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Cash runway to 2029 as Bicara (NASDAQ: BCAX) advances Phase 3

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(Moderate)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Bicara Therapeutics reported fourth quarter and full year 2025 results and outlined progress on its lead oncology program ficerafusp alfa. For 2025, net loss was $137.95 million, up from $67.99 million in 2024, driven mainly by higher research and development spending.

Cash, cash equivalents and marketable securities totaled $414.8 million as of December 31, 2025, plus $161.8 million in net proceeds from an oversubscribed public offering in early 2026, and the company expects this to fund operations into the first half of 2029. Bicara initiated Phase 3 of its pivotal FORTIFI-HN01 trial in HPV‑negative head and neck cancer, selected a 1500 mg weekly dose of ficerafusp alfa, and is developing a less frequent loading and every‑three‑week maintenance regimen. Management highlighted plans for substantial FORTIFI‑HN01 enrollment by the end of 2026 and an interim analysis in mid‑2027.

Positive

  • Strong cash position and extended runway: Cash, cash equivalents and marketable securities of $414.8 million at December 31, 2025 plus $161.8 million of net offering proceeds are expected to fund operations into the first half of 2029.
  • Advancement to pivotal Phase 3: Initiation of Phase 3 of the FORTIFI‑HN01 trial in first-line HPV‑negative head and neck squamous cell carcinoma, with an interim analysis planned for mid‑2027, marks a significant late‑stage milestone for ficerafusp alfa.

Negative

  • None.

Insights

Large R&D ramp and financing support pivotal Phase 3 execution.

Bicara is transitioning firmly into a late-stage development company. Research and development expenses nearly doubled to $125.1 million in 2025 as the pivotal FORTIFI‑HN01 study and multiple Phase 1b cohorts advanced, which also drove the higher net loss.

The balance sheet remains a key strength. Year-end cash, cash equivalents and marketable securities of $414.8 million, plus $161.8 million in net proceeds from an oversubscribed offering in early 2026, support management’s guidance that funding extends into the first half of 2029.

Strategically, selection of the 1500 mg weekly ficerafusp alfa dose, initiation of Phase 3 in HPV‑negative head and neck cancer, and development of a less frequent loading and Q3W maintenance regimen position the program for a pivotal readout around mid‑2027. Execution on enrollment timelines, dose optimization, and planned commercial build-out, including hiring a Chief Commercial Officer by the end of 2026, will be central in upcoming disclosures.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
FALSE000202365800020236582026-03-302026-03-30

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________________________
FORM 8-K
___________________________________
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934

Date of Report (date of earliest event reported): March 30, 2026

___________________________________
Bicara Therapeutics Inc.
(Exact name of registrant as specified in its charter)
___________________________________

Delaware
(State or other jurisdiction of
incorporation or organization)
001-42271
(Commission File Number)
83-2903745
(I.R.S. Employer Identification Number)
116 Huntington Avenue, Suite 703
Boston, MA 02116
(Address of principal executive offices and zip code)
(617) 468-4219
(Registrant's telephone number, including area code)
___________________________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
Trading Symbol
Name of each exchange on which registered
Common Stock, $0.0001 par value
BCAX
The Nasdaq Global Market
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 12b-2 of the Exchange Act.
Emerging growth company    
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o




Item 2.02 - Results of Operations and Financial Condition.
On March 30, 2026, Bicara Therapeutics Inc. (the “Company”) issued a press release announcing its financial results and business highlights for the fiscal year and quarter ended December 31, 2025. The full text of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.

The information set forth under Item 2.02 and in Exhibit 99.1 attached hereto is intended to be furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.
Item 9.01 - Financial Statements and Exhibits
(d) The following exhibits are being filed herewith:

Exhibit No.
Description
99.1
Press Release of Bicara Therapeutics Inc., dated March 30, 2026
104
Cover Page Interactive Data File (embedded within the Inline XBRL document)



SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized on this 30th day of March, 2026.



