Financial Performance - The company reported no revenue for the year ended December 31, 2024, a decrease of 10millioncomparedto10 million in 2023[512][534] - Revenue for the year ended December 31, 2024 was 0,comparedto10.0 million in 2023, which included a one-time milestone payment of 9.0millionforsetrusumab[535]−ThenetlossfortheyearendedDecember31,2024,was43.25 million, compared to a net loss of 29.47millionin2023,reflectinganincreaseof13.79 million[534] - The accumulated deficit as of December 31, 2024 was 462.9 million, with expectations of continued significant operating losses due to ongoing R&D efforts[565] Research and Development - Research and development expenses increased by 3.5 million, totaling 20.93millionin2024comparedto17.42 million in 2023[534] - Total R&D expenses increased by 3.5million,from17.4 million in 2023 to 20.9millionin2024,drivenbyincreasesinexpensesforalvelestatandsetrusumab[538]−Thebenefitfromresearchanddevelopmenttaxcreditincreasedto1.6 million in 2024 from 1.3 million in 2023, due to higher eligible R&D activities[548] - The company is preparing for potential commercialization of setrusumab in Europe and the U.K., with associated costs for clinical trials and manufacturing supplies[568] - Future revenues will depend on successful development and commercialization of product candidates, necessitating substantial additional funding[569] Expenses - General and administrative expenses rose by 8.01 million, reaching 26.43millionin2024,upfrom18.42 million in 2023[534] - General and administrative expenses rose by 8.0million,from18.4 million in 2023 to 26.4millionin2024,primarilyduetopre−commercialactivitiesforsetrusumabandotheroperationalcosts[542]−Netcashusedinoperatingactivitiesfor2024was32.8 million, an increase of 11.7millionfrom21.1 million in 2023, largely due to milestone payments received in 2023[559] Cash and Financing - As of December 31, 2024, the company had cash and cash equivalents of 69.8million,withfixedinterestpayableonconvertibleloannotes[581]−Netcashprovidedbyfinancingactivitiesincreasedsignificantlyto46.1 million in 2024, up from 8.0millionin2023,primarilyduetoproceedsfromaregistereddirectoffering[564]−TheNovartisLoanNotewasamendedtoextendthematuritydatetoFebruary10,2025,withanincreasedinterestrateof936.6 million as of December 31, 2024, up from 30.6millionin2023[526][532]−TheU.K.corporationtaxrateappliedfor2024was253.04 million in 2024, compared to 2.13millionin2023,anincreaseof0.91 million[534] - The company recognized a foreign currency transaction gain of 1.21millionin2024,comparedtoalossof2.35 million in 2023, resulting in a positive change of 3.56million[534]−Thenetforeignexchangegainfor2024was1.2 million, compared to a loss of 2.3millionin2023,reflectingchangesincurrencyvaluation[547]−FortheyearendedDecember31,2024,thecompanyreportedanunrealizedlossof1.4 million on foreign currency translation, compared to a gain of 4.2millionin2023[582]RisksandChallenges−Thecompanyissubjecttovariousrisksanduncertaintiesinthedevelopmentofitsproductcandidates,whichcouldsignificantlyimpactcostsandtimelines[520]−Thecompanymayfacechallengesinobtainingadditionalfundsonacceptableterms,whichcouldimpacttechnologyrightsandrevenuestreams[570]−Inflationhasledtoincreasedoperatingexpenses,althoughithasnotmateriallyaffectedthecompany′sfinancialconditionin2024[584]WarrantsandContracts−Thecompanyhasoutstandingwarrantsfor1,243,908ordinarysharesatanexercisepriceof£2.95,expiringinAugust2027[573]−Thetotalchangeinfairvalueofwarrantsfor2024wasanunrealizedlossof0.4 million, contrasting with an unrealized gain of $0.2 million in 2023[546] - The company has not entered into foreign exchange contracts to hedge against fluctuations but maintains cash in U.S. dollars for anticipated commitments[583]