slightbourne@noblecapitalmarkets.com, Author at Channelchek

Kelly Services (KELYA) – New CEO; Reports 2Q25 Results

Posted on August 11, 2025August 11, 2025 by slightbourne@noblecapitalmarkets.com

Monday, August 11, 2025

Kelly (Nasdaq: KELYA, KELYB) connects talented people to companies in need of their skills in areas including Science, Engineering, Education, Office, Contact Center, Light Industrial, and more. We’re always thinking about what’s next in the evolving world of work, and we help people ditch the script on old ways of thinking and embrace the value of all workstyles in the workplace. We directly employ nearly 350,000 people around the world and connect thousands more with work through our global network of talent suppliers and partners in our outsourcing and consulting practice. Revenue in 2021 was $4.9 billion. Visit kellyservices.com and let us help with what’s next for you.

Joe Gomes, CFA, Managing Director, Equity Research Analyst, Generalist , Noble Capital Markets, Inc.

Jacob Mutchler, Research Associate, Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

New CEO. Chris Layden has been selected to serve as President and Chief Executive Officer, effective September 2, 2025, replacing the retiring Peter Quigley. Having spent nearly two decades at Manpower Group and as COO of Prolink, Mr. Layden has extensive experience leading organizations through transformations to advance go-to-market initiatives and accelerate profitable growth.

2Q25 Results. Kelly reported revenue of $1.1 billion, up 4.2% y-o-y but down 3.3% on an organic basis. Second quarter adjusted EBITDA of $37.0 million was down 8.7% versus the prior year, with adjusted EBITDA margin down 40 bp to 3.4%. EPS was $0.52 compared to EPS of $0.12 in the second quarter of 2024. On an adjusted basis, EPS was $0.54 in 2Q25 compared to $0.71/sh in 2Q24. We had forecast $1.17 billion of revenue, $42.5 million adjusted EBITDA, EPS of $0.73, and adjusted EPS of $0.71.

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Information Services Group (III) – Post 2Q25 Call Commentary

Posted on August 11, 2025August 11, 2025 by slightbourne@noblecapitalmarkets.com

Monday, August 11, 2025

ISG (Information Services Group) (Nasdaq: III) is a leading global technology research and advisory firm. A trusted business partner to more than 700 clients, including more than 75 of the world’s top 100 enterprises, ISG is committed to helping corporations, public sector organizations, and service and technology providers achieve operational excellence and faster growth. The firm specializes in digital transformation services, including automation, cloud and data analytics; sourcing advisory; managed governance and risk services; network carrier services; strategy and operations design; change management; market intelligence and technology research and analysis. Founded in 2006, and based in Stamford, Conn., ISG employs more than 1,300 digital-ready professionals operating in more than 20 countries—a global team known for its innovative thinking, market influence, deep industry and technology expertise, and world-class research and analytical capabilities based on the industry’s most comprehensive marketplace data. For additional information, visit www.ISG-One.com

Joe Gomes, CFA, Managing Director, Equity Research Analyst, Generalist , Noble Capital Markets, Inc.

Jacob Mutchler, Research Associate, Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

Riding the Waves. ISG is riding two key waves, one is AI adoption, with clients investing aggressively in modernizing their technology operations and infrastructure to support it. The other is cost optimization, as one of the means of funding the AI adoption is through optimization of cloud, infrastructure, and software costs.

AI & Recurring Revenue. AI-related revenue was 2.5x higher than it was a year ago. And in both the second quarter and first half, nearly 20% of total revenue was AI related. Recurring revenues in the second quarter reached $28 million, up 7% sequentially and represented 45% of overall revenue.

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DLH Holdings (DLHC) – Post Call Commentary

Posted on August 11, 2025August 11, 2025 by slightbourne@noblecapitalmarkets.com

Monday, August 11, 2025

DLH delivers improved health and readiness solutions for federal programs through research, development, and innovative care processes. The Company’s experts in public health, performance evaluation, and health operations solve the complex problems faced by civilian and military customers alike, leveraging digital transformation, artificial intelligence, advanced analytics, cloud-based applications, telehealth systems, and more. With over 2,300 employees dedicated to the idea that “Your Mission is Our Passion,” DLH brings a unique combination of government sector experience, proven methodology, and unwavering commitment to public health to improve the lives of millions. For more information, visit www.DLHcorp.com.

