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Regeneron (REGN) Q1 FY26 earnings call: guidance and Q&A

Earnings call· Mar 2026 (Q1 FY26)· Health Care· Apr 29, 2026

Source: earnings call transcript

Executive summary

Regeneron Q1 FY26 — Strong Commercial Execution and Pipeline Progress

Regeneron delivered a strong start to the year with double-digit revenue and earnings growth, driven by robust commercial performance across key products like DUPIXENT, EYLEA HD, and Libtayo. The company continues to advance a deep pipeline with significant progress in immunology, oncology, and rare diseases, while maintaining a disciplined capital allocation strategy and addressing drug pricing concerns with the U.S. government.

Highlights

5
  • Total revenues increased 19% compared to Q1 2025.

  • Non-GAAP diluted net income per share increased 15% to $9.47.

  • Global DUPIXENT net sales increased 31% on a constant currency basis to $4.9 billion.

  • EYLEA HD U.S. net product sales increased 52% year-over-year to $468 million.

  • Global Libtayo product sales grew 54% to $438 million.

Concerns

3
  • EYLEA U.S. net sales declined 36% year-over-year to $473 million due to conversion to EYLEA HD, competitive pressures, and patient affordability issues.

  • EYLEA inventory absorption is expected to negatively impact Q2 net product sales by approximately $20 million.

  • GAAP gross margin was negatively impacted by costs from a temporary manufacturing interruption, leading to updated FY26 GAAP gross margin guidance of 77% to 78%.

Guidance & targets

CategoryTargetConfidence
Sanofi collaboration revenue
Step up to reflect full share of collaboration profits
medium materiality
High
EYLEA HD sequential unit demand growth
Consistent with 10% sequential demand growth in Q1
medium materiality
High
EYLEA demand decline
Mid- to high teens
medium materiality
High
GAAP gross margin
77% to 78%
high materiality
High
Sanofi development balance repayment
Fully repaid
medium materiality
High
Limerick manufacturing facility production
Resume full production
low materiality
High
Fianlimab Phase III metastatic melanoma results
Results expected
high materiality
High
Fianlimab Phase III adjuvant melanoma analysis
Second interim analysis and if necessary, a final analysis, both expected
medium materiality
High
Lynozyfic multiple myeloma results
Results by early 2027
high materiality
High
Lynozyfic multiple myeloma MRD negativity results
Results in 2028
medium materiality
High
Factor XI registrational studies commencement
Expected to commence this year
medium materiality
High
Factor XI VTE prevention study results
Expected in the first quarter of 2027
medium materiality
High
Olatorepatide global Phase III programs initiation
Expect to initiate 2 global Phase III programs
high materiality
High
Olatorepatide Praluent combination first clinical study
Initiating shortly
medium materiality
High
NASH siRNA program readings
Expected by the end of this year
medium materiality
High
Cemdisiran FDA decision
Anticipate an FDA decision in the fourth quarter
high materiality
High
EYLEA HD prefilled syringe regulatory decision
Anticipate a regulatory decision on one or both applications during this quarter
high materiality
High
PNH Phase III study results
Results are expected late in the fourth quarter of this year
medium materiality
High
Geographic Atrophy Phase III interim data
On track to deliver interim data from the exploratory cohort of our Phase III study in the fourth quarter of this year
medium materiality
High
IL-13 antibody first-in-human trial
On track to initiate by the middle of this year
medium materiality
High
Itepekimab chronic rhinosinusitis with nasal polyp Phase III results
Results expected in 2027
medium materiality
High
Garetosmab BLA PDUFA date
PDUFA date in August of 2026
high materiality
High

REGN operating KPIs by quarter

REGN operating KPIs stated on its earnings calls, by fiscal quarter
KPI Dec 2025 Q4 FY25This call Mar 2026 Q1 FY26 Jun 2026 Q2 FY26Change vs prior quarter
Patients DUPIXENT
1.4M+ DUPIXENT is currently the most widely used innovative branded antibody medicine with more than 1.4 million patients on therapy globally. Source: earnings call transcript
1.4M+ Turning to DUPIXENT, which continues to transform the lives of more than 1.4 million patients worldwide with type 2 inflammatory diseases that are currently on treatment. Source: earnings call transcript
1.5M+ Turning to Dupixen, which continues to deliver significant patient benefit to patients globally with more than 1.5 million patients actively treated worldwide, Dupixen has had a tremendous impact across these 9 approved indications, and it is the #1 biologic medicine prescribed by dermatologists and pulmonologist, allergists and ENTs, Second quarter net sales were $6 billion, reflects 38% growth on a constant currency basis and the US, sales grew 42% year-over-year to $4.6 billion, primarily driven by continued growth across our blockbuster indications and uptake in recent launches. Source: earnings call transcript
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Operating figures the company stated on at least two of the calls shown, checked against each call's transcript. Click a figure to read the sentence. A dash means it was not stated that quarter.

Product announcements

ProductTypeDetails
Otarmenilaunch

Deals & partnerships

Telix Strategic collaboration

To codevelop and commercialize next-generation radiopharmaceutical therapies, combining Regeneron's antibody discovery and oncology capabilities with Telix' radiopharmaceutical development and manufacturing expertise.

TriNetX Collaboration

To access de-identified electronic health record data from a global network representing 300 million patients, accelerating drug discovery, translation, development, and addressing digital health issues.

