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Vanda Pharmaceuticals Reports First Quarter 2026 Financial Results

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Vanda Pharmaceuticals (Nasdaq: VNDA) reported Q1 2026 results and operational milestones on May 6, 2026. Total net product sales were $51.7 million, Fanapt sales rose 26% to $29.6 million, and GAAP net loss was $48.6 million. Cash totaled $202.3 million as of March 31, 2026.

The company launched NEREUS™ via a direct-to-consumer platform, received FDA approval for BYSANTI™, and had its imsidolimab BLA accepted with a PDUFA date of December 12, 2026. Full-year 2026 revenue guidance was raised to $240–$290 million.

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Positive

  • Full-year 2026 revenue guidance raised to $240–$290 million
  • Fanapt sales +26% YoY to $29.6 million in Q1 2026
  • NEREUS launched nationwide via a direct-to-consumer platform (nereus.us)
  • BYSANTI received FDA approval for bipolar I disorder and schizophrenia
  • Imsidolimab BLA accepted with PDUFA date Dec 12, 2026

Negative

  • Net loss widened to $48.6 million in Q1 2026 (diluted loss per share $0.82)
  • Cash decreased by $61.5 million in Q1 2026 to $202.3 million
  • HETLIOZ sales -24% YoY to $15.9 million in Q1 2026

Market Reaction – VNDA

-4.16% $7.15 1.6x vol
15m delay 2 alerts
-4.16% Since News
$7.15 Last Price
$7.13 $7.74 Day Range
-$19M Valuation Impact
$447.40M Market Cap
1.6x Rel. Volume

Following this news, VNDA has declined 4.16%, reflecting a moderate negative market reaction. Our momentum scanner has triggered 2 alerts so far, indicating moderate trading interest and price volatility. The stock is currently trading at $7.15. This price movement has removed approximately $19M from the company's valuation. Trading volume is above average at 1.6x the average, suggesting increased trading activity.

Data tracked by StockTitan Argus (15 min delayed). Upgrade to Gold for real-time data.

Key Figures

Q1 2026 net product sales: $51.7M Fanapt net sales: $29.6M HETLIOZ net sales: $15.9M +5 more
8 metrics
Q1 2026 net product sales $51.7M Total net product sales, +3% vs Q1 2025 ($50.0M)
Fanapt net sales $29.6M Q1 2026, up 26% year-over-year
HETLIOZ net sales $15.9M Q1 2026, down 24% year-over-year
PONVORY net sales $6.2M Q1 2026, up 10% year-over-year
Net loss $48.6M Q1 2026 GAAP net loss (vs $29.5M in Q1 2025)
Diluted EPS -$0.82 Q1 2026 diluted loss per share (vs -$0.50 in Q1 2025)
Cash & securities $202.3M Balance as of Mar 31, 2026; decreased by $61.5M in Q1 2026
2026 revenue guidance $240–$290M Raised full-year 2026 total revenue outlook (was $230–$260M)

Market Reality Check

Price: $7.39 Vol: Volume 886,788 is below t...
normal vol
$7.39 Last Close
Volume Volume 886,788 is below the 20-day average of 1,082,361 (about 0.82x normal activity). normal
Technical Price at $7.39 is trading above the 200-day MA at $6.13, but sits 25.65% below the 52-week high.

Peers on Argus

VNDA is down 2.25% while close peers show mixed moves (e.g., NMRA -2.54%, TNXP +...

VNDA is down 2.25% while close peers show mixed moves (e.g., NMRA -2.54%, TNXP +2.97%, LXEO +1.36%), pointing to a company-specific reaction rather than a sector-wide trend.

Common Catalyst Only 1 peer (TNXP) shows same-day news, tied to payer coverage, without a clear shared catalyst across the group.

