Terns Pharmaceuticals

To bring best-in-class therapies to patients with chronic liver disease by developing a portfolio of MASH combination medicines.

Terns Pharmaceuticals SWOT Analysis

Updated: October 6, 2025 • 2025-Q4 Analysis

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This analysis for Terns Pharmaceuticals was created using Alignment.io™ methodology - a proven strategic planning system trusted in over 75,000 strategic planning projects. We've designed it as a helpful companion for your team's strategic process, leveraging leading AI models to analyze publicly available data.

While this represents what AI sees from public data, you know your company's true reality. That's why we recommend using Alignment.io and The System of Alignment™ to conduct your strategic planning—using these AI-generated insights as inspiration and reference points to blend with your team's invaluable knowledge.

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The Terns Pharmaceuticals SWOT analysis reveals a company at a critical inflection point, balancing immense opportunity with significant risk. Its primary strength lies in promising mid-stage assets in high-value markets, backed by a strong cash position and a focused strategy following the shrewd GLP-1 pivot. However, as a pre-revenue entity, it faces existential threats from clinical execution risk and a hyper-competitive landscape dominated by larger players. The key priorities correctly identify the strategic imperatives: flawless clinical execution for TERN-501 is paramount to validate its MASH combination thesis, while differentiating TERN-701 is crucial for its oncology ambitions. Success hinges on disciplined capital allocation and building a compelling narrative that positions Terns not just as a participant, but as a future leader in its chosen therapeutic areas. This is a moment where operational excellence will define market leadership.

Madrigal Pharmaceuticals Akero Therapeutics Viking Therapeutics 89bio Novartis

No past cycles

Mission & Vision SWOT Analysis OKR Plan Retrospective AI Strategy Data Acquisition

To bring best-in-class therapies to patients with chronic liver disease by developing a portfolio of MASH combination medicines.

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Strengths

PIPELINE: TERN-501 shows potent liver fat reduction in Phase 2a DUET trial.
FINANCES: Strong cash runway into 2026 provides operational stability.
FOCUS: Strategic pivot from GLP-1 preserves capital for core MASH/CML assets.
LEADERSHIP: Experienced management team with a track record of drug development.
DIFFERENTIATION: TERN-701's allosteric mechanism may offer safety advantages.

Weaknesses

REVENUE: Pre-revenue status creates complete dependency on capital markets.
CONCENTRATION: Near-term valuation heavily tied to success of TERN-501.
SCALE: Lacks the infrastructure and resources of large pharma competitors.
DATA GAP: No long-term histology or outcomes data for lead assets yet.
COMMERCIAL: No existing sales or marketing infrastructure to launch products.

Opportunities

MARKET: First MASH drug approval (Rezdiffra) validates THR-β mechanism.
COMBINATIONS: Opportunity to establish TERN-501 as a go-to combination agent.
ONCOLOGY: Unmet need for CML patients intolerant to existing TKIs remains.
PARTNERING: Attractive pipeline could lead to a lucrative partnership or buyout.
DIAGNOSTICS: Rise of non-invasive diagnostics could expand MASH patient pool.

Threats

COMPETITION: Intense rivalry in MASH from Akero, Viking, big pharma GLP-1s.
EXECUTION: Any clinical trial delay or failure would severely impact valuation.
PRICING: Payers may impose strict reimbursement hurdles for MASH therapies.
MARKET: Biotech capital market volatility could hinder future fundraising.
REGULATORY: FDA could require cardiovascular outcomes trials, raising costs.

Key Priorities

EXECUTION: Flawlessly execute TERN-501 MASH trials to generate histology data.
DIFFERENTIATION: Clearly establish TERN-701's superior profile vs. competitors.
CAPITAL: Prudently manage cash while exploring non-dilutive partnerships.
NARRATIVE: Proactively shape the story around MASH combination therapy leadership.

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Terns Pharmaceuticals OKR

Updated: October 6, 2025 • 2025-Q4 Analysis

This Terns Pharmaceuticals OKR plan is a masterclass in strategic focus. It transforms the SWOT's conclusions into a clear, actionable roadmap that rallies the entire organization around what matters most: clinical execution and market differentiation. The objectives—WIN IN MASH and LEAD IN CML—are bold, inspiring, and directly tied to value creation. The Key Results are specific, outcome-driven, and intelligently integrate insights from the AI analysis and retrospective, such as leveraging AI partners and enhancing investor communication. This plan avoids generic corporate goals, providing Terns with a precise, disciplined framework to navigate its high-stakes environment and deliver on its mission to bring best-in-class therapies to patients.

