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Harmony Biosciences Holdings, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 24 February 2026: press release. Guidance figures: 1 kept. The quarter’s numbers.

Key takeaways

  • Q4 WAKIX revenue rose 21%: WAKIX net product revenue was $243.8 million for the quarter, compared with $201.3 million a year earlier, up 21%. Source
  • Full-year revenue rose about 22%: Full-year 2025 net product revenue was $868.5 million, compared with $714.7 million in 2024, growth of about 22%. Source
  • Patients on WAKIX rose about 400: Average patients on WAKIX rose by about 400 to about 8,500 in Q4 2025, the third consecutive quarter of about 400 or more additions. Source
  • Q4 GAAP net income fell: Q4 GAAP net income was $22.5 million, or $0.38 per diluted share, compared with $49.5 million, or $0.85 per diluted share, in Q4 2024. Source
  • Promotion began on pediatric approval: After the pediatric cataplexy approval, the commercial team started full promotional efforts immediately, according to management. Source
  • Orexin-2 agonist in Phase 1: BP1.15205 is described as a potential best-in-class orexin-2 receptor agonist with a novel chemical scaffold and potential once-a-day dosing. Source
  • Cash and investments rose to $882.5M: Cash, cash equivalents and investments were $882.5 million at December 31, 2025, up from $576.1 million a year earlier, an increase of about $306 million. Source
  • Next-generation formulations extend franchise: Next-generation pitolisant formulations are designed to grow the company's sleep-wake leadership, according to the CEO. Source

“WAKIX is on track to exceed $1 billion in revenue and achieve blockbuster status in 2026, reflecting the strength and durability of the pitolisant franchise.”

Jeffrey M. Dayno, M.D., President and Chief Executive Officer of Harmony Biosciences

Guidance

AreaPeriodFigureAgainst last quarter
WAKIX net revenue Sourcefull year 2026$1.0 billion to $1.04 billionKept

What changed from last quarter

  • New: WAKIX is now approved for cataplexy in pediatric patients, following the February 13 FDA approval of the pediatric cataplexy indication. Source
  • New: The company completed settlements with three more generic filers, bringing settled ANDA filers to six of seven. Source
  • New: The company says it is exploring pitolisant indications beyond orphan and rare diseases, into larger CNS patient populations. Source
  • New: Management named MS fatigue as the lead indication for a new pitolisant formulation, with Parkinson's and post-stroke fatigue as follow-on indications under consideration. Source

Revenue and patient growth

  • Q4 WAKIX revenue rose 21%: WAKIX net product revenue was $243.8 million for the quarter, compared with $201.3 million a year earlier, up 21%. Source
  • Full-year revenue rose about 22%: Full-year 2025 net product revenue was $868.5 million, compared with $714.7 million in 2024, growth of about 22%. Source
  • Patients on WAKIX rose about 400: Average patients on WAKIX rose by about 400 to about 8,500 in Q4 2025, the third consecutive quarter of about 400 or more additions. Source
  • Growth tied to HCP reach: Management cites the broad clinical utility of WAKIX across about 9,000 HCPs called on, about 5,000 of whom do not participate in an oxybate REMS program. Source

Earnings per share

  • Q4 GAAP net income fell: Q4 GAAP net income was $22.5 million, or $0.38 per diluted share, compared with $49.5 million, or $0.85 per diluted share, in Q4 2024. Source
  • Full-year GAAP earnings per share: Full-year 2025 GAAP net income was $158.7 million, or $2.71 per diluted share. Source
  • Full-year non-GAAP earnings reported: Full-year non-GAAP adjusted net income was $211.0 million, or $3.60 per diluted share, against $196.7 million, or $3.40, in 2024. Source
  • Q4 non-GAAP earnings reported: Q4 non-GAAP adjusted net income was $33.4 million, or $0.57 per diluted share, against $64.2 million, or $1.10, in Q4 2024. Source

“Our robust late-stage pipeline, including five ongoing Phase 3 registrational trials across five distinct CNS indications, positions Harmony for multiple near-term catalysts and meaningful long-term value creation.”

