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MeiraGTx Reports Third Quarter 2026 Financial and Operational Results

(Moderate)

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MeiraGTx (Nasdaq: MGTX) reported third-quarter 2026 results and outlined planned regulatory submissions for its bota-vec gene therapy for inherited vision loss. The company expects a European application in December 2026, subject to confirmation of the submission date, and a full U.S. application in the first quarter of 2027. Its European dossier is complete.

For the quarter ended September 30, service revenue was $1.6 million, versus nil a year earlier; related-party service revenue rose to $3.2 million from $0.4 million. Research and development expenses increased to $39.3 million from $32.5 million. Cash and cash equivalents totaled approximately $184.7 million. Including an additional $95.0 million due from Hologen and associated reimbursements, MeiraGTx expects funding into the second half of 2028. It targets mid-2027 for the pivotal AQUAx2 study's 12-month readout in radiation-induced dry mouth.

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24 points · 0 major

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0 major · 7 points

Hollow bars mark forward-looking points. How the balance works

Positive

  • Moderate pointCash, cash equivalents and restricted cash reached $186.8 million at September 30, 2026, versus $17.1 million a year earlier.
  • Moderate point. Forward-looking: it has not happened yet and may not happen.Bota-vec filings are expected in Europe in December 2026 and the U.S. in the first quarter of 2027.
  • Moderate point. Forward-looking: it has not happened yet and may not happen.Bota-vec commercial launch is anticipated in late 2027; MeiraGTx is preparing market access and commercial teams.
  • Moderate point. Forward-looking: it has not happened yet and may not happen.AQUAx2 completed enrollment in Q2 2026; its 12-month pivotal readout remains on track for mid-2027.
  • Moderate pointAAV-GAD received FDA RMAT designation in 2025, supported by statistically significant efficacy in two sham-surgery-controlled studies.
  • Moderate point. Forward-looking: it has not happened yet and may not happen.Reogen intends to initiate Phase 3 AAV-GAD testing in the first quarter of 2027.
  • Moderate pointLilly paid $75 million upfront for exclusive AAV-AIPL1 rights and access to specified MeiraGTx technologies. 8.1% of market cap
17 minor points
  • Minor pointService revenue reached $1.6 million in Q3 2026, versus nil in Q3 2025, from Lilly-related services.
  • Minor pointRelated-party service revenue rose to $3.2 million in Q3 2026 from $0.4 million a year earlier.
  • Minor pointGeneral and administrative expenses fell to $12.0 million in Q3 2026 from $13.6 million a year earlier.
  • Minor pointForeign currency loss was de minimis in Q3 2026, versus a $1.6 million loss a year earlier.
  • Minor pointInterest income rose to $1.2 million in Q3 2026 from $0.2 million a year earlier.
  • Minor pointFinancial related costs, net shifted to a $1.6 million gain from a $3.1 million expense year over year.
  • Minor pointOther income reached $0.4 million in Q3 2026, versus nil a year earlier.
  • Minor pointBota-vec rights are fully held by MeiraGTx following its May 2026 acquisition from J&J.
  • Minor pointBota-vec manufacturing qualification is complete; MeiraGTx holds commercial licenses for its London manufacturing and Shannon quality-control facilities.
  • Minor pointBota-vec Phase 3 safety showed no new signals and an improved inflammatory profile versus Phase 1/2.
  • Minor pointBota-vec regulatory designations include FDA Fast Track and orphan status, plus EU PRIME and orphan status.
  • Minor pointAAV2-hAQP1 received FDA Breakthrough Therapy Designation in March 2026 for grade 2 and grade 3 radiation-induced xerostomia.
  • Minor pointAAV2-hAQP1 Phase 1 improvements persisted through 36 months; treatment remained safe and well-tolerated at each tested dose.
  • Minor point. Forward-looking: it has not happened yet and may not happen.Lilly milestones exceed $400 million in potential payments; MeiraGTx is also eligible for tiered royalties on licensed products.
  • Minor point. Forward-looking: it has not happened yet and may not happen.Ribo-Leptin and neuropathic pain programs are prioritized for planned applications to begin human studies.
  • Minor point. Forward-looking: it has not happened yet and may not happen.Small-molecule dose testing is expected to begin in December 2026, informing planned riboswitch combination studies next year.
  • Minor pointDry AMD and geographic atrophy programs are advancing two novel targets.

