Ardelyx Reports Fourth Quarter and Full Year 2025 Financial Results and Provides Business Update
Rhea-AI Summary
Ardelyx (Nasdaq: ARDX) reported full-year 2025 results with total revenue of $407.3 million and IBSRELA revenue of $274.2 million (73% YoY). XPHOZAH generated $103.6 million. Cash and short-term investments were $264.7 million as of December 31, 2025. The company launched a Phase 3 CIC trial (ACCEL) and expects FDA submission timing contingent on results.
Management guided 2026 IBSRELA revenue to $410–$430 million and XPHOZAH to $110–$120 million; net loss was $61.6 million for 2025.
Positive
- IBSRELA revenue +73% YoY to $274.2M in 2025
- Total revenue reached $407.3M in 2025
- Cash and short-term investments of $264.7M as of 12/31/2025
- Launched Phase 3 ACCEL for CIC; first patient dosed Q1 2026
- U.S. patent issued covering tenapanor formulations through 11/26/2042
Negative
- Net loss widened to $61.6M in 2025 from $39.1M
- SG&A expenses increased to $337.2M in 2025
- XPHOZAH revenue declined to $103.6M from $160.9M in 2024
Market Reaction
Following this news, ARDX has declined 7.12%, reflecting a notable negative market reaction. Argus tracked a trough of -13.7% from its starting point during tracking. Our momentum scanner has triggered 10 alerts so far, indicating notable trading interest and price volatility. The stock is currently trading at $6.26. This price movement has removed approximately $126M from the company's valuation.
Data tracked by StockTitan Argus (15 min delayed). Upgrade to Silver for real-time data.
Key Figures
Market Reality Check
Peers on Argus
ARDX was down 0.22% pre-news while key peers AUPH, CDTX, MNKD, VCEL and VERA showed small gains (e.g., AUPH +0.56%, MNKD +0.37%, VERA +0.75%). This points to stock-specific dynamics rather than a sector-wide move.
Previous Earnings Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Oct 30 | Q3 2025 earnings | Positive | +1.0% | Strong Q3 revenue, IBSRELA outperformance and increased 2025 guidance. |
| Aug 04 | Q2 2025 earnings | Positive | +16.9% | Robust Q2 growth, higher IBSRELA guidance and added debt flexibility. |
| May 01 | Q1 2025 earnings | Positive | -24.5% | Strong revenue growth but wider net loss driven by commercialization spend. |
| Feb 20 | FY 2024 results | Positive | -10.1% | FY 2024 revenue strength and improved net loss with large peak sales outlook. |
| Oct 31 | Q3 2024 earnings | Positive | +3.8% | Strong Q3 2024 revenue growth and increased product sales for both drugs. |
Earnings releases have highlighted strong revenue growth but produced mixed stock reactions, with an average move of -2.59% and several notable selloffs on otherwise positive updates.
Over the last five earnings-related releases, Ardelyx has consistently reported strong growth from IBSRELA and meaningful contributions from XPHOZAH, alongside a solid cash position. Guidance has been repeatedly raised across 2024–2025, and new programs like RDX10531 and CIC expansion have been introduced. Despite this, share reactions were often negative, including moves of -24.5% and -10.06%, underscoring a pattern of volatility and occasional selloffs on good news.
Historical Comparison
Across five prior earnings releases, ARDX averaged a -2.59% move despite recurring revenue beats and guidance raises, indicating that strong fundamentals have not always translated into positive price reactions.
Earnings updates show a progression from early commercialization in 2024 to higher 2025 run-rates, repeated IBSRELA guidance raises, and the addition of pipeline assets like RDX10531 and a CIC Phase 3 program alongside expanding cash reserves.
Market Pulse Summary
The stock is down -7.1% following this news. A negative reaction despite solid topline growth would fit prior patterns where earnings strength did not prevent drawdowns, such as past moves of -24.5% and -10.06%. The market may focus on increased SG&A of $337.2M, higher R&D at $71.5M, and a full‑year net loss of $61.6M, even as 2026 guidance for IBSRELA and XPHOZAH points to continued expansion.
Key Terms
phase 3 trial medical
chronic idiopathic constipation medical
supplemental new drug application regulatory
investigational new drug regulatory
boxed warning regulatory
placebo-controlled medical
orange book regulatory
AI-generated analysis. Not financial advice.
