Record Full-Year Revenues Exceed Guidance
Total revenues for FY2025 were $589.0 million, up 19.8% year-over-year, exceeding the company's prior guidance range of $565 million to $585 million. Net product revenue for 2025 was $588.8 million, an increase of 20.3% versus 2024.
Strong FIRDAPSE Performance and Growth Outlook
FIRDAPSE net product revenue for 2025 was $358.4 million, a 17% increase year-over-year; Q4 2025 net revenues were $97.6 million, up 18.3% versus Q4 2024 and 5.9% versus Q3 2025. 2026 guidance for FIRDAPSE is $435 million to $450 million (growth of ~21.4% to 25.6%).
Exceptional AGAMREE Launch Momentum
AGAMREE delivered $117.1 million in net product revenue for 2025, up 154.3% year-over-year; Q4 2025 revenue was $35.3 million, up 67.5% versus Q4 2024. Adoption reached 100% of top DMD centers of excellence (representing ~80% of DMD patients) with 270 unique HCPs submitting enrollment forms. 2026 guidance for AGAMREE is $140 million to $150 million (growth of ~19.6% to 28.1%).
Solid FYCOMPA Cash Contribution Despite Generics
FYCOMPA generated $113.3 million in 2025 despite loss of exclusivity in May 2025. Management expects FYCOMPA revenue of $40 million to $45 million in 2026 and is discontinuing active promotion while retaining meaningful revenue contribution.
Healthy Profitability and Cash Position
Net income before taxes for 2025 was $283.5 million, a 31.1% increase versus 2024. GAAP net income was $214.3 million ($1.68 diluted EPS), up 30.8% year-over-year. Non-GAAP net income was $346.2 million ($2.72 per diluted share). Cash and cash equivalents increased to $709.2 million at year-end vs $517.6 million at 12/31/2024, driven by $208.7 million of operating cash flow.
Commercial Execution: Patient Identification and Conversion Gains
Data leads of identified LEMS patients in active diagnostic stages increased 40% in Q4 2025; the pool of identified LEMS patients exceeded 600. VGCC testing grew ~21% year-over-year and >1/3 in H2 vs H1 2025, contributing to stronger new patient enrollments. Pharmacy intervention program (launched June 2025) reduced early discontinuations by ~12%.
High AGAMREE Reimbursement and Durable Demand Signals
AGAMREE reimbursement success rates are above 85% (management notes closer to 90%). Discontinuations and cancellations meaningfully declined in H2 2025; approximately 45% of AGAMREE patients transitioned from prednisone and 42% from EMFLAZA. Median age of new enrollees dropped ~1 year (from ~12 to ~11), suggesting earlier adoption.
Robust Business Development Pipeline
BD engine assessed over 100 opportunities in 2025 (about 90% inbound), and the company expanded its search to include late-stage assets with clear regulatory paths and peak sales up to $500 million to augment organic growth.
Ongoing Clinical and Life-Cycle Programs
AGAMREE life-cycle activities include the ongoing 5-year SUMMIT study (~250 patients planned) and a Phase I study evaluating dose equivalence and immunosuppressive biomarkers (analysis expected H1 2026) to support differentiation and potential label/indication expansion.