Previous Earnings Reports

5 past events · Latest: Feb 11 (Negative)
Same Type Pattern 5 events
Date Event Sentiment Move Catalyst
Feb 11 FY 2025 earnings Negative -17.6% Full-year 2025 results with large non-cash tax allowance driving big net loss.
Jul 31 Q2 2025 earnings Negative -8.8% Q2 2025 sales growth but higher net loss and declining HETLIOZ and PONVORY sales.
May 07 Q1 2025 earnings Negative -3.6% Q1 2025 sales growth overshadowed by wider net loss and milestone payment.
Feb 13 FY 2024 earnings Negative -6.0% Q4 and full-year 2024 revenue growth but persistent net losses and cash use.
Nov 06 Q3 2024 earnings Positive +2.7% Q3 2024 strong sales growth, Fanapt® strength and raised 2024 revenue guidance.
Pattern Detected

Earnings releases have historically skewed negative for VNDA, with an average move of -6.67%, suggesting a tendency for cautious or risk-off reactions around financial updates.

Recent Company History

Over the last several earnings cycles, VNDA has reported steady growth in Fanapt® and modest increases in total revenues, yet results often coincided with net losses and cautious market reactions. Prior updates highlighted regulatory progress for NEREUS™, BYSANTI™ and imsidolimab alongside sizeable tax-related charges and ongoing cash burn. Today’s Q1 2026 release adds stronger Fanapt® growth, the commercial launch of NEREUS™, FDA approval of BYSANTI™, and raised 2026 revenue guidance, extending the story of revenue expansion tempered by continued investment and losses.

Historical Comparison

-6.7% avg move · In the past five earnings releases, VNDA’s average move was -6.67%, often reflecting concern over re...
earnings
-6.7%
Average Historical Move earnings

In the past five earnings releases, VNDA’s average move was -6.67%, often reflecting concern over recurring losses despite revenue and pipeline progress. This Q1 2026 report maintains that pattern of stronger top line and guidance alongside continued investment-driven losses.

Earnings updates show a progression from single-product reliance toward a broader psychiatry and dermatology portfolio, with Fanapt® growth supplemented by NEREUS™, BYSANTI™ approval and an imsidolimab BLA advancing toward a Dec 12, 2026 PDUFA date.

Regulatory & Risk Context

Active S-3 Shelf · $200,000,000
Shelf Active
Active S-3 Shelf Registration 2026-02-12
$200,000,000 registered capacity

An effective S-3 shelf filed on Feb 12, 2026 allows VNDA to issue up to $200,000,000 of securities over time for general corporate purposes, providing flexibility for future financings but also potential dilution if utilized.

Market Pulse Summary

This announcement combines modest Q1 2026 revenue growth to $51.7M with standout Fanapt® expansion, ...
Analysis

This announcement combines modest Q1 2026 revenue growth to $51.7M with standout Fanapt® expansion, the commercial launch of NEREUS™, FDA approval of BYSANTI™, and a higher 2026 revenue outlook of $240–$290M. At the same time, VNDA reported a larger net loss of $48.6M and cash of $202.3M, reflecting heavy investment in launches and late-stage trials. Investors may watch execution on NEREUS™ uptake, BYSANTI™ commercialization, imsidolimab’s Dec 12, 2026 PDUFA, and any use of the $200M shelf.

