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Phathom Pharmaceuticals Announces Preliminary Fourth Quarter and Full Year 2025 Financial Results

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Phathom Pharmaceuticals (Nasdaq: PHAT) reported preliminary unaudited results for Q4 and full-year 2025. For Q4 2025, the company expects net revenues ~$57–58M, GAAP operating expenses of $59–61M, non-GAAP operating expenses of $51–53M (excludes ~$8M stock-based compensation), and net cash usage ~ $6M. Cash and cash equivalents were ~$130M at Dec 31, 2025. For full-year 2025, expected net revenues ~$174.5–175.5M, GAAP operating expenses $315.5–317.5M, and non-GAAP operating expenses $284.5–286.5M (excludes ~$31M stock-based compensation). VOQUEZNA surpassed 1 million U.S. prescriptions since launch. Operating profitability is anticipated in H2 2026 (ex-stock compensation). Results are preliminary and unaudited.

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Positive

  • Net revenues of $174.5–175.5M for full-year 2025
  • Q4 2025 net revenues of $57–58M
  • Cash and cash equivalents of ~$130M at Dec 31, 2025
  • VOQUEZNA exceeded 1 million U.S. prescriptions since launch
  • Company expects operating profitability in H2 2026 excluding stock-based compensation

Negative

  • Full-year GAAP operating expenses of $315.5–317.5M
  • Q4 GAAP operating expenses of $59–61M
  • Non-GAAP adjustments exclude $31M stock-based compensation for 2025, indicating significant share-based costs

News Market Reaction

+10.45%
37 alerts
+10.45% News Effect
+4.5% Peak Tracked
-12.1% Trough Tracked
+$122M Valuation Impact
$1.29B Market Cap
1.3x Rel. Volume

On the day this news was published, PHAT gained 10.45%, reflecting a significant positive market reaction. Argus tracked a peak move of +4.5% during that session. Argus tracked a trough of -12.1% from its starting point during tracking. Our momentum scanner triggered 37 alerts that day, indicating elevated trading interest and price volatility. This price movement added approximately $122M to the company's valuation, bringing the market cap to $1.29B at that time.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

Q4 2025 net revenues: $57M–$58M Q4 2025 GAAP opex: $59M–$61M Q4 2025 non-GAAP opex: $51M–$53M +5 more
8 metrics
Q4 2025 net revenues $57M–$58M Preliminary fourth quarter 2025 results
Q4 2025 GAAP opex $59M–$61M Preliminary fourth quarter 2025 operating expenses
Q4 2025 non-GAAP opex $51M–$53M Excludes ~$8M stock-based compensation
Q4 2025 net cash usage $6M Preliminary fourth quarter 2025 net cash usage
Cash & equivalents $130M As of December 31, 2025 (preliminary)
FY 2025 net revenues $174.5M–$175.5M Preliminary full year 2025 results
FY 2025 GAAP opex $315.5M–$317.5M Preliminary full year 2025 operating expenses
VOQUEZNA prescriptions 1,000,000+ Total VOQUEZNA prescriptions dispensed in U.S. since launch

Market Reality Check

Price: $14.06 Vol: Volume 375,131 vs 20-day ...
low vol
$14.06 Last Close
Volume Volume 375,131 vs 20-day average 892,956 (relative volume 0.42x). low
Technical Price $16.37 is trading above 200-day MA at $10.05, showing a pre-news uptrend.

Peers on Argus

PHAT gained 3.41% while close peers showed mixed, smaller moves (e.g., IMNM +0.5...

PHAT gained 3.41% while close peers showed mixed, smaller moves (e.g., IMNM +0.51%, PRAX +0.59%, EYPT -3.27%), pointing to stock-specific reaction.

Historical Context

5 past events · Latest: Nov 04 (Positive)
Pattern 5 events
Date Event Sentiment Move Catalyst
Nov 04 Clinical trial start Positive -1.8% First patient dosed in Phase 2 EoE study for VOQUEZNA.
Nov 03 Investor conferences Neutral +1.3% Management participation in multiple healthcare investor conferences.
Oct 30 Quarterly earnings Positive -1.6% Q3 2025 results with higher revenue, lower net cash usage and 2026 profitability goal.
Oct 23 Medical meeting Positive +1.1% VOQUEZNA highlighted at ACG 2025 with booth and product theater.
Oct 20 Earnings preview Neutral +8.1% Announcement of upcoming Q3 2025 results and webcast details.
Pattern Detected

Earnings and clinical milestones often drew mixed price reactions, with both aligned gains and divergences where positive updates were followed by modest declines.

