Aquestive Therapeutics (NASDAQ:AQST) Q1 2026 Earnings Call

0:00 Good day, and thank you for standing by. Welcome to the First Quarter twenty twenty six Aquestive Therapeutics Earnings Conference Call. At this time, all participants are in a listen only mode. After the speakers' presentation, we'll open up for questions. Please

0:26 be advised that today's call is being recorded. I would now like to hand it over to our first speaker, Faith Pomeroy Ward. Please go ahead. Thank you, operator. Good morning, and welcome to today's call. On today's call, I'm joined by Dan Barber, Chief Executive Officer and Ernie Toth, Chief Financial Officer, who are going to provide an overview of the company's reported financial results for the first quarter ended 03/31/2026, and a progress update on the company's key 2026 objectives, followed by a Q and A session. During the Q and A session, the team will be joined by Doctor. Matt Greenhaut, Chief Medical Officer, Molina Chaffee, Senior Vice President, Regulatory Affairs, Sherri Korchinski, Chief Commercial Officer and Doctor. Matthew Davis, Chief Development Officer.

1:21 As a reminder, the company's remarks today correspond with the earnings release that was issued after market closed yesterday. In addition, a recording of today's call and related supplemental materials will be made available on Aquestive's website within the Investors section shortly following the conclusion of this call. To remind you, the Aquestive team will be discussing some non GAAP financial measures this morning as part of its review of first quarter twenty twenty six results. A description of these measures along with a reconciliation to GAAP can be found in the earnings release issued yesterday, which is posted on the Investors section of Aquestive's website. During the call, the company will be making forward looking statements.

2:07 We remind you of the company's Safe Harbor language as outlined in today's earnings release, as well as the risks and uncertainties affecting the company as described in the Risk Factors section and in other sections included in the company's annual report on Form 10 ks filed with the U. S. Securities and Exchange Commission on 03/04/2026.

2:31 As with any pharmaceutical company with product candidates under development and products being commercialized, there are significant risks and uncertainties with respect to the company's business and the development, regulatory approval and commercialization of its products and other matters related to operations. Given these uncertainties, you should not place undue reliance on these forward looking statements, which speak only as of the date made. Actual results may differ materially from these statements. All forward looking statements attributable to Aquestive or any person acting on its behalf are expressly qualified in their entirety by this cautionary statement and the cautionary statements contained in the earnings release issued yesterday.

3:19 The company assumes no obligation to update its forward looking statements after the date of this conference call, whether as a result of new information, future events or otherwise, as required under applicable law. Now I would like to turn the call over to Dan. Good morning, and thank you for joining us today. In the last sixty two days since our earnings call, we have progressed the company significantly. For antifilm, dibute epinephrine sublingual film, we have completed our Type A face to face meeting with the FDA, completed a teleconference with The UK regulatory body known as MHRA, submitted our pediatric investigational plan to the European Medicines Agency, and submitted our human factors protocol for review by the FDA.

4:13 In addition, we have closed on a new debt facility with a leading life sciences debt provider and completed our phase one safety study in humans for our pipeline program AQST-one 108. We are also on track to attend over 40 conferences and submit over 20 publications this year. It is a testament to the Aquestive team that they were able to complete so much important work in such a brief period of time. The question, of course, is where does this work take us, and how do we expect the coming months to unfold? Today, I am providing guidance that we currently expect to have our human factors data and potentially our pharmacokinetic data for ANNAFILM available in time for our August earnings call.

5:04 Now, the completion of this data is dependent on the FDA providing responses to our human factors protocol on time and the responses being within expectations, including with respect to the scope and content of that feedback. With these assumptions in mind, we continue to guide to a third quarter resubmission to the FDA, recognizing this timing remains subject to FDA feedback and ongoing review processes. As we've stated in the past, we currently expect our resubmission of the NDA for ANNAFILM to be classified as a type two submission with a six month review, although final classification is determined by the FDA. We will request an expedited review upon our submission, and we'll do everything we can to communicate with the FDA and support their review process, recognizing that any decision on review timing rests solely with the FDA.