Negative

  • Moderate pointResearch and development expenses rose to $39.3 million in Q3 2026 from $32.5 million a year earlier.
  • Moderate point. Forward-looking: it has not happened yet and may not happen.Funding into the second half of 2028 assumes an additional $95.0 million due from Hologen and associated reimbursements. 10% of market cap
  • Minor pointCost of service revenue reached $0.6 million in Q3 2026, versus nil a year earlier.
  • Minor pointRelated-party service costs rose to $2.8 million in Q3 2026 from $0.3 million a year earlier.
  • Minor point. Forward-looking: it has not happened yet and may not happen.December 2026 European bota-vec submission remains subject to EMA confirmation of the submission date.
2 minor points
  • Minor point. Forward-looking: it has not happened yet and may not happen.AQUAx2 results must be positive to potentially support a year-end 2027 U.S. application and possible 2028 approval.
  • Minor point. Forward-looking: it has not happened yet and may not happen.Lilly milestone payments remain conditional, including $135.0 million in potential near-term development and regulatory approval consideration.

News Explained

MeiraGTx reports it granted Lilly worldwide exclusive rights to AAV-AIPL1 and received $75 million upfront; it is eligible for more than $400 million in milestone payments and tiered royalties on licensed products.

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Market move: MGTX -6.92% vs previous close. 3Q26 earnings report

$8.83 – $9.39 Day Range
$865.35M Mkt Cap at Last Price

On Nov 12, the day this news came out, the latest delayed price for MGTX is 6.92% below the previous close. Our momentum scanner has recorded 20 alerts for this stock so far that day. The latest delayed price is $9.01. Relative volume is above average at 1.7x what this stock usually trades by this time of day.

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Key Figures

Cash, cash equivalents and restricted cash: $186.8 million Hologen upfront payment due: $95.0 million Operating and capital expenditure funding: Into the second half of 2028 +5 more
Cash, cash equivalents and restricted cash
$186.8 million
As of September 30, 2026
Hologen upfront payment due
$95.0 million
Additional payment due, plus associated reimbursements
Operating and capital expenditure funding
Into the second half of 2028
Company estimate includes the Hologen upfront payment and associated reimbursements
Net loss attributable to ordinary shareholders
$51.3 million
Quarter ended September 30, 2026
Basic and diluted net loss per ordinary share
$0.53
Quarter ended September 30, 2026
MAA submission
December 2026
Intended submission to the EMA, subject to confirmation of the submission date
BLA submission
First quarter of 2027
Expected full submission to the FDA for bota-vec
AQUAx2 data readout
Mid-2027
12-month pivotal Phase 2 readout

Previous Earnings Reports

1 past event · Latest: Aug 13
Same Type 1 event
  1. Aug 13

    2Q26 earnings

    24h Move
    -2.2%

    Prior update reported completed AQUAx2 enrollment and a mid-2027 data readout timeline.

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

Key Terms

marketing authorisation application, biologics license application, process performance qualification, single ascending dose/multiple ascending dose
4 terms
marketing authorisation application regulatory
"Submission of Marketing Authorisation Application (MAA) to the European Medicines Agency"
A marketing authorisation application is the formal package a drug or medical-device maker submits to a health regulator to get permission to sell a product. Think of it as an application for a sales license: regulators review safety, effectiveness and manufacturing quality before granting permission. Investors watch these submissions because approval unlocks revenue and reduces development risk, while rejection or delays can materially affect a company’s value and timeline.
biologics license application regulatory
"Submission of full Biologics License Application (BLA) to the U.S. Food and Drug Administration"
A biologics license application is a formal request submitted to regulatory authorities seeking approval to market a new biological medicine, such as vaccines or treatments made from living organisms. It is a comprehensive review process that evaluates the safety, effectiveness, and manufacturing quality of the product. For investors, receiving approval signals that a biological therapy can be sold to the public, potentially leading to revenue growth and market success.
process performance qualification technical
"completed process performance qualification (PPQ)"
Process Performance Qualification is the final proof stage where a manufacturer runs full-scale production under normal conditions to show the method consistently produces safe, effective, and high-quality products. For investors, it signals that manufacturing is reliable and compliant with regulators—reducing the risk of supply interruptions, costly recalls, or regulatory delays and helping predict production capacity and future revenue.
single ascending dose/multiple ascending dose medical
"a single ascending dose/multiple ascending dose (SAD/MAD) study"
Single ascending dose (SAD) and multiple ascending dose (MAD) are early-stage clinical trial designs used to evaluate a drug's safety, tolerability and how the body handles the drug. In a SAD study, separate groups (cohorts) of participants each receive a single dose at progressively higher levels, with safety and drug-level data reviewed between doses before escalating; in a MAD study, cohorts receive repeated doses over days or weeks at increasing dose levels to observe effects of sustained exposure, accumulation and short-term safety, with predefined stopping rules guiding whether to proceed to higher doses.

