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ITRMIterum Therapeutics plc
$0.03$2M
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  3. ITRM
  4. Financial Ratios

Iterum Therapeutics plc (ITRM) Financial Ratios

Latest Ratios: P/E Ratio -0.0x · EV/EBITDA N/A · ROE N/A. (2016–2024 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

ITRM Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$2M$35M$26M$10M$64M$356M$71M$47M——
Enterprise Value$23M$56M$38M$19M$67M$390M$87M$16M——
P/E Ratio →-0.02—————————
P/S Ratio——————1915.5454.62——
P/B Ratio———0.371.27——0.66——
P/FCF——————————
P/OCF——————————

P/E links to full P/E history page with 30-year chart

ITRM EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue——————2345.8618.40——
EV / EBITDA——————————
EV / EBIT——————————
EV / FCF——————————

ITRM Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin——————100.0%100.0%100.0%—
Operating Margin——————-275732.4%-8810.0%-5798.2%—
Net Profit Margin——————-278729.7%-8867.2%-5788.6%—

Return on Capital

MetricTTMFY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE——-355.4%-113.6%-182.3%—-454.5%-138.7%-94.6%-59.4%
ROA-69.9%-69.9%-82.4%-56.1%-147.3%-177.7%-166.8%-106.6%-79.8%-50.0%
ROIC-117.8%-117.8%-163.7%-50.5%-101.8%—-512.9%-161.4%-153.1%—
ROCE-94.1%-94.1%-134.6%-44.6%-70.4%—-274.2%-122.2%-94.5%-58.9%

ITRM Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity———1.080.61——0.18——
Debt / EBITDA——————————
Net Debt / Equity———0.320.06——-0.44-0.21-1.09
Net Debt / EBITDA——————————
Debt / FCF——————————
Interest Coverage———-17.69-15.36-2.40-118.26-178.77——

ITRM Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio1.411.411.896.896.430.510.256.936.206.13
Quick Ratio1.411.411.896.896.430.510.257.576.206.13
Cash Ratio1.371.371.776.716.290.350.136.925.505.88
Asset Turnover——————0.000.010.01—
Inventory Turnover——————————
Days Sales Outstanding——————10959.86302.84365.72—

ITRM Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield——————————
Payout Ratio——————————

Total Shareholder Return Metrics

MetricTTMFY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield——————————
FCF Yield——————————
Buyback Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%——
Total Shareholder Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%——
Shares Outstanding—$20M$13M$12M$11M$24M$1M$631574$549150$14M

Key Metrics

Growth RegimeMixed
ProfitabilityNegative
Balance SheetVulnerable
Cash FlowBurning
Top Statement Risk

Binary regulatory approval dependence

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2025Q3)

Persistent Capital Erosion and Decay

As reported in recent financial statements, Iterum's ROIC has remained deeply negative, reaching -35.7% in 2025Q3, which highlights the company's ongoing struggle to generate meaningful returns on invested capital while it continues to fund the high-cost development of its lead antibiotic candidate, sulopenem.

The consistent decay in ROIC, which plummeted to -68.5% in 2024Q1, suggests that the company is currently destroying shareholder value through its intensive R&D spending. Investors should monitor whether the potential commercialization of sulopenem can reverse this trend, as the current negative returns are structural rather than cyclical.

Working Capital Inefficiencies and Constraints

Based on 2025Q3 data, the company's cash conversion cycle remains highly extended at 835 days, reflecting significant challenges in managing working capital as the firm transitions from a clinical-stage entity to a nascent commercial operation with limited inventory turnover and high accounts payable reliance.

The extreme volatility in the cash conversion cycle, including a massive spike in days payable outstanding, suggests that the company is managing its limited liquidity by delaying payments to suppliers. This strategy appears unsustainable and may indicate underlying pressure on the firm's ability to maintain operational continuity.

Liquidity Buffer Under Severe Stress

According to the 2025Q3 balance sheet, the current ratio of 2.13 provides a superficial appearance of stability, yet this metric masks the company's precarious cash position when evaluated against the ongoing quarterly burn rate and the significant debt obligations that continue to pressure the firm.

While the quick ratio of 1.96 suggests that the company holds sufficient liquid assets to cover immediate liabilities, the lack of recurring revenue makes this liquidity highly sensitive to any further delays in regulatory approval. Investors should remain cautious, as the current liquidity buffer may be insufficient to support a full-scale commercial launch.

Misapplication of Traditional Valuation Multiples

As indicated by the company's financial profile, the use of traditional P/E or EV/EBITDA multiples is fundamentally flawed for Iterum, as these metrics obscure the binary nature of the firm's value, which is tied to regulatory milestones rather than current earnings or operational cash flow.

Analysts should instead focus on the 'cash runway vs. PDUFA date' ratio, as this provides a more accurate assessment of the company's survival risk. Relying on standard valuation multiples in this context may lead to a significant mispricing of the firm's true risk-adjusted potential.

Download Financial Ratios Data

Includes 30+ ratios · 9 years · Updated daily

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ITRM — Frequently Asked Questions

Quick answers to the most common questions about buying ITRM stock.

What is Iterum Therapeutics plc's P/E ratio?

Iterum Therapeutics plc's current P/E ratio is -0.0x. This places it at the 50th percentile of its historical range.

Is ITRM stock overvalued?

Based on historical data, Iterum Therapeutics plc is trading at a P/E of -0.0x. This is at the 50th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.