6:03 We believe the comments by FDA's leadership on the need for the agency to provide more timely feedback and review points to a broader agency focus, and in this case, may create the possibility of aligning with the FDA on a faster process. This, of course, cannot be guaranteed. Our commercial preparations continue to progress. Importantly, we were pleased to enter into a $150,000,000 debt facility with Oaktree, a leading life sciences debt provider. While Ernie will talk about this in more detail, at a global level, this agreement unlocks several important things for Aquestive. One, we have improved the interest rate terms on our existing debt and principal payments will not begin for several years.

6:54 Two, this completes the pre approval requirements for the RTW funding. And three, we have the ability to access $20,000,000 in additional capital if antifilm is approved by the FDA. Taken together with our existing cash and the RTW deal, we currently project that we will have greater than $150,000,000 in cash at launch, and this is before considering ex US ANIFILM and US Libervant out licensing deals. We plan on using this cash to focus on building intense awareness and access within the allergy community for Anafilm. We have already shared our plans for launch of Anafilm with you, if approved by the FDA, including a strong medical affairs presence, a 75 person sales force, and a focused marketing effort.

7:51 We have also been watching and learning from the launch of a nasal spray product in the market. Our research within the allergy community indicate that building clarity, trust, and support for allergists is key to unlocking prescriptions. This may seem obvious, but just think of the daily pressures allergists face in running their practices. Fitting into their world in a meaningful and credible way, in furtherance of patient access to antifilm is task number one, two, and three for us. While The US market is incredibly important to us, we can't forget that 96% of the world's population does not live in The US.

8:41 I truly believe ANNAFILM is a product that will save lives and we want as many people as possible on this planet to ultimately have access to it. Our lead ex US strategy continues to be Canada and Europe and we've made significant progress. As I mentioned before, we recently completed a comprehensive and positive interaction with MHRA, The UK's regulatory body. I'm pleased to say we received confirmation that we do not need to conduct additional studies before submitting our application to MHRA in The UK. We also recently submitted our Pediatric Investigational Plan to the European Medicines Agency, or EMA, or the European Union.

9:32 Aligning with EMA on this plan is essential to submitting our application. We now know that we can submit applications in The EU, UK, and Canada without conducting further clinical studies. Between The US, Canada, The UK, and the European Union, our product, if approved in each of these regions, could eventually be available to almost 1,000,000,000 people in the next several years. Now let's talk about our product pipeline. Given the excitement around ANNAFILM, people often forget that we are utilizing our epinephrine prodrug platform, Adrenoverse, to advance treatment in other indications. Our lead asset is AQST-one hundred eight, and we recently completed a Phase I safety study in men with androgenic areata.

10:27 I am pleased to say that there were no drug related adverse events observed in the study. And we also saw no appreciable signs of systemic absorption of our epinephrine pro drug or epinephrine itself. We did however, see something intriguing. Now, keep in mind, this is very early phase one study data. Our chief development officer, Doctor. Matthew Davis, added biomarker assays to the study to see if we could detect changes in key proteins associated with both alopecia areata and androgenic areata, along with other dermatological conditions, such as atopic dermatitis. While this information is not statistically powered, and should be viewed as directional only, we were pleased to see in subjects with alopecia that the cytokine TSLP appeared to be impacted by AQST-one hundred eight.

11:25 This was not the case when subjects were given placebo. This is very exciting as the signaling pathway for TSLP involves the activation of JAK1 and of JAK2. We have included preliminary data on this work in our supplemental material available under the presentations section of the investor page on our website. We will talk more about the next studies for AQST-one hundred eight in the coming months once we have resubmitted our antifilm application in The US. Our business development efforts and base business continue to move forward. Our business development team is currently in active negotiations on multiple programs for Europe, The US and South America.

