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MeiraGTx (Nasdaq: MGTX) gains FDA breakthrough tag and extends debt maturity

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

Rhea-AI Filing Summary

MeiraGTx Holdings plc amended its credit facility with Perceptive, extending the notes’ maturity from August 2, 2026 to May 2, 2027 and committing to redeem $25.0 million of principal on or before June 30, 2026. Related warrants for 700,000 ordinary shares were repriced to $8.00 per share. The company reported 2025 revenue of $81.4 million, driven by a $75.0 million upfront license payment from Eli Lilly, and a net loss of $114.2 million versus $147.8 million in 2024. Cash and cash equivalents were $65.9 million as of December 31, 2025. Management believes existing cash, receivables and collaboration funding can support operations into the second half of 2027 and cover scheduled debt repayments of $25.0 million due June 2026 and $50.0 million due May 2027. The FDA granted Breakthrough Therapy Designation to AAV2-hAQP1 for Grade 2/3 radiation-induced xerostomia, and the company highlighted strategic collaborations with Eli Lilly and Hologen and progress in its riboswitch gene regulation platform.

Positive

  • None.

Negative

  • None.

Insights

Breakthrough designation, major partnerships and runway extension strengthen MeiraGTx’s position.

MeiraGTx secured FDA Breakthrough Therapy Designation for AAV2-hAQP1 in Grade 2/3 radiation‑induced xerostomia, underscoring clinical promise in a high‑need indication. It also advanced AAV‑GAD for Parkinson’s disease and riboswitch programs toward later‑stage development.

Financially, 2025 revenue rose to $81.4 million, driven by $75.0 million of license revenue from the Eli Lilly collaboration. Net loss narrowed to $114.2 million, and the company ended the year with $65.9 million in cash and cash equivalents plus additional receivables.

Management believes current resources, $55.0 million received in early 2026, and the remaining $95.0 million from the Hologen collaboration can fund operations into the second half of 2027 and cover $75.0 million of scheduled debt repayments. Additional potential milestones from Lilly and Johnson & Johnson Innovative Medicine, if achieved, could further enhance flexibility.

0001735438false00017354382026-03-252026-03-25

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 25, 2026

MeiraGTx Holdings plc

(Exact name of registrant as specified in its charter)

Cayman Islands

  ​ ​ ​

001-38520

  ​ ​ ​

98-1448305

(State or other jurisdiction of incorporation or
organization)

 

(Commission File Number)

 

(I.R.S. Employer Identification No.)

655 Third Avenue, Suite 1115

New York, NY 10017

(Address of principal executive offices) (Zip code)

(646) 860-7985

(Registrant’s telephone number, including area code)

Not applicable

(Former name or former address, if changed since last report)

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(s)

  ​ ​ ​

Name of each exchange

on which registered

Ordinary Shares, $0.00003881 par
value per share

 

MGTX

 

The Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

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.  

Item 1.01.     Entry Into a Material Definitive Agreement.

On March 25, 2026, MeiraGTx Holdings plc (the “Company”), as issuer, and its wholly-owned subsidiaries MeiraGTx UK II Limited, a company incorporated in England and Wales (“MeiraGTx UK II”), and MeiraGTx Ireland DAC, a designated activity company limited by shares incorporated in Ireland (“MeiraGTx Ireland,” and together with MeiraGTx UK II, the “Subsidiary Guarantors”), the noteholders and other parties from time to time party to the Notes Purchase Agreement (as defined below), and Perceptive Credit Holdings III, LP, as administrative agent and noteholder under the Notes Purchase Agreement (“Perceptive”), entered into Amendment No. 4 to Amended and Restated Notes Purchase Agreement and Amendment No. 1 to Warrant Certificates (the “Amendments”). The Amendments amend (A) the Amended and Restated Notes Purchase Agreement and Guaranty, dated December 19, 2022, between the Company, the Subsidiary Guarantors, the noteholders and other parties from time to time party thereto, and Perceptive (the “Notes Purchase Agreement”), and (B) the warrants (the “Warrants”) granted to Perceptive to purchase up to (i) 400,000 ordinary shares of the Company at an exercise price of $15.00 per share and (ii) 300,000 ordinary shares of the Company at an exercise price of $20.00 per share, which Warrants were granted in August 2022 at the time the Company entered into the initial financing with Perceptive.

