Financial Performance - Fractyl Health reported a net loss of 25.0millionforQ42024,comparedtoanetlossof19.2 million in Q4 2023, reflecting a 12.2millionincreaseinoperatingexpenses[12].−RevenueforthethreemonthsendedDecember31,2024,was3 million, a decrease from 7millioninthesameperiodof2023,whiletotalrevenueforthetwelvemonthsendedDecember31,2024,was93 million compared to 120millionin2023[24].−GrossprofitforthethreemonthsendedDecember31,2024,was3 million, down from 5millioninthesameperiodof2023,withatotalgrossprofitof43 million for the twelve months ended December 31, 2024, unchanged from 2023[24]. - The net loss attributable to common stockholders for the three months ended December 31, 2024, was 24.97million,comparedtoalossof23.51 million in the same period of 2023, with a total net loss of 70.43millionforthetwelvemonthsendedDecember31,2024,downfrom94.27 million in 2023[24]. - The net loss per share attributable to common stockholders for the three months ended December 31, 2024, was (0.52),comparedto(11.18) in the same period of 2023, with a total net loss per share of (1.62)forthetwelvemonthsendedDecember31,2024,downfrom(45.29) in 2023[24]. Operating Expenses - Total operating expenses for the three months ended December 31, 2024, increased to 25.2millionfrom13 million in the same period of 2023, with total operating expenses for the twelve months reaching 93.6millioncomparedto50.9 million in 2023[24]. - Research and development expenses for Q4 2024 were 20.3million,upfrom10.1 million in Q4 2023, primarily due to advancements in the REMAIN-1 clinical study[10]. - Selling, general and administrative expenses increased to 4.9millioninQ42024from2.8 million in Q4 2023, attributed to higher costs associated with being a publicly traded company[11]. - Research and development expenses for the three months ended December 31, 2024, were 20.28million,significantlyhigherthan10.17 million in the same period of 2023, with total R&D expenses for the twelve months reaching 70.47millioncomparedto38.04 million in 2023[24]. - Selling, general and administrative expenses for the three months ended December 31, 2024, were 4.93million,upfrom2.82 million in the same period of 2023, with total SG&A expenses for the twelve months at 23.1millioncomparedto12.84 million in 2023[24]. Assets and Liabilities - Total assets increased to 108.1millionasofDecember31,2024,comparedto76.2 million in 2023, while total liabilities decreased to 79.7millionfrom113.9 million[22]. - As of December 31, 2024, Fractyl had approximately 67.5millionincashandcashequivalents,sufficienttofundoperationsthroughkeyclinicalmilestonesinto2026[13].ClinicalDevelopments−TheREMAIN−1pivotalstudyhasenrolledover189patientsacross13clinicalsiteswithinsixmonthsofinitiation,indicatingstrongdemandforweightmaintenancesolutionspost−GLP−1therapy[4].−ThecompanyplanstosubmitthefirstClinicalTrialApplication(CTA)moduleforRJVA−001intype2diabetesinH12025,withpreliminarydataexpectedin2026ifauthorized[7].−AmidpointdataanalysisfortheREMAIN−1studyisanticipatedinQ22025,withfullenrollmentexpectedbysummer2025[5].−Fractyl′sstrategicfocushasshiftedtoprioritizetheREMAIN−1studyandtheRejuvagenetherapyplatform,pausinginvestmentsinotherRevitaprogramsfortype2diabetes[8].OtherFinancialMetrics−InterestincomeforthethreemonthsendedDecember31,2024,was726,000, an increase from 463,000inthesameperiodof2023,withtotalinterestincomeforthetwelvemonthsat4.15 million compared to 1.26millionin2023[24].−Thechangeinfairvalueofwarrantliabilitiesresultedinagainof466,000 for the three months ended December 31, 2024, compared to a loss of 5.63millioninthesameperiodof2023,withatotalgainof17.91 million for the twelve months compared to a loss of $6.79 million in 2023[24]. - The weighted-average number of common shares outstanding for the three months ended December 31, 2024, was 48,445,979, compared to 2,102,410 in the same period of 2023, with a total of 43,541,527 shares for the twelve months compared to 2,081,328 in 2023[24].