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Altimmune (ALT)
NASDAQ:ALT

Altimmune (ALT) AI Stock Analysis

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ALT

Altimmune

(NASDAQ:ALT)

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Neutral 49 (OpenAI - 5.2)
Rating:49Neutral
Price Target:
$3.50
▲(0.00% Upside)
Action:ReiteratedDate:03/07/26
The score is held back primarily by weak financial performance (persistent losses and ongoing cash burn) and bearish technicals (price below key moving averages with negative MACD). Offsetting these are a constructive earnings-call outlook—strong Phase II results, FDA progress, and cash runway into 2028—while valuation signals are limited by a negative P/E and no dividend support in the provided data.
Positive Factors
Robust Phase II efficacy signals
Durable clinical efficacy across histologic and noninvasive measures (NASH resolution, antifibrotic signals at 48 weeks) materially strengthens pemvidutide’s probability of achieving meaningful clinical endpoints in Phase III, underpinning long-term program value and partner/commercial interest.
Regulatory de‑risking via FDA alignment
Breakthrough designation and documented FDA alignment on population, endpoints, and powering reduce regulatory uncertainty for pivotal design. This structural regulatory progress increases the chance that Phase III data will be accepted for accelerated pathways, shortening commercialization timelines if replicated.
Strengthened cash runway and modest leverage
A pro forma cash position near $340M and low historical debt provide multi-year funding visibility to execute global Phase III activities and related hires. This balance sheet buffer materially reduces short-term refinancing risk and supports program continuity through key clinical inflection points.
Negative Factors
Persistent negative cash flow
Consistent negative operating and free cash flow is a durable structural weakness for a pre-commercial biotech: ongoing burn requires periodic capital raises, increases dilution risk, and forces prioritization of programs. Sustained negative cash generation constrains strategic optionality absent successful partnering or approvals.
No commercial products; financing dependence
With no approved products or steady commercial revenue, the company’s business model depends on capital markets and partner deals. That structural financing reliance amplifies execution risk, creates potential dilution over time, and ties program continuity to investor sentiment and access to financing.
Biopsy-driven endpoints and enrollment execution risk
A biopsy-driven registrational strategy increases trial complexity, cost, and enrollment difficulty globally. Dependence on invasive endpoints extends timelines and operational burdens (pathology, AI validation, site logistics), elevating execution risk and the probability of delays even if the molecule is clinically active.

Altimmune (ALT) vs. SPDR S&P 500 ETF (SPY)

Altimmune Business Overview & Revenue Model

Company DescriptionAltimmune, Inc., a clinical stage biopharmaceutical company, focuses on developing treatments for obesity and liver diseases. The company's lead product candidate, pemvidutide (proposed INN, formerly known as ALT-801), is a GLP-1/glucagon dual receptor agonist that is in Phase 1b trial for the treatment of obesity and non-alcoholic steatohepatitis. It is also developing HepTcell, an immunotherapeutic product candidate, which is in Phase 2 clinical trial for patients chronically infected with the hepatitis B virus. The company was formerly known as Vaxin Inc. and changed its name to Altimmune, Inc. in September 2015. Altimmune, Inc. was founded in 1997 is headquartered in Gaithersburg, Maryland.
How the Company Makes MoneyAltimmune generates revenue primarily through funding from partnerships, collaborations, and grants, particularly in the biopharmaceutical sector. The company may receive milestone payments and royalties from licensing agreements with larger pharmaceutical companies that involve its product candidates. Additionally, Altimmune may engage in equity financing and other fundraising activities to support its research and development efforts. Revenue can also be influenced by the success of its clinical trials and the advancement of its products towards commercialization, leading to potential sales revenue in the future.

