Adaptive Biotechnologies Reports First Quarter 2026 Financial Results
Rhea-AI Summary
Adaptive Biotechnologies (Nasdaq: ADPT) reported Q1 2026 results for the quarter ended March 31, 2026. Revenue was $70.9 million, driven 95% by MRD, with MRD revenue of $67.1 million (up 53% YoY). clonoSEQ test volume rose 41% to 32,595. Q1 net loss was $20.0 million; adjusted EBITDA loss was $2.5 million. Cash, cash equivalents and marketable securities totaled $237.2 million as of March 31, 2026. Full‑year MRD revenue guidance was raised to $260–$270 million; full‑year operating expenses guidance is $350–$360 million.
AI-generated analysis. Not financial advice.
Positive
- Revenue $70.9M in Q1 2026, up 35% YoY
- MRD revenue $67.1M, up 53% YoY
- clonoSEQ volume 32,595 tests, +41% YoY
- Raised MRD guidance to $260–$270M for 2026
- Cash and marketable securities $237.2M at quarter end
Negative
- Net loss $20.0M for Q1 2026
- Operating expenses $90.1M in Q1, +10% YoY
- Immune Medicine revenue $3.8M, down 57% YoY
- Adjusted EBITDA loss $2.5M in Q1 2026
News Market Reaction – ADPT
On the day this news was published, ADPT gained 4.72%, reflecting a moderate positive market reaction. Argus tracked a peak move of +24.7% during that session. Argus tracked a trough of -6.3% from its starting point during tracking. Our momentum scanner triggered 19 alerts that day, indicating notable trading interest and price volatility. This price movement added approximately $107M to the company's valuation, bringing the market cap to $2.38B at that time. Trading volume was above average at 1.8x the daily average, suggesting increased trading activity.
Data tracked by StockTitan Argus on the day of publication.
Key Figures
Market Reality Check
Peers on Argus
Sector peers showed mixed moves, with some gains (e.g., IDYA, GLPG, TARS, TVTX) and one notable decliner (AGIO). The momentum scanner did not flag a coordinated sector move, suggesting ADPT’s reaction was more company-specific to its earnings.
Previous Earnings Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Feb 05 | Earnings release | Positive | -4.3% | Strong Q4 and FY2025 growth with MRD driving revenue and positive cash flow. |
| Jan 12 | Prelim earnings | Positive | +15.9% | Preliminary Q4 and FY2025 results with >50% revenue growth and robust MRD metrics. |
| Nov 05 | Earnings release | Positive | -11.5% | Q3 2025 beat ex-Genentech, strong MRD growth and raised full-year MRD guidance. |
| Aug 05 | Earnings release | Positive | +5.8% | Q2 2025 MRD profitability, strong clonoSEQ growth and higher MRD guidance. |
| May 01 | Earnings release | Positive | +33.7% | Q1 2025 revenue growth, higher MRD guidance, and reduced operating spend and cash burn. |
Earnings releases have generally been operationally positive, but share reactions have been mixed with both strong rallies and notable selloffs.
Recent history shows Adaptive Biotechnologies steadily growing its MRD franchise and repeatedly raising guidance. Prior earnings on Feb 5, 2026 and earlier quarters highlighted strong revenue growth, MRD profitability, and expanding clonoSEQ volumes, though price reactions were sometimes negative despite positive fundamentals. The preliminary 2025 results on Jan 12, 2026 saw a strong positive move, while other earnings dates triggered pullbacks. Today’s Q1 2026 report continues the theme of MRD-driven growth and updated guidance within this pattern.
Historical Comparison
Across five prior earnings‑tagged events, the average move was 7.91%, with both sharp rallies and declines. Today’s modest 1.61% gain falls well within this historical range and does not represent an outlier reaction versus past earnings updates.
Earnings reports consistently highlight accelerating MRD revenue growth, rising clonoSEQ volumes, and repeated MRD guidance raises, showing a steady scaling of the core MRD business while working toward improved profitability.
Market Pulse Summary
This announcement details a strong Q1 2026, with revenue of $70.9M, MRD revenue up 53%, and clonoSEQ volume up 41%, alongside a narrower net loss and improved Adjusted EBITDA. It continues a pattern of MRD-led growth and raised guidance, now at $260M–$270M for 2026 MRD revenue. Investors may monitor future earnings for the balance between rapid MRD expansion, Immune Medicine trends, and overall operating expense levels.
Key Terms
mrd medical
adjusted ebitda financial
revenue interest purchase agreement financial
AI-generated analysis. Not financial advice.
