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Access earnings results, analyst expectations, report, slides, earnings call, and transcript.
The earnings call summary and Q&A indicate a positive outlook with strong financial health, reduced expenses, and strategic expansion plans in the U.S. and EU. Despite some uncertainties and management's reluctance to provide specific metrics, the company's proactive market strategies and significant capital raise suggest optimism. The market cap suggests moderate volatility, aligning with a positive sentiment rating of 2% to 8%.
Total Net Revenue $66 million, more than doubled from $32.7 million in the second quarter of 2025. The increase is attributed to strong launch momentum and growing awareness of VYKAT XR.
Net Income $26 million for the third quarter, compared to a net loss of $76.6 million in the same period of 2024. The profitability is due to increased revenue and effective cost management.
Cash from Operating Activities $43.5 million generated during the three months ended September 30, 2025. This reflects strong operational performance and revenue growth.
Cash, Cash Equivalents, and Marketable Securities $556.1 million at the end of the third quarter, including $230 million raised through an underwritten offering of common stock in July.
Cost of Goods Sold $1.1 million for the third quarter. A portion of the cost of goods sold included inventory at zero cost due to pre-approval manufacturing expenses.
Research and Development Expense $8.4 million for the third quarter, compared to $30.1 million in the same period of 2024. The decrease is due to reduced noncash stock-based compensation and fluctuating clinical program expenditures.
Selling, General, and Administrative Expense $33.8 million for the third quarter, compared to $49.2 million in the same period of 2024. The decrease is due to reduced noncash stock-based compensation, despite increased personnel and program investments.
Total Other Income Net $3.9 million for the three months ended September 30, 2025, compared to $3.6 million in the same period of 2024. The increase is attributed to higher interest income.
VYKAT XR launch success: VYKAT XR, the first FDA-approved treatment for hyperphagia in PWS patients aged 4 and older, achieved significant adoption with 764 active patients by the end of Q3. The product demonstrated efficacy and safety in clinical trials and real-world use, with adverse events being manageable. Discontinuation rates were below expectations, and the company is actively educating stakeholders to support adoption.
European market expansion: The company is pursuing regulatory approval for DCCR (marketed as VYKAT XR in the U.S.) in the EU. The EMA has validated the marketing authorization application, and the company is addressing questions from regulators. The EU market represents a significant opportunity with an estimated 9,500 PWS patients in key countries.
Revenue growth and profitability: Net revenue more than doubled from Q2 to $66 million in Q3, with a net income of $26 million. The company generated $43.5 million in cash from operations and has a strong cash position of $556.1 million, ensuring sufficient capital for U.S. launch and EU regulatory efforts.
Payer coverage and access: Achieved coverage for approximately 132 million lives, including policies from top 3 national PBMs and 40 state Medicaid programs. This broad access supports the product's adoption and addresses perceived barriers to prescribing.
Stakeholder engagement and education: The company is investing in educating healthcare providers, caregivers, and patients through initiatives like the PACE team, live community events, and physician-to-physician programs. These efforts aim to establish VYKAT XR as the standard of care for PWS-related hyperphagia.
Regulatory Approval in the EU: The company is facing regulatory hurdles in obtaining approval for DCCR (marketed as VYKAT XR in the U.S.) in the EU. The process involves addressing day 120 questions from the EMA, which are similar to those discussed with the U.S. FDA. Delays or failure in obtaining approval could limit market expansion and revenue growth.
Adverse Events and Discontinuation Rates: The therapy VYKAT XR has reported adverse events such as hypertrichosis, edema, hyperglycemia, and rash. Although most are self-limiting, some require dose adjustments or treatment interruptions. The discontinuation rate due to adverse events has increased to 8%, with a total discontinuation rate of 10%, which could impact patient retention and long-term revenue.
Short Seller Report Impact: A short seller report released in mid-August disrupted the launch trajectory, leading to a lower number of patient start forms and increased discontinuations for non-serious adverse events. This has necessitated additional resources for education and outreach to rebuild trust and adoption.
Supply Chain and Cost of Goods Sold: The company is transitioning from 0-cost inventory to at-cost inventory for VYKAT XR. This will increase the cost of goods sold as a percentage of revenue, potentially impacting profit margins.
Market Penetration Challenges: Many prescribers and academic centers are still in the process of setting up designated PWS clinics, which could delay broader adoption of VYKAT XR. Additionally, perceived barriers such as lack of coverage or lengthy reimbursement paths may hinder prescriber adoption.
Regulatory Approval in Europe: Soleno is actively pursuing regulatory approval for DCCR (marketed as VYKAT XR in the U.S.) in the European Union. The company has submitted a marketing authorization application to the EMA, received day 120 questions, and is preparing responses. Approval in the EU would expand the addressable market significantly, with an estimated 9,500 people living with PWS in key European countries.
Market Expansion Plans: The company is prioritizing gaining approval in the EU and other geographies to expand its market reach. Diagnostic rates in Europe are high, and patient care is often concentrated around centers of excellence, similar to the U.S. market.
Future Revenue Growth: Soleno anticipates continued revenue growth driven by increasing adoption of VYKAT XR, expansion of prescriber base, and broadening payer coverage. The company is investing in stakeholder education and access resources to support this growth.
Operational Investments: The company plans to continue investing in personnel, educational initiatives, and programs to support the commercial launch of VYKAT XR and its expansion into new markets.
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The earnings call summary and Q&A indicate a positive outlook with strong financial health, reduced expenses, and strategic expansion plans in the U.S. and EU. Despite some uncertainties and management's reluctance to provide specific metrics, the company's proactive market strategies and significant capital raise suggest optimism. The market cap suggests moderate volatility, aligning with a positive sentiment rating of 2% to 8%.
The earnings call highlights a successful launch of VYKAT XR with strong initial patient engagement and reduced net loss due to revenue generation. The Q&A section reveals confidence in market position and no new safety issues, despite some reluctance to provide specific data. The company's strong cash position and plans for European expansion further support a positive outlook. Given the market cap of approximately $1.54 billion, the stock price is likely to experience a moderate positive movement of 2% to 8% over the next two weeks.
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