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Aprea Therapeutics, Inc.

For the period ended Sep 30, 2025. Filed Nov 12, 2025.

View on SEC.gov

About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Sep 30, 2025 · Filed Nov 12, 2025

APRE$0.50-3.2%Stored close · as of Nov 9, 2026

Extracted filing text, with the paragraph anchors used by the comparison.

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Item 1. Financial Statements

Condensed Consolidated Balance Sheets

​ · ​ · ​ · ​ · ​ · ​ · ​
​​September 30,​December 31,
​ · 2025 · 2024
Assets · (unaudited) · ​
Current assets: · ​ · ​
Cash and cash equivalents​$13,718,052​$22,849,885
Prepaid expenses and other current assets​225,936​726,254
Total current assets​13,943,988​23,576,139
Property and equipment, net​65,236​81,522
Restricted cash​40,930​40,170
Other noncurrent assets​271,162​281,662
Total assets​$14,321,316​$23,979,493
Liabilities and Stockholders’ Equity​​
Current liabilities:​​
Accounts payable​$641,322​$1,352,240
Accrued expenses​2,039,785​2,008,735
Total current liabilities​2,681,107​3,360,975
Commitments and contingencies (Note 7)​​
Series A convertible preferred stock, $0.001 par value, 40,000,000 shares authorized; 31,194 and 56,227 shares issued and outstanding at September 30, 2025 and December 31, 2024, respectively​727,361​1,311,063
Stockholders’ equity:​​
Common stock, $0.001 par value, 400,000,000 shares authorized, 5,979,292 and 5,481,055 shares issued and outstanding at September 30, 2025 and December 31, 2024, respectively​5,979​5,481
Additional paid-in capital​352,722,214​350,971,225
Accumulated other comprehensive loss​(10,629,534)​(10,627,379)
Accumulated deficit​(331,185,811)​(321,041,872)
Total stockholders’ equity​10,912,848​19,307,455
Total liabilities and stockholders' equity​$14,321,316​$23,979,493

Condensed Consolidated Statements of Operations and Comprehensive Loss

​​​​​​​​​​​​​​
​ · ​ · Three Months Ended September 30, · ​ · Nine Months Ended September 30, · ​
​ · 2025 · 2024 · 2025 · 2024
Grant revenue$1,848​$354,621​$282,422​$1,296,764
Operating expenses:​​​​​​​​​​​​
Research and development​​1,638,917​​2,846,399​​6,034,196​​7,004,451​
General and administrative​1,480,319​​1,605,238​4,838,969​​5,385,923​
Total operating expenses​3,119,236​4,451,637​10,873,165​12,390,374​
Loss from operations​(3,117,388)​(4,097,016)​(10,590,743)​(11,093,610)​
Other income (expense):​​​​​​​​​
Interest income, net​150,669​​348,741​533,422​​1,014,518​
Foreign currency (loss) gain​(5,691)​​(35,494)​(86,618)​​15,180​
Total other income​144,978​313,247​446,804​1,029,698​
Net loss​$(2,972,410)​$(3,783,769)​$(10,143,939)​$(10,063,912)​
Other comprehensive (loss) income:​​​​​​​​​
Foreign currency translation​(1,117)​​23,557​(2,155)​​6,526​
Total comprehensive loss​$(2,973,527)​$(3,760,212)​$(10,146,094)​$(10,057,386)​
Net loss per share attributable to common stockholders, basic and diluted​$(0.47)​$(0.64)​$(1.65)​$(1.88)​
Weighted-average common shares outstanding, basic and diluted​6,372,938​​5,939,755​6,151,433​​5,360,579​

Condensed Consolidated Statements of Convertible Preferred Stock and Stockholders’ Equity

