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4DMT Reports First Quarter 2026 Financial Results, Operational Highlights and Expected Upcoming Milestones

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4D Molecular Therapeutics (Nasdaq: FDMT) reported Q1 2026 results and operational updates on May 7, 2026. Key clinical milestones: 4FRONT-1 randomization complete (N=523); 4FRONT-1 topline data expected H1 2027; 4FRONT-2 enrollment expected complete H2 2026 with topline H2 2027. PRISM 2-year data due Q3 2026; SPECTRA 2-year data due H2 2026. Cash, cash equivalents and marketable securities: $458 million as of March 31, 2026, expected to fund operations into H2 2028. Q1 2026 R&D expense: $65.0 million; net loss: $68.8 million.

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AI-generated analysis. Not financial advice.

Positive

  • $458M cash and equivalents as of 3/31/2026
  • 4FRONT-1 randomization complete (N=523)
  • Topline 4FRONT-1 data expected H1 2027
  • Collaborative revenue $3.0M in Q1 2026

Negative

  • Net loss of $68.8M in Q1 2026
  • R&D expense increased to $65.0M in Q1 2026
  • Cash declined from $514M at 12/31/2025 to $458M

News Market Reaction – FDMT

+2.11%
3 alerts
+2.11% News Effect
+$10M Valuation Impact
$483.54M Market Cap
0.0x Rel. Volume

On the day this news was published, FDMT gained 2.11%, reflecting a moderate positive market reaction. Our momentum scanner triggered 3 alerts that day, indicating moderate trading interest and price volatility. This price movement added approximately $10M to the company's valuation, bringing the market cap to $483.54M at that time.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

Cash & securities: $458 million Prior cash balance: $514 million Collaboration revenue: $3.0 million +5 more
8 metrics
Cash & securities $458 million Cash, cash equivalents and marketable securities as of March 31, 2026
Prior cash balance $514 million Cash, cash equivalents and marketable securities as of December 31, 2025
Collaboration revenue $3.0 million Collaboration and license revenue in Q1 2026
R&D expenses $65.0 million Research and development expenses in Q1 2026
G&A expenses $11.7 million General and administrative expenses in Q1 2026
Net loss $68.8 million Net loss for Q1 2026
Cash runway into second half of 2028 Estimated funding of operating plan based on cash and Otsuka payments
4FRONT-1 randomization N=523 Total patients randomized in 4D-150 4FRONT-1 Phase 3 wet AMD trial

Market Reality Check

Price: $8.60 Vol: Volume 624,878 is slightl...
normal vol
$8.60 Last Close
Volume Volume 624,878 is slightly below 20-day average of 680,989. normal
Technical Price 10.42 is trading above 200-day MA at 8.73 and 15.6% below the 52-week high of 12.34.

Peers on Argus

FDMT gained 7.31% while close peers showed mixed moves (e.g., MBX +6.89%, DSGN +...
1 Up

FDMT gained 7.31% while close peers showed mixed moves (e.g., MBX +6.89%, DSGN +10.24%, OCGN -4.9%). With only one peer in the momentum scanner and mixed directions, trading appeared more stock-specific than sector-driven.

Common Catalyst Several biotech peers (e.g., MBX, TECX) also reported earnings, pointing to an earnings-season driven news backdrop rather than a unified sector price move.

Previous Earnings Reports

5 past events · Latest: Mar 18 (Positive)
Same Type Pattern 5 events
Date Event Sentiment Move Catalyst
Mar 18 Full-year 2025 results Positive +4.9% Reported FY 2025 results, rapid 4D-150 Phase 3 progress and strong cash.
Nov 10 Q3 2025 earnings Positive -3.1% Q3 2025 results with major Otsuka upfront payment and strong cash position.
Aug 11 Q2 2025 earnings Neutral -1.8% Q2 2025 update with trial progress, higher R&D spend and workforce reduction.
May 08 Q1 2025 earnings Positive -4.9% Q1 2025 results showing strong cash and early 4D-150 Phase 3 enrollment.
Feb 28 Full-year 2024 results Neutral -8.6% FY 2024 results with strong 4D-150 data but larger reported net loss.
Pattern Detected

Earnings releases have produced mixed reactions, with 3 aligned and 2 divergent moves and an average move of -2.71%, indicating a slight negative bias historically around results.

