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Crinetics Pharmaceuticals (CRNX) investor relations material

Crinetics Pharmaceuticals Q3 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2025 earnings summary6 Nov, 2025

Executive summary

  • FDA approved PALSONIFY (paltusotine) for acromegaly in September 2025, marking a transition to commercial-stage with strong early uptake and positive reimbursement trends; European review ongoing with potential EMA decision in H1 2026.

  • Early launch progress includes prescriptions from both community and academic prescribers, with 95% from switch patients and positive feedback from patients, physicians, and payers.

  • The company is executing a three-phase launch strategy: initial focus on switch patients, then re-engaging lapsed patients, and finally improving diagnosis rates.

  • Pipeline momentum continues with five advancing clinical trials, including late-stage programs for atumelnant in CAH and Cushing's, and new candidates for neuroendocrine tumors.

  • Cash runway projected into 2029, supporting commercialization and pipeline advancement.

Financial highlights

  • Q3 2025 revenue was $0.1 million, all from licensing agreements; no product revenue recognized in Q3 due to timing of approval.

  • R&D expenses were $90.5 million in Q3 2025, up from $80.3 million in Q2 and $61.9 million in Q3 2024, reflecting increased clinical activity.

  • SG&A expenses were $52.3 million in Q3 2025, up from $49.8 million in Q2 and $25.9 million in Q3 2024, driven by launch investments and headcount growth.

  • Net loss for Q3 2025 was $130.1 million, up 69% year-over-year; net loss per share was $1.38.

  • Ended Q3 2025 with $1.1 billion in cash, cash equivalents, and investments.

Outlook and guidance

  • Maintains 2025 net cash used in operations guidance of $340–370 million.

  • Cash position expected to fund operations into 2029, supporting commercialization and pipeline advancement.

  • Multiple late-stage clinical milestones anticipated in Q4 2025 and early 2026, including Phase 3 trial initiations and data readouts.

  • Launch metrics, including revenue, new patient starts, and prescriber numbers, will be provided after a full quarter in Q1 2026.

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Frequently asked questions

Crinetics Pharmaceuticals Inc. is a clinical-stage pharmaceutical company that specializes in the development of novel therapeutics targeting peptide hormone receptors. Their focus is on the treatment of rare endocrine disorders and endocrine-related tumors. The company’s leading product candidate is Paltusotine, an oral selective nonpeptide somatostatin receptor type 2 agonist. It is in advanced clinical trials for conditions such as acromegaly, carcinoid syndrome, and nonfunctional neuroendocrine tumors. Additionally, Crinetics Pharmaceuticals is developing other drug candidates for conditions like congenital hyperinsulinism and Cushing's disease. The company is headquartered in San Diego, California, and its shares are listed on the NASDAQ.

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