Financial Performance - Product revenues for Q1 2023 were 8.7million,adecreaseof1.02 million or 10.5% compared to 9.8millioninQ12022,attributedtoalackofcustomerbuy−inpriortoapriceincrease[234].−Thecompanyreportedanetlossof7.478 million for Q1 2023, compared to a net income of 5.561millioninQ12022,representingachangeof13.039 million [209]. - Adjusted EBITDA for Q1 2023 was (3.990)million,adecreasefrom(2.439) million in Q1 2022, with the adjusted EBITDA margin dropping from -25.0% to -45.7% [218]. - Operating expenses for Q1 2023 totaled 14.225million,anincreaseof1.364 million or 10.6% from 12.861millioninQ12022[209].−ForthethreemonthsendedMarch31,2023,thecompanyincurredalossfromoperationsof5.5 million, compared to a loss of 3.1millionforthesameperiodin2022[243].−Thecompanyexperiencednetcashoutflowsfromoperationsof3.7 million for the three months ended March 31, 2023, compared to 2.1millionforthesameperiodin2022[243].−Thecompanyreportednetcashusedinoperatingactivitiesof3.7 million for the three months ended March 31, 2023, compared to 2.1millionforthesameperiodin2022[249].−AsofMarch31,2023,thecompanyhadanaccumulateddeficitof87.0 million [243]. Cash and Financing - Cash and cash equivalents as of March 31, 2023, were 13.5million,downfrom17.2 million as of December 31, 2022 [219]. - The company anticipates needing additional equity or debt financing to support long-term growth and mitigate operational cost risks [221]. - The company is expecting to collect a receivable of 3.7millionfromBiofronteraAGforreimbursementoflegalsettlementpayments[246].CostManagement−Thecostofrevenuesrelatedtoproductswas4.547 million in Q1 2023, down 8.6% from 4.975millioninQ12022,drivenbydecreasedAmeluzproductrevenue[211].−ThecompanyexpectstocontinueincurringoperatinglossesduetosignificantdiscretionarysalesandmarketingeffortsasitseekstoexpandthecommercializationofitslicensedproductsintheU.S.[244].−Thecompanyanticipatesadditionalexpensestoimproveoperational,financial,andinformationsystems,aswellastosupportproductcommercializationefforts[244].MarketandOperationalOutlook−ThecompanyplanstoexpandsalesofAmeluzintheU.S.andaimstopositionitasthestandardofcarefortreatingactinickeratoses[199].−ThecompanycontinuestomonitortheimpactoftheCOVID−19pandemiconitsoperations,withoptimismforrecoveryfollowingtheendofthePublicHealthEmergencyonMay11,2023[200].FairValueAdjustments−ThefairvalueofcontingentconsiderationrelatedtotheacquisitionofCutaneaproductswasdeterminedtobe6.5 million at acquisition and is re-measured at each reporting date [213]. - The change in fair value of warrant liabilities decreased by 7.7millionforthethreemonthsendedMarch31,2023,drivenbychangesintheunderlyingvalueofthecommonstock[236].−Thechangeinfairvalueofinvestmentsinequitysecuritiesdecreasedby2.9 million, influenced by changes in the quoted market price of Biofrontera AG's common stock [237]. Definitions - The adjusted EBITDA margin is defined as adjusted EBITDA expressed as a percentage of revenues for the period [242].