SEATTLE, May 05, 2026 (GLOBE NEWSWIRE) -- Adaptive Biotechnologies Corporation (“Adaptive Biotechnologies”) (Nasdaq: ADPT), a commercial stage biotechnology company that aims to translate the genetics of the adaptive immune system into clinical products to diagnose and treat disease, today reported financial results for the quarter ended March 31, 2026.
“We delivered strong first quarter results based on accelerating adoption of MRD across both clinical testing and drug development. Our performance reinforces our market leadership position and the differentiated value of our platform,” said Chad Robins, chief executive officer and co-founder of Adaptive Biotechnologies. “With disciplined execution and multiple growth drivers in place, we are well positioned to sustain our growth trajectory and create long-term value.”
Recent Highlights
- Revenue for the first quarter of 2026 was
$70.9 million . The MRD business, which contributed95% of revenue, grew53% versus the first quarter of 2025. - clonoSEQ® test volume in the first quarter of 2026 increased
41% to 32,595 tests delivered versus the first quarter of 2025. - Recognized
$9.0 million in MRD pharma regulatory milestone revenue, the first U.S. primary endpoint milestone. - Raising full year 2026 MRD revenue guidance to a new range of
$260 million to$270 million , implying annual growth of22% to27% .
First Quarter 2026 Financial Results
Revenue was
Operating expenses for the first quarter of 2026 were
Interest and other income, net was
Net loss was
Adjusted EBITDA (non-GAAP) was a loss of
Cash, cash equivalents and marketable securities was 237.2 million as of March 31, 2026, inclusive of
2026 Updated Financial Guidance
Adaptive Biotechnologies expects full year revenue for the MRD business to be between
We expect full year total company operating expenses, including cost of revenue, to be between
Management will provide further details on the outlook during the conference call.
Webcast and Conference Call Information
Adaptive Biotechnologies will host a conference call to discuss its first quarter 2026 financial results after market close on Tuesday, May 5, 2026 at 4:30 PM Eastern Time. The conference call can be accessed at http://investors.adaptivebiotech.com. The webcast will be archived and available for replay at least 90 days after the event.
About Adaptive Biotechnologies
Adaptive Biotechnologies (“we” or “our”) is a commercial-stage biotechnology company focused on harnessing the inherent biology of the adaptive immune system to transform the diagnosis and treatment of disease. We believe the adaptive immune system is nature’s most finely tuned diagnostic and therapeutic for most diseases, but the inability to decode it has prevented the medical community from fully leveraging its capabilities. Our proprietary immune medicine platform reveals and translates the massive genetics of the adaptive immune system with scale, precision and speed. We apply our platform to partner with biopharmaceutical companies, inform drug development, and develop clinical diagnostics across our two business segments: Minimal Residual Disease (MRD) and Immune Medicine. Our commercial products and clinical pipeline enable the diagnosis, monitoring, and treatment of diseases such as cancer and autoimmune disorders. Our goal is to develop and commercialize immune-driven clinical products tailored to each individual patient.
Forward-Looking Statements
This press release contains forward-looking statements that are based on management’s beliefs and assumptions and on information currently available to management. All statements contained in this release other than statements of historical fact are forward-looking statements, including statements regarding our ability to develop, commercialize and achieve market acceptance of our current and planned products and services, our research and development efforts and other matters regarding our business strategies, use of capital, results of operations and financial position and plans and objectives for future operations.
In some cases, you can identify forward-looking statements by the words “may,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “ongoing” or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words. These statements involve risks, uncertainties and other factors that may cause actual results, levels of activity, performance or achievements to be materially different from the information expressed or implied by these forward-looking statements. These risks, uncertainties and other factors are described under "Risk Factors," "Management's Discussion and Analysis of Financial Condition and Results of Operations" and elsewhere in the documents we file with the Securities and Exchange Commission from time to time. We caution you that forward-looking statements are based on a combination of facts and factors currently known by us and our projections of the future, about which we cannot be certain. As a result, the forward-looking statements may not prove to be accurate. The forward-looking statements in this press release represent our views as of the date hereof. We undertake no obligation to update any forward-looking statements for any reason, except as required by law.
Use of Non-GAAP Financial Measure
To supplement our unaudited condensed consolidated statements of operations and unaudited condensed consolidated balance sheets, which are prepared in conformity with generally accepted accounting principles in the United States of America (“GAAP”), this press release also includes references to Adjusted EBITDA, which is a non-GAAP financial measure that we define as net loss attributable to Adaptive Biotechnologies Corporation adjusted for interest and other income, net, interest expense, income tax (expense) benefit, depreciation and amortization expense, impairment costs for long-lived assets, restructuring expense and share-based compensation expense. We define our segment Adjusted EBITDA in the same way to the extent the net loss attributable to Adaptive Biotechnologies Corporation and adjustments are allocable to each segment. We have provided reconciliations of net loss attributable to Adaptive Biotechnologies Corporation, the most directly comparable GAAP financial measure, to Adjusted EBITDA at the end of this press release.
