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Lexicon Pharmaceuticals Reports Second Quarter 2026 Financial Results and Provides Clinical Updates 

(Moderate)
(Positive)
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Lexicon Pharmaceuticals (Nasdaq:LXRX) reported second quarter 2026 revenues of $0.7 million, down from $28.9 million a year earlier, reflecting the absence of prior-period Novo Nordisk licensing revenue. The company posted a net loss of $31.8 million, or $0.07 per share, versus net income of $3.3 million, or $0.01 per share, in 2025.

R&D expenses rose to $17.4 million and SG&A to $9.8 million. Cash and investments increased to $190.6 million, aided by $96.2 million of February equity proceeds and a new $100 million Hercules Capital loan facility, of which $55 million was drawn to refinance prior debt.

Lexicon completed enrollment of the >500-patient Phase 3 SONATA-HCM study of sotagliflozin, with topline data expected in Q1 2027, and plans an NDA resubmission for ZYNQUISTA in type 1 diabetes in Q4 2026. Novo Nordisk’s Phase 1 obesity program for LX9851 is ongoing, with Lexicon eligible for up to $1 billion in milestones plus royalties.

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Positive

  • SONATA-HCM Phase 3 enrollment completed with >500 patients; topline data expected Q1 2027
  • ZYNQUISTA NDA resubmission for type 1 diabetes targeted for Q4 2026, supported by ongoing STENO1 safety data
  • Cash and investments increased to $190.6 million at June 30, 2026, from $125.2 million at year-end 2025
  • Novo Nordisk LX9851 deal: $45 million upfront plus two $10 million clinical milestones received; eligibility for up to $1 billion in further milestones and tiered royalties
  • $100 million Hercules Capital loan facility secured; initial $55 million tranche funded and used to repay prior Oxford Finance loan
  • Viatris ex-U.S. approvals and filings for sotagliflozin in heart failure, including approvals in UAE and Bahrain and submissions in multiple additional markets

Negative

  • Total revenues declined to $0.7 million in Q2 2026 from $28.9 million in Q2 2025, due to the absence of prior-period Novo Nordisk licensing revenue
  • Net result swung from $3.3 million income in Q2 2025 to a $31.8 million loss in Q2 2026
  • R&D expenses increased to $17.4 million from $15.7 million year over year, driven by SONATA-HCM trial costs
  • SG&A expenses rose to $9.8 million from $9.4 million, reflecting higher professional and consulting costs
  • Loss on early extinguishment of debt of $4.3 million recorded in connection with refinancing
  • Share count increased to 437.7 million basic average shares in Q2 2026 from 363.3 million a year earlier, following $96.2 million of equity issuance

News Explained

The May 2026 Hercules facility has $55 million funded at closing, with a further $20 million available only if clinical, regulatory and financial milestones and timing requirements are met and the final $25 million requiring Hercules’ consent and timing requirements, making the additional borrowing conditional rather than fully committed.

Market reaction after 2Q26 earnings report: LXRX -18.37%

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$902.90M Market Cap
0.1x Rel. Volume

Following this news, LXRX has declined 18.37%, reflecting a significant negative market reaction. Argus tracked a peak move of +17.9% during the session. Our momentum scanner has triggered 15 alerts so far, indicating notable trading interest and price volatility. The stock is currently trading at $2.00.

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Market Context

Tag-specific earnings history recorded an average move of 0.64%. Against that platform baseline, thi...
Analysis

Tag-specific earnings history recorded an average move of 0.64%. Against that platform baseline, this release combined pipeline milestones with weaker quarterly profitability; the key risk remained whether clinical progress translates into durable commercial revenue.

Key Figures

SONATA-HCM enrollment target: 500 patients SONATA-HCM topline timing: Q1 2027 ZYNQUISTA NDA resubmission: Q4 2026 +5 more
8 metrics
SONATA-HCM enrollment target 500 patients Phase 3 study
SONATA-HCM topline timing Q1 2027 Expected final study results
ZYNQUISTA NDA resubmission Q4 2026 Anticipated timing based on STENO1 data collection
Novo Nordisk upfront payment $45 million LX9851 exclusive license agreement
Clinical development payments Two $10 million payments LX9851 license agreement
Aggregate milestone eligibility Up to $1 billion Upfront and development, regulatory, and sales milestones
Total revenues $0.7 million Second quarter of 2026, versus $28.9 million in Q2 2025
Net loss $31.8 million, or $0.07 per share Second quarter of 2026, versus net income of $3.3 million in Q2 2025

