Upstream Bio, Inc.
For the period ended Sep 30, 2026. Filed Nov 10, 2026.
View on SEC.govAbout 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, 2026 · Filed Nov 10, 2026
What changed in Management’s Discussion and Analysis?
Read the current filingPrevious report: 10-Q
Period ended 2026-06-30; filed 2026-08-11.
0001193125-26-343417
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsCurrent report: 10-Q
Period ended 2026-09-30; filed 2026-11-10.
0001193125-26-454422
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsThe baseline is this issuer’s latest earlier reporting period of the same form that was filed before the current report. A previous 10-Q is a different quarter, not a year-over-year comparison. Amendments are excluded.
Compared 126 previous paragraphs and 126 current paragraphs.
96 unchanged; 29 reworded; 1 added; 1 removed; 0 previous and 0 current paragraphs rearranged.
Tables are not compared: 7 previous and 7 current tables excluded. Dates, whitespace, punctuation and numbering changes are ignored; changes to financial figures remain significant.
A changed paragraph is not evidence that risk increased or decreased. An unchanged paragraph does not establish that risk stayed the same.
Added paragraphs (1)
Current report
Comparison of the nine months ended September 30, 2026 and 2025
Removed paragraphs (1)
Previous report
Comparison of the six months ended June 30, 2026 and 2025
Reworded paragraphs (29)
Previous wording
We have incurred significant net operating losses and negative cash flows since our inception. Our ability to generate product revenue sufficient to achieve profitability, if ever, will depend on the successful development, regulatory approval and eventual commercialization of verekitug and any other potential future product candidates, which we expect will take a number of years. For the three months ended June 30, 2026 and 2025, we reported net losses of $39.7 million and $40.0 million, respectively, and for the six months ended June 30, 2026 and 2025, we reported net losses of $80.3 million and $67.2 million, respectively. Our net losses have resulted principally from costs incurred in our research and development activities. As of June 30, 2026, we had an accumulated deficit of $414.5 million, and we had cash, cash equivalents and short-term investments of $261.3 million. Based on our current operating plan, we believe that our existing cash, cash equivalents and short-term investments will be sufficient to fund our operating expenses and capital expenditure requirements through 2027.
Current wording
We have incurred significant net operating losses and negative cash flows since our inception. Our ability to generate product revenue sufficient to achieve profitability, if ever, will depend on the successful development, regulatory approval and eventual commercialization of verekitug and any other potential future product candidates, which we expect will take a number of years. For the three months ended September 30, 2026 and 2025, we reported net losses of $41.2 million and $33.7 million, respectively, and for the nine months ended September 30, 2026 and 2025, we reported net losses of $121.5 million and $101.0 million, respectively. Our net losses have resulted principally from costs incurred in our research and development activities. As of September 30, 2026, we had an accumulated deficit of $455.7 million, and we had cash, cash equivalents and short-term investments of $207.4 million. Based on our current operating plan, we believe that our existing cash, cash equivalents and short-term investments will be sufficient to fund our operating expenses and capital expenditure requirements through 2027.
Previous wording
During the six months ended June 30, 2026 and 2025, we received payments from Maruho in the amount of $1.7 million and $1.2 million, respectively.
Current wording
During the nine months ended September 30, 2026 and 2025, we received payments from Maruho in the amount of $2.5 million and $2.1 million, respectively.
Previous wording
In October 2021, in connection with the Astellas Asset Purchase Agreement, we entered into a license agreement with Lonza Sales AG (“Lonza”) (as amended, the “Lonza License Agreement”). Pursuant to the Lonza License Agreement, we obtained a worldwide, non-exclusive, sublicensable (subject to Lonza’s right of pre-approval with respect to any sublicense of manufacturing activities) license to certain intellectual property rights owned by Lonza. Lonza was the originator of the master cell bank for the Compound developed by Astellas. As consideration for the rights and licenses granted to us under the Lonza License Agreement, we agreed to pay Lonza certain royalties and annual payments, both payable in Swiss francs, in respect of the manufacturing and sale of the Compound, such amounts to be determined by the party manufacturing the Compound, and range from no annual payment to up to a mid-six figure annual payment, and a less-than-one percent to a low-single-digit percentage royalty on net sales of the Compound. In accordance with the Lonza License Agreement, we entered into a sublicense with WuXi Biologics (Hong Kong) Limited to manufacture the Compound, requiring us to pay a mid-six-figure annual fee to Lonza pursuant to this provision. Any royalties due under the Lonza License Agreement are payable on a country-by-country basis until ten years from the first commercial sale of the Compound in that particular country. The Lonza agreement continues for an indefinite period of time unless otherwise terminated. We have the right to terminate the Lonza License Agreement at any time by providing prior written notice to Lonza. During each of the six months ended June 30, 2026 and 2025, we made an annual payment to Lonza in the amount of $0.5 million pursuant to the Lonza License Agreement. These payments are recognized as research and development expense in the consolidated statements of operations and comprehensive loss. To date, we have not made any royalty payments to Lonza under the Lonza License Agreement.