12:14 We have also had outreach from additional regions of the world, including China and Australia. We are prioritizing this work based on the territory and program involved. We expect to have more to say on this topic in the months to come. In summary, we expect to provide a significant data update in August, assuming the FDA keeps to its review timeline and provides constructive comments to our human factor study protocol. We continue to drive awareness in the epilepsy community ahead of a potential product launch of antifilm if approved by the FDA. Our international filing efforts continue to be a priority, and our AQST-one 108 program continues to show promise for expansion into potential multiple indications.

13:03 With that, I will turn the call over to Ernie. Thank you, Dan, and good morning, everyone. By now, you will have seen our first quarter twenty twenty six financial results in the earnings release issued last evening and detailed in our Form 10 Q filing.

13:22 As we typically do, we will address most of the detailed discussion regarding the quarter during Q and A, and I will focus my remarks on financial performance, operating spend and liquidity. During the first quarter, our primary financial focus remained supporting progress on ANNAFILM following receipt of the FDA complete response letter on 01/30/2026, while maintaining a strong balance sheet and financial flexibility. Subsequent to quarter end, we completed a Type A meeting with the FDA and aligned on the remaining requirements for approval, including a human factors validation study and a PK study, both of which are currently underway.

14:10 During the quarter, we extended our strategic funding agreement with RTW Investments through 06/30/2027, further strengthening our liquidity runway and financial flexibility as we work towards antifilm resubmission.

14:26 Additionally, we announced the refinancing of our existing debt with a new $150,000,000 debt facility with certain funds and accounts managed by Oaktree Capital Management. This transaction reduces our interest rate, extends the interest only period, saving $45,000,000 in principal payments over the next three years on the existing debt that were scheduled to commence on June 30, and provides additional flexibility to fund the launch of ANNAFILM if approved by the FDA.

15:01 The new debt facility is available in four tranches, with tranche A of $55,000,000 refinancing the existing debt, tranche B of $20,000,000 available upon FDA approval of ANNAFILM, Tranche C of $25,000,000 available upon achieving certain sales levels, and Tranche D of $50,000,000 available upon mutual consent of Oaktree and the company.

15:30 Now, let me walk you through our first quarter results. Total revenues increased to $14,400,000 in the first quarter of twenty twenty six from $8,700,000 in the first quarter twenty twenty five. The 66% increase was primarily driven by increases in license and royalty revenue and increases in manufacturer and supply revenue. License and royalty revenue increased to $5,400,000 in the first quarter twenty twenty six from $800,000 in the first quarter twenty twenty five, primarily due to the recognition of royalty revenue from Zephyr. Manufacturer and supply revenue increased to $8,800,000 in the first quarter twenty twenty six from $7,200,000 in the first quarter twenty twenty five, primarily due to increases in Suboxone revenues, partially offset by lower UNDEEF revenues.

16:29 Research and development expenses decreased to $4,200,000 in the first quarter twenty twenty six from $5,400,000 in the first quarter twenty twenty five. The decrease in research and development expenses was primarily due to lower clinical trial costs associated with the antifilm development program, partially offset by increases in R and D personnel costs.

16:55 Selling, general and administrative expenses decreased to $11,000,000 in the first quarter of twenty twenty six from $19,100,000 in the first quarter of twenty twenty five. The decrease primarily represents the one time ANAFILM PDUFA fee of $4,300,000 in the prior year period, lower legal fees of approximately $3,400,000 lower commercial spending of approximately $2,000,000 and lower regulatory and licensing fees of approximately

17:27 $500,000 partially offset by higher severance costs of approximately $600,000 higher personnel costs of approximately $500,000 and higher share based compensation expenses of approximately $500,000 Aquestive's net loss for the first quarter twenty twenty six was $8,100,000 or $07 for both basic and diluted loss per share compared to the net loss in the first quarter twenty twenty five of $22,900,000 or $0.24 for both basic and diluted loss per share.

18:06 The decrease in net loss was primarily driven by increases in revenues, decreases in selling, general and administrative expenses and research and development expenses, partially offset by decreases in interest income and other income net.

