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Basilea Pharmaceutica (CH:BSLN)
:BSLN

Basilea Pharmaceutica (BSLN) AI Stock Analysis

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CH:BSLN

Basilea Pharmaceutica

(BSLN)

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Outperform 71 (OpenAI - 5.2)
Rating:71Outperform
Price Target:
CHF59.00
▲(7.47% Upside)
Action:ReiteratedDate:02/25/26
The score is driven primarily by strong financial performance (high margins, accelerating revenue, and solid cash generation) and a constructive earnings outlook with improving balance-sheet position and identifiable pipeline catalysts. These positives are tempered by weak near-term technical momentum and medium-term risks flagged on the call (loss of exclusivity timing, higher R&D spend, and partner/clinical execution uncertainty), while valuation appears reasonable rather than deeply discounted.
Positive Factors
Strong cash generation
Consistent operating and free cash flow levels provide durable internal funding for operations and clinical programs, reducing near-term financing needs. Strong cash balances and positive cash conversion enhance financial flexibility to fund Phase III studies and commercialization over the next several years.
High gross margins & accelerating revenue
Sustained high gross margins combined with renewed revenue growth indicate a structurally profitable product mix (notably Cresemba). This margin profile supports reinvestment capacity and improves resilience to cost increases, underpinning medium-term operating profitability if commercial trends continue.
Substantial non-dilutive R&D funding
Large non-dilutive funding materially lowers the capital burden of late-stage trials and reduces dilution risk. Committed and available grants provide durable financing tailwinds for Phase III programs, improving the probability management can advance pipeline without equity raises.
Negative Factors
Loss of exclusivity risk for Cresemba
Cresemba is a major cash engine; anticipated generic entry within 2–3 years creates structural revenue pressure. Management will need successful Phase III outcomes and commercialization of pipeline assets to replace cash flow, making future growth contingent on execution and new product launches.
Rising R&D investment pressure
Material step-up in R&D spending to run multiple late‑stage trials raises steady-state cash burn and increases reliance on trial success. If programs delay or require additional studies, funding needs and near‑term profitability may be strained, pressuring resources until new approvals generate revenue.
Profitability volatility and remaining debt
Wide margin fluctuations and nontrivial outstanding debt signal earnings sensitivity to milestone timing, product mix and one-offs. Although leverage improved, the absolute debt load and margin volatility reduce runway certainty and constrain strategic optionality if clinical or commercial setbacks occur.

Basilea Pharmaceutica (BSLN) vs. iShares MSCI Switzerland ETF (EWL)

Basilea Pharmaceutica Business Overview & Revenue Model

Company DescriptionBasilea Pharmaceutica AG, a commercial stage biopharmaceutical company, focuses on the development of products that address the medical needs in the therapeutic areas of oncology and anti-infectives. It offers Cresemba, an intravenous and oral azole antifungal drug for the treatment of invasive aspergillosis and mucormycosis in the United States, and the European Union, as well as in Phase III clinical trials for invasive fungal infections in Japan. The company also provides Zevtera, an antibiotic for the treatment of community and hospital-acquired pneumonia, as well as in Phase III clinical trials for the treatment of acute bacterial skin and skin structure infections, and Staphylococcus aureus bacteremia. In addition, it engages in developing Derazantinib, a small molecule inhibitor, which is in phase 2 clinical trial for bile duct cancer, as well as in phase ½ clinical trial for bladder and stomach cancer; and Lisavanbulin, a tumor checkpoint controller drug. Basilea Pharmaceutica AG was founded in 2000 and is headquartered in Basel, Switzerland.
How the Company Makes MoneyBasilea Pharmaceutica generates revenue primarily through the commercialization of its pharmaceutical products, including sales of its approved drugs and potential royalties from product licensing agreements. The company also engages in strategic partnerships with larger pharmaceutical firms, which may include upfront payments, milestone payments, and royalties based on future sales. These partnerships are crucial for the development and market access of Basilea's products, especially in international markets. Additionally, the company may receive grants and funding for research and development initiatives, contributing to its overall revenue. Basilea's ability to successfully navigate regulatory approvals and market its products effectively is key to its financial performance.

