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Verastem (VSTM)
NASDAQ:VSTM

Verastem (VSTM) AI Stock Analysis

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VSTM

Verastem

(NASDAQ:VSTM)

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Neutral 49 (OpenAI - 5.2)
Rating:49Neutral
Price Target:
$6.00
▲(7.91% Upside)
Action:ReiteratedDate:03/05/26
The score is held back primarily by weak financial fundamentals (large losses, worsening cash burn, and meaningful leverage) and a bearish technical setup (trading below major moving averages with negative MACD). Offsetting these risks, the latest earnings call points to improving commercial traction, multiple clinical milestones, and cash runway into H1 2027, but funding and execution risk remain elevated.
Positive Factors
Regulatory Approval
Securing FDA approval and an on-schedule commercial launch creates a durable commercial foothold in a defined orphan oncology niche. Approval de-risks regulatory execution, enables contracting and formulary work, and forms the basis for sustained revenue, prescriber relationships, and future label expansions.
Early Commercial Traction
Material initial revenues and nearly 300 prescribers reflect product-market fit in a specialized oncology segment. Strong academic adoption, payer coverage metrics, and co-pay program uptake support scalable commercial infrastructure and increase the likelihood the franchise becomes self-sustaining once launch costs normalize.
Pipeline Diversification & Development Progress
A Fast Track KRAS G12D program with early dosing data and partner activity diversifies risk beyond the lead co-pack. Multiple active programs and partner engagement increase upside optionality, shorten potential regulatory pathways for new indications, and reduce dependency on a single near-term asset.
Negative Factors
Heavy Cash Burn
Sustained large negative operating cash flow materially increases the probability the company needs additional financing before longer-term readouts. That creates execution risk, potential dilution or costly financing, and constrains flexibility to fund trials, commercial expansion, or partnership negotiations over the next 12–18 months.
Large & Worsening Losses
Very large absolute losses and widening operating deficits indicate profitability is distant. High R&D and commercial spend needed to support launches and confirmatory trials will likely continue losses, pressuring liquidity and limiting reinvestment capacity absent sustained revenue growth or external funding.
Guideline/Reimbursement Constraints
Lack of guideline inclusion for KRAS wild-type and reported payer pushback on off-label uses structurally limit the addressable market and reimbursement breadth. Combined with a confirmatory readout timing into mid-2027, this restricts durable uptake outside the KRAS-mutant population and slows pathway to broader label-driven demand.

Verastem (VSTM) vs. SPDR S&P 500 ETF (SPY)

Verastem Business Overview & Revenue Model

Company DescriptionVerastem, Inc., a development-stage biopharmaceutical company, focusing on developing and commercializing drugs for the treatment of cancer. Its product in development includes VS-6766, a dual rapidly accelerated fibrosarcoma (RAF)/mitogen-activated protein kinase (MEK) clamp that blocks MEK kinase activity and the ability of RAF to phosphorylate MEK. The company also engages in developing RAMP 201, an adaptive two-part multicenter, parallel cohort, randomized open label trial to evaluate the efficacy and safety of VS-6766 and in combination with defactinib, an oral small molecule inhibitor of focal adhesion kinase (FAK) in patients with recurrent low grade serous ovarian cancer; and RAMP 202, which is in Phase 2 trial to evaluate the safety of VS-6766 in combination with defactinib in patients with KRAS and BRAF mutant non-small cell lung cancer following treatment with a platinum-based regimen and immune checkpoint inhibitor. Verastem, Inc. has license agreements with Chugai Pharmaceutical Co., Ltd. for the development, commercialization, and manufacture of products containing VS-6766; and Pfizer Inc. to research, develop, manufacture, and commercialize products containing Pfizer's inhibitors of FAK for therapeutic, diagnostic and prophylactic uses in humans. In addition, it has clinical collaboration agreement with Amgen, Inc. to evaluate the combination of VS-6766 with Amgen's KRAS-G12C inhibitor LUMAKRASTM which in Phase 1/2 trial entitled RAMP 203. The company was incorporated in 2010 and is headquartered in Needham, Massachusetts.
How the Company Makes MoneyVerastem makes money through the development and commercialization of its oncology therapies. The company's revenue model includes income from product sales, particularly from its commercialized therapies, licensing agreements, and potential milestone payments from strategic partnerships. These partnerships often involve collaboration with other pharmaceutical companies for the development and marketing of its drug candidates. Additionally, Verastem may receive research and development funding from these partnerships, contributing to its financial earnings. The company's ability to generate revenue is significantly influenced by the success of its clinical trials, regulatory approvals, and market acceptance of its drugs.

