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Crinetics Pharmaceuticals (CRNX)
NASDAQ:CRNX
US Market

Crinetics Pharmaceuticals (CRNX) AI Stock Analysis

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CRNX

Crinetics Pharmaceuticals

(NASDAQ:CRNX)

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Neutral 64 (OpenAI - 5.2)
Rating:64Neutral
Price Target:
$59.00
▲(6.46% Upside)
The score is driven primarily by weak current financial performance (large losses and heavy cash burn) despite a strong balance sheet, partially offset by strong technical uptrend signals and notably positive launch/guidance commentary around PALSONIFY and liquidity runway. Valuation remains challenged due to negative earnings, and recent financing improves funding capacity but introduces dilution.
Positive Factors
Strong liquidity runway
A >$1B cash position and management guidance that cash funds operations into 2029 materially reduces near-term financing pressure. This durable liquidity lets Crinetics invest in commercialization, clinical trials, and manufacturing scale without immediate dependence on dilutive raises.
Early commercial traction for PALSONIFY
Rapid patient starts, high share of switchers, and engaged prescribers indicate tangible product-market fit and commercial execution. Durable prescriber adoption and straightforward prior authorizations support a sustainable revenue ramp as the company scales sales and payer relationships over the next several quarters.
Pipeline breadth and positive clinical signals
Positive Phase 2 data and multiple programs (atumelnant, CRN09682, paltusotine indications) diversify long-term value drivers beyond one product. Successful mid-stage results increase probability of later-stage success and potential label expansion, strengthening durable growth optionality for the business.
Negative Factors
High cash burn
Sustained ~-$350M annual cash burn is a structural risk: even with strong cash reserves, continued high outflows force ongoing financing or rapid commercial success. If commercialization or clinical progress slows, funding needs could increase, pressuring strategy and shareholder dilution over the medium term.
Revenue nascent vs large losses
With negligible current revenue versus substantial operating losses, the company remains far from scaled commercial profitability. Long-term value depends on converting early launch momentum into sustainable sales growth; failure to do so would prolong funding dependence and compress long-term returns.
Delays in key development programs
Delays in the Graves' disease TSH candidate and the SST3 agonist program slow pipeline maturation and potential new revenue streams. These setbacks raise program risk, shift development timelines, and could compress long-term upside if backup molecules or remedial studies take substantial time or resources.

Crinetics Pharmaceuticals (CRNX) vs. SPDR S&P 500 ETF (SPY)

Crinetics Pharmaceuticals Business Overview & Revenue Model

Company DescriptionCrinetics Pharmaceuticals, Inc., a clinical stage pharmaceutical company, focuses on the discovery, development, and commercialization of therapeutics for rare endocrine diseases and endocrine-related tumors. Its lead product candidate is Paltusotine, an oral selective nonpeptide somatostatin receptor type 2 agonist that has completed phase III clinical trial for the treatment of acromegaly, as well as completed phase II clinical trial to treat carcinoid syndrome and nonfunctional neuroendocrine tumors (NETs). The company is also developing CRN04777, an oral selective nonpeptide somatostatin type 5 receptor agonist, which is in phase I clinical trial for the treatment of congenital hyperinsulinism; and CRN04894, an oral adrenocorticotrophic hormone antagonist that is in phase I clinical trial for the treatment of Cushing's and congenital adrenal hyperplasia diseases. Crinetics Pharmaceuticals, Inc. was incorporated in 2008 and is headquartered in San Diego, California.
How the Company Makes MoneyCrinetics Pharmaceuticals generates revenue through a combination of grants, collaborations, and potential product sales. The company typically engages in strategic partnerships with larger pharmaceutical companies to co-develop its drug candidates, which can provide upfront payments and milestone payments as clinical and regulatory milestones are achieved. Additionally, once products receive regulatory approval, the company can earn revenue through sales in the market. Moreover, Crinetics may also receive royalties from its partners based on sales of products developed through their collaborations, thereby diversifying its revenue streams.

