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TG Therapeutics, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 6 May 2026: press release. Guidance figures: 2 raised, 1 new, 2 kept. The quarter’s numbers.

Key takeaways

  • Q1 BRIUMVI revenue $194.8 million, up 63% year-over-year: BRIUMVI U.S. net product revenue reached $194.8 million in Q1 2026 versus prior year Q1, representing 63% quarterly growth and total product revenue of $201.3 million including $6.5 million international sales. Source
  • Record new patient starts show early adoption curve: CEO attributed revenue growth to strong underlying demand, record new patient starts, and consistent commercial execution, reinforcing belief company remains early in BRIUMVI adoption curve. Source
  • Q2 2026 BRIUMVI guidance set at $220 million U.S.: Company provided Q2 2026 BRIUMVI U.S. net product revenue guidance of approximately $220 million, implying 13% sequential growth from Q1 actual. Source
  • Subcutaneous BRIUMVI Phase 3 enrollment completed: Completed patient enrollment into randomized Phase 3 pivotal program evaluating subcutaneous BRIUMVI formulation, with topline data expected year-end 2026 or Q1 2027. Source
  • ENHANCE consolidated dosing Phase 3 enrollment complete: Completed patient enrollment into Phase 3 pivotal program evaluating consolidated Day 1 and Day 15 dosing regimen for IV BRIUMVI in ENHANCE trial, with topline data expected mid-year 2026. Source
  • Cash position increased to $572.8 million from $199.5 million: Cash, cash equivalents and investment securities were $572.8 million as of March 31, 2026, up substantially from $199.5 million at December 31, 2025, driven by $500 million non-dilutive capital from Blue Owl and operational cash generation. Source
  • Share repurchase program expanded and actively deployed: Expanded second share repurchase program from $100 million to $300 million authorization. Repurchased $100 million in Q1 2026 at average $29.28 per share. Total repurchased since program inception in 2024 is $200 million. Source

“We are off to a strong start in 2026, with BRIUMVI performance exceeding expectations and momentum continuing to build. Growth is being driven by strong underlying demand, record new patient starts, and consistent commercial execution - reinforcing our belief that we remain early in the adoption curve for BRIUMVI.”

Michael S. Weiss, Chairman and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Full year 2026 total global revenue Sourcefiscal year 2026approximately $925 millionRaised from $875-900 million
Second quarter 2026 BRIUMVI U.S. net product revenue Sourcesecond quarter 2026approximately $220 millionNew
Full year 2026 operating expense (R&D and SG&A) excluding non-cash Sourcefiscal year 2026approximately $350 millionKept
Full year 2026 subcutaneous BRIUMVI manufacturing and start-up costs Sourcefiscal year 2026approximately $100 millionKept
Full year 2026 BRIUMVI U.S. net product revenue Sourcefiscal year 2026$885-900 millionRaised from $825-850 million

What changed from last quarter

  • Guidance raised: Full year 2026 total global revenue guidance raised to approximately $925 million from $875-900 million, reflecting BRIUMVI performance exceeding expectations. Source
  • New guidance: Provided Q2 2026 BRIUMVI U.S. net product revenue guidance of approximately $220 million for first time, indicating continued momentum. Source
  • New: Secured additional $500 million non-dilutive capital from Blue Owl Capital Partners, raising total cash to $572.8 million. Source
  • New: Expanded share repurchase program authorization from $100 million to $300 million, with $200 million remaining after $100 million repurchased in Q1. Source
  • Guidance raised: Full year 2026 BRIUMVI U.S. net product revenue guidance raised to $885-900 million from $825-850 million, increase of $60-75 million on strong Q1. Source

BRIUMVI Revenue and Commercial Momentum

  • Q1 BRIUMVI revenue $194.8 million, up 63% year-over-year: BRIUMVI U.S. net product revenue reached $194.8 million in Q1 2026 versus prior year Q1, representing 63% quarterly growth and total product revenue of $201.3 million including $6.5 million international sales. Source
  • Record new patient starts show early adoption curve: CEO attributed revenue growth to strong underlying demand, record new patient starts, and consistent commercial execution, reinforcing belief company remains early in BRIUMVI adoption curve. Source
  • Q2 2026 BRIUMVI guidance set at $220 million U.S.: Company provided Q2 2026 BRIUMVI U.S. net product revenue guidance of approximately $220 million, implying 13% sequential growth from Q1 actual. Source

Pipeline Development and Clinical Milestones

  • Subcutaneous BRIUMVI Phase 3 enrollment completed: Completed patient enrollment into randomized Phase 3 pivotal program evaluating subcutaneous BRIUMVI formulation, with topline data expected year-end 2026 or Q1 2027. Source
  • ENHANCE consolidated dosing Phase 3 enrollment complete: Completed patient enrollment into Phase 3 pivotal program evaluating consolidated Day 1 and Day 15 dosing regimen for IV BRIUMVI in ENHANCE trial, with topline data expected mid-year 2026. Source
  • Azer-cel Phase 1 enrollment ongoing in progressive MS: Continued enrollment of patients with progressive multiple sclerosis into Phase 1 clinical trial evaluating azer-cel, with preliminary data presentation expected H2 2026. Source
  • Plans for BRIUMVI in myasthenia gravis and exploratory indications: Company plans to commence potentially registration-directed trial for BRIUMVI in Myasthenia Gravis and additional exploratory studies for BRIUMVI and azer-cel in autoimmune disease outside MS. Source

“Based on this performance, we are significantly increasing our full-year U.S. BRIUMVI revenue guidance to $885-900 million and continue to see the brand as having a multi-billion-dollar potential before considering the impact of a subcutaneous BRIUMVI currently under development.”

