Relmada Therapeutics Reports Fourth Quarter and Full Year 2025 Results and Provides Business Update
Rhea-AI Summary
Relmada Therapeutics (Nasdaq: RLMD) reported strong Phase 2 NDV-01 data and completed a $160 million PIPE financing to fund development through 2029. Key clinical results showed a 95% CR rate at any time and a 76% durable CR at 12 months in high‑risk NMIBC.
The company is aligned with the FDA on two registrational pathways and plans to initiate the Phase 3 RESCUE program in mid‑2026, with IND clearance targeted the same period.
Positive
- 95% CR rate at any time in Phase 2 NDV-01 study
- 76% durable CR rate at 12 months in high‑risk NMIBC
- No progression to muscle‑invasive disease or radical cystectomy in study
- $160M PIPE financing completed, oversubscribed
- Cash resources expected to fund operations through 2029
Negative
- Cash balance of $93.0M at Dec 31, 2025 prior to $160M PIPE
- Net loss of $57.4M for year ended Dec 31, 2025
Key Figures
Market Reality Check
Peers on Argus
RLMD was down 3.72% while scanned peer ATNM was modestly up. Broader peers showed mixed moves (e.g., FGEN up 5.2%, VERU down 2.95%), pointing to stock-specific dynamics rather than a sector-wide trend.
Previous Earnings Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Nov 13 | Q3 2025 earnings | Positive | +1.8% | Q3 results plus NDV-01 data, FDA alignment, and ~$100M equity raise. |
| Aug 07 | Q2 2025 earnings | Positive | -2.4% | Q2 results with strong 6‑month NDV-01 data and reduced net loss. |
| May 12 | Q1 2025 earnings | Positive | -2.1% | Q1 results plus positive NDV‑01 proof-of-concept and cash update. |
| Mar 27 | FY 2024 earnings | Neutral | -0.4% | Full-year 2024 results and expectations for NDV‑01 and sepranolone. |
| Nov 07 | Q3 2024 earnings | Neutral | +0.6% | Q3 2024 results with cash position and pipeline milestones outlined. |
Earnings and business updates have often paired positive NDV-01 progress with mixed-to-negative next-day price moves, suggesting a tendency for muted or fading reactions to fundamentally constructive news.
Over the past five earnings-related updates, Relmada repeatedly highlighted advancing NDV-01 in NMIBC and progressing sepranolone, alongside efforts to strengthen its balance sheet. Prior releases underscored improving response rates, FDA alignment on two Phase 3 pathways, and successive financings that extended cash runway into 2028. Despite these positives, share reactions clustered around small declines, with an average move of about -0.5%, indicating historically cautious trading around earnings updates.
Historical Comparison
Across five prior earnings updates, the average move was about -0.5%. At this snapshot, RLMD’s -3.72% pre‑release decline was more negative than typical earnings-day reactions.
Earnings releases have charted NDV‑01’s evolution from early proof-of-concept to robust 6–12 month data and FDA-endorsed Phase 3 pathways, alongside financings that steadily extended cash runway.
Market Pulse Summary
This announcement combines strong 12‑month Phase 2 NDV‑01 data in NMIBC, confirmation of two FDA-aligned Phase 3 RESCUE pathways, and an oversubscribed $160M PIPE that, together with $93.0M in year‑end cash, is expected to fund operations through 2029. Recent earnings history shows steady clinical and financial progress. Investors may watch Phase 3 initiation timing, future cash usage, and durability of NDV‑01 responses across broader populations.
Key Terms
non-muscle invasive bladder cancer medical
BCG-unresponsive medical
carcinoma in situ medical
disease free survival medical
complete response medical
Phase 3 medical
AI-generated analysis. Not financial advice.
- Positive 12-month Phase 2 data for NDV-01 in non-muscle invasive bladder cancer (NMIBC) demonstrated a
95% complete response (CR) rate at any time and a durable76% CR rate at 12 months, with favorable safety profile - Completed an oversubscribed
$160 million PIPE financing led by leading healthcare investors in March 2026, strengthens balance sheet to support NDV-01 Phase 3 development - On track to initiate Phase 3 RESCUE registrational program in second line (2L) BCG-unresponsive and adjuvant intermediate-risk NMIBC in mid-2026
- Cash balance of
$93.0 million as of December 31, 2025, plus gross proceeds of$160 million from March 2026 PIPE expected to fund operations through 2029, including completion of the NDV-01 RESCUE program - Management to host a conference call and webcast today at 4:30 PM ET
CORAL GABLES, Fla., March 19, 2026 (GLOBE NEWSWIRE) -- Relmada Therapeutics, Inc. (Nasdaq: RLMD, “Relmada” or the “Company”), a clinical-stage biotechnology company advancing innovative therapies for oncology and central nervous system disorders, today reported audited financial results for the fourth quarter and full year ended December 31, 2025 and provided a corporate update highlighting significant progress across its pipeline.
