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CARGO Therapeutics, Inc. (CRGX)·Q1 2024 Earnings Summary

Executive Summary

  • Q1 2024 delivered disciplined execution: FIRCE-1 expanded to 26 activated sites with over 20 patients dosed; IDMC endorsed continuation without protocol changes, reinforcing safety and operational momentum .
  • Operating spend rose as development scaled: R&D $30.5M and G&A $10.3M, driving net loss of $35.8M and diluted EPS of $(0.87); cash, cash equivalents and marketable securities totaled $375.9M, extending runway into 2026 .
  • Clinical narrative strengthened by Stanford Phase 1 data: DL1 median OS 25.7 months; estimated 2‑year survival 52%; no grade ≥3 CRS/ICANS at DL1; CR durability improved with no additional relapses since Nov 2023 cut-off .
  • No formal financial guidance issued; operational milestones maintained (interim analysis H1 2025) and cash runway raised from “through 2025” to “into 2026,” a positive de‑risking for capital needs .
  • Consensus estimates via S&P Global were unavailable; third-party sources suggest an EPS beat versus street, but vary in consensus (-$1.05 to -$1.25 vs actual -$0.87), indicating likely positive sentiment on cost control amid pipeline progress .

What Went Well and What Went Wrong

What Went Well

  • FIRCE-1 execution accelerated: 26 sites activated and over 20 patients dosed; IDMC recommended continuation without modifications, validating safety oversight and trial conduct .
  • Strengthened efficacy/safety narrative: Stanford Phase 1 DL1 update showed median OS 25.7 months and estimated 2‑year survival of 52%; no grade ≥3 CRS/ICANS at DL1, supporting dose selection for Phase 2 .
  • Management confidence and pipeline progress: “We’re off to a strong start to 2024… Phase 2 study for firi‑cel is progressing as planned… continued impressive manufacturing success” (Gina Chapman, CEO); IND‑enabling work advancing for CRG‑023 (tri‑specific CAR T with CD2 co‑stimulation) .

What Went Wrong

  • Operating expenses increased materially with scale: Total OpEx up to $40.8M from $15.2M in Q1 2023, reflecting step-up in clinical and corporate investment; net loss widened to $35.8M YoY .
  • No product revenue; financial results rely on financing and other income, leaving valuation sensitive to clinical catalysts and capital markets conditions .
  • Lack of a published earnings call transcript and limited quantitative KPIs beyond site/patient counts constrain near-term visibility into CMC metrics and timelines beyond “on track” guidance .

Financial Results

MetricQ1 2023Q3 2023Q4 2023Q1 2024
Revenues ($USD Millions)N/A N/A N/A N/A
Total Operating Expenses ($USD Millions)$15.25 $28.71 $34.96 $40.81
Net Loss ($USD Millions)$(12.75) $(35.47) $(32.08) $(35.81)
Diluted EPS ($)$(21.36) $(47.37) $(1.49) $(0.87)
Cash & Cash Equivalents ($USD Millions)N/A$60.34 $405.73 $81.53
Marketable Securities ($USD Millions)N/AN/A N/A $294.39
Cash, Cash Equivalents & Marketable Securities ($USD Millions)N/AN/A$405.73 $375.90

Notes:

  • Company reported no product revenue; statements of operations present operating expenses and other income without revenue line items .
  • Q1 2024 cash, cash equivalents and marketable securities disclosed as $375.9M explicitly in the press release text .

KPIs (Operational)

KPIQ3 2023Q4 2023Q1 2024
FIRCE-1 Sites Activated12 recruiting 20 open 26 activated
Patients Dosed in FIRCE-17 dosed N/A >20 dosed
IDMC Safety Review OutcomeN/AN/AContinue without modifications

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
FIRCE-1 Interim Analysis TimingH1 2025“Interim results expected 1H 2025” (Mar 2024) “On-track for interim analysis in first half of 2025” (May 2024) Maintained
Cash RunwayMulti-year“Fund operations through 2025” (Dec 2023, Mar 2024) “Expected cash runway into 2026” (May 2024) Raised
Trial Activation (Sites)Near-term20 sites open (Mar 2024) 26 sites activated (May 2024) Increased
Patients DosedNear-term7 dosed (Dec 2023) >20 dosed (May 2024) Increased

No numeric guidance issued for revenue, margins, OpEx beyond reported results; tax/OI&E/dividends not guided .

