greeksoup/ stock research

Tarsus Pharmaceuticals, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 23 February 2026: press release. Guidance figures: 3 new. The quarter’s numbers.

Key takeaways

  • XDEMVY sales grew sharply in 2025: Full-year net product sales of XDEMVY were $451.4 million, against $180.1 million in 2024. The company attributed the increase to more bottles delivered to patients. Source
  • Fourth-quarter product sales more than doubled: Fourth-quarter product sales were $151.7 million, against $66.4 million a year earlier. Management cited more bottles delivered and a better gross-to-net discount from greater payer coverage. Source
  • Europe approval expected in 2027: Management said XDEMVY is on track for potential approval in Europe of a preservative-free formulation in 2027. Source
  • Fourth-quarter SG&A rose on promotion: SG&A was $130.7 million, up from $69.0 million, mainly from $31.2 million of commercial and marketing costs, including DTC advertising, for the XDEMVY launch. Source
  • Category-creation model applied to pipeline: Management said its XDEMVY model, combining science, commercial execution and strategic investment, is now applied across the pipeline in ocular rosacea and Lyme disease prevention. Source
  • TP-04 ocular rosacea Phase 2 initiated: A Phase 2 trial of TP-04, a gel formulation, has been initiated for ocular rosacea. Topline data are expected in the first half of 2027. Source
  • TP-05 Lyme trial planned for Q2 2026: A Phase 2 study of TP-05, an oral tablet designed to kill ticks, is expected to start in the second quarter of 2026, with the aim of preventing Lyme disease transmission. Source
  • Cash and securities of $417.3 million: Cash, cash equivalents and marketable securities totaled $417.3 million at December 31, 2025. Source

“XDEMVY has driven a fundamental shift in eye care”

Bobak Azamian, M.D., Ph.D., Chief Executive Officer and Chairman of Tarsus

Guidance

AreaPeriodFigureAgainst last quarter
XDEMVY peak sales potential Sourcelong termmore than $2 billionNew
TP-04 Phase 2 topline data timing Source1H 20271H 2027
TP-05 Phase 2 initiation SourceQ2 2026Q2 2026
XDEMVY approval in Europe (preservative-free formulation) Source20272027New
XDEMVY approval in Greater China (partner expectation) Source20262026New

What changed from last quarter

  • New: David E.I. Pyott, former Chief Executive Officer and Chairman of Allergan, was appointed to the Board of Directors. Source
  • New guidance: Management provided an expected XDEMVY peak sales potential of more than $2 billion. The prior release contained no such figure. Source
  • New: A Phase 2 trial of TP-04 for ocular rosacea has been initiated. The prior release planned the start for December 2025. Source

Full-year and fourth-quarter results

  • XDEMVY sales grew sharply in 2025: Full-year net product sales of XDEMVY were $451.4 million, against $180.1 million in 2024. The company attributed the increase to more bottles delivered to patients. Source
  • Fourth-quarter product sales more than doubled: Fourth-quarter product sales were $151.7 million, against $66.4 million a year earlier. Management cited more bottles delivered and a better gross-to-net discount from greater payer coverage. Source
  • Net loss narrowed year on year: The company reported a fourth-quarter net loss of $8.4 million, against $23.1 million. The full-year net loss was $66.4 million, against $115.6 million in 2024. Source
  • Per-share loss narrowed: Basic and diluted net loss per share was $(1.59) for the full year, against $(3.07) in 2024. The fourth-quarter figure was $(0.20), against $(0.60). Source

Product, demand and patients

  • Fourth-quarter bottles more than doubled: Management reported about 130,000 XDEMVY bottles delivered to patients in the fourth quarter, compared with about 58,500 a year earlier. Source
  • Payer coverage held above 90%: Coverage of commercial, Medicare and Medicaid lives was kept above 90%. The gross-to-net discount was about 44% in the fourth quarter and 45% for the year. Source
  • Direct-to-consumer campaign showed positive return: The DTC campaign on streaming platforms and network television produced a positive return on investment in 2025. Management said the return continues to grow. Source
  • Unaided awareness rose to 25%: Unaided awareness of Demodex blepharitis is now about 25%, against 2% of patients surveyed at the start of the campaign. Source

“In just two years, we have built broad access, changed how physicians treat, and established a durable and growing franchise, giving us confidence in a clear potential path to peak sales exceeding $2 billion.”