“This has truly been a transformational year for Relmada, marked by significant progress with our lead program NDV-01,” said Sergio Traversa, Chief Executive Officer of Relmada Therapeutics. “Our recently reported 12-month data for NDV-01 demonstrated durable complete responses with a favorable safety profile, reinforcing the program’s potential to become a best-in-class therapy for patients with non-muscle invasive bladder cancer. With a successful
“NDV-01’s compelling efficacy, durability, and favorable safety profile, combined with operational ease-of-use are the cornerstone of its differentiated product profile and best-in-class potential,” said Raj S. Pruthi, MD, Chief Medical Officer-Oncology of Relmada Therapeutics. “We continue to be encouraged by the high response rates and durable clinical benefit observed through 12 months, including in the BCG-unresponsive population, alongside a favorable safety profile with no ≥ Grade 3 treatment-related adverse events and no treatment-related discontinuations. Our clinical program builds on the urologic oncology community’s comfort with conventional Gem/Doce’s efficacy and safety profile with a sustained release product that could provide physicians and patients with a streamlined, less than 5-minute in-office procedure. These results reinforce our confidence as we advance NDV-01 into the Phase 3 RESCUE registrational program in mid-2026.”
Highlights of the 12-month follow-up data from the ongoing Phase 2 study of NDV-01:
In the 12-month follow-up of the Phase 2a study (March 9, 2026 Company press release) treatment with NDV-01 produced:
- Durable
76% complete response (CR) rate at 12 months with95% CR rate at any time in high-risk NMIBC - BCG-unresponsive patients achieved an
80% CR rate at 12 months and94% CR rate at any time - No patient had progression to muscle-invasive disease, and no patient underwent a radical cystectomy
- Favorable overall tolerability – no ≥ Grade 3 treatment-related adverse events and no treatment-related discontinuations or dose interruptions.
Phase 3 RESCUE Registrational Pathways:
As previously disclosed in the Company’s January 12, 2026 regulatory update, Relmada has received written feedback from the U.S. Food and Drug Administration (FDA) confirming alignment on two registrational development pathways for NDV-01, including study design, patient populations and primary endpoints.
Registrational Pathway 1 – An open label randomized controlled trial in intermediate-risk NMIBC of adjuvant therapy following TURBT (NDV-01 vs. observation). There are no approved treatments for adjuvant intermediate risk NMIBC, which we estimate affect ~75,000 patients/year in the U.S. The primary endpoint of the study is disease free survival (DFS).
Registration Pathway 2 – A single-arm trial in second line (2L) BCG-unresponsive NMIBC with carcinoma in situ (CIS) patients who are currently refractory to approved or developmental therapies. Patients with BCG-unresponsive NMIBC with CIS who fail first line (1L) therapies, which we estimate to affect ~5,000 patients/year in the U.S., have few, if any, effective treatment alternatives to radical cystectomy. The primary endpoint of the study is complete response (CR) rate at any time.
Expected Upcoming Relmada Milestones:
- NDV-01 United States IND clearance – Mid-2026
- NDV-01 Phase 3 RESCUE Program initiation – Mid-2026
- Sepranolone Phase 2 initiation in Prader-Willi syndrome – Mid-2026
- Initial 3-month NDV-01 data from Phase 3 2L BCG-unresponsive study expected by YE 2026
Financial Results
Fourth Quarter 2025 Financial Results
- Research and development expense for the three months ended December 31, 2025, totaled
$8.1 million , compared to$11.0 million for the three months ended December 31, 2024, a decrease of$2.9 million . The decrease was primarily driven by a decrease in study costs associated with the completion of two Phase 3 trials for REL-1017, partially offset by increased costs related to the start-up the Phase 3 NDV-01 trials and Phase 2b sepranolone study and additional R&D personnel. - General and administrative expense for the three months ended December 31, 2025, totaled
$12.3 million compared to$8.1 million for the three months ended December 31, 2024, an increase of approximately$4.2 million . The increase was primarily driven by an increase in compensation costs partially offset by a decrease in stock based compensation costs. - Net cash used in operating activities for the three months ended December 31, 2025, totaled
$14.6 million compared to$8.8 million for the three months ended December 31, 2024. - The net loss for the three months ended December 31, 2025, was
$19.9 million , or$0.27 per basic and diluted share, compared with a net loss of$18.6 million , or$0.62 per basic and diluted share, for the three months ended December 31, 2024.
