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X4 Pharmaceuticals Inc (XFOR)
NASDAQ:XFOR

X4 Pharmaceuticals (XFOR) AI Stock Analysis

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XF

X4 Pharmaceuticals

(NASDAQ:XFOR)

Rating:44Neutral
Price Target:
X4 Pharmaceuticals faces significant financial challenges, notably in profitability and cash flow, despite growth in revenue. Technical indicators suggest a downward trend, while valuation metrics indicate potential undervaluation. The earnings call and recent corporate events offer some optimism with strategic initiatives and clinical progress, but market and sales challenges remain.
Positive Factors
Financial Performance
The company reported total revenue of $28.8M, compared to the consensus estimate of $11.6M, and a net income of $0.04 per share, compared to the consensus estimated a net loss of $0.12 per share.
Licensing Agreement
X4 Pharmaceuticals has entered into an exclusive licensing agreement with Norgine Pharmaceuticals for the commercialization of mavorixafor in Europe, Australia, and New Zealand.
Product Revenue Growth
XOLREMDI sales increased significantly, surpassing estimates, due to commercialization progress and inventory build.
Negative Factors
Commercialization Challenges
The longer-than-expected time to diagnose and initiate therapy for new WHIM patients and the high commercial cost to onboard a patient are challenges faced by the company.
Financing Needs
Despite the collaboration, additional capital is still considered necessary to provide sufficient runway to topline data from the P3 4WARD trial.
Market Adoption
Market adoption of the drug has not been as robust as expected.

X4 Pharmaceuticals (XFOR) vs. SPDR S&P 500 ETF (SPY)

X4 Pharmaceuticals Business Overview & Revenue Model

Company DescriptionX4 Pharmaceuticals, Inc., a late-stage clinical biopharmaceutical company, focuses on the research, development, and commercialization of novel therapeutics for the treatment of rare diseases. Its lead product candidate is mavorixafor, a small molecule inhibitor of the chemokine receptor C-X-C chemokine receptor type 4 (CXCR4), which is in Phase III clinical trial for the treatment of patients with warts, hypogammaglobulinemia, infections, and myelokathexis syndrome; and Phase Ib clinical trial to treat chronic neutropenia and Waldenström macroglobulinemia. The company is also developing X4P-002, a CXCR4 antagonist for the treatment of brain cancers; and X4P-003, a CXCR4 antagonist for the treatment of CXCR4 disorders and primary immunodeficiencies. It has a license agreement with Abbisko Therapeutics Co., Ltd. to develop, manufacture, and commercialize mavorixafor in combination with checkpoint inhibitors or other agents in oncology indications. The company was founded in 2010 and is headquartered in Boston, Massachusetts.
How the Company Makes MoneyX4 Pharmaceuticals generates revenue primarily through the development and commercialization of its pipeline of drug candidates. The company aims to bring its lead product, mavorixafor, to market, which is expected to be a key revenue driver upon approval. Revenue is also derived from strategic collaborations and partnerships with other pharmaceutical companies, which may include milestone payments, research funding, and royalties. Additionally, X4 may earn revenue through licensing agreements for its proprietary technologies and therapies. The company's focus on rare diseases often allows for orphan drug designations, which can provide market exclusivity and potential pricing power in niche markets.

