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CG Oncology, Inc. (CGON)·Q4 2024 Earnings Summary

Executive Summary

  • Q4 2024 printed a wider net loss per share of ($0.46) as CG Oncology ramped R&D and G&A for registrational activities and commercial readiness; EPS missed S&P Global consensus of -$0.35 by ~$0.13 while revenue of $0.46M beat a low bar ($0.13M), reflecting non-product revenue dynamics in a pre-commercial stage . Values with asterisk are from S&P Global estimates/actuals.*
  • Cash and marketable securities increased to $742.0M following an oversubscribed $238M follow-on, extending runway into 1H 2028 (vs 2027 previously), a meaningful de-risking for the development plan .
  • Clinically, the quarter was defined by BOND-003 Cohort C monotherapy data: 74.5% complete response (CR) rate with median DoR not reached (>27 months), and no Grade ≥3 TRAEs; data subsequently updated in March 2025 to 75.5% CR with DoR >28 months, supporting a strong BLA path in 2H 2025 .
  • Setup into 2025 includes initiation of rolling BLA (2H 2025) and multiple catalysts (AUA final Cohort C data; BOND-003 Cohort P topline; CORE-008 Cohort A topline), which we see as the primary stock drivers, alongside maintained best-in-disease durability and a strengthened balance sheet .

What Went Well and What Went Wrong

  • What Went Well

    • Strong clinical efficacy and durability: BOND-003 Cohort C monotherapy CR at any time of 74.5% with DoR >27 months, later updated to 75.5% and DoR >28 months; no Grade ≥3 TRAEs and high treatment completion (97.3%) .
    • Balance sheet fortified: $238M follow-on completed, taking cash/marketable securities to $742.0M and runway into 1H 2028, supporting trial execution and commercial readiness .
    • Clear regulatory path: Company expects to initiate BLA submission for monotherapy in HR BCG-unresponsive NMIBC with CIS ± Ta/T1 in 2H 2025; additional high-visibility clinical milestones outlined (AUA final Cohort C; Cohort P topline; CORE-008 Cohort A topline) .
  • What Went Wrong

    • EPS missed consensus as operating expenses stepped up: R&D rose to $26.8M (vs $16.3M YoY), and G&A to $11.7M (vs $3.0M YoY) given CMC, trial, and headcount expansion, driving ($0.46) EPS in Q4 2024 .
    • Limited P&L leverage pre-approval: Revenue remains de minimis ($0.46M in Q4) and non-product in nature, so higher OpEx translates directly to a wider quarterly net loss near term .
    • Transcript unavailability: A full Q4 2024 earnings call transcript was not available in our corpus; a call was scheduled for Mar 28, 2025, limiting visibility into Q&A nuances (we rely on press releases) .

Financial Results

MetricQ2 2024Q3 2024Q4 2024
Revenue ($USD Millions)$0.111*$0.043*$0.456*
EPS (GAAP, $/sh)($0.28) ($0.30) ($0.46)
R&D Expense ($USD Millions)$18.5 $19.6 $26.8
G&A Expense ($USD Millions)$7.5 $8.7 $11.7
Net Loss ($USD Millions)$18.9 $20.4 $31.8
Cash & Marketable Securities ($USD Millions, period-end)$552.9 $540.7 $742.0

Values retrieved from S&P Global.*

Estimates comparison (Q4 2024):

MetricConsensus (S&P)*Actual (S&P)*Company ReportedSurprise vs Consensus (S&P)*
EPS (GAAP)-$0.3513-$0.48-$0.46 Miss ($0.13)
Revenue ($USD Millions)$0.125$0.456Beat ($0.331)

Values retrieved from S&P Global.*

Note: S&P Global records Q4 2024 “actual” EPS as -$0.48*, while the company reported ($0.46); the gap likely reflects methodology/rounding differences (e.g., share counts, data vendor treatment). We use S&P data for estimate comparisons and flag the discrepancy . Values retrieved from S&P Global.*

KPIs (operating and clinical)

KPIQ2 2024Q3 2024Q4 2024
BOND-003 CR at any time (monotherapy)75.2% at AUA (cutoff Apr 1, 2024) Updated results planned at SUO (no new % disclosed in Q3 PR) 74.5% at SUO (cutoff Sep 30, 2024)
Median DoRn/an/aNot reached, >27 months (Sep 30, 2024)
Safety (Grade ≥3 TRAEs)n/an/aNone reported; 97.3% completed treatments

Segment breakdown: Not applicable (no commercial product segmentation yet).

