Xeris Biopharma
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Xeris Biopharma (XERS) investor relations material

Xeris Biopharma 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 summary7 May, 2026

Executive summary

  • Q1 2026 net product revenue grew 43% year-over-year to $82.5 million, led by RECORLEV's 95% growth, stable GVOKE, and KEVEYIS up 4%.

  • Net income reached $2.2 million, reversing a $9.2 million loss in Q1 2025, with improved cost structure and Adjusted EBITDA up $10.7 million to $15.1 million.

  • Commercial expansion completed, significantly increasing sales force and patient support teams to drive future growth.

  • Pipeline asset XP-8121 is on track for phase III initiation later in 2026, leveraging existing formulation and commercial capabilities.

  • Disciplined financial management and a strong balance sheet remain priorities, with ongoing investment in commercial and R&D activities.

Financial highlights

  • Total Q1 2026 revenue reached $83.1 million, up 38% year-over-year.

  • Adjusted EBITDA was $15.1 million, improving by $10.7 million from last year.

  • Net income for Q1 was $2.2 million, a year-over-year improvement of over $11 million.

  • Gross margin improved to 87%, up from 85% in Q1 2025, due to favorable product mix.

  • Operating income was $7.9 million, compared to a loss of $3.1 million in Q1 2025.

Outlook and guidance

  • Full-year 2026 revenue guidance raised to $380 million–$390 million, reflecting over 30% growth.

  • Commercial team investments and RECORLEV's expanded infrastructure expected to drive further growth in the second half of 2026.

  • R&D expenses projected to increase by ~$25 million year-over-year, mainly for XP-8121 phase III.

  • SG&A expenses expected to rise by ~$45 million, reflecting the full-year impact of commercial expansion.

  • Cash resources expected to sustain operations and capital expenditures for at least the next twelve months.

H2 impact of commercial team expansion
XP-8121 Phase 3 initiation timeline and impact
Sustainability of Q1 net profitability
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