X4 Pharmaceuticals Earnings Call Summary

Earnings Call Date:May 01, 2025
(Q1-2025)
|
% Change Since: -17.40%|
Next Earnings Date:Jul 31, 2025
Earnings Call Sentiment Positive
The earnings call highlights significant progress in clinical trials and strategic partnerships for global market expansion, alongside a strong financial position. However, there are challenges in sales fluctuations and market penetration in the WHIM syndrome segment. On balance, the positive developments and growth potential outweigh the current sales challenges.
Q1-2025 Updates
Positive Updates
Significant Progress in Clinical Trials
X4 Pharmaceuticals has advanced the 4WARD trial, a global pivotal Phase III clinical trial for mavorixafor in chronic neutropenia (CN), with over 90% of trial sites activated and enrollment underway in over 20 countries. The trial is powered at greater than 95% for the ANC response endpoint and expects full enrollment by Q3/Q4 2025.
Patent Allowance for Mavorixafor
The US Patent Office has issued a notice of allowance for the use of mavorixafor in treating severe chronic idiopathic and autoimmune neutropenia, with the patent expected to expire in March 2041.
Partnerships for Global Expansion
X4 has completed two international partnerships: one with Norgine for commercialization in Europe, Australia, and New Zealand, and another with taiba rare for the Middle East and North Africa (MENA) region.
Strong Financial Position
X4 ended Q1 2025 with nearly $90 million in cash, supporting operations into the first half of 2026. The company reported a net income due to $28 million in license revenue from Norgine and a gain of $10.8 million on Class C warrants.
Negative Updates
Quarterly Sales Fluctuation
Quarterly sales of XOLREMDI were slightly lower than the previous quarter due to fluctuations in inventory resupply timing, typical of markets with small patient populations.
Challenges in WHIM Syndrome Market
Cumulative sales of XOLREMDI reached $3.5 million since launch, with current sales reflecting the early-stage challenges in market penetration and patient identification.
Company Guidance
In the first quarter of 2025, X4 Pharmaceuticals reported significant progress, with a focus on mavorixafor's development for chronic neutropenia (CN) and WHIM syndrome. The 4WARD trial, a pivotal Phase III study, is underway in over 20 countries, targeting patients with moderate to severe CN, defined as an ANC below 1000 cells per microliter and experiencing multiple infections over 12 months. The trial aims to demonstrate statistically significant ANC responses and reduced infection rates, with a robust powering of over 95% for ANC response and 90% for infection rate results. X4 expects full enrollment by late 2025 and top-line data in 2026. Additionally, the company noted cumulative XOLREMDI sales of $3.5 million since its mid-2024 launch, with new patients constituting 40% of the treated population. X4 also expanded mavorixafor's potential reach through partnerships in Europe, Australia, New Zealand, and the MENA region and anticipates EMA approval by early 2026. The company ended the quarter with nearly $90 million in cash, expecting to sustain operations into the first half of 2026.

X4 Pharmaceuticals Financial Statement Overview

Summary
X4 Pharmaceuticals is showing revenue growth but struggles with profitability and cash flow management. Despite leverage improvements, financial stability concerns persist due to low equity levels and high operational costs.
Income Statement
35
Negative
X4 Pharmaceuticals shows a significant increase in total revenue in TTM (Trailing-Twelve-Months) compared to the previous year, indicating growth in their operations. However, the company has consistently reported negative EBIT and EBITDA figures, reflecting operational inefficiencies. The net profit margin is positive in the TTM period, but historical net losses suggest profitability challenges.
Balance Sheet
40
Negative
The company's debt-to-equity ratio has improved in the TTM period due to reduced total debt, indicating better leverage management. However, the equity ratio remains low, suggesting a higher reliance on liabilities to finance assets. The return on equity is positive in the TTM, but the low stockholders' equity raises concerns about financial stability.
Cash Flow
30
Negative
Operating cash flow has been consistently negative, with a significant cash outflow in the TTM period, indicating cash management issues. Free cash flow remains negative, but the company has managed to generate cash through financing activities. The operating cash flow to net income ratio reflects a disconnect between cash flow generation and reported earnings.
Breakdown
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
31.36M2.56M0.000.000.003.00M
Gross Profit
25.85M1.76M-2.00M-1.99M-1.89M3.00M
EBIT
-8.55M-36.40M-107.52M-87.57M-85.11M-59.87M
EBITDA
-101.70M-27.58M-107.10M-87.57M-85.11M-58.06M
Net Income Common Stockholders
14.60M-37.45M-101.17M-93.87M-88.70M-62.13M
Balance SheetCash, Cash Equivalents and Short-Term Investments
76.79M102.06M114.22M121.72M81.79M78.71M
Total Assets
81.25M146.45M147.26M155.59M117.18M122.87M
Total Debt
12.24M78.09M58.28M38.42M39.78M38.45M
Net Debt
-64.56M22.39M-40.94M-83.30M-42.00M-40.26M
Total Liabilities
22.55M124.30M96.16M81.53M52.76M50.07M
Stockholders Equity
58.71M22.15M51.10M74.05M64.41M72.80M
Cash FlowFree Cash Flow
-112.94M-131.23M-96.57M-77.20M-71.52M-60.18M
Operating Cash Flow
-109.67M-130.90M-96.51M-77.10M-70.91M-58.82M
Investing Cash Flow
69.17M66.99M-14.88M-103.00K-615.00K-1.36M
Financing Cash Flow
20.29M20.29M88.52M117.23M74.25M12.39M

