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CalciMedica, Inc. (CALC)·Q2 2025 Earnings Summary

Executive Summary

  • Q2 delivered expected clinical execution but a modest EPS miss versus consensus; GAAP net loss was $6.0M (-$0.40 per share) vs. Q2 2024 net loss of $4.0M (-$0.36), with the delta primarily driven by lower non-cash fair value gains and higher G&A . Against S&P Global consensus, EPS of -$0.40 came in below -$0.35*, while revenue remained non-material in line with a $0.0* estimate .
  • Clinical catalysts advanced: enrollment in the Phase 2 KOURAGE trial (AKI with respiratory failure) continues; timing was updated from “around end of 2025” to “early 2026,” extending the catalyst window modestly .
  • Acute pancreatitis (AP) path forward clarified: initial FDA meeting held; the company anticipates alignment on a pivotal U.S. trial design around end of 2025, marking tangible regulatory progress .
  • Liquidity sufficient into mid-2026, reducing near-term financing overhang; quarter-end cash and investments were $18.0M and runway guided “into the middle of 2026” .

What Went Well and What Went Wrong

  • What Went Well

    • KOURAGE execution and scientific validation: Enrollment ongoing; AJN and Thrombosis Update publications plus a Vicenza symposium reinforced the mechanistic and clinical rationale for Auxora in AKI with respiratory failure .
    • FDA engagement on AP: A constructive initial FDA meeting occurred; management expects alignment on a pivotal trial design around end of 2025, a key step toward first-ever U.S. pivotal study in AP .
    • Balance sheet visibility: Cash/investments of $18.0M and runway into mid-2026 help bridge to AKI Phase 2 readout and AP pivotal alignment milestones . Quote: “We look forward to the readout of our Phase 2 KOURAGE trial expected in early 2026… [and] alignment on a pivotal trial around the end of 2025.” – CEO Rachel Leheny .
  • What Went Wrong

    • EPS miss: Q2 GAAP EPS of -$0.40 was below S&P Global consensus of -$0.35*, driven by lower non-cash fair value gains and increased G&A y/y .
    • Timing slippage for KOURAGE: Data timing moved from “around the end of 2025” (Q1 view) to “early 2026,” modestly pushing out the core AKI catalyst .
    • Operating leverage remains limited pre-revenue: Net loss increased y/y to $6.0M as non-cash other income normalized vs. prior periods; revenue remains non-material at this stage .

Financial Results

Results vs prior periods (oldest → newest)

MetricQ2 2024Q1 2025Q2 2025
R&D Expense ($USD Millions)$4.16 $4.22 $4.05
G&A Expense ($USD Millions)$2.37 $2.27 $2.57
Other Income ($USD Millions)$2.58 $1.46 $0.67
Net Loss ($USD Millions)$3.95 $5.04 $5.96
Diluted EPS (GAAP)-$0.36 -$0.36 -$0.40

Q2 2025 vs Estimates (S&P Global)

MetricActualConsensusSurprise
EPS (GAAP)-$0.40 -$0.35*Miss of -$0.05
Revenue— (no product revenue reported)$0.0*In line

Liquidity and shares (oldest → newest)

MetricQ4 2024Q1 2025Q2 2025
Cash + Short-term Investments ($USD Millions)$18.7 $24.6 $18.0
Runway CommentaryInto mid-2026 Into mid-2026
Weighted Avg Shares (Basic & Diluted)14,121,569 14,995,404

Notes: Consensus values marked with * are Values retrieved from S&P Global.

Segment breakdown / KPIs: The company is pre-commercial; no revenue segments. Key KPIs remain operating expenses, cash runway, and clinical enrollment/milestone timing .

Guidance Changes

MetricPeriodPrevious GuidanceCurrent Guidance (Q2)Change
KOURAGE Phase 2 data timing (AKI with respiratory failure)Study readout“Around the end of 2025” (Q1 2025) “Early 2026” (Q2 2025) Lowered (delayed)
AP program – FDA interactions2025EoP2 FDA meeting mid-2025; aim to be positioned to initiate Phase 3 around end of 2025 (funding dependent) Initial FDA meeting completed; anticipate alignment on pivotal trial design around end of 2025 Maintained trajectory; regulatory clarity improved
Cash runwayLiquidityInto mid-2026 (Q1) Into mid-2026 (Q2) Maintained

No quantitative revenue/EPS/OpEx guidance was provided; guidance is primarily clinical and runway-related .

