Financial Performance - The net loss for the year ended December 31, 2024, was 187.4million,withanaccumulateddeficitof568.8 million as of the same date [592]. - Total revenue for the year ended December 31, 2024, was 3.55million,asignificantincreasefrom151,000 in 2023 and no revenue in 2022 [620]. - The net loss for the year ended December 31, 2024, was 187.4million,comparedtoanetlossof153.0 million in 2023 [620]. - The company reported net losses of 187.4million,153.0 million, and 104.7millionfortheyearsendedDecember31,2024,2023,and2022,respectively,withanaccumulateddeficitof568.8 million as of December 31, 2024 [631]. Cash and Liquidity - As of December 31, 2024, the company had cash and cash equivalents of 559.9million,which,alongwitha200 million upfront payment from Takeda Pharmaceuticals, is expected to fund operations into 2029 [596]. - Cash and cash equivalents totaled 559.9millionasofDecember31,2024,which,alongwitha200.0 million upfront payment from a license agreement, is expected to fund liquidity requirements into 2029 [634]. - The company experienced a net increase in cash and cash equivalents of 229.0millionfortheyearendedDecember31,2024[637].−Thecompanyhadcashandcashequivalentsof559.9 million as of December 31, 2024, compared to 331.1millionasofDecember31,2023,indicatingasignificantincreaseinliquidity[662].−ThecompanyhasnooutstandingdebtsubjecttointerestratevariabilityasofDecember31,2024,mitigatinginterestrateriskrelatedtodebt[663].RevenueGeneration−Thecompanyhasnotgeneratedanyrevenuefromproductsalessinceitsinceptionin2015,asnoneofitsproductcandidateshavebeenapprovedforcommercialization[587].−Thecompanydoesnotexpecttogeneraterevenuefromproductsalesuntilsuccessfuldevelopmentandregulatoryapprovalofitsproductcandidates,whichmaytakeseveralyears[632].−Thecompanyhasrecognized3.0 million in revenue from a development milestone related to the Hansoh Agreement for the year ended December 31, 2024 [603]. - The company’s revenue consists solely of payments received related to research collaborations and licensing of intellectual property [653]. Expenses - Research and development expenses rose to 173.6millionin2024,upfrom135.3 million in 2023, reflecting an increase of 38.4millionprimarilyduetohigherprogram−relatedcosts[622].−Generalandadministrativeexpensesincreasedto40.8 million in 2024, compared to 34.8millionin2023,drivenbyhigherpersonnelandprofessionalfees[626].−Thecompanyexpectstoincursignificantexpensesrelatedtodevelopingitsinternalcommercializationcapabilityifanyproductcandidatesreceiveregulatoryapproval[593].−Thecompanyanticipatessignificantincreasesinoperatingexpensesrelatedtoresearchanddevelopmentasitadvancesclinicaltrialsandpreclinicalactivities[634].−Thecompanyexpectsresearchanddevelopmentexpensestocontinueincreasingasnewclinicaltrialsareinitiatedandongoingtrialsprogress[613].FinancingActivities−ThecompanyhasenteredintoanATMSalesAgreementallowingfortheissuanceandsaleofupto250 million of common stock, with approximately 228.6millionraisedasofDecember31,2024[589][590].−ApublicofferinginJanuary2024raisedapproximately151.1 million from the sale of 4,025,000 shares at a price of 40.00pershare[591].−Thecompanygeneratednetcashprovidedbyfinancingactivitiesof391.8 million for the year ended December 31, 2024, primarily from a public offering and sales under the ATM Program [643]. - The company has sold a total of 4,290,096 shares of common stock under the ATM Program for net proceeds of approximately 228.6millionduringtheyearendedDecember31,2024[633].RisksandUncertainties−Economicuncertainties,includinginflationandrisinginterestrates,mayadverselyaffectthecompany′soperatingresultsandfinancialposition[598].−Thecompanyissubjecttorisksthatcouldaffectitsabilitytoaccessadditionalcapital,whichmayimpactitsresearchanddevelopmentprograms[636].DevelopmentandLicensing−Thecompanyisdevelopingmultipleproductcandidates,includingelriterceptforcytopeniasandciboterceptforpulmonaryarterialhypertension[586].−ThecompanyhaslicensingagreementswithTakedaandHansoh,withpotentialmilestonepaymentsofupto370 million and 144million,respectively,basedondevelopmentandsalesachievements[608][603].−Contractualobligationsincludemilestonepaymentsrangingfrom50,000 to $10.0 million under the MGH Agreement, with royalties on sales ranging from low-single digits to mid-single digits [647]. - The company has deprioritized the KER-047 program, leading to changes in the reporting of related expenses [625]. Accounting and Estimates - Revenue recognition is based on ASC 606, with revenue recognized when customers obtain control of promised goods or services [653]. - The company estimates accrued research and development expenses based on known facts and circumstances, with no material adjustments to prior estimates reported [658]. - Stock-based compensation expense is recognized based on fair value, with the Black-Scholes option-pricing model used for valuation [659]. - The company has not entered into investments for trading or speculative purposes, focusing on capital preservation with short-term maturities [662]. - The company evaluates its estimates and assumptions on an ongoing basis, acknowledging that actual results may differ from these estimates [651]. - The company’s investment portfolio is conservative, and it does not expect a one percentage point change in interest rates to materially affect its operating results or cash flows [662].