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Tenax Therapeutics Reports First Quarter 2026 Financial Results and Provides Corporate Update

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Tenax Therapeutics (Nasdaq:TENX) reported first quarter 2026 results and a corporate update. Cash and equivalents were $118.8 million, expected to fund operations through at least Q1 2028. The Phase 3 LEVEL trial of TNX-103 has randomized all patients, with topline data expected in Q3 2026, while global Phase 3 LEVEL-2 enrollment is ongoing and anticipated to complete by end of 2027. Leadership additions include a new CFO, CCO and an EVP of Clinical Development and Strategy. Q1 2026 R&D expenses were $11.5 million, G&A was $5.0 million, and net loss was $15.7 million.

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Positive

  • Cash and cash equivalents of $118.8 million as of March 31, 2026
  • Cash runway expected to extend through at least first quarter 2028
  • All patients randomized in Phase 3 LEVEL trial; topline data expected Q3 2026
  • Global Phase 3 LEVEL-2 enrollment ongoing; completion anticipated by end of 2027
  • G&A expenses decreased to $5.0 million from $5.7 million year-over-year
  • Leadership team expanded with new CFO, CCO and EVP of Clinical Development

Negative

  • Net loss increased to $15.7 million from $10.4 million year-over-year
  • R&D expenses rose to $11.5 million from $5.7 million year-over-year

News Market Reaction – TENX

+1.84%
+1.84% Session close to close

In the May 12 session, TENX gained 1.84%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement combines Q1 2026 financials with confirmation that the Phase 3 LEVEL study has ful...
Analysis

This announcement combines Q1 2026 financials with confirmation that the Phase 3 LEVEL study has fully randomized more than 230 patients and that LEVEL-2 enrollment continues globally. Cash and equivalents of $118.8M are expected to fund operations through at least Q1 2028, while R&D and net loss increased as registrational work accelerated. Investors may focus on progress toward Q3 2026 topline data and the company’s ability to manage expenses alongside potential use of its existing shelf registration.

Key Figures

Cash & equivalents: $118.8M Cash runway: Through at least Q1 2028 Patients randomized: More than 230 +5 more
8 metrics
Cash & equivalents $118.8M As of March 31, 2026
Cash runway Through at least Q1 2028 Management expectation based on current cash
Patients randomized More than 230 Phase 3 LEVEL study completion of randomization by Q1 2026
R&D expenses $11.5M Q1 2026 (vs $5.7M in Q1 2025)
R&D prior year $5.7M Q1 2025 comparison
G&A expenses $5.0M Q1 2026 (vs $5.7M in Q1 2025)
Net loss $15.7M Q1 2026 (vs $10.4M in Q1 2025)
Net loss prior year $10.4M Q1 2025 comparison

Previous Earnings Reports

5 past events · Latest: Mar 10 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 10 Earnings & update Positive +31.7% Q4/FY 2025 results, cash of $97.6M and strong Phase 3 progress.
Nov 12 Earnings & update Positive -4.3% Q3 2025 results, LEVEL enrollment guidance and European patent news.
Aug 13 Earnings & update Positive +0.7% Q2 2025 results, $105.5M cash and continued Phase 3 planning.
May 14 Earnings & update Positive +0.3% Q1 2025 results, $111.4M cash and advancing Phase 3 strategy.
Mar 25 Earnings & update Positive -2.0% Q4/FY 2024 results with $94.9M cash from private placements.

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

Pattern Detected

Earnings updates often coincided with modestly positive or volatile moves, especially when paired with Phase 3 progress or runway extensions.

Recent Company History

Over the past year, TENX earnings releases have consistently highlighted advancement of TNX-103, expansion of the Phase 3 LEVEL program, and strengthening of its cash position through financings. Prior updates showed cash levels between $94.9M and $111.4M with runway generally through 2027, alongside widening net losses as Phase 3 spending increased. Today’s Q1 2026 results continue this pattern, emphasizing completed randomization in LEVEL, ongoing global enrollment in LEVEL-2, and an extended cash runway into 2028.