18:23 Non GAAP adjusted EBITDA loss was $1,700,000 in the first quarter of twenty twenty six compared to non GAAP adjusted EBITDA loss of $17,600,000 in the first quarter of twenty twenty five.

18:39 Turning to the balance sheet, we ended the first quarter of twenty twenty six with approximately $110,000,000 in cash and cash equivalents. This cash position provides us with sufficient capital to complete the remaining FDA required studies for ANNOFILM, continue advancing AQST-one 108 and our ADRENAVERS platform and support ongoing operations and regulatory planning, including potential ex US regulatory filings and preparing for The US commercial launch of ANNOFILM if approved by the FDA. At this time, we are not updating full year financial guidance as our near term focus remains on execution of the remaining antifilm study requirements and achieving regulatory milestones.

19:30 We expect to provide additional financial and operational updates as those milestones are reached. For 2026, the company expects total revenue of $46,000,000 to $50,000,000 and non GAAP adjusted EBITDA loss of $35,000,000 to $30,000,000 as of 05/13/2026.

19:52 In summary, the first quarter of twenty twenty six reflects disciplined financial execution, a strong cash position and continued focus on advancing ANIFILM towards resubmission while carefully managing expenses across the organization. With that, I will now turn the line back to the operator to open the line for questions.

20:17 Thank you. Our

20:35 Our first question comes from the line of Rona Reese from Leerink Partners. Your line is open. Great. Good morning, everyone. So a couple from me. First on ANNOCELM, can you give us a little bit more detail on how things are going preparing for The US filing and ongoing study interactions or activities?

20:56 It sounds like you reiterated your timeline, what gives you added conviction to be able to hit that milestone?

21:04 Sure. Good morning, Roana, nice to hear your voice. So I think that the way to think about this moment in time for Aquestive, especially with antidone, is we're ready to go. We have a great team here who has the study designs completely ready, we have the sites standing by ready to start the studies, we've given guidance on timing of when we expect to have top line data in our August earnings. The only trigger that we are waiting for is, as we told you in our last release, the FDA reviewing our human factors protocol, which we have commitment from the FDA on the turnaround of that, which we expect to be in the next few weeks, and as soon as we have that we will start our studies and be on our way. So that's where the conviction on our timing comes from, and I think when you look across the broader business,

22:07 you can see that we're ready to go, whether it be medical awareness or our balance sheet as well. Sounds good. And I wanted to ask a question about AQST-one hundred eight as well. The biomarker data sounds interesting. Can you help frame that? How does that compare to other programs you've seen going after similar indications, even if they're different mechanism agents? How should we think about this early signal?

22:34 Sure, and I'll let Matthew Davis take that one. Hi, Mona. Think about TSLP. What's intriguing about this signal is the fact that one, it crosses across Th1, Th2 driven inflammation, JAK STAT1, JAK STAT2, so when you think of dermatology you would think of mechanisms that would be beneficial for alopecia areata, androgenic alopecia, atopic derm,

23:04 and there's a lot of optionality that this gives us. The fact that we also saw the correct orientation with CCL3 and CCL4 would be conformational, remember this is directional only data, that we're looking at the right things right now. So this gives 108 topical a lot of optionality in the dermatologic space. Rwanda, just to add on to what Matthew said, what we like about this moment for this program is one, we obviously are not going to lose focus on antifil, and our attention remains there, but we've been looking to create the data and the reasons to believe on why our Adrenoverse platform is a meaningful way to build the company.

23:54 And as Matthew just walked you through, these early results show, we think we're starting to find that proof.

24:02 Sounds great, thanks. Thank you. And our next question will come from the line of Kristen Kluska from Cantor. Your line is open. Hi, good morning, everybody, and congrats on all of the progress. So I wanted to ask how your market research and conversations have been going about coverage and reimbursement. I think there's been a lot of great work to support the enthusiasm is there. But

24:31 assuming you get an approval, what gives you confidence that you will get the coverage that the patients that want antifem will be able to get their hands on it?