Current wording
In October 2021, in connection with the Astellas Asset Purchase Agreement, we entered into a license agreement with Lonza Sales AG (“Lonza”) (as amended, the “Lonza License Agreement”). Pursuant to the Lonza License Agreement, we obtained a worldwide, non-exclusive, sublicensable (subject to Lonza’s right of pre-approval with respect to any sublicense of manufacturing activities) license to certain intellectual property rights owned by Lonza. Lonza was the originator of the master cell bank for the Compound developed by Astellas. As consideration for the rights and licenses granted to us under the Lonza License Agreement, we agreed to pay Lonza certain royalties and annual payments, both payable in Swiss francs, in respect of the manufacturing and sale of the Compound, such amounts to be determined by the party manufacturing the Compound, and range from no annual payment to up to a mid-six figure annual payment, and a less-than-one percent to a low-single-digit percentage royalty on net sales of the Compound. In accordance with the Lonza License Agreement, we entered into a sublicense with WuXi Biologics (Hong Kong) Limited to manufacture the Compound, requiring us to pay a mid-six-figure annual fee to Lonza pursuant to this provision. Any royalties due under the Lonza License Agreement are payable on a country-by-country basis until ten years from the first commercial sale of the Compound in that particular country. The Lonza agreement continues for an indefinite period of time unless otherwise terminated. We have the right to terminate the Lonza License Agreement at any time by providing prior written notice to Lonza. During each of the nine months ended September 30, 2026 and 2025, we made an annual payment to Lonza in the amount of $0.5 million pursuant to the Lonza License Agreement. These payments are recognized as research and development expense in the consolidated statements of operations and comprehensive loss. To date, we have not made any royalty payments to Lonza under the Lonza License Agreement.
Previous wording
We expect that our general and administrative expenses will increase in the future as we increase our headcount and expand our infrastructure to support the continued research and development of our programs and the growth of our business. We also expect to incur increased expenses associated with operating as a public company, including costs of accounting, audit, legal, regulatory, tax-related services, compliance with SEC rules and regulations and listing requirements, director and officer insurance premiums and investor relations costs.
Current wording
We expect that our general and administrative expenses will increase in the future as we increase our headcount and expand our infrastructure to support the continued research and development of our programs and the growth of our business. We also expect to incur increased expenses associated with operating as a public company, including costs of accounting, audit, legal, regulatory, tax-related services, compliance with Securities and Exchange Commission (“SEC”) rules and regulations and listing requirements, director and officer insurance premiums and investor relations costs.
Previous wording
Collaboration revenue for the three months ended June 30, 2026 and 2025 was $0.8 million and $0.9 million, respectively. Revenue during each of the three months ended June 30, 2026 and 2025 was related to the work performed associated with our Phase 2 clinical trial and Phase 2 LTE study in patients with severe asthma under the Maruho License Agreement.
Current wording
Collaboration revenue for the three months ended September 30, 2026 and 2025 was $0.4 million and $0.7 million, respectively. Revenue during each of the three months ended September 30, 2026 and 2025 was related to the work performed associated with our Phase 2 clinical trial and Phase 2 LTE study in patients with severe asthma under the Maruho License Agreement.
Previous wording
Research and development expenses were $36.1 million for the three months ended June 30, 2026 compared to $37.9 million for the three months ended June 30, 2025. The decrease of $1.8 million was primarily driven by a decrease of $2.8 million in unallocated research and development expenses, partially offset by an increase of $1.0 million in expenses directly related to our verekitug program.
Current wording
Research and development expenses were $36.6 million for the three months ended September 30, 2026 compared to $33.0 million for the three months ended September 30, 2025. The increase of $3.6 million was primarily driven by an increase of $3.1 million in unallocated research and development expenses and $0.5 million in expenses directly related to our verekitug program.
