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Medexus Pharmaceuticals (MDP) Q4 2024 earnings summary

Event summary combining transcript, slides, and related documents.

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Q4 2024 earnings summary

23 Apr, 2026

Executive summary

  • Achieved record annual revenue of $113.1M for fiscal 2024, up 4.6% year-over-year, driven by Gleolan sales and strong Rupall demand.

  • Record adjusted EBITDA of $19.5M for fiscal 2024, up 20.9% year-over-year, reflecting revenue growth and reduced operating expenses.

  • Fiscal Q4 2024 revenue was $26M, down 9.1% year-over-year, with adjusted EBITDA of $4.4M and net income of $0.8M.

  • Leadership changes include new CFO and COO to support future growth and US commercialization.

  • FDA accepted Treosulfan NDA for review, with a decision expected by October 30, 2024, potentially enabling a US launch in early fiscal 2026.

Financial highlights

  • Full-year revenue increased to $113.1M from $108.1M, while Q4 revenue declined 9.1% year-over-year to $26M.

  • Gross profit for the year was $59.5M, with a gross margin of 52.6%.

  • Adjusted EBITDA for fiscal 2024 reached $19.5M, up from $16M in fiscal 2023; Q4 Adjusted EBITDA was $4.4M.

  • Operating income for fiscal 2024 was $10.8M, up 42.1% year-over-year; Q4 operating income was $0.8M.

  • Available liquidity at year-end was $5.3M, with $18.7M cash provided by operating activities in fiscal 2024.

Outlook and guidance

  • No significant revenue from Treosulfan expected until early fiscal 2026; modest investments in personnel ahead of potential FDA approval by October 30, 2024.

  • Anticipates continued strong performance from Rupall and Metoject in Canada, but expects generic competition for Rupall after January 2025.

  • Expects challenging demand and pricing for IXINITY and Rasuvo in the US due to market trends and regulatory changes.

  • Topical terbinafine NDS under review by Health Canada, targeting commercial launch in H1 2025.

  • Quarterly debt payments of about $3.3M planned to continue reducing outstanding BMO credit facilities.

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