Detailed Narrative
ADHD Portfolio Expansion and Integration
Collegium significantly expanded its ADHD business with the acquisition and integration of Astaris in May 2026, complementing its lead product Jornet PM. The combined sales force of 190 reps is now fully trained and targeting 27,000 HCPs, up from 21,000, ahead of the back-to-school season. This strategy aims to leverage existing commercial infrastructure and achieve cost synergies, with Astaris expected to be accretive to adjusted EBITDA starting in 2027 and beyond.
Jornet PM Performance and Market Position
Jornet PM demonstrated strong growth, with prescriptions up 13.1% year-over-year and net revenue increasing 41% to $46.1 million. The product achieved an all-time high of over 30,000 prescribers, up 17.6% year-over-year, and grew its share of the branded long-acting methylphenidates market to 29.2%, up 5.8 percentage points. HCP awareness and intent to prescribe remain high, with 70% of surveyed HCPs indicating a strong intent to increase prescribing, ranking it highest among branded ADHD medicines.
Astaris Differentiation and Complementarity
Astaris, acquired in May, is positioned as a highly differentiated stimulant with IP protection through 2037. It is the first and only ADHD treatment offering both fast and long-acting medicines in one capsule, providing flexibility for patients needing rapid onset and extended control. Management emphasized its complementarity with Jornet PM, which offers immediate symptom control upon awakening, catering to different patient needs, and noted positive feedback from KOLs and community-based physicians.
Pain Portfolio Dynamics and Formulary Access
The pain portfolio continues to provide a durable cash flow base. Belbuca performed well, with revenues up 10% year-over-year to $57.7 million, and secured formulary access for an additional 9 million lives starting Q4. However, Nucynta franchise revenue declined 24% to $35.2 million due to lower net pricing for authorized generics, and Xtampza ER revenue was down 14% to $45 million, partly due to prior-year rebate timing.
Financial Performance and Capital Allocation Strategy
Total net product revenues increased 6% year-over-year to $199.9 million, and non-GAAP adjusted EBITDA grew 8% to $113.8 million. The company generated $71.3 million in operating cash flow and ended the quarter with $129.5 million in cash, cash equivalents, and marketable securities. Collegium remains committed to a disciplined capital deployment strategy, focusing on business development for differentiated assets, debt paydown (net debt to adjusted EBITDA at 2.1x), and opportunistic share repurchases.
Strategic Priorities and Outlook
Collegium's key strategic priorities for H2 2026 include driving continued growth for its ADHD portfolio, maximizing the durability of its pain portfolio, and strategically deploying capital. The company is confident in its full-year expectations, reaffirming Jornet revenue guidance and increasing Astaris revenue outlook, despite updating total product revenue to $825M-$855M and adjusted EBITDA guidance to $445M-$470M due to Nucynta's performance.