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Karyopharm Therapeutics (KPTI)
NASDAQ:KPTI

Karyopharm Therapeutics (KPTI) AI Stock Analysis

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KPTI

Karyopharm Therapeutics

(NASDAQ:KPTI)

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Neutral 53 (OpenAI - 5.2)
Rating:53Neutral
Price Target:
$8.50
▲(4.04% Upside)
The score is held back primarily by weak financial performance (losses, negative equity, and deteriorating free cash flow). Technicals are supportive with strong trend momentum but appear overbought, and valuation offers limited support due to a negative P/E. Earnings call commentary improves the outlook somewhat via runway extension and upcoming clinical catalysts, but ongoing losses keep risk elevated.
Positive Factors
Product revenue growth
Sustained year-over-year product revenue growth demonstrates XPOVIO has durable commercial traction and product-market fit. Recurring sales provide a foundation for scaling commercialization, supporting reinvestment in the pipeline and partnerships that reinforce long-term revenue stability if execution continues.
Phase III enrollment complete
Finishing Phase III enrollment materially reduces execution risk and creates a clear, near-term structural catalyst. A positive SENTRY readout could enable label expansion into myelofibrosis, unlocking a multibillion-dollar market and permanently altering the company's growth trajectory and commercialization strategy.
High gross margins and cost cuts
Extremely high gross margins imply scalable product economics where incremental sales convert strongly to gross profit. Coupled with recent R&D and SG&A reductions and narrower expense guidance, this supports longer-term cash conservation and operational flexibility to weather trial periods and fund prioritized programs.
Negative Factors
Negative stockholders' equity
Negative equity indicates liabilities exceed assets, a structural solvency concern that constrains strategic options and increases refinancing risk. This impairs the company's ability to support large commercialization investments or endure adverse clinical outcomes without dilutive or costly financing.
Worsening free cash flow
Deepening negative free cash flow and reliance on external financing create an ongoing funding vulnerability. Limited cash runway into Q2 2026 forces near-term capital decisions that could dilute shareholders or raise borrowing costs, reducing strategic flexibility until durable revenue or trial-based milestones materialize.
Concentrated commercial risk
Heavy dependence on a single approved product concentrates downside risk: commercial performance and future growth hinge on XPOVIO uptake and successful trial readouts. In markets like myelofibrosis with limited recent innovation, failure to differentiate or expand indications would structurally limit revenue diversification.

Karyopharm Therapeutics (KPTI) vs. SPDR S&P 500 ETF (SPY)

Karyopharm Therapeutics Business Overview & Revenue Model

Company DescriptionKaryopharm Therapeutics Inc., a commercial-stage pharmaceutical company, discovers, develops, and commercializes drugs directed against nuclear export for the treatment of cancer and other diseases. The company discovers, develops, and commercializes novel and Selective Inhibitor of Nuclear Export (SINE) compounds function by binding with and inhibiting the nuclear export protein XPO1. Its lead compound, include XPOVIO in combination with bortezomib and dexamethasone for the treatment of adult patients with multiple myeloma, in combination with dexamethasone for the treatment of adult patients with heavily pretreated multiple myeloma, and for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma. The company has license agreement with Menarini Group to develop and commercialize NEXPOVIO for human oncology indications in Europe, including the United Kingdom; Latin America; and other countries. Its oral SINE compounds also designed to force nuclear accumulation in the levels of multiple tumor suppressor and growth regulatory proteins. The company was incorporated in 2008 and is headquartered in Newton, Massachusetts.
How the Company Makes MoneyKaryopharm Therapeutics generates revenue primarily through the commercialization of its lead product, Xpovio, which has received approval from regulatory authorities for treating certain types of cancers. The company earns money through direct product sales to healthcare providers and patients. In addition, Karyopharm may also generate revenue from collaborations and partnerships with other pharmaceutical companies, which could include licensing agreements, research and development collaborations, and milestone payments. These partnerships often enable Karyopharm to share the costs and risks associated with drug development while providing additional financial resources that contribute to the company's overall earnings.

