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X4 Pharmaceuticals Reports Third Quarter 2025 Financial Results and Provides Corporate Update

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X4 Pharmaceuticals (Nasdaq: XFOR) reported Q3 2025 results and a corporate update focused on advancing the 4WARD Phase 3 trial of mavorixafor for chronic neutropenia. The company completed two financings totaling $240.3M and said cash runway now extends to the end of 2028, supporting trial completion, a potential sNDA filing and a possible 2028 launch if successful. Operational changes include a 50% workforce reduction (estimated $13M annualized savings), deprioritization of WHIM commercialization, promotion of John Volpone to COO, and an increased 4WARD enrollment target of 176 patients with completion expected in Q3 2026.

Q3 net product sales were $1.6M, Q3 net loss was $29.8M (EPS -$0.69), and cash, cash equivalents and short-term investments were $122.2M as of Sept 30, 2025.

X4 Pharmaceuticals (Nasdaq: XFOR) ha riportato i risultati del terzo trimestre 2025 e un aggiornamento aziendale focalizzato sul progresso del 4WARD Phase 3 trial di mavorixafor per la neutropenia cronica. L'azienda ha completato due finanziamenti per un totale di $240.3M e ha dichiarato che la runway di cassa si estende ora fino alla fine del 2028, supportando il completamento dello studio, un'eventuale richiesta sNDA e un possibile lancio nel 2028 se avrà successo. Le modifiche operative includono una riduzione del 50% del personale (risparmi annualizzati stimati $13M), la deprioritizzazione della commercializzazione WHIM, la promozione di John Volpone a COO e un aumento dell'obiettivo di reclutamento per il 4WARD a 176 pazienti con completamento previsto nel Q3 2026.

I ricavi netti del Q3 da prodotto erano $1.6M, la perdita netta del Q3 era $29.8M (EPS -$0.69), e la cassa, equivalenti di cassa e investimenti a breve termine erano $122.2M al 30 settembre 2025.

X4 Pharmaceuticals (Nasdaq: XFOR) informó resultados del 3T 2025 y una actualización corporativa centrada en avanzar en el ensayo 4WARD Phase 3 de mavorixafor para neutropenia crónica. La empresa completó dos financiamientos por un total de $240.3M y afirmó que la reserva de efectivo se extiende ahora hasta el final de 2028, apoyando la finalización del ensayo, una potencial presentación de sNDA y un posible lanzamiento en 2028 si tiene éxito. Los cambios operativos incluyen una reducción de plantilla del 50% (ahorros anuales estimados de $13M), la despriorización de la comercialización de WHIM, la promoción de John Volpone a COO y un aumento del objetivo de reclutamiento del 4WARD a 176 pacientes con finalización prevista en Q3 2026.

Las ventas netas de productos en el 3T fueron $1.6M, la pérdida neta del 3T fue $29.8M (EPS -$0.69), y el efectivo, equivalentes de efectivo y inversiones a corto plazo eran $122.2M a 30 de septiembre de 2025.

X4 Pharmaceuticals (Nasdaq: XFOR)는 2025년 3분기 실적과 4WARD Phase 3의 mavorixafor를 통한 만성 호중구감소증 치료를 중심으로 한 기업 업데이트를 발표했습니다. 회사는 총 $240.3M의 두 차례 자금 조달을 완료했고 현금 잔여 기간이 이제 2028년 말까지 연장되어 연구 완료, sNDA 제출 가능성, 성공 시 2028년 출시의 가능성을 뒷받침합니다. 운영 변화로는 직원 50%의 감축(연간 예상 절감 $13M), WHIM 상용화의 우선순위 축소, John Volpone를 COO로 승진, 4WARD 등록 목표를 176명으로 상향, 완료 예정을 2026년 3분기로 설정했습니다.

3분기 순제품 매출은 $1.6M, 3분기 순손실은 $29.8M (EPS -$0.69), 현금 및 현금등가물과 단기투자는 2025년 9월 30일 기준 $122.2M였습니다.