Madrigal Pharmaceuticals Akero Therapeutics Viking Therapeutics 89bio Novartis

No past cycles

Mission & Vision SWOT Analysis OKR Plan Retrospective AI Strategy Data Acquisition

To bring best-in-class therapies to patients with chronic liver disease by developing a portfolio of MASH combination medicines.

WIN IN MASH

Establish TERN-501 as the undisputed MASH combination backbone.

ENROLLMENT: Complete enrollment of the Phase 2b MASH trial 10% ahead of schedule to accelerate data delivery.
HISTOLOGY: Finalize the protocol and operational plan for the pivotal Phase 3 trial based on FDA feedback.
BIOMARKERS: Identify 2+ novel predictive biomarkers from Phase 2a data using AI partner to guide Phase 3.
PARTNERSHIP: Sign a term sheet with a top-5 pharma partner for a MASH combination therapy development.

LEAD IN CML

Position TERN-701 as the next standard of care for CML.

DATA: Announce positive topline Phase 1 data demonstrating a clear safety and efficacy profile vs. asciminib.
REGULATORY: Secure FDA alignment on a pivotal trial design and potential for accelerated approval pathway.
AWARENESS: Achieve 75% awareness of TERN-701's differentiated mechanism among top 100 CML key opinion leaders.
SUPPLY: Manufacture and release GMP drug supply sufficient for the entire planned Phase 2 pivotal trial.

FUEL THE PIPELINE

Secure our future through smart capital and business development.

CASH: Maintain a minimum of 24 months of cash runway through disciplined expense management and planning.
PARTNERING: Evaluate and engage with 10+ potential partners for ex-US rights or strategic collaborations.
IN-LICENSE: Identify and conduct due diligence on 3 synergistic, early-stage assets for pipeline growth.
EFFICIENCY: Reduce clinical trial operational costs by 15% via process optimization and vendor negotiation.

BUILD THE NARRATIVE

Define the market conversation and become the clear leader.

INVESTORS: Increase institutional investor ownership by 20% by clearly communicating our differentiated strategy.
PUBLICATIONS: Publish data from the TERN-501 Phase 2a trial in a top-tier, peer-reviewed medical journal.
CONFERENCES: Secure 3+ oral presentations at major medical conferences (AASLD, ASCO) for our lead assets.
BRAND: Achieve a 50% increase in positive media mentions focusing on our combination and differentiation strategy.

METRICS

Phase 2 Primary Endpoint Achievement Rate: >80%
Cash Runway (Months): >24
Pivotal Trial Enrollment Rate: >90% of target

VALUES

Patient-Focused
Scientific Rigor
Integrity & Respect
Collaboration
Urgency

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Terns Pharmaceuticals Retrospective

AI-Powered Insights

Claude

Gemini

GPT

Terns Pharmaceuticals Q1 2024 Earnings Report and Press Release
Terns Pharmaceuticals Corporate Website and Investor Presentations (June 2024)
SEC Filings (10-Q, 10-K for Terns Pharmaceuticals)
Biopharmaceutical industry reports on MASH and CML markets
Public financial data sources for market capitalization and stock performance

Madrigal Pharmaceuticals Akero Therapeutics Viking Therapeutics 89bio Novartis

No past cycles

Mission & Vision SWOT Analysis OKR Plan Retrospective AI Strategy Data Acquisition

To bring best-in-class therapies to patients with chronic liver disease by developing a portfolio of MASH combination medicines.

Toggle Theme

What Went Well

CASH: Maintained strong balance sheet with cash runway extended into 2026.
PIPELINE: Reported positive topline data for TERN-501 in Phase 2a DUET trial.
FOCUS: Decisive action to discontinue GLP-1 program was well-received.
ONCOLOGY: Advanced enrollment in the Phase 1 CARDINAL trial for TERN-701.
COMMUNICATION: Clearly articulated strategy and upcoming milestones to investors.

Not So Well

MARKET: Stock valuation remains sensitive to broader biotech market sentiment.
COMPETITION: Competitor data releases continue to create market noise and pressure.
VISIBILITY: Still building broad investor awareness of oncology pipeline value.
TIMELINES: Inherent unpredictability of clinical trial enrollment continues.
PERCEPTION: Overcoming perception as solely a 'MASH company' is ongoing.