Previous Earnings Reports

5 past events · Latest: May 07 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 07 Q1 earnings report Positive +5.0% Revenue milestone, liquidity update, loan facility, and pipeline progress accompanied quarterly results.
Mar 05 Q4 earnings report Positive +0.6% Pipeline milestones and new financing strengthened the quarterly business update.
Nov 06 Q3 earnings report Positive +3.6% Licensing revenue, improved loss, and clinical development progress drove the update.
Aug 06 Q2 earnings report Positive +9.5% Higher revenue, improved profitability, and pipeline progress defined the quarterly announcement.
May 13 Q1 earnings report Positive -15.6% Novo Nordisk licensing, clinical progress, and improved loss accompanied the quarterly results.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Tag-specific earnings reactions were mixed, with four positive 24-hour moves and one negative move; the recorded tag-specific average was 0.64%.

Key Terms

nda, sglt1, acsl5, aak1
4 terms
nda regulatory
"support a resubmission of the company's New Drug Application (NDA)"
An NDA, or nondisclosure agreement, is a legal contract that keeps certain information private between parties. It’s like a promise not to share sensitive details, helping protect business ideas, strategies, or data from being leaked or used without permission. For investors, NDAs help ensure that confidential information remains secure, enabling trust and open communication during business discussions.
sglt1 medical
"inhibitor of sodium-glucose cotransporter types 1 and 2 (SGLT1 and SGLT2)"
SGLT1 is a protein in the body’s lining of the gut and some kidney cells that acts like a doorway, moving sugar from the digestive tract into cells. It matters to investors because drugs that block or modify this doorway can change how the body handles blood sugar, appetite and fluid balance, so successes or setbacks in SGLT1-targeted therapies can affect drug sales, trial outcomes, regulatory risk and long-term company value.
acsl5 medical
"inhibitor of acyl-CoA synthetase 5 (ACSL5)"
ACSL5 is a human gene that makes an enzyme responsible for activating long-chain fatty acids so cells can use or store them; think of it as a factory worker that tags raw fat molecules so they can be processed. Investors should care because changes in ACSL5 activity are linked to metabolic diseases, cancer and drug responses, making it a potential diagnostic marker or drug target that can influence the value of related biotech and pharma projects.
aak1 medical
"selective, investigational small molecule inhibitor of AAK1"
AAK1 is a human gene that makes a protein acting like a traffic controller inside cells, helping move and sort molecules into and out of the cell. Investors care because drugs that block or modify AAK1 can change how cells handle infections or neurological signals, so evidence that a therapy affects AAK1 can influence the value of biotech pipelines, clinical trial prospects, and future regulatory or commercial outcomes.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Enrollment complete in Phase 3 SONATA-HCM study; top-line data expected Q1 2027 

NDA resubmission activities for ZYNQUISTA® in type 1 diabetes nearing completion

Phase 1 clinical development of LX9851 ongoing by Novo Nordisk

Conference call and webcast at 8:30 am ET  

THE WOODLANDS, Texas, Aug. 06, 2026 (GLOBE NEWSWIRE) -- Lexicon Pharmaceuticals, Inc. (Nasdaq: LXRX), today reported financial results for the three months ended June 30, 2026, and provided an update on key corporate milestones and accomplishments. 

“Lexicon continued to make strong progress during the second quarter, with the refinement of our strategy and sharpening of our focus beginning to bear fruit across our business,” said Mike Exton, Ph.D., Lexicon’s chief executive officer and director. “Among all the accomplishments, I’m particularly pleased that we have completed enrollment of our SONATA-HCM study on time, reflecting strong clinical interest for a novel class of medicine to treat HCM. Overall, I could not be more confident in how these opportunities are poised to shape the company over the coming months.”

“We remain very focused on disciplined, targeted capital allocation as we continue to advance our clinical programs,” said Scott Coiante, Lexicon’s chief financial officer. “With early commercial planning now underway for our late-state pipeline, we are committed to maximizing the value of these opportunities to create long-term shareholder value.”

