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Talphera Announces First Quarter 2026 Financial Results and Provides Corporate Update

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Talphera (Nasdaq:TLPH) reported first quarter 2026 results and a clinical update. The NEPHRO CRRT nafamostat study surpassed 50% enrollment and is expected to complete in 2026. In March, Talphera closed a $4.1 million tranche tied to enrollment milestones.

As of March 31, 2026, cash and investments totaled $21.1 million. Combined R&D and SG&A expenses were $3.9 million, up from $2.9 million a year earlier. Net loss attributable to common shareholders was $2.6 million, or $0.04 per share, unchanged in dollar terms from 2025 but with a lower loss per share.

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Positive

  • Cash and investments of $21.1 million at March 31, 2026
  • Reached 35-patient, 50% enrollment milestone in NEPHRO CRRT nafamostat study
  • Study completion for NEPHRO CRRT nafamostat trial expected in 2026
  • Closed $4.1 million third tranche of March 2025 private placement
  • Net loss per share narrowed to $0.04 from $0.10 year over year

Negative

  • Combined R&D and SG&A expenses rose to $3.9 million from $2.9 million
  • Operating expenses ex-stock compensation increased to $3.7 million from $2.7 million
  • Continued net loss attributable to shareholders of $2.6 million in Q1 2026

News Market Reaction – TLPH

-0.42%
5 alerts
-0.42% Session close to close
$47.37M Market Cap
0.7x Rel. Volume

In the May 14 session, TLPH declined 0.42%, reflecting a mild negative market reaction. Our momentum scanner triggered 5 alerts that day, indicating moderate trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement combines Q1 2026 financials, including $21.1M in cash and investments and higher c...
Analysis

This announcement combines Q1 2026 financials, including $21.1M in cash and investments and higher combined R&D and SG&A of $3.9M, with updates on the NEPHRO CRRT nafamostat program and recent financing tranche. It continues a series of earnings reports that pair trial progress with balance sheet details. Investors may watch future quarters for cash trends against ongoing trial expenses, completion of the NEPHRO CRRT study, and how existing resale registrations interact with any new capital-raising plans.

Key Figures

Cash & investments: $21.1M R&D + SG&A expenses: $3.9M R&D + SG&A prior: $2.9M +5 more
8 metrics
Cash & investments $21.1M Balance as of March 31, 2026
R&D + SG&A expenses $3.9M Combined expenses, Q1 2026
R&D + SG&A prior $2.9M Combined expenses, Q1 2025
OpEx ex-stock comp $3.7M R&D + SG&A excluding stock comp, Q1 2026
OpEx ex-stock comp prior $2.7M R&D + SG&A excluding stock comp, Q1 2025
Net loss $2.6M Net loss attributable to common shareholders, Q1 2026
EPS $0.04 loss Basic and diluted, Q1 2026
EPS prior year $0.10 loss Basic and diluted, Q1 2025

Previous Earnings Reports

5 past events · Latest: May 07 (Neutral)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 07 Earnings call notice Neutral +2.9% Announcement of Q1 2026 results release and accompanying webcast details.
Mar 23 Q4/FY 2025 results Neutral -3.8% Reported Q4/FY 2025 financials, NEPHRO enrollment, cash, and $4.1M financing tranche.
Nov 12 Q3 2025 results Neutral -18.6% Q3 2025 update with $17.0M tranche, $21.3M cash, and NEPHRO timeline.
Aug 14 Q2 2025 results Neutral -1.0% Q2 2025 results, $6.8M cash, NEPHRO enrollment and financing details.
May 14 Q1 2025 results Neutral -3.9% Q1 2025 results with reduced NEPHRO size, new financing, and site activation.

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

Pattern Detected

Earnings-related headlines have historically produced an average -4.89% move, with several past quarters seeing negative reactions despite routine updates.

