Pentixapharm Holding AgXETR: PTP

Financial document (Presentation Earnings Call March 2026 PTX)

· Issued by Pentixapharm Holding Ag


Fourth Quarter and FY 2025 Financial Results and Business Update

Expanding the Boundaries of Radiopharmaceuticals

March 26, 2026





Expanding the Boundaries of Radiopharmaceuticals



Advanced clinical-stage Biotech

Headquartered in Berlin, Germany

More than 30 dedicated employees

Pioneering Programs in Cardiovascular

and Oncology

Business Model

R&D Model

Expertise and resources

  • Novel radiopharmaceuticals

  • Strong clinical development expertise

  • Solid global regulatory strategy

  • High-quality CMC

    Strategic Backing

    Eckert & Ziegler backed platform with secured GMP supply infrastructure

    Focused clinical development through major value inflection points

    March 26, 2026

    Pentixapharm・Fourth Quarter and FY 2025 3



    Radiodiagnostics: High-resolution PET-CT imaging

    Imaging

    • Stratify patients for tailored treatment

    • Map disease distribution at baseline

    • Track tumor burden with precision

    Radiotheranostics

    Seamlessly combining imaging and therapy to improve patient outcomes

    Radiotherapeutics: precision therapy

    Therapy

    • Deliver targeted radioactive payload to tumor cells

    • Destroys cancer cells through targeted radiation delivery

    • Optimize tumor penetration / accessibility / lethality through choice of isotope



    Radiotheranostics: A New Paradigm in Precision Medicine

    March 26, 2026

    Pentixapharm・Fourth Quarter and FY 2025



    4



    Focused Competencies at the Core of the Development Value chain



    Pentixapharm

    Core Expertise and Value Drivers

    Value Inflection

    In-license

    Discovery Pre-clinical

    IND/ CTIS

    Clinical Phase 1

    Clinical Phase 2

    Diagnostic Clinical Phase 3

    Manufacturing

Radionuclide Supply

Research & Development combined with

  • Regulatory strategy

    Outlicense

  • CMC & radiopharmaceutical expertise

Theranostic Clinical Phase 3

Approval &

Commercialization

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025



Inlicence & Outsource

Development of proprietary assets Strategic Partnerships and Co-Development

5



Building Pipeline Momentum Across Oncology and Cardiology

Lead

Pre-

IND/

Candidate

Target

Indication

Optimization

clinical

CTIS

Phase I

Phase II

Phase III

Sponsor

Radiodiagnostics

PentixaFor

PT-001

⁶⁸Ga

PANDA

CXCR4

Cardiovascular

Endocrine & Oncology

Hypertension - Primary Aldosteronism

Ph3 ready

IITs Hypertension -Primary Aldorsteronism IIT Morbus Cushing

PT-003

¹⁸F

CXCR4

(2nd-Gen)



Radiotheranostics

CNS Lymphoma

Ph1/2

IITs MM, NHL

Myeloma

IITs ALL/AML

Solid Tumors (female cancers)

CD24

GT-008

(IgG1 mAb Radioligand)

TechnicalUniversity of Munich

Centre Hospitalier Universitaire de Nantes

emia and Multiple

Leuk

Hematologic cancers

CXCR4

PentixaTher PT-002

90Y, 177Lu



Multi Modal

Antibody Pipeline

CD44

Solid Tumors





AML = Acute Myeloid Leukemia ALL = Acute Lymphoid Leukemia

CNSL = Central Nervous System Lymphoma

MM = Multiple Myeloma

NHL = Non-Hodgkin Lymphoma

RAC = Radioimmunoconjugates/Radiopharmaceutical Antibody Conjugates

PT = Peptide based portfolio

GT = Glyco-Antibody based portfolio

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025 6



A Sharper, More Focused Pentixapharm Following Completed Streamlining



Q1 Q2 Q3 Q4

Myelo001

Program discontinued following portfolio prioritization

CXCR4 and CD24

Strategic re-orientation of non-clinical and clinical development

Focus on clinical development in high-value Indications:

Cardiovascular PANDA & Hem-Onc PENTHERA

September 2025 PENTILULA Study Progress: PentixaTher AML Phase 1/2 study advanced to higher dose cohort

October 2025 Data at EANM Conference: Extensive clinical data for PentixaFor presented