Second Quarter 2026 Business and Pipeline Highlights 

Cardiometabolic

Sotagliflozin
Sotagliflozin is a unique oral inhibitor of sodium-glucose cotransporter types 1 and 2 (SGLT1 and SGLT2) and has been studied in approximately 20,000 patients across multiple cardiometabolic indications. Sotagliflozin is commercially available in the U.S. for heart failure as INPEFA®.

Hypertrophic Cardiomyopathy (HCM)

  • Enrollment has been completed in SONATA-HCM, a pivotal Phase 3 placebo-controlled study, substantially exceeding its enrollment target of 500 patients across both non-obstructive (nHCM) or obstructive HCM (oHCM). 
  • The primary efficacy endpoint will assess improvement in symptoms for the entire population (nHCM and oHCM). The final study population included a substantial majority of patients with nHCM, providing a robust opportunity to evaluate sotagliflozin in a patient group for whom effective treatment options remain limited, as well as a meaningful cohort of patients with oHCM.
  • Lexicon continues to expect topline results in the first quarter of 2027.

Type 1 Diabetes (T1D) (ZYNQUISTA®)

  • Lexicon remains focused on bringing ZYNQUISTA to market for glycemic control in adults with T1D, a patient population for which there are no treatment options beyond insulin.
  • STENO1, a third-party funded, investigator-initiated study of sotagliflozin being conducted by the STENO Diabetes Center (Denmark) is approaching the patient exposure and safety data requirements previously identified by the U.S. Food and Drug Administration (FDA) as being adequate to support a resubmission of the company's New Drug Application (NDA), which Lexicon anticipates will occur in the fourth quarter of 2026 based on current estimated timing of data collection.
  • The safety data received to date from this open-label trial continue to support the resubmission.

Viatris License for All Indications Ex-U.S. and Ex-Europe

  • Lexicon continues to support licensee Viatris in its regulatory filing and commercial strategy for sotagliflozin outside of the U.S. and Europe.
  • Viatris has obtained regulatory approval for heart failure in the United Arab Emirates and Bahrain and has submitted applications for regulatory approval for heart failure in several other markets, including Saudi Arabia, Canada, Australia, New Zealand, Mexico, Singapore, Oman, Thailand, Turkey, Malaysia, Philippines, and Kuwait. Viatris anticipates regulatory decisions in Australia and Canada and regulatory submissions in other markets in 2026.

LX9851 
LX9851 is a first-in-class, non-incretin, oral, small molecule inhibitor of acyl-CoA synthetase 5 (ACSL5) in development by licensee Novo Nordisk for obesity and associated metabolic disorders.

Obesity and Associated Cardiometabolic Disorders

  • In March 2026, Novo Nordisk initiated a Phase 1 study investigating single and multiple ascending doses of LX9851 compared to placebo in overweight or obese people. The Phase 1 program is expected to be completed in the first quarter of 2027.
  • Under the terms of Lexicon’s exclusive license agreement with Novo Nordisk, Lexicon received an upfront payment of $45 million and two $10 million payments related to clinical development. Lexicon is eligible to receive a third $10 million milestone payment as early as later this year and up to an aggregate of $1 billion in upfront and development, regulatory and sales milestone payments. Lexicon is also eligible for tiered royalties on net sales of LX9851.

Pilavapadin (LX9211)

Discovered using Lexicon’s unique approach to gene science and target identification, pilavapadin is a potent, once-daily, orally delivered, selective, investigational small molecule inhibitor of AAK1. Lexicon identified AAK1 in its target discovery efforts as a promising approach for the treatment of neuropathic pain and is exploring its potential in other indications.   

Diabetic Peripheral Neuropathic Pain (DPNP)

  • Pilavapadin has the potential to be the first oral, non-opioid drug therapy approved in neuropathic pain in more than 20 years.
  • Lexicon continues to explore strategic opportunities to maximize the global potential of this investigative therapy.

Second Quarter 2026 Financial Highlights

Revenues: Total revenues were $0.7 million for the second quarter of 2026, consisting of net sales of INPEFA.

Total revenues for the second quarter of 2025 were $28.9 million, consisting of $27.6 million in licensing revenue recognized from the Novo Nordisk licensing agreement and $1.3 million from net sales of INPEFA.

