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Oncopeptides AB (SE:ONCO)
:ONCO

Oncopeptides AB (ONCO) AI Stock Analysis

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SE:ONCO

Oncopeptides AB

(ONCO)

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Neutral 49 (OpenAI - 5.2)
Rating:49Neutral
Price Target:
kr3.00
▼(-38.52% Downside)
Action:ReiteratedDate:01/17/26
The score is held back primarily by weak financial performance (ongoing losses, cash burn, and leverage) and bearish technicals (below major moving averages with negative MACD). The earnings call provides the main support via strong revenue growth, exceptional gross margin, and improved liquidity from the rights issue, while valuation remains constrained by loss-making status and no dividend.
Positive Factors
Sustained revenue growth
Consecutive strong top-line growth indicates durable commercial traction for Pepaxti in Europe, reflecting expanding market access and adoption. Sustained revenue acceleration supports scaling of fixed costs, strengthens negotiating leverage with partners, and improves the path to targeted profitability by end-2026.
Very high gross margin
An exceptionally high gross margin implies favorable product economics and low variable cost per sale. If maintained, revenue growth will flow through to operating leverage quickly, enabling margins expansion and making profitability achievable once operating expenses are controlled and scale is sustained.
Strengthened cash runway
A materially strengthened cash position following an oversubscribed rights issue provides a multi-month runway to execute commercialization, pursue partnerships, and invest in market access. It reduces immediate refinancing risk and signals investor support, supporting strategy execution over the next 2–6 months.
Negative Factors
Ongoing net losses
Persistent net losses show the company remains unprofitable despite revenue gains, requiring continued spending and external funding. Losses—partly driven by noncash items—underscore that operating profitability has not been achieved and that achieving the stated 2026 profitability target depends on sustained revenue and cost control.
Negative operating and free cash flow
Ongoing negative operating and free cash flow indicate the core business is not yet generating cash, forcing reliance on capital markets. This structural cash burn elevates dilution or leverage risk, constrains reinvestment capacity, and weakens resilience to commercial setbacks absent sustained margin and sales improvement.
Elevated liabilities and weakened equity ratio
A leveraged balance sheet with deteriorating equity financing reduces financial flexibility and raises vulnerability to revenue hiccups. Elevated liabilities can increase funding costs and restrict strategic options like M&A or large commercial investments until equity metrics improve or cash generation turns positive.

Oncopeptides AB (ONCO) vs. iShares MSCI Sweden ETF (EWD)

Oncopeptides AB Business Overview & Revenue Model

Company DescriptionOncopeptides AB (publ), a biotech company, develops pharmaceuticals drugs for the treatment of cancer in the United States, Europe, and internationally. Its lead product candidate is melflufen, an anti-cancer peptide drug conjugate for the treatment of relapsed refractory multiple myeloma in adult patients. Oncopeptides AB (publ) was incorporated in 2000 and is headquartered in Stockholm, Sweden.
How the Company Makes MoneyOncopeptides AB generates revenue primarily through the commercialization of its lead product, melflufen, which is sold to healthcare providers and hospitals for treating patients with multiple myeloma. The company's revenue model is based on product sales, which may include direct sales and potential royalties from licensing agreements. Additionally, Oncopeptides may engage in partnerships with larger pharmaceutical companies for co-development or distribution, which can also provide milestone payments and royalties. The company may also receive funding through grants and research collaborations aimed at furthering its drug development initiatives.