Key Terms

phase 3, clinical trial, cardiopulmonary, ph-hfpef, +1 more
5 terms
phase 3 medical
"On track to report topline data from Phase 3 LEVEL study of TNX-103..."
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.
clinical trial medical
"Global Phase 3 LEVEL-2 clinical trial ongoing, enrollment completion..."
A clinical trial is a carefully controlled study in which a new medicine, medical device, or treatment is tested on people to see if it is safe and effective. For investors it matters because trial results determine whether a product can win regulatory approval and reach patients, much like a road test decides if a new car can be sold; positive or negative results can sharply change a company’s prospects and stock value.
cardiopulmonary medical
"...development-stage pharmaceutical company using clinical insights to develop novel cardiopulmonary therapies..."
Relating to the combined function of the heart and lungs—how the heart pumps blood and the lungs oxygenate that blood and remove waste gases. Investors watch cardiopulmonary issues because treatments, devices, or clinical results in this area can affect demand, regulatory reviews, hospital spending and patient outcomes; think of the heart and lungs as a vehicle’s engine and fuel system—if either falters, the market for repairs and improvements can change quickly.
ph-hfpef medical
"...advance the potential first therapy indicated for the treatment of PH-HFpEF."
Pulmonary hypertension associated with heart failure with preserved ejection fraction (PH‑HFpEF) is a condition where high blood pressure builds up in the lungs because the heart’s left side is stiff and doesn’t fill properly, even though its pumping strength looks normal. For investors, it matters because it defines a specific patient group and treatment need that shapes clinical trial design, drug approval chances, market size, and potential revenue for companies developing therapies; think of it as a distinct customer segment with a clear unmet need.
warrants financial
"The proceeds from exercises of previously issued warrants during the quarter..."
Warrants are special documents that give you the right to buy a company's stock at a set price before a certain date. They are often used as a way for companies to attract investors or raise money, and their value can increase if the company's stock price goes up.
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On track to report topline data from Phase 3 LEVEL study of TNX-103 in third quarter of 2026

Global Phase 3 LEVEL-2 clinical trial ongoing, enrollment completion anticipated by end of 2027

Strengthened leadership team with appointments of Thomas Staab as Chief Financial Officer and Timothy Healey, MBA, as Chief Commercial Officer

CHAPEL HILL, N.C., May 12, 2026 (GLOBE NEWSWIRE) -- Tenax Therapeutics, Inc. (Nasdaq: TENX) (“Tenax” or “Tenax Therapeutics” or the “Company”), a Phase 3, development-stage pharmaceutical company using clinical insights to develop novel cardiopulmonary therapies, reported today financial results for the quarter ended March 31, 2026 and provided an update on its recent corporate progress.

“We continued to make significant progress in advancing TNX-103, completing randomization of more than 230 patients in the Phase 3 LEVEL study at the end of the first quarter which positions us to deliver topline data in the third quarter of 2026,” said Chris Giordano, President and Chief Executive Officer of Tenax Therapeutics. “Our team continues to activate clinical sites around the world to advance the enrollment in LEVEL-2, our second pivotal trial of TNX-103. We are also thrilled to welcome Tom and Tim to our leadership team in key financial and commercial roles, further deepening the breadth of experience and knowledge at Tenax. Their appointments underscore our commitment to execution excellence as we advance the potential first therapy indicated for the treatment of PH-HFpEF.”

Recent Corporate and Clinical Highlights

  • All patients have been randomized in the LEVEL study. Tenax continues to anticipate sharing topline data from LEVEL in the third quarter of 2026.
  • In April 2026, Tenax announced the appointment of Thomas R. Staab, II, as Chief Financial Officer (CFO). Mr. Staab has over 25 years of financial and executive experience across the healthcare industry, having previously served as CFO of LENSAR, BioCryst Pharmaceuticals, Inspire Pharmaceuticals, and Triangle Pharmaceuticals.
  • In May 2026, Tenax further expanded its leadership team with the appointment of Timothy Healey, MBA, as Chief Commercial Officer (CCO). Mr. Healey is a seasoned pharmaceutical executive with a strong track record of successful commercial leadership experience, having most recently served as CCO at Eversana.
  • In May 2026, Tenax also appointed So-Young Kim, MD, as Executive Vice President of Clinical Development and Strategy. Dr. Kim has extensive industry experience spanning global drug development and commercial strategy at Bayer AG, with a deep focus on cardiovascular and cardiometabolic medicine.

