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CAPRICOR THERAPEUTICS, INC. (CAPR)·Q1 2025 Earnings Summary
Executive Summary
- Q1 2025 printed zero revenue and a wider net loss of $24.4M ($0.53 EPS) as prior milestone revenues were fully recognized in FY 2024; cash, cash equivalents and marketable securities were $144.8M, with runway guided into 2027 .
- The quarter missed Wall Street on both revenue ($0 vs $3.16M est*) and EPS (-$0.53 vs -$0.32 est*); Q4 2024 had been a revenue and EPS beat (actual $11.13M vs $9.87M est*, EPS -$0.16 vs -$0.17 est*) .
- Regulatory trajectory strengthened: FDA mid-cycle review identified no significant deficiencies; advisory committee confirmed ahead of Aug 31, 2025 PDUFA, and pre-licensing inspection (PLI) scheduled in the coming weeks—key stock catalysts into summer .
- Commercial readiness advanced: appointment of CMO Michael Binks (Pfizer/GSK veteran), expansion of GMP space in San Diego, and NS Pharma’s U.S. team (125 FTEs) preparing for launch; management reiterated a potential $80M milestone and Priority Review Voucher monetization post-approval .
What Went Well and What Went Wrong
What Went Well
- FDA review milestones on-track: “no significant deficiencies” at mid-cycle; AdCom confirmed; PDUFA Aug 31, 2025—“We remain on track” .
- Strengthened leadership: “Appointed Michael Binks, M.D., as Chief Medical Officer,” bringing deep rare disease experience to guide medical affairs and commercialization .
- Cash runway into 2027 with strategic optionality: ~$145M cash/marketable securities; management highlighted potential non-dilutive cash from $80M milestone + PRV sale “well over $200M” .
Quote: “We continue to have active dialogue with the FDA... and we remain on track with our PDUFA target action date of August 31, 2025.”
What Went Wrong
- Non-commercial quarter with no recognized revenue: Q1 revenue was $0 as FY 2024 fully recognized the $50M upfront/milestones—optics drove a larger GAAP loss .
- Operating expense growth ahead of launch readiness: OpEx rose to ~$25.0M from $15.2M YoY; net loss widened to $24.4M vs $9.8M in Q1 2024 .
- Consensus misses: Revenue miss ($0 vs $3.16M est*) and EPS miss (-$0.53 vs -$0.32 est*) in Q1; underscores timing mismatch between spend ramp and revenue recognition while awaiting approval .
Financial Results
Quarterly Results (oldest → newest)
Year-over-Year (Q1 comparison)
Estimates vs Actuals
Estimates retrieved from S&P Global.*
KPIs and Balance Highlights
Note: Margin metrics are not meaningful in Q1 due to $0 revenue; company is pre-commercial with milestone/licensing revenue mix .
Guidance Changes
Earnings Call Themes & Trends
Management Commentary
- “Deramiocel is the only therapeutic that has been shown to be effective in slowing the decline in ejection fraction... We are asking for approval for a therapy that has been shown to be generally safe and effective for the treatment of DMD cardiomyopathy” — Linda Marbán, CEO .
- “We aim to have over 100 patients transition from clinical to commercial products following potential BLA approval” .
- “Our San Diego GMP facility is fully staffed and operational and is currently producing doses... expansion to be operational mid-to late 2026” .
- “Our cash balance totals approximately $145 million... If we receive FDA approval, we will be slated to receive an $80 million milestone payment... and a Priority Review Voucher... non-dilutive cash infusions could potentially total well over $200 million” .
Q&A Highlights
- Regulatory/PLI cadence: Pre-licensing inspection “coming up this quarter within the next few weeks”; multiple mock AdComs completed; mid-cycle flagged no substantive issues .
- Europe commercialization: Active EMA engagement by Capricor; NS negotiations extended; considering alternatives to maximize economics .
- Endpoint framing: LV ejection fraction treated as an outcome measure in rare pediatric disease context; strong real-world natural history comparator supports efficacy .
- Label/use and safety profile: Intended open use alongside exon skippers/gene therapies; infusion center administration with mitigated hypersensitivity; no complex gene therapy care team required .
- PRV monetization: Plan to sell PRV post-approval to strengthen balance sheet; approval triggers $80M NS milestone .
Estimates Context
- Q1 2025: Miss on revenue ($0 vs $3.16M est*) and Miss on EPS (-$0.53 vs -$0.32 est*), driven by the completion of revenue recognition on prior milestones in FY 2024 and continued OpEx ramp for launch readiness .
- Q4 2024: Beat on revenue ($11.13M vs $9.87M est*) and slight Beat on EPS (-$0.16 vs -$0.17 est*), reflecting milestone recognition timing late in 2024 .
- Q3 2024: Misses on both revenue and EPS (actual $2.26M and -$0.38 vs $3.57M and -$0.358 est*), consistent with ratable milestone accounting .
Estimates retrieved from S&P Global.*
Key Takeaways for Investors
- Regulatory de-risking: Mid-cycle “no significant deficiencies,” AdCom confirmed, and PLI imminent—these create tangible catalysts into June–August; headline risk is AdCom tone/outcome .
- Pre-commercial spend vs optics: Q1 losses reflect launch build and non-recognition of milestones; watch for AdCom/PDUFA to pivot narrative from GAAP losses to commercialization milestones .
- Commercial readiness: NS Pharma’s infrastructure and >100 OLE patient transitions should support a smoother ramp; payer feedback has been favorable given the cardiomyopathy unmet need .
- Manufacturing scalability: Current capacity to support early demand, with expansion to 2–3k patients by mid–late 2026; PLI outcome is a critical gating event .
- Balance sheet resilience: ~$145M cash and potential >$200M non-dilutive inflows (PRV sale + NS milestone) provide flexibility to invest in label expansion (HOPE-3, Becker) and exosome pipeline .
- European strategy optionality: Active EMA engagement alongside NS negotiations could optimize ex-U.S. economics and timelines; monitor for definitive agreement terms .
- Trading setup: AdCom scheduling disclosure and briefing documents will likely drive volatility; a constructive panel and clean PLI would be material positives heading into the Aug 31 PDUFA .