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

(Moderate)
(Very Positive)
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SpyGlass Pharma (Nasdaq: SGP) reported second quarter 2026 results and clinical updates. The company held $234.2 million in cash, cash equivalents and short-term investments as of June 30, 2026, which it expects will fund planned operations through 2028.

Enrollment in the parallel registrational Phase 3 trials of the Bimatoprost Drug Pad-IOL System (BIM-IOL System) remains on track, with completion expected in 2027, and a first-in-human trial of the Bimatoprost-Drug Ring System (BIM-DRS) is expected to start in the second half of 2026. In May 2026, the AMA approved a dedicated add-on Category III CPT code (+1090T) for use with established cataract surgery codes, creating a specific reimbursement pathway for the BIM-IOL System. Second quarter 2026 research and development expenses were $10.9 million and general and administrative expenses were $11.0 million, leading to a net loss of $19.9 million, or $(0.59) per share.

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Positive

  • Cash and investments $234.2 million as of June 30, 2026, with runway expected through 2028
  • Phase 3 BIM-IOL System enrollment on track, completion expected in 2027
  • First-in-human BIM-DRS trial initiation targeted for second half of 2026
  • AMA approval of add-on Category III CPT code +1090T creating a dedicated reimbursement pathway
  • Balance sheet strengthened to $232.4 million stockholders’ equity from a prior deficit

Negative

  • Quarterly net loss $19.9 million in Q2 2026 versus $8.7 million in Q2 2025
  • Research and development expenses rose to $10.9 million from $7.3 million year over year
  • General and administrative expenses increased to $11.0 million from $2.0 million year over year

News Explained

The second-quarter balance sheet shows a capital-structure change relevant to existing holders: on June 30, 2026, 33,446,315 common shares were outstanding and no preferred shares, versus 2,203,620 common and 20,341,968 preferred shares on December 31, 2025. The higher common share count can reduce existing holders’ percentage ownership.

Market Context

Earnings-tagged history averaged -7.32% across two events, adding a negative precedent to this updat...
Analysis

Earnings-tagged history averaged -7.32% across two events, adding a negative precedent to this update. The announcement combined runway through 2028 with higher R&D and G&A expenses, leaving execution and spending as key risks.

Key Figures

Cash and investments: $234.2 million Operating runway: Through 2028 R&D expenses: $10.9 million +5 more
8 metrics
Cash and investments $234.2 million As of June 30, 2026
Operating runway Through 2028 Planned operations
R&D expenses $10.9 million Q2 2026 vs. $7.3 million in Q2 2025
G&A expenses $11.0 million Q2 2026 vs. $2.0 million in Q2 2025
Net loss $19.9 million Q2 2026 vs. $8.7 million in Q2 2025
Net loss per share ($0.59) per basic and diluted share Q2 2026
Add-on CPT code +1090T Category III CPT code approved in May 2026
Phase 3 enrollment completion 2027 BIM-IOL System registrational trials

Previous Earnings Reports

2 past events · Latest: May 14 (Positive)
Same Type Pattern 2 events
Date Event Sentiment 24h Move Catalyst
May 14 First-quarter earnings Positive -4.4% Cash runway through 2028 and Phase 3 progress contrasted with negative price reaction
Mar 26 Full-year earnings Positive -10.3% IPO proceeds and positive Phase 1/2 data contrasted with negative price reaction

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

Pattern Detected

Earnings-tagged announcements had negative 24-hour price reactions despite reported clinical progress, financing strength, and operational milestones.

Key Terms

first-in-human, category iii cpt code, non-bioerodible, intraocular pressure
4 terms
first-in-human medical
"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.
category iii cpt code regulatory
"approved a new add-on Category III CPT code"
A Category III CPT code is a temporary billing code used by medical providers to report new, experimental or emerging procedures, technologies, or services that do not yet have a permanent billing code. It matters to investors because assignment of such a code signals early clinical or market adoption, provides a way to capture usage and potential reimbursement data, and can hint at future revenue growth or regulatory and payment uncertainty—much like a temporary SKU that lets a retailer track early demand for a new product.
non-bioerodible technical
"novel, proprietary non-bioerodible drug pads"
A non-bioerodible material or medical device is one that does not break down, dissolve, or get absorbed by the body over time; it remains physically intact unless surgically removed. For investors, this matters because permanence affects product design, long-term safety monitoring, regulatory requirements, and market demand—similar to choosing a permanent metal fixture versus a temporary, dissolving patch in construction or home repair.
intraocular pressure medical
"reduce elevated intraocular pressure (IOP)"
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.

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.
  • 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 $234.2 million on June 30, 2026, are expected to fund planned operations through 2028.