Joe Gomes, CFA, Managing Director, Equity Research Analyst, Generalist , Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

When, Not If. We continue to believe it is a matter of when, not if, DLH begins to capitalize on the large opportunity set for its mission critical skill set. Current disruptions in Federal government contracting will pass, and DLH’s capabilities, in areas such as digital transformation, cybersecurity, and addressing critical public health issues, align well with the government’s goals.

Still Accumulating. Mink Brook Asset Management continues to accumulate DLHC shares, including 5,900 shares at the end of last week. Mink Brook now owns 2,389,350 DLHC shares, representing 16.6% of the outstanding common, up from 2,164,058 shares at the end of May.

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Lithium Market Disruption: CATL Mine Closure Triggers Global Stock Rally

Posted on August 11, 2025August 11, 2025 by slightbourne@noblecapitalmarkets.com

The global lithium market experienced significant turbulence on Monday as Contemporary Amperex Technology Co., Limited (CATL), the world’s dominant electric vehicle battery manufacturer, announced the temporary closure of one of China’s most critical lithium mining operations. The unexpected shutdown of the Jianxiawo mine sent shockwaves through commodity markets and triggered a dramatic rally in lithium-related stocks worldwide.

CATL’s decision to halt operations at the massive Yichun-based facility stems from an expired mining permit, forcing the company to seek license renewal from Chinese authorities. The three-month closure represents a substantial disruption to the global lithium supply chain, given that the Jianxiawo mine ranks among the world’s largest lithium extraction operations and sits at the heart of China’s primary lithium production hub.

The market’s immediate response was swift and decisive. Major lithium producers saw their stock values surge dramatically, with Albemarle Corporation and Sociedad Química y Minera posting gains exceeding 9% in early trading sessions. Smaller players in the sector experienced even more pronounced rallies, with Sigma Lithium climbing nearly 20% as investors positioned themselves for potential supply constraints.

The ripple effects extended beyond pure-play lithium companies. Tesla, one of CATL’s most significant customers and a bellwether for electric vehicle demand, saw its shares rise as markets interpreted potential lithium scarcity as validation of the metal’s strategic importance. The automotive giant’s reliance on CATL for battery supply underscores the interconnected nature of the modern EV ecosystem and highlights vulnerability points in the supply chain.

Spot lithium prices responded predictably to the news, jumping nearly 4% on Monday alone. This surge comes after lithium had already gained over 15% in the previous month, suggesting that markets were already tightening before CATL’s announcement. The price movement represents a significant reversal from the commodity’s recent performance, which had seen values plummet to 2021 lows as global production outpaced demand growth.

The mine closure occurs against the backdrop of China’s evolving regulatory approach to its critical materials sector. Beijing has increasingly focused on combating what it terms “involution” – destructive competitive practices that officials believe ultimately harm long-term industry development. This policy shift reflects growing recognition that cutthroat competition in strategic sectors can lead to market instability and undermine national economic objectives.

The timing of CATL’s permit expiration raises questions about coordination between major Chinese industrial players and government regulators. As geopolitical tensions surrounding critical materials intensify, China’s management of its lithium resources has become increasingly scrutinized by international observers and competitors.

For investors, the situation presents both opportunities and uncertainties. While the immediate supply shock has benefited lithium stock holders, the underlying fundamentals of oversupply that had previously pressured prices remain largely unchanged. Global lithium production capacity continues to expand, with new projects coming online across Australia, South America, and North America.

The three-month timeline for the mine’s closure, while significant, may not be sufficient to fundamentally alter global supply-demand dynamics. However, it does highlight the concentration risk inherent in lithium supply chains and the potential for regulatory actions to create market volatility.

Looking ahead, the resolution of CATL’s permit renewal will serve as an important indicator of China’s broader approach to critical materials regulation. The outcome could influence how other mining operations navigate the evolving regulatory landscape and may provide insights into Beijing’s strategic priorities for the lithium sector.

The current situation underscores lithium’s emergence as a truly strategic commodity in the global transition to electrification, where supply disruptions can trigger immediate and substantial market reactions across multiple industries and continents.

