Detailed Narrative
BRIUMVI Performance and Market Position
BRIUMVI achieved approximately $616 million in total global revenue for FY25, with U.S. net sales of $594 million. Q4 FY25 U.S. net sales were $183 million, marking 92% year-over-year and 20% sequential growth. The drug continues to gain dynamic share in the IV anti-CD20 segment, driven by its clinical profile, 6-year safety data, and operational advantages like a 1-hour twice-yearly maintenance infusion. Growth is broad-based across academic and community settings, with record new patient enrollments and strong persistence on therapy.
Pipeline Advancement: ENHANCE and Subcutaneous BRIUMVI
The Phase III ENHANCE study, evaluating a single 600mg dose of BRIUMVI (consolidating day 1 and day 15 infusions), has completed enrollment with top-line data expected midyear 2026 and a potential 2027 launch. The subcutaneous BRIUMVI program, a self-administered at-home auto-injector, is approximately 75% enrolled in its Phase III study, with pivotal top-line data targeted for late 2026 or early 2027 and a potential 2028 launch. This subcu formulation is expected to significantly expand the total addressable market.
Capital Allocation Strategy
TG Therapeutics expects to generate positive cash flow in 2026 and beyond, providing financial flexibility. Capital priorities include maximizing the BRIUMVI opportunity, judiciously expanding the pipeline, and repurchasing shares when undervalued. The company completed a $100 million share repurchase program and authorized an additional $100 million, viewing shares as significantly undervalued relative to expected cash flow.
Commercial Strategy and Field Expansion
The company expanded its field organization in 2025 to deepen coverage in high-opportunity geographies and broaden reach among community neurologists and independent infusion centers. This expanded footprint is driving increased prescriber engagement and is expected to accelerate penetration in 2026. Direct-to-patient engagement efforts also expanded, including a partnership with Christina Applegate for the Next In MS educational platform, which has exceeded engagement expectations.
Q1 FY26 Outlook and Gross-to-Net Dynamics
For Q1 FY26, U.S. revenue is projected to be $185 million to $190 million, showing sequential growth over Q4 despite typical seasonal headwinds. These headwinds include benefit reverifications and gross-to-net variability driven by deductible resets, which are consistent with historical trends in the specialty product category and fully incorporated into the full-year guidance. Ex-U.S. revenue for Q1 is expected to be $5 million to $10 million.