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Kvartalsrapport Q1 2026
===== SIDA 1 ===== Significant events Financialoverview 1 INTERIM REPORT Q1, 2026 Strong Q1 performance with 91 percent year - over - year growth Selected Key Indicators O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 This publication is a translation of the original Swedish text. In the event of inconsistency or discrepancy between the Swedish version and this publication, the Swedis h language vers ion shall prevail. JANUARY-MARCH • Net sales amounted to SEK 25.4 (13.3) million • Operating profit amounted to SEK -37.5 (-59.8) million • Profit after tax amounted to SEK -32.2 (-60.7) million • Earnings per share, before and after dilution -0.12 (-0.29) SEK • Cash and cash equivalents at the end of the period amounted to SEK 205.2 (107.2) million Events after the period JANUARY-MARCH • Oncopeptides announces rights issue of approx. SEK 200 million • Oncopeptides secures fast-track designation for Window-of- Opportunity study in glioblastoma • European Journal of Haematology: Real-World Data reinforces Pepaxti’s role in treatment sequencing for multiple myeloma • Oncopeptides initiates MARINA study to strengthen real-world evidence for Pepaxti in Germany • Preclinical data on novel NK-Cell engager was presented at the AACR Annual Meeting 2026 • Oncopeptides intends to submit a type II variation to expand Pepaxti label to include third line treatment * * ===== SIDA 2 ===== 2 CEO Statement In Germany, our largest market, we have completed a strategic review to sharpen our focus and optimize our business model. Supported by our new model we have seen a strong increase in new patients, and we are well on track to reach country-level profitability in Germany during 2026. As a part of this effort, we have initiated the MARINA study, a prospective non-interventional trial designed to capture the nuances of modern myeloma management. This study will provide German hematologists with high-quality real-world evidence, specifically investigating P epaxti’s utility as a bridging therapy prior to immunotherapies. Italy continues to contribute heavily to our gr owth, exceeding expectations. During the quarter , a new real-world study confirming the efficacy and safety of P epaxti, conducted at the IRCCS Azienda Ospedaliero-Universitaria di Bologna in Italy, was published. T he data further supports the positive clinical experience being generated in Italy. Meanwhile, Spain has continued to deliver below expectations, much due to how a doctors‘ strike continues to stress the full Multiple Myeloma market during the beginning of the year, leading to both more pressure fr om competition and less access to physicians. We continue to follow the developments and take all possible actions in order to catch up on sales. After the quarter, we announced that we intend to submit a type II variation to expand the indication for P epaxti. If approved, the expansion into the third treatment line is expected to double both the current addressable patient population for P epaxti in Europe and double the average number of treatment cycles for patients. Provided that the company manages to give patients access to the expanded indication, in addition to the current four th line label, this could have a significant positive effect on P epaxti sales in Eur ope. In the second quarter congress season takes off with several important meetings we utilize to generate an even stronger understanding for P epaxti and our positioning in line with European guidelines. In June, we look forward to participating in the Eur opean Hematology Association (EHA) 2026 Congress in Stockholm, providing Oncopeptides with an opportunity to further strengthen our r elationships with some of the world's foremost experts on hematology in our hometown. Beyond multiple myeloma, we are making progress in diversifying our portfolio, advancing our pipeline into new indications and markets with enormous potential. Our PDC platform’s demonstrated ability to cross the blood-brain barrier in animal models has led us to advance a capital-efficient "Window of Opportunity" study in glioblastoma, a disease with an estimated USD 8 billion global market opportunity. This study is targeted to begin in 2026 and aims to generate human proof-of-concept data that our PDCs can effectively reach brain tumors. Proving this would address one of the greatest challenges in drug development for aggressive brain tumors. T o strengthen our financial position and support our path toward long-term growth, we announced a rights issue of approximately SEK 200 million during the quarter . It was supported by our largest shareholder HealthCap and is intended to provide the capital necessary to fund our commercial operations until we reach a positive cash flow in 2027. Beyond securing our current operations, these funds will allow us to advance our Glioblastoma program to initial proof of concept in humans. We remain focused on financial discipline and are actively managing our cost base to