Take a moment to take a look at more emerging growth industrials and basic materials companies by taking a look at Noble Capital Markets’ Research Analyst Mark Reichman coverage list.

Gold Rally Cools as White House Prepares to Clarify Import Rules

Posted on August 11, 2025August 11, 2025 by slightbourne@noblecapitalmarkets.com

Gold futures retreated from record highs Friday after the White House signaled it would move to clarify confusion over whether U.S. tariffs apply to imported gold bars, calming a rally fueled by earlier reports of new restrictions.

The pullback came after a senior White House official told CNBC the administration will issue an executive order “in the near future” to address what it described as “misinformation” about the treatment of gold bars and other specialty products under recent trade measures.

Gold for December delivery briefly touched an all-time closing high of $3,491.30 per ounce before slipping to $3,463.30 in late trading on the news. Spot gold also eased but remained on track for its second consecutive weekly gain, supported by broader market optimism over potential U.S. interest rate cuts.

Market jitters began earlier in the day after the Swiss Precious Metals Association said U.S. Customs and Border Protection had indicated that 1-kilogram and 100-ounce gold cast bars were not excluded from the 39% tariffs recently imposed on Swiss exports. Switzerland is the world’s largest gold refiner, processing bullion that moves through the global financial system and serves as a key supplier to U.S. markets.

Christoph Wild, president of the Swiss Precious Metals Association, warned that such tariffs could disrupt the international flow of physical gold and complicate trade with the United States, which he called a “long-standing and historical partner” for Switzerland.

The association also noted the CBP’s clarification appeared to apply broadly, not only to Switzerland but to imports of those bar sizes from any country. That raised questions about the potential scope of the tariffs, which could affect bullion flows from other refining hubs as well.

The uncertainty briefly lit a fire under gold futures, as traders weighed the possibility of higher costs for physical delivery and tighter supply chains. Investors often turn to gold during geopolitical or trade-related turbulence, and the mere prospect of import restrictions can drive prices higher in the short term.

President Donald Trump’s administration has already levied sweeping tariffs on a range of Swiss goods this year, citing trade imbalances and what it says are unfair competitive practices. The gold bar question emerged as a flashpoint this week, underscoring how commodity markets can be caught in the crossfire of broader trade disputes.

Analysts say the White House clarification could help temper volatility, though the path forward for bullion prices will still hinge on multiple factors — including the Federal Reserve’s policy trajectory, inflation expectations, and global risk sentiment.

“Gold remains in a structurally bullish environment,” said one commodities strategist. “But if the White House makes it clear that bullion imports won’t face steep tariffs, some of the recent froth in prices could dissipate.”

Even after Friday’s dip, gold is up sharply for the year as investors hedge against currency fluctuations, equity market risks, and a shifting macroeconomic backdrop. Traders will be watching closely for the promised executive order, which could arrive within days and help determine whether the latest rally has room to run or is due for a deeper correction.

Fannie Mae and Freddie Mac Edge Closer to Historic IPOs

Posted on August 8, 2025August 8, 2025 by slightbourne@noblecapitalmarkets.com

Key Points:
– Administration aims to take mortgage giants public by year-end, potentially valuing them at $500B+.
– Fannie and Freddie have been under federal conservatorship since the 2008 financial crisis.
– Privatization could reshape the $12T U.S. housing finance system.

President Donald Trump’s administration is pushing ahead with plans to take mortgage finance giants Fannie Mae and Freddie Mac public before the end of 2025, a move that could mark one of the largest and most closely watched privatizations in U.S. history.

According to people familiar with the matter, discussions are underway that could value the two government-sponsored enterprises (GSEs) at a combined $500 billion or more. The share sales could raise roughly $30 billion, injecting fresh capital into companies that have been under federal control since the 2008 financial crisis.

Fannie Mae and Freddie Mac play a central role in the U.S. housing market, buying mortgages from lenders, packaging them into mortgage-backed securities (MBS), and guaranteeing timely payment of principal and interest to investors. By recycling capital back to banks and mortgage companies, they help ensure a steady flow of financing for homebuyers, multifamily developers, and real estate investors.