X4 Pharmaceuticals (Nasdaq: XFOR) a publié les résultats du T3 2025 et une mise à jour corporate axée sur l'avancement du essai 4WARD Phase 3 de mavorixafor pour la neutropénie chronique. L'entreprise a finalisé deux financements pour un total de $240.3M et a déclaré que la runway de trésorerie s'étend désormais jusqu'à fin 2028, soutenant l'achèvement de l'essai, une éventuelle demande d sNDA et un possible lancement en 2028 si le succès est au rendez-vous. Les changements opérationnels incluent une réduction de 50% des effectifs (économies annuelles estimées à $13M), la dépriorisation de la commercialisation de WHIM, la promotion de John Volpone au poste de COO et un objectif d'inscription au 4WARD porté à 176 patients avec une achèvement prévu pour Q3 2026.

Les ventes nettes de produits au T3 étaient $1.6M, la perte nette du T3 était $29.8M (EPS -$0.69), et la trésorerie, les équivalents de trésorerie et les investissements à court terme s'élevaient à $122.2M au 30 septembre 2025.

X4 Pharmaceuticals (Nasdaq: XFOR) berichtete über die Ergebnisse des 3. Quartals 2025 und ein Unternehmensupdate mit Fokus auf die Fortführung der 4WARD Phase 3-Studie von Mavorixafor zur chronischen Neutropenie. Das Unternehmen schloss zwei Finanzierungen über insgesamt $240.3M ab und gab an, dass die Barreserve jetzt bis zum Ende 2028 reicht, um den Abschluss der Studie, eine mögliche sNDA-Anmeldung und eine mögliche Markteinführung im Jahr 2028 zu unterstützen, falls erfolgreich. Zu den operativen Änderungen gehört eine 50%-Reduzierung der Belegschaft (geschätzte jährliche Einsparungen von $13M), die Abpriorisierung der WHIM-Kommerzialisierung, die Beförderung von John Volpone zum COO und eine erhöhte Rekrutierungszielung für das 4WARD auf 176 Patienten mit einem Abschluss geplant für Q3 2026.

Der Nettoumsatz aus Produkten im Q3 betrug $1.6M, der Nettoverlust im Q3 betrug $29.8M (EPS -$0.69), und Bargeld, Zahlungsmitteläquivalente und kurzfristige Investitionen beliefen sich zum 30. Sept. 2025 auf $122.2M.

X4 Pharmaceuticals (Nasdaq: XFOR) أبلغت عن نتائج الربع الثالث من 2025 وتحديثاً تنفيذيّاً يركز على تقدم تجربة 4WARD Phase 3 من مافوريكسافور لعلاج نقص المحببات المزمن. أكملت الشركة تمويلاًين بإجمالي $240.3M وقالت إن مدى النقد المتاح يمتد حتى نهاية 2028، وهو ما يدعم إتمام الدراسة، وتقديم sNDA محتمل وإطلاق محتمل في 2028 إذا كان ناجحاً. تشمل التغييرات التشغيلية خفضاً بنسبة 50% في القوة العاملة (وفورات سنوية تقديرية تبلغ $13M)، تقليل الأولوية لتسويق WHIM، ترقية جون فولوپوني إلى COO، وزيادة هدف التسجيل في 4WARD إلى 176 مريضاً مع توقع الإنهاء في الربع الثالث 2026.

بلغت مبيعات المنتجات الصافية في الربع الثالث $1.6M، وكانت الخسارة الصافية للربع الثالث $29.8M (EPS -$0.69)، وكانت النقدية وما يعادلها والاستثمارات قصيرة الأجل $122.2M حتى 30 سبتمبر 2025.

Positive
  • Two financings totaling $240.3M closed in 2025
  • Cash runway extended to end of 2028
  • 4WARD enrollment target increased to 176 patients
  • Annualized cost savings of approximately $13M from workforce reduction
Negative
  • Q3 2025 net loss of $29.8M (EPS -$0.69)
  • Nine-month operating loss of $63.2M through Sept 30, 2025
  • Net income in prior year turned to a $55.3M loss year-to-date
  • Low Q3 product sales of $1.6M in the US

Insights

X4 secured funding and extended runway to end of 2028, refocusing on a Phase 3 pivotal trial for chronic neutropenia.