24:41 Sure. Good morning, Kristen. Look, I think I hopefully have been consistent on this point all along. Coverage and reimbursement is a struggle for every company in life sciences, So there is no doubt when we launch that Sherri and her team have a lot of work to do to get coverage for the product at the level we want the product to be available to people. So Sherri, I'll pass it over to her in a second here, her and her team are doing a lot of the great foundational work to make that happen, but I do want to set the expectation right for everyone listening today. It will take time, and it will be something that we have to build as we go through our launch.

25:29 And with that, I'll let Sherri provide her view.

25:34 Yeah, thanks Dan. Hi Kristen, good morning. As we've been talking about, ensuring as many patients have access to antifilm is our number one priority. And rapid payer coverage and reducing the friction at our HCP's office is key. As Dan mentioned, we have watched and learned from the recent nasal launch. We see what has worked, what hasn't worked. We're adjusting our strategy accordingly. And we continue to have very robust discussions with the PBMs and the payers.

26:07 From the research and from our one on one meetings, there is significant interest in our product. But as Dan has mentioned, it's going to take some time. But what I can assure you with, Kristen, is we are setting up a best in class hub and patient support services. We are investing heavily into ensuring that there is as little friction, even with those prior auths, that there's as little friction and pain for our physicians' offices. That's the one thing we've learned. And so we've taken our learnings and we're applying them to how and what we will do. And so at the end of the day, we are very, very invested ensuring that both patients and HCPs are aware of antifilm and then are prepared to prescribe antifilm and ultimately that our patient gets their antifilm prescription.

27:07 Okay, thank you. And then just on that awareness angle, what do you think is going to be the biggest push that you're going to have to do in terms of getting the word out there, and how would you say potentially having this extra time since the CRL and your original planning has benefited that? Look, when it comes to awareness, I'm incredibly pleased with where we are as a company. We're definitely, in my view, I'll use the phrase punching above our weight, and I'm going pass it over to Matt Greenhawt in a second, but a lot of that is because of his efforts in the team around him and with him, and their efforts out in the field, I mentioned in the prepared comments.

28:00 This year we'll be at 40 conferences and have 20 publications, and that is an extensive awareness campaign. But Matt, maybe you could provide some of your thoughts on what you see. Good morning, hope everybody's doing well. I mean, we've been busy. We've gone to about 13 conferences to date. We're going to hit over 40 ideally.

28:23 Just writing papers is a lot of data. There's a great story to tell here and I'm doing my best to get this out and hopefully this will go through publication at some point this summer to early fall. We go and we meet with people at these meetings. There's a lot of enthusiasm, there's a lot of excitement, and it's great to have the opportunity to just sit and talk about what our story is, what we believe this product can do, and just be there to reassure and answer the questions about really anything that they want to know. So it's a nice opportunity to really get out and meet everybody, again, are mostly my former colleagues, so it's nice to be able to interact with them and share my enthusiasm about this product, and again, where we believe that this is going

29:10 to go. And I think we see that coming through in the survey work we do when we ask, are you aware of our products, and you see those numbers steadily going up over time. Thanks, everyone. Thank you. And our next question comes from the line of David Amsellem from Piper Sandler. Your line is open. Hi everyone, this is Naoqi on for David. Thanks for taking our questions. Just a couple of quick ones from us. So first with Nephe, now that that's been on the market for around eighteen months, can you elaborate on the learnings from that launch that are influencing any changes to your commercialization strategy? That's number one. And number two, with the Oaktree financing in place and the pre approval conditions for the additional RTW financing met,

29:58 is that sufficient runway through the launch of EniFilm? So if you could provide some clarification there, that'd be great. Thank you. Sure, yeah. Well let me go in reverse order, and let's start with Oaktree, and I'm going to pass it over to Ernie for a minute here. From our perspective, I'll open with that piece by saying, look, we're incredibly excited about the relationship with Oaktree, and now with both RTW and Oaktree as key backers of the organization, we think we're well positioned. But Ernie can give you his thoughts on the runway through the launch. Certainly. You mentioned with the refinancing of the existing debt with Oaktree, that satisfied the second condition under, or first condition under RTW, was that we refinance our existing debt so we have access to that capital. Second being that we get approval on Anafil.