Twelve Month Ended December 31, 2025 Financial Results
- Research and development (R&D) expense for the 12 months ended December 31, 2025, totaled
$26.9 million , compared to$46.2 million for the 12 months ended December 31, 2024, a decrease of$19.3 million . The decrease was primarily driven by a decrease in study costs associated with completion and conclusion of two Phase 3 trials for REL-1017, partially offset by increased costs related to the acquisition of NDV-01 and sepranolone, as well as the start-up of the Phase 3 NDV-01 trials and Phase 2b sepranolone study. - General and administrative (G&A) expense for the 12 months ended December 31, 2025, totaled
$32.2 million compared to$37.7 million for the 12 months ended December 31, 2024, a decrease of approximately$5.5 million . The decrease was primarily driven by a decrease in stock-based compensation expense and lower professional fees, partially offset by an increase in personnel-related costs. - Net cash used in operating activities for the 12 months ended December 31, 2025, totaled
$45.8 million compared to$51.8 million for the 12 months ended December 31, 2024. - The net loss for the 12 months ended December 31, 2025, was
$57.4 million , or$1.45 per basic and diluted share, compared with a net loss of$80.0 million , or$2.65 per basic and diluted share, for the 12 months ended December 31, 2024. - The Company’s cash balance of
$93.0 million in cash, cash equivalents, and short-term investments, includes net proceeds of approximately$94 million from an underwritten stock offering announced November 5, 2025. This compares to cash, cash equivalents, and short-term investments of approximately$44.9 million at December 31, 2024. - On March 9, 2026, the Company announced a private financing with gross proceeds of
$160 million . This financing, along with the cash, cash equivalents, and short-term investments as of December 31, 2025, is expected to provide sufficient resources to fund Company operations through 2029, including completion of the Phase 3 NDV-01 RESCUE program. - The Company had 104,890,223 shares outstanding, as of March 16, 2026
Conference Call and Webcast Information:
Relmada will host a conference call and webcast today at 4:30 PM ET to discuss recent business progress and financial results.
Conference Call and Webcast Information:
- Date: Thursday, March 19, 2026 at 4:30 PM ET
- Participant Dial-in (US): 1-877-407-0792
- Participant Dial-in (International): 1-201-689-8263
- Webcast Access: Click Here
A replay of the webcast will be available in the Investors section of the Relmada website at https://www.relmada.com/investors/ir-calendar.
About NDV-01
NDV-01 is a sustained-release, intravesical formulation of gemcitabine and docetaxel (Gem/Doce), in development for the treatment of non-muscle invasive bladder cancer. It is designed to enable Gem/Doce bladder retention and gradual drug release over 10 days. The formulation creates a soft matrix that enhances local exposure while minimizing systemic toxicity. The NDV-01 formulation is ready to use, convenient to administer in-office in less than 5 minutes and does not require anesthesia or specialized equipment. It is protected by patents through 2038.
About the Phase 2 Study
The Phase 2 study (NCT06663137) is an open-label, single-arm, single-center study evaluating the safety and efficacy of NDV-01 in patients with high-grade non-muscle invasive bladder cancer (HG-NMIBC). Patients are treated with NDV-01 in a biweekly induction phase, followed by monthly maintenance for up to one year, with regular assessments via cystoscopy, cytology, and biopsy, as indicated. The primary efficacy endpoints are safety and complete response rate (CRR) at 12 months, and secondary efficacy endpoints are duration of response (DOR) and event free survival (EFS).
About NMIBC
NMIBC represents 75
About Sepranolone and GABA Modulation
Sepranolone, a synthetic isoallopregnanolone, selectively modulates GABAA receptors by antagonizing allopregnanolone (ALLO), without disrupting GABA signaling. It targets disorders linked to excess GABAergic activity such as Prader-Willi syndrome, Tourette syndrome, and Obsessive-Compulsive Disorder (OCD). More than 335 patients have been treated with sepranolone in clinical trials to date, with an excellent safety profile.
About Prader-Willi Syndrome (PWS)
PWS is a rare genetic disorder caused by chromosomal deletions on chromosome 15, leading to neurodevelopmental and behavioral complications. Global prevalence is estimated to be 350,000-400,000 patients. Current treatments address symptoms but do not modify the underlying neurobehavioral pathology.
About Relmada Therapeutics, Inc.
Relmada Therapeutics is a clinical-stage biotechnology company focused on developing transformative therapies for oncology and central nervous system conditions. Its lead candidates, NDV-01 and sepranolone, are advancing through mid-stage clinical development with the potential to address significant unmet needs.
