Cambridge biotech tracker · Boston

Rhythm Pharmaceuticals

Listed on Nasdaq as RYTM, filed under SEC industry code 2834 (pharmaceutical preparations). Fiscal year ends in December. Numbers below are from the company’s own SEC filings through Q3 '26.

All companiesFilings on EDGAR 3+ yearsMaterial weakness
Cash & investments
$321M
Q3 '26 · Sep 30, 2026
Burn per quarter
$20.4M
avg. operating cash flow, 4 qtrs
Runway
3.9 yrs
3+ years
Net loss
$41.4M
Q3 '26
R&D expense
$52.5M
40% of opex
Raised, last 4 qtrs
−$15.8M
net financing cash flow
Next readout
Mar 2027
Phase 3 · cash past the catalyst

Cash & investments

Quarter-end balance

Cash & investments$0$250M$500MQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26$321M$416M

Operating cash flow

Per quarter; below zero is burn

Operating cash flow−$50M−$25M$0Q4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26−$3.1M−$44.2M

R&D expense

Per quarter

R&D expense$0$50M$100MQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26$52.5M

Cash against the calendar

What the runway has to reach.

Next expected readoutPhase 3

Mar 2027estimated

A Trial of Setmelanotide in Patients With Congenital Hypothalamic Obesity (Sub-study of NCT05774756)

Hypothalamic Obesity · Multiple Pituitary Hormone Deficiency Genetic Form · Septo-Optic Dysplasia

NCT06760546 on ClinicalTrials.gov

Does the cash reach it?

Cash past the catalyst

Runway
3.9 years
Time to the date
4 months

It is about 4 months out. At the current burn there is roughly 43 months of cash left on the far side of it, which is enough room to raise on the result rather than ahead of it.

Pipeline

5 active trials, through phase 3.

Phase 3 · 2Phase 2 · 2Phase 1/2 · 1

Study
A Trial of Setmelanotide in Acquired Hypothalamic ObesityNCT05774756 · Hypothalamic ObesityPhase 3Mar 2025
A Trial of Setmelanotide in Patients With Congenital Hypothalamic Obesity (Sub-study of NCT05774756)NCT06760546 · Hypothalamic Obesity, Multiple Pituitary Hormone Deficiency Genetic FormPhase 3Mar 2027est.
A Study of Setmelanotide in Patients With Prader-Willi SyndromeNCT06772597 · Prader-Willi Syndrome, ObesityPhase 2Oct 2026est.
A Long-Term Study of Bivamelagon in Participants With Hypothalamic Obesity (HO)NCT07156578 · Hypothalamic ObesityPhase 2Apr 2028est.
A Study of RM-718 in Healthy Subjects and Patients With MC4R Pathway ImpairmentNCT06239116 · Hypothalamic Obesity, Prader-Willi SyndromePhase 1/2May 2027est.· not a catalyst
EMANATE: A Study of Setmelanotide in Patients With Specific Gene Variants in the MC4R PathwayNCT05093634 · Obesity, Genetic ObesityPhase 3Dec 2025
Open-Label Extension Study of SetmelanotideNCT06596135 · Obesity Associated With Defects in Leptin-melanocortin PathwayPhase 3Jun 2026
A Study to Assess Efficacy and Safety of LB54640 in Patients With Hypothalamic ObesityNCT06046443 · Hypothalamic ObesityPhase 2Feb 2026

Interventional studies where this company is the lead sponsor, from ClinicalTrials.gov. Primary completion is when the last patient is measured on the primary endpoint, which is when the data exists rather than when it is announced. Extension, rollover and healthy-volunteer studies are listed but marked as non-catalysts, because they finish long after the result that mattered. Sponsors revise these dates as enrollment moves, so an estimate is a plan rather than a promise.

The controller’s read

What the filings say.

Generated from the numbers above using the same questions I ask when I open a client’s books: how long the cash lasts, what is driving the gap between loss and burn, and where the accounting judgment sits.

Get this read on your company

The cash clears the next catalyst

The next dated event is a phase 3 readout in Mar 2027, about 4 months out. That leaves roughly 43 months of cash afterwards, which is the position you want: the raise can be negotiated on the data instead of on the calendar.

About 3.9 years of runway

Cash and investments of $321M at Q3 '26 against an average operating cash burn of $20.4M per quarter over the last four reported quarters runs out around August 2030. More than two years of runway means the finance conversation is about deployment, not survival.

Cash position up $379K since Q4 '24

Net financing outflows of $15.8M over the last four quarters, meaning repayments or buybacks exceeded any new capital. The balance is the number the board watches; the trend is the number the auditors watch.

Net loss runs $38.3M above cash burn

The Q3 '26 net loss of $41.4M includes non-cash charges, including $25.0M of stock-based compensation, that do not consume cash. Burn, not net loss, is what runway is built on.

R&D is 40% of operating expenses

$52.5M of R&D against $131M of total operating expenses in Q3 '26, with G&A at $66.8M. For a clinical-stage company, the accounting questions live inside that R&D line: CRO and CMC accruals, milestone recognition, and what gets capitalized versus expensed under ASC 730.

Revenue of $92.1M in Q3 '26

Collaboration and license revenue under ASC 606 and ASC 808 is the single most judgment-heavy area in biotech accounting: performance obligations, variable consideration on milestones, and the split between revenue and cost-sharing.

Material weakness disclosed in the 10-Q filed Nov 3, 2026

Management identified a material weakness in internal control over financial reporting. Common causes at this stage are thin finance teams, manual close processes, and inadequate review of complex areas like revenue or equity. Remediation usually takes two or more quarters to demonstrate.

$87.9M of long-term debt or convertible notes

Debt in a pre-revenue biotech usually comes with liquidity covenants and, for convertibles, embedded features that need ASC 815 and ASC 470 analysis each quarter.

Accumulated deficit of $1.50B

Total losses since inception. It is also roughly the size of the net operating loss carryforward the tax provision has to track, subject to Section 382 limits after each ownership change.

Quarterly detail, eight quarters
QuarterCash & inv.Op. cash flowNet incomeR&DG&ARevenueStock compFinancing
Q4 '24 · Dec 31, 24$321M−$18.8M$217M$41.2M$38.1M$41.8M$10.6M$38.3M
Q1 '25 · Mar 31, 25$314M−$40.4M−$49.5M$37.0M$39.1M$32.7M$12.9M$32.5M
Q2 '25 · Jun 30, 25$291M−$23.3M−$46.6M$42.3M$45.9M$48.5M$15.9M−$889K
Q3 '25 · Sep 30, 25$416M−$26.6M−$52.9M$46.0M$52.4M$51.3M$18.8M$189M
Q4 '25 · Dec 31, 25$389M−$25.4M$149M$42.0M$57.5M$57.3M$19.3M−$2.9M
Q1 '26 · Mar 31, 26$341M−$44.2M−$55.6M$41.7M$63.6M$60.1M$23.1M−$5.4M
Q2 '26 · Jun 30, 26$331M−$9.2M−$49.3M$43.4M$67.4M$71.3M$26.1M−$1.2M
Q3 '26 · Sep 30, 26$321M−$3.1M−$41.4M$52.5M$66.8M$92.1M$25.0M−$6.2M

Source: SEC EDGAR XBRL company facts, latest filed value for each period. Fourth quarters are derived from annual less nine-month figures; quarterly cash flows are derived from year-to-date amounts. Not investment advice. If a figure disagrees with the filing, the filing is right.