​​​​​​​​​​​​​​​​​​​​​​​
​ · ​ · ​ · ​ · ​ · ​ · ​ · ​ · ​ · ​ · ​ · ​ · Additional · ​ · Accumulated other · ​ · ​ · ​ · ​ · ​
​ · ​ · Series A Convertible Preferred Stock · ​ · Common Stock · ​ · Paid‑in · ​ · comprehensive · ​ · Accumulated · ​ · Total stockholders’
​ · Shares · Amount · Shares · Amount · capital · loss · deficit · ​ · equity
Balance, December 31, 202356,227​$1,311,063​3,736,673​$3,736​$335,644,204​$(10,611,273)​$(308,083,161)​$16,953,506
Issuance of common stock and pre-funded warrants, net—​—1,687,712​1,688​14,708,017​—​—​14,709,705
Vesting of restricted stock units​​​​​​5,830​​6​​(6)​​—​​—​​—
Stock‑based compensation—​——​—​85,830​—​—​85,830
Foreign currency translation—​——​—​—​(15,083)​—​(15,083)
Net loss—​——​—​—​—​(2,810,091)​(2,810,091)
Balance, March 31, 202456,227​$1,311,0635,430,215​$5,430​$350,438,045​$(10,626,356)​$(310,893,252)​$28,923,867
Issuance of common stock, net—​—​—​—​—​—​—​—
Vesting of restricted stock units​—​​—​—​​—​​—​​—​​—​​—
Issuance costs—​—​—​—​(21,060)​—​—​(21,060)
Stock‑based compensation—​—​—​—​128,488​—​—​128,488
Foreign currency translation—​—​—​—​—​(1,948)​—​(1,948)
Net loss—​—​—​—​—​—​(3,470,052)​(3,470,052)
Balance, June 30, 202456,227$1,311,0635,430,215$5,430$350,545,473$(10,628,304)$(314,363,304)$25,559,295
Issuance costs————(1,155)——(1,155)
Vesting of restricted stock units​—​​—​4,688​​5​​(5)​​—​​—​​—
Stock‑based compensation​—​​—​—​​—​​149,090​​—​​—​​149,090
Foreign currency translation​—​​—​—​​—​​—​​23,557​​—​​23,557
Net loss​—​​—​—​​—​​—​​—​​(3,783,769)​​(3,783,769)
Balance, September 30, 2024​56,227​$1,311,063​5,434,903​$5,435​$350,693,403​$(10,604,747)​$(318,147,073)​$21,947,018
​​​​​​​​​​​​​​​​​​​​​​​
Balance, December 31, 2024​56,227​$1,311,063​5,481,055​$5,481​$350,971,225​$(10,627,379)​$(321,041,872)​$19,307,455
Issuance of common stock pursuant to at-the-market stock sales, net​—​—​22,406​23​55,826​—​—​55,849
Vesting of restricted stock units​​​​​​9,195​​9​​(9)​​—​​—​​—
Stock‑based compensation​—​—​—​—​118,634​—​—​118,634
Foreign currency translation​—​—​—​—​—​643​—​643
Net loss​—​—​—​—​—​—​(3,932,659)​(3,932,659)
Balance, March 31, 2025​56,227​$1,311,063​5,512,656​$5,513​$351,145,676​$(10,626,736)​$(324,974,531)​$15,549,922
Conversion of preferred stock to common stock​(25,033)​(583,702)​12,516​12​583,690​—​—​583,702
Issuance of common stock pursuant to at-the-market stock sales, net​—​—​220,733​221​384,658​—​—​384,879
Vesting of restricted stock units​​​​​​6,270​​6​​(6)​​—​​—​​—
Stock‑based compensation​—​—​—​—​136,729​—​—​136,729
Foreign currency translation​—​—​—​—​—​(1,681)​—​(1,681)
Net loss​—​—​—​—​—​—​(3,238,870)​(3,238,870)
Balance, June 30, 2025​31,194​$727,361​5,752,175​$5,752​$352,250,747​$(10,628,417)​$(328,213,401)​$13,414,681
Issuance of common stock pursuant to at-the-market stock sales, net​—​—​225,428​225​357,715​—​—​357,940
Vesting of restricted stock units​—​​—​1,689​​2​​(2)​​—​​—​​—
Stock‑based compensation​—​​—​—​​—​​113,754​​—​​—​​113,754
Foreign currency translation​—​​—​—​​—​​—​​(1,117)​​—​​(1,117)
Net loss​—​​—​—​​—​​—​​—​​(2,972,410)​​(2,972,410)
Balance, September 30, 2025​31,194​$727,361​5,979,292​$5,979​$352,722,214​$(10,629,534)​$(331,185,811)​$10,912,848
​​​​​​​​​​​​​​​​​​​​​​​