Learnings

DIFFERENTIATION: Clear communication of asset differentiation is paramount.
DISCIPLINE: Capital discipline and strategic focus are critical in this market.
EXECUTION: Meeting stated timelines and clinical goals builds credibility.
NARRATIVE: A simple, powerful story is needed to cut through market noise.
DATA: Robust, clean data is the ultimate currency with investors and regulators.

Action Items

ENROLLMENT: Accelerate patient recruitment for TERN-501 and TERN-701 trials.
DATA: Prepare for the next clinical data readout and communication strategy.
PARTNERING: Actively engage in strategic partnership discussions for MASH combo.
INVESTORS: Increase investor outreach focused on the TERN-701 opportunity.
BUDGET: Continue to manage expenses diligently to maximize cash runway.

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Organization	SWOT Analysis	OKR Plan	Top 6	Retrospective

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Terns Pharmaceuticals Market

AI-Powered Insights

Claude

Gemini

GPT

Terns Pharmaceuticals Q1 2024 Earnings Report and Press Release
Terns Pharmaceuticals Corporate Website and Investor Presentations (June 2024)
SEC Filings (10-Q, 10-K for Terns Pharmaceuticals)
Biopharmaceutical industry reports on MASH and CML markets
Public financial data sources for market capitalization and stock performance

Founded: 2016
Market Share: 0% (No commercial products)
Customer Base: N/A (Patients in clinical trials)
Category:
Biopharmaceutical
SIC Code: 2834
NAICS Code: 541714 Research and Development in Biotechnology (except Nanobiotechnology)
Location: Foster City, California
Zip Code: 94404
Congressional District: CA-15 REDWOOD CITY
Employees: 85

Competitors

Madrigal Pharmaceuticals View Analysis

Akero Therapeutics View Analysis

Viking Therapeutics View Analysis

89bio View Analysis

Novartis View Analysis

Products & Services

No products or services data available

Distribution Channels

N/A (Pre-commercial)

Terns Pharmaceuticals Business Model Analysis

AI-Powered Insights

Claude

Gemini

GPT

Terns Pharmaceuticals Q1 2024 Earnings Report and Press Release
Terns Pharmaceuticals Corporate Website and Investor Presentations (June 2024)
SEC Filings (10-Q, 10-K for Terns Pharmaceuticals)
Biopharmaceutical industry reports on MASH and CML markets
Public financial data sources for market capitalization and stock performance

Problem

MASH is a complex disease needing combo therapy
Existing CML therapies have tolerability issues
High unmet need in chronic liver diseases

Solution

TERN-501: A best-in-class THR-β for MASH
TERN-701: A differentiated allosteric TKI
Portfolio of oral, small-molecule drugs

Key Metrics

Successful Phase 2/3 clinical trial results
Regulatory approvals from FDA and EMA
Cash runway and financing milestones

Unique

Focus on MASH combination therapy from outset
Experienced team in liver disease and oncology
Potentially superior safety/efficacy profiles

Advantage

Strong IP portfolio for lead candidates
Deep scientific expertise in target biology
Sufficient capital to reach key value inflections

Channels

Future: Specialty sales force for hepatologists
Future: Co-promotion partners for primary care
Medical science liaisons and conferences

Customer Segments

Patients with MASH and CML
Hepatologists and Oncologists
Payers and healthcare systems

Costs

Clinical trial research and development (R&D)
Personnel and G&A expenses
Future: Sales and marketing (S&M) costs

Terns Pharmaceuticals Product Market Fit Analysis

Updated: October 6, 2025

Terns Pharmaceuticals is pioneering the next generation of oral therapies for chronic diseases. It is developing a best-in-class portfolio for MASH, aiming to reverse liver disease through novel combinations, and a highly differentiated treatment for CML. With a veteran team and a clear clinical strategy, Terns is positioned to redefine the standard of care for millions of patients worldwide.

A differentiated oral therapy to resolve MASH and reverse fibrosis.

A best-in-class safety and efficacy profile for CML treatment.

A strategic focus on combination therapies to address complex diseases.