Recent Company History

Over the last five earnings announcements, Talphera has repeatedly combined financial results with NEPHRO CRRT development and financing milestones. Prior updates highlighted cash balances between $6.8M and $21.3M, multi‑tranche private placements up to $29.0M, and progressing enrollment in the registrational NEPHRO CRRT trial. Price reactions ranged from modest gains to double‑digit declines, yielding an average move of -4.89%. Today’s Q1 2026 report continues this pattern, emphasizing cash of $21.1M, rising operating spend, and advancing enrollment toward study completion.

Key Terms

continuous renal replacement therapy, crrt, anticoagulant, randomized, placebo-controlled, +2 more
6 terms
continuous renal replacement therapy medical
"alternative anticoagulant for Continuous Renal Replacement Therapy (CRRT)."
A hospital procedure that continuously filters a patient’s blood over many hours to replace the work of failing kidneys, similar to a slow, ongoing water purifier for the body. It matters to investors because demand, pricing and reimbursement for the machines, consumable supplies and related drugs affect revenues and costs for medical device makers, hospitals and suppliers tied to critical care and dialysis markets.
crrt medical
"anticoagulant for Continuous Renal Replacement Therapy (CRRT)."
Continuous Renal Replacement Therapy (CRRT) is a hospital treatment that uses a machine to slowly and continuously filter a patient’s blood when the kidneys have failed, similar to a home water filter running all day instead of a quick rinse. For investors, CRRT signals demand for critical-care equipment, supplies and specialized staffing, and changes in its use or reimbursement can affect revenues and costs for medical-device makers, hospitals and dialysis service providers.
anticoagulant medical
"for a potential alternative anticoagulant for Continuous Renal Replacement Therapy"
An anticoagulant is a medicine that helps prevent blood from clotting or slows the formation of clots, used to reduce the risk of strokes, heart attacks, and other clot-related problems. For investors it matters because anticoagulants are widely prescribed, carry safety and regulatory risks, and drive sales and competition in drug markets—like a key product line whose approval, label changes, or safety concerns can materially affect a healthcare company’s revenue and stock outlook.
randomized, placebo-controlled medical
""A Randomized, Placebo-Controlled Multi-Center Study of the Safety and Efficacy"
A randomized, placebo-controlled trial is a medical study where people are assigned by chance (like flipping a coin) to receive either the experimental treatment or an inactive substitute (a placebo), and neither participants nor often the researchers know who got which. For investors, this design is the gold standard for showing whether a therapy truly works beyond chance or expectation, which reduces uncertainty about regulatory approval, market adoption, and the commercial value of a drug or device.
multi-center study medical
"Randomized, Placebo-Controlled Multi-Center Study of the Safety and Efficacy"
A multi-center study is a clinical research project run at several hospitals or clinics at the same time, so the same treatment or test is tried on many different groups of patients in different places. For investors it matters because results from multiple sites tend to be more reliable and broadly applicable—like testing a product in many stores instead of just one—reducing the chance of misleading outcomes and increasing regulatory and market confidence.
key opinion leaders technical
"held an investor and analyst event with two key opinion leaders (KOLs)"
Key opinion leaders are respected experts—often physicians, scientists, or industry specialists—whose published work, clinical experience, or public commentary shapes professional and public views about a medical product, treatment or technology. Investors watch them because their endorsements, criticisms or research can influence regulatory reviews, clinical adoption and sales prospects; think of them as trusted referees whose call can sway public confidence and market demand.

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

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NEPHRO CRRT clinical study expected to be completed this year

Cash and investments of $21.1 million at March 31, 2026

Conference call and webcast to be held on Wednesday, May 13, 2026 at 4:30 pm ET

SAN MATEO, Calif., May 13, 2026 /PRNewswire/ -- Talphera, Inc. (Nasdaq: TLPH), ("Talphera"), a specialty pharmaceutical company focused on the development and commercialization of innovative therapies for use in medically supervised settings, today announced first quarter 2026 financial results and provided a corporate update.

