greeksoup/ stock research

Pfizer 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

  • Revenue up 5% reported, 2% operational: First-quarter revenue was $14.5 billion, up 5% reported and 2% operationally. Excluding Comirnaty and Paxlovid, revenue grew 7% operationally. Launched and acquired products grew 22% operationally. Source
  • Adjusted EPS down 18% year over year: Reported diluted EPS was $0.47, down 10%. Adjusted diluted EPS was $0.75 against $0.92, down 18%. Reported net income was $2,687 million against $2,967 million. Source
  • Padcev revenue up 39%: Padcev revenue was $591 million, up 39% operationally, on higher share in first-line locally advanced or metastatic urothelial cancer and launch momentum in cisplatin-ineligible bladder cancer. Source
  • Braftovi full FDA approval in colorectal cancer: The FDA granted full approval to Braftovi with cetuximab and fluorouracil-based chemotherapy for first-line BRAF V600E metastatic colorectal cancer, based on the BREAKWATER trial. Source
  • Lyme vaccine statistical criterion not met: VALOR showed 73.2% efficacy, but the 95% CI lower bound fell short of the pre-set criterion in the first pre-specified analysis. The vaccine was well tolerated. Source

“I’m particularly encouraged by what we're seeing in oncology and obesity, two areas where I believe Pfizer is positioned to lead.”

Dr. Albert Bourla, Chairman and CEO of Pfizer

Guidance

AreaPeriodFigureAgainst last quarter
Revenues Sourcefull-year 2026$59.5 to $62.5 billionKept
Adjusted diluted EPS Sourcefull-year 2026$2.80 to $3.00Kept
Adjusted SI&A expenses Sourcefull-year 2026$12.5 to $13.5 billionKept
Adjusted R&D expenses Sourcefull-year 2026$10.5 to $11.5 billionKept
Effective tax rate on adjusted income Sourcefull-year 2026Approximately 15.0%Kept
Diluted weighted-average shares Sourcefull-year 2026approximately 5.74 billion sharesKept
Revenue impact from generic and biosimilar competition Sourcefull-year 2026approximately $1.5 billion unfavorableKept
Pivotal study starts Source2026~20 key pivotal studiesKept

What changed from last quarter

  • Guidance kept: All components of full-year 2026 guidance were reaffirmed, including revenues and adjusted diluted EPS. Source
  • New: Off-patent sterile injectables and biosimilars moved into a new Hospital and Biosimilars portfolio and division within Biopharma. Source
  • Ended: Pfizer completed its exit from its 11.7% ViiV Healthcare investment and received $1.875 billion in proceeds. Source
  • New: Vyndamax patent settlements extend the effective U.S. patent expiry to June 1, 2031, and revenues are now expected to stay relatively stable through mid-2031. Source
  • New: Pfizer obtained exclusive China commercialization rights to Sciwind's ecnoglutide, a GLP-1 receptor agonist, which launched in China on April 27, 2026. Source
  • New: Pfizer joined TrumpRx.gov with more than 30 medicines at discounts off list prices, under its Most Favored Nation agreement with the U.S. government. Source

Results and growth drivers

  • Revenue up 5% reported, 2% operational: First-quarter revenue was $14.5 billion, up 5% reported and 2% operationally. Excluding Comirnaty and Paxlovid, revenue grew 7% operationally. Launched and acquired products grew 22% operationally. Source
  • Adjusted EPS down 18% year over year: Reported diluted EPS was $0.47, down 10%. Adjusted diluted EPS was $0.75 against $0.92, down 18%. Reported net income was $2,687 million against $2,967 million. Source
  • Operational growth drivers named: The operational increase was driven by Padcev, Eliquis, oncology biosimilars, Nurtec and several other products, partly offset by lower COVID-19 product revenue. Source
  • Favorable FX added to reported growth: Foreign exchange added $431 million to revenue, on top of a $304 million operational increase, so reported growth exceeded operational growth. Source