Recent Company History

Across the last five earnings events since Feb 28, 2025, FDMT has repeatedly highlighted progress of its 4D‑150 wet AMD and DME programs, advancement of 4D‑710 for cystic fibrosis, and a substantial cash position (ranging from $372M to $514M) expected to fund operations into 2028. Past reactions averaged -2.71%, with several negative moves despite generally constructive updates. Today’s Q1 2026 report continues this theme of strong cash and late‑stage trial execution.

Historical Comparison

-2.7% avg move · Over the last 5 earnings releases, FDMT’s average move was -2.71%. Today’s +7.31% reaction to Q1 202...
earnings
-2.7%
Average Historical Move earnings

Over the last 5 earnings releases, FDMT’s average move was -2.71%. Today’s +7.31% reaction to Q1 2026 results marks a notably stronger response than prior earnings updates.

Earnings updates show a steady progression from planning to execution in 4D-150 Phase 3 wet AMD programs and DME expansion, alongside continued advancement of 4D-710 and preservation of a multi-year cash runway into 2028.

Market Pulse Summary

This announcement emphasized FDMT’s late‑stage transition, with 4FRONT‑1 fully randomized at N=523, ...
Analysis

This announcement emphasized FDMT’s late‑stage transition, with 4FRONT‑1 fully randomized at N=523, additional Phase 3 wet AMD and DME milestones slated through 2027, and cash and securities of $458 million expected to fund operations into the second half of 2028. Investors may watch upcoming 2‑year PRISM and SPECTRA readouts, trends in R&D spend at $65.0 million, and collaboration revenue of $3.0 million for further signals on execution.

Key Terms

phase 3, phase 2b, diabetic macular edema, geographic atrophy, +1 more
5 terms
phase 3 medical
"4D-150 4FRONT-1 wet AMD Phase 3 randomization complete (N=523); topline data..."
Phase 3 is the late-stage clinical testing step for a new drug or medical treatment, where the product is given to large groups of patients to confirm effectiveness, monitor side effects, and compare it to standard care. Successful Phase 3 results are often the final scientific hurdle before regulators decide on approval and market launch—like passing a final exam before graduation—and can sharply change a company's valuation and future revenue prospects.
phase 2b medical
"4D-150 PRISM wet AMD Phase 2b 2-year data expected at a scientific conference..."
Phase 2b is a stage in the development of a new medicine or treatment where researchers test its effectiveness and safety in a larger group of people. This step helps determine whether the treatment works well enough to move forward and if it has manageable side effects, which is important for investors because successful results can lead to potential approval and market opportunity.
diabetic macular edema medical
"4D-150 for Diabetic Macular Edema: SPECTRA clinical trial 2-year data expected..."
Diabetic macular edema is an eye condition in which fluid leaks into and swells the macula, the part of the retina used for sharp, central vision, often as a complication of diabetes. For investors it matters because it drives demand for medicines, medical devices and eye-care services, influences clinical trial and regulatory outcomes, and can affect healthcare costs and revenue forecasts—think of the macula as the camera’s central lens that becomes blurred when it soaks up excess fluid.
geographic atrophy medical
"4D-175 for Geographic Atrophy: Company maintains an active IND..."
Geographic atrophy is a progressive eye condition in which patches of light-sensing cells in the retina die, causing growing blind spots and ultimately significant central vision loss. For investors, it matters because the condition defines the market size and urgency for drugs, devices, and diagnostics — like a spreading hole in a photograph that companies aim to stop or repair — so clinical results, approvals, and reimbursement determine potential revenue and risk.
cystic fibrosis medical
"4D-710 for Cystic Fibrosis: AEROW Phase 1/2 clinical trial and program update..."
A genetic disease that causes the body to produce thick, sticky mucus that clogs airways and digestive passages, leading to ongoing lung infections, breathing difficulty, and problems absorbing nutrients. For investors, cystic fibrosis matters because treatments range from symptom management to pricey, targeted drugs that can change patient outcomes; progress in therapies, clinical trial results, regulatory approvals, and reimbursement decisions can significantly affect the commercial value of companies working in this area.

AI-generated analysis. Not financial advice.