Recent Company History

Over late 2025, Phathom advanced VOQUEZNA with a Phase 2 EoE trial start, expanded clinical visibility at ACG, and maintained an active investor-relations schedule. Q3 2025 earnings on Oct 30 showed higher revenues, improved cash usage and reiterated a 2026 profitability goal. Earlier in 2025, successive earnings reports highlighted rapid VOQUEZNA prescription growth and rising annual revenue. Against this backdrop, the new preliminary Q4 and full-year 2025 figures continue a narrative of scaling sales and tightening operating metrics toward profitability.

Market Pulse Summary

The stock surged +10.4% in the session following this news. A strong positive reaction aligns with t...
Analysis

The stock surged +10.4% in the session following this news. A strong positive reaction aligns with the company’s pattern of earnings and prescription growth, as highlighted by preliminary Q4 2025 revenues of $57–$58M and full-year $174.5–$175.5M. Investors have monitored progress toward operating profitability targeted for the second half of 2026. With cash of about $130M and VOQUEZNA surpassing 1M prescriptions, any sharp upside move could also be influenced by positioning factors such as short interest at 18.52% and the potential for sentiment swings once audited figures are released.

Key Terms

non-gaap, stock-based compensation, potassium-competitive acid blocker (pcab), erosive esophagitis, +3 more
7 terms
non-gaap financial
"Non-GAAP operating expenses of approximately $51 million to $53 million..."
Non-GAAP refers to financial measures that companies use to show their earnings or performance without including certain expenses or income that are often added back to give a different picture. It matters because it can make a company's results look better or more favorable, but it may also hide important costs, so investors need to look at both GAAP (official rules) and non-GAAP numbers to get a full understanding.
stock-based compensation financial
"which excludes approximately $8 million of stock-based compensation"
Stock-based compensation is when a company pays employees, directors or consultants with shares or the right to buy shares instead of or in addition to cash. It matters to investors because issuing stock or options spreads ownership thinner (like cutting a pie into more slices), which can reduce each existing share’s claim on profits and can also change reported earnings; investors watch it to assess true cost of running the business and how management is incentivized.
potassium-competitive acid blocker (pcab) medical
"an oral small molecule potassium-competitive acid blocker (PCAB)."
A potassium-competitive acid blocker (PCAB) is a type of medicine that reduces stomach acid by directly blocking the pump that produces acid, often acting faster and more strongly than older acid-reducing drugs. For investors, PCABs matter because they represent a newer therapeutic option with potential for strong sales, patent protection, pricing power and regulatory milestones—factors that can affect a drugmaker’s revenue and competitive position much like a faster, more efficient faucet valve changes water flow compared with an older valve.
erosive esophagitis medical
"for the treatment of adults with Erosive Esophagitis, also known as Erosive GERD"
Erosive esophagitis is an inflammation of the esophagus where stomach acid has worn away patches of the lining, creating raw sores or ulcers. It matters to investors because its prevalence, available treatments, and approval of new drugs or devices directly affect sales, clinical trial outcomes, and healthcare costs—imagine a leaky pipe that needs different repair options; the more common or severe the damage, the larger the market for fixes.
gerd medical
"Erosive Esophagitis, also known as Erosive GERD, the relief of heartburn..."
Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid or contents flow back into the food pipe, causing heartburn, throat irritation, and sometimes damage to the lining. For investors, GERD matters because it drives demand for medications, medical devices, and procedures, influences healthcare spending and insurer costs, and can affect the valuation and revenue prospects of companies developing treatments or diagnostic tools — similar to how recurring maintenance needs shape demand in other industries.
h. pylori medical
"for the treatment of H. pylori infection in combination with either amoxicillin..."
A common stomach bacterium that can live in the lining of the stomach and upper intestine, often causing chronic inflammation, sores (ulcers), and increasing the risk of stomach cancer. For investors, H. pylori matters because testing, treatments and vaccines create ongoing markets for diagnostics, pharmaceuticals and public-health programs, and shifts in infection rates, drug resistance or new therapies can change revenue and regulatory risk for companies in those areas.
dual pak medical
"VOQUEZNA DUAL PAK (vonoprazan tablets, amoxicillin capsules)"
A dual pak is a two‑unit packaged product sold together as a single offering—commonly two doses, two complementary items, or a primary product plus its accessory. For investors, dual paks can change sales dynamics by encouraging larger purchases, simplifying consumer choice, and sometimes reducing packaging or distribution costs, similar to a retailer offering a buy‑one‑get‑one pair that boosts turnover and can affect revenue and inventory management.

