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Regeneron (REGN) Q4 FY25 earnings call: guidance and Q&A

Earnings call· Dec 2025 (Q4 FY25)· Health Care· Jan 30, 2026

Source: earnings call transcript

Executive summary

Regeneron Q4 FY25 — Strong Commercial Execution and Robust Pipeline Advancement

Regeneron concluded Q4 FY25 with solid commercial performance, driven by double-digit growth in DUPIXENT, EYLEA HD, and LIBTAYO, alongside significant pipeline advancements. The company is focused on maximizing its leading brands and advancing a robust pipeline with multiple pivotal readouts and regulatory milestones expected in 2026, while prudently deploying capital to enhance shareholder value.

Highlights

5
  • Total revenue up 3% year-over-year in Q4 FY25.

  • Global DUPIXENT net sales increased 32% year-over-year to $4.9 billion in Q4 FY25, reaching $17.8 billion for full year 2025.

  • EYLEA HD U.S. net sales grew 66% year-over-year to $506 million in Q4 FY25, totaling $1.6 billion for full year 2025.

  • Global LIBTAYO net product sales increased 13% year-over-year to $425 million in Q4 FY25, reaching $1.45 billion for full year 2025.

  • Anticipate at least 4 FDA approvals in 2026, including 3 new molecular entities and EYLEA HD prefilled syringe.

Concerns

4
  • EYLEA 2 milligrams U.S. net sales declined 15% sequentially to $577 million in Q4 FY25 due to competitive pressure and conversion to EYLEA HD.

  • EYLEA HD and EYLEA wholesaler inventory levels were elevated by approximately $30 million at the end of Q4 FY25, expected to negatively impact Q1 FY26 net sales.

  • EYLEA 2 milligrams expected to face intensified competitive pressure in H2 2026 from biosimilar launches.

  • Patient co-pay affordability issues continue to dampen branded anti-VEGF category growth.

Guidance & targets

CategoryTargetConfidence
2026 R&D spend
$5.9 billion to $6.1 billion
high materiality
High
2026 SG&A
$2.5 billion to $2.65 billion
medium materiality
High
2026 Gross margin on net product sales
83% to 84%
medium materiality
High
2026 Capital expenditures
$1.1 billion to $1.3 billion
medium materiality
High
2026 Effective tax rate
13% to 15%
low materiality
High
DUPIXENT development balance reimbursement
Fully reimbursed
medium materiality
High
EYLEA HD prefilled syringe regulatory decision
Expected
medium materiality
High
fianlimab + LIBTAYO in advanced melanoma readout
On track to read out
high materiality
High
fianlimab in adjuvant melanoma interim analysis
Expecting an interim analysis
medium materiality
High
fianlimab in advanced non-small cell lung cancer Phase II data
Expecting Phase II data
low materiality
High
cemdisiran in gMG U.S. regulatory application submission
On track to submit
high materiality
High
cemdisiran in gMG potential approval
Anticipated
high materiality
High
cemdisiran + pozelimab in PNH pivotal data
Expected
high materiality
High
DB-OTO gene therapy regulatory decision
Awaiting a regulatory decision
medium materiality
High
garetosmab regulatory decisions (U.S. and EU)
Waiting on regulatory decisions
medium materiality
High
olatorepatide monotherapy pivotal studies
Entering pivotal monotherapy studies
high materiality
High
olatorepatide + PRALUENT clinical program
Expected to begin
high materiality
High
Long-acting IL-13 antibody clinic entry
Expected to enter the clinic
medium materiality
High
Other long-acting antibodies clinic entry
Expected to enter the clinic
low materiality
High
First new I&I antibody clinical development
Expected to enter clinical development
medium materiality
High
Confirmatory Phase III study for cat allergy initiation
Anticipate initiating
medium materiality
High
Next-generation Ig-producing cell targeting agents clinical development
Expected to enter clinical development
medium materiality
High
C5 program for geographic atrophy interim data
Expect interim data
high materiality
High
Factor XI pivotal studies initiation
Expected to initiate
medium materiality
High
LYNOZYFIC pivotal studies initiation
4 more initiating
high materiality
High

Segment performance

SegmentRevenueYoYQoQMargin
DUPIXENT (Global)
Full year 2025 global net sales were $17.8 billion.
$4.9 billion32% (constant currency)——
LIBTAYO (Global)
Full year 2025 global net product sales were $1.45 billion. U.S. net sales grew 14% year-over-year to $285 million.
$425 million13% (constant currency)——
EYLEA HD (U.S.)
Full year 2025 U.S. net sales were $1.6 billion, up 36%. Performance driven by 10% increase in physician demand compared to Q3.
$506 million66%18% sequential growth—
EYLEA 2 milligrams (U.S.)
Declined due to competitive pressure and ongoing conversion to EYLEA HD.
$577 million—-15% sequentially—
EYLEA and EYLEA 8 milligrams (outside U.S. - Bayer)
Includes $312 million of EYLEA 8 milligram sales.
$817 million———

REGN operating KPIs by quarter

REGN operating KPIs stated on its earnings calls, by fiscal quarter
KPIThis call Dec 2025 Q4 FY25 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
—

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.

