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Iterum Therapeutics (ITRMF) AI Stock Analysis

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ITRMF

Iterum Therapeutics

(Other OTC:ITRMF)

Select Model
Rating:43Neutral
Price Target:$0.31â–²(903.23% Upside)
Action:upgraded
Date:12/30/25

The score is held down primarily by weak financial fundamentals (minimal revenue, persistent losses, cash burn, and negative equity) and bearish technicals (price below major moving averages with negative MACD). The earnings call adds some support due to early launch traction and 2026 revenue guidance, but this is tempered by the need for additional capital, while the Nasdaq listing compliance issue adds further downside risk.

Positive Factors
Patent expansion (China & Mexico)Extended patents in China and Mexico through 2039–2041 materially lengthen market exclusivity in key international jurisdictions. This strengthens long-term commercial upside, supports pricing power versus generics, and enhances licensing or partnering optionality across global markets.
Negative Factors
Negative shareholders' equity and elevated leverageNegative equity and debt that exceeds assets constrain financial flexibility and increase refinancing and dilution risk. This capital-structure weakness can limit investment in commercial scale-up or R&D and raises vulnerability to adverse funding conditions over the next several quarters.

Iterum Therapeutics (ITRMF) vs. SPDR S&P 500 ETF (SPY)

-100%-75%-50%-25%0%25%ITRMF-94.83%SPY+10.42%Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
Market Cap
$2.66M
Dividend Yield
―
Average Volume (3M)
―
Price to Earnings (P/E)
-0.1
Beta (1Y)
2.60
Revenue Growth
―
EPS Growth
―
Country
US
Employees
9
Sector
Healthcare
Sector Strength
51
Industry
Biotechnology

Iterum Therapeutics Business Overview & Revenue Model

Company Description

Iterum Therapeutics plc, an Irish pharmaceutical company founded in Dublin in 2015, is dedicated to the development and commercialization of treatments for bacterial infections that are resistant to existing drugs. Operating in Ireland, Bermuda, and...

How the Company Makes Money

null

Iterum Therapeutics Earnings Call Summary

Earnings Call Date:Nov 13, 2025(Q3-2025)|% Change Since:-94.46%|Next Earnings Date:May 19, 2026
Earnings Call SentimentNeutral

The earnings call highlighted the successful early stages of Orlynda's launch and positive market feedback, indicating potential for growth. However, financial challenges remain due to limited initial revenue, increased expenses, and the need for additional capital.

Positive Updates

Successful Initial Launch of Orlynda
Orlynda was launched on August 20, 2025, and generated more than 280 prescriptions through 100 unique prescribers, with nearly half prescribing to more than one patient.

Negative Updates

Limited Initial Revenue
Net product sales were $400,000 for the third quarter of 2025, with expectations of modest sales in the fourth quarter.

Company Guidance

In the third quarter of 2025, Iterum Therapeutics reported net product sales of $400,000 with the launch of Orlynda in the U.S. in August 2025. The company successfully generated over 280 prescriptions through more than 100 unique prescribers, indicating growing physician and patient engagement. Approximately 40% of prescriptions have been filled through payer approval processes, aligning with expectations despite awaiting broader payer coverage. Iterum anticipates 2026 net product revenue to range between $5 million and $15 million, supported by expanding insurance coverage, particularly with a recent signed rebate agreement with a top Medicare Part D pharmacy benefit manager. Operating expenses for 2026 are projected between $25 million and $30 million, with current cash reserves expected to fund operations into 2026. The company aims to raise additional capital to sustain commercialization efforts, targeting high-value territories and potentially expanding further.

Iterum Therapeutics Financial Statement Overview

Summary

Very limited TTM revenue ($0.39M) with continued large losses (net loss ~$27.0M) and ongoing cash burn (operating/free cash flow about -$19.9M TTM). While losses, cash burn, and debt have improved versus prior years, negative shareholders’ equity (about -$7.4M TTM) and debt exceeding assets keep financial risk high.