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  • Submission of Marketing Authorisation Application (MAA) to the European Medicines Agency (EMA) for botaretigene sparoparvovec (bota-vec) for the treatment of X-linked retinitis pigmentosa (XLRP) expected in December 2026 
  • Submission of full Biologics License Application (BLA) to the U.S. Food and Drug Administration (FDA) for bota-vec expected in the first quarter of 2027
  • 12-month data readout in pivotal Phase 2 AQUAx2 study of AAV2-hAQP1 for the treatment of radiation-induced xerostomia (RIX) mid-2027
  • Upcoming oral presentation at ObesityWeek highlights AAV-BDNF program for the treatment of MC4R/BDNF genetic obesity (severe early-onset syndromic obesity)
  • Strengthened leadership with the appointment of John Knighton as Executive Vice President of Global Manufacturing and Supply Chain and Alan M. Sebulsky to the Board of Directors

LONDON and NEW YORK, Nov. 12, 2026 (GLOBE NEWSWIRE) -- MeiraGTx Holdings plc (Nasdaq: MGTX), a vertically integrated, clinical stage genetic medicines company, today announced financial and operational results for the third quarter ended September 30, 2026, and provided a corporate update.

“We are pleased to report that we have now completed much of the work towards submission of full global regulatory filings with the EMA and FDA for bota-vec for the treatment of XLRP. The MAA dossier is complete and awaiting submission and the BLA is expected to follow early next year,” said Alexandria Forbes, Ph.D., president and chief executive officer of MeiraGTx. “In parallel with these filings, we have been preparing our market access and commercial teams ahead of the anticipated launch of our first commercial product, bota-vec, in late 2027.”

Dr. Forbes continued, “We are actively preparing for our pivotal Phase 2 AQUAx2 12-month data readout for the treatment of radiation-induced xerostomia in mid-2027. As we progress these two lead programs through filing for potential approval and commercialization, we are also advancing several programs towards IND. Two of these programs use our transformative riboswitch platform: Ribo-Leptin for metabolic disease, and a novel target with riboswitch to treat neuropathic pain.”

“Other programs to highlight in the coming quarters, which we have spent years optimizing, are our dry AMD and Geographic Atrophy programs where we are advancing two novel targets,” said Dr. Forbes. “Using our internal and partnered AI technology, we have developed proprietary intravitreal capsids and strong cell specific promoters which can deliver a highly potent combination addressing both upstream and downstream pathways involved in the pathogenesis of dry AMD.”

Third Quarter 2026 and Recent Highlights

Botaretigene Sparoparvovec (bota-vec) for the Treatment of X-Linked Retinitis Pigmentosa (XLRP):

  • The MAA dossier is complete and in publishing and the Company intends to submit it to the EMA in December 2026, subject to EMA confirmation of the submission date. The Company anticipates that this will be followed by the submission of the full BLA to the FDA in the first quarter of 2027.
  • MeiraGTx holds all rights and interests in bota-vec following its May 2026 acquisition from Johnson & Johnson (J&J)*.
  • XLRP is a rare inherited retinal disease with early onset and progressive degeneration to complete blindness by the third decade of life, with no currently approved treatment options. There are more than 20,000 XLRP-RPGR patients in the U.S. and EU alone.
  • The Phase 3 LUMEOS study was a global, randomized study (n=95) in which all patients were treated bilaterally. Data highlight the potential of bota-vec to improve each of the domains of vision, and the safety profile was as expected and manageable, with no new safety signals and an improved inflammatory profile relative to the Phase 1/2 study.
  • As the commercial manufacturer of bota-vec, MeiraGTx has successfully completed process performance qualification (PPQ) with Module 3 of the MAA complete. MeiraGTx holds a commercial license for its London, U.K. manufacturing facility and a commercial license for its QC facility in Shannon, Ireland.
  • Bota-vec has been granted Fast Track and orphan drug designation from the FDA, and in the EU, has received Priority Medicines (PRIME), advanced therapy medicinal product (ATMP) classification, and orphan drug designation from the local regulatory authorities.

