Item 1. Financial Statements
Item 1. Financial Statements.
NewAmsterdam Pharma Company N.V.
Condensed Consolidated Balance Sheets
(Unaudited)
September 30,
2025
December 31,
2024
(In thousands of USD)
Assets
Current assets:
Cash and cash equivalents
538,407
771,743
Prepayments and other receivables
28,074
24,272
Employee receivables
—
4,951
Marketable securities, current
164,539
62,447
Restricted cash
1,308
—
Total current assets
732,328
863,413
Marketable securities, net of current portion
53,091
—
Property, plant and equipment, net
323
242
Operating right of use asset
246
431
Intangible assets
439
534
Total assets
786,427
864,620
Liabilities and Shareholders' Equity
Current liabilities:
Accounts payable
3,632
4,744
Accrued expenses and other current liabilities
10,098
13,608
Deferred revenue, current
—
6,008
Lease liability, current
181
246
Derivative earnout liability, current
—
44,798
Derivative warrant liabilities
44,361
37,514
Total current liabilities
58,272
106,918
Lease liability, net of current portion
85
202
Total liabilities
58,357
107,120
Commitments and contingencies (Note 12)
Shareholders' Equity (deficit):
Ordinary shares, € 0.12 par value; 400,000,000 shares authorized; 113,172,684 and 108,064,340 shares issued and outstanding as at September 30, 2025 and December 31, 2024, respectively
14,107
13,444
Additional paid-in capital
1,396,790
1,298,160
Accumulated loss
( 687,467
)
( 558,571
)
Accumulated other comprehensive income
4,640
4,467
Total shareholders' equity
728,070
757,500
Total liabilities and shareholders' equity
786,427
864,620
See notes to consolidated financial statements.
4
NewAmsterdam Pharma Company N.V.
Condensed Consolidated Statements of Operations and Comprehensive Loss
(Unaudited)
For the three months ended September 30,
For the nine months ended September 30,
2025
2024
2025
2024
(In thousands of USD, except per share amounts)
Revenue
348
29,111
22,471
32,791
Operating expenses:
Research and development expenses
30,971
35,702
103,238
116,511
Selling, general and administrative expenses
24,520
18,412
78,936
49,340
Total operating expenses
55,491
54,114
182,174
165,851
Operating loss
( 55,143
)
( 25,003
)
( 159,703
)
( 133,060
)
Other income (expense):
Interest income
6,713
4,443
21,119
12,396
Fair value change – earnout
—
( 5,414
)
3,992
( 11,020
)
Fair value change – warrants
( 23,792
)
4,644
( 7,440
)
( 19,008
)
Loss on disposal of property, plant and equipment
( 1
)
—
( 1
)
—
Foreign exchange gains/(losses)
218
4,682
13,137
1,270
Loss before tax
( 72,005
)
( 16,648
)
( 128,896
)
( 149,422
)
Income tax expense (benefit)
—
( 1
)
—
( 1
)
Loss for the period
( 72,005
)
( 16,647
)
( 128,896
)
( 149,421
)
Other comprehensive income/(loss)
Unrealized gain/(loss) on available-for-sale securities, net of tax
313
—
173
—
Total comprehensive loss for the period, net of tax
( 71,692
)
( 16,647
)
( 128,723
)
( 149,421
)
Net loss per ordinary share
Basic and diluted
$
( 0.61
)
$
( 0.18
)
$
( 1.09
)
$
( 1.61
)
See notes to consolidated financial statements.
5
NewAmsterdam Pharma Company N.V.
Condensed Consolidated Statements of Shareholders' Equity
(Unaudited)
(In thousands of USD, except share amounts)
Shares
Amount
Additional Paid-In Capital
Accumulated Loss
Accumulated Other Comprehensive Income
Total Shareholders' Equity
Balance at December 31, 2023
82,469,768
10,173
590,771
( 316,973
)
4,422
288,393
Issuance of Ordinary Shares and Pre-Funded Warrants, net of issuance costs
5,871,909
759
189,207
—
—
189,966
Exercise of warrants
926,698
121
19,674
—
—
19,795
Exercise of stock options
452,461
60
( 609
)
—
—
( 549
)
Share-based compensation
—
—
7,965
—
—
7,965
Total loss and comprehensive loss for the period
—
—
—
( 93,767
)
—
( 93,767
)
As at March 31, 2024
89,720,836
11,113
807,008
( 410,740
)
4,422
411,803
Exercise of warrants
294,521
38
6,268
—
—
6,306
Share-based compensation
—
—
8,337
—
—
8,337
Total loss and comprehensive loss for the period
—
—
—
( 39,007
)
—
( 39,007
)
As at June 30, 2024
90,015,357
11,151
821,613
( 449,747
)
4,422
387,439
Exercise of Pre-Funded Warrants
2,105,248
279
( 279
)
—
—
—
Exercise of stock options
45,000
5
53
—
—
58
Share-based compensation
—
—
8,012
—
—
8,012
Total loss and comprehensive loss for the period
—
—
—
( 16,647
)
—
( 16,647
)
As at September 30, 2024
92,165,605
11,435
829,399
( 466,394
)
4,422
378,862
Balance at December 31, 2024
108,064,340
13,444
1,298,160
( 558,571
)
4,467
757,500
Issuance of Earnout Shares
1,743,136
226
40,581
—
—
40,807
Exercise of Pre-Funded Warrants
1,293,938
162
( 162
)
—
—
—
Exercise of warrants
15,942
2
410
—
—
412
Exercise of stock options
909,140
116
2,875
—
—
2,991
Vesting of RSUs
142,795
18
( 18
)
—
—
—
Share-based compensation
—
—
15,213
—
—
15,213
Total loss and comprehensive loss for the period
—
—
—
( 39,527
)
( 33
)
( 39,560
)
As at March 31, 2025
112,169,291
13,968
1,357,059
( 598,098
)
4,434
777,363
Exercise of warrants
100
—
2
—
—
2
Exercise of stock options
340,317
46
3,378
—
—
3,424
Vesting of RSUs
206
—
—
—
—
—
Share-based compensation
—
—
15,179
—
—
15,179
Total loss and comprehensive loss for the period
—
—
—
( 17,364
)
( 107
)
( 17,471
)
As at June 30, 2025
112,509,914
14,014
1,375,618
( 615,462
)
4,327
778,497
Exercise of warrants
23,826
4
633
—
—
637
Exercise of stock options
638,944
89
5,529
—
—
5,618
Share-based compensation
—
—
15,010
—
—
15,010
Total loss and comprehensive loss for the period
—
—
—
( 72,005
)
313
( 71,692
)
As at September 30, 2025
113,172,684
14,107
1,396,790
( 687,467
)
4,640
728,070
See notes to consolidated financial statements.
6
NewAmsterdam Pharma Company N.V.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
For the nine months ended September 30,
2025
2024
(In thousands of USD)
Operating activities:
Loss for the period
( 128,896
)
( 149,421
)
Non-cash adjustments to reconcile loss before tax to net cash flows:
Depreciation and amortization
161
62
Non-cash rent expense
3
8
Fair value change - derivative earnout and warrants
3,448
30,028
Loss on disposal of property, plant and equipment
1
—
Foreign exchange (gains)/losses
( 13,137
)
( 1,270
)
Amortization of premium/discount on available-for-sale debt securities
( 1,381
)
—
Share-based compensation
45,402
24,204
Changes in working capital:
Changes in prepayments and other receivables
( 3,216
)
( 8,769
)
Changes in accounts payable
( 409
)
( 9,751
)
Changes in accrued expenses and other current liabilities
( 2,876
)
( 708
)
Changes in deferred revenue
( 6,008
)
( 5,466
)
Net cash used in operating activities
( 106,908
)
( 121,083
)
Investing activities:
Purchase of property, plant and equipment, including internal use software
( 146
)
( 669
)
Maturities of marketable securities
71,563
—
Purchases of marketable securities
( 225,192
)
—
Net cash used in investing activities
( 153,775
)
( 669
)
Financing activities:
Proceeds from February 2024 offering of Ordinary Shares and Pre-Funded Warrants
—
190,481
Transaction costs on February 2024 issue of Ordinary Shares and Pre-Funded Warrants
—
( 515
)
Transaction costs on December 2024 issue of Ordinary Shares and Pre-Funded Warrants
( 1,586
)
—
Proceeds from exercise of warrants
458
13,421
Proceeds from exercise of options
16,964
498
Payment of withholding taxes related to net share settlement of exercised options
—
( 989
)
Net cash provided by financing activities
15,836
202,896
Net change in cash, cash equivalents and restricted cash
( 244,847
)
81,144
Foreign exchange differences
12,819
1,135
Cash, cash equivalents and restricted cash at the beginning of the period
771,743
340,450
Cash, cash equivalents and restricted cash at the end of the period
539,715
422,729
Noncash financing and investing activities
Right-of-use assets obtained in exchange for new operating lease liabilities
—
562
Issuance of earnout shares
40,807
—
Reconciliation of cash, cash equivalents and restricted cash to the Condensed Consolidated Balance Sheets
Cash and cash equivalents
538,407
422,729
Restricted cash
1,308
—
539,715
422,729
See notes to consolidated financial statements
7
NewAmsterdam Pharma Company N.V.
