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Alan Musso

Chief Financial Officer at Fulcrum Therapeutics
Executive

About Alan Musso

Alan Musso, age 63, is Chief Financial Officer of Fulcrum Therapeutics (since August 7, 2023). He holds a B.S. in Accounting from Saint Mary’s College of California and a graduate degree from the Thunderbird School of Global Management, with 25+ years of biotech/pharma finance leadership (Bellicum, Peloton Therapeutics, Targacept, ReViral) . During 2024, Fulcrum entered a global license for losmapimod with Sanofi ($80.0M upfront recognized as collaboration revenue) and suspended losmapimod development after the Phase 3 REACH miss; net loss improved to $9.7M (vs. $97.3M in 2023) and cumulative TSR for a hypothetical $100 investment was $64.56 in 2024 (vs. $92.72 in 2023) .

Past Roles

OrganizationRoleYearsStrategic Impact
ReViral Ltd. (acquired by Pfizer)Chief Financial OfficerOct 2019 – Sep 2022Helped lead finance through sale to Pfizer; antiviral therapeutics focus
Peloton Therapeutics (acquired by Merck)Chief Financial OfficerSep 2018 – Sep 2019Finance leadership through acquisition by Merck; oncology discovery
Bellicum PharmaceuticalsCFO & TreasurerNov 2014 – Aug 2018Public biotech; cellular immunotherapies finance/org build
TargaceptSVP Finance & Admin; CFO & Treasurer; Asst. SecretaryFeb 2002 – Nov 2014Multiple finance leadership roles at public biopharma

External Roles

OrganizationRoleYearsNotes
Rein Therapeutics, Inc.DirectorAs of 2025Current (biopharma)
Aileron Therapeutics, Inc.DirectorAs of 2024Prior disclosure in 2024 proxy

Fixed Compensation

Metric202320242025
Base Salary ($)$180,682 (pro rata; annualized $450,000) $457,500 $478,100
Target Bonus % of Salary40% 40% 40%
Actual Annual Bonus ($)$61,700 (pro rata) $119,000
All Other Compensation ($)$31,697 (incl. $22,322 housing/travel and $9,375 tax gross-up) $106,500 (incl. $75,000 housing/travel and $31,500 tax gross-up)
Clawback Policy (Rule 10D-1)Adopted Nov 2023 Effective Nov 2023 Continues
Anti-Hedging/Pledging PolicyProhibits hedging, margin purchases, and pledging (limited exceptions) Prohibits hedging/margin/pledging (limited exceptions) Continues

Performance Compensation

ComponentPerformance Metric(s)WeightingTargetActual/PayoutVesting
Annual Cash Bonus (2024)Corporate goals: development (FSHD/SCD), research portfolio, business ops/resource mgmt, HR/engagement Holistic assessment; preliminary internal weightings not used mathematically 40% of $457,500 salary 65% of target; $119,000 paid Cash (2024)
Annual Cash Bonus (2023)Corporate goals: development, research, operations, HR Holistic 40% (pro rata) 85% of target (pro rata); $61,700 Cash (2023)
Performance Stock Options (granted 8/7/2023)Pre-defined financial and investor relations objectives within 6 months N/A (pass/fail objectives) 61,822 options subject to performance Objectives met on 1/17/2024 Vested upon achievement; terms per award
Time-Vested Options (refresh 1/25/2024)Tenure-based alignmentN/A100,000 options (18,750 exercisable; 81,250 unexercisable at 12/31/24) N/AEqual quarterly over 4 years beginning 1/1/2024
Time-Vested Options (new hire 8/7/2023)Tenure-based alignmentN/A432,800 options (135,250 exercisable; 297,550 unexercisable at 12/31/24) N/A25% on 1st anniversary (8/7/2024), then 6.25% quarterly for 3 years

