Financial Performance - Product revenue, net for the year ended December 31, 2024, was 87.4million,adecreaseof77380.8 million in 2023[506]. - Net loss for the year ended December 31, 2024, was 301.7million,comparedtoanetincomeof49.3 million in 2023, representing a 712% decline[505]. - Cash, cash equivalents, and marketable securities as of December 31, 2024, totaled 176.5million,supplementedbynetproceedsof65.5 million from a January 2025 offering[490]. - As of December 31, 2024, the company had cash, cash equivalents, and marketable securities totaling 176.5million,withanaccumulateddeficitof606.7 million[517]. - Net cash used in operating activities was 167.6millionin2024,comparedtoacashprovidedof11.9 million in 2023, reflecting a change of 179.6million[524][525].−Netcashprovidedbyinvestingactivitiesdecreasedto75.7 million in 2024 from 92.1millionin2023,adeclineof16.4 million or 18%[529][530]. Operating Expenses - Total operating expenses increased by 18% to 402.1millionin2024,comparedto342.0 million in 2023[505]. - Research and development expenses decreased by 19% to 104.1millionin2024,downfrom128.2 million in 2023[505]. - Selling, general and administrative expenses decreased by 39% to 114.3millionin2024,comparedto188.4 million in 2023, following a restructuring plan that reduced the workforce by approximately 70%[502]. - Direct research and development expenses for AMX0035 - ALS dropped by 24.1million(4036.7 million, while expenses for AMX0035 - PSP increased by 10.5million(16416.9 million[510][511]. - Restructuring expenses amounted to approximately 22.9millionin2024,including21.9 million for employee severance and termination benefits[513]. Product Discontinuation - The RELYVRIO/ALBRIOZA product was discontinued in April 2024 following the failure of the Phase 3 PHOENIX trial to meet its primary and secondary endpoints[492]. - The company recorded approximately 118.7millioninchargesrelatedtoinventorywrite−downsandlossesonfirmpurchasecommitmentsduetothediscontinuationofRELYVRIO/ALBRIOZA[507].FutureOutlook−Thecompanyanticipatesthatexistingcashandproceedswillbesufficienttomeetoperatingandcapitalexpenditurerequirementsthrough2026[490].−Thecompanyexpectstofinancenear−termoperationsthroughexistingcashandpotentialequityordebtfinancing,withnoassurancesofadditionalfundingavailability[519][523].−TheJanuary2025Offeringisexpectedtogenerateapproximately65.5 million in proceeds, which will support ongoing operations[516]. Accounting and Reporting - The company prepares its consolidated financial statements in accordance with U.S. GAAP, requiring estimates and judgments that affect reported amounts of assets and liabilities[534]. - Revenue recognition prior to the discontinuation of RELYVRIO®/ALBRIOZA™ involved significant estimates related to gross-to-net adjustments, which have not materially differed from actual activity to date[536]. - The company estimates accrued research and development expenses based on open contracts and service provider communications, with adjustments made as necessary[539]. - The estimate of accrued research and development expenses relies on timely reporting from third-party service providers, with no material adjustments to prior estimates reported[540]. - The company is classified as a smaller reporting company and is not required to provide certain market risk disclosures[543].