Condensed Consolidated Statements of Cash Flows

​​​​​​​
​ · ​ · Nine Months Ended September 30,
​ · 2025 · ​ · 2024
Cash flows from operating activities: · ​ · ​ · ​ · ​
Net loss​$(10,143,939)​$(10,063,912)
Adjustments to reconcile net loss to net cash used in operating activities:​​​​​
Depreciation and amortization​16,286​​16,890
Stock‑based compensation​369,117​​363,408
Foreign currency loss (gain)​86,618​​(15,180)
Changes in operating assets and liabilities:​​​​​
Prepaid expenses and other current and noncurrent assets​517,745​​398,531
Accounts payable​(715,625)​​(515,964)
Accrued expenses​(63,349)​​299,387
Deferred grant revenue​—​​(528,974)
Net cash used in operating activities​(9,933,147)​​(10,045,814)
Cash flows from investing activities:​​​​​
Purchases of property and equipment​—​​(15,478)
Net cash used in investing activities​—​​(15,478)
Cash flows from financing activities:​​​​​
Proceeds from issuance of common stock​834,397​​15,999,598
Common stock issuance costs​​(35,729)​​(1,312,108)
Net cash provided by financing activities​798,668​​14,687,490
Change in cash, cash equivalents and restricted cash​(9,134,479)​​4,626,198
Effect of exchange rate changes on cash, cash equivalents and restricted cash​3,406​​17,427
Cash, cash equivalents and restricted cash—beginning of year​22,890,055​​21,647,537
Cash, cash equivalents and restricted cash—end of period​$13,758,982​$26,291,162
​​​​​​​
Reconciliation of cash, cash equivalents and restricted cash​​​​​
Cash and cash equivalents​$13,718,052​$26,249,625
Restricted cash​40,930​​41,537
Total cash, cash equivalents and restricted cash​$13,758,982​$26,291,162
​​​​​​​
Non-cash investing and financing activities:​​​​​​
Conversion of Series A convertible preferred stock to common stock​$583,702​$—

1. Nature of business and basis of presentation

Nature of business—Aprea Therapeutics, Inc. (the “Company”) is a clinical-stage biopharmaceutical company focused on precision oncology through synthetic lethality. The Company began principal operations in 2006 and is headquartered in Doylestown, Pennsylvania. The Company’s two clinical programs are a next-generation oral inhibitor of the WEE1 kinase, APR-1051, and our novel oral macrocyclic ATR inhibitor, ATRN-119, for which new patient enrollment is currently paused. Both programs are the cornerstones of our pipeline of synthetic lethality-based cancer therapeutics and were internally discovered, developed, and evaluated by our dedicated team of chemists, scientists, and clinicians.

Basis of presentation and management plans—The accompanying financial statements are prepared in conformity with accounting principles generally accepted in the United States (“U.S. GAAP”). The accompanying financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business.

Since its inception, the Company has devoted substantially all of its efforts to business planning, clinical operations, research and development, recruiting management, technical staff, raising capital and has financed its operations through the issuance of convertible preferred stock and common stock.

The Company is subject to risks common to companies in the biopharmaceutical industry. There can be no assurance that the Company’s research and development will be successfully completed, that adequate protection for the Company’s intellectual property will be maintained, that any therapeutic products developed will obtain required regulatory approval or that any approved or consumer products will be commercially viable. Even if the Company’s development efforts are successful, it is uncertain when, if ever, the Company will generate significant product sales.

The Company believes that the September 30, 2025 cash balance of approximately $13.7 million will not be sufficient to fund the Company’s operating expenses and capital expenditure requirements through at least twelve months from the date of issuance of these condensed consolidated financial statements. Therefore, the Company has concluded that substantial doubt exists about its ability to continue as a going concern. The Company is in the process of seeking additional funding. In the event that additional funds are not available, management would expect to significantly reduce expenditures to conserve cash, which would involve scaling back or curtailing new development activity.

