Revenue Growth — Q4 2025
Total revenue of $75.5M in Q4 2025; net product revenue (NERLYNX) of $59.9M, up from $51.9M in Q3 2025 (+15.4% QoQ) and up from $54.4M in Q4 2024 (+10.2% YoY). Gross NERLYNX revenue was $82.9M in Q4 versus $70.0M in Q3.
Royalty Revenue Spike
Royalty revenue of $15.6M in Q4 2025 versus $2.6M in Q3 2025 and $4.7M in Q4 2024 — driven by shipments to partner in China (large QoQ increase).
Volume and Demand Momentum
Ex-factory bottle sales of 3,298 in Q4 2025, up ~12% QoQ and ~11% YoY. Demand increased ~7% QoQ and ~7% YoY; specialty distributor (SD) channel grew ~17% QoQ and ~46% YoY.
Profitability Maintained
GAAP net income of $13.4M in Q4 2025 (vs. $8.8M in Q3 2025). Non-GAAP net income was $15.1M for Q4. Company reported full-year 2025 positive net income (third consecutive profitable year).
Clinical Development Progress — ALISCA-Breast1
ALISCA-Breast1 enrolled faster than expected: trial originally planned for 150 patients and anticipated to finish enrollment Dec 2026, but reached 150 in Feb 2026 and currently has 164 enrolled; interim data expected in Q2 2026 (safety/efficacy analysis after ~75 randomized with 2 tumor assessments).
Clinical Progress — ALISCA-Lung1
ALISCA-Lung1 has 79 patients enrolled, with protocol amended to increase dose from 50 mg BID to 60 mg BID to address lower PK; 27 patients enrolled at 60 mg with acceptable safety so far and company planning to seek FDA amendment to increase to 70 mg; interim data expected in Q2 2026 (~60 patients).
Forward Financial Guidance
FY2026 net NERLYNX product revenue guidance $194M–$198M; FY2026 gross-to-net expected 27.5%–28.5%; royalties guidance $20M–$23M for the referenced fiscal period; Q1 2026 product revenue guidance $36M–$39M.