First Quarter 2026 Financial Results

Cash position: Tenax Therapeutics reported cash and cash equivalents of $118.8 million as of March 31, 2026. The proceeds from exercises of previously issued warrants during the quarter have enabled Tenax to extend its cash runway, and the Company now expects cash and cash equivalents to fund it through at least the first quarter of 2028.

Research and development (R&D): R&D expenses for the first quarter of 2026 were $11.5 million, compared to $5.7 million for the first quarter of 2025. The increase is primarily attributable to increased clinical and preclinical development costs associated with our ongoing Phase 3 LEVEL trial and our second global Phase 3 study, LEVEL-2, which commenced in December 2025, as well as increased salary and benefit costs related to new employees, partially offset by decreased stock-based compensation due to timing of option vesting.

General and administrative (G&A): G&A expenses for the first quarter of 2026 were $5.0 million, compared to $5.7 million for the first quarter of 2025. The decrease is primarily attributable to a decrease in stock-based compensation due to timing of vesting, partially offset by an increase in salary and benefits related to new employees.

Net loss: Tenax Therapeutics reported a net loss of $15.7 million for the first quarter of 2026, compared to a net loss of $10.4 million for the first quarter of 2025.

About Levosimendan (TNX-101, TNX-102, TNX-103)

Levosimendan is a novel, first-in-class K-ATP channel activator/calcium sensitizer currently being evaluated to treat pulmonary hypertension (PH) associated with heart failure with preserved ejection fraction (PH-HFpEF). Levosimendan was first developed for intravenous use in hospitalized patients with acutely decompensated heart failure, and it has received market authorization in 60 countries in this indication, although it is not available in the United States or Canada. Tenax’s Phase 2 HELP study, including its open-label extension stage, demonstrated the potential of IV (TNX-101) and oral (TNX-103) levosimendan to bring durable improvements in exercise capacity and quality of life, as well as other clinical assessments, in patients with PH-HFpEF. TNX-103 (oral levosimendan) is currently being evaluated in LEVEL and LEVEL-2, two Phase 3, double-blind, randomized, placebo-controlled clinical trials in patients with PH-HFpEF.

About Tenax Therapeutics

Tenax Therapeutics, Inc. is a Phase 3, development-stage pharmaceutical company using clinical insights to develop novel cardiopulmonary therapies. The Company owns global rights to develop and commercialize levosimendan, which it is developing for the treatment of PH-HFpEF, the most prevalent form of pulmonary hypertension globally, for which no product has been approved to date. For more information, visit www.tenaxthera.com. Tenax Therapeutics’ common stock is listed on The Nasdaq Stock Market LLC under the symbol “TENX”.

Caution Regarding Forward-Looking Statements

Except for historical information, all of the statements, expectations and assumptions contained in this press release are forward-looking statements. These forward-looking statements may include information concerning possible or projected future business operations. Actual results might differ materially from those explicit or implicit in the forward-looking statements. Important factors that could cause actual results to differ materially include: risks of our clinical trials, including, but not limited to, the timing, delays, costs, design, location, initiation, enrollment, and results of such trials; any delays in regulatory review and approval of product candidates in development; risks related to our business strategy, including the prioritization and development of product candidates; our ability to maintain our culture and recruit, integrate and retain qualified personnel and advisors, including on our Board of Directors; our estimates regarding the potential market opportunity for our product candidates; reliance on third parties, including Orion Corporation, our manufacturers and CROs; risks regarding the formulation, production, marketing, customer acceptance and clinical utility of our product candidates; the potential advantages of our product candidates; our competitive position; intellectual property risks; volatility and uncertainty in the global economy and financial markets in light of unexpected changes in tariffs and the possibility of pandemics, global financial and geopolitical uncertainties, including in the Middle East and the Russian invasion of and war against the country of Ukraine; risks associated with our cash needs; changes in legal, regulatory and legislative environments in the markets in which we operate, and the impact of these changes on our ability to obtain regulatory approval for our products; and other risks and uncertainties set forth from time to time in our SEC filings. Tenax Therapeutics assumes no obligation and does not intend to update these forward-looking statements except as required by law.

