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SpyGlass Pharma Reports First Quarter 2026 Financial Results and Provides Corporate Updates

(Positive)
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SpyGlass Pharma (Nasdaq: SGP) reported first quarter 2026 results and pipeline progress. Cash, cash equivalents and short-term investments were $251.0 million as of March 31, 2026, expected to fund operations through 2028.

Phase 1/2 BIM-IOL data showed 34% mean IOP reduction at 78-mcg, 98% of patients free from topical IOP-lowering drops and 100% achieving BCDVA 20/32 or better, with a safety profile comparable to routine cataract surgery. Parallel Phase 3 BIM-IOL trials SGP-005 and SGP-006 have begun surgeries, with enrollment completion expected in 2027. The BIM-DRS first-in-human trial is planned for the second half of 2026. Net loss was $13.8 million, or ($0.69) per share, versus $8.8 million, or ($3.96) per share, a year earlier.

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Positive

  • Cash, cash equivalents and short-term investments of $251.0 million fund operations through 2028
  • IPO in February 2026 raised about $172.5 million in gross proceeds
  • Phase 1/2 BIM-IOL 78-mcg dose showed 34% mean IOP reduction
  • 98% of evaluable BIM-IOL patients off all topical IOP-lowering medications
  • BIM-IOL vision outcomes: 100% achieved 20/32 or better BCDVA, mean equivalent to 20/20
  • Phase 3 BIM-IOL trials SGP-005 and SGP-006 enrolling, with completion expected in 2027

Negative

  • Net loss increased to $13.8 million from $8.8 million year-over-year in Q1
  • Research and development expenses rose to $8.5 million from $6.1 million
  • General and administrative expenses increased to $6.9 million from $1.4 million

News Market Reaction – SGP

-4.37%
1 alert
-4.37% Session close to close
$732.04M Market Cap
0.0x Rel. Volume

In the May 15 session, SGP declined 4.37%, reflecting a moderate negative market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement combines Q1 2026 financials with confirmation of BIM‑IOL Phase 3 enrollment progre...
Analysis

This announcement combines Q1 2026 financials with confirmation of BIM‑IOL Phase 3 enrollment progress and strong 12‑month Phase 1/2 outcomes, including a 34% mean IOP reduction and 98% drop‑free rate at the 78‑mcg dose. Cash of $251.0 million is expected to fund operations through 2028, while a BIM‑DRS first‑in‑human study remains planned for the second half of 2026. Investors may focus on future Phase 3 data, expense trajectory, and upcoming long‑term follow-up readouts.

Key Figures

Cash & investments: $251.0 million IPO gross proceeds: $172.5 million R&D expenses: $8.5 million +5 more
8 metrics
Cash & investments $251.0 million Cash, cash equivalents and short-term investments as of March 31, 2026
IPO gross proceeds $172.5 million Initial public offering completed February 2026
R&D expenses $8.5 million Q1 2026 research and development vs $6.1 million in Q1 2025
G&A expenses $6.9 million Q1 2026 general and administrative vs $1.4 million in Q1 2025
Net loss $13.8 million Q1 2026 net loss vs $8.8 million in Q1 2025
IOP reduction 34% Mean intraocular pressure reduction at 12 months for 78-mcg BIM-IOL dose
Drop-free patients 98% Evaluable BIM-IOL patients free from all topical IOP-lowering medications at 12 months
Intended dose size 78 mcg Intended commercial dose of BIM-IOL System evaluated in Phase 1/2 trial

Previous Earnings Reports

1 past event · Latest: Mar 26 (Positive)
Same Type Pattern 1 events
Date Event Sentiment 24h Move Catalyst
Mar 26 Earnings and update Positive -10.3% Reported 2025 results, IPO cash of $172.5M, strong BIM-IOL data and runway.

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

Pattern Detected

The only prior earnings-related release in the last six months saw a notably negative reaction despite positive clinical and funding updates.

Recent Company History

Over recent months, SpyGlass has combined clinical progress with capital strengthening. A February 2026 IPO raised $172.5 million, and a March 2026 earnings update highlighted positive BIM-IOL Phase 1/2 data, Phase 3 enrollment underway, and cash expected to fund operations through 2028, yet the stock fell 10.28% on that report. Today’s Q1 2026 results reiterate strong cash of $251.0 million, continued Phase 3 enrollment, and a BIM-DRS first-in-human trial still planned for the second half of 2026, extending this same strategic trajectory.