Altimmune Earnings Call Summary

Earnings Call Date:Mar 05, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:May 19, 2026
Earnings Call Sentiment Positive
The call conveyed a predominantly positive outlook driven by robust Phase II clinical data (early NASH resolution, antifibrotic signals, 7.5% weight loss at 48 weeks), favorable tolerability, FDA Breakthrough designation, clear alignment with the FDA on Phase III design, completed AUD enrollment, and a strengthened balance sheet with a pro forma cash position (~$340M) providing runway into 2028. Key risks discussed included increased near-term operating expenses and G&A, a widened net loss, reliance on biopsy-driven endpoints (NITs not yet registrational), operational and enrollment execution risks for a large global Phase III, and competitive dynamics in the dual-agonist space. On balance, the positives (clinical differentiation, regulatory progress, funding runway, commercial interest) outweigh the challenges, though execution and funding discipline will be critical as Phase III is initiated.
Q4-2025 Updates
Positive Updates
Strong Phase II MATCH and IMPACT Clinical Results
PEMB demonstrated early NASH resolution at 24 weeks and clear antifibrotic activity at 48 weeks with dose response supporting 1.8 mg focus and evaluation of 2.4 mg. Key noninvasive tests (ELF, liver stiffness, ALT, cT1) improved, and 1.8 mg produced 7.5% mean weight loss at 48 weeks with no plateau.
Favorable Tolerability and Low Discontinuation
Phase II data showed limited GI adverse events and low treatment discontinuation despite absence of titration; GI events were mostly in the first 1–2 months, informing a planned simple one- or two-step titration for Phase III to further improve tolerability.
Regulatory Progress — FDA Alignment and Breakthrough Designation
PEMB received FDA Breakthrough Therapy designation in NASH. End-of-Phase II meeting minutes confirmed alignment with the FDA on key Phase III design elements (population, endpoints, powering), with a biopsy-driven pivotal cohort and AI-assisted histologic assessment planned.
Well-Defined Phase III Design and Powering
Planned pivotal Phase III: ~990 biopsy-confirmed F2/F3 patients (330 per arm: placebo, 1.8 mg, 2.4 mg) powered >90% for co-primary endpoints (NASH resolution without fibrosis worsening OR fibrosis improvement without NASH worsening) at 52 weeks; second ~800-patient NIT cohort; total ~1,800 patients.
Commercial Interest and Market Research Support
Market research of 75 U.S. HCPs showed >70% had a high/very high likelihood to prescribe PEMB; physicians projected use in ~43% of F2 and ~51% of F3 patients and >80% saw PEMB as a first- or second-line option, citing tolerability, straightforward titration, and lean-mass-preserving weight loss as differentiators.
Completed AUD Enrollment Ahead of Schedule and Ongoing ALD Enrollment
Phase II RECLAIM (AUD) enrollment completed in 2025 (top-line data expected Q3 2026); RESTORE (ALD) enrollment is ongoing and expected to complete in 2026, expanding evidence across alcohol-related liver disease indications.
Strengthened Financial Position and Cash Runway
Year-end cash of ~$274M, plus subsequent January financing (registered direct $75M and $8M ATM) yields a pro forma cash position of ~ $340M (approx. +24% pro forma vs year-end). Net proceeds recorded during 2025 totaled ~$208M (≈$174M equity + $35M loan). Company forecasts runway into 2028 to support Phase III plans.
Operational Preparedness and Team Enhancements
Management emphasized hiring of late-stage development, liver disease, and commercial experts; protocol finalization and regulatory planning are advanced, with global trial footprint planned (Americas, Europe, Asia).
Negative Updates
Increase in Net Loss Year-over-Year
Full-year 2025 net loss was $27.4M ($0.27/share) versus $23.2M ($0.33/share) in 2024, an increase of $4.2M (≈+18.1% year-over-year), reflecting higher overall spending and transitional costs.
Quarterly G&A Spike Driven by Transition Costs
Q4 2025 G&A rose to $10.5M from $5.1M in Q4 2024, an increase of about +105.9%, driven largely by a one-time $2.6M executive transition charge and higher stock-based compensation (G&A noncash comp $3.6M vs $1.8M prior year, +100%).
Rising Cash OpEx as Phase III Approaches
Full-year cash OpEx was approximately $67.5M (excl. $16M noncash comp) and management expects cash use to trend up in 2026 as Phase III is launched, indicating higher near-term funding needs despite existing runway.
Regulatory Limitation — NITs Not Yet Accepted as Registrational Endpoint
FDA indicated it was premature to accept NITs as a registrational endpoint; primary approval strategy remains biopsy-driven 52-week endpoints, which increases complexity, cost, and operational demands for the pivotal program.
Execution and Enrollment Risks (ALD and Global Phase III)
ALD enrollment is expected to be slower and more challenging than AUD; global Phase III requires finalizing biopsy logistics, pathologist panels/AI validation, and large-scale enrollment across regions, introducing operational risk and timelines uncertainty.
Competitive Uncertainty in Dual-Agonist Space
Multiple competing dual-agonist programs are progressing; while PEMB emphasizes balanced glucagon/GLP-1 ratio and tolerability, outcomes from competitors (efficacy, tolerability, titration strategies) could affect market positioning and differentiation.
Dependence on Upside from 2.4 mg Dose
Phase III is powered on 1.8 mg with 2.4 mg considered an upside; any failure to show additional benefit at 2.4 mg would limit potential differentiation on weight loss and liver efficacy beyond the base dose.
Company Guidance
The company guided that it expects to initiate the pivotal Phase III NASH study in 2026, a global trial enrolling ~1,800 patients split into a biopsy cohort of ~990 patients (330 per arm: placebo, PEMB 1.8 mg, PEMB 2.4 mg) and a ~800‑patient NIT cohort, with dosing to start at 1.2 mg and a one‑ or two‑step monthly titration to 1.8 mg or 2.4 mg; the study is powered >90% for the two primary 52‑week endpoints (NASH resolution without fibrosis worsening and fibrosis improvement without NASH worsening) to support accelerated approval (part 1 alpha = 0.1), will use AI‑assisted histology, and will collect safety, weight loss, body composition and PRO data, with five‑year clinical outcomes required for full approval. Other timelines: Phase II AUD (RECLAIM) enrollment complete with top‑line data expected in Q3 2026, ALD Phase II enrollment to complete in 2026. Phase II MATCH showed 7.5% mean weight loss at 48 weeks (1.8 mg), low discontinuations, and improvements in ELF, liver stiffness, ALT and cT1. Financially, year‑end cash was ~$274M (pro‑forma ~$340M after January financings), 2025 cash OpEx ≈ $67.5M (excluding $16M noncash comp), Q4 R&D $18.4M, net loss 2025 $27.4M ($0.27/sh), and management expects runway into 2028.

