Skip to content
    AMGN
    Earnings call· Mar 2026(Q1 FY26)

    AMGEN Q1 FY26 earnings call AMGN

    Apr 30, 2026 Source

    Executive summary

    Amgen Q1 FY26 — springboard year on track as growth drivers offset biosimilar erosion, guidance raised

    Amgen framed 2026 as a springboard year and Q1 delivered on that thesis: a cluster of newer growth drivers is outrunning the biosimilar erosion of Prolia/XGEVA, letting management raise full-year revenue and EPS guidance. Forward attention centers on the MariTide obesity program, an expanding late-stage pipeline, and early AI-driven R&D productivity gains, tempered by an escalating IRS transfer-pricing dispute.

    Highlights

    5
    • Six key growth drivers grew 24% YoY in aggregate, generating $5.6B and ~70% of total product sales; overall product sales grew 4% despite patent expirations

    • Repatha sales up 34% to $876M with US new-to-brand prescriptions up 44%, aided by VESALIUS-CV data (31% MACE reduction in the diabetes primary-prevention subgroup)

    • Rare disease portfolio grew 25% to $1.2B, led by UPLIZNA up 188% to $262M and TEPEZZA up 29% to $490M; oncology portfolio grew 25% to $1.8B

    • Raised FY2026 guidance: total revenue to $37.1B–$38.5B and non-GAAP EPS to $21.70–$23.10; non-GAAP operating margin held at ~45%

    • Generated $1.5B free cash flow, raised the dividend 6% to $2.52/share, and reported non-GAAP operating margin of 45%

    Concerns

    5
    • Prolia and XGEVA combined sales fell 32% YoY to $1.1B, with accelerated erosion from multiple biosimilars expected over the rest of 2026

    • Received an April 2026 draft IRS NOPA for tax years 2016–2018 on US/Puerto Rico profit allocation that, if sustained in full, could have a material impact on financial statements

    • FDA proposed to withdraw approval of TAVNEOS ($119M in the quarter, +32%), a drug for ANCA-associated vasculitis

    • Discontinued development of PRMT5 inhibitor AMG 193 following a comprehensive review, and paused enrollment in certain subcutaneous blinatumomab studies after inflammatory reactions

    • Non-GAAP cost of sales rose to 19.5% of product sales on higher profit-share/royalty expense and mix, expected to keep pressuring cost of sales in future quarters

    Guidance & targets

    11
    CategoryTargetConfidence
    Total revenue
    $37.1B to $38.5B
    high materiality
    High
    Non-GAAP EPS
    $21.70 to $23.10
    high materiality
    High
    Other revenue
    $1.7B to $1.8B
    low materiality
    High
    Non-GAAP OI&E expense
    $2.2B to $2.3B of expense
    medium materiality
    High
    Non-GAAP tax rate
    15.0% to 16.5%
    medium materiality
    High
    Non-GAAP operating margin
    roughly 45% to 46% of product sales
    high materiality
    High
    Operating margin (quarterly)
    Q2 operating margin in line with Q1 (45%)
    medium materiality
    High
    Share repurchases
    not to exceed $3 billion
    medium materiality
    High
    Capital expenditures
    approximately $2.6 billion
    medium materiality
    High
    Cost of sales
    continued negative impact on cost of sales in future quarters
    medium materiality
    Medium
    Segment sales erosion
    accelerated sales erosion of Prolia/XGEVA over the remainder of 2026
    medium materiality
    Medium