Crinetics Pharmaceuticals Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 04, 2026
Earnings Call Sentiment Positive
The earnings call highlighted a successful launch and positive market reception of PALSONIFY, which is expected to drive substantial growth. However, delays in the Graves' disease candidate and the SST3 agonist program were noted. Overall, the sentiment is positive given the successful launch and financial stability.
Q3-2025 Updates
Positive Updates
Successful Launch of PALSONIFY
The launch of PALSONIFY is proceeding well, with 95% of prescriptions filled by switch patients and some naive patients starting on therapy. The company plans to make PALSONIFY the first-line treatment for acromegaly.
Positive Reception from Healthcare Providers
PALSONIFY has been well received by both academic and community physicians. 95% of top priority prescribers have been contacted, with 70% of prescribers coming from the community setting.
Favorable Payer Feedback
Payers have been receptive to PALSONIFY, with prior authorizations being straightforward and some approvals for up to 12-month supplies. Coverage approvals are coming across commercial, Medicare, and Medicaid plans.
Strong Financial Position
Crinetics ended the quarter with $1.1 billion in cash, with guidance that existing cash and investments will be sufficient to fund operations into 2029.
Negative Updates
Delay in Graves' Disease Candidate
IND-enabling tox studies identified weaknesses in the lead TSH candidate for Graves' disease, delaying the IND timelines as the company prioritizes backup molecules.
Delay in SST3 Agonist Program
The SST3 agonist program for ADPKD is also delayed as follow-ups to the core IND-enabling studies are conducted.
No Revenue from PALSONIFY in Q3
Due to the timing of approval near the end of the quarter, no revenue from PALSONIFY was recognized in the third quarter.
Company Guidance
During the third quarter 2025 earnings call, Crinetics Pharmaceuticals provided several key metrics and updates on the launch of their drug PALSONIFY for acromegaly. In the initial 31 days post-approval, they reported that the first patients received PALSONIFY just 11 days after the PDUFA date. About 95% of filled prescriptions were from patients switching from other therapies, although some treatment-naive patients have also started on PALSONIFY. The company has engaged with more than 95% of its top prescriber targets, with 70% of prescribers from the community setting and 30% from pituitary treatment centers. Additionally, they highlighted that prior authorizations have been mostly straightforward, with some approvals for up to 12-month supplies. Financially, they ended the quarter with $1.1 billion in cash and investments, maintaining guidance that this will fund operations into 2029. The commercial team is on pace to make PALSONIFY the first treatment choice for acromegaly, anticipating more detailed metrics in January, including revenue, new patient starts, and prescriber data.

Crinetics Pharmaceuticals Financial Statement Overview

Summary
Crinetics Pharmaceuticals faces significant financial challenges, with persistent operational losses and cash flow issues. While recent financing has strengthened the cash position, the company's ability to generate sustainable revenue and profit remains unproven. The balance sheet shows improvement, but historical financial instability highlights the need for caution.
Income Statement
18
Very Negative
Crinetics Pharmaceuticals has experienced fluctuating revenue with a decline from 2022 to 2023, followed by a sharp drop in 2024. The gross profit margin is consistently high, but net losses persist, indicating ongoing profitability challenges. Negative EBIT and EBITDA margins reflect operational inefficiencies.
Balance Sheet
74
Positive
The company shows a strong equity position with substantial cash reserves and minimal debt. However, negative stockholders' equity in earlier years indicates past financial distress. Current liabilities are relatively low, but the debt-to-equity ratio is a concern due to historical negative equity.
Cash Flow
24
Negative
Operating cash flow remains negative, highlighting potential liquidity challenges. Free cash flow is also consistently negative, though recent financing activities have bolstered cash reserves. Stability in cash flow remains a concern with ongoing operational losses.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.53M1.04M4.01M4.74M1.08M71.00K
Gross Profit1.53M1.04M4.01M4.74M1.08M-56.93M
EBITDA-474.16M-336.07M-221.51M-166.90M-106.78M-74.00M
Net Income-423.10M-298.41M-214.53M-163.92M-107.64M-73.81M
Balance Sheet
Total Assets1.20B1.43B635.35M352.18M351.01M183.44M
Cash, Cash Equivalents and Short-Term Investments1.09B1.35B558.55M334.43M333.71M170.88M
Total Debt49.14M51.72M51.73M3.08M3.07M4.01M
Total Liabilities123.86M109.79M96.25M35.85M19.07M14.53M
Stockholders Equity1.07B1.32B539.11M316.33M331.94M168.92M
Cash Flow
Free Cash Flow-356.03M-229.81M-171.00M-116.86M-89.02M-62.21M
Operating Cash Flow-349.69M-225.97M-166.31M-115.20M-88.59M-62.03M
Investing Cash Flow-425.29M-574.82M-200.41M-173.98M-56.48M217.00K
Financing Cash Flow568.61M1.01B388.94M121.96M252.68M114.57M

Crinetics Pharmaceuticals Technical Analysis

Technical Analysis Sentiment
Positive
Last Price55.42
Price Trends
50DMA
46.65
Positive
100DMA
42.54
Positive
200DMA
36.55
Positive
Market Momentum
MACD
2.16
Negative
RSI
67.75
Neutral
STOCH
79.69
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CRNX, the sentiment is Positive. The current price of 55.42 is above the 20-day moving average (MA) of 49.57, above the 50-day MA of 46.65, and above the 200-day MA of 36.55, indicating a bullish trend. The MACD of 2.16 indicates Negative momentum. The RSI at 67.75 is Neutral, neither overbought nor oversold. The STOCH value of 79.69 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for CRNX.