IBSRELA revenue grew
Patient-first XPHOZAH strategy preserved access and drove growth in total dispenses
Development programs for new IBSRELA indication and next-generation NHE3 inhibitor launched
Company is well capitalized to meet current business objectives
Conference call scheduled for 4:30 PM Eastern Time
WALTHAM, Mass., Feb. 19, 2026 (GLOBE NEWSWIRE) -- Ardelyx, Inc. (Nasdaq: ARDX), a commercial-stage biopharmaceutical company focused on the development and commercialization of innovative medicines that meet significant unmet medical needs, today reported financial results for the fourth quarter and full year ended December 31, 2025, and provided a business update.
“The results we delivered in 2025 reflect our team’s hard work and disciplined execution to bring our medicines to more patients in need, underscored by significant IBSRELA growth, increased adoption of XPHOZAH and rapid advancement of our clinical development programs,” said Mike Raab, president and chief executive officer of Ardelyx. “As we look to build on this strong momentum, we see 2026 as a pivotal opportunity to further evolve our business into a meaningful enterprise built on a broad, thoughtful portfolio of best-in-class medicines. Our long-term strategy remains clear and unwavering: to deliver novel therapies to patients with significant unmet medical needs and generate sustained value for shareholders.”
IBSRELA® (tenapanor) finishes 2025 with
Revenue for IBSRELA in 2025 was
Ardelyx expects continued growth in 2026 and beyond, driven by increased depth and breadth of prescribing among target healthcare providers, increased engagement with patients with irritable bowel syndrome with constipation (IBS-C) as well as further improved prescription pull-through. Ardelyx expects full-year 2026 revenue for IBSRELA to be between
XPHOZAH® (tenapanor) finishes 2025 with
Revenue for XPHOZAH in 2025 was
Ardelyx expects growth in 2026 to be driven by increased clinical conviction and writing among target healthcare prescribers. Ardelyx expects full-year 2026 XPHOZAH revenue to be between
Building a pipeline of important medicines
The company advanced efforts to expand the eligible patient population for IBSRELA to include patients with chronic idiopathic constipation (CIC) and has launched a Phase 3 trial, ACCEL, to assess tenapanor in patients with CIC, dosing the first patient in Q1 2026. Pending the outcome of the Phase 3 trial, Ardelyx intends to submit a Supplemental New Drug Application to the U.S. Food and Drug Administration (FDA) for the CIC indication. Enrollment in ACCEL is expected to be completed by the end of 2026 and topline readout is expected in the second half of 2027.
Ardelyx also launched a development program for RDX10531, a next-generation sodium/hydrogen exchanger 3 (NHE3) inhibitor, in 2025. The company is currently completing pre-clinical development activities in advance of an Investigational New Drug submission to the FDA in the second half of 2026 and initiation of a Phase 1 clinical trial thereafter.
Other Corporate Developments
- United States Patent and Trademark Office issued U.S. Patent No. 12,539,299 titled “Oral Formulations of Tenapanor.” The patent covers the commercial formulations of IBSRELA and XPHOZAH and has an expiration date of November 26, 2042. The patent is listed in the FDA’s Approved Drug Products with Therapeutic Equivalence Evaluations (commonly known as the Orange Book) for both products.
- Four posters were presented at the American Society of Nephrology’s annual Kidney Week, including data from real-world evidence studies demonstrating patient satisfaction and reduction in serum phosphate with XPHOZAH.
- Three posters were presented at the American College of Gastroenterology’s 2025 Annual Meeting supporting the benefits of IBSRELA.
Full Year 2025 Financial Results
- Cash Position: As of December 31, 2025, the company had total cash, cash equivalents and short-term investments of
$264.7 million , compared to total cash, cash equivalents and short-term investments of$250.1 million as of December 31, 2024. - Revenues: Total revenue for the year ended December 31, 2025 was
$407.3 million , compared to$333.6 million in total revenue in 2024, driven by increases in IBSRELA revenue.- IBSRELA revenue was
$274.2 million , compared to$158.3 million in 2024. - XPHOZAH revenue was
$103.6 million , compared to$160.9 million in 2024. - Other revenues, including product supply, licensing and non-cash royalty revenue related to the sale of future royalties, totaled
$29.5 million , compared to$14.4 million in 2024.
- IBSRELA revenue was
- R&D Expenses: Research and development expenses were
$71.5 million for the year ended December 31, 2025, compared to$52.3 million for the year ended December 31, 2024. The increase was related to investments in recently announced pipeline programs and increased medical engagement with scientific communities. - SG&A Expenses: Selling, general and administrative expenses were
$337.2 million for the year ended December 31, 2025, compared to$258.7 million for the year ended December 31, 2024. The increase was primarily related to increased costs associated with the ongoing commercialization of IBSRELA and XPHOZAH. - Net Loss: Net loss for the year ended December 31, 2025 was
$61.6 million , or$(0.26) per share, compared to net loss of$39.1 million , or$(0.17) per share, for the year ended December 31, 2024. The net loss for the full year 2025 included share-based compensation expense of$49.0 million .