    Segment performance

    12
    SegmentRevenueYoYQoQMargin
    Repatha (general medicine)
    Growth driven by increased urgency to treat in secondary and high-risk primary prevention; supported by VESALIUS-CV data and updated ACC/AHA guidelines. Now offered via a simplified cash-pay option (AmgenNow).
    US new-to-brand prescriptions: +44% YoYOnly PCSK9 inhibitor with positive outcomes data in both high-risk primary and secondary prevention
    $876M+34%
    EVENITY
    Maintains US leadership; >90% of the 2 million US women at very high fracture risk remain untreated. Positive reaction to Japan Osteoporosis Society guideline updates.
    US sales growth: +35% YoYUS bone builder market share: 65%US patients treated to date: ~320,000Japan patients since launch: >900,000Japan bone builder market share: >55%
    $562M+27%
    TEZSPIRE (inflammation)
    Growth from robust demand across pulmonology and allergy, partially offset by a burn in channel inventory; differentiated TSLP mechanism.
    New indication: chronic rhinosinusitis with nasal polyps gaining traction
    $343M+20%
    Prolia and XGEVA (combined)
    Erosion expected to accelerate over the remainder of 2026 from multiple biosimilars.
    Post-LOE erosion in line with expectations
    $1.1B-32%
    Rare disease portfolio
    Broad-based growth across the rare disease franchise.
    Includes UPLIZNA, TEPEZZA, TAVNEOS
    $1.2B+25%
    UPLIZNA
    Strong gMG uptake in both bio-naive and switch patients with broad access; momentum in IgG4-related disease led by rheumatologists.
    Growth across all 3 approved indications (gMG, IgG4-RD, NMOSD)Most prescribed FDA-approved therapy in NMOSD
    $262M+188%
    TEPEZZA
    Growing interest from new and returning prescribers; rising awareness of moderate thyroid eye disease; additional global launches expected in 2026 following 2025 Japan launch.
    US patients treated since launch: >25,000Positive Phase III data for subcutaneous on-body injector
    $490M+29%
    TAVNEOS
    Strong volume growth; FDA has proposed to withdraw approval, which management intends to contest.
    Patients treated since 2021 launch: >8,000
    $119M+32%
    Innovative oncology portfolio
    Portfolio-level 25% growth led by IMDELLTRA and BLINCYTO.
    Includes BLINCYTO, IMDELLTRA, Vectibix, KYPROLIS, LUMAKRAS, Nplate
    $1.8B+25%
    IMDELLTRA
    Standard of care in second-line small cell lung cancer; advancing into frontline induction and maintenance.
    US administering sites: >1,800Majority of doses delivered in community setting
    $258M
    BLINCYTO
    Broad prescribing across academic and community settings.
    Standard of care with multi-agent chemo in Ph-negative B-cell ALL
    $415M+12%
    Biosimilars portfolio
    PAVBLU adoption expanding among retina specialists; portfolio expands patient access to lower-cost biologics.
    Cumulative biosimilar sales since 2018: >$14BPAVBLU (EYLEA biosimilar): $280M
    $835M+14%

    Operational metrics

    11
    Non-GAAP operating margin
    45%
    Q1 FY26

    Executed through a full quarter of patent expirations and losses of exclusivity; Q2 expected in line with Q1.

    Non-GAAP R&D expense growth
    +16%YoY
    Q1 FY26

    Non-GAAP R&D spending increased 16% year-over-year, reflecting late-stage pipeline investment.

    Non-GAAP cost of sales as % of product sales
    19.5%
    Q1 FY26

    Expected to continue negatively impacting cost of sales in future quarters.

    Non-GAAP OI&E
    $480M expense
    Q1 FY26

    Non-GAAP other income and expense for the quarter.

    Non-GAAP effective tax rate
    13.6%down 1 percentage point YoY
    Q1 FY26

    Full-year non-GAAP tax rate guided to 15.0%–16.5%.

    Dividend per share
    $2.52+6% vs Q1 2025
    Q1 FY26

    Capital returned to shareholders through dividends.

    Capital expenditure program
    ~$2.6B total$700M spent in Q1 FY26
    FY2026

    Q1 capex of $700M against full-year plan of approximately $2.6B.

    Key growth drivers aggregate sales
    $5.6B+24% YoY
    Q1 FY26

    Six key growth drivers generated 70% of sales in the quarter and grew 24% in aggregate.

    Products annualizing at $1B+
    17
    Q1 FY26

    Breadth of portfolio contribution.

    AI R&D productivity
    Antibody lead optimization accelerated 50%; site selection up to 3x enrollment improvement; line clearance 30 min to 2 min per batch
    Q1 FY26

    AI and data science delivering measurable impact across R&D and the enterprise.

    AmgenNow cash-pay program enrollment
    8,000 to 9,000 patients
    Q1 FY26

    Direct access cash-pay model; management does not expect cash-pay to be a substantial share given broad payer access.