Karyopharm Therapeutics Earnings Call Summary

Earnings Call Date:Nov 03, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 12, 2026
Earnings Call Sentiment Positive
The earnings call highlighted significant progress in clinical trials and financial fortification, along with positive revenue growth and cost management. However, the net loss and the challenge of innovating within a stagnant market were concerns.
Q3-2025 Updates
Positive Updates
Completion of Phase III SENTRY Trial Enrollment
Karyopharm completed enrollment in the Phase III SENTRY trial for frontline myelofibrosis, marking a pivotal moment for the company with top-line results expected in March 2026.
Strengthened Financial Flexibility
Karyopharm secured approximately $100 million through refinancing and capital restructuring, extending their cash runway into the second quarter of 2026.
Revenue Growth
Total revenue for Q3 2025 was $44 million, an increase of 13.4% compared to Q3 2024. U.S. net product revenue for XPOVIO grew 8.5% year-over-year.
Cost Reduction Achievements
Research and development expenses decreased by 16%, and selling, general, and administrative expenses decreased by 4% compared to Q3 2024.
High Physician Intent for Combination Therapy
75% of U.S. physicians showed intent to treat with selinexor plus ruxolitinib combination therapy for myelofibrosis, indicating strong market potential.
Negative Updates
Net Loss Increase
Karyopharm reported a net loss of $33.1 million for Q3 2025, with more than half driven by non-operational items such as non-cash interest expense and mark-to-market adjustments.
Limited Innovation Beyond JAK Inhibitors
The myelofibrosis market has seen little innovation beyond JAK inhibitors over the past 14 years, emphasizing the challenge for new entrants.
Exclusion of Fatigue in TSS Analysis
In the Phase III SENTRY trial, the fatigue domain is excluded from the TSS analysis due to the ambiguity of patients' assessment of their fatigue.
Company Guidance
During the Karyopharm Therapeutics Q3 2025 Earnings Call, significant guidance was provided on both the company's clinical and financial trajectory. Key clinical progress included the completion of enrollment in the Phase III SENTRY trial for frontline myelofibrosis, with top-line results anticipated in March 2026. Financially, the company bolstered its position by securing $100 million, extending its cash runway into Q2 2026. Karyopharm reported Q3 total revenue of $44 million, a 13% year-over-year increase, with U.S. net product revenue from XPOVIO growing 8.5% to $32 million. The company's R&D and SG&A expenses were $30.5 million and $26.6 million, respectively, reflecting disciplined cost management. Karyopharm also narrowed its 2025 expense guidance range to $235-$245 million, down from $240-$250 million.

Karyopharm Therapeutics Financial Statement Overview

Summary
Karyopharm Therapeutics faces significant financial challenges, including declining revenues, persistent losses, high leverage, and negative equity. The company's cash flow is insufficient, leading to reliance on external financing.
Income Statement
Karyopharm Therapeutics has experienced declining revenue over recent years, with a negative revenue growth rate of -0.55% from 2023 to 2024. The company also faces significant profitability challenges, as indicated by negative net profit margins and EBIT margins. Despite a relatively high gross profit margin of 95.87% in 2024, the persistent net losses highlight ongoing operational inefficiencies.
Balance Sheet
The balance sheet shows a concerning financial position with negative stockholders' equity, indicating liabilities exceed assets. The debt-to-equity ratio cannot be calculated due to negative equity, but the high total debt relative to assets suggests significant leverage. The equity ratio is negative, further emphasizing the financial instability and potential solvency risks.
Cash Flow
Karyopharm Therapeutics has negative free cash flow, which deteriorated by 37.66% from 2023 to 2024. The operating cash flow to net income ratio is negative, reflecting cash flow challenges. Although there was a positive financing cash flow, it is insufficient to offset the negative operating cash flow, indicating reliance on external financing.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue142.53M145.24M146.03M157.07M209.82M108.08M
Gross Profit136.73M139.23M141.09M151.86M206.42M105.38M
EBITDA-80.42M-38.60M-118.42M-139.31M-96.98M-167.85M
Net Income-124.62M-76.42M-143.10M-165.29M-124.09M-196.27M
Balance Sheet
Total Assets96.23M164.42M240.44M358.17M305.31M313.05M
Cash, Cash Equivalents and Short-Term Investments45.88M108.71M191.44M277.97M228.62M249.24M
Total Debt196.42M194.52M177.02M179.07M180.58M131.13M
Total Liabilities365.49M350.44M376.64M374.83M384.98M262.50M
Stockholders Equity-269.26M-186.02M-136.21M-16.66M-79.67M50.55M
Cash Flow
Free Cash Flow-83.44M-127.63M-92.72M-149.67M-112.83M-160.38M
Operating Cash Flow-83.49M-127.49M-92.72M-149.55M-107.12M-160.23M
Investing Cash Flow48.37M95.47M7.94M-104.26M141.84M-53.69M
Financing Cash Flow1.04M41.65M1.12M193.74M73.65M172.08M

