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    SEC Form 10-Q filed by Sagimet Biosciences Inc.

    5/8/25 6:01:10 AM ET
    $SGMT
    Biotechnology: Pharmaceutical Preparations
    Health Care
    Get the next $SGMT alert in real time by email
    Sagimet Biosciences Inc._March 31, 2025
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    Table of Contents

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    ​

    UNITED STATES

    SECURITIES AND EXCHANGE COMMISSION

    WASHINGTON, D.C. 20549

    FORM 10-Q

    (Mark One)

    ​

    ☒

    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

    ​

    For the quarterly period ended March 31, 2025

    ​

    OR

    ​

    ☐

    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

    ​

    ​

    ​

    For the transition period from                    to

    ​

    Commission File Number: 001-41742

    Sagimet Biosciences Inc.

    (Exact name of registrant as specified in its charter)

    Delaware

    20-5991472

    (State or other jurisdiction of
    incorporation or organization)

    (I.R.S. Employer
    Identification No.)

    ​

    ​

    155 Bovet Road, Suite 303

    ​

    San Mateo, California

    94402

    (Address of principal executive offices)

    (Zip Code)

    ​

    (650) 561-8600

    (Registrant’s telephone number, including area code)

    N/A

    (Former name, former address and former fiscal year, if changed since last report)

    ​

    ​

    Securities registered pursuant to Section 12(b) of the Act:

    ​

    Title of each class

    ​

    Trading Symbol(s)

    ​

    Name of each exchange on which registered

    Series A Common Stock,
    $0.0001 par value per share

    ​

    SGMT

    ​

    Nasdaq Global Market

    ​

    Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒

    No☐

    Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ◻

    Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

    Large accelerated filer ☐

    Accelerated filer ☐

    ​

    ​

    Non-accelerated filer ☒

    Smaller reporting company ☒

    ​

    ​

    ​

    Emerging growth company ☒

    ​

    If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

    Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

    The number of shares of the registrant’s Series A and B common stock, $0.0001 par value per share, outstanding at May 2, 2025 was 30,674,855 and 1,520,490, respectively.

    ​

    ​

    ​

    Table of Contents

    Table of Contents

    ​

    ​

    PART I - FINANCIAL INFORMATION

        

    Page

    ​

    ​

    Item 1.

    Condensed Financial Statements

    ​

    5

    ​

    Condensed Balance Sheets (unaudited)

    ​

    5

    ​

    Condensed Statements of Operations and Comprehensive Loss (unaudited)

    ​

    6

    ​

    Condensed Statements of Stockholders’ Equity (unaudited)

    ​

    7

    ​

    Condensed Statements of Cash Flows (unaudited)

    ​

    8

    ​

    Notes to Condensed Financial Statements (unaudited)

    ​

    9

    Item 2.

    Management’s Discussion and Analysis of Financial Condition and Results of Operations

    ​

    19

    Item 3.

    Quantitative and Qualitative Disclosures About Market Risk

    ​

    26

    Item 4.

    Controls and Procedures

    ​

    26

    ​

    ​

    ​

    ​

    ​

    PART II - OTHER INFORMATION

    ​

    ​

    ​

    Item 1.

    Legal Proceedings

    ​

    27

    Item 1A.

    Risk Factors

    ​

    27

    Item 2.

    Unregistered Sales of Equity Securities and Use of Proceeds

    ​

    27

    Item 3.

    Defaults Upon Senior Securities

    ​

    27

    Item 4.

    Mine Safety Disclosures

    ​

    28

    Item 5.

    Other Information

    ​

    28

    Item 6.

    Exhibits

    ​

    29

    ​

    Signatures

    ​

    30

    ​

    ​

    ​

    ​

    ​

    2

    Table of Contents

    FORWARD-LOOKING STATEMENTS

    This Quarterly Report on Form 10-Q (this Quarterly Report) contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the Securities Act), and Section 21E of the Securities Exchange Act of 1934, as amended (the Exchange Act). All statements other than statements of historical facts contained in this Quarterly Report, including statements regarding our future results of operations and financial position, business strategy, drug candidates, planned preclinical studies and clinical trials, results of preclinical studies, clinical trials, research and development costs, regulatory approvals, timing and likelihood of success, as well as plans and objectives of management for future operations, are forward-looking statements. These statements involve known and unknown risks, uncertainties and other important factors that are in some cases beyond our control and may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements.

    In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “would,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “believe,” “estimate,” “predict,” “potential,” or “continue” or the negative of these terms or other similar expressions. Forward-looking statements contained in this Quarterly Report include, but are not limited to, statements about:

    ●our financial performance;
    ●our ability to obtain additional cash and the sufficiency of our existing cash, cash equivalents and marketable securities to fund our future operating expenses and capital expenditure requirements;
    ●the accuracy of our estimates regarding expenses, future revenue, capital requirements, and needs for additional financing;
    ●the scope, progress, results and costs of developing denifanstat or any other drug candidates we may develop, and conducting preclinical studies and clinical trials;
    ●our ability to advance drug candidates into, and successfully complete, clinical trials within anticipated timelines;

    ​

    ●the timing and costs involved in obtaining and maintaining regulatory approval of denifanstat or any other drug candidates we may develop, and the timing or likelihood of regulatory filings and approvals, including our expectation to seek special designations or accelerated approvals for our drug candidates for various indications;
    ●current and future agreements with third parties in connection with the development and commercialization of denifanstat or any other future drug candidate;
    ●our estimate of the number of patients in the United States who suffer from the diseases we target and the number of subjects that will enroll in our clinical trials;
    ●our relationship with Ascletis BioScience Co. Ltd. (Ascletis), and its affiliate Gannex Pharma Co., Ltd. (Gannex), and the success of their development efforts for denifanstat;
    ●the ability of our clinical trials to demonstrate the safety and efficacy of denifanstat and any other drug candidates we may develop;
    ●our plans relating to commercializing denifanstat and any other drug candidates we may develop, if approved, including the geographic areas of focus and our ability to grow a sales team;
    ●the success of competing therapies that are or may become available;
    ●developments relating to our competitors and our industry, including competing drug candidates and therapies;

    3

    Table of Contents

    ●our plans relating to the further development and manufacturing of denifanstat and any other drug candidates we may develop, including additional indications that we may pursue for denifanstat or other drug candidates;
    ●our ability to obtain sufficient funding or enter into a strategic collaboration to initiate Phase 3 clinical trials for denifanstat in metabolic dysfunction-associated steatohepatitis (MASH), formerly known as nonalcoholic steatohepatitis (NASH);
    ●existing regulations and regulatory developments in the United States and other jurisdictions;
    ●our potential and ability to successfully manufacture and supply denifanstat and any other drug candidates we may develop for clinical trials and for commercial use, if approved;
    ●the rate and degree of market acceptance of denifanstat and any other drug candidates we may develop, as well as the pricing and reimbursement of denifanstat and any other drug candidates we may develop, if approved;
    ●our expectations regarding our ability to obtain, maintain, protect and enforce intellectual property protection for denifanstat and for any other future drug candidate;
    ●our ability to realize the anticipated benefits of any strategic transactions;
    ●our ability to attract and retain the continued service of our key personnel and to identify, hire, and then retain additional qualified personnel and our ability to attract additional collaborators with development, regulatory and commercialization expertise;
    ●the impact of macroeconomic conditions and geopolitical turmoil on our business and operations;
    ●our expectations regarding the period during which we will qualify as an emerging growth company under the JOBS Act; and
    ●our anticipated use of our existing cash, cash equivalents and marketable securities.

    We have based these forward-looking statements largely on our current expectations and projections about our business, the industry in which we operate and financial trends that we believe may affect our business, financial condition, results of operations and prospects, and these forward-looking statements are not guarantees of future performance or development. These forward-looking statements speak only as of the date of this Quarterly Report and are subject to a number of risks, uncertainties and assumptions described in the section titled “Risk Factors” set forth in Part II, Item 1A “Risk Factors” in this Quarterly Report, the section titled “Risk Factors” set forth in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2024 and the section titled “Risk Factors” set forth in Part II, Item 1A of our subsequent Quarterly Reports on Form 10-Q. Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely on these forward-looking statements as predictions of future events. The events and circumstances reflected in our forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein until after we distribute this Quarterly Report, whether as a result of any new information, future events or otherwise.

    In addition, statements that “we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon information available to us as of the date of this Quarterly Report, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain, and you are cautioned not to unduly rely upon these statements.

    ​

    ​

    ​

    ​

    4

    Table of Contents

    PART I. FINANCIAL INFORMATION

    Item 1. Condensed Financial Statements

    SAGIMET BIOSCIENCES INC.

    CONDENSED BALANCE SHEETS

    (unaudited)

    (in thousands, except for share and per share amounts)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    As of

    ​

    ​

    March 31, 

    ​

    December 31, 

    ​

        

    2025

        

    2024

    Assets

    ​

    ​

    ​

    ​

    ​

    ​

    Current assets:

     

    ​

      

     

    ​

      

    Cash and cash equivalents

    ​

    $

    64,717

    ​

    $

    75,840

    Short-term marketable securities

    ​

     

    79,852

    ​

     

    75,410

    Prepaid expenses and other current assets

    ​

    ​

    1,503

    ​

    ​

    1,524

    Total current assets

    ​

    ​

    146,072

    ​

    ​

    152,774

    Long-term marketable securities

    ​

    ​

    —

    ​

    ​

    7,408

    Operating lease right-of-use assets

    ​

    ​

    38

    ​

    ​

    77

    Other long-term assets

    ​

     

    62

    ​

     

    —

    Total assets

    ​

    $

    146,172

    ​

    $

    160,259

    Liabilities and stockholders’ equity

    ​

     

      

    ​

     

      

    Current liabilities:

    ​

     

      

    ​

     

      

    Accounts payable

    ​

    $

    3,223

    ​

    $

    1,425

    Accrued expenses and other current liabilities

    ​

     

    3,918

    ​

     

    2,951

    Operating lease liabilities

    ​

     

    39

    ​

     

    78

    Total current liabilities

    ​

     

    7,180

    ​

     

    4,454

    Commitments and contingencies (Note 6)

    ​

     

      

    ​

     

      

    Stockholders’ equity:

    ​

     

      

    ​

     

      

    Undesignated preferred stock, $0.0001 per share: 10,000,000 shares authorized; no shares issued and outstanding at March 31, 2025 and December 31, 2024

    ​

    ​

    —

    ​

    ​

    —

    Series A common stock, $0.0001 per share: 500,000,000 shares authorized; 30,674,855 shares issued and outstanding at March 31, 2025 and December 31, 2024

    ​

    ​

    3

    ​

    ​

    3

    Series B common stock, $0.0001 per share: 15,000,000 shares authorized; 1,520,490 shares issued and outstanding at March 31, 2025 and December 31, 2024

    ​

    ​

    —

    ​

    ​

    —

    Additional paid-in capital

    ​

     

    452,355

    ​

     

    450,883

    Accumulated deficit

    ​

     

    (313,487)

    ​

     

    (295,311)

    Accumulated other comprehensive income

    ​

     

    121

    ​

     

    230

    Total stockholders’ equity

    ​

    ​

    138,992

    ​

     

    155,805

    Total liabilities and stockholders’ equity

    ​

    $

    146,172

    ​

    $

    160,259

    ​

    The accompanying notes are an integral part of these unaudited condensed financial statements.