Key Terms

phase 3, phase 1/2, first-in-human, intraocular pressure, +3 more
7 terms
phase 3 medical
"Enrollment remains on track in the registrational Phase 3 trials of the Bimatoprost..."
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 1/2 medical
"Topline 12-month data from the BIM-IOL System Phase 1/2 trial demonstrated..."
Phase 1/2 is a combined early-stage clinical trial that first tests a new drug or treatment for safety and the right dose, then quickly expands to check if it shows any signs of working in patients. For investors, results from a Phase 1/2 study offer an early read on both risk and potential reward—like a prototype test that both confirms a product won’t harm users and suggests whether it could sell—helping guide valuation and development decisions.
first-in-human medical
"Bimatoprost-Drug Ring System (BIM-DRS) first-in-human trial is on track to start..."
A first-in-human study is the initial test of a new drug, medical device, or therapy in people to check safety, side effects and appropriate dosing. It matters to investors because it marks a major development milestone: successful early human testing can reduce scientific and regulatory uncertainty, much like moving a prototype from the workshop to a real-world test drive, and often affects a company’s valuation and funding prospects.
intraocular pressure medical
"...and 34% mean intraocular pressure (IOP) reduction from baseline at the intended..."
Intraocular pressure is the fluid pressure inside the eye, similar to the air pressure in a tire or the tension in a water balloon that helps the eye keep its shape. It matters to investors because sustained high pressure can lead to glaucoma and vision loss, driving demand for drugs, surgical devices, diagnostics and related regulatory approvals and reimbursements, which directly affect company revenues and risk profiles.
best-corrected distance visual acuity medical
"...all patients achieving best-corrected distance visual acuity (BCDVA) on par with..."
Best-corrected distance visual acuity is a clinical measure of how well a person can see details at a standard distance when wearing the best possible prescription lenses or other corrective measures. Think of it as reading a license plate from far away with the clearest glasses available; it matters to investors because changes in this metric drive regulatory approval, clinical trial success, and market potential for vision drugs, devices, and diagnostics.
initial public offering financial
"“Following the successful completion of our IPO in February, SpyGlass Pharma..."
An initial public offering (IPO) is when a private company first sells its shares to the public and becomes a stock-listed company. It matters because it allows the company to raise money from a wide range of investors, helping it grow, while giving early shareholders a way to sell some of their ownership.
net loss financial
"Net Loss was $13.8 million, or ($0.69) per basic and diluted share..."
Net loss is the amount by which a company’s total costs and expenses exceed its total income during a reporting period, after taking into account taxes and one‑time items. It matters to investors because repeated or large net losses can shrink a company’s cash and owner value, reducing its ability to pay dividends, invest for growth or borrow money — like a household spending more than it earns and dipping into savings to cover the shortfall.

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

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  • Enrollment remains on track in the registrational Phase 3 trials of the Bimatoprost Drug Pad-IOL System (BIM-IOL System), with completion of enrollment expected in 2027.

  • Topline 12-month data from the BIM-IOL System Phase 1/2 trial demonstrated elimination of IOP-lowering topical eye drops for 98% of trial participants and 34% mean intraocular pressure (IOP) reduction from baseline at the intended commercial dose of 78-mcg, and all patients achieving best-corrected distance visual acuity (BCDVA) on par with state-of-the-art monofocal IOLs in the control group at 20/32 or better with a mean BCDVA equivalent to 20/20.

  • Bimatoprost-Drug Ring System (BIM-DRS) first-in-human trial is on track to start in the second half of 2026.

  • Cash, cash equivalents and short-term investments of $251.0 million on March 31, 2026, are expected to fund planned operations through 2028.

ALISO VIEJO, Calif., May 14, 2026 (GLOBE NEWSWIRE) -- SpyGlass Pharma, Inc. (Nasdaq: SGP) (“SpyGlass Pharma” or “Company”), a late-stage biopharmaceutical company, today reported recent business highlights and financial results for the first quarter ended March 31, 2026.