X4 Pharmaceuticals shifted corporate priority to complete the 4WARD Phase 3 pivotal trial of mavorixafor in moderate and severe chronic neutropenia, increased enrollment to 176 patients, and now expects enrollment complete in Q3 2026. The company raised gross proceeds of $240.3M from two financings and reported net product sales of $1.6M in Q3 and $4.3M year‑to‑date, with operating and net losses narrowing in the quarter versus year‑ago.

The strengthened cash position and stated runway to the end of 2028 directly enable completion of the trial and a potential sNDA filing and launch by that timeframe, provided the trial meets its endpoints. Key near‑term risks include the higher enrollment target and timeline execution to Q3 2026, the operational impact of a 50% workforce reduction (estimated annualized savings $13M), and the deprioritization of WHIM commercialization which may reduce near‑term revenue upside. Watch enrollment progress, announced trial milestones and any disclosures about trial endpoints or safety, and the company's cash burn relative to planned milestones through 2028.

Company’s strategic focus and highest priority is now the advancement of the 4WARD Phase 3 chronic neutropenia trial
Previously announced workforce reductions resulted in $13M annualized cost savings
Successful completion of two financial transactions totaling $240.3M; cash runway now extends to the end of 2028

BOSTON, Nov. 05, 2025 (GLOBE NEWSWIRE) -- X4 Pharmaceuticals (Nasdaq: XFOR), a company driven to improve the lives of people with rare hematology diseases, today reported financial results for the third quarter ended September 30, 2025 and provided a corporate update.

“The third quarter of 2025 was a time of corporate restructuring at X4 with the start of a new leadership team and a renewed focus on chronic neutropenia,” said Adam Craig, M.D., Ph.D., Executive Chairman of X4 Pharmaceuticals. “With a strengthened financial position through two successful financings totaling $240.3 million, our primary focus is now on the completion of the 4WARD Phase 3 pivotal trial of mavorixafor in patients with moderate and severe chronic neutropenia, which has a potential addressable market of 15,000 patients in the US. With a cash runway to the end of 2028, we are now positioned to unlock mavorixafor’s full potential and to establish X4 as a world-class rare hematology company.”

Recent Accomplishments and Updates

  • Since early August, the Company has initiated a number of measures to restructure its operations:
    • A shift in the primary focus of the Company to the successful completion of the 4WARD Phase 3 pivotal trial of mavorixafor in patients with moderate and severe chronic neutropenia.
    • A deprioritization of the commercialization of mavorixafor (XOLREMDI) for patients with WHIM syndrome, while maintaining patient access.
    • A 50% reduction in the workforce (expected to generate approximately $13 million in annualized cost savings) with continued cost cutting measures.
    • An increase in the enrollment target for the pivotal Phase 3 4WARD study to 176 patients with enrollment now expected to be completed in third quarter of 2026.
    • The promotion of John Volpone to the role of Chief Operating Officer, in addition to his responsibilities as President.
    • Dr. Adam Craig expanded his role to include oversight of clinical development activities.
  • Since August, the Company raised $240.3 million in gross proceeds from two successful financings: the closing of a $155.3 million underwritten public offering and an $85 million upsized private placement.
  • With a strengthened cash runway to the end of 2028, X4 is now expected to be able to complete the 4WARD trial, file a potential sNDA for the chronic neutropenia indication, and, if successful, launch mavorixafor in this new indication by the end of 2028.