Basilea Pharmaceutica Earnings Call Summary

Earnings Call Date:Feb 17, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Aug 18, 2026
Earnings Call Sentiment Positive
The call communicated a strong operational and financial year with multiple positive metrics (robust revenue growth, rising royalties, improved cash position, debt reduction, substantial nondilutive funding, successful U.S. launch of Zevtera, and a strengthened Phase III pipeline). Key near-term challenges include higher R&D spending, expected shifts in revenue mix from product supply transitions, and the medium-term impact of Cresemba loss of exclusivity (U.S. generics from Q4 2027; Europe H2 2028) which will require successful execution of the Phase III programs to sustain growth. Overall, the balance of accomplishments, financial resilience and visible pipeline catalysts outweigh the outlined risks, contingent on clinical and partner execution.
Q4-2025 Updates
Positive Updates
Strong Cresemba Growth and Market Leadership
Cresemba global in-market sales increased 27% year-on-year to USD 693 million (12 months to Sep 2025). Growth is strong in established markets with China and Japan moving beyond launch phase, and Cresemba is now the global market leader by value.
Revenue and Profit Growth
Total revenue was CHF 232.4 million, up 11.4% versus 2024. Cresemba and Zevtera-related revenue totaled CHF 194.4 million. Operating profit was CHF 51.5 million and net profit CHF 40.2 million for 2025.
Royalty Income Expansion
Royalty income grew 15.4% year-on-year to CHF 111.6 million, reflecting continued strong demand for Cresemba.
Improved Cash and Balance Sheet Position
Cash and cash equivalents plus restricted cash increased 30% to CHF 162.3 million. After deducting outstanding convertible bonds, net cash was CHF 86.9 million at year-end — a more than threefold increase versus end of 2024. Operating cash flow remained strong at CHF 62.1 million.
Substantial Non-Dilutive R&D Funding
Basilea has been awarded more than USD 430 million in nondilutive funding agreements (BARDA, CARB-X), with over USD 100 million already committed. The company also secured USD 70 million in nondilutive funding during the year and reports approximately USD 330 million of additional potential nondilutive funding available under existing agreements.
Debt Reduction
Convertible debt has been substantially reduced since January 2022 by CHF 145 million, including CHF 21 million in the reporting period, leaving outstanding convertible debt of CHF 76 million.
Commercial Progress for Zevtera (U.S. launch)
Zevtera was successfully launched in the U.S. in July 2025. Early commercial milestones achieved include multiple formulary wins (including Medicaid and 340B), NTAP designation, a J-code for outpatient billing, and repeat hospital orders. Partner expects increasing net sales from Q2 2026.
Diversified and Advancing Pipeline with Near-Term Phase III Programs
Pipeline expanded via in-licensing of ceftibuten-ledaborbactam (Phase III-ready) and advancement of fosmanogepix into a second Phase III study. Fosmanogepix is in two global Phase III trials (readouts expected in 2028); ceftibuten-ledaborbactam is planned to enter Phase III in early 2027 with readout expected in 2029.
Compelling Peak Sales Estimates for Phase III Assets
Management estimates peak sales potential of approximately USD 1 billion for fosmanogepix and USD 500 million for ceftibuten-ledaborbactam, indicating material mid-term commercial upside if trials succeed.
Real‑World Evidence and Expanded Access for Fosmanogepix
Fosmanogepix has been used in an expanded access program treating >430 patients across 20 countries, with real-world cases (e.g., 2023 fusarium meningitis) indicating meaningful clinical impact and reduced in-hospital mortality in difficult-to-treat infections.
Positive 2026 Financial Guidance
Guidance for 2026: Cresemba and Zevtera-related revenue around CHF 200 million; total revenue growth ~10%; R&D expenses expected to increase ~20%; management expects operating profit to increase ~20% and cash contribution from commercial business to rise from CHF 155 million (2025) to CHF 170 million (2026).
Longer‑Term Cash Generation Visibility
Management expects approximately CHF 600 million in cumulative cash flow from Cresemba and Zevtera over 2026–2030, and emphasizes significant flexibility to fund pipeline progression and business development.
Negative Updates
Rising R&D Investment Pressure
Research & development expenses are expected to increase by approximately 20% in 2026 as the company funds two ongoing fosmanogepix Phase III studies, prepares for ceftibuten-ledaborbactam Phase III, and starts a new Phase I with BAL2420. Operating expenses in 2025 were CHF 141.5 million, reflecting increased R&D spend.
Product Revenue Shift and Short‑Term Revenue Mix Risk
Management expects product revenue to decrease due to reduced product supply to Pfizer while partners transition to their own manufacturing. This could alter near-term revenue mix despite an expected decrease in cost of goods sold.
Loss of Exclusivity Timing and Generic Risk
Cresemba faces loss of exclusivity risks: generics anticipated in the U.S. from Q4 2027 and in Europe from H2 2028, with full-year impact on Basilea revenues expected to become fully visible in 2029. Timing and number of generics are uncertain and outside Basilea’s control.
Dependence on Partner Execution
Commercial execution (e.g., Zevtera uptake in the U.S.) and certain regulatory/commercial outcomes (U.S. MAH activities for Cresemba) depend on partners’ actions, which introduces external execution risk and partial visibility.
Milestone Timing Uncertainty
Milestone and upfront payments have historically averaged CHF 30–40 million annually, but their timing is variable (cumulative milestone structures, partner-triggered), creating modeling uncertainty for revenues.
Tax Timing Uncertainty
Deferred tax assets remaining (~CHF 11 million) imply potential corporate tax cash outflows beginning around 2027 as loss carryforwards are consumed; management cites an indicative tax rate of ~11–12% for future cash tax assumptions.
Clinical and Regulatory Uncertainties
Phase III programs carry usual clinical and regulatory risks: e.g., ceftibuten-ledaborbactam Phase III design will be discussed with regulators and a second pivotal trial may be required; enrollment timelines and final regulatory requirements can affect time-to-market.
Company Guidance
Basilea guided 2026 Cresemba- and Zevtera-related revenue of around CHF 200 million, expecting total revenue to rise by ~10%, R&D expenses to increase by ~20% and operating profit to grow disproportionately by about 20%; they also forecast the cash contribution from the commercial business to increase from CHF 155 million in 2025 to CHF 170 million in 2026. For context they reported 2025 results of total revenue CHF 232.4m (+11.4% y/y), Cresemba in‑market sales USD 693m for the 12 months to Sept 2025 (+27% y/y), royalties CHF 111.6m (+15.4% y/y), milestone/upfronts CHF 32m, other revenues CHF 38m, cost of goods sold CHF 39.3m, operating expenses CHF 141.5m, operating profit CHF 51.5m, net profit CHF 40.2m, cash and equivalents CHF 162.3m (up 30%) and net cash CHF 86.9m after convertible debt of CHF 76m (debt reduced by CHF 145m since Jan 2022, incl. CHF 21m in the period). Longer‑term guidance included ~CHF 600m cumulative cash flow from Cresemba and Zevtera over 2026–2030, >USD 430m of nondilutive R&D funding awarded (with >USD100m committed and ~USD330m still potentially available), USD 70m secured in 2025, expected timing of Cresemba generic impact from Q4 2027 (US) and H2 2028 (Europe) with full‑year visibility in 2029, and product milestones with fosmanogepix targeted to enter the market in early 2029 and ceftibuten‑ledaborbactam about a year later.

