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Centessa Pharmaceuticals (CNTA) Stock Fundamentals, Analysis & Risk Signals

Health score, price, valuation, risk signals, and key metrics at a glance.

Centessa Pharmaceuticals
NasdaqGM•Healthcare•Biotechnology
$40.50+40.50(0.00%)After hours
Market Cap
$6.22B
P/B
12.8x

Centessa Pharmaceuticals plc, together with its subsidiaries, discovers, develops, and delivers orexin-based neuroscience therapeutics in the United Kingdom and the United States. The company develops ORX750, an orexin receptor 2 agonist, which is in Phase IIa clinical trial for the treatment of central disorders of hypersomnolence, including narcolepsy type 1 and 2, as well as idiopathic hypersomnia. It also engages in the development of ORX142 which is in Phase I clinical trial for the treatment of neurological and neurodegenerative disorders; ORX489 which is in Phase I clinical trial for the treatment of neuropsychiatric disorders; and LockBody, an early-stage immuno-oncology program technology platform. The company was incorporated in 2020 and is headquartered in Altrincham, the United Kingdom.

D

How this company scores

WeakMetricSide Score: 28/100

Grade capped at D — Interest coverage below 1× (-23.5x) — earnings cannot cover interest. Strongest: Balance Sheet & Red Flags (15/25); weakest: Profitability (2/25).

Profitability2/25
Growth5/25
Balance Sheet & Red Flags15/25
Cash & Earnings Quality6/25
Strengths
Low leverageImproving leverage
Grade capped at D
  • Interest coverage below 1× (-23.5x) — earnings cannot cover interest.

Watch items

Data-driven signals worth keeping an eye on across the last 8 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

Free cash flow has been negative in 8 of the last 8 quarters — earnings are not translating to cash.

Price & Volume
Market Cap $6.22B

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$0
2Q
Q. Revenue
$0
100%
TTM EBITDA
$-255.75M
31%
TTM Op. Income
$-256.69M
31%
Q. Op. Income
$-79.77M
2Q
TTM Net Income
$-250.64M
12%
Q. Net Income
$-79.24M
4Q
EPS
$-0.52
4Q
Shares Out.
$153.55M
5Q
$0 in TTM revenue declined 100.0% YoY, reaching $0 last quarter. TTM EBITDA of $-255.75M and TTM operating income of $-256.69M show growth is flowing through to the bottom line. However, net income is negative at $250.64M — growth is not yet reaching the bottom line. Across the last 8 quarters, TTM revenue has fallen for 2 consecutive quarters — a weakening trend.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
N/A
Op. Margin
-7977300000.0%
3887951942%
Net Margin
-7924100000.0%
4547981534%
Op. margin of -7977300000.0% is down 7977299794.8% YoY — costs are rising relative to revenue. Net margin at -7924100000.0% Over the past year, operating margin is down 3887951942% — a weakening trend.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
N/A
P/B Ratio
N/A
P/S of 0.0x and P/B of 0.0x.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$641.76M
22%
Cash
$62.43M
3Q
Long-Term Debt
$110.44M
6Q
Book Value
$487.35M
26%
D/E Ratio
0.2
20%
Debt/EBITDA
N/A
With $641.76M in assets and $110.44M in long-term debt, D/E is 0.2and book value is $487.35M — a conservative capital structure with a cushion to weather downturns. Over the past year, debt/equity is down 20% — a weakening trend.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$-72.22M
26%
TTM Free Cash Flow
$-209.17M
3Q
FCF Margin
N/A
32%
FCF / Net Income
0.8
15%
TTM FCF of $-209.17M on $-72.22M in operating cash flow. The FCF / Net Income ratio of 0.8x means free cash flow covers net income — earnings are backed by cash. Across the last 8 quarters, free cash flow has fallen for 3 consecutive quarters — a weakening trend.

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Cash Burn

Red Flag

The last 8 consecutive quarters had negative FCF — the company is burning cash and may need external funding.

Share Dilution

Red Flag

Shares outstanding increased 40.2% — significant dilution, likely from stock compensation or capital raises.