Exceptional Launch Sales
Fourth quarter 2025 net sales of $321,100,000 (more than triple Q4 2024) and full year 2025 net sales of $958,400,000 — a nearly $1.0B first full year on market, characterized by strong demand and market build-out.
Rapid Patient Growth
Patients on Rezdiffra rose to more than 36,250 at the end of Q4 2025 from more than 29,500 at the end of Q3 2025 — an increase of ~6,750 patients quarter-over-quarter (~22.9% QoQ), indicating steady quarterly net patient adds.
Large and Expanding U.S. NASH Market
Company reports the U.S. F2–F3 target population seen by target specialists expanded nearly 50% since 2023 (discussed range from ~315,000 toward ~460,000 representative patients) and expects the market to grow at a double-digit pace for the foreseeable future.
Pipeline Expansion and Strategic Acquisitions
Company built a pipeline of more than 10 programs via three transactions within ~6 months, adding an oral GLP-1 (phase 1 single-ascending dose study MGL-2086 expected Q2), a late-stage DGAT2 inhibitor (Evogastat), and six preclinical siRNA targets — all intended for combination strategies with Rezdiffra.
Positive Evogastat Phase 2b Evidence
Evogastat (DGAT2 inhibitor) previously completed a phase 2b trial (MIRNA): at the 150 mg dose 72% of patients achieved ≥30% MRI-PDFF reduction and 61% achieved ≥50% reduction — labeled as 'super responder' levels predictive of greater likelihood of fibrosis reversal.
Encouraging F4C Open-Label Data
Two-year open-label NAFLD1 data (122 patients) showed 65% of patients with clinically significant portal hypertension (CSPH) at baseline moved into lower risk categories by year two, supporting Rezdiffra's potential in F4C and informing the outcomes trial design.
Extended Patent Protection and International Launch Start
Rezdiffra patent exclusivity extended to 2045 and ex-U.S. rollout initiated (Germany), positioning a long commercial runway and the start of international expansion.
Strong Balance Sheet
Cash, cash equivalents, restricted cash, and marketable securities totaled $988,600,000 at year-end 2025, providing resources to support launch, pipeline advancement, and further business development.