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NovoCure Ltd.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 23 July 2026: press release. Guidance figures: 3 raised, 1 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 16% on patient growth: Net revenues were $183.6 million, up 16% from the same quarter of 2025, which management attributes mainly to global active patient growth. Source
  • Adjusted EBITDA turned positive: Adjusted EBITDA was $10.8 million, compared with a loss of $9.9 million a year earlier. The company defines it as EBITDA plus share-based compensation. Source
  • U.S. was the largest market: Revenue by market was U.S. $103.0 million, Germany $23.3 million, France $21.3 million, Japan $11.8 million and other active markets $18.2 million. Source
  • Global active patients rose 18%: Total active patients on TTFields therapy rose 18% year over year, with Optune Gio and Optune Lua both higher than a year earlier. Source
  • Gross margin rose to 78%: Gross margin was 78%, compared with 74% in the same period of 2025. The figure includes a one-time item in cost of revenues. Source
  • Revenue and EBITDA guidance raised: Full-year 2026 total net revenue and adjusted EBITDA guidance were both raised in this release, as was the Optune Lua and Optune Pax contribution range. Source
  • Optune Pax receives CE Mark: Optune Pax received CE Mark in June 2026 for locally advanced pancreatic cancer. Source

“This was our strongest quarter to date, with record net revenues and active patients on therapy,”

Frank Leonard, CEO, Novocure

Guidance

AreaPeriodFigureAgainst last quarter
Total net revenue SourceFull year 2026$710 million - $725 millionRaised from $690 million - $710 million
Adjusted EBITDA SourceFull year 2026$0 million - $15 millionRaised from $(15) million - $0 million
Optune Lua and Optune Pax net revenue contribution SourceFull year 2026, collectively$20 million - $30 millionRaised from $15 million - $25 million
Gross margin SourceEach quarter of 2026mid-70s percentKept

What changed from last quarter

  • Guidance raised: Full-year 2026 total net revenue guidance was raised. Source
  • Guidance raised: Full-year 2026 adjusted EBITDA guidance was raised. Source
  • Guidance raised: The collective net revenue range for Optune Lua and Optune Pax was raised. Source
  • Guidance raised: The Optune Gio net revenue growth assumption was raised to mid-to-high single digits. Source
  • Guidance kept: The gross margin assumption of the mid-70s percent is unchanged from the prior release. Source
  • New: Optune Pax received CE Mark in June 2026 for locally advanced pancreatic cancer. Source
  • New: Germany is the first EU market to launch Optune Pax, according to the release headline. Source

Results and growth drivers

  • Revenue rose 16% on patient growth: Net revenues were $183.6 million, up 16% from the same quarter of 2025, which management attributes mainly to global active patient growth. Source
  • Net loss narrowed year over year: Net loss was $15.7 million, or $0.13 per share, compared with a net loss of $40.1 million in the second quarter of 2025. Source
  • Adjusted EBITDA turned positive: Adjusted EBITDA was $10.8 million, compared with a loss of $9.9 million a year earlier. The company defines it as EBITDA plus share-based compensation. Source

Segments and regions

  • U.S. was the largest market: Revenue by market was U.S. $103.0 million, Germany $23.3 million, France $21.3 million, Japan $11.8 million and other active markets $18.2 million. Source
  • Greater China partnership revenue rose: Revenue in Greater China under the Zai Lab partnership was $6.0 million, against $4.8 million in the first quarter. The quarter also included $2.8 million of one-time benefits in the U.S., Germany and France. Source
  • Germany and France below first quarter: Germany and France revenue was below the first quarter, which included a one-time benefit of $2.5 million in Germany and $1 million in France.

“We continue to launch our therapies in multiple markets allowing us to bring TTFields therapy to many more patients who can benefit.”