Conference Call Details
The company will host a conference call today, February 19, 2026, at 4:30 PM ET to discuss today's announcement. To participate in the conference call, please dial (877) 346-6112 (domestic) or (848) 280-6350 (international) and ask to be joined into the Ardelyx call. A live audio webcast and related presentation materials can also be accessed by visiting the Investor page of the company's website, www.ardelyx.com, and will be available on the website for 30 days following the call.
IMPORTANT SAFETY INFORMATION (IBSRELA)
| WARNING: RISK OF SERIOUS DEHYDRATION IN PEDIATRIC PATIENTS IBSRELA is contraindicated in patients less than 6 years of age; in nonclinical studies in young juvenile rats administration of tenapanor caused deaths presumed to be due to dehydration. Avoid use of IBSRELA in patients 6 years to less than 12 years of age. The safety and effectiveness of IBSRELA have not been established in patients less than 18 years of age. |
CONTRAINDICATIONS
- IBSRELA is contraindicated in patients less than 6 years of age due to the risk of serious dehydration.
- IBSRELA is contraindicated in patients with known or suspected mechanical gastrointestinal obstruction.
WARNINGS AND PRECAUTIONS
Risk of Serious Dehydration in Pediatric Patients
- IBSRELA is contraindicated in patients below 6 years of age. The safety and effectiveness of IBSRELA in patients less than 18 years of age have not been established. In young juvenile rats (less than 1 week old; approximate human age equivalent of less than 2 years of age), decreased body weight and deaths occurred, presumed to be due to dehydration, following oral administration of tenapanor. There are no data available in older juvenile rats (human age equivalent 2 years to less than 12 years).
- Avoid the use of IBSRELA in patients 6 years to less than 12 years of age. Although there are no data in older juvenile rats, given the deaths in younger rats and the lack of clinical safety and efficacy data in pediatric patients, avoid the use of IBSRELA in patients 6 years to less than 12 years of age.
Diarrhea
Diarrhea was the most common adverse reaction in two randomized, double-blind, placebo-controlled trials of IBS-C. Severe diarrhea was reported in
MOST COMMON ADVERSE REACTIONS
The most common adverse reactions in IBSRELA-treated patients (incidence ≥
INDICATION
IBSRELA (tenapanor) is indicated for the treatment of Irritable Bowel Syndrome with Constipation (IBS-C) in adults.
Please see full Prescribing Information, including Boxed Warning, for additional risk information.
IMPORTANT SAFETY INFORMATION (XPHOZAH)
CONTRAINDICATIONS
XPHOZAH is contraindicated in:
- Pediatric patients under 6 years of age
- Patients with known or suspected mechanical gastrointestinal obstruction
WARNINGS AND PRECAUTIONS
Diarrhea
Patients may experience severe diarrhea. Treatment with XPHOZAH should be discontinued in patients who develop severe diarrhea.
MOST COMMON ADVERSE REACTIONS
Diarrhea, which occurred in 43
INDICATION
XPHOZAH (tenapanor), 30 mg BID, is indicated to reduce serum phosphorus in adults with chronic kidney disease (CKD) on dialysis as add-on therapy in patients who have an inadequate response to phosphate binders or who are intolerant of any dose of phosphate binder therapy.
For additional safety information, please see full Prescribing Information.
About Ardelyx
Ardelyx is a commercial-stage biopharmaceutical company focused on the development and commercialization of innovative medicines that meet significant unmet medical needs. Ardelyx has two commercial products approved in the United States, IBSRELA® (tenapanor) and XPHOZAH® (tenapanor). The company’s pipeline includes the Phase 3 development of tenapanor for chronic idiopathic constipation, and RDX10531, a next-generation NHE3 inhibitor with potential application across multiple therapeutic areas. Ardelyx has agreements for the development and commercialization of tenapanor outside of the U.S. Kyowa Kirin commercializes PHOZEVEL® (tenapanor) for hyperphosphatemia in Japan. A New Drug Application for tenapanor for hyperphosphatemia has been approved in China with Fosun Pharma. Knight Therapeutics commercializes IBSRELA in Canada. For more information, please visit https://ardelyx.com/ and connect with us on X (formerly known as Twitter), LinkedIn and Facebook.