Segments and regions

  • Biopharma revenue up 5% reported: Biopharma revenue was $14,161 million, up 5% reported and 2% operationally. Pfizer CentreOne revenue was $289 million, up 6% reported. Source
  • U.S. up, international down operationally: U.S. revenue was $8,731 million, up 4%. International revenue was $5,719 million, up 7% reported but down 1% operationally. Source
  • Specialty Care grew on Vyndaqel: Specialty Care revenue was $2,939 million, up 12% reported and 8% operationally. International growth in Vyndaqel offset U.S. declines in that family. Source
  • Hospital and Biosimilars grew 10%: Hospital and Biosimilars revenue was $1,854 million, up 13% reported and 10% operationally. U.S. revenue in this portfolio rose 32%. Source
  • Primary Care down on COVID products: Primary Care revenue was $5,542 million, down 3% reported and 6% operationally, with lower Comirnaty and Paxlovid sales. Source

“This quarter, I’m particularly pleased with the 22% year-over-year operational revenue growth from our launched and acquired products (1).”

David Denton, CFO and EVP of Pfizer

Products and customers

  • Padcev revenue up 39%: Padcev revenue was $591 million, up 39% operationally, on higher share in first-line locally advanced or metastatic urothelial cancer and launch momentum in cisplatin-ineligible bladder cancer. Source
  • Launched product list named: The company names Prevnar 20 (Pediatrics), Abrysvo, Elrexfio, Cibinqo, Talzenna, Litfulo, Ngenla, Hympavzi, Penbraya Adolescent and Lorbrena among its launched products. Source
  • Xeljanz growth on U.S. net price: Xeljanz revenue rose 34% operationally, driven by favorable U.S. net price, partly offset by lower international demand. Source
  • Eliquis up despite generic entry: Eliquis revenue was $2,166 million, up 8% operationally, on higher demand, partly offset by generic entry and price erosion in some international markets. Source
  • Abrysvo up on lower returns provision: Abrysvo revenue rose 31% operationally, mainly from a lower U.S. returns provision than a year earlier, partly offset by lower vaccine rates. Source

Costs

  • Cost of sales up 25% reported: Reported cost of sales was $3,548 million, or 24.6% of revenues. The increase reflects the non-recurrence of a favorable royalty estimate revision and unfavorable foreign exchange. Source
  • SI&A fell on lower promotion: Reported SI&A expenses were $2,961 million, down 2% reported and 4% operationally, reflecting more targeted marketing spend and productivity gains. Source
  • Adjusted other deductions rose 58%: Adjusted other deductions, net, were $388 million against $246 million a year earlier. Source

“Our first-quarter results are attributable to our solid commercial performance globally as well as our ongoing focus on operational efficiency.”

David Denton, CFO and EVP of Pfizer

Margins and pricing

  • Adjusted cost of sales at 23.6% of revenue: Adjusted cost of sales was $3,406 million, or 23.6% of revenues, against 18.9% a year earlier. Source
  • Adjusted tax rate rose to 16.9%: The effective tax rate on adjusted income was 16.9%, against 7.8%. The reported effective rate was 14.6%, against (6.8%) a year earlier. Source
  • U.S. net price helped several products: Oncology biosimilars rose 52% operationally on favorable U.S. net price and supply recovery, with both drivers partly one-time. Source
  • U.S. Vyndaqel net price eroded: U.S. Vyndaqel family revenue declined on net price erosion from new payer contracts, partly offset by continued market expansion. Source

Pipeline and regulatory milestones

  • Braftovi full FDA approval in colorectal cancer: The FDA granted full approval to Braftovi with cetuximab and fluorouracil-based chemotherapy for first-line BRAF V600E metastatic colorectal cancer, based on the BREAKWATER trial. Source
  • Elrexfio Phase 3 met PFS endpoint: MagnetisMM-5 met its primary PFS endpoint for Elrexfio monotherapy versus daratumumab plus pomalidomide and dexamethasone in relapsed or refractory multiple myeloma. Source
  • Atirmociclib Phase 2 met PFS endpoint: FOURLIGHT-1 met its primary PFS endpoint for atirmociclib plus fulvestrant in HR-positive advanced breast cancer after prior CDK4/6 therapy. Source
  • Lyme vaccine statistical criterion not met: VALOR showed 73.2% efficacy, but the 95% CI lower bound fell short of the pre-set criterion in the first pre-specified analysis. The vaccine was well tolerated. Source
  • Padcev bladder trial showed lower risk: The EV-304 trial showed perioperative Padcev plus pembrolizumab reduced the risk of tumor recurrence, progression or death, with a hazard ratio of 0.53. Source