    ​

    ​

    5

    Table of Contents

    SAGIMET BIOSCIENCES INC.

    CONDENSED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

    (unaudited)

    (in thousands, except for share and per share amounts)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    Three Months Ended March 31, 

    ​

    ​

    2025

        

    2024

    Operating expenses:

    ​

    ​

    ​

    ​

    ​

    ​

    Research and development

    ​

    $

    15,342

    ​

    $

    5,262

    General and administrative

    ​

     

    4,523

    ​

     

    3,506

    Total operating expenses

    ​

     

    19,865

    ​

     

    8,768

    Loss from operations

    ​

     

    (19,865)

    ​

     

    (8,768)

    Other income:

    ​

    ​

    ​

    ​

    ​

    ​

    Interest income and other, net

    ​

    ​

    1,689

    ​

    ​

    2,139

    Total other income

    ​

     

    1,689

    ​

     

    2,139

    Net loss

    ​

    $

    (18,176)

    ​

    $

    (6,629)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Net loss per share of Series A and Series B common stock outstanding, basic and diluted

    ​

    $

    (0.56)

    ​

    $

    (0.23)

    Weighted-average shares of Series A and Series B common stock outstanding, basic and diluted

    ​

    ​

    32,195,345

    ​

     

    29,039,427

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Net loss

    ​

    $

    (18,176)

    ​

    $

    (6,629)

    Other comprehensive loss:

    ​

     

      

    ​

     

      

    Net unrealized loss on marketable securities

    ​

     

    (109)

    ​

     

    (23)

    Total comprehensive loss

    ​

    $

    (18,285)

    ​

    $

    (6,652)

    ​

    The accompanying notes are an integral part of these unaudited condensed financial statements.

    ​

    6

    Table of Contents

    SAGIMET BIOSCIENCES INC.

    CONDENSED STATEMENTS OF

    STOCKHOLDERS’ EQUITY

    ​

    (unaudited)

    (in thousands, except share amounts)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Accumulated 

    ​

    ​

    ​

    ​

    ​

    Series A

    ​

    ​

    Series B

    ​

    Additional 

    ​

    ​

    ​

    ​

    Other 

    ​

    Total 

    ​

    ​

    Common Stock

      

      

    Common Stock

    ​

    Paid-in

    ​

    Accumulated

    ​

    Comprehensive

    ​

    Stockholders’

    ​

      

    Shares

      

    Amount

      

      

    Shares

      

    Amount

      

    Capital

      

    Deficit

      

    Income (Loss)

      

    Equity

    Balance at January 1, 2025

    ​

    ​

    30,674,855

    ​

    $

    3

      

    ​

    ​

    1,520,490

    ​

    $

    —

    ​

    $

    450,883

    ​

    $

    (295,311)

    ​

    $

    230

    ​

    $

    155,805

    Stock-based compensation expense

     

    ​

    —

    ​

     

    —

     

    ​

    ​

    —

    ​

     

    —

    ​

     

    1,472

    ​

     

    —

    ​

     

    —

    ​

     

    1,472

    Unrealized loss on marketable securities

     

    ​

    —

    ​

     

    —

     

    ​

    ​

    —

    ​

     

    —

    ​

     

    —

    ​

     

    —

    ​

     

    (109)

    ​

     

    (109)

    Net loss

     

    ​

    —

    ​

     

    —

     

    ​

    ​

    —

    ​

     

    —

    ​

     

    —

    ​

    ​

    (18,176)

    ​

     

    —

    ​

     

    (18,176)

    Balance at March 31, 2025

     

    ​

    30,674,855

    ​

    $

    3

     

    ​

    ​

    1,520,490

    ​

    $

    —

    ​

    $

    452,355

    ​

    $

    (313,487)

    ​

    $

    121

    ​

    $

    138,992

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Accumulated 

    ​

    ​

    ​

    ​

    ​

    Series A

    ​

    ​

    Series B

    ​

    Additional 

    ​

    ​

    ​

    ​

    Other 

    ​

    Total 

    ​

    ​

    Common Stock

      

      

    Common Stock

    ​

    Paid-in

    ​

    Accumulated

    ​

    Comprehensive

    ​

    Stockholders’

    ​

    ​

    Shares

      

    Amount

      

      

    Shares

      

    Amount

      

    Capital

      

    Deficit

      

    Income (Loss)

      

    Equity

    Balance at January 1, 2024

    ​

    ​

    21,375,402

    ​

    $

    2

      

    ​

    ​

    1,520,490

    ​

    $

    —

    ​

    $

    340,777

    ​

    $

    (249,744)

    ​

    $

    30

    ​

    $

    91,065

    Sale of Series A common stock, net of issuance costs of $7,796

    ​

    ​

    9,000,000

    ​

    ​

    1

    ​

    ​

    ​

    —

    ​

    ​

    —

    ​

    ​

    104,731

    ​

    ​

    —

    ​

    ​

    —

    ​

    ​

    104,732

    Issuance of Series A common stock upon exercise of stock options

    ​

    ​

    17,995

    ​

    ​

    —

    ​

    ​

    ​

    —

    ​

    ​

    —

    ​

    ​

    114

    ​

    ​

    —

    ​

    ​

    —

    ​

    ​

    114

    Stock-based compensation expense

     

    ​

    —

    ​

     

    —

     

    ​

    ​

    —

    ​

     

    —

    ​

     

    759

    ​

     

    —

    ​

     

    —

    ​

     

    759

    Unrealized loss on marketable securities

     

    ​

    —

    ​

     

    —

     

    ​

    ​

    —

    ​

     

    —

    ​

     

    —

    ​

     

    —

    ​

     

    (23)

    ​

     

    (23)

    Net loss

     

    ​

    —

    ​

     

    —

     

    ​

    ​

    —

    ​

     

    —

    ​

     

    —

    ​

     

    (6,629)

    ​

     

    —

    ​

    ​

    (6,629)

    Balance at March 31, 2024

     

    ​

    30,393,397

    ​

    $

    3

     

    ​

    ​

    1,520,490

    ​

    $

    —

    ​

    $

    446,381

    ​

    $

    (256,373)

    ​

    $

    7

    ​

    $

    190,018

    ​

    ​

    ​

    The accompanying notes are an integral part of these unaudited condensed financial statements

    ​

    ​

    ​

    ​

    ​

    7

    Table of Contents

    ​

    ​

    SAGIMET BIOSCIENCES INC.

    CONDENSED STATEMENTS OF CASH FLOWS

    (unaudited)

    (in thousands)

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three Months Ended March 31, 

    ​

    ​

    2025

    ​

    2024

    Cash flows from operating activities

     

    ​

      

     

    ​

      

    Net loss

    ​

    $

    (18,176)

    ​

    $

    (6,629)

    Adjustments to reconcile net loss to net cash used in operating activities:

    ​

     

      

    ​

     

      

    Accretion of discount on marketable securities

    ​

     

    (535)

    ​

     

    (193)

    Non-cash operating lease expense

    ​

     

    39

    ​

     

    36

    Stock-based compensation expense

    ​

     

    1,472

    ​

     

    759

    Changes in operating assets and liabilities:

    ​

     

    ​

    ​

     

    ​

    Prepaid expenses and other current assets

    ​

     

    (687)

    ​

     

    640

    Accounts payable, accrued expenses and other current liabilities

    ​

     

    3,390

    ​

     

    (782)

    Operating lease liabilities

    ​

     

    (39)

    ​

     

    (39)

    Net cash used in operating activities

    ​

     

    (14,536)

    ​

     

    (6,208)

    Cash flows from investing activities

    ​

     

      

    ​

     

      

    Purchases of marketable securities

    ​

    ​

    (15,575)

    ​

    ​

    —

    Sales and maturities of marketable securities

    ​

     

    18,988

    ​

     

    3,000

    Net cash provided by investing activities

    ​

     

    3,413

    ​

     

    3,000

    Cash flows from financing activities

    ​

     

      

    ​

     

      

    Proceeds from sale of Series A common stock, net of issuance costs

    ​

    ​

    —

    ​

    ​

    105,750

    Payment of financing costs

    ​

     

    —

    ​

     

    (1,018)

    Proceeds from exercise of stock options

    ​

    ​

    —

    ​

    ​

    114

    Net cash provided by financing activities

    ​

     

    —

    ​

     

    104,846

    Net (decrease) increase in cash and cash equivalents

    ​

     

    (11,123)

    ​

     

    101,638

    Cash and cash equivalents at beginning of period

    ​

     

    75,840

    ​

     

    75,139

    Cash and cash equivalents at end of period

    ​

    $

    64,717

    ​

    $

    176,777

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Supplemental non-cash investing and financing activities:

    ​

    ​

    ​

    ​

    ​

    ​

    Deferred financing costs within accounts payable and accrued expenses

    ​

    $

    245

    ​

    $

    —

    ​

    The accompanying notes are an integral part of these unaudited condensed financial statements.

    ​

    8

    Table of Contents

    SAGIMET BIOSCIENCES INC.

    NOTES TO THE CONDENSED FINANCIAL STATEMENTS (unaudited)

    1.Description of Business and Basis of Presentation

    Description of business

    Sagimet Biosciences Inc. (the Company), a Delaware corporation headquartered in San Mateo, California, is a clinical-stage biopharmaceutical company developing novel therapeutics called fatty acid synthase (FASN) inhibitors that target dysfunctional metabolic and fibrotic pathways in diseases resulting from the overproduction of the fatty acid, palmitate. The Company’s lead drug candidate, denifanstat, is an oral, once-daily pill and selective FASN inhibitor in development for metabolic dysfunction-associated steatohepatitis (MASH), acne, and select forms of cancer. FASCINATE-2, a Phase 2b clinical trial of denifanstat in MASH with liver biopsy-based primary endpoints, was successfully completed with positive results. Denifanstat has been granted Breakthrough Therapy designation by the FDA for the treatment of non-cirrhotic MASH with moderate to advanced liver fibrosis (consistent with stages F2 to F3 fibrosis), and end-of-Phase 2 interactions with the FDA have been successfully completed, supporting the advancement of denifanstat into further development. Sagimet’s second FASN inhibitor, TVB-3567, a potent and selective small molecule FASN inhibitor, received IND clearance in March 2025, allowing initiation of a first-in-human Phase 1 clinical trial in acne. The Company’s license partner, Ascletis BioScience Co. Ltd. (Ascletis), is currently testing denifanstat in a Phase 3 trial in moderate to severe acne vulgaris and in a Phase 3 trial in recurrent glioblastoma multiforme (GBM) in combination with bevacizumab, both in China.

