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Altimmune Announces Second Quarter 2026 Financial Results and Business Update

(Moderate)
(Positive)
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Altimmune (Nasdaq: ALT) reported second quarter 2026 results and a business update, highlighting advancement of its lead candidate pemvidutide in serious liver diseases. The company ended June 30, 2026 with $519 million in cash, cash equivalents and investments, supported by a completed $225 million public offering in April.

Altimmune initiated the global PERFORMA Phase 3 MASH trial, after pemvidutide received FDA Breakthrough Therapy and Fast Track designations for MASH. In AUD, the RECLAIM Phase 2 trial met its primary endpoint with a statistically significant reduction in heavy drinking days and achieved key FDA‑recognized secondary endpoints, with a generally favorable safety profile. In ALD, the company fully enrolled the RESTORE Phase 2 trial and amended the protocol to more fully assess liver benefits, with topline data expected in the second half of 2027.

For Q2 2026, Altimmune recorded R&D expenses of $18.7 million, G&A expenses of $7.6 million, and a net loss of $22.8 million, or $0.12 per share, compared with a $22.1 million net loss, or $0.27 per share, in Q2 2025.

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Positive

  • Cash and investments $519 million as of June 30, 2026, providing funding runway
  • $225 million gross proceeds from oversubscribed April 2026 equity and warrant offering
  • Initiation of global PERFORMA Phase 3 pemvidutide trial in MASH, 52‑week readout expected 2029
  • Pemvidutide granted FDA Breakthrough Therapy for MASH and Fast Track for MASH and AUD
  • RECLAIM Phase 2 AUD trial met primary endpoint and key FDA‑recognized secondary endpoints
  • Completed enrollment of RESTORE Phase 2 ALD trial; topline data expected 2H 2027
  • Q2 2026 net loss per share $0.12 versus $0.27 in Q2 2025

Negative

  • Q2 2026 net loss $22.8 million, similar to $22.1 million in Q2 2025
  • Q2 2026 R&D expenses $18.7 million, up from $17.2 million year over year
  • Q2 2026 G&A expenses $7.6 million, up from $5.7 million year over year
  • Company reported no quarterly revenue in Q2 2026 versus $5 thousand in Q2 2025
  • Common shares outstanding increased to 194.5 million from 110.9 million at year‑end 2025
  • Accumulated deficit reached $694.9 million as of June 30, 2026

News Explained

The completed offering has increased the reported share base, reducing existing holders’ percentage ownership absent offsetting changes.

The April public offering is completed, and the June 30, 2026 balance sheet lists 194,474,154 shares outstanding versus 110,882,735 on December 31, 2025; applying the supplied dilution definition, the larger share base reduces existing holders’ percentage ownership absent offsetting changes.

The offering included common stock, pre-funded warrants, and stock warrants; a pre-funded warrant converts to shares when exercised after being sold near the full share price with a nominal exercise price.

For the PERFORMA trial, the company anticipates a 52-week data readout in 2029.

Market Context

Altimmune's earnings history averaged -2.37% across five tag-matched events, a relevant comparison f...
Analysis

Altimmune's earnings history averaged -2.37% across five tag-matched events, a relevant comparison for this update. The active S-3/A shelf is not effective; future financing capacity remains a risk to monitor.

Key Figures

Cash and investments: $519 million RECLAIM sample size: 100 patients RECLAIM treatment period: 24 weeks +5 more
8 metrics
Cash and investments $519 million As of June 30, 2026
RECLAIM sample size 100 patients Phase 2 AUD trial over 24 weeks
RECLAIM treatment period 24 weeks Phase 2 AUD trial
R&D expenses $18.7 million Three months ended June 30, 2026
G&A expenses $7.6 million Three months ended June 30, 2026
Interest income $4.5 million Three months ended June 30, 2026
Net loss $22.8 million Three months ended June 30, 2026
Net loss per share $0.12 Three months ended June 30, 2026

Previous Earnings Reports

5 past events · Latest: May 13 (Neutral)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 13 1Q26 earnings report Neutral -1.9% Quarterly results and pipeline milestones were followed by a 1.95% decline.
Mar 05 FY25 earnings report Negative -17.9% Annual loss and financing updates were followed by a 17.92% decline.
Nov 06 3Q25 earnings report Neutral +5.1% Quarterly results and development milestones were followed by a 5.07% gain.
Aug 12 2Q25 earnings report Positive +7.1% Positive Phase 2b data and financial results were followed by a 7.10% gain.
May 13 1Q25 earnings report Neutral -4.2% Pipeline progress and quarterly losses were followed by a 4.16% decline.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Tag-specific earnings announcements produced mixed outcomes, with four of five prior reactions negative and an average move of -2.37%.

