PROK PROKIDNEY CORP.
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Executive Summary
ProKidney reported Q1 2026 financial results that were in line with consensus, with a net loss of $20.0M available to Class A common stockholders ($-0.14 EPS) versus the $-0.14 estimate. The company reiterated its key clinical milestones: Phase 3 PROACT 1 enrollment completion mid-2026 and pivotal eGFR slope data in Q2 2027. Cash burn accelerated to $41.7M in operating cash flow (vs $29.6M in Q1 2025), reducing the cash runway to $224.9M, still supporting operations into mid-2027. The filing is neutral — no new data, no guidance change, and the clinical timeline remains on track.
Actionable Insight
No new clinical data or guidance change — the stock will trade on the unchanged PROACT 1 timeline (enrollment mid-2026, data Q2 2027). The updated 80% powering assumption for the surrogate endpoint is a minor technical clarification, not a de-risking event. Monitor for enrollment completion announcement in the coming months as the next catalyst.
Key Facts
- Q1 2026 net loss available to Class A common stockholders was $20.0M ($-0.14 EPS), in line with consensus of $-0.14
- Revenue was $226K, essentially flat vs $230K in Q1 2025
- Cash, cash equivalents and marketable securities totaled $224.9M at March 31, 2026, down from $270.0M at December 31, 2025
- Operating cash flow was -$41.7M in Q1 2026 vs -$29.6M in Q1 2025, a 41% increase in cash burn
- Phase 3 PROACT 1 enrollment for accelerated approval efficacy analysis remains on track for mid-2026, with pivotal topline results expected Q2 2027
- The statistical powering assumption for the surrogate endpoint (eGFR slope) was updated to 80% (from prior 90%) in the 8-K Item 8.01
- Cash runway guidance unchanged: operations funded into mid-2027
Financial Impact
Q1 2026 net loss of $20.0M on $226K revenue; cash burn increased 41% YoY to $41.7M operating cash flow; cash position $224.9M provides runway into mid-2027
Risk Factors
- Cash burn accelerated to $41.7M/quarter, reducing runway faster than prior run-rate implied
- Phase 3 PROACT 1 trial failure risk remains binary — no interim data to de-risk
- No new financing announced; if enrollment or data timeline slips, the company may need to raise capital before mid-2027
Market Snapshot
Documents Analyzed
This report is based on 7 SEC documents filed with EDGAR.
| Document | Accession Number |
|---|---|
| 8-K Filing (Primary) | 0001193125-26-225848 |
| Document: prok-20260515.htm | 0001193125-26-225848 |
| Document: prok-ex99_2.htm | 0001193125-26-225848 |
| Document: 0001193125-26-225848-index-headers.html | 0001193125-26-225848 |
| Document: 0001193125-26-225848-index.html | 0001193125-26-225848 |
| Document: 0001193125-26-225848.txt | 0001193125-26-225848 |
| 8-K Data (Synthetic) | 0001193125-26-225848 |
Filters
| Type | Now | ||||
|---|---|---|---|---|---|
|
May 15, 2026
25d ago
|
8-K
| $1.66 $1.75 | ▲ +5.42% | ▲ +4.46% | $1.71 (+3.01%) |
|
May 15, 2026
25d ago
|
Press Release
| $1.66 $1.75 | ▲ +5.42% | ▲ +4.46% | $1.71 (+3.01%) |
|
Apr 17, 2026
7w ago
|
DEFA14A
| $2.10 $1.86 | ▼ −11.43% | ▼ −12.34% | $1.71 (−18.57%) |
|
Mar 18, 2026
11w ago
|
Press Release
| $1.95 $1.77 | ▼ −9.23% | ▼ −7.02% | $1.71 (−12.31%) |
US Market Status
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