For more information, visit www.relmada.com
Forward-Looking Statements:
The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements made by us or on our behalf. This press release contains statements which constitute “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Any statement that is not historical in nature is a forward-looking statement and may be identified by the use of words and phrases such as “if”, “may”, “expects”, “anticipates”, “believes”, “will”, “will likely result”, “will continue”, “plans to”, “potential”, “promising”, and similar expressions. These statements are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and assumptions that could cause actual results to differ materially from those described in the forward-looking statements, including potential for Relmada’s product candidates to progress, including the potential for Phase 2 NDV-01 data to continue to deliver positive results supporting further development, potential for clinical trials to deliver statistically and/or clinically significant evidence of efficacy and/or safety, failure of interim or top-line results to accurately reflect the complete results of the trial, failure of planned or ongoing preclinical and clinical studies to demonstrate expected results, potential failure to continue to secure FDA agreement on the regulatory path for NDV-01 and/or sepranolone, or that future NDV-01 and/or sepranolone clinical results will be acceptable to the FDA, failure to secure adequate NDV-01 and/or sepranolone drug supply, the Company’s cash runway and sufficiency of the Company’s cash resources and uncertainties inherent in estimating the Company’s cash runway, future expenses and other financial results, including its ability to fund future operations, including clinical trials, and the other risk factors described under the heading “Risk Factors” set forth in the Company’s reports filed with the SEC from time to time. No forward-looking statement can be guaranteed, and actual results may differ materially from those projected. Relmada undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events, or otherwise. Readers are cautioned that it is not possible to predict or identify all the risks, uncertainties and other factors that may affect future results and that the risks described herein are not a complete list.
Investor Contact:
Brian Ritchie
LifeSci Advisors
britchie@lifesciadvisors.com
Media Inquiries:
Corporate Communications
media@relmada.com
| Relmada Therapeutics, Inc. Condensed Consolidated Balance Sheets (Audited) | ||||||||
| As of | As of | |||||||
| December 31, | December 31, | |||||||
| 2025 | 2024 | |||||||
| Assets | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 3,496,540 | $ | 3,857,026 | ||||
| Short-term investments | 89,509,710 | 41,052,356 | ||||||
| Prepaid expenses | 977,721 | 886,461 | ||||||
| Total current assets | 93,983,971 | 45,795,843 | ||||||
| Other assets | 19,500 | 21,975 | ||||||
| Total assets | $ | 94,003,471 | $ | 45,817,818 | ||||
| Liabilities and Stockholders’ Equity | ||||||||
| Current liabilities: | ||||||||
| Accounts payable | $ | 1,568,944 | $ | 4,130,563 | ||||
| Accrued expenses | 4,861,583 | 6,160,827 | ||||||
| Total current liabilities | 6,430,527 | 10,291,390 | ||||||
| Stock appreciation rights | 1,060,931 | 4,467 | ||||||
| Total liabilities | 7,491,458 | 10,295,857 | ||||||
| Commitments and Contingencies (Note 10) | ||||||||
| Stockholders’ Equity: | ||||||||
| Preferred stock, | - | - | ||||||
| Class A convertible preferred stock, | - | - | ||||||
| Common stock, | 73,333 | 30,174 | ||||||
| Additional paid-in capital | 784,705,878 | 676,373,822 | ||||||
| Accumulated deficit | (698,267,198 | ) | (640,882,035 | ) | ||||
| Total stockholders’ equity | 86,512,013 | 35,521,961 | ||||||
| Total liabilities and stockholders’ equity | $ | 94,003,471 | $ | 45,817,818 | ||||
| Relmada Therapeutics, Inc. Condensed Consolidated Statements of Operations (Audited) | ||||||||
| 2025 | 2024 | |||||||
| Operating expenses: | ||||||||
| Research and development | $ | 26,879,146 | $ | 46,175,512 | ||||
| General and administrative | 32,221,054 | 37,715,524 | ||||||
| Total operating expenses | 59,100,200 | 83,891,036 | ||||||
