Zevra Therapeutics
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Zevra Therapeutics (ZVRA) investor relations material

Zevra Therapeutics Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary3 Nov, 2026

Executive summary

  • Q3 2026 net revenue rose 45% YoY to $37.8 million, including $34.0 million from MIPLYFFA; net income was $19.2 million.

  • Priorities include expanding MIPLYFFA access, pursuing European access to arimoclomol, and advancing celiprolol for vascular Ehlers-Danlos syndrome.

Financial highlights

  • Q3 revenue was $37.8 million versus $26.1 million in Q3 2025; operating expenses were $24.1 million, including $4.9 million R&D and $19.1 million SG&A.

  • Q3 net income was $19.2 million, or $0.31 basic and $0.26 diluted EPS, versus a $0.5 million net loss and $0.01 loss per share in Q3 2025.

  • Nine-month revenue was $113.6 million versus $72.3 million; reported net income was $65.9 million versus $71.1 million in 2025.

  • Nine-month operating cash flow was $33.2 million versus cash used of $7.1 million in 2025; investing cash flow was $76.2 million and financing cash use was $49.7 million.

Outlook and guidance

  • FDA feedback supports a planned MIPLYFFA sNDA for patients under 24 months in Q1 2027; this age group is estimated at ~5% of the addressable market.

  • A CHMP opinion on arimoclomol re-examination is expected in Q4 2026; the re-examination outcome remains pending.

  • The celiprolol team is developing a statistical analysis plan incorporating retrospective real-world data, with further FDA discussion intended for H1 2027.

  • Available resources were considered sufficient for existing and planned capital needs for at least the next 12 months; near-term cash flow may be minimal or negative.

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Frequently asked questions

Zevra Therapeutics Inc., previously known as KemPharm Inc., is a biopharmaceutical company specializing in the development of proprietary prodrugs for the treatment of serious medical conditions, with a focus on rare diseases. The company utilizes its Ligand Activated Therapy technology to create enhanced versions of FDA-approved drugs and new compounds for potential new disease indications. Zevra's product pipeline includes KP1077, designed for the treatment of idiopathic hypersomnia (IH) and narcolepsy, and KP879 for stimulant use disorder, both in Phase II clinical trials. Additionally, Zevra has FDA-approved products like AZSTARYS for attention deficit hyperactivity disorder and APADAZ, a combination treatment containing a prodrug of hydrocodone and acetaminophen. The company is headquartered in Celebration, Florida, and its shares are listed on the NASDAQ.