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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 52 (OpenAI - 5.2)
Rating:52Neutral
Price Target:
$6.00
▲(17.65% Upside)
The score is held down primarily by severe and persistent unprofitability and negative cash flows. Offsetting this are strong technical momentum and a constructive clinical/regulatory outlook from the earnings call and recent trial updates, though dilution risk from equity financing and overbought technical conditions limit the overall rating.
Positive Factors
Strengthened cash position
A materially larger cash balance provides durable runway to advance multiple Phase II/III programs and supports regulatory interactions. This reduces near‑term financing pressure and allows the company to execute on pemvidutide registrational planning despite current negative cash flow trends.
Positive IMPACT Phase 2b results and FDA alignment
Statistically significant 48‑week results plus end‑of‑Phase‑2 FDA alignment establish a credible registrational pathway. Regulatory agreement on Phase 3 design and qualified tools materially lowers execution risk and strengthens the product's long‑term commercial and approval prospects.
Operational execution: rapid trial enrollment
Faster-than-expected enrollment demonstrates investigator engagement and operational capability, which shortens development timelines and increases probability of timely readouts. Consistent enrollment execution is a durable advantage in clinical-stage biotech development.
Negative Factors
Severe and persistent unprofitability
Extremely negative margins and sustained negative operating cash flow erode equity and force repeated financing. Over months, this constrains flexibility, increases sponsor dependency, and creates risk that business progress will be interrupted if capital markets become less accessible.
Ongoing reliance on equity financing/ATM program
Dependence on at‑the‑market equity programs is a structural funding model risk: it links capital availability to market conditions and dilutes shareholders. Repeated equity issuance can impair long‑term shareholder economics and create uncertainty around capital structure and funding cost.
Regulatory and endpoint uncertainty for Phase III
Reliance on novel noninvasive and AI‑assisted endpoints creates durable regulatory risk. If agencies delay acceptance or demand additional confirmatory data, Phase III design, duration, and cost could materially change, impacting approval timelines and commercial prospects over the coming months.

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:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 26, 2026
Earnings Call Sentiment Positive
The earnings call reflected a positive outlook with significant financial growth, clinical progress in key trials, and strategic leadership enhancements. However, there are challenges related to the timing of clinical operations and dependency on regulatory changes, which could impact future trial designs and approvals.
Q3-2025 Updates
Positive Updates
Strong Financial Position
Total cash increased by 60% over the start of the year, reaching $211 million. Raised $127 million through the first 9 months of the year.
Pemvidutide Clinical Progress
Completed enrollment in the RECLAIM Phase II trial of pemvidutide in AUD, ahead of schedule. Initiated ALD Phase II trial enrollment.
Positive Clinical Data
24-week data from the IMPACT trial showed rapid and robust MASH resolution with statistical significance, compelling antifibrotic activity, and weight loss.
Upcoming Milestones
Expecting 48-week data from the IMPACT trial by year-end and an in-person end of Phase II meeting with the FDA.
Talent Expansion
Expansion of leadership team with new appointments: Chief Medical Officer, Chief Commercial Officer, and Chief Legal Officer.
Negative Updates
Operational Challenges
R&D expenses decreased due to timing of CRO development costs, indicating potential delays or rescheduling in clinical operations.
Dependency on Regulatory Changes
Phase III trials and potential approvals rely heavily on the evolving regulatory landscape, particularly the use of NIT and AI-based biopsy endpoints.
Company Guidance
During the Altimmune Third Quarter 2025 Financial Results Conference Call, the company provided detailed guidance on several key metrics. The upcoming Q4 milestone includes the 48-week IMPACT data readout, which is anticipated to demonstrate continued efficacy of pemvidutide for MASH, building upon the 24-week data that showed rapid efficacy and compelling antifibrotic activity. The in-person end of Phase II meeting with the FDA in Q4, recently granted, is expected to solidify the Phase III program's design. Financially, Altimmune's balance sheet has strengthened with a 60% increase in total cash, reaching $211 million by September 30, 2025, supported by $127 million raised in the year and an amended debt agreement with Hercules. The RECLAIM Phase II trial for AUD completed enrollment ahead of schedule, highlighting significant interest in pemvidutide. Additionally, the company began enrolling the ALD Phase II trial in the third quarter. Recent executive team expansions aim to support the next phase of growth, including the appointments of new Chief Medical, Commercial, and Legal Officers.

