Financial Performance - Total current assets decreased from 128,653,000asofJune30,2024,to98,694,000 as of December 31, 2024, a decline of approximately 23.3%[14] - Total assets decreased from 132,737,000asofJune30,2024,to112,007,000 as of December 31, 2024, representing a decrease of about 15.6%[14] - Net loss for the six months ended December 31, 2024, was 31,108,000,comparedtoanetlossof28,433,000 for the same period in 2023, reflecting an increase in loss of about 9.4%[16] - The company reported a comprehensive loss of 30,965,000forthesixmonthsendedDecember31,2024,comparedtoacomprehensivelossof28,130,000 for the same period in 2023, indicating a worsening of approximately 10.2%[16] - As of December 31, 2024, the company reported an accumulated deficit of 360.6millionandincurredanetlossof31.1 million for the six months ended December 31, 2024[37] - The company incurred cumulative net losses of 360.6millionsinceinceptionandhasnotgeneratedmeaningfulrevenuetodate[175]−ThenetlossforthesixmonthsendedDecember31,2024,was31.1 million, compared to a net loss of 28.4millioninthesameperiodof2023,reflectinganincreaseof2.7 million[193] Cash and Investments - Cash and cash equivalents decreased from 70,396,000atthebeginningoftheperiodto8,932,000 at the end of the period, a decline of approximately 87.3%[21] - The company had cash and cash equivalents of 8.9million,short−terminvestmentsinmarketabledebtsecuritiesof87.6 million, and long-term investments of 8.8millionasofDecember31,2024[37]−CashandcashequivalentsasofDecember31,2024,were8.9 million, with short-term marketable debt securities of 87.6million,resultingintotalworkingcapitalofapproximately88.1 million[175] - Net cash used in investing activities for the six months ended December 31, 2024, amounted to 37.9million,withtotalpurchasesofmarketabledebtsecuritiesreaching98.7 million[195] - For the six months ended December 31, 2023, net cash provided by investing activities was 20.4million,primarilyfromthematurityofmarketabledebtsecuritiestotaling60.5 million[196] Operating Expenses - Total operating expenses for the six months ended December 31, 2024, were 34,021,000,comparedto31,108,000 for the same period in 2023, an increase of approximately 9.2%[16] - G&A expenses for the three months ended December 31, 2024, increased by 1.3million(414.5 million compared to 3.2 million in 2023, primarily due to increased consulting expenses and compensation[163] - Total G&A expenses for the six months ended December 31, 2024, increased by 1.8 million (26%) to 8.6millioncomparedto6.9 million in 2023, mainly due to higher consulting and compensation expenses[170] - R&D expenses for the six months ended December 31, 2024, rose by 1.1million(525.4 million from 24.3millionin2023,drivenbyincreasedcostsrelatedtoersodetugandotherpreclinicalactivities[168]CapitalRaisingActivities−Thecompanyraised6,000,000 from the issuance of common stock in a private placement during the six months ended December 31, 2024[19] - The company completed a private placement in July 2024, selling 1.5 million shares of common stock for gross cash proceeds of 6.0million[38]−The2024UnderwrittenOfferingraisedgrossproceedsof67.1 million from the issuance of 11,250,000 shares at 4.00pershareandpre−fundedwarrantsfor3,750,000shares[67][71]−ThecompanyexecutedasecuritiesexchangeagreementonMarch8,2024,purchasing3,000,000sharesofcommonstockfor5.7 million, which were immediately cancelled[72] - The company has a maximum of 50.0millionremainingforsaleunderanopenmarketsalesagreementwithJefferiesLLCasofDecember31,2024[76]ResearchandDevelopment−Thecompanyisfocusedondevelopingtreatmentsforhyperinsulinismanddiabeticmacularedema,withkeyclinicalassetsincludingersodetugandRZ402[24]−ResearchanddevelopmentexpensesforthethreemonthsendedDecember31,2024,were12,627,000, compared to 12,039,000forthesameperiodin2023,anincreaseofabout4.92.8 million net increase in ersodetug R&D costs, driven by manufacturing and clinical costs related to the tHI phase 3 study expected to start in Q2 2025[161] - The company has received over 25 unsolicited physician inquiries regarding ersodetug for tumor hypoglycemia, leading to the treatment of nine patients[137] - Currently, four patients with chronic hypoglycemia are receiving ersodetug as part of the Expanded Access Program, with treatment durations ranging from 6 months to over 2 years[136] Clinical Trials and Market Potential - The company is focused on executing two Phase 3 clinical trials for ersodetug, aiming for complete enrollment of ex-U.S. participants in the sunRIZE study[116] - The sunRIZE Phase 3 study is evaluating the safety and efficacy of ersodetug in participants with congenital hyperinsulinism, with topline results expected in Q4 2025[120] - An interim analysis of the primary endpoint for the sunRIZE study is planned for the current quarter, with results to be announced early in the second quarter[122] - The U.S. market for congenital hyperinsulinism is estimated to have over 1,500 individuals who could be immediately addressed by the Company's treatments[124] - The Phase 3 registrational study for tumor hyperinsulinism is set to commence patient enrollment in Q2 2025, with topline results anticipated in the second half of 2026[126] Financial Obligations and Risks - The company has long-term contractual obligations for milestone payments up to 30.0milliontoXOMAand25.0 million to ActiveSite, with 5.0millionexpectedtobepayabletoXOMAinthenext12months[180]−FuturecommercializationofersodetugandRZ402mayrequireadditionalmilestonepaymentsandroyaltiestotalingupto202.5 million[183] - The company faces risks related to unstable market conditions, which may adversely affect its financial performance and stock price[208] Shareholder Equity and Stock Options - As of December 31, 2024, total shareholders' equity was 99.589million,adecreasefrom113.441 million as of September 30, 2024, reflecting a net loss of 15.730millionduringthequarter[58]−Thecompanyauthorizedanincreaseincommonsharesfrom100millionto165millionsharesasofDecember31,2024[59]−Thecompanyhasaweightedaverageremainingleasetermof2.8yearsandtotalfuturecashpaymentsunderoperatingleasesamountingto2.1 million[47][48] - The intrinsic value of outstanding options as of December 31, 2024, was approximately 19.2million,whiletheaggregateintrinsicvalueofvestedstockoptionswasapproximately8.6 million[88] Miscellaneous - The company has not generated any revenue since its inception in March 2010 and does not expect to generate revenue from product candidates for several years[159] - The company did not recognize any income tax benefit due to a full valuation allowance on its deferred income tax assets for the three and six months ended December 31, 2024[100] - The company had no off-balance sheet transactions for the periods covered by this report[201] - There were no changes in internal control over financial reporting that materially affected the company's financial reporting during the period[204]