Previous wording
The increase in direct costs of $6.8 million related to the COPD indication was primarily due to the continued progress associated with our Phase 2 clinical trial during the six months ended June 30, 2026, compared to the same period in 2025. The increase in direct costs of $0.4 million related to the asthma indication was primarily due to the continued progress associated with our Phase 2 LTE study in patients with severe asthma and the initiation of planning activities for our Phase 3 clinical trial during the six months ended June 30, 2026, partially offset by a decrease in direct costs due to wind down activities associated with our severe asthma Phase 2 clinical trial, compared to the same period in 2025. The decrease in direct costs of $1.9 million related to the CRSwNP indication was primarily due to wind down activities associated with our Phase 2 clinical trial during the six months ended June 30, 2026 compared to the same period in 2025, partially offset by an increase in direct costs related to the initiation of planning activities for our Phase 3 clinical trial during the six months ended June 30, 2026.
Current wording
The increase in direct costs of $1.7 million related to the CRSwNP indication was primarily due to the costs associated with planning activities for our Phase 3 clinical trial, partially offset by a decrease in direct costs related to the wind down activities associated with our Phase 2 clinical trial during the three months ended September 30, 2026 compared to the same period in 2025. The decrease in direct costs of $0.7 million related to the COPD indication was primarily due to decreased clinical trial costs during the three months ended September 30, 2026, compared to the same period in 2025. The decrease in direct costs of $0.5 million related to the asthma indication was primarily due to wind down activities associated with our Phase 2 clinical trial in patients with severe asthma, partially offset by an increase in costs associated with planning activities for our Phase 3 clinical trial and the continued progress associated with our Phase 2 LTE study in patients with severe asthma during the three months ended September 30, 2026, compared to the same period in 2025.
Previous wording
The decrease in manufacturing costs of $5.9 million was primarily attributable to a decrease in CMO costs in support of the development of Phase 3 clinical material during the three months ended June 30, 2026, compared to the same period in 2025. The increase in personnel expenses of $2.4 million was primarily due to increased headcount in our research and development function. Personnel expenses for each of the three months ended June 30, 2026 and 2025 included stock-based compensation expense of $2.0 million and $0.7 million, respectively. The increase of $0.8 million in professional fees was primarily related to preclinical and clinical consulting services to support our verekitug program during the three months ended June 30, 2026, compared to the same period in 2025.
Current wording
The increase in personnel expenses of $2.3 million was primarily due to increased headcount in our research and development functions. Personnel expenses for each of the three months ended September 30, 2026 and 2025 included stock-based compensation expense of $1.9 million and $0.8 million, respectively. The increase of $0.5 million in professional fees was primarily related to manufacturing consulting services to support our verekitug program during the three months ended September 30, 2026, compared to the same period in 2025. The increase in manufacturing costs of $0.3 million was primarily attributable to an increase in CMO costs in support of the development of Phase 3 clinical material during the three months ended September 30, 2026, compared to the same period in 2025.
Previous wording
General and administrative expenses were $7.1 million for the three months ended June 30, 2026 compared to $7.4 million for the three months ended June 30, 2025. The decrease of $0.3 million was primarily driven by a decrease of $0.9 million in professional fees primarily related to market research costs and legal fees during the three months ended June 30, 2026, compared to the same period in 2025, partially offset by an increase in personnel expenses of $0.6 million due to increased headcount in our general and administrative functions. Personnel expenses for the three months ended June 30, 2026 and 2025 included stock-based compensation expense of $2.4 million and $1.9 million, respectively.
Current wording
General and administrative expenses were $7.2 million for the three months ended September 30, 2026 compared to $5.5 million for the three months ended September 30, 2025. The increase of $1.7 million was primarily driven by an increase in personnel expenses of $0.9 million due to increased headcount in our general and administrative functions. Personnel expenses for the three months ended September 30, 2026 and 2025 included stock-based compensation expense of $2.4 million and $1.8 million, respectively. Additionally, there was an increase of $0.6 million in professional fees primarily related to increased recruiting and legal fees during the three months ended September 30, 2026, compared to the same period in 2025.
Previous wording
Interest income was $2.7 million and $4.4 million for the three months ended June 30, 2026 and 2025, respectively, representing a decrease of $1.8 million. The decrease in interest income was due to decreased balances in our U.S. treasury securities, corporate debt securities and government agency bonds held during the three months ended June 30, 2026, as compared to the three months ended June 30, 2025.