    Basis of presentation

    The accompanying financial statements have been prepared in accordance with accounting principles generally accepted (GAAP) in the United States. Any reference in these notes to applicable guidance is meant to refer to GAAP as found in the Accounting Standards Codification (ASC) and Accounting Standards Updates (ASU) promulgated by the Financial Accounting Standards Board (FASB).

    These unaudited interim financial statements and accompanying notes should be read in conjunction with the Company’s annual financial statements and the notes thereto included in the Company’s Form 10-K, as filed with the Securities and Exchange Commission (SEC) on March 12, 2025. The accompanying interim financial statements as of March 31, 2025 and for the three months ended March 31, 2025 and 2024 are unaudited but include all adjustments that management believes to be necessary for a fair presentation of the periods presented. Interim results are not necessarily indicative of results for a full year. Balance sheet amounts as of December 31, 2024 have been derived from the audited financial statements as of that date.

    The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities as of the date of the financial statements and reported amounts of revenues and expenses during the reporting period. Such estimates include accruals of research and development expenses, accrued costs for services rendered under agreements with third-party contract research organizations (CROs) and stock option valuations and stock-based compensation. On an ongoing basis, the Company evaluates its estimates and judgments, which are based on historical and anticipated results and trends and on various other assumptions that management believes to be reasonable under the circumstances. Actual results could differ from those estimates.

    Emerging growth company status

    The Company is an emerging growth company (EGC) as defined in the Jumpstart Our Business Startups Acts of 2012, as amended (the JOBS Act), and may take advantage of certain exemptions from various reporting requirements that are applicable to other public companies that are not EGCs. The Company may take advantage of these exemptions until it is no longer an EGC under Section 107 of the JOBS Act and has elected to use the extended transition period for complying with new or revised accounting standards. As a result of this election, the Company’s financial statements may not be comparable to those issued by companies that comply with the effective dates pursuant to public company FASB standards.

    9

    Table of Contents

    Liquidity

    The accompanying unaudited financial statements have been prepared assuming the Company will continue as a going concern, which contemplates continuity of operations, realization of assets and the satisfaction of liabilities and commitments in the normal course of business. The Company will require substantial additional capital to fund its research and development and ongoing operating expenses. As of March 31, 2025, the Company has relied on public and private equity and debt financings and proceeds from licensing arrangements to fund its operations. The Company has incurred recurring losses and negative cash flows from operations since inception, and, as of March 31, 2025, had an accumulated deficit of $313.5 million and cash, cash equivalents and marketable securities of $144.6 million. The Company expects to incur additional losses and negative cash flows from operations for the foreseeable future.

    In July and August 2023, the Company completed its initial public offering (IPO) and, inclusive of the partial exercise of the underwriters’ overallotment option, the Company sold an aggregate of 6,026,772 shares of Series A common stock at a public offering price of $16.00 per share and received $86.2 million in net proceeds. In January 2024, the Company completed a follow-on offering whereby it sold 9,000,000 shares of its Series A common stock at a price of $12.50 per share and received $104.7 million in proceeds, net of issuance costs of $7.8 million.

    In August 2024, the Company entered into a Controlled Equity Offering Sales Agreement with Cantor Fitzgerald & Co. to establish an at-the-market offering (ATM Offering) through which the Company may sell, from time to time at its sole discretion, up to $75.0 million shares of its Series A common stock. There were no sales under the ATM Offering during the three months ended March 31, 2025.

    The Company expects that its cash, cash equivalents and marketable securities as of March 31, 2025 will be sufficient to fund the Company’s operating expenses for at least the next 12 months from the issuance of these financial statements. In the future, the Company will need to raise additional funds until it is able to generate sufficient revenues to fund its development activities. The Company’s future operating activities, coupled with its plans to raise capital or issue debt financing, may provide additional liquidity in the future, however these actions are not solely within the control of the Company and the Company is unable to predict the outcome of these actions to generate the liquidity ultimately required.

    2.Significant Accounting Policies

    The Company’s significant accounting policies are disclosed in the audited financial statements and the notes thereto, which are included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024, as filed with the SEC on March 12, 2025. Since the date of those audited financial statements, there have been no material changes to the Company’s significant accounting policies.

    Net loss per share attributable to common stockholders

    Basic and diluted net loss per share is computed using the two-class method required for multiple classes of common stock and participating securities. The Company’s participating securities do not have a contractual obligation to share in the Company’s losses. As such, the net loss was attributed entirely to common stockholders for all periods presented. Basic net loss per common share attributable to common stockholders is calculated by dividing the net loss by the weighted-average number of common shares outstanding during the period, without consideration of potentially dilutive securities. Diluted net loss per share attributable to common stockholders is computed by dividing the net loss by the weighted-average number of common shares and potentially dilutive securities outstanding for the period. For purposes of the diluted net loss per share attributable to common stockholders’ calculation, common stock options, restricted stock units and common stock warrants are considered to be potentially dilutive securities. As the Company has reported a net loss for the periods presented, basic and diluted net loss per share attributable to common stockholders is the same as all potentially dilutive securities would have an anti-dilutive impact.

    10

    Table of Contents

    The following table presents the calculation of basic and diluted net loss per share for the three months ended March 31, 2025 and 2024 (in thousands, except share and per share data):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three Months Ended March 31, 

    ​

    ​

    2025

        

    2024

    Numerator:

    ​

    ​

    ​

    ​

    ​

    ​

    Net loss

    ​

    $

    (18,176)

    ​

    $

    (6,629)

    Denominator:

    ​

    ​

    ​

    ​

    ​

    ​

    Weighted-average shares of Series A and Series B common stock outstanding, basic and diluted

    ​

     

    32,195,345

    ​

     

    29,039,427

    Net loss per share of Series A and Series B common stock outstanding, basic and diluted

    ​

    $

    (0.56)

    ​

    $

    (0.23)

    ​

    The following potentially dilutive securities have been excluded from the computation of diluted weighted-average shares of Series A and Series B common stock outstanding, as their effect would have been anti-dilutive:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three Months Ended March 31, 

    ​

        

    2025

        

    2024

    Options to purchase Series A common stock

    ​

    5,494,659

    ​

    3,518,803

    Warrants to purchase Series A common stock

    ​

    1,000

    ​

    1,000

    Unvested restricted stock units

    ​

    1,098,399

    ​

    1,125,840

    Total

     

    6,594,058

     

    4,645,643

    ​

    New accounting pronouncements not yet adopted

    The Company considers the applicability and impact of all ASUs. ASUs not discussed below were assessed and either determined to be not applicable or expected to have minimal impact on the Company’s financial statements.

    In November 2024, the FASB issued ASU 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which requires public business entities to disclose, for interim and annual reporting periods, additional information about certain income statement expense categories. ASU 2024-03 is effective for annual periods beginning after December 15, 2026, and interim reporting periods beginning after December 15, 2027. Early adoption is permitted and is effective on either a prospective basis or retrospective basis. The Company is currently evaluating the impact of the adoption of this standard on its financial statements and related disclosures.

    In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740)—Improvements to Income Tax Disclosures, a final standard on improvements to income tax disclosures. The standard requires disaggregated information about a reporting entity's effective tax rate reconciliation as well as information on income taxes paid. The standard is intended to benefit investors by providing more detailed income tax disclosures that would be useful in making capital allocation decisions and applies to all entities subject to income taxes. The new standard is effective for annual periods beginning after December 15, 2024. The Company is currently evaluating the impact of the adoption of this standard on its disclosures and will adopt the ASU for its Annual Report on Form 10-K for the year ended December 31, 2025.

    ​

    3.

    Fair Value Measurements and Fair Value of Financial Instruments

    The authoritative guidance on fair value measurements establishes a three-tier fair value hierarchy for disclosure of fair value measurements as follows:

    Level 1 - Quoted prices in active markets for identical assets or liabilities.

    Level 2 - Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

    11

    Table of Contents

    Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

    As of March 31, 2025 and December 31, 2024, financial assets measured at fair value on a recurring basis consisted of cash equivalents and marketable securities. Cash equivalents consist primarily of money market funds and other investments that are readily convertible into cash and have maturities of three months or less at the time of acquisition. The fair value of cash equivalents was $64.2 million and $75.3 million as of March 31, 2025 and December 31, 2024, respectively. The Company considers marketable securities with maturities greater than three months at the time of acquisition to be available-for-sale securities. The fair value of available-for-sale securities was $79.9 million and $82.8 million as of March 31, 2025 and December 31, 2024, respectively. These available-for-sale securities have expected maturities ranging from 0.03 to 10.7 months. The fair value of marketable securities, which are Level 2 financial instruments, is based upon market prices quoted on the last day of the fiscal period or other observable market inputs. The Company obtains pricing information from its investment manager and generally determines the fair value of investment securities using standard observable inputs, including reported trades, broker-dealer quotes, bids and/or offers.

    The Company evaluates securities with unrealized losses, if any, to determine whether the decline in fair value has resulted from credit loss or other factors, including various qualitative factors. As of March 31, 2025, the Company has not recognized any impairment or credit losses on the Company’s available-for-sale securities. While the Company classifies these securities as available-for-sale, the Company does not intend to sell its investments and based on its current plans, the Company currently believes it has the ability to hold these investments until maturity.

    The carrying values of the Company’s accounts payable and accrued expenses and other current liabilities approximate their fair values due to the short-term nature of these liabilities.

    Assets and liabilities measured at fair value are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires management to make judgments and consider factors specific to the asset or liability.

    The Company’s Level 3 liabilities that are measured at fair value on a recurring basis consist of the Series A common stock warrant liability related to the warrant to purchase 1,000 shares of Series A common stock with an exercise price of $69.94 per share and an expiration date of July 18, 2026, the third anniversary date of the closing of the Company’s IPO. The fair value of Series A common stock warrant liability was immaterial as of March 31, 2025 and December 31, 2024, as well as the change in fair value during the three months ended March 31, 2025 and 2024. There were no transfers within the hierarchy during the periods presented.

