Financial Performance - Translarna recognized 72.3millioninnetsalesduringthequarterendedSeptember30,2024[214].−Emflazarecognized51.9 million in net sales during the quarter ended September 30, 2024[214]. - Net product revenues for Q3 2024 were 135.4million,adecreaseof8.6 million, or 6%, from 144.0millioninQ32023,primarilyduetoadeclineinEmflazasales[284].−Emflazanetproductrevenuesdecreasedby15.5 million, or 23%, to 51.9millioninQ32024,attributedtotheexpirationofitsorphandrugexclusivityinFebruary2024[284].−Translarnanetproductrevenuesincreasedby3.3 million, or 5%, to 72.3millioninQ32024,drivenbythetimingofbulkpatientorders[284].−FortheninemonthsendedSeptember30,2024,netproductrevenueswere446.2 million, a decrease of 59.9million,or12506.2 million in the same period of 2023[300]. - Net product sales outside of the United States for the three months ended September 30, 2024, were 83.5million,anincreasefrom76.6 million in the same period of 2023, with Translarna contributing 72.3millionand69.0 million respectively[249]. - Net product sales in the United States for the three months ended September 30, 2024, were 51.9million,downfrom67.4 million in 2023, solely from Emflaza sales[249]. - For the nine months ended September 30, 2024, net product sales outside of the United States totaled 289.5million,adecreasefrom318.5 million in 2023, with Translarna revenues at 246.2millioncomparedto280.6 million[252]. - Net product sales in the United States for the nine months ended September 30, 2024, were 156.7million,downfrom187.7 million in 2023[252]. - Royalty revenue related to Evrysdi for the three months ended September 30, 2024, was 61.4million,comparedto50.2 million in 2023; for the nine months, it was 145.7millionversus117.9 million[256]. Regulatory Developments - The FDA accepted for review the resubmission of the NDA for Translarna in October 2024, with no specified action date due to its prior Complete Response Letter[220]. - The marketing authorization for Translarna in the EEA is subject to annual review, with a potential negative opinion from the CHMP affecting its status[215]. - The company plans to submit a regulatory application for sepiapterin in Japan in the fourth quarter of 2024[228]. - Upstaza received approval from the EC for the treatment of AADC deficiency for patients 18 months and older in July 2022[224]. - The FDA granted priority review for the BLA of Upstaza with a target regulatory action date of November 13, 2024[224]. - A BLA for gene therapy for AADC deficiency was submitted to the FDA in March 2024, with a priority review granted and a target action date of November 13, 2024[334]. Research and Development - Sepiapterin demonstrated a Phe level reduction of approximately 63% in the overall primary analysis population during its Phase 3 trial for phenylketonuria[227]. - PTC518 demonstrated a mean 30% reduction in mutant HTT levels at the 10mg dose level during the Phase 2 study for Huntington's disease[229]. - Vatiquinone showed significant benefits on key disease subscales and secondary endpoints in the MOVE-FA trial, despite not meeting the primary endpoint[230]. - The FDA granted Fast Track designation to the PTC518 program for Huntington's disease in September 2024[229]. - The company plans to submit an NDA for vatiquinone for Friedreich ataxia in December 2024[230]. - The company achieved a 25.0millionregulatorymilestoneforthesubmissionofanNDAtotheFDAforsepiapterinforPKUinJuly2024,andanother25.0 million for its acceptance in September 2024[271]. - Regulatory milestones of 50.0millionwererecordedinresearchanddevelopmentexpensesfortheninemonthsendedSeptember30,2024,relatedtosubmissionsforAADCdeficiencyandPKUtreatments[340].ExpensesandFinancialPosition−AsofSeptember30,2024,thecompanyhadanaccumulateddeficitof3,581.0 million and a net loss of 297.4millionfortheninemonthsendedSeptember30,2024[239].−Thecompanyexpectstoincursignificantexpensesrelatedtocommercializationeffortsandongoingclinicaltrials[240].−Selling,generalandadministrativeexpensesareexpectedtoincreaseinfutureperiodsduetoongoingcommercializationefforts,includingexpandedpayrollandinfrastructure[279].−ResearchanddevelopmentexpensesforthethreemonthsendedSeptember30,2024,were161.4 million, slightly down from 164.2millionin2023;fortheninemonths,expenseswere409.7 million compared to 545.2millionin2023[266][267].−Selling,generalandadministrativeexpensesdecreasedto216.2 million for the nine months ended September 30, 2024, down by 40.0millionor16256.2 million in the same period of 2023[308]. - Interest expense, net increased to 125.9millionfortheninemonthsendedSeptember30,2024,upby41.0 million or 48% from 84.9millioninthesameperiodof2023[313].−Incometaxexpensewas29.0 million for the nine months ended September 30, 2024, a change of 97.2millionorover10068.2 million in the same period of 2023[315]. - The company has never been profitable and will need to generate significant revenues to achieve and sustain profitability, potentially requiring substantial additional funding[343]. - The company may face challenges in raising additional funds through equity or debt financing, which could impact its product development and commercialization efforts[346]. Cash Flow and Funding - As of September 30, 2024, the company had cash, cash equivalents, and marketable securities totaling 1.01billion[328].−Netcashusedinoperatingactivitieswas77.7 million for the nine months ended September 30, 2024, compared to 58.1millionforthesameperiodin2023,primarilyduetoclinicaldevelopmentandcommercialactivities[329].−Netcashusedininvestingactivitiesincreasedto223.5 million for the nine months ended September 30, 2024, from 82.3millionintheprioryear,mainlyforproductrightsacquisitionsandfixedassetpurchases[330].−Netcashprovidedbyfinancingactivitieswas229.4 million for the nine months ended September 30, 2024, significantly up from 25.9millionin2023,drivenbysalesoffutureroyaltiesandemployeestockpurchaseplanproceeds[331].−Thecompanyhasreceivedtotalfundingsof1.9 billion from Royalty Pharma under the A&R Royalty Purchase Agreement[325].