Current wording
Interest income was $2.2 million and $4.1 million for the three months ended September 30, 2026 and 2025, respectively, representing a decrease of $1.9 million. The decrease in interest income was due to decreased balances in our U.S. treasury securities, corporate debt securities and government agency bonds held during the three months ended September 30, 2026, as compared to the three months ended September 30, 2025.
Previous wording
The following table summarizes our results of operations for the six months ended June 30, 2026 and 2025:
Current wording
The following table summarizes our results of operations for the nine months ended September 30, 2026 and 2025:
Previous wording
Collaboration revenue for the six months ended June 30, 2026 and 2025 was $1.8 million and $1.5 million, respectively. Revenue during each of the six months ended June 30, 2026 and 2025 was related to the work performed associated with our Phase 2 clinical trial and Phase 2 LTE study in patients with severe asthma under the Maruho License Agreement.
Current wording
Collaboration revenue for each of the nine months ended September 30, 2026 and 2025 was $2.2 million. Revenue during each of the nine months ended September 30, 2026 and 2025 was related to the work performed associated with our Phase 2 clinical trial and Phase 2 LTE study in patients with severe asthma under the Maruho License Agreement.
Previous wording
Research and development expenses were $72.7 million for the six months ended June 30, 2026 compared to $63.7 million for the six months ended June 30, 2025. The increase of $9.0 million was primarily driven by an increase of $5.3 million in expenses directly related to our verekitug program and $3.7 million of unallocated research and development expenses.
Current wording
Research and development expenses were $109.3 million for the nine months ended September 30, 2026 compared to $96.6 million for the nine months ended September 30, 2025. The increase of $12.6 million was primarily driven by an increase of $6.8 million of unallocated research and development expenses and $5.8 million in expenses directly related to our verekitug program.
Previous wording
The increase in direct costs of $1.5 million related to the COPD indication was primarily due to the continued progress associated with our Phase 2 clinical trial during the three months ended June 30, 2026, compared to the same period in 2025. The decrease in direct costs of $0.3 million related to the asthma indication was primarily due to wind down activities associated with our severe asthma Phase 2 clinical trial, compared to the same period in 2025, partially offset by an increase in direct costs due to the continued progress associated with our Phase 2 LTE study in patients with severe asthma and the initiation of planning activities for our Phase 3 clinical trial during the three months ended June 30, 2026. The decrease in direct costs of $0.2 million related to the CRSwNP indication was primarily due to wind down activities associated with our Phase 2 clinical trial during the three months ended June 30, 2026 compared to the same period in 2025, partially offset by an increase in direct costs related to the initiation of planning activities for our Phase 3 clinical trial during the three months ended June 30, 2026.
Current wording
The increase in direct costs of $6.1 million related to the COPD indication was primarily due to the continued progress associated with our Phase 2 clinical trial during the nine months ended September 30, 2026, compared to the same period in 2025. The decrease in direct costs of $0.1 million related to the asthma indication was primarily due to the continued progress associated with our Phase 2 LTE study in patients with severe asthma and the costs associated with planning activities for our Phase 3 clinical trial, partially offset by a decrease in direct costs due to wind down activities associated with our Phase 2 clinical trial in patients with severe asthma during the nine months ended September 30, 2026, compared to the same period in 2025. The decrease in direct costs of $0.2 million related to the CRSwNP indication was primarily due to wind down activities associated with our Phase 2 clinical trial, partially offset by an increase in costs associated with planning activities for our Phase 3 clinical trial during the nine months ended September 30, 2026, compared to the same period in 2025.
Previous wording
The increase in personnel expenses of $5.9 million was primarily due to increased headcount in our research and development function. Personnel expenses for each of the six months ended June 30, 2026 and 2025 included stock-based compensation expense of $3.9 million and $1.2 million, respectively. The decrease in manufacturing costs of $3.1 million was primarily attributable to a decrease in CMO costs in support of the development of Phase 3 clinical material during the six months ended June 30, 2026, compared to the same period in 2025. The increase of $1.4 million in professional fees was primarily related to preclinical and clinical consulting services to support our verekitug program.