Bicara Therapeutics Inc.
By:
/s/ Claire Mazumdar
Name:
Claire Mazumdar
Title:
Chief Executive Officer


bicaralogo.jpg

Bicara Therapeutics Reports Fourth Quarter and Full Year 2025 Financial Results and Provides Business Update

-- Selected 1500mg weekly of ficerafusp alfa as the optimal dose and initiated Phase 3 of the FORTIFI-HN01 pivotal trial; interim analysis expected mid-2027 --

-- Announced development of a less frequent loading and every-three-week maintenance dose of ficerafusp alfa --

-- Corporate call to discuss financial results and business updates on Monday, March 30, 2026 at 8:30 a.m. ET --

BOSTON, March 30, 2026 – Bicara Therapeutics Inc. (Nasdaq: BCAX) today announced financial results for the fourth quarter and full year ended December 31, 2025 and provided a business update.

“Bicara enters the year with exceptional momentum across our clinical, regulatory, and corporate priorities,” said Claire Mazumdar, Ph.D., Chief Executive Officer at Bicara Therapeutics. “The continued advancement of our pivotal FORTIFI-HN01 study, the robust body of clinical data supporting ficerafusp alfa’s differentiated profile, and the alternate dosing option for ficerafusp alfa all underscore the significant progress we’ve made toward transforming outcomes for patients with HPV negative head and neck cancer. Coupled with our fortified financial position from our recent financing, we are well positioned to execute on our milestones, scale our organization for potential commercialization, if approved, and deliver meaningful value for patients and shareholders throughout the year.”

Fourth Quarter 2025 Highlights and Recent Progress

FORTIFI-HN01: Pivotal Phase 2/3 Clinical Trial of Ficerafusp Alfa in First Line (1L) Recurrent or Metastatic (R/M) HPV-Negative Head and Neck Squamous Cell Carcinoma (HNSCC)

Selected 1500mg of ficerafusp alfa as the optimal dose for the treatment of 1L HPV-negative R/M HNSCC in Phase 3 of the FORTIFI-HN01 pivotal trial.
Initiated Phase 3 of the FORTIFI-HN01 study, and expect to be substantially enrolled by the end of the year.
Announced plans to develop ficerafusp alfa with a loading and every-three-week (Q3W) maintenance schedule, with the goal of achieving regulatory alignment to enable data generation for potential U.S. approval. 









Phase 1b Data of Ficerafusp Alfa in 1L R/M HPV-Negative HNSCC

Presented Phase 1b data at the European Society of Medical Oncology (ESMO) Asia Congress 2025 demonstrating that ficerafusp alfa 750mg QW plus pembrolizumab was generally well tolerated with an ORR comparable to 1500mg QW. Read the full presentation here. Biomarker analyses demonstrated that the 1500mg dose achieved greater TGF-β inhibition, stronger immune activation, and deeper clinical responses, supporting higher dose selection and further derisking the ORR interim analysis for the FORTIFI-HN01 pivotal study.
Presented Phase 1b data at the 2026 Multidisciplinary Head and Neck Cancers Symposium (MHNCS) showing that ficerafusp alfa 2000mg Q2W plus pembrolizumab was generally well‑tolerated and produced rapid, deep, and durable responses. Read the full presentation here. Updated biomarker analyses confirmed that the 2000mg Q2W regimen maintains TGF‑β inhibition and immune activation consistent with the differentiated profile of 1500mg QW, supporting development of a loading and Q3W maintenance schedule that maintains efficacy and safety while providing additional convenience.

Development of Ficerafusp Alfa Across Other Solid Tumor Types

Continued to enroll a Phase 1b expansion cohort evaluating ficerafusp alfa both as monotherapy and in combination with pembrolizumab in patients with 3L+ metastatic colorectal cancer (mCRC) (RAS/BRAF wild type MSS).

