Karyopharm Reports Q4 Revenue of $114.9M
Reports Q4 revenue $114.9M vs. $112.8M last year. "As we enter 2026, Karyopharm is approaching a defining period marked by important upcoming clinical milestones and a continued focus on disciplined execution, positioning the Company at a potential inflection point," said CEO Richard Paulson. "While selinexor has established a durable commercial foundation in multiple myeloma within a highly competitive treatment landscape, our late-stage programs in myelofibrosis and endometrial cancer represent an opportunity to fundamentally expand the impact and scale of our franchise. Top-line data from our Phase 3 SENTRY trial in myelofibrosis are expected in March, and our organization is energized and well positioned to support the next phase of this program. If SENTRY is successful, we have the potential to meaningfully improve outcomes for patients and introduce the first-ever combination therapy in myelofibrosis, a setting with significant unmet need...With the upcoming myelofibrosis readout as a key near-term catalyst and endometrial cancer representing a subsequent opportunity for further expansion, 2026 positions Karyopharm at a potential inflection point as we work to translate our science into durable patient impact and long-term value creation".
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- Clinical Survival Rate Improvement: A January 2026 analysis confirmed that drugs approved through the FDA's accelerated pathway improved progression-free survival in 65% of solid tumor indications, demonstrating significant clinical efficacy and driving clinical-stage oncology companies toward registration-directed study designs in high-unmet-need tumor types.
- Fast Track Designation: Oncolytics Biotech's cancer treatment pelareorep received FDA Fast Track designation for KRAS-mutant microsatellite-stable metastatic colorectal cancer patients, achieving a 33% response rate in combination with standard chemotherapy, significantly higher than the 10% response rate with standard treatment, and a median survival of 27 months compared to 11.2 months with standard care.
- Substantial Market Potential: The second-line treatment market for KRAS-mutant microsatellite-stable colorectal cancer patients is estimated to be between $3 billion and $5 billion annually, with Oncolytics Biotech planning a controlled study to compare standard care versus standard care plus pelareorep, further validating its therapeutic advantage in this high-demand area.
- Team Expansion and Strategic Positioning: Oncolytics Biotech recently appointed two key executives to support its expansion plans, with CEO Jared Kelly emphasizing that the success of pelareorep in clinical trials will present significant market opportunities, particularly in cancer areas lacking effective treatment options.
- Financial Performance Review: Karyopharm reported net product revenue of $32.1 million in Q4 and $114.9 million for the full year, indicating sustained growth potential in oncology, with guidance for 2026 revenue between $130 million and $150 million, further solidifying its market position.
- Clinical Trial Progress: Management confirmed that top-line data from the Phase III SENTRY trial will be shared in March, marking a critical milestone in the myelofibrosis space that could set new standards of care for future treatments.
- Cost Control Measures: R&D expenses decreased by 17% year-over-year in Q4, while selling, general, and administrative expenses fell by 16%, demonstrating strict financial management that is expected to enhance future profitability.
- Strategic Outlook: Management emphasized a continued focus on near-term value-creating milestones, with cash runway extending into the second quarter, indicating the company's ability to maintain flexible capital decisions ahead of clinical trial results.
- Earnings Performance: Karyopharm reported a Q4 GAAP EPS of -$5.71, missing expectations by $3.67, although revenue of $34.08 million, up 11.7% year-over-year, beat estimates by $0.92 million, indicating resilience in revenue growth.
- 2026 Revenue Outlook: The company anticipates total revenue for 2026 to range between $130 million and $150 million, with U.S. XPOVIO net product revenue expected to be between $115 million and $130 million, reflecting confidence in future product sales.
- Expense Projections: Karyopharm expects R&D and selling, general, and administrative expenses to be between $230 million and $245 million, which will impact profitability but also highlights ongoing investments in R&D and marketing.
- Liquidity Assurance: The company expects its existing liquidity, including cash, cash equivalents, and investments, to fund its operating plans into the second quarter of 2026, demonstrating financial stability and operational sustainability.
- 2025 Financial Performance: Karyopharm reported total revenue of $146 million for 2025, slightly up from 2024, primarily driven by $115 million in XPOVIO® product revenue, despite a net loss of $196 million, indicating challenges in profitability.
- R&D Spending Adjustments: R&D expenses for 2025 were $125.6 million, a 12.3% decrease from 2024, reflecting cost control in clinical trial spending, although this may impact the pace of future product development.
- Clinical Trial Progress: Karyopharm expects to release top-line data from the SENTRY trial in March 2026, which, if successful, could provide the first combination therapy for myelofibrosis patients, representing significant market potential and addressing unmet patient needs.
- 2026 Financial Guidance: The company projects total revenue for 2026 to be between $130 million and $150 million, demonstrating continued confidence in XPOVIO's market performance despite facing intense competition and R&D risks.
- Financial Performance Review: Karyopharm reported total revenue of $146 million for 2025, a slight increase from 2024, yet the net loss reached $196 million, highlighting the challenges the company faces in seeking growth amid ongoing losses.
- XPOVIO Sales Performance: The U.S. net product revenue for XPOVIO (selinexor) was $115 million in 2025, maintaining stability in the highly competitive multiple myeloma market, but still facing pressure on market share.
- Clinical Trial Progress: Top-line data from the Phase 3 SENTRY trial is expected in March 2026, and if successful, it will provide the first-ever combination therapy for patients, significantly improving treatment outcomes and presenting substantial market potential.
- 2026 Financial Outlook: The company anticipates total revenue for 2026 to be between $130 million and $150 million, despite facing R&D and SG&A expenses of up to $245 million, reflecting cautious optimism for future growth.