Key Terms

bipolar I disorder, generalized pustular psoriasis, biologics license application, pdufa, +1 more
5 terms
bipolar I disorder medical
"BYSANTI™ (milsaperidone) received FDA approval for bipolar I disorder and schizophrenia"
A mental health condition marked by at least one episode of mania—periods of unusually high energy, impulsive behavior and racing thoughts—often alternating with episodes of depression. Investors watch it because treatments, diagnostic tools and care models for this condition shape pharmaceutical and medical-device markets, clinical trial activity, insurance costs and workplace productivity; think of it as a visible driver of healthcare spending and regulatory risk in mental-health-related investments.
generalized pustular psoriasis medical
"Imsidolimab BLA for Generalized Pustular Psoriasis accepted for FDA review"
A rare, severe form of psoriasis that causes sudden, widespread patches of pus-filled bumps, intense redness and peeling skin, often with fever and other body-wide symptoms; it can require hospitalization and can be life-threatening. Investors should care because the condition drives demand for specialized therapies, influences clinical trial urgency and regulatory attention, and can affect market size and pricing potential for drugs targeting this high-need patient group—like a small but high-impact niche in healthcare.
biologics license application regulatory
"The FDA accepted the Biologics License Application (BLA) for imsidolimab in Generalized Pustular Psoriasis"
A biologics license application is a formal request submitted to regulatory authorities seeking approval to market a new biological medicine, such as vaccines or treatments made from living organisms. It is a comprehensive review process that evaluates the safety, effectiveness, and manufacturing quality of the product. For investors, receiving approval signals that a biological therapy can be sold to the public, potentially leading to revenue growth and market success.
pdufa regulatory
"with a Prescription Drug User Fee Act (PDUFA) target action date of December 12, 2026"
PDUFA, short for the Prescription Drug User Fee Act, is a law that allows drug companies to pay fees to the government to speed up the review process for new medicines. This helps bring important drugs to market more quickly, which can impact their availability and pricing. For investors, PDUFA timelines can influence the timing of a drug’s approval and potential market success.
phase III medical
"The Phase III study of BYSANTI™ as a once-daily adjunctive treatment for major depressive disorder"
A Phase III trial is the late-stage clinical study that tests whether a medical treatment works and is safe in a large group of patients, often comparing it to standard care. Think of it as a final dress rehearsal or full-scale road test before regulators decide on approval; positive or negative results strongly influence a drug maker’s chance to sell the treatment, future revenue, and investment risk.

AI-generated analysis. Not financial advice.

  • Fanapt® net product sales rose 26% to $29.6 million; total prescriptions increased 32% and new-to-brand prescriptions surged 76%
  • NEREUS™ (tradipitant) launched via nereus.us, an innovative direct-to-consumer platform – the first new prescription medicine in more than 40 years for the prevention of vomiting induced by motion, with convenient online ordering and rapid direct home delivery
  • Full-year 2026 revenue guidance raised to $240-$290 million, including $10-30 million from newly launched NEREUS™
  • BYSANTI™ (milsaperidone) received FDA approval for bipolar I disorder and schizophrenia on February 20, 2026
  • Imsidolimab BLA for Generalized Pustular Psoriasis accepted for FDA review; PDUFA target action date of December 12, 2026

WASHINGTON, May 6, 2026 /PRNewswire/ -- Vanda Pharmaceuticals Inc. (Vanda) (Nasdaq: VNDA) today announced financial and operational results for the first quarter ended March 31, 2026.

"Vanda delivered strong commercial execution in the first quarter, highlighted by 26% growth in Fanapt sales, the groundbreaking U.S. launch of NEREUS with its pioneering direct-to-consumer platform at nereus.us, and the FDA approval of BYSANTI," said Mihael H. Polymeropoulos, M.D., Vanda's President, CEO and Chairman of the Board. "We believe that these achievements, combined with meaningful pipeline progress and our raised 2026 revenue guidance, position the company for continued growth and value creation."

Financial Highlights

  • Total net product sales reached $51.7 million in Q1 2026, a 3% increase compared to $50.0 million in Q1 2025.
  • Fanapt® net product sales were $29.6 million, up 26% year-over-year.
  • HETLIOZ® net product sales were $15.9 million, down 24% year-over-year.
  • PONVORY® net product sales were $6.2 million, up 10% year-over-year.
  • Loss before income taxes was $48.4 million compared with $37.4 million in Q1 2025, reflecting continued investment in new product launches and pipeline advancement.
  • Cash, cash equivalents and marketable securities (Cash) totaled $202.3 million as of March 31, 2026, representing a decrease to Cash of $61.5 million in Q1 2026, which included a one-time payment of a $10.0 million milestone to Eli Lilly due upon approval of NEREUS™ (tradipitant).