Frank Leonard, CEO, Novocure

Products and patient growth

  • Global active patients rose 18%: Total active patients on TTFields therapy rose 18% year over year, with Optune Gio and Optune Lua both higher than a year earlier. Source
  • Optune Gio active patients up 11%: Optune Gio active patients rose 11% year over year, and the company reports counts for the U.S., Germany, France, Japan and other markets. Source
  • Optune Pax recorded first revenue: Optune Pax, FDA-approved for locally advanced pancreatic cancer, recognized $1.6 million of revenue in the quarter. U.S. active patients were 83 at March 31, 2026. Source
  • Optune Lua active patients up 51%: Optune Lua active patients rose 51% year over year. Recognized Optune Lua revenue was $5.4 million, with the U.S., Germany and Japan contributing $1.9 million, $1.7 million and $1.8 million. Source

Operating costs

  • R&D spending fell 8%: Research, development and clinical study expenses were $51.4 million, down 8%, with the company citing lower direct clinical trial costs from completed trials. Source
  • Sales and marketing rose 8%: Sales and marketing expenses were $61.7 million, up 8%, mainly reflecting launch costs for Optune Pax in the U.S. and Optune Lua in Japan. Source
  • G&A fell on lower share-based pay: General and administrative expenses were $39.9 million, down 9%. Share-based compensation was $17.0 million, against $26.1 million a year earlier. Source
  • First-quarter share-based charge recalled: First-quarter general and administrative expense included a $43 million non-cash share-based compensation charge tied to the Optune Pax approval. The company said the grant did not vest.

“We are well-positioned to advance our patient-forward mission while driving sustainable growth and making material progress on our path to profitability.”

Frank Leonard, CEO, Novocure

Gross margin and profitability

  • Gross margin rose to 78%: Gross margin was 78%, compared with 74% in the same period of 2025. The figure includes a one-time item in cost of revenues. Source
  • One-time tariff refund lowered costs: Cost of revenues included a one-time $4.9 million tariff refund. Cost of revenues for the quarter was $41.1 million. Source
  • First-quarter margin drivers cited: In the first quarter, the margin improvement was attributed to lower array costs from better array utilization and lower supplier prices.

Full-year 2026 guidance

  • Revenue and EBITDA guidance raised: Full-year 2026 total net revenue and adjusted EBITDA guidance were both raised in this release, as was the Optune Lua and Optune Pax contribution range. Source
  • Guidance uses June 30 exchange rates: The guidance is based on foreign exchange rates as of June 30, 2026. The prior release used rates as of March 31, 2026. Source
  • Prior Optune Gio growth assumption: The prior release assumed mid-single digit Optune Gio net revenue growth and a mid-70s percent gross margin.

Cash and balance sheet

  • Cash and short-term investments rose: Cash, cash equivalents and short-term investments were $440.6 million, compared with $432.0 million at March 31, 2026. Source
  • Credit facility balance little changed: The senior secured credit facility, net, was $195.9 million at June 30, 2026, compared with $195.0 million at December 31, 2025. Source
  • Shares outstanding increased: Shares outstanding were 116,442,465 at June 30, 2026, against 112,492,667 at December 31, 2025. Source

Launches and regulatory milestones

  • Optune Pax receives CE Mark: Optune Pax received CE Mark in June 2026 for locally advanced pancreatic cancer. Source
  • Germany first EU launch market: Germany is the first EU market to launch Optune Pax, according to the release headline. Source
  • CE Mark covers combination use: The CE Mark covers use with gemcitabine and nab-paclitaxel, in accordance with guideline recommendations. Source

Strategy and profitability path

  • Patient mission described as focus: In the prior release the CEO described the focus as bringing TTFields to patients with the most aggressive cancers and achieving sustainable growth and profitability.
  • Path to profitability cited: The CEO said the company is making material progress on its path to profitability. Source
  • Milestones reached and catalysts expected: In the first quarter the CEO said the company reached several key milestones and expected numerous catalysts later in 2026.

Coming up, as management said on 23 July 2026

  • FDA decision on brain metastases: A decision on the premarket approval application for TTFields in brain metastases from non-small cell lung cancer is listed for Q4 2026. Source
  • KEYNOTE D58 enrollment completion: Completion of enrollment in the Phase 3 KEYNOTE D58 trial in newly diagnosed glioblastoma is listed for Q4 2026. Source

Figures management reported

FigureReported
Total active patients on TTFields therapy Source5,128
Optune Gio active patients Source4,636
Optune Lua active patients Source207
Optune Pax active patients (U.S.) Source285
Optune Pax prescriptions in the quarter Source418

Earlier plans management reported on

  • Not stated: The same Q4 2026 timing appears in the prior release; the documents give no status update. Source
  • Not stated: The same Q4 2026 enrollment timing appears in the prior release; the documents give no status update. 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.