Altimmune Financial Statement Overview

Summary
Overall fundamentals reflect a development-stage biotech: very small/volatile revenue, persistent large operating losses, and consistently negative operating/free cash flow. The main offset is a comparatively solid balance sheet with modest leverage, but ongoing cash burn and negative returns on equity remain key risks.
Income Statement
18
Very Negative
Revenue is very small and volatile across years (including a negative revenue year in 2022), which limits visibility and indicates a business still heavily reliant on non-recurring sources. Losses are persistent and sizable: EBIT and net income remain deeply negative every year, with extremely negative profit margins in the most recent periods despite a strong revenue growth rate in 2025 (annual report). The main positive is that losses have been relatively stable in the ~$85–$103M range, but there is no clear trend toward profitability in the data provided.
Balance Sheet
62
Positive
The balance sheet is a relative strength: leverage is modest with low-to-moderate debt versus equity (debt-to-equity ~0.15 in 2025 annual report, and far lower in prior years). Total assets exceed total debt by a wide margin, suggesting decent financial flexibility for a pre-commercial biotech. The key weakness is ongoing negative returns on equity driven by recurring net losses, and equity levels have fluctuated meaningfully over time, which can signal funding needs if cash burn continues.
Cash Flow
26
Negative
Cash generation is weak: operating cash flow and free cash flow are negative every year, reflecting sustained cash burn consistent with an R&D-heavy biotech model. Burn improved in 2025 versus 2024 (less negative operating/free cash flow), but free cash flow growth has been inconsistent over the period. A mitigating factor is that free cash flow broadly tracks net loss (free cash flow to net income near ~1x), implying losses are largely cash-backed rather than being masked by aggressive non-cash adjustments.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue41.00K20.00K426.00K-68.00K4.41M
Gross Profit-71.00K20.00K426.00K-68.00K4.41M
EBITDA-94.49M-94.81M-87.94M-84.41M-96.53M
Net Income-88.09M-95.06M-88.45M-84.71M-97.09M
Balance Sheet
Total Assets279.93M139.31M210.64M206.93M218.87M
Cash, Cash Equivalents and Short-Term Investments273.46M131.89M197.81M184.88M190.30M
Total Debt35.69M1.68M671.00K1.12M1.53M
Total Liabilities55.04M15.80M16.54M21.64M19.73M
Stockholders Equity224.89M123.51M194.10M185.29M199.13M
Cash Flow
Free Cash Flow-67.55M-79.85M-75.86M-62.71M-90.55M
Operating Cash Flow-67.53M-79.85M-75.81M-62.59M-78.24M
Investing Cash Flow-132.47M-28.39M13.73M-73.40M87.52M
Financing Cash Flow206.84M10.04M86.11M56.78M65.10M

Altimmune Technical Analysis

Technical Analysis Sentiment
Negative
Last Price3.50
Price Trends
50DMA
4.46
Negative
100DMA
4.47
Negative
200DMA
4.42
Negative
Market Momentum
MACD
-0.29
Positive
RSI
32.54
Neutral
STOCH
21.79
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ALT, the sentiment is Negative. The current price of 3.5 is below the 20-day moving average (MA) of 4.15, below the 50-day MA of 4.46, and below the 200-day MA of 4.42, indicating a bearish trend. The MACD of -0.29 indicates Positive momentum. The RSI at 32.54 is Neutral, neither overbought nor oversold. The STOCH value of 21.79 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for ALT.