Key Commercial Highlights

  • Fanapt® saw continued strong momentum with total prescriptions (TRx)1 up 32% and new-to-brand prescriptions (NBRx)1 up 76% versus Q1 2025. In April 2026, weekly TRx for Fanapt® reached an 11-year high of over 2,600 prescriptions for the week ending April 24, 2026.
  • NEREUS™ is now commercially available nationwide through nereus.us, Vanda's innovative direct-to-consumer platform. This pioneering patient-centric model enables convenient ordering online with rapid direct delivery, eliminating traditional pharmacy barriers and providing a seamless, modern access experience. As the first new prescription therapy approved for the prevention of vomiting induced by motion in adults in more than 40 years, NEREUS™ represents a breakthrough in both science and patient access.

Key Regulatory & Clinical Development Highlights

  • BYSANTI™ (milsaperidone) received U.S. Food and Drug Administration (FDA) approval for the treatment of bipolar I disorder and schizophrenia. BYSANTI™ is protected by data exclusivity through February 20, 2031 and multiple patents, the latest of which expires on May 31, 2044.
  • Vanda's ongoing late-stage clinical studies are progressing rapidly and are expected to generate topline results in 2026 or early 2027, including:
    • The Phase III study of BYSANTI™ as a once-daily adjunctive treatment for major depressive disorder (MDD), with results expected in Q1 2027.
    • The Thetis Phase III study of NEREUS™ for the prevention of vomiting in patients receiving GLP-1 receptor agonist therapies, with results expected in 2026.
    • The Phase III study of VQW-765 in the treatment of adults with social anxiety disorder, with results expected by the end of 2026.
  • The FDA accepted the Biologics License Application (BLA) for imsidolimab in Generalized Pustular Psoriasis (GPP) with a Prescription Drug User Fee Act (PDUFA) target action date of December 12, 2026. The results of the pivotal clinical study were published in the April 28, 2026 issue of the New England Journal of Medicine (NEJM) Evidence2.

Corporate Highlight

  • On April 22, 2026, Vanda appointed Charles Duncan, Ph.D. to its Board of Directors. The Board now consists of seven directors, six of whom are independent.

GAAP Financial Results

Net loss was $48.6 million (diluted loss per share of $0.82) in Q1 2026 compared with a net loss of $29.5 million (diluted loss per share of $0.50) in Q1 2025. 

2026 Financial Guidance

Vanda is raising its full-year 2026 total revenue guidance to reflect the contribution of the newly launched NEREUS while maintaining prior ranges for Fanapt® and other products:

Full Year 2026

Financial Objectives

Prior Full Year 2026

Guidance

Revised Full Year 2026

Guidance

Total revenues

$230 to $260 million

$240 to $290 million

Fanapt® net product sales

$150 to $170 million

$150 to $170 million

NEREUS net product sales

Not provided

$10 to $30 million

Other net product sales

$80 to $90 million

$80 to $90 million

Conference Call

Vanda has scheduled a conference call for today, Wednesday, May 6, 2026, at 4:30 PM ET. During the call, Vanda's management will discuss the first quarter 2026 financial results and other corporate activities. Investors can call 1-888-596-4144 (domestic) or 1-646-968-2525 (international) and use passcode number 8051722. A replay of the call will be available on Wednesday, May 6, 2026, beginning at 8:30 PM ET and will be accessible until Wednesday, May 13, 2026 at 11:59 PM ET. The replay call-in number is 1-800-770-2030 for domestic callers and 1-609-800-9909 for international callers. The passcode number is 8051722.

The conference call will be broadcast simultaneously on Vanda's website, www.vandapharma.com. Investors should click on the Investors tab and are advised to go to the website at least 15 minutes early to register, download, and install any necessary software or presentations. The call will also be archived on Vanda's website for a period of 30 days.