align with our revenue growth. Lastly, our negotiations in Japan have taken longer than expected with several delays outside of our control. This has led us to open up for parallel discussions with multiple partners again. We enter the remainder of the year strengthened by the fact that our leaner, more focused organization has begun to affect our financials in a positive way, and I look forward to continued sales gr owth, new scientific milestones and continuously following how we are making a difference to patients with aggressive tumors every day. Oncopeptides delivered a strong start to 2026, with first-quarter net sales reaching SEK 25.4 million, representing a 91 percent increase compared to the same period in 2025. This performance reflects continued strong demand for Pepaxti in Italy where the commercial launch has continued to exceed our initial expectations combined with a return to solid growth numbers in Germany. While we navigate a rapidly evolving therapeutic landscape, this quarter marks an important step in both our commercial execution and our strategic evolution as a company. O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 Stockholm, May 13 , 2026 Sofia Heigis CEO ===== SIDA 3 ===== Financial Overview 3 REVENUE Net sales of P epaxti during the quarter were SEK 25.4 (13.3) million. The turnover for the period refers to Europe only. GROSS PROFIT Gross profit during the quarter was SEK 25.1 (13.4) million. OPERATING EXPENSES Oper ating expenses during the quarter were SEK 62.6 (73.2) million, a decrease due to cost management and increased focus on how we conduct our research and development activities. RESEARCH AND DEVELOPMENT EXPENSES Research and development costs during the quarter were SEK 21.5 (28.7) million. No clinical studies are currently ongoing. MARKETING AND SALES EXPENSES Marketing and sales costs during the quarter were SEK 31.1 (28.5) million. The costs relate to ongoing commercialization activities in Europe, focusing on Germany, Spain and Italy . GENERAL AND ADMINISTRATIVE EXPENSES Administrative costs during the quarter were SEK 13.2 (16.8) million, a decrease due to cost management. EXPENSES FOR SHARE BASED INCENTIVE PROGRAMS For the quarter , costs, including social security contributions, for share-related incentive programs amounted to SEK 0.2 (0.8) million. The cost does not affect cash flow in the period. See note 8. TAX AND EARNINGS Profit during the quarter were SEK -32.2 (-60.7) million. This corresponds to earnings per share for the quarter of SEK -0.12 (-0.29). CASH FLOW, INVESTMENTS AND FINANCIAL POSITION Cash flow fr om operating activities for the quarter amounted to SEK -45.6 (-68.3) million. In March the company conducted a rights issue fueling liquidity with SEK 167 million after issue related cost. Equity in the group amounted to SEK 76.8 (-5.8) million at the end of the period. Equity for the par ent company amounted to SEK 517.6 (458.4) million. RIGHTS ISSUE 2026 On February 19, the company announced that the board of directors had decided to carry out a guar anteed new share issue of approximately MSEK 200 (guaranteed up to MSEK 190 including subscription commitments from the company’s largest owner and its board and management) with preferential rights for the company's existing ordinary shareholders based on the authorization from the annual gener al meeting on May 22, 2025, with the support of the company's largest shareholder and management. The purpose of the rights issue is primarily to finance the ongoing commercialization of Pepaxti® in Eur ope until the commercial part of the company expects to have a positive cash flow in 2027, as well as a targeted development of the company's project for the indication Glioblastoma into clinical phase. The outcome of the rights issue was announced on March 16 resulting in a capital injection after issue related cost of SEK 167 million. EMPLOYEES At the end of the quarter, the number of employees amounted to 77 (75). PARENT COMPANY The operations of the parent company correspond in all essential respects with the operations of the group, which is why the comments for the group also apply to the parent company. ONCOPEPTIDES SHARE At the end of the period, the number of registered shares eligible for tr ading and votes in Oncopeptides amounted to 395,287,003 inclusive of 14,138,885 C-shares held by the company. AUDITOR REVIEW This report has not been r eviewed by the company’s auditors. O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 ===== SIDA 4 ===== Signatures 4 The Board and the CEO confirm that the interim report provides a true and fair reflection of the Group’s and the Parent Company’s operations, position and earnings and describes the material risks and uncertainty factors faced by the Parent Company and the companies within the Group. Stockholm, May 13, 2026 Per Wold-Olsen Sofia Heigis Chairman CEO Christine Rankin Board member Per Samuelsson Board member Brian Stuglik Board member O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 ===== SIDA 5 ===== Condensed consolidated statement of comprehensive income 5 Condensed consolidated statement of financial position O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 ===== SIDA 6 ===== Condensed consolidated statement of changes in equity Condensed consolidated statement of cash flow 6O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 ===== SIDA 7 ===== Condensed Parent Company income statement Condensed Parent Company balance sheet 7 Condensed Parent Company statement of comprehensive income O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 ===== SIDA 8 ===== NOTE 1 - GENERAL INFORMATION This interim report covers the Swedish parent company Oncopeptides AB (publ), registration number 556596 -6438, as well as the wholly owned subsidiaries Oncopeptides Incentive AB, Oncopeptides Innovation AB (with the wholly owned subsidiary Oncopeptides Innovation 1 AB), Oncopeptides GmbH and Oncopeptides Srl and Oncopeptides SL . The parent company is a public limited company based in Stockholm. The figures in brackets in the report refer to the corresponding period of the previous year. The interim report has been approved for publication on May 13 2026. NOTE 2 - ACCOUNTING PRINCIPLES The group’s interim report is prepared in accordance with IAS 34. The parent company applies the Swedish Financial Reporting Council's recommendation RFR 2. Oncopeptides applies, other than what appears below, the same accounting principles as in the most recent annual report. Significant accounting and valuation principles can be found on pages 43 -48 of the annual report for 2025. No new or changed standards have been introduced since 1 January 2026 that have had any significant impact on the company's financial reporting. Oncopeptides applies ESMA's (European Securities and Markets Authority) guidelines for alternative key figures. NOTE 3 - RISKS AND UNCERTAINTIES In its operations, Oncopeptides is exposed to a number of risks. The company continuously evaluates known and predictable risks and acts to minimize the effect of these risks within the framework of the company's business strategy and safeguarding the company's long -term interests, including its sustainability. The company assesses that the risks described in the annual report for 2025 remain during the period. NOTE 4 - ESTIMATES AND CONSIDERATIONS This report contains forward -looking statements. Actual results may differ from those stated. Internal factors such as successful management of research programs and intellectual property rights may affect future results. The interim report has been prepared with the assumption that the company has the ability to continue operations during the next 12 -month period, in line with the going concern principle. NOTE 5 - REVENUE RECOGNITION There has been no change in the principle of revenue recognition compared to the annual report 2025. Revenue is recognized at the transaction price for goods sold excluding value added tax, but including discounts. Revenue is recognized at the time of delivery when Oncopeptides has fulfilled its performance commitment and control of the goods passes to the customer. The customers are defined as hospitals and/or clinics and retailers who sell the goods to the final user of the goods. As the final price is related to the discount that applies in the respective local market the parent company and the group report a liability for a calculated discount based on the frameworks for discounts that apply in each market. The provision for estimated discounts is reported under the heading Other short -term liabilities in the balance sheet. NOTE 6 – LOANS FROM CREDIT INSTITUTIONS The liability relates to a loan from EIB in EURO. It will not be amortized until the 16 th of June 2028, when it will be fully repaid. The interest is accumulated and capitalized during the term and paid in connection to the repayment of the loan. The contractual interest rate is 7% for the full term. The effective interest rate is estimated at 10.8%, including arrangement costs and the initial market value of the transferred warrants allocated during the term of the loan. In connection to the signing of the agreement , an issue of warrants was performed, whereof 3 383 326 warrants representing 1.26% of outstanding shares after dilution has been transferred to EIB without compensation. As of end year -end 2025 the company has no longer the ability draw additional tranches on the loan. EIB has the right to exercise the warrants and subscribe for shares at the quota value. The warrants may be exercised at any time for a period of 20 years, in full or in part, by the warrant holder. EIB has the right, under certain circumstances and in connection to the repayment of the loan, to demand that Oncopeptides acquire the warrants at fair value in a situation when it is not possible to transfer the warrants to a third party. NOTE 7 - RELATED PARTY TRANSACTIONS Remuneration to senior management has been paid in accordance with current policies. No other transactions with related parties, outside of the