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Aprea Therapeutics, Inc. (APRE)·Q3 2025 Earnings Summary

Executive Summary

  • Q3 results were about clinical execution and cost discipline: net loss narrowed to $3.0M (−$0.47/share) from $3.8M (−$0.64) YoY as R&D and G&A declined; cash was $13.7M with runway extended into Q4 2026 .
  • APR-1051 (WEE1) showed additional early activity (3/4 stable disease at 100 mg QD) and escalated to 150 mg; ATRN-119 (ATR) identified a QD RP2D at 1,100 mg and shifted toward combinations (radiation and I/O) .
  • Versus S&P Global consensus, EPS missed (−$0.47 vs −$0.34*) while revenue was de minimis grant funding (~$0.0018M vs $0.00*) given the clinical-stage profile .
  • Stock reaction catalysts: 2026 milestones including APR-1051 Q1 safety/efficacy update and dose-escalation completion in Q2; ATRN-119 combination strategy progress following Q4 2025 RP2D (QD) designation .

What Went Well and What Went Wrong

  • What Went Well

    • Clinical progress: “emerging data on both of our clinical assets demonstrate evidence of activity,” including 3/4 patients with stable disease at 100 mg QD for APR-1051 and identification of RP2D 1,100 mg QD for ATRN-119 .
    • Cost control and P&L improvement: operating loss improved YoY to $(3.1)M from $(4.1)M; R&D fell to $1.64M (from $2.85M YoY) and G&A to $1.48M (from $1.60M YoY) .
    • Runway extension: cash of $13.7M with guidance extended into Q4 2026 (from prior Q2 2026) .
  • What Went Wrong

    • EPS missed consensus amid minimal revenue: −$0.47 vs −$0.34*; grant revenue was ~$0.0018M in Q3, reflecting limited non-dilutive income .
    • ATRN-119 monotherapy paused: following RP2D (QD) determination, enrollment paused to reassess in combinations—strategic but introduces execution complexity and timing risk .
    • Cash burn persisted (cash declined from $16.5M in Q2 to $13.7M in Q3) despite improved OpEx, highlighting financing risk beyond the current runway if timelines extend .

Financial Results

Income statement summary (USD)

MetricQ1 2025Q2 2025Q3 2025
Grant Revenue ($)$162,463 $118,111 $1,848
Research & Development ($)$2,483,066 $1,912,213 $1,638,917
General & Administrative ($)$1,764,979 $1,593,671 $1,480,319
Total Operating Expenses ($)$4,248,045 $3,505,884 $3,119,236
Loss from Operations ($)$(4,085,582) $(3,387,773) $(3,117,388)
Total Other Income ($)$152,923 $148,903 $144,978
Net Loss ($)$(3,932,659) $(3,238,870) $(2,972,410)
Diluted EPS ($)$(0.66) $(0.53) $(0.47)

Balance sheet and liquidity

MetricQ1 2025Q2 2025Q3 2025
Cash & Cash Equivalents ($)$19,275,721 $16,532,199 $13,718,052
Cash Runway GuidanceInto early Q2 2026 Into Q2 2026 Into Q4 2026

Estimates vs. actuals (Q3 2025)

MetricConsensus EstimateActual
EPS ($)−0.34*−0.47
Revenue ($)0.00*1,848
# EPS Estimates2*
# Revenue Estimates2*

Note: Revenue reflects grant revenue typical of clinical-stage biotech operations.
Values marked with * are from S&P Global consensus.

Segment breakdown: Not applicable; the company reports as a single clinical-stage entity .

