OnKure Therapeutics, Inc.
Business
OnKure Therapeutics, Inc. is a clinical-stage biopharmaceutical company that discovers and develops precision small-molecule medicines targeting mutated drivers of cancer, with a focus on mutant-selective PI3Kα inhibitors. Its main product candidate is OKI-219, an orally administered, H1047R‑selective PI3Kα inhibitor in Phase 1, and it advances pan‑mutant and helical‑domain PI3Kα programs through discovery and preclinical development. Key business activities comprise discovery chemistry, preclinical studies, and clinical development programs across a PI3Kα-focused pipeline, supported by third‑party contract manufacturers. The company conducts international clinical trials and distributes investigational product via clinical trial sites in the United States, European Union, and Asia, while planning regulatory and commercialization efforts globally through potential partners and third‑party supply arrangements.
Summary from filing dated 2025-03-10
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Research and development | 48 | 44 | 32 | 38 | 28 | |
| General and administrative | 15 | 11 | 5 | 16 | 12 | |
| Total operating expenses | 63 | 54 | 37 | 54 | 40 | |
| Loss from operations | −63 | −54 | −37 | −54 | −40 | |
| Interest income | 3 | 2 | 2 | — | — | |
| Interest and other expense | −8,000 | −300,000 | — | — | — | |
| Total other income (expense) | 3 | 2 | 2 | — | — | |
| Net loss and comprehensive loss | −60 | −53 | −35 | −52 | −40 | |
| Net loss per share attributable to common stockholders: Basic | −4.4 | −15.28 | −124.41 | −2.12 | −2.19 | |
| Net loss per share attributable to common stockholders: diluted | −4.4 | −15.28 | −124.41 | −2.12 | −2.19 | |
| Weighted average shares outstanding: Basic | 14 | 3 | 283,817 | 24 | 18 | |
| Weighted average shares outstanding: diluted | 14 | 3 | 283,817 | 24 | 18 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 59 | 111 | 30 | 20 | 125 | |
| Prepaid expenses and other current assets | 2 | 2 | 4 | 5 | 6 | |
| Total current assets | 61 | 113 | 34 | 106 | 154 | |
| Property and equipment, net | 618,000 | 1 | 1 | 453,000 | 212,000 | |
| Operating lease right-of-use asset | 387,000 | 770,000 | 478,000 | 1 | — | |
| Other assets | 273,000 | 109,000 | 58,000 | 84,000 | 78,000 | |
| Total assets | 62 | 115 | 36 | 108 | 154 | |
| Accounts payable | 1 | 3 | 3 | 2 | 2 | |
| Accrued expenses and other current liabilities | 4 | 7 | — | — | — | |
| Operating lease liabilities, current portion | 549,000 | 536,000 | 208,000 | 404,000 | — | |
| Total current liabilities | 6 | 11 | 7 | 7 | 6 | |
| Long-term operating lease liabilities | — | 549,000 | 466,000 | 1 | — | |
| Other long-term liabilities | 12,000 | — | — | — | 167,000 | |
| Total liabilities | 6 | 11 | 8 | 8 | 7 | |
| Commitments and contingencies | — | — | — | — | — | |
| Additional paid-in capital | 270 | 259 | 209,000 | 237 | 232 | |
| Accumulated deficit | −214 | −155 | −102 | −137 | −85 | |
| Total stockholders' equity | 56 | 104 | −102 | −54 | 147 | |
| Total liabilities and stockholders' equity | 62 | 115 | 36 | 108 | 154 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Share-based compensation expense | 12 | 5 | 199,000 | 4 | 4 | |
| Depreciation and amortization | 447,000 | 459,000 | 417,000 | 88,000 | 50,000 | |
| Amortization of right-of-use asset - operating | 383,000 | 203,000 | 143,000 | — | — | |
| Loss on disposal of property and equipment | 6,000 | — | — | — | — | |
| Amortization of debt issuance costs | — | 142,000 | — | — | — | |
| Non-cash interest expense | — | 120,000 | — | — | — | |
| Loss on sales of available-for-sale securities | — | 54,000 | — | 17,000 | — | |
| Prepaid and other assets | 289,000 | 2 | −1 | 878,000 | −5 | |
| Accounts payable, accrued and other liabilities | −5 | −6 | 2 | 518,000 | 2 | |
| Lease liabilities | −536,000 | −281,000 | −210,000 | −437,000 | — | |
| Other long-term liabilities | 12,000 | — | — | — | — | |
| Net cash used in operating activities | −52 | −51 | −35 | −47 | −38 | |
| Proceeds from sales of marketable securities | — | 16 | — | — | — | |
| Purchases of property and equipment | −46,000 | −52,000 | −246,000 | −346,000 | −198,000 | |
| Net cash (used in) provided by investing activities | −46,000 | 16 | −246,000 | −58 | −23 | |
| Cash acquired in connection with the reverse recapitalization | — | 58 | — | — | — | |
| Payment of reverse recapitalization transaction costs | −40,000 | −2 | — | — | — | |
| Proceeds from issuance of convertible notes payable | — | 6 | — | — | — | |
| Payment of issuance costs associated with the issuance of convertible notes payable | — | −142,000 | — | — | — | |
| Proceeds from sale of stock under the employee stock purchase plan | 240,000 | — | — | — | — | |
| Proceeds from the issuance of common stock for exercises of stock options | — | 26,000 | — | — | 556,000 | |
| Net cash provided by financing activities | 163,000 | 116 | 53 | 471,000 | 132 | |
| Net decrease in cash and cash equivalents | −52 | 81 | 18 | −105 | 71 | |
| Conversion of Series C Preferred Stock | — | 130 | — | — | — | |
| Conversion of convertible note payable | — | 6 | — | — | — | |
| Assets acquired in connection with the reverse recapitalization | — | 17 | — | — | — | |
| Other liabilities assumed in connection with the reverse recapitalization | — | 9 | — | — | — | |
| Reverse recapitalization transaction costs included in accounts payable | — | 40,000 | — | — | — | |
| Concurrent Financing issuance costs included in accounts payable | — | 37,000 | — | — | — | |
| Concurrent Financing issuance costs paid by Reneo prior to Merger | — | 89,000 | — | — | — |