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Akero Therapeutics Reports Second Quarter 2025 Financial Results and Provides Business Update

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Akero Therapeutics (Nasdaq: AKRO) reported significant progress in its clinical programs for EFX, a potential first- and best-in-class therapy for MASH (Metabolic dysfunction-Associated SteatoHepatitis). The company's 96-Week Phase 2b SYMMETRY trial results were published in the New England Journal of Medicine, demonstrating statistically significant reversal of compensated cirrhosis in MASH patients.

At EASL 2025, three presentations highlighted EFX's anti-fibrotic activity across all MASH stages. The data showed promising results in high-risk patient subgroups, including those with cryptogenic cirrhosis and type 2 diabetes. New analyses from the HARMONY study confirmed consistent fibrosis improvement in pre-cirrhotic MASH patients using both conventional and AI-based analysis methods.

Financially, Akero reported $1.09 billion in cash and equivalents as of June 30, 2025, expected to fund operations into 2028. Q2 operating expenses increased to $80.9 million, up from $65.7 million in the previous year, primarily due to ongoing Phase 3 trials.

Akero Therapeutics (Nasdaq: AKRO) ha riportato progressi significativi nei suoi programmi clinici per EFX, una potenziale terapia prima e migliore della sua categoria per la MASH (Steatoepatite Associata a Disfunzione Metabolica). I risultati del trial di Fase 2b SYMMETRY della durata di 96 settimane sono stati pubblicati sul New England Journal of Medicine, dimostrando una significativa inversione statistica della cirrosi compensata nei pazienti con MASH.

All'EASL 2025, tre presentazioni hanno evidenziato l'attività antifibrotica di EFX in tutte le fasi della MASH. I dati hanno mostrato risultati promettenti nei sottogruppi di pazienti ad alto rischio, inclusi quelli con cirrosi criptogenica e diabete di tipo 2. Nuove analisi dello studio HARMONY hanno confermato un miglioramento costante della fibrosi nei pazienti con MASH pre-cirrotica, utilizzando sia metodi convenzionali che basati sull'intelligenza artificiale.

Dal punto di vista finanziario, Akero ha riportato 1,09 miliardi di dollari in liquidità e equivalenti al 30 giugno 2025, somma prevista per finanziare le operazioni fino al 2028. Le spese operative del secondo trimestre sono aumentate a 80,9 milioni di dollari, rispetto ai 65,7 milioni dell'anno precedente, principalmente a causa dei continui trial di Fase 3.

Akero Therapeutics (Nasdaq: AKRO) informó avances significativos en sus programas clínicos para EFX, una posible terapia pionera y líder en su clase para MASH (Esteatohepatitis Asociada a Disfunción Metabólica). Los resultados del ensayo de Fase 2b SYMMETRY de 96 semanas fueron publicados en el New England Journal of Medicine, demostrando una reversión estadísticamente significativa de la cirrosis compensada en pacientes con MASH.

En el EASL 2025, tres presentaciones destacaron la actividad antifibrótica de EFX en todas las etapas de MASH. Los datos mostraron resultados prometedores en subgrupos de pacientes de alto riesgo, incluyendo aquellos con cirrosis criptogénica y diabetes tipo 2. Nuevos análisis del estudio HARMONY confirmaron una mejora constante de la fibrosis en pacientes con MASH pre-cirótica, utilizando métodos tanto convencionales como basados en inteligencia artificial.

En el aspecto financiero, Akero reportó 1.090 millones de dólares en efectivo y equivalentes al 30 de junio de 2025, monto que se espera financie las operaciones hasta 2028. Los gastos operativos del segundo trimestre aumentaron a 80,9 millones de dólares, frente a 65,7 millones del año anterior, principalmente debido a los ensayos de Fase 3 en curso.

Akero Therapeutics (나스�: AKRO)� MASH(대� 기능 장애 연관 지방간�)� 대� 잠재� 1세대 � 최고� 치료제인 EFX 임상 프로그램에서 중요� 진전� 보고했습니다. 회사� 96주간 2b� SYMMETRY 시험 결과가 New England Journal of Medicine� 게재되어 MASH 환자� 보상� 간경변증이 통계적으� 유의미하� 역전됨을 입증했습니다.