Risks & headwinds

Patient co-pay affordability issues Ongoing

Dampened branded anti-VEGF category growth.

Mitigation:Matched a $60 million donation to Good Days' Fund in Q4 FY25; extended matching program through end of 2026 up to $200 million.

Competitive pressure on EYLEA 2 milligrams Expected to intensify in H2 2026

U.S. net sales declined 15% sequentially to $577 million in Q4 FY25.

Mitigation:Continued growth in EYLEA HD and ongoing conversion to EYLEA HD.

Biosimilar products launched in the United States for EYLEA 2 milligrams Second half of 2026

Multiple biosimilar products

Mitigation:Focus on EYLEA HD growth and differentiation.

Elevated wholesaler inventory levels for EYLEA HD and EYLEA End of Q4 FY25, expected to negatively impact Q1 FY26 net sales

Approximately $30 million

Mitigation:Inventory is expected to be absorbed.

Catalent, Indiana FDA findings Ongoing

Working with the FDA to resolve findings from a previous inspection.

Mitigation:FDA submission for EYLEA HD prefilled syringe using a new manufacturer has been accepted for review as a backup.

Q&A highlights

Seeking more specific timing for metastatic and adjuvant melanoma data for LIBTAYO plus fianlimab beyond the first half of 2026, and if the adjuvant interim update will coincide with the metastatic readout.

Management reiterated that the first half of 2026 is the best estimate for both metastatic and adjuvant melanoma readouts, noting they may or may not coincide, and data will be released shortly after it's available.

“We don't really have any additional clarity right now on the timing for the advanced melanoma readout. First half is the best estimate at this time. In terms of the adjuvant timing, that's also in the first half. They may coincide, they may not.”

asked by Alexandria Hammond · answered by Ryan Crowe

2 min read 7 chapters

Detailed narrative

Commercial Performance Highlights

DUPIXENT, EYLEA HD, and LIBTAYO demonstrated strong commercial execution in Q4 FY25, driving overall revenue growth. DUPIXENT achieved $4.9 billion in global net sales, up 32% year-over-year, and is now used by over 1.4 million patients globally across 8 indications.

EYLEA HD U.S. net sales grew 66% to $506 million, benefiting from recent FDA approvals for monthly dosing and RVO, while LIBTAYO global sales rose 13% to $425 million, establishing itself as a market leader in non-melanoma skin cancers and gaining share in NSCLC.

Pipeline Expansion and Strategic Focus

Regeneron is poised for a significant clinical development year in 2026, planning to initiate 18 additional Phase III studies with approximately 35,000 patients, laying the groundwork for future blockbuster products. The company also intends to advance at least 3 first-in-class antibodies, including two from the Regeneron Genetics Center, and a long-acting IL-13 antibody for atopic dermatitis, emphasizing a strategy of developing new drugs for new indications guided by human genetics.

Ophthalmology Advancements

EYLEA HD's profile was strengthened by recent FDA approvals for monthly dosing and RVO treatment, with a prefilled syringe approval anticipated in late April 2026. In the pipeline, interim data for the C5 program in geographic atrophy is expected in H2 2026, exploring both systemic and intravitreal approaches. New long-acting antibodies for glaucoma and thyroid eye disease are also slated for clinical development this year.

Immunology and Inflammation Innovation

Beyond DUPIXENT, Regeneron is developing next-generation long-acting antibodies targeting IL-4R alpha, IL-13, IL-4, and bispecifics for extended dosing, with an IL-13 antibody entering the clinic soon. The Regeneron Genetics Center has identified new I&I targets, with the first antibody expected to enter clinical development in H1 2026 for genetically linked diseases like lupus and Sjogren's.

Oncology and Hematology Progress

The pivotal study for fianlimab in combination with LIBTAYO for first-line metastatic melanoma is on track for a H1 2026 readout, with early data suggesting a differentiated profile. LYNOZYFIC, for multiple myeloma, is demonstrating strong efficacy in late-line disease and is being advanced into earlier lines, with 4 more pivotal studies initiating by mid-2026, aiming to transform the treatment paradigm.

Metabolic and Rare Disease Programs

Regeneron is pursuing a differentiated obesity strategy with olatorepatide, a GLP/GIP agonist, entering pivotal monotherapy studies in 2026. A co-formulation of olatorepatide with PRALUENT (PCSK9 inhibitor) is also planned for clinical development in 2026, targeting obese patients with hyperlipidemia. In rare diseases, the DB-OTO gene therapy for profound genetic deafness and garetosmab for FOP are awaiting regulatory decisions in 2026, showing transformative outcomes.

Capital Allocation and Shareholder Value

The company generated $4.1 billion in free cash flow in 2025 and returned $3.8 billion to shareholders, primarily through $3.4 billion in share repurchases. Regeneron initiated a quarterly dividend of $0.94 per share, aiming to broaden its investor base while maintaining share repurchases as the primary means of capital return.

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