IRVINE, Calif., Aug. 06, 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 second quarter ended June 30, 2026.

“We are pleased to report that enrollment in our parallel Phase 3 registrational trials of the BIM-IOL System, which if approved by the US Food and Drug Administration, has the potential to serve the approximately one million annual cataract procedures in glaucoma and ocular hypertension patients, remains on track for completion in 2027. In parallel, SpyGlass remains diligently focused on initiating our first-in-human study of our next-generation BIM-DRS with the potential to provide lasting intraocular pressure reduction to every pseudophakic glaucoma patient, which would grow the addressable patient population substantially, in the second half of this year,” stated Patrick Mooney, chief executive officer of SpyGlass Pharma. “Collectively, our BIM-IOL System and BIM-DRS hold the potential to provide long-term, drop-free glaucoma treatment and sustained visual protection.”

Corporate Highlights

Dedicated Reimbursement Pathway for BIM-IOL System. In May 2026, the American Medical Association’s CPT® (Current Procedural Terminology) Editorial Panel approved a new add-on Category III CPT code (+1090T released to AMA website on July 1, 2026) in combination with established Category I CPT codes, such as 66984 and 66991. The Company believes the dedicated reimbursement pathway for surgeons could accelerate commercial adoption of the BIM-IOL System.

Strengthened Commercial Leadership. In June 2026, SpyGlass Pharma appointed Mike Pinder as Vice President, Marketing. Mr. Pinder will leverage his deep experience of successfully building and launching buy-and-bill ophthalmology treatments as SpyGlass Pharma approaches a potential commercialization of the BIM-IOL System.

Glaucoma and Cataract Surgeon Engagement. Throughout the second quarter, SpyGlass Pharma has accelerated its engagement with the cataract and glaucoma surgeon community through industry and medical meetings, including the American-European Congress of Ophthalmic Surgery, a global, premier medical meeting highlighting the top innovations in surgical ophthalmology, and the Octane Orange County Ophthalmology Tech Forum. SpyGlass Pharma was featured prominently in both meetings, building broader awareness and engagement around the Company and its lead product candidate, the BIM-IOL System.

Second Quarter 2026 Financial Results

Cash, Cash Equivalents and Short-Term Investments totaled $234.2 million as of June 30, 2026.

Research and Development Expenses were $10.9 million for the second quarter of 2026, compared to $7.3 million for the second quarter of 2025. The increase was primarily due to the hiring of clinical personnel.

General and Administrative Expenses were $11.0 million for the second quarter of 2026, compared to $2.0 million for the second quarter of 2025. The increase was primarily due to higher professional service fees and personnel costs.

Net Loss was $19.9 million, or ($0.59) per basic and diluted share, for the second quarter of 2026, compared to $8.7 million, or ($3.81) per basic and diluted share, for the same period of 2025.

Upcoming Milestones

  • BIM-DRS: Initiation of the FIH trial expected 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 3 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. The terms "lasting," "long-term," and "enduring" refer to being able to control IOP for years with one procedure compared to current eye drops, which require dosing daily or even more frequently. 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 and BIM-DRS on patients, including the potential of BIM-DRS to provide lasting IOP reduction to every pseudophakic glaucoma patient, the size of the addressable patient population, the timing of growth of such patient population, the potential of the BIM-IOL System and BIM-DRS to provide long-term, drop-free glaucoma treatment and sustained visual protection, the anticipated presentation of additional clinical data, including the timing of such additional data, SpyGlass Pharma’s plans relating to the Phase 3 clinical development of the BIM-IOL System, including the timing of expected completion of enrollment, and to the clinical development of the BIM-DRS, including the timing of initiation of the first-in-human trial, the potential commercial launch, market adoption and reimbursement under CPT codes after FDA approval of the BIM-IOL System, the belief that the dedicated reimbursement pathway for surgeons could accelerate commercial adoption of the BIM-IOL System, and the sufficiency of cash, cash equivalents and short-term investments and SpyGlass Pharma’s expectation to fund planned operations through 2028. 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 period ended June 30, 2026 filed with the Securities and Exchange Commission on August 6, 2026, and in similar disclosures set forth in the other documents that SpyGlass Pharma has filed and 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 June 30, Six Months Ended June 30,
  2026   2025   2026   2025 
Operating expenses       
Research and development$10,942  $7,333  $19,484  $13,385 
General and administrative 11,025   1,964   17,892   3,335 
Total operating expenses 21,967   9,297   37,376   16,720 
Loss from operations (21,967)  (9,297)  (37,376)  (16,720)
Other income (expense)       
Interest income 2,103   622   3,694   748 
Change in fair value of redeemable convertible preferred stock tranche liability -   -   -   (1,526)
Total other income (expense) 2,103   622   3,694   (778)
Loss before income tax (19,864)  (8,675)  (33,682)  (17,498)
Income tax provision -   -   -   - 
Net loss and comprehensive loss$(19,864) $(8,675) $(33,682) $(17,498)
Net loss per share       
Weighted average common stock outstanding, basic and diluted 33,439,543   2,277,521   26,721,021   2,253,711 
Net loss per share, basic and diluted$(0.59) $(3.81) $(1.26) $(7.76)
        


