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ARS Pharmaceuticals(SPRY) - 2025 Q3 - Quarterly Report

Market Opportunity - nef y is the first FDA and European Commission-approved needle-free epinephrine product, targeting a market opportunity of approximately $3.5 billion in annual net sales from 6.5 million patients currently prescribed an epinephrine autoinjector in the U.S.[224] - The estimated annual net sales opportunity from an additional 13.5 million diagnosed patients who have not been prescribed an epinephrine product is approximately $7.0 billion[224] Financial Performance - As of September 30, 2025, the company had cash, cash equivalents, and short-term investments of $288.2 million[238] - Net losses for the nine months ended September 30, 2025, and 2024 were $130.0 million and $41.9 million, respectively, with an accumulated deficit of $253.3 million as of September 30, 2025[239] - Revenue for the three months ended September 30, 2025 was $32.5 million, a significant increase from $2.1 million in the same period of 2024, driven by $31.3 million in net product revenues from nef y sales in the U.S.[267] - Total operating expenses for the three months ended September 30, 2025 were $85.7 million, compared to $23.8 million in 2024, reflecting a substantial increase of $61.9 million[273] - Net loss for the three months ended September 30, 2025 was $51.2 million, compared to a net loss of $19.1 million in the same period of 2024, representing an increase of $32.0 million[267] - For the nine months ended September 30, 2025, total revenue was $56.2 million, compared to $2.6 million in the same period of 2024, with $51.9 million from net product revenues of nef y[274] - The cost of goods sold for the nine months ended September 30, 2025 was $14.3 million, a significant increase from $0.1 million in 2024, reflecting the transition of manufacturing costs from R&D to COGS[275] - Net cash used in operating activities for the nine months ended September 30, 2025 was $127.4 million, compared to $28.5 million in 2024, indicating increased operational cash burn[282] - Other income, net for the nine months ended September 30, 2025 was $8.0 million, slightly down from $8.3 million in 2024, primarily due to a decrease in net accretion of discounts on short-term investments[278] - Cash and cash equivalents provided by investing activities for the nine months ended September 30, 2025, was $32.7 million, compared to a usage of $4.3 million in the same period of 2024[284][285] - Financing activities generated $103.5 million in cash and cash equivalents during the nine months ended September 30, 2025, primarily from a term loan of $97.8 million[285] Product Development and Launch - The FDA approved nef y 2 mg on August 9, 2024, and the commercial launch began on September 23, 2024, with a direct sales force of approximately 107 individuals targeting high-volume prescribers[230] - The European Commission granted marketing authorization for EURnef y on August 22, 2024, with launches in Germany and the U.K. occurring in June and October 2025, respectively[235] - Approximately 90% of patients experiencing anaphylaxis symptoms were effectively treated with a single dose of nef y, comparable to historical outcomes for epinephrine injection[236] - The company initiated a Phase 2b clinical trial for chronic spontaneous urticaria patients in the second quarter of 2025, with topline data expected in mid-2026[237] Collaborations and Agreements - The ALK Collaboration Agreement allows ALK to develop and commercialize products containing intranasal epinephrine in territories outside the U.S., Japan, and China, with obligations for regulatory approvals and commercialization efforts[242] - ALK made an upfront payment of $145.0 million in November 2024, with potential additional milestone payments of up to $315.0 million[244] - The company expects to receive tiered royalty payments on net sales in the mid- to high-teens percentage range[244] - The ALK Co-Promotion Agreement allows for performance-based bonus payments equal to 30% of net sales generated from targeted prescribers in the second year, increasing to 50% in years three and four[250] - The ALK Supply Agreement ensures a five-year supply of products at a specified price, with termination clauses for material breaches[246] Expenses and Obligations - Selling, general and administrative expenses have increased due to the establishment of a sales force and marketing initiatives since Q3 2024[263] - Research and development expenses for the three months ended September 30, 2025 were $2.8 million, down 38% from $4.4 million in 2024, primarily due to decreases in product development-related expenses[269] - Selling, general and administrative expenses for the three months ended September 30, 2025 were $74.8 million, an increase of $55.5 million from $19.3 million in 2024, largely due to higher marketing and personnel-related expenses[271] - Total unconditional purchase obligations related to raw materials amounted to $56.9 million as of September 30, 2025, with estimated remaining payment obligations of $0.2 million in 2025 and $10.4 million in 2026[293] - The company has remaining payment obligations of $14.0 million under a corporate sponsorship agreement, with $7.0 million due as of September 30, 2025[295] - Under the Aegis Agreement, remaining payment obligations to OrbiMed are contingent upon achieving commercial milestones, reduced to $11.0 million as of September 30, 2025[296] - The company is required to make royalty payments of up to €5.0 million (approximately $5.7 million) under the Recordati Termination Agreement, with future amounts dependent on uncertain revenues[297] - The total remaining payment obligations under the ALK Co-Promotion Agreement are $26.8 million as of September 30, 2025, with payments deferred to the second year of the partnership[298] - Estimated interest payments on the outstanding principal of $100.0 million under the Credit Agreement are projected to total $48.1 million, with $2.5 million due in 2025[299] Future Outlook - The company anticipates that existing cash, cash equivalents, and revenues will be sufficient to meet cash requirements for at least the next three years, although actual results may vary[288]