“Following the successful completion of our IPO in February, SpyGlass Pharma is in a strong financial position to complete the development of its sustained release, intraocular delivery of bimatoprost via our BIM-IOL System at the time of cataract surgery in patients with glaucoma. The benefit of potential freedom from daily eye drops for patients is immense, and the BIM-IOL System enables every cataract surgeon to integrate durable, sustained glaucoma care at the time of cataract surgery, with no new surgical techniques required,” stated Patrick Mooney, chief executive officer of SpyGlass Pharma. “We remain highly focused on the enrollment of our registrational Phase 3 trials and the initiation of our first-in-human study of our BIM-DRS, which we expect to occur in the second half of 2026. BIM-DRS has the potential to reach all glaucoma and OHT patients, even if they have already had cataract surgery, and enable lifetime retreatment.”

BIM-IOL System Program Highlights

12-Month Phase 1/2 Data of BIM-IOL System. In March 2026, SpyGlass Pharma announced positive topline results from its Phase 1/2 trial of the BIM-IOL System, to lower IOP in patients with open-angle glaucoma (OAG) or ocular hypertension (OHT) and a concomitant cataract. The trial compared BIM-IOL System at the intended commercial dose of 78-mcg (N=51), and 39-mcg (N=23) compared to a physician's choice of commercially available monofocal IOLs from Alcon, Bausch + Lomb or Johnson & Johnson with twice-daily administration of timolol eyedrops as the control group (N=30).

For SpyGlass Pharma’s intended commercial dose of 78-mcg, patients receiving the BIM-IOL System achieved robust clinical improvement:

  • A mean, time-matched IOP reduction from baseline of 34%.
  • 98% of evaluable BIM-IOL patients were free from all topical IOP-lowering medications.
  • 100% of evaluable patients achieved 20/32 or better best corrected distance visual acuity (BCDVA).
  • Mean BCDVA equivalent to 20/20 vision (86 letters), demonstrating a vision performance profile in line with the state-of-the-art IOLs in the control group.
  • The BIM-IOL System was well tolerated and exhibited a safety profile comparable to routine cataract surgery, with no serious adverse events observed.

SpyGlass Pharma anticipates presenting additional Phase 1/2 trial results at a future medical meeting.

First Surgeries Completed in Parallel Phase 3 BIM-IOL System Trials. The two registrational Phase 3 trials, SGP-005 and SGP-006, are designed to demonstrate non-inferiority of the BIM-IOL System to a state-of-the-art commercial IOL with twice-daily topical timolol. SpyGlass Pharma continues to expect that both trials will complete enrollment in 2027.

Corporate Highlights

Completion of Initial Public Offering. In February 2026, SpyGlass Pharma completed its initial public offering, including the full exercise of the underwriters’ over-allotment option, raising approximately $172.5 million in gross proceeds and funding planned operations through 2028.

First Quarter 2026 Financial Results

Cash, Cash Equivalents and Short-Term Investments totaled $251.0 million as of March 31, 2026.

Research and Development Expenses were $8.5 million for the first quarter of 2026, compared to $6.1 million for the first quarter of 2025. The increase was primarily due to the hiring of clinical personnel.

General and Administrative Expenses were $6.9 million for the first quarter of 2026, compared to $1.4 million for the first quarter of 2025. The increase was primarily due to higher professional services and personnel.

Net Loss was $13.8 million, or ($0.69) per basic and diluted share, for the first quarter of 2026, compared to $8.8 million, or ($3.96) per basic and diluted share, for same period of 2025.

Upcoming Milestones

  • BIM-DRS: Initiation of the FIH trial in the second half of 2026.
  • BIM-IOL System: Four-year efficacy and safety follow-up expected in fourth quarter of 2026.

About the Bimatoprost Drug Pad-IOL System

SpyGlass Pharma’s lead product candidate, the Bimatoprost Drug Pad-IOL System (BIM-IOL System), comprising novel, proprietary non-bioerodible drug pads attached to its intraocular lens, was designed to be implanted during routine cataract surgery to reduce elevated intraocular pressure (IOP) in patients who have either open-angle glaucoma (OAG) or ocular hypertension (OHT). The BIM-IOL System is designed to consistently deliver three years of bimatoprost, a prostaglandin analog approved for topical use by the U.S. Food and Drug Administration (FDA) in 2001, for the reduction of elevated IOP in patients with OAG or OHT.