2025� EASL에서 � 건의 발표가 모든 MASH 단계에서 EFX� 항섬유화 활성� 강조했습니다. 데이터는 암묵� 간경변� � �2� 당뇨� 환자� 포함� 고위� 환자 하위 그룹에서 유망� 결과� 보였습니�. HARMONY 연구� 새로� 분석은 기존 � 인공지� 기반 분석 방법 모두� 사용하여 전간경변 MASH 환자에서 섬유� 개선� 일관되게 나타났음� 확인했습니다.

재무적으� Akero� 2025� 6� 30� 기준 10� 9천만 달러� 현금 � 현금� 자산� 보고했으�, 이는 2028년까지 운영 자금� 지원할 것으� 예상됩니�. 2분기 운영비는 8,090� 달러� 전년도의 6,570� 달러에서 증가했으�, 주로 진행 중인 3� 시험 때문입니�.

Akero Therapeutics (Nasdaq : AKRO) a annoncé des progrès significatifs dans ses programmes cliniques pour EFX, une thérapie potentielle de première classe et meilleure de sa catégorie pour la MASH (Stéatohépatite associée à une dysfonction métabolique). Les résultats de l'essai de phase 2b SYMMETRY de 96 semaines ont été publiés dans le New England Journal of Medicine, démontrant une réversion statistiquement significative de la cirrhose compensée chez les patients atteints de MASH.

Lors de l'EASL 2025, trois présentations ont mis en lumière l'activité anti-fibrotique d'EFX à tous les stades de la MASH. Les données ont montré des résultats prometteurs dans des sous-groupes de patients à haut risque, y compris ceux atteints de cirrhose cryptogénique et de diabète de type 2. De nouvelles analyses de l'étude HARMONY ont confirmé une amélioration constante de la fibrose chez les patients atteints de MASH pré-cirrhotique, utilisant à la fois des méthodes d'analyse conventionnelles et basées sur l'intelligence artificielle.

Sur le plan financier, Akero a déclaré disposer de 1,09 milliard de dollars en liquidités et équivalents au 30 juin 2025, ce qui devrait financer ses opérations jusqu'en 2028. Les dépenses d'exploitation du deuxième trimestre ont augmenté à 80,9 millions de dollars, contre 65,7 millions l'année précédente, principalement en raison des essais de phase 3 en cours.

Akero Therapeutics (Nasdaq: AKRO) meldete bedeutende Fortschritte in seinen klinischen Programmen für EFX, eine potenzielle erstklassige Therapie für MASH (Metabolisch bedingte Steatohepatitis). Die Ergebnisse der 96-wöchigen Phase-2b-Studie SYMMETRY wurden im New England Journal of Medicine veröffentlicht und zeigten eine statistisch signifikante Umkehr der kompensierten Zirrhose bei MASH-Patienten.

Auf der EASL 2025 wurden drei Präsentationen vorgestellt, die die antifibrotische Wirkung von EFX in allen MASH-Stadien hervorhoben. Die Daten zeigten vielversprechende Ergebnisse bei Hochrisikopatienten, einschließlich solcher mit kryptogener Zirrhose und Typ-2-Diabetes. Neue Analysen der HARMONY-Studie bestätigten eine konsistente Verbesserung der Fibrose bei präzirrhotischen MASH-Patienten, basierend auf konventionellen und KI-gestützten Analysemethoden.

Finanziell berichtete Akero über 1,09 Milliarden US-Dollar an liquiden Mitteln und Äquivalenten zum 30. Juni 2025, die voraussichtlich die Geschäftstätigkeit bis 2028 finanzieren. Die Betriebsausgaben im zweiten Quartal stiegen auf 80,9 Millionen US-Dollar, gegenüber 65,7 Millionen im Vorjahr, hauptsächlich aufgrund laufender Phase-3-Studien.

Positive
  • Strong cash position of $1.09 billion, providing runway into 2028
  • Statistically significant reversal of cirrhosis in MASH patients demonstrated in Phase 2b SYMMETRY trial
  • Publication of results in prestigious New England Journal of Medicine
  • Positive data showing EFX efficacy across all MASH stages
  • Successful demonstration of anti-fibrotic activity in high-risk patient subgroups
Negative
  • Operating expenses increased 23% year-over-year to $80.9 million
  • Phase 3 SYNCHRONY trial results not expected until first half of 2026-2027
  • R&D expenses increased to $69.3 million from $55.3 million year-over-year

Insights

Akero's EFX shows unprecedented cirrhosis reversal in MASH patients with strong data validation and $1.08B cash runway through 2028.