Notes to Unaudited Condensed Consolidated Financial Statements
Note 1. The Company
NewAmsterdam Pharma Company N.V. (“NewAmsterdam Pharma” or the “Company”) is a late-stage biopharmaceutical company whose mission is to improve patient care in populations with metabolic diseases where currently approved therapies have not been adequate or well-tolerated. The Company was incorporated in the Netherlands as a Dutch private company with limited liability (besloten vennootschap met beperkte aansprakelijkheid) under the name NewAmsterdam Pharma Company B.V. on June 10, 2022. On November 21, 2022, the Company’s corporate form was converted to a Dutch public limited liability company (naamloze vennootschap) and its name was changed to NewAmsterdam Pharma Company N.V. The Company’s ordinary shares, nominal value € 0.12 per share (the "Ordinary Shares") are listed on the Nasdaq Global Market ("Nasdaq") and trade under the symbol “NAMS.”
On September 24, 2025, NewAmsterdam Pharma Holding B.V., a non-operating, wholly-owned subsidiary of the Company, merged with and into NewAmsterdam Pharma Company N.V. On the same date, Frazier Life Sciences Acquisition Corporation, a non-operation, wholly-owned subsidiary of the Company, merged with and into NewAmsterdam Pharma Corporation, a wholly-owned subsidiary of the Company. The transactions represent combinations between entities under common control. NewAmsterdam Pharma Holding B.V. and Frazier Life Sciences Acquisition Corporation had no material operations and the mergers had no impact on the consolidated financial statements of the Company. As such, no separate pre-combination results are presented.
The Company is subject to risks and uncertainties common to early-stage companies in the biopharmaceutical industry, including, but not limited to, development by competitors of more advanced or effective therapies, dependence on key executives, protection of and dependence on intellectual property, compliance with government regulations and ability to secure additional capital to fund operations. Significant additional research and development efforts and regulatory approval will be required prior to commercialization. These efforts require significant amounts of additional capital, adequate personnel and infrastructure and extensive compliance-reporting capabilities. Even if the Company’s product development efforts are successful, it is uncertain when, if ever, the Company will realize significant revenue from product sales.
Note 2. Summary of Significant Accounting Policies
Basis of Presentation
The unaudited condensed consolidated financial statements should be read together with our audited financial statements and accompanying notes for year ended December 31, 2024, included in our Annual Report on Form 10-K (the "Annual Report"), filed with the U.S. Securities and Exchange Commission (the “SEC”) on February 26, 2025. Any terms not defined herein take the meaning as defined in the Annual Report. The Company’s unaudited condensed consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States (“U.S. GAAP”) and the rules and regulations of the SEC regarding interim financial reporting. As permitted under those rules, certain footnotes or other financial information that are normally required by U.S. GAAP have been condensed or omitted, and accordingly the balance sheet as of December 31, 2024 included herein has been derived from the audited financial statements at that date but does not include all of the information required by U.S. GAAP for complete financial statements. These unaudited interim condensed consolidated financial statements have been prepared on the same basis as the Company’s annual financial statements and, in the opinion of management, reflect all adjustments, consisting only of normal recurring adjustments which are necessary for a fair statement of the Company’s financial information. The interim results of operations for the three and nine months ended September 30, 2025 are not necessarily indicative of the results to be expected for the year ending December 31, 2025 or for any other interim period or for any other future year. The unaudited condensed consolidated financial statements comprise the financial statements of the Company and its subsidiaries. Any reference in these notes to the applicable guidance is meant to refer to authoritative U.S. GAAP as found in the Accounting Standards Codification (“ASC”) and Accounting Standards Update (“ASU”) of the Financial Accounting Standards Board (“FASB”). The unaudited condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries, after elimination of intercompany accounts and transactions.
Except for the policy described below, the accounting policies of the Company are consistent with those described in Note 2 of the consolidated financial statements included within the Annual Report.
Restricted Cash
The Company maintains certain cash balances restricted to withdrawal or use. Restricted cash includes cash held as collateral for certain contractual agreements.
8
Note 3. Revenue
Menarini Supply Agreement
On August 12, 2025, NewAmsterdam Pharma B.V. entered into a supply agreement with A. Menarini International Licensing S.A. (“Menarini”) to provide commercial supply of Products (as defined below) for distribution in specified European territories (the “Menarini Supply Agreement”).
The Company recognizes revenue from the sale of obicetrapib tablets, as a monotherapy and as a fixed-dose combination therapy with ezetimibe, or from the sale of active pharmaceutical ingredients for the manufacture of such tablets (collectively, “Products”). The Company’s product supply revenue is recognized at a point in time when the performance obligation is satisfied by transferring control of the promised goods or services to the customer and it is probable that it will collect the consideration to which it is entitled. In accordance with the terms of the Menarini Supply Agreement, control of the product is transferred upon the conveyance of title, which occurs when the product is made available to the customer.
The transaction price is contractually fixed at a markup of the actual cost of goods sold. Due to the cost-based nature of the agreement, the pricing structure includes a variable component which is measured using the expected value method. At each reporting period end, the Company updates its estimate of the transaction price using actual cost data and forecasted expenses. The Company considers the variable consideration constraint under ASC 606 to ensure that it is probable that a significant reversal of cumulative revenue recognized will not occur. The Company will invoice the customer upon the acceptance of purchase orders and is not adjusted for a significant financing component as the period between the transfer of goods and payment is less than one year. The Company states revenues net of any taxes collected from customers that are required to be remitted to various government agencies. The amount of taxes collected from customers and payable to governmental entities is included on the balance sheet as part of accrued expenses and other current liabilities.
Revenue consisted of the following:
Three months ended September 30,
Nine months ended September 30,
(In thousands of USD)
2025
2024
2025
2024
License revenue attributed from license performance obligation
—
27,325
—
27,325
License revenue attributed from R&D performance obligation
—
1,786
22,123
5,466
Supply revenue
348
—
348
—
Total revenue
348
29,111
22,471
32,791
During the nine months ended September 30, 2025 it was determined that the R&D performance obligation was satisfied in full and, as such, all of the deferred revenue on the consolidated balance sheet as of January 1, 2025 has been recognized as revenue during the period. In addition, during the nine months ended September 30, 2025 , it was determined that the second of two development cost reimbursements was probable to be realized with no significant reversals. As such, the amount of the reimbursement was added to the transaction price resulting in the recognition of $ 16.1 million in revenue attributed to the R&D performance obligation.
Note 4. Cash, cash equivalents and marketable securities
A summary of cash, cash equivalents and marketable securities held by the Company as of September 30, 2025 and December 31, 2024 is as follows:
As at September 30, 2025
(In thousands of USD)
Amortized cost
Unrealized gains
Unrealized losses
Fair value
Cash and cash equivalents:
Cash
500,953
—
—
500,953
Money market funds (Level 1)
37,454
—
—
37,454
Total cash and cash equivalents
538,407
—
—
538,407
Marketable securities
US government securities due within one year (Level 1)
149,451
105
—
149,556
US government agency securities due within one year (Level 2)
14,985
—
( 2
)
14,983
US government securities due between one and two years (Level 1)
40,738
115
( 2
)
40,851
US government agency securities due between one and two years (Level 2)
12,238
9
( 7
)
12,240
Total marketable securities
217,412
229
( 11
)
217,630
9
As at December 31, 2024
(In thousands of USD)
Amortized cost
Unrealized gains
Unrealized losses
Fair value
Cash and cash equivalents:
Cash
733,826
—
—
733,826
Money market funds (Level 1)
25,444
—
—
25,444
US government agency securities (Level 2)
12,473
—
—
12,473
Total cash and cash equivalents
771,743
—
—
771,743
Marketable securities
US government securities due within one year (Level 1)
37,711
34
—
37,745
US government agency securities due within one year (Level 2)
24,691
11
—
24,702
Total marketable securities
62,402
45
—
62,447
Note 5. Fair Value Measurements
As of September 30, 2025 and December 31, 2024, the Company’s financial liabilities recognized at fair value on a recurring basis consisted of the following:
As at September 30, 2025
(In thousands of USD)
Level 1
Level 2
Level 3
Total
Derivative warrant liability (Public Warrants)
41,504
—
—
41,504
Derivative warrant liability (Private Placement Warrants)
—
2,857
—
2,857
Derivative earnout liability
—
—
—
—
Total financial liabilities
41,504
2,857
—
44,361
As at December 31, 2024
(In thousands of USD)
Level 1
Level 2
Level 3
Total
Derivative warrant liability (Public Warrants)
35,134
—
—
35,134
Derivative warrant liability (Private Placement Warrants)
—
2,380
—
2,380
Derivative earnout liability
—
—
44,798
44,798
Total financial liabilities
35,134
2,380
44,798
82,312
The estimated fair value of the derivative earnout liability was determined using Level 3 inputs, other than the Company's share price as a Level 1 input, as no observable market inputs were available. The derivative earnout liability has been measured at fair value using a Black-Scholes pricing model. Given the assumed zero dividend rate and the fact that no strike price exists that would have led to any volatility measure relative to the Company's share price, the fair value of the earnout liability resulting from the Black-Scholes pricing model is entirely driven by the Company’s closing share price as a Level 1 input and the probability of milestone completion as a Level 3 input. As such, the relevant inputs to the fair value of the derivative earnout liability are as follows:
At settlement
December 31, 2024
Ordinary Share value (USD)
$
23.41
$
25.70
Probability of milestone completion
100
%
100
%
Dividend yield
0
%
0
%
Strike price (USD)
0.00
0.00
As management's judgment of the probability of milestone completion remained constant during the period, the change in fair value resulted from the Company’s price per share between valuation dates.
