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Adaptive Biotechnologies Reports First Quarter 2026 Financial Results

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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.

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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

+4.72% 1.8x vol
19 alerts
+4.72% News Effect
+24.7% Peak Tracked
-6.3% Trough Tracked
+$107M Valuation Impact
$2.38B Market Cap
1.8x Rel. Volume

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

Q1 2026 revenue: $70.9M MRD revenue: $67.1M clonoSEQ test volume: 32,595 tests +5 more
8 metrics
Q1 2026 revenue $70.9M Quarter ended March 31, 2026; 35% YoY growth
MRD revenue $67.1M Q1 2026; 53% YoY increase
clonoSEQ test volume 32,595 tests Q1 2026; 41% YoY increase
MRD milestone revenue $9.0M Q1 2026 U.S. primary endpoint milestone
Net loss $20.0M Q1 2026 vs. $29.8M in Q1 2025
Adjusted EBITDA loss $2.5M Q1 2026, improved from $12.7M loss in Q1 2025
Cash & securities $237.2M As of March 31, 2026, including $15.3M at subsidiary
2026 MRD guidance $260M–$270M Raised from $255M–$265M full-year MRD revenue

Market Reality Check

Price: $13.64 Vol: Volume 2,200,504 is 43% a...
normal vol
$13.64 Last Close
Volume Volume 2,200,504 is 43% above 20-day average, signaling elevated interest into earnings. normal
Technical Price at 14.50 is trading modestly below the 200-day MA of 14.92, near a longer-term pivot area.

Peers on Argus

Sector peers showed mixed moves, with some gains (e.g., IDYA, GLPG, TARS, TVTX) ...

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.

Common Catalyst Multiple peers reported financial updates or capital markets activity, indicating an earnings and financing news cycle in biotech/diagnostics.

Previous Earnings Reports

5 past events · Latest: Feb 05 (Positive)
Same Type Pattern 5 events
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.
Pattern Detected

Earnings releases have generally been operationally positive, but share reactions have been mixed with both strong rallies and notable selloffs.

Recent Company History

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

+7.9% avg move · Across five prior earnings‑tagged events, the average move was 7.91%, with both sharp rallies and de...
earnings
+7.9%
Average Historical Move earnings

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...
Analysis

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, adjusted ebitda, revenue interest purchase agreement
3 terms
mrd medical
"accelerating adoption of MRD across both clinical testing and drug development."
MRD stands for minimal residual disease, the tiny number of cancer cells that can remain in the body after treatment and that may not show up on routine scans. Detecting MRD is like finding a few seeds left in a garden after clearing: it helps doctors predict the chance of relapse and measure how effective a therapy is, which investors watch because MRD results can influence clinical trial success, regulatory decisions, and a drug’s market potential.
adjusted ebitda financial
"Adjusted EBITDA (non-GAAP) was a loss of $2.5 million for the first quarter"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
revenue interest purchase agreement financial
"Interest expense from our revenue interest purchase agreement was $2.9 million"
A revenue interest purchase agreement is a contract where a business sells a portion of its future sales or product revenue to an investor in exchange for an upfront payment. For investors, it matters because the buyer gains a predictable cash stream tied to sales rather than ownership, and for the company it provides immediate funding but reduces the amount of future revenue available to owners — like selling future tolls from a road to raise cash today.

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 contributed 95% of revenue, grew 53% 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 of 22% to 27%.

First Quarter 2026 Financial Results

Revenue was $70.9 million for the quarter ended March 31, 2026, representing a 35% increase from the first quarter in the prior year. Excluding revenue recognized under the Genentech Agreement, which did not generate revenue in the quarter ended March 31, 2026, revenue for the current quarter increased 45% from the first quarter in the prior year. MRD revenue was $67.1 million for the quarter, representing a 53% increase from the first quarter in the prior year. Immune Medicine revenue was $3.8 million for the quarter, representing a 57% decrease from the first quarter in the prior year. Excluding revenue from the Genentech Agreement, Immune Medicine revenue for the quarter ended March 31, 2026 decreased 26% from the first quarter in the prior year.

Operating expenses for the first quarter of 2026 were $90.1 million, compared to $82.0 million in the first quarter of the prior year, representing an increase of 10%.

Interest and other income, net was $2.1 million for the first quarter of 2026, compared to $2.7 million in the first quarter of the prior year. Interest expense from our revenue interest purchase agreement was $2.9 million in both the first quarter of 2026 and the first quarter of the prior year.

Net loss was $20.0 million for the first quarter of 2026, compared to $29.8 million for the same period in 2025. Excluding revenue generated from the Genentech Agreement, net loss was $33.4 million for the first quarter of 2025.

Adjusted EBITDA (non-GAAP) was a loss of $2.5 million for the first quarter of 2026, compared to a loss of $12.7 million for the first quarter of the prior year. Excluding revenue generated from the Genentech Agreement, Adjusted EBITDA was a loss of $16.3 million for the first quarter of 2025.

Cash, cash equivalents and marketable securities was 237.2 million as of March 31, 2026, inclusive of $15.3 million of cash and cash equivalents held by Digital Biotechnologies, Inc.

2026 Updated Financial Guidance

Adaptive Biotechnologies expects full year revenue for the MRD business to be between $260 million and $270 million, updated from the previous range between $255 million and $265 million. No revenue guidance is provided for the Immune Medicine business.

We expect full year total company operating expenses, including cost of revenue, to be between $350 million and $360 million.

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 $140,762 and $156,246, respectively)  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 $18,908 and $13,220, respectively)  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: $0.0001 par value, 10,000,000 shares authorized at March 31, 2026 and December 31, 2025; no shares issued and outstanding at March 31, 2026 and December 31, 2025      
Common stock: $0.0001 par value, 340,000,000 shares authorized at March 31, 2026 and December 31, 2025; 159,697,221 and 153,779,418 shares issued and outstanding at March 31, 2026 and December 31, 2025, respectively  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.


FAQ

What were Adaptive Biotechnologies (ADPT) Q1 2026 total revenues and key drivers?

Total revenue was $70.9 million for Q1 2026. According to the company, MRD contributed 95% of revenue, with MRD revenue of $67.1 million and clonoSEQ volumes up 41% to 32,595 tests.

How did Adaptive Biotechnologies update its 2026 MRD revenue guidance (ADPT)?

Adaptive raised full‑year MRD revenue guidance to $260–$270 million. According to the company, this replaces the prior $255–$265 million range and implies 22%–27% annual MRD growth.

What was Adaptive Biotechnologies' profitability and cash position in Q1 2026 (ADPT)?

Adaptive reported a Q1 net loss of $20.0 million and adjusted EBITDA loss of $2.5 million. According to the company, cash, cash equivalents and marketable securities totaled $237.2 million as of March 31, 2026.

What happened to Adaptive's Immune Medicine revenue in Q1 2026 (ADPT)?

Immune Medicine revenue was $3.8 million in Q1 2026, a 57% decrease year‑over‑year. According to the company, excluding Genentech agreement revenue the decline was 26% versus prior year.

How did clonoSEQ test volume change for Adaptive Biotechnologies in Q1 2026 (ADPT)?

clonoSEQ delivered 32,595 tests in Q1 2026, a 41% increase year‑over‑year. According to the company, this volume growth was a primary contributor to MRD revenue expansion.

What operating expense and outlook guidance did Adaptive Biotechnologies give for 2026 (ADPT)?

Adaptive expects full‑year total company operating expenses between $350–$360 million for 2026. According to the company, management will provide further outlook details on the May 5 conference call.