  1. Summary of significant accounting policies

The Company's complete listing of significant accounting policies are described in Note 2 to the Company's audited consolidated financial statements as of December 31, 2024 included in its annual report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”).

Principles of consolidation—The consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries Aprea Therapeutics AB, which was incorporated in May 2009, Aprea US, Inc., which was incorporated in June 2016 and ATR Pharmaceuticals LLC which was incorporated in May 2022. All intercompany transactions and balances have been eliminated.

Unaudited interim consolidated financial statements—The accompanying unaudited interim condensed consolidated financial statements have been prepared by the Company in accordance with U.S. GAAP for interim information and pursuant to the rules and regulations of the SEC for reporting on Form 10-Q. Accordingly, certain information and footnote disclosure normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted pursuant to such rules and regulations. These unaudited condensed interim financial statements should be read in conjunction with the audited financial statements and related notes included in the Company’s annual report on Form 10-K for the year ended December 31, 2024 filed with the SEC.

The unaudited interim consolidated financial statements have been prepared on the same basis as the audited consolidated financial statements, and in management’s opinion, include all adjustments, consisting of only normal recurring adjustments, necessary for the fair presentation of the financial information for the interim periods have been made. The results of operations for the three and nine months ended September 30, 2025 are not necessarily indicative of the results to be expected for the full fiscal year or any future period.

Use of estimates—The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenue, and expenses as of and during the reporting period. The Company bases estimates and assumptions on historical experience when available and on various factors that it believes to be reasonable under the circumstances. The Company assesses estimates on an ongoing basis; however, actual results could materially differ from those estimates. Significant items subject to such estimates and assumptions, are used for, but not limited to, stock-based compensation and accounting for research and development costs.

Foreign currency and currency translation—The functional currency for Aprea Therapeutics AB is the Swedish Krona. Assets and liabilities of Aprea Therapeutics AB are translated into United States dollars at the exchange rate in effect on the balance sheet date. Operating expenses are translated at the average exchange rate in effect during the period. Unrealized translation gains and losses are recorded as a cumulative translation adjustment, which is included in the condensed consolidated statements of convertible preferred stock and stockholders’ equity as a component of accumulated other comprehensive loss. Adjustments that arise from exchange rate changes on transactions denominated in a currency other than the local currency are included in other income, net in the condensed consolidated statements of operations and comprehensive loss as incurred.

**Cash and cash equivalents—**The Company considers all highly liquid investments with original maturities of three months or less at the date of purchase to be cash equivalents.

**Restricted cash—**The Company has restricted cash of $40,930 and $40,170 as of September 30, 2025 and December 31, 2024, respectively, that is securing the Company’s credit card program.

Fair value of financial instruments—The accounting standard for fair value measurements provides a framework for measuring fair value and requires expanded disclosures regarding fair value measurements. Fair value is defined as the price that would be received upon sale of an asset or paid to transfer a liability between market participants at measurement dates. ASC Topic 820, Fair Value Measurement (“ASC 820”), establishes a three-level valuation hierarchy for instruments measured at fair value. The hierarchy is based on the transparency of inputs to the valuation of an asset or liability as of the measurement date. The hierarchy defines three levels of valuation inputs, of which the first two are considered observable and the last is considered unobservable:

●Level 1 inputs: Quoted prices in active markets for identical assets or liabilities.
●Level 2 inputs: Inputs other than quoted prices included within Level 1 that are either directly or indirectly observable, such as quoted market prices, interest rates and yield curves.
●Level 3 inputs: Unobservable inputs developed using estimates or assumptions developed by the Company, which reflect those that a market participant would use in pricing the asset or liability.

To the extent that the valuation is based on models or inputs that are less observable or unobservable in the market, the determination of fair value requires more judgment. Accordingly, the degree of judgment exercised by the Company in determining fair value is greatest for instruments categorized in Level 3. A financial instrument’s level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement.