"In early March, we announced the attainment of 50% enrollment in the NEPHRO CRRT study evaluating nafamostat. With continued steady enrollment, we have well exceeded this level, and continue to expect study completion later this year," stated Vince Angotti, CEO of Talphera.  "Our clinical study sites and principal investigators remain focused on enrollment and delivering a high quality study as they are eager for a potential alternative anticoagulant for Continuous Renal Replacement Therapy (CRRT). The investor and analyst event held in March also highlighted the need for an alternative, given the disadvantages of the currently used products, heparin and citrate.  If approved, we continue to believe nafamostat will fill an unmet need in the market as a regional anticoagulant for CRRT," continued Angotti.

First Quarter 2026 and Recent Highlights

  • In March 2026, announced reaching the 35-patient enrollment milestone, representing 50% enrollment in the NEPHRO CRRT study. Enrollment has continued to increase since this announcement, with study completion expected in 2026.
  • In March 2026, held an investor and analyst event with two key opinion leaders (KOLs) focused on anticoagulants used during CRRT and the potential for nafamostat to address an unmet need.
  • In March 2026, two posters were presented at the 31st Annual International Conference on Advances in Critical Care Nephrology (AKI & CRRT 2026), entitled: "A Randomized, Placebo-Controlled Multi-Center Study of the Safety and Efficacy of Niyad in Patients Undergoing Continuous Renal Replacement Therapy Who Cannot Tolerate Heparin or Are at a Higher Risk of Bleeding" and, "In Vivo Assessment of Nafamostat, A Novel Regional Anticoagulant in a Porcine Model AKI and CKRT".
  • In March 2026, closed $4.1 million third tranche of the March 2025 private placement financing upon achieving the 35-patient enrollment milestone and other conditions.

First Quarter 2026 Financial Information

  • The cash and investments balance was $21.1 million as of March 31, 2026.
  • Combined R&D and SG&A expenses for the first quarter of 2026 totaled $3.9 million compared to $2.9 million for the first quarter of 2025. Excluding non-cash stock-based compensation expense, these amounts were $3.7 million for the first quarter of 2026, compared to $2.7 million for the first quarter of 2025. The increase in combined R&D and SG&A expenses in the first quarter of 2026 was primarily due to higher Niyad® development expenses, reflecting increased enrollment, and an increase in certain G&A expenses.
  • Net loss attributable to common shareholders for the first quarter of 2026 was $2.6 million, or $0.04 per basic and diluted share, compared to a net loss of $2.6 million, or $0.10 per basic and diluted share, for the first quarter of 2025.

Conference Call and Webcast

Talphera will hold a conference call and webcast at 4:30 p.m. Eastern Time/1:30 p.m. Pacific Time today to discuss the results and provide an update on the Company's business. 

Investors who wish to participate in the conference call may do so by dialing 1-800-836-8184 for North American callers, or 1-646-357-8785 (toll applies) for international callers outside of Canada. The conference ID is 24180. The webcast can be accessed here or by visiting the Investors section of the Company's website at www.talphera.com and clicking on the webcast link posted within Investors/News & Events/Upcoming Events section. The webcast will include a slide presentation and a replay will be available on the Talphera website for 90 days following the event.

About Talphera, Inc.

Talphera, Inc. is a specialty pharmaceutical company focused on the development and commercialization of innovative therapies for use in medically supervised settings. Talphera's lead product candidate, Niyad® is a lyophilized formulation of nafamostat and is currently being studied under an investigational device exemption (IDE) as an anticoagulant for the extracorporeal circuit, and has received Breakthrough Device Designation status from the U.S. Food and Drug Administration (FDA).

This release is intended for investors only. For additional information about Talphera, please visit www.talphera.com.