The following table presents a reconciliation of the derivative earnout liability measured on a recurring basis using Level 3 inputs as of September 30, 2025:
Balance on December 31, 2024
44,798
Change in fair value recognized through profit and loss
( 3,992
)
Settlement of derivative earnout liability upon achievement of milestone
( 40,806
)
Balance on September 30, 2025
—
In March 2025 it was determined that the earnout milestone triggering event set forth in the Business Combination Agreement, dated July 25, 2022 (the “Business Combination Agreement”), by and among the Company, NewAmsterdam Pharma Holding B.V., Frazier Lifesciences Acquisition Corporation (“FLAC”), and NewAmsterdam Pharma Investment Corporation (the “Business Combination”) had occurred. As a
10
result, the derivative earnout liability was settled in full, with a total of 1,743,136 Ordinary Shares issued in accordance with the terms of the Business Combination Agreement.
Note 6. Prepayments and Other Receivables
Prepayments and other receivables consisted of the following:
(In thousands of USD)
September 30,
2025
December 31,
2024
Prepaid research and development costs
6,330
5,704
Other prepaid expenses
1,495
2,214
License fee receivable
16,144
14,285
Value added tax receivable
206
321
Other receivables
3,899
1,748
Total prepayments and other receivables
28,074
24,272
Note 7. Accrued Expenses and Other Current Liabilities
Accrued expenses and other current liabilities consisted of the following:
(in thousands of USD)
September 30,
2025
December 31,
2024
Accrued research and development materials and services
2,147
2,069
Accrued compensation and benefits
5,870
8,721
Accrued professional fees and other
2,081
2,818
Total accrued expenses and other current liabilities
10,098
13,608
Note 8. Shareholders’ Equity
At-the-Market Offering
On August 9, 2024, we entered into an amended and restated sales agreement (the “Sales Agreement”) with TD Securities (USA) LLC (“TD Cowen”), pursuant to which we may issue and sell from time to time up to $ 250 million of our Ordinary Shares through or to TD Cowen as our sales agent or acting as principal in any method deemed to be an “at the market offering.” TD Cowen will receive a commission of up to 3.0 % of the gross proceeds of any Ordinary Shares sold pursuant to the Sales Agreement. During the nine months ended September 30, 2025 , we did no t sell any Ordinary Shares pursuant to the Sales Agreement.
Issuance of Earnout Shares
In March 2025, it was determined that the earnout milestone triggering event set forth in the Business Combination Agreement had occurred and, as a result, a total of 1,743,136 Ordinary Shares were issued in accordance with the terms of the Business Combination Agreement.
Employee Receivables Due Upon Exercise of Company Options
As of December 31, 2024, the amount reported on the consolidated balance sheet for employee receivables included amounts which were due to the Company for Company Options (as defined below) which had been exercised, but for which the exercise price had not yet been remitted. All such receivables were paid during January and February 2025.
Note 9. Share-Based Compensation
The Company has four Share-based payment plans and one restricted share award in place as at September 30, 2025:
• The Company’s Long-Term Incentive Plan (the “LTIP Plan”);
• The Company’s Supplementary Long-Term Incentive Plan (the “Supplementary Plan”);
• The Company’s Rollover Option Plan (the “Rollover Plan”);
• The Company’s Inducement Plan (the “Inducement Plan,” together with the LTIP Plan, the Supplementary Plan and the Rollover Plan, the “Plans”); and
• Chief Executive Officer Restricted Share Award.
11
The Plans
The Plans are equity-settled, and the Company may grant various forms of equity awards, including the granting of options to purchase Ordinary Shares (“Company Options”) and restricted stock units (“RSUs”), pursuant to the Plans. In total, as of September 30, 2025 , a maximum of 28,435,355 Ordinary Shares may be reserved for issuance pursuant to the Plans. The number of Ordinary Shares reserved for grant under the LTIP Plan will increase annually on January 1 of each calendar year by 5 % of the then issued and outstanding Ordinary Shares or such lower number as may be determined by the Company's Board of Directors.
The contractual term is 10 years from grant date for options granted under the Plans. In general, each Company Option has a four-year vesting period with 25 % vesting after one year and the remaining 75 % vesting in equal monthly installments over the next following three years .
In general, each RSU, other than the Earnout RSUs, has a three-year vesting period with one-third vesting on each one-year anniversary of the vesting start date.
The changes for the nine months ended September 30, 2025 in the number of Company Options outstanding related to Ordinary Shares and their related weighted average exercise prices are as follows:
Number of options
Weighted average exercise price
Weighted average remaining contractual term
(in years)
Aggregate intrinsic value
(in thousands of USD)
Outstanding as at December 31, 2024
19,029,056
$
10.04
Granted
4,696,058
$
24.35
Exercised
( 1,888,401
)
$
6.43
Forfeited
( 63,961
)
$
21.42
Outstanding as at September 30, 2025
21,772,752
$
13.43
7.8
326,817
Options exercisable as at September 30, 2025
10,100,693
$
9.24
7.1
193,898
The weighted average grant date fair value of Company Options, estimated as of the grant date using the Black-Scholes option pricing model, was $ 12.54 , and $ 6.60 per option for options granted during the nine months ended September 30, 2025 and 2024, respectively. The total intrinsic value (the amount by which the fair market value exceeded the exercise price) of Company Options exercised during the nine months ended September 30, 2025 and 2024 was $ 30.3 million and $ 8.7 million, respectively. Weighted average assumptions used to apply this pricing model were as follows:
Nine months ended September 30,
2025
2024
Expected term (years)
6.1
6.1
Risk-free interest rate
4.3
%
3.9
%
Expected volatility
47.6
%
41.7
%
Expected dividend yield
0.0
%
0.0
%
Expected Term
The expected term represents the period that the Company Options are expected to be outstanding and is determined using the simplified method (based on the mid-point between the vesting date and the end of the contractual term). The Company utilizes this method due to lack of historical exercise data and the plain-vanilla nature of the Company Options.
Expected Volatility
Since the Company was privately held through November 2022, it alone does not have sufficient relevant company-specific historical data to support its expected volatility alone. In prior periods, due to the insufficiency of historical volatility data on the Company’s own securities, the expected volatility input was determined using comparable companies alone. Beginning on January 1, 2024 expected volatility input was determined using a weighted average calculation considering the volatility of the Company’s own securities and the volatilities of a representative group of publicly traded biopharmaceutical companies over a period equal to the expected term of the stock option grants. Initially, the volatility of the Company’s Ordinary Shares is assigned a weighting of 10 %. This weighting will be increased by 5 % per calendar quarter (i.e. 40 % in Q3 2025), until the expected volatility input is based entirely on the historical volatility of the Company’s Ordinary Shares. For purposes of identifying comparable companies, the Company selected companies with comparable characteristics to it, including enterprise value, risk profiles, position within the industry, and with historical share price information sufficient to meet the expected term of the
12
Company Options. The historical volatility data was computed using the daily closing prices for the selected companies’ shares during the equivalent period of the calculated expected term of the Company Options.
Risk-Free Interest Rate
The risk-free interest rate is based upon the U.S. Treasury yield curve in effect at the time of grant, with a term that approximates the expected term of the Company Options.
Expected Dividend Yield
The expected dividend yield is zero as the Company currently has no history or expectation of declaring dividends on its Ordinary Shares.
Restricted Stock Units
As at December 31, 2024 the Company had allocated 143,002 Earnout Shares to be granted to Participating Optionholders if and when a certain clinical development milestone is achieved during the earnout period. In March 2025 it was determined that the earnout milestone triggering event set forth in the Business Combination Agreement had occurred and, as a result, Earnout Shares were delivered in the form of awards of RSUs (the “Earnout RSUs”) granted pursuant to the LTIP Plan to such Participating Optionholders who were, at the time of achievement of such milestone, still providing services to the Company. In total, 143,001 Earnout RSUs were granted, all of which have vested as of September 30, 2025. Though the Earnout RSUs were only legally granted upon the achievement of the milestone triggering event, in accordance with ASC 718, the Company determined the grant date of such Earnout RSUs to be November 22, 2022 for accounting purposes and began recognizing the associated share-based compensation expenses once the milestone was deemed probable to occur.