The Company’s financial instruments consist of cash, cash equivalents, restricted cash, accounts payable and accrued expenses. The carrying amount of accounts payable and accrued expenses is considered a reasonable estimate of fair value due to the short-term maturity.

Series A Convertible Preferred Stock—The Company classifies the Series A Preferred Stock as temporary equity outside of stockholders’ equity on the accompanying condensed consolidated balance sheets due to certain events that are not within the Company's control.

Accounting for leases—At the inception of an arrangement, the Company determines whether the arrangement is or contains a lease based on specific facts and circumstances, the existence of an identified asset(s), if any, and the Company’s control over the use of the identified asset(s), if applicable. Operating lease liabilities and their corresponding right of use assets are recorded based on the present value of future lease payments over the expected lease term. The interest rate implicit in lease contracts is typically not readily determinable. As such, the Company utilizes the incremental borrowing rate, which is the rate incurred to borrow on a collateralized basis over a similar term an amount equal to the lease payments in a similar economic environment.

The Company has elected not to separate lease and non-lease components as a single component. Operating leases are recognized on the balance sheet as right of use (ROU) lease assets, lease liabilities current and lease liabilities non-current. Fixed rents are included in the calculation of the lease balances while variable costs paid for certain operating and pass-through costs are excluded. Lease expense is recognized over the expected term on a straight-line basis. The Company has also elected the short-term lease exemption for all leases with an original term of less than 12 months.

Research and development costs—Research and development costs are charged to expense as incurred. Research and development expenses incurred in performing research and development activities, include salaries and benefits, materials and supplies, preclinical expenses, stock-based compensation expense, depreciation of equipment, contract services, and other outside expenses. Costs for certain development activities are recognized based on an evaluation of the progress to completion of specific tasks using information provided to the Company by its vendors on their actual costs incurred. Payments for these activities are based on the terms of the individual arrangements, which may differ from the pattern of costs incurred, and are reflected in the financial statements as prepaid or accrued research and development. Deposits made by the Company with certain service providers that are to be applied to future payments due under the service agreements or returned to the Company if not utilized are recorded in the consolidated balance sheets.

Revenue recognition— The Company’s revenue is primarily generated through grants from government and non-government organizations. Grant revenue is recognized during the period that the reimbursable research and development services occur, as qualifying expenses are incurred or conditions of the grants are met. Grant revenue received in advance is recorded as deferred grant revenue and recognized as revenue once the conditions for revenue recognition are met. Associated expenses are recognized when incurred as research and development expenses. The Company concluded that payments received under these grants represent conditional, nonreciprocal contributions, as described in ASC958,** Not-for-Profit Entities, and that the grants arenot within the scope of ASC606, Revenue from Contracts with Customers, as the organizations providing the grants donot meet the definition of a customer.

Net loss per share—The Company has reported losses since inception and has computed basic net loss per share attributable to common stockholders by dividing net loss attributable to common stockholders by the weighted-average number of common shares outstanding for the period, without consideration for potentially dilutive securities. The Company computes diluted net loss per common share after giving consideration to all potentially dilutive common shares, including options to purchase common stock, outstanding during the period determined using the treasury-stock and if-converted methods, except where the effect of including such securities would be antidilutive. Because the Company has reported net losses since inception, these potential common shares have been anti-dilutive and basic and diluted loss per share have been the same.

Included within weighted average common shares outstanding for the three and nine months ended September 30, 2025 are 507,076 common shares issuable upon the exercise of certain warrants, which are exercisable at any time for nominal consideration, and as such, the shares are considered outstanding for the purpose of calculating basic and diluted net loss per share attributable to common stockholders.