Akero's Q2 update reveals groundbreaking clinical progress for its lead candidate EFX in metabolic dysfunction-associated steatohepatitis (MASH). The publication of the Phase 2b SYMMETRY trial results in the New England Journal of Medicine represents exceptional validation - this prestigious journal typically only publishes truly significant medical advances.

The standout achievement is demonstrating statistically significant reversal of compensated cirrhosis (F4) due to MASH. This is a remarkable clinical accomplishment that positions EFX as potentially first- and best-in-class in this indication. The cirrhosis reversal data is particularly compelling because it was observed across high-risk subgroups including patients with cryptogenic cirrhosis and type 2 diabetes - populations with limited treatment options and high risk of progression to end-stage liver disease.

Additional data from the HARMONY study in pre-cirrhotic (F2-F3) patients reinforces EFX's consistent anti-fibrotic activity across the disease spectrum. The corroboration of conventional pathologist assessments with advanced AI-based analysis (󾱲Dz®) provides multi-modal validation of the drug's mechanism.

Financially, Akero maintains a robust cash position of $1,086.2 million, providing runway into 2028 - well beyond their upcoming Phase 3 readouts (SYNCHRONY AG˹ٷ-World in H1 2026 and SYNCHRONY Histology in H1 2027). The quarterly burn rate of ~$81 million reflects the substantial investment in the comprehensive Phase 3 program and manufacturing scale-up, appropriate for a late-stage asset with this level of clinical promise.

What makes EFX particularly valuable is its potential to modify the underlying disease process rather than just treating symptoms - representing a paradigm shift in MASH treatment where no FDA-approved therapies currently exist for cirrhotic patients.

Published results from the 96-Week Phase 2b SYMMETRY trial in
the New England Journal of Medicine

Three presentations at the EASL Congress 2025 highlighted data demonstrating statistically significant reversal of compensated cirrhosis (F4) due to MASH and corroborating the anti-fibrotic activity of EFX seen in patients with pre-cirrhotic (F2-F3) MASH

Cash, cash equivalents and short and long-term marketable securities
of $1,086.2 million at June 30, 2025

SOUTH SAN FRANCISCO, Calif., Aug. 08, 2025 (GLOBE NEWSWIRE) -- Akero Therapeutics, Inc. (Nasdaq: AKRO), a clinical-stage company developing transformational treatments for patients with serious metabolic diseases marked by high unmet medical need, today reported second quarter financial results for the period ending June 30, 2025, and provided business updates.

“In the second quarter of 2025, we continued to build on the strong momentum established with the announcement of statistically significant reversal of cirrhosis due to MASH in the Phase 2b SYMMETRY study, supported by the peer-reviewed publication of 96-week results in the New England Journal of Medicine and additional data presentations that reinforce the anti-fibrotic activity of EFX across all stages of MASH,� said Andrew Cheng, president and CEO. “We look forward to reporting preliminary results of our first Phase 3 trial, SYNCHRONY AG˹ٷ-World, in the first half of 2026 as well as a readout of SYNCHRONY Histology in the first half of 2027.�

Phase 2b SYMMETRY Data Featured in the New England Journal of Medicine

  • In a significant milestone for the EFX clinical program, data from the Phase 2b SYMMETRY study evaluating EFX in patients with compensated cirrhosis (F4) due to MASH was published in the New England Journal of Medicine on May 9, 2025.
  • This peer-reviewed publication reinforces the importance of the SYMMETRY findings and positions EFX as a potential first- and best-in-class therapy with disease-modifying activity in advanced-stage MASH.

New 96-Week SYMMETRY Findings Underscore Broad Potential of EFX in Late-Breaking Oral Presentation at EASL 2025

  • Week 96 data presented during a late-breaking oral session at EASL 2025 demonstrated the potential of EFX 50mg to reverse cirrhosis in high-need MASH subgroups, including patients with cryptogenic cirrhosis and type 2 diabetes.
  • Data suggest EFX may benefit patients at greater risk of progression toward decompensation and end-stage liver disease, showing reversal of cirrhosis for the first time in these groups with high unmet need.
  • The official press program of EASL 2025 highlighted the presentation of SYMMETRY results, underlining the importance of the results within the landscape of liver diseases.