Jeffrey M. Dayno, M.D., President and Chief Executive Officer of Harmony Biosciences

Operating expenses

  • Full-year R&D spend rose 30%: Full-year research and development expense was $189.6 million, up 30% from $145.8 million. Source
  • Q4 G&A expense nearly doubled: Q4 general and administrative expense was $57.6 million, up 99% from $28.9 million in the same quarter of 2024. Source
  • Full-year sales and marketing up 8%: Full-year sales and marketing expense was $119.5 million, up 8% from $110.9 million. Source
  • Full-year total operating expenses up 26%: Full-year total operating expenses were $461.6 million, up 26% from $367.1 million. Source

Pitolisant franchise and lifecycle

  • Promotion began on pediatric approval: After the pediatric cataplexy approval, the commercial team started full promotional efforts immediately, according to management. Source
  • Fatigue formulation has patent cover: The new fatigue-focused pitolisant formulation carries licensed IP with patent protection until 2042. Source
  • Pitolisant HD targets differentiated uses: Pitolisant HD is in Phase 3 trials in narcolepsy (ONSTRIDE 1) and idiopathic hypersomnia (ONSTRIDE 2), aimed at fatigue in narcolepsy and sleep inertia in IH. Source
  • Pitolisant GR aims at GI symptoms: Pitolisant GR is designed to minimize the worsening of GI symptoms, which about 80-90% of narcolepsy patients experience. Source
  • Generic launch dates tied to exclusivity: Settling generic filers would receive licenses to launch no earlier than March 2030, conditional on Harmony being granted pediatric exclusivity. Source

Pipeline beyond pitolisant

  • Orexin-2 agonist in Phase 1: BP1.15205 is described as a potential best-in-class orexin-2 receptor agonist with a novel chemical scaffold and potential once-a-day dosing. Source
  • EPX-100 Phase 3 in Dravet syndrome: EPX-100 is in a Phase 3 registrational study in Dravet syndrome (ARGUS), with enrollment ongoing. Source
  • EPX-100 Phase 3 in Lennox-Gastaut: A second Phase 3 registrational study of EPX-100 in Lennox-Gastaut syndrome (LIGHTHOUSE) is also enrolling. Source
  • EPX-100 open-label extension data shown: Open-label extension safety and effectiveness data for EPX-100 in Dravet syndrome were presented at the AES meeting in December 2025. Source

Capital and self-funding

  • Cash and investments rose to $882.5M: Cash, cash equivalents and investments were $882.5 million at December 31, 2025, up from $576.1 million a year earlier, an increase of about $306 million. Source
  • Company describes self-funded profile: The company describes itself as a profitable, self-funding biotech with a late-stage pipeline and long-term growth potential. Source
  • Upfront and milestone IPR&D charges: The 2025 results include a $15 million IPR&D charge for a ZYN002 clinical milestone and a $15 million IPR&D charge for an upfront fee on the CiRC collaboration. Source

Strategy and new indications

  • Next-generation formulations extend franchise: Next-generation pitolisant formulations are designed to grow the company's sleep-wake leadership, according to the CEO. Source
  • Formulation work moves toward PK study: Current formulation work focuses on optimization and new modes of delivery, leading toward a Phase 1 PK study. Source
  • Fatigue mechanism underpins new indications: The company says its approach to new indications is mechanism-based and supported by clinical data for pitolisant in fatigue. Source

Coming up, as management said on 24 February 2026

  • Pitolisant PWS Phase 3 topline: Phase 3 topline data for pitolisant in Prader-Willi syndrome are expected in the second half of 2026. Source
  • Pitolisant GR NDA submission: The company plans to submit the pitolisant GR NDA in Q2 2026, with an anticipated PDUFA date in Q1 2027. Source
  • Pitolisant HD data and PDUFA: Pitolisant HD topline data are expected in 2027, with an anticipated PDUFA date in 2028. Source
  • Orexin-2 agonist PK data: Clinical PK data for BP1.15205 from the ongoing Phase 1 study are anticipated in mid-2026. Source
  • EPX-100 topline data 1H 2027: Topline data for the EPX-100 Lennox-Gastaut Phase 3 study are anticipated in the first half of 2027, as are Dravet data. Source

Figures management reported

FigureReported
WAKIX net product revenue, Q4 2025 Source$243.8 million
WAKIX net product revenue, FY 2025 Source$868.5 million
R&D expense, FY 2025 Source$189.6 million
FDA approval, pediatric cataplexy SourceApproved February 13
Pitolisant PWS Phase 3 topline readout Source2H 2026
Pitolisant GR anticipated PDUFA date SourceQ1 2027
Pitolisant GR licensed IP patent protection Sourceuntil 2042
Earliest generic launch under settlements Sourceno earlier than March 2030

Risks management discussed

  • Regulatory: Generic launch timing under the settlements depends on Harmony being granted pediatric exclusivity, which management says it is on track to obtain. Source

Earlier plans management reported on

  • On track: Management says the 2026 WAKIX revenue guidance and blockbuster status remain on track. Source
  • On track: The pitolisant GR NDA submission is described as on track for Q2 2026. Source
  • On track: Management describes the plan to extend the pitolisant franchise into the 2040s as on track. Source
  • On track: Management says it is on track to obtain pediatric exclusivity for WAKIX. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.