Crinetics Pharmaceuticals Risk Analysis

Crinetics Pharmaceuticals disclosed 73 risk factors in its most recent earnings report. Crinetics Pharmaceuticals 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

Crinetics Pharmaceuticals Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
64
Neutral
$5.68B-12.22-44.42%-21.96%
63
Neutral
$3.87B94.605.42%64.83%-9.12%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$2.57B68.4714.10%42.11%
50
Neutral
$5.94B-20.91-32.09%-50.05%-54.47%
46
Neutral
$2.32B-4.05-325.76%20.63%8.09%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CRNX
Crinetics Pharmaceuticals
55.42
18.94
51.92%
LGND
Ligand Pharma
196.54
85.46
76.94%
RARE
Ultragenyx Pharmaceutical
24.07
-16.78
-41.08%
APLS
Apellis Pharmaceuticals
20.33
-9.40
-31.62%
KYMR
Kymera Therapeutics
75.21
34.92
86.67%

Crinetics Pharmaceuticals Corporate Events

Business Operations and StrategyFinancial DisclosuresProduct-Related Announcements
Crinetics Highlights Breakout Year and Strong Endocrinology Pipeline
Positive
Jan 13, 2026

On January 13, 2026, Crinetics Pharmaceuticals’ founder and CEO Scott Struthers presented a company update at the 44th annual J.P. Morgan Healthcare Conference in San Francisco, highlighting 2025 as a breakout year in which the company launched PALSONIFY (paltusotine) commercially in the U.S., reported early signs of market uptake, and advanced its strategy to become a leading endocrinology-focused pharmaceutical business. The update emphasized a late-stage pipeline of potentially transformative assets, including paltusotine for additional indications such as carcinoid syndrome, atumelnant for adult and pediatric congenital adrenal hyperplasia and ACTH-dependent Cushing’s syndrome, and CRN09682 for neuroendocrine and other SST2+ tumors, supported by positive Phase 2 data, initiation of multiple Phase 3 and Phase 1/2 studies, and a strong preliminary and unaudited liquidity position of roughly $1.4 billion in cash, cash equivalents and investments as of early January 2026, positioning the company to fund operations and development programs well into the next decade.

The most recent analyst rating on (CRNX) stock is a Buy with a $67.00 price target. To see the full list of analyst forecasts on Crinetics Pharmaceuticals stock, see the CRNX Stock Forecast page.

Business Operations and StrategyPrivate Placements and Financing
Crinetics Announces Major Public Offering to Fund Growth
Positive
Jan 7, 2026

On January 6, 2026, Crinetics Pharmaceuticals entered into an underwriting agreement with a syndicate led by Leerink Partners and J.P. Morgan Securities for an underwritten public offering of 7,620,000 shares of common stock at a public price of $45.95 per share, with underwriters purchasing at $43.42275 per share. The deal, which includes a 30-day option for underwriters to buy up to an additional 1,143,000 shares, is expected to close on January 8, 2026 and is expected to generate approximately $330.2 million in net proceeds, or about $379.8 million if the option is fully exercised, providing Crinetics with substantial capital to fund the commercial launch of PALSONIFY, advance its research and development pipeline, and support broader corporate purposes, thereby strengthening its financial position as it scales its endocrine-focused portfolio.

The most recent analyst rating on (CRNX) stock is a Buy with a $87.00 price target. To see the full list of analyst forecasts on Crinetics Pharmaceuticals stock, see the CRNX Stock Forecast page.

Business Operations and StrategyFinancial DisclosuresProduct-Related Announcements
Crinetics Highlights Strong PALSONIFY Launch and Trial Progress
Positive
Jan 5, 2026

On January 5, 2026, Crinetics Pharmaceuticals reported strong early U.S. launch metrics for PALSONIFY, its recently FDA-approved first-line acromegaly treatment, including unaudited preliminary net product revenue of more than $5 million in the fourth quarter of 2025, over 200 patient enrollment forms, more than 125 unique prescribers split evenly between community and pituitary centers, and favorable reimbursement dynamics with many prescriptions filled without bridge supplies and prior authorizations typically lasting 12 months. At the same time, the company released positive topline data from the fourth cohort and open-label extension of its Phase 2 TouCAHn trial of atumelnant in adults with classic congenital adrenal hyperplasia, showing a 67% mean reduction in androstenedione levels and successful glucocorticoid dose reduction to physiologic levels in most completers, alongside a favorable safety profile with no serious or treatment-related severe adverse events and no hepatic transaminase issues, reinforcing the candidate’s potential to strengthen Crinetics’ endocrine portfolio and future market positioning in CAH and ACTH-driven disorders.

The most recent analyst rating on (CRNX) stock is a Buy with a $90.00 price target. To see the full list of analyst forecasts on Crinetics Pharmaceuticals stock, see the CRNX 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 14, 2026