Oncopeptides Group, occurred during the period. Notes to the consolidated and Parent Company financial statements 8O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 ===== SIDA 9 ===== NOTE 8 - SHARE BASED INCENTIVE PROGRAMS The purpose of share -based incentive programs is to promote the company’s long -term interests by motivating and rewarding the company’s senior management, founders, and other co -workers in line with the interest of the shareholders. Oncopeptides has currently eight programs that include the management team, certain Board members, founders and employees. Program • 2018; ”Co -worker LTIP 2018” • 2019; ”Co -worker LTIP 2019” • 2022; ”Co -worker LTIP 2022” and ”Board SHP 2022” • 2023; ”Board SHP 2023” • 2024; ” Co-worker LTIP 2024” and ”Board SHP 2024” • 2025; ”Board SHP 2025" For more information on the programs see Note 26 in the Annual report 2025 as well as Agendas and Minutes from the relevant Annual General Meetings on the company's website www.oncopeptides.com. At the end of the period, full utilization (including warrants for securing social security contributions but excluding warrants related to EIB), of • Options and share awards resolved by the AGM and awarded to named individuals corresponding to 10,354,393 shares, would result in a dilution of 2,7 percent. • Options and share awards resolved by the AGM and awarded to named individuals as well as those not yet awarded to individuals, corresponding to 18,949,186 shares, would result in a dilution of 5.0 percent. NOTE 9 - SIGNIFICANT EVENTS AFTER THE PERIOD No significant events occurred after the end of the period other than as mentioned in the report. Notes 9O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 ===== SIDA 10 ===== 10 Telephone conference Kontakt Key performance measures In this report, certain key performance measures are presented, including measures that are not defined under IFRS, • Research and development / operating expenses, %, • Gross margin, TSEK, %. The company believes that these measurements provides valuable additional information when evaluating the company’s economic trends. These financial performance measures should not be viewed in isolation, nor be considered in replacement of performance indicators that are prepared in accordance with IFRS. Further, such performance measures, as the company has defined them, should not be compared with other performance measures with similar names used by other companies since definitions and calculation methods may vary between companies. Oncopeptides AB Visiting address; Luntmakargatan 46, 111 37 Stockholm Domicile: Luntmakargatan 46, 111 37 Stockholm, Sweden Telephone: +46 8 615 20 40 E-mail: info@oncopeptides.com Website: oncopeptides.com Financial Calendar Thesaurus Contact The interim report for the period and an operational update will be presented by CEO Sofia Heigis and members of Oncopeptides Leadership team, Thursday May 13, 2026, at 09:00 (CET). If you wish to participate via webcast, please use the link below. Through the webcast you can ask written questions. https://oncopeptides.events.inderes.c om/q1-report-2026 If you wish to participate via telephone conference, please register on the link below. After registration you will be provided a phone numbers and a conference ID to access the conference. You can ask questions verbally via the telephone conference. https://events.inderes.com/oncopepti des/q1-report-2026/dial-in 1) Defined b y subtracting cost of goods sold fro m total sal es. T he key figure sho ws gro ss profitability o f cost of goods sold in absolute numbers. 2) Defined b y dividing the sum of the comp any's gross profit by total sales. T he key figu re aims to clarify the relative profitability of goo ds sol d. 3) Fo r more info rmatio n, pl ease see the notice to the Annual Gen eral Meeting 2025. 4) Earnin gs per share before dil ution are calculated by dividing earnings attributable to shareho lders of the P arent Co mpany by a weighted average number o f outstan ding shares during the perio d. There is no dilution effect driven by the employee stock o ption program, as earnings for the p eriods have been negative. 5) Defined b y dividing the research and devel opment co sts with total operating expenses. The key performance measure pro vides an indicatio n of the p ropo rtion of expenses that are attributable to the compan y’s core b usiness. O N C O P E P T I D E S | I N T E R I M R E P O R T Q 1 2 0 2 6 Report Date Interim report Q2 2026 Interim report Q3 2026 27 August 2026 5 November 2026 Thesaurus EMA European Medicines Agency Europeiska läkemedelsmyndigheten CHMP The European Medicines Agency‘s Committee for Medicinal Products for Human Use Europeiska läkemedelsmyndighetens kommitté för humanläkemedel This information is information that Oncopeptides is obliged to make public pursuant to the EU Market Abuse Regulation and the Securities Markets Act. The information was submitted for publication, through the agency of the contact persons set out above, at 08:00 CET on May 13, 2026.