December 2025 FDA Type B pre-IND: Feedback supports Phase 3 PANDA program

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025 7



Pentixapharm FY 2025 Financials & Financial Guidance

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025



8



Balance Sheet FY 2025

31.12.2025

31.12.2025

in € thousands 31.12.2024 in € thousands 31.12.2024

Assets Liabilities and Equity

Subscribed capital

24.795

24.795

Capital reserves

37.475

38.727

Retained earnings/Accumulated deficit

-11.927

-28.438

Treasury shares

-12

-12

Equity attributable to shareholders of the parent company

50.331

35.072

Total equity

50.331

35.072

Non-current liabilities

Deferred tax liabilities

3.930

3.328

Non-current provisions 2

0

Total non-current liabilities

3.932

3.328

Current liabilities

Trade payables

8.943

2.435

Other current liabilities

5.098

1.024

Total current liabilities

14.041

3.459

Total liabilities and equity

68.304

41.859

Non-current assets Equity

Other intangible assets

35.354

32.282

Property, plant and equipment

269

36

Deferred tax assets*

916

3.328

Financial assets

484

227

Total non-current assets

37.023

35.873

Current assets

Cash and cash equivalents

23.232

4.624

Trade receivables

6.805

31

Income tax receivables

134

189

Other current assets

1.110

1.142

Total current assets

31.281

5.986

Total assets

68.304

41.859

*prior-year figure for deferred tax assets has been restated



9



Profit & Loss FY 2025

in € thousands

01-012/2024

01-12/2025

Revenue

118

93

Income from the sale of rights/patents

6.700

0

Other operating income

8.480

543

Cost of materials and external services for research and development

-3.718

-6.796

Personnel expenses

-1.431

-6.516

Other operating expenses

-8.077

-3.454

Earnings before interest, taxes, depreciation, and amortization (EBITDA)

2.072

-16.130

Depreciation and amortization of non-current assets

Earnings before interest and taxes (EBIT)

-19.044

-16.972

-3.730

-19.860

Financial result

422

347

Earnings before taxes (EBT)

-16.550

-19.513

Tax result*

4.623

3.002

Profit or loss/ Consolidated comprehensive income attributable to the shareholders of the parent company

Earnings per share

-11.927

-16.511

Diluted/ Basic (€ per share) 0

-1

Weighted average number of shares outstanding (diluted/ basic) - in thousands.

24.783

24.783



*prior-year figure for deferred tax assets has been restated

10



Cash Flow Statement FY 2025

in € thousands

01-12/2024

01-12/2025

Profit/loss

-11.927

-16.511

Depreciation, amortization and impairment losses

19.044

3.730

Loss on disposal of fixed assets 0

200

Change in deferred taxes*

-4.631

-3.015

Income taxes paid

-36

-55

Other non-cash expenses/income

-59

1.212

Change in trade receivables and other assets not attributable to investing or financing activities

-7.583

7.053

Change in trade payables and other liabilities not attributable to investing or financing activities

864

-10.587

Cash flow from operating activities

-4.328

-17.973

Payments for investments in intangible assets and property, plant and equipment

-1

-625

Cash inflow from the contribution of Pentixapharm AG

8.707

0

Payments for acquisition of subsidiaries

-470

0

Cash flow from investing activities:

8.236

-625

Proceeds from capital contributions

19.274

0

Cash flow from financing activities:

19.274

0

Effect of exchange rate changes on cash and cash equivalents 0

-10

Net increase/decrease in cash and cash equivalents

23.182

-18.608

Cash and cash equivalents at the beginning of the period

50

23.232

Cash and cash equivalents at the end of the period

23.232

4.624



*prior-year figure for deferred tax assets has been restated

11



FY 2026 Financial Guidance

The Company guidance for the full year 2026 is as follows:

FY 2026

Total Loss: €21,6 million

R&D Expenses:

€9,7 million

Personnel & Other OPEX:

€7,4 million

Depreciation & Other non-cash expenses:

€4,1 million

Interest expenses:

€0,4 million



12



Diagnostic and Therapeutic Program Overview

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025



13



Targeting CXCR4: A Biologically Validated Target

From Oncology to Cardiology - CXCR4 Anchors Next-Generation Radiopharmaceuticals



CXCR4: One of the most thoroughly researched biological targets of the last decade with a central role in the bone marrow

CXCR4 Theranostic in Oncology:

  • Key role in tumor growth and metastasis

  • Highly present in multiple aggressive blood cancers

Clinically validated in ~100 patients selected with ⁶⁸Ga-PentixaFor and treated with ⁹⁰Y- and 177Lu-PentixaTher

CXCR4 Diagnostics in Hypertension:

