Sign in

You're signed outSign in or to get full access.

Samuel Agresta

Chief Medical Officer at OnKure Therapeutics
Executive

About Samuel Agresta

Chief Medical Officer at OnKure Therapeutics (OKUR). Age 52. Tenure: joined Legacy OnKure as CMO in February 2024 and became CMO of the combined company at the October 4, 2024 merger closing. Education: B.S. (Georgetown), M.P.H./T.M. (Tulane School of Public Health), M.D. (Tulane University), M.S. in Clinical Investigation (University of South Florida); residency in Internal Medicine (Tulane) and hematology/oncology fellowship (Moffitt Cancer Center). Track record includes leadership roles advancing oncology programs: led FDA submissions for TIBSOVO (ivosidenib) and IDHIFA (enasidenib), and earlier work on the HER2 franchise including KADCYLA (ado-trastuzumab emtansine). 2024 cash bonuses for executives were determined discretionarily rather than by disclosed financial metrics; specific TSR, revenue, or EBITDA metrics tied to Agresta’s pay were not disclosed.

Past Roles

OrganizationRoleYearsStrategic Impact
Foghorn TherapeuticsChief Medical OfficerSep 2019 – Sep 2023Built clinical development team; led multiple IND filings and Phase 1 programs (AML, MDS, uveal melanoma, synovial sarcoma).
Infinity PharmaceuticalsDirector & Chief Medical OfficerAug 2018 – Aug 2019Led Phase 1/2 development of PI3Kγ inhibitor IPI‑549.
Agios PharmaceuticalsVP & Head of Clinical DevelopmentDec 2011 – Aug 2018Directed oncology development; led FDA submissions for TIBSOVO and IDHIFA.
Merrimack PharmaceuticalsSenior Medical DirectorNot disclosedOncology programs; prior role before Agios.
GenentechSenior Medical DirectorNot disclosedWork in HER2 franchise (e.g., KADCYLA).

External Roles

OrganizationRoleYearsNotes
Moffitt Cancer CenterHematology/Oncology FellowNot disclosedFellowship training.
Tulane University Health Science CenterInternal Medicine ResidentNot disclosedResidency training.

Fixed Compensation

Component2024 ActualCurrent Terms (Post-Merger)
Base Salary$416,727 (paid in 2024) $482,000 annual base salary per New Employment Agreement effective Oct 4, 2024
Target Bonus %40% of earned salary 40% of base salary ($192,800)
Actual Bonus Paid$183,360 (paid in 2025 for 2024 performance; discretionary) N/A
Other Compensation$12,362 (401(k) match) N/A

Performance Compensation

Incentive TypeMetricWeightingTargetActual/PayoutVesting
Annual Cash Bonus (2024)Board-assessed company performance (discretionary) N/A (discretionary) 40% of earned salary $183,360 (paid in 2025) Cash; no vesting
Stock Options (Grant date fair value)Time-based optionsN/AN/A$2,228,619 (2024 option award grant-date fair value) See vesting schedules below

Equity Award Details (Vesting Schedules and Terms)

Grant DateTypeSharesExercise PriceExpirationVesting Schedule
Feb 6, 2024Stock Option18,588 (unexercisable at FY-end) $13.99 Feb 5, 2034 25% vests on Feb 5, 2025; remainder 1/48 monthly thereafter
Oct 4, 2024Stock Option131,396 total (7,299 exercisable; 124,097 unexercisable at FY-end) $18.20 Oct 3, 2034 1/36 monthly beginning Nov 4, 2024
Oct 4, 2024Stock Option grant announcement131,396 sharesN/AN/AAwards under 2024 Plan; 1/36 monthly vesting (Agresta)

Equity Ownership & Alignment

Ownership MeasureValueNotes
Total Beneficial Ownership (as of Mar 1, 2025)30,132 sharesConsists solely of options exercisable within 60 days; less than 1% of outstanding shares.
Shares Outstanding (basis for % calc)12,749,299 Class A; 686,527 Class BBasis used for percentage computation.
Options – Exercisable (FY-end 2024)7,299 (Oct 4, 2024 grant)As shown in outstanding awards table.
Options – Unexercisable (FY-end 2024)124,097 (Oct 4, 2024); 18,588 (Feb 6, 2024)As shown in outstanding awards table.
Stock Ownership GuidelinesNot disclosedNo disclosure found. —
Pledging/HedgingNot disclosed for OKURClawback policy disclosed; pledging/hedging not specifically disclosed for OKUR.

Employment Terms

TopicTerms
Employment Agreement Effective DateNew Employment Agreement effective at merger closing (Oct 4, 2024); employment at‑will.
Base & Bonus (Post-Merger)Base salary $482,000; target bonus 40% ($192,800).
Severance (Outside CIC Period)If terminated without cause or resign for good reason: lump sum equal to 100% of base salary; up to 12 months COBRA premium payments.
Change‑in‑Control (CIC) Severance (Double Trigger)If terminated without cause or resign for good reason during CIC Period: lump sum equal to 100% of base salary and 100% of target bonus; up to 12 months COBRA; 100% accelerated vesting of outstanding and unvested equity awards other than performance‑based awards.
Tax Gross‑UpsNone; 280G cutback provision to maximize after‑tax benefits without excise tax gross‑ups.
Clawback/Compensation RecoveryExchange Act Rule 10D‑1 compliant Compensation Recovery Policy adopted (effective upon closing); defines Excess Compensation and recovery methods including cancellation and offsets.

Investment Implications

  • Pay mix is equity‑heavy with multi‑year, time‑based option vesting (1/36 monthly; plus a 25% cliff then 1/48 monthly on the Feb 2024 grant), which aligns retention but can create recurring Form 4 activity as tranches vest; monitor for 10b5‑1 plans and insider sales cadence around vest dates.
  • Double‑trigger CIC protection (salary and target bonus plus full acceleration of time‑based equity upon qualifying termination) improves downside protection but may modestly reduce termination risk; absence of tax gross‑ups is shareholder‑friendly.
  • Beneficial ownership is modest (<1% via options exercisable within 60 days), suggesting limited immediate “skin‑in‑the‑game” on common stock; alignment primarily via unvested equity over time.
  • 2024 cash bonuses were discretionary, with no disclosed financial performance metrics; forward incentive metrics will be set under the Executive Incentive Compensation Plan, which allows a broad menu (R&D milestones, capital raising, stock price/TSR, revenue, etc.). Tracking future compensation disclosures will be key for pay‑for‑performance assessment.