    The following tables set forth the Company’s financial assets that were measured at fair value on a recurring basis by level within the fair value hierarchy (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    ​

    ​

    ​

    March 31, 2025

    ​

    ​

    ​

    Valuation

        

    Amortized

        

    Unrealized

        

    Unrealized

        

    ​

    ​

    ​

    ​

    Hierarchy

    ​

    cost

    ​

    Gains

    ​

    Losses

    ​

    Fair Value

    Assets

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Cash equivalents:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Money market funds

    ​

    ​

    Level 1

    ​

    $

    64,201

    ​

    $

    —

    ​

    $

    —

    ​

    $

    64,201

    Total cash equivalents

    ​

    ​

    ​

    ​

    ​

    64,201

    ​

    ​

    —

    ​

    ​

    —

    ​

    ​

    64,201

    Short-term marketable securities:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Commercial paper

        

    ​

    Level 2

    ​

    ​

    20,988

        

    ​

    4

        

    ​

    (2)

        

    ​

    20,990

    Corporate debt securities

    ​

    ​

    Level 2

    ​

    ​

    4,465

    ​

    ​

    2

    ​

    ​

    —

    ​

    ​

    4,467

    U.S. Treasury securities

    ​

    ​

    Level 2

    ​

    ​

    39,924

    ​

    ​

    109

    ​

    ​

    —

    ​

    ​

    40,033

    Agency securities

    ​

    ​

    Level 2

    ​

    ​

    11,868

    ​

    ​

    —

    ​

    ​

    (2)

    ​

    ​

    11,866

    Asset-backed securities

    ​

    ​

    Level 2

    ​

    ​

    2,486

    ​

    ​

    10

    ​

    ​

    —

    ​

    ​

    2,496

    Total short-term marketable securities

    ​

    ​

    ​

    ​

    ​

    79,731

    ​

    ​

    125

    ​

    ​

    (4)

    ​

    ​

    79,852

    Total cash equivalents and marketable securities

    ​

    ​

    ​

    ​

    $

    143,932

    ​

    $

    125

    ​

    $

    (4)

    ​

    $

    144,053

    ​

    12

    Table of Contents

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    December 31, 2024

    ​

    ​

    ​

    Valuation

        

    Amortized

        

    Unrealized

        

    Unrealized

        

    ​

    ​

    ​

    ​

    Hierarchy

    ​

    cost

    ​

    Gains

    ​

    Losses

    ​

    Fair Value

    Assets

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Cash equivalents:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Money market funds

    ​

    ​

    Level 1

    ​

    $

    72,800

    ​

    $

    —

    ​

    $

    —

    ​

    $

    72,800

    U.S. Treasury securities

    ​

    ​

    Level 2

    ​

    ​

    2,477

    ​

    ​

    —

    ​

    ​

    —

    ​

    ​

    2,477

    Total cash equivalents

    ​

    ​

    ​

    ​

    ​

    75,277

    ​

    ​

    —

    ​

    ​

    —

    ​

    ​

    75,277

    Short-term marketable securities:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Commercial paper

        

    ​

    Level 2

    ​

    ​

    14,447

        

    ​

    25

        

    ​

    (1)

        

    ​

    14,471

    Corporate debt securities

    ​

    ​

    Level 2

    ​

    ​

    6,909

    ​

    ​

    7

    ​

    ​

    —

    ​

    ​

    6,916

    U.S. Treasury securities

    ​

    ​

    Level 2

    ​

    ​

    27,493

    ​

    ​

    123

    ​

    ​

    —

    ​

    ​

    27,616

    Agency securities

    ​

    ​

    Level 2

    ​

    ​

    21,345

    ​

    ​

    12

    ​

    ​

    (2)

    ​

    ​

    21,355

    Asset-backed securities

    ​

    ​

    Level 2

    ​

    ​

    5,030

    ​

    ​

    22

    ​

    ​

    —

    ​

    ​

    5,052

    Total short-term marketable securities

    ​

    ​

    ​

    ​

    ​

    75,224

    ​

    ​

    189

    ​

    ​

    (3)

    ​

    ​

    75,410

    Long-term marketable securities:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    U.S. Treasury securities

    ​

    ​

    Level 2

    ​

    ​

    4,884

    ​

    ​

    36

    ​

    ​

    —

    ​

    ​

    4,920

    Asset-backed securities

    ​

    ​

    Level 2

    ​

    ​

    2,480

    ​

    ​

    8

    ​

    ​

    —

    ​

    ​

    2,488

    Total long-term marketable securities

    ​

    ​

    ​

    ​

    ​

    7,364

    ​

    ​

    44

    ​

    ​

    —

    ​

    ​

    7,408

    Total cash equivalents and marketable securities

    ​

    ​

    ​

    ​

    $

    157,865

    ​

    $

    233

    ​

    $

    (3)

    ​

    $

    158,095

    ​

    ​

    ​

    4.

    Prepaid Expenses and Other Current Assets

    Prepaid expenses and other current assets consisted of the following (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    As of

    ​

    ​

    March 31, 

    ​

    December 31, 

    ​

    ​

    2025

        

    2024

    Prepaid clinical costs

    ​

    $

    226

    ​

    $

    436

    Prepaid research and development costs

    ​

    ​

    112

    ​

    ​

    48

    Prepaid insurance

    ​

    ​

    277

    ​

    ​

    577

    Deferred financing costs

    ​

    ​

    625

    ​

    ​

    306

    Other

    ​

     

    263

    ​

     

    157

    Total prepaid expenses and other current assets

    ​

    $

    1,503

    ​

    $

    1,524

    ​

    ​

    ​

    5.

    Accrued Expenses and Other Current Liabilities

    Accrued expenses and other current liabilities consisted of the following (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    As of

    ​

    ​

    March 31, 

    ​

    December 31, 

    ​

    ​

    2025

        

    2024

    Accrued payroll-related costs

    ​

    $

    423

    ​

    $

    1,358

    Accrued clinical costs

    ​

    ​

    665

    ​

    ​

    528

    Accrued research and development costs

    ​

    ​

    1,829

    ​

    ​

    516

    Accrued general and administrative costs

    ​

    ​

    938

    ​

    ​

    544

    Accrued offering costs

    ​

    ​

    47

    ​

    ​

    —

    Other

    ​

     

    16

    ​

     

    5

    Total accrued expenses and other current liabilities

    ​

    $

    3,918

    ​

    $

    2,951

    ​

    ​

    13

    Table of Contents

    6.

    Commitments and Contingencies

    License and other agreements

    Ascletis BioScience Co. Ltd

    In January 2019, the Company entered into a license agreement that became effective in February 2019 with Ascletis BioScience Co. Ltd. (Ascletis), a subsidiary of Ascletis Pharma Inc. (Ascletis Pharma), a biotechnology company incorporated in the Cayman Islands and headquartered in Hangzhou, China. Ascletis Pharma, through a subsidiary, was the lead investor in the Company’s Series E redeemable convertible preferred stock financing in February 2019. The parties entered into this agreement with the intention to develop, manufacture, and commercialize the Company’s proprietary FASN inhibitor, denifanstat, which Ascletis refers to as ASC40. Under the terms of the license agreement, the Company granted Ascletis and its affiliates an exclusive, royalty-bearing sublicensable right and license under the Company’s intellectual property to develop, manufacture, commercialize and otherwise exploit denifanstat and other products containing denifanstat-related compounds in Greater China, consisting of the People’s Republic of China, Hong Kong, Macau and Taiwan.

    The Company is eligible to receive development and commercial milestone payments from Ascletis in aggregate of up to $122.0 million as well as tiered royalties ranging from percentages in the high single digits to mid-teens on future net sales of denifanstat in Greater China. The license and the research and development services components of this license agreement are representative of a relationship with a customer, and therefore, the Company evaluated the license agreement under the provisions of ASC 606, Revenue from Contracts with Customers. The developmental and commercial event-based milestone payments represent variable consideration, and the Company used the most likely amount method to estimate this variable consideration because the potential milestone payment is a binary event, as the Company will either receive the milestone payment or it will not. Given the high degree of uncertainty around achievement of these milestones, the Company determined the milestone amounts to be fully constrained and will not recognize revenue until the uncertainty associated with these payments is resolved. Any consideration related to royalties will be recognized if and when the related sales occur. The Company re-assesses the transaction price in each reporting period and when events whose outcomes are resolved or other changes in circumstances occur.

    In July 2023, the Company entered into an Assignment and Assumption Agreement with Ascletis and Ascletis’ affiliate Gannex Pharma Co., Ltd. (Gannex) under which Ascletis, while remaining responsible for performance under the license agreement, assigned all of its rights and obligations under the license agreement to Gannex and Gannex assumed such rights and obligations, effective as of October 2019.

    Facility Lease Agreement

    On March 12, 2019, the Company executed a 38-month non-cancelable operating lease agreement for 3,030 square feet of office space for its headquarters facility in San Mateo, California, which commenced April 1, 2019. The lease provides for monthly lease payments of approximately $12,000 with annual increases. In December, 2021, the lease agreement was amended to extend the term of the lease through June 2024; in April 2024, the Company amended the lease agreement to (i) extend the lease through June 30, 2025 and (ii) increase the monthly lease payment to approximately $13,000 beginning on July 1, 2024, which resulted in an increase in the Company’s operating lease right-of-use asset and corresponding operating lease liability of $0.1 million on the amendment date.

    Operating lease costs were $39,000 and $37,000 for the three months ended March 31, 2025, and 2024, respectively.

    Guarantees and indemnifications

    In the normal course of business, the Company enters into agreements that contain a variety of representations and provide for general indemnification. The Company’s exposure under these agreements is unknown because it involves claims that may be made against the Company in the future. In addition, the Company has entered into indemnification agreements with members of its board of directors and its executive officers that will require the Company, among other things, to indemnify them against certain liabilities that may arise by reason of their status or service as directors or officers. To date, the Company has not paid any claims or been required to defend any action related to its indemnification obligations. As of March 31, 2025, the Company does not have any material indemnification claims that were probable or reasonably possible and consequently has not recorded related liabilities.

    14

    Table of Contents

    Legal Proceedings

    From time to time, the Company may become involved in various legal proceedings that arise in the ordinary course of its business. The Company records a liability for such matters when it is probable that future losses will be incurred and that such losses can be reasonably estimated. Significant judgment by the Company is required to determine both probability and the estimated amount. The Company is not party to any material legal proceedings as of March 31, 2025.

    ​

    ​

    7.

    Stock-Based Compensation

    The 2023 Stock Option and Incentive Plan (2023 Plan) was adopted by the board of directors, approved by the Company’s stockholders on July 4, 2023, and became effective on July 13, 2023, replacing the 2017 Equity Incentive Plan. The number of shares initially reserved for issuance under the 2023 Plan was 2,585,968. The number of shares will automatically increase each January 1, by (i) 4% of the outstanding number of shares of the Company’s Series A common stock on the immediately preceding December 31 or (ii) a lesser number of shares as determined by the compensation committee of the board of directors. In accordance with the 2023 Plan, the shares reserved for issuance automatically increased by 855,016 shares on January 1, 2024, and by 1,226,994 shares on January 1, 2025. As of March 31, 2025, the aggregate maximum number of shares reserved for issuance under the 2023 Plan was 4,667,978, of which 1,670,598 shares were available for future grant. Option grants issued under the 2023 Plan are exercisable for up to 10 years from the date of issuance.

