Company Formation and Structure - COSCIENS Biopharma Inc. was formed following the all-stock merger of Aeterna Zentaris Inc. and Ceapro Inc. on June 3, 2024, with the name change effective August 6, 2024[232][249]. - The Company’s common shares are traded on Nasdaq and TSX under the symbol "CSCI" following the merger[233][250]. - Following the merger, former shareholders of Ceapro and Aeterna each own approximately 50% of the common shares on a fully diluted basis[246]. Financial Performance - Total revenue for Q4 2024 was 3.3million,a1741.2 million in Q4 2023, primarily driven by a 1.2millionincreaseinsalesofAvenanthramides,BetaGlucan,andOatOil[268].−Forthetwelve−monthperiodendedDecember31,2024,totalrevenuereached9.6 million, up 34% from 7.1millionin2023,withasignificantcontributionfromMacrilenrevenueduetotheacquisitionofAeterna[270].−Totalrevenueforthetwelve−monthperiodendedDecember31,2023,was7.1 million, a decrease of 7.4millionor5114.5 million in 2022[272]. - Consolidated net loss for the three-month period ended December 31, 2024, was 6.7million,comparedtoanetlossof1.6 million in the same period in 2023, representing an increase of 5.1million[290].−Thecompanyreportedaconsolidatednetlossof15.3 million for the twelve-month period ended December 31, 2024, compared to a net loss of 3.5millionin2023,anincreaseof11.8 million[290]. Research and Development - The Phase 3 DETECT-trial for macimorelin failed to meet its primary endpoints, leading to a strategic review and discontinuation of investment in related pre-clinical programs[244]. - The Company has initiated a strategic review of its pipeline and is exploring alternatives for macimorelin, including potential divestment[244]. - Research and development expenses for Q4 2024 were 2.9million,significantlyhigherthan0.5 million in Q4 2023, reflecting increased investment in product development[268]. - Total research and development expenses for the twelve-month period ended December 31, 2024, were 8.3million,anincreaseof6.3 million or 307% compared to 2.0millionin2023[274].−Avenanthramidesarebeingdevelopedfornutraceuticalapplicationstotreatinflammation−basedconditions,withaPhase1−2astudycurrentlyunderway[266].StrategicInitiatives−ThecompanyiscurrentlyengagedinasearchforanewPresidentandCEOtoleadfuturegrowthandintegrationefforts[251].−Thecompanyistargetingthelaunchofachewableoatbetaglucanproductforcholesterolreductioninthefirsthalfof2025,leveragingapprovedclaimsinmultipleregions[256].−ThecompanyhasestablishedacollaborationwithNATEXtoscaleupPGXTechnology,withcompletionexpectedinQ22025inAustria[254].−ThecompanydiscontinueditsAIMBiologicalandALSprogramsinQ32024duetochallengingtimelinesandcosts[263].FinancialPositionandCashFlow−Cashandcashequivalentsattheendoftheperiodwere16,393,000, up from 6,678,000attheendofDecember2023[295].−Totalassetsincreasedto35,070,000 as of December 31, 2024, compared to 23,745,000asofDecember31,2023[295].−Thecompanyreportedanetcashusedinoperatingactivitiesof(14,568,000) for the twelve months ended December 31, 2024, compared to (2,582,000)forthesameperiodin2023[298].−Cashprovidedbyinvestingactivitiestotaled25,083,000 for the twelve months ended December 31, 2024, compared to cash used of (730,000)inthesameperiodin2023[301].−Thecompanyplanstofinancefutureoperationsprimarilythroughproductsalesandexistingcashonhand,whichisexpectedtobesufficientforatleastthenext12months[306].RisksandUncertainties−TheCompanyhashighlightedvariousrisksthatmaymateriallyaffectitsbusiness,includingcreditrisk,liquidityrisk,andmarketrisk[318].−TheCompanyisexposedtoforeignexchangeriskduetoinvestmentsinforeignoperationswithafunctionalcurrencyoftheCanadianDollar[588].−AsofDecember31,2024,theCompanyreported16,393 in cash and cash equivalents, indicating a material uncertainty regarding its ability to continue as a going concern[587]. - One counterparty comprised 75% of total receivables as of December 31, 2024, up from 40% in 2023, with no amounts past due[582].