  • 4D-150 4FRONT-1 wet AMD Phase 3 randomization complete (N=523); topline data expected in H1 2027
  • 4FRONT-2 enrollment completion expected in H2 2026; topline data expected in H2 2027 
  • 4D-150 PRISM wet AMD Phase 2b 2-year data expected at a scientific conference in Q3 2026, and SPECTRA DME trial 2-year data expected in H2 2026
  • $458 million in cash, cash equivalents and marketable securities expected to fund current operating plan into second half of 2028

EMERYVILLE, Calif., May 07, 2026 (GLOBE NEWSWIRE) -- 4D Molecular Therapeutics (Nasdaq: FDMT, 4DMT or the Company), a leading late-stage biotechnology company advancing durable and disease-targeted therapeutics with potential to transform treatment paradigms and provide unprecedented benefits to patients, today reported Q1 2026 financial results, provided operational highlights and outlined expected upcoming milestones.  

“We started 2026 with strong execution, completing enrollment in 4FRONT-1 ahead of schedule reflecting strong investigator and patient enthusiasm for 4D-150,” said David Kirn, M.D., Co-founder, President and Chief Executive Officer of 4DMT. “For the remainder of the year, we look forward to completing 4FRONT-2 enrollment, initiating our global Phase 3 clinical trial in DME, and sharing 2-year data from PRISM and SPECTRA.”

Recent Highlights and Expected Milestones

  • 4D-150 for Wet Age-related Macular Degeneration:  
    • 4FRONT Global Phase 3 Program:
      • 4FRONT-1, North American Clinical Trial: 
        • Enrollment completed in February 2026 and randomization completed (N=523) in March 2026; topline data expected in H1 2027
      • 4FRONT-2, Global Clinical Trial:
        • Enrollment completion expected in H2 2026; topline data expected in H2 2027
    • PRISM Phase 1/2 Clinical Trial:
      • Phase 2b 2-year data in a broad patient population, including the recently diagnosed subgroup population most comparable to the 4FRONT Phase 3 population, expected to be presented at a scientific conference in Q3 2026
  • 4D-150 for Diabetic Macular Edema:  
    • SPECTRA clinical trial 2-year data expected in H2 2026
    • Global Phase 3 trial design expected in mid-2026 and initiation expected in Q3 2026
  •  4D-175 for Geographic Atrophy:  
    • Company maintains an active IND and continues to evaluate strategic funding alternatives to advance the program into the clinic
  • 4D-710 for Cystic Fibrosis:  
    • AEROW Phase 1/2 clinical trial and program update expected in H2 2026

Q1 2026 Financial Results

Cash Position: Cash, cash equivalents and marketable securities were $458 million as of March 31, 2026, as compared to $514 million as of December 31, 2025. Based on our current operating plan, we estimate that our existing cash, cash equivalents and marketable securities, and expected payments under our collaboration agreement with Otsuka, will be sufficient to fund our operating expenses and capital expenditure requirements at least into the second half of 2028.   

Collaboration and License Revenue: Collaboration and license revenue was $3.0 million for the first quarter of 2026, as compared to an insignificant amount for the first quarter of 2025. The increase in revenue was primarily due to the clinical trial cost sharing and reimbursement amounts from Otsuka. 

R&D Expenses: Research and development expenses were $65.0 million for the first quarter of 2026, as compared to $40.7 million for the first quarter of 2025. This increase was primarily driven by execution of 4D-150 Phase 3 clinical trials in wet AMD.

G&A Expenses: General and administrative expenses were $11.7 million for the first quarter of 2026, as compared to $12.9 million for the first quarter of 2025.

Net Loss: Net loss was $68.8 million for the first quarter of 2026, as compared to net loss of $48.0 million for the first quarter of 2025.

About 4DMT  

4DMT is a leading late-stage biotechnology company advancing durable and disease-targeted therapeutics with potential to transform treatment paradigms and provide unprecedented benefits to patients. The Company’s lead product candidate 4D-150 is designed to be a backbone therapy forming the foundation of treatment of blinding retinal vascular diseases by providing multi-year sustained delivery of anti-VEGF biologics (aflibercept and anti-VEGF-C) with a single, safe, intravitreal injection, which substantially reduces the treatment burden associated with current bolus injections. The Company’s lead indication for 4D-150 is wet age-related macular degeneration, which is currently in Phase 3 development, and second indication is diabetic macular edema. The Company’s second product candidate is 4D-710, which is the first known genetic medicine to demonstrate successful delivery and expression of the CFTR transgene in the lungs of people with cystic fibrosis after aerosol delivery. 4D Molecular Therapeutics™, 4DMT™, Therapeutic Vector Evolution™, and the 4DMT logo are trademarks of 4DMT.   

