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Cognition Therapeutics (CGTX)
NASDAQ:CGTX
US Market

Cognition Therapeutics (CGTX) AI Stock Analysis

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CGTX

Cognition Therapeutics

(NASDAQ:CGTX)

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Neutral 47 (OpenAI - 5.2)
Rating:47Neutral
Price Target:
$1.00
▼(-2.91% Downside)
The score is held down primarily by weak financial performance (minimal revenue, large losses, and significant cash burn) and a soft technical setup (below key moving averages with negative MACD). A low-debt balance sheet and a positive FDA interaction supporting progression toward a Phase 2b trial provide partial offsets, but not enough to materially lift the overall risk profile.
Positive Factors
Low Leverage / Balance Sheet
Very low reported debt provides structural financial flexibility versus many early-stage biotech peers, reducing near-term insolvency risk and giving management time to advance clinical programs. This durable strength helps sustain development activities while fundraising occurs.
Regulatory Engagement Advancing Phase 2b
A formal FDA Type C meeting that clarified clinically meaningful endpoints materially reduces later-stage development execution risk. This durable regulatory progress strengthens the company’s path to a Phase 2b trial in DLB, improving likelihood of efficient trial design and regulator alignment.
Published Phase 2 Data for Zervimesine
Peer-reviewed Phase 2 publication demonstrating safety and positive signals across behavioral, cognitive, functional, and movement domains provides durable scientific validation. This strengthens the biological rationale, de-risks later trials, and increases partnerability for out-licensing or collaborations.
Negative Factors
High Cash Burn
Sustained negative operating and free cash flow at this magnitude creates a structural reliance on external capital and compresses runway between financings. Over months this elevates execution risk for clinical programs unless burn is reduced or new non-dilutive funding is secured.
No Revenue; Widening Losses
Absence of commercial revenue and materially widening net losses reflect a business still in R&D spend mode. This structural lack of internal cash generation means long-term sustainability depends on future trial success or recurring outside funding, increasing investor and operational risk.
Reliance on Equity Financing / ATM
Frequent use of at-the-market equity facilities signals ongoing dependence on dilutive equity raises to fund operations. Over time this increases shareholder dilution risk and can limit strategic optionality, making long-term funding costs and capital structure durability key concerns.

Cognition Therapeutics (CGTX) vs. SPDR S&P 500 ETF (SPY)

Cognition Therapeutics Business Overview & Revenue Model

Company DescriptionCognition Therapeutics, Inc., a clinical-stage biopharmaceutical company, engages in the discovery and development of small molecule therapeutics targeting age-related degenerative diseases and disorders of the central nervous system and retina. Its lead product candidate is CT1812, a sigma-2 receptor antagonist, which is in Phase II clinical trial for the treatment of mild-to-moderate Alzheimer's disease, as well as has completed Phase I clinical trial to treat early-stage Alzheimer's disease; in Phase II clinical trial for the treatment of dementia with Lewy bodies (DLB); and in preclinical trial to treat dry age-related macular degeneration (AMD). The company is also developing CT2168 for the treatment of synucleinopathies, which include DLB and Parkinson's disease; and CT2074 to treat dry AMD. Cognition Therapeutics, Inc. was incorporated in 2007 and is headquartered in Purchase, New York.
How the Company Makes MoneyCognition Therapeutics makes money primarily through the development and eventual commercialization of its pharmaceutical products. The company generates revenue by advancing its drug candidates through clinical trials, aiming for successful regulatory approval, which can lead to product sales, licensing agreements, or partnerships with larger pharmaceutical companies. These collaborations can result in milestone payments, royalties, and upfront fees. Additionally, the company may receive government grants or public funding to support its research and development efforts in targeting Alzheimer's and other neurodegenerative diseases.