30:59 As we've said publicly both in our oral and written statements, that this provides us runway through the launch next year, if approved. It puts the company in probably the best capital position it has ever been, and we feel confident that we'll have the funds in place ready to launch on approval of Annabelle. And let me go back to your first question, which was on the learnings from NEFI. I'll give you my thought and then I'll ask Sherri to also give hers. For me, I think the key learning is no matter how innovative your product, and we clearly believe our product is innovative and potentially transformative in this space, you can't take anything for granted. All of the hard work, basic blocking and tackling work of launching a drug, being out in front of the doctors, telling your story, getting coverage, all of that you have to do no matter how innovative your product is. So we are definitely focused on making sure we're ready to do all of that hard work.

32:07 But Sherri, I'll let you add your thoughts to that as well. Sure, thanks so much. And thanks so much for the question. Look, as you know, having a non device oral easiest to carry epinephrine, it is a game changer in the marketplace. But again, as Dan mentioned, no matter you build a better mousetrap, that doesn't necessarily mean it will come. And we've seen this in this marketplace. As you know, I ran the EpiPen brand. And we saw the same thing happen with AuviQ. So, just because you build a better mousetrap doesn't mean that everyone will come. So what have we learned? I think one is how do we reduce that friction? And so as I just mentioned to Kristen, we are really working hard in our very robust discussions with the PBMs and payers, but also working on setting up the best in class hub and support services to support the offices.

33:05 I think we heard from ARS back in their March earnings call is that they were kind of doubling down in the allergist space. Increasing reach and frequency in the allergists. We know that this market is driven by the allergists and the high prescribing pediatricians. Our plan, as you know, we've moved to 75 reps as well as then obviously the managers and the support around that, is critical to drive the product forward. And so, look, I think at the end of the day, reducing friction in the physician's office is critical, ensuring that physicians and patients have awareness, and really driving believability in the product. So Matt's team is out there doing a fantastic job. I mean, our market research shows the awareness with the HCPs has gone from a 33% to 66%.

34:09 So the increased effort in publications and all the medical work that is being done will only continue to do that. But that only gets us so far, right, with the awareness. We have to have doctors believe in it. So all of the scientific work Matt and his team are doing, the publications we will continue to put out are critically important. And then physicians have to get experience with the product in their office. And we will look to launch a program upon approval so physicians can get that actual real world experience. Thank you. Does that answer your question, David? It does. Thanks. Thank you.

34:57 And our next question comes from the line of Francois Brisbaugh from LifeSci Capital. Your line is open. Hey, guys. Thanks for the questions here. So I was just wondering on that friction pain in the physician's office, is this something where it's kind of always the same issue. Is there one problem that seems to be recurrent everywhere that's easily fixable? Or is this a situation where it depends on the practice, it depends on the state, it depends on the doctor? How far can you guys go in terms of better understanding if you have to do like a custom approach to each office, or is there something where it's like, I think we've got something here that is the main problem most of the time?

35:49 Good morning, Frank. Good to hear your voice. So say, let me position it this way. While we're working on it, and Sherri gave you the big overview, We definitely will be keeping a decent amount of our playbook to ourselves. So yes, we do see opportunity on how to manage the friction. We do, as Sherri talked about, see some of the basic steps that every company takes, like having a good hub, like being there with frequency. But in terms of the tailor made approach and how we tackle that, Some of that we're gonna hold back on for right now. But I guess the way I'll leave it with you is more to come.