SpyGlass Pharma, Inc.
Condensed Balance Sheets
(in thousands, except share and per share data)
(unaudited)
 
 As of
 June 30, 2026December 31, 2025
Assets  
Current assets  
Cash and cash equivalents$223,143 $96,358 
Short-term investments 11,043  11,078 
Other receivables 678  431 
Prepaid expenses and other current assets 1,597  901 
Total current assets 236,461  108,768 
Other non-current assets 759  492 
Property and equipment, net 4,785  2,339 
Deferred offering costs -  2,715 
Right-of-use asset 1,428  1,552 
Total assets$243,433 $115,866 
Liabilities, redeemable convertible preferred stock and stockholders' equity (deficit)  
Current liabilities  
Accounts payable$4,155 $2,696 
Payroll-related accruals 1,723  2,182 
Other current liabilities 3,559  3,706 
Total current liabilities 9,437  8,584 
Lease liability, non-current 1,632  1,582 
Total liabilities 11,069  10,166 
Commitments and contingencies  
Redeemable convertible preferred stock, $.00001 par value; 0 shares authorized, issued, and outstanding as of June 30, 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 June 30, 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 June 30, 2026; 0 shares authorized, issued, and outstanding as of December 31, 2025 -  - 
Common stock, $.00001 par value; 1,000,000,000 shares authorized, 33,446,315 shares issued and outstanding as of June 30, 2026; 154,383,336 shares authorized, 2,203,620 shares issued and outstanding as of December 31, 2025 -  - 
Common stock additional paid-in capital 370,776  5,893 
Accumulated deficit (138,412) (104,730)
Total stockholders' equity (deficit) 232,364  (98,837)
Total liabilities, redeemable convertible preferred stock and stockholders' equity (deficit)$243,433 $115,866 
   



FAQ

What were SpyGlass Pharma’s (SGP) key financial results for Q2 2026?

SpyGlass Pharma reported a Q2 2026 net loss of $19.9 million, or $(0.59) per share. According to SpyGlass Pharma, research and development expenses were $10.9 million and general and administrative expenses were $11.0 million for the quarter ended June 30, 2026.

How much cash does SpyGlass Pharma (SGP) have after the second quarter 2026?

SpyGlass Pharma reported $234.2 million in cash, cash equivalents and short-term investments as of June 30, 2026. According to SpyGlass Pharma, this capital is expected to fund planned operations, including ongoing clinical programs, through 2028 under its current operating plan.

What is the status of SpyGlass Pharma’s BIM-IOL System Phase 3 trials in 2026?

Enrollment in the parallel registrational Phase 3 trials of the BIM-IOL System remains on track, with completion expected in 2027. According to SpyGlass Pharma, these trials support potential FDA approval for use during cataract surgery in glaucoma and ocular hypertension patients.

When will SpyGlass Pharma (SGP) start the BIM-DRS first-in-human trial?

SpyGlass Pharma expects to start the BIM-DRS first-in-human trial in the second half of 2026. According to SpyGlass Pharma, this next-generation system is intended to provide lasting intraocular pressure reduction for pseudophakic glaucoma patients, expanding the addressable patient population.

What new reimbursement code did SpyGlass Pharma secure for the BIM-IOL System in 2026?

In May 2026, the AMA approved an add-on Category III CPT code +1090T for the BIM-IOL System. According to SpyGlass Pharma, this code is used with established cataract surgery CPT codes and creates a dedicated reimbursement pathway for surgeons.

How did operating expenses change for SpyGlass Pharma (SGP) in Q2 2026 versus Q2 2025?

Total operating expenses increased to $22.0 million in Q2 2026 from $9.3 million in Q2 2025. According to SpyGlass Pharma, the rise was driven mainly by higher clinical personnel costs, professional service fees and general corporate personnel expenses.

What upcoming clinical milestones has SpyGlass Pharma (SGP) guided for late 2026?

SpyGlass Pharma expects BIM-DRS first-in-human trial initiation in the second half of 2026 and four-year BIM-IOL System follow-up data in Q4 2026. According to SpyGlass Pharma, these milestones will add longer-term safety and efficacy information for its glaucoma treatment platform.