Verastem Earnings Call Summary

Earnings Call Date:Mar 04, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:May 12, 2026
Earnings Call Sentiment Neutral
The call presented meaningful commercial and clinical progress—an early, ahead-of-schedule FDA approval, initial revenues ($30.9M launch-period; $17.5M Q4), expanding prescriber base (~300 prescribers), strong payer access metrics, promising RAMP and VS-7375 early signals, and a pro forma cash balance (~$234.4M) with runway into H1 2027. Offsetting these positives are the NCCN guideline omission for KRAS wild-type patients, sizable year-over-year increases in absolute non-GAAP losses (+35.8% Q4; +51.9% full year), continued high R&D/SG&A spend, limited runway beyond H1 2027 without additional financing, some payer pushback on off-label use, and early-stage VS-7375 data with short follow-up. Overall the company appears to be executing a disciplined commercial launch while advancing a promising pipeline, but material risks and near-term funding/clinical timeline uncertainties persist.
Q4-2025 Updates
Positive Updates
FDA Approval Ahead of PDUFA and Commercial Launch
Received FDA approval for the first treatment specifically for KRAS-mutated recurrent LGSOC nearly two months ahead of the PDUFA date, enabling a commercial launch beginning May 2025.
Initial Product Revenue
Net product revenue of $30.9 million for the launch period (May–Dec 2025) and $17.5 million in Q4 2025, demonstrating early commercial traction.
Rapid Prescriber Adoption and Launch Momentum
Nearly 300 prescribers through February 2026; roughly 60/40 split between GynOncs and MedOncs; ~75% of top target institutions introduced or adopted the CO-PACK; more than half of prescriptions from academic centers, indicating expanding penetration across key accounts.
Strong Payer Coverage and Access Metrics
Payer coverage reported as strong across LGSOC patients regardless of mutation status; typical prior authorization and fill timeline 12–14 days; ~60% of commercially eligible patients using the co-pay program (Verastem Cares).
Clinical Program Enrollment and Milestones
Completed enrollment ahead of schedule in global RAMP 301 (Phase III LGSOC) and RAMP 205 (first-line metastatic pancreatic); RAMP 301 topline primary analysis expected mid-2027, positioning for confirmatory regulatory catalysts.
Positive Early Clinical Signals in Multiple Trials
RAMP 201J (Japan) investigator-assessed ORR: 57% in KRAS-mutant and 22% in KRAS wild-type (n=16). RAMP 205 reported confirmed response in 10 of 12 patients (83% ORR) at ASCO; expansion cohort enrolled with update expected Q2 2026.
VS-7375 Development Progress and Favorable Early Profile
VS-7375 (oral KRAS G12D inhibitor) received IND clearance and Fast Track; first U.S. patient dosed June 2025; U.S. dose escalation cleared to 900 mg QD (evaluating 1200 mg); PK exposures at ≥600 mg comparable to China; emerging U.S. safety profile reportedly better than partner data in China with no drug-related LFT abnormalities or Grade 2 neutropenia reported to date. Preliminary data updates planned H1 and H2 2026.
Cash Position and Runway
Cash, cash equivalents and investments of $205.0 million at Dec 31, 2025 (pro forma $234.4 million after warrant exercises in Jan 2026). Company expects cash runway into the first half of 2027 and believes the LGSOC franchise can be self-sustaining in H2 2026.
Negative Updates
NCCN Guideline Update Excludes KRAS Wild-Type
Updated NCCN ovarian cancer guidelines did not expand the recommendation to include KRAS wild-type recurrent LGSOC, representing a disappointment for patients without KRAS mutations and a potential headwind for guideline-based adoption.
Increasing Non-GAAP Net Losses (Absolute)
Non-GAAP adjusted net loss for Q4 2025 was $39.8 million versus $29.3 million in Q4 2024 (increase of $10.5M, +35.8%). Full-year 2025 non-GAAP adjusted net loss was $163.1 million versus $107.4 million in 2024 (increase of $55.7M, +51.9%), driven by R&D and commercial investments.
High R&D and SG&A Spend
R&D expenses of $31.7 million in Q4 2025 and $114.6 million for FY2025; SG&A of $24.4 million in Q4 2025 and $81.1 million for FY2025, reflecting continued heavy investment during commercial launch and pipeline advancement.
Limited Cash Runway Requires Funding Planning
Cash runway only through the first half of 2027 under current assumptions; management is evaluating non-dilutive options and other financing vehicles but notes potential dilution if public equity raises become necessary contingent on future data and timing.
Program Discontinuation in Lung Indication
Decision to discontinue the avutometinib plus defactinib program in lung cancer due to an evolving treatment landscape, representing a curtailed opportunity despite an observed clinical signal.
Payer Pushback on Off-Label Uses
Reported tightening and pushback from payers on totally off-label uses (e.g., brain, lung, PDAC), reducing reimbursement for those indications and limiting early broader utilization beyond LGSOC.
Early and Limited VS-7375 Data; Short Follow-Up
VS-7375 U.S. data are early with limited follow-up (short median observation cited); dose selection remains under evaluation (600–1,200 mg range) and durability/safety across larger cohorts yet to be established—additional data expected later in 2026.
Regulatory/Guideline Timelines Remain Long
Key confirmatory readout for RAMP 301 is expected mid-2027, which delays potential guideline expansion and label-enabling outcomes for wild-type inclusion and broader regulatory filings.
Company Guidance
On the call Verastem reiterated 2026 priorities and provided concrete guidance and milestones alongside detailed FY2025 results: net product revenue of $30.9M for the May–Dec 2025 launch period (including $17.5M in Q4), cost of sales $2.6M in Q4/$4.6M FY, R&D $31.7M in Q4/$114.6M FY, SG&A $24.4M in Q4/$81.1M FY, and non‑GAAP adjusted net loss of $39.8M (‑$0.48/diluted) in Q4 and $163.1M (‑$2.35/diluted) for the year (versus $29.3M/‑$0.60 Q4 2024 and $107.4M/‑$3.01 FY2024); cash, cash equivalents and investments were $205M (pro forma $234.4M after warrant exercises) providing runway into the first half of 2027 and management expects the LGSOC franchise to be self‑sustaining in H2 2026 with SG&A roughly flat quarter‑to‑quarter in 2026. Clinical and timing guidance included RAMP 301 enrollment complete with topline primary analysis expected mid‑2027, a RAMP 205 expansion update in Q2 2026 (83% confirmed response in 10/12 patients reported at ASCO), RAMP 201J (n=16) showing investigator‑assessed ORR 57% in KRAS‑mutant and 22% in KRAS wild‑type, and VS‑7375 program updates (first patient dosed June 2025; PK/exposure achieved ≥600 mg with 900 mg cleared and 1,200 mg under evaluation; 600 mg chosen by partner in China; 600 mg combo with cetuximab cleared) with preliminary 101 data planned H1 2026 and fuller go‑forward‑dose data H2 2026; safety signals reported to date: no drug‑related LFT abnormalities and no drug‑related Grade ≥2 neutropenia. Commercial launch metrics/guidance: nearly 300 prescribers through February, >50% of prescriptions from academic centers, ~60% of commercially eligible patients using the co‑pay program, prescription fill times 12–14 days, top accounts ~75% introduced/adopted, GynOnc/MedOnc split ~60/40, and ~1,800 scientific exchanges plus >700 educational engagements through year‑end.