The company initiated two registrational Phase 3 clinical trials of the BIM-IOL System and continues long-term follow-up of patients in the Phase 1/2 study investigating the safety and efficacy of the BIM-IOL System. SpyGlass Pharma plans to work with the FDA to advance the program through completion of Phase III clinical trials, New Drug Application submission, and ultimately to potential FDA approval.

About SpyGlass Pharma

SpyGlass Pharma is a late-stage biopharmaceutical company dedicated to transforming the treatment paradigm for patients living with chronic eye conditions through long-acting, sustained drug delivery of approved medicines. The Company’s mission is to significantly improve the lives of patients with chronic eye conditions by developing durable drug delivery solutions that can empower patients and surgeons with confidence in long-term disease control and vision preservation.

The SpyGlass Pharma platform, a novel, non-bioerodible drug delivery technology, is designed to be used with various well-established, approved medicines, including bimatoprost and other small molecules, providing flexibility to potentially treat a range of conditions in the front and back of the eye.

The Company was founded in 2019 by Malik Y. Kahook, M.D. and Glenn Sussman to solve the lack of ophthalmic innovations that capitalize on durable treatment options. The SpyGlass Pharma platform was originally developed in the Sue Anschutz-Rodgers Eye Center at the University of Colorado Anschutz School of Medicine.

Forward-looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements in this press release that are not purely historical are forward-looking statements, including, but not limited to, statements regarding: the potential benefits and impact of the BIM-IOL System on patients, anticipated presentation of additional clinical data, including the four-year data from the FIH trial for the BIM-IOL System, the initiation of the FIH trial for BIM-DRS, SpyGlass Pharma’s cash runway, and SpyGlass Pharma’s plans relating to the clinical development of the BIM-IOL System toward commercial launch after FDA approval, including enrollment completion timing. The forward-looking statements contained herein are based upon SpyGlass Pharma’s current expectations and involve assumptions that may never materialize or may prove to be incorrect. These forward-looking statements are neither promises nor guarantees and are subject to a variety of risks and uncertainties, including those set forth in the Risk Factors section of the Company’s Quarterly Report on Form 10-Q for the three-month period ended March 31, 2026 filed with the Securities and Exchange Commission on or about the date hereof, and in similar disclosures set forth in the other documents that SpyGlass Pharma may file from time to time with the SEC. These forward-looking statements are made as of the date of this press release, and SpyGlass Pharma assumes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, except as required by law. SpyGlass Pharma’s views in these forward-looking statements should not be relied as representing the Company’s views as of any date subsequent to the date of this press release.

Media Contact:
Nami Surendranath
+1 (402) 507-6757
nsurendranath@dnacommunications.com

Investor Contact:
Ami Bavishi or Nick Colangelo
Gilmartin Group LLC
investors@spyglasspharma.com

 
SpyGlass Pharma, Inc.
Condensed Statements of Operations
(in thousands, except share and per share data)
(unaudited)
  
 Three Months Ended March 31,
  2026   2025 
Operating expenses   
Research and development$8,542  $6,052 
General and administrative 6,867   1,371 
Total operating expenses 15,409   7,423 
Loss from operations (15,409)  (7,423)
Other income (expense)   
Interest income 1,591   126 
Change in fair value of redeemable convertible preferred stock tranche liability -   (1,526)
Total other income (expense) 1,591   (1,400)
Loss before income tax (13,818)  (8,823)
Income tax provision -   - 
Net loss and comprehensive loss$(13,818) $(8,823)
Net loss per share   
Weighted average common stock outstanding, basic and diluted 19,927,848   2,229,637 
Net loss per share of common stock, basic and diluted$(0.69) $(3.96)
    


 
SpyGlass Pharma, Inc.
Condensed Balance Sheets
(in thousands, except share and per share data)
(unaudited)
  