Third-Quarter and Recent 2025 Financial Results
Net product sales of $1.6 million and $4.3 million for the three and nine months ended September 30, 2025, respectively, were entirely attributable to XOLREMDI product sales in the United States. Net product sales were $0.6 million and $1.1 million for the three and nine months ended September 30, 2024, respectively. License and other revenue of $0.2 million and $28.3 million for the three and nine months ended September 30, 2025, respectively, were entirely attributable to the Company’s Norgine out-licensing agreement. Operating loss was $27.5 million and $34.5 million for the three months ended September 30, 2025, and 2024, respectively, and $63.2 million and $0.7 million for the nine months ended September 30, 2025, and 2024, respectively. The decrease in operating loss between the three-month periods ended September 30, 2025, and 2024 was primarily attributable to the impact of our 2025 Strategic Restructuring activities. Operating expenses for the nine months ended September 30, 2024, are net of a gain of $105.0 million realized on the sale of a priority review voucher. Exclusive of this gain, the decrease in operating loss between the nine-month periods ended September 30, 2025, and 2024 was primarily attributable to the impact of the Company’s strategic restructuring activities undertaken in 2025.

Net loss for the three months ended September 30, 2025 was $29.8 million, or $0.69 for basic and diluted loss per share, compared to net loss of $36.7 million, or $5.48 for basic and diluted loss per share, for the same period in 2024. Net loss for the nine months ended September 30, 2025 was $55.3 million, or $2.87 for basic and diluted loss per share, compared to net income of $2.4 million, or $0.35 for basic and diluted income per share, for the same period in 2024.

Cash, cash equivalents and short-term investments totaled $122.2 million for the period ended September 30, 2025. On October 27, 2025, the Company completed a public offering with net proceeds of $145.6 million, which management believes will enable the Company to fund its operations into the end of 2028.

About Chronic Neutropenia and Mavorixafor
Chronic neutropenia is a primary, rare blood condition lasting more than three months, persistently or intermittently, and characterized by low levels of circulating neutrophils and increased risk of serious and life-threatening infections and reduced quality of life due to abnormally low levels of neutrophils circulating in the blood. Neutrophils are retained in the bone marrow by the CXCR4/CXCL12 axis, creating a reserve of cells. Downregulation of the CXCR4 receptor by mavorixafor, an orally active CXCR4 antagonist, has been shown to mobilize functional neutrophils from the bone marrow into the peripheral blood across multiple disease states. The level of circulating neutrophils is typically measured by drawing blood to determine the absolute neutrophil count (ANC).

About the 4WARD Clinical Trial
The 4WARD trial is a global, pivotal Phase 3 clinical trial (NCT06056297) evaluating the efficacy, safety, and tolerability of oral, once-daily mavorixafor (with or without G-CSF) in patients with congenital, acquired primary autoimmune, or idiopathic chronic neutropenia who are experiencing recurrent and/or serious infections. The 52-week trial is a randomized, double-blind, placebo-controlled, multicenter study aiming to enroll 176 patients with confirmed trough ANC levels less than 1,000 cells per microliter at baseline screening and histories of two or more serious and/or recurrent infections in the prior year. The primary endpoints of the study are the reduction in annualized infection rate and positive ANC response.

About X4 Pharmaceuticals
X4 is delivering progress for patients by developing and commercializing innovative therapies for those with rare hematology diseases and significant unmet needs. Leveraging expertise in CXCR4, X4 has successfully developed mavorixafor, an orally available CXCR4 antagonist that is currently being marketed in the U.S. as XOLREMDI® in its first indication. The company is also evaluating additional uses of mavorixafor and is conducting a global, pivotal Phase 3 clinical trial (4WARD) in patients with certain chronic neutropenic disorders. X4 is headquartered in Boston, Massachusetts. For more information, please visit www.x4pharma.com.

