Press Release: Cerenome Reports Third Quarter 2026 Financial Results and Business Highlights Featuring Reyobiq ReSPECT- LM Data and CNSide Commercial and Reimbursement Progress

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HOUSTON, Nov. 13, 2026 (GLOBE NEWSWIRE) -- Cerenome, Inc. (Nasdaq: CNSY) ("Cerenome" or the "Company"), a CNS oncology company advancing an integrated platform that combines precision diagnostics, targeted radiopharmaceuticals, and artificial intelligence, announces financial results for the third quarter ended September 30, 2026, and provides an overview of recent business progress.

"Recognition of our first quarter of CNSide(R) diagnostic revenue and commercial payments beginning in October is a tremendous landmark," said Marc H. Hedrick, M.D., Cerenome's President and Chief Executive Officer. "Furthermore, our payer universe continues to expand with now about 80% of U.S. private payers representing approximately 190 million covered lives. Most recently, with Aetna coverage, it gives physicians an in-network option for both tumor cell enumeration and molecular profiling. In parallel, our growing commercial team is focused on helping more cancer centers use our test in patient care. In therapeutics, we materially advanced our two key programs by completing enrollment in our Phase 2 trial in adults with recurrent glioblastoma, opening up higher dose cohorts in the repeat dosing of REYOBIQ(TM) in patients with leptomeningeal metastases and reporting interim data in that trial."

Q3 2026 AND RECENT HIGHLIGHTS

Corporate

   -- During the quarter, Plus Therapeutics rebranded as Cerenome, and on 
      August 3 its common stock began trading on Nasdaq under the symbol CNSY. 
      The new name and brand reflect the Company's focus on integrating CNS 
      diagnostics, therapeutics, and data. 
 
   -- In November, Ron Andrews was appointed as Chief Business Officer to 
      advance CNSide commercial adoption and strategic partnerships. Mr. 
      Andrews continues to serve on the Company's Board of Directors. 

CNSide(R) CSF Assay Platform

   -- The company submitted billing claims for approximately $1.55 million in 
      gross billings at list prices and recognized $0.7 million in net 
      diagnostic revenue in the quarter after estimated payer adjustments and 
      price concessions. 
 
   -- Contracted coverage was expanded through agreements with Medical Mutual, 
      Health Care Service Corporation and Blue Cross Blue Shield of Michigan. 
 
   -- Secured in-network agreements were also made with Florida Blue and Aetna. 
      The Aetna agreement, effective November 1, is the first national CNSide 
      payer agreement to include both tumor cell enumeration and molecular 
      profiling. The Company's aggregate contracted footprint now represents 
      approximately 190 million covered lives. 
 
   -- The company entered into a collaboration with Genomic Testing Cooperative 
      to add DNA and RNA profiling to CNSide. In July, the Company also 
      highlighted updated NCCN CNS Cancers Guidelines recognizing a role for 
      CSF analysis in the assessment of LM. 
 
   -- XiFin was selected for revenue cycle management and clearinghouse 
      services, and Samantha Fowlkes was appointed as Vice President and Head 
      of Commercial Sales for CNSide Diagnostics. 
 
   -- The Company is on track for Medicare reimbursement in 1st half of 2027 
      and is separately pursuing a coverage determination from Novitas 
      Solutions. 
 
   -- CNSide CSF Molecular Profile tests were launched for solid tumors and 
      hematologic malignancies. The test was available to order beginning 
      October 12, providing DNA and RNA profiling from cerebrospinal fluid 
      $(CSF)$. CNSide can be ordered independently or alongside tumor cell 
      enumeration. 

REYOBIQ(TM) Development

   -- The company presented interim Phase 1 ReSPECT-LM (multi-dose) findings at 
      the Society of Neuro Oncology Annual meeting in November. The first 10 
      patients have been treated with repeated intraventricular doses of 
      REYOBIQ, with no dose-limiting toxicities or treatment discontinuations 
      due to adverse events reported. This highlights the potential for REYOBIQ 
      to safely administer higher dose of tumor-destroying radiation (compared 
      to single-dose study). Dose escalation is ongoing to identify a 
      recommended multiple-dose regimen for a follow-on randomized study. 
 
   -- Also, enrollment was completed in the Phase 2 ReSPECT-GBM study in 
      recurrent glioblastoma in October. Cerenome expects topline data in 
      mid-2027 following additional patient follow-up, and plans to hold an 
      End-of-Phase 2 meeting with the FDA thereafter. 
 
