Adial Pharmaceuticals Reports Q3 2025 Earnings, Highlights FDA Milestone and Cash Runway Concerns

ADIL
November 16, 2025

Adial Pharmaceuticals reported a Q3 2025 net loss of $1.8 million, an improvement from the $2.2 million loss recorded in the same quarter of 2024. Cash and cash equivalents stood at $4.6 million as of September 30 2025, down from $5.9 million at the end of June. Management indicated that the current cash balance is expected to support operations through the second quarter of 2026, underscoring a limited runway for the upcoming Phase 3 trial.

Research and development expenses fell by $511 thousand, a 50 % year‑over‑year decline, while general and administrative costs rose by roughly 5 %. The reduction in R&D spending reflects a shift away from early‑stage clinical activity, whereas the modest increase in G&A is attributed to the timing of the annual shareholder meeting and related administrative expenses.

The company’s lead candidate, AD04, achieved a significant regulatory milestone with a successful End‑of‑Phase‑2 meeting with the FDA on July 29 2025. The FDA provided guidance on an adaptive Phase 3 design, and the companion diagnostic developed with Genomind—a cheek‑swab test—was validated and classified as a non‑significant risk device, eliminating the need for an investigational device exemption. While the original article stated a Phase 3 trial would begin in the second half of 2025, other sources indicate the trial is expected to start in late 2025 or the first half of 2026.

Adial is currently facing a Nasdaq bid‑price compliance warning, with a deadline of March 2 2026 to maintain listing status. The warning, coupled with the modest cash balance, highlights a critical headwind that could constrain the company’s ability to fund the Phase 3 program without additional capital. Management has emphasized the importance of securing new financing to sustain the development timeline.

CEO Cary Claiborne said, “We continue to achieve meaningful milestones on our path toward FDA approval and eventual commercialization of AD04. The successful End‑of‑Phase‑2 meeting and the validation of the Genomind diagnostic strengthen the clinical and statistical framework for our upcoming Phase 3 trial.” He added that the company remains at an inflection point, with the FDA’s guidance providing a clearer roadmap for the next development phase.

Overall, Adial’s Q3 results demonstrate progress in clinical development and cost management, but the limited cash runway and regulatory compliance risk pose significant challenges. The company’s ability to secure additional funding will be pivotal in determining whether it can execute the Phase 3 trial and move toward regulatory approval.

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