ALTMEDIUM SIGNALOPERATIONAL10-K

Altimmune has refocused its clinical development strategy from obesity treatment to serious liver diseases, specifically targeting MASH, alcohol use disorder, and alcohol-associated liver disease.

This strategic pivot represents a significant narrowing of focus from the broader obesity market to specialized liver disease indications, which could offer clearer regulatory pathways but potentially smaller addressable markets. The company's transition from "clinical stage" to "late clinical-stage" suggests meaningful advancement in its development timeline, which could accelerate potential commercialization timelines.

Comparing 2026-03-06 vs 2025-02-27View on EDGAR →
FINANCIAL ANALYSIS

The company's financial position strengthened notably with stockholders' equity growing substantially to $224.9M, likely reflecting equity financing activities. Operating performance showed modest improvement with reduced R&D expenses of $66.4M and operating cash flow improving to -$67.5M, suggesting more disciplined spending. The overall picture indicates a well-capitalized company that has refined its cost structure while maintaining adequate cash reserves of $43.8M to fund its focused development programs.

FINANCIAL STATEMENT CHANGES
Stockholders Equity
Balance Sheet
+82.1%
$123.5M$224.9M

Equity base grew 82.1% — retained earnings accumulation or equity issuance strengthening the balance sheet.

Capital Expenditure
Cash Flow
-76.6%
$47K$11K

Capex reduced 76.6% — investment cycle winding down or capital discipline; may improve near-term free cash flow.

Current Liabilities
Balance Sheet
+43.3%
$10.5M$15.0M

Current liabilities surged 43.3% — significant near-term obligations; verify ability to meet short-term debt.

R&D Expense
P&L
-19.2%
$82.2M$66.4M

R&D spending cut 19.2% — could signal cost discipline or concerning reduction in innovation investment.

Cash & Equivalents
Balance Sheet
+18.5%
$36.9M$43.8M

Cash grew 18.5% — improving liquidity position supports investment and shareholder returns.

Operating Cash Flow
Cash Flow
+15.4%
-$79.8M-$67.5M

Operating cash flow grew 15.4% — strong conversion of earnings to cash, healthy business fundamentals.

LANGUAGE CHANGES
NEW — 2026-03-06
PRIOR — 2025-02-27
ADDED
As of February 27, 2026, there were 130,069,983 shares of the registrant s common stock, $0.0001 par value per share, outstanding.
is a late clinical-stage biopharmaceutical company developing novel therapies for serious liver diseases.
Our lead product candidate, pemvidutide (formerly known as ALT-801), is a balanced 1:1 glucagon/GLP-1 dual receptor agonist in development for the treatment of metabolic dysfunction-associated steatohepatitis ( MASH ), alcohol use disorder ( AUD ) and alcohol-associated liver disease ( ALD ).
We may also pursue additional indications for pemvidutide that leverage its differentiated clinical profile.
Pemvidutide We obtained pemvidutide as part of the acquisition Spitfire Pharma Inc., in July of 2019.
Pemvidutide was designed as a MASH therapeutic based on the understanding that targeting both metabolic and liver-specific effects could lead to an improved and differentiated candidate.
Early work provided compelling preclinical efficacy data obtained from a mouse model of MASH.
Following a first-in-human clinical trial where we observed initial signs of weight loss and pronounced liver effects, we evaluated pemvidutide in participants with fatty liver disease, or metabolic-dysfunction associated liver disease (MASLD), where we observed robust reductions in liver fat content and weight loss.
These results confirmed the earlier study and paved the way for the biopsy-driven IMPACT Phase 2b trial in MASH.
To better characterize the quality of the weight loss and cardiometabolic effects of pemvidutide, the MOMENTUM Phase 2 trial in overweight and obese participants was conducted and showed significant weight loss characterized by relative sparing of lean muscle mass and improvements in serum lipids associated with cardiovascular disease.
REMOVED
As of February 24, 2025, there were 77,013,658 shares of the registrant s common stock, $0.0001 par value per share, outstanding.
is a clinical stage biopharmaceutical company focused on developing treatments for obesity, metabolic and liver diseases.
Our lead product candidate, pemvidutide (formerly known as ALT-801), is a novel, investigational, peptide-based GLP-1/glucagon dual receptor agonist.
Pemvidutide is currently in clinical development for obesity and metabolic associated steatohepatitis ( MASH ).
We also expect to pursue additional indications for pemvidutide that leverage the differentiated clinical profile of pemvidutide.
Pemvidutide Pemvidutide is a novel, investigational, peptide-based GLP-1/glucagon dual receptor agonist currently in clinical development for the treatment of obesity and MASH.
Activation of the GLP-1 and glucagon receptors is believed to mimic the complementary effects of diet and exercise on weight loss, with GLP-1 suppressing appetite and glucagon increasing energy expenditure.
Glucagon is also recognized as having direct effects on hepatic fat metabolism, which is believed to lead to rapid reductions in levels of liver fat and serum lipids.
Pemvidutide mechanism of action: Optimized for obesity and MASH Over 500 subjects have received pemvidutide to date in 6 completed clinical trials.
In those trials pemvidutide appear safe and demonstrated what we believe to be a favorable safety profile, compelling weight loss, class-leading lean mass preservation, and robust reductions in triglycerides, low density lipoprotein ( LDL ), liver fat content, measures of liver inflammation, and blood pressure.
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