Financial Performance - For the nine months ended September 30, 2024, the company reported net losses of 2.3millioncomparedto11.0 million for the same period in 2023, with an accumulated deficit of 188.0millionasofSeptember30,2024[134].−Thecompanyexpectstocontinueincurringsignificantexpensesandoperatinglossesintotheforeseeablefuture,withafocusonadvancingresearchanddevelopmentactivities[134].−Thecompanyhadanaccumulateddeficitof188.0 million as of September 30, 2024, and anticipates continuing to incur net losses for the foreseeable future[162]. - Cash used in operating activities for the nine months ended September 30, 2024, was 15.7million,aslightdecreasefrom16.1 million in the same period of 2023[177]. - The company expects its cash and cash equivalents will be sufficient to fund operations into the fourth quarter of 2025, based on certain operational changes[168]. - The company reported a net loss of 2.3millionfortheninemonthsended,withanaccumulateddeficitof188.0 million[194]. - The company expects to incur significant operating losses for the foreseeable future as it continues research and development activities and seeks regulatory approvals[196]. Revenue Generation - The company has not generated any revenue from therapeutic product sales, developmental milestones, or royalties to date, relying on development funding from Ono and recognition of deferred revenue from an upfront payment under the Asset Purchase Agreement[137]. - The company recognized revenue of 12.2millionand36.7 million for the three and nine months ended September 30, 2024, respectively, compared to 8.9millionand26.9 million for the same periods in 2023, reflecting a year-over-year increase of 37% and 36%[140][152]. - The company recognized 2.1millioninaggregatedeferredrevenuerelatedtotheAssetPurchaseAgreementwithOnoasofSeptember30,2024[140].ResearchandDevelopment−TheongoingPhase3EQUATORstudyforitolizumab(EQ001)isexpectedtoaccelerateitstimelinetotoplinedatabythefirstquarterof2025,withreducedenrollmenttoapproximately150patients[125].−ApositiverecommendationwasreceivedfromtheIndependentDataSafetyMonitoringCommitteetocontinuetheEQUATORstudybasedoninterimanalysisofthefirstapproximately100subjects[125].−ThecompanyhascompletedaPhase1bproof−of−conceptclinicalstudyofitolizumabinpatientswithsystemiclupuserythematosus,announcingpositivetoplinedatainApril2024[127].−Thecompanyanticipatesthatexpensesmayincreasesubstantiallyasitadvancesresearchanddevelopmentactivities,includingongoingandfutureclinicaldevelopmentofitolizumab[145].−ThecompanyhaspausedfurtherdevelopmentactivitiesrelatedtoEQ101andEQ302duetofinancialconstraints,pendingtheavailabilityofadditionalfunding[129].−Thecompanyhasinitiatedmultipleclinicalstudiesforitolizumab(EQ001),includingaPhase3studyforaGVHD,whichiscurrentlypausedtosavecosts[218].−ThecompanyhastwoactiveINDswiththeFDAforitolizumab(EQ001)targetingaGVHDandLN,andadditionalINDsforEQ101andEQ102followingtheacquisitionofBioniz[218].FundingandCapitalRequirements−Thecompanyplanstofinanceitscashneedsthroughacombinationofequityofferings,debtfinancings,andcollaborationagreements,butmayfacechallengesinsecuringadditionalfinancing[136].−Thecompanyenteredintoa2023ATMFacilitywithJefferiesLLC,allowingforthesaleofsharesupto21.95 million, but no shares have been sold as of the report date[164]. - The company plans to pursue additional capital sources, including the 2023 ATM Facility, to address funding requirements following Ono's decision to let its option lapse[169]. - The company will require substantial additional funding to continue the development and commercialization of itolizumab (EQ001) and other product candidates[198]. - Future capital requirements will depend on various factors, including the progress and costs of ongoing clinical studies and the ability to implement significant expense reductions[204]. - The company may need to raise substantial additional capital to complete the development and commercialization of its product candidates, which could lead to dilution for existing shareholders[203]. Regulatory and Market Risks - The company is highly dependent on the successful development of itolizumab (EQ001) and may not obtain regulatory approval for its product candidates[189]. - The company has not yet obtained approval from the FDA or any other regulatory authority for any product, which may impede future approvals[243]. - Delays in obtaining regulatory approval could materially impair the company's ability to generate revenues and adversely affect its financial condition[244]. - The company faces challenges in enrolling patients for clinical studies, which could delay necessary regulatory approvals[252]. - The FDA may not accept data from clinical studies conducted outside the United States, which could delay development plans[269]. - Regulatory authorities may require additional studies or impose delays based on the safety and efficacy data submitted, affecting the approval timeline[241]. Competitive Landscape - The competitive landscape includes significant players like Pfizer Inc. and Eli Lilly and Company, which possess greater financial resources and expertise in R&D, manufacturing, and marketing[289]. - The company faces substantial competition in the biopharmaceutical market, which may result in competitors developing and commercializing products more quickly or effectively[286]. - The market acceptance of any approved product candidates will depend on factors such as efficacy, pricing, convenience, and marketing support[282]. Manufacturing and Supply Chain - The company relies on Biocon for the manufacturing of itolizumab (EQ001), and any disruptions in Biocon's operations could adversely affect the company's development and commercialization efforts[310]. - The company is dependent on contract research organizations (CROs) for clinical studies, and any failure by these third parties to meet obligations could delay regulatory approvals[311]. - Manufacturing of pharmaceutical products, especially biologics, is complex and dependent on third-party contract manufacturing organizations (CMOs), which poses risks to supply and approval timelines[306]. Intellectual Property - The company's success significantly depends on its ability to establish, maintain, and protect patents related to its proprietary technologies and product candidates, including itolizumab (EQ001) and others[319]. - The patent prosecution process is noted to be expensive and time-consuming, which may hinder the timely filing of necessary patent applications[320]. - There is a risk that the company or its partners may fail to identify patentable aspects of their research before it is too late to secure patent protection[320].