Altimmune Risk Analysis

Altimmune disclosed 65 risk factors in its most recent earnings report. Altimmune reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Altimmune Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$455.24M-49.35%-61.54%31.25%
49
Neutral
$379.12M-9.89-83.21%-29.73%
49
Neutral
$611.34M-9.36-57.29%-22.82%
46
Neutral
$36.77M-16.53-135.79%-53.67%86.75%
46
Neutral
$479.64M5.39-5.15%-52.86%
46
Neutral
$486.10M-4.99-90.49%4.97%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ALT
Altimmune
3.50
-2.47
-41.37%
TVRD
Tvardi Therapeutics
3.92
-11.44
-74.48%
DMAC
Diamedica Therapeutics
7.28
1.29
21.54%
DRTS
Alpha Tau Medical Ltd
7.17
4.51
169.55%
ENGN
enGene Holdings
7.16
2.03
39.57%
LXEO
Lexeo Therapeutics, Inc.
6.66
3.55
114.15%

Altimmune Corporate Events

Regulatory Filings and ComplianceShareholder Meetings
Altimmune Sets 2026 Annual Stockholder Meeting Timeline
Neutral
Feb 3, 2026

Altimmune has scheduled its 2026 Annual Meeting of Stockholders for April 16, 2026, shifting the event to the second quarter to align with the standard annual meeting calendar for companies with a December 31 fiscal year-end, and set March 13, 2026 as the record date for determining shareholders entitled to receive notice and vote, with the meeting expected to be held virtually as in prior years. Because this meeting date differs by more than 30 days from the prior year’s September 25, 2025 annual meeting, the company has established new governance timelines, including a February 13, 2026 deadline for shareholder proposals and director nominations under both SEC Rule 14a-8 and its bylaws, and a February 15, 2026 deadline for stockholders intending to solicit proxies for alternative director nominees under universal proxy rules, clarifying the framework for shareholder participation and potential proxy contests.

The most recent analyst rating on (ALT) stock is a Hold with a $6.50 price target. To see the full list of analyst forecasts on Altimmune stock, see the ALT Stock Forecast page.

Private Placements and Financing
Altimmune Announces $75 Million Registered Direct Equity Offering
Positive
Jan 28, 2026

On January 27, 2026, Altimmune, Inc. entered into a Securities Purchase Agreement with a new fundamental institutional investor for a registered direct offering of 12,397,920 shares of common stock and pre-funded warrants to purchase up to 4,647,534 additional shares, with closing expected on or about January 29, 2026, subject to customary conditions. The deal, arranged with Titan Partners Group as sole placement agent, is expected to raise approximately $75 million in gross proceeds, includes 30-day lock-up agreements for directors and executives, and features non-expiring pre-funded warrants with ownership caps, underscoring the company’s continued reliance on equity financing while imposing short-term trading restrictions on insiders.

The most recent analyst rating on (ALT) stock is a Buy with a $20.00 price target. To see the full list of analyst forecasts on Altimmune stock, see the ALT Stock Forecast page.

Business Operations and StrategyPrivate Placements and FinancingProduct-Related Announcements
Altimmune reports positive Phase 2b pemvidutide MASH results
Positive
Dec 19, 2025

On December 19, 2025, Altimmune reported positive 48-week topline results from its IMPACT Phase 2b trial of pemvidutide in patients with biopsy-confirmed MASH and fibrosis stages F2 or F3, showing statistically significant improvements versus placebo in key non‑invasive markers of fibrosis and liver health, including Enhanced Liver Fibrosis scores, Liver Stiffness Measurement, liver fat content, ALT and cT1, alongside meaningful weight loss of up to 7.5% with the 1.8 mg dose and a favorable tolerability profile with very low treatment-related discontinuations and no serious treatment-related adverse events. Earlier in December 2025 the company also held an End-of-Phase 2 meeting with the FDA that produced alignment on parameters for a registrational Phase 3 trial in MASH patients with moderate to advanced fibrosis and potential integration of the FDA-qualified AIM-MASH AI Assist pathology tool, while Altimmune continued to tap its at-the-market equity program, raising approximately $54.6 million since September 30, 2025 to support ongoing development and positioning pemvidutide as a differentiated contender in the increasingly competitive MASH treatment landscape.

The most recent analyst rating on (ALT) stock is a Hold with a $5.00 price target. To see the full list of analyst forecasts on Altimmune stock, see the ALT Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Mar 07, 2026