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ImmunityBio, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 9 November 2026: press release. The quarter’s numbers.

Key takeaways

  • Q3 net product revenue up 53%: Net product revenue was $48.7 million for Q3 2026, up from $31.8 million a year earlier. The prior release reported $50.7 million for Q2 2026. Source
  • FDA expanded ANKTIVA label: The FDA approved on October 14, 2026 an expanded indication for ANKTIVA with BCG, covering adults with BCG-unresponsive NMIBC with high-grade papillary-only tumors. Source
  • BCG-naive trial met primary endpoint: Cohort A of the QUILT-2.005 trial in BCG-naive NMIBC met its primary endpoint for ANKTIVA plus BCG versus BCG alone. The prior release had planned a 2026 sBLA. Source
  • Long-term bladder data published: Long-term QUILT-3.032 outcomes in 100 BCG-unresponsive patients with CIS were published. Cystectomy avoidance among responders was 84% at 36 months. Source
  • Net loss rose on stock price: Q3 net loss attributable to common stockholders was $184.6 million, against $67.3 million a year earlier. Fair value changes on the convertible note, warrants and derivatives drove the increase. Source
  • Other expense driven by stock price: Other expense was $106.6 million in Q3, mostly non-cash fair value changes on the related-party convertible note, warrant liabilities and derivatives as the stock price rose. Source
  • Cash and securities total $334.3 million: Cash, cash equivalents and marketable securities were $334.3 million at September 30, 2026, against $357.4 million at June 30, 2026 in the prior release. Source

“We continue to see more physicians prescribing ANKTIVA to multiple patients and growing physician interest in our chemotherapy-free approach in the U.S. and Europe”

Richard Adcock, President and CEO of ImmunityBio

What changed from last quarter

  • New: The FDA approved an expanded ANKTIVA indication on October 14, 2026, for papillary disease. The prior release had accepted an sBLA for papillary disease without CIS with a January 6, 2027 target action date. Source
  • New: Cohort A of the randomized QUILT-2.005 trial in BCG-naive NMIBC met its primary endpoint, per the company's November 2026 report. Source
  • New: Israel approved ANKTIVA with BCG for BCG-unresponsive NMIBC with CIS, obtained with partner Rafa Laboratories Ltd. Source
  • New: The first patients in Europe received ANKTIVA with BCG, following first sales in Europe in early Q4 2026. Source
  • New: A long-term outcomes publication on the QUILT-3.032 trial appeared in The Journal of Urology on October 16, 2026. Source

Revenue and growth drivers

  • Q3 net product revenue up 53%: Net product revenue was $48.7 million for Q3 2026, up from $31.8 million a year earlier. The prior release reported $50.7 million for Q2 2026. Source
  • Nine-month revenue up 92%: Net product revenue for the nine months was $143.6 million, against $74.7 million a year earlier, per the statement of operations. Source
  • Growth tied to ANKTIVA sales: The company attributed the increase in product revenue to higher sales of ANKTIVA. Other revenues were $0.1 million for the quarter. Source

Label expansion and approvals

  • FDA expanded ANKTIVA label: The FDA approved on October 14, 2026 an expanded indication for ANKTIVA with BCG, covering adults with BCG-unresponsive NMIBC with high-grade papillary-only tumors. Source
  • Israel approval added: Israel approval, announced in November 2026, covers BCG-unresponsive NMIBC with CIS, with or without papillary tumors, and brings global approvals to 35. Source
  • Footprint grew to 35 countries: ANKTIVA is approved or authorized in six regulatory jurisdictions. The prior release reported five jurisdictions and 34 countries. Source

“The FDA’s recent approval of ANKTIVA plus BCG for papillary-only disease, together with data published in The Journal of Urology”

Patrick Soon-Shiong, M.D., Founder, Executive Chairman and Global Chief Scientific and Medical Officer of ImmunityBio

