Krystal Biotech, Inc.: Q4 FY2025 earnings call
What management said about Q4 FY2025, from the documents filed with the SEC on 17 February 2026: press release. Guidance figures: 2 kept. The quarter’s numbers.
Key takeaways
- Net income rose on higher revenue: Fourth quarter net income was $51.4 million, or $1.70 per diluted share, versus $45.5 million, or $1.52 per diluted share, a year earlier. Full-year net income was $204.8 million, or $6.84 per diluted share, versus $89.2 million, or $3.00. Source
- European and Japan launches underway: VYJUVEK is approved in the United States, Europe and Japan. Management said high patient demand is driving steady uptake since launch in Germany, France and Japan, with over 90 patients prescribed across those markets. Source
- KB407 cystic fibrosis update and CORAL-3: Highest-dose CORAL-1 cohort showed lung delivery and CFTR expression, with transduction at 29.4% to 42.1% of conducting airway cells, and the drug was well tolerated. The company is in FDA discussions on CORAL-3 repeat dosing, with enrollment planned for 1H 2026. Source
- KB801 and KB803 studies updated for home dosing: Both ophthalmology studies moved to home dosing options. IOLITE (KB803) enrollment is expected to complete in 1H 2026 with top-line results before year end; EMERALD-1 (KB801) is expected to report data before year end. Source
- KB707 lung cancer RMAT and readout: FDA granted RMAT designation to inhaled KB707 for advanced or metastatic NSCLC in February 2026. Interim efficacy data and potential registrational plans are expected later in 2026. Source
- Cash and investments reached $955.9 million: Cash, cash equivalents and investments were $955.9 million at December 31, 2025, versus about $955 million in the January preannouncement. Total stockholders' equity rose to $1,219.6 million from $946.4 million. Source
“We believe we are still in the early stages of unlocking the transformational potential of our redosable HSV-1-based gene delivery platform, and we look forward to multiple registrational study readouts ahead across our rare disease pipeline.”
Krish S. Krishnan, Chairman and CEO of Krystal Biotech
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| Combined non-GAAP R&D and SG&A expense | FY 2026 | $175.0 - $195.0 million | Kept |
| VYJUVEK net revenue Source | 4Q 2025 | $107.1 million | |
| Italy VYJUVEK launch Source | 2H 2026 | potential launch in 2H 2026 | |
| Specialty distributor network Source | end of 2026 | over 40 countries | Kept |
| German pricing negotiations Source | until at least 2H 2026 | until at least 2H 2026 | |
| French pricing negotiations Source | until at least 2027 | until at least 2027 | |
| CORAL-3 repeat dosing study (KB407) Source | 1H 2026 | enrollment start in 1H 2026 | |
| IOLITE top-line results (KB803) Source | enrollment 1H 2026; results before year end 2026 | complete enrollment in 1H 2026; top-line results before year end | |
| KB111 HHD scale and registrational study Source | scale 1H 2026; registrational study 2H 2026 | scale completion 1H 2026; registrational study start 2H 2026 | |
| KB304 Phase 2 study (Jeune) Source | 2027 | Phase 2 initiation in 2027 |
What changed from last quarter
- New guidance: Company reported its first full-year VYJUVEK net revenue at $389.1 million; January preannouncement gave a range of $388 million to $389 million for the year. Source
- New: FDA granted RMAT designation to KB707 for advanced or metastatic NSCLC in February 2026. Source
- New: FDA granted Fast Track Designation to KB111 for Hailey-Hailey disease in January 2026. Source
- New: Company executed an agreement with a regional specialty distributor to support VYJUVEK commercialization in Israel in February 2026. Source
- New: Positive highest-dose cohort update from CORAL-1 (KB407, cystic fibrosis) reported in January 2026, showing lung delivery and CFTR expression. Source
- New: Jeune now plans to start a KB304 Phase 2 study in 2027 after FDA alignment on a décolleté-specific photonumeric scale. Source
- New: KB803 (IOLITE) dosing regimen modified to three times weekly home dosing with HCP, caregiver or patient administration; enrollment completion now expected 1H 2026. Source
- New: KB801 (EMERALD-1) protocol updated to home daily dosing; company expects to enroll approximately 60 patients, randomized 1:1. Source
- Guidance kept: FY 2026 non-GAAP combined R&D and SG&A expense guidance of $175 million to $195 million was unchanged from the January preannouncement.
Results and growth drivers
- Net income rose on higher revenue: Fourth quarter net income was $51.4 million, or $1.70 per diluted share, versus $45.5 million, or $1.52 per diluted share, a year earlier. Full-year net income was $204.8 million, or $6.84 per diluted share, versus $89.2 million, or $3.00. Source
- Full-year 2024 included litigation settlement: Full-year 2024 operating expenses included a $37.5 million litigation settlement, which was absent in 2025. Full-year 2025 income from operations was $161.3 million, versus $65.7 million in 2024. Source
Segments and regions
- European and Japan launches underway: VYJUVEK is approved in the United States, Europe and Japan. Management said high patient demand is driving steady uptake since launch in Germany, France and Japan, with over 90 patients prescribed across those markets. Source
- Reimbursement access in the U.S.: The company has secured over 660 reimbursement approvals for VYJUVEK in the United States and said it continues to maintain strong access nationwide. Source
- Italy launch targeted for second half: Pricing talks with Italian authorities are ongoing, and the company is on track for a potential Italy launch in 2H 2026. Timing of further European launches depends on regulatory interactions and pricing outcomes. Source
“our recent cystic fibrosis readout further reinforces the versatility of our platform in high-turnover epithelial tissues.”
