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to our Report of Foreign Private Issuer on Form 6-K filed with the Securities and Exchange Commission ("SEC") on

Key Takeaway: Galmed Pharmaceuticals Ltd. has shared a positive letter to shareholders detailing its recent achievements and future plans. The company highlighted its solid financial position, with approximately $19.2 million in cash and minimal debt, allowing for continued investment in research and development. Clinical advancements for Aramchol show promise in treating liver diseases and oncology, bolstering the company's potential for growth. Galmed is committed to executing its strategic and clinical plans to drive long-term value creation.

Market Sentiment Analysis

POSITIVE FACTORS

  • Galmed Pharmaceuticals shows significant recent achievements and ambitious plans.
  • The company is financially strong with a solid cash position and minimal debt.
  • Clinical advancements indicate promising results for Aramchol in multiple therapeutic areas.
  • Plans to further develop Aramchol for diversified indications are underway.

Full Press Release Details

Issues CEO Letter to Shareholders
AVIV, Israel, December 1st 2025 /PRNewswire/ -Galmed Pharmaceuticals Ltd. (Nasdaq: GLMD) ("Galmed"
or the "Company"), a clinical-stage biopharmaceutical company focused on liver, cardiometabolic, and gastrointestinal oncology
indications, today issued a Letter to Shareholders from Allen Baharaff, Chief Executive Officer.
reaching out today to share the bigger picture and highlight the exciting momentum building at Galmed. With significant recent achievements
and ambitious plans ahead, this is an ideal time to connect the dots on our progress and reaffirm our vision for a transformative future.
As we connect the dots on our progress, I'm excited to reaffirm the strength of Galmed and the incredible opportunities that lie
the past year, we have successfully expanded our therapeutic focus beyond liver disease, generating compelling new data that supports
a broader clinical development path for Aramchol in oncology and cardiometabolic indications. Our fundamentals remain solid, our
scientific achievements continue to accelerate, and our strategy is firmly focused on short and long-term value creation.
message to investors is clear: Galmed is well-capitalized, scientifically advancing on multiple fronts, and positioned
for meaningful growth opportunities.
Strong Cash Position and Prudent Financial Stewardship
ended the third quarter of 2025 with approximately $19.2 million in cash1 and practically zero debt on our balance
we have increased R&D investment to support expanded clinical studies, we remain disciplined in our operating structure keeping our
burn rate minimal (approx. $1.5M per quarter since the beginning of the year). We believe this solid financial foundation provides
us with the stability and flexibility needed to continue executing our short and long-term development plans without relying on emergency,
aggressive, toxic capital raises.
Significant Clinical Advancements
for MASH and liver fibrosis
is still an unmet need and a highly lucrative market with an estimated 22 million Americans living with MASH (metabolic dysfunction-associated
steatohepatitis) and according to analysts is expected to be worth $16 billion by 2033. The recent M&A activity in the MASH
space strongly suggests that there is a real market, a clinical need and a path forward.
Comprised of cash, cash equivalents, short term deposits and marketable debt securities
we previously reported, results from our Phase 3 Open-Label part of our ARMOR study demonstrated that Aramchol showed robust fibrosis
improvement across multimodality histological assessment. At week 48, both paired and AI evaluations of patients' liver biopsies
identified that 65% and 100% of patients (respectively) experiencing fibrosis improvement. Results were published in March
2025 in the prestigious Journal of Hepatology (Impact Factor of 33.0).
the aftermath of the COVID 19 pandemic, we announced the discontinuation of ARMOR study. Yet, contrary to most cases where clinical studies
are prematurely stopped, normally due to safety signals or lack of efficacy, in our case, it was neither. Aramchol is a potent anti-fibrotic
compound with excellent safety and tolerability with a solid scientific and clinical basis.
other complex diseases, it is now understood that monotherapies can only have limited mild to moderate efficacy. Addressing all
aspects of MASH i.e. inflammation, liver fat infiltration and fibrosis demand the combination of drugs with more than one mechanism of
action (MoA). Following the first wave of the development of monotherapy treatments, combination therapy of drugs with synergetic MoAs
is inevitable and necessary. We believe that Aramchol with its unique, first-in-class MoA is a perfect drug candidate to be combined
with other MASH drugs, approved or in development.
is currently working on a new sublingual (SL) formulation of Aramchol which will allow the development of a fixed dose combination of
Aramchol with an approved metabolic agent. The successful development of this formulation would allow Galmed to move towards promptly
initiating a Phase 2 MASH clinical study.
for Gastrointestinal (GI) oncology indications
we announced in mid-November, early findings from our pre-clinical combination studies of Aramchol with Stivarga (Bayer)
and metformin in GI tumor models demonstrated that Aramchol enhances the activity and potentially overcomes regorafenib's (a standard-of-care
treatments for many GI Cancers) drug resistance.
results support our plans to advance Aramchol into a Phase 1/2 clinical trial for metastatic colorectal cancer (CRC), hepatocellular
carcinoma (HCC), and cholangiocarcinoma in collaboration with VCU Massey Comprehensive Cancer Center in early 2026.
on this approach, we are currently conducting multiple pre-clinical studies with Aramchol to overcome drug resistance and enhance the
efficacy of other standard-of-care (SoC) oncology agents for cancer treatment with unmet needs. We believe the successful completion
of our Phase 1/2 clinical trial of Aramchol and Stivarga , will enable the initiation of similar clinical studies with other SoC
agents for additional oncology indications.
view this strategy (particularly in the case of rare cancer indications) as the fastest pathway for FDA approval of Aramchol and initiation
of commercialization.