The following table sets forth the potentially dilutive securities that have been excluded from the calculation of diluted net loss per share because to include them would be anti-dilutive (in common stock equivalent shares):

​​​​​
​ · ​ · Nine Months Ended September 30,
​ · 2025 · 2024
Convertible preferred stock (as converted)​15,596​28,112
Options to purchase common stock814,739734,131
Warrants to purchase common stock2,194,7882,194,788
Unvested restricted stock units​31,008​36,442
Total shares of common stock equivalents3,056,1312,993,473

Segment Information—The Company’s chief operating decision maker (“CODM”), the Chief Executive Officer, manages the Company’s business activities as a single operating and reportable segment at the consolidated level considering the nature of the Company’s product candidates and services, class of customers and the regulatory environment in which the Company operates. Accordingly, the Company’s CODM manages and allocates resources to the operations of the Company on a total company basis by assessing the overall level of resources available and how to best deploy these resources across functions and research and development projects that are in line with the Company’s long-term strategic goals. In making these decisions, the CODM uses consolidated financial information for purposes of evaluating performance, forecasting future period financial results, and allocating resources. The CODM performs this assessment based on the Company’s consolidated net loss. Through this analysis, the CODM assesses performance by comparing actual net loss versus the budget and then decides how to allocate resources to invest in the Company’s research and development programs. The measure of segment assets is reported on the consolidated balance sheets as total assets. Other segment items included in consolidated net loss are interest income and foreign currency gain (loss), which are reflected in the consolidated statements of operations and comprehensive loss.

Recently issued accounting pronouncements—From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board (“FASB”) or other standard setting bodies that the Company adopts as of the specified effective date.

In November 2024, the FASB issued ASU 2024-03, “Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures: Disaggregation of Income Statement Expenses,” which requires disclosure of disaggregated information about specific categories underlying certain income statement expense line items in the footnotes to the financial statements for both annual and interim periods. This ASU is effective for fiscal years beginning after December 15, 2026, and interim reporting periods beginning after December 15, 2027. Early adoption is permitted. The Company is currently evaluating the impact of the adoption of this standard.

In December 2023, the FASB issued ASU 2023-09, “Income Taxes (ASC 740): Improvements to Income Tax Disclosures”, which requires disaggregated information about a reporting entity’s effective tax rate reconciliation as well as information on income taxes paid. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024. The Company adopted this standard on January 1, 2025, which will expand the Company’s disclosures beginning with its annual consolidated financial statements for the year ended December 31, 2025, but is not expected to have an impact on the consolidated financial results.

  1. Leases

The Company is a party toone operating lease for office and laboratory space. The Company’s finance leases are immaterial both individually and in the aggregate. The Company has elected to apply the short-term lease exception to

all leases of one year or less. Rent expense for the three months ended September 30, 2025 and 2024 was $23,378 and $19,998, respectively, which is included in operating expenses. Rent expense for the nine months ended September 30, 2025 and 2024 was $69,938 and $59,993, respectively, which is included in operating expenses.

The Company has an annual operating lease for office and laboratory space in Doylestown, Pennsylvania which was amended in October 2025 and is currently set to expire on October 31, 2026. Rent expense under this lease is approximately $115,000 annually and the Company has applied the short-term exception to this lease. The Company hasno lease obligations beyond October 2026.

  1. Accrued expenses

Accrued expenses consist of the following:

​ · ​ · ​ · ​ · ​ · ​ · ​
​ · September 30, · December 31,
​​2025​2024
Professional fees​$172,765​$143,765
Compensation, severance and benefits​588,789​465,015
Research and development​1,128,255​1,243,975
Other​149,976​155,980
Total accrued expenses​$2,039,785​$2,008,735
  1. Stockholders’ equity

The total number of shares of all classes of capital stock that the Company is authorized to issue is 440,000,000 shares, consisting of 400,000,000 shares of common stock, par value $0.001 per share and 40,000,000 shares of preferred stock, par value $0.001 per share.

Series A Preferred Stock

As of September 30, 2025, a total of 31,194 shares of Series A Preferred Stock remained outstanding, which are convertible into 15,596 shares of common stock. As of December 31, 2024, a total of 56,227 shares of Series A Preferred Stock remained outstanding, which were convertible into 28,112 shares of common stock. In April 2025, a total of 25,033 shares of Series A Preferred stock were converted into 12,516 shares of common stock.

Common Stock

The holders of common stock are entitled toone vote for each share of common stock. In the event of any voluntary or involuntary liquidation, dissolution or winding up of the Company, after the payment or provision for payment of all debts and liabilities of the Company, the holders of common stock shall be entitled to share in the remaining assets of the Company available for distribution, if any.

