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    PFE
    Earnings call· Mar 2026(Q1 FY26)

    PFIZER Q1 FY26 earnings call PFE

    May 5, 2026 Source

    Executive summary

    Pfizer Q1 FY26 — Strong Start with Pipeline Progress and Post-2028 Growth Clarity

    Pfizer delivered a strong Q1 FY26, surpassing revenue and EPS expectations, driven by robust performance from launched and acquired products and disciplined cost management. The company reaffirmed its full-year guidance, highlighting confidence in its strategic execution and pipeline progress. Recent legal developments, including the VYNDAMAX settlement, provide enhanced clarity on cash flow and a path to high single-digit revenue growth post-2028, supporting long-term shareholder value creation.

    Highlights

    6
    • Exceeded Q1 expectations with revenues of $14.5 billion and adjusted diluted EPS of $0.75.

    • Launched and acquired products delivered $3.1 billion in Q1, growing 22% operationally.

    • Seagen products showed 20% year-over-year operational revenue growth in Q1.

    • Nurtec contributed 41% operational growth in Q1, driven by robust demand.

    • VYNDAMAX patent settlement provides greater confidence for a high single-digit revenue CAGR starting in 2029.

    • Achieved a strong Q1 adjusted operating margin of 38%, above pre-pandemic levels.

    Concerns

    4
    • Anticipates continued LOE headwinds through 2028, primarily from this year.

    • Q1 COMIRNATY decline due to the absence of the UK contract from the prior year.

    • Sustained low disease levels of COVID are expected to weigh on utilization over the next several months.

    • Leverage is expected to remain around current levels or slightly higher through the transition period.

    Guidance & targets

    10
    CategoryTargetConfidence
    Full-year 2026 Revenue
    $59.5 billion to $62.5 billion
    high materiality
    High
    Full-year 2026 Adjusted Diluted EPS
    $2.80 to $3.00 per share
    high materiality
    High
    Revenue CAGR
    high single-digit
    high materiality
    High
    Manufacturing Optimization Savings
    $700 million
    medium materiality
    High
    Total Net Cost Savings
    $7.2 billion
    medium materiality
    High
    Obesity Portfolio First Approval
    First approval
    medium materiality
    Medium
    Pivotal Study Starts
    Approximately 20
    low materiality
    High
    Key Data Readouts
    8
    low materiality
    High
    Regulatory Decisions
    4
    low materiality
    High
    Dividend Policy
    maintain and over time grow
    high materiality
    High

    Operational metrics

    18
    Total revenues
    $14.5 billion2% operational increase
    Q1 FY26

    Exceeded expectations.

    Adjusted diluted EPS
    $0.75
    Q1 FY26

    Exceeded expectations.

    Adjusted gross margin
    76%
    Q1 FY26

    Generally remained in the mid- to upper 70s when excluding COMIRNATY.

    Manufacturing optimization savings realized
    $175 million
    Q1 FY26

    Part of the anticipated $700 million in savings for FY26.

    Total adjusted operating expenses
    $5.5 billion4% operational increase YoY
    Q1 FY26

    Reflects investments in growth areas.

    Adjusted SI&A expenses
    decreased 5%operational decrease YoY
    Q1 FY26

    Reflects disciplined cost management.

    Adjusted R&D expenses
    increased 11%operational increase YoY
    Q1 FY26

    Reflects strategic investment in key pipeline areas.

    Adjusted operating margin
    38%
    Q1 FY26

    Strong performance, above pre-pandemic levels, demonstrating effective cost management and revenue performance.

    Total net cost savings program
    $7.2 billion
    By end of 2026

    Majority expected to be delivered by the end of 2026.

    Internal R&D investment
    $2.5 billion
    Q1 FY26

    Part of capital allocation strategy.

    Dividend returned to shareholders
    $2.4 billion
    Q1 FY26

    Part of capital allocation strategy.

    Net proceeds from Vive stake sale
    $1.65 billion
    Q2 FY26

    After taxes and customary closing costs.

    Leverage ratio
    2.8x
    End of Q1 FY26

    Expected to remain around current levels or slightly higher through the transition period due to LOE headwinds.

    TCJA repatriation tax payment
    $2.6 billion
    April

    Final payment made.

    Nurtec triptan penetration
    60%
    Current

    Percentage of people who write a triptan but have not yet written an oral CGRP, indicating significant headroom for growth.

    Padcev penetration (LAC)
    high 50%
    Current

    High penetration in locally advanced or metastatic bladder cancer, with upside in MIBC.

    Pivotal study starts
    Approximately 20
    FY26

    Part of the robust R&D agenda for 2026.

    Obesity portfolio first approval target
    2028
    FY28

    Target for the Metsera acquisition portfolio.

    Industry KPIs

    9
    MetricValueDetails
    EPS revenue guidance$59.5B-$62.5BUSD
    Product franchise net sales$3.1 billionUSD
    Regulatory approvals filingsApproval
    Therapeutic drug market share>60%%
    Glp 1 incretin franchise metrics1.1%%
    Geographic regional revenue growth7%%
    Clinical trial efficacy safety datanearly 50%%
    Patent expiry loe biosimilar erosion2.5 yearsyears
    Business development capacity deal size appetite$7 billionUSD

    Deals & partnerships

    6
    Undisclosedpatent settlement

    Settlement agreements resolving infringement of patent related to VYNDAMAX.

