL−2q4wksregimensignificantlyimprovedCSFAβ42levels(p=0.045)comparedtoplacebo,indicatingpotentialbenefitsinADpathology[106].−ThePhase2trialforFTDisanticipatedtoreportclinicaldatainthesecondhalfof2025,assessingsafetyandtolerabilityofLDIL−2[114].−Researchanddevelopmentexpensesprimarilyconsistofcostsrelatedtodiscoveryanddevelopment,includingclinicaltrialexpensesandregulatoryactivities[118].−Researchanddevelopmentexpensesincreasedby0.6 million from 1.6millioninQ32023to2.2 million in Q3 2024, driven by preclinical advancement of COYA 302[130]. - Research and development expenses for the nine months ended September 30, 2024, reached 9.9million,up6.0 million from 3.9millioninthesameperiodof2023[135].−ThecompanyexpectsresearchanddevelopmentexpensestocontinuetogrowinQ42024asitadvancesCOYA301andCOYA302[122].FundingandCapitalRequirements−Thecompanyplanstofinanceoperationsthroughequitysales,debtfinancings,orcollaborations,highlightingtheneedforsubstantialadditionalcapital[89].−Thecompanyhasfundedoperationsprimarilythroughprivateconvertiblepreferredstockofferingsandpublic/privatesecuritiesofferings[85].−Thecompanyexpectsexistingcashandthe10.0 million from the October 2024 Private Placement to fund operations into 2026[139]. - The company has no credit facility or committed sources of capital and will need significant additional funds for operational needs and clinical trials[143]. - The company anticipates financing operations through equity offerings, debt financings, and collaborations, but may face challenges due to global economic conditions[144]. Clinical Trials and Studies - Two proof of concept studies reported positive results for LD IL-2 in amyotrophic lateral sclerosis and Alzheimer's Disease[90]. - The Alzheimer's Disease study involved 8 patients and showed enhanced Treg function and reduced neuroinflammation, with no serious adverse events reported[91]. - The company submitted an IND for a Phase 2 study of COYA 302 in ALS patients, with the FDA requiring additional nonclinical data before initiation[93]. - The LD IL-2 q2wks group did not show benefits in exploratory endpoints, highlighting the importance of appropriate dosing for Treg functionality[99]. - The company plans to expand the COYA 302 pipeline to include FTD and PD, targeting complex immune pathways in neurodegenerative diseases[111]. Expenses and Operational Costs - Total operating expenses rose by 886,226from3,564,063 in Q3 2023 to 4,450,289inQ32024[128].−Netlossincreasedby599,444 from 3,421,974inQ32023to4,021,418 in Q3 2024[128]. - General and administrative expenses increased by 1.3millionfrom5.5 million for the nine months ended September 30, 2023, to 6.7millionforthesameperiodin2024[138].−Generalandadministrativeexpensesareanticipatedtorisetosupportongoingresearchanddevelopmentandpotentialcommercializationefforts[125].AgreementsandCollaborations−ThecompanyenteredintotheDRLDevelopmentAgreement,receivinga7.5 million upfront payment and potential additional payments totaling 44.2millionuponachievingcertainmilestones[151].−Thecompanyisentitledtoupto40.0 million in development milestones and up to 677.3millioninsalesmilestonesundertheDRLDevelopmentAgreement[151].−ThecompanyhasalicenseagreementwithMethodistHospital,whichincludesmilestonepaymentstotalingupto0.3 million for ALS treatment and royalties of 1% to 10% on annual worldwide net sales[154]. - The company executed a Sponsored Research Agreement with Houston Methodist Research Institute, funding approximately 0.5millionthroughMay2024,lateramendedto1.0 million through September 2025[156]. - The company entered into an ARScience License Agreement, paying a one-time option fee of 0.1millionforexclusiverightstotwopatentsrelatedtoIL−2formulations[157].−ThecompanyexercisedtheARSOption,resultinginamid−six−figureup−frontfeeandtheactivationoftheARSLicenseAgreement[158].−UndertheARSLicenseAgreement,thecompanywillpay13.3 million in milestone payments for the first Combination Product and 11.6millionforeachsubsequentnewindication[159].−Thecompanywillalsopay11.8 million in milestone payments for the first Mono Product and 5.9millionforeachsubsequentnewindication[159].−ThecompanyenteredintoaLicenseandSupplyAgreementwithDr.Reddy′sLaboratories,payingaone−timeupfrontfeeof0.4 million[161]. - The company will pay up to approximately 2.9millioninpre−approvalregulatorymilestonepaymentsandanadditional20.0 million for other milestones under the DRL Agreement[161]. - The company will pay single-digit royalties on net sales to Dr. Reddy's Laboratories as part of the DRL Agreement[161].