New Analyses from Phase 2b HARMONY Study Presented at EASL 2025 Highlight Consistent Fibrosis Improvement with EFX

  • New insights from the Phase 2b HARMONY study demonstrated EFX’s ability to improve fibrosis in pre-cirrhotic MASH (F2-F3) using both conventional pathologist scoring and advanced AI-based analysis of biopsy images.
  • In an oral presentation, analyses of patients treated with 50mg EFX for 96 weeks showed that a majority of individuals achieved improvements across all three measures of antifibrotic response: 󾱲Dz® staging of biopsy images, ELF score, and liver stiffness by FibroScan®, in stark contrast to placebo patients, none of whom met all three of the same measures.
  • AI-based analysis corroborated the treatment effect observed by conventional pathology scoring.
  • A supporting poster provided evidence that qFibrosis® may detect fibrosis improvement earlier than conventional pathology scoring, manifested as statistically significant fibrosis regression in peri-portal and peri-sinusoidal zones.

Second Quarter 2025 Financial Results

  • Akero's cash, cash equivalents and short and long-term marketable securities as of June 30, 2025, were $1,086.2 million.
  • Akero believes that its cash, cash equivalents and short and long-term marketable securities will be sufficient to fund its current operating plan into 2028.
  • Research and development expenses for the three-month period ended June 30, 2025 were $69.3 million, compared to $55.3 million for the comparable period in 2024. These increases were attributable to higher expenses associated with the ongoing Phase 3 SYNCHRONY Histology, AG˹ٷ-World, and Outcomes studies, and manufacture of clinical supplies for Phase 3 and potential marketing applications, as well as higher expenses for personnel.
  • General and administrative expenses for the three-month period ended June 30, 2025 were $11.6 million, compared to $10.4 million for the comparable period in 2024. These increases are attributable to higher expenses for personnel, professional services and other costs associated with operating as a public company.
  • Total operating expenses were $80.9 million for the three-month period ended June 30, 2025, compared to $65.7 million for the comparable period in 2024.

About MASH
MASH is a serious form of MASLD that is estimated to affect 17 million Americans. MASH is characterized by an excessive accumulation of fat in the liver that causes stress and injury to liver cells, leading to inflammation and fibrosis, which can progress to cirrhosis, liver failure, cancer and eventually death. Approximately 20% of patients with MASH are expected to progress to cirrhosis, which has a higher risk of mortality. There are no approved treatments for compensated cirrhosis due to MASH, one of the fastest growing causes of liver transplants and liver cancer in the US and Europe.

About Cirrhosis Due to MASH
Cirrhosis due to MASH (metabolic dysfunction-associated steatohepatitis) is a life-threatening disease with high risk of liver failure, cancer, and death. By 2030, an estimated 3 million Americans are projected to have cirrhosis due to MASH.

About EFX
Efruxifermin (EFX), Akero’s lead product candidate for MASH, is currently being evaluated in three ongoing Phase 3 studies. In multiple Phase 2 studies, EFX has been observed to reverse fibrosis (including compensated cirrhosis due to MASH), resolve MASH, reduce non-invasive markers of fibrosis and liver injury, and improve insulin sensitivity and lipoprotein profile. This holistic profile offers the potential to address the complex, multi-system disease state of all stages of MASH, including improvements in lipoprotein risk factors linked to cardiovascular disease � the leading cause of death among MASH patients.Engineered to mimic the biological activity profile of native FGF21, EFX is designed to offer convenient once-weekly dosing and has been generally well-tolerated in clinical trials to date.

About Akero Therapeutics
Akero Therapeutics is a clinical-stage company developing transformational treatments for patients with serious metabolic diseases marked by high unmet medical need, including metabolic dysfunction-associated steatohepatitis (MASH). Akero’s lead product candidate, efruxifermin (EFX), is currently being evaluated in three Phase 3 clinical studies: SYNCHRONY Histology in patients with pre-cirrhotic (F2-F3 fibrosis) MASH, SYNCHRONY Outcomes in patients with compensated cirrhosis (F4) due to MASH, and SYNCHRONY AG˹ٷ-World in patients with MASH or MASLD (metabolic dysfunction-associated steatotic liver disease). The Phase 3 SYNCHRONY program builds on the results of two Phase 2b clinical trials, the HARMONY study in patients with pre-cirrhotic MASH and the SYMMETRY study in patients with compensated cirrhosis due to MASH. Akero is headquartered in South San Francisco. Visit us at and follow us on and for more information.