*Janssen Pharmaceuticals, Inc., a Johnson & Johnson company

AAV2-hAQP1 for the Treatment of Radiation-Induced Xerostomia:

  • The pivotal Phase 2 AQUAx2 study (NCT05926765), a randomized, double-blind, placebo-controlled study at 30 sites in the U.S., Canada, and the U.K., completed enrollment in the second quarter of 2026 and remains on track for a 12-month pivotal data readout in mid-2027 which, if positive, could support a BLA submission by the end of 2027, with potential U.S. approval in 2028.
  • The FDA granted Breakthrough Therapy Designation (BTD) to AAV2-hAQP1 in March 2026 for the treatment of grade 2 and grade 3 radiation-induced xerostomia, supported by three-year data from the 24-patient Phase 1 AQUAx study. Results demonstrated sustained, clinically meaningful improvements in both patient-reported outcomes and objective measures of salivary flow, with durable effects maintained from 12 months through 36 months post-treatment, and AAV2-hAQP1 continued to be safe and well-tolerated at each dose tested.
  • In October 2026, MeiraGTx presented a poster at the European Society of Gene and Cell Therapy (ESGCT) 2026 Annual Congress (P0096) describing the development of a commercial in-vitro biological activity potency assay for AAV-AQP1. The calcein quenching-based, plate reader assay measures water transport in a surrogate cell line, with intra-assay variability below 20% CV, and is being validated to ICH Q2(R2) standards to support Quality Control release and future commercial licensing.

AAV-GAD for the Treatment of Parkinson’s Disease:

  • The FDA granted Regenerative Medicine Advanced Therapy (RMAT) designation to AAV-GAD for the treatment of Parkinson’s disease not adequately controlled with medication in 2025, based on data demonstrating statistically significant efficacy in 2 double-blind sham-surgery controlled studies: a Phase 2 study (n=45) and a Phase 1/2 clinical bridging study (n=14) following the successful Phase 1 dose escalation study (n=14).
  • The RMAT application also included analyses using novel AI technology developed by our JV partner, Hologen Limited, which demonstrated potential disease modification resulting from treatment.
  • The JV with Hologen, Reogen Limited (Reogen), intends to initiate a Phase 3 study of AAV-GAD in the first quarter of 2027.

AAV-AIPL1 for LCA4:

  • MeiraGTx has granted Eli Lilly and Company (Lilly) worldwide exclusive rights to AAV-AIPL1 for the treatment of Leber congenital amaurosis 4 (LCA4). Lilly also received exclusive access rights to certain of MeiraGTx’s gene therapy technologies for ophthalmology, and certain rights to the Company’s riboswitch technology for gene editing in the eye.
  • MeiraGTx received an upfront payment of $75 million and is eligible to receive over $400 million in total milestone payments, as well as tiered royalties on licensed products.

Riboswitch Gene Regulation Technology Platform for in vivo Delivery:

  • The Company’s riboswitch technology is a broadly applicable platform that provides a precise dose of any biologic therapeutic encoded by a transgene in response to a daily oral pill.
  • We have demonstrated that the platform is gene agnostic and can be incorporated into any sequence delivered by any vector including lentivirus, AAV, CRISPR or LNPs providing a powerful mechanism for precisely controlling the level and timing of the production of biologic therapeutics in the body.
  • The Company has prioritized its Ribo-Leptin program, followed by a second program focused on neuropathic pain, for planned IND submissions for first-in-human studies using both vector and small molecule.
  • In order to expedite the use of the Company’s proprietary, optimized small molecule for both of these riboswitch targets, a single ascending dose/multiple ascending dose (SAD/MAD) study of the Company’s lead small molecule is expected to initiate in December 2026. Data from this study will inform dose selection for the planned first-in-human combination studies for each of the prioritized riboswitch programs next year.