Verastem Financial Statement Overview

Summary
Revenue accelerated sharply in 2025 ($30.9M, +~131% YoY), and equity returned to positive ($57.2M). However, profitability and cash flow remain very weak with a large net loss ($209.5M) and worsening operating cash burn (-$137.5M), while leverage is meaningful for an unprofitable biotech (debt-to-equity ~1.34).
Income Statement
18
Very Negative
Revenue rebounded sharply in 2025 ($30.9M, up ~131% year over year) after a low/zero revenue base in prior years, showing improved commercialization traction. However, profitability remains very weak: 2025 net loss was $209.5M with deeply negative margins (net margin about -678%), and operating losses have widened versus 2024 (EBIT down to -$170.1M from -$115.0M). Overall, the top-line trajectory improved, but losses remain outsized relative to revenue.
Balance Sheet
46
Neutral
The balance sheet improved meaningfully in 2025 with stockholders’ equity back to positive ($57.2M) after being negative in 2024, and assets increased to $246.4M. Leverage is now moderate-to-elevated for an unprofitable biotech: debt rose to $76.9M and debt-to-equity is ~1.34, which increases financing risk if losses persist. Returns to shareholders remain highly negative (2025 return on equity about -3.66), reflecting ongoing value dilution/erosion from net losses.
Cash Flow
22
Negative
Cash burn remains heavy and is moving in the wrong direction: 2025 operating cash flow was -$137.5M (worse than -$104.8M in 2024), and free cash flow was similarly negative at -$137.5M. While the company has shown periods of reduced burn earlier in the history, the most recent year indicates increased cash needs, which typically implies higher dependence on additional funding.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue30.91M10.00M0.002.60M2.05M
Gross Profit25.62M10.00M0.002.60M2.05M
EBITDA-170.13M-125.86M-83.17M-71.56M-61.16M
Net Income-209.47M-130.64M-87.37M-73.81M-71.20M
Balance Sheet
Total Assets246.44M101.54M149.72M95.05M108.66M
Cash, Cash Equivalents and Short-Term Investments204.99M88.82M137.13M87.89M100.26M
Total Debt76.86M42.25M41.56M27.07M3.18M
Total Liabilities189.25M130.43M92.34M47.66M21.10M
Stockholders Equity57.20M-28.89M57.37M47.39M87.56M
Cash Flow
Free Cash Flow-137.51M-104.80M-86.46M-63.67M-53.70M
Operating Cash Flow-137.51M-104.77M-86.46M-63.67M-53.50M
Investing Cash Flow-9.62M59.97M-44.45M66.19M87.00K
Financing Cash Flow263.31M54.78M134.19M51.78M6.88M