Corporate Highlights

Raised net proceeds of $161.8 million through an oversubscribed public offering. Net proceeds from the offering will be used to further invest in and build Bicara’s medical and commercial infrastructure to support a planned regulatory filing and commercial launch for ficerafusp alfa, if approved, in the U.S.; to further accelerate the development of ficerafusp alfa in 1L R/M HPV-negative HNSCC, including a less frequent dosing schedule; to fund manufacturing costs for ficerafusp alfa for ongoing and anticipated drug development efforts; to fund early signal-finding to support future indication expansion for ficerafusp alfa; and for other general corporate purposes.

Key Anticipated Upcoming Milestones

HNSCC 

Present long-term follow-up data from Phase 1b study of ficerafusp alfa in combination with pembrolizumab in 1L R/M HPV-negative HNSCC at the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting, which will be held from May 29-June 2, 2026 in Chicago, IL.
Achieve substantial enrollment in FORTIFI-HN01 pivotal study by the end of 2026 to enable interim analysis readout in the middle of 2027.  
Make critical commercial hires, including a Chief Commercial Officer, by the end of 2026 to advance organizational preparation for launch readiness. 








Other Solid Tumors, Including mCRC 

Present data from Phase 1b expansion cohort evaluating ficerafusp alfa both as monotherapy and in combination with pembrolizumab in patients with 3L+ mCRC (RAS/BRAF wild type MSS) in the second half of 2026.  

Fourth Quarter 2025 Financial Results

Cash, Cash Equivalents and Marketable Securities: As of December 31, 2025, Bicara had cash, cash equivalents and marketable securities of $414.8 million, compared to $489.7 million in cash and cash equivalents as of December 31, 2024. An additional $161.8 million in net proceeds was raised via an oversubscribed public offering in the first quarter of 2026. Based on its current operating and development plans, the Company expects that its existing cash, cash equivalents and marketable securities will fund operations into the first half of 2029.

Research and Development Expenses: Research and development expenses were $33.0 million for the fourth quarter of 2025 as compared to $19.9 million for the fourth quarter of 2024, and $125.1 million for the full year 2025 as compared to $63.6 million for the full year 2024. The increase was primarily due to costs associated with ongoing pivotal Phase 2/3 clinical trial, FORTIFI-HN01, as well as the Company’s ongoing Phase 1/1b dose expansion cohorts, and an increase in personnel costs.

General and Administrative Expenses: General and administrative expenses were $8.1 million for the fourth quarter of 2025 as compared to $6.8 million for the fourth quarter of 2024, and $30.5 million for the full year 2025 as compared to $18.8 million for the full year 2024. The increase was primarily due to additional personnel costs and professional fees to support advancement of our clinical trials and operations as a public company.

Net Loss: Net loss totaled $37.4 million and $138.0 million for the fourth quarter and full year ended December 31, 2025, respectively as compared to $21.0 million and $68.0 million for the fourth quarter and full year ended December, 31, 2024, respectively.

Upcoming Investor Conferences

Bicara Therapeutics will participate in one upcoming investor conference: 

BofA Securities Health Care Conference 2026 on Wednesday, May 13, 2026 at 9:20 a.m. PT.

A live webcast of the fireside chat will be accessible through the Investor Relations section of Bicara’s website under Events and Presentations. A replay of the webcast will be archived and available for 30 days following the event.











Conference Call Information

Bicara will host a live conference call and webcast at 8:30 a.m. ET today to discuss fourth quarter and full year 2025 financial results and recent business activities. Individuals may register for the conference call by clicking the link here. Once registered, participants will receive dial-in details and a unique PIN that will allow them to access the call. An audio webcast will be accessible through the Investor Relations section of Bicara’s website under Events and Presentations. An archived replay will also be available for 30 days following the event.