Potential Beyond MASH and Oncology
identification of a unique panel of systemic blood-based biomarkers including inflammation, oxidative stress, and cardiac-related parameters
such as atrial natriuretic peptide (ANP) (which we announced earlier this year) not only confirms Aramchol's on-target biological
activity but also broadens Aramchol's potential clinical utility and disease-modifying capabilities in cardiometabolic
diseases, systemic inflammation, and broader metabolic-cardiovascular indications.
order to be able to benefit from Aramchol's multi-system therapeutic potential, well beyond its initial liver-focused applications,
higher exposure of Aramchol in the blood is needed. We are developing a novel, proprietary, subcutaneous (SC) formulation for Aramchol
to be able to bring higher quantities of Aramchol to the target organs, and particularly to the heart.
successful development of such formulation is expected to present Galmed with an exciting opportunity to enhance clinical decision-making
and expand into additional disease areas with significant market potential.
summary, I want to emphasize the following:
Galmed remains financially strong, with sufficient resources to support our current strategic and clinical plans.
Our scientific progress has been exceptional, with multiple breakthroughs validating and expanding the potential of Aramchol across
high-value therapeutic areas.
We are committed to short and long-term value creation, grounded in disciplined execution, scientific innovation, and
responsible financial stewardship.
this process, we aim to maintain transparency, careful capital allocation, and clear communication with our shareholders.
deeply value your continued trust and support. As we move forward, you can expect ongoing updates as we reach key milestones and advance
toward our next stages of growth. The entire Galmed team is energized by the opportunity ahead and dedicated to delivering meaningful
value to patients, to partners, and to you, our shareholders.
Chief Executive Officer
Galmed Pharmaceuticals Ltd.
are a biopharmaceutical company focused on the development of Aramchol. We have focused almost exclusively on developing Aramchol
for the treatment of liver diseases, and continue to actively advance Aramchol for the treatment of combination therapy for NASH. We
are also seeking to develop Aramchol for certain oncological indications outside of NASH and fibrosis. In addition, as part of our
growth strategy, we are actively pursuing opportunities to expand and diversify our product pipeline specifically targeting cardiometabolic
indications and other innovative product candidates that align with our core expertise in drug development.
statements relate to anticipated or expected events, activities, trends or results as of the date they are made. Because forward-looking
statements relate to matters that have not yet occurred, these statements are inherently subject to risks and uncertainties that could
cause our actual results to differ materially from any future results expressed or implied by the forward-looking statements. Forward-looking
statements may include, but are not limited to, statements relating to scientifically advancing on multiple fronts, being positioned
for meaningful growth opportunities, executing its short and long-term development plans and advancing in its clinical trials and
the timing of potential regulatory approvals. Many factors could cause our actual activities or results to differ materially from the
activities and results anticipated in forward-looking statements, including, but not limited to, the development and approval of the
use of Aramchol or any other product candidate for indications outside of non-alcoholic steatohepatitis, or NASH, also known as metabolic
dysfunction-associated steatohepatitis, or MASH, and fibrosis or in combination therapy; the timing and cost of any pre-clinical or clinical
trials of Aramchol or any other product candidate we develop; completion and receiving favorable results of any pre-clinical or clinical
trial; regulatory action with respect to Aramchol or any other product candidate by the U.S. Food and Drug Administration or the European
Medicines Authority, including but not limited to acceptance of an application for marketing authorization, review and approval of such
application, and, if approved, the scope of the approved indication and labeling; the commercial launch and future sales of Aramchol
and any future product candidates; our ability to comply with all applicable post-market regulatory requirements for Aramchol, or any
other product candidate in the countries in which we seek to market the product; our ability to achieve favorable pricing for Aramchol,
or any other product candidate; third-party payor reimbursement for Aramchol, or any other product candidate; our estimates regarding
anticipated capital requirements and our needs for additional financing; market adoption of Aramchol or any other product candidate by
physicians and patients; the timing, cost or other aspects of the commercial launch of Aramchol or any other product candidate; our ability
to obtain and maintain adequate protection of our intellectual property; the possibility that we may face third-party claims of intellectual
property infringement; our ability to manufacture our product candidates in commercial quantities, at an adequate quality or at an acceptable
cost; our ability to establish adequate sales, marketing and distribution channels; intense competition in our industry, with competitors
having substantially greater financial, technological, research and development, regulatory and clinical, manufacturing, marketing and

Frequently Asked Questions

What is the main focus of Galmed Pharmaceuticals?

Galmed Pharmaceuticals concentrates on developing Aramchol for liver, cardiometabolic, and oncological indications.

What recent advancements has Galmed made with Aramchol?

Galmed generated new clinical data supporting Aramchol's use in oncology and cardiometabolic conditions.

What is Aramchol's role in treating MASH?

Aramchol is a potent anti-fibrotic candidate aimed at addressing multiple aspects of MASH.

How is Galmed financially positioned?

Galmed ended Q3 2025 with about $19.2 million in cash and minimal debt, ensuring stability.

What are Galmed's future plans for Aramchol?

Galmed aims to advance Aramchol into Phase 1/2 trials for various oncology indications by early 2026.

Last updated: Dec 1, 2025