Aquestive(US:AQST)2025-05-13 13:00Financial Data and Key Metrics Changes - Total revenues decreased to $8.7 million in Q1 2025 from $12.1 million in Q1 2024, representing a 28% decrease primarily driven by declines in manufacturer and supply revenue and license and royalty revenue [26][28] - Manufacturer and supply revenue decreased to $7.2 million in Q1 2025 from $10.5 million in Q1 2024, primarily due to decreases in Suboxone revenues, partially offset by an increase in ONDIF revenues [26] - License and royalty revenue decreased by 30% or $300,000 in Q1 2025 compared to the same period in the prior year [27] - Net loss for Q1 2025 was $22.9 million or $0.24 per share compared to a net loss of $12.8 million or $0.17 per share in Q1 2024 [28] - Non-GAAP adjusted EBITDA loss was $17.6 million in Q1 2025 compared to a loss of $7.2 million in Q1 2024 [28] Business Line Data and Key Metrics Changes - Research and development expenses decreased to $5.4 million in Q1 2025 from $5.9 million in Q1 2024, primarily due to lower clinical trial costs associated with the antifilm development program [27] - Selling, general and administrative expenses increased to $19.1 million in Q1 2025 from $10.7 million in Q1 2024, primarily due to regulatory fees, higher legal fees, and increased commercial spending [27] Market Data and Key Metrics Changes - The rescue medication market for severe allergic reactions is anticipated to grow into a multi-billion dollar opportunity [6] - The company expects to have attended 25 conferences and published 16 posters and manuscripts by the end of the year to increase awareness of anaphylaxis and clinical data among healthcare professionals [8] Company Strategy and Development Direction - The company is focused on ensuring a successful commercial launch of ANNAFILM in Q1 2026 if approved by the FDA, with a strong emphasis on building a capable marketing team and increasing awareness among healthcare providers [6][7] - The company plans to leverage existing payer contracts established during the marketing of Libervant to facilitate the launch of ANNAFILM [9][10] - The company aims to strengthen its balance sheet through potential ex-US out-licensing of ANNAFILM and refinancing its debt [16][19] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's positioning to weather economic uncertainties and supply chain risks, noting minimal risk to price or supply volatility [20] - The company is actively engaging with the FDA regarding the review of its application and is prepared for an advisory committee meeting if required [18][22] - Management acknowledged the passing of a key team member and emphasized the importance of continuing the development of ANNAFILM in his memory [21] Other Important Information - The company has revised its full-year 2025 financial guidance, now expecting total revenue of $44 million to $50 million and a non-GAAP adjusted EBITDA loss of $47 million to $51 million [28][29] - The company will not hire sales representatives until it receives FDA approval for ANNAFILM, focusing on preparatory work in the meantime [92][93] Q&A Session Summary Question: Update on commercial readiness efforts for ANNAFILM - The company is well-prepared for CMC manufacturing scale-up and has plans in place for product readiness on day one [31][32] Question: Goals for hiring a field force for ANNAFILM - The company plans to start with around 50 sales representatives targeting top epinephrine prescribers, including allergists and pediatricians [33] Question: Key goals in interacting with payers for ANNAFILM - The company aims for 80% coverage by the end of the first six months post-launch, aligning with the back-to-school season [37] Question: Learnings from the launch of Nephi - The company sees market expansion as critical and expects the market to double over the coming years [41][44] Question: Potential for an advisory committee meeting - The company is hopeful to know about an AdCom by day 74 of the review process, but it is at the FDA's discretion [97] Question: Awareness of ANNAFILM with providers - The company has conducted over 1,000 interviews and is actively engaging with healthcare providers to increase awareness [60] Question: Cash needed for the launch of ANNAFILM - The company has multiple paths to finance the launch and will not hire sales reps until approval is received [92][93]