About Bicara Therapeutics

Bicara is a clinical-stage biopharmaceutical company committed to bringing transformative bifunctional therapies to patients with solid tumors. Bicara has built a platform designed to facilitate the development of bifunctional therapies that precisely target the tumor and deliver a tumor-modulating payload to the tumor site. This approach was deployed in the development of Bicara’s lead program ficerafusp alfa, formerly BCA101, a bifunctional epidermal growth factor receptor (EGFR) directed monoclonal antibody bound to a human transforming growth factor beta (TGF-β) ligand trap. By combining these two clinically validated targets, ficerafusp alfa has the potential to exert potent anti-tumor activity by simultaneously blocking both cancer cell-intrinsic EGFR survival and proliferation, as well as the immunosuppressive TGF-β signaling within the tumor microenvironment (TME). Ficerafusp alfa directs the TGF-β inhibitor into the immediate TME through the binding of EGFR on tumor cells, which Bicara believes will lead to deep and durable responses and an increase in overall survival, while reducing the potential adverse effects previously associated with systemic TGF-β inhibition. Ficerafusp alfa is being developed in head and neck squamous cell carcinoma, where there remains a significant unmet need, as well as other solid tumor types. For more information, please visit www.bicara.com or follow us on LinkedIn and X.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. These statements may be identified by words such as “may,” “might,” “will,” “could,” “would,” “should,” “plan,” “anticipate,” “intend,” “believe,” “expect,” “estimate,” “seek,” “predict,” “future,” “project,” “potential,” “continue,” “target” and similar words or expressions, or the negative thereof, are intended to identify forward-looking statements, although not all contain identifying words. Any statements in this press release that are not statements of historical fact may be deemed to be forward-looking statements. These forward-looking statements include, without limitation, Bicara’s strategy, business plans and focus; express or implied statements regarding the clinical development of ficerafusp alfa, including anticipated substantial enrollment of the FORTIFI-HN01 pivotal trial by the end of 2026 and interim analysis readout in mid-2027, the expansion cohorts of Bicara’s Phase 1/1b trial of ficerafusp alfa and the timing of future data releases; the expected therapeutic potential and clinical benefits of ficerafusp alfa, including potential efficacy, depth, durability and tolerability; the potential for a less frequent loading and Q3W maintenance dose, including future data generation, timing of regulatory alignment, and expectations for safety, efficacy and convenience of this dosing schedule; Bicara’s ability to scale and prepare for potential commercialization of ficerafusp alfa, including the planned hiring of a Chief Commercial Officer by the end of 2026; the potential for U.S. regulatory approval and launch of ficerafusp alfa; and Bicara’s expected operating expenses and capital expenditure requirements, including its cash runway into the first half of 2029. Any forward-looking statements in this press release are based on management's current expectations and beliefs and are subject to a number of risks and uncertainties that are difficult to predict. Factors that could cause actual results to differ include, but are not limited to, risks relating to Bicara’s research and development activities; Bicara’s ability to execute on its business plans and strategy, including obtaining the requisite regulatory approvals on the expected timeline, if at all; uncertainties relating to the clinical development of ficerafusp alfa; the Company’s dependence on third parties; risks related to the Company’s financial



condition and need for additional funds in order to commercialize ficerafusp alfa, if approved; risks related to regulatory developments and approval processes of the U.S. Food and Drug Administration and comparable foreign regulatory authorities; risks related to establishing and maintaining Bicara’s intellectual property protections; and risks related to the competitive landscape for ficerafusp alfa; as well as other risks described in “Risk Factors,” in Bicara’s most recent Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q, as well as discussions of potential risks, uncertainties, and other important factors in Bicara’s subsequent filings with the U.S. Securities and Exchange Commission (SEC). In addition, any forward-looking statements represent Bicara’s views only as of today and should not be relied upon as representing its views as of any subsequent date. Bicara explicitly disclaims any obligation to update any forward-looking statements. No representations or warranties (expressed or implied) are made about the accuracy of any such forward-looking statements.

Bicara intends to use its Investor Relations website as a means of disclosing material nonpublic information and for complying with its disclosure obligations under Regulation FD. Accordingly, investors should monitor the Company’s Investor Relations website, in addition to following the Company’s press releases, SEC filings, public conference calls, presentations, and webcasts.