  • Increased presence in adrenal tumors overproducing aldosterone

  • Diagnostic marker to determine lateralization

of aldosterone overproduction

Emerging clinical evidence in ~1,600 patients

diagnosed with

⁶⁸Ga-PentixaFor

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025 14





Cardiovascular Program

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025



15



The Problem: A Massively Underdiagnosed Disease

1.3B

People with hypertension globally

5-10%

Of hypertensives have

Primary Aldosteronism

~2%

Screening rate in resistant hypertension

The Diagnostic Bottleneck

  • More than > ~20% prevalence of Primary Aldosteronism in treatment-resistant HTN, yet only ~2% screened

  • AVS (gold standard) is invasive, technically difficult, 30-96% success rates

  • Result: Millions with potentially curable disease never reach surgery

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025

AVS

Bottleneck

Patients with PA



16



Transforming the Diagnostic Pathway in Primary Aldosteronism

Subtyping

Subtyping Results

Therapy

Adrenal CT/ Adrenal Venous Sampling (AVS)

Standard of Care

Nonlateralizing PA



(mostly BAH)

65% of the cases

Mineralpocorticoid receptor antagonist (Lifelong medication)

New Class of Aldosterone Synthase Inhibitors

launch expected in H2 2026

Lateralizing PA

(mostly unilateral)

35% of the cases Unilateral Adrenalectomy

(Surgery)

Patient with

hypertension

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025 17



Transforming the Diagnostic Pathway in Primary Aldosteronism

Subtyping

Subtyping Results

Therapy

[⁶⁸Ga]GaPentixaFor PET/CT

Nonlateralizing PA



(mostly BAH)

65% of the cases

Mineralpocorticoid receptor antagonist (Lifelong medication)

New Class of Aldosterone Synthase Inhibitors

launch expected in H2 2026

Patient with

hypertension

Adrenal CT/ Adrenal Venous Sampling (AVS)

Lateralizing PA

(mostly unilateral)

35% of the cases Unilateral Adrenalectomy

(Surgery)

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025 18

P3





The New Hypertension Drug Class Aldosterone Synthase Inhibitor Wave: Billions Flowing Into Aldosterone-Driven HTN and Primary Aldosteronism

The Market Opportunity

▼ Every ASI Rx triggers PA subtyping need

ASI Peak Sales: $5B+ (baxdrostat alone) AstraZeneca paid $1.3B to acquire; projects major growth driver. Lorundrostat adds further expansion.

Treatment-Resistant HTN: ~$10 to 15B by 2032

Fastest-growing segment (17% CAGR)

Anti-HTN Drug Market: ~$27B (2025)

1.3 billion patients globally

Cardiovascular &

Endocrine

Nea prec

r-empty: non-o linical through

ncology Phase 2

[68Ga]PentixaFor

Neuro & CNS

Primary aldosteron

IND H1 2026 | FPI H2

ism

2026

Amyloid PET Tau PET

Oncology







Pluvicto

Lutathera

Xofigo

PSMA PET

Pylarifz /Illuccix

Preclinical

Phase 1

Phase 2

Phase 3

Approved

Clincal stage

Therapeutic (oncology) Therapeutic (non-oncology) Diagnostic (oncology) Diagnostic (non-oncology)

PentixaFor









Source: Frontiers in Medicine, Clinical Trials.gov, Citline Trialtrove, company disclosures. Bubble positions illustrative

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025



19



Oncology Program

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025



20



Where the Need Is Greatest: Global Incidence of Blood Cancers Requiring Bone Marrow Conditioning

Global Incidence cases per year

Central Nervous System Lymphoma

~10,000-12,000



Bone Marrow Conditioning & Treatment

Acute Myeloid Leukemia

~145,000



Multiple Myeloma

~185,000



March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025



21



Pentilula IIT Phase 1/2 Study of PentixaTher in

Relapsed/Refractory Acute Myeloid Leukemia reached highest dose group !

Phase I/II study assessing radioligand therapy with [177Lu]Lu-PentixaTher (PT-002) for relapsed/refractory CXCR4+ acute leukemia

Primary Objective: To determine the MTD/DLT of Lu177-PentixaTher (PT-002)

Population: n = 15 to 21

Relapsed or refractory CXCR4+ acute leukemia

Methodology: 3+3 Design

Imaging: 68Ga-PentixaFor (PT-001)

Therapy: Stand-alone [177Lu]Lu-PentixaTher

Sites: Clinic in France

Timeline: Enrollment: 24m, Follow-up: 12m FPFV: Q424

LPLV: Q426

Data readout: Q427

CT Number: NCT06356922

Completed

IIT: Investigator initiated study; ALL: Acute Lymphocytic Leukemia; AML: Acute Myeloid Leukemia; DLT: dose limiting toxicities