Contact:
Investor and Media:
Argot Partners
tenax@argotpartners.com

  
TENAX THERAPEUTICS, INC. 
CONDENSED CONSOLIDATED BALANCE SHEETS 
(Amounts in thousands, except share and per share data) 
      
  March 31, 2026 December 31, 2025 
  (unaudited)   
ASSETS     
Current assets     
Cash and cash equivalents $118,755  $97,565  
Prepaid expenses  4,316   5,643  
Other current assets  107   1,019  
Total current assets  123,178   104,227  
Total assets $123,178  $104,227  
LIABILITIES AND STOCKHOLDERS’ EQUITY     
Current liabilities     
Accounts payable $6,346  $6,041  
Accrued liabilities  2,140   1,115  
Total current liabilities  8,486   7,156  
Total liabilities  8,486   7,156  
      
Stockholders' equity     
Preferred stock, undesignated, authorized 4,818,654 shares     
Series A Preferred stock, par value $0.0001, authorized 5,181,346 shares; issued and outstanding 210, as of March 31, 2026 and December 31, 2025  -   -  
Common stock, par value $0.0001 per share; authorized 400,000,000 shares; issued and outstanding 24,275,500 as of March 31, 2026 and 9,314,130 as of December 31, 2025, respectively  2   1  
Additional paid-in capital  497,860   464,524  
Accumulated deficit  (383,170)  (367,454) 
Total stockholders’ equity  114,692   97,071  
Total liabilities and stockholders' equity $123,178  $104,227  
      



TENAX THERAPEUTICS, INC. 
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS 
(unaudited) 
(Amounts in thousands, except share and per share data) 
  For the three months ended March 31, 
   2026   2025  
Operating expenses     
Research and development $11,539  $5,683  
General and administrative  5,034   5,655  
Total operating expenses  16,573   11,338  
      
Net operating loss  (16,573)  (11,338) 
      
Interest income  861   930  
Other expense, net  (4)  -  
Net loss $(15,716) $(10,408) 
Net loss per share, basic and diluted $(0.35) $(0.28) 
Weighted average number of common shares and prefunded warrants outstanding, basic and diluted  45,226,328   36,584,920  
      

FAQ

What were Tenax Therapeutics (TENX) Q1 2026 financial results?

Tenax Therapeutics reported a Q1 2026 net loss of $15.7 million. According to Tenax Therapeutics, R&D expenses were $11.5 million, G&A expenses were $5.0 million, and cash and cash equivalents totaled $118.8 million as of March 31, 2026.

How long will Tenax Therapeutics (TENX) cash last based on Q1 2026 results?

Tenax Therapeutics expects its cash to fund operations through at least the first quarter of 2028. According to Tenax Therapeutics, cash and cash equivalents were $118.8 million on March 31, 2026, supported by proceeds from warrant exercises during the quarter.

When will Tenax Therapeutics (TENX) report Phase 3 LEVEL trial topline data for TNX-103?

Tenax Therapeutics anticipates reporting topline data from the Phase 3 LEVEL study in Q3 2026. According to Tenax Therapeutics, more than 230 patients have been randomized, and all patients in the study are now randomized, supporting this timeline.

What is the status of the Tenax Therapeutics (TENX) Phase 3 LEVEL-2 trial?

The Phase 3 LEVEL-2 global trial is ongoing with enrollment continuing. According to Tenax Therapeutics, clinical sites are being activated worldwide, and enrollment completion is anticipated by the end of 2027, positioning LEVEL-2 as a second pivotal study of TNX-103.

What leadership changes did Tenax Therapeutics (TENX) announce in 2026?

Tenax Therapeutics added a new CFO, CCO, and EVP of Clinical Development in 2026. According to Tenax Therapeutics, Thomas R. Staab II became CFO, Timothy Healey became CCO, and So-Young Kim, MD, became EVP of Clinical Development and Strategy.

How did Tenax Therapeutics (TENX) R&D and G&A expenses change in Q1 2026?

R&D expenses increased to $11.5 million, while G&A expenses decreased to $5.0 million in Q1 2026. According to Tenax Therapeutics, higher clinical and preclinical costs drove R&D growth, and lower stock-based compensation contributed to reduced G&A.

What is Tenax Therapeutics (TENX) developing TNX-103 for in its Phase 3 trials?

Tenax Therapeutics is advancing TNX-103 as a potential first therapy for PH-HFpEF. According to Tenax Therapeutics, the LEVEL and LEVEL-2 Phase 3 trials are pivotal studies designed to evaluate TNX-103 in this cardiopulmonary indication.