Current wording
The increase in personnel expenses of $8.2 million was primarily due to increased headcount in our research and development functions. Personnel expenses for each of the nine months ended September 30, 2026 and 2025 included stock-based compensation expense of $5.8 million and $2.0 million, respectively. The decrease in manufacturing costs of $2.8 million was primarily attributable to a decrease in CMO costs in support of the development of Phase 3 clinical material during the nine months ended September 30, 2026, compared to the same period in 2025. The increase of $1.9 million in professional fees was primarily related to preclinical and clinical consulting services to support our verekitug program.
Previous wording
We begin to separately track program expenses at development candidate nomination. Through June 30, 2026, we have incurred approximately $122.3 million, $57.0 million and $24.6 million in direct external expenses for the development of verekitug for severe asthma, COPD and CRSwNP, respectively, since their development candidate nominations.
Current wording
We begin to separately track program expenses at development candidate nomination. Through September 30, 2026, we have incurred approximately $134.4 million, $66.0 million and $28.1 million in direct external expenses for the development of verekitug for severe asthma, COPD and CRSwNP, respectively, since their development candidate nominations.
Previous wording
General and administrative expenses were $15.1 million for the six months ended June 30, 2026 compared to $14.2 million for the six months ended June 30, 2025. The increase of $0.9 million was primarily driven by an increase in personnel expenses of $1.3 million due to increased headcount in our general and administrative functions, including stock-based compensation expense of $5.1 million and $4.1 million for the six months ended June 30, 2026 and 2025, respectively, partially offset by a decrease of $0.3 million in professional fees was primarily driven by a decrease in market research costs.
Current wording
General and administrative expenses were $22.3 million for the nine months ended September 30, 2026 compared to $19.7 million for the nine months ended September 30, 2025. The increase of $2.6 million was primarily driven by an increase in personnel expenses of $2.1 million due to increased headcount in our general and administrative functions, including stock-based compensation expense of $7.5 million and $5.8 million for the nine months ended September 30, 2026 and 2025, respectively. Additionally, there was an increase of $0.2 million in professional fees primarily related to increased legal, recruiting and consulting costs, partially offset by a decrease in market research costs during the nine months ended September 30, 2026, compared to the same period in 2025.
Previous wording
Interest income was $5.7 million and $9.2 million for the six months ended June 30, 2026 and 2025, respectively, representing a decrease of $3.5 million. The decrease in interest income was due to decreased balances in our U.S. treasury securities, corporate debt securities and government agency bonds held during the six months ended June 30, 2026, as compared to the six months ended June 30, 2025.
Current wording
Interest income was $7.9 million and $13.3 million for the nine months ended September 30, 2026 and 2025, respectively, representing a decrease of $5.4 million. The decrease in interest income was due to decreased balances in our U.S. treasury securities, corporate debt securities and government agency bonds held during the nine months ended September 30, 2026, as compared to the nine months ended September 30, 2025.
Previous wording
Since our inception, we have incurred significant operating losses. We have not yet commercialized verekitug and we do not expect to generate revenue from product sales of verekitug for the next several years, if at all. To date, we have funded our operations primarily through equity financings, proceeds from our IPO and sales of our common stock pursuant to the ATM Program. Through June 30, 2026, we have received an aggregate of $670.9 million from such transactions, including gross proceeds of $400.0 million from the issuance and sale of our redeemable convertible preferred stock, $268.8 million in net proceeds from the closing of our IPO and $2.1 million from sales of common stock under the ATM Program. As of June 30, 2026, we had cash, cash equivalents and short-term investments of $261.3 million.
Current wording
Since our inception, we have incurred significant operating losses. We have not yet commercialized verekitug and we do not expect to generate revenue from product sales of verekitug for the next several years, if at all. To date, we have funded our operations primarily through equity financings, proceeds from our IPO and sales of our common stock pursuant to the ATM Program. Through September 30, 2026, we have received an aggregate of $670.9 million from such transactions, including gross proceeds of $400.0 million from the issuance and sale of our redeemable convertible preferred stock, $268.8 million in net proceeds from the closing of our IPO and $2.1 million from sales of common stock under the ATM Program. As of September 30, 2026, we had cash, cash equivalents and short-term investments of $207.4 million.
