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Despite potential growth avenues like the VOQUEZNA launch and cost-saving initiatives, Phathom faces financial instability with significant losses and competitive pressures. The Q&A revealed uncertainties in FDA interactions and unclear management responses, adding to investor concerns. While there is a focus on profitability by 2026, the lack of immediate positive catalysts and the financial performance suggest a negative sentiment, likely leading to a stock price decline in the short term.
Net Revenues $28.5 million, down slightly on a sequential quarterly basis. This decrease was impacted by a shift in volume toward cash pay and elevated stocking at the end of 2024.
Gross Margin 87%, similar to last quarter.
Operating Expenses (R&D) $7.9 million, a 4% decrease compared to the same period in 2024.
Operating Expenses (SG&A) $90.3 million, a 57% increase compared to the same period in 2024. This increase was primarily driven by the expansion of commercial investment in support of VOQUEZNA launch.
Advertising Costs $28.3 million, representing a 40% increase compared to the fourth quarter of 2024.
Loss from Operations $73.3 million, excluding stock-based compensation.
Non-GAAP Adjusted Net Loss $77.1 million or $1.07 loss per share, compared to $64.8 million or $1.11 loss per share for the same period in 2024.
Cash and Cash Equivalents $212 million, with a target to support operations through the point of reaching profitability in 2026.
VOQUEZNA Sales: Phathom has achieved an annualized run-rate of $120 million in net revenues from VOQUEZNA within the first 18 months of its launch.
Prescription Growth: As of April 18, 2025, VOQUEZNA prescriptions surpassed 390,000, with approximately 127,000 filled in Q1 2025, reflecting an 8% growth over Q4 2024.
Market Access: Over 120 million lives are covered, representing over 80% of the total commercially insured market.
Cost Savings Initiatives: Phathom is implementing cost savings initiatives to reduce operating expenses to less than $55 million per quarter by Q4 2025.
Staff Reduction: The company will reduce total staffing by approximately 6% as part of its cost reduction strategy.
R&D Study Pause: Plans for a pending Phase 2 eosinophilic esophagitis study have been paused.
Strategic Shift: Phathom is shifting its operational priorities to focus on profitability by 2026, managing expenses, and leveraging VOQUEZNA's growth potential.
Earnings Expectations: Phathom Pharmaceuticals missed earnings expectations with a reported EPS of $-1.31, compared to expectations of $-1.06.
Regulatory Risks: The FDA's decision on the Citizens Petition is critical for Phathom's exclusivity timeline. A negative or indeterminate response could necessitate further actions to maintain exclusivity.
Cost of Capital: The current cost of capital is more dilutive, impacting the company's ability to raise funds compared to when the stock was trading near $20.
Supply Chain Challenges: There is a potential future disruption in the supply of VOQUEZNA TRIPLE PAKs, although it is not expected to materially impact revenues or operations.
Operational Changes: Phathom is implementing cost-saving initiatives, including a reduction of force by approximately 6% and deprioritizing certain marketing initiatives.
Market Competition: Phathom faces competitive pressures in the GERD treatment market, necessitating a focus on growing sales and managing costs to achieve profitability.
Financial Performance: The company reported a net revenue of $28.5 million, with a significant loss from operations of $73.3 million, indicating financial instability.
Future Profitability: Phathom aims to achieve profitable operations by 2026 without additional financing, which poses a risk if revenue growth does not meet expectations.
Sales Growth: Focus on growing VOQUEZNA’s sales to maintain revenue ramp, targeting an annualized run-rate of $120 million.
Cost Management: Implementing cost savings initiatives to achieve operating expenses of less than $55 million per quarter by Q4 2025.
Profitability Target: Aim to reach profitable operations in 2026 without the need for additional debt or equity financing.
Exclusivity Timeline: Clarifying exclusivity timeline through a pending Citizens Petition with the FDA.
Operational Efficiency: Streamlining operations and reducing total staffing by approximately 6% to enhance efficiency.
Revenue Expectations: Targeting to support operations through profitability in 2026 with current cash balance of $212 million.
Operating Expenses: Reducing full year 2025 operating expense range by $60 million to $70 million, now projected at $290 million to $320 million.
Gross to Net Discount Rate: Expecting gross to net discount rate to range between 55% and 65% for the remainder of 2025.
Cash Position: Current cash balance of $212 million expected to support operations without additional financing.
Shareholder Return Plan: Phathom Pharmaceuticals announced a focus on achieving profitability by 2026 without the need for additional financing. The company is implementing cost-saving initiatives to reduce operating expenses to less than $55 million per quarter by Q4 2025. They aim to manage expenses while driving revenue growth from their product VOQUEZNA, which has shown a promising annualized run-rate of $120 million in net revenues.
Cash Position: As of March 31, 2025, Phathom reported cash and cash equivalents of $212 million, which they believe will support operations through the point of reaching profitability in 2026.
Cost Savings Initiatives: The company is reducing its previous non-GAAP full year 2025 operating expense range by $60 million to $70 million, now targeting $290 million to $320 million.
The earnings call summary and Q&A session indicate positive sentiment. The company has strong revenue guidance for 2025, plans for profitability by 2026, and reduced cash usage. The Q&A revealed management's confidence in overcoming challenges, such as prescription growth and advertising cuts. The strategic focus on gastroenterology practices and the expected inflection point in sales suggest positive momentum. While there are some uncertainties, the overall outlook is optimistic, leading to a positive sentiment rating.
The earnings call summary presents mixed signals: strong gross margins and a strategic focus on GI market growth are positives, while increased expenses and unclear revenue guidance pose concerns. The Q&A reveals management's cautious optimism but lack of precise timelines for revenue acceleration and cost reductions, which may create uncertainty. The company's focus on the U.S. market and cost-cutting measures are prudent, yet the potential delay in revenue growth and increased expenses temper positive sentiment, leading to a neutral stock price prediction.
Despite potential growth avenues like the VOQUEZNA launch and cost-saving initiatives, Phathom faces financial instability with significant losses and competitive pressures. The Q&A revealed uncertainties in FDA interactions and unclear management responses, adding to investor concerns. While there is a focus on profitability by 2026, the lack of immediate positive catalysts and the financial performance suggest a negative sentiment, likely leading to a stock price decline in the short term.
The earnings call reveals several concerns: a slight revenue decline, increased SG&A expenses, and significant operational losses. Although the company aims for profitability by 2026, guidance on cash flow breakeven is vague, and there's uncertainty around the FDA's CP decision. Additionally, competitive pressures and reduced advertising spending pose risks. The Q&A session highlighted management's evasiveness on critical issues, further dampening sentiment. These factors, combined with financial challenges and operational risks, suggest a negative stock reaction in the short term.
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