AI-generated analysis. Not financial advice.

FLORHAM PARK, N.J., Jan. 07, 2026 (GLOBE NEWSWIRE) -- Phathom Pharmaceuticals, Inc. (Nasdaq: PHAT), a biopharmaceutical company focused on developing and commercializing novel treatments for gastrointestinal (GI) diseases, today announced certain preliminary unaudited financial results for the fourth quarter and full year ended December 31, 2025.

Preliminary Fourth Quarter 2025 Financial Results

  • For the three months ended December 31, 2025, Phathom expects to report:
    • Net revenues of approximately $57 million to $58 million
    • GAAP operating expenses of approximately $59 million to $61 million
    • Non-GAAP operating expenses of approximately $51 million to $53 million, which excludes approximately $8 million of stock-based compensation
    • Fourth quarter 2025 net cash usage of approximately $6 million
    • Cash and cash equivalents of approximately $130 million as of December 31, 2025

Preliminary Full Year 2025 Financial Results

  • For the full year 2025, Phathom expects to report:
    • Net revenues of approximately $174.5 million to $175.5 million
    • GAAP operating expenses of approximately $315.5 million to $317.5 million
    • Non-GAAP operating expenses of approximately $284.5 million to $286.5 million, which excludes approximately $31 million of stock-based compensation

VOQUEZNA® 1 Million Prescription Milestone

  • During the fourth quarter 2025, Phathom surpassed one million prescriptions dispensed for VOQUEZNA products in the United States since launch

Path to Operating Profitability in H2 2026

  • Operating profitability anticipated in the second half of 2026, excluding stock-based compensation

Preliminary Financial Information
The preliminary financial results included in this press release are based on management’s initial analysis of operations for the fourth quarter and year ended December 31, 2025, and are subject to completion of Phathom’s financial closing procedures and audit. Actual results may differ materially from these preliminary estimates. Phathom’s independent registered public accounting firm has not audited, reviewed, examined, compiled, nor applied agreed-upon procedures with respect to the preliminary financial data.

Non-GAAP Financial Measures
This press release includes financial results prepared in accordance with accounting principles generally accepted in the United States (GAAP) and also certain non-GAAP financial measures. In particular, we have provided non-GAAP operating expenses, adjusted to exclude stock-based compensation, which is substantially dependent on changes in the market price of our common stock. Non-GAAP financial measures are not an alternative for financial measures prepared in accordance with GAAP. However, we believe the presentation of non-GAAP operating expenses, when viewed in conjunction with GAAP results, provides investors with a more meaningful understanding of ongoing operating performance. In addition, this non-GAAP financial measure is among those indicators we use as a basis for evaluating performance, and planning and forecasting future periods. This non-GAAP financial measure is not intended to be considered in isolation or as a substitute for its most directly comparable GAAP financial measure. The difference between GAAP and non-GAAP operating expenses is included in the results presented above.

About VOQUEZNA®
VOQUEZNA® tablets contain vonoprazan, an oral small molecule potassium-competitive acid blocker (PCAB). PCABs are a novel class of medicines that block acid secretion in the stomach. VOQUEZNA is approved in the U.S. for the treatment of adults with Erosive Esophagitis, also known as Erosive GERD, the relief of heartburn associated with Erosive GERD, the relief of heartburn associated with Non-Erosive GERD, and for the treatment of H. pylori infection in combination with either amoxicillin or amoxicillin and clarithromycin. Phathom in-licensed the rights to vonoprazan for the U.S., Europe and Canada from Takeda, which markets the product in Japan and numerous other countries in Asia and Latin America. 

