Neurocrine Biosciences Inc.: Q1 FY2026 earnings call
What management said about Q1 FY2026, from the documents filed with the SEC on 5 May 2026: press release. Guidance figures: 8 kept. The quarter’s numbers.
Key takeaways
- Net product sales rose 44%: Total net product sales were $811.0 million, up from $563.7 million a year earlier. Total revenues were $814.5 million, against $572.6 million, a 42% increase. Source
- Net income and EPS rose sharply: GAAP net income was $197.9 million, or $1.91 diluted EPS, against $7.9 million and $0.08. Non-GAAP net income was $200.5 million, or $1.94 diluted EPS, against $71.5 million and $0.70. Source
- Full-year INGREZZA guidance reaffirmed: The company reaffirmed its 2026 INGREZZA net sales guidance of $2.7 to $2.8 billion, which was first given in the February 2026 release. Source
- R&D spend rose on Phase 3 programs: GAAP R&D was $296.2 million against $263.2 million; non-GAAP R&D was $272.0 million against $240.2 million, reflecting the osavampator and direclidine Phase 3 investment. Source
- SG&A rose on sales team expansion: GAAP SG&A was $318.5 million against $276.5 million; non-GAAP SG&A was $281.2 million against $245.3 million, with the INGREZZA and CRENESSITY sales teams expanded. Source
- Cash and securities reached $2.65 billion: Cash, cash equivalents and marketable securities were about $2.65 billion, up from $2.54 billion at December 31, 2025. Source
- Soleno deal priced at $53.00 a share: The company agreed to buy Soleno Therapeutics for $53.00 per share in cash, a total transaction equity value of $2.9 billion. Source
“Neurocrine’s strong first-quarter performance reflects continued momentum across our commercial portfolio, as we advance our growth strategy and diversify across therapeutic areas”
Kyle W. Gano, Ph.D., Chief Executive Officer of Neurocrine Biosciences
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| INGREZZA net product sales Source | Full year 2026 | $2,700 - $2,800 million | Kept |
| GAAP R&D expense Source | Full year 2026 | $1,200 - $1,250 million | Kept |
| Non-GAAP R&D expense Source | Full year 2026 | $1,110 - $1,160 million | Kept |
| GAAP and non-GAAP IPR&D Source | Full year 2026 | $20 million | Kept |
| GAAP SG&A expense Source | Full year 2026 | $1,375 - $1,400 million | Kept |
| Non-GAAP SG&A expense Source | Full year 2026 | $1,240 - $1,265 million | Kept |
| Development milestones in R&D guidance Source | Full year 2026 | approximately $25 million | Kept |
| Stock-based compensation excluded from non-GAAP guidance Source | Full year 2026 | approximately $90 million in R&D and $125 million in SG&A | Kept |
What changed from last quarter
- Guidance kept: Full-year 2026 INGREZZA net sales guidance was reaffirmed, with no change to the range given in February. Source
- New: Definitive agreement to acquire Soleno Therapeutics for $53.00 per share in cash. Source
- New: Phase 2 clinical study of NBI-1117570 in adults with schizophrenia began with first patients dosed. Source
- New: Phase 1 first-in-human study of NBIP-'2118 began in adult participants. Source
- New: Andrew Ratz, Ph.D., was promoted to the executive management team as Chief Technical Operations Officer. Source
- Ended: Neurocrine Group Limited was sold in January 2026, producing a pre-tax gain net of transaction costs. Source
Results and growth drivers
- Net product sales rose 44%: Total net product sales were $811.0 million, up from $563.7 million a year earlier. Total revenues were $814.5 million, against $572.6 million, a 42% increase. Source
- Both products grew, CRENESSITY most: INGREZZA net product sales were $656.9 million, up from $545.2 million. CRENESSITY rose from $14.5 million to $153.3 million, the larger contributor to the increase. Source
- Net income and EPS rose sharply: GAAP net income was $197.9 million, or $1.91 diluted EPS, against $7.9 million and $0.08. Non-GAAP net income was $200.5 million, or $1.94 diluted EPS, against $71.5 million and $0.70. Source
- Equity investment gain lifted income: A $25.3 million fair value gain on equity investments compared with a $30.6 million loss a year earlier. The company excluded it from non-GAAP net income. Source
- Full-year INGREZZA guidance reaffirmed: The company reaffirmed its 2026 INGREZZA net sales guidance of $2.7 to $2.8 billion, which was first given in the February 2026 release. Source
Products and clinical data
- INGREZZA volume up, net price lower: Prescription volume grew at double-digit rates in TRx and reached a record in NRx. A lower net price compared with the first quarter of 2025 partly offset the gain in sales. Source
- CRENESSITY reimbursement near 80%: About 80% of dispensed CRENESSITY prescriptions carried reimbursement in the quarter, which management cited alongside patient demand. Source
- Real-world INGREZZA persistence data: New real-world evidence presented at the Academy of Managed Care Pharmacy 2026 Annual Meeting showed higher treatment persistence for INGREZZA capsules than for AUSTEDO XR in adults with tardive dyskinesia. Source
- Two-year CRENESSITY pediatric data: Two-year data in pediatric classic congenital adrenal hyperplasia showed durable hormonal control and reduced glucocorticoid exposure. The data were presented at the Pediatric Endocrine Society 2026 Annual Meeting. Source
- Tardive dyskinesia consensus presented: First expert consensus recommendations on screening, diagnosis and treatment of tardive dyskinesia in older adults in long-term care were presented at PALTC26. Source
“With multiple first-in-class commercial medicines and the deepest pipeline in our history, Neurocrine is well-positioned to deliver transformative therapies for patients and drive sustained growth.”