Previous wording
On November 5, 2025, we filed an automatic shelf registration statement on Form S-3ASR (the “2025 Shelf”), including the base prospectus included therein (File No. 333-291267), with the SEC, pursuant to which we may issue shares of our common stock, preferred stock, debt securities, warrants and/or units, which became automatically effective upon filing pursuant to Rule 462(e) of the Securities Act. On March 26, 2026, we entered into a Sales Agreement (the “Sales Agreement”) with Leerink Partners LLC, acting as our sales agent and/or principal (the “Sales Agent”), with respect to an “at-the-market offering” program under which we may, from time to time, at our sole discretion, offer and sell shares of our common stock having an aggregate offering price of up to $150.0 million through the Sales Agent (the “ATM Program”). In connection with the ATM Program, we filed a prospectus supplement with the SEC on March 26, 2026 (the “ATM Prospectus”) for the offer and sale of up to $150.0 million of shares of our common stock from time to time through the Sales Agent (the “ATM Shares”). The Sales Agent will be entitled to a commission of up to 3.0% of the gross proceeds from each sale of the ATM Shares effectuated through or to the Sales Agent selling the ATM Shares. We are not obligated to make any sales of the ATM Shares under the Sales Agreement. As of June 30, 2026, we have sold 239,797 shares of common stock under the ATM Program for aggregate net proceeds of approximately $2.1 million, after deducting approximately $0.1 million of commissions paid to the Sales Agent.
Current wording
On November 5, 2025, we filed an automatic shelf registration statement on Form S-3ASR (the “2025 Shelf”), including the base prospectus included therein (File No. 333-291267), with the SEC, pursuant to which we may issue shares of our common stock, preferred stock, debt securities, warrants and/or units, which became automatically effective upon filing pursuant to Rule 462(e) of the Securities Act. On March 26, 2026, we entered into a Sales Agreement (the “Sales Agreement”) with Leerink Partners LLC, acting as our sales agent and/or principal (the “Sales Agent”), with respect to an “at-the-market offering” program under which we may, from time to time, at our sole discretion, offer and sell shares of our common stock having an aggregate offering price of up to $150.0 million through the Sales Agent (the “ATM Program”). In connection with the ATM Program, we filed a prospectus supplement with the SEC on March 26, 2026 (the “ATM Prospectus”) for the offer and sale of up to $150.0 million of shares of our common stock from time to time through the Sales Agent (the “ATM Shares”). The Sales Agent will be entitled to a commission of up to 3.0% of the gross proceeds from each sale of the ATM Shares effectuated through or to the Sales Agent selling the ATM Shares. We are not obligated to make any sales of the ATM Shares under the Sales Agreement. As of September 30, 2026, we have sold 239,797 shares of common stock under the ATM Program for aggregate net proceeds of approximately $2.1 million, after deducting approximately $0.1 million of commissions paid to the Sales Agent. During the three months ended September 30, 2026, there were no sales under the ATM Program.
Previous wording
During the six months ended June 30, 2025, operating activities used $80.4 million of cash, resulting primarily from our net loss of $67.2 million, changes in operating assets and liabilities of $16.0 million and non-cash amortization of premiums and accretion of discounts on short-term investments of $2.7 million, partially offset by non-cash stock-based compensation expense of $5.2 million. Net cash used in changes in operating assets and liabilities was primarily driven by a $15.7 million increase in prepaid expenses and other current assets due to upfront payments to CROs for planning activities associated with our COPD Phase 2 trial and our Phase 2 LTE study in patients with severe asthma, a $1.5 million increase in accounts payable, a $0.3 million increase in accounts receivable, and a $0.3 million decrease in operating lease liabilities, partially offset by a $1.7 million increase in accrued expenses and other current liabilities.
Current wording
During the nine months ended September 30, 2026, operating activities used $137.7 million of cash, resulting primarily from our net loss of $121.5 million, changes in operating assets and liabilities of $29.0 million and non-cash amortization of premiums and accretion of discounts on short-term investments of $1.2 million, partially offset by non-cash stock-based compensation expense of $13.3 million. Net cash used in changes in operating assets and liabilities was primarily driven by a $27.3 million increase in prepaid expenses and other current assets largely due to upfront payments to CROs primarily for activities associated with our COPD Phase 2 trial and our Phase 3 clinical trial in patients with severe asthma, a $1.2 million decrease in accrued expenses and other current liabilities, a $0.5 million decrease in operating lease liabilities and a $0.3 million decrease in accounts payable, partially offset by a $0.3 million decrease in accounts receivable.
