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Stoke Therapeutics, Inc. (STOK)·Q3 2024 Earnings Summary

Executive Summary

  • Q3 2024 revenue was $4.9M, net loss was $26.4M (EPS -$0.47); operating expenses rose YoY on increased R&D and G&A tied to zorevunersen and corporate scaling .
  • Cash, cash equivalents, and marketable securities totaled $269.2M at quarter-end, supporting regulatory and clinical execution into year-end updates .
  • Management reiterated plans to provide seizure, cognition, and behavior data representative of the proposed Phase 3 dosing regimen and to update Phase 3 design alignment by year-end; FDA removed the Partial Clinical Hold in August, de-risking the program’s path to Phase 3 .
  • STK-002 (ADOA) Phase 1 start was delayed as the company concentrates resources on zorevunersen; near-term stock catalysts center on AES data and Phase 3 design alignment disclosures .

What Went Well and What Went Wrong

What Went Well

  • FDA removed the Partial Clinical Hold on zorevunersen, enabling progressed regulatory discussions toward a single global Phase 3 study .
  • New clinical data presented at EEC showed substantial seizure reductions (e.g., median −85% at 3 months and −74% at 6 months after last 70 mg dose) and meaningful improvements in cognition and behavior, strengthening the disease-modification narrative .
  • CEO tone confident on Phase 3 planning: “substantial and sustained effects across multiple measures… give us confidence… to go beyond seizure management” .

What Went Wrong

  • Net loss widened YoY as operating expenses increased: R&D ($22.2M vs $20.3M) and G&A ($12.7M vs $10.3M) for Q3 2024, reflecting heavier investment and corporate build-out .
  • STK-002 (ADOA) Phase 1 study start delayed to prioritize zorevunersen, pushing out pipeline timelines beyond prior “on track in 2024” expectations .
  • No formal financial guidance was provided, limiting near-term estimate anchoring for revenue/OpEx/EPS .

Financial Results

P&L Comparison (Quarterly)

MetricQ1 2024Q2 2024Q3 2024
Revenue ($USD Millions)$4.216 $4.831 $4.894
Net Loss ($USD Millions)$(26.374) $(25.695) $(26.430)
EPS ($USD)$(0.57) $(0.46) $(0.47)
R&D Expense ($USD Millions)$22.368 $21.136 $22.205
G&A Expense ($USD Millions)$10.220 $13.037 $12.692
Total Operating Expenses ($USD Millions)$32.588 $34.173 $34.897

YoY Comparison (Q3)

MetricQ3 2023Q3 2024
Revenue ($USD Millions)$3.308 $4.894
Net Loss ($USD Millions)$(24.542) $(26.430)
EPS ($USD)$(0.55) $(0.47)
R&D Expense ($USD Millions)$20.271 $22.205
G&A Expense ($USD Millions)$10.271 $12.692

KPI Snapshot

KPIQ1 2024Q2 2024Q3 2024
Cash, Cash Equivalents & Marketable Securities ($USD Millions)$178.6 $282.0 $269.2
Deferred Revenue – Current ($USD Millions)$20.918 $26.051 $31.612
Deferred Revenue – Non-Current ($USD Millions)$25.042 $16.946 $8.291
Weighted-Average Shares (Basic & Diluted)46,246,889 55,765,948 56,341,074

Revenue Source Breakdown

SourceQ1 2024Q2 2024Q3 2024
Acadia Collaboration Revenue ($USD Millions)$4.2 $4.8 $4.9

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Phase 3 registrational study update (zorevunersen)2024Update in “second half of 2024” Update “by year-end” Maintained (timing refined)
STK-002 Phase 1 start (ADOA)2024“On track to initiate in 2024” “Delay the start of the Phase 1 study” Lowered/Delayed
Financial guidance (Revenue/OpEx/EPS)2024None provided None provided Maintained (no formal guidance)

Earnings Call Themes & Trends

TopicPrevious Mentions (Q1 & Q2 2024)Current Period (Q3 2024)Trend
Regulatory/legalPlan to meet regulators on registrational study; Partial Clinical Hold removed by FDA in Aug Ongoing discussions with FDA/global agencies; Phase 3 update by year-end Progressing positively
R&D executionData across 81 patients support disease modification; preparing for registrational study EEC data: large seizure reductions; cognition/behavior improvements; AES abstracts submitted Strengthening evidence base
Product performance (zorevunersen)Durable seizure reductions and behavior/cognition improvements reported Additional dosing regimen-representative data to be shared; sustained multi-domain effects Reinforced
Pipeline prioritizationSTK-002 Phase 1 planned for 2024 STK-002 Phase 1 delayed to focus on zorevunersen Deprioritized near term
Financial position$178.6M (Q1), $282.0M (Q2) in liquidity $269.2M liquidity (Q3) Solid; moderate decline QoQ

Management Commentary

  • CEO on year-end objectives: “prepare to share new data… and complete our regulatory discussions toward alignment on [Phase 3] study design” .
  • CEO on clinical breadth: “substantial and sustained effects across multiple measures… give us confidence… to go beyond seizure management” .
  • Lead investigator perspective: “Patients treated with 2 or 3 doses of 70mg… experienced median seizure reductions of 85% at 3 months and 74% at 6 months… [and] meaningful improvements in cognition and behavior” .
  • CMO on disease context: “current anti-seizure medicines are insufficient… our studies suggest… substantially reduce seizures… [and] improve cognition and behavior… never before demonstrated in Dravet clinical study” .

Q&A Highlights

  • No Q3 2024 earnings call transcript was available in our document repository or on the company’s investor site during the period reviewed; therefore, Q&A highlights cannot be provided .

Estimates Context

  • Wall Street consensus estimates (S&P Global) for Q3 2024 EPS and revenue were unavailable due to access limitations at the time of request; comparisons to consensus are not included. If needed, we can refresh once S&P Global access is restored [GetEstimates error log].

Key Takeaways for Investors

  • Regulatory de-risking: FDA removal of the Partial Clinical Hold and ongoing global agency discussions position zorevunersen for Phase 3 design alignment by year-end .
  • Strengthening clinical narrative: EEC data underscore large seizure reductions and cognition/behavior gains, supporting a disease-modifying profile that could reset expectations for Dravet treatment outcomes .
  • Focused capital allocation: STK-002 delay signals resource prioritization behind the lead asset ahead of Phase 3, an execution-centric pivot likely to be viewed favorably for near-term milestones .
  • Financial capacity: $269.2M in cash, cash equivalents, and marketable securities provides flexibility to reach upcoming data and regulatory updates without immediate financing pressure .
  • Operating expense trajectory: R&D and G&A growth reflect scaling for Phase 3 and corporate readiness; monitor OpEx discipline as Phase 3 initiates and broader commercialization planning begins .
  • Upcoming catalysts: AES 2024 data readouts and year-end Phase 3 update are likely near-term stock drivers given the novelty of multi-domain improvements beyond seizures .
  • Partnership revenue visibility: Near-term revenue primarily from Acadia collaboration remains modest versus expenses; investment case hinges on clinical/regulatory momentum rather than P&L profitability in 2024 .