Under the Amendments, the Maturity Date (as defined under the Notes Purchase Agreement) has been extended from August 2, 2026 to May 2, 2027 and the Company has agreed to redeem a portion of the outstanding principal amount of the Notes (as defined under the Notes Purchase Agreement) equal to $25,000,000 on or before June 30, 2026. The Warrants were amended to change the exercise price to $8.00 per Warrant Share (as defined under the Warrants).

Ellen Hukkelhoven, Ph.D., a member of the Company’s Board of Directors, is Head of Biotechnology Investments at Perceptive Advisors, LLC, an affiliate of Perceptive. Additionally, affiliates of Perceptive own, in the aggregate, more than 10% of the Company’s outstanding shares.

Item 2.02.     Results of Operations and Financial Condition.

On March 26, 2026, the Company issued a press release announcing its financial results for the year 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 in this Item 2.02 (including Exhibit 99.1) 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 to be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act, except as expressly set forth by specific reference in such filing.

Item 2.03     Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant.

The information described in Item 1.01 regarding the financial obligations under the Amendments and the Notes Purchase Agreement is incorporated by reference into this Item 2.03.

Item 9.01.     Financial Statements and Exhibits.

(d)   Exhibits.

Exhibit No.

  ​ ​ ​

Description

99.1

Press release of MeiraGTx Holdings plc, dated March 26, 2026.

104

Cover Page Interactive Data File (the cover page XBRL tags are embedded in the Inline XBRL document).

-2-

SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Date: March 26, 2026

MEIRAGTX HOLDINGS PLC

By:

/s/ Richard Giroux

Name:

Richard Giroux

Title:

Chief Financial Officer and Chief Operating Officers

-3-

Exhibit 99.1

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MeiraGTx Announces FDA Breakthrough Therapy Designation for AAV2-hAQP1 for the

Treatment of Grade 2 and Grade 3 Radiation-Induced Xerostomia (RIX) and Reports

Fourth Quarter and Full Year 2025 Financial and Operational Results

   FDA granted Breakthrough Therapy Designation for AAV2-hAQP1 for the treatment of Grade 2 and Grade 3 late xerostomia caused by radiotherapy for cancers of the upper aerodigestive tract

   MeiraGTx to hold a program update and present long-term data for AAV2-hAQP1 program for the treatment of Grade 2/3 Radiation-Induced Xerostomia on Thursday, April 16th, 2026

LONDON and NEW YORK, March 26, 2026 (GLOBE NEWSWIRE) -- MeiraGTx Holdings plc (Nasdaq: MGTX), a vertically integrated, clinical stage genetic medicines company, today announced financial and operational results for the fourth quarter and full-year ended December 31, 2025, and provided a corporate update.

“We are delighted to have been awarded Breakthrough Designation for our AAV2-hAQP1 treatment for Grade 2 and Grade 3 late xerostomia caused by radiotherapy for cancers of the upper aerodigestive tract,” said Alexandria Forbes, Ph.D., president and chief executive officer of MeiraGTx. “This Breakthrough application was supported by 3-year data from the Phase 1 dose escalation study. On April 16th, we will be providing an AAV2-hAQP1 program update with information about the commercial opportunity for this therapy, as well as presenting the 3-year data. We have also had huge enthusiasm about our Phase 2 AQUAx2 study in the RIX community, amongst physicians and patients.”

“In 2025 we executed two important strategic collaborations bringing immediate non-dilutive financing into the company, as well as potential significant near-term financial milestones. We signed a collaboration with Eli Lilly and Company (Lilly) focused on our AAV-AIPL1 program for the treatment of LCA4, one of the most severe forms of inherited retinopathies. In addition to AAV-AIPL1, Lilly gained exclusive rights to two preclinical ocular programs as well as our intravitreal capsids, bespoke promoters and certain rights to our riboswitch platform in the eye. Lilly is working with global regulatory agencies to expeditiously gain approval of AAV-AIPL1 and to provide access to this life changing therapy for LCA4 to children globally.”