 As of
 March 31, 2026 December 31, 2025
Assets   
Current assets   
Cash and cash equivalents$238,902  $96,358 
Short-term investments 12,100   11,078 
Other receivables 653   431 
Prepaid expenses and other current assets 1,707   901 
Total current assets 253,362   108,768 
Other non-current assets 789   492 
Property and equipment, net 2,745   2,339 
Deferred offering costs -   2,715 
Right-of-use asset 1,490   1,552 
Total assets$258,386  $115,866 
Liabilities, Redeemable Convertible Preferred Stock and Stockholders' Equity (Deficit)   
Current liabilities   
Accounts payable$3,514  $2,696 
Payroll-related accruals 882   2,182 
Other current liabilities 2,271   3,706 
Total current liabilities 6,667   8,584 
Lease liability, non-current 1,607   1,582 
Total liabilities 8,274   10,166 
Commitments and contingencies   
Redeemable convertible preferred stock, $.00001 par value; 0 shares authorized, issued and outstanding as of March 31, 2026; 116,618,581 shares authorized, 20,341,968 shares issued and outstanding as of December 31, 2025 (aggregate liquidation preference of $0 and $200,878 as of March 31, 2026 and December 31, 2025, respectively) -   204,537 
Stockholders' equity (deficit)   
Preferred stock, $.00001 par value; 200,000,000 shares authorized, 0 shares issued and outstanding as of March 31, 2026; 0 shares authorized, issued, and outstanding as of December 31, 2025 -   - 
Common stock, $.00001 par value; 1,000,000,000 shares authorized, 33,432,555 shares issued and outstanding as of March 31, 2026; 154,383,336 shares authorized; 2,203,620 shares issued and outstanding as of December 31, 2025 -   - 
Common stock additional paid-in capital 368,660   5,893 
Accumulated deficit (118,548)  (104,730)
Total stockholders' equity (deficit) 250,112   (98,837)
Total liabilities, redeemable convertible preferred stock and stockholders' equity (deficit)$258,386  $115,866 
    

FAQ

What were SpyGlass Pharma (SGP) first quarter 2026 financial results?

SpyGlass Pharma reported a Q1 2026 net loss of $13.8 million, or ($0.69) per share. According to SpyGlass Pharma, cash, cash equivalents and short-term investments totaled $251.0 million as of March 31, 2026, supporting planned operations through 2028.

How strong is SpyGlass Pharma’s cash position and runway after Q1 2026?

SpyGlass Pharma ended Q1 2026 with $251.0 million in cash, cash equivalents and short-term investments. According to SpyGlass Pharma, this balance, supported by the February IPO proceeds, is expected to fund planned operations and clinical programs through 2028.

What did the Phase 1/2 BIM-IOL System trial show for SpyGlass Pharma (SGP)?

The Phase 1/2 BIM-IOL 78-mcg dose showed a 34% mean IOP reduction and 98% of evaluable patients off topical IOP-lowering drops. According to SpyGlass Pharma, 100% achieved BCDVA 20/32 or better, with mean vision equivalent to 20/20 and a safety profile comparable to routine cataract surgery.

When are SpyGlass Pharma’s Phase 3 BIM-IOL System trials expected to complete enrollment?

SpyGlass Pharma expects Phase 3 BIM-IOL trials SGP-005 and SGP-006 to complete enrollment in 2027. According to SpyGlass Pharma, first surgeries have been completed and the studies are designed to demonstrate non-inferiority versus a state-of-the-art commercial IOL with twice-daily topical timolol.

What are the key upcoming clinical milestones for SpyGlass Pharma’s BIM-DRS and BIM-IOL programs?

SpyGlass Pharma plans to start the first-in-human BIM-DRS trial in the second half of 2026. According to SpyGlass Pharma, four-year efficacy and safety follow-up data for the BIM-IOL System are expected in the fourth quarter of 2026.

How did SpyGlass Pharma’s expenses change in Q1 2026 compared with Q1 2025?

Research and development expenses rose to $8.5 million from $6.1 million, and general and administrative expenses increased to $6.9 million from $1.4 million. According to SpyGlass Pharma, higher costs were mainly driven by added clinical personnel and increased professional services.

How much did SpyGlass Pharma (SGP) raise in its February 2026 IPO?

SpyGlass Pharma raised approximately $172.5 million in gross proceeds from its February 2026 IPO, including full exercise of the over-allotment option. According to SpyGlass Pharma, these funds contribute to supporting development of the BIM-IOL System and broader glaucoma portfolio through at least 2028.