    Seagenacquisition

    Central reason for oncology focus, deepening presence within the oncology community.

    Metseraacquisition

    Executing with focus to maximize value, targeting first approval in 2028 from portfolio.

    Biohavenacquisition

    Success achieved with Nurtec since acquisition.

    Vivedivestiture$1.65 billion net proceeds

    Sale of Pfizer's stake in Vive, closed in Q2.

    Win Biosciencecollaboration

    Collaboration for the commercialization of Euglutide in China, decided in March and February.

    Risks & headwinds

    4
    LOE headwindsthrough 2028

    14%-15% of previous $17 billion annual revenue impact

    Mitigation: new and acquired products growing (22% operational growth in Q1), pipeline advancements

    COMIRNATY Q1 declineQ1 FY26

    not specified, but impacted Q1 results

    Mitigation: due to absence of UK contract from prior year, not vaccination rates

    COVID utilizationnext several months

    sustained low disease levels

    Mitigation: plan assumes majority of sales occur towards end of year consistent with vaccination season

    Leveragethrough transition period

    2.8x at end of Q1 FY26

    Mitigation: expected to remain around current levels or slightly higher due to LOE headwinds, but confidence in cash flow delivery over time

    Q&A highlights

    7

    What specific GLP-1 data should investors expect to see from Pfizer at the upcoming ADA meeting, including details on Vest, BSP1, and Vespa II?

    Pfizer will share detailed Phase III data from Vest, data from BSP1's open-label extension, and data from Vespa II (weekly bemarituzumab with or without titration in type 2 diabetes). Data on Amlan mono will be shared in the second half of the year.

    Detailed Phase III -- detailed data from Vest will be shared the top line data we presented last time, I think 4Q '25 earnings. Data from BSP1, the open-label extension will be shared as well as data from Vespa II which is weekly better Benoit, our new name for our GLP-1 with or without titration in participants with type 2 diabetes will be shared.

    asked by Vamil Divan (Guggenheim) · answered by Chris Boshoff

    2 min read7 chapters

    Detailed Narrative

    01

    Q1 Performance and Strategic Execution

    Pfizer reported a strong Q1 FY26, exceeding revenue and adjusted EPS expectations with revenues of $14.5 billion and adjusted diluted EPS of $0.75. The company emphasized disciplined execution across strategic priorities, including managing costs and making targeted investments for future growth. Launched and acquired products were a key driver, delivering $3.1 billion in Q1 and growing 22% operationally, demonstrating the early impact of portfolio transition.

    02

    Pipeline Progress and R&D Milestones

    The company made significant R&D progress with three positive Phase III readouts and encouraging mid-stage results. Pfizer is on track for approximately 20 pivotal study starts, 8 key data readouts, and 4 regulatory decisions in 2026, focusing investments in oncology, metabolic disease, and vaccines. Roughly half of the anticipated key data readouts and regulatory decisions in 2026 are expected from oncology.

    03

    Oncology Portfolio Expansion

    Oncology remains a core focus, with the Seagen acquisition transforming the organization and advancing its ADC platform, contributing 20% year-over-year operational revenue growth in Q1. PADCEV showed compelling EV-304 study findings, reducing the risk of recurrence or death by nearly 50% in cisplatin-eligible muscle invasive bladder cancer. ELREXFIO demonstrated significant improvement in progression-free survival for double-class exposed relapsed or refractory multiple myeloma patients in the Phase III MagnetisMM-5 study. The company is also advancing a potential first-in-class nDiKA4 inhibitor for HER-2 negative breast cancer.

    04

    Obesity and Migraine Franchise Momentum

    The Metsera acquisition underpins Pfizer's strategy in the next generation of obesity treatments, with plans to advance 10 Phase III studies this year and target a first approval in 2028 for a portfolio including ultra-long active peptides. Nurtec, from the Biohaven acquisition, continued its strong performance with 41% operational growth in Q1, driven by robust demand in both acute and preventive migraine treatments, highlighting the company's commercial capabilities in the oral CGRP class.

    05

    Vaccine Innovation and Market Leadership

    Pfizer is expanding its pneumococcal conjugate vaccine leadership, initiating a Phase III program for a 25-valent pediatric candidate with increased balancing and next-generation serotype 3 technology. The company also announced plans to advance directly to a 35-valent adult vaccine candidate, expecting to enter clinical development this year. This strategy aims to maintain current market leadership in the adult market over the long term.

    06

    Capital Allocation and Shareholder Value

    The company's capital allocation strategy focuses on reinvesting in the business, maintaining and growing the dividend, and preserving flexibility for future value-enhancing actions like share repurchases. Recent legal developments, including the VYNDAMAX settlement extending patent exclusivity and the COMIRNATY Belgium court ruling, enhance cash flow visibility and support long-term capital allocation priorities, including the ability to preserve and support the dividend.

    07

    AI Integration for Innovation

    Pfizer is embedding artificial intelligence across R&D, commercial, manufacturing, and core enterprise functions as a key strategic priority. Leveraging AI is central to its innovation strategy, aiming to compress timelines and improve decision-making in the discovery, development, and delivery of new medicines and vaccines by utilizing Pfizer's vast repository of translational and clinical data.

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