Altimmune Financial Statement Overview

Summary
Financials are very weak: income statement shows extreme ongoing losses (TTM net margin -4195.75%) and stagnant revenue, while cash flow remains negative (operating and free cash flow). Balance sheet leverage is relatively low, but negative ROE and persistent losses materially outweigh that support.
Income Statement
15
Very Negative
Altimmune's income statement reveals significant challenges, with consistently negative net profit margins and EBIT margins over the years. The TTM data shows a net profit margin of -4195.75%, indicating severe profitability issues. Revenue growth is stagnant, and gross profit margins have been negative or minimal, reflecting operational inefficiencies.
Balance Sheet
30
Negative
The balance sheet shows a relatively low debt-to-equity ratio, suggesting limited leverage, which is a positive aspect. However, the return on equity is negative, indicating that the company is not generating returns for its shareholders. The equity ratio is stable, but the overall financial health is weakened by persistent losses.
Cash Flow
20
Very Negative
Cash flow analysis indicates negative operating cash flows and free cash flows, with a slight improvement in free cash flow growth in recent years. The operating cash flow to net income ratio is negative, highlighting cash flow challenges. The free cash flow to net income ratio is close to 1, suggesting cash flow is closely tied to net income, albeit negative.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue20.00K20.00K426.00K-68.00K4.41M8.19M
Gross Profit-14.94M20.00K426.00K-68.00K4.41M-25.32M
EBITDA-83.72M-94.81M-87.94M-84.41M-96.53M-38.10M
Net Income-83.92M-95.06M-88.45M-84.71M-97.09M-49.04M
Balance Sheet
Total Assets218.45M139.31M210.64M206.93M218.87M245.12M
Cash, Cash Equivalents and Short-Term Investments210.78M131.89M197.81M184.88M190.30M215.92M
Total Debt15.90M1.68M671.00K1.12M1.53M1.82M
Total Liabilities32.85M15.80M16.54M21.64M19.73M19.24M
Stockholders Equity185.60M123.51M194.10M185.29M199.13M225.88M
Cash Flow
Free Cash Flow-66.66M-79.85M-75.86M-62.71M-90.55M-34.65M
Operating Cash Flow-66.65M-79.85M-75.81M-62.59M-78.24M-34.31M
Investing Cash Flow-39.68M-28.39M13.73M-73.40M87.52M-72.23M
Financing Cash Flow136.09M10.04M86.11M56.78M65.10M213.49M

Altimmune Technical Analysis

Technical Analysis Sentiment
Positive
Last Price5.10
Price Trends
50DMA
4.67
Positive
100DMA
4.29
Positive
200DMA
4.55
Positive
Market Momentum
MACD
0.29
Negative
RSI
56.11
Neutral
STOCH
59.71
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ALT, the sentiment is Positive. The current price of 5.1 is above the 20-day moving average (MA) of 4.50, above the 50-day MA of 4.67, and above the 200-day MA of 4.55, indicating a bullish trend. The MACD of 0.29 indicates Negative momentum. The RSI at 56.11 is Neutral, neither overbought nor oversold. The STOCH value of 59.71 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for ALT.

Altimmune Risk Analysis

Altimmune disclosed 64 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
52
Neutral
$534.23M-52.61%-61.54%31.25%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$648.01M-13.88-54.38%-22.82%
49
Neutral
$439.53M-11.81-64.12%-29.73%
47
Neutral
$683.24M-4.48-53.28%-52.86%
46
Neutral
$38.09M-0.40-97.61%-53.67%86.75%
46
Neutral
$543.03M-2.80-80.69%4.97%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ALT
Altimmune
5.10
-1.54
-23.19%
TVRD
Tvardi Therapeutics
3.90
-10.62
-73.14%
DMAC
Diamedica Therapeutics
8.47
2.71
47.05%
DRTS
Alpha Tau Medical Ltd
7.24
3.54
95.68%
ENGN
enGene Holdings
10.27
3.57
53.28%
LXEO
Lexeo Therapeutics, Inc.
7.57
2.14
39.41%

Altimmune Corporate Events

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.

Business Operations and StrategyExecutive/Board Changes
Altimmune Announces CEO Transition Plan
Neutral
Dec 1, 2025

On December 1, 2025, Altimmune announced a CEO transition plan where Vipin K. Garg, Ph.D., will step down as President and CEO effective January 1, 2026, with Jerome Durso taking over the role. Dr. Garg will remain as an advisor until June 30, 2026, to ensure a smooth transition. Under Dr. Garg’s leadership since 2018, Altimmune advanced its lead candidate, pemvidutide, to a Phase 3 ready program for MASH. The transition is expected to continue the company’s growth and focus on pemvidutide’s potential benefits for liver disease patients.

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.

Business Operations and StrategyPrivate Placements and Financing
Altimmune Enters New Equity Distribution Agreement
Neutral
Nov 6, 2025

On November 6, 2025, Altimmune, Inc. entered into a new Equity Distribution Agreement with Leerink Partners LLC for an at-the-market offering program, allowing the company to sell up to $200 million in common stock. This agreement follows the termination of a previous agreement from February 2025, which had a $150 million cap, and highlights Altimmune’s strategic move to potentially increase its capital through a more flexible sales arrangement, impacting its financial operations and stakeholder interests.

The most recent analyst rating on (ALT) stock is a Buy with a $12.00 price target. To see the full list of analyst forecasts on Altimmune stock, see the ALT Stock Forecast page.

Business Operations and StrategyExecutive/Board ChangesFinancial DisclosuresPrivate Placements and Financing
Altimmune Amends Loan Agreement with Hercules Capital
Neutral
Nov 6, 2025

On November 5, 2025, Altimmune, Inc. amended its Loan and Security Agreement with Hercules Capital, increasing the available term loan from $100 million to $125 million, with an extended interest-only period. The company also announced financial results for Q3 2025, highlighting a cash position of $211 million and a net loss of $19 million. Altimmune is advancing its pemvidutide program for MASH, AUD, and ALD, with significant milestones expected by year-end, including an End-of-Phase 2 meeting with the FDA and the release of 48-week data from the IMPACT trial. The company has strengthened its executive team with key appointments and completed patient enrollment in the RECLAIM trial ahead of schedule.

The most recent analyst rating on (ALT) stock is a Buy with a $12.00 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: Jan 29, 2026