Michael S. Weiss, Chairman and Chief Executive Officer

Operating Expenses and Cost Management

  • Full year operating expense guidance of $350 million maintained: Full year 2026 target operating expense defined as R&D and SG&A of approximately $350 million excluding non-cash compensation, plus $100 million for subcutaneous manufacturing. Source

Cash Position and Capital Resources

  • Cash position increased to $572.8 million from $199.5 million: Cash, cash equivalents and investment securities were $572.8 million as of March 31, 2026, up substantially from $199.5 million at December 31, 2025, driven by $500 million non-dilutive capital from Blue Owl and operational cash generation. Source
  • Share repurchase program expanded and actively deployed: Expanded second share repurchase program from $100 million to $300 million authorization. Repurchased $100 million in Q1 2026 at average $29.28 per share. Total repurchased since program inception in 2024 is $200 million. Source
  • Sufficient liquidity to fund operations under current plan: Company stated cash position combined with projected BRIUMVI revenues will be sufficient to fund business based on current operating plan. Source

International Expansion and Medical Publications

  • Neuraxpharm partner sales of $6.5 million in Q1 2026: BRIUMVI sales to ex-U.S. licensing partner Neuraxpharm totaled $6.5 million in Q1 2026. BRIUMVI approved in European Union, United Kingdom, Switzerland, Australia, Kuwait and UAE. Source

Profitability and Bottom Line Results

  • Net income increased to $19.8 million from $5.1 million: Net income for Q1 2026 was $19.8 million compared to $5.1 million in Q1 2025, as BRIUMVI revenue growth outpaced expense increases. Diluted EPS was $0.12 versus $0.03 prior year. Source

Coming up, as management said on 6 May 2026

  • ENHANCE trial Phase 3 topline data expected mid-year 2026: Management will announce topline Phase 3 data for ENHANCE trial evaluating consolidated Day 1 and Day 15 dosing regimen for IV BRIUMVI. Source
  • Azer-cel preliminary Phase 1 data expected second half 2026: Management will present preliminary Phase 1 azer-cel data in patients with progressive multiple sclerosis in H2 2026. Source
  • Subcutaneous BRIUMVI Phase 3 topline year-end 2026 or Q1 2027: Management will announce topline Phase 3 pivotal data for subcutaneous BRIUMVI formulation year-end 2026 or first quarter 2027. Source
  • Registration-directed trial for BRIUMVI in myasthenia gravis: Management plans to commence a potentially registration-directed clinical trial for BRIUMVI in myasthenia gravis. Source
  • Exploratory studies for indications beyond multiple sclerosis: Management will commence additional exploratory studies for BRIUMVI and azer-cel in autoimmune disease indications outside of MS. Source

Figures management reported

FigureReported
BRIUMVI U.S. net product revenue Source$194.8 million Q1 2026, 63% YoY growth
Total product revenue including international partner sales Source$201.3 million Q1 2026
Subcutaneous BRIUMVI Phase 3 development status SourceEnrollment completed; topline data year-end 2026/Q1 2027
ENHANCE IV BRIUMVI consolidated dosing Phase 3 trial SourceEnrollment completed; topline data expected mid-year 2026
Azer-cel Phase 1 in progressive multiple sclerosis SourceEnrollment ongoing; preliminary data H2 2026
Full year 2026 R&D and SG&A operating expenses SourceApproximately $350 million excluding non-cash compensation
Subcutaneous BRIUMVI manufacturing and related expenses SourceApproximately $100 million full year 2026
Full year 2026 BRIUMVI U.S. revenue guidance Source$885-900 million, raised from $825-850 million

Risks management discussed

  • Operational: Risk that company's reliance on third-party manufacturers and suppliers constrains ability to meet market demand. Source
  • Operational: Risk that company does not achieve 2026 pipeline development milestones for subcutaneous ublituximab, ENHANCE trial, MG trial, or azer-cel programs. Source
  • Regulatory: Risk that subcutaneous BRIUMVI Phase 3 program will not succeed or achieve regulatory approval and commercial acceptance. Source
  • Regulatory: Risk that ENHANCE Phase 3 trial will not succeed or achieve regulatory approval and commercial acceptance. Source
  • Regulatory: Risk that real-world patient experience differs from controlled clinical trial results for ULTIMATE I and II. Source

Earlier plans management reported on

  • On track: Company maintained $350 million operating expense target from February 2026 guidance, with full year still to come. Source
  • On track: Company provided timeline for three pipeline programs in February guidance; Q1 update confirms enrollment completion in ENHANCE and subcutaneous Phase 3 trials, indicating programs on schedule. 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.