Oncopeptides AB Earnings Call Summary

Earnings Call Date:Feb 19, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:May 13, 2026
Earnings Call Sentiment Neutral
The call presented a mix of strong commercial and scientific progress alongside clear financial and market execution challenges. Highlights include robust year-over-year revenue growth (+125% FY, +88% Q4), an exceptionally high gross margin (97%), disciplined cost reductions, a focused pipeline advancement with compelling preclinical glioblastoma data and a planned Phase 0 study, plus a rights issue to shore up liquidity. Lowlights comprise continued operating losses, a need for additional capital (SEK 200m rights issue), delayed cash flow positivity (moved from 2026 to 2027), market disruptions in Spain (doctor strike), slower-than-expected growth in Germany, and uncertain timelines for international partnerships. Overall, positive operational and scientific momentum is balanced by material funding needs and commercialization execution risks.
Q4-2025 Updates
Positive Updates
Strong Revenue Growth
Full-year net sales more than doubled to SEK 71.1 million, representing a 125% increase versus 2024; fourth-quarter net sales rose to SEK 18.6 million, an 88% increase year-over-year.
Very High Gross Margin
Gross profit for the year was SEK 68.7 million, corresponding to a gross margin of 97%, demonstrating high scalability and product-level profitability.
Improved Operating Efficiency
Operating expenses decreased by 16% in the quarter and 7% for the full year; R&D expenses decreased from SEK 121.2 million to SEK 103.0 million (~15% reduction) and G&A decreased to SEK 57.4 million from SEK 60.8 million (~5.6% reduction).
Reduced Loss (Improved EBIT)
EBIT improved to a loss of SEK 224.7 million for the year from SEK 283.0 million the prior year (an improvement of SEK ~58.3 million, ≈20.6% reduction in loss).
Capital Raise to Support Strategy
Rights issue announced up to SEK 200 million, of which SEK 190 million is guaranteed through underwriting and subscription commitments; major shareholder HealthCap and management/board intend to participate.
Commercial Momentum and Market Access Progress
Established commercial organizations in Italy, Spain and Germany; Italy exceeded launch expectations in 2025 and the company reports more than 600 patients treated since EMA approval; market exclusivity extends until 2037 with an estimated SEK 1.5 billion European market potential.
Promising Pipeline Progress — Glioblastoma Opportunity
Preclinical data (GLIOPEP project) for PDCs, particularly OPD5, show near-100% brain bioavailability in animal models, blood-brain barrier penetration, and strong tumor reduction; dual mechanism (nuclear + mitochondrial DNA damage) provides a scientific rationale to address resistant tumors. Plan to initiate a cost-efficient window-of-opportunity (Phase 0) study in ~10 glioblastoma patients in 2026 to confirm BBB passage in humans.
Focused R&D and Externalization Strategy
No ongoing clinical studies but a more focused R&D structure and a shift to rely more on external strategic collaborations to advance preclinical platforms, enabling reallocation of resources to highest-value opportunities.
Negative Updates
Need for Additional Capital and Cash Constraints
Cash at year-end was SEK 82 million and the company required a rights issue (up to SEK 200 million) to bridge commercial operations and enable the glioblastoma window study, indicating continuing liquidity needs.
Delay to Cash Flow Positivity
Target for cash flow positivity shifted from end of 2026 to 2027 due to muted Q3/Q4 performance, market disruptions and slower-than-expected market uptake in key territories.
Market Headwinds in Key Territories — Spain
Medical doctor strike in Spain during Q4 (and ongoing into early 2026) materially reduced new patient starts and caused postponed treatments, negatively impacting Q4 sales; industry-wide decline in late-stage myeloma drugs observed in December.
Slower-than-Expected Growth in Germany
Germany showed double-digit growth but below internal projections; scattered prescriber base dominated by office-based physicians with restricted pharma access and increased competition resulted in slower patient uptake and longer time to unlock new prescribers.
Ongoing Commercial and Partnership Uncertainties Outside Europe
Partnership timelines are uncertain (notably Japan where a preferred partner is being pursued but timing is out of Oncopeptides' control); rest-of-world partnerships (MENA, Africa, South Korea) are expected to be slow and some regions face payer challenges, delaying revenue diversification.
Continued Operating Loss and Noncash Valuation Impact
Despite improvement, the company remains loss-making with EBIT at minus SEK 224.7 million and a non-cash fair valuation of warrants of minus SEK 12.2 million impacting full-year financial items.
Commercial Spend Still High and Sales & Marketing Concentration
Sales and marketing expenses remained substantial at SEK 137.2 million for the year (in line with prior year), reflecting significant ongoing investment required for European commercialization while some key markets underperformed.
No Ongoing Clinical Trials — Dependent on Preclinical to Clinical Transition
At the time of the call there were no ongoing clinical studies; planned glioblastoma window study is a necessary but small step (≈10 patients) and broader clinical development remains contingent on these early human data and additional funding.
Company Guidance
Oncopeptides guided that it will launch a rights issue of up to SEK 200 million (SEK 190 million guaranteed, with HealthCap and management/board intending to participate) to materially strengthen liquidity and bridge commercialization toward positive cash flow in 2027 (pushed from 2026); FY2025 net sales more than doubled to SEK 71.1 million (+125% vs 2024) with Q4 sales SEK 18.6 million (+88% YoY), gross profit SEK 68.7 million (gross margin 97%), EBIT improved to -SEK 224.7 million (from -SEK 283 million), year-end cash SEK 82 million, operating expenses down 16% in Q4 and 7% for the full year, sales & marketing SEK 137.2 million (flat vs prior year), G&A SEK 57.4 million (down from 60.8), and R&D SEK 103 million (down from 121.2); management said the proceeds will primarily fund continued European commercialization of Pepaxti (SEK 1.5 billion European market potential, market exclusivity until 2037, >600 patients treated since EMA approval) and to finance a cost-efficient ~10‑patient window‑of‑opportunity (Phase 0) study using melflufen to confirm blood‑brain‑barrier passage ahead of an intended glioblastoma clinical trial in 2026.