Before State

Progressive liver scarring (fibrosis)
Limited oral treatments for MASH
CML resistance to existing therapies
Poor long-term patient outcomes

After State

MASH resolution and fibrosis reversal
Effective, safe oral combination therapy
Durable response in CML patients
Improved quality of life for patients

Negative Impacts

Risk of cirrhosis, liver cancer, death
High healthcare system cost burden
Side effects from current CML drugs
Lifelong disease management stress

Positive Outcomes

Reduced need for liver transplants
Lowered overall healthcare expenditures
New standard of care in CML treatment
Extended patient survival rates

Key Metrics

NASH Resolution Rate

TBD in Phase 3

Fibrosis Improvement Rate

TBD in Phase 3

Major Molecular Response (CML)

TBD

Clinical Trial Enrollment Rate

65%

G2 Reviews

N/A

Requirements

Successful Phase 3 trial completion
Regulatory approval from FDA/EMA
Market access and reimbursement
Effective physician education on data

Why Terns Pharmaceuticals

Execute flawless clinical trials
Proactive engagement with regulators
Build a targeted commercial team
Publish data in top-tier journals

Terns Pharmaceuticals Competitive Advantage

Potentially best-in-class THR-β profile
Differentiated allosteric TKI mechanism
Focused strategy on combination therapy
Strong balance sheet to fund trials

Proof Points

Positive Phase 2a DUET trial MASH data
Promising preclinical data for TERN-701
Management team's prior drug approvals
Cash runway into 2026 ensures stability

Terns Pharmaceuticals Market Positioning

AI-Powered Insights

Claude

Gemini

GPT

Terns Pharmaceuticals Q1 2024 Earnings Report and Press Release
Terns Pharmaceuticals Corporate Website and Investor Presentations (June 2024)
SEC Filings (10-Q, 10-K for Terns Pharmaceuticals)
Biopharmaceutical industry reports on MASH and CML markets
Public financial data sources for market capitalization and stock performance

Strategic pillars derived from our vision-focused SWOT analysis

Establish TERN-501 as the backbone of MASH combination therapy.

Capture CML market with best-in-class TERN-701 profile.

Prioritize pipeline assets with highest probability of success.

Forge strategic collaborations to maximize asset value.

What You Do

Develops oral small-molecule drugs for MASH and cancer.

Target Market

Patients with MASH, CML, and other chronic diseases.

Differentiation

Focus on combination therapy for MASH.
Potentially best-in-class profiles for lead assets.

Revenue Streams

Future product sales upon drug approval.
Potential licensing/partnership revenue.

Terns Pharmaceuticals Operations and Technology

AI-Powered Insights

Claude

Gemini

GPT

Terns Pharmaceuticals Q1 2024 Earnings Report and Press Release
Terns Pharmaceuticals Corporate Website and Investor Presentations (June 2024)
SEC Filings (10-Q, 10-K for Terns Pharmaceuticals)
Biopharmaceutical industry reports on MASH and CML markets
Public financial data sources for market capitalization and stock performance

Company Operations

Organizational Structure: Functional hierarchy typical for a clinical-stage biotech.
Supply Chain: Relies on contract manufacturing organizations (CMOs) for drug supply.
Tech Patents: Portfolio of patents covering lead product candidates and methods.
Website: https://www.ternspharma.com/

Top Clients

N/A (Pre-commercial)

Board Members

Terns Pharmaceuticals Competitive Forces

Threat of New Entry

MEDIUM: While novel scientific ideas are common, the high cost and long timeline of clinical development and regulation are major barriers.

Supplier Power

LOW-MEDIUM: Numerous contract research (CRO) and manufacturing (CMO) organizations exist, but specialized providers can have leverage.

Buyer Power

HIGH: Payers (insurance companies, governments) will exert significant pressure on pricing and reimbursement, demanding strong data.

Threat of Substitution

HIGH: New mechanisms of action (e.g., FGF21, next-gen GLP-1s) are constantly emerging that could offer better or different benefits.

Competitive Rivalry

VERY HIGH: Intense rivalry among clinical-stage biotechs (Akero, Viking) and large pharma (Lilly, Novo) in MASH and oncology.