The changes for the nine months ended September 30, 2025 in the number of RSUs outstanding are as follows:
Number of RSUs
Weighted average fair value per share
Outstanding as at December 31, 2024
143,002
$
9.84
Granted
729,444
$
25.14
Vested
( 143,001
)
$
9.84
Forfeited/Cancelled
( 4,537
)
$
25.96
Outstanding as at September 30, 2025
724,908
$
25.14
The following summarizes the share-based compensation expense recognized by type of award and line-item:
Three months ended September 30,
Nine months ended September 30,
(in thousands of USD)
2025
2024
2025
2024
Share-based compensation expense by type of award
Share options
12,222
7,996
37,312
24,204
Restricted stock units
2,788
—
8,090
—
Total share-based compensation expense
15,010
7,996
45,402
24,204
Share-based compensation expense by line-item
Research and development expenses
4,979
3,043
15,310
9,514
Selling, general and administrative expenses
10,031
4,953
30,092
14,690
Total share-based compensation expense
15,010
7,996
45,402
24,204
As of September 30, 2025, there was $ 48.0 million and $ 10.3 million of unrecognized compensation cost related to Company Options and RSUs that have not yet vested, respectively. These costs are expected to be recognized over a weighted average period of 3.0 years and 2.3 years until fully vested for the Company Options and RSUs, respectively.
Note 10. Segment Information
The Company has one operating segment and, therefore, one reportable segment, which comprises the discovery, development and commercialization of transformative therapies for cardio-metabolic diseases.
To date, our license agreement with Menarini, dated June 23, 2022, as amended (the "Menarini License") and the Menarini Supply Agreement have been the only sources of revenue to the Company and all such revenues derive from Italy.
13
The chief operating decision maker assesses performance and decides how to allocate resources based on consolidated net loss and loss before tax, adjusted for certain non-cash and non-operating items such as share-based compensation, change in fair value of derivatives and foreign currency gains or losses. Adjusted loss before taxes is used to monitor budget versus actuals and evaluate the operations of the Company. The measure of segment assets is reported on the balance sheet as total consolidated assets. The future prospects of the Company are highly dependent upon the results of its ongoing clinical trials and interactions with regulatory agencies. Such results and interactions are utilized together with assessment of the comparison of budget versus actuals in order to make decisions regarding the allocation of resources.
The following table presents the adjusted loss before taxes for the Company's single segment for each of the three and nine months ended September 30, 2025 and 2024:
Three months ended September 30,
Nine months ended September 30,
(In thousands of USD)
2025
2024
2025
2024
Revenue
348
29,111
22,471
32,791
Interest income
6,713
4,443
21,119
12,396
Less:
Personnel expense
10,352
8,943
30,415
21,229
External R&D expense
19,075
24,824
62,979
85,877
Manufacturing expense
3,191
4,612
13,321
12,550
Regulatory expense
1,092
819
3,134
1,719
Commercial programs
3,889
3,055
15,192
9,294
General and administrative expense
2,757
3,776
11,386
10,792
Depreciation and amortization
125
89
345
186
Segment adjusted loss before tax
( 33,420
)
( 12,564
)
( 93,182
)
( 96,460
)
Reconciliation to consolidated net loss
Share-based compensation expense
( 15,010
)
( 7,996
)
( 45,402
)
( 24,204
)
Change in fair value - derivatives
( 23,792
)
( 770
)
( 3,448
)
( 30,028
)
Loss on disposal of property, plant and equipment
( 1
)
—
( 1
)
—
Foreign exchange gains/(losses)
218
4,682
13,137
1,270
Income tax (expense)/benefit
—
1
—
1
Consolidated net loss for the period
( 72,005
)
( 16,647
)
( 128,896
)
( 149,421
)
Note 11. Net Loss per Ordinary Share
For the purposes of calculating the weighted-average number of Ordinary Shares outstanding, the Ordinary Shares underlying the pre-funded warrants to purchase Ordinary Shares (the “Pre-Funded Warrants”) issued in the February 2024 follow-on offering and the December 2024 follow-on offering are included.
Basic and diluted net loss per Ordinary Share was calculated as follows:
Three months ended September 30,
Nine months ended September 30,
(In thousands of USD, except share and per share amounts)
2025
2024
2025
2024
Net loss
( 72,005
)
( 16,647
)
( 128,896
)
( 149,421
)
Weighted average Ordinary Shares outstanding, basic and diluted
119,000,266
94,754,140
117,904,432
92,666,874
Net loss per Ordinary Share, basic and diluted
( 0.61
)
( 0.18
)
( 1.09
)
( 1.61
)
The following potentially dilutive securities have been excluded from the computation of diluted weighted-average Ordinary Shares outstanding as they would be anti-dilutive:
As at September 30,
2025
2024
Stock options
21,772,752
20,180,954
Restricted stock units
724,908
—
Outstanding warrants
2,592,713
2,700,152
Total
25,090,373
22,881,106
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Note 12. Commitments and Contingencies
Commitments
The Company has entered into a variety of agreements and financial commitments in the normal course of business with contract research organizations, contract manufacturing organizations, and other third parties for preclinical and clinical development and manufacturing services. The terms generally provide the Company with the option to cancel, reschedule and adjust its requirements based on the Company's business needs, prior to the delivery of goods or performance of services. Payments due upon cancellation generally consist only of payments for services provided or expenses incurred, including non-cancellable obligations of the Company's service providers, up to the date of cancellation. However, some of the Company's service providers also charge cancellation fees upon cancellation. The amount and timing of such payments are not known, but at September 30, 2025 they are estimated to be a maximum of $ 39.4 million.
According to the terms of the Menarini License the Company will be responsible for development and commercialization costs related to Licensed Products (as defined in the Menarini License) other than those in the Menarini Territory (as defined in the Menarini License). In addition, under specified conditions of the agreement, the Company agreed to bear 50 % of certain development costs incurred by the other party in the development of the Licensed Products in the Menarini Territory.
Note 13. Related Parties
In the ordinary course of business, the Company may enter into transactions with entities that are associated with a party that meets the criteria of a related party of the Company. These transactions are reviewed quarterly and to date have not been material to the Company’s consolidated financial statements.
15
Ite m 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
The unaudited condensed consolidated financial statements included elsewhere in this Quarterly Report, and this Management’s Discussion and Analysis of Financial Condition and Results of Operations should be read together with our audited financial statements and accompanying notes for the year ended December 31, 2024, included in our Annual Report on Form 10-K (the "Annual Report"), filed with the U.S. Securities and Exchange Commission (the “SEC”) on February 26, 2025, and the related Management’s Discussion and Analysis of Financial Condition and Results of Operations. In addition to historical financial information, the following discussion contains forward-looking statements that reflect our plans, estimates and beliefs. Our actual results could differ materially from those contained in or implied by any forward-looking statements. Factors that could cause or contribute to these differences include those discussed in the sections titled “Risk Factors” and “Special Note Regarding Forward-Looking Statements” in the Annual Report and this Quarterly Report. Our operating results are not necessarily indicative of results that may occur for the full fiscal year or any other future period.
Overview
We are a late-stage biopharmaceutical company whose mission is to improve patient care in populations with cardiometabolic diseases where currently approved therapies have not been adequate or well tolerated. We seek to fill a significant unmet need for a safe, well tolerated and convenient low-density lipoprotein cholesterol (“LDL-C”) lowering therapy. In multiple Phase 3 trials, we have investigated obicetrapib, an oral, low-dose, once-daily, highly selective cholesteryl ester transfer protein (“CETP”) inhibitor, alone or as a fixed-dose combination with ezetimibe, as LDL-C lowering therapies to be used as an adjunct to statin therapy for patients at risk of cardiovascular disease (“CVD”) with elevated LDL-C, for whom existing therapies are not sufficiently effective or well tolerated. We believe that CETP inhibition may also play a role in other indications by potentially mitigating the risk of developing diseases such as Alzheimer’s disease (“AD”).
Obicetrapib is a next-generation, oral, low-dose, highly selective CETP inhibitor that we are developing to potentially overcome the limitations of current LDL-C lowering treatments. In addition to LDL-C, in clinical trials obicetrapib has shown significant reductions in lipoprotein (a) (“Lp(a)”) and small LDL particles, all with safety comparable to placebo. We believe that obicetrapib has the potential to be a once-daily oral CETP inhibitor for lowering LDL-C, if approved. In each of our Phase 3 clinical trials, BROADWAY and BROOKLYN, evaluating obicetrapib as an adjunct to high-intensity statin therapy, obicetrapib met its primary and secondary endpoints, with statistically significant reductions in LDL-C observed. In our Phase 3 TANDEM clinical trial, evaluating obicetrapib in combination with ezetimibe as an adjunct to high-intensity statin therapy, obicetrapib in combination with ezetimibe met its primary and secondary endpoints, with statistically significant reductions in LDL-C observed. In five of our Phase 2 clinical trials, TULIP, ROSE, OCEAN, ROSE2 and our Japan Phase 2b clinical trial, evaluating obicetrapib as a monotherapy or a combination therapy with ezetimibe 10 mg, we observed statistically significant LDL-C lowering with side effects similar in frequency and severity to placebo including muscle-related side effects and drug-related treatment emergent serious adverse events. We have observed obicetrapib to be well tolerated in an aggregate of over 3,500 patients with low or moderately elevated LDL-C levels (“dyslipidemia”) in our clinical trials to date. Furthermore, we believe that obicetrapib’s oral delivery, demonstrated activity at low doses, chemical properties and tolerability make it well-suited for combination approaches.