| Loss from operations | (59,100,200 | ) | (83,891,036 | ) | ||||
| Other income (expenses): | ||||||||
| Interest/investment income, net | 1,395,989 | 3,530,021 | ||||||
| Realized (loss) gain on short-term investments | (79,207 | ) | 374,926 | |||||
| Unrealized gain on short-term investments | 398,255 | 6,735 | ||||||
| Total other income (expenses), net | 1,715,037 | 3,911,682 | ||||||
| Net loss | $ | (57,385,163 | ) | $ | (79,979,354 | ) | ||
| Net loss per common share – basic and diluted | $ | (1.45 | ) | $ | (2.65 | ) | ||
| Weighted average number of common shares outstanding – basic and diluted | 39,479,694 | 30,163,751 | ||||||
| Relmada Therapeutics, Inc. Condensed Consolidated Statements of Stockholders’ Equity (Audited) | ||||||||||||||||||||
| Common Stock | Additional Paid-in | Accumulated | ||||||||||||||||||
| Balance – December 31, 2023 | 30,099,203 | $ | 30,099 | $ | 646,229,824 | $ | (560,902,681 | ) | $ | 85,357,242 | ||||||||||
| Stock-based compensation expense | - | - | 30,184,414 | - | 30,184,414 | |||||||||||||||
| Net proceeds from cash exercise option | 74,999 | 75 | 246,672 | - | 246,747 | |||||||||||||||
| ATM fees | - | - | (287,088 | ) | - | (287,088 | ) | |||||||||||||
| Net loss | - | - | - | (79,979,354 | ) | (79,979,354 | ) | |||||||||||||
| Balance – December 31, 2024 | 30,174,202 | 30,174 | 676,373,822 | (640,882,035 | ) | 35,521,961 | ||||||||||||||
| Stock-based compensation expense | - | - | 13,905,181 | - | 13,905,181 | |||||||||||||||
| Issuance of restricted common stock | 3,017,420 | 3,017 | 902,209 | - | 905,226 | |||||||||||||||
| Net proceeds from cash exercise options | 40,142,000 | 40,142 | 93,597,687 | - | 93,637,829 | |||||||||||||||
| ATM fees | - | - | (73,021 | ) | - | (73,021 | ) | |||||||||||||
| Net loss | - | - | - | (57,385,163 | ) | (57,385,163 | ) | |||||||||||||
| Balance – December 31, 2025 | 73,333,622 | $ | 73,333 | $ | 784,705,878 | $ | (698,267,198 | ) | $ | 86,512,013 | ||||||||||
| Relmada Therapeutics, Inc. Condensed Consolidated Statements of Cash Flows (Audited) | ||||||||
| 2025 | 2024 | |||||||
| Cash flows from operating activities | ||||||||
| Net loss | $ | (57,385,163 | ) | $ | (79,979,354 | ) | ||
| Adjustments to reconcile net loss to net cash used in operating activities: | ||||||||
| Stock-based compensation | 13,905,181 | 30,184,414 | ||||||
| Stock appreciation rights compensation | 1,056,464 | 4,467 | ||||||
| Issuance of restricted common stock | 905,226 | - | ||||||
| Realized (gain) loss on short-term investments | 79,207 | (374,926 | ) | |||||
| Unrealized gain on short-term investments | (398,255 | ) | (6,735 | ) | ||||
| Change in operating assets and liabilities: | ||||||||
| Prepaid expenses and other assets | (88,785 | ) | 319,746 | |||||
| Accounts payable | (2,561,619 | ) | 624,554 | |||||
| Accrued expenses | (1,299,244 | ) | (2,527,964 | ) | ||||
| Net cash used in operating activities | (45,786,988 | ) | (51,755,798 | ) | ||||
| Cash flows from investing activities | ||||||||
| Purchase of short-term investments | (83,828,576 | ) | (12,079,628 | ) | ||||
| Sale of short-term investments | 35,690,270 | 63,641,225 | ||||||
| Net cash (used in)/provided by investing activities | (48,138,306 | ) | 51,561,597 | |||||
| Cash flows from financing activities | ||||||||
| Proceeds from issuance of common stock, net | 93,637,829 | - | ||||||
| Payment of ATM fees | (73,021 | ) | (287,088 | ) | ||||
| Proceeds from options exercised for common stock | - | 246,747 | ||||||
| Net cash provided by/(used in) financing activities | 93,564,808 | (40,341 | ) | |||||
| Net decrease in cash and cash equivalents | (360,486 | ) | (234,542 | ) | ||||
| Cash and cash equivalents at beginning of the year | 3,857,026 | 4,091,568 | ||||||
| Cash and cash equivalents at end of the year | $ | 3,496,540 | $ | 3,857,026 | ||||
FAQ
What were Relmada (RLMD) NDV-01 Phase 2 12‑month results announced March 2026?
How will Relmada (RLMD) fund NDV-01 Phase 3 RESCUE program?
When does Relmada (RLMD) plan to start the NDV-01 Phase 3 RESCUE program?
What are the FDA registrational pathways for Relmada (RLMD) NDV-01?
What safety profile did Relmada (RLMD) report for NDV-01 in Phase 2?
What near‑term milestones did Relmada (RLMD) provide for 2026?
