BioCryst Pharmaceuticals
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BioCryst Pharmaceuticals (BCRX) investor relations material

BioCryst Pharmaceuticals Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary6 May, 2026

Executive summary

  • Q1 2026 ORLADEYO net revenue reached $148.3M, up 11% year-over-year and 21% on a comparable basis excluding European revenue, with strong new patient prescriptions and robust demand for the pediatric indication.

  • Completed the acquisition of Astria Therapeutics, adding navenibart and STAR-0310 to the pipeline, funded by a $400M term loan, and recorded a $697.8M non-cash R&D charge.

  • Pipeline progress includes rapid enrollment in the pivotal ALPHA-ORBIT trial for navenibart and advancement of BCX17725 for Netherton syndrome.

  • Sold the European ORLADEYO business to Neopharmed in October 2025, now receiving royalties instead of direct sales.

  • Maintains a sustainable $1B peak revenue opportunity for ORLADEYO, with >80% contribution margin and IP protection through 2040.

Financial highlights

  • Q1 2026 total revenue was $156.4M, with ORLADEYO contributing $148.3M, up 21% year-over-year on a comparable basis.

  • Non-GAAP operating profit for Q1 2026 was $54M, a 25% increase year-over-year; GAAP operating loss was $701.6M due to the non-cash R&D charge.

  • Cash and investments at March 31, 2026, totaled $261M, increasing to $331M pro forma after licensing proceeds.

  • R&D expenses increased due to Astria integration and navenibart development.

  • Cost of product sales increased to $5.4M from $4.6M year-over-year, reflecting higher ORLADEYO sales.

Outlook and guidance

  • Full year 2026 global net ORLADEYO revenue guidance maintained at $625–$645M; total revenue guidance at $635–$660M.

  • Non-GAAP operating expenses for 2026 forecasted at $450M to $470M.

  • Continued confidence in reaching $1B in peak ORLADEYO sales and double-digit HAE franchise growth into the next decade.

  • Guidance unchanged despite pediatric manufacturing delay, with updates expected later in the quarter.

  • Financial resources expected to fund operations for at least the next 12 months.

Pro-forma cash balance as of March 31, 2026
Components of the Astria acquisition adjustments
Dosing frequency for navenibart in ALPHA-ORBIT
Navenibart's competitive edge in HAE market
OMERS royalty cap impact on 2029 profitability
BCX17725 Phase 1 data expectations for YE 2026
Pediatric manufacturing delay impact on 2026
Financial terms of navenibart European license
Expected year-end data for BCX17725 in Netherton
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Bank of America Global Healthcare Conference 202612 May, 2026
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Bank of America Global Healthcare Conference 202612 May, 2026

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