Dr. Forbes continued, “Earlier in the year, we entered into a strategic collaboration with Hologen Limited, a world-leader in the development of multi-modal generative AI foundation models which were built specifically to remove noise from clinical data and to allow the real clinical effects of treatment to be clearly seen. The use of Hologen’s AI


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technology applied to MeiraGTx’s statistically significant double-blind Phase 2 data-sets has de-risked the AAV-GAD program and identified disease modifying changes in the physiology of the brain in response to treatment. We are working closely with Hologen to initiate the pivotal Phase 3 double blind sham-controlled study of AAV-GAD in Parkinson’s in the coming months at global centers of excellence in Parkinson’s disease treatment.”

“We have also been successful in the further development of our Riboswitch platform. We are currently in conversation with the FDA preparing our first Riboswitch IND with our Ribo-leptin product to deliver leptin using a daily oral small molecule inducer. We have very strong long-term data in animal models demonstrating the small molecule controlled riboswitch dynamics are durable for the life of the animal – out to 19 months so far. We have also now demonstrated very encouraging data in the second Riboswitch program that we intend to take into the clinic which is in neuropathic pain.”

2025 and Recent Highlights

AAV2-hAQP1 for the Treatment of Radiation-Induced Xerostomia (RIX):

The FDA has now granted Breakthrough Therapy Designation for AAV2-hAQP1 for the treatment of Grade 2 and Grade 3 late xerostomia caused by radiotherapy for cancers of the upper aerodigestive tract.
This is in addition to the Regenerative Medicine Advanced Therapy (RMAT) designation already granted by the FDA for AAV2-hAQP1.
The Company has aligned with the FDA on the clinical requirements for the Phase 2 AQUAx2 (NCT05926765) study to support a potential BLA with the primary endpoint being the change from baseline in the Xerostomia Questionnaire at 12 months following the one time treatment.
The final patients are currently enrolling and the Company anticipates data 12 months after the last patient is treated, with a potential BLA filing in the first half of 2027 and potential approval around the end of 2027 with launch in the US targeted in early 2028.
MeiraGTx will be hosting a program update April 16th to discuss the commercial opportunity as well as presenting the full 3-year data from all cohorts of the Phase 1 study.

AAV-GAD for the Treatment of Parkinson’s Disease:

In 2025 the FDA granted RMAT designation to AAV-GAD for the treatment of Parkinson’s disease not adequately controlled with medication.
This RMAT was awarded based on positive data demonstrating statistically significant efficacy in 3 clinical studies: a Phase 1 dose escalation study (n=14), a double-blind sham-surgery controlled Phase 2 study (n=45), and a double-blind sham-surgery controlled Phase 1/2 clinical bridging study (n=14). This application also included the demonstration of potential disease modification resulting from treatment in the Company’s positive Phase 2 studies.


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The Company is currently engaging with clinical trial sites globally and expects to initiate the Phase 3 study of AAV-GAD in the coming months.

Strategic Collaboration with Hologen AI:

MeiraGTx and Hologen have formed a joint venture, Hologen Neuro AI Ltd, with a $200 million upfront payment to MeiraGTx, as well as additional committed funding from Hologen into the joint venture of up to $230 million to fully fund the development of the AAV-GAD program through approval.
MeiraGTx will hold a 30% ownership in the joint venture and lead all clinical development and manufacturing.
Hologen Neuro AI Ltd will contribute its proprietary multi-modal generative foundation models (LMMs) to the joint venture and will enter into both clinical and commercial manufacturing supply agreements with MeiraGTx for exclusive manufacturing of AAV-GAD.
As part of the Hologen collaboration, the Company also intends to move forward into the clinic this year with a locally delivered treatment for trigeminal neuralgia, one of the most severe forms of pain and intractable to treatment.

Ophthalmology Programs

Strategic partnership with Eli Lilly and Company on AAV-AIPL1 for LCA4

MeiraGTx entered into a strategic collaboration with Lilly, granting Lilly worldwide exclusive rights to the AAV-AIPL1 program for Leber congenial amaurosis 4 (LCA4) and access to additional ocular and gene regulation assets. Under the terms of the agreement, MeiraGTx received an upfront payment of $75 million and is eligible to receive over $400 million in total milestone payments. MeiraGTx is also eligible to receive tiered royalties on licensed products.
Lilly also received worldwide exclusive access rights to MeiraGTx’s innovative gene therapy technologies for use in ophthalmology with certain targets designated by Lilly, including novel intravitreal capsids developed in-house at MeiraGTx and bespoke promoters including AI-generated cell specific promoters.
MeiraGTx also granted Lilly certain rights to its proprietary riboswitch technology for use in gene editing in the eye.