Shelf Registration Statement

On January 26, 2024, the Company filed a shelf registration statement (the “2024 Shelf Registration Statement”) with the SEC for issuance of common stock, preferred stock, warrants, rights, debt securities and units up to an aggregate of $150 million, including a prospectus for the sale of $1.0 million of shares of our common stock under the ATM Agreement, as defined below, which was declared effective on February 2, 2024. The Company subsequently filed a prospectus supplement to the 2024 Shelf Registration Statement for the sale of up to$2.0 million of shares of common stock pursuant to the ATM Agreement. On January 26, 2024, the Company entered into an At the Market Offering Agreement (the “ATM Agreement”) with H.C. Wainwright & Co., LLC (“HCW”). Pursuant to the ATM Agreement and the prospectus supplement filed in connection therewith, the Company was able, from time to time, in its sole discretion, to issue and sell through HCW, acting as sales agent and/or principal, up to$2.0 million of shares of common

stock. The Company did not make any sales under the ATM Agreement and in March 2024, the Company terminated the ATM Agreement with HCW.

On November 8, 2024, the Company filed a prospectus supplement to the 2024 Shelf Registration Statement with the SEC for the sale of up to $3.0 million pursuant to the 2024 ATM Agreement, as discussed below. On November 8, 2024, the Company entered into an At the Market Offering Agreement (the “2024 ATM Agreement”) with HCW. Pursuant to the 2024 ATM Agreement and the prospectus supplement filed in connection therewith, the Company may, from time to time, in its sole discretion, issue and sell through HCW, acting as sales agent and/or principal, up to $3.0 million of shares of common stock. During the year ended December 31, 2024, the Company issued and sold 41,152 shares of common stock under the 2024 ATM Agreement resulting in net proceeds to the Company of approximately $0.1 million after deducting approximately $6,000 in issuance costs. During the three months ended September 30, 2025, the Company issued and sold 225,428 shares of common stock under the 2024 ATM Agreement resulting in net proceeds to the Company of approximately $0.4 million after deducting approximately $17,000 in issuance costs. During the nine months ended September 30, 2025, the Company issued and sold 468,567 shares of common stock under the 2024 ATM Agreement resulting in net proceeds to the Company of approximately $0.8 million after deducting approximately $36,000 in issuance costs.

March 2024 Private Placement

On March 11, 2024, the Company entered into a securities purchase agreement with certain purchasers (the “Purchasers”) pursuant to which the Company agreed to issue and sell to the Purchasers in a private placement offering exempt from registration under the Securities Act of 1933, as amended, or the Securities Act, and the Purchasers agreed to purchase from the Company (i)1,687,712 shares of the Company’s common stock at a purchase price of $7.29 per share (the “Shares”), (ii) pre-funded common stock purchase warrants at a purchase price of $7.289 to purchase an aggregate of up to 507,076 shares of the Company’s common stock at an exercise price of $0.001 per share (the “Pre-Funded Shares”), (iii) tranche A common stock purchase warrants to purchase up to 1,097,394 shares of the Company’s common stock at an exercise price of $7.29 per share (the “Tranche A Warrants”), and (iv) tranche B common stock purchase warrants to purchase up to 1,097,394 shares of the Company’s common stock at an exercise price of $9.1125 per share (the “Tranche B Warrants”). The Tranche A Warrants will be exercisable until the earlier of (i) thethree-year anniversary of issuance and (ii)30 days after the Company announces the recommended Phase 2 dose for ATRN-119, and, following such announcement, the daily volume weighted average price of the Company’s common stock equals or exceeds $14.58 for 30 consecutive trading days. The Tranche B Warrants will be exercisable until the earlier of (i) thefive-year anniversary of issuance and (ii)30 days after the Company announces the recommended Phase 2 dose for APR-1051 and, following such announcement, the daily volume weighted average price of the Company’s common stock equals or exceeds $18.225 for 30 consecutive trading days. To the extent that the exercise of a Tranche A Warrant or Tranche B Warrant would result in the holder beneficially owning greater than 4.99% (or, at the election of the holder, greater than 9.99%) of the Company’s outstanding common stock immediately following such exercise, the holder will instead receive pre-funded warrants in substantially the same form as the pre-funded warrants issued at closing. The aggregate upfront gross proceeds from the issuance of common stock and pre-funded common stock purchase warrants totaled approximately $16.0 million, before deducting placement agent fees and offering costs of approximately $1.3 million. The gross proceeds from potential future warrant cash exercises are expected to be up to approximately $18.0 million, before deducting placement agent fees. In April 2024, we registered on Form S-3 the resale of the Shares, the Pre-Funded Shares and the shares underlying the Tranche A Warrants and Tranche B Warrants.

