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Access earnings results, analyst expectations, report, slides, earnings call, and transcript.
The earnings call reveals strong financial performance with a 25% YoY increase in net sales, driven by iDoseTR adoption, and no debt, indicating good financial health. Despite competitive pressures and regulatory issues, the company shows resilience with positive guidance for iDose. The Q&A section highlights management's strategic focus on addressing reimbursement challenges and expanding market access. Although shareholder returns were not addressed, the overall sentiment is positive due to strong financial metrics and optimistic guidance, likely leading to a positive stock price movement over the next two weeks.
Consolidated Net Sales $106,700,000, up 25% year-over-year (YoY) due to strong performance driven by iDoseTR adoption and U.S. and international glaucoma franchises.
U.S. Glaucoma Franchise Net Sales $59,100,000, up 41% YoY, driven by contributions from iDoseTR.
Interventional Glaucoma Franchise Net Sales $29,000,000, up 15% YoY (19% on a constant currency basis), reflecting strong growth as the company scales its international infrastructure.
Corneal Health Franchise Net Sales $18,500,000, including Vetrexa net sales of $15,400,000, impacted by entry into the Medicare drug rebate program.
Cash and Equivalents More than $3,000,000, with no debt, allowing for continued business development activities.
iDoseTR: iDoseTR adoption has driven strong performance in the U.S. glaucoma franchise, with record first quarter net sales of $59.1 million, a 41% year-over-year growth.
Epioxa: FDA acceptance for review of Epioxa, a next-generation corneal cross-linking therapy, brings the company closer to providing a non-invasive treatment for keratoconus.
Presser Flow MicroShunt: Commenced a pivotal study for Presser Flow MicroShunt, designed to help drain excess fluid from the eye for refractory glaucoma patients.
U.S. Glaucoma Franchise: U.S. glaucoma franchise delivered record first quarter net sales of $59.1 million, driven by iDoseTR and overall growth in the glaucoma market.
International Glaucoma Franchise: International glaucoma franchise delivered record net sales of $29 million, with a year-over-year growth of 15%.
Corneal Health Franchise: Corneal health franchise delivered net sales of $18.5 million, including Vetrexa net sales of $15.4 million.
Surgeon Training: Continued efforts to grow the universe of trained surgeons and expand utilization of the installed active surgeon base for iDoseTR.
Market Access: Broadening and streamlining market access among MACs, commercial, and Medicare Advantage payers.
Clinical Evidence: Expanding the robust body of clinical evidence to support iDoseTR and other products.
Collaboration with Radius XR and Topcon Healthcare: Expanded collaboration to accelerate global efforts in glaucoma diagnosis and care.
Focus on Operational Efficiency: Prioritizing investments to balance risk and capital position while advancing product launches.
Competitive Pressures: The company anticipates increasing competition from new products in major international markets, which may pose a headwind as they progress through 2025.
Regulatory Issues: The implementation of five MAC LCDs in Q4 2024 has caused market turbulence, particularly affecting the stent business, and is expected to continue impacting operations throughout 2025.
Supply Chain Challenges: The company has minimal direct exposure to recent tariff-related policies due to its primary manufacturing and sourcing within the United States.
Economic Factors: The company is closely monitoring the global macroeconomic environment, including potential economic slowdowns that could impact procedure volumes and overall business performance.
Market Access: The company is working to improve market access and reimbursement for its products, particularly iDose, which is currently facing challenges in achieving streamlined adjudication and professional fee coverage.
Investment Risks: The company is balancing risk-based investments with its capital position, indicating a cautious approach to future investments amid uncertainties.
iDoseTR Adoption: Strong performance driven by iDoseTR adoption and both U.S. and international glaucoma franchises.
Interventional Glaucoma Marketplace: Ongoing efforts to pioneer and develop the Interventional Glaucoma marketplace with new standalone therapies.
Epioxa Launch: FDA acceptance for review of NDA for Epioxa, targeting commercial launch next year.
Presser Flow MicroShunt Study: Commenced pivotal study for Presser Flow MicroShunt, designed to help drain excess fluid from the eye.
Collaboration with Radius XR and Topcon Healthcare: Expanded collaboration to accelerate global efforts in glaucoma diagnosis.
2025 Net Sales Guidance: Reaffirmed full year 2025 net sales guidance range of $475 million to $485 million.
U.S. Glaucoma Revenue Growth: Expect mid single-digit decline for non-iDose revenues in 2025 due to LCD headwinds.
International Glaucoma Growth: Revised expectations for high single-digit to low double-digit growth year-over-year.
Corneal Health Business Growth: Guidance towards flat to low single-digit growth for corneal health business.
iDose Revenue Expectations: Modestly increasing iDose expectations for the remainder of 2025.
Shareholder Return Plan: Glaukos Corporation has not announced any specific share buyback program or dividend program during this conference call. The focus was primarily on operational performance and growth strategies.
The earnings call presents strong financial performance with significant growth in key franchises, a robust balance sheet, and positive guidance. The Q&A highlights confidence in iDose and Epioxa, despite some uncertainties in payer coverage and FDA decisions. The raised guidance and promising pipeline developments further support a positive sentiment. However, some caution is warranted due to potential market headwinds and unclear responses in the Q&A.
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