Botaretigene Sparoparvovec for the Treatment of X-linked Retinitis Pigmentosa (XLRP):

Data from the Phase 3 LUMEOS trial of botaretigene sparoparvovec (bota-vec) for the treatment of X-linked retinitis pigmentosa was presented by Dr. Michael Clark, the primary clinical lead on the study from Johnson & Johnson Innovative Medicine, at the Foundation Fighting Blindness 2025 Retinal Therapeutics Innovation Summit on May 2nd, 2025.


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The FDA has granted Fast Track and orphan drug designations to bota-vec and the regulatory authorities in the EU have granted Priority Medicines, or PRIME, advanced therapy medicinal product, or ATMP, and orphan drug designations to bota-vec.
Johnson & Johnson Innovative Medicine is the sponsor of this program with MeiraGTx eligible to receive up to $285 million upon the first commercial sales of bota-vec in the US and EU and manufacturing tech transfer.
MeiraGTx also entered into a commercial supply agreement with Johnson & Johnson Innovative Medicine for bota-vec manufacturing. As part of this agreement, MeiraGTx has completed PPQ to support CMC sections of global regulatory filings.
Following the release of the compelling Phase 3 data at their summit, the Foundation Fighting Blindness issued a public letter to Johnson & Johnson Innovative Medicine strongly supporting the filing and ultimate approval of this treatment for XLRP and stating that it had a remarkable benefit for many of the patients treated.

Riboswitch Gene Regulation Technology Platform for in vivo Delivery:

The Company’s Riboswitch technology is a powerful platform that transforms the potential of biologic therapeutics by providing a broadly applicable mechanism for the precise dosing of any protein, hormone or peptide that is encoded by DNA via in vivo production in direct dose response to bespoke oral small molecule inducers.
AI driven target discovery is identifying a universe of peptides, hormones and proteins with important roles in homeostatic pathways regulating cardiovascular, metabolic, neurological and immunological systems that underly many of the diseases of aging.
Such proteins acting in rapidly responsive systems are often short lived and hard to make into long-acting injectable analogs that retain full physiological function.
The Company’s Riboswitch technology provides the only broadly applicable mechanism for precisely dosing the growing number of proteins that are currently intractable to use as therapeutics.
MeiraGTx is progressing its first riboswitch program into the clinic in metabolic disease with native human leptin (Ribo-leptin).
This is a significant unmet need in patients with both inherited and acquired leptin deficiency. The only currently available treatment - metreleptin - is immunogenic, which can lead to neutralizing antibodies against leptin, resulting catastrophic and even lethal metabolic consequences.
The Company is in iterative discussion with the FDA to open a Ribo-leptin IND later this year.

As of December 31, 2025, MeiraGTx had cash and cash equivalents of approximately $65.9 million, as well as $3.0 million in receivables due from Johnson & Johnson Innovative Medicine and $15.3 million in tax incentive receivables. Together with the $55.0 million received to date in the first quarter 2026 and $5.0 million in receivables from Hologen as well as the remaining $95.0 million from the closing of the strategic


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collaboration with Hologen, the Company believes that it will have sufficient capital to fund operating expenses and capital expenditure requirements into the second half of 2027 and to repay its debt obligation of $25.0 million to Perceptive Credit Holdings III, LP (due in June 2026) and $50.0 million (due in May 2027). This estimate does not include the $135.0 million in potential near-term cash consideration from Lilly upon the achievement of certain development and regulatory approval milestones, or the $285.0 million in milestones the Company is eligible to receive under the asset purchase agreement upon first commercial sale of bota-vec in the United States and in at least one of the United Kingdom, France, Germany, Spain and Italy, for completion of the transfer of certain manufacturing technology to Johnson & Johnson Innovative Medicine and upon regulatory approval of a Johnson & Johnson Innovative Medicine-selected manufacturing facility in each of the United States and European Union for commercial manufacture of bota-vec.

Financial Results

Cash, cash equivalents and restricted cash were $68.2 million as of December 31, 2025, compared to $105.7 million as of December 31, 2024.

Service revenue was $6.4 million for the year ended December 31, 2025, compared to $33.3 million for the year ended December 31, 2024. The decrease of $26.9 million was due to decreased activity of PPQ services under the asset purchase agreement with Johnson & Johnson Innovative Medicine as the work was substantially completed during the first half of 2025.