References

  1. IQVIA Prescription Data
  2. Smieszek, S. et al. Efficacy and Safety of Imsidolimab for Generalized Pustular Psoriasis. NEJM Evidence 5, (2026).

About Vanda Pharmaceuticals Inc.

Vanda is a leading global biopharmaceutical company focused on the development and commercialization of innovative therapies to address high unmet medical needs and improve the lives of patients. For more on Vanda Pharmaceuticals Inc., please visit www.vandapharma.com and follow us on X @vandapharma.

CAUTIONARY NOTE REGARDING FORWARD LOOKING STATEMENTS

Various statements in this press release, including, but not limited to, the guidance provided under "2026 Financial Guidance" above and statements regarding Vanda's plans for pursuit of FDA approval of imsidolimab for the treatment of GPP, and the related timeline for approval; Vanda's expectations with respect to its continued growth and ability to create value; Vanda's clinical development plans and expected timelines for BYSANTITM for the treatment of MDD, NEREUSTM in the prevention of vomiting induced by GLP-1 therapies, and VQW-765 in the treatment of adults with social anxiety disorder; and Vanda's expectations with respect to the strength of its business are "forward-looking statements" under the securities laws. All statements other than statements of historical fact are statements that could be deemed forward-looking statements. Forward-looking statements are based upon current expectations and assumptions that involve risks, changes in circumstances and uncertainties. Important factors that could cause actual results to differ materially from those reflected in Vanda's forward-looking statements include, among others, Vanda's ability to continue to grow its business; the FDA's ability to complete its review of, and reach a decision with respect to, the BLA for imsidolimab by December 12, 2026; Vanda's ability to successfully execute the commercial launches of NEREUSTM for the prevention of vomiting induced by motion and BYSANTI™ for the treatments of bipolar I disorder and schizophrenia; Vanda's ability to continue to advance its late-stage clinical development programs and to obtain regulatory approval for, and successfully commercialize, the late-stage products in development; Vanda's ability to complete the clinical study for BYSANTITM for the treatment of MDD and receive results in in the first quarter of 2027; Vanda's ability to complete the Thetis study and receive results in 2026; and Vanda's ability to complete the clinical study for VQW-765 in the treatment of adults with social anxiety disorder and receive results by the end of 2026. Therefore, no assurance can be given that the results or developments anticipated by Vanda will be realized or, even if substantially realized, that they will have the expected consequences to, or effects on, Vanda. Forward-looking statements in this press release should be evaluated together with the various risks and uncertainties that affect Vanda's business and market, particularly those identified in the "Cautionary Note Regarding Forward-Looking Statements", "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections of Vanda's most recent Annual Report on Form 10-K, as updated by Vanda's subsequent Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and other filings with the U.S. Securities and Exchange Commission, which are available at www.sec.gov.

All written and verbal forward-looking statements attributable to Vanda or any person acting on its behalf are expressly qualified in their entirety by the cautionary statements contained or referred to herein. Vanda cautions investors not to rely too heavily on the forward-looking statements Vanda makes or that are made on its behalf. The information in this press release is provided only as of the date of this press release, and Vanda undertakes no obligation, and specifically declines any obligation, to update or revise publicly any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.