Analysis of AI Strategy

Updated: October 6, 2025 • 2025-Q4 Analysis

The Terns Pharmaceuticals AI SWOT analysis highlights a significant opportunity to punch above its weight class. While currently lacking internal AI infrastructure and talent, Terns' key strengths—high-quality, focused clinical data and organizational agility—are prime assets for AI application. The immediate path forward is not to build a massive internal AI division, but to pursue a capital-efficient, partnership-driven strategy. By collaborating with specialized AI vendors, Terns can immediately enhance clinical trial recruitment and uncover deeper insights from existing data, directly accelerating its core mission. The primary conclusion is clear: Terns must leverage AI as a precision tool to optimize its current pipeline's path to market, rather than viewing it as a massive, speculative R&D investment. This targeted approach will yield the highest return and sharpen its competitive edge.

Madrigal Pharmaceuticals Akero Therapeutics Viking Therapeutics 89bio Novartis

No past cycles

Mission & Vision SWOT Analysis OKR Plan Retrospective AI Strategy Data Acquisition

To bring best-in-class therapies to patients with chronic liver disease by developing a portfolio of MASH combination medicines.

Strengths

DATA: Possesses structured clinical trial data for TERN-501 and TERN-701.
FOCUS: Narrow therapeutic focus allows for deep, specialized data modeling.
SCIENCE: R&D team is data-centric and capable of interpreting AI insights.
AGILITY: Small size allows for faster adoption of new AI tools vs. big pharma.

Weaknesses

INFRASTRUCTURE: Lacks dedicated in-house AI/ML engineering and compute power.
TALENT: Does not have a dedicated team of data scientists or AI specialists.
SCALE: Limited historical data volume compared to large pharmaceutical firms.
BUDGET: Constrained budget for investing in expensive AI platforms or talent.

Opportunities

ENROLLMENT: Use AI to identify patient subpopulations for faster trial recruitment.
DISCOVERY: Leverage generative AI to model novel combination therapy targets.
BIOMARKERS: AI analysis of trial data could uncover novel predictive biomarkers.
OPERATIONS: Implement AI to optimize clinical supply chain and trial management.

Threats

COMPETITION: Rivals with superior AI are identifying targets and patients faster.
COST: The expense of building a meaningful AI capability could drain resources.
RELIANCE: Over-reliance on flawed AI models could lead to poor R&D decisions.
PRIVACY: Use of patient data for AI modeling creates new security and privacy risks.

Key Priorities

PARTNER: Collaborate with specialized AI firms to analyze clinical trial data.
RECRUITMENT: Pilot AI tools to accelerate patient identification for key trials.
OPTIMIZE: Use AI for predictive modeling in CMC and supply chain management.
EXPLORE: Dedicate a small team to explore generative AI for new target ID.

Create professional SWOT analyses in minutes with our AI template. Get insights that drive real results.

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Terns Pharmaceuticals Financial Performance

AI-Powered Insights

Claude

Gemini

GPT

Terns Pharmaceuticals Q1 2024 Earnings Report and Press Release
Terns Pharmaceuticals Corporate Website and Investor Presentations (June 2024)
SEC Filings (10-Q, 10-K for Terns Pharmaceuticals)
Biopharmaceutical industry reports on MASH and CML markets
Public financial data sources for market capitalization and stock performance

Profit: -$24.5M (Net Loss, Q1 2024)

Market Cap: $350M (as of mid-2024)

Stock Performance

Annual Report: Available on company's investor relations website.

Debt: $0 (No significant long-term debt)

ROI Impact: Metrics focus on clinical trial success and pipeline value appreciation.

SWOT Index

Composite strategic assessment with 10-year outlook

/ 100

Focused Challenger

ICM Index

STRATEGIC ADVISOR ASSESSMENT

Terns has a high-ambition vision (societal impact) but faces significant execution hurdles, reflected in its moderate Achievability. The SWOT is balanced, with major market opportunities offset by intense competitive threats. The OKRs are strong and focused, driving a solid impact score. The company's potential is currently defined by its ability to execute clinically in crowded, high-value markets. The growth multiplier is constrained by the inherent risks of clinical-stage biotechnology, where survival is not guaranteed.

SWOT Factors

Upside: 70.0 Risk: 73.3

OKR Impact

AI Leverage

Top 3 Strategic Levers

Deliver positive pivotal trial data for TERN-501.

Secure a major strategic partnership for MASH combination.

Demonstrate clear clinical differentiation for TERN-701.

AI Disclosure

This report was created using the Alignment Method—our proprietary process for guiding AI to reveal how it interprets your business and industry. These insights are for informational purposes only and do not constitute financial, legal, tax, or investment advice.

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