Both companies were placed into conservatorship in September 2008 after the housing market collapse left them on the brink of insolvency. The U.S. Treasury provided a combined $191 billion in support, receiving preferred shares in return. Over the years, the companies have paid the government more than that amount in dividends, but attempts to return them to private ownership have repeatedly stalled amid political divisions and the complexity of reforming the $12 trillion mortgage market they underpin.

Trump has long signaled his desire to end federal conservatorship of the mortgage giants, including during his first term. His return to the White House has revived optimism among investors who have held shares in the companies for years in anticipation of privatization. Billionaire hedge fund manager Bill Ackman, a prominent shareholder, has said he expects Trump to complete the process.

Still, the road to IPOs is unlikely to be straightforward. Fannie and Freddie guarantee or own about half of all U.S. home loans, meaning any shift in ownership must be carefully managed to avoid disrupting housing finance. The administration is expected to keep some form of oversight in place even after the companies are privatized, with Trump previously saying in May that he intends to retain a role for federal supervision.

Market reaction to the Wall Street Journal report on the IPO plan was swift. Shares of both companies, which trade over the counter, surged more than 21%, hitting their highest levels in over a month.

In recent days, Trump has met with the CEOs of major banks including Citigroup and Bank of America to discuss the potential privatization, according to earlier Reuters reporting. Financial institutions are expected to play a critical role in structuring the offerings and preparing the companies for life after conservatorship.

If successful, the IPOs of Fannie Mae and Freddie Mac would represent a historic shift in the U.S. housing finance system—one that could reshape the secondary mortgage market, alter investor participation in MBS, and redefine the federal government’s role in backstopping the nation’s home loan market.

GoHealth (GOCO) – Forecast Trimmed, Flexibility Restored

Posted on August 8, 2025August 8, 2025 by slightbourne@noblecapitalmarkets.com

Friday, August 08, 2025

Patrick McCann, CFA, Research Analyst, Noble Capital Markets, Inc.

Michael Kupinski, Director of Research, Equity Research Analyst, Digital, Media & Technology , Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

Hits headwinds in Q2. GoHealth reported Q2 revenue of $94.0 million, below our $110.0 million forecast, as Medicare Advantage softness and CMS policy shifts weighed on volumes. Revenue declined 11% year-over-year. Despite the top-line miss, adj. EBITDA loss of $11.3 million beat our expected loss of $13.2 million, reflecting ongoing cost discipline and benefits from automation initiatives underway in agent workflows.

Recapitalization improves liquidity, alleviates covenant concerns. The company secured $80 million in new term loans and amended its credit agreement to eliminate principal payments through 2026. Liquidity covenants were reduced to a single minimum cash test. While the 4.77 million Class A shares issued represent roughly 20% dilution, we believe the transaction aligns lender and shareholder incentives and resolves the going concern issue.

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Saga Communications (SGA) – Outlook Offers Glimmer Of Revenue Improvement

Posted on August 8, 2025August 8, 2025 by slightbourne@noblecapitalmarkets.com

Friday, August 08, 2025

Saga Communications, Inc. is a broadcast company whose business is primarily devoted to acquiring, developing and operating radio stations. Saga currently owns or operates broadcast properties in 27 markets, including 79 FM and 33 AM radio stations. Saga’s strategy is to operate top billing radio stations in mid sized markets, defined as markets ranked (by market revenues) from 20 to 200. Saga’s radio stations employ a myriad of programming formats, including Active Rock, Adult Album Alternative, Adult Contemporary, Country, Classic Country, Classic Hits, Classic Rock, Contemporary Hits Radio, News/Talk, Oldies and Urban Contemporary. In operating its stations, Saga concentrates on the development of strong decentralized local management, which is responsible for the day-to-day operations of the stations in their market area and is compensated based on their financial performance as well as other performance factors that are deemed to effect the long-term ability of the stations to achieve financial objectives. Saga began operations in 1986 and became a publicly traded company in December 1992. The stock trades on NASDAQ under the ticker symbol “SGA”.

Michael Kupinski, Director of Research, Equity Research Analyst, Digital, Media & Technology , Noble Capital Markets, Inc.

Jacob Mutchler, Research Associate, Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

An in line quarter. Even though the second quarter results were lackluster, total company revenues were down 5% from the comparable year earlier quarter, it was refreshing to have a company report an in line quarter. Total company Q2 revenues were $23.4 million, roughly in line with our $24.1 million estimate. Adj. EBITDA of $3.5 million was in line with our $3.5 million estimate.

