Neurocrine Biosciences
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Neurocrine Biosciences (NBIX) investor relations material

Neurocrine Biosciences 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 summary5 May, 2026

Executive summary

  • Q1 2026 net product sales reached $811.0 million–$815 million, up 42%–44% year-over-year, driven by strong demand for INGREZZA and CRENESSITY, both supported by expanded sales teams and robust patient demand.

  • INGREZZA net sales were $656.9–$657 million (up 20% YoY), CRENESSITY net sales $153–$153.3 million, both showing high persistency, compliance, and favorable reimbursement.

  • Announced definitive agreement to acquire Soleno Therapeutics for $2.9 billion, expected to close in Q2 2026, further strengthening the commercial portfolio.

  • Net income for Q1 2026 was $197.9–$201 million, with diluted EPS of $1.91–$1.97, and cash and investments at quarter-end totaled $2.65 billion.

  • Advanced multiple clinical programs, including new Phase 1 and 2 studies, and presented new clinical and real-world data for INGREZZA and CRENESSITY.

Financial highlights

  • Total Q1 2026 revenues were $811.0–$815 million, up 42%–44% year-over-year.

  • Non-GAAP net income was $200.5–$201 million, up 177% year-over-year, with non-GAAP operating income of $226–$226.4 million.

  • GAAP net income for Q1 2026 was $197.9–$198 million, with diluted EPS of $1.91–$1.97.

  • Cash, cash equivalents, and marketable securities totaled $2.65 billion as of March 31, 2026.

  • Gross margin remained strong, with cost of revenues at 1.7% of total revenues.

Outlook and guidance

  • 2026 INGREZZA net sales guidance reaffirmed at $2.7–$2.8 billion.

  • Full-year 2026 non-GAAP R&D expense expected at $1.11–$1.16 billion; non-GAAP SG&A at $1.24–$1.27 billion.

  • Guidance excludes post-close expenses from the Soleno acquisition.

  • CRENESSITY expected to achieve blockbuster status, with continued strong adoption and favorable reimbursement.

  • Full impact of commercial expansion and additional financial details on the Soleno acquisition to be seen after Q2 2026.

CRENESSITY reimbursement and launch trajectory
Soleno acquisition impact on 2026 guidance
Drivers of lower INGREZZA net price in Q1
CRENESSITY adoption across prescriber segments
CRF2 and GGG agonist combo strategy in obesity
INGREZZA persistence vs deuterated competitors
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Bank of America Global Healthcare Conference 202612 May, 2026
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