Phathom Pharmaceuticals
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Phathom Pharmaceuticals (PHAT) investor relations material

Phathom Pharmaceuticals Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary30 Jul, 2026

Executive summary

  • Achieved first-ever positive operating profit in Q2 2026 (excluding stock-based compensation), reversing a $50M+ operating loss in Q2 2025.

  • Q2 2026 net revenues reached $74.3M, up 88% year-over-year and 27% sequentially, driven by strong VOQUEZNA performance.

  • Approximately 1.7M VOQUEZNA prescriptions filled since launch, with 325,000 in Q2 2026; 64% covered and 36% cash pay.

  • Company maintains confidence in $1B revenue potential from GI-first strategy and an additional $1B from primary care expansion.

  • Completed enrollment ahead of schedule in EoE Phase II trial; topline data expected in Q4 2026.

Financial highlights

  • Q2 2026 net revenues: $74.3M, up $34.8M (88%) year-over-year and $16M (27%) sequentially from Q1 2026.

  • Gross profit margin steady at ~80%; gross-to-net discount at lower end of 55%-59% guidance.

  • Cash and cash equivalents stood at $182.5M as of June 30, 2026, up $1.6M from Q1 2026.

  • Cash operating expenses (excl. stock comp): $56.4M in Q2, down $29.7M (34%) year-over-year.

  • Net loss for Q2 2026 was $17.6M, significantly improved from $75.8M in Q2 2025.

Outlook and guidance

  • Updated full-year 2026 revenue guidance to $310M–$325M, reflecting continued growth but fine-tuned for observed prescription friction.

  • Gross-to-net discount expected to remain within 55%-59%; gross margin anticipated at ~80%.

  • Cash operating expense guidance for 2026 (excl. stock comp): $235M–$245M.

  • Expects to achieve operating profitability for the remainder of 2026 and full year, excluding stock-based compensation.

  • Anticipates cash flow positivity in 2027.

Drivers for achieving 2027 cash flow positivity
Evolution of the covered versus cash-pay TRX mix
Exclusivity potential of the EoE indication
Phase 2 EoE trial status and topline timeline
Hercules minimum cash covenant decrease trigger
Revenue interest royalty step-down triggers
VOQUEZNA covered vs total prescription trends
Exclusivity extension potential from EoE trial
Cash sufficiency for debt and operations
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