Key Terms

aud, liver stiffness measurement, enhanced liver fibrosis, breakthrough therapy designation
4 terms
aud medical
"Alcohol Use Disorder (AUD)"
AUD is the international currency code for the Australian dollar, the official money used in Australia and several nearby territories. Investors watch AUD because changes in its value act like a price tag or thermometer for assets and transactions denominated in that currency — affecting export revenues, import costs, commodity prices, and the value of overseas investments. Movements in AUD can change returns and risk for portfolios with exposure to Australia or Australian-dollar contracts.
liver stiffness measurement medical
"change from baseline in Liver Stiffness Measurement (LSM)"
A liver stiffness measurement is a noninvasive test that gauges how firm or 'stiff' the liver has become, which reflects scarring (fibrosis) from chronic liver disease. Like pressing fruit to judge ripeness, the result helps doctors assess disease severity, monitor progression, and decide on treatment; for investors it influences the commercial prospects of therapies, diagnostic devices, clinical trial enrollment, and market demand for liver-related healthcare products.
enhanced liver fibrosis medical
"changes in Enhanced Liver Fibrosis (ELF) score"
A blood-based score that combines several biomarkers to estimate the amount of scar tissue in the liver, often reported as the Enhanced Liver Fibrosis (ELF) test. Investors care because it is used to gauge disease severity, select or monitor patients in clinical trials, and can influence the market potential and regulatory path for drugs and diagnostics targeting liver disease; think of it as a noninvasive 'check engine' light for liver scarring.
breakthrough therapy designation regulatory
"granted Breakthrough Therapy Designation by the U.S. Food and Drug Administration"
A breakthrough therapy designation is a regulatory fast-track given to a drug or treatment that shows early signs of providing a major improvement over existing options for a serious condition. Think of it as a VIP lane that can speed up development and more intensive guidance from regulators, which matters to investors because it can shorten time to market, reduce development risk and potentially increase a company’s value — though it does not guarantee approval.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Initiated global PERFORMA Phase 3 trial in MASH

Reported positive topline data from RECLAIM Phase 2 trial in AUD

Completed patient enrollment in RESTORE Phase 2 trial in ALD

$519 million in cash, cash equivalents and investments as of June 30, 2026

Webcast to be held today at 8:30 a.m. ET

GAITHERSBURG, Md., Aug. 12, 2026 (GLOBE NEWSWIRE) -- Altimmune, Inc. (Nasdaq: ALT), a late clinical-stage biopharmaceutical company developing pemvidutide to address serious liver diseases, today announced financial results for the second quarter ended June 30, 2026, and provided a corporate update.

“We have achieved several important milestones as we continue to successfully execute our strategy, including the initiation of the PERFORMA Phase 3 MASH trial and positive topline data from the RECLAIM Phase 2 AUD trial. The team remains focused on advancing our differentiated pemvidutide franchise in both MASH and AUD, each an area of unmet need with substantial future sales potential,” said Jerry Durso, Chief Executive Officer and Chairman of the Board of Altimmune. “We are also pleased to announce completion of enrollment in the RESTORE Phase 2 ALD trial. Our momentum positions Altimmune to deliver on our goals of bringing pemvidutide to patients with serious liver diseases and creating value for shareholders.”