Digital revenue gains traction. While Digital revenue grew a respectable 5.8% in the latest quarter, it faced difficult year earlier comparisons from a non recurring business (up 30.3% in the prior year quarter). Notably, management indicated that Digital revenue is pacing up 30% to 40% in Q3.

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Cumulus Media (CMLS) – Can It Pull A Rabbit Out Of The Hat?

Posted on August 8, 2025August 8, 2025 by slightbourne@noblecapitalmarkets.com

Friday, August 08, 2025

Cumulus Media (NASDAQ: CMLS) is an audio-first media company delivering premium content to over a quarter billion people every month — wherever and whenever they want it. Cumulus Media engages listeners with high-quality local programming through 406 owned-and-operated radio stations across 86 markets; delivers nationally-syndicated sports, news, talk, and entertainment programming from iconic brands including the NFL, the NCAA, the Masters, CNN, the AP, the Academy of Country Music Awards, and many other world-class partners across more than 9,500 affiliated stations through Westwood One, the largest audio network in America; and inspires listeners through the Cumulus Podcast Network, its rapidly growing network of original podcasts that are smart, entertaining and thought-provoking. Cumulus Media provides advertisers with personal connections, local impact and national reach through broadcast and on-demand digital, mobile, social, and voice-activated platforms, as well as integrated digital marketing services, powerful influencers, full-service audio solutions, industry-leading research and insights, and live event experiences. Cumulus Media is the only audio media company to provide marketers with local and national advertising performance guarantees. For more information visit www.cumulusmedia.com.

Michael Kupinski, Director of Research, Equity Research Analyst, Digital, Media & Technology , Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

Exceeds Q2 expectations. Q2 revenue of $186.0 million was a tad better than our $183.9 million estimate, with the largest upside variance being Digital revenue and a little lift from Political advertising. Its Digital Marketing Services business was up an impressive 38% in revenue. Adj. EBITDA exceeded expectations at $22.4 million versus our $15.6 million estimate.

Ad trends still negative. Core spot advertising appears to be moderating and its Digital Marketing Services business appears to be a bright spot, pacing up 35% in Q3. Total company revenue is pacing down low double digits in Q3, however, worse than expected. Network advertising continues to be the culprit given the challenged macro economic environment and the company’s decision to decrease content/inventory.

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Who Could Lead the Fed Next? Waller’s Name Rises to the Top

Posted on August 8, 2025August 8, 2025 by slightbourne@noblecapitalmarkets.com

Federal Reserve Governor Christopher Waller is gaining traction as the leading candidate to replace Jerome Powell as Fed chair under a potential second Trump administration, according to individuals familiar with the ongoing discussions. The Trump team reportedly favors Waller’s approach to monetary policy, highlighting his emphasis on forward-looking analysis and his institutional understanding of the Federal Reserve system.

Though Waller has not yet met with former President Trump personally, he has held discussions with members of Trump’s economic circle. His recent dissent from the Federal Open Market Committee’s decision to hold interest rates steady has further elevated his profile. Waller, along with fellow Trump appointee Michelle Bowman, supported a rate cut in light of softening labor market data—a move that aligned with Trump’s long-standing desire for looser monetary policy.

Waller’s background adds weight to his candidacy. Before joining the Fed board in 2020, he was executive vice president and director of research at the St. Louis Fed. His nomination was narrowly confirmed by the Senate with a 48-47 vote. Since then, he has become a vocal figure within the central bank, notably clashing with former Treasury Secretary Larry Summers in 2022 over inflation forecasts. Waller’s stance—that the Fed could rein in post-pandemic inflation without triggering a sharp rise in unemployment—ultimately proved accurate, strengthening his reputation among economic conservatives.

Trump’s shortlist includes former Fed governor Kevin Warsh and current National Economic Council director Kevin Hassett. Both men have also reportedly impressed Trump and his advisers, though Waller is viewed as the front-runner at this stage. Trump has confirmed that Treasury Secretary Scott Bessent, Vice President JD Vance, and Commerce Secretary Howard Lutnick are leading the search process.