    In March 2024, the Company established a pool of 1,000,000 shares of Series A common stock (Inducement Pool) from which equity grants in the form of options and restricted stock units may be issued as inducement for new employees to accept employment offers from the Company or for individuals returning to employment after a bona fide period of non-employment with the Company. Inducement Pool grants are granted outside of the 2023 Plan and do not require approval from the Company’s stockholders pursuant to the Nasdaq inducement grant exception in accordance with Nasdaq Listing Rule 5635(c)(4). In February 2025, the Company increased the number of shares available for issuance by 300,000 shares, increasing the total number of shares available for issuance under the Inducement Pool to 1,300,000 shares. As of March 31, 2025, 404,017 shares were available for future grants from the Inducement Pool.

    Total stock-based compensation recorded in the condensed statements of operations and comprehensive loss related to stock options and restricted stock units for employees and non-employees was as follows (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    Three Months Ended March 31, 

        

    ​

    ​

    2025

        

    2024

    ​

    Stock options

    ​

    $

    1,223

    ​

    $

    449

    ​

    Restricted stock units

    ​

     

    249

    ​

     

    310

    ​

    Total stock-based compensation expense

    ​

    $

    1,472

    ​

    $

    759

    ​

    Included in:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    General and administrative expense

    ​

    $

    1,248

    ​

    $

    513

    ​

    Research and development expense

    ​

     

    224

    ​

     

    246

    ​

    Total stock-based compensation expense

    ​

    $

    1,472

    ​

    $

    759

    ​

    ​

    Stock options

    ​

    The Company grants stock options which consist of (i) time-based options, which vest and become exercisable, subject to the participant’s continued employment or service through the applicable vesting date and (ii) performance-based options, which vest based on performance measures against predetermined objectives that include successful completion of qualified equity offerings or announced

    15

    Table of Contents

    topline results for clinical trials and positive clinical results over a specified performance period. The Company’s time-based options have various vesting schedules that range from vesting immediately to vesting over a four-year period.

    The following table summarizes stock option activity for the three months ended March 31, 2025 (in thousands, except share and per share data):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    ​

        

    ​

    ​

        

    Weighted- 

        

    ​

    ​

    ​

    ​

    Number of 

    ​

    ​

    ​

    ​

    Average 

    ​

    ​

    ​

    ​

    ​

    Shares 

    ​

    Weighted- 

    ​

    Remaining 

    ​

    ​

    ​

    ​

    ​

    Underlying 

    ​

    Average 

    ​

    Contractual 

    ​

    Aggregate 

    ​

    ​

    Outstanding 

    ​

    Exercise 

    ​

    Term 

    ​

    Intrinsic 

    ​

    ​

    Options

    ​

    Price

    ​

    (in Years)

    ​

    Value (1)

    Outstanding, January 1, 2025

     

    4,462,517

    ​

    $

    6.58

     

    7.4

    ​

    $

    619

    Granted

     

    1,032,289

    ​

    ​

    4.71

     

    ​

    ​

     

    ​

    Forfeited/expired

     

    (147)

    ​

    ​

    23.05

     

    ​

    ​

     

    ​

    Outstanding, March 31, 2025 (2)

     

    5,494,659

    ​

    $

    6.23

     

    7.7

    ​

    $

    26

    Vested and expected to vest, March 31, 2025

     

    5,494,659

    ​

    $

    6.23

     

    7.7

    ​

    $

    26

    Exercisable at March 31, 2025

     

    2,741,368

    ​

    $

    7.06

     

    6.2

    ​

    $

    —

    ____________

    ​

    (1)Aggregate intrinsic value represents the difference between the fair value of the Company’s Series A common stock on the last day of the fiscal period and the exercise price, multiplied by the number of options outstanding.
    (2)Includes 492,729 performance-based options with a weighted-average exercise price of $6.42, all of which were fully vested and exercisable.

    During the three months ended March 31, 2025 and 2024, the weighted average grant-date fair value per share of stock options granted was $3.71 and $4.34, respectively. The total intrinsic value of stock options exercised during the three months ended March 31, 2024, was $0.1 million. Additionally, during the three months ended March 31, 2024, cash received from the exercise of stock options was approximately $0.1 million.

    As of March 31, 2025, there was $11.1 million of unrecognized compensation expense, which is expected to be recognized over a remaining weighted-average period of 2.7 years.

    Restricted stock units

    The Company’s restricted stock units generally vest over a four-year period in equal amounts on an annual basis, provided the employee remains continuously employed with the Company. The fair value of the restricted stock units is equal to the closing price of the Company’s Series A common stock on the grant date.

    The following table summarizes restricted stock unit activity:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Weighted-Average

    ​

        

    Restricted

        

    Grant Date

    ​

        

    Stock Units

        

    Fair Value

    Outstanding, January 1, 2025

     

    844,382

    ​

    $

    2.96

    Granted

     

    254,017

    ​

    ​

    4.71

    Outstanding, March 31, 2025

    ​

    1,098,399

    ​

    $

    3.36

    ​

    As of March 31, 2025, the total unrecognized compensation expense related to unvested restricted stock units was $3.1 million, which is expected to be recognized over a remaining weighted-average period of 2.9 years.

    16

    Table of Contents

    Valuation assumptions

    The fair value of each stock option granted was estimated on the date of grant using the Black-Scholes option pricing model using the following assumptions:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

        

    Three Months Ended March 31, 

    ​

    ​

    2025

    ​

    2024

    Expected volatility

     

    95.0

    %  

    ​

    96.0

    %  

    Risk-free interest rate

     

    4.3

    %  

    ​

    4.1

    %  

    Dividend yield

     

    —

     

    ​

    —

     

    Expected term (in years)

     

    6.0

    ​

    ​

    6.1

    ​

    ​

    The expected term is determined using the simplified method, which represents the average of the contractual term of the options and the weighted-average expected vesting period. The risk-free interest rate is determined by reference to the U.S. Treasury yield curve in effect at the time of grant of the award for time periods approximately equal to the expected term of the option. The expected stock volatility rate is based on the volatility rates of comparable publicly held companies over a period equal to the expected term of the option. The Company utilizes a dividend yield of zero based on the fact that the Company has never paid cash dividends to stockholders and has no current intentions to pay cash dividends.

    ​

    Employee stock purchase plan

    ​

    The 2023 Employee Stock Purchase Plan (the ESPP) was adopted by the board of directors in July 2023 with an initial total of 215,497 shares of Series A common stock reserved for issuance. Under the ESPP plan, the amount of shares reserved automatically increases each January 1 through January 1, 2033, by the least of (i) 215,497 shares of Series A common stock, (ii) 1% of the outstanding number of shares of the Company’s Series A common stock on the immediately preceding December 31 or (iii) such lesser number of shares of Series A common stock as determined by the administrator of the ESPP. In accordance with the ESPP, the shares reserved for issuance automatically increased by 213,754 shares on January 1, 2024, and by 215,497 shares on January 1, 2025. As of March 31, 2025, the aggregate maximum number of shares reserved for issuance under the ESPP was 644,748. No shares of Series A common stock have been issued under the ESPP to date.

    ​

    ​

    ​

    8.

    Related Party Transactions

    Jinzi J. Wu, Ph.D., a member of the Company’s board of directors until June 2024, founded and serves as the chief executive officer of Ascletis, Gannex, and Ascletis Pharma.

    ​

    During the three months ended March 31, 2024, the Company recognized $96,000 of expenses under the Ascletis license agreement, inclusive of manufacturing services fees charged by Ascletis pursuant to the manufacturing agreement with Ascletis which falls under the license agreement. These expenses are recorded in research and development expense in the statements of operations and comprehensive loss.

    ​

    9.

    Segment Reporting

    Operating segments are defined as components of an entity about which discrete financial information is evaluated regularly by the chief operating decision maker (CODM) in deciding how to allocate resources and assess performance. The Company operates and manages its business as one business segment, which is development and commercialization of therapeutics for the treatment of MASH and other diseases where FASN plays a pathogenic role. Accordingly, the Company has one reportable segment. The Company has a single management team that reports to the Chief Executive Officer, the Company's CODM, who comprehensively manages the entire Company. The accounting policies of the segment are the same as those described in the summary of significant accounting policies.

    ​

    When evaluating the Company’s financial performance, the CODM is regularly provided with more detailed expense information than what is included in the Company’s statements of operations and comprehensive loss. The CODM uses net loss, as reported in the statements of operations and comprehensive loss, in evaluating the performance of the segment. Decisions regarding resource allocation are made primarily during the annual budget planning process and reallocated as needed throughout the year. The measure of segment assets is reported on the balance sheets as total assets.

    17

    Table of Contents

    ​

    The following table shows a reconciliation of the Company’s net loss, including the significant expense categories regularly provided to and reviewed by the CODM, as computed under U.S. GAAP, to the Company’s total net loss in the statements of operations and comprehensive loss, for the three months ended March 31, 2025, and 2024 (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three Months Ended March 31,

    ​

        

    2025

        

    2024

    External research and development expenses

    ​

    ​

    14,170

    ​

    ​

    4,191

    External general and administrative expenses

    ​

     

    2,252

    ​

     

    2,097

    Personnel costs

    ​

    ​

    1,951

    ​

    ​

    1,478

    Stock-based compensation

    ​

    ​

    1,472

    ​

    ​

    759

    Other segment items (1)

    ​

     

    (1,669)

    ​

     

    (1,896)

    Segment net loss

    ​

    $

    18,176

    ​

    $

    6,629

    ​

    (1)Other segment items consist of (i) interest and other income, net and (ii) other internal operating research and development expenses.

    ​

    ​

    ​

    18

    Table of Contents

    ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

    The following discussion and analysis of our financial condition and results of operations should be read together with our unaudited condensed financial statements and related notes included elsewhere in this report on Form 10-Q for the quarter ended March 31, 2025 (Quarterly Report). This discussion and analysis and other parts of this Quarterly Report contain forward-looking statements based upon our current plans and expectations that involve risks, uncertainties and assumptions, such as statements regarding our plans, objectives, expectations, intentions and beliefs. Our actual results and the timing of events could differ materially from those anticipated in these forward-looking statements as a result of various factors, including those set forth under “Risk Factors” and elsewhere in this Quarterly Report. You should carefully read the “Risk Factors” section of this Quarterly Report to gain an understanding of the important factors that could cause actual results to differ materially from our forward-looking statements.