X4 Pharmaceuticals Technical Analysis

Technical Analysis Sentiment
Negative
Last Price3.56
Price Trends
50DMA
4.57
Negative
100DMA
8.79
Negative
200DMA
13.14
Negative
Market Momentum
MACD
-0.17
Negative
RSI
44.45
Neutral
STOCH
65.12
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For XFOR, the sentiment is Negative. The current price of 3.56 is above the 20-day moving average (MA) of 3.41, below the 50-day MA of 4.57, and below the 200-day MA of 13.14, indicating a neutral trend. The MACD of -0.17 indicates Negative momentum. The RSI at 44.45 is Neutral, neither overbought nor oversold. The STOCH value of 65.12 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for XFOR.

X4 Pharmaceuticals Risk Analysis

X4 Pharmaceuticals disclosed 64 risk factors in its most recent earnings report. X4 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

X4 Pharmaceuticals Peers Comparison

Overall Rating
UnderperformOutperform
Sector (54)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
XLXLO
54
Neutral
$36.25M-297.84%53.92%
54
Neutral
$5.37B3.35-45.10%2.79%16.77%-0.01%
53
Neutral
$63.05M-71.64%-98.90%-177.17%
45
Neutral
$56.54M108.28%41.01%
44
Neutral
$24.89M1.84121.75%
40
Underperform
$49.08M-75.45%14.06%
38
Underperform
$38.79M41.08%1.19%61.65%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
XFOR
X4 Pharmaceuticals
3.56
-29.74
-89.31%
KPTI
Karyopharm Therapeutics
4.43
-11.02
-71.33%
NRXP
NRX Pharmaceuticals
3.65
0.27
7.99%
RPTX
Repare Therapeutics
1.48
-2.51
-62.91%
XLO
Xilio Therapeutics
0.70
-0.36
-33.96%
PEPG
PepGen Inc.
1.50
-16.21
-91.53%

X4 Pharmaceuticals Corporate Events

Stock SplitBusiness Operations and StrategyFinancial Disclosures
X4 Pharmaceuticals Reports Q1 2025 Financial Results
Positive
May 1, 2025

On May 1, 2025, X4 Pharmaceuticals reported its financial results for the first quarter of 2025, highlighting significant progress in its clinical trials and commercialization efforts. The company is advancing its Phase 3 4WARD trial for chronic neutropenia and has seen a positive response to its drug XOLREMDI in the U.S. market. Strategic restructuring and international partnerships aim to maximize the potential of mavorixafor, while a recent reverse stock split and improved financial performance position the company for future growth.

Spark’s Take on XFOR Stock

According to Spark, TipRanks’ AI Analyst, XFOR is a Neutral.

X4 Pharmaceuticals’ overall stock score reflects significant challenges in financial performance, as indicated by consistent losses and weak cash flow. Technical indicators suggest downward momentum, and valuation metrics are unfavorable with a negative P/E ratio. While the earnings call presented some positive developments, the net losses and market penetration issues remain major concerns. The strategic restructuring is a step towards cost efficiency but adds uncertainty to the company’s future performance.

To see Spark’s full report on XFOR stock, click here.

Business Operations and Strategy
X4 Pharmaceuticals Announces Strategic Restructuring Plans
Negative
Feb 6, 2025

X4 Pharmaceuticals announced a strategic restructuring on February 6, 2025, involving a workforce reduction of approximately 30%, the closure of its Vienna facility, and a focus on advancing mavorixafor for chronic neutropenia. This restructuring aims to decrease annual spending by $30-35 million and extend the company’s cash runway into the first half of 2026, by streamlining operations to enhance the global market opportunity for mavorixafor.

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.