About Niyad and Nafamostat

Nafamostat is a broad spectrum, synthetic serine protease inhibitor with anticoagulant, anti-inflammatory and potential anti-viral activities. Niyad® is a lyophilized formulation of nafamostat and is currently being studied under an IDE, as an anticoagulant for the extracorporeal circuit, and has received Breakthrough Device Designation Status from the FDA. Talphera's registrational study of Niyad is named the NEPHRO CRRT (Nafamostat Efficacy in Phase 3 Registrational Continuous Renal Replacement Therapy) study. An ICD-10 procedural code, XY0YX37, has been issued for the extracorporeal introduction of nafamostat. The ICD-10 code is a specific/billable code that can be used to indicate a procedure. LTX-608 is a proprietary nafamostat formulation for direct IV infusion that may be investigated and developed for the treatment of acute respiratory distress syndrome (ARDS), disseminated intravascular coagulation (DIC), acute pancreatitis or as an anti-viral treatment, amongst other potential targets.

About the NEPHRO CRRT Study

The NEPHRO CRRT Study is designed as a prospective, double-blinded trial to be conducted at up to 14 U.S. hospital intensive care units. The study will enroll and evaluate 70 adult patients undergoing renal replacement therapy, who cannot tolerate heparin or are at risk for bleeding. The primary endpoint of the study is mean post-filter activated clotting time using Niyad versus placebo over the first 24 hours. Key secondary endpoints include the mean post-filter activated clotting time over 72 hours, filter lifespan, number of filter changes over 72 hours, number of transfusions over 72 hours and dialysis efficacy (based on urea concentration) over the first 24 hours.

Forward-looking statements

This press release contains forward-looking statements based upon Talphera's current expectations and assumptions. These and any other forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These statements may be identified by the use of forward-looking terminology such as "believe," "expect," "anticipate," "may," "if," "intends," "plans," "potential," "projected," "will," or the negative of these words or other comparable terminology, and include: Talphera's expectation the NEPHRO CRRT clinical study will be completed later this year, and Talphera's belief that nafamostat will fill an unmet need in the market as a regional anticoagulant for CRRT.  Talphera's discussion of its strategy, plans and intentions also include forward-looking statements, which are predictions, projections and other statements about future events that are based on current expectations and assumptions. These forward-looking statements involve risks and uncertainties that could cause actual results to differ materially from those projected, anticipated or implied by such statements, including: (i) risks relating to Talphera's product development activities, including that clinical studies may not be fully enrolled or completed and/or confirm any safety, efficacy or other potential developmental product characteristics described or assumed in this press release; (ii) Talphera's developmental product candidates may not be beneficial to patients or healthcare providers or be successfully commercialized; (iii) risks relating to Talphera's ability to obtain regulatory approvals for its developmental product candidates; (iv) risks related to the ability of Talphera and its business partners to implement development plans, commercial launch plans, forecasts and other business expectations; and (v) risks related to Talphera's liquidity and its ability to maintain capital resources sufficient to conduct its clinical studies. Although it is not possible to predict or identify all such risks and uncertainties, they may include, but are not limited to, those described under the caption "Risk Factors" and elsewhere in Talphera's annual, quarterly and current reports (i.e., Form 10-K, Form 10-Q and Form 8-K) as filed or furnished with the SEC and any subsequent public filings. You are cautioned not to place undue reliance on any such forward-looking statements, which speak only as of the date such statements were first made. To the degree financial information is included in this press release, it is in summary form only and must be considered in the context of the full details provided in Talphera's most recent annual, quarterly or current report as filed or furnished with the SEC. Talphera's SEC reports are available at www.talphera.com under the "Investors" tab. Except to the extent required by law, Talphera undertakes no obligation to publicly release the result of any revisions to these forward-looking statements to reflect new information, events or circumstances after the date hereof, or to reflect the occurrence of unanticipated events.