36:37 Okay, great. And in terms of the FDA, there's just so much with you guys with the FDA right now. Has the personnel changed? Any updates on there's obviously been quite a bit of change with the FDA. Anything in terms of your case that has changed or has been more worrisome about this timing? I think you guys are waiting on the review from the human factors protocol. If you just in terms of timeline and expectations and comfort, and then you mentioned there could be a possibility where things even accelerate. Can you just dig a little bit more into your what you can share about FDA interactions? Sure. Well I'll talk about the acceleration piece, and then I'll pass it over to Melina to talk about her view on the stability of the people we're interacting with. So to be clear, we believe we will be assigned a six month review clock, because that would seem to be what the statutes are saying.

37:33 However, we firmly believe that the package we're going to be putting in, as all of us are aware, will be the human factor study and the PK study that we're doing, and that's it. So we do believe there's an opportunity to say to the FDA this is a limited package, and it shouldn't require the full six months. We also would note there's precedence for that in the other recent branded product in this space, so that will be our approach on pushing for, hopefully, action sooner than the full six months. But in terms of the stability of the individuals at the FDA, I'll pass it over to Molly. Thank you. Good morning, Frank. The team, the review team across the board, across the various divisions remain intact, meaning that these are the same individuals that have worked with us early on during the development of the product as well as during the review. So we foresee no abrupt changes at this point.

38:38 All right, thank you very much. Thank you. And our next question comes from the line of Mahzahir Alimohad from Oppenheimer. Your line is open. Good morning, everyone. Thank you for taking our questions, and thank you for the really comprehensive earnings call. So just a couple from us. I guess the first one is in terms of the Zevra royalty, how should we think about this $5,400,000 Is that a run rate figure? Or were there any catch up payments in Q1 that make this a high watermark for the year? And then kind of one more that's a little bit more mechanistic on the TSLP biomarker. So kind of seems like JAK onetwo sits downstream of TSLP signaling and that JAK inhibitors that which currently carry the black box warning largely due to their exposure could limit the uptake. How I guess, how confident are you that AQST's topical delivery profile would avoid the systemic JAK inhibition risks that currently limit the oral agents? Thank you.

39:46 So, I'll let Ernie start with the Zepra royalty, and then go to Matthew for TSLP. Hi, Bozzi. So, no, you should not think of this as run rate for the year. You've got to remember that what we receive from Zebra is a part of an agreement we have with them, where we have an economic interest in one of their products, as Taurus. Zebra recently sold that product, and as a result of that received a $50,000,000 payment, of which we were entitled to 10% of, so that is what accounts for the $5,000,000 approximately $5,000,000 in the first quarter.

40:32 And let's turn to your question on TSLP, is good, Matthew. That's an absolutely great question. So when you think about the broad based nature of immunomodulation when it comes to the adrenabers, you should think that we're not a specific actor inhibiting one pathway. So the healthy normal subjects that volunteered for this trial did not have an elevated TSLP, they did not have elevated CCL3, CCL4, and the topical AQST-one hundred eight did not actually modulate those patients. So the patients that had androgenic alopecia, it's not a broad based inflammatory condition, but they did have elevated TSLP, and the topical one hundred and eight did reduce that directionally.

41:25 So our preclinical research and also the published literature says that topical beta-two agonists have a broad based immunomodulator, not specifically targeting one pathway. A JAK inhibitor specifically targets one pathway. Now as the program advances, we'll find out more about it and we will inform you as we get more data, but that's sort of the differentiation between a broad based modulation versus a single pathway inhibitor. Very helpful. Thank you for the added color. Thank you. And our next question comes from the line of Raghuram Selvaraju from H. C. Wainwright. Your line is open.

42:16 Hi, good morning. Thank you for taking my question. This is Yansi sitting in for Ram. So I have a few questions. The first is for ANNAFILM. So for ANNAFILM ex U. S, you said that you have existing clinical data that's enough to support filings in Canada, EU, UK, and so on. And I'm just wondering, how are you thinking about sequencing, partnering, price access, all the works, and the retained economics across those markets? Sure. And we can go into further detail if you want on the existing clinical piece, but Melina and her team have worked very hard. We've met with the regulatory bodies in Canada, UK, and EMA, so that's where our comfort comes from that the existing clinical package is sufficient, and we are working rapidly towards regulatory filings in multiple jurisdictions.

