Neurocrine Biosciences Reports Q4 Earnings Miss Amid Strong Sales Growth
Neurocrine Biosciences Inc (NBIX) saw its stock price decline by 7.60% as it crossed below the 20-day SMA, reflecting investor concerns following its recent earnings report.
The company reported a Q4 non-GAAP EPS of $1.88, missing expectations by $0.42, which has raised concerns about profitability despite a 28.3% year-over-year revenue increase to $805.5 million. The strong sales performance of INGREZZA and CRENESSITY indicates robust market demand, but the earnings miss may affect investor confidence moving forward.
Despite the earnings miss, Neurocrine's strong revenue growth and optimistic guidance for INGREZZA sales in 2026 suggest potential for recovery. The company remains committed to R&D investments, which could drive future growth and innovation in its product pipeline.
Trade with 70% Backtested Accuracy
Analyst Views on NBIX
About NBIX
About the author

- Avanos Medical Acquisition: Avanos Medical is set to be acquired by American Industrial Partners for $25.00 per share in an all-cash deal valued at approximately $1.272 billion, with investigations focusing on whether the board breached fiduciary duties by failing to ensure a fair process for shareholders.
- Leggett & Platt Merger: Leggett & Platt will be acquired by Somnigroup International in an all-stock transaction valued at around $2.5 billion, where shareholders will receive 0.1455 shares of Somnigroup for each share of Leggett & Platt, raising concerns about potential fiduciary breaches by the board.
- Soleno Therapeutics Acquisition: Soleno is to be acquired by Neurocrine Biosciences for $53.00 per share in cash, representing a total equity value of approximately $2.9 billion, with investigations questioning the fairness of the deal given it is below the company's 52-week high of $90.32.
- Forian, Inc. Investigation: Forian will be acquired by an entity affiliated with CEO Max Wygod for $2.17 per share in cash, with investigations looking into whether the board failed to conduct a fair process, potentially impacting shareholder value.

- Treatment Persistence Comparison: Neurocrine Biosciences' analysis reveals that 55.6% of patients on INGREZZA maintained therapy over six months, significantly higher than the 48.1% for AUSTEDO XR, indicating INGREZZA's clear advantage in treatment persistence, which may enhance patient quality of life.
- Switching Rates Difference: During the six-month follow-up, only 7.7% of INGREZZA patients switched therapies compared to 11.2% for AUSTEDO XR, suggesting that INGREZZA is more effective in minimizing medication switches, thereby reducing the treatment burden on patients.
- Median Discontinuation Time: The median time to discontinuation or switch for INGREZZA was over 180 days, while it was 129 days for AUSTEDO XR, highlighting INGREZZA's effectiveness in maintaining patient treatment and potentially lowering the risk of TD symptom recurrence.
- Clinical Data Support: The findings align with previous KINECT-PRO study results, where 57.8% of INGREZZA patients achieved symptomatic remission at 24 weeks, further reinforcing the significance of INGREZZA in treating tardive dyskinesia.
- Treatment Persistence Comparison: A retrospective analysis involving 2,988 patients revealed that 55.6% of those treated with INGREZZA maintained treatment after six months, significantly outperforming the 48.1% persistence rate of AUSTEDO XR, indicating INGREZZA's superior ability to sustain therapy and potentially enhance patient quality of life.
- Switching Rate Discrepancy: The study found that the switching rate for INGREZZA was 7.7%, compared to 11.2% for AUSTEDO XR, with this difference being statistically significant (p=0.0012), suggesting that INGREZZA effectively reduces treatment interruptions, thereby alleviating the disease burden on patients.
- Clinical Implications: The findings underscore the importance of sustained treatment, as INGREZZA's higher persistence may help mitigate the recurrence of movement disorder symptoms, thereby enhancing overall patient quality of life and supporting its position as a first-line therapy.
- Data Source and Methodology: The analysis utilized IQVIA's U.S. Longitudinal Access and Adjudication Data, employing propensity score matching to ensure balanced patient baseline characteristics, providing robust empirical evidence to inform clinical decision-making.
- Treatment Continuation Comparison: In a real-world analysis of adults with tardive dyskinesia, patients on INGREZZA showed a treatment continuation rate of 55.6% over six months, significantly higher than AUSTEDO XR's 48.1%, indicating INGREZZA's stronger capability in maintaining treatment adherence, which may enhance patients' quality of life.
- Reduced Switching Rates: During the follow-up, only 7.7% of patients in the INGREZZA cohort switched to other therapies, compared to 11.2% in the AUSTEDO XR group, suggesting that INGREZZA is more effective in minimizing medication switches, thereby reducing the risk of treatment interruption.
- Extended Median Time to Discontinuation: The median time to discontinuation for the INGREZZA group exceeded 180 days, while it was 129 days for AUSTEDO XR, highlighting INGREZZA's potential to prolong treatment duration, which may provide patients with more stable therapeutic outcomes.
- Support for Clinical Decision-Making: This study provides crucial real-world evidence for clinical practice, emphasizing INGREZZA's potential as a first-line treatment, aiding physicians in making more informed decisions when treating tardive dyskinesia.

Company Overview: Neurocrine Biosciences is a biopharmaceutical company focused on developing treatments for neurological and endocrine diseases.
Stock Price Update: The target price for Neurocrine Biosciences has been raised to $220 from a previous price of $192.
- Transaction Value: Neurocrine's acquisition of Soleno for $53 per share totals $2.9 billion, adding the Vykat XR tablet to its portfolio, thereby enhancing its market position in treating Prader-Willi syndrome.
- Financing Conditions: The transaction is not subject to any financing conditions and is expected to close within 90 days, demonstrating Neurocrine's strong execution capabilities and market confidence in its acquisition strategy.
- Analyst Rating Upgrade: Oppenheimer raised Neurocrine's price target from $192 to $220 while maintaining an ‘Outperform’ rating, viewing the acquisition as a prime example of Neurocrine's industry-leading business development expertise.
- Market Sentiment: Retail sentiment around NBIX surged from ‘neutral’ to ‘extremely bullish’, while SLNO sentiment rose from ‘bullish’ to ‘extremely bullish’, indicating strong market optimism regarding the acquisition.