   -- Investigators reported preclinical data at the Rivkin Ovarian Cancer 
      Research Symposium in October showing the active agent in REYOBIQ was 
      associated with a new mechanism of action, namely positively impacting 
      the tumor environment. The net effect described by investigators was 
      administering REYOBIQ along with anti-PD-1 checkpoint blockade enhanced 
      antitumor activity in these preclinical studies, opening up the 
      possibility of novel combination therapies. 
 
   -- Investigators presented pharmacokinetic, dosimetry, and safety 
      observations from the ReSPECT-LM program at the SNO/ASCO CNS Metastases 
      Conference in August. A separate presentation examined the potential 
      health economic impact of earlier detection of leptomeningeal metastases 
      (LM) using CNSide. 

THIRD QUARTER 2026 FINANCIAL RESULTS

   -- Cash, cash equivalents and investments totaled $4.9 million as of 
      September 30, 2026, compared with $8.6 million as of June 30, 2026. In 
      September, the Company announced closing a senior secured financing 
      facility up to $20 million with royalty-based repayments. In addition, 
      the Company raised $3.8M under the Equity Distribution Agreement 
      subsequent to the end of the quarter. 
 
   -- Total revenue was $0.7 million, consisting entirely of net diagnostic 
      revenue. 
 
   -- Cost of revenue was $0.9 million. Research and development expense was 
      $2.1 million, compared with $2.4 million a year earlier. Selling, general 
      and administrative expense was $5.2 million, compared with $3.4 million a 
      year earlier. 
 
   -- Operating loss was $7.5 million, compared with $4.5 million a year 
      earlier. Net loss was $8.7 million, or $1.14 per share, compared with 
      $4.4 million, or $1.03 per share, a year earlier. 

ANTICIPATED MILESTONES AND OUTLOOK FOR 2027

CNSide Commercial Rollout

   -- Expand CNSide adoption across cancer centers, build-out the field sales 
      team, enhance the testing menu and build on existing payer collection 
      experience across the CNSide test menu. 

REYOBIQ Clinical Program

   -- Continue dose escalation in LM Multi-dose study and follow patients in 
      ReSPECT-GBM for the anticipated mid-2027 topline readouts from both 
      trials. 

Conference Call and Webcast

Cerenome will host a conference call and webcast Monday, November 16, 2026, at 8:30 a.m. Eastern Time to discuss third quarter results and provide a business update.

 
Webcast and Conference Call 
Date/Time:    Monday, November 16, 2026 at 8:30 AM ET 
Webcast:      https://event.choruscall.com/mediaframe/webcast.html? 
              webcastid=vTAb1pUs 
              ---------------------------------------------------------------- 
Dial-in:      U.S.: 833-862-0853 
               International: 412-317-6789 
              Please dial in 15 minutes before the start time. 
 
 

Following the live call, a replay will be available on the Company's website under the 'For Investors' section. The webcast will be available on the Company's website for 90 days following the live call.

About Leptomeningeal metastases (LM)

Leptomeningeal metastases (LM) are a rare but severe complication of advanced cancer, affecting the fluid-lined structures of the central nervous system. LM occurs in approximately 5% of patients with metastatic cancer, with breast cancer, lung cancer, and melanoma being the most common sources. Median survival is typically 2-6 months, and effective treatment options are limited, highlighting the urgent need for novel therapies.

About REYOBIQ(TM) (rhenium Re186 obisbemeda)

REYOBIQ (rhenium Re186 obisbemeda) is a novel injectable radiotherapy specifically formulated to deliver direct targeted high-dose radiation in CNS tumors in a safe, effective, and convenient manner to optimize patient outcomes. REYOBIQ has the potential to reduce off-target risks and improve outcomes for CNS cancer patients versus currently approved therapies, with a more targeted and potent radiation dose. Rhenium-186 is an ideal radioisotope for CNS therapeutic applications due to its short half-life, beta energy for destroying cancerous tissue, and gamma energy for real-time imaging. REYOBIQ is being evaluated for the treatment of recurrent glioblastoma, leptomeningeal metastases, and pediatric brain cancer in the ReSPECT-GBM, ReSPECT-LM, and ReSPECT-PBC clinical trials, respectively. ReSPECT-GBM is supported by an award from the National Cancer Institute (NCI), part of the U.S. National Institutes of Health (NIH), and ReSPECT-LM is funded by a three-year $17.6 million grant from the Cancer Prevention & Research Institute of Texas (CPRIT). The Company's ReSPECT-PBC clinical trial for pediatric brain cancer is supported by a $3 million grant from the U.S. Department of Defense's Peer Reviewed Cancer Research Program.