Key Highlights and Anticipated Milestones

Metabolic Dysfunction-Associated Steatohepatitis (MASH)

  • Pemvidutide was granted Breakthrough Therapy Designation by the U.S. Food and Drug Administration (FDA) based on 24-week data from the IMPACT Phase 2b trial
  • In August 2026, the Company announced the initiation of the global PERFORMA Phase 3 MASH trial, with 52-week data readout anticipated in 2029
    • The PERFORMA trial is a Phase 3, Global, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety, and Clinical Outcomes of Pemvidutide in Subjects with MASH

Alcohol Use Disorder (AUD)

  • In July 2026, the Company reported positive topline results from the RECLAIM Phase 2 trial of pemvidutide in AUD
    • The RECLAIM trial evaluated the safety and efficacy of pemvidutide versus placebo in 100 patients with AUD over a 24-week treatment period
    • Pemvidutide achieved a statistically significant and clinically meaningful reduction in heavy drinking days, the primary endpoint of the trial
    • Important secondary endpoints were also met, including a 2-level reduction in WHO-risk drinking levels and zero heavy drinking days, both recognized by the FDA as registrational endpoints
    • A generally favorable safety and tolerability profile was observed in the trial
    • The Company plans to request an End-of-Phase 2 meeting with the FDA and engage with the European regulatory agencies to discuss a path forward in AUD
    • The FDA granted Fast Track designation to pemvidutide for the treatment of AUD

Alcohol-associated Liver Disease (ALD)

  • In July 2026, the Company completed patient enrollment in the RESTORE Phase 2 trial of pemvidutide in ALD
    • The RESTORE trial is a 48-week study evaluating the safety and efficacy of pemvidutide versus placebo in approximately 120 patients with liver disease due to excessive alcohol consumption
    • The trial enrolled patients with ALD and a history of chronic and heavy drinking at baseline 
    • To support future regulatory discussions, the Company has amended the trial protocol to more fully evaluate the liver benefits pemvidutide may provide after one year of treatment in the ALD population
    • The primary endpoint, change from baseline in Liver Stiffness Measurement (LSM), will now be assessed hierarchically at Week 48 and then at Week 24
    • The secondary endpoints include changes in Enhanced Liver Fibrosis (ELF) score, alcohol consumption and body weight
    • The Company expects to report topline data in the second half of 2027

Corporate Updates

  • In April 2026, the Company completed an oversubscribed public offering of common stock, pre-funded warrants, and stock warrants, resulting in gross proceeds of $225.0 million
  • In June 2026, the Company announced plans to relocate its corporate headquarters to Morristown, New Jersey later in 2026

Financial Results for the Three Months Ended June 30, 2026

  • Altimmune reported cash, cash equivalents and investments totaling $519 million as of June 30, 2026
  • Research and development (R&D) expenses were $18.7 million for the three months ended June 30, 2026, compared to $17.2 million in the same period in 2025, with the increase driven primarily by the ongoing ALD trial as well as the startup costs for the PERFORMA Phase 3 trial in MASH, partially offset by the decrease in expenses related to completion of the IMPACT Phase 2b trial in MASH, which was ongoing in 2025. R&D expenses for the quarter ended June 30, 2026, included $11.6 million in direct costs related to pemvidutide development activities
  • General and administrative (G&A) expenses were $7.6 million for the three months ended June 30, 2026, compared to $5.7 million in the same period in 2025. The increase was driven primarily by an increase in professional services and compensation expenses in the second quarter of 2026
  • Interest income was $4.5 million for the three months ended June 30, 2026
  • Net loss for the three months ended June 30, 2026, was $22.8 million, or $0.12 net loss per share, compared to a net loss of $22.1 million, or $0.27 net loss per share, in the same period in 2025

Conference Call Information:
Date:August 12, 2026
Time:8:30 a.m. Eastern Time
Webcast:To listen, the conference call will be webcast live on Altimmune’s Investor Relations (IR) website at https://ir.altimmune.com/investors.
Dial-in:To participate or dial-in, register here to receive the dial-in numbers and unique PIN to access the call.
  

Following the conclusion of the call, the webcast will be available for replay on the IR page of the Company’s website at www.altimmune.com. The Company has used, and intends to continue to use, the IR portion of its website as a means of disclosing material non-public information and for complying with disclosure obligations under Regulation FD.

About Pemvidutide

Pemvidutide is an investigational novel peptide with balanced 1:1 glucagon/GLP-1 dual receptor agonist activity that has an effect on reducing liver fat, inflammation, and fibrosis, in development for the treatment of metabolic dysfunction-associated steatohepatitis (MASH), alcohol use disorder (AUD), and alcohol-associated liver disease (ALD). The activation of glucagon receptors results in direct effects on the liver, while GLP-1 receptors mediate metabolic effects such as appetite suppression and weight loss and are involved in pathways related to craving and reward.