Research and Development (R&D) Expenses: Research and development expenses for the second quarter of 2026 increased to $17.4 million from $15.7 million for the corresponding period in 2025, reflecting higher external research expense in 2026 related to the Company’s ongoing SONATA-HCM Phase 3 clinical trial.

Selling, General and Administrative (SG&A) Expenses: Selling, general and administrative expenses for the second quarter of 2026 increased to $9.8 million from $9.4 million for the corresponding period in 2025. The increase in 2026 reflects higher professional and consulting costs.

Net Loss: Net loss for the second quarter of 2026 was $31.8 million, or $0.07 per share, as compared to net income of $3.3 million, or $0.01 per share, in the corresponding period in 2025. Net loss for the second quarter of 2026 and net income for the second quarter of 2025 included non-cash, stock-based compensation expense of $3.3 million and $3.2 million, respectively.

Cash, Investments and Restricted Cash: As of June 30, 2026, Lexicon had $190.6 million in cash and investments, as compared to $125.2 million in cash, investments, and restricted cash as of December 31, 2025. The increase in cash and investments reflects net proceeds of $96.2 million from the sale of common and preferred stock in February 2026.

Hercules Capital Loan Facility
In May 2026, Lexicon entered into a $100 million loan facility with Hercules Capital. An initial $55 million tranche was funded at closing and used to repay Lexicon’s previous loan facility with Oxford Finance. The second $20 million tranche is available for draw at Lexicon’s option subject to the achievement of certain clinical, regulatory and financial milestones and specified timing requirements. The third $25 million tranche is available for draw at Lexicon’s option subject to Hercules’ consent and specified timing requirements.

Conference Call and Webcast Information  
Lexicon management will hold a live conference call and webcast today at 8:30 am ET / 7:30 am CT to review its financial and operating results and to provide a general business update. A live audio webcast of the call can be accessed by visiting the Events page of the Company’s investor relations website at https://investors.lexpharma.com/. Participants who wish to ask a question may join by phone at 800-715-9871 and use passcode 9826247. An archived version of the webcast will be available on the website for 30 days. 

About Lexicon Pharmaceuticals 
Lexicon is a biopharmaceutical company with a mission of pioneering medicines that transform patients’ lives. Lexicon has a pipeline of drug candidates in discovery, preclinical, and clinical development in neuropathic pain, hypertrophic cardiomyopathy (HCM), obesity and metabolic disorders, and other cardiometabolic indications. For additional information, please visit www.lexpharma.com.

Safe Harbor Statement 
This press release contains “forward-looking statements,” including statements relating to Lexicon’s financial position and long-term outlook on its business, including the commercialization of its approved products and the clinical development of regulatory filings for, and potential therapeutic and commercial potential of its other drug candidates. In addition, this press release also contains forward looking statements relating to Lexicon’s growth and future operating results, discovery, development and commercialization of products, strategic alliances and intellectual property, as well as other matters that are not historical facts or information. All forward-looking statements are based on management’s current assumptions and expectations and involve risks, uncertainties and other important factors, specifically including Lexicon’s ability to meet its capital requirements, successfully commercialize its approved products, successfully conduct preclinical and clinical development and obtain necessary regulatory approvals of its other drug candidates on its anticipated timelines, achieve its operational objectives, obtain patent protection for its discoveries and establish strategic alliances, as well as additional factors relating to manufacturing, intellectual property rights, and the therapeutic or commercial value of its approved products and other drug candidates. Any of these risks, uncertainties and other factors may cause Lexicon’s actual results to be materially different from any future results expressed or implied by such forward-looking statements. Information identifying such important factors is contained under “Risk Factors” in Lexicon’s annual report on Form 10-K for the year ended December 31, 2025, as filed with the Securities and Exchange Commission. Lexicon undertakes no obligation to update or revise any such forward-looking statements, whether as a result of new information, future events or otherwise. 