KPIs and operating progress

KPIQ1 2025Q2 2025Q3 2025
APR-1051 dose level status100 mg QD cohort enrolling 100 mg QD cleared; plan to 150 mg Advanced to 150 mg QD; 3/4 SD at 100 mg
ATRN-119 development statusEarly SD and tumor shrinkage at BID dose; escalating Early activity incl. BID 550 mg (−7%, −14%, −21%); refining BID RP2D set at 1,100 mg QD; pause monotherapy; pursue combos
Posters/visibilityTwo program posters at EORTC-NCI-AACR (Oct 24)

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Cash RunwayAs of Q2 vs Q3 2025Into Q2 2026 Into Q4 2026 Raised/extended
ATRN-119 RP2D (QD)TimingExpected H1 2026 Determined at 1,100 mg QD in Q4 2025 Achieved early
APR-1051 data timing2025–2026H2 2025 safety/efficacy data expected Q1 2026 safety/efficacy; Q2 2026 dose-escalation completePushed
ATRN-119 strategyNear-termContinue monotherapy dose escalation/refine BID Pause monotherapy; evaluate combinations (radiation, I/O, ADCs) Strategic shift

Earnings Call Themes & Trends

Note: We searched for an earnings call transcript for Q3 2025 (Oct–Dec 2025) and found none in our document set.

TopicQ1 2025 (Prior-2)Q2 2025 (Prior-1)Q3 2025 (Current)Trend
R&D executionAPR-1051 at 100 mg QD; ATRN-119 early activity including BID cohort APR-1051 100 mg QD cleared; plan 150 mg; ATRN-119 BID activity with tumor shrinkage APR-1051 3/4 SD at 100 mg; escalated to 150 mg; ATRN-119 RP2D 1,100 mg QD; pivot to combos Positive clinical momentum, clearer development paths
Combination strategyMTA with MD Anderson for APR-1051 preclinical work MD Anderson preclinical synergy with anti–PD‑1 in HPV+ HNSCC ATRN-119 combinations under evaluation (radiation, I/O, ADCs) ; APR-1051 combos contemplated Increasing emphasis on combinations
Capital/runwayInto early Q2 2026 Into Q2 2026 Into Q4 2026 Improving runway visibility
External visibilityTwo poster presentations (WEE1 and ATR) at EORTC‑NCI‑AACR Elevated scientific presence

Management Commentary

  • “We’re encouraged by early signs of anti-tumor activity… including 3 out of 4 patients with stable disease in the 100 mg once daily cohort. We have recently advanced into the 150 mg once daily cohort as dose escalation in this trial continues.” — Oren Gilad, Ph.D., President & CEO (APR-1051) .
  • “For ATRN-119, identifying the recommended Phase 2 dose for the once daily dosing provides a solid foundation for next-stage development… considering potential combination strategies, with radiation or checkpoint inhibitors…” — Oren Gilad, Ph.D. .
  • “The Company believes its cash and cash equivalents… will be sufficient… into the fourth quarter of 2026.” .

Q&A Highlights

  • No earnings call transcript was identified for Q3 2025 in our document set; no Q&A disclosures to report.

Estimates Context

  • EPS missed S&P Global consensus: −$0.47 actual vs −$0.34* (two estimates*), driven by expected operating losses as a clinical-stage biotech with minimal grant revenue .
  • Revenue was de minimis relative to a consensus of ~$0.00*, reflecting the absence of commercial products; no non-GAAP adjustments were presented .
  • Estimate revisions: Given extended runway (into Q4 2026) and tighter OpEx, Street EPS loss trajectory may modestly improve, while revenue remains non-informative until late-stage readouts .

Values marked with * are retrieved from S&P Global.

Key Takeaways for Investors

  • 2026 is the focal year: APR-1051 safety/efficacy update in Q1 and dose-escalation completion in Q2 can be meaningful stock catalysts; ATRN-119 combination strategy adds optionality .
  • Clinical signals are accumulating at sub-maximal doses (APR-1051 3/4 SD at 100 mg; ATRN-119 RP2D QD determined), de-risking the pharmacology heading into 2026 .
  • Operating discipline is visible (OpEx down, operating loss narrowed YoY) and runway extended to Q4 2026, but further capital will likely be required to fund combination expansions and later-stage trials .
  • Watch for combination trial initiations/agreements (radiation in HPV+ HNSCC, I/O, ADCs) as incremental value inflection points .
  • Scientific visibility is improving (dual EORTC‑NCI‑AACR posters), which can aid partnering discussions and investor sentiment .
  • Near-term trading setup: limited financial catalysts; stock likely trades on clinical headlines (dose-escalation progress, combination study updates) and financing outlook .