BICARA THERAPEUTICS INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(in thousands except shares and per share data)

Three Months Ended December 31,Year Ended December
31,
2025202420252024
Operating expenses
Research and development$32,990 $19,883 $125,096 $63,619 
General and administrative8,132 6,754 30,508 18,770 
Total operating expenses1
41,122 26,637 155,604 82,389 
Loss from operations(41,122)(26,637)(155,604)(82,389)
Other income
Interest income3,789 5,866 17,871 14,581 
Total other income3,789 5,866 17,871 14,581 
Net loss before income taxes(37,333)(20,771)(137,733)(67,808)
Income tax expense(53)(186)(217)(187)
Net loss$(37,386)$(20,957)$(137,950)$(67,995)
Net Loss per share, basic and diluted$(0.68)$(0.39)$(2.52)$(4.05)
Weighted-average number common shares outstanding, basic and diluted55,142,25254,424,60754,676,89616,805,524
Other comprehensive income:
Unrealized gain on marketable securities, net of tax379 — 243 — 
Total other comprehensive income379 — 243 — 
Total comprehensive loss$(37,007)$(20,957)$(137,707)$(67,995)
1 Expenses include the following non-cash stock-based compensation expense
Research & Development$1,884 $1,040 $5,568 $2,084 
General and administrative2,565 2,141 9,438 5,313 
Total stock-based compensation expense.$4,449 $3,181 $15,006 $7,397 









BICARA THERAPEUTICS INC.
CONSOLIDATED BALANCE SHEETS
(in thousands)


December 31, 2025December 31, 2024
Assets
Current assets:
Cash and cash equivalents$96,685$489,711
Prepaid expenses and other assets7,25212,822
Marketable securities318,116
Total current assets422,053502,533
Property and equipment, net330155
Right of use asset – operating lease1,701690
Other assets6,9106,618
Total assets$430,994$509,996
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable$5,515$3,893
Accounts payable – related party2,278615
Accrued expenses and other current liabilities18,89812,875
Accrued expenses and other current liabilities – related party1,141
Operating lease liability – current portion1,117607
Total current liabilities28,94917,990
Operating lease liability – net of current portion593131
Total liabilities29,54218,121
Total stockholders' equity401,452491,875
Total liabilities and stockholders’ equity$430,994$509,996













Contacts

Investors
Rachel Frank
IR@bicara.com

Media
Amanda Lazaro
1AB
Amanda@1abmedia.com

FAQ

How did Bicara Therapeutics (BCAX) perform financially in 2025?

Bicara reported a full year 2025 net loss of $137.95 million, compared with $67.99 million in 2024. Higher research and development and general and administrative expenses, reflecting expanded clinical programs and public company operations, were the main drivers of the increased loss.

What is Bicara Therapeutics’ cash position and runway after 2025?

As of December 31, 2025, Bicara held $414.8 million in cash, cash equivalents and marketable securities. Together with $161.8 million in net proceeds from an oversubscribed early 2026 offering, management expects this to fund operations into the first half of 2029.

What progress did Bicara Therapeutics (BCAX) report on ficerafusp alfa?

Bicara selected 1500 mg weekly of ficerafusp alfa as the optimal dose and initiated Phase 3 of the pivotal FORTIFI‑HN01 trial in first-line HPV‑negative head and neck cancer. The company also is developing a loading and every‑three‑week maintenance dosing schedule.

When is the pivotal FORTIFI-HN01 interim analysis expected for Bicara?

Bicara aims to substantially enroll the pivotal FORTIFI‑HN01 study by the end of 2026, enabling an interim analysis in the middle of 2027. This trial evaluates ficerafusp alfa plus pembrolizumab in first-line recurrent or metastatic HPV‑negative head and neck cancer.

What are Bicara Therapeutics’ key upcoming clinical milestones?

Bicara plans to present long-term Phase 1b head and neck data at ASCO 2026, achieve substantial FORTIFI‑HN01 enrollment by end of 2026, and present Phase 1b colorectal cancer expansion data in the second half of 2026, while preparing for potential commercialization of ficerafusp alfa.

Filing Exhibits & Attachments

4 documents
Bicara Therapeutics

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