FDA Acceptance of NDA and PDUFA Date Set
The FDA accepted the NDA for lorundrostat for treatment of adult patients with hypertension in combination with other antihypertensive drugs and assigned a PDUFA target action date of December 22, 2026, advancing regulatory clarity and near-term commercialization planning.
Comprehensive Positive Clinical Program
Completed five positive clinical trials (including pivotal LAUNCH-HTN and ADVANCE-HTN, EXPLORER-CKD, and TRANSFORM-HTN open-label extension) demonstrating clinically meaningful blood pressure reduction, 24-hour control, and a favorable safety profile across diverse populations, supporting differentiated value of targeting aldosterone.
EXPLORER-OSA Blood Pressure Findings and Safety
In the 48-participant EXPLORER-OSA exploratory trial, lorundrostat showed clinically meaningful blood pressure reductions: 11.1 mmHg reduction (lorundrostat) vs 1.0 mmHg (placebo) at four weeks in the pre-planned parallel-arm analysis, and a 6.2 mmHg placebo-adjusted reduction in crossover analysis. Safety was favorable with no serum potassium excursions above 5.5 mmol/L.
Strong Liquidity Position
Cash, cash equivalents, and investments were $656.6 million as of 12/31/2025 versus $198.2 million as of 12/31/2024, representing a ~231.3% increase year-over-year. Management expects this liquidity to fund planned clinical trials and regulatory activities and support operations into 2028.
Reduced R&D Spend Following Pivotal Program Completion
Full-year R&D expense decreased to $132.0 million in 2025 from $168.6 million in 2024 (a decline of ~$36.6 million, ~21.7% year-over-year), driven mainly by a $49.3 million reduction in preclinical and clinical costs after concluding lorundrostat's pivotal program. Quarter-over-quarter R&D also declined to $24.4 million from $44.6 million (≈45.3% reduction).
Improvement in Net Loss
Net loss narrowed to $154.7 million for the year ended 12/31/2025 from $177.8 million in 2024 (a reduction of ~$23.1 million, ~13.0% year-over-year). Quarterly net loss improved to $32.2 million versus $48.9 million in the prior-year quarter (~34.1% improvement).
Increased Other Income from Higher Cash Balances
Total other income, net, rose to $16.0 million for the year (from $14.6 million in 2024, ~9.6% increase) and to $6.0 million for the quarter (from $2.8 million in the prior-year quarter, ~114.3% increase), driven by higher interest earned on investments and money market funds as cash balances grew.
Proactive Commercial and Market Access Preparation
Company initiated payer engagement, market access planning, expanded medical communications and MSL headcount, and pre-approval information exchange (PIE) conversations with payers to support a targeted launch in third-line/resistant hypertension and drive rapid uptake if approved.