Basilea Pharmaceutica Financial Statement Overview

Summary
Strong recent fundamentals supported by high gross margins (~81–83%), accelerating revenue growth in 2025 (+26.1% YoY), and robust operating/free cash flow (OCF CHF 62.1m; FCF CHF 59.5m). Offsetting this is notable profitability/capital-structure volatility (net margin swing from 37.2% in 2024 to 17.3% in 2025) and remaining meaningful debt despite improved leverage and positive equity.
Income Statement
78
Positive
Profitability and growth improved meaningfully versus the earlier loss-making years. Revenue accelerated strongly in 2025 (+26.1% YoY) after a flat 2024 (+0.3%), with consistently high gross margins (~81–83%). The main watch-out is earnings volatility: net margin swung from a very strong 37.2% in 2024 to 17.3% in 2025, and margins were much lower earlier in the cycle—suggesting results can be sensitive to mix, milestones, or one-offs.
Balance Sheet
64
Positive
The balance sheet has de-risked materially: shareholder equity moved from negative in 2020–2023 to positive in 2024–2025, and leverage improved with debt-to-equity falling from 1.38x (2024) to 0.79x (2025). However, absolute debt remains sizable (~101M in 2025), and the rapid shift in equity base (and very high return on equity in 2024) signals capital structure and profitability have been volatile, which is a key risk factor for a biotech.
Cash Flow
82
Very Positive
Cash generation is a clear strength recently. Operating cash flow is solid (62.1M in 2025; 74.4M in 2024) and exceeds net income in both years (about 1.26x in 2025 and 1.63x in 2024), indicating good earnings quality. Free cash flow is also strong (59.5M in 2025; 72.7M in 2024) and closely tracks net income, though free cash flow declined in 2025 (-10.7% YoY), showing some near-term variability.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue232.40M208.54M157.63M147.76M148.12M
Gross Profit193.10M169.86M130.84M120.96M124.05M
EBITDA51.60M63.13M23.18M26.21M6.72M
Net Income40.20M77.59M10.45M12.15M-6.83M
Balance Sheet
Total Assets282.00M257.76M173.29M220.85M247.27M
Cash, Cash Equivalents and Short-Term Investments162.34M120.71M59.90M84.70M148.70M
Total Debt100.93M111.67M128.61M187.14M218.96M
Total Liabilities154.06M176.76M183.29M241.56M305.87M
Stockholders Equity127.94M81.00M-10.00M-20.71M-58.61M
Cash Flow
Free Cash Flow59.47M72.65M13.21M3.75M-32.88M
Operating Cash Flow62.09M74.36M14.24M7.06M-32.02M
Investing Cash Flow-2.86M-1.01M-1.03M91.65M3.58M
Financing Cash Flow-21.43M-13.16M-57.30M-45.25M16.64M