Cognition Therapeutics Earnings Call Summary

Earnings Call Date:Mar 20, 2025
(Q4-2024)
|
% Change Since: |
Next Earnings Date:Apr 01, 2026
Earnings Call Sentiment Neutral
The earnings call highlights significant progress in clinical efficacy signals and strategic cost management, extending the cash runway. However, challenges remain with increased net losses, NASDAQ compliance issues, and uncertain funding partnerships. The sentiment is balanced by advancements in manufacturing and patent filings.
Q4-2024 Updates
Positive Updates
Strong Efficacy Signals for Zervimesine
The company reported strong efficacy signals from two studies involving Alzheimer's disease and dementia with Lewy bodies (DLB), indicating potential value for patients and investors.
Cash Runway Extension
The strategic decision to conclude the Phase II dry AMD study is projected to result in cost savings that extend the company's cash runway into the fourth quarter of 2025.
Provisional Patent Applications Filed
Cognition Therapeutics has filed provisional patent applications for a novel chemical process developed for the manufacture of zervimesine, supporting future clinical studies and potential commercial manufacturing.
Progress in Manufacturing Capabilities
The company is working with a domestic contract manufacturing organization capable of producing commercial quantities of zervimesine, positioning them for potential future market demands.
Negative Updates
Net Loss Increase
The company reported a net loss of $34 million for the year ended December 31, 2024, compared to a net loss of $25.8 million in 2023, despite a decrease in general and administrative expenses.
NASDAQ Compliance Challenge
The company has been granted a six-month grace period to regain compliance with NASDAQ's minimum bid requirement, needing the stock to close above $1 for ten consecutive days before September 8, 2025.
Uncertain Partnership and Funding
Despite ongoing discussions, there is no confirmed partnership or assurance of non-dilutive funding for the development and registration program, which remains a critical need for advancing trials.
Company Guidance
During the Cognition Therapeutics Fourth Quarter and Full Year 2024 Earnings Call, the company provided guidance on advancing their lead candidate, zervimesine (CT1812), into registrational trials for Alzheimer's disease and dementia with Lewy bodies (DLB). The company plans to submit final study documents to the FDA and request end of Phase II meetings for both indications. Their strategic decision to conclude the Phase II dry AMD study was made to focus resources on Alzheimer's and DLB programs, extending their cash runway into Q4 2025. Cognition reported a net loss of $34 million for 2024 and utilized an ATM facility to raise $12.8 million. They hold approximately $25 million in cash and $50 million in obligated grant funds. The company is also working on securing non-dilutive funding and is confident in regaining NASDAQ compliance within the allotted grace period.

Cognition Therapeutics Financial Statement Overview

Summary
Overall fundamentals are weak due to minimal revenue, sizable and widening losses, and heavy negative operating/free cash flow (TTM ~-$29.5M). The main offset is a comparatively solid, low-debt balance sheet (very low debt-to-equity), which provides some flexibility despite ongoing burn.
Income Statement
14
Very Negative
The Income Statement remains very weak: the company reports essentially no revenue across annual periods and TTM (Trailing-Twelve-Months), while losses are sizable and widening versus prior years (TTM net loss of ~$28.0M vs ~$11.7M in 2021). Profitability is structurally negative (TTM gross profit is slightly negative and operating losses are large), indicating the business is still in a heavy investment/burn phase. A minor positive is that 2022 showed a one-time net profit, but results quickly reverted to large losses, limiting confidence in near-term earnings quality.
Balance Sheet
56
Neutral
The Balance Sheet is a relative strength. Leverage is low (TTM debt-to-equity ~0.06; total debt only ~$0.38M against ~$36.5M of equity), providing financial flexibility versus many early-stage biotech peers. However, profitability is poor and equity is being worked down over time (equity has declined meaningfully from ~2021 levels), and returns on equity are deeply negative in recent periods, reflecting ongoing losses that could eventually require additional capital.
Cash Flow
22
Negative
Cash Flow generation is weak and consistently negative. Operating cash flow and free cash flow are materially negative in TTM (both about -$29.5M), and cash burn has generally increased versus earlier years (e.g., operating cash flow around -$3.6M in 2021). Free cash flow trends are volatile (TTM free cash flow growth is sharply negative), and cash flows are not yet supported by revenue, implying continued reliance on external funding if burn rates persist.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue0.000.000.000.000.000.00
Gross Profit-61.00K0.00-252.00K-235.00K0.00-98.00K
EBITDA-27.73M-33.68M-25.51M-21.13M-10.73M-5.99M
Net Income-27.99M-33.97M-25.79M757.00K-11.72M-10.07M
Balance Sheet
Total Assets43.40M30.23M35.16M50.42M59.14M7.12M
Cash, Cash Equivalents and Short-Term Investments39.82M25.01M29.92M41.56M54.72M5.19M
Total Debt380.00K814.00K1.24M1.48M0.0012.85M
Total Liabilities6.87M11.48M10.69M10.18M7.86M75.30M
Stockholders Equity36.53M18.75M24.47M40.25M51.27M-68.18M
Cash Flow
Free Cash Flow-29.53M-28.48M-16.16M-18.70M-3.66M-3.44M
Operating Cash Flow-29.53M-28.47M-16.02M-18.53M-3.63M-3.43M
Investing Cash Flow-1.00K-4.00K-147.00K-171.00K-27.00K-10.00K
Financing Cash Flow47.35M23.57M4.52M5.55M53.20M5.76M