Equity Ownership & Alignment

ItemDetail
Total Beneficial Ownership300,235 shares underlying options; <1% of shares outstanding
Shares Outstanding (for % calc)53,979,306 shares (as of 4/28/2025)
Equity Mix OutstandingNo RSUs/stock awards outstanding for NEOs at 12/31/2024 (options only)
Options Breakdown (as of 12/31/2024)- 135,250 exercisable; 297,550 unexercisable; strike $4.01; exp. 8/6/2033 (new-hire grant) • 61,822 exercisable; strike $4.01; exp. 8/6/2033 (performance options) • 18,750 exercisable; 81,250 unexercisable; strike $6.95; exp. 1/25/2034 (2024 refresh grant)
Vesting Schedules- New-hire: 25% on 8/7/2024; 6.25% quarterly thereafter • 2024 refresh: equal quarterly over 4 years from 1/1/2024 • Performance options: met 1/17/2024
Hedging/PledgingProhibited under insider trading policy; pledging only if exceptional approval with independent capacity to repay (no pledge disclosures reported)
Ownership GuidelinesNot disclosed in proxy materials (no executive ownership guideline data found)

Employment Terms

ScenarioCash SeveranceBonus TreatmentCOBRA PremiumsEquity Acceleration
Termination without Cause / Good Reason (non‑COC; >1 year after start)9 months base salary Lump sum = 100% of target bonus Company portion for up to 9 months None (time-based awards continue per standard; no acceleration)
Termination without Cause / Good Reason within 12 months post‑COC12 months base salary Lump sum = 100% of target bonus Company portion for up to 12 months Full acceleration of time-based unvested equity
Other (death/disability/for cause/voluntary w/o good reason)Accrued obligations only N/AN/AN/A

Notes: All severance contingent on execution/non‑revocation of release and ongoing compliance with non‑solicit/confidentiality/inventions agreements . Non‑solicit for one year post‑termination; confidentiality obligations indefinite . Company adopted a Nasdaq Rule 10D‑1 compliant compensation recovery (clawback) policy effective November 2023 .

Compensation Structure Observations

  • Equity-heavy orientation: 2024 option award fair value ($568,760) exceeded cash salary ($457,500), reinforcing at-risk pay tied to share price appreciation .
  • Discretion and governance: Bonuses assessed holistically versus fixed weighting; 2024 bonuses paid at 65% of target following mixed program outcomes (Sanofi deal offset by REACH miss) .
  • Tax gross-ups: Housing/travel allowances included tax gross-ups ($31,500 in 2024; $9,375 in 2023), a shareholder-unfriendly feature to monitor .
  • Grant timing policy: Equity award grant timing codified in April 2025 to first-Monday trading days following approval, reducing timing risk around MNPI .

Risk Indicators & Red Flags

  • Hedging/pledging prohibited (alignment positive); exceptions possible for pledging with strict conditions—monitor for any granted exemptions .
  • Tax gross-ups on allowances are governance-sensitive (red flag trend if expanded beyond relocation/housing) .
  • Performance option criteria tied to financial/IR objectives met within six months (ensure robust, outcome‑based targets versus easily achievable administrative goals) .
  • No indication of option repricing/modification; no RSUs outstanding (options have clearer market‑linked risk) .

Investment Implications

  • Alignment: Options-only equity profile plus anti‑hedging/pledging policy align CFO incentives with shareholder value creation; beneficial ownership is <1%—engagement on ownership guidelines could strengthen alignment .
  • Retention: Standard biotech severance (0.75x salary non‑COC; 1.0x salary COC) with COBRA and full time‑based acceleration in COC terminations; quarterly vesting cadence supports retention but creates ongoing incremental vesting supply .
  • Near-term selling pressure: Multiple tranches already exercisable (including performance options); monitor Form 4s for potential sales around quarterly vest dates and liquidity events; 2024 refresh and 2023 grants continue vesting through 2027–2034 .
  • Governance watchpoints: Presence of tax gross-ups and holistic bonus determinations merit continued scrutiny, especially following program inflections (e.g., REACH miss vs. Sanofi upfront recognition) .

All information above sourced from Fulcrum Therapeutics’ 2025 and 2024 DEF 14A filings and cited accordingly.