Financial Performance - Gimoti net product sales for the quarter ended September 30, 2024, were approximately 2.7million,reflectinga0.1 million increase compared to the previous quarter[64]. - Net product sales for the three months ended September 30, 2024, increased by approximately 1.1million,a702,654,186[79]. - For the nine months ended September 30, 2024, net product sales reached 6,941,042,representinga983,504,636 in 2023[80]. - Net product sales increased by approximately 3.4millionfortheninemonthsendedSeptember30,2024,comparedtothesameperiodin2023,drivenbyincreasedproductadoptionandalargerpharmacynetwork[82].ExpensesandFinancialChallenges−Thecompanyincurredlossessinceinception,withongoingoperatinglossesexpecteduntilrevenuesfromGimotiexceedexpenses[60].−Selling,generalandadministrativeexpensesforthethreemonthsendedSeptember30,2024,increasedbyapproximately692,753, totaling 3,824,142,a222.0 million for the nine months ended September 30, 2024, with significant costs in wages, marketing, and legal expenses[82]. - Research and development expenses for the three months ended September 30, 2024, were 11,677,comparedtonoexpensesinthesameperiodin2023[79].−Researchanddevelopmentexpensesdecreasedbyapproximately0.1 million for the nine months ended September 30, 2024, due to reduced ongoing stability testing costs[82]. - The company anticipates needing to raise additional funds to continue operations, as existing cash may not be sufficient beyond 12 months from the report date[60]. - The company anticipates needing to raise additional funds through various financing methods to support ongoing operations and achieve profitability[83]. Cash and Financing - As of September 30, 2024, the company had cash and cash equivalents of approximately 11.3million,expectedtofundoperationsintothefourthquarterof2025[60].−Cashprovidedbyfinancingactivitieswas10.8 million for the nine months ended September 30, 2024, primarily from stock sales and warrant exercises[86]. - The company raised approximately 6.2millionfromapublicofferingofcommonstockunitsinFebruary2024[84].ComplianceandCorporateActions−ThecompanyreceivedanoticefromNasdaqregardingnon−compliancewiththeminimumstockholders′equityrequirement,withstockholders′equityreportedat3.5 million as of March 31, 2024[61]. - A reverse stock split was executed on August 1, 2024, combining every twelve shares into one to regain compliance with Nasdaq's minimum bid price requirement[62]. - The company entered into a lease amendment extending the office lease term to March 31, 2027, with an initial monthly base rent of approximately 6,500[86].ProductDevelopmentandMarketStrategy−ThecompanylaunchedcommercialsalesofGimotiinOctober2020,withmodestsalesgeneratedtodate[60].−Futureproductdevelopmentandcommercializationstrategiesarecriticalforthecompany′sfinancialsustainabilityandgrowth[58].−ThecompanyisindiscussionswiththeFDAregardingapost−marketingcommitmentclinicaltrialforGimotitoassessdoseproportionalityforalowerdosestrength[74].−ThecompanyexpectstoincurexpensesrelatedtothecommercializationofGimoti,includingapost−marketingPKclinicaltrial[87].MarketImpactandPatientOutcomes−AstudyindicatedthatdiabeticgastroparesispatientsusingGimotihadreducedhealthcarecostsbyapproximately15,000 over six months compared to those using oral metoclopramide[59]. - A study presented at ACG 2024 showed that all-cause emergency department visits decreased by 55% for patients using nasal metoclopramide compared to those using oral metoclopramide[67]. - Approximately 34% of filled prescriptions for Gimoti were covered by Medicare and Medicaid programs for the nine months ended September 30, 2024[66]. - The ASPN platform has improved the proportion of prescriptions covered by insurance payors through enhanced patient communication and electronic automation[65]. - New prescribers increased by 8% during the quarter ended September 30, 2024[65]. Cost of Goods Sold - The cost of goods sold for the three months ended September 30, 2024, increased by approximately 69,116,a1980.1 million for the nine months ended September 30, 2024, primarily due to stability testing completion timing[82].