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Tvardi Therapeutics, Inc. (TVRD)·Q1 2025 Earnings Summary

Executive Summary

  • Q1 2025 was primarily a transition quarter post-merger and reflected Cara’s legacy operations: total revenue was $2.57M, net loss was $4.91M, and basic/diluted EPS were $(3.22) . Management emphasized a strengthened balance sheet post-merger and cash runway into 2H 2026 .
  • Business highlights centered on STAT3 programs: Phase 2 IPF readout expected in 2H 2025 and HCC readout in 1H 2026; an IND for next-gen STAT3 inhibitor TTI-109 was planned for 1H 2025 .
  • Subsequent quarters updated guidance and execution: Q2 2025 cash/short-term investments rose to $41.0M with net income of $4.17M on a large non-cash gain; runway guided into Q4 2026 . In Q3 2025, preliminary IPF Phase 2 did not meet goals, while HCC and TTI-109 timelines remained intact; runway maintained into Q4 2026 .
  • No earnings call transcript was available for Q1 2025; investor communications were via the 8-K press release and 10-Q filings .

What Went Well and What Went Wrong

What Went Well

  • Cash runway extended: Post-merger cash, equivalents, and short-term investments at closing anticipated to fund operations into the second half of 2026 . In Q2, management reiterated runway into Q4 2026 .
  • Pipeline momentum: IPF Phase 2 readout targeted for 2H 2025; HCC Phase 1b/2 topline in 1H 2026; TTI-109 IND planned for 1H 2025 (submitted June 2025) .
  • CEO signal on strategy: “With the cash on our balance sheet, we believe we are well financed through meaningful value inflection points… including anticipated Phase 2 readouts of our lead program in IPF as well as our hepatocellular carcinoma program” . In Q2: “We are on track for topline data in the fourth quarter from our fully enrolled REVERT IPF Phase 2 clinical trial” .

What Went Wrong

  • Legacy revenue base is non-core: Q1 revenue ($2.57M) derived from Cara’s profit-sharing, clinical compound, and other non-cash royalty components, which were largely divested or terminated post-merger, limiting forward relevance .
  • Q3 IPF outcome: Preliminary REVERT IPF Phase 2 did not meet goals, prompting deeper analysis and uncertainty around IPF trajectory .
  • Going concern and capital needs: 10-Q flagged substantial doubt about continuing as a going concern and need for additional capital to advance programs despite post-merger cash infusion .

Financial Results

Headline Metrics vs Prior Periods and Estimates

MetricQ1 2024Q1 2025Q2 2025Q3 2025
Revenue ($USD Millions)$2.14 $2.57 $0.00 (no revenue line reported) $0.00 (no revenue line reported)
Basic EPS ($)$(20.24) $(3.22) $0.51 $(0.59)
Diluted EPS ($)$(20.24) $(3.22) $(1.00) $(0.59)
Net Income ($USD Millions)$(30.70) $(4.91) $4.17 $(5.53)
Net Income Margin %-1,436% (computed from $(30.70)/$2.14) -191% (computed from $(4.91)/$2.57) N/M (no revenue) N/M (no revenue)

Note: Q1 2025 reflects Cara’s legacy operations pre-merger close (April 15, 2025) per the 10-Q explanatory note . Q2/Q3 statements show operating expense-only presentations (no revenue lines), consistent with clinical-stage status .

Revenue Component Breakdown (Q1 2025 and Prior Year)

ComponentQ1 2024 ($USD Thousands)Q1 2025 ($USD Thousands)
Collaborative revenue (KORSUVA US profit-share)$788 $1,198
Commercial supply revenue (CSL Vifor)$640 $0
Clinical compound revenue (Maruishi)$84 $48
Other revenue (non-cash ex-US royalties/milestones)$623 $1,323
Total Revenue$2,135 $2,569

Operating Expense KPIs and Liquidity

KPIQ1 2024Q1 2025Q2 2025Q3 2025
R&D Expense ($USD Thousands)$21,964 $319 $5,806 $3,603
G&A Expense ($USD Thousands)$6,816 $4,636 $3,063 $2,335
Cash & Cash Equivalents ($USD Thousands)$48,496 (end of period) $34,217 (end of period) $20,648 (end of period) $21,418 (end of period)
Short-term Investments ($USD Thousands)$20,346 $15,042
Cash + ST Investments ($USD Thousands)$48,496 $34,217 $40,994 $36,460

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Cash runwayAs of Q1 2025Sufficient into 2H 2026 Into Q4 2026 (Q2 update) Raised/extended
IPF (TTI-101) Phase 2 toplineTiming2H 2025 Q4 2025 (specific) Narrowed window
HCC (TTI-101) Phase 1b/2 toplineTiming1H 2026 1H 2026 (maintained in Q2/Q3) Maintained
TTI-109 INDTiming1H 2025 planned Submitted June 2025; healthy volunteer study initiated, topline 1H 2026 Achieved submission; added HV timing
IPF program statusProgram outcomeReadout expected 2H 2025 Preliminary data did not meet goals (reported in Oct; Q3 release) Negative surprise

Earnings Call Themes & Trends

Note: No Q1 2025 earnings call transcript; themes compiled from press releases and 10-Q/8-K updates .