X4 Forward Looking Statements
This press release contains forward-looking statements within the meaning of applicable securities laws, including the Private Securities Litigation Reform Act of 1995, as amended. These statements may be identified by the words “may,” “will,” “could,” “would,” “should,” “expect,” “plan,” “anticipate,” “intend,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “target,” or other similar terms or expressions that concern X4’s expectations, strategy, plans, or intentions. Forward-looking statements include, without limitation, implied or express statements regarding the expected cost savings from the workforce reduction, the expected results of the restructuring of business operations, the sufficiency of the Company’s cash resources and its expected cash runway, the potential addressable market for moderate and severe chronic neutropenia, the timing for launch of mavorixafor and future plans for the Company. Any forward-looking statements in this press release are based on management’s current expectations and beliefs. These forward-looking statements are neither promises nor guarantees of future performance, and are subject to a variety of risks and uncertainties, many of which are beyond X4’s control, which could cause actual results to differ materially from those contemplated in these forward-looking statements, including the risks that: the workforce reduction does not result in the anticipated cost savings described herein; the results of the restructuring of business operations are not as anticipated; and other risks and uncertainties, including those described in the section entitled “Risk Factors” in X4’s most recent Annual Report on X4’s Form 10-K, as well as in other filings X4 makes with the Securities and Exchange Commission, including its quarterly report on Form 10-Q, from time to time. X4 undertakes no obligation to update the information contained in this press release to reflect new events or circumstances, except as required by law.

X4 Investor Contact:
IR@X4pharma.com

(Tables Follow)
 


X4 PHARMACEUTICALS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
(unaudited)
 
 Three Months Ended
September 30,
 Nine Months Ended
September 30,
 
 2025
 2024
 2025
 2024
 
License and other revenue$199  $  $28,293  $  
Product revenue, net 1,566   560   4,252   1,123  
        Total revenue 1,765   560   32,545   1,123  
Costs and operating expenses:                
Cost of revenue 351   227   5,393   495  
Research and development 17,337   19,173   54,202   59,941  
Selling, general and administrative 11,586   15,660   36,134   46,373  
Gain on sale of non-financial asset          (105,000) 
        Total operating expenses 29,274   35,060   95,729   1,809  
Loss from operations (27,509)  (34,500)  (63,184)  (686) 
Other income, net (2,336)  (2,181)  7,951   3,109  
(Loss) income before provision for income taxes (29,845)  (36,681)  (55,233)  2,423  
Provision for income taxes (30)  15   41   52  
Net (loss) income$(29,815) $(36,696) $(55,274) $2,371  
Net (loss) income per share- basic.$(0.69) $(5.48) $(2.87) $0.35  
Weighted average shares outstanding-basic 43,273   6,696   19,243   6,681  
Net (loss) income per share- diluted$(0.69) $(5.48) $(2.87) $0.35  
Weighted average shares outstanding-diluted 43,273   6,696   19,243   6,687  
                 

Balance Sheet Data (unaudited)

 (amounts in thousands) 
 September 30, 2025 December 31, 2024 
Cash and cash equivalents$69,632 $55,699 
Accounts receivable 891  1,070 
Marketable securities 52,562  46,361 
Working capital 109,299  79,298 
Total assets 163,555  146,447 
Current portion of long-term debt    
Total stockholders' equity 61,619  22,149 

FAQ

What did X4 Pharmaceuticals (XFOR) announce on November 5, 2025 regarding the 4WARD Phase 3 trial?

X4 said it is prioritizing completion of the 4WARD Phase 3 trial, increased enrollment to 176 patients, with enrollment expected complete by Q3 2026.

How much funding did XFOR raise in 2025 and what is the cash runway?

X4 raised $240.3M from two financings and management expects a cash runway to the end of 2028.

What were XFOR's Q3 2025 financial highlights including net loss and product sales?

Q3 2025 net loss was $29.8M (EPS -$0.69) and Q3 net product sales were $1.6M.

What cost reductions did X4 Pharmaceuticals (XFOR) implement in 2025?

The company reduced its workforce by 50%, expected to generate about $13M in annualized savings.

Will XFOR pursue commercial launch for mavorixafor in chronic neutropenia and by when?

X4 aims to complete 4WARD, file a potential sNDA, and, if successful, launch mavorixafor in the new indication by the end of 2028.

How does X4 plan to handle WHIM syndrome commercialization after the restructuring?

X4 said it will deprioritize WHIM commercialization while maintaining patient access to mavorixafor.
X4 Pharmaceuticals Inc

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Biotechnology
Biological Products, (no Disgnostic Substances)
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United States
BOSTON