Krish S. Krishnan, Chairman and CEO of Krystal Biotech
Products and pipeline
- KB407 cystic fibrosis update and CORAL-3: Highest-dose CORAL-1 cohort showed lung delivery and CFTR expression, with transduction at 29.4% to 42.1% of conducting airway cells, and the drug was well tolerated. The company is in FDA discussions on CORAL-3 repeat dosing, with enrollment planned for 1H 2026. Source
- KB801 and KB803 studies updated for home dosing: Both ophthalmology studies moved to home dosing options. IOLITE (KB803) enrollment is expected to complete in 1H 2026 with top-line results before year end; EMERALD-1 (KB801) is expected to report data before year end. Source
- KB111 Hailey-Hailey scale and study: FDA granted Fast Track Designation to KB111 for HHD in January 2026. Company expects to validate an HHD-specific scale in 1H 2026 and start a registrational study in 2H 2026. Source
- KB707 lung cancer RMAT and readout: FDA granted RMAT designation to inhaled KB707 for advanced or metastatic NSCLC in February 2026. Interim efficacy data and potential registrational plans are expected later in 2026. Source
- KB408 repeat dosing data expected: Enrollment continues in repeat dose Cohort 2B of SERPENTINE-1 for AATD, and the company expects interim data in 2026. Source
Costs, margins and pricing
- Cost of goods sold rose with sales: Fourth quarter cost of goods sold was $6.6 million, up from $4.9 million. Full-year cost of goods sold was $23.0 million, up from $20.1 million. Gross margin on VYJUVEK was 94% for both periods. Source
- SG&A rose faster than R&D: Fourth quarter SG&A was $41.4 million, up from $31.3 million, and R&D was $14.8 million, up from $13.5 million. Full-year SG&A was $146.7 million, up from $113.6 million, and R&D was $58.0 million, up from $53.6 million. Source
- Pricing talks continue in Germany and France: Pricing negotiations with German authorities are expected to run until at least 2H 2026 and with French authorities until at least 2027. Source
“As we work toward our goal of launching multiple products and treating more than 10,000 patients living with rare diseases by the end of 2030”
Krish S. Krishnan, Chairman and CEO of Krystal Biotech
Demand and access
- Distributor network expansion continues: An agreement with a regional specialty distributor for Israel was executed in February 2026. The company remains on track to cover over 40 countries through specialty distributors by end of 2026. Source
- Awards recognize VYJUVEK: VYJUVEK received the Prix Galien France award in December 2025 and earlier the Prix Galien Italia award in 2025. Source
Capital, cash and balance sheet
- Cash and investments reached $955.9 million: Cash, cash equivalents and investments were $955.9 million at December 31, 2025, versus about $955 million in the January preannouncement. Total stockholders' equity rose to $1,219.6 million from $946.4 million. Source
- Total assets and liabilities grew: Total assets were $1,333.8 million and total liabilities were $114.2 million at December 31, 2025, versus $1,055.8 million and $109.5 million a year earlier. Source
Strategy and investment
- Ophthalmology and KB407 registrational plans: The January preannouncement set 2026 corporate objectives including registrational readouts for KB803 and KB801, a KB407 registrational repeat-dose study, and KB111 first patient dosed. The February release updated these timelines.
- Jeune KB304 Phase 2 pushed to 2027: Jeune aligned with FDA on a décolleté-specific scale and now expects to start a KB304 Phase 2 study in 2027. Source
Leadership and corporate
- Chairman and CEO framed the quarter: Krish S. Krishnan said the company made meaningful progress in 2025 and is still early in unlocking its HSV-1 gene delivery platform, with multiple registrational readouts ahead. Source
Coming up, as management said on 17 February 2026
- CORAL-3 enrollment starts: Company expects to align with FDA on CORAL-3 design and begin enrollment in 1H 2026, with more design details promised at study initiation. Source
- IOLITE enrollment and results: Company expects to complete IOLITE enrollment in 1H 2026 and report top-line results before year end 2026. Source
- EMERALD-1 data before year end: Company expects to announce EMERALD-1 data before year end 2026. Source
- KB111 registrational study start: Company expects to start a registrational KB111 study in 2H 2026 after completing the HHD scale in 1H 2026. Source
- KB707 interim data and plans: Company expects to report interim efficacy data and potential registrational plans for inhaled KB707 later in 2026. Source
- Italy VYJUVEK launch: Company is on track for a potential Italy launch in 2H 2026, subject to pricing and regulatory outcomes. Source
Risks management discussed
- Regulatory: Company said the outcomes of regulatory interactions and pricing negotiations will determine the timing of additional European launches. Source
- Regulatory: Design of the CORAL-3 repeat-dosing study is still under discussion with FDA, so enrollment timing depends on alignment. Source
- Demand: Pricing negotiations with German and French authorities are expected to continue into 2H 2026 and 2027, respectively. Source
Earlier plans management reported on
- On track: Company said it remains on track for this objective. Source
- On track: Italy launch is described as on track for a potential 2H 2026 launch. Source
- Not stated: Company expects to align with FDA and start enrollment in 1H 2026; prior January target was to initiate and complete enrollment in 2026. Source
- Not stated: Company expects to announce data before year end, after enrollment target raised to about 60 patients from 27. 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.