Lowering of LDL-C, has been associated with major adverse cardiovascular events (“MACE”) benefit in trials of LDL-C lowering drugs, including the REVEAL trial with the CETP inhibitor, anacetrapib. In our Phase 3 BROADWAY clinical trial we observed a 21% reduction in the exploratory MACE endpoint (coronary heart disease death, non-fatal myocardial infarction, non-fatal stroke and coronary revascularization) and we are performing a Phase 3 cardiovascular outcomes trial (“CVOT”), PREVAIL, to reconfirm this relationship. We completed enrollment in PREVAIL in April 2024. PREVAIL will continue until the last participant has been followed for a minimum of 2.5 years and the target number of MACE events have occurred. As a result, the earliest the trial could conclude based on the minimum follow-up period is the end of 2026. However, we will continue the trial until the target number of MACE events occur, which could likely require the trial to continue beyond this point.
In our clinical trials, obicetrapib has not only reduced LDL-C but also several additional biomarkers associated with MACE including non-HDL-C, apolipoprotein B, and small dense lipoprotein particles. We have also observed reductions in Lp(a), which is believed to be an independent MACE risk factor, along with reductions in total
16
lipoprotein (“LDL”) particles and more specifically small LDL particles, which are believed to be more atherogenic particles.
CVD is a leading cause of death worldwide. Atherosclerotic cardiovascular disease (“ASCVD”) is primarily caused by atherosclerosis, which involves the build-up of fatty material within the inner walls of the arteries. Atherosclerosis is the primary cause of heart attacks, strokes and peripheral vascular disease. One of the most important risk factors for ASCVD is hypercholesterolemia, which refers to elevated LDL-C levels within the body, commonly known as high cholesterol.
A significant proportion of patients with high cholesterol do not achieve acceptable LDL-C levels using statin therapy alone. We estimate that in the United States there are approximately 30 million patients that are not at their risk-based LDL-C goals despite treatment with lipid lowering therapy, including approximately 13 million with ASCVD. Existing non-statin treatment options have been largely unable to address the needs of patients with high cholesterol due to limited efficacy, an inconvenient injectable administration route and, in the past, market access restrictions. It is estimated that over 75% of ASCVD and heterozygous familial hypercholesterolemia (“HeFH”) outpatients prefer oral drugs to injectable therapies.
Our goal is to develop and commercialize an LDL-C lowering monotherapy and a fixed-dose combination therapy, which offers the advantage of a single, low dose, once-daily oral pill, and fulfills the significant unmet need for an effective and convenient LDL-C lowering therapy. If we obtain marketing approval, we intend to commercialize obicetrapib for patients with ASCVD and/or HeFH and elevated levels of LDL-C despite being treated with currently available optimal lipid lowering therapy.
We have partnered with A. Menarini International Licensing S.A. ("Menarini"), providing them with the exclusive rights to commercialize obicetrapib 10 mg, either as a sole active ingredient product or in a fixed-dose combination with ezetimibe, in the majority of European countries, if approved. Subject to receipt of marketing approval, our current plan is to pursue development and commercialization of obicetrapib in the United States ourselves, and to consider additional partners for jurisdictions outside of the United States and the European Union (the “EU”), including in Japan and China. In addition to our partnership with Menarini, we may in the future utilize a variety of types of collaboration, license, monetization, distribution and other arrangements with other third parties relating to the development or commercialization, once approved, of obicetrapib or future product candidates or indications. We are also continually evaluating the potential acquisition or license of new product candidates.
Third Quarter Highlights
Acceptance of Marketing Authorization Applications for Review by European Medicines Agency for Obicetrapib
On August 18, 2025 we announced that the European Medicines Agency (“EMA”) validated the Marketing Authorization Applications (“MAAs”) for obicetrapib 10 mg monotherapy and 10 mg obicetrapib plus 10 mg ezetimibe fixed-dose combination (“FDC”) for patients with primary hypercholesterolemia, both HeFH and non-familial or mixed dyslipidemia. The MAAs were submitted by our partner, Menarini, who is responsible for communications with regulatory authorities in Europe and for the commercialization and local development of obicetrapib in Europe and other collaborative activities pursuant to an exclusive license agreement with us (the "Menarini License").
Menarini Supply Agreement
On August 12, 2025, we entered into a Supply Agreement with Menarini as contemplated by the Menarini License. Under the terms of the Supply Agreement, we agreed to supply Menarini with obicetrapib monotherapy and obicetrapib plus ezetimibe fixed-dose combination finished products in bulk tablet form (the “Drug Products”). We will initially be Menarini’s exclusive supplier of the Drug Products. The price to be paid by Menarini will be based on a specified mark-up to our “cost of goods sold” for the supplied Drug Products as determined in accordance with the Supply Agreement, subject to periodic adjustments.
The Supply Agreement also provides for the initiation of a process to transfer manufacturing of the Drug Products to Menarini or to a designated third-party contract manufacturer. In connection with the manufacturing transfer, we granted Menarini a non-exclusive, non-transferable license under our patents and know-how to manufacture finished Drug Products.
17
Components of our Results of Operations
Revenue
To date, we have not generated significant revenue from the sale of pharmaceutical products. Our revenue has been primarily derived from the Menarini License. Two performance obligations for the Menarini License were identified at contract inception, comprising a license to use our intellectual property (the “license performance obligation”) and a promise to continue the development activities for the licensed compound (the “R&D performance obligation”). Pursuant to the Menarini License, we received a non-refundable, non-creditable upfront amount of $120.9 million (€115.0 million) from Menarini on July 7, 2022, of which $98.6 million (€93.5 million) was attributed to the license performance obligation and recognized as revenue upon the execution of the Menarini License on June 23, 2022. The remaining $22.3 million (€21.5 million) was attributed to the R&D performance obligation and initially recognized as deferred revenue. As of September 30, 2025, the R&D performance obligation had been deemed to be completely satisfied and all deferred revenue related to such performance obligation was recognized.
Additionally, in partial contribution to our costs of development of the licensed products, Menarini may pay us €27.5 million, payable in two equal annual installments and attributed entirely to the R&D performance obligation. Due to the scientific uncertainties around the commercialization of the licensed products based on the success of clinical trials, which is out of our control, the fixed €27.5 million was considered constrained at contract execution and was not initially recognized within the transaction price until it becomes highly probable of no significant revenue reversal. As of September 30, 2025, both annual development cost contributions had been recognized within the transaction price.
Under the Menarini License, we are also entitled to receive certain cost sharing payments, sales-based royalties and payments based upon the achievement of defined development, regulatory and commercial milestones linked to the enhanced value of the license performance obligation. These milestones are contingent payments and represent variable considerations that are not initially recognized within the transaction price, due to the scientific uncertainties around the commercialization of the licensed products based on the success of clinical trials. Our ability to receive and generate revenue from these payments is dependent upon a number of factors, including our ability to successfully complete the development of and obtain regulatory approval for obicetrapib within the Menarini Territory (as defined in the Menarini License). The uncertainty of achieving these milestones significantly impacts our ability to generate revenue. At the end of each reporting period, we assess the probability of significant reversals for any amounts that become likely to be realized prior to recognizing the variable consideration associated with these payments within the transaction price.
In addition, we entered into the Menarini Supply Agreement to provide commercial supply of Drug Products for distribution by Menarini in specified European territories.
We recognize revenue from the sale of obicetrapib tablets, as a monotherapy and as a FDC therapy with ezetimibe, and from the sale of active pharmaceutical ingredients to Menarini for the manufacturer of such tablets. Our product supply revenue is recognized at a point in time when the performance obligation is satisfied by transferring control of the promised goods or services to the customer and it is probable that we will collect the consideration to which we are entitled. In accordance with the terms of the Menarini Supply Agreement, control of the product is transferred upon the conveyance of title, which occurs when the product is made available to Menarini. The transaction price is contractually fixed at a markup of the actual cost of goods sold. Due to the cost-based nature of the agreement, the pricing structure includes a variable component which is measured using the expected value method. At each reporting period end, we update our estimate of the transaction price using actual cost data and forecasted expenses. We state revenues net of any taxes collected from customers that are required to be remitted to various government agencies.
Any revenue generated from potential future collaborations or product sales may vary due to the many uncertainties in the development of obicetrapib and other factors.
Research and Development Expenses
18
Research and development expenses are recognized as an expense when incurred and are typically made up of costs from our clinical and preclinical activities, drug development and manufacturing costs, and costs for contract research organizations (“CROs”) and investigative sites. Costs for certain development activities, such as clinical trials, are recognized based on an evaluation of the progress to completion of specific tasks using data provided by vendors of their actual costs incurred. At each balance sheet date, we estimate the level of services provided by vendors and the associated expenditure incurred for the services performed.