Corporate and Leadership Updates

  • In July 2026, MeiraGTx appointed John Knighton as Executive Vice President of Global Manufacturing and Supply Chain. Mr. Knighton brings more than 30 years of experience from J&J and GlaxoSmithKline. Most recently, he served as Vice President, Cell & Gene Therapy API Development at Janssen Pharmaceuticals, Inc., where he led a team that manufactured for the approval and commercialization of CARVYKTI® (a personalized CAR T-cell immunotherapy used to treat adult patients with relapsed or refractory multiple myeloma).
  • In September 2026, MeiraGTx appointed Alan M. Sebulsky to its Board of Directors. Mr. Sebulsky has more than 40 years of experience in public company investment, financial strategy, and board leadership, most recently serving as Partner and Portfolio Manager at Adage Capital Management for 14 years. He is the Managing Member of Apothecary Capital, serves on the Board of Directors of Parabilis Medicines, Inc., and previously served on the boards and audit committees of Jazz Pharmaceuticals and Arrow International.

Upcoming Oral Presentation at ObesityWeek Highlighting AAV-BDNF Program for the Treatment of MC4R/BDNF Genetic Obesity (severe early-onset syndromic obesity)
Session Details: Brain Biology, Gene Therapy, and Treatment Outcomes Oral Session
Monday November 16, 2026
8:30 AM- 9:30 AM ET
Title: Restoration of the Leptin-Melanocortin Pathway via Hypothalamic AAV-BDNF Rescues Syndromic Obesity
Speaker: Josefa Sullivan
Location: Gaylord National Resort & Convention Center: Potomac AB, Ballroom Level, National Harbor, Maryland

As of September 30, 2026, MeiraGTx had cash and cash equivalents of approximately $184.7 million as well as $1.7 million in accounts receivable, $3.8 million in accounts receivable – related party, $0.6 million in unbilled receivables, $17.2 million in unbilled receivables – related party and $6.2 million in tax incentive receivables. Together with the additional $95.0 million upfront payment due from Hologen and associated reimbursements, the Company believes that it will have sufficient capital to fund operating expenses and capital expenditure requirements into the second half of 2028. This estimate does not include the $135.0 million in potential near-term cash consideration from Lilly upon achievement of certain development and regulatory approval milestones, or any subsequent tranches available under the royalty note purchase agreement with Oberland Capital Management LLC (Oberland Capital).

Financial Results

Cash, cash equivalents and restricted cash were $186.8 million as of September 30, 2026, compared to $17.1 million as of September 30, 2025.

Service revenue was $1.6 million for the three months ended September 30, 2026, compared to nil for the three months ended September 30, 2025. The increase of $1.6 million was due to revenue recognized for the contract manufacturing services provided to Lilly, as well as other support services related to the AAV-AIPL1 program, under the Lilly collaboration agreement and related agreements.

Service revenue – related party was $3.2 million for the three months ended September 30, 2026, compared to $0.4 million for the three months ended September 30, 2025. The increase of $2.8 million was primarily attributable to the development and transition services provided to Reogen under the Reogen collaboration agreement and related agreements in the current period, compared to PPQ services provided to J&J under the original asset purchase agreement and related agreements in 2025.

Cost of service revenue was $0.6 million for the three months ended September 30, 2026 compared to nil for the three months ended September 30, 2025. The increase of $0.6 million was attributable to costs incurred during the three months ended September 30, 2026 in connection with contract manufacturing services provided to Lilly, as well as other related costs associated with support services for the AAV-AIPL1 program under the Lilly collaboration agreement and related agreements.

Cost of service revenue – related party was $2.8 million for the three months ended September 30, 2026 compared to $0.3 million for the three months ended September 30, 2025. The increase of $2.5 million was primarily attributable to costs incurred during the current period related to the development and transition services provided to Reogen under the Reogen collaboration agreement and related agreements, compared to costs associated with PPQ services provided to J&J under the original asset purchase agreement and related agreements in 2025.

General and administrative expenses were $12.0 million for the three months ended September 30, 2026, compared to $13.6 million for the three months ended September 30, 2025. The decrease of $1.6 million was primarily due to decreases in legal fees, facilities costs, consulting fees and the allocation of certain general and administrative expenses to cost of service revenue and cost of service revenue – related party. These decreases were partially offset by an increase in personnel costs.