Oncopeptides AB Financial Statement Overview

Summary
Financial statements point to persistent losses and ongoing cash burn (negative net income, negative operating/free cash flow), with elevated leverage. A relatively strong cash position and ability to raise financing are positives but do not fully offset weak profitability and cash generation.
Income Statement
20
Very Negative
Oncopeptides AB has shown inconsistent revenue trends with significant fluctuations over the years. The company has consistently reported negative net income, indicating ongoing losses. Additionally, the high negative EBIT margin reflects operational inefficiencies or high operating costs relative to revenue.
Balance Sheet
35
Negative
The company's balance sheet shows a high level of liabilities compared to its equity, indicating a high debt-to-equity ratio. However, the company maintains a relatively strong cash position, which could help manage short-term liabilities. The equity ratio has deteriorated over time, suggesting decreasing asset financing through equity.
Cash Flow
25
Negative
Oncopeptides AB has consistently reported negative operating and free cash flows, highlighting cash burn issues. Despite this, the company has managed to secure financing to support operations. The free cash flow to net income ratio is negative, emphasizing the challenge in generating cash from its core operations.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue50.87M31.65M35.22M8.36M118.30M0.00
Gross Profit49.13M28.98M36.30M8.35M65.17M-14.40M
EBITDA-260.65M-261.81M-231.62M-319.62M-1.40B-1.58B
Net Income-267.18M-284.61M-249.11M-337.95M-1.43B-1.59B
Balance Sheet
Total Assets136.44M244.19M238.38M385.32M439.38M946.76M
Cash, Cash Equivalents and Short-Term Investments70.15M178.54M173.44M344.51M364.30M852.48M
Total Debt124.23M141.72M126.16M9.54M14.19M19.36M
Total Liabilities203.32M189.91M181.60M91.03M228.51M369.86M
Stockholders Equity-66.88M54.28M56.78M294.29M210.87M576.90M
Cash Flow
Free Cash Flow-324.71M-260.57M-279.61M-423.02M-1.52B-1.31B
Operating Cash Flow-324.71M-260.57M-279.49M-420.51M-1.52B-1.30B
Investing Cash Flow496.00K496.00K-116.00K-2.51M-339.00K-20.13M
Financing Cash Flow11.91M263.81M106.89M392.40M1.03B1.32B

Oncopeptides AB Technical Analysis

Technical Analysis Sentiment
Negative
Last Price4.88
Price Trends
50DMA
3.22
Negative
100DMA
4.12
Negative
200DMA
3.72
Negative
Market Momentum
MACD
-0.45
Positive
RSI
24.13
Positive
STOCH
10.73
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SE:ONCO, the sentiment is Negative. The current price of 4.88 is above the 20-day moving average (MA) of 2.28, above the 50-day MA of 3.22, and above the 200-day MA of 3.72, indicating a bearish trend. The MACD of -0.45 indicates Positive momentum. The RSI at 24.13 is Positive, neither overbought nor oversold. The STOCH value of 10.73 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for SE:ONCO.

Oncopeptides AB Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
55
Neutral
€1.12B7.6181.19%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
kr629.09M-1.66131.20%32.28%
48
Neutral
kr137.34M-2.09-1291.15%28.54%
46
Neutral
kr127.86M0.47-16.90%4.64%
44
Neutral
kr374.26M-4.29-79.60%31.62%
44
Neutral
kr1.07B-5.76-35.03%25.14%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SE:ONCO
Oncopeptides AB
1.62
0.30
22.79%
SE:XBRANE
Xbrane Biopharma AB
6.21
-13.67
-68.78%
SE:ACE
Ascelia Pharma AB
2.87
-0.28
-8.89%
SE:XSPRAY
Xspray Pharma AB
25.60
-4.01
-13.55%
SE:ACTI
Active Biotech AB
0.05
-0.02
-30.43%
SE:CANTA
Cantargia AB
4.50
2.95
190.51%