Previous wording
During the six months ended June 30, 2026, operating activities used $83.5 million of cash, resulting primarily from our net loss of $80.3 million, changes in operating assets and liabilities of $11.8 million and non-cash amortization of premiums and accretion of discounts on short-term investments of $0.8 million, partially offset by non-cash stock-based compensation expense of $9.0 million. Net cash used in changes in operating assets and liabilities was primarily driven by a $7.9 million increase in prepaid expenses and other current assets largely due to upfront payments to CROs for activities associated with our COPD Phase 2 trial and a $3.1 million decrease in accrued expenses and other current liabilities.
Current wording
During the nine months ended September 30, 2025, operating activities used $102.6 million of cash, resulting primarily from our net loss of $101.0 million, changes in operating assets and liabilities of $7.2 million and non-cash amortization of premiums and accretion of discounts on short-term investments of $2.9 million, partially offset by non-cash stock-based compensation expense of $7.8 million. Net cash used in changes in operating assets and liabilities was primarily driven by a $7.8 million increase in prepaid expenses and other current assets due to upfront payments to CROs for planning activities associated with our COPD Phase 2 trial and our Phase 2 LTE study in patients with severe asthma and a $0.4 million decrease in operating lease liabilities, partially offset by a $1.2 million increase in accrued expenses and other current liabilities.
Previous wording
During the six months ended June 30, 2026, net cash provided by investing activities was $58.2 million, consisting primarily of maturities of short-term investments of $123.5 million, net of purchases of short-term investments of $65.4 million.
Current wording
During the nine months ended September 30, 2026, net cash provided by investing activities was $80.3 million, consisting primarily of maturities of short-term investments of $161.5 million, net of purchases of short-term investments of $81.1 million.
Previous wording
During the six months ended June 30, 2025, net cash used in investing activities was $200.6 million, consisting primarily of purchases of short-term investments of $323.1 million, net of maturities of short-term investments of $122.6 million.
Current wording
During the nine months ended September 30, 2025, net cash used in investing activities was $152.4 million, consisting primarily of purchases of short-term investments of $347.6 million, net of maturities of short-term investments of $195.3 million and purchase of property and equipment of $0.1 million.
Previous wording
During the six months ended June 30, 2026, net cash provided by financing activities was $3.1 million, consisting primarily of $2.1 million in net proceeds from our ATM Program and $1.0 million in net proceeds primarily from the exercise of stock options.
Current wording
During the nine months ended September 30, 2026, net cash provided by financing activities was $3.2 million, consisting primarily of $2.1 million in net proceeds from our ATM Program and $1.1 million in net proceeds primarily from the exercise of stock options.
Previous wording
During the six months ended June 30, 2025, net cash provided by financing activities was $0.6 million, consisting primarily of $0.6 million in net proceeds from the exercise of stock options.
Current wording
During the nine months ended September 30, 2025, net cash provided by financing activities was $1.2 million, consisting primarily of net proceeds from the exercise of stock options.
Previous wording
During each of the six months ended June 30, 2026 and 2025, we did not make any royalty payments to Lonza under the Lonza License Agreement. The Lonza agreement continues for an indefinite period of time unless otherwise terminated. We have the right to terminate the Lonza License Agreement at any time by providing prior written notice to Lonza.
Current wording
During each of the nine months ended September 30, 2026 and 2025, we did not make any royalty payments to Lonza under the Lonza License Agreement. The Lonza agreement continues for an indefinite period of time unless otherwise terminated. We have the right to terminate the Lonza License Agreement at any time by providing prior written notice to Lonza.
Previous wording
During each of the six months ended June 30, 2026 and 2025, we made an annual payment to Lonza in the amount of $0.5 million pursuant to the Lonza License Agreement. These payments were recognized as research and development expense in the condensed consolidated statements of operations and comprehensive loss.
Current wording
During each of the nine months ended September 30, 2026 and 2025, we made an annual payment to Lonza in the amount of $0.5 million pursuant to the Lonza License Agreement. These payments were recognized as research and development expense in the condensed consolidated statements of operations and comprehensive loss.
Previous wording
During the six months ended June 30, 2026, there were no material changes to our critical accounting policies and significant judgments described under Management’s Discussion and Analysis of Financial Conditions and Results of Operations—Critical accounting estimates and significant judgments included in our Annual Report.
Current wording
During the nine months ended September 30, 2026, there were no material changes to our critical accounting policies and significant judgments described under Management’s Discussion and Analysis of Financial Conditions and Results of Operations—Critical accounting estimates and significant judgments included in our Annual Report.