Achieve Life Sciences
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Achieve Life Sciences (ACHV) investor relations material

Achieve Life Sciences Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary24 Mar, 2026

Executive summary

  • Transitioned from a clinical-stage to a commercially focused company following NDA submission for cytisinicline in June 2025, with FDA acceptance and a PDUFA date of June 20, 2026.

  • Achieved NDA acceptance for smoking cessation and received a Commissioner's National Priority Voucher for vaping cessation, positioning cytisinicline as a potential first-in-class treatment and expediting FDA review.

  • Advanced commercial infrastructure, including digital and AI-driven platforms, and established U.S.-based manufacturing with Adare Pharma Solutions to secure supply chain and reduce international risks.

  • Completed ORCA-OL long-term exposure trial, confirming cytisinicline's safety, high patient satisfaction, and exceeding FDA requirements.

  • Maintained focus on addressing the unmet medical need for nicotine dependence treatments, with a Willpower awareness campaign launched to reframe public perception.

Financial highlights

  • Cash equivalents and marketable securities totaled $36.4 million as of December 31, 2025.

  • Operating expenses were $14.7 million for Q4 and $54.9 million for the full year 2025.

  • Net loss was $14.7 million for Q4 and $54.7 million for the full year 2025.

  • Basic and diluted net loss per share was $0.28 for Q4 2025 and $1.25 for the full year 2025.

Outlook and guidance

  • Targeting commercial launch of cytisinicline in the first half of 2027, contingent on NDA approval expected by June 2026.

  • Ongoing preparations for supply chain readiness, payer engagement, and awareness campaigns to ensure successful launch, including logistics and specialty pharmacy partnerships.

  • Ongoing communication with FDA regarding manufacturing observations; remedial actions are being implemented.

  • Anticipates a slow ramp in insurance coverage post-launch, with Affordable Care Act requirements supporting access.

Status of FDA remedial actions for NDA site
Drivers of the year-over-year G&A increase
Timeline for Phase 3 vaping trial initiation
Explain FDA observations at the NDA manufacturer
Detail the 1H 2027 launch timing drivers
Vaping trial acceleration via priority voucher
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Q1 202612 May, 2026
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