ALTNasdaqPharmaceutical PreparationsUS GAAP · USD

Altimmune, Inc.

Altimmune, Inc. is a late clinical-stage biopharmaceutical company focused on developing therapies for serious liver diseases. Its lead candidate, pemvidutide, is a balanced 1:1 glucagon/GLP-1 dual receptor agonist being studied for metabolic dysfunction-associated steatohepatitis (MASH), alcohol use disorder (AUD), and alcohol-associated liver disease (ALD). The company is still in the development stage and has not generated product sales to date, so its business model depends on advancing clinical programs, securing financing, and potentially partnering or monetizing assets. Altimmune is headquartered in Gaithersburg, Maryland and trades on Nasdaq under the symbol ALT.

Revenue0.0m USD
+105.0 %y/y
Operating profit (EBIT)-94.5m USD
+8.4 %y/y
EBIT margin-230,461.0%
+285,399.0 ppy/y
Net income-88.1m USD
+7.3 %y/y
Free cash flow-67.5m USD
+15.5 %y/y

Fiscal year 2025 · change from previous year

Development 2020–2025

-125-100-75-50-25025m USD2020: 8.2 m USD2020: EBIT -55 m USD20202021: 4.4 m USD2021: EBIT -97 m USD20212022: -0.07 m USD2022: EBIT -88 m USD20222023: 0.43 m USD2023: EBIT -96 m USD20232024: 0.02 m USD2024: EBIT -103 m USD20242025: 0.04 m USD2025: EBIT -94 m USD20250.04-94
RevenueOperating profit (EBIT)

Business

Share of revenue
Lead drug candidate development90 %

Clinical development of pemvidutide across liver disease and metabolic indications.

Pipeline expansion10 %

Evaluation of additional indications that could leverage pemvidutide's clinical profile.

Customers

Altimmune does not sell approved commercial products, so its primary 'customers' are not end-market patients but rather the stakeholders that enable drug development. The company relies on clinical trial participants, investigators, contract research organizations, manufacturers, and other third-party service providers to advance pemvidutide through development. If the program succeeds, future buyers would likely be pharmaceutical partners, licensees, or ultimately healthcare providers and payers supporting patient access. In the near term, value creation depends on generating clinical data that can attract partnership interest and support regulatory progress.

Clinical trial ecosystem

Patients, investigators, CROs, and vendors involved in running pemvidutide studies for MASH, AUD, and ALD.

Strategic pharmaceutical partners

Potential collaborators or acquirers that may fund, license, or commercialize pemvidutide if clinical data are compelling.

Future prescribers and payers

Healthcare providers and reimbursement decision-makers that would matter only if pemvidutide reaches approval and market launch.

Strategy

Altimmune's strategy is centered on advancing pemvidutide through late-stage clinical development in MASH while also building optionality in AUD and ALD. The company is trying to differentiate the asset through a balanced glucagon/GLP-1 mechanism and a clinical profile that could support multiple liver-related indications. Because it has no product revenue, capital allocation is focused on preserving runway, funding trials, and maintaining flexibility to partner or monetize programs. Management also appears to be broadening the value proposition by evaluating additional indications that could reuse the same molecule and development infrastructure.

Complete and read out late-stage pemvidutide trialsShort term

Clinical data are the main source of value because the company has no commercial revenue.

Expand pemvidutide into multiple liver disease indicationsMedium term

A broader label opportunity could improve partnering leverage and commercial potential.

Secure external funding and strategic partnershipsShort term

Long-duration clinical development requires capital beyond current cash resources.

Geography

Altimmune is headquartered in the United States and its principal operations are managed from Maryland. The company has conducted clinical trials in the U.S. and other countries, and it notes that future trials may also occur in the United Kingdom, the European Union, or other foreign jurisdictions. Its reported consolidated entities include Altimmune UK, Ltd and Altimmune AU Pty, Ltd, indicating an international operating footprint even though the business remains U.S.-centered. Geography matters mainly because clinical development depends on regulatory approvals, site activation, patient enrollment, and supply-chain execution across jurisdictions. The company also highlighted tariff, inflation, and foreign-exchange-related uncertainty as factors that can affect operations and costs.

Risks

Altimmune faces the classic risks of a single-asset, late clinical-stage biotech company: trial failure, delayed enrollment, regulatory setbacks, and dependence on external financing. The company specifically notes that if it cannot maintain strategic partnerships for pemvidutide, it may have to bear the full cost and risk of development, which would pressure capital needs. It also faces operational risk from third-party vendors, foreign trial jurisdictions, and macro factors such as tariffs, inflation, supply-chain disruption, and capital-market volatility. More broadly, competition from much larger pharmaceutical companies could make it harder to recruit patients, secure manufacturing capacity, and ultimately commercialize a product if one is approved.

Sorted by severity
LowMediumHighLowMediumHighImpact →Likelihood →Single-asset clinical development risk1Regulatory and trial execution risk3Competitive pressure from large pharmaceutical companies4Financing and dilution risk2
Impact is the risk’s severity and likelihood how probable it is over the next few years, both assessed from the company’s reports. Numbers match the list.
  1. Single-asset clinical development riskImpact: CriticalLikelihood: Medium

    Most of the company's value is tied to pemvidutide, so adverse trial results or safety issues would have an outsized impact.

    ExposurePemvidutide in MASHAUDALD
  2. Financing and dilution riskImpact: HighLikelihood: High

    The company has no product revenue and must continue raising capital to fund trials and operations.

    ExposureEquity offeringsDebt financingPartnership monetization
  3. Regulatory and trial execution riskImpact: HighLikelihood: Medium

    Clinical timelines depend on FDA and foreign regulatory reviews, site activation, and patient enrollment.

    ExposureU.SU.KEUOther foreign trial jurisdictions
  4. Competitive pressure from large pharmaceutical companiesImpact: HighLikelihood: Medium

    Large incumbents have greater R&D, manufacturing, and commercialization resources in overlapping therapeutic areas.

    Exposure: MASH and metabolic/liver disease markets

  5. Supply-chain and macro cost inflationImpact: Medium

    Tariffs, inflation, and logistics disruptions can increase clinical and manufacturing costs.

    ExposureRaw materialsClinical trial expensesVendor services

Accounting

Judgemental items
Research and development accruals

Clinical trial and manufacturing costs are often estimated before invoices are received, affecting quarterly expense recognition.

Impact: Can materially change reported R&D expense and operating loss

Program-specific cost allocation

Costs are tracked by pemvidutide indication and by discontinued programs such as HepTcell, which affects comparability across periods.

Impact: Affects trend analysis of pipeline spending

Short-term investment valuation and liquidity disclosure

The company holds significant cash and short-term investments, so classification and fair-value treatment matter for runway analysis.

Impact: Affects balance sheet presentation and liquidity assessment

Publicly listed companies with a comparable business focus.

Last updated: 24/09/2026