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uniQure N.V.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 2 March 2026: press release. Guidance figures: 1 new, 1 kept. The quarter’s numbers.

Key takeaways

  • FDA recommends randomized sham-controlled study: After the January 2026 Type A meeting, the company said the FDA cannot agree that Phase I/II data against an external control are sufficient primary evidence of effectiveness. Source
  • Primary endpoint met at 36 months: Topline 36-month high-dose data showed a 75% slowing of progression on cUHDRS against a propensity score-matched external control, with p=0.003. Source
  • AMT-162 enrollment paused voluntarily: AMT-162 enrollment stays on voluntary pause after an Independent Data Monitoring Committee recommendation, following a dose-limiting toxicity related to the drug. Five treated patients' data are still being evaluated. Source
  • Net loss narrowed to $199.0 million: The net loss for 2025 was $199.0 million, or $3.46 per ordinary share, compared with a net loss of $239.6 million, or $4.92 per share, in 2024. Source
  • R&D fell on lower other spending: R&D expense was $140.7 million, down $3.1 million. Lower other R&D costs were partly offset by a $22.9 million rise in direct R&D, of which $19.4 million was for the AMT-130 BLA preparation. Source
  • Cash rose to $622.5 million: Cash, cash equivalents and current investment securities were $622.5 million at year end, up from $367.5 million a year earlier. Source

“While we have not reached alignment with the FDA on an approval pathway, we remain confident in the strength and durability reflected in our dataset.”

Matt Kapusta, chief executive officer at uniQure

Guidance

AreaPeriodFigureAgainst last quarter
AMT-130 regulatory path Sourcesecond quarter of 2026Type B meeting request in the second quarter of 2026New
AMT-260 clinical data Sourcesecond quarter of 2026second quarter of 2026Kept
Cash runway Sourceinto the second half of 2029second half of 2029

What changed from last quarter

  • New: Additional AMT-191 dosing in the mid- and high-dose cohorts is paused. The prior release reported a third cohort enrolling. Source
  • New: Updated AMT-191 Fabry safety and exploratory efficacy data were presented in February 2026, with a data cutoff of January 8, 2026. Source

AMT-130 for Huntington's disease

  • FDA recommends randomized sham-controlled study: After the January 2026 Type A meeting, the company said the FDA cannot agree that Phase I/II data against an external control are sufficient primary evidence of effectiveness. Source
  • Primary endpoint met at 36 months: Topline 36-month high-dose data showed a 75% slowing of progression on cUHDRS against a propensity score-matched external control, with p=0.003. Source
  • Key secondary endpoint showed 60% slowing: Total Functional Capacity slowed 60% against the external control, a statistically significant key secondary endpoint with p=0.033. Source
  • Neurofilament light changed -8.2%: Mean change from baseline in cerebrospinal neurofilament light protein at 36 months was -8.2% in the high-dose group. Source
  • No new drug-related serious events: The company said AMT-130 was generally well-tolerated across both doses, with the most common adverse events related to the administration procedure. Source
  • Fourth cohort dosing completed: Dosing finished in a fourth cohort of six patients on high-dose AMT-130, enrolled to test patients with lower baseline striatal volumes. Source

Pipeline programs beyond AMT-130

  • AMT-260 first cohort enrollment completed: Enrollment in the first cohort of the AMT-260 Phase I/IIa study in refractory mesial temporal lobe epilepsy is complete, and a second cohort has started. Source
  • AMT-191 enzyme therapy withdrawals: Dose-dependent α-Gal A increases were seen across 11 Fabry patients in three dose levels. Six of 11 dosed patients were withdrawn from enzyme replacement therapy. Source
  • No serious events at lower doses: The company reported no serious adverse events related to AMT-191 at the two lower dose levels, 4x10 13 and 2x10 13 gc/kg. Source
  • AMT-162 enrollment paused voluntarily: AMT-162 enrollment stays on voluntary pause after an Independent Data Monitoring Committee recommendation, following a dose-limiting toxicity related to the drug. Five treated patients' data are still being evaluated. Source

“We are committed to engaging with the FDA to define a clear and efficient path to bring this potentially transformative therapy to Huntington’s disease patients in urgent need for treatments.”