Kyle W. Gano, Ph.D., Chief Executive Officer of Neurocrine Biosciences
Operating expenses
- R&D spend rose on Phase 3 programs: GAAP R&D was $296.2 million against $263.2 million; non-GAAP R&D was $272.0 million against $240.2 million, reflecting the osavampator and direclidine Phase 3 investment. Source
- Development milestone expense fell: Milestone expense included in R&D was $22.6 million in the quarter, compared with $45.4 million in the prior-year period. Source
- SG&A rose on sales team expansion: GAAP SG&A was $318.5 million against $276.5 million; non-GAAP SG&A was $281.2 million against $245.3 million, with the INGREZZA and CRENESSITY sales teams expanded. Source
- Upfront license payments raised IPR&D: Acquired in-process R&D was $21.2 million, against $0.1 million, from upfront payments under early-stage development candidate license agreements. Source
Operating income and adjustments
- Operating income rose sharply: GAAP operating income was $193.4 million against $23.6 million. Non-GAAP operating income was $226.4 million against $78.8 million. Source
- Stock compensation excluded from non-GAAP: Stock-based compensation excluded from non-GAAP results was $24.2 million in R&D and $33.0 million in SG&A, against $23.0 million and $29.8 million a year earlier. Source
- Cost of revenues increased: Cost of revenues was $13.8 million against $9.2 million. Non-GAAP cost of revenues was $13.7 million against $8.2 million. Source
“Our recently announced agreement to acquire Soleno Therapeutics further underscores our commitment to address conditions with significant unmet need and accelerate revenue growth.”
Kyle W. Gano, Ph.D., Chief Executive Officer of Neurocrine Biosciences
Cash and balance sheet
- Cash and securities reached $2.65 billion: Cash, cash equivalents and marketable securities were about $2.65 billion, up from $2.54 billion at December 31, 2025. Source
- Total assets and equity increased: Total assets were $4,906.2 million against $4,631.5 million at December 31, 2025. Stockholders' equity was $3,407.4 million against $3,253.1 million. Source
- Diluted share count rose slightly: Weighted average diluted shares were 103.4 million, against 102.5 million a year earlier. Basic weighted average shares were 100.5 million. Source
Soleno acquisition
- Soleno deal priced at $53.00 a share: The company agreed to buy Soleno Therapeutics for $53.00 per share in cash, a total transaction equity value of $2.9 billion. Source
- VYKAT XR targets Prader-Willi hyperphagia: VYKAT XR (diazoxide choline) is described as a treatment for hyperphagia in Prader-Willi syndrome. Management expects it to strengthen endocrinology and rare disease. Source
- Soleno post-close costs excluded: Full-year 2026 guidance excludes any expenses incurred after the Soleno acquisition closes. Source
Pipeline and development
- Two Phase 3 programs advancing: R&D guidance reflects continued advancement of the Phase 3 programs for osavampator in major depressive disorder and direclidine in schizophrenia. Source
- NBI-1117570 Phase 2 started: First patients were dosed in a Phase 2 study of NBI-1117570, a dual M1/M4 selective agonist, in adults with schizophrenia. Source
- Obesity candidate entered Phase 1: NBIP-'2118, a CRF2 receptor peptide agonist and potential first-in-class obesity therapy, began a Phase 1 study in adult participants. Source
Corporate actions and leadership
- Neurocrine Group sold in January: A $28.6 million pre-tax gain on the January 2026 sale of Neurocrine Group Limited, net of transaction costs, is excluded from non-GAAP results. Source
- Andrew Ratz named technical operations chief: Andrew Ratz, Ph.D., joined the executive management team and will lead global technical development, manufacturing and supply chain functions. Source
- Expansion beyond small molecules: The new role supports expansion beyond small molecules into biologics and device-based therapies. Source
Coming up, as management said on 5 May 2026
- Soleno deal expected to close: Management anticipates the Soleno Therapeutics acquisition closing in the second quarter of 2026. Source
Figures management reported
| Figure | Reported |
|---|---|
| INGREZZA net product sales Source | $656.9 million |
| CRENESSITY net product sales Source | $153.3 million |
| Total net product sales Source | $811.0 million |
| GAAP R&D expense Source | $296.2 million |
| Development milestone expense in R&D Source | $22.6 million |
| Acquired in-process R&D expense Source | $21.2 million |
| Cash, cash equivalents and marketable securities Source | approximately $2.65 billion |
| Soleno transaction equity value Source | $2.9 billion |
| NBI-1117570 pipeline stage Source | Phase 2 started, first patients dosed |
Risks management discussed
- Financial: INGREZZA net price was lower than a year earlier, partly offsetting the gain from prescription volume. Source
Earlier plans management reported on
- Not stated: Management reaffirmed the INGREZZA range given earlier in February 2026. Source
- On track: The prior-quarter release said the R&D engine remained on track to deliver first- and best-in-class medicines.
- Not stated: The prior-quarter release expected completion by end of Q1 2026; this release reports expansion costs in the first quarter.
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.