PROTHENA CORP PUBLIC LTD CO (PRTA)·Q1 2025 Earnings Summary
Executive Summary
- Q1 2025 delivered a wider-than-expected loss and materially lower revenue vs consensus; total revenue was $2.83M and GAAP EPS was -$1.12 vs S&P Global consensus of $8.18M and -$1.02, respectively; both metrics missed expectations, reflecting limited collaboration revenue recognition in the quarter *.
- Operating discipline improved year over year: R&D fell to $50.8M (from $64.1M) and net loss narrowed to $60.2M (from $72.2M) on Q1 2024, driven primarily by lower clinical trial and manufacturing costs .
- Guidance was maintained: 2025 net cash used in operating and investing activities of $168–$175M and year-end cash of ~$301M (midpoint), supported by $418.8M quarter-end cash and no debt .
- Key pipeline catalysts highlighted for 2025 (at Q1 report) included PRX012 Phase 1 ASCENT readouts starting mid-2025 and birtamimab Phase 3 AFFIRM-AL topline in 2Q 2025; notably, post-quarter, AFFIRM-AL failed and birtamimab was discontinued (material to stock narrative and forward estimates) .
What Went Well and What Went Wrong
What Went Well
- Cost control: R&D declined to $50.8M (vs $64.1M LY) with management citing lower clinical trial and manufacturing costs; net loss improved year over year to $60.2M (vs $72.2M) .
- Balance sheet strength: Quarter-end cash and restricted cash were $418.8M with no debt, providing runway to 2025 readouts .
- Pipeline momentum: Multiple PRX012 ASCENT readouts expected starting mid-2025; partner updates (prasinezumab PADOVA suggested possible benefit in early-stage PD; Novo Nordisk coramitug Phase 2 data expected in 2H 2025) .
- “We also anticipate multiple clinical readouts starting around mid-2025 and continuing throughout the year from the ongoing Phase 1 ASCENT clinical trials in patients with early Alzheimer’s disease for PRX012.” – CEO Gene Kinney .
What Went Wrong
- Missed estimates: Revenue ($2.83M) and EPS (-$1.12) missed S&P Global consensus ($8.18M revenue; -$1.02 EPS), reflecting lighter collaboration revenue recognition in the period *.
- Limited top-line diversity: Revenue remained almost entirely collaboration-based (BMS PRX019-related services); no product revenue to offset Opex .
- Subsequent shock: On May 23, 2025, birtamimab’s Phase 3 AFFIRM-AL failed its primary endpoint (HR=0.915; p=0.7680) and all secondary endpoints; the program was discontinued, implying a material change to the medium-term commercial path and OpEx plans .
Financial Results
Income Statement and Cash (oldest → newest)
Notes: Q4 2024 cash and restricted cash were $472.2M per period-end disclosure . Q1 2025 cash and restricted cash were $418.8M; no debt .
Estimate Comparison (S&P Global; current quarter)
Values marked with * are retrieved from S&P Global; no company document citation is available.
KPIs
Segment breakdown: Not applicable; Q1 revenue primarily collaboration revenue from Bristol Myers Squibb related to PRX019 Phase 1 obligations .
Guidance Changes
Subsequent update (post-quarter): On June 18, 2025, after discontinuing birtamimab and announcing a ~63% workforce reduction, guidance was revised to net cash burn $170–$178M (year-end cash ~$298M midpoint) and estimated net loss $240–$248M including ~$36M SBC and a $45M non-cash tax expense tied to a full U.S. DTA valuation allowance .
Earnings Call Themes & Trends
Note: The company did not host a Q1 2025 conference call (“will not be conducting a conference call”) . Themes below compare Q-2 (Q3 2024) and Q-1 (Q4 2024) to the current period (Q1 2025 press release).
Management Commentary
- “We continue to meaningfully advance our wholly-owned and partnered programs… We also anticipate multiple clinical readouts starting around mid-2025 and continuing throughout the year from the ongoing Phase 1 ASCENT clinical trials in patients with early Alzheimer’s disease for PRX012.” – Gene Kinney, CEO .
- “Topline results expected in 2Q 2025 from the confirmatory Phase 3 AFFIRM-AL clinical trial of birtamimab…” .
- “Results from the Phase 2b PADOVA clinical trial of prasinezumab… suggest a possible benefit in early-stage Parkinson’s disease…” .
- “As of March 31, 2025, Prothena had $418.8 million in cash, cash equivalents and restricted cash, and no debt.” .
Q&A Highlights
- No Q1 call was held (“will not be conducting a conference call” for Q1 release) .
- Select relevant themes from Q4 2024 Q&A:
- AFFIRM-AL success threshold and baseline characteristics: SPA defines success at p≤0.10; ~80% of AFFIRM-AL subjects on daratumumab; control behavior expectations anchored to VITAL .
- Commercial opportunity in AL amyloidosis: concentrated prescriber base; Mayo Stage IV ≈5,000 U.S. diagnosed/treated patients; management had outlined blockbuster potential if positive .
- PRX012 clinical design and data rollout: initial “A” cohort data mid-2025; expansion cohort rationale and APOE subgrouping detailed .
Estimates Context
- Q1 2025 results missed S&P Global consensus: Revenue $2.83M vs $8.18M consensus; GAAP EPS -$1.12 vs -$1.02 consensus *.
- With birtamimab discontinued post-quarter, street models will likely remove commercial contribution and reduce 2026–2028 revenue/EBIT expectations, partially offset by optionality around PRX012, partner milestones, and OpEx resets reflected in the June restructuring .
Key Takeaways for Investors
- Q1 2025 was operationally tighter (lower R&D YoY) but financially soft vs consensus due to low collaboration revenue; valuation sensitivity shifts from birtamimab to PRX012 and partnered programs post-quarter .
- Guidance was maintained at Q1 (cash burn $168–$175M; year-end cash ~$301M), indicating runway to 2025 catalysts; however, post-quarter restructuring revised 2025 loss higher and year-end cash slightly lower, reflecting birtamimab discontinuation costs and tax valuation allowance .
- The portfolio focus tilts toward Alzheimer’s (PRX012) where mid-2025 and subsequent readouts are the next stock catalysts; commercial thesis now depends more on AD programs and partner updates (prasinezumab, coramitug, PRX019, BMS-986446) .
- Expect estimate resets to remove birtamimab revenues and to reflect reduced OpEx run-rate over time post-restructuring; monitor for any 2026 milestone receipts that could bridge cash needs .
- Near-term trading setup: limited top-line drivers until PRX012 data; subsequent volatility tied to AD readouts and partner disclosures (Roche/Novo/BMS) .
Footnote: Values marked with * are retrieved from S&P Global (consensus/estimates).