All such costs are for the purpose of advancing our product candidates to successfully complete clinical development, attain regulatory approval and, if approved, commercialize our product candidates. Much of our current focus in our ongoing trials is on patient recruitment and retention and data cleaning. Research and development expenses consist of the following:
• clinical expenses primarily incurred by CROs assisting with our sponsored clinical trials and including clinical investigator costs, patient enrollments and costs of clinical sites;
• manufacturing expenses arising from investments in commercial manufacturing capabilities and active pharmaceutical ingredient and drug product development as performed by our contract manufacturing organizations (“CMOs”);
• costs associated with obtaining potential regulatory approval of our product candidates, including preparation and submission of filings, ongoing monitoring and compliance with comments and recommendations provided by regulatory authorities, and regulatory-related advisory fees;
• contracted personnel and employment costs attributed to research and development efforts, which includes management fees, salaries, share-based compensation expenses, bonus plans and payments to contractors who work for us for a fixed number of hours per week or per month;
• preclinical and nonclinical research and development expenses of our product candidates; and
• other clinical costs such as clinical trial insurance and other consultancy fees.
We expect our research and development expenses to be significant as we advance our product candidates through clinical trials and pursue regulatory approval. The process of conducting the necessary clinical trials to obtain regulatory approval is costly and time-consuming. Clinical trials generally become larger and more costly to conduct as they advance into later stages and, in the future, we will be required to make estimates for expense accruals related to clinical trial expenses. At this time, we cannot reasonably estimate or know the nature, timing and estimated costs of the efforts that will be necessary to complete the development of obicetrapib as a monotherapy and as a fixed-dose combination with ezetimibe. See the section entitled “ Risk Factors—Risks Related to Our Product Development, Regulatory Approval and Commercialization ” contained in the Annual Report for more information regarding the risks associated with clinical development.
Selling, General and Administrative Expenses
We recognize selling, general and administrative expenses on the accrual basis when incurred. These expenses mainly relate to consultant fees, employee costs, legal costs, marketing and communication, intellectual property costs related to drug patent development and protection globally, and general overhead costs.
Due to the general growth of the organization associated with administering ongoing and planned clinical trials and our focus on commercial preparedness, we expect that our selling, general and administrative expenses may increase. We will incur increased accounting, audit, legal, regulatory, compliance, director and officer insurance costs as well as investor and public relations expenses associated with being a public company. Additionally, if and when a regulatory approval of a product candidate appears likely, we anticipate an increase in payroll and expenses as a result of our preparation for commercial operations.
Interest Income
Interest income is recognized using the effective interest rate method. Interest income for the three and nine months ended September 30, 2025 and 2024 is related to interest earned on cash, cash equivalents and marketable securities.
Net Foreign Exchange Gain/Loss
19
Our exchange gain relates mainly to cash balances denominated in foreign currencies, but also to transactions denominated in foreign currencies. Our foreign currency exposure is mainly related to the Euro. As of September 30, 2025, our net exposure to foreign currency risk was $112.8 million, as compared to $108.6 million as of December 31, 2024.
Income Tax
We have a history of losses and therefore have de minimis amounts of corporate tax. We expect to continue incurring losses as we continue to invest in our clinical and preclinical development programs. Consequently, any deferred tax assets are fully offset by a valuation allowance on our balance sheet.
Results of Operations
Comparison of the three months ended September 30, 2025 and 2024
The following table summarizes our consolidated statements of operations for the periods indicated:
For the three months ended September 30,
(In thousands of USD)
2025
2024
Change
Revenue
348
29,111
(28,763
)
Operating Expenses:
Research and development expenses
30,971
35,702
(4,731
)
Selling, general and administrative expenses
24,520
18,412
6,108
Total operating expenses
55,491
54,114
1,377
Operating Loss
(55,143
)
(25,003
)
(30,140
)
Other income (expense):
Interest Income
6,713
4,443
2,270
Fair value change - earnout
—
(5,414
)
5,414
Fair value change - warrants
(23,792
)
4,644
(28,436
)
Loss on disposal of fixed assets
(1
)
—
(1
)
Foreign exchange gains/(losses)
218
4,682
(4,464
)
Loss before tax
(72,005
)
(16,648
)
(55,357
)
Income tax expense
—
(1
)
1
Loss for the period
(72,005
)
(16,647
)
(55,358
)
Revenue
Revenue was $0.3 million for the three months ended September 30, 2025 compared to $29.1 million for the three months ended September 30, 2024, a decrease of $28.8 million, or 99%. This decrease is largely due to the recognition of $27.3 million of revenue from the Menarini License related to a clinical development milestone which was earned in the three months ended September 30, 2024 while there were no clinical milestones earned in the three months ended September 30, 2025.
Research and Development Expenses
Research and development expenses were $31.0 million for the three months ended September 30, 2025 compared to $35.7 million for the three months ended September 30, 2024, a decrease of $4.7 million, or 13%. This was primarily driven by:
• a $6.6 million decrease in clinical expenses mainly due to the completion of several Phase 3 clinical trials in the second half of 2024 and cost phasing in ongoing clinical trials; and
• a $1.4 million decrease in manufacturing costs mainly driven by the completion of certain investments in commercial manufacturing capabilities during the current period;
partially offset by:
• a $2.2 million increase in personnel expenses related to research and development activities primarily driven by our share-based compensation arrangements which account for $1.9 million of the increase; and
20
• a $0.7 million increase in non-clinical expenses due to greater activity related to pipeline expansion and product lifecycle management.
The following table summarizes our research and development expenses for the periods indicated:
For the three months ended September 30,
(In thousands of USD)
2025
2024
Change
Clinical expenses
17,447
24,083
(6,636
)
Non-clinical expenses
1,428
707
721
Personnel expenses
7,624
5,448
2,176
Manufacturing costs
3,186
4,612
(1,426
)
Regulatory expenses
1,093
819
274
Other research and development costs
193
33
160
Total research and development expenses
30,971
35,702
(4,731
)
Selling, General and Administrative Expenses
Selling, general and administrative expenses were $24.5 million for the three months ended September 30, 2025 compared to $18.4 million for the three months ended September 30, 2024, an increase of $6.1 million or 33%. This was primarily driven by a $6.3 million increase in personnel expenses related to selling, general and administrative activities primarily driven by our share-based compensation arrangements which account for $5.1 million of the increase. The remainder was largely due to increased recruitment and employment costs for individuals involved with administrative and commercial preparedness activities to support the growth of the organization and operation as a public company.
Interest Income
Interest income was $6.7 million for the three months ended September 30, 2025 compared to $4.4 million for the three months ended September 30, 2024, an increase of $2.3 million or 52%. This increase was largely driven by an increase in the amount of cash, cash equivalents and marketable securities on which interest was earned.
Fair Value Change - Earnout
Fair value change - earnout was nil for the three months ended September 30, 2025 compared to a loss of $5.4 million for the three months ended September 30, 2024. The earnout liability was settled in full in March 2025.
Fair Value Change - Warrants
Fair value change - warrants was a loss of $23.8 million for the three months ended September 30, 2025 compared to a gain of $4.6 million for the three months ended September 30, 2024. The change is driven by changes in the market price of the warrants trading under the symbol “NAMSW” (the “Warrants”) during the period.
Foreign Exchange Gains/(Losses)
Net foreign exchange gains/(losses) were a gain of $0.2 million for the three months ended September 30, 2025 compared to a gain of $4.7 million for the three months ended September 30, 2024. This change was largely driven by movements in the exchange rate for Euros which is our primary foreign currency exposure.
Loss for the Period
Loss for the period was $72.0 million for the three months ended September 30, 2025 compared to $16.6 million for the three months ended September 30, 2024, an increase of $55.4 million. The individual components of the change are described above.
Comparison of the nine months ended September 30, 2025 and 2024
The following table summarizes our consolidated statements of operations for the periods indicated:
21
For the nine months ended September 30,
(In thousands of USD)
2025
2024
Change
Revenue
22,471
32,791
(10,320
)
Operating Expenses:
Research and development expenses
103,238
116,511
(13,273
)
Selling, general and administrative expenses
78,936
49,340
29,596
Total operating expenses
182,174
165,851
16,323
Operating Loss
(159,703
)
(133,060
)
(26,643
)
Other income (expense):
Interest Income
21,119
12,396
8,723
Fair value change - earnout
3,992
(11,020
)
15,012
Fair value change - warrants
(7,440
)
(19,008
)
11,568
Loss on disposal of fixed assets
(1
)
—
(1
)
Foreign exchange gains/(losses)
13,137
1,270
11,867
Loss before tax
(128,896
)
(149,422
)
20,526
Income tax expense
—
(1
)
1
Loss for the period
(128,896
)
(149,421
)
20,525
Revenue
Revenue was $22.5 million for the nine months ended September 30, 2025 compared to $32.8 million for the nine months ended September 30, 2024, a decrease of $10.3 million, or 31%. This decrease was largely due to the recognition of $27.3 million of revenue from the Menarini License related to a clinical development milestone which was earned in the nine months ended September 30, 2024 while there were no clinical milestones earned in the three months ended September 30, 2025. The decrease in revenue related to clinical development milestones pursuant to the Menarini License was partially offset by the recognition of $16.1 million of revenue in the current period related to the second installment of development cost contributions under the Menarini License.