    Industry KPIs

    11
    MetricValueDetails
    Capital deploymentDividend $2.52/share (+6%); share repurchases not to exceed $3B; FCF $1.5BUSD
    Launch access metricsAmgenNow ~8,000–9,000 patients; Repatha $239/month cash pay; UPLIZNA broad access in gMGpatients
    Patent cliff loe bridgeProlia+XGEVA $1.1B, -32% YoYUSD
    Pipeline read out calendarMultiple Phase III programs across obesity, cardiovascular, rare disease and oncology
    Product franchise net salesRepatha $876M (+34%); EVENITY $562M (+27%); TEZSPIRE $343M (+20%); UPLIZNA $262M (+188%); TEPEZZA $490M (+29%); TAVNEOS $119M (+32%); IMDELLTRA $258M; BLINCYTO $415M (+12%); PAVBLU $280M; Prolia+XGEVA $1.1B (-32%)USD
    Lead franchise concentration~70% of product sales from six key growth drivers%
    Regulatory approvals filingsUPLIZNA EU (EC) approval in gMG; TAVNEOS FDA proposed withdrawal
    Therapeutic drug market shareEVENITY 65% US bone builder share; >55% Japan bone builder share%
    Prescription volume new startsRepatha US new-to-brand prescriptions +44%%
    Clinical trial efficacy safety dataVESALIUS-CV: 31% MACE reduction; IMDELLTRA DeLLphi-303 OS 25.3 months; subcu blinatumomab 89–92% remission
    Cumulative patients uptake since launchEVENITY ~320,000 US / >900,000 Japan; TEPEZZA >25,000 US; TAVNEOS >8,000patients

    Product announcements

    3
    ProductTypeDetails
    AmgenNow (direct access cash-pay model)expansion
    TEPEZZA (global launches)expansion
    IMDELLTRA FDA real-time clinical trial pilotmilestone

    Risks & headwinds

    8
    Biosimilar erosion of Prolia and XGEVAFY2026

    Combined sales $1.1B, down 32% YoY; erosion expected to accelerate over the remainder of 2026

    Mitigation: Six key growth drivers (+24% to $5.6B) designed to more than offset legacy declines

    IRS transfer-pricing dispute (US/Puerto Rico profit allocation)Tax court decision no earlier than H2 2026

    April 2026 draft NOPA for 2016–2018 asserting significant adjustments; if sustained in full could have a material impact on financial statements; separate 2010–2015 tax court case ongoing

    Mitigation: Disagrees with the draft NOPA, believes IRS positions are without merit and tax reserves are appropriate; intends to vigorously defend

    FDA proposed withdrawal of TAVNEOS approvalOngoing FDA engagement

    TAVNEOS $119M in Q1 (+32%)

    Mitigation: Confident in benefit-risk profile; expects to engage further with the FDA

    Discontinuation of AMG 193 (PRMT5 inhibitor)Q1 FY26

    Not quantified

    Mitigation: Decision taken after comprehensive oncology portfolio review; pipeline breadth across 4 therapeutic areas

    Inflammatory reactions pausing subcutaneous blinatumomab studiesEnrollment expected to reopen shortly

    A handful of inflammatory reactions observed

    Mitigation: Collecting patient data and in dialogue with the FDA; prioritizing patient safety

    Cost of sales pressureFuture quarters of FY2026

    Non-GAAP cost of sales 19.5% of product sales; expected continued negative impact

    Mitigation: Full-year operating margin still guided to ~45%–46%

    Late market entry / competition in obesityUpon MariTide launch

    Not quantified

    Mitigation: Differentiated monthly-or-less-frequent dosing; switch and maintenance studies to capture patients from weekly agents

    TEZSPIRE channel inventory drawdownQ1 FY26

    Not quantified — partial offset to 20% growth

    Mitigation: Underlying robust patient demand across pulmonology and allergy

    Q&A highlights

    11

    How is the switch structured across dosing intervals, and is the endpoint superiority or non-inferiority?

    The SWITCH study enrolls 300 subjects with obesity/overweight, runs them in on weekly semaglutide or tirzepatide, then switches to MariTide on an every-8-week or quarterly schedule; the primary endpoint is change from baseline body weight after 52 weeks of MariTide treatment.