License revenue was $75.0 million for the year ended December 31, 2025 due to the upfront license fee payment under the Lilly collaboration agreement. There was no license revenue for the year ended December 31, 2024.

Cost of service revenue was $4.8 million for the year ended December 31, 2025, compared to $23.8 million for the year ended December 31, 2024. The decrease of $18.9 million was due to decreased activity of PPQ services under the asset purchase agreement with Johnson & Johnson Innovative Medicine as the work was substantially completed during the first half of 2025.

General and administrative expenses were $52.9 million for the year ended December 31, 2025, compared to $54.2 million for the year ended December 31, 2024. The decrease of $1.3 million was primarily due to a decrease in professional fees, legal fees, a change in estimate of an asset retirement obligation, which were partially offset by an increase in payroll expenses and facilities costs.

Research and development expenses for the year ended December 31, 2025 were $129.6 million, compared to $119.5 million for the year ended December 31, 2024. The increase of $10.1 million was primarily due to an increase in manufacturing costs due to both a lower allocation of clinical trial material batch costs to our clinical programs and a lower


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allocation of costs to cost of services revenue reflecting PPQ services provided under the Asset Purchase Agreement and related agreements being substantially completed during the first half of 2025. Other cost increases arose in our clinical programs for other ocular diseases and AAV-GAD, primarily due to an increase in manufactured clinical trial material batches related to these programs, and our preclinical programs for gene regulation reflecting preclinical studies initiated during the year. These increases were partially offset by a decrease in costs for our AAV-hAQP1 program due to a decrease in the number of batches of clinical trial material manufactured compared to the prior year.

Foreign currency gain was $2.1 million for the year ended December 31, 2025, compared to a loss of $2.9 million for the year ended December 31, 2024. The change of $5.0 million was primarily due to the weakening of the U.S. dollar against the pound sterling and euro as it mostly relates to the valuation of our intercompany payables and receivables.

Interest income was $1.8 million for the year ended December 31, 2025, compared to $4.1 million for the year ended December 31, 2024. The decrease of $2.3 million was due to lower interest rates and cash balances during 2025.

Interest expense was $12.2 million for the year ended December 31, 2025, compared to $13.3 million for the year ended December 31, 2024. The decrease of $1.1 million was primarily due to a lower interest rate in connection with the debt financing.

There was no gain on sale of nonfinancial assets during the year ended December 31, 2025 compared to $28.4 million for the year ended December 31, 2024. This decrease was a result of the recognition of the $50.0 million milestone allocated to the nonfinancial assets sold and assigned to Johnson & Johnson Innovative Medicine being fully recognized during 2023 and 2024.

Net loss attributable to ordinary shareholders for the year ended December 31, 2025, was $114.2 million, or $1.42 basic and diluted net loss per ordinary share, compared to a net loss attributable to ordinary shareholders of $147.8 million, or $2.12 basic and diluted net loss per ordinary share for the year ended December 31, 2024.

For more information related to our clinical trials, please visit www.clinicaltrials.gov

About MeiraGTx

MeiraGTx (Nasdaq: MGTX) is a vertically integrated, clinical-stage genetic medicines company with a broad pipeline with four late-stage clinical programs. Each of these programs use local delivery of small doses resulting in disease modifying effects in both inherited and more common diseases, in the eye, Parkinson’s disease and radiation-induced xerostomia. MeiraGTx uses its innovative technology in optimization of capsids, promoters and novel translational control elements to develop best in class, potent, safe viral vectors. MeiraGTx’s broad pipeline is supported by end-to-end in-house


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manufacturing. MeiraGTx has built the most comprehensive manufacturing capabilities in the industry, with 5 facilities globally, including two that are licensed for GMP viral vector production and a GMP QC facility with clinical and commercial licensure. In addition, MeiraGTx has developed a proprietary manufacturing platform process over 9 years based on more than 20 different viral vectors with leading yield and quality aspects and commercial readiness. Uniquely, MeiraGTx has developed a novel technology for in vivo delivery of any biologic therapeutic using oral small molecules. This transformative riboswitch gene regulation technology allows precise, dose-responsive control of gene expression by oral small molecules. MeiraGTx is focusing the riboswitch platform on the regulated in vivo delivery of metabolic peptides, including GLP-1, GIP, Glucagon, Amylin, PYY and Leptin, as well as cell therapy, CAR-T for liquid and solid tumors and autoimmune diseases, and additionally PNS targets addressing long term intractable pain. MeiraGTx has developed the technology to apply genetic medicine to common diseases, increasing efficacy, addressing novel targets, and expanding access in some of the largest disease areas where the unmet need remains high.