Basilea Pharmaceutica Technical Analysis

Technical Analysis Sentiment
Positive
Last Price54.90
Price Trends
50DMA
54.92
Negative
100DMA
51.50
Positive
200DMA
50.11
Positive
Market Momentum
MACD
-0.26
Positive
RSI
49.40
Neutral
STOCH
26.57
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CH:BSLN, the sentiment is Positive. The current price of 54.9 is below the 20-day moving average (MA) of 55.74, below the 50-day MA of 54.92, and above the 200-day MA of 50.11, indicating a neutral trend. The MACD of -0.26 indicates Positive momentum. The RSI at 49.40 is Neutral, neither overbought nor oversold. The STOCH value of 26.57 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for CH:BSLN.

Basilea Pharmaceutica Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
71
Outperform
CHF650.54M16.7458.51%
67
Neutral
CHF378.28M16.03744.64%
61
Neutral
CHF1.04B-165.93-7.82%104.01%33.25%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
CHF157.46M-2.31-49.86%-100.00%14.45%
48
Neutral
CHF224.42M-3.16-301.13%-56.85%-186.55%
46
Neutral
CHF906.65M-5.61229.23%63.47%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CH:BSLN
Basilea Pharmaceutica
54.50
8.30
17.97%
CH:MOLN
Molecular Partners AG
3.80
-0.37
-8.76%
CH:IDIA
Idorsia Ltd
3.95
2.58
188.53%
CH:KURN
Kuros Biosciences
26.66
4.61
20.91%
CH:NWRN
Newron Pharmaceuticals SpA
19.22
9.65
100.84%
CH:SANN
Santhera Pharmaceuticals Holding
16.50
0.00
0.00%

Basilea Pharmaceutica Corporate Events

Basilea Wins BARDA Funding to Advance Novel Oral Antibiotic for Drug-Resistant UTIs
Feb 25, 2026

Basilea Pharmaceutica has secured USD 6 million in funding from the U.S. Biomedical Advanced Research and Development Authority to advance its novel oral antibiotic combination Ceftibuten-Ledaborbactam Etzadroxil for complicated urinary tract infections, including kidney infections. Under the existing contract, Basilea may receive up to an additional USD 147 million in non-dilutive funding as it progresses toward Phase 3 trials, positioning the candidate as a potential first oral beta-lactam/beta-lactamase inhibitor option against multidrug-resistant Enterobacterales and addressing a major gap in cUTI treatment options.

The drug pairs the approved cephalosporin Ceftibuten with the novel beta-lactamase inhibitor Ledaborbactam Etzadroxil, which has shown the ability in preclinical studies to restore antibiotic activity against ESBL-, cephalosporinase- and carbapenemase-producing gram-negative bacteria. Ceftibuten-Ledaborbactam Etzadroxil, designated as a Qualified Infectious Disease Product with Fast Track status by the FDA for complicated and uncomplicated urinary tract infections, remains investigational but could strengthen Basilea’s position in the anti-infectives market if successfully developed and approved.

The most recent analyst rating on (CH:BSLN) stock is a Buy with a CHF69.00 price target. To see the full list of analyst forecasts on Basilea Pharmaceutica stock, see the CH:BSLN Stock Forecast page.

Basilea boosts revenues, triples net cash as anti‑infective pipeline advances
Feb 17, 2026

Basilea Pharmaceutica reported 2025 total revenue of CHF 232.4 million, up 11.4%, driven by a 15.4% rise in license income and strong demand for Cresemba, alongside higher BARDA‑ and CARB‑X‑related contract revenues. Despite increased R&D spending on Phase 3 programs for Fosmanogepix and preparations for Ceftibuten‑Ledaborbactam, the company remained profitable with CHF 51.5 million in operating profit, tripled its net cash position to CHF 86.9 million, and further reduced convertible debt.

Management framed 2025 as a springboard for a new growth phase, underpinned by an expected CHF 600 million in cumulative cash flows from Cresemba and Zevtera over five years and plans to have four anti‑infective drugs on the market by 2030. For 2026, Basilea guides to around 10% total revenue growth and a 20% increase in operating profit, signaling confidence that its strengthened balance sheet and advancing late‑stage pipeline will support both continued deleveraging and investment in external growth opportunities.

The most recent analyst rating on (CH:BSLN) stock is a Buy with a CHF62.00 price target. To see the full list of analyst forecasts on Basilea Pharmaceutica stock, see the CH:BSLN Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 25, 2026