Karyopharm Therapeutics Technical Analysis

Technical Analysis Sentiment
Positive
Last Price8.17
Price Trends
50DMA
6.37
Positive
100DMA
6.37
Positive
200DMA
5.54
Positive
Market Momentum
MACD
0.52
Negative
RSI
65.73
Neutral
STOCH
76.56
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For KPTI, the sentiment is Positive. The current price of 8.17 is above the 20-day moving average (MA) of 7.29, above the 50-day MA of 6.37, and above the 200-day MA of 5.54, indicating a bullish trend. The MACD of 0.52 indicates Negative momentum. The RSI at 65.73 is Neutral, neither overbought nor oversold. The STOCH value of 76.56 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for KPTI.

Karyopharm Therapeutics Risk Analysis

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

Karyopharm 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
53
Neutral
$158.93M-0.56-3.98%-29.94%
52
Neutral
$39.03M-1.92-104.58%1.18%
52
Neutral
$169.57M-6.56-14.23%4121.12%83.30%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
47
Neutral
$43.96M-0.21-66.96%71.83%
45
Neutral
$43.36M-1.17-133.09%11.11%20.65%
43
Neutral
$38.93M-0.69-2237.54%-55.95%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
KPTI
Karyopharm Therapeutics
8.20
-1.90
-18.80%
ATNM
Actinium Pharmaceuticals
1.30
0.04
3.17%
BTAI
Bioxcel Therapeutics
2.02
-4.12
-67.10%
LTRN
Lantern Pharma
3.36
-0.38
-10.16%
IPSC
Century Therapeutics
2.04
1.07
110.31%
MDCX
Medicus Pharma Ltd
1.46
-1.18
-44.70%

Karyopharm Therapeutics Corporate Events

Business Operations and StrategyFinancial DisclosuresPrivate Placements and Financing
Karyopharm Issues Preliminary 2025 Financial Results and Outlook
Positive
Jan 12, 2026

On January 12, 2026, Karyopharm reported preliminary unaudited financial results indicating it expects approximately $33 million in total revenue for the fourth quarter of 2025 and about $145 million for full-year 2025, including $32 million and $115 million, respectively, in U.S. XPOVIO net product revenue. The company ended 2025 with roughly $64 million in cash, cash equivalents, restricted cash and investments, and, along with anticipated product and license revenue, believes it can fund operations into the second quarter of 2026, supported by strategic financings that extended its cash runway beyond the upcoming Phase 3 SENTRY myelofibrosis readout. Operationally, Karyopharm completed enrollment of the Phase 3 SENTRY trial in myelofibrosis in September 2025, continued global expansion and steady demand for XPOVIO in a competitive multiple myeloma market, advanced Phase 2 and Phase 3 selinexor programs in myelofibrosis, and refined the design and enrollment of its Phase 3 XPORT-EC-042 endometrial cancer trial, setting up 2026 as a catalyst-heavy year with two major Phase 3 data readouts that could materially influence its position in oncology and long-term value for stakeholders.

The most recent analyst rating on (KPTI) stock is a Hold with a $8.00 price target. To see the full list of analyst forecasts on Karyopharm Therapeutics stock, see the KPTI Stock Forecast page.

Business Operations and StrategyPrivate Placements and Financing
Karyopharm Therapeutics Completes Financing Transactions for Growth
Positive
Oct 14, 2025

On October 10, 2025, Karyopharm Therapeutics Inc. completed a series of financing transactions, including the issuance of convertible senior notes due in 2028 and 2029, and borrowed $12.5 million under its credit agreement. These transactions are aimed at strengthening the company’s financial position and supporting its strategic initiatives, potentially impacting its market standing and investor relations.

The most recent analyst rating on (KPTI) stock is a Buy with a $15.00 price target. To see the full list of analyst forecasts on Karyopharm Therapeutics stock, see the KPTI 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 12, 2026