Cognition Therapeutics Technical Analysis

Technical Analysis Sentiment
Negative
Last Price1.03
Price Trends
50DMA
1.47
Negative
100DMA
1.54
Negative
200DMA
1.19
Negative
Market Momentum
MACD
-0.10
Positive
RSI
29.04
Positive
STOCH
10.29
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CGTX, the sentiment is Negative. The current price of 1.03 is below the 20-day moving average (MA) of 1.34, below the 50-day MA of 1.47, and below the 200-day MA of 1.19, indicating a bearish trend. The MACD of -0.10 indicates Positive momentum. The RSI at 29.04 is Positive, neither overbought nor oversold. The STOCH value of 10.29 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CGTX.

Cognition Therapeutics Risk Analysis

Cognition Therapeutics disclosed 85 risk factors in its most recent earnings report. Cognition Therapeutics 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

Cognition Therapeutics Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
56
Neutral
$466.00M-6.52-45.01%-7.87%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$159.27M-2.16-260.65%3.70%
47
Neutral
$90.92M-2.17-109.73%50.39%
46
Neutral
$71.17M-0.37-71.73%25.89%
43
Neutral
$207.68M-0.02-64.99%-8.79%81.36%
43
Neutral
$137.29M-2.3117.36%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CGTX
Cognition Therapeutics
1.03
0.39
60.94%
TNXP
Tonix Pharma
16.24
5.00
44.48%
ACET
Adicet Bio
7.43
-9.05
-54.92%
MIST
Milestone Pharmaceuticals
1.87
-0.32
-14.61%
ELTX
Elicio Therapeutics
7.85
-1.55
-16.49%
ANRO
Alto Neuroscience, Inc.
15.00
11.05
279.75%

Cognition Therapeutics Corporate Events

Business Operations and StrategyProduct-Related AnnouncementsRegulatory Filings and Compliance
Cognition Therapeutics Advances Zervimesine Toward Phase 2b Trial
Positive
Jan 27, 2026

On January 21, 2026, Cognition Therapeutics held a Type C meeting with the U.S. Food and Drug Administration to review plans for a proposed Phase 2b trial of its investigational drug zervimesine in patients with mild-to-moderate dementia with Lewy bodies, a neurodegenerative disease that currently has no FDA-approved therapies, and disclosed the completion of this meeting in a January 27, 2026 press release. The company’s engagement with regulators on clinically meaningful endpoints underscores its efforts to advance zervimesine—previously shown to be generally well tolerated and designed to counter toxic protein build-up in the brain—into later-stage studies, a step that could be strategically important for its clinical pipeline and for stakeholders watching progress in treatments for dementia with Lewy bodies and related CNS disorders.

The most recent analyst rating on (CGTX) stock is a Hold with a $1.50 price target. To see the full list of analyst forecasts on Cognition Therapeutics stock, see the CGTX Stock Forecast page.

Business Operations and StrategyPrivate Placements and Financing
Cognition Therapeutics Launches New $75M ATM Offering
Neutral
Dec 18, 2025

On December 18, 2025, Cognition Therapeutics entered into a new Open Market Sale Agreement with Jefferies LLC to establish an at-the-market equity offering of up to $75 million of its common stock, under which Jefferies will act as sales agent or principal and receive a 3% commission on any shares sold. In conjunction with this new facility, the company terminated its prior at-the-market sales agreement with Cantor Fitzgerald and B. Riley Securities, effective December 18, 2025, leaving roughly $12.5 million of capacity unused under the 2022 program and signaling a shift of its equity capital-raising activities to the new Jefferies-managed structure without incurring termination penalties.

The most recent analyst rating on (CGTX) stock is a Buy with a $3.00 price target. To see the full list of analyst forecasts on Cognition Therapeutics stock, see the CGTX 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 27, 2026