Earnings Call Themes & Trends

(Using prior two quarters’ communications; no transcript available for a Q2 call)

TopicPrevious Mentions (Q4 2024/FY 2024)Previous Mentions (Q1 2025)Current Period (Q2 2025)Trend
AKI (KOURAGE) timelineEnrollment on track; data “around end of 2025” Enrollment ongoing; data “around end of 2025” Enrollment ongoing; data “early 2026” Slight delay
AP regulatory pathPlan EoP2 meeting mid-2025; aim to position for pivotal around end 2025 EoP2 meeting planned mid-2025; pivotal around end 2025 (funding) Initial FDA meeting held; anticipate alignment on pivotal design around end 2025 Progressing/regulatory clarity
Publications/medical presencePositive external support; APA plenary on Auxora AKI & CRRT plenary; CARDEA AKI subset 62.7% mortality reduction AJN design/rationale paper; Thrombosis Update biomarker analysis; Vicenza symposium Strengthening validation
Cash runwayCash/investments $18.7M; runway extended by debt facility Runway into mid-2026 Runway into mid-2026 Stable
Financing flexibilityAvenue Capital $32.5M facility announced Mar 2025 Facility terms reiterated No change Optionality maintained

Management Commentary

  • “We look forward to the readout of our Phase 2 KOURAGE trial expected in early 2026… Additionally, we are encouraged by our initial meeting with the FDA regarding our program in AP… with the objective of reaching alignment on a pivotal trial around the end of 2025.” – Rachel Leheny, Ph.D., CEO .
  • On scientific rationale strengthening: publications in AJN and Thrombosis Update and multiple medical presentations bolster Auxora’s profile in AKI and AP .
  • Runway: “Cash, cash equivalents, and short-term investments were $18.0 million… sufficient to fund… into the middle of 2026.” .

Q&A Highlights

  • No Q2 2025 earnings call transcript was available in our document set; we found no transcript to extract Q&A themes. The company’s updates were conveyed via the 8-K/press release and additional press communications .

Estimates Context

  • EPS: Q2 actual -$0.40 missed S&P Global consensus -$0.35*; the miss largely reflects lower non-cash fair value gains and modestly higher G&A y/y, per the release .
  • Revenue: No product revenue reported; in line with S&P Global consensus of $0.0* .
  • Estimate detail: EPS estimates count = 4*; revenue estimates count = 4*.
    Notes: Consensus values marked with * are Values retrieved from S&P Global.

Key Takeaways for Investors

  • KOURAGE timing nudged to early 2026; investors should recalibrate catalyst timelines accordingly while noting enhanced scientific validation during Q2 (AJN/Thrombosis Update/Vicenza) .
  • AP program de-risked on regulatory path: initial FDA meeting completed; alignment on pivotal design expected around end 2025, a key inflection for this second indication .
  • Liquidity into mid-2026 reduces near-term financing risk; Avenue Capital facility remains an incremental option should milestones be met .
  • Q2 EPS miss vs consensus was driven by noisy non-cash items normalizing y/y and higher G&A; core R&D spend is consistent with trial execution .
  • Near-term stock drivers: any updates on KOURAGE enrollment pace, AP FDA feedback, and additional peer-reviewed data or conference presentations that further validate Auxora’s mechanism and clinical utility .
  • Medium-term thesis: A positive KOURAGE readout combined with an agreed AP pivotal design could establish a multi-indication pipeline with first-mover potential in AP and a high-need AKI segment; timing risk remains the primary overhang alongside funding for later-stage development .

Appendices

Additional Q2 2025 Financial Detail (from condensed statements)

Line ItemQ2 2024Q2 2025
R&D ($USD Millions)$4.157 $4.052
G&A ($USD Millions)$2.372 $2.569
Change in FV of Financial Instruments ($USD Millions)$2.300 $0.500
Interest (Income)/Expense ($USD Millions)$0.275 / $— $0.220 / $(0.324)
Net Loss ($USD Millions)$3.954 $5.956
Net Loss/Share (Basic & Diluted)-$0.36 -$0.40
WA Shares (Basic & Diluted)11,129,053 14,995,404

Clinical/Regulatory Milestones Referenced

  • KOURAGE (AKI with respiratory failure) Phase 2: Enrollment ongoing; data now expected early 2026 .
  • AP (with SIRS): Initial FDA meeting completed; anticipate alignment on pivotal design around end 2025 .
  • Publications and scientific presentations: AJN design/rationale paper; Thrombosis Update biomarker analysis; Vicenza symposium; ASN presentation .

Citations:

  • Q2 2025 8-K and Exhibit 99.1 press release:
  • Q2 2025 company press release distribution:
  • Q1 2025 8-K/press release:
  • FY 2024 press release for context:
  • AJN publication press release:
  • Vicenza symposium press release:

Notes: Consensus values marked with * are Values retrieved from S&P Global.