VANDA PHARMACEUTICALS INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except for share and per share amounts)

(unaudited)



Three Months Ended


March 31
2026


March 31
2025

Revenues:




Fanapt® net product sales

$         29,560


$         23,545

HETLIOZ® net product sales

15,947


20,872

PONVORY® net product sales

6,211


5,624

Total revenues

51,718


50,041

Operating expenses:




Cost of goods sold excluding amortization

3,159


3,521

Research and development

28,435


35,712

Selling, general and administrative

68,361


50,084

Intangible asset amortization

1,987


1,752

Total operating expenses

101,942


91,069

Loss from operations

(50,224)


(41,028)

Other income, net

1,800


3,660

Loss before income taxes

(48,424)


(37,368)

Provision (benefit) for income taxes

143


(7,874)

Net loss

$        (48,567)


$        (29,494)

Net loss per share, basic

$          (0.82)


$          (0.50)

Net loss per share, diluted

$          (0.82)


$          (0.50)

Weighted average shares outstanding, basic

59,459,982


58,527,775

Weighted average shares outstanding, diluted

59,459,982


58,527,775

 

VANDA PHARMACEUTICALS INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands)

(unaudited)



March 31
2026


December 31
2025

ASSETS




Current assets:




Cash and cash equivalents

$          54,034


$          84,851

Marketable securities

148,276


178,996

Accounts receivable, net

56,879


54,578

Inventory

1,699


1,852

Prepaid expenses and other current assets

32,281


26,985

Total current assets

293,169


347,262

Property and equipment, net

2,245


2,248

Operating lease right-of-use assets

4,536


3,923

Finance lease right-of-use assets

7,284


7,343

Intangible assets, net

115,102


117,089

Non-current inventory and other

11,189


11,083

Total assets

$         433,525


$         488,948

LIABILITIES AND STOCKHOLDERS' EQUITY




Current liabilities:




Accounts payable and accrued liabilities

$          60,620


$          68,297

Product revenue allowances

74,962


76,865

Total current liabilities

135,582


145,162

Operating lease non-current liabilities

3,266


2,991

Finance lease non-current liabilities

3,785


4,076

Other non-current liabilities

10,127


9,533

Total liabilities

152,760


161,762

Stockholders' equity:




Common stock

60


59

Additional paid-in capital

723,826


721,264

Accumulated other comprehensive income

212


629

Accumulated deficit

(443,333)


(394,766)

Total stockholders' equity

280,765


327,186

Total liabilities and stockholders' equity

$         433,525


$         488,948

Corporate Contact:
Kevin Moran
Senior Vice President, Chief Financial Officer and Treasurer
Vanda Pharmaceuticals Inc.
202-734-3400
pr@vandapharma.com

Jim Golden / Jack Kelleher / Dan Moore
Collected Strategies
VANDA-CS@collectedstrategies.com

Follow us on X @vandapharma

 

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/vanda-pharmaceuticals-reports-first-quarter-2026-financial-results-302764640.html

SOURCE Vanda Pharmaceuticals Inc.

FAQ

What did Vanda (VNDA) report for Q1 2026 revenue and net loss?

Vanda reported total net product sales of $51.7 million and a GAAP net loss of $48.6 million. According to the company, these results reflect product sales growth and higher launch and pipeline investment costs in Q1 2026.

How much did Fanapt sales increase for VNDA in Q1 2026?

Fanapt net product sales increased 26% year-over-year to $29.6 million in Q1 2026. According to the company, prescriptions rose with TRx up 32% and NBRx up 76% versus Q1 2025, and weekly TRx hit an 11-year high in April.

What is the 2026 revenue guidance update from Vanda (VNDA)?

Vanda raised full-year 2026 total revenue guidance to $240–$290 million. According to the company, the revision includes an estimated $10–$30 million contribution from newly launched NEREUS in 2026.

What is NEREUS and how is VNDA distributing it?

NEREUS (tradipitant) is a newly launched prescription therapy for motion-induced vomiting, available nationwide via nereus.us. According to the company, the direct-to-consumer platform enables online ordering and rapid home delivery, bypassing traditional pharmacy processes.

What regulatory milestones did Vanda (VNDA) announce on May 6, 2026?

Vanda announced FDA approval of BYSANTI for bipolar I disorder and schizophrenia and BLA acceptance for imsidolimab with a PDUFA date of December 12, 2026. According to the company, BYSANTI has data exclusivity through February 20, 2031.