The FDA granted Fast Track designations to pemvidutide for the treatment of MASH and AUD, as well as Breakthrough Therapy Designation for MASH. In December 2025, the Company announced topline 48-week data from the IMPACT Phase 2b trial in MASH. In July 2026, the PERFORMA Phase 3 trial, a global, randomized, double-blind, placebo-controlled, parallel-group study of pemvidutide in patients with MASH was initiated. In July 2026, the Company announced positive topline results from the RECLAIM Phase 2 trial in AUD. In July 2026, the Company completed enrollment of the RESTORE Phase 2 trial in ALD.

About Altimmune 

Altimmune is a late clinical-stage biopharmaceutical company developing therapies for patients with serious liver diseases. The Company’s lead candidate, pemvidutide, is a unique dual-action therapy targeting both glucagon and GLP-1 receptors in a balanced 1:1 ratio in development for the treatment of metabolic dysfunction-associated steatohepatitis (MASH), alcohol use disorder (AUD) and alcohol-associated liver disease (ALD). For more information, please visit www.altimmune.com.

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Forward-Looking Statements
Any statements made in this press release related to the development or commercialization of pemvidutide, an investigational product candidate, and other business, regulatory and financial matters including without limitation, clinical trial study design, status, correspondence, results and data, including the ongoing PERFORMA and RESTORE trials, the timing of key milestones for the Company’s clinical programs, future plans or expectations for pemvidutide for the treatment of MASH, AUD and ALD, the potential benefits of Fast Track and Breakthrough Therapy Designations, including potential regulatory timeline and approval benefits, the Company’s financial position, and the prospects for receiving regulatory approval or commercializing or selling any product or drug candidates, financial results, and the impact of the changes to our leadership and governance structure, are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. In addition, when or if used in this press release, the words "may," "could," "should," "anticipate," "believe," "estimate," "expect," "intend," "plan," "predict" and similar expressions and their variants, as they relate to Altimmune, Inc. may identify forward-looking statements. The Company cautions that these forward-looking statements are subject to numerous assumptions, risks, and uncertainties, which change over time. Important factors that may cause actual results to differ materially from the results discussed in the forward-looking statements or historical experience include risks and uncertainties, including risks relating to: delays in regulatory review, manufacturing and supply chain interruptions, access to clinical sites, enrollment, adverse effects on healthcare systems and disruption of the global economy;  the reliability of the results of studies relating to human safety and possible adverse effects resulting from the administration of the Company's product candidates; the Company's ability to manufacture clinical trial materials on the timelines anticipated; and the success of future product advancements, including the success of future clinical trials. Further information on the factors and risks that could affect the Company's business, financial conditions and results of operations are contained in the Company's filings with the U.S. Securities and Exchange Commission, including under the heading "Risk Factors" in the Company's most recent annual report on Form 10-K, quarterly report on Form 10-Q and the Company’s other filings with the SEC, which are available at www.sec.gov.

Investor Contact:
Luis Sanay, CFA
Vice President, Investor Relations
ir@altimmune.com

Media Contact:
Real Chemistry 
altimmune@realchemistry.com


 
ALTIMMUNE, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per-share amounts)
 
  June 30, December 31,
  2026 2025
  (Unaudited)   
ASSETS      
Current assets:      
Cash and cash equivalents $63,008  $43,760 
Restricted cash  42   42 
Total cash, cash equivalents and restricted cash  63,050   43,802 
Short-term investments  263,273   229,696 
Accounts and other receivables  3,341   1,219 
Income tax and R&D incentive receivables     518 
Prepaid expenses and other current assets  5,151   2,957 
Total current assets  334,815   278,192 
Long-term investments  192,247    
Property and equipment, net  60   312 
Other assets  90   1,425 
Total assets $527,212  $279,929 
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Current liabilities:      
Accounts payable $1,272  $2,717 
Accrued expenses and other current liabilities  11,229   12,280 
Total current liabilities  12,501   14,997 
Term loan, noncurrent  34,742   34,287 
Other noncurrent liabilities  5,761   5,753 
Total liabilities  53,004   55,037 
Commitments and contingencies      
Stockholders’ equity:      
Common stock, $0.0001 par value; 400,000,000 and 200,000,000 shares authorized; 194,474,154 and 110,882,735 shares issued and outstanding as of June 30, 2026 and December 31, 2025, respectively  19   11 
Additional paid-in capital  1,175,098   879,292 
Accumulated deficit  (694,871)  (649,483)
Accumulated other comprehensive loss, net  (6,038)  (4,928)
Total stockholders’ equity  474,208   224,892 
Total liabilities and stockholders’ equity $527,212  $279,929 