    Overview

    We are a clinical-stage biopharmaceutical company developing novel therapeutics called fatty acid synthase (FASN) inhibitors that target dysfunctional metabolic and fibrotic pathways in diseases resulting from the overproduction of the fatty acid, palmitate. Our lead drug candidate, denifanstat, is an oral, once-daily pill and selective FASN inhibitor in development for the treatment of metabolic dysfunction-associated steatohepatitis (MASH), acne, and select forms of cancer.

    Denifanstat has been studied in over 740 people to date in our clinical trials, including our Phase 2 FASCINATE-1 and Phase 2b FASCINATE-2 clinical trials. In January 2024, we announced positive topline results from the Phase 2b FASCINATE-2 clinical trial evaluating denifanstat in 168 biopsy-confirmed MASH patients with stage F2 or F3 fibrosis compared to placebo at week 52. The Phase 2b FASCINATE-2 clinical trial achieved statistically significant results on primary and multiple secondary endpoints at week 52 in MASH patients in the modified intention to treat (mITT) population, including:

    •The primary endpoints of ≥2-point reduction in NAS (NAFLD Activity Score) without worsening of fibrosis (denifanstat 52% vs. placebo 20%, p=0.0003), and MASH resolution without worsening of fibrosis with ≥2-point reduction in NAS (denifanstat 36% vs. placebo 13%, p=0.0044).
    •Multiple secondary endpoints of fibrosis improvement by ≥ 1 stage with no worsening of MASH (denifanstat 41% vs. placebo 18%, p=0.0102), MASH resolution with no worsening of fibrosis (denifanstat 38% vs. placebo 16%, p=0.0043), and a greater proportion of MRI-derived proton density fat fraction (MRI-PDFF) ≥30% responders relative to placebo (denifanstat 65% vs. placebo 21%, p<0.0001). MRI-PDFF responders are patients with ≥8% liver fat content at baseline who achieve a ≥30% relative reduction of liver fat at the end of treatment.

    Denifanstat showed also statistical significance in fibrosis improvement as measured by an artificial intelligence (AI) digital pathology-based qFibrosis assessment. Additionally, our precision medicine approach is core to our development strategy in MASH and includes the identification of pharmacodynamic and predictive biomarkers to confirm target engagement and clinical response in patients treated with denifanstat.

    ​

    In June 2024, we presented positive data from the Phase 2b FASCINATE-2 clinical trial of denifanstat versus placebo in biopsy-confirmed MASH patients at the European Association for the Study of the Liver (EASL) Congress.  Our EASL presentation included the following 52-week data from the ITT, mITT, and F3 mITT patient populations: 

    ​

    •The primary endpoint of ≥2-point reduction in NAS without worsening of fibrosis (denifanstat 38% vs. placebo 16%, p=0.0035) or MASH resolution with ≥2-point reduction in NAS without worsening of fibrosis (denifanstat 26% vs. placebo 11%, p=0.0173) in the ITT population.
    •Secondary endpoints of fibrosis improvement by ≥ 1 stage with no worsening of MASH in the ITT (denifanstat 30% vs. placebo 14%, p=0.040) and F3 mITT (denifanstat 49% vs. placebo 13%, p=0.0032) populations.
    •Fibrosis improvement by ≥ 2 stages with no worsening of MASH in the mITT (denifanstat 20% vs. placebo 2%, p=0.0065) and F3 mITT (denifanstat 34% vs. placebo 4%, p=0.0065) populations.

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    Table of Contents

    •A statistically significant difference in progression to cirrhosis (F4) in mITT population (denifanstat 5% vs. placebo 11%, p=0.0386).
    •A statistically significant difference in fibrosis improvement by ≥ 1 stage with no worsening of MASH for patients on a stable background dose of a GLP-1Receptor Agonist (denifanstat 42% vs. placebo 0%, p=0.034) in the mITT population.

    ​

    •A statistically significant increase in beneficial polyunsaturated triglycerides at the end of 52 weeks of treatment (+42% denifanstat vs. -4% placebo, p<0.001) in the mITT population.
    •A biomarker of denifanstat activity (tripalmitin) showed an early and sustained reduction in de novo lipogenesis at 4-weeks (-2.4ug/ml with denifanstat vs. -0.4ug/mL placebo, p=0.001) and 13-weeks (-2.2ug/mL with denifanstat vs. -0.1ug/mL placebo, p=0.005) in the ITT population.

    In October 2024, the U.S. Food and Drug Administration (FDA) granted Breakthrough Therapy designation to denifanstat for the treatment of non-cirrhotic MASH with moderate to advanced liver fibrosis (consistent with stages F2 to F3 fibrosis). Treatments that receive Breakthrough Therapy designation must target a serious or life-threatening disease and preliminary clinical evidence must indicate that the drug may demonstrate a substantial improvement over existing therapies on one or more clinically significant endpoints. Breakthrough Therapy designation of denifanstat was supported by positive data from the Phase 2b FASCINATE-2 clinical trial in biopsy-confirmed MASH patients with stage 2 or stage 3 fibrosis.

    In October 2024, we announced the publication of results from the Phase 2b FASCINATE-2 clinical trial of denifanstat in The Lancet Gastroenterology & Hepatology. The publication, titled “Denifanstat for the treatment of metabolic-dysfunction associated steatohepatitis: a multicentre, double-blind, randomised, placebo-controlled, phase 2b trial,” reported that denifanstat treatment achieved statistically significant and clinically meaningful improvements in disease activity, MASH resolution and fibrosis.

    In October 2024, we completed successful end-of-Phase 2 interactions with the FDA, supporting the advancement of denifanstat into Phase 3 clinical trials in MASH. The Phase 3 program design includes two double-blind, placebo-controlled multicenter registrational trials: FASCINATE-3, evaluating patients with F2/F3 (non-cirrhotic) MASH, and FASCINIT, evaluating patients with suspected or confirmed diagnosis of metabolic dysfunction-associated steatotic liver disease (MASLD)/MASH. While we are operationally ready to dose patients in the Phase 3 trials, we do not intend to initiate these trials until such time as we have sufficient funding to do so. We are currently exploring various alternatives to fund the ongoing development of denifanstat as a monotherapy.

    In the second half of 2025, subject to consultation with regulatory authorities, we plan to initiate a Phase 1 clinical trial to evaluate the pharmacokinetics (PK) and tolerability of a combination of denifanstat and resmetirom with an anticipated data readout in the first half of 2026. We presented pre-clinical data at EASL in 2024 for two mouse models of MASH, showing that the combination of a FASN inhibitor (TVB-3664, a surrogate for denifanstat) and the thyroid hormone receptor beta (THRb) agonist, resmetirom, had a synergistic effect on important liver disease markers, including improvement of NAS by histologic analysis and more robust improvement in hepatic collagen content compared to the single agents. Synergistic activity of the combination was demonstrated in the rate of histological improvement (NAS ≥2 points). The FASN inhibitor monotherapy showed 33% improvement, resmetirom monotherapy showed 25% improvement, and the combination of the two showed an 80% improvement, a level of improvement that greatly exceeds a simple addition of the activity of the two drugs. Given that resmetirom (Rezdiffra™) is currently the only product approved for treatment of MASH, the planned Phase 1 clinical PK trial would allow us to explore the compatibility of resmetirom and denifanstat in humans. We anticipate building on the outcome of this Phase 1 clinical PK trial, if positive, to develop a combination product for MASH patients.

    In addition to MASH, we are exploring our FASN inhibitors in acne, in which dysregulation of fatty acid metabolism also plays a key role. Denifanstat is currently being tested in China in moderate to severe acne vulgaris by our license partner, Ascletis BioScience Co. Ltd. (Ascletis), a subsidiary of Ascletis Pharma Inc. (Ascletis Pharma), in a Phase 3 clinical trial. In November 2024, Ascletis announced completion of enrollment of 480 patients in the acne Phase 3 clinical trial and that it expects to announce topline results in the second quarter of 2025.

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    Table of Contents

    In March 2025, we announced the clearance of our Investigational New Drug (IND) application for a first-in-human Phase 1 clinical trial of our second FASN inhibitor, TVB-3567. TVB-3567 is a potent and selective small molecule FASN inhibitor, planned to enter clinical development for the treatment of acne. The IND clearance allows us to initiate a first-in-human Phase 1 clinical trial of TVB-3567 for development of an acne indication, which we expect to initiate in the second half of 2025. The planned Phase 1 clinical trial will be a randomized double-blind placebo-controlled trial designed to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of TVB-3567 in healthy participants with or without acne. The trial is expected to be comprised of several parts, including single ascending dose cohorts and multiple ascending dose cohorts in participants without acne, followed by testing in participants with acne including evaluation of pharmacodynamic biomarkers.

    We are also exploring the use of our FASN inhibitors in select forms of cancer. Denifanstat is currently being tested in China by Ascletis in a Phase 3 clinical trial in recurrent glioblastoma multiforme (GBM) in combination with bevacizumab.

    Components of results of operations

    Research and development expenses

    Research and development expenses represent costs incurred in performing research, development and manufacturing activities in support of our own product development efforts and include internal personnel-related costs (such as salaries, employee benefits and stock-based compensation) for our personnel in research and development functions; as well as external costs, including costs related to acquiring, developing and manufacturing supplies for preclinical studies, clinical trials and other studies, including fees paid to contract manufacturing organizations (CMOs); costs and expenses related to agreements with contract research organizations (CROs), investigative sites and consultants to conduct non-clinical and preclinical studies and clinical trials; professional and consulting services costs; and facility and other allocated costs.

    All research and development expenses are charged to operations as incurred in accordance with Accounting Standards Codification 730, Research and Development. We account for non-refundable advance payments for goods and services that will be used in future research and development activities as expenses when the service has been performed or when the goods have been received, rather than when the payment is made.

    We expect our research and development expenses to increase substantially for the foreseeable future as we advance our drug candidates into and through preclinical studies and clinical trials, pursue regulatory approval and expand our pipeline.

    General and administrative expenses

    Our general and administrative expenses consist primarily of costs and expenses related to: personnel (including salaries, employee benefits and stock-based compensation) in our executive, finance and accounting and other administrative functions; legal services, including relating to intellectual property and corporate matters; accounting, auditing, consulting and tax services; insurance; information technology; and facility and other allocated costs not otherwise included in research and development expenses.

    We expect our general and administrative expenses to increase substantially for the foreseeable future as we increase our headcount and continue to grow our corporate infrastructure. We also anticipate that we will incur increased expenses as a result of operating as a public company, including expenses related to audit, legal and tax-related services associated with maintaining compliance with Securities and Exchange Commission (SEC) rules and regulations and those of any national securities exchange on which our securities are traded, additional insurance expenses, investor relations activities and other administrative and professional services.

    Other income

    Other income consists primarily of interest income earned on our cash, cash equivalents and marketable securities offset by accretion of discounts to maturity on our marketable securities.