The Company evaluated the terms of the warrants issued and determined that they should be classified as equity instruments within additional paid-in capital. As of September 30, 2025 and December 31, 2024, none of the pre-funded warrants, Tranche A Warrants or Tranche B Warrants have been exercised.

Stock-Based Compensation Expense

The Company recorded stock-based compensation expense of $0.1 and $0.1 for the three months ended September 30, 2025 and 2024, respectively. The Company recorded stock-based compensation expense of $0.4 and $0.4 for the nine months ended September 30, 2025 and 2024, respectively.

6. Income Taxes

The Company hasno income tax expense due to operating losses incurred for the three and nine months ended September 30, 2025 and 2024. The Company has provided a valuation allowance for the full amount of the net deferred tax assets as, based on all available evidence, it is considered more likely than not that all the recorded deferred tax assets will not be realized in a future period.

Realization of the future tax benefits is dependent on many factors, including the Company’s ability to generate taxable income within the net operating loss carryforward period. Under the provisions of the U.S. Internal Revenue Code and Sweden tax law, certain changes in the Company’s ownership, including a sale of the Company or significant changes in ownership due to sales of equity, may have limited, or may limit in the future, the amount of net operating loss carryforwards that could be used annually to offset future taxable income. For U.S. and Swedish income tax purposes, the Company has not completed a study to assess whether a change of control has occurred or whether there have been changes of control since the Company’s formation due to the complexity and cost associated with such study and because there could be additional changes of control in the future. As a result, the Company is not able to estimate the effect of the change in control, if any, on the Company’s ability to utilize U.S. or Swedish net operating losses or other tax attribute carryforwards in the future. For Swedish income tax purposes, the Company’s net operating losses may be subject to limitations in accordance with the country’s group contribution restriction laws.

The Company files tax returns in Sweden, the United States, Massachusetts and Pennsylvania. Income tax returns prior to 2021 in the United States and Massachusetts are no longer subject to examination and income tax returns prior to 2018 are no longer subject to examination in Sweden. The Company is not currently under examination by the IRS or any other jurisdictions for any tax years.

As tax law is complex and often subject to varied interpretations, it is uncertain whether some of the Company’s tax positions will be sustained upon examination. Tax liabilities associated with uncertain tax positions represent unrecognized tax benefits, which arise when the estimated benefit recorded in the Company’s financial statements differs from the amounts taken or expected to be taken in a tax return because of the uncertainties described above. Substantially all of these unrecognized tax benefits, if recognized, would benefit the Company’s effective income tax rate.

As of September 30, 2025 and December 31, 2024, the Company had approximately $0.1 million of liabilities related to uncertain tax positions. As the Company’s uncertain tax positions can be offset by available net operating losses, the Company did not recognize interest and penalties for 2025 and 2024.

On July 4, 2025, the “One Big Beautiful Bill Act” (OBBBA) was enacted into law. The legislation made several changes to the U.S. tax code, including the return of 100% bonus depreciation, the ability to immediately deduct domestic research and development costs, a more favorable rule for deducting interest expenses, and updates to international tax rules around global intangible low-taxed income and foreign-derived intangible income. The Company has evaluated the impact of the new tax provision and determined there will be an immaterial impact to the tax provision.

7. Commitments and contingencies

The Company records a provision for contingent losses when it is both probable that a liability has been incurred and the amount of the loss can be reasonably estimated. As of September 30, 2025 and December 31, 2024, the Company hasnot recorded a provision for any contingent losses.

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