Matt Kapusta, chief executive officer at uniQure

Full-year results and net loss

  • Net loss narrowed to $199.0 million: The net loss for 2025 was $199.0 million, or $3.46 per ordinary share, compared with a net loss of $239.6 million, or $4.92 per share, in 2024. Source
  • Non-operating expense fell sharply: Non-operating expense fell $44.8 million, mainly from a $36.6 million increase in net foreign currency result and a $10.9 million gain on the pre-funded warrant liability. Source
  • Tax rose on royalty payment treatment: Income tax expense was $5.6 million, against $2.4 million in 2024. The increase reflects current tax on the tax treatment of the 2023 royalty financing upfront payment. Source

Revenue and other income

  • Revenue fell on collaboration decline: Revenue fell $11.0 million to $16.1 million, driven by lower collaboration and contract manufacturing revenue, partly offset by a $5.8 million rise in license revenue. Source
  • Reagent sale boosted other income: Other income rose on a one-time $6.0 million sale of critical reagents to Genezen. Source
  • Hemgenix supply costs increased: Other expense rose $3.4 million, mainly from a $3.0 million increase in costs for supplying Hemgenix to CSL Behring. Source

“Entering 2026 with a strong balance sheet, we remain financially disciplined and well-positioned to continue advancing our programs strategically and responsibly.”

Matt Kapusta, chief executive officer at uniQure

Operating costs

  • R&D fell on lower other spending: R&D expense was $140.7 million, down $3.1 million. Lower other R&D costs were partly offset by a $22.9 million rise in direct R&D, of which $19.4 million was for the AMT-130 BLA preparation. Source
  • SG&A rose on commercialization preparation: SG&A rose $12.8 million to $65.5 million, including $6.5 million of professional fees to support planned U.S. commercialization of AMT-130. Source

Cash, financing and debt

  • Cash rose to $622.5 million: Cash, cash equivalents and current investment securities were $622.5 million at year end, up from $367.5 million a year earlier. Source
  • Offerings raised $404.2 million net: The company received $404.2 million of aggregate net proceeds in 2025 from follow-on offerings of ordinary shares and pre-funded warrants. Source
  • Term loan tranche tied to milestone: A $100 million term loan tranche can be drawn at the company's option after a pre-defined AMT-130 regulatory milestone. Debt was extended to October 2030. Source

Coming up, as management said on 2 March 2026

  • Type B meeting request in Q2: The company plans a Type B meeting request in the second quarter of 2026 to discuss Phase III study design approaches with the FDA. Source
  • AMT-260 updated data in Q2: Updated Phase I/IIa AMT-260 data are expected in the second quarter of 2026. Source
  • Investor conferences through April: Upcoming investor events listed include TD Cowen on March 2, Leerink on March 11, Barclays on March 12, and Kempen on April 15 in Amsterdam. Source

Figures management reported

FigureReported
R&D spend Source$140.7 million in 2025, versus $143.8 million in 2024
Total revenue Source$16.1 million in 2025, versus $27.1 million in 2024
Trial readout SourceAMT-130 36-month topline: 75% slowing on cUHDRS
Trial readout SourceAMT-191 updated Phase I/II data, data cutoff January 8, 2026
Pipeline milestone SourceAMT-260 first cohort enrollment completed
Approvals SourceGene therapy for hemophilia B referenced as approved

Risks management discussed

  • Operational: Dosing in the AMT-191 mid- and high-dose cohorts is paused after two patients had dose-limiting liver enzyme elevations. Source
  • Operational: AMT-162 enrollment remains paused after a serious adverse event determined to be related to the drug in the EPISOD1 study. Source
  • Financial: An additional $100 million term loan tranche depends on achieving a pre-defined AMT-130 regulatory milestone. Source
  • External: Net foreign currency results moved non-operating items by $36.6 million in 2025, which the company cited as a main driver of the change in non-operating expense. Source

Earlier plans management reported on

  • Not stated: The company said additional AMT-260 clinical data were expected in the first half of 2026, and the body narrows this to the second quarter. Source
  • Not stated: The prior release expected fourth-cohort dosing to finish before year-end 2025. This release states dosing was completed in the fourth quarter of 2025. Source
  • Not stated: The prior release said the company planned to urgently interact with the FDA. This release reports a pre-BLA meeting in October 2025 and a Type A meeting in January 2026. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.