Capital, cash and returns

  • Internal R&D and deals funded: In the first three months of 2026, Pfizer invested $2.5 billion in internal R&D projects and about $110 million in business development transactions. Source
  • Dividends of $2.4 billion paid: Pfizer returned $2.4 billion in cash dividends in the quarter, equal to $0.43 per common share. Source
  • No buybacks yet; authorization remains: No share repurchases were completed in 2026 to date. The remaining authorization was $3.3 billion as of May 5, 2026. Source
  • De-levering over the longer term: The company expects to continue to de-lever over the longer term in a prudent manner to keep a balanced capital allocation strategy. Source

Organization and strategy

  • Prior periods reclassified to new structure: Segment amounts for prior periods were reclassified to conform to the new Biopharma commercial structure effective January 1, 2026. Source
  • Ecnoglutide milestones payable to partner: Sciwind Biosciences remains the marketing authorization holder and is eligible for up to $495 million in upfront, regulatory and sales milestone payments. Source
  • Atirmociclib strategy in earlier disease: Management said the atirmociclib data support advancing it in first-line and early-stage disease, where durable endocrine-based control could have the greatest impact. Source

Coming up, as management said on 5 May 2026

  • Hympavzi FDA decision in Q2: The FDA set a PDUFA action date for the Hympavzi label expansion in the second quarter of 2026. Source
  • Padcev bladder cancer decision August 17: The FDA set a PDUFA target action date of August 17, 2026 for the Padcev regimen in muscle-invasive bladder cancer regardless of cisplatin eligibility. Source
  • European decision on Hympavzi in coming months: The European Commission will review the CHMP positive opinion on Hympavzi and is expected to decide in the coming months. Source
  • Lyme vaccine regulatory submissions planned: Pfizer and Valneva plan submissions for the Lyme disease vaccine candidate to regulatory authorities. Source

Figures management reported

FigureReported
Padcev revenue growth (operational) Sourceup 39%
Eliquis revenue growth (operational) Sourceup 8%
Oncology biosimilars revenue growth (operational) Sourceup 52%
Comirnaty revenue change (operational) Sourcedown 59%
Paxlovid revenue change (operational) Sourcedown 63%
Vyndaqel family revenue growth (operational) Sourceup 4%
R&D expenses (reported) Source$2,490 million, up 12% operationally
Braftovi FDA status Sourcefull approval
Elrexfio Phase 3 MagnetisMM-5 result Sourcepositive topline PFS
Atirmociclib Phase 2 hazard ratio SourceHR 0.60
Lyme vaccine efficacy (VALOR) Source73.2% from 28 days post-dose 4

Risks management discussed

  • Operational: Fewer Lyme disease cases than expected accrued in VALOR, which affected the statistical result of the first pre-specified analysis. Source
  • External: Guidance assumes about $1.5 billion of revenue impact from generic and biosimilar competition for products that lost or will lose protection. Source
  • Regulatory: Comirnaty U.S. utilization fell because of a narrower vaccination recommendation. Source
  • Financial: Legal expenses for products discontinued or divested by Pfizer, mainly product liability, were included in other deductions in the quarter. Source
  • Financial: Reported cost of sales carried an unfavorable foreign exchange impact alongside the non-recurrence of a prior royalty revision. Source

Earlier plans management reported on

  • On track: Phase 3 planning for tilrekimig in atopic dermatitis is ongoing, with a pivotal study on track to start this year. 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.