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025

Cohort 1

2.5 GBq

n = 3 / 2.5 mCi x 4



Secondary endpoints:

  • Overall Rate of Response

  • Complete Response Rate

  • Overall Survival

  • Leukemia-Free survival

Primary endpoint:

  • Number of participants with treatment-related adverse events

Recommended Phase 2 Dose

In Progress

Cohort 4

10 GBq

n = 3 / 2.5 mCi x 4

Cohort 5

12.5 GBq

n = 3-6 / 2.5 mCi x 4

Escalation phase n ≈ 6-21 Expansion phase

Cohort 2

5 GBq

n = 3 / 2.5 mCi x 4

Completed

Cohort 3

7.5 GBq

n = 3 / 2.5 mCi x 4

Completed

Completed

22



Targeting CD24: Highly Specific Cancer Therapy

From Checkpoint Modulation to Targeted Radiotherapy -CD24 Antibody-Based Radioconjugates

CD24: A growing body of translational and early clinical work positions CD24 as a new

therapeutic gateway in oncology and immunology

Targeting CD24 for payload delivery:

Pentixapharm Solution:



  • GT-008 monoclonal antibody targets a tumor-associated glycoform of CD24

    TumTuomr voorluvmoleu[mmem3]

  • Combines CD24 targeting with recognition of tumor-specific carbohydrate patterns, achieving superior tumor selectivity and enabling highly precise payload delivery

  • Promising preclinical radioconjugate and antibody drug conjugate efficacy data for aggressive female cancers

+



225Ac-labeled GT-008

1500 Treatment

1000

500



Vehicle

225Ac-GT-008 10 kBq

225Ac-GT-008 3 kBq

0 7/8 CR

0 10 20 30 40 50 60 70 80

Days after randomization

Complete response

7 out of 8 animals

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025 23



2026 Outlook: Milestones

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025



24



Upcoming Clinical Milestones Poised to Drive Significant Value

Oncology Theranostic PTT101 &

Investigator Initiated Studies (IIT)

Oncology Diagnostic IIT

Cardiovascular Primary Aldosteronism Phase III PANDA PROGRAM



H1 2026

H2 2026

2027

2028

PANDA Phase 3 IND

IND

expt. H1 2026

Potential Fast-Track status

c:

PTT Hem-On

Open IND

H1 2026

PANDA Phase 3 Study

FPFV

expt. H2 2026

PANDA Phase 3 Study

First 50 patients dosed

in U.S./EU expt. H1 2027

IIT MM Diagnostic: Topline results expt. H2 2027

IIT AML Therapy: Topline results expt. H1 2027

PANDA Phase 3 Study

Topline data

expt. H2 2028

18F-CXCR4 P0/1 Study

Results Ph0 expt. H2 2028

Start PhI/II expt. H2 2028

IIT MM Theranostic:

Results expt. H2 2028

IIT AMLTheranostic:

Results expt. H2 2028

Programs in italics contingent on future funding

Cash Reach expected until March 2027



PTF = PentixaFor (radiodiagnostic) PTT = PentixaTher (radiotherapeutic)

March 26, 2026

AML = Acute Myeloid Leukemia MM = Multiple Myeloma

IND = Investigational New Drug

Pentixapharm・Fourth Quarter and FY 2025 25



Transforming Personalized Medicine: Investment Highlights

lue as

Clinical-Stage Company Flagship Pipeline

mpact of radiopharmaceuticals with Drives Near- and Long-Ter

eline addressing high value biology PentixaFor/Ther: Phase 3-ready di

cology and beyond hypertension with and precise ima

in blood cancers, alongside first-in

antibody platform

g New

e Indications

ew indications and new targets:

olutions for high unmet need in nd oncology

Leveraging

Strategic Supply Advantag

gh-Growth Secured isotope access through Ec

pportunities ensuring reliable scaling of diagnos

aceutical market valued at 6.7-7.5 bn in therapeutic programs projected to be $14-16bn by 2033



Driving Va

Advanced

Broadening i advanced pip targets in on

Pioneerin

High-Valu

Combining n generating s cardiology a

m Impact

agnostic in ging agent

-class CD24

Seizing Hi Market O

Radiopharm 2024-2025

e

kert&Ziegler tic and

March 26, 2026

Pentixapharm・Fourth Quarter and FY 2025 26



Thank you

https://www.pentixapharm.com



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