Research and Development Expenses
Research and development expenses were $103.2 million for the nine months ended September 30, 2025 compared to $116.5 million for the nine months ended September 30, 2024, a decrease of $13.3 million, or 11%. This was primarily driven by:
• a $29.7 million decrease in clinical expenses mainly due to the completion of several Phase 3 clinical trials in the second half of 2024 and cost phasing in ongoing clinical trials;
partially offset by:
• a $7.5 million increase in personnel expenses related to research and development activities primarily driven by our share-based compensation arrangements which accounted for $5.8 million of the increase;
• a $6.8 million increase in non-clinical expenses due to greater activity related to pipeline expansion and product lifecycle management;
• a $1.4 million increase in regulatory expenses primarily driven by the preparation and planned submission of regulatory applications for obicetrapib; and
• a $0.8 million increase in manufacturing expenses driven by investments in commercial manufacturing capabilities.
The following table summarizes our research and development expenses for the periods indicated:
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For the nine months ended September 30,
(In thousands of USD)
2025
2024
Change
Clinical expenses
54,426
84,174
(29,748
)
Non-clinical expenses
8,291
1,503
6,788
Personnel expenses
23,815
16,366
7,449
Manufacturing costs
13,316
12,550
766
Regulatory expenses
3,135
1,719
1,416
Other research and development costs
255
199
56
Total research and development expenses
103,238
116,511
(13,273
)
Selling, General and Administrative Expenses
Selling, general and administrative expenses were $78.9 million for the nine months ended September 30, 2025 compared to $49.3 million for the nine months ended September 30, 2024, an increase of $29.6 million or 60%. This was primarily driven by:
• a $22.9 million increase in personnel expenses related to selling, general and administrative activities primarily driven by our share-based compensation arrangements which accounted for $15.4 million of the increase. The remainder was largely due to increased recruitment and employment costs for individuals involved with administrative and commercial preparedness activities to support the growth of the organization and operation as a public company;
• a $4.6 million increase in marketing and communication expenses related to startup costs as we began to build capabilities to support our planned commercial launch of obicetrapib, if approved; and
• a $1.4 million increase in costs related to our intellectual property primarily driven by worldwide patent filings.
Interest Income
Interest income was $21.1 million for the nine months ended September 30, 2025 compared to $12.4 million for the nine months ended September 30, 2024, an increase of $8.7 million or 70%. This increase was largely driven by an increase in the amount of cash, cash equivalents and marketable securities on which interest was earned.
Fair Value Change - Earnout
Fair value change - earnout was a gain of $4.0 million for the nine months ended September 30, 2025 compared to a loss of $11 million for the nine months ended September 30, 2024. The change was driven by changes in the market price for ordinary shares which trade under the symbol “NAMS” (the “Ordinary Shares”) prior to the settlement of the earnout liability, which occurred in March 2025.
Fair Value Change - Warrants
Fair value change - warrants was a loss of $7.4 million for the nine months ended September 30, 2025 compared to a loss of $19 million for the nine months ended September 30, 2024. The change was driven by changes in the market price of the Warrants during the period.
Foreign Exchange Gains/(Losses)
Net foreign exchange gains/(losses) were a gain of $13.1 million for the nine months ended September 30, 2025 compared to a gain of $1.3 million for the three months ended September 30, 2024. This change was largely driven by movements in the exchange rate for Euros which is our primary foreign currency exposure.
Loss for the Period
Loss for the period was $128.9 million for the nine months ended September 30, 2025 compared to $149.4 million for the nine months ended September 30, 2024, a decrease of $20.5 million. The individual components of the change are described above.
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Liquidity and Capital Resources
Overview
To date, we have devoted substantially all of our resources to organizing and staffing our company, business planning, raising capital, undertaking preclinical studies and conducting clinical trials of obicetrapib. As a result, we are not yet profitable and have incurred losses in each annual period since our inception. As of September 30, 2025, we had an accumulated loss of $687.5 million. We expect to continue to incur significant losses for the foreseeable future.
We have historically funded our operations primarily through private and public placements of shares, the sale of convertible notes, proceeds from the Menarini License and the proceeds from the closing of the transactions contemplated by the Business Combination Agreement. As of September 30, 2025, we had cash, cash equivalents and marketable securities of $756.0 million.
Sources of Liquidity
December 2024 Follow-on Offering
On December 13, 2024, we completed an underwritten public offering (the “December 2024 Offering”) of 14,667,347 Ordinary Shares at a public offering price of $24.50 per Ordinary Share and, in lieu of Ordinary Shares to certain investors, Pre-Funded Warrants to purchase 4,882,653 Ordinary Shares at a public offering price of $24.4999 per Pre-Funded Warrant, which represents the per share public offering price for the Ordinary Shares, less the $0.0001 per share exercise price for each such Pre-Funded Warrant. Of the 14,667,347 Ordinary Shares issued and sold in the December 2024 Offering, 2,550,000 Ordinary Shares were issued and sold pursuant to the exercise of the underwriters’ option to purchase additional Ordinary Shares at the public offering price per share. The net proceeds to the Company from the December 2024 Offering were $453.4 million after deducting underwriting discounts and commissions and offering expenses payable by the Company.
February 2024 Follow-on Offering
On February 16, 2024, we completed an underwritten public offering (the “February 2024 Offering”) of 5,871,909 Ordinary Shares at a public offering price of $19.00 per Ordinary Share and, in lieu of Ordinary Shares to certain investors, Pre-Funded Warrants to purchase 4,736,841 Ordinary Shares at a public offering price of $18.9999 per Pre-Funded Warrant, which represents the per share public offering price for the Ordinary Shares less the $0.0001 per share exercise price for each such Pre-Funded Warrant. Of the 5,871,909 Ordinary Shares issued and sold in the February 2024 Offering, 1,383,750 Ordinary Shares were issued and sold pursuant to the exercise of the underwriters’ option to purchase additional Ordinary Shares at the public offering price per share. The net proceeds to the Company from the February 2024 Offering were $190.0 million after deducting underwriting discounts and commissions and offering expenses payable by the Company.
At-the-Market Offering
On August 9, 2024, we entered into an amended and restated sales agreement (the “Sales Agreement”) with Cowen and Company, LLC (“TD Cowen”), pursuant to which we may issue and sell from time to time up to $250 million of our Ordinary Shares through or to TD Cowen as our sales agent or acting as principal in any method deemed to be an “at the market offering.” TD Cowen will receive a commission of up to 3.0% of the gross proceeds of any Ordinary Shares sold pursuant to the Sales Agreement. During the nine months ended September 30, 2025, we did not sell any Ordinary Shares pursuant to the Sales Agreement.
Menarini License
On June 23, 2022, we entered into the Menarini License, pursuant to which we granted Menarini an exclusive, royalty-bearing, sublicensable license under certain of our intellectual property and our regulatory documentation to undertake post approval development activities and commercialize the Licensed Products (as defined in the Menarini License), for any use in the Menarini Territory (as defined in the Menarini License). Pursuant to the Menarini License, Menarini made a non-refundable, non-creditable upfront payment to us of €115 million. Menarini has also committed to providing us €27.5 million in funding for the research and development activities related to the Licensed Products over two years, together with bearing 50% of any development costs incurred in respect of the pediatric population in the Menarini Territory. We are also eligible to receive up to €863 million upon the
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achievement of various clinical, regulatory and commercial milestones. If obicetrapib is approved, and successfully commercialized by Menarini, we will be entitled to tiered royalties ranging from the low double-digits to the mid-twenties as a percentage of net sales in the Menarini Territory, with royalty step-downs in the event of generic entrance or in respect of required third-party intellectual property payments. See the section entitled “ Business—Commercial ” contained in our Annual Report for a full description of the Menarini License.
As of September 30, 2025, we have received a total of €30.0 million and €13.8 million in milestone payments and R&D cost reimbursements, respectively, from Menarini, including €13.8 million which was received in the nine months ended September 30, 2025.
Warrants
In the nine months ended September 30, 2025, 39,868 Warrants were exercised at an exercise price of $11.50 per Ordinary Share generating gross proceeds of $0.5 million. As of September 30, 2025, we had another 2,592,713 outstanding Warrants to purchase 2,592,713 Ordinary Shares, exercisable at an exercise price of $11.50 per share, which expire on November 23, 2027, at 5:00 p.m., Eastern Standard Time. Based on the exercise price of the Warrants, we may receive up to $29.8 million assuming the exercise of all Warrants outstanding as of September 30, 2025. The exercise of the Warrants, and any proceeds we may receive from their exercise, are highly dependent on the price of our Ordinary Shares and the spread between the exercise price of the Warrant and the price of an Ordinary Share at the time of exercise. For example, to the extent that the trading price of the Ordinary Shares exceeds $11.50 per share, it is more likely that holders of our Warrants will exercise their Warrants. If the trading price of the Ordinary Shares is less than $11.50 per share, it is unlikely that such holders will exercise their Warrants. The exercise price of the Warrants has at times exceeded the market price of the Ordinary Shares. To the extent that the price of our Ordinary Shares is below $11.50, we believe that the Warrant holders will be unlikely to cash exercise their warrants, resulting in little to no cash proceeds to us. There can be no assurance that our Warrants will be in the money prior to their expiration and, as such, certain unexercised Warrants may expire worthless. As such, it is possible that we may never generate any additional cash proceeds from the exercise of our Warrants. We have not included, and do not intend to include, any potential cash proceeds from the exercise of our Warrants in our short-term or long-term liquidity projections. We will continue to evaluate the probability that the Warrants are exercised over the life of our Warrants and the merit of including potential cash proceeds from the exercise thereof in our liquidity projections.