TopicPrevious Mentions (Q-2)Previous Mentions (Q-1)Current Period (Q1 2025)Trend
Cash runwayInto Q4 2026 Into 2H 2026 Improving runway clarity
IPF (TTI-101)Q4 2025 topline; fully enrolled 2H 2025 topline expected On track in Q1/Q2; negative outcome reported in Q3
HCC (TTI-101)1H 2026 topline maintained 1H 2026 topline expected Stable timeline
TTI-109 (next-gen STAT3)IND submitted Jun 2025; HV study initiated; results 1H 2026 IND planned 1H 2025 Progressed from plan to execution
Corporate actionsMerger completed; Nasdaq listing; auditor change from EY to Deloitte Strengthened public company infrastructure
Legal/regulatoryNasdaq compliance narrative; going concern disclosure Standard risk disclosures

Management Commentary

  • Q1 2025: “With the cash on our balance sheet, we believe we are well financed through meaningful value inflection points… including anticipated Phase 2 readouts of our lead program in idiopathic pulmonary fibrosis (IPF) as well as our hepatocellular carcinoma program” — Imran Alibhai, CEO .
  • Q2 2025: “We are on track for topline data in the fourth quarter from our fully enrolled REVERT IPF Phase 2 clinical trial… we are well-financed through these potential value inflection points, and into Q4 of next year” — Imran Alibhai, CEO .
  • Q3 2025: “The REVERT IPF clinical trial did not meet its goals… we remain confident in the potential of STAT3 inhibition… eagerly await data from our ongoing Phase 2 REVERT Liver Cancer trial in the first half of next year” — Imran Alibhai, CEO .

Q&A Highlights

  • No Q1 2025 earnings call transcript or Q&A session was available in filings or public transcripts; investor communication relied on the 8-K press release and the 10-Q .

Estimates Context

  • Wall Street consensus via S&P Global: Consensus EPS and number of estimates for Q1 2025 were unavailable; consensus revenue also unavailable, and the tool returned only actual revenue (not an estimate). Values retrieved from S&P Global.*
  • Implication: No beat/miss vs consensus can be determined for Q1 2025; future estimate revisions likely centered on IPF readout timing (later reported outcome) and runway updates .

Key Takeaways for Investors

  • Near-term catalysts: IPF Phase 2 readout (guided for 2H/Q4 2025 in Q1/Q2), which later proved negative in Q3; HCC Phase 1b/2 topline remains due in 1H 2026; TTI-109 HV study topline in 1H 2026 .
  • Balance sheet and runway: Post-merger liquidity plus June/Q3 positions support operations into Q4 2026; quarterly cash + ST investments rose to $41.0M in Q2 and stood at $36.5M in Q3 .
  • Transitioned revenue profile: Q1 revenue tied to legacy Cara arrangements (profit-share, clinical compound, non-cash royalties), many of which were terminated/assigned post-merger; forward model should focus on R&D spend and non-operating gains/losses rather than product revenue .
  • Expense trajectory: Q1 R&D dropped sharply vs prior year (discontinuation of Cara programs); Q2/Q3 R&D/G&A reflect Tvardi’s clinical-stage cadence with step-up around TTI-109 HV initiation and ongoing HCC program .
  • Strategy focus: Management is prioritizing STAT3 inhibition across fibrosis and oncology; after IPF setback reported in Q3, HCC and TTI-109 become principal drivers of value .
  • Trading lens: Q1 had limited estimate context; subsequent period disclosures (Q2 runway, Q3 IPF outcome) are likely to drive sentiment; positioning should reflect binary nature of upcoming HCC/TTI-109 readouts .
  • Governance/controls: Auditor change (EY to Deloitte) and Nasdaq compliance history disclosed; standard going concern language underscores dependence on external financing and trial outcomes .

Citations:

  • Q1 2025 8-K and press release:
  • Q1 2025 10-Q financials and MD&A:
  • Q2 2025 8-K and press release:
  • Q3 2025 8-K and press release:

S&P Global disclaimer: Values retrieved from S&P Global.*