About CNSide Diagnostics, LLC

CNSide Diagnostics, LLC is a wholly owned subsidiary of Cerenome, Inc. that develops and commercializes proprietary laboratory-developed tests, such as CNSide(R) , designed to identify tumor cells that have metastasized to the central nervous system in patients with carcinomas and melanomas. The CNSide(R) CSF Assay Platform enables quantitative analysis of the cerebrospinal fluid that informs and improves the management of patients with leptomeningeal metastases.

About Cerenome

Cerenome (Nasdaq: CNSY) is a CNS oncology company advancing an integrated platform that combines precision diagnostics, targeted therapeutics, and artificial intelligence to improve outcomes for patients with central nervous system cancers. The CNSide(R) CSF diagnostics platform combines cellular and molecular testing to support the detection, characterization, and longitudinal assessment of cancers involving the CNS.

Its lead therapeutic platform, REYOBIQ(TM) (rhenium Re186 obisbemeda), is being evaluated in clinical trials for leptomeningeal metastases, recurrent glioblastoma, and pediatric brain cancers. The data & artificial intelligence platform is designed to integrate diagnostic, molecular, imaging, and clinical data into actionable insights that support precision oncology and therapeutic innovation.

By integrating commercial diagnostics, targeted therapeutics, proprietary longitudinal data, and artificial intelligence within a single organization, Cerenome is building a differentiated CNS oncology platform designed to improve patient care while creating long-term shareholder value. For more information, visit https://www.cerenome.com.

Forward-Looking Statements

This press release contains statements that may be deemed "forward-looking statements" within the meaning of U.S. securities laws, including statements regarding clinical trials, expected operations and upcoming developments. All statements in this press release other than statements of historical fact are forward-looking statements. Such statements are based upon certain assumptions and assessments made by management in light of their experience and their perception of historical trends, current conditions, expected future developments, and other factors they believe to be appropriate. The forward-looking statements included in this press release could differ materially from those expressed or implied by these forward-looking statements because of risks, uncertainties, and other factors that include, but are not limited to, the following: the Company's ability to maintain the listing of its common stock on Nasdaq; expectations pertaining to 2027 milestones, its platform and its data strategy; the results of the Company's research and development activities, including uncertainties relating to the continued clinical trials of its product candidates and therapies, and the timing and outcome of the ReSPECT-LM, ReSPECT-GBM, and ReSPECT-PBC trials; the Company's liquidity position and capital resources and its ability to raise additional cash; the outcome of the Company's partnering/licensing efforts; risks associated with laws or regulatory requirements applicable to the Company; market conditions and product performance; challenges associated with radiotherapeutic manufacturing, production, and distribution capabilities necessary to support the Company's clinical trials and any commercial level product demand; and the continued success of CNSide CSF Assay, revenue and corporate profitability expectations including support reimbursements and payments for the CNSide CSF Assay, the development and utility of the CNSide CSF Assay, and expectations as to the Company's future performance, including the next steps in developing the Company's product candidates. This list of risks, uncertainties, and other factors is not complete. Any or all forward-looking statements the Company makes may turn out to be wrong and can be affected by inaccurate assumptions the Company might make or by known or unknown risks, uncertainties, and other factors, including those identified in this press release. Cerenome discusses some of these matters more fully, as well as certain risk factors that could affect its business, financial condition, results of operations, and prospects, in its reports filed with the SEC, including its Annual Report on Form 10-K for the fiscal year ended December 31, 2025, Quarterly Reports on Form 10-Q for the three months ended March 31, 2026 and six-months ended June 30, 2026, and Current Reports on Form 8-K. These filings are available for review through the SEC's website at www.sec.gov. Accordingly, you should not place undue reliance on the forward-looking statements made in this press release, which speak only as of its date. There may be events in the future that the Company is unable to predict, or over which it has no control, and its business, financial condition, results of operations, and prospects may change in the future. The Company assumes no responsibility to update or revise any forward-looking statements to reflect events, trends, or circumstances after the date they are made unless the Company has an obligation under U.S. federal securities laws to do so.