Clinical pipeline and data

  • BCG-naive trial met primary endpoint: Cohort A of the QUILT-2.005 trial in BCG-naive NMIBC met its primary endpoint for ANKTIVA plus BCG versus BCG alone. The prior release had planned a 2026 sBLA. Source
  • Long-term bladder data published: Long-term QUILT-3.032 outcomes in 100 BCG-unresponsive patients with CIS were published. Cystectomy avoidance among responders was 84% at 36 months. Source
  • Median complete response duration: The median duration of complete response in that study was 26.6 months, with some responses extending beyond 53 months. Source
  • Other programs continued advancing: Clinical work continued in metastatic non-small cell lung cancer, GBM and hematologic malignancies during the quarter. The release gives no results for these programs. Source

Operating costs and net loss

  • R&D expense rose on trials: R&D expense rose $20.3 million to $71.5 million in Q3. Clinical trial costs and personnel drove the rise, partly offset by lower manufacturing expenses. Source
  • SG&A rose on commercial costs: SG&A expense rose $17.7 million to $54.0 million in Q3, mainly on professional services, personnel costs and commercial-related expenses. Source
  • Net loss rose on stock price: Q3 net loss attributable to common stockholders was $184.6 million, against $67.3 million a year earlier. Fair value changes on the convertible note, warrants and derivatives drove the increase. Source
  • Other expense driven by stock price: Other expense was $106.6 million in Q3, mostly non-cash fair value changes on the related-party convertible note, warrant liabilities and derivatives as the stock price rose. Source
  • Adjusted net loss increased $25.5 million: Adjusted net loss, which excludes fair value changes and stock-based compensation, was $97.9 million for Q3, against $72.4 million a year earlier. Source
  • Nine-month other expense rose $740.1 million: Nine-month other expense reached $838.3 million. It included a one-time $7.4 million write-off of a convertible note receivable in Q1 2026. Source

“The recent label expansion represents an important opportunity to broaden access to ANKTIVA for a significantly larger patient population.”

Richard Adcock, President and CEO of ImmunityBio

Cash and balance sheet

  • Cash and securities total $334.3 million: Cash, cash equivalents and marketable securities were $334.3 million at September 30, 2026, against $357.4 million at June 30, 2026 in the prior release. Source
  • Operating cash use in Q3: Operating activities used $75.3 million in Q3 and $217.2 million in the nine months. Financing activities provided $53.0 million in Q3. Source
  • Convertible note and revenue interest balances: At September 30, 2026, the related-party convertible note was $834.9 million at fair value and the revenue interest liability was $426.3 million. Total liabilities were $1.75 billion. Source

Commercial access and filings

  • First sales in Europe: The company initiated its first sales in Europe in early Q4 2026, after the quarter ended. Source
  • First European patients treated: Management said the first patients in Europe received ANKTIVA with BCG, expanding access across the region. Source
  • UAE authorized expanded indication: The Emirates Drug Establishment in the United Arab Emirates had already authorized the expanded indication. Source

Coming up, as management said on 9 November 2026

  • Final BCG-naive results and real-world evidence: Management looks forward to the final BCG-naive study results and to starting real-world evidence studies on ANKTIVA's clinical impact in NMIBC. Source
  • Global filings for expanded indication: The company will pursue global filings for the expanded FDA indication, following the UAE authorization. Source

Figures management reported

FigureReported
ANKTIVA net product revenue, Q3 2026 Source$48.7 million
Net product revenue, nine months 2026 Source$143.6 million
Regulatory approvals and authorizations Sourcesix jurisdictions; 35 countries
Pipeline milestone: QUILT-2.005 Cohort A Sourceprimary endpoint met
Trial readout: QUILT-3.032 cystectomy avoidance Source84% at 36 months
R&D expense, Q3 2026 Source$71.5 million

Risks management discussed

  • Financial: Management said net loss rose mainly from fair value changes on the convertible note and on warrant and derivative liabilities as the stock price rose. Source
  • Financial: Interest expense on the revenue interest liability was $17.4 million in Q3, up from $12.3 million, after additional funding in Q1 2026. Source
  • Regulatory: The BCG-naive expansion depends on positive clinical and regulatory approval. The sBLA for that population is planned for Q4 2026. Source

Earlier plans management reported on

  • On track: The prior release planned a 2026 sBLA for the BCG-naive trial. The company now dates the submission to Q4 2026 and says it remains on track. 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.