For more information, please visit www.meiragtx.com

Forward Looking Statement

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including, without limitation, statements regarding our product candidate development and anticipated milestones regarding our pre-clinical and clinical data, reporting of such data and the timing of results of data and regulatory matters, potential milestone payments and the achievement of such milestones, statements regarding our collaborations, including the anticipated timing for the closing and funding of the collaboration with Hologen, the success of the activities to be performed under the Hologen collaboration agreements and the efficacy of Hologen’s AI technology, the development of our AAV-GAD and other CNS product candidates and the development of our manufacturing technology, as well as statements that include the words “expect,” “will,” “intend,” “plan,” “believe,” “project,” “forecast,” “estimate,” “may,” “could,” “should,” “would,” “continue,” “anticipate,” “eligible” and similar statements of a future or forward-looking nature. These forward-looking statements are based on management’s current expectations. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other important factors that may cause actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements, including, but not limited to, our incurrence of significant losses; any inability to achieve or maintain profitability, raise additional capital, repay our debt obligations, identify additional and develop existing product candidates, successfully execute strategic transactions or priorities, bring product candidates to market, expansion of our manufacturing facilities and processes, successfully enroll patients in and complete clinical trials, accurately predict growth assumptions, recognize benefits of any orphan drug or rare pediatric disease designations, retain key personnel or attract qualified


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employees, or incur expected levels of operating expenses; the impact of pandemics, epidemics or outbreaks of infectious diseases on the status, enrollment, timing and results of our clinical trials and on our business, results of operations and financial condition; failure of early data to predict eventual outcomes; failure to obtain FDA or other regulatory approval for product candidates within expected time frames or at all; the novel nature and impact of negative public opinion of gene therapy; failure to comply with ongoing regulatory obligations; contamination or shortage of raw materials or other manufacturing issues; changes in healthcare laws; risks associated with our international operations; significant competition in the pharmaceutical and biotechnology industries; dependence on third parties; risks related to intellectual property; changes in tax policy or treatment; our ability to utilize our loss and tax credit carryforwards; litigation risks; and the other important factors discussed under the caption “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2025, as such factors may be updated from time to time in our other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov. These and other important factors could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. Any such forward-looking statements represent management’s estimates as of the date of this press release. While we may elect to update such forward-looking statements at some point in the future, unless required by law, we disclaim any obligation to do so, even if subsequent events cause our views to change. Thus, one should not assume that our silence over time means that actual events are bearing out as expressed or implied in such forward-looking statements. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the date of this press release.

Contacts

Investors:

MeiraGTx

Investors@meiragtx.com

or

Media:

Jason Braco, Ph.D.

LifeSci Communications

jbraco@lifescicomms.com


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MEIRAGTX HOLDINGS PLC AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(in thousands, except share and per share amounts)

  ​ ​ ​

For the Years Ended December 31,

2025

  ​ ​ ​

2024

Revenues:

Service revenue - related party

$

6,400

$

33,279

License revenue

74,991

Total revenue

81,391

33,279

Operating expenses:

Cost of service revenue - related party

4,843

23,791

General and administrative

52,897

54,216

Research and development

129,619

119,484

Total operating expenses

187,359

197,491

Loss from operations

(105,968)

(164,212)

Other non-operating income (expense):

Foreign currency gain (loss)

2,146

(2,886)

Interest income

1,818

4,145

Interest expense

(12,197)

(13,272)

Gain on sale of nonfinancial assets

28,434

Net loss

(114,201)

(147,791)

Other comprehensive gain (loss):

Foreign currency translation gain (loss)

6,125

(2,284)

Comprehensive loss

$

(108,076)

$

(150,075)

Net loss

$

(114,201)

$

(147,791)

Basic and diluted net loss per ordinary share

$

(1.42)

$

(2.12)

Weighted-average number of ordinary shares outstanding

80,430,186

69,822,353


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MEIRAGTX HOLDINGS PLC AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