Investor Contact

CORE IR

IR@cerenome.com

 
 
                           CERENOME, INC. 
                CONDENSED CONSOLIDATED BALANCE SHEETS 
                             (UNAUDITED) 
           (in thousands, except share and par value data) 
 
 
                            September 30, 2026     December 31, 2025 
                           --------------------   ------------------- 
Assets 
Current assets: 
   Cash and cash 
    equivalents             $               879    $            4,256 
   Restricted cash and 
    cash equivalents                         --                 4,502 
   Accounts receivable, 
   net                                      722                    -- 
   Investments                            3,992                 4,356 
   Inventory                                235                    -- 
   Other current assets                   2,239                 1,734 
                               ----------------       --------------- 
     Total current assets                 8,067                14,848 
 
Property and equipment, 
 net                                      1,349                   257 
Grant receivable                          1,761                   322 
Operating lease 
 right-of-use assets                         29                    70 
Goodwill                                    372                   372 
Intangible assets, net                      231                   333 
Other assets                                391                   123 
                               ----------------       --------------- 
     Total assets           $            12,200    $           16,325 
                               ================       =============== 
Liabilities and 
Stockholders' Equity 
Current liabilities: 
   Accounts payable and 
    accrued expenses        $             8,210    $            5,920 
   Investor liability 
    pursuant to Letter 
    Agreement                                --                 4,502 
   Convertible note                       3,851                    -- 
   Operating lease 
    liability                                30                    56 
   Deferred grant 
    liability                               927                   927 
   Line of credit                            --                   750 
   Other current 
    liabilities                             105                   159 
                               ----------------       --------------- 
     Total current 
      liabilities                        13,123                12,314 
 
Noncurrent operating 
 lease liability                             --                    15 
                               ----------------       --------------- 
     Total liabilities                   13,123                12,329 
 
Stockholders' equity 
(deficit): 
   Preferred stock, 
   $0.001 par value; 
   5,000,000 shares 
   authorized; 1,952 
   shares issued and 
   outstanding as of 
   September 30, 2026 
   and December 31, 
   2025                                      --                    -- 
   Common stock, $0.001 
    par value; 
    2,000,000,000 shares 
    authorized; 7,890,305 
    and 5,557,371 shares 
    issued as of 
    September 30, 2026 
    and December 31, 
    2025, respectively; 
    7,879,968 and 
    5,547,034 shares 
    outstanding as of 
    September 30, 2026 
    and December 31, 
    2025, respectively                        8                     6 
   Treasury stock (at 
    cost), 10,337 shares 
    as of September 30, 
    2026 and December 31, 
    2025                                   (500)                 (500) 
   Additional paid-in 
    capital                             540,043               520,355 
   Accumulated deficit                 (540,474)             (515,865) 
                               ----------------       --------------- 
     Total stockholders' 
      (deficit) equity                     (923)                3,996 
                               ----------------       --------------- 
     Total liabilities 
      and stockholders' 
      equity (deficit)      $            12,200    $           16,325 
                               ================       =============== 
 
 
 
                             CERENOME, INC. 
             CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS 
                               (UNAUDITED) 
             (in thousands, except share and per share data) 
 
 
                       Three Months Ended         Nine Months Ended 
                          September 30,             September 30, 
                     -----------------------   ----------------------- 
                        2026         2025         2026         2025 
                     ----------   ----------   ----------   ---------- 
Grant revenue        $        -   $    1,397   $    1,439   $    3,846 
Diagnostic revenue, 
 net                        722           --          722           -- 
                      ---------    ---------    ---------    --------- 
Total revenue               722        1,397        2,161        3,846 
                      ---------    ---------    ---------    --------- 
Operating 
expenses: 
   Cost of revenue          912           --          912           -- 
   Research and 
    development           2,107        2,436        9,237        5,438 
   Selling, general 
    and 
    administrative        5,158        3,443       15,643        7,964 
      Total 
       operating 
       expenses           8,177        5,879       25,792       13,402 
                      ---------    ---------    ---------    --------- 
      Operating 
       loss              (7,455)      (4,482)     (23,631)      (9,556) 
                      ---------    ---------    ---------    --------- 
 
Other income 
(expense): 
   Interest income          119           59          365           87 
   Interest expense         (14)          --          (36)        (548) 
   Financing 
    expenses             (1,618)          --       (1,618)      (3,061) 
   Warrant issuance 
    costs                    --           --           --         (964) 
   Change in fair 
    value of 
    financial 
    instruments             490           --          490           -- 
   Change in fair 
    value of 
    derivative 
    instruments              --           --           --       (2,631) 
   Other expense           (179)          --         (179)          -- 
                      ---------    ---------    ---------    --------- 
      Total other 
       income 
       (expense)         (1,202)          59         (978)      (7,117) 
                      ---------    ---------    ---------    --------- 
     Net loss        $   (8,657)  $   (4,423)  $  (24,609)  $  (16,673) 
                      =========    =========    =========    ========= 
 
