Shield Therapeutics (STX) Q3 2026 TU earnings summary
Event summary combining transcript, slides, and related documents.
Q3 2026 TU earnings summary
3 Nov, 2026Executive summary
Q3 net revenue increased 2% QoQ excluding Q2 milestone revenue; commercial prescriptions and net revenue per prescription improved.
Full U.S. commercial responsibility began October 1, improving revenue retention and gross-margin economics; FY 2026 guidance shifted to a single-digit US$ million operating loss.
Financial highlights
Q3 net revenue was $11.5m versus $11.9m in Q2, which included a $0.6m milestone; excluding milestones, revenue rose 2% QoQ from $11.3m.
U.S. ACCRUFeR revenue rose 5% QoQ to $10.8m from $10.3m; net revenue per prescription increased 4% to $217 from $208.
Ex-U.S. revenue was $0.7m versus $1.0m in Q2; 9M 2026 revenue was $41.9m, including a milestone.
Quarter-end cash was $6.8m, down $1.5m from June 30; cash use was mainly attributed to working capital, and no credit-facility draw was made.
Outlook and guidance
FY 2026 operating profitability is no longer expected; guidance anticipates a single-digit US$ million operating loss, primarily reflecting increased commercial costs after full U.S. control.
Q4 is expected to be the first quarter with the lower Viatris royalty rate and full U.S. economics; commercial growth and cost discipline remain priorities.
FY 2027 guidance is due with the Q4 and FY 2026 update; sustainable profitability as soon as possible remains the Board’s priority.
Korea and China could launch in 2027; China timing could shift to 2028 depending on regulatory approval, reimbursement filings and achievable pricing.
Latest events from Shield Therapeutics
- Full U.S. control of ACCRUFER nearly doubles EBIT and expands gross margins in a $2.3B market.STX
Status update - Revenue up 42% to $30.4M, prescriptions up 21%, and operating profit achieved in H1 2026.STX
H1 2026 - H1 2026 revenues rose 41% to $30.4M, with strong commercial growth and expanded indications.STX
Q2 2026 TU - Q1 2026 revenue and prescriptions surged, with profitability driven by a China milestone.STX
Q1 2026 TU - Q1 2026 revenues surged 54% for ACCRUFERⓇ, with positive EBIT and global regulatory advances.STX
Trading update - Record revenue growth, cash flow positivity, and global expansion position for 2026 profitability.STX
H2 2025 - Cash flow positive in Q4 2025, 56% revenue growth, and ACCRUFeR/ACCRUFERⓇ leads US oral iron market.STX
Q4 2025 TU - H1 2024 revenues tripled to $12.1M on US growth; break-even targeted for H2 2025.STX
H1 2024 - 146% revenue growth and improved margins set the stage for cash flow positivity by end of 2025.STX
H2 2024