Research and development expenses were $39.3 million for the three months ended September 30, 2026, compared to $32.5 million for the three months ended September 30, 2025. The increase of $6.8 million was primarily attributable to increased clinical trial activities and manufacturing of clinical trial batch material related to the AAV2-hAQP1 program, higher expenses associated with the bota-vec program following the reacquisition from Janssen in the second quarter of 2026, and increased costs associated with the AAV-GAD program, primarily due to the allocation of manufacturing batch costs that were not recognized in cost of service revenue – related party. Manufacturing costs also increased primarily due to scheduled maintenance activities during the quarter, although this increase was fully offset by lower expenses associated with other preclinical ocular programs. In addition, expenses associated with other clinical ocular programs decreased.

Foreign currency loss was de minimis for the three months ended September 30, 2026 compared to a loss of $1.6 million for the three months ended September 30, 2025. The $1.6 million decrease in foreign currency loss was primarily due to the fluctuations in exchange rates, including the weakening of the U.S. dollar against the pound sterling and the strengthening against the euro which impacted the remeasurement of the Company’s intercompany payables and receivables.

Interest income was $1.2 million for the three months ended September 30, 2026 compared to $0.2 million for the three months ended September 30, 2025. The increase of $1.0 million was due to higher cash balances in interest bearing accounts during 2026 offset by lower interest rates.

Financial related costs, net reflected a gain of $1.6 million for the three months ended September 30, 2026 compared to an expense of $3.1 million for the three months ended September 30, 2025. The favorable change of $4.7 million was primarily due to a gain from the change in fair value of the royalty notes and lower interest expense following the termination of the notes purchase agreement with Perceptive Credit Holdings III, LP in the second quarter of 2026, partially offset by the transaction cost expensed in connection with the issuance of the royalty notes and subsequent change in fair value.

Other income was $0.4 million for the three months ended September 30, 2026 compared to nil for the three months ended September 30, 2025. The increase was primarily attributable to a $0.8 million gain from the change in fair value of the derivative liability associated with the right granted under the securities purchase agreement with Oberland Capital and a $0.4 million gain from the change in fair value of the equity option instrument, partially offset by a $0.8 million loss from the change in fair value of the contingent forward instrument.

Loss on equity method investee was $3.9 million for the three months ended September 30, 2026, compared to nil for the three months ended September 30, 2025. The loss primarily reflects the Company’s proportionate share of Reogen’s expenses associated with the ongoing research and development activities relating to the Reogen collaboration agreement.

Income tax expense was $0.6 million for the three months ended September 30, 2026 compared to nil for the three months ended September 30, 2025. The increase of $0.6 million was primarily driven by changes in assumptions used to estimate the annual effective tax rate based on the Company’s forecasted results for the full year.

Net loss attributable to ordinary shareholders for the quarter ended September 30, 2026 was $51.3 million, or $0.53 basic and diluted net loss per ordinary share, compared to a net loss attributable to ordinary shareholders of $50.5 million, or $0.62 basic and diluted net loss per ordinary share for the quarter ended September 30, 2025.

For more information related to our clinical trials, please visit www.clinicaltrials.gov

About MeiraGTx

MeiraGTx (Nasdaq: MGTX) is a vertically integrated, clinical-stage genetic medicines company with a broad pipeline with four late-stage clinical programs. Each of these programs use local delivery of small doses resulting in disease modifying effects in both inherited and more common diseases, in the eye, radiation-induced xerostomia, and Parkinson’s disease. MeiraGTx uses its innovative technology in optimization of capsids, promoters and novel translational control elements to develop best in class, potent, safe viral vectors. MeiraGTx’s broad pipeline is supported by end-to-end in-house manufacturing. MeiraGTx has built the most comprehensive manufacturing capabilities in the industry, including two facilities that are licensed for GMP viral vector production and a GMP QC facility with clinical and commercial licensure. In addition, MeiraGTx has developed a proprietary manufacturing platform process over 10 years based on more than 20 different viral vectors with leading yield and quality aspects and commercial readiness. Uniquely, MeiraGTx has developed a novel technology for in vivo delivery of any biologic therapeutic using oral small molecules. This transformative riboswitch gene regulation technology allows precise, dose-responsive control of gene expression by oral small molecules. MeiraGTx is focusing the riboswitch platform on the regulated in vivo delivery of metabolic peptides, including GLP-1, GIP, Glucagon, Amylin, PYY and Leptin, as well as cell therapy, CAR-T for liquid and solid tumors and autoimmune diseases, and additionally PNS targets addressing long term intractable pain. MeiraGTx has developed the technology to apply genetic medicine to common diseases, increasing efficacy, addressing novel targets, and expanding access in some of the largest disease areas where the unmet need remains high.