Management uses Adjusted EBITDA, including segment Adjusted EBITDA, to evaluate the financial performance of our business and segments and to evaluate the effectiveness of our strategies. We present these figures because we believe it is frequently used by analysts, investors and other interested parties to evaluate companies in our industry and it facilitates comparisons on a consistent basis across reporting periods. Further, we believe it is helpful in highlighting trends in our operating results because it excludes items that are not indicative of our core operating performance.
Adjusted EBITDA, including segment Adjusted EBITDA, has limitations as an analytical tool and you should not consider it in isolation or as a substitute for analysis of our results as reported under GAAP. We may in the future incur expenses similar to the adjustments we make. In particular, we expect to incur meaningful share-based compensation expense in the future. Other limitations include that Adjusted EBITDA, including segment Adjusted EBITDA, does not reflect:
- all expenditures or future requirements for capital expenditures or contractual commitments;
- changes in our working capital needs;
- interest expense, which is an ongoing element of our costs to operate;
- income tax (expense) benefit, which may be a necessary element of our costs and ability to operate;
- the costs of replacing the assets being depreciated and amortized, which will often have to be replaced in the future;
- the noncash component of employee compensation expense;
- long-lived assets impairment costs; and
- the impact of earnings or charges resulting from matters we consider not to be reflective, on a recurring basis, of our ongoing operations, such as our restructuring activities and reductions in workforce.
In addition, Adjusted EBITDA, including segment Adjusted EBITDA, may not be comparable to similarly titled measures used by other companies in our industry or across different industries.
ADAPTIVE INVESTORS
Karina Calzadilla, Vice President, Investor Relations and FP&A
201-396-1687
investors@adaptivebiotech.com
ADAPTIVE MEDIA
Erica Jones, Associate Corporate Communications Director
206-279-2423
media@adaptivebiotech.com
| Adaptive Biotechnologies Condensed Consolidated Statements of Operations (in thousands, except share and per share amounts) (unaudited) | ||||||||
| Three Months Ended March 31, | ||||||||
| 2026 | 2025 | |||||||
| Revenue | $ | 70,874 | $ | 52,443 | ||||
| Operating expenses | ||||||||
| Cost of revenue | 18,708 | 16,979 | ||||||
| Research and development | 23,623 | 24,203 | ||||||
| Sales and marketing | 26,346 | 23,047 | ||||||
| General and administrative | 20,984 | 17,399 | ||||||
| Amortization of intangible assets | 419 | 419 | ||||||
| Total operating expenses | 90,080 | 82,047 | ||||||
| Loss from operations | (19,206 | ) | (29,604 | ) | ||||
| Interest and other income, net | 2,080 | 2,679 | ||||||
| Interest expense | (2,889 | ) | (2,905 | ) | ||||
| Net loss | (20,015 | ) | (29,830 | ) | ||||
| Add: Net income attributable to noncontrolling interest | (18 | ) | (22 | ) | ||||
| Net loss attributable to Adaptive Biotechnologies Corporation | $ | (20,033 | ) | $ | (29,852 | ) | ||
| Net loss per share attributable to Adaptive Biotechnologies Corporation common shareholders, basic and diluted | $ | (0.13 | ) | $ | (0.20 | ) | ||
| Weighted-average shares used in computing net loss per share attributable to Adaptive Biotechnologies Corporation common shareholders, basic and diluted | 155,521,048 | 149,195,028 | ||||||
| Adaptive Biotechnologies Condensed Consolidated Balance Sheets (in thousands, except share and per share amounts) | ||||||||
| March 31, 2026 | December 31, 2025 | |||||||
| (unaudited) | ||||||||
| Assets | ||||||||
| Current assets | ||||||||
| Cash and cash equivalents | $ | 77,581 | $ | 70,495 | ||||
| Short-term marketable securities (amortized cost of | 140,753 | 156,485 | ||||||
| Accounts receivable, net | 48,315 | 50,365 | ||||||
| Inventory | 11,206 | 9,820 | ||||||
| Prepaid expenses and other current assets | 13,952 | 13,020 | ||||||