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    Table of Contents

    Results of operations

    Comparison of the three months ended March 31, 2025 and 2024

    The following table summarizes our results of operations for the periods indicated (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

     

    ​

    ​

    Three Months Ended March 31,

    ​

    ​

    ​

    ​

    ​

     

    ​

        

    2025

        

    2024

        

    $ Change

        

    % Change

     

    Operating expenses:

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Research and development

    ​

    $

    15,342

    ​

    $

    5,262

    ​

    $

    10,080

     

    192

    %

    General and administrative

    ​

     

    4,523

    ​

     

    3,506

    ​

     

    1,017

     

    29

    %

    Total operating expenses

    ​

     

    19,865

    ​

     

    8,768

    ​

     

    11,097

     

    127

    %

    Loss from operations

    ​

     

    (19,865)

    ​

     

    (8,768)

    ​

     

    (11,097)

     

    127

    %

    Total other income

    ​

     

    1,689

    ​

     

    2,139

    ​

     

    (450)

     

    (21)

    ​

    Net loss

    ​

    $

    (18,176)

    ​

    $

    (6,629)

    ​

    $

    (11,547)

     

    174

    %

    ​

    Research and development – Research and development expenses for the three months ended March 31, 2025 and 2024 were comprised of the following (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

     

    ​

    ​

    Three Months Ended March 31,

    ​

    ​

    ​

    ​

    ​

     

    ​

        

    2025

        

    2024

        

    $ Change

        

    % Change

     

    External expenses

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Clinical development and research

    ​

    $

    11,479

    ​

    $

    1,844

    ​

    $

    9,635

     

    523

    %

    Manufacturing and non-clinical

    ​

    ​

    2,123

    ​

    ​

    2,001

    ​

    ​

    122

    ​

    6

    %

    External consulting and other

    ​

     

    568

    ​

    ​

    346

    ​

     

    222

     

    64

    %

    Subtotal - external expenses

    ​

    $

    14,170

    ​

    $

    4,191

    ​

    $

    9,979

     

    238

    %

    Internal expenses

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Personnel costs

    ​

    $

    928

    ​

    $

    582

    ​

    $

    346

     

    59

    %

    Stock-based compensation

    ​

    ​

    224

    ​

    ​

    246

    ​

    ​

    (22)

    ​

    (9)

    %

    Other internal operating expenses

    ​

    ​

    20

    ​

    ​

    243

    ​

    ​

    (223)

    ​

    (92)

    %

    Subtotal - internal expenses

    ​

    $

    1,172

    ​

    $

    1,071

    ​

    $

    101

     

    9

    %

    Total R&D expenses

    ​

    $

    15,342

    ​

    $

    5,262

    ​

    $

    10,080

     

    192

    %

    ​

    Research and development expenses increased by $10.1 million, or 192%, for the three months ended March 31, 2025, compared to the three months ended March 31, 2024. This increase was primarily due to (i) a $9.6 million net increase in clinical trial expenses related primarily to start-up costs incurred for our Phase 3 program of denifanstat in MASH, which was partially offset by lower clinical trial expenses for the Phase 2b FASCINATE-2 trial as the trial was substantially complete in the first quarter of 2024 and topline results for the trial were announced in January 2024, and (ii) a $0.3 million increase in personnel costs due to an increase in headcount. External research and development expenses for denifanstat represent substantially all of the external expenses for the three months ended March 31, 2025 and 2024.

    General and administrative – General and administrative expenses increased by $1.0 million, or 29%, for the three months ended March 31, 2025, compared to the three months ended March 31, 2024 primarily due to (i) a $0.3 million increase in professional fees, largely due to public company compliance activities, and (ii) a $0.7 million increase in stock-based compensation.

    Other income – Other income decreased by $0.5 million for the three months ended March 31, 2025, compared to the three months ended March 31, 2024, due to a decrease in interest income earned driven by a lower cash, cash equivalents and marketable securities balance during the three months ended March 31, 2025.

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    Table of Contents

    Liquidity and capital resources

    Sources and uses of cash

    Since our inception, we have devoted substantially all of our resources to researching, discovering and developing our pipeline of proprietary FASN inhibitors and other drug targets, organizing and staffing our company, performing business planning, establishing our intellectual property portfolio, raising capital and general and administration activities to support and expand such activities. We do not have any products approved for sale and have not generated any revenue from product sales. Our revenues to date have been generated solely from the license agreement with Ascletis.

    To date, we have financed our operations primarily through public and private equity and debt financings, including our IPO of Series A common stock in July 2023 and our follow-on offering in January 2024, from which we received aggregate net proceeds of $190.9 million. Prior to becoming a public company, we raised $233.3 million in gross proceeds from the sale of our redeemable convertible preferred stock and convertible notes.

    In August 2024, we entered into a Controlled Equity Offering Sales Agreement with Cantor Fitzgerald & Co. (Cantor) to establish an at-the-market offering (ATM Offering) through which we may offer and sell, from time to time at our sole discretion, up to $75.0 million of shares of our Series A common stock through Cantor acting as our sales agent. There were no sales under the ATM Offering during the three months ended March 31, 2025.

    As of March 31, 2025, we had cash, cash equivalents and marketable securities of $144.6 million. We do not expect to generate any revenue from commercial product sales unless and until we successfully complete development and obtain regulatory approval for one or more of our drug candidates, which we expect will take a number of years, if ever. We anticipate that we will continue to incur significant expenses for the foreseeable future as we continue to advance our drug candidates through preclinical and clinical trials; manufacture supplies for our preclinical studies and clinical trials; expand our corporate infrastructure, including the costs associated with being a public company; pursue regulatory approval of our drug candidates; hire additional personnel; acquire, discover, validate and develop additional drug candidates; and obtain maintain, expand and protect our intellectual property portfolio.

    Until we can generate a sufficient amount of revenue from the commercialization of our drug candidates or additional revenue from collaboration agreements with third parties, if ever, we expect to finance our future cash needs through public or private equity or debt financings, third-party funding and marketing and distribution arrangements, as well as other collaborations, strategic alliances and licensing arrangements, or any combination of these approaches. The sale of equity or convertible debt securities may result in dilution to our stockholders and, in the case of preferred equity securities or convertible debt, those securities could provide for rights, preferences or privileges senior to those of our common stock. Debt financings may subject us to covenant limitations or restrictions on our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends. Our ability to raise additional funds may be adversely impacted by macroeconomic conditions, disruptions to and volatility in the credit and financial markets and geopolitical turmoil. There can be no assurance that we will be successful in acquiring additional funding at levels sufficient to fund our operations or on terms favorable or acceptable to us. If we are unable to obtain adequate financing when needed or on terms favorable or acceptable to us, we may be forced to delay, reduce the scope of or eliminate one or more of our research and development programs.

    Our future capital requirements will depend on many factors, including:

    ●difficulties obtaining regulatory approval to commence a clinical trial or complying with conditions imposed by a regulatory authority regarding the scope or term of a clinical trial;
    ●conditions imposed on us by the FDA or other regulatory authorities regarding the scope or design of our clinical trials;
    ●delays in reaching or failing to reach agreement on acceptable terms with prospective CROs, CMOs, and trial sites, the terms of which can be subject to extensive negotiation and may vary significantly;
    ●insufficient supply of our drug candidates or other materials necessary to conduct and complete our clinical trials;

    23

    Table of Contents

    ●difficulties obtaining institutional review board (IRB) or ethics committee approval to conduct a clinical trial at a prospective site;
    ●slow enrollment and retention rate of subjects in our clinical trials;
    ●the FDA or other regulatory authority requiring alterations to any of our study designs, our preclinical strategy or our manufacturing plans;
    ●governmental or regulatory delays and changes in regulatory requirements, policy and guidelines; serious and unexpected drug-related side effects related to the drug candidate being tested;
    ●lack of adequate funding to continue clinical trials;
    ●subjects experiencing severe or unexpected drug-related adverse effects;
    ●occurrence of severe adverse effects in clinical trials of the same class of agents conducted by other companies;
    ●any changes to our manufacturing process, suppliers or formulation that may be necessary or desired;
    ●third-party vendors not performing manufacturing and distribution services in a timely manner or to sufficient quality standards;
    ●third-party clinical investigators losing the licenses or permits necessary to perform our clinical trials, not performing our clinical trials on our anticipated schedule or consistent with the clinical trial protocol, good clinical practice (GCP), or other regulatory requirements;
    ●third-party contractors not performing data collection or analysis in a timely or accurate manner;
    ●third-party contractors becoming debarred or suspended or otherwise penalized by the FDA or other government or regulatory authorities for violations of regulatory requirements, in which case we may need to find a substitute contractor, and we may not be able to use some or all of the data produced by such contractors in support of our marketing applications; and
    ●failure of our third-party contractors, such as CROs and CMOs, or our investigators to comply with regulatory requirements or otherwise meet their contractual obligations in a timely manner.

    A change in the outcome of any of these or other variables could significantly change our costs and timing associated with the development of our drug candidates. Furthermore, our operating plans may change in the future, and we may need additional funds to meet operational needs and capital requirements associated with such change.

    We rely and will continue to rely on third parties in the conduct of our preclinical studies and clinical trials and for manufacturing and supply of our drug candidates. We have no internal manufacturing capabilities, and we will continue to rely on third parties for our preclinical study and clinical trial materials. Given our stage of development, we do not yet have a marketing or sales organization or commercial infrastructure. Accordingly, if we obtain regulatory approval for any of our drug candidates, we also expect to incur significant commercialization expenses related to product sales, marketing, manufacturing and distribution.

    We enter into contracts in the normal course of business for products and services, including contract research and contract manufacturing services, which include provisions allowing for termination under certain conditions and timelines. These contracts generally do not include payments for early termination and are considered cancellable contracts.

    Based on our current business plans, we believe that our existing cash, cash equivalents, and marketable securities as of March 31, 2025, will be sufficient for us to fund our operating expenses for at least the next 12 months from the issuance of this Quarterly Report.

    24

    Table of Contents

    Cash flows

    The following table shows a summary of our cash flows for each of the periods presented below (in thousands):

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    ​

    Three Months Ended March 31, 

    ​

        

    2025

        

    2024

    Net cash (used in) provided by:

     

    ​

      

     

    ​

      

    Operating activities

    ​

    $

    (14,536)

    ​

    $

    (6,208)

    Investing activities

    ​

     

    3,413

    ​

     

    3,000

    Financing activities

    ​

     

    —

    ​

     

    104,846

    Net (decrease) increase in cash and cash equivalents

    ​

    $

    (11,123)

    ​

    $

    101,638

    ​

    Cash flows from operating activities. Net cash used in operating activities was $14.5 million for the three months ended March 31, 2025, and primarily related to cash used to fund clinical development, manufacturing and other non-clinical activities for denifanstat, inclusive of clinical-batch manufacturing and other trial start-up costs for our Phase 3 program of denifanstat in MASH, as well as costs to build out our corporate infrastructure and costs associated with operating as a public company.