About Phathom Pharmaceuticals, Inc.
Phathom Pharmaceuticals is a biopharmaceutical company focused on the development and commercialization of novel treatments for gastrointestinal diseases. Phathom has in-licensed the exclusive rights to vonoprazan, a first-in-class potassium-competitive acid blocker (PCAB), for the U.S., Europe and Canada. Phathom currently markets vonoprazan in the United States as VOQUEZNA® (vonoprazan) tablets for the relief of heartburn associated with Non-Erosive GERD in adults, the healing and maintenance of healing of Erosive GERD in adults and relief of associated heartburn, and as part of VOQUEZNA® TRIPLE PAK® (vonoprazan tablets, amoxicillin capsules, clarithromycin tablets) and VOQUEZNA® DUAL PAK® (vonoprazan tablets, amoxicillin capsules) for the treatment of H. pylori infection in adults. For more information about Phathom, visit the company’s website at www.phathompharma.com and follow on LinkedIn and X.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements regarding our expectations as to fourth quarter and full-year 2025 financial results and operating profitability, excluding stock-based compensation, in the second half of 2026. These statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to differ materially from those expressed or implied by the forward-looking statements, including the risk that: our actual results for the fourth quarter or full year 2025 may differ materially from our preliminary estimates as a result of changes to assumptions and estimates, the completion of review of internal controls over financial reporting or other quarter-end and year-end procedures, the availability of additional information, audit adjustments, post-closing or subsequent-event evaluations or for other reasons; we may not achieve results, revenues or growth from commercialization of VOQUEZNA at the levels to enable us to meet our expectations as to operating profitability; the market opportunity for VOQUEZNA may be significantly smaller than our expectations; market acceptance for VOQUEZNA from healthcare professionals, patients, and payors may be significantly lower than we anticipate; we may encounter coverage, reimbursement, market access, or other issues in the course of our commercialization efforts that may negatively impact our efforts and results; the unmet need for new treatment options in GERD may not be as high as we anticipate; our estimates of potential market size may not be accurate; our decisions as to where to allocate our resources and focus our efforts may not lead to the results we expect; we may be negatively impacted by regulatory developments or other governmental actions in the United States, including government healthcare reform; we may encounter unexpected adverse side effects or inadequate efficacy of VOQUEZNA that may limit or impair market acceptance; our operating expenses may be higher than we anticipate which could negatively impact our expectations as to operating profitability, including if we decide to engage in activities not currently in our plan or if we face unexpected, or higher than anticipated, expenses, including as the result of unexpected events such as litigation; depending on our results and activities, we may not achieve profitability on the timelines we expect or at all. For additional discussion of these and other risks related to our business, see the risk disclosures in our filings with the Securities and Exchange Commission (SEC), including our Annual Report on Form 10-K and any subsequent filings with the SEC. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof, and we undertake no obligation to revise or update these statements to reflect events or circumstances after the date hereof. All forward-looking statements are qualified in their entirety by this cautionary statement made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995.

MEDIA CONTACT
Nick Benedetto
1-877-742-8466
media@phathompharma.com

INVESTOR CONTACT
Eric Sciorilli
1-877-742-8466
ir@phathompharma.com

© 2026 Phathom Pharmaceuticals. All rights reserved.
VOQUEZNA, VOQUEZNA DUAL PAK, VOQUEZNA TRIPLE PAK, Phathom Pharmaceuticals, and their respective logos are registered trademarks of Phathom Pharmaceuticals, Inc.


FAQ

What revenue did Phathom (PHAT) report for full-year 2025?

Preliminary full-year 2025 net revenues are expected to be approximately $174.5–175.5 million.

How much cash did Phathom (PHAT) have at December 31, 2025?

Phathom reported approximately $130 million in cash and cash equivalents as of December 31, 2025.

When does Phathom (PHAT) expect to reach operating profitability?

The company anticipates operating profitability in the second half of 2026, excluding stock-based compensation.

What are Phathom's (PHAT) Q4 2025 operating expense expectations?

Preliminary Q4 2025 GAAP operating expenses are approximately $59–61 million; non-GAAP operating expenses are $51–53 million excluding ~$8 million stock-based compensation.

How many VOQUEZNA prescriptions has Phathom (PHAT) achieved in the U.S.?

VOQUEZNA surpassed 1 million prescriptions dispensed in the United States since launch during Q4 2025.
Phathom Pharmaceuticals, Inc.

NASDAQ:PHAT

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PHAT Stock Data

1.17B
54.92M
4.2%
83.99%
18.57%
Biotechnology
Pharmaceutical Preparations
Link
United States
FLORHAM PARK