For more information, please visit www.meiragtx.com

Forward Looking Statement

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including, without limitation, statements regarding our product candidate development and anticipated milestones regarding our pre-clinical and clinical data, reporting of such data and the timing of results of data and regulatory matters, the timing of regulatory submissions and the potential approval and commercial launch of our product candidates, our ability to manufacture product candidates, and statements regarding our collaborations, as well as statements that include the words “expect,” “will,” “intend,” “plan,” “believe,” “project,” “forecast,” “estimate,” “may,” “could,” “should,” “would,” “continue,” “anticipate,” “eligible” and similar statements of a future or forward-looking nature. These forward-looking statements are based on management’s current expectations. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other important factors that may cause actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements, including, but not limited to, our incurrence of significant losses; any inability to achieve or maintain profitability, raise additional capital, repay our debt obligations, identify additional and develop existing product candidates, successfully execute strategic transactions or priorities, bring product candidates to market, expansion of our manufacturing facilities and processes, successfully enroll patients in and complete clinical trials, accurately predict growth assumptions, recognize benefits of any orphan drug or rare pediatric disease designations, retain key personnel or attract qualified employees, or incur expected levels of operating expenses; the impact of pandemics, epidemics or outbreaks of infectious diseases on the status, enrollment, timing and results of our clinical trials and on our business, results of operations and financial condition; failure of early data to predict eventual outcomes; failure to obtain FDA or other regulatory approval for product candidates within expected time frames or at all; the novel nature and impact of negative public opinion of gene therapy; failure to comply with ongoing regulatory obligations; contamination or shortage of raw materials or other manufacturing issues; changes in healthcare laws; risks associated with our international operations; significant competition in the pharmaceutical and biotechnology industries; dependence on third parties; risks related to intellectual property; changes in tax policy or treatment; our ability to utilize our loss and tax credit carryforwards; litigation risks; and the other important factors discussed under the caption “Risk Factors” in our Quarterly Report on Form 10-Q for the quarter ended September 30, 2026, as such factors may be updated from time to time in our other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov. These and other important factors could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. Any such forward-looking statements represent management’s estimates as of the date of this press release. While we may elect to update such forward-looking statements at some point in the future, unless required by law, we disclaim any obligation to do so, even if subsequent events cause our views to change. Thus, one should not assume that our silence over time means that actual events are bearing out as expressed or implied in such forward-looking statements. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the date of this press release.

Contacts

Investors:
MeiraGTx
Investors@meiragtx.com
or
Media:
Jordyn Temperato
LifeSci Communications
jtemperato@lifescicomms.com


MEIRAGTX HOLDINGS PLC AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE (LOSS) INCOME
(unaudited)
(in thousands, except share and per share amounts)

  For the Three-Month Periods Ended September 30,  For the Nine-Month Periods Ended September 30, 
   2026
  2025
  2026
  2025
Revenues:            
Service revenue $1,571  $—  $13,456  $— 
Service revenue - related party  3,243   410   108,442   6,027 
License revenue - related party  —   —   204,643   — 
Total revenue  4,814   410   326,541   6,027 
Operating expenses:            
Cost of service revenue  617   —   2,018   — 
Cost of service revenue - related party  2,806   313   8,767   4,367 
General and administrative  11,953   13,616   32,894   35,293 
Research and development  39,316   32,532   129,132   98,807 
Total operating expenses  54,692   46,461   172,811   138,467 
(Loss) income from operations  (49,878)  (46,051)  153,730   (132,440)
Other non-operating (expense) income:            
Foreign currency (loss) gain  (1)  (1,558)  (4,304)  10,753 
Interest income  1,150   161   2,045   1,540 
Financial related costs, net  1,635   (3,065)  (4,722)  (9,142)
Other income (expense)  355   —   (4,868)  — 
Loss on equity method investee  (3,929)  —   (75,831)  — 
Income tax expense  (613)  —   (2,975)  — 
Net (loss) income $(51,281) $(50,513) $63,075  $(129,289)
             