All of the Company’s product candidates are in clinical or preclinical development and have not yet been approved for marketing by the U.S. Food and Drug Administration or any other regulatory authority. No representation is made as to the safety or effectiveness of the Company’s product candidates for the therapeutic uses for which they are being studied.  

Learn more at www.4DMT.com and follow us on LinkedIn

Forward-Looking Statements:

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, implied and express statements regarding the therapeutic potential and clinical benefits of, as well as the plans, announcements and related timing for the clinical development of our product candidates, the potential benefits of the strategic partnership with Otsuka, the amount of any potential cost sharing or milestone payments pursuant to the Company’s agreement with Otsuka, the Company's expectations regarding financing alternatives and potential partnerships, the Company’s use of proceeds, and statements regarding our financial performance, results of operations and anticipated cash runway. The words "may," “might,” "will," "could," "would," "should," "expect," "plan," "anticipate," "intend," "believe," “expect,” "estimate," “seek,” "predict," “future,” "project," "potential," "continue," "target" and similar words or expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Any forward-looking statements in this press release are based on management's current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including risks and uncertainties that are described in greater detail in the section entitled "Risk Factors" in 4D Molecular Therapeutics’ most recent Quarterly Report on Form 10-Q to be filed on or about the date hereof, as well as any subsequent filings with the Securities and Exchange Commission. In addition, any forward-looking statements represent 4D Molecular Therapeutics' views only as of today and should not be relied upon as representing its views as of any subsequent date. 4D Molecular Therapeutics explicitly disclaims any obligation to update any forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.  


4D Molecular Therapeutics, Inc.
Statements of Operations
(Unaudited)
(in thousands, except share and per share amounts)
    
  Three months ended
March 31,
 
  2026  2025 
Revenue:      
Collaboration and license revenue $3,047  $14 
Operating expenses:      
Research and development  64,980   40,699 
General and administrative  11,687   12,936 
Total operating expenses  76,667   53,635 
Loss from operations  (73,620)  (53,621)
Other income, net  4,860   5,649 
Net loss $(68,760) $(47,972)
Net loss per share, basic and diluted $(1.01) $(0.86)
Weighted-average shares outstanding used in computing net loss per share, basic and diluted  68,064,586   55,744,047 
         


4D Molecular Therapeutics, Inc.
Balance Sheet Data
(Unaudited)
(in thousands)
       
  March 31,  December 31, 
  2026  2025 
Cash, cash equivalents and marketable securities $457,631  $514,034 
Total assets  512,905   566,711 
Total liabilities  61,069   61,047 
Accumulated deficit  (785,064)  (716,304)
Total stockholders’ equity  451,836   505,664 
         

Contacts:

Media:

Jenn Gordon 
dna Communications 
Media@4DMT.com

Investors:

Julian Pei
Head of Investor Relations and Strategic Finance
Investor.Relations@4DMT.com


FAQ

What clinical milestones did 4D Molecular Therapeutics (FDMT) report on May 7, 2026?

4D reported 4FRONT-1 randomization complete (N=523) and multiple trial timelines. According to the company, 4FRONT-1 topline data is expected H1 2027, 4FRONT-2 enrollment completion is expected H2 2026, and other 2-year readouts are due in 2026–2027.

How much cash did FDMT have at March 31, 2026 and how long is it expected to last?

FDMT reported $458 million in cash, cash equivalents and marketable securities as of March 31, 2026. According to the company, this balance and expected collaboration payments are estimated to fund the current operating plan into the second half of 2028.

What were 4D Molecular Therapeutics’ Q1 2026 R&D expense and net loss?

R&D expense was $65.0 million and net loss was $68.8 million for Q1 2026. According to the company, the R&D increase was primarily driven by execution of 4D-150 Phase 3 clinical trials in wet AMD.

When will 4FRONT-2 and PRISM 2-year data be reported for FDMT?

4FRONT-2 topline data is expected in H2 2027 and PRISM Phase 2b 2-year data is expected Q3 2026. According to the company, PRISM includes a recently diagnosed subgroup comparable to the 4FRONT Phase 3 population.

What near-term program updates should FDMT investors watch in 2026?

Investors should watch 4FRONT-2 enrollment completion, PRISM and SPECTRA 2-year data, and planned DME Phase 3 initiation. According to the company, the global DME Phase 3 design is expected mid-2026 with initiation in Q3 2026.