| Total current assets | 291,807 | 300,185 | ||||||
| Long-term assets | ||||||||
| Property and equipment, net | 30,774 | 34,107 | ||||||
| Operating lease right-of-use assets | 40,248 | 40,616 | ||||||
| Long-term marketable securities (amortized cost of | 18,889 | 13,234 | ||||||
| Restricted cash | 2,709 | 2,689 | ||||||
| Intangible assets, net | 1,307 | 1,726 | ||||||
| Goodwill | 118,972 | 118,972 | ||||||
| Other assets | 1,237 | 1,207 | ||||||
| Total assets | $ | 505,943 | $ | 512,736 | ||||
| Liabilities and shareholders’ equity | ||||||||
| Current liabilities | ||||||||
| Accounts payable | $ | 9,615 | $ | 6,467 | ||||
| Accrued liabilities | 7,465 | 7,700 | ||||||
| Accrued compensation and benefits | 6,217 | 16,992 | ||||||
| Current portion of operating lease liabilities | 8,513 | 8,920 | ||||||
| Current portion of deferred revenue | 49,397 | 45,194 | ||||||
| Current portion of revenue interest liability, net | 5,804 | 4,642 | ||||||
| Total current liabilities | 87,011 | 89,915 | ||||||
| Long-term liabilities | ||||||||
| Operating lease liabilities, less current portion | 69,115 | 70,228 | ||||||
| Deferred revenue, less current portion | 807 | 1,006 | ||||||
| Revenue interest liability, net, less current portion | 124,749 | 126,566 | ||||||
| Other long-term liabilities | 20 | 20 | ||||||
| Total liabilities | 281,702 | 287,735 | ||||||
| Commitments and contingencies | ||||||||
| Shareholders’ equity | ||||||||
| Preferred stock: | — | — | ||||||
| Common stock: | 16 | 15 | ||||||
| Additional paid-in capital | 1,599,708 | 1,581,848 | ||||||
| Accumulated other comprehensive (loss) gain | (28 | ) | 253 | |||||
| Accumulated deficit | (1,383,356 | ) | (1,363,323 | ) | ||||
| Total Adaptive Biotechnologies Corporation shareholders’ equity | 216,340 | 218,793 | ||||||
| Noncontrolling interest | 7,901 | 6,208 | ||||||
| Total shareholders’ equity | 224,241 | 225,001 | ||||||
| Total liabilities and shareholders’ equity | $ | 505,943 | $ | 512,736 | ||||
Adjusted EBITDA
The following is a reconciliation of net loss attributable to Adaptive Biotechnologies Corporation, the most directly comparable GAAP financial measure, to Adjusted EBITDA for the periods presented (in thousands, unaudited):
| Three Months Ended March 31, | ||||||||
| 2026 | 2025 | |||||||
| Net loss attributable to Adaptive Biotechnologies Corporation | $ | (20,033 | ) | $ | (29,852 | ) | ||
| Interest and other income, net | (2,080 | ) | (2,679 | ) | ||||
| Interest expense | 2,889 | 2,905 | ||||||
| Depreciation and amortization expense | 3,837 | 4,731 | ||||||
| Impairment of long-lived assets | 347 | — | ||||||
| Restructuring expense | 643 | — | ||||||
| Share-based compensation expense | 11,928 | 12,147 | ||||||
| Adjusted EBITDA | $ | (2,469 | ) | $ | (12,748 | ) | ||
Segment Information (Including Segment Adjusted EBITDA)
The following sets forth segment information for the periods presented (in thousands, unaudited):
| Three Months Ended March 31, | ||||||||
| 2026 | 2025 | |||||||
| MRD: | ||||||||
| Revenue | $ | 67,093 | $ | 43,721 | ||||
| Adjusted EBITDA | 12,138 | (4,111 | ) | |||||
| Reconciliation of Net Income (Loss) to Adjusted EBITDA: | ||||||||
| Net income (loss) | $ | 3,362 | $ | (12,238 | ) | |||
| Depreciation and amortization expense | 2,381 | 2,663 | ||||||
| Impairment of long-lived assets | — | — | ||||||
| Restructuring expense | 248 | — | ||||||
| Share-based compensation expense | 6,147 | 5,464 | ||||||
| Adjusted EBITDA | $ | 12,138 | $ | (4,111 | ) | |||
| Immune Medicine(1): | ||||||||
| Revenue | $ | 3,781 | $ | 8,722 | ||||
| Adjusted EBITDA | (10,360 | ) | (5,106 | ) | ||||
| Reconciliation of Net Loss to Adjusted EBITDA: | ||||||||
| Net loss | $ | (15,929 | ) | $ | (10,919 | ) | ||
| Depreciation and amortization expense | 1,005 | 1,623 | ||||||
| Impairment of long-lived assets | 347 | — | ||||||
| Restructuring expense | 395 | — | ||||||
| Share-based compensation expense | 3,822 | 4,190 | ||||||
| Adjusted EBITDA | $ | (10,360 | ) | $ | (5,106 | ) | ||
(1) Expenses related to Digital Biotechnologies, Inc. are no longer included in the Immune Medicine segment.