PROK ProKidney
Price Chart
Executive Summary
ProKidney reported Q1 2026 EPS of -$0.14, essentially in line with the -$0.14 consensus (a 1.8% miss), with negligible revenue of $226K. The key catalyst is the on-track enrollment completion for the Phase 3 PROACT 1 accelerated approval analysis in mid-2026, with pivotal topline eGFR slope results expected in Q2 2027. Cash burn continues, with $224.9M in cash supporting operations into mid-2027, but no fundamental financial improvement was reported.
Actionable Insight
The stock will trade on PROACT 1 enrollment milestones and the Q2 2027 topline readout, not quarterly financials. Monitor for enrollment completion announcements in mid-2026 and any FDA interactions. Cash runway into mid-2027 provides no near-term financing urgency, but the burn rate implies a potential capital raise before the readout if enrollment delays occur.
Key Facts
- Q1 2026 EPS of -$0.14 vs consensus -$0.14 (in line, 1.8% miss)
- Revenue of $226K vs consensus $100K (beat, but immaterial for a clinical-stage biotech)
- Cash, cash equivalents and marketable securities: $224.9M as of March 31, 2026, down from $270.0M at year-end 2025
- Net loss before noncontrolling interest: $42.6M in Q1 2026 vs $38.0M in Q1 2025
- R&D expenses increased to $33.8M from $27.3M YoY, driven by PROACT 1 study costs
- Phase 3 PROACT 1 enrollment on track to complete in mid-2026; pivotal topline results expected Q2 2027
- FDA confirmed eGFR slope as surrogate endpoint for accelerated approval under RMAT designation
- Phase 2 REGEN-007 results published in CJASN in January 2026
- Cash runway into mid-2027
Financial Impact
No material financial impact from Q1 results; cash burn of ~$45M per quarter continues. Key value driver is the PROACT 1 readout in Q2 2027.
Risk Factors
- PROACT 1 enrollment delays or failure to meet eGFR slope endpoint
- Cash burn may require dilutive financing before mid-2027 if enrollment or readout is delayed
- Regulatory risk: FDA may require additional studies beyond PROACT 1 for approval
- Competition from other CKD therapies (SGLT2 inhibitors, finerenone)
Market Snapshot
Documents Analyzed
This report is based on 1 press release from GlobeNewswire.
| Document | Accession Number |
|---|---|
| PRESS-RELEASE Data (Synthetic) | press-3296021 |
Filters
| Type | Now | ||||
|---|---|---|---|---|---|
|
May 15, 2026
28d ago
|
8-K
| $1.66 $1.75 | ▲ +5.42% | ▲ +4.46% | $1.64 (−1.20%) |
|
May 15, 2026
28d ago
|
Press Release
| $1.66 $1.75 | ▲ +5.42% | ▲ +4.46% | $1.64 (−1.20%) |
|
Apr 17, 2026
8w ago
|
DEFA14A
| $2.10 $1.86 | ▼ −11.43% | ▼ −12.34% | $1.64 (−21.90%) |
|
Mar 18, 2026
12w ago
|
Press Release
| $1.95 $1.77 | ▼ −9.23% | ▼ −7.02% | $1.64 (−15.90%) |
US Market Status
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