For Media Inquiries:
Dave Belian
Lexicon Pharmaceuticals, Inc.
lexinvest@lexpharma.com

For Investor Inquiries:
Lisa DeFrancesco
Lexicon Pharmaceuticals, Inc.
lexinvest@lexpharma.com

    
Lexicon Pharmaceuticals, Inc.
Selected Financial Data
        
Consolidated Statements of Operations DataThree Months Ended June 30, Six Months Ended June 30,
(In thousands, except per share data)2026 2025 2026 2025
 (Unaudited) (Unaudited)
Revenues:       
Net product revenue$680  $1,322  $1,770  $2,584 
Licensing and milestone revenue    27,544   20,000   27,544 
Royalties and other revenue 12      24    
Total revenues 692   28,866   21,794   30,128 
Operating expenses:       
Cost of sales 39   33   147   63 
Research and development, including stock-based       
compensation of $1,384, $1,620, $2,753 and $3,194, respectively 17,443   15,747   30,199   31,050 
Selling, general and administrative, including stock-based       
compensation of $1,952, $1,575, $3,661 and $3,044, respectively 9,750   9,350   18,984   20,958 
Total operating expenses 27,232   25,130   49,330   52,071 
Income (loss) from operations (26,540)  3,736   (27,536)  (21,943)
Interest and other expense (2,609)  (2,318)  (4,199)  (4,153)
Interest and other income 1,723   1,834   3,266   4,053 
Loss on early extinguishment of debt$(4,349) $  $(4,349) $ 
Net income (loss)$(31,775) $3,252  $(32,818) $(22,043)
        
Net income (loss) per common share, basic$(0.07) $0.01  $(0.08) $(0.06)
Net income (loss) per common share, diluted$(0.07) $0.01  $(0.08) $(0.06)
        
Weighted average common shares outstanding, basic 437,653   363,294   419,050   362,687 
Weighted average common shares outstanding, diluted 437,653   363,570   419,050   362,687 
        
        
 As of As of    
Consolidated Balance Sheet DataJune 30, 2026 December 31, 2025    
(In thousands)       
Cash and investments$190,610  $96,230     
Restricted cash    29,000     
Property and equipment, net 1,651   1,863     
Goodwill 44,543   44,543     
Total assets 250,060   184,987     
Current portion of long-term debt    4,595     
Long-term debt, net 51,437   49,408     
Accumulated deficit (2,050,401)  (2,017,583)    
Total stockholders' equity 174,525   107,538     
        

FAQ

How did Lexicon Pharmaceuticals (LXRX) perform financially in Q2 2026?

Lexicon reported Q2 2026 revenues of $0.7 million and a net loss of $31.8 million. According to Lexicon, the revenue decline mainly reflects the absence of prior Novo Nordisk licensing revenue, while R&D and SG&A expenses increased versus Q2 2025.

What is the status of Lexicon’s SONATA-HCM Phase 3 trial reported in August 2026?

Enrollment in the SONATA-HCM Phase 3 trial has been completed, exceeding 500 patients. According to Lexicon, the study includes both non-obstructive and obstructive HCM, and topline results are expected in the first quarter of 2027 for the overall population.

When does Lexicon (LXRX) plan to resubmit the ZYNQUISTA NDA for type 1 diabetes?

Lexicon anticipates resubmitting the ZYNQUISTA NDA for adult type 1 diabetes in the fourth quarter of 2026. According to Lexicon, STENO1 safety data are approaching FDA-identified requirements to support resubmission, with current data continuing to support the filing.

What are the key terms of Lexicon’s LX9851 collaboration with Novo Nordisk?

Lexicon received a $45 million upfront payment and two $10 million clinical development milestones from Novo Nordisk. According to Lexicon, it may earn a third $10 million milestone later this year and up to $1 billion in total milestones, plus tiered royalties.

How much liquidity does Lexicon Pharmaceuticals have after Q2 2026?

Lexicon reported $190.6 million in cash and investments as of June 30, 2026. According to Lexicon, the increase from $125.2 million at year-end 2025 reflects $96.2 million of equity proceeds and funding of the first $55 million tranche under the Hercules loan facility.

What are the details of Lexicon’s $100 million loan facility with Hercules Capital?

Lexicon entered a $100 million loan facility with Hercules Capital, drawing an initial $55 million tranche to repay its Oxford Finance loan. According to Lexicon, a second $20 million tranche and a third $25 million tranche remain available subject to milestones, consent, and timing.

How is Viatris progressing with ex-U.S. commercialization of sotagliflozin licensed from Lexicon (LXRX)?

Viatris has obtained heart failure approvals for sotagliflozin in the UAE and Bahrain. According to Lexicon, Viatris has also filed for approval in several markets, including Canada and Australia, and expects decisions in Australia and Canada and further submissions in 2026.