Cash Flows
The following is a summary of cash flows for the nine months ended September 30, 2025 and 2024:
For the nine months
ended September 30,
(In thousands of USD)
2025
2024
Net cash used in operating activities
(106,908
)
(121,083
)
Net cash used in investing activities
(153,775
)
(669
)
Net cash provided by financing activities
15,836
202,896
Foreign exchange differences
12,819
1,135
Cash, cash equivalents and restricted cash at the beginning of the period
771,743
340,450
Cash, cash equivalents and restricted cash at the end of the period
539,715
422,729
Net Cash Flows Used In Operating Activities
Net cash flows used in operating activities was $106.9 million in the nine months ended September 30, 2025 compared to $121.1 million in the nine months ended September 30, 2024, a decrease of $14.2 million. This change was primarily due to an increase in interest income and the receipt of the first of two annual development cost contributions due under the Menarini License, partially offset by an increase in operating expenditures.
Net Cash Flows Used In Investing Activities
Net cash flows used in investing activities was $153.8 million in the nine months ended September 30, 2025 compared to $0.7 million in the nine months ended September 30, 2024, a change of $153.1 million. The change
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was primarily due to our investments in marketable securities of which we had none in the nine months ended September 30, 2024. During the nine months ended September 30, 2025, purchases of debt securities totaled $225.2 million, partially offset by maturities of debt securities totaling $71.6 million.
Net Cash Flows Provided By Financing Activities
Net cash flows provided by financing activities was $15.8 million in the nine months ended September 30, 2025 compared to $202.9 million in the nine months ended September 30, 2024, a decrease of $187.1 million. This decrease was primarily related to the receipt of proceeds from the February 2024 Offering in the prior year.
Operating Capital and Capital Expenditure Requirements
Third-Party Service Agreements
We have entered into a variety of agreements and financial commitments in the normal course of business with CROs, CMOs, and other third parties for preclinical and clinical development and manufacturing services. The terms generally provide us with the option to cancel, reschedule and adjust our requirements based on our business needs, prior to the delivery of goods or performance of services. Payments due upon cancellation generally consist only of payments for services provided or expenses incurred, including non-cancelable obligations of our service providers, up to the date of cancellation. However, some of our service providers also charge cancellation fees upon cancellation. The amount and timing of such payments are not known, but at September 30, 2025 they are estimated to be a maximum of $27.9 million due within one year and $11.4 million due in more than a year. As at September 30, 2025, we had cash and cash equivalents of $538.4 million which is sufficient to fund these obligations.
Leases
We are party to a services agreement (the "Naarden Lease") pursuant to which an affiliate of Forbion leased us office space, an office lease agreement with Renaissance Aventura LLC, dated May 24, 2021, as amended April 9, 2024 (as amended, the “Miami Lease”), and an office sublease agreement with GR8 People, Inc., dated April 2, 2024 (the “Yardley Lease”). Under the Naarden Lease, we are obligated to pay €40 thousand per year in rent. The Naarden Lease will continue until terminated by either us or the landlord. Pursuant to the Miami Lease, we are required to pay annual rent ranging from $75 thousand to $82 thousand, increasing from the low end of the range to the higher end of the range for each year of the lease. The Miami Lease will expire by its terms on October 31, 2027, unless terminated earlier by either party pursuant to the terms of the Miami Lease. Pursuant to the Yardley Lease, we are required to pay annual rent ranging from $189 thousand to $194 thousand, increasing from the low end of the range to the higher end of the range for each year of the lease. The Yardley Lease will expire by its terms on April 3, 2026, unless terminated earlier by either party pursuant to the terms of the Yardley Lease.
Menarini License
We will be responsible for the development and commercialization costs related to Licensed Products (as defined in the Menarini License) other than those in the Menarini Territory (as defined in the Menarini License). In addition, under specified conditions of the agreement, we agreed to bear 50% of certain development costs incurred by the other party in the development of the Licensed Products in the Menarini Territory. See the section entitled “ Business—Marketing and Sales ” contained in the Annual Report for a description of the Menarini License.
Critical Accounting Policies and Estimates
The preparation of our consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenue and expenses during the reporting period. We based our estimates on historical experience, known trends and other market-specific or other relevant factors that we believe to be reasonable under the circumstances. On an ongoing basis, management evaluates its estimates when there are changes in circumstances, facts and experience. Changes in estimates are recorded in the period in which they become known. If actual results differ from our estimates, or to the extent these estimates are adjusted in future periods, our results of operations could either benefit from, or be adversely affected by, any such change in estimate.
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See Note 2 to our consolidated financial statements in the Annual Report and Note 2 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report for a summary of significant accounting policies and the effect on our consolidated financial statements.
Ite m 3. Quantitative and Qualitative Disclosures About Market Risk.
Our principal financial liabilities consist of trade and other payables, lease liabilities and derivative warrant liabilities. The main purpose of these financial liabilities is to finance our day-to-day operations. Our financial assets consist of prepayments and other receivables and cash, that are derived from our operating activities and funding.
We are exposed to market risk, credit risk and liquidity risk. Our senior management oversees the management of these risks. Our Board of Directors (the "Board of Directors") reviews and approves policies for managing each of these risks, which are summarized below.
Market Risk
Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices. Market risk comprises interest rate risk, foreign currency risk and other price risks.
Interest Rate Risk
We are exposed to interest rate risk primarily through our cash, cash equivalents and marketable securities. Changes in interest rates may cause variations in interest income and expense resulting from short-term interest-bearing assets. We invest in high-quality financial instruments, primarily money market funds and U.S. government and agency securities with maturities of less than one year, which we believe are subject to limited credit risk. We regularly review our investments and monitor the financial markets and we do not currently hedge interest rate exposure. Due to the nature of our investments, we do not believe an immediate 100 basis point change in interest rates would have a material effect on our financial condition. We do not believe that we have any material exposure to interest rate risk or changes in credit ratings arising from our investments.
Foreign Currency Risk
Foreign currency risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in foreign exchange rates. Our exposure to the risk of changes in foreign exchange rates relates primarily to cash and trade and other payables denominated in currencies other than our functional currency, the U.S. Dollar. As of September 30, 2025, our net exposure to foreign currency risk was $112.8 million, mainly related to the Euro. As of September 30, 2025, the effect of a hypothetical 1% change in exchange rates on currencies denominated in other than our functional currency would result in a potential change in future earnings in our consolidated statement of operations of approximately $1.1 million.
We partly manage our foreign currency risk by selectively holding foreign currency in our cash to offset foreign currency exposures from lease liabilities and trade and other payables. We plan to use this cash to settle future expenses we expect to incur in those foreign currencies.
Other Market Price Risk
As a result of the Business Combination, we have derivative warrant liabilities, which are measured at fair value through profit or loss. As of September 30, 2025 the fair value of the derivative warrant liabilities totaled $44.4 million. The value of the derivative warrant liability is directly correlated to the market price of a publicly traded Warrant which is traded under the symbol "NAMSW". With all other variables held constant, a 1% change in the market price of NAMSW would change the value of the derivative warrant liability by 1% or $0.4 million.
Credit Risk
Credit risk is the risk that a counterparty will not meet its obligations under a financial instrument or customer contract, leading to a financial loss. We are exposed to credit risk primarily from our treasury activities, including deposits with banks and financial institutions and have limited credit risk exposure from our operating activities. We hold available cash in bank accounts with banks which have investment grade credit ratings. Management periodically reviews the creditworthiness of the banks with which it holds assets.
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We perform research and development activities and do not yet have any sales. We are able to reclaim value added tax, which is recoverable from tax authorities. Management periodically reviews the recoverability of the balance of input value added tax and believes it is fully recoverable.
Ite m 4. Controls and Procedures.
Evaluation of Disclosure Controls and Procedures
We have established disclosure controls and procedures designed to ensure that information required to be disclosed in the reports that we file or submit under the Securities Exchange Act of 1934, as amended (the “Exchange Act”) is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and is accumulated and communicated to management, including our principal executive officer (our Chief Executive Officer) and principal financial officer (our Chief Financial Officer), to allow timely decisions regarding required disclosure.
Our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the end of the period covered by this Quarterly Report. Management recognizes that any disclosure controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of September 30, 2025.
Changes in Internal Controls over Financial Reporting
No change in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) occurred during the three months ended September 30, 2025 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
Limitations on the Effectiveness of Controls and Procedures
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
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PART II— OTHER INFORMATION
Item 1. Legal Proceedings.
We are not party to any material pending legal proceedings. From time to time, we may be involved in legal proceedings arising in the ordinary course of business.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.