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ITRMIterum Therapeutics plc
$0.03$2M
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Iterum Therapeutics plc (ITRM) Financials

9Y historyFree accessUpdated daily

The company recorded its first revenue of $390.0K in 2025Q3, yet it continues to struggle with profitability, posting a net margin of -23.0% for the same period.

ITRM Income Statement

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly
MetricTTMDec'24Dec'23Dec'22Dec'21Dec'20Dec'19Dec'18Dec'17Dec'16
Sales/Revenue390K0000037K869K508K0
Revenue Growth %------100%-95.74%71.06%--
Cost of Goods Sold1.06M254K1.75M1.8M2.1M161K0000
COGS % of Revenue----------
Gross Profit-668K-254K-1.75M-1.8M-2.1M-161K37K869K508K0
Gross Margin %-171.28%-----100%100%100%-
Gross Profit Growth %-85.49%2.78%14.45%-1206.83%-535.14%-95.74%71.06%--
Operating Expenses19.62M18.44M45.72M28.58M22.43M31.96M102.06M77.43M29.96M13.36M
OpEx % of Revenue------275832.43%8910.01%5898.23%-
Selling, General & Admin15.57M7.98M7.48M12.77M13.82M11.05M11.28M8.78M4.46M3.26M
SG&A % of Revenue------30497.3%1010.47%878.74%-
Research & Development3.8M10.46M38.24M15.82M8.61M20.91M90.77M68.65M25.5M10.1M
R&D % of Revenue------245335.14%7899.54%5019.49%-
Other Operating Expenses254K00000196K401K08K
Operating Income-20.29M-18.7M-47.47M-30.38M-24.54M-32.13M-102.02M-76.56M-29.45M-13.36M
Operating Margin %-5202.82%------275732.43%-8810.01%-5798.23%-
Operating Income Growth %-60.61%-56.23%-23.83%23.62%68.51%-33.26%-159.92%-120.49%-
EBITDA-18.98M-18.41M-45.72M-28.58M-22.43M-31.96M-101.87M-76.42M-29.39M0
EBITDA Margin %-4865.38%------275321.62%-8794.36%-5785.43%-
EBITDA Growth %27%59.73%-59.95%-27.41%29.82%68.62%-33.3%-160.03%--
D&A (Non-Cash Add-back)1.32M284K1.75M1.8M2.1M161K152K136K65K13.36M
EBIT-24.39M-22.01M-36.33M-41.77M-85.31M-36.17M-101.83M-76.16M-29.45M-13.35M
Net Interest Income-2.17M01.43M-2.36M-5.55M-15.09M-861K-426K277K0
Interest Income133K01.43M2.36K4.53K12.3K00277K0
Interest Expense2.3M002.36M5.55M15.1M861K426K00
Other Income/Expense-6.39M-5.84M9.71M-13.75M-66.32M-19.14M-665K-25K493K8K
Pretax Income-26.68M-24.53M-37.76M-44.13M-90.86M-51.26M-102.69M-76.58M-28.96M-13.35M
Pretax Margin %-6842.31%------277529.73%-8812.89%-5701.18%-
Income Tax276K240K613K301K705K743K444K472K444K113K
Effective Tax Rate %-1.03%-0.98%-1.62%-0.68%-0.78%-1.45%-0.43%-0.62%-1.53%-0.85%
Net Income-26.96M-24.77M-38.37M-44.43M-91.56M-52.01M-103.13M-77.06M-29.41M-13.46M
Net Margin %-6913.08%------278729.73%-8867.2%-5788.58%-
Net Income Growth %11.76%35.44%13.64%51.47%-76.06%49.57%-33.84%-162.04%-118.4%-
Net Income (Continuing)-26.96M-24.77M-38.37M-44.43M-91.56M-52.01M-103.13M-77.06M-29.41M-13.46M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)-0.59-1.26-2.96-3.63-8.41-32.49-7.10-98.32-58.08-26.59
EPS Growth %62.5%57.43%18.46%56.84%74.12%-357.61%92.78%-69.28%-118.43%-
EPS (Basic)--1.26-2.96-3.63-8.41-32.49-7.10-98.32-58.08-26.59
Diluted Shares Outstanding45.8M19.7M12.96M12.24M10.89M24.01M1.05M631.57K549.15K13.96M
Basic Shares Outstanding45.8M19.7M12.96M12.24M10.89M24.01M1.05M631.57K549.15K13.96M
Dividend Payout Ratio----------

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)

Emerging Revenue From Clinical Base

As indicated by the 2025Q3 financial statements, Iterum recorded its first revenue of $390.0K, marking a transition from a purely pre-revenue clinical entity to a nascent commercial stage, though the sustainability of this top-line contribution remains highly speculative pending broader regulatory and market adoption.

The emergence of revenue suggests the company is beginning to monetize its clinical assets, yet the lack of historical growth trends makes it difficult to project future trajectory. Investors should monitor whether this initial figure represents a repeatable commercial stream or merely a one-time milestone payment.

R&D Intensity Driving Cash Burn

According to reported quarterly filings, the company's cost structure is dominated by R&D expenditures, which peaked at $14.9M in 2023Q3 before moderating to $1.3M in 2025Q3, reflecting the completion of critical clinical trial phases and the shift toward regulatory resubmission requirements.

The significant reduction in R&D spending appears to be a strategic effort to preserve capital, yet it leaves the company with limited flexibility for future pipeline expansion. The high volatility in these costs underscores the inherent risk of relying on a single-asset development model.

Operating Leverage Remains Highly Negative

Based on the provided income statement data, Iterum continues to exhibit deep operating losses, with 2025Q3 operating income of -$7.4M, demonstrating that the company has yet to achieve the scale necessary to cover its fixed SG&A and R&D overhead through its current revenue base.

The widening gap between operating expenses and revenue suggests that the company remains in a high-risk phase where operational efficiency is secondary to survival. Without a substantial increase in revenue, the current cost structure may necessitate further dilutive financing to maintain operations.

Commercial Viability Faces Structural Hurdles

As highlighted by the historical income statement trends, the company's reliance on periodic, non-recurring revenue streams and persistent net losses, such as the -$9.0M net loss in 2025Q3, suggests that the market may be underestimating the difficulty of achieving a sustainable commercial launch.

Short-sellers would likely focus on the potential for antimicrobial stewardship protocols to limit the addressable market for sulopenem, regardless of regulatory approval. The combination of high cash burn and the absence of a proven commercial model warrants significant caution regarding long-term equity value.

ITRM — Frequently Asked Questions

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

What was Iterum Therapeutics plc's (ITRM) revenue in 2024?

For fiscal year 2024, Iterum Therapeutics plc (ITRM) reported total revenue of $0.0M.

Is Iterum Therapeutics plc (ITRM) profitable?

Iterum Therapeutics plc (ITRM) reported a net loss of $24.8M for the fiscal year ending 2024.