Milestone Pharmaceuticals Inc.
Business
Milestone Pharmaceuticals Inc. is a biopharmaceutical company that develops and seeks to commercialize innovative cardiovascular medicines, focused on a self‑administered nasal spray formulation to treat acute supraventricular tachycardia and related rate-control conditions. Its principal product candidate is CARDAMYST (etripamil) nasal spray, being developed for paroxysmal supraventricular tachycardia (PSVT) and investigated for atrial fibrillation with rapid ventricular rate (AFib‑RVR). The company’s operations encompass clinical development, regulatory submissions, third‑party manufacturing oversight and commercialization planning. It focuses on the United States market while conducting trials and pursuing partnerships across North America, Europe and China, with planned retail distribution and targeted healthcare professional channels.
Summary from filing dated 2025-03-13
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 |
|---|---|---|---|---|---|---|
| Revenue | 2 | 0 | 1 | 5 | 15 | |
| Research and development, net of tax credits | 18 | 14 | 31 | 40 | 39 | |
| General and administrative | 17 | 17 | 16 | 16 | 12 | |
| Commercial | 28 | 11 | 15 | 9 | 7 | |
| Loss from operations | −62 | −42 | −61 | −60 | −43 | |
| Interest income | 3 | 4 | 4 | — | — | |
| Interest expense | −4 | −4 | −3 | — | — | |
| Net loss and comprehensive loss | −63 | −42 | −60 | −58 | −43 | |
| Weighted average number of shares and pre-funded warrants outstanding, basic (in shares) | 84 | 62 | 43 | 42 | 42 | |
| Weighted average number of shares and pre-funded warrants outstanding, diluted (in shares) | 84 | 62 | 43 | 42 | 42 | |
| Net loss per share, basic (in dollars per share) | −0.75 | −0.67 | −1.39 | −1.38 | −1.02 | |
| Net loss per share, diluted (in dollars per share) | −0.75 | −0.67 | −1.39 | −1.38 | −1.02 |
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 | 73 | 25 | 14 | 8 | 114 | |
| Short-term investments | 33 | 44 | 52 | 57 | 0 | |
| License receivable | 2 | — | — | — | — | |
| Research and development tax credits receivable | 316,000 | 901,000 | 643,000 | 331,000 | 356,000 | |
| Prepaid expenses | 2 | 2 | 3 | 6 | 4 | |
| Inventory, net | 648,000 | — | — | — | — | |
| Other receivables | 2 | 1 | 3 | 882,000 | 127,000 | |
| Total current assets | 112 | 74 | 73 | 72 | 119 | |
| Operating lease right-of-use assets | 1 | 1 | 2 | 2 | 711,000 | |
| Property and equipment, net | 511,000 | 197,000 | 277,000 | 257,000 | 215,000 | |
| Total assets | 114 | 75 | 75 | 74 | 120 | |
| Accounts payable and accrued liabilities | 13 | 8 | 7 | 6 | 7 | |
| Operating lease liabilities | 647,000 | 571,000 | 546,000 | 495,000 | 224,000 | |
| Other current liabilities | 43,000 | — | — | — | — | |
| Total current liabilities | 14 | 8 | 7 | 6 | 7 | |
| Operating lease liabilities, net of current portion | 539,000 | 874,000 | 1 | 2 | 474,000 | |
| Senior secured convertible notes | 57 | 53 | 50 | — | — | |
| Other long-term liabilities | 83,000 | — | — | — | — | |
| Total liabilities | 72 | 62 | 58 | 8 | 7 | |
| Common shares, no par value, unlimited shares authorized, 106,236,344 shares issued and outstanding as of December 31, 2025, 53,353,984 shares issued and outstanding as of December 31, 2024 | 353 | 288 | 261 | 274 | 252 | |
| Pre-funded warrants - 16,412,925 issued and outstanding as of December 31, 2025 and 12,910,590 as of December 31, 2024 | 56 | 53 | 48 | 34 | 53 | |
| Additional paid-in capital | 64 | 40 | 34 | 24 | 16 | |
| Accumulated deficit | −431 | −368 | −326 | −266 | −208 | |
| Total shareholders' equity | 42 | 13 | 17 | 66 | 113 | |
| Total liabilities and shareholders' equity | 114 | 75 | 75 | 74 | 120 |
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 | −63 | −42 | −60 | −58 | −43 | |
| Depreciation of property and equipment | 114,000 | 105,000 | 92,000 | 89,000 | 93,000 | |
| Amortization of debt costs | 432,000 | 370,000 | 244,000 | — | — | |
| Accretion of investment discount | −81,000 | −454,000 | −162,000 | −97,000 | — | |
| Non-cash interest expense related to Senior Secured Convertible Note | 3 | 3 | 2 | — | — | |
| Share-based compensation expense | 7 | 6 | 10 | 9 | 7 | |
| Loss on disposals of property and equipment | — | 8,000 | — | 141,000 | — | |
| License receivable | −2 | — | — | — | — | |
| Other receivables | −156,000 | 2 | −2 | −755,000 | 96,000 | |
| Research and development tax credits receivable | 585,000 | −258,000 | −312,000 | 25,000 | 369,000 | |
| Prepaid expenses | 29,000 | 1 | 3 | −2 | 1 | |
| Inventory | −648,000 | — | — | — | — | |
| Operating lease assets and liabilities | −12,000 | −17,000 | 18,000 | 81,000 | 26,000 | |
| Accounts payable and accrued liabilities | 4 | 875,000 | 1 | −907,000 | 637,000 | |
| Net cash used in operating activities | −49 | −29 | −46 | −52 | −33 | |
| Acquisition of property and equipment | −302,000 | −33,000 | −112,000 | −272,000 | — | |
| Acquisition of short-term investments | −83 | −114 | −137 | −86 | −15 | |
| Redemption of short-term investments | 94 | 122 | — | — | — | |
| Net cash provided by investing activities | 11 | 8 | 5 | −57 | 70 | |
| Proceeds from exercise of options | 444,000 | 53,000 | 189,000 | 420,000 | 121,000 | |
| Proceeds from issuance of common shares, net of issuance costs | 38 | 27 | — | 3 | — | |
| Proceeds from issuance of pre-funded warrants, net of issuance costs | 3 | 5 | — | — | — | |
| Proceeds from employee stock purchase plan | 300,000 | 191,000 | 393,000 | — | — | |
| Cash provided by financing activities | 86 | 32 | 48 | 3 | 5 | |
| Net increase in cash and cash equivalents | 48 | 12 | 6 | −107 | 42 |