Verastem Technical Analysis

Technical Analysis Sentiment
Negative
Last Price5.56
Price Trends
50DMA
6.30
Negative
100DMA
7.58
Negative
200DMA
7.42
Negative
Market Momentum
MACD
-0.16
Positive
RSI
40.01
Neutral
STOCH
15.97
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For VSTM, the sentiment is Negative. The current price of 5.56 is below the 20-day moving average (MA) of 5.90, below the 50-day MA of 6.30, and below the 200-day MA of 7.42, indicating a bearish trend. The MACD of -0.16 indicates Positive momentum. The RSI at 40.01 is Neutral, neither overbought nor oversold. The STOCH value of 15.97 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for VSTM.

Verastem Risk Analysis

Verastem disclosed 67 risk factors in its most recent earnings report. Verastem 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

Verastem Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
57
Neutral
$470.86M-1.84-46.34%14.33%
53
Neutral
$389.59M-42.31-25.72%-73.48%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$488.36M-2.55-1849.88%33.79%-26.37%
46
Neutral
$313.16M-6.10
45
Neutral
$123.74M-4.09-82.00%-27.29%16.40%
42
Neutral
$55.95M-11.73-74.85%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
VSTM
Verastem
5.56
-1.42
-20.34%
CRDF
Cardiff Oncology
1.81
-2.03
-52.86%
MREO
Mereo Biopharma Group Plc
0.35
-2.23
-86.40%
MNPR
Monopar Therapeutics Inc
58.30
19.20
49.10%
SLN
Silence Therapeutics
6.63
2.85
75.40%
AVIR
Atea Pharmaceuticals
5.91
2.74
86.44%

Verastem Corporate Events

Business Operations and StrategyFinancial DisclosuresRegulatory Filings and Compliance
Verastem Highlights AVMAPKI FAKZYNJA Strategy and Pipeline Risks
Neutral
Mar 4, 2026

On March 4, 2026, Verastem posted an updated corporate presentation outlining its strategy around AVMAPKI FAKZYNJA co-pack for KRAS mutant recurrent low-grade serous ovarian cancer and its broader RAS/MAPK-driven oncology pipeline, including multiple ongoing RAMP clinical trials and its partnered VS-7375 program. The materials underscore both the company’s commercial ambitions and the substantial development, regulatory, commercialization, financing, and competitive risks it faces, while also highlighting its use of non-GAAP operating expense metrics to present operating performance to investors.

The presentation details how Verastem’s growth prospects hinge on successfully confirming prior clinical results, expanding approved indications for AVMAPKI FAKZYNJA, executing collaborations with Pfizer, Chugai, GenFleet, and Secura Bio, and meeting post-marketing and regulatory commitments in the U.S. Highly detailed risk disclosures emphasize uncertainties around trial enrollment, safety, reimbursement, intellectual property, and the impact of U.S. healthcare policy and FDA resourcing, signaling a high-risk, high-reward profile for stakeholders evaluating the company’s future.

The most recent analyst rating on (VSTM) stock is a Buy with a $18.00 price target. To see the full list of analyst forecasts on Verastem stock, see the VSTM Stock Forecast page.