Income Statement

12Very Negative

Balance Sheet

18Very Negative

Cash Flow

22Negative
Financial statement breakdown
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue390.00K00000
Gross Profit-668.00K-254.00K-1.75M-1.80M-2.10M-161.00K
EBITDA-23.07M-21.73M-34.58M-39.97M-83.20M-36.01M
Net Income-26.96M-24.77M-38.37M-44.43M-91.56M-52.01M
Balance Sheet
Total Assets32.50M44.59M26.26M66.83M91.51M32.79M
Cash, Cash Equivalents and Short-Term Investments11.00M24.13M23.93M60.80M81.34M14.57M
Total Debt33.73M45.53M18.96M30.10M30.43M48.08M
Total Liabilities39.88M48.68M32.66M38.83M41.27M83.35M
Stockholders Equity-7.38M-4.08M-6.40M28.00M50.23M-50.56M
Cash Flow
Free Cash Flow-19.93M-26.77M-39.34M-18.54M-15.90M-54.54M
Operating Cash Flow-19.91M-26.77M-39.33M-18.47M-15.84M-54.53M
Investing Cash Flow1.09M18.21M23.34M13.96M-54.59M-11.00K
Financing Cash Flow16.27M26.69M1.03M-1.82M83.13M64.47M

Iterum Therapeutics Technical Analysis

Technical Analysis SentimentNeutral
Last Price0.03

Price Trends

50DMA0.03Positive
100DMA0.04Negative
200DMA0.13Negative

Market Momentum

MACD-0.00Negative
RSI44.35Neutral
STOCH0.00Positive

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ITRMF, the sentiment is Neutral. The current price of 0.03 is above the 20-day moving average (MA) of 0.03, above the 50-day MA of 0.03, and below the 200-day MA of 0.13, indicating a neutral trend. The MACD of -0.00 indicates Negative momentum. The RSI at 44.35 is Neutral, neither overbought nor oversold. The STOCH value of 0.00 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for ITRMF.

Iterum Therapeutics Risk Analysis

Iterum Therapeutics disclosed 88 risk factors in its most recent earnings report. Iterum Therapeutics reported the most risks in the "Finance & Corporate" category.

Higher RiskSector Avg.Lower RiskFinance & CorporateTech & InnovationLegal & RegulatoryProductionAbility to SellMacro & Political
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy

Latest Risks Added

3 New Risks
1.In the event that we do not successfully identify a viable strategic option or, consummate such a transaction, or if we are unable to raise sufficient capital to fund our operations and commercialize ORLYNVAHâ„¢, our board of directors may determine that a liquidation and dissolution of our business approved by shareholders is the best method to seek to maximize shareholder value. In such an event, the amount of cash available for distribution to our shareholders, if any, will depend heavily on the timing of such liquidation as well as the amount of cash that will need to be reserved for commitments and contingent liabilities.Q4, 2024
2.In the event our strategic process does not result in any type of transaction, and subject to our ability to raise sufficient capital to fund operations, we may seek a commercial partner and/or directly commercialize ORLYNVAHâ„¢ in the United States with a targeted sales force in the community setting. Should we seek to commercialize ORLYNVAHâ„¢, we are heavily dependent on the success of ORLYNVAHâ„¢, which the FDA has approved for the treatment of uUTIs caused by certain designated microorganisms in adult women who have limited or no alternative oral antibacterial treatment options. Any failure to successfully commercialize ORLYNVAHâ„¢ or inability to obtain marketing approval for any other product candidates, or significant delays in doing so, will materially harm our business.Q4, 2024
3.If we are unable to establish sales, marketing and distribution capabilities or enter into sales, marketing and distribution arrangements with third parties, we may not be successful in commercializing ORLYNVAHâ„¢ or sulopenem in additional indications and/or any future products, if approved.Q4, 2024

Iterum Therapeutics Peers Comparison

Overall Rating

UnderperformOutperform
Sector (51)

Financial Indicators

ITRMF against its peers
NameOverall RatingMarket CapP/E RatioROEDividend YieldRevenue GrowthEPS Growth
EVAXEVAX61Neutral$24.77M-0.45-61.39%―134.15%82.33%
Sector *51Neutral$7.86B-0.30-43.30%2.27%22.53%-2.21%
ITRMFITRMF43Neutral$53-0.14274.90%―――
ACXPACXP41Neutral$5.73M-0.27-124.74%――71.66%
GOVXGOVX40Underperform$1.70M-0.01-743.66%―-100.00%77.63%

* Healthcare Sector Average

Performance Comparison

-100%-50%0%ITRMFGOVXOGENEVAXACXPVRAXDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
ITRMF and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
ITRMFIterum Therapeutics0.03-0.57-94.83%
GOVXGeovax Labs, Inc.0.16-12.68-98.77%
OGENOragenics Inc0.35-0.77-68.76%
EVAXEvaxion Biotech A/S Adr2.76-3.62-56.74%
ACXPAcurx Pharmaceuticals Llc0.94-3.79-80.02%
VRAXVirax Biolabs Group Ltd. Class A1.18-10.85-90.19%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.

Date of analysis: Dec 30, 2025