 
ALTIMMUNE, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(Unaudited)
(In thousands, except share and per-share amounts)
 
  Three Months Ended Six Months Ended
  June 30, June 30,
  2026 2025 2026 2025
Revenues $  $5  $  $10 
Operating expenses:            
Research and development  18,655   17,236   34,847   33,063 
General and administrative  7,574   5,691   15,626   11,684 
Total operating expenses  26,229   22,927   50,473   44,747 
Loss from operations  (26,229)  (22,922)  (50,473)  (44,737)
Other income (expense):            
Interest expense  (1,097)  (264)  (2,165)  (265)
Interest income  4,526   1,132   7,427   2,677 
Other income (expense), net  (25)  (92)  (177)  (77)
Total other income (expense), net  3,404   776   5,085   2,335 
Net loss before income taxes  (22,825)  (22,146)  (45,388)  (42,402)
Income tax expense (benefit)           (681)
Net loss  (22,825)  (22,146)  (45,388)  (41,721)
Other comprehensive income — unrealized loss on investments  (814)  (36)  (1,110)  (66)
Comprehensive loss $(23,639) $(22,182) $(46,498) $(41,787)
Net loss per share, basic and diluted $(0.12) $(0.27) $(0.29) $(0.53)
Weighted-average common shares outstanding, basic and diluted  185,443,736   81,477,548   155,121,235   78,529,028 

FAQ

What were Altimmune (ALT) key financial results for the second quarter of 2026?

Altimmune reported a net loss of $22.8 million, or $0.12 per share, for Q2 2026. According to Altimmune, R&D expenses were $18.7 million, G&A expenses $7.6 million, and cash, cash equivalents and investments totaled $519 million at June 30, 2026.

How much cash does Altimmune (ALT) have following its Q2 2026 results?

Altimmune reported $519 million in cash, cash equivalents and investments as of June 30, 2026. According to Altimmune, this balance reflects its April 2026 oversubscribed public offering, which generated $225 million in gross proceeds to support ongoing pemvidutide clinical programs and operations.

What is the status of Altimmune (ALT) PERFORMA Phase 3 MASH trial announced in August 2026?

Altimmune has initiated the global PERFORMA Phase 3 trial of pemvidutide in MASH. According to Altimmune, PERFORMA is a randomized, double‑blind, placebo‑controlled study evaluating efficacy, safety and clinical outcomes, with a planned 52‑week data readout anticipated in 2029.

What were the RECLAIM Phase 2 alcohol use disorder (AUD) results for Altimmune (ALT) in 2026?

Altimmune reported positive topline RECLAIM Phase 2 results, where pemvidutide significantly reduced heavy drinking days versus placebo. According to Altimmune, the trial met important secondary endpoints, including a two‑level reduction in WHO‑risk drinking levels and achievement of zero heavy drinking days, with generally favorable safety.

What progress has Altimmune (ALT) made in its RESTORE Phase 2 ALD trial?

Altimmune completed patient enrollment in the RESTORE Phase 2 trial in alcohol‑associated liver disease. According to Altimmune, the 48‑week study will now assess liver stiffness at weeks 48 and 24 hierarchically, with topline data expected in the second half of 2027.

Did Altimmune (ALT) issue new shares in 2026 and how did it affect share count?

Altimmune’s common shares outstanding increased to 194.5 million by June 30, 2026, from 110.9 million at December 31, 2025. According to Altimmune, this increase reflects its April 2026 public offering of common stock, pre‑funded warrants and stock warrants.

When is the Altimmune (ALT) Q2 2026 earnings conference call and how can investors listen?

Altimmune scheduled its Q2 2026 earnings webcast for August 12, 2026 at 8:30 a.m. Eastern Time. According to Altimmune, investors can access the live webcast and replay via the Investor Relations section of its website and obtain dial‑in details through online registration.