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Cash runwayMulti-yearSufficient through 2027 Sufficient into 1H 2028 Raised/extended
BLA submission (monotherapy; HR BCG-unresponsive NMIBC with CIS ± Ta/T1)2025Progressing toward BLA; timing not provided Initiation of BLA submission in 2H 2025 Introduced timing
BOND-003 Cohort C (monotherapy)2025 eventsSUO late-breaker accepted Final data to be presented at AUA 2025 New milestone detail
BOND-003 Cohort P (Ta/T1 without CIS)2H 2025Not specifiedTopline data anticipated in 2H 2025 Introduced
CORE-008 Cohort A (HR BCG-naïve)2H 2025Not specifiedTopline data anticipated in 2H 2025 Introduced

Earnings Call Themes & Trends

TopicQ2 2024 (Q-2)Q3 2024 (Q-1)Q4 2024 (Current)Trend
Regulatory path/BLA“Progressing toward submitting our BLA” for monotherapy; setup post-AUA/ASCO SUO late-breaker acceptance; focus on registrational momentum BLA initiation targeted for 2H 2025 Increasingly concrete timing
Clinical efficacy/durabilityAUA: 75.2% CR; Nature Medicine combo data supportive Emphasis on sustained/durable responses; SUO update forthcoming SUO: 74.5% CR with DoR >27 months (later 75.5% and >28 months at EAU 2025) Sustained best-in-disease durability
Safety/tolerabilityNo Grade ≥3 TRAEs; high completion (97.3%) Reinforced favorable profile
New trials/expansionEAP initiated; platform strengthening Pipeline momentum reiterated CORE-008 initiated/expanded (A and B); CX planned; PIVOT-006 ongoing Broader development footprint
Capital and runwayIPO proceeds extend runway to 2027 Runway to 2027 $238M follow-on; runway into 1H 2028 De-risked funding
Commercial readinessTeam strengthening noted Follow-on proceeds to support commercial readiness Preparing for launch

Management Commentary

  • “We made substantial progress in the fourth quarter of 2024... and a successful follow-on equity offering to expand our clinical development programs and support our commercial readiness activities.” — Arthur Kuan, Chairman & CEO .
  • “Cretostimogene’s compelling efficacy… with 63.5% of patients remaining in response at 12 months or greater and 56.6% at 24 months or greater by K-M estimate… 97.3% free from progression to MIBC at 12 months.” — Gary D. Steinberg, M.D., Lead Investigator (SUO LB update) .
  • “We are confident that cretostimogene is well positioned to address an unmet need for patients as a potential backbone bladder-sparing therapeutic if approved by the FDA.” — Ambaw Bellete, President & COO .

Q&A Highlights

  • A full Q4 2024 earnings call transcript was not available in our document corpus; the company held its call on Mar 28, 2025 at 7:00am ET. Accordingly, Q&A clarifications (e.g., commercialization phasing, BLA package details, payer engagement) are not captured here .
  • Based on press materials, investor focus likely centered on: BLA initiation mechanics and timing; durability data and Cohort P differentiation; and OpEx trajectory amid commercial readiness .

Estimates Context

  • Q4 2024 EPS missed consensus (S&P) by ~($0.13), driven by higher R&D and G&A as the company advanced registrational programs and built out for commercialization . Values retrieved from S&P Global.*
  • Revenue beat consensus on a very low base ($0.456M vs $0.125M), consistent with a pre-revenue biotech recognizing non-product revenue; not a driver of fundamental valuation near term . Values retrieved from S&P Global.*
  • S&P Global “actual” EPS for Q4 registers at -$0.48 versus company-reported ($0.46), likely reflecting methodology/vendor rounding; we anchor estimate comparisons on S&P and cite the company figure for completeness . Values retrieved from S&P Global.*

Key Takeaways for Investors

  • Clinical de-risking continues: best-in-disease durability and clean safety from BOND-003 monotherapy underpin a strong BLA and commercial narrative into 2H 2025 .
  • Funding risk reduced: runway into 1H 2028 after a $238M follow-on supports BLA, potential launch prep, and platform expansion without near-term financing overhang .
  • Near-term catalysts: AUA 2025 final Cohort C data; Cohort P topline (2H 2025); CORE-008 Cohort A topline (2H 2025) — these events are likely to drive stock inflections .
  • EPS miss reflects investment cadence, not demand dynamics; watch OpEx growth pacing vs milestones as a driver of quarterly optics pre-approval .
  • Regulatory clarity: initiation of BLA submission in 2H 2025 focuses attention on potential review timelines and launch preparedness (medical affairs, market access) .
  • Safety/utility positioning: No Grade ≥3 TRAEs and favorable adherence/completion strengthen the case for bladder-sparing adoption if approved .
  • Portfolio managers should position for binary-leaning clinical/regulatory catalysts; balance sheet strength allows management to optimize timelines rather than prioritize near-term opex cuts .

Footnotes:
Values retrieved from S&P Global.*

Sources:

  • Q4 2024 8-K earnings press release, financial statements, and business update .
  • December 5, 2024 SUO late-breaker press release (BOND-003 topline efficacy and safety) .
  • Q3 2024 earnings press release .
  • Q2 2024 earnings press release .
  • Earnings call scheduling reference (MarketBeat) .