Net (loss) income attributed to:            
Net (loss) income attributed to shareholders  (51,212)  (50,513)  63,195   (129,289)
Net loss attributed to non-controlling interest  (69)  —   (120)  — 
Net (loss) income $(51,281) $(50,513) $63,075  $(129,289)
             
Other comprehensive (loss) gain:            
Foreign currency translation (loss) gain attributed to shareholders  (23)  1,213   826   (2,593)
Foreign currency translation loss attributed to non-controlling interest  —   —   (4)  — 
Comprehensive (loss) income $(51,304) $(49,300) $63,897  $(131,882)
             
Net (loss) income per ordinary share:            
Basic $(0.53) $(0.62) $0.70  $(1.61)
Diluted $(0.53) $(0.62) $0.68  $(1.61)
             
Weighted-average number of ordinary shares outstanding:            
Basic  96,879,809   80,947,703   89,923,492   80,195,572 
Diluted  96,879,809   80,947,703   93,446,129   80,195,572 


MEIRAGTX HOLDINGS PLC AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)
(in thousands, except share and per share amounts)

  September 30,  December 31, 
     2026
    2025
ASSETS        
CURRENT ASSETS:        
Cash and cash equivalents $184,650  $65,931 
Accounts receivable  1,748   — 
Accounts receivable - related party  3,818   3,000 
Unbilled receivables  597   — 
Unbilled receivables - related party  17,214   — 
Prepaid expenses  3,828   6,017 
Tax incentive receivable  6,183   15,286 
Other current assets  24,308   1,527 
Total Current Assets  242,346   91,761 
Property, plant and equipment, net  96,871   105,465 
Intangible assets, net  17   578 
Restricted cash  2,102   2,262 
Other assets  1,371   1,147 
Equity method and other investments  35,999   6,749 
Right-of-use assets - operating leases, net  10,913   12,852 
Right-of-use assets - finance leases, net  22,076   23,616 
TOTAL ASSETS $411,695  $244,430 
       
LIABILITIES AND SHAREHOLDERS' EQUITY      
CURRENT LIABILITIES:        
Accounts payable $10,907  $10,066 
Accrued expenses  17,483   32,893 
Lease obligations - operating leases, current  2,431   2,851 
Lease obligations - finance leases, current  41   38 
Deferred revenue, current  518   — 
Deferred revenue - related party, current  4,740   1,776 
Note payable, net, current  —   24,648 
Corporate tax liability  2,198   — 
Other current liabilities  14,084   50,283 
Total Current Liabilities  52,402   122,555 
Deferred revenue  427   — 
Deferred revenue - related party  11,137   65,120 
Lease obligations - operating leases  9,405   11,351 
Lease obligations - finance leases  74   109 
Asset retirement obligations  1,129   1,399 
Note payable, net  121,900   49,689 
TOTAL LIABILITIES  196,474   250,223 
COMMITMENTS AND CONTINGENCIES (Note 13)        
SHAREHOLDERS' EQUITY (DEFICIT):        
Ordinary Shares, $0.00003881 par value, 1,288,327,750 authorized, 97,619,453 and 81,120,931 shares issued and outstanding as of September 30, 2026 and December 31, 2025, respectively  3   3 
Capital in excess of par value  983,067   808,021 
Treasury shares  (18,193)  — 
Accumulated other comprehensive gain  3,232   2,406 
Accumulated deficit  (753,028)  (816,223)
Non-controlling interest  140   — 
Total Shareholders' Equity (Deficit)  215,221   (5,793)
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY (DEFICIT) $411,695  $244,430 

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

When does MeiraGTx expect to submit bota-vec for approval?

MeiraGTx expects to submit its European application in December 2026, subject to EMA confirmation of the submission date, followed by a full U.S. application in the first quarter of 2027. The European dossier is complete and in publishing.

When will MeiraGTx report AQUAx2 results for radiation-induced dry mouth?

MeiraGTx targets mid-2027 for the pivotal Phase 2 AQUAx2 study's 12-month data readout. Positive results could support a U.S. application by the end of 2027, with potential U.S. approval in 2028.

What funding sources does MeiraGTx exclude from its cash runway estimate?

MeiraGTx excludes $135.0 million in potential near-term Lilly milestone consideration and any subsequent tranches available under its royalty note purchase agreement with Oberland Capital. The Lilly consideration depends on achieving certain development and regulatory approval milestones.

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