Per share 
information 
Net loss per share 
 of common stock -- 
 basic and diluted   $    (1.14)  $    (1.03)  $    (3.50)  $    (7.21) 
Weighted average 
 number of shares 
 of common stock 
 outstanding -- 
 basic and diluted    7,566,819    4,297,158    7,040,597    2,313,816 
 
 
 
 
                              CERENOME, INC. 
              CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS 
                                (UNAUDITED) 
                              (in thousands) 
 
                                    Nine Months Ended September 30, 
                                --------------------------------------- 
                                      2026                   2025 
                                -----------------      ---------------- 
Cash flows from operating 
activities: 
Net loss                         $        (24,609)      $       (16,673) 
Adjustments to reconcile net 
loss to net cash used in 
operating activities: 
  Depreciation and 
   amortization                               378                   300 
  Stock-based compensation 
   expense                                  2,561                   827 
  Noncash financing expenses                1,618                 3,061 
  Noncash interest expense                     22                    -- 
  Loss on investments (Note 
  5)                                          179                    -- 
  Change in fair value of 
   financial instruments                     (490)                   -- 
  Change in fair value of 
   derivative instruments                      --                 2,631 
  Accretion of discount on 
   short-term investments                     (18)                  (19) 
  Operating lease right-of-use 
   asset amortization                          41                    53 
  Gain on sale of assets                       --                   (16) 
  Increases (decreases) in 
  cash caused by changes in 
  operating assets and 
  liabilities: 
    Grant receivable                       (1,439)                  571 
    Accounts receivable                      (722)                   -- 
    Other assets                             (864)                   64 
    Accounts payable and 
     accrued expenses                       2,491                (6,308) 
    Change in operating lease 
     liabilities                              (41)                  (54) 
    Other liabilities                        (151)                1,045 
                                    -------------          ------------ 
      Net cash used in 
       operating activities               (21,044)              (14,518) 
                                    -------------          ------------ 
Cash flows from investing 
activities: 
Purchases of property and 
 equipment                                 (1,368)                  (37) 
Proceeds from sale of property 
 and equipment                                 --                    30 
Purchase of intangible assets                  --                    (7) 
Purchase of short-term 
 investments                              (15,085)              (11,068) 
Sales of short-term 
investments                                10,691                    -- 
Redemption of short-term 
 investments                                4,597                11,305 
                                    -------------          ------------ 
      Net cash (used in) 
       provided by investing 
       activities                          (1,165)                  223 
                                    -------------          ------------ 
Cash flows from financing 
activities: 
Proceeds from convertible 
note and royalty obligation                 3,000                    -- 
Payments for convertible note 
 and royalty obligation 
 transaction costs                           (180)                   -- 
Proceeds from credit facility               1,000                    -- 
Repayment of credit facility               (1,772)               (3,292) 
Proceeds from issuance of 
 notes payable and warrants                    --                 3,738 
Repayment of notes payable                     --                (3,703) 
Proceeds from sale of common 
 stock, pre-funded warrants 
 and warrants                                  --                15,927 
Payment of financing costs                     --                (2,250) 
Proceeds from sale of common 
 stock under Lincoln Park 
 Purchase Agreement                            --                19,612 
Payment to investors pursuant 
 to Letter Agreement                       (4,502)               (2,293) 
Proceeds from underwritten 
public offering                            15,000                    -- 
Offering costs for sale of 
 common stock                              (1,362)                 (231) 
Proceeds from Distribution 
Agreement                                   3,337                    -- 
Payments for commissions and 
 offering costs from 
 Distribution Agreement                      (191)                   -- 
                                    -------------          ------------ 
      Net cash provided by 
       financing activities                14,330                27,508 
                                    -------------          ------------ 
      Net change in cash, 
       restricted cash and 
       cash equivalents                    (7,879)               13,213 
Cash, restricted cash and cash 
 equivalents at beginning of 
 period                                     8,758                    76 
                                    -------------          ------------ 
Cash, restricted cash and cash 
 equivalents at end of period    $            879       $        13,289 
                                    =============          ============ 
 
Supplemental disclosure of 
cash flows information: 
    Cash paid for interest       $             --       $           539 
Supplemental schedule of 
non-cash investing and 
financing activities: 
    Unpaid liability to 
     investors pursuant to 
     Letter Agreement (Note 
     13)                         $             --       $         6,391 
    Exchange of warrants for 
     notes payable               $             --       $         3,694 
    Redemption of notes by 
     issuance of common stock, 
     pre-funded warrants and 
     warrants                    $             --       $         3,512 
    Unpaid offering cost         $             51       $           252 
 

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