Forward Looking Statements
Statements contained in this press release regarding matters that are not historical facts are "forward-looking statements'' within the meaning of the Private Securities Litigation Reform Act of 1995. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements, including, but not limited to, statements regarding Akero’s business plans and objectives; the potential therapeutic effects of EFX, as well as the dosing, safety and tolerability of EFX, the future potential of EFX as a therapy with disease-modifying activity in advanced-stage MASH; upcoming milestones, including the results, and expected timing to report results from the SYNCHRONY Phase 3 program; and Akero's growth as a company and expectations regarding its uses of capital, expenses, and financial results, including the expected cash runway. Any forward-looking statements in this press release are based on management's current expectations of future events and are subject to a number of risks and uncertainties that could cause actual results to differ materially and adversely from those set forth in or implied by such forward-looking statements. Risks that contribute to the uncertain nature of the forward-looking statements include: the success, cost, and timing of Akero’s product candidate development activities and planned clinical trials; Akero’s ability to execute on its strategy; positive results from any of its clinical studies may not necessarily be predictive of the results of future or ongoing clinical studies; regulatory developments in the United States and foreign countries; Akero’s ability to fund operations; as well as those risks and uncertainties set forth more fully under the caption "Risk Factors'' in Akero’s most recent Annual Report on Form 10-K and Quarterly Report on Form 10-Q, as filed with the Securities and Exchange Commission (SEC) as well as discussions of potential risks, uncertainties and other important factors in Akero’s other filings and reports with the SEC. All forward-looking statements contained in this press release speak only as of the date on which they were made. Akero undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.

Investor Contact:
Christina Tartaglia
332.322.7430
[email protected]

Media Contact:
Peg Rusconi
617.910.6217
[email protected]

Akero Therapeutics, Inc.
Condensed Consolidated Balance Sheets
(Unaudited)
(In thousands)
June30,2025December31,2024
Assets
Cash, cash equivalents and short-term marketable securities$742,315$743,078
Other current assets22,28527,302
Non-current assets344,55255,506
Total assets$1,109,152$825,886
Liabilities and Stockholders� Equity
Current liabilities$60,401$39,754
Non-current liabilities22,93236,020
Stockholders� equity1,025,819750,112
Total liabilities and stockholders� equity$1,109,152$825,886


Akero Therapeutics, Inc.
Condensed Consolidated Statements of Operations and Comprehensive Loss
(Unaudited)
(In thousands, except share and per share amounts)
Three Months Ended June30,Six Months Ended June30,
2025202420252024
Operating expenses:
Research and development$69,254$55,322$138,821$105,972
General and administrative11,61910,41922,93419,723
Total operating expenses80,87365,741161,755125,695
Loss from operations(80,873)(65,741)(161,755)(125,695)
Interest expense(1,172)(1,231)(2,326)(2,222)
Interest and other income, net11,54010,98522,85118,586
Net loss$(70,505)$(55,987)$(141,230)$(109,331)
Comprehensive loss$(70,602)$(56,169)$(141,190)$(109,862)
Net loss per common share, basic and diluted$(0.86)$(0.81)$(1.76)$(1.70)
Weighted-average number of shares used in computing net loss per common share, basic and diluted81,721,38769,160,48480,197,49464,234,122

FAQ

What were the key findings from Akero's Phase 2b SYMMETRY trial for MASH treatment?

The trial demonstrated statistically significant reversal of compensated cirrhosis in MASH patients, with particularly strong results in high-risk subgroups including patients with cryptogenic cirrhosis and type 2 diabetes.

How much cash does Akero Therapeutics (AKRO) have and how long will it last?

Akero reported $1.086 billion in cash, cash equivalents and marketable securities as of June 30, 2025, which is expected to fund operations into 2028.

When will Akero's Phase 3 SYNCHRONY trial results be available?

Akero expects to report preliminary results from SYNCHRONY AG˹ٷ-World in the first half of 2026 and SYNCHRONY Histology results in the first half of 2027.

What evidence supports EFX's effectiveness in treating MASH?

Multiple data points support EFX's effectiveness, including published results in the New England Journal of Medicine, positive Phase 2b trial results, and consistent fibrosis improvement demonstrated through both conventional pathologist scoring and AI-based analysis.

How did Akero's operating expenses change in Q2 2025 compared to 2024?

Total operating expenses increased to $80.9 million in Q2 2025 from $65.7 million in Q2 2024, primarily due to higher R&D expenses for Phase 3 trials and increased personnel costs.
Akero Therapeutics

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Biotechnology
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SOUTH SAN FRANCISCO