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X4 Pharmaceuticals (XFOR) investor relations material
X4 Pharmaceuticals Q3 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q3 2026 revenue rose to $2.9M from $1.8M YoY, driven by U.S. product sales; net loss narrowed to $20.2M from $29.8M.
4WARD enrollment is on track to reach 126 participants in Q4 2026 after FDA feedback supported the reduced target; topline data are expected in Q1 2028.
Cash, cash equivalents and marketable securities totaled $187.7M at September 30, 2026, with runway expected into Q1 2029.
Financial highlights
Q3 product revenue was $2.8M versus $1.6M YoY; 9M product revenue was $7.6M versus $4.3M, reflecting more patients prescribed XOLREMDI.
9M total revenue was $14.4M versus $32.5M YoY; 2025 included $27.6M from the Norgine license, while 2026 included a $5.5M license milestone.
Q3 net loss was $20.2M, or $0.16 per share, versus $29.8M, or $0.69 per share; 9M net loss was $56.6M, or $0.45 per share, versus $55.3M, or $2.87 per share.
Q3 operating loss was $20.0M versus $27.5M; 9M operating loss was $56.7M versus $63.2M.
Q3 R&D and G&A expenses were $13.3M and $9.0M; 9M expenses were $43.9M and $24.5M, respectively, both lower YoY.
Outlook and guidance
4WARD enrollment of 126 participants is expected to finish in Q4 2026; topline data are expected in Q1 2028, supporting potential FDA approval in late 2028 or early 2029.
The Phase 2b 4STEPS trial plans to enroll ~25 PCN patients beginning in Q1 2027, with topline results expected in Q1 2028.
Cash runway is expected into Q1 2029; additional term-loan advances remain subject to lender discretion and covenant compliance.
- Mavorixafor’s PCN opportunity pairs a ~15,000-patient base with Q1 2028 readouts.XFOR
Investor Day 2026 - 4WARD topline data are expected in H1 2028, backed by Phase 2 evidence of ANC gains and reduced G-CSF use.XFOR
Corporate presentation - Phase III enrollment nears completion, with launch targeted for late 2028 or early 2029.XFOR
Wells Fargo 21st Annual Healthcare Conference - Q2 2026 revenue was $8.8M, net loss improved, and cash runway extends into 2029.XFOR
Q2 2026 - XOLREMDI launch gains traction as Phase 3 CN trial advances and global expansion plans progress.XFOR
Stifel 2024 Healthcare Conference - Advancing an oral therapy for chronic neutropenia with pivotal data in 2027 and FDA approval targeted for 2028.XFOR
Jefferies Global Healthcare Conference 2026 - Up to $75M in at-the-market stock sales will fund clinical trials amid significant dilution risk.XFOR
Registration filing - Q2 net income hit $90.8M on $105M PRV sale and XOLREMDI U.S. launch.XFOR
Q2 2024 - Mavorixafor durably increased ANC and showed good tolerability in chronic neutropenia Phase 2.XFOR
Study Update
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