    There will be 300 subjects on study with obesity or overweight. There will be a run-in on weekly semaglutide or tirzepatide, and then they'll switch to MariTide... And the primary endpoint of this trial will be a change from baseline body weight after 52 weeks of MariTide treatment.

    asked by Yaron Werber · answered by James Bradner

    3 min read7 chapters

    Detailed Narrative

    01

    Springboard year thesis and guidance raise

    Management reiterated its framing of 2026 as a 'springboard year' in which rapidly growing products offset the financial impact of patent expirations and increased competition while the next generation of molecules advances through Phase III. Q1 product sales grew 4%, with 16 products delivering double-digit-or-better growth and 17 products now annualizing at $1 billion or more. On the strength of the quarter, Amgen raised full-year 2026 guidance for both revenue ($37.1B–$38.5B) and non-GAAP EPS ($21.70–$23.10). Guidance excludes any potential business development transactions.

    02

    Six key growth drivers offsetting legacy erosion

    The six key growth drivers — Repatha, EVENITY, TEZSPIRE, plus the rare disease, innovative oncology, and biosimilars portfolios — collectively grew 24% year-over-year to $5.6 billion, representing almost 70% of total product sales. This momentum is designed to more than offset erosion in legacy brands, most notably Prolia and XGEVA, whose combined sales fell 32% to $1.1 billion following loss of exclusivity. Management said this demonstrates Amgen's ability to grow through a period of patent expiration.

    03

    MariTide obesity program expansion

    Amgen disclosed additional Phase III MariTide studies focused on longer-term maintenance and switching. Two long-term extensions of ongoing chronic weight management trials will move patients who completed 72 weeks into a 48-week extension dosed monthly, every 8 weeks, or quarterly. A new SWITCH study (300 subjects) will run patients in on weekly semaglutide or tirzepatide before switching to MariTide on an every-8-week or quarterly schedule, with a primary endpoint of change from baseline body weight at 52 weeks. Management highlighted that 3-step dose escalation further reduced rates of nausea and vomiting versus prior 2-step experience, attributing tolerability to the antibody backbone's smooth, stable drug exposure.

    04

    Cardiovascular franchise: Repatha and Olpasiran

    Repatha grew 34% to $876 million, supported by VESALIUS-CV data showing a 31% reduction in major cardiovascular events in high-risk diabetes patients without known atherosclerosis, published in JAMA and presented at ACC. Updated ACC/AHA dyslipidemia guidelines reinforce earlier, lower LDL-C targets and broader Lp(a) testing. Olpasiran, a siRNA delivering greater than 95% reduction in Lp(a) with quarterly dosing, continues in the Phase III OCEAN(a) trial (~7,300 patients with Lp(a) over 200) and the newly initiated OCEAN(a)-CCTA study measuring noncalcified coronary plaque.

    05

    Rare disease and oncology momentum

    Rare disease grew 25% to $1.2 billion, led by UPLIZNA up 188% to $262 million (with a new European Commission approval in gMG) and TEPEZZA up 29% to $490 million (with positive Phase III data for a subcutaneous on-body injector). The innovative oncology portfolio grew 25% to $1.8 billion; IMDELLTRA contributed $258 million and is emerging as standard of care in second-line small cell lung cancer, with first-line maintenance median overall survival of 25.3 months in DeLLphi-303. Amgen discontinued PRMT5 inhibitor AMG 193 and paused enrollment in some subcutaneous blinatumomab studies after inflammatory reactions.

    06

    AI and R&D productivity

    Amgen detailed tangible AI gains: antibody lead optimization accelerated by 50%, a proprietary clinical-trial site-selection model improving enrollment rates by up to threefold, and large language models plus agentic AI aiding regulatory filing preparation. In manufacturing, AI-enabled automation reduced production line clearance time at one site from about 30 minutes to roughly 2 minutes per batch run. Jay Bradner will lead AI and data transformation at the enterprise level following the retirement of Dave Reese at the end of Q2.

    07

    Tax litigation and IRS dispute

    The tax court litigation covering 2010–2015 remains ongoing, with a decision expected no earlier than the second half of 2026. In April 2026, Amgen received a draft Notice of Proposed Adjustment (NOPA) from the IRS for tax years 2016–2018, asserting significant adjustments primarily related to allocation of profits between the United States and Puerto Rico. Management said the adjustments, if sustained in full, could have a material impact on financial statements, but disagrees with the draft NOPA and believes its tax reserves are appropriate.

    AI-generated summary of the company’s earnings call. Not investment advice.