    Net cash used in operating activities was $6.2 million for the three months ended March 31, 2024, and primarily related to cash used to fund clinical development, manufacturing and other non-clinical activities for denifanstat, inclusive of clinical manufacturing costs related to the conduct of clinical pharmacology trials of denifanstat, as well as costs to build out our corporate infrastructure and costs associated with operating as a public company.

    Cash flows from investing activities - Net cash used in investing activities was $3.4 million for the three months ended March 31, 2025 and related to proceeds received from the sale and maturity of marketable securities of $19.0 million, partially offset by purchases of marketable securities of $15.6 million.

    Net cash provided by investing activities was $3.0 million for the three months ended March 31, 2024 and related to proceeds received from the sale and maturity of marketable securities.

    Cash flows from financing activities - Net cash provided by financing activities was $104.8 million for the three months ended March 31, 2024, which primarily related to the net cash proceeds of $105.7 million received from the sale of our Series A common stock in the January 2024 follow-on offering and $0.1 million in proceeds from stock options exercised during the period, partially offset by the payment of financing costs related to the January 2024 follow-on offering of $1.0 million.

    Critical accounting policies and estimates

    We prepare our financial statements in accordance with accounting principles generally accepted in the United States of America. The preparation of financial statements requires us to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues, costs and expenses and related disclosures. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances. Actual results could differ significantly from the estimates made and changes in estimates may occur.

    During the three months ended March 31, 2025, there were no material changes to our critical accounting estimates or in the methodology used for estimates from those described in “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in our Annual Report on Form 10-K for the year ended December 31, 2024.

    Emerging growth company and smaller reporting status

    We are an emerging growth company, as defined in the Jumpstart Our Business Startups Act (the JOBS Act). Under the JOBS Act, emerging growth companies can delay the adoption of new or revised accounting standards issued subsequent to the enactment of the JOBS Act until such time as those standards apply to private companies. Other exemptions and reduced reporting requirements under the JOBS Act for emerging growth companies include an exemption from the requirement to provide an auditor’s report on internal controls over financial reporting pursuant to Section 404 of the Sarbanes-Oxley Act of 2002, as amended, an exemption from any requirement that may be adopted by the Public Company Accounting Oversight Board regarding mandatory audit firm rotation and less

    25

    Table of Contents

    extensive disclosure about our executive compensation arrangements. We have elected to use the extended transition period for complying with new or revised accounting standards that have different effective dates for public and private companies until the earlier of the date that (i) we are no longer an emerging growth company or (ii) we affirmatively and irrevocably opt out of the extended transition period provided in the JOBS Act. As a result, our financial statements may not be comparable to companies that comply with the new or revised accounting pronouncements as of public company effective dates.

    We will remain an emerging growth company until the earliest of (i) the last day of our first fiscal year in which we have total annual gross revenues of $1.235 billion or more, (ii) December 31, 2028, (iii) the date on which we are deemed to be a large accelerated filer, under the rules of the SEC, which means the market value of equity securities that is held by non-affiliates exceeds $700.0 million as of the prior June 30th and (iv) the date on which we have issued more than $1.0 billion in non-convertible debt securities during the prior three-year period.

    We are also a “smaller reporting company,” meaning that the market value of our stock held by non-affiliates is less than $700 million and our annual revenue was less than $100 million during the most recently completed fiscal year. We may continue to be a smaller reporting company if either (i) the market value of our stock held by non-affiliates is less than $250 million or (ii) our annual revenue is less than $100 million during the most recently completed fiscal year and the market value of our stock held by non-affiliates is less than $700 million. If we are a smaller reporting company at the time we cease to be an emerging growth company, we may continue to rely on exemptions from certain disclosure requirements that are available to smaller reporting companies. Specifically, as a smaller reporting company we may choose to present only the two most recent fiscal years of audited financial statements in our Annual Report on Form 10-K and, similar to emerging growth companies, smaller reporting companies have reduced disclosure obligations regarding executive compensation.

    Recently adopted accounting pronouncements

    See “Notes to the Financial Statements—Note 2” included in our unaudited interim financial statements in Item 1 of this Quarterly Report for more information.

    Item 3. Quantitative and Qualitative Disclosures About Market Risk

    We are a smaller reporting company as defined by Rule 12b-2 of the Securities Exchange Act of 1934 and are not required to provide the information under this item.

    ​

    Item 4. Controls and Procedures

    Disclosure controls and procedures

    We maintain “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, (Exchange Act), that are designed to ensure that information required to be disclosed in the reports that we file or submit under the Exchange Act is (1) recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms and (2) accumulated and communicated to our management, including our principal executive officer and principal financial officer, to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

    Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act), as of the end of the period covered by this Quarterly Report. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that as of March 31, 2025, our disclosure controls and procedures were effective to provide reasonable assurance that the information required to be disclosed by us in this Quarterly Report was (a) reported within the time periods specified by the SEC rules and regulations, and (b) communicated to our management, including our Chief Executive Officer and Chief Financial Officer, to allow timely decisions regarding any required disclosure.

    26

    Table of Contents

    Changes in internal control over financial reporting

    During the quarter ended March 31, 2025, there have been no changes in our internal control over financial reporting, as such term is defined in Rules 13a-15(f) and 15(d)-15(f) promulgated under the Exchange Act, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

    PART II. OTHER INFORMATION

    Item 1. Legal Proceedings

    From time to time, we may become involved in legal proceedings arising in the ordinary course of our business. Our management believes that there are currently no claims or actions pending against us, the ultimate disposition of which would have a material adverse effect on our results of operations, financial condition or cash flows.

    Item 1A. Risk Factors

    Our business is subject to substantial risks and uncertainties. You should carefully consider the information contained in this Quarterly Report on Form 10-Q, the risks and uncertainties described below, and the risk factors and other information contained in our other public filings in evaluating our business, including our Annual Report on Form 10-K for the year ended December 31, 2024, which was filed with the SEC on March 12, 2025.

    ​

    Our business may be materially adversely affected by the imposition of tariffs and other trade barriers and retaliatory countermeasures implemented by the United States and other governments.

    There is currently significant uncertainty about the future relationship between the United States and certain other countries, including China, including potential changes with respect to trade policies, treaties, tariffs, taxes, and other limitations on cross-border operations. In April 2025, the United States imposed broad tariffs on imports from virtually all countries, with particularly high tariffs on imports from China. Since this announcement and as of the date of this Quarterly Report, most tariffs for countries other than China have been suspended temporarily. We have previously utilized CMOs outside the United States, including in the UK, EU and China, for the supply of raw materials, API and finished product, and may do so in the future. The recently announced tariffs may lead to higher manufacturing costs, which would have an adverse effect on our business, financial condition and operating results, the extent of which cannot be predicted with certainty at this time.

    Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

    Recent sales of unregistered equity securities

    There were no unregistered sales of equity securities during the period covered by this quarterly report on Form 10-Q.

    Use of proceeds from initial public offering of common stock

    On July 13, 2023, the registration statement on Form S-1 (File No. 333-256648) relating to our IPO was declared effective by the SEC. There has been no material change in the expected use of the net proceeds from our IPO as described in our final prospectus filed with the SEC pursuant to Rule 424(b) of the Securities Act and other periodic reports previously filed with the SEC.

    Issuer purchases of equity securities

    None.

    Item 3. Defaults Upon Senior Securities

    Not applicable.

    27

    Table of Contents

    Item 4. Mine Safety Disclosures

    Not applicable.

    Item 5. Other Information

    Rule 10b5-1 trading plans

    ​

    During the quarter ended March 31, 2025, none of our directors or officers (as defined in Rule 16a-1 under the Exchange Act) adopted or terminated a "Rule 10b5-1 trading arrangement" or "non-Rule 10b5-1 trading arrangement" (as those terms are defined in Item 408 of Regulation S-K).

    ​

    Board composition

    ​

    Effective May 6, 2025, George Kemble, Ph.D. will transition from his executive officer position as Executive Chairman, and will move into the role of non-executive Chair of the Board. Also, on May 6, 2025, our Board appointed Beth Seidenberg, M.D. to serve as Lead Independent Director of the Board, effective May 6, 2025.

    ​

    ​

    28

    Table of Contents

    Item 6. Exhibits

    ​

    Exhibit 
    Number

        

    Description

        

    Method of Filing

    ​

    ​

    ​

    ​

    ​

    31.1

    ​

    Certification of Principal Executive Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

    ​

    Filed herewith

    ​

    ​

    ​

    ​

    ​

    31.2

    ​

    Certification of Principal Financial and Accounting Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

    ​

    Filed herewith

    ​

    ​

    ​

    ​

    ​

    32.1

    ​

    Certification of Principal Executive Officer and Principal Financial and Accounting Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2022

    ​

    Furnished herewith

    ​

    ​

    ​

    ​

    ​

    101.INS

    ​

    Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File because XBRL tags are embedded within the Inline XBRL document

    ​

    Filed herewith

    ​

    ​

    ​

    ​

    ​

    101.SCH

    ​

    Inline XBRL Taxonomy Extension Schema Document

    ​

    Filed herewith

    ​

    ​

    ​

    ​

    ​

    101.CAL

    ​

    Inline XBRL Taxonomy Extension Calculation Linkbase Document

    ​

    Filed herewith

    ​

    ​

    ​

    ​

    ​

    101.DEF

    ​

    Inline XBRL Taxonomy Extension Definition Linkbase Document

    ​

    Filed herewith

    ​

    ​

    ​

    ​

    ​

    101.LAB

    ​

    Inline XBRL Taxonomy Extension Label Linkbase Document

    ​

    Filed herewith

    ​

    ​

    ​

    ​

    ​

    101.PRE

    ​

    Inline XBRL Taxonomy Extension Presentation Linkbase Document

    ​

    Filed herewith

    ​

    ​

    ​

    ​

    ​

    104

    ​

    Cover Page Interactive Data File (embedded within the Inline XBRL document)

    ​

    Filed herewith

    ​

    ​

    29

    Table of Contents

    SIGNATURES

    Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this Quarterly Report to be signed on its behalf by the undersigned, thereunto duly authorized.

    ​

    SAGIMET BIOSCIENCES, INC.

    ​

    ​

    Date: May 8, 2025

    By:

    /s/ David Happel

    ​

    ​

    David Happel

    ​

    ​

    President and Chief Executive Officer

    ​

    ​

    (Principal Executive Officer)

    ​

    ​

    ​

    ​

    ​

    ​

    Date: May 8, 2025

    By:

    /s/ Thierry Chauche

    ​

    ​

    Thierry Chauche

    ​

    ​

    Chief Financial Officer

    ​

    ​

    (Principal Financial and Accounting Officer)

    ​

    ​

    ​

    ​

    ​

    30

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