Business Operations and StrategyFinancial DisclosuresProduct-Related Announcements
Verastem Extends Cash Runway and Highlights 2025 Results
Positive
Feb 4, 2026

On February 4, 2026, Verastem Oncology reported preliminary, unaudited 2025 financial and clinical results, highlighting an estimated $17.5 million in fourth-quarter 2025 net product revenue and $30.9 million for full-year 2025 from its newly launched AVMAPKI FAKZYNJA CO-PACK, which received U.S. FDA approval in May 2025. The company ended 2025 with $205 million in cash, cash equivalents, and investments, or $234 million on a pro forma basis after the January 25, 2026 exercise of all remaining cash warrants that added $29.4 million, and it now expects its cash runway to extend into the first half of 2027 while anticipating that its low-grade serous ovarian cancer commercial franchise will become self-sustaining by the second half of 2026. Operationally, Verastem outlined 2026 priorities centered on maximizing U.S. uptake and pursuing geographic expansion of AVMAPKI FAKZYNJA CO-PACK, progressing confirmatory and label-expansion trials in LGSOC, and advancing its RAS/MAPK-focused pipeline, including an actively enrolling global Phase 1/2 program for VS-7375 in KRAS G12D solid tumors and combination studies in pancreatic and lung cancer. Updated clinical data from Japan’s RAMP201J trial showed encouraging response and disease control rates in both KRAS-mutated and KRAS wild-type recurrent LGSOC, and prior data from the RAMP 205 study in front-line metastatic pancreatic cancer showed an 83% overall response rate in the initial 12-patient cohort, positioning Verastem as a growing commercial-stage oncology player with multiple near- and mid-term clinical catalysts that could strengthen its competitive standing in targeted cancer therapeutics.

The most recent analyst rating on (VSTM) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on Verastem stock, see the VSTM Stock Forecast page.

Business Operations and StrategyProduct-Related Announcements
Verastem updates oncology strategy in new corporate presentation
Neutral
Jan 8, 2026

On January 8, 2026, Verastem, Inc. updated and posted its corporate presentation, highlighting its strategy around AVMAPKI FAKZYNJA CO-PACK, which is approved for adult patients with KRAS mutant-type recurrent low-grade serous ovarian cancer, and outlining plans to potentially expand its indication beyond KRAS mutation status based on ongoing and planned trials such as RAMP 201 and RAMP 301. The presentation also detailed the company’s broader clinical and partnership pipeline, including a Phase 1/2a study with GenFleet for VS-7375, while emphasizing significant development, regulatory, commercialization, financing, intellectual property, competitive, and operational risks that could materially affect clinical timelines, market uptake, and Verastem’s ability to sustain its oncology business and meet its strategic objectives.

The most recent analyst rating on (VSTM) stock is a Hold with a $7.50 price target. To see the full list of analyst forecasts on Verastem stock, see the VSTM Stock Forecast page.

Business Operations and StrategyProduct-Related Announcements
Verastem Shifts Focus to KRAS G12D and Pancreatic Programs
Neutral
Dec 31, 2025

On December 29, 2025, Verastem announced it will discontinue the RAMP 203 Phase 1/2 clinical trial in advanced KRAS G12C-mutated non-small cell lung cancer, halting further enrollment while allowing currently enrolled patients to continue treatment at investigators’ discretion. Interim data as of November 26, 2025, showed that doublet and triplet combinations of avutometinib with LUMAKRAS and defactinib produced meaningful response rates and generally manageable safety, but next-generation KRAS G12C inhibitors have raised the efficacy bar, prompting Verastem to reallocate resources toward the clinical development of VS-7375, its oral KRAS G12D (ON/OFF) inhibitor that has shown high response rates in KRAS G12D NSCLC, and to its RAMP 205 pancreatic cancer program, signaling a strategic shift to indications and assets with greater perceived commercial and clinical impact.

The most recent analyst rating on (VSTM) stock is a Buy with a $14.00 price target. To see the full list of analyst forecasts on Verastem stock, see the VSTM Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
Verastem streamlines leadership team amid strategic transition
Neutral
Dec 19, 2025

On December 19, 2025, Verastem’s chief operating officer Matthew Ros separated from the company under a negotiated separation agreement that provides for nine months of salary continuation, COBRA-related support and a pro-rated bonus, as the biopharma group streamlines its operational structure and redistributes his responsibilities across the executive team. The move follows a December 15, 2025 leadership reshuffle in which long-time board member John Johnson was elevated to chairman and lead director Michael Kauffman was appointed president of development, formalizing a strategic transition meant to support the commercial rollout of AVMAPKI FAKZYNJA CO-PACK and the advancing clinical pipeline, including completion of additional patient enrollment in the RAMP 301 Phase 3 confirmatory trial in recurrent LGSOC, a key study for securing and potentially broadening the product’s market positioning.

The most recent analyst rating on (VSTM) stock is a Buy with a $15.00 price target. To see the full list of analyst forecasts on Verastem stock, see the VSTM 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: Mar 05, 2026