Forward Looking Statements
To the extent that statements contained in this press release are not descriptions of historical facts regarding Ardelyx, they are forward-looking statements reflecting the current beliefs and expectations of management made pursuant to the safe harbor of the Private Securities Reform Act of 1995, including Ardelyx’s current expectations regarding: the year in which IBSRELA will achieve annual U.S. net product sales revenue of
Investor and Media Contact:
Caitlin Lowie
clowie@ardelyx.com
| Ardelyx, Inc. Condensed Balance Sheets (in thousands) | |||||||
| December 31, 2025 | December 31, 2024 | ||||||
| (Unaudited) | (1) | ||||||
| Assets | |||||||
| Cash and cash equivalents | $ | 67,999 | $ | 64,932 | |||
| Short-term investments | 196,690 | 185,168 | |||||
| Accounts receivable | 71,848 | 57,705 | |||||
| Prepaid commercial manufacturing | 14,479 | 16,378 | |||||
| Inventory | 123,107 | 91,184 | |||||
| Property and equipment, net | 2,184 | 1,495 | |||||
| Right-of-use assets | 4,795 | 2,380 | |||||
| Prepaid and other assets | 20,502 | 16,512 | |||||
| Total assets | $ | 501,604 | $ | 435,754 | |||
| Liabilities and stockholders’ equity | |||||||
| Accounts payable | $ | 19,235 | $ | 16,000 | |||
| Accrued compensation and benefits | 19,108 | 14,940 | |||||
| Current portion of operating lease liability | 1,479 | 1,562 | |||||
| Deferred revenue | 14,905 | 17,918 | |||||
| Accrued expenses and other liabilities | 51,218 | 35,665 | |||||
| Long-term debt | 202,834 | 150,853 | |||||
| Deferred royalty obligation related to the sale of future royalties | 25,876 | 25,527 | |||||
| Total stockholders’ equity | 166,949 | 173,289 | |||||
| Total liabilities and stockholders’ equity | $ | 501,604 | $ | 435,754 | |||
| (1) Derived from the audited financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024. | |||||||
| Ardelyx, Inc. Condensed Statements of Operations (Unaudited) (in thousands, except share and per share amounts) | |||||||||||||||
| Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Revenues | |||||||||||||||
| Product sales, net | |||||||||||||||
| IBSRELA | $ | 86,601 | $ | 53,842 | $ | 274,207 | $ | 158,286 | |||||||
| XPHOZAH | 27,801 | 57,161 | 103,601 | 160,910 | |||||||||||
| Total product sales, net | 114,402 | 111,003 | 377,808 | 319,196 | |||||||||||
| Product supply revenue | 9,440 | 4,188 | 15,879 | 11,649 | |||||||||||
| Licensing revenue | 23 | 22 | 5,088 | 78 | |||||||||||
| Non-cash royalty revenue related to the sale of future royalties | 1,350 | 916 | 8,545 | 2,692 | |||||||||||
| Total revenues | 125,215 | 116,129 | 407,320 | 333,615 | |||||||||||
| Costs and operating expenses | |||||||||||||||
| Cost of sales(1) | 10,849 | 18,264 | 39,537 | 50,556 | |||||||||||
| Research and development | 22,856 | 13,666 | 71,527 | 52,317 | |||||||||||
| Selling, general and administrative | 86,411 | 76,074 | 337,233 | 258,692 | |||||||||||
| Total costs and operating expenses | 120,116 | 108,004 | 448,297 | 361,565 | |||||||||||
| Income (loss) from operations | 5,099 | 8,125 | (40,977 | ) | (27,950 | ) | |||||||||
| Interest expense | (5,759 | ) | (3,967 | ) | (20,102 | ) | (13,006 | ) | |||||||
| Non-cash interest expense related to the sale of future royalties | (1,818 | ) | (1,886 | ) | (8,296 | ) | (7,088 | ) | |||||||
| Other income, net | 2,078 | 2,408 | 8,745 | 9,174 | |||||||||||
| (Loss) income before provision for income taxes | (400 | ) | 4,680 | (60,630 | ) | (38,870 | ) | ||||||||
| Provision for income taxes | 7 | 35 | 969 | 266 | |||||||||||
| Net (loss) income | $ | (407 | ) | $ | 4,645 | $ | (61,599 | ) | $ | (39,136 | ) | ||||
| Net (loss) income per share of common stock - basic and diluted | $ | (0.00 | ) | $ | 0.02 | $ | (0.26 | ) | $ | (0.17 | ) | ||||
| Shares used in computing net (loss) income per share - basic | 243,614,026 | 237,370,654 | 241,033,750 | 235,232,927 | |||||||||||
| Shares used in computing net (loss) income per share - diluted | 243,614,026 | 244,050,606 | 241,033,750 | 235,232,927 | |||||||||||
| (1) Prior year amounts have been reclassified to conform to the current year presentation. | |||||||||||||||