The Trump team is also preparing to fill a vacant Fed board seat following the early departure of Governor Adriana Kugler. Trump has stated that this position will be temporarily filled, with a longer-term appointment expected in early 2026. That nominee is likely to favor lower interest rates—mirroring Trump’s preference for a more accommodative Fed.

Waller’s policy stance represents a clear contrast to Powell’s patient approach to rate changes. While Powell has pointed to a still-solid labor market and the need to assess the economic impact of Trump’s proposed tariffs, Waller has pushed for preemptive rate cuts, citing signs of cooling job growth. That divide has created friction between Powell and the Trump administration, with the former president repeatedly criticizing Powell for not acting aggressively enough.

Despite speculation, Waller has publicly maintained that he has not yet been approached by Trump. Speaking in July, he said, “If the president contacted me and said, ‘I want you to serve,’ I would do it,” but confirmed no such outreach had occurred.

Waller has also made clear his support for the Fed’s independence, calling it essential for economic stability. His willingness to accept criticism—whether from markets, politicians, or the public—adds to his appeal as a pragmatic and disciplined candidate for the role.

DLH Holdings (DLHC) – First Look – 3Q25 Results

Posted on August 7, 2025August 7, 2025 by slightbourne@noblecapitalmarkets.com

Thursday, August 07, 2025

Joe Gomes, CFA, Managing Director, Equity Research Analyst, Generalist , Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

Making Progress. In the third quarter, DLH effectively navigated changes in the competitive landscape and transition in the industry overall, preserving margin delivery and strong operating cash flow. Headwinds such as the transition of CMOP locations, unbundling of DOD contracts, and scope reductions as a result of government efficiency efforts all impacted the quarter.

3Q25 Results. Revenue was $83.3 million, compared to $100.7 million in the year ago quarter. We had forecasted $83 million. DLH reported adjusted EBITDA of $8.1 million, down from $10 million in 3Q24 and our $8.5 million estimate. Net income was $0.3 million, or $0.02/sh, versus $1.1 million, or $0.08/sh last year. We had projected $0.35 million, or $0.02/sh.

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Eledon Pharmaceuticals (ELDN) – Phase 1b Data Continues To Show Improved Outcomes

Posted on August 7, 2025August 7, 2025 by slightbourne@noblecapitalmarkets.com

Thursday, August 07, 2025

Robert LeBoyer, Senior Vice President, Equity Research Analyst, Biotechnology, Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

Phase 1b Kidney Transplant Data Presented. Eledon presented data from its Phase 1b trial using tegoprubart as part of an immunosuppressive regimen at The World Transplant Congress. The data from the first 32 patients at two dosage cohorts continues to show meaningful improvement over the standard of care. We believe this supports our expectations for strong data for the Phase 2 BESTOW trial in November.

Study Design. The presentation included data from 32 patients receiving kidney transplants followed by an immunosuppressive regimen tegoprubart instead of tacrolimus, the standard of care. The primary endpoints are safety and pharmacokinetics. Secondary endpoints include patient survival, graft survival, biopsy proven acute rejection, with kidney function measured by eGFR and iBOX score.

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Cadrenal Therapeutics (CVKD) – Tecarfarin Clinical Trial To Begin With Modified Design

Posted on August 7, 2025August 7, 2025 by slightbourne@noblecapitalmarkets.com

Thursday, August 07, 2025

Robert LeBoyer, Senior Vice President, Equity Research Analyst, Biotechnology, Noble Capital Markets, Inc.

Refer to the full report for the price target, fundamental analysis, and rating.

Cadrenal Announces New Trial Design. Cadrenal announced that it plans to begin a trial testing tecarfarin in patients who are starting renal dialysis, both with and without atrial fibrillation (ESKD-Afib). This design reflects recent studies showing that the first several months after starting dialysis are an ultra-high risk period for mortality and cardiac events. The trial will test tecarfarin efficacy in reducing these events and could begin in late 2025 to early 2026.

Modified Study Design Focuses On Highest Risk Period. The initiation of renal dialysis impacts several important cardiovascular and renal functions. New studies show that the first six months after starting dialysis have a 20-fold increase in cardiovascular events and mortality. This has not previously been recognized due to pathologies of the underlying conditions that lead to CKD and dialysis.

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