Financial Performance - Net loss for the three months ended September 30, 2024, was 17,032,000comparedtoanetlossof17,319,000 for the same period in 2023, showing a slight improvement[11]. - The net loss for the nine months ended September 30, 2024, was 58.0million,comparedtoanetlossof38.8 million for the same period in 2023, indicating a significant increase in losses year-over-year[34]. - Net loss per share attributable to common stockholders improved to (0.74)forthethreemonthsendedSeptember30,2024,comparedto(1.00) for the same period in 2023[12]. - Net loss for the nine months ended September 30, 2023, was 57.965million,comparedtoanetlossof38.750 million for the same period in 2022[26]. - The company reported a net loss of 58.0millionfortheninemonthsendedSeptember30,2024,comparedtoanetlossof38.8 million for the same period in 2023[157]. Assets and Liabilities - Total current assets decreased from 102,554,000asofDecember31,2023,to51,143,000 as of September 30, 2024, representing a decline of approximately 50%[8]. - Total liabilities increased slightly from 14,148,000to14,843,000, an increase of approximately 5%[9]. - The accumulated deficit increased to 234,723,000asofSeptember30,2024,from176,758,000 as of December 31, 2023, marking an increase of approximately 33%[9]. - Total stockholders' equity decreased significantly from 98,667,000asofDecember31,2023,to43,641,000 as of September 30, 2024, a decline of approximately 56%[9]. - Cash, cash equivalents, and short-term investments decreased to 45.3millionasofSeptember30,2024,from94.8 million as of December 31, 2023[206]. Research and Development - Research and development expenses for the nine months ended September 30, 2024, were 47,944,000,comparedto47,033,000 for the same period in 2023, indicating a year-over-year increase of about 2%[11]. - Research and development expenses increased to 8.044millionfortheperiodendingSeptember30,2024,upfrom5.675 million for the same period in 2023, representing a growth of approximately 41.8%[71]. - The company plans to significantly increase research and development expenses to support ongoing and future clinical trials, manufacturing processes, and product development[185]. - Research and development expenses for the nine months ended September 30, 2024, were 47.9million,comparedto47.0 million in 2023, an increase of 0.9millionor1.968.7 million in net proceeds from the sale of 6,666,667 shares at 12.00pershare[29].−FollowingtheIPO,theunderwritersexercisedanoptiontopurchaseanadditional651,608shares,generatinganadditional7.3 million in net proceeds[29]. - Turnstone has entered into a Loan and Security Agreement for a revolving credit facility of up to 20million,contingentonachievingspecificmilestones,includingreceivingatleast40.0 million in new funding by March 31, 2025[34]. - The company raised approximately 172.0millionfromtheissuanceofconvertiblepreferredstockand80.0 million from its IPO completed on July 25, 2023[156]. - The company is exploring additional funding through equity offerings, debt financings, and potential collaborations, but faces substantial doubt about its ability to continue as a going concern without securing further capital[33]. Stock and Shareholder Information - The weighted-average number of shares of common stock outstanding increased to 23,037,714 for the three months ended September 30, 2024, from 17,397,845 in the prior year[12]. - The company issued a total of 29,285,356 shares of Series D preferred stock in June 2021 for net proceeds of 79.8million[117].−FollowingtheIPO,alloutstandingsharesofredeemableconvertiblepreferredstockconvertedinto12,493,879sharesofcommonstock[118].−The2023EquityIncentivePlanallowsfortheissuanceofupto1,889,435newshares,withanadditional712,503sharesfromthe2018Planandupto120,949ReturningShares[125].OperationalChallenges−Thecompanyexpressedsubstantialdoubtaboutitsabilitytocontinueasagoingconcernforthenext12monthsduetoexpectedoperatinglossesandnegativecashflows[203].−OnSeptember27,2024,TurnstonereceivedadeficiencynoticefromNasdaqduetoitscommonstockclosingbelowtheminimumbidpriceof1.00 for 30 consecutive business days[31]. - The company has not generated any revenue from product sales and has incurred overall net losses since its inception, indicating a reliance on external funding sources for operations[34]. Collaboration and Agreements - The Company entered into an Alliance Agreement with Moffitt in June 2022, committing to pay at least 17.5millionoverfiveyearsforresearchanddevelopmentservices[99][101].−TheCompanyrecognizedcollaborationrevenuerelatedtotheTakedaAgreementof19.3 million for the nine months ended September 30, 2023, compared to $0.0 million for the same period in 2024[91]. - The Takeda Agreement was terminated effective July 6, 2023, resulting in no future collaboration revenue from this source[180].