  ​ ​ ​

December 31,

  ​ ​ ​

December 31,

2025

2024

ASSETS

CURRENT ASSETS:

Cash and cash equivalents

$

65,931

$

103,659

Accounts receivable - related party

3,000

707

Contract assets - related party

950

Inventory

385

Prepaid expenses

6,017

6,828

Tax incentive receivable

15,286

8,971

Other current assets

1,527

2,018

Total Current Assets

91,761

123,518

Property, plant and equipment, net

105,465

102,878

Intangible assets, net

578

821

Restricted cash

2,262

2,009

Other assets

1,147

1,002

Equity method and other investments

6,749

6,749

Right-of-use assets - operating leases, net

12,852

10,576

Right-of-use assets - finance leases, net

23,616

22,198

TOTAL ASSETS

$

244,430

$

269,751

LIABILITIES AND SHAREHOLDERS’ (DEFICIT) EQUITY

CURRENT LIABILITIES:

Accounts payable

$

10,066

$

23,586

Accrued expenses

32,893

27,414

Lease obligations - operating leases, current

2,851

4,053

Lease obligations - finance leases, current

38

Deferred revenue - related party, current

1,776

4,827

Note payable, net, current

24,648

Other current liabilities

50,283

903

Total Current Liabilities

122,555

60,783

Deferred revenue - related party

65,120

57,576

Lease obligations - operating leases

11,351

7,523

Lease obligations - finance leases

109

Asset retirement obligations

1,399

2,821

Note payable, net

49,689

73,221

TOTAL LIABILITIES

250,223

201,924

COMMITMENTS AND CONTINGENCIES (Note 15)

SHAREHOLDERS’ (DEFICIT) EQUITY:

Ordinary Shares, $0.00003881 par value, 1,288,327,750 authorized, 81,120,931 and 78,397,380 shares issued and outstanding at December 31, 2025 and 2024, respectively

3

3

Capital in excess of par value

808,021

773,565

Accumulated other comprehensive gain (loss)

2,406

(3,719)

Accumulated deficit

(816,223)

(702,022)

Total Shareholders’ (Deficit) Equity

(5,793)

67,827

TOTAL LIABILITIES AND SHAREHOLDERS’ (DEFICIT) EQUITY

$

244,430

$

269,751


FAQ

What key agreement did MeiraGTx (MGTX) announce with Perceptive?

MeiraGTx amended its notes agreement with Perceptive, extending the maturity date from August 2, 2026 to May 2, 2027. The company also agreed to redeem $25.0 million of principal on or before June 30, 2026 and repriced existing warrants to $8.00 per share.

How did MeiraGTx (MGTX) perform financially in 2025?

MeiraGTx generated $81.4 million in 2025 revenue, up from $33.3 million in 2024, mainly from a $75.0 million Eli Lilly license payment. Net loss narrowed to $114.2 million, or $1.42 per share, compared with $147.8 million in the prior year.

What is MeiraGTx’s cash position and runway outlook?

As of December 31, 2025, MeiraGTx held $65.9 million in cash and cash equivalents plus tax and collaboration receivables. Including $55.0 million received in early 2026 and remaining Hologen proceeds, management expects funding into the second half of 2027 while meeting debt repayments.

Which regulatory milestone did MeiraGTx (MGTX) achieve for AAV2-hAQP1?

The FDA granted Breakthrough Therapy Designation to MeiraGTx’s AAV2-hAQP1 for treating Grade 2 and Grade 3 radiation-induced xerostomia. This designation is based on three-year Phase 1 data and is intended to expedite development for patients with significant unmet medical need.

What major collaborations did MeiraGTx highlight in this update?

MeiraGTx entered a strategic collaboration with Eli Lilly focused on AAV-AIPL1 and additional ocular programs, generating $75.0 million in license revenue. It also signed a significant collaboration with Hologen, providing $55.0 million received in early 2026 and an additional $95.0 million at closing.

How is MeiraGTx addressing its debt obligations to Perceptive?

Under the amended notes, MeiraGTx committed to redeem $25.0 million of principal by June 30, 2026 and repay a further $50.0 million by May 2027. The company’s projected funding into the second half of 2027 assumes these repayments are made as scheduled.

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610.84M
53.38M
Biotechnology
Biological Products, (no Diagnostic Substances)
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United States
NEW YORK