Fulcrum Therapeutics, Inc.
Business
Fulcrum Therapeutics, Inc. is a clinical-stage biopharmaceutical company focused on developing small molecules to treat genetically defined rare diseases. Its main products and services include the clinical-stage oral fetal hemoglobin inducer pociredir for sickle cell disease, a discovery platform to identify and validate cellular drug targets, and programs addressing inherited aplastic anemias; development of losmapimod for FSHD has been suspended. The company operates through clinical development, discovery/research and licensing/collaboration activities. It conducts clinical trials and regulatory interactions in the United States and internationally, relies on third-party manufacturers, and plans targeted commercialization or partnership channels outside the U.S.
Summary from filing dated 2025-02-25
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 |
|---|---|---|---|---|---|---|
| Collaboration revenue | 0 | 80 | 3 | 6 | 19 | |
| Research and development | 56 | 63 | 72 | 77 | 70 | |
| General and administrative | 29 | 36 | 42 | 42 | 31 | |
| Restructuring expenses | 0 | 2 | 0 | 427,000 | — | |
| Total operating expenses | 85 | 102 | 113 | 119 | 100 | |
| Loss from operations | −85 | −22 | −111 | −113 | −81 | |
| Other income, net | 10 | 12 | 13 | 3 | 207,000 | |
| Net loss | −75 | −10 | −97 | −110 | −81 | |
| Net loss per share, Basic | −1.18 | −0.16 | −1.59 | −2.44 | −2.29 | |
| Net loss per share, diluted | −1.18 | −0.16 | −1.59 | −2.44 | −2.29 | |
| Weighted-average common shares outstanding, Diluted | 63,355 | 61,984 | 61,310 | 44,991 | 35,361 | |
| Weighted-average common shares outstanding, Basic | 63,355 | 61,984 | 61,310 | 44,991 | 35,361 | |
| Unrealized gain on marketable securities | 44,000 | 266,000 | 661,000 | −400,000 | −395,000 | |
| Total other comprehensive gain | 44,000 | 266,000 | 661,000 | −400,000 | −395,000 | |
| Comprehensive loss | −75 | −9 | −97 | −110 | −81 |
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 | 198 | 58 | 26 | 35 | 35 | |
| Marketable securities | 155 | 183 | 211 | 168 | 183 | |
| Unbilled accounts receivable | 0 | 2 | 537,000 | 229,000 | 1 | |
| Prepaid expenses and other current assets | 5 | 7 | 5 | 4 | 4 | |
| Total current assets | 357 | 250 | 242 | 208 | 226 | |
| Property and equipment, net | 3 | 4 | 5 | 7 | 7 | |
| Operating lease right-of-use assets | 4 | 6 | 7 | 9 | 0 | |
| Restricted cash | 1 | 1 | 1 | 1 | 1 | |
| Other assets | 538,000 | 10,000 | 2 | 2 | 542,000 | |
| Total assets | 366 | 261 | 258 | 227 | 235 | |
| Accounts payable | 2 | 1 | 3 | 4 | 5 | |
| Accrued expenses and other current liabilities | 9 | 8 | 9 | 10 | 9 | |
| Operating lease liability, current | 2 | 2 | 2 | 3 | 0 | |
| Total current liabilities | 13 | 11 | 14 | 17 | 19 | |
| Operating lease liability, excluding current portion | 4 | 6 | 9 | 11 | 0 | |
| Other liabilities, excluding current portion | 197,000 | 197,000 | 197,000 | 197,000 | 0 | |
| Total liabilities | 17 | 18 | 23 | 28 | 23 | |
| Commitments and contingencies (Note 12) | — | — | — | — | — | |
| Preferred stock, $0.001 par value; 5,000,000 shares authorized; no shares issued or outstanding | 0 | 0 | 0 | 0 | — | |
| Common stock, $0.001 par value; 200,000,000 shares authorized; 66,578,891 and 53,968,303 shares issued and outstanding as of December 31, 2025 and December 31, 2024, respectively | 67,000 | 54,000 | 62,000 | 52,000 | 41,000 | |
| Additional paid-in capital | 943 | 762 | 745 | 612 | 514 | |
| Accumulated other comprehensive gain | 174,000 | 130,000 | −136,000 | −797,000 | −397,000 | |
| Accumulated deficit | −594 | −519 | −510 | −412 | −302 | |
| Total stockholders equity | 349 | 243 | 235 | 199 | 212 | |
| Total liabilities and stockholders equity | 366 | 261 | 258 | 227 | 235 |
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 |
|---|---|---|---|---|---|---|
| Net loss | −75 | −10 | −97 | −110 | −81 | |
| Depreciation expense | 1 | 2 | 2 | 2 | 3 | |
| Stock-based compensation expense | 12 | 15 | 15 | 13 | 11 | |
| Net accretion of discounts on marketable securities | −3 | −4 | −6 | 152,000 | 673,000 | |
| Unbilled accounts receivable | 2 | −2 | −308,000 | 908,000 | −606,000 | |
| Prepaid expenses and other current assets | 2 | −1 | −1 | −170,000 | −134,000 | |
| Operating lease assets and liabilities | −743,000 | −700,000 | −715,000 | −372,000 | −438,000 | |
| Other assets | −528,000 | 2 | 94,000 | −2 | 36,000 | |
| Accounts payable | 428,000 | −2 | −853,000 | −1 | 973,000 | |
| Accrued expenses and other liabilities | 1 | −1 | −825,000 | 555,000 | 2 | |
| Net cash used in operating activities | −60 | −2 | −91 | −97 | −78 | |
| Purchases of marketable securities | −180 | −179 | −195 | −151 | −216 | |
| Maturities of marketable securities | 211 | 211 | 159 | 166 | 88 | |
| Purchases of property and equipment | −314,000 | −278,000 | −508,000 | −2 | −2 | |
| Net cash provided by investing activities | 31 | 32 | −37 | 12 | −130 | |
| Proceeds from issuance of common stock and pre-funded warrants in connection with public offerings, net of issuance costs | 165 | 0 | 117 | 81 | 183 | |
| Proceeds from issuance of common stock under benefit plans, net | 4 | 3 | 777,000 | 4 | 4 | |
| Net cash provided by financing activities | 169 | 3 | 118 | 84 | 187 | |
| Net increase in cash, cash equivalents and restricted cash | 139 | 33 | −10 | −314,000 | −22 | |
| Cash paid for operating lease liabilities | 3 | 3 | 3 | 2 | — | |
| Offering costs unpaid at end of period | 333,000 | 0 | — | — | — |