Earnings Call Themes & Trends

No Q1 2024 earnings call transcript was available; themes aggregated from quarterly press releases.

TopicPrevious Mentions (Q3 2023, Q4 2023)Current Period (Q1 2024)Trend
R&D Execution & ManufacturingInitiated Phase 2; 12 sites; manufacturing process improvements toward commercial readiness 26 sites activated; >20 patients dosed; “continued impressive manufacturing success” Improving execution scale
Clinical Efficacy & Safety (Stanford Phase 1)ORR 68%, CR 53%; CR durability ≥12 months for 73% at DL1; some relapses up to Nov 2023 DL1 mOS 25.7 months; estimated 2‑yr survival 52%; no grade ≥3 CRS/ICANS; no additional relapses since Nov 2023 data cut Reinforced durability/safety
Regulatory/LegalBreakthrough Therapy Designation noted for Stanford’s program; building leadership/SAB IDMC safety review supports continuation without protocol changes De‑risking safety monitoring
Pipeline Progress (CRG‑023)Team/tech platform enhancements IND‑enabling activities advancing for tri‑specific CAR T with CD2 co‑stimulation Advancing preclinical asset
Capital & RunwayCash expected to fund operations through 2025 (Dec 2023; Mar 2024) Cash, cash equivalents and marketable securities $375.9M; runway into 2026 Improved liquidity outlook

Management Commentary

  • “We’re off to a strong start to 2024… our Phase 2 study for firi‑cel is progressing as planned with 26 activated trial sites, more than 20 patients dosed, positive safety review from the IDMC and continued impressive manufacturing success.” — Gina Chapman, President and CEO .
  • “Ongoing follow-up from the Stanford Phase 1 study demonstrated favorable efficacy, durability and safety results… reinforcing our conviction in firi‑cel to become a meaningful treatment advancement…” — Gina Chapman .
  • Prior quarter tone: Focused on rapid recruitment and strong financial position post-IPO; “Interim results are anticipated in the first half of 2025.” — Gina Chapman (Mar 2024) .

Q&A Highlights

  • No published earnings call transcript for Q1 2024 was found; therefore, no Q&A themes or clarifications could be extracted from a call [ListDocuments showed none; Search returned none].

Estimates Context

  • S&P Global consensus data was unavailable due to missing mapping; therefore, we cannot present SPGI-based estimates comparisons at this time.
  • Third-party sources indicate an EPS beat: actual EPS $(0.87) vs consensus estimates ranging from $(1.05) to $(1.25), implying a beat of $0.18 to $0.38; revenue estimates were not available and the company reported no revenue .
  • Given the variance among non-SPGI sources, investors should treat the magnitude of the beat cautiously until SPGI mapping is available.

Key Takeaways for Investors

  • Execution momentum: Site activations and patient dosing are ramping, with supportive IDMC safety review — a positive signal for FIRCE‑1 operational cadence .
  • Clinical durability/safety strengthening: Updated Stanford DL1 data (mOS, 2‑yr survival; no grade ≥3 CRS/ICANS) underpins dose selection and potential differentiation in R/R LBCL post-CD19 CAR T .
  • Liquidity improved: $375.9M cash, cash equivalents and marketable securities and runway into 2026 reduce near-term financing overhang, supporting continued trial execution and CRG‑023 IND‑enabling work .
  • Cost profile scaling: Rising OpEx reflects investment in clinical and corporate infrastructure; monitor spending trajectory vs trial milestones and any future partnering .
  • Catalysts: Interim FIRCE‑1 analysis in H1 2025 and additional clinical updates (e.g., EHA data) are likely stock-moving; absence of revenue means outcomes and operational metrics drive valuation .
  • Estimates: With SPGI consensus unavailable and third-party variance, near-term estimate models may need reconciliation; the reported EPS suggests better-than-feared cost control in Q1 .
  • Positioning: Continued manufacturing reliability and safety profile at DL1 are central to sustaining investor confidence into interim analysis; watch for updates on site/patient additions and any CMC metrics disclosures .