Bobak Azamian, M.D., Ph.D., Chief Executive Officer and Chairman of Tarsus

Regions and regulatory path

  • Europe approval expected in 2027: Management said XDEMVY is on track for potential approval in Europe of a preservative-free formulation in 2027. Source
  • Greater China approval expected in 2026: The partner in Greater China, Grand Pharmaceutical Group Ltd., expects potential approval of XDEMVY in 2026. Source
  • Japan approval path still in discussion: Discussions with Japanese regulatory authorities on a potential path to approval are ongoing. No timing was given. Source

Costs, margins and pricing

  • Gross margin held at 93%: Cost of sales rose to $10.9 million in the fourth quarter, from $4.9 million, on XDEMVY manufacturing, royalty and milestone amortization. Gross margin was 93% in both periods. Source
  • Fourth-quarter SG&A rose on promotion: SG&A was $130.7 million, up from $69.0 million, mainly from $31.2 million of commercial and marketing costs, including DTC advertising, for the XDEMVY launch. Source
  • Full-year SG&A rose with launch spending: Full-year SG&A was $427.3 million, against $237.3 million. Commercial and marketing costs were $112.6 million, and patient support, IT, legal and professional costs were $46.8 million. Source
  • R&D rose modestly on personnel costs: R&D was $18.0 million in the fourth quarter, up from $16.9 million, with $3.7 million of payroll and personnel costs as the main increase. Full-year R&D was $64.3 million. Source

“We are now applying that proven framework across our pipeline in ocular rosacea and Lyme disease prevention with the goal of establishing additional new standards of care.”

Bobak Azamian, M.D., Ph.D., Chief Executive Officer and Chairman of Tarsus

Pipeline and strategy

  • Category-creation model applied to pipeline: Management said its XDEMVY model, combining science, commercial execution and strategic investment, is now applied across the pipeline in ocular rosacea and Lyme disease prevention. Source
  • TP-04 ocular rosacea Phase 2 initiated: A Phase 2 trial of TP-04, a gel formulation, has been initiated for ocular rosacea. Topline data are expected in the first half of 2027. Source
  • TP-05 Lyme trial planned for Q2 2026: A Phase 2 study of TP-05, an oral tablet designed to kill ticks, is expected to start in the second quarter of 2026, with the aim of preventing Lyme disease transmission. Source

Cash, balance sheet and capital

  • Cash and securities of $417.3 million: Cash, cash equivalents and marketable securities totaled $417.3 million at December 31, 2025. Source
  • Equity rose with more shares outstanding: Total stockholders’ equity was $343.4 million at year-end, against $224.5 million a year earlier. Shares outstanding rose to 42.6 million from 38.3 million. Source
  • Long-term debt held near $72 million: Long-term debt, net was $72.4 million at December 31, 2025, against $71.8 million a year earlier. Source
  • Receivables rose with product sales: Accounts receivable, net rose to $85.1 million from $46.8 million at the prior year-end. Source

Leadership and board

  • Former Allergan chief joins board: David E.I. Pyott, former Chief Executive Officer and Chairman of Allergan, was appointed to the Board of Directors. The release cites his role in growing Allergan to over $7 billion in revenue. Source

Coming up, as management said on 23 February 2026

  • TP-05 Phase 2 start: A Phase 2 study of TP-05 for Lyme disease prevention is expected to start in the second quarter of 2026. Source
  • TP-04 topline data: Topline data from the TP-04 Phase 2 trial in ocular rosacea are expected in the first half of 2027. Source
  • Greater China approval: The partner in Greater China expects potential approval of XDEMVY in 2026. Source

Figures management reported

FigureReported
XDEMVY net product sales, fourth quarter 2025 Source$151.7 million
XDEMVY net product sales, full-year 2025 Source$451.4 million
XDEMVY bottles delivered, fourth quarter 2025 Sourceapproximately 130,000
XDEMVY bottles delivered, full-year 2025 Sourceapproximately 400,000
Gross-to-net discount, fourth quarter and full-year 2025 Sourceapproximately 44% and 45%
R&D expenses, fourth quarter 2025 Source$18.0 million
R&D expenses, full-year 2025 Source$64.3 million
TP-04 Phase 2 topline data timing Source1H 2027
TP-05 Phase 2 initiation timing SourceQ2 2026
XDEMVY preservative-free formulation approval timing, Europe Source2027
XDEMVY potential approval timing, Greater China Source2026

Earlier plans management reported on

  • On track: Management said the TP-03 global expansion remains on track. Source
  • Not stated: Management reports the TP-04 Phase 2 trial as initiated. The prior release planned the start for December 2025. Source
  • Not stated: Management expects to start the TP-05 Phase 2 study in the second quarter of 2026. The prior release said 2026. 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.