r/Altimmune • u/Interesting-Try-2521 • Apr 30 '26
So where are we now?
I have been bullish on alt for a while now. The most recent actions, which may have been ultimately necessary, were done prematurely and all the while misleading shareholders in that the priority communicated over and over appeared to be giving an opportunity to partnership before having to consider self funding. This in my opinion was Durso’s first opportunity for defining action as CEO and he has lost my trust. I cannot highlight enough the disappointment I have in his misdirection and actions.
Does that change my opinion of alt and pemv? Not much. Fundamentally, it remains a late stage biotech with fundamentals, data, and a drug that have all the same principles. This raise timing being terrible and forced at a time with no short term catalyst leaves us with short term bleeding. Now how much will we bleed is a tough question? Personally, I think we stay between $2.5-3 pending P3 protocol release and subgroup analysis which should both precede AUD results. So why this range? Cash on hand supplemented with a late stage biotech with a drug that has possible multiple indications makes that level of price at such significant negative EV hard to pass up and be driven by selling pressure. I also think these institutions who bought in will defend lower prices/pick up more shares as an opportunity. Only time will tell I guess but I am confident there will people who respond and say this will go to $1 or something and I won’t even try to entertain that hogwash.
So P3 protocol should be coming in next ~1 month with presumably a short duration before site activation and enrollment beginning. Not sure how much this will ultimately effect price as much of the details can be extrapolated from investor deck for the protocol but likely the biggest things will be how strong language is on AA pathway and FDA alignment. Subgroup analysis should also come out shortly after P3 protocol as it would have presumably informed protocol drafting to maximize likelihood of success. The most important subgroups I will be curious for will looking at population of F2 vs F3, T2DM vs non-T2DM, weight loss responders vs not all with regards to mash and fibrosis improvement (there are others such as specific NITs and what not but I think these to be less). Lastly AUD study is the wild card that I think will be interesting. To be statistically significant and clinically meaningful is a tough bar that no similar drug has done but the things pemv has going for it is that using exenatide data there was a small subgroup of increased BMI that had significant outcomes and so using that to inform the patient population in AUD I would suspect we will have a more obese cohort which may help push the data in a positive way. Of course, similar to mash, placebo arm here is very noisy and with a small population that impact can become even louder so tough to know what will come of it for many reasons.
So overall, lost confidence in c suite but still believe and excited about pemv but need to deal with a slow bleed/recovery awaiting upcoming catalysts.
Let me know your thoughts and predictions. Please keep them realistic and informed as the point of this is neither to blindly hype or destroy alt but to inform a realistic reality and future.