Oncopeptides AB Corporate Events

Oncopeptides Lifts 2025 Sales but Delays Cash-Flow Break-Even to 2027
Jan 15, 2026

Oncopeptides reported that unaudited net sales reached 18.6 million SEK in the fourth quarter of 2025, up 88% year-on-year, while full-year 2025 Pepaxti sales climbed 125% to 71.2 million SEK, driven by a stronger-than-expected launch in Italy but partly offset by weaker uptake in Germany and strike-related headwinds in Spain. The company now anticipates achieving positive cash flow in 2027 instead of late 2026 and is tightening its commercialization strategy in Germany, pursuing a potential licensing deal for Pepaxti in Japan with a sizeable local pharma partner, and exploring additional European opportunities and pipeline partnerships, moves that signal a push to strengthen its financial position and broaden its international footprint despite near-term commercial challenges.

The most recent analyst rating on (SE:ONCO) stock is a Buy with a SEK5.00 price target. To see the full list of analyst forecasts on Oncopeptides AB stock, see the SE:ONCO Stock Forecast page.

Oncopeptides Drug Pepaxti Shows Strong Efficacy in High-Risk Multiple Myeloma
Dec 29, 2025

Oncopeptides has announced new research demonstrating that its multiple myeloma drug Pepaxti (melflufen) maintains strong anti-myeloma activity in patients with high-risk genetic abnormalities such as del(17p) and TP53 mutations, which are typically associated with more aggressive, treatment-resistant disease. The collaborative study from Finland, Germany and Sweden showed consistent in vitro activity across genetic subgroups, a mechanism of action that does not depend on functional TP53, and post-hoc clinical data from the phase 3 OCEAN trial indicating longer progression‑free survival versus pomalidomide-based therapy in del(17p) patients, bolstering the differentiation of Pepaxti and Oncopeptides’ PDC platform versus conventional alkylators and reinforcing the drug’s role in treating some of the most challenging myeloma cases, with potential to strengthen the company’s positioning among haematology specialists and investors.

The most recent analyst rating on (SE:ONCO) stock is a Hold with a SEK5.50 price target. To see the full list of analyst forecasts on Oncopeptides AB stock, see the SE:ONCO Stock Forecast page.

Oncopeptides AB Establishes Nomination Committee for 2026 AGM
Nov 21, 2025

Oncopeptides AB has announced the formation of its Nomination Committee for the 2026 annual general meeting. The committee comprises representatives from the company’s three largest shareholders by voting rights, as well as the Chairman of the Board. This development is significant for Oncopeptides as it ensures shareholder representation in the decision-making process, potentially impacting the company’s strategic direction and governance. The committee’s proposals will be shared in the notice for the annual general meeting and on the company’s website.

The most recent analyst rating on (SE:ONCO) stock is a Hold with a SEK5.50 price target. To see the full list of analyst forecasts on Oncopeptides AB stock, see the SE:ONCO Stock Forecast page.

Expert Panel Endorses Oncopeptides’ Pepaxti for Myeloma Treatment
Nov 11, 2025

Oncopeptides AB announced that a panel of multiple myeloma experts has endorsed the use of its drug Pepaxti, also known as melflufen, for treating relapsed, refractory multiple myeloma. The expert consensus, published in the Annals of Hematology, emphasizes Pepaxti’s effectiveness for heavily pretreated patients, including the elderly and those with high-risk disease profiles, reinforcing its role as a critical treatment option. This endorsement strengthens Pepaxti’s market positioning and confirms its utility across diverse patient subgroups, aligning with findings from pivotal studies and real-world applications.

The most recent analyst rating on (SE:ONCO) stock is a Hold with a SEK5.00 price target. To see the full list of analyst forecasts on Oncopeptides AB stock, see the SE:ONCO Stock Forecast page.

Oncopeptides AB Reports Strong Q3 2025 Growth and Strategic Milestones
Nov 5, 2025

Oncopeptides AB reported a significant growth in net sales for Q3 2025, with a 174% increase year over year, driven by its key European markets. The company is progressing towards becoming cash flow positive by the end of 2026 and is in negotiations with potential partners in Japan. The period also saw the oversubscription of a rights issue and the inclusion of their drug Pepaxti in European guidelines, which could enhance their market positioning and stakeholder confidence.

The most recent analyst rating on (SE:ONCO) stock is a Hold with a SEK5.50 price target. To see the full list of analyst forecasts on Oncopeptides AB stock, see the SE:ONCO 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 17, 2026