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The earnings call reveals mixed signals: while there are promising developments like the Avexitide Phase III trial and a strong cash runway, the modest delay in enrollment and lack of clear timelines for certain projects create uncertainties. The Q&A section highlights management's evasiveness on some key details, which may concern investors. The neutral sentiment reflects these balancing factors, suggesting limited stock price movement in the short term.
Cash Position $344 million at the end of Q3 2025, compared to $181 million at the end of Q2 2025, reflecting a recent public offering that provided approximately $191 million of net proceeds. This positions the company to support the potential launch of avexitide in 2027 and provides an anticipated cash runway into 2028.
Total Operating Expenses $36 million for Q3 2025, down 53% from the same period in 2024. The decrease is primarily due to one-time expenses related to the acquisition of avexitide incurred in Q3 2024.
Research and Development Expenses $19.9 million in Q3 2025, compared to $21.2 million in Q3 2024. The decrease is primarily due to reduced spending on AMX0035 for PSP and ALS, offset by increased spending on the clinical development of avexitide in PBH.
Selling, General and Administrative Expenses $16.2 million in Q3 2025, compared to $17.8 million in Q3 2024. The decrease is primarily due to reduced consulting, professional services, and other expenses.
Noncash Stock-Based Compensation Expense $7.1 million in Q3 2025, compared to $6.8 million in Q3 2024.
Avexitide: Progress in the Phase III LUCIDITY trial for post-bariatric hypoglycemia (PBH). Recruitment completion expected in Q1 2026, with top-line data in Q3 2026. Launch preparation underway for 2027, pending FDA approval.
AMX0035: Advancing clinical development for Wolfram syndrome. Phase III trial planned for the second half of 2026, pending FDA alignment.
AMX0114: Phase I LUMINA trial Cohort 1 fully enrolled. Early cohort data expected later this year, with biomarker data anticipated in the first half of 2026.
PBH Market: Estimated 160,000 individuals in the U.S. affected by PBH. Continued market research and claims analysis support the unmet need and market potential for avexitide.
Financial Position: Strong cash position of $344 million, bolstered by a $191 million public offering. Cash runway anticipated into 2028.
Operating Expenses: Total operating expenses decreased by 53% compared to Q3 2024, primarily due to one-time acquisition costs in the prior year.
GLP-1 Receptor Antagonism: Collaboration with Gubra progressing on developing a novel long-acting GLP-1 receptor antagonist. Decision on a development candidate expected in the coming months.
Enrollment Delays in LUCIDITY Trial: The company has experienced slower-than-expected enrollment rates for the Phase III LUCIDITY trial, pushing the recruitment completion timeline from the end of 2025 to Q1 2026. This delay could impact the overall timeline for obtaining top-line data and potentially delay the launch of avexitide.
Regulatory and Approval Risks: The success of avexitide and other pipeline products is contingent on FDA approval. Any unforeseen regulatory hurdles or delays could significantly impact the company's ability to launch its products as planned.
Financial Risks: Although the company has a strong cash position, the financial runway is dependent on careful execution of trials and preparation for product launches. Any unexpected increases in costs or delays could strain financial resources.
Market and Commercialization Risks: The company is investing in market research, disease education, and commercial infrastructure for avexitide. However, there is a risk that the market may not adopt the product as anticipated, or that the estimated 160,000 individuals with PBH may not translate into the expected market size.
Pipeline Development Risks: The development of other pipeline products like AMX0035 and AMX0114 involves clinical trials and regulatory approvals, which are inherently risky and could face delays or failures.
Avexitide Recruitment and Launch Timeline: Recruitment for the Phase III LUCIDITY trial is now expected to complete in Q1 2026, with top-line data anticipated in Q3 2026. The potential launch of avexitide remains on track for 2027, pending FDA approval.
Market Preparation for Avexitide: The company is actively preparing for a 2027 launch of avexitide by building medical affairs and commercial organizations, investing in market research, disease education, market access strategy, and commercial infrastructure.
Pipeline Development for AMX0035 and AMX0114: A pivotal Phase III trial for AMX0035 in Wolfram syndrome is planned for the second half of 2026, pending FDA alignment. Early cohort data for AMX0114 is expected later this year, with biomarker data anticipated in the first half of 2026.
Financial Position and Cash Runway: The company has a strong cash position of $344 million, providing an anticipated cash runway into 2028, supporting the potential launch of avexitide in 2027.
GLP-1 Receptor Antagonism Research: The company is progressing its research collaboration with Gubra to develop a novel long-acting GLP-1 receptor antagonist, with a decision on a potential development candidate expected in the next few months.
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The earnings call reveals mixed signals: while there are promising developments like the Avexitide Phase III trial and a strong cash runway, the modest delay in enrollment and lack of clear timelines for certain projects create uncertainties. The Q&A section highlights management's evasiveness on some key details, which may concern investors. The neutral sentiment reflects these balancing factors, suggesting limited stock price movement in the short term.
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