United States government Most Favored Nation pricing agreement

Aims to ensure timely and affordable access to groundbreaking medical advancements for Medicare patients, maintain U.S. leadership in biotechnology innovation, and address the imbalance in the distribution of cost for medical innovation.

Risks & headwinds

Competitive pressures and patient affordability issues for EYLEA Ongoing

EYLEA U.S. net sales declined 36% year-over-year to $473 million in Q1 FY26.

Mitigation:Conversion to EYLEA HD, focus on EYLEA HD's clinical profile and dosing flexibility.

Continued EYLEA inventory absorption Q2 FY26

Expected to negatively impact Q2 net product sales by approximately $20 million.

Mitigation:Wholesaler inventory levels for EYLEA HD reduced to normal range in Q1.

Potential launch of additional EYLEA biosimilars Second half of FY26

Anticipated to contribute to EYLEA demand decline in the mid- to high teens in Q2 FY26.

Mitigation:Focus on EYLEA HD uptake and differentiated profile.

Temporary manufacturing interruption at Limerick, Ireland site Q1 FY26 and Q2 FY26

Negatively impacted GAAP gross margin to 76% in Q1 FY26; expected to continue negatively impacting GAAP gross margin in Q2 FY26.

Mitigation:Resumed initial production, expect to resume full production by end of Q2 FY26; no impact on product availability.

FDA did not act by the April 2026 PDUFA date for EYLEA HD prefilled syringe from a second contract manufacturer Ongoing

Application remains pending.

Mitigation:Working closely with FDA to resolve outstanding issues; anticipate regulatory decision on one or both applications during Q2 FY26.

Q&A highlights

Discuss willingness to collaborate with Sanofi on next-gen DUPIXENT assets given its success and the upcoming patent cliff, or if Regeneron will pursue these independently.

Len thanked Paul Hudson and welcomed Belen Garijo. He stated Regeneron is open-minded to transactions leveraging its development and commercial capabilities, but can also pursue opportunities independently. He looks forward to discussions with Sanofi's new leadership.

“We are always open-minded to transactions certainly leveraging what we've built in terms of both development capabilities as well as commercial capabilities has merit to it. We can do these things ourselves. We've had interest for many different places to sort of take on some of the next opportunities with us.”

asked by Tyler Van Buren · answered by Leonard Schleifer

2 min read 6 chapters

Detailed narrative

Strategic Capital Allocation and Share Repurchase Program

Regeneron maintains a balanced approach to capital allocation, prioritizing internal investment for long-term growth while also returning capital to shareholders. The Board authorized a new $3 billion share repurchase program, reflecting confidence in the company's financial position and business outlook. This program adds to the approximately $400 million remaining from previous authorizations, bringing the total available for share repurchases to $3.4 billion.

Commitment to Patient Access and Innovation

Regeneron recently entered into a Most Favored Nation pricing agreement with the U.S. government, aiming to ensure timely and affordable access to medical advancements for Medicare patients. This agreement also seeks to maintain U.S. leadership in biotechnology innovation and address the disproportionate burden of medical innovation costs on American patients.

The company also made the unconventional decision to offer its newly approved gene therapy, Otarmeni, for genetic hearing loss for free in the U.S., highlighting its mission to benefit humanity.

Complement-Mediated Disease Strategy

Regeneron employs a differentiated strategy for complement-mediated diseases, utilizing customized approaches with siRNAs, antibodies, or combinations based on the required level and durability of complement inhibition. For generalized myasthenia gravis (GMG), the C5 siRNA cemdisiran provides optimal efficacy, safety, and convenience with quarterly subcutaneous dosing.

In contrast, for PNH, a combination of cemdisiran and the C5 antibody pozelimab is required for complete and sustained disease control, with results from the registrational Phase III study expected in late Q4 2026.

Next-Generation Immunology and Inflammation Programs

Beyond DUPIXENT, Regeneron is advancing next-generation approaches to strengthen its leadership in immunology. This includes developing innovative VelocImmune-derived fully human, long-acting antibodies and bispecifics targeting the IL-4 receptor, IL-13, and IL-4 cytokines. A first-in-human trial for an IL-13 antibody is on track to initiate by mid-2026, with plans for an expedited path to regulatory approvals.

The company is also exploring genetically validated targets for diseases like lupus and Sjogren's.

Obesity and Cardiovascular Risk Management

Regeneron is rapidly advancing its GLP/GIP receptor agonist, olatorepatide, for obesity, with positive Phase II results in China showing up to 19% mean body weight loss at week 48. Building on this, two global Phase III programs are expected to initiate later in 2026 for obesity and obesity with type 2 diabetes.

The company is also developing a combination of olatorepatide with Praluent, aiming to offer a best-in-class GLP that also significantly lowers bad cholesterol and reduces cardiovascular risk, addressing a critical comorbidity in the obese population.

EYLEA HD and EYLEA Market Dynamics

EYLEA HD continues to see strong physician adoption, with U.S. net sales growing 52% year-over-year to $468 million, and sequential demand increasing 10% in Q1. Its broad label and dosing flexibility are key drivers. Conversely, EYLEA U.S. net sales declined 36% to $473 million due to conversion to EYLEA HD, competitive pressures, and affordability issues.

Further demand decline for EYLEA is anticipated in Q2 ahead of potential biosimilar launches in the second half of the year.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.