Selected Financial Data

(in thousands, except per share data)

(unaudited)







 Three Months Ended  



March 31



2026


2025


Statement of Operations Data










Revenue

$                   -


$               27







Operating costs and expenses:





Research and development (1)

1,650


1,169


Selling, general and administrative (1)

2,298


1,774


Total operating costs and expenses

3,948


2,943


Loss from operations

(3,948)


(2,916)







Other expense, net:





Interest income and other income, net 

169


69


Gain on change in fair value of warrant liability

1,223


181


Total other expense, net

1,392


250


Net loss from continuing operations

(2,556)


(2,666)


Net income from discontinued operations

-


73


Net loss 

$          (2,556)


$        (2,593)







Net loss per share attributable to stockholders:










   Basic and diluted, continuing operations

$            (0.04)


$          (0.10)







   Basic and diluted, discontinued operations

$                   -


$            0.00







   Basic and diluted loss per share

$            (0.04)


$          (0.10)


Shares used in computing net loss per share of common
stock, basic and diluted

69,822


26,268







(1)   Includes the following non-cash stock-based
compensation expense:










            Research and development

$                64


$               77


            Selling, general and administrative

150


119


                   Total 

$              214


$             196


 

Selected Balance Sheet Data

(in thousands)






March 31, 2026


December 31, 2025(1)


(Unaudited)


(Unaudited)

Cash, cash equivalents and investments

$           21,108


$                     20,381

Total assets

30,155


29,719

Total liabilities

11,677


12,684

Total stockholders' equity

18,478


17,035


(1) Derived from the audited financial statements as of that date included in the Company's Annual Report on Form 10-K for the year ended December 31, 2025.

 

Reconciliation of Non-GAAP Financial Measures


(Operating Expenses less stock-based compensation expense)








 Three Months Ended  



March 31



(in thousands)



(unaudited)



2026


2025







Operating expenses (GAAP):





Research and development 

$ 1,650


$ 1,169


Selling, general and administrative 

2,298


1,774


Total operating expenses 

3,948


2,943


Less stock-based compensation
expense 

214


196


Operating expenses (non-GAAP) 

$ 3,734


$ 2,747


 

Talphera Logo (PRNewsfoto/Talphera, Inc.)

 

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/talphera-announces-first-quarter-2026-financial-results-and-provides-corporate-update-302769923.html

SOURCE Talphera, Inc.

FAQ

What were Talphera's Q1 2026 financial results for Nasdaq:TLPH?

Talphera reported a Q1 2026 net loss attributable to common shareholders of $2.6 million, or $0.04 per share. According to Talphera, combined R&D and SG&A expenses were $3.9 million, and cash and investments totaled $21.1 million at quarter end.

How much cash did Talphera (TLPH) have as of March 31, 2026?

Talphera reported $21.1 million in cash and investments as of March 31, 2026. According to Talphera, this balance supports ongoing Niyad/nafamostat development, including the NEPHRO CRRT clinical study and general corporate activities during 2026.

What is the status of Talphera's NEPHRO CRRT nafamostat clinical study in 2026?

The NEPHRO CRRT study reached the 35-patient, 50% enrollment milestone in March 2026, with enrollment continuing. According to Talphera, clinical sites and investigators remain focused on recruitment, and study completion is expected in 2026, evaluating nafamostat as a regional anticoagulant for CRRT.

What financing did Talphera (TLPH) close in March 2026?

In March 2026, Talphera closed a $4.1 million third tranche of its March 2025 private placement. According to Talphera, this tranche was triggered upon achieving the 35-patient NEPHRO CRRT enrollment milestone and meeting other conditions tied to the financing agreement.

How did Talphera's Q1 2026 expenses compare with Q1 2025?

Combined R&D and SG&A expenses increased to $3.9 million in Q1 2026 from $2.9 million in Q1 2025. According to Talphera, the rise mainly reflected higher Niyad development costs from increased enrollment and certain higher general and administrative expenses.

How did Talphera's Q1 2026 loss per share change versus 2025 for TLPH?

Talphera's Q1 2026 net loss per basic and diluted share was $0.04, compared with $0.10 in Q1 2025. According to Talphera, the dollar net loss remained $2.6 million in both periods, implying more shares outstanding year over year.

When is Talphera's Q1 2026 earnings conference call and how can investors join?

The Q1 2026 conference call is scheduled for May 13, 2026 at 4:30 p.m. ET. According to Talphera, investors can dial 1-800-836-8184 (North America) or 1-646-357-8785 internationally, or access a webcast via the Investors section of its website.