43:16 So from that perspective, we're in good shape. From the partnering perspective, we're well on our way in Europe in particular. I would say the economics are similar to what you would expect for a program at this stage, so we do understand the markets, we've done our work in those markets, we understand what we should retain versus what a partner should be able to also be rewarded and feel good about. So I think those I would guide you to being within industry norms. And in terms of timing, I've learned over the year with BD deals, timing is always a tricky thing, so what I would tell you is we are on our way, and when we get to the right place, you guys will be the first to know.

44:15 Great, thank you. Now with respect to the Oaktree facility, would you be able to disclose what the prepayment provisions are there? For example, like what are the cash restrictions, for example? I think everything is disclosed in the eight ks. It's pretty extensive disclosure on the covenants and the restrictions and everything, so I would refer you to it. I would just broadly say we are happy with not only the quality of the debt provider we have with Oaktree, but the ability to run our business and grow our business without being restrained.

45:01 So we think that is a key part of this announcement. Great, thank you so much. Thank you. Our next question comes from the line of Jim from Alliance Global Partners. Your line is open. Hello. This is Laura in for Jim Molloy. Thank you for taking our questions. So for AQST-one 108, you've touched on this already a bit, but how do you think you're going to further look into the TSLP biomarker data in future studies for 900? And how meaningful do you think this finding is for the atopic dermatitis indication specifically that you're looking to study? Sure. I'll pass it over to Matthew in a second. I would say we're definitely excited.

45:51 It's definitely a positive thing and something that we're happy to see, and confirmatory of what we thought we would see, but as Matthew guided, it is early stage information. And I also do want to just reiterate that in the short term, so over these next few months, everyone's brainpower resources time, including Matthew's, will be heavily geared towards making sure we get our anatomic resubmission right. So that is definitely priority number one. But I'll let Matthew give you his thoughts on what might come next. I'm very, very excited about the direction of discovery of the TSLP, but please remember this is one of many biomarkers.

46:38 So it guides you towards inflammatory states dermatologically and topically, but also in additional programs we want to expand upon the biomarkers and the utilization of biomarkers because we believe based on literature and based on our own preclinical work that there is a lot of opportunity, and we believe that the topical beta-two blockers and the adrenabers in general really can have the potential of being a broad based immunomodulator. And as we develop our programs, once we're done with ANNAFILM, we will guide everyone on what direction we're going and what information we're going be looking at. But this is a really exciting first step.

47:28 Got it, thank you. And also for Anafilm, with plans to expand globally, are you still on track to file for full submission to the EMA and Health Canada by the end of the year? And how would you just compare the overall U. S. Versus ex U. S. Timing? Thank you. Yeah, well, the U. S. Timing, obviously, we've been very open about, we continue to guide to a Q3 submission, we think it's a six month review, we're going to try to get the review to be faster, so obviously the map there is pretty basic. On Canada, we continue to see a 2026 filing. On Europe. We're definitely shooting for a 2026 filing. We're going be right up against the New Year's holiday where that falls, so whether that is late Q4 or early Q1, I'm not sure that the calendar turn is what matters on that so much as getting it right and getting it in as fast as we can.

48:29 Great, thank you for taking the questions. Thank you. I'm not showing any further questions at this time. I would now like to turn it back over to Dan Barber for closing remarks. Thank you, Victor. As I said earlier in the call, we are, in our view, ready to go. We're ready to conduct our studies, we're ready to build our awareness even further, and if approved by the FDA, we're on track to launch Anafel. And we look forward to updating you on our additional progress in the months to come. And with that, thank you for joining us, and have a great day. Thank you for your participation in today's conference. This does conclude the program. You may now disconnect. Everyone, have a great day.