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Roivant (NASDAQ: ROIV) wins FDA nod for first oral dermatomyositis drug

(High)
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Roivant Sciences Ltd. (ROIV), through its consolidated affiliate Priovant, announces U.S. FDA approval and immediate commercial launch of LISRAYA (brepocitinib) as an oral TYK2/JAK1 inhibitor indicated for treatment of dermatomyositis in adult patients. The wholesale acquisition cost is $35,000 for a 30‑count bottle of 30 mg tablets, and a limited distribution specialty pharmacy network plus the My Compass Support hub are active, with eligible patients able to pay as little as $0 per month.

Approval is supported by the Phase 3 VALOR trial in 241 adults, where brepocitinib 30 mg showed a mean Total Improvement Score of 46.5 vs 31.2 for placebo and higher TIS40 and TIS60 response rates, along with meaningful steroid‑sparing effects. Literature and claims analyses suggest tens of thousands of potential U.S. dermatomyositis patients. Roivant owns 71% of Priovant (65% on a fully diluted basis) and consolidates 100% of Priovant’s revenues and expenses, with non‑controlling interest adjustments, and expects U.S. brepocitinib exclusivity at least until 2039.

Positive

  • FDA approval and immediate U.S. launch of LISRAYA for adult dermatomyositis, the first targeted, once‑daily oral therapy with steroid‑sparing benefit in this disease, supported by statistically significant Phase 3 efficacy and an active commercial infrastructure including pricing, specialty distribution, and patient support.
  • Large, defined rare-disease opportunity: literature and claims analyses indicate tens of thousands of U.S. adult dermatomyositis patients, with Roivant expecting brepocitinib U.S. exclusivity at least until 2039, providing a potentially long commercial runway across multiple planned indications.

Negative

  • LISRAYA carries a boxed warning for serious infections, mortality, malignancy, major adverse cardiovascular events, and thrombosis, and is not recommended with other JAK or TYK2 inhibitors or biologic DMARDs, highlighting substantial safety and risk-management considerations for use.
  • Extensive safety and use limitations include warnings for gastrointestinal perforation, hypoglycemia in patients with diabetes, lab abnormalities, vaccination restrictions, and embryofetal toxicity, as well as non-recommendation in severe hepatic or renal impairment, which may constrain the eligible patient pool.

Filing Explained

FDA approval and launch are complete, while Roivant consolidates Priovant’s full economics and owes Pfizer sales-dependent milestones and royalties.

As of August 28, 2026, Roivant reports that FDA approval of LISRAYA for adult dermatomyositis and its U.S. commercial launch are complete, with prescribing and distribution available immediately.

Priovant holds commercial rights in the U.S. and Japan and is obligated to pay Pfizer a mid-tens-of-millions milestone if sales exceed a mid-hundreds-of-millions threshold, plus tiered sub-teens royalties on annual sales in its territories.

Roivant says its consolidated statements include 100% of Priovant’s product revenue, costs, assets and liabilities; the minority owners’ share is instead carved out as non-controlling interest in earnings and net assets.

The filing does not quantify any payment currently due; the Pfizer milestone and royalty economics depend on future sales in Priovant’s territories.

Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, or exhibit attachments filed with this report.
Wholesale acquisition cost $35,000 per 30-count bottle of 30 mg tablets LISRAYA U.S. pricing at launch
VALOR trial size 241 adults Phase 3 placebo-controlled dermatomyositis study population
Mean Total Improvement Score 46.5 vs 31.2 Brepocitinib 30 mg vs placebo primary endpoint in VALOR (p=0.0006)
TIS40 response at Week 52 67.9% vs 44.3% Brepocitinib 30 mg vs placebo moderate response rate
Time to consecutive TIS40 response 85 days vs 168 days Brepocitinib 30 mg vs placebo time to sustained benefit
U.S. adult dermatomyositis prevalence 23,000–70,000 patients Literature-based and claims-derived estimates for potential LISRAYA population
Roivant ownership of Priovant 71% (65% fully diluted) Equity interest as of June 30, 2026
Expected U.S. exclusivity At least until 2039 Brepocitinib intellectual property and regulatory protection horizon
Total Improvement Score (TIS) medical
"Mean TIS (Primary) Composite endpoint, focus on muscle disease and global benefit"
Total Improvement Score (TIS) is a single numeric summary that combines several individual clinical measures into one percentage or point value to show how much patients improved in a trial. For investors, TIS turns complex medical results into an easy-to-compare “overall grade” that can influence regulators, prescribing labels and market confidence—so a higher TIS often supports a stronger commercial and regulatory outlook.
Cutaneous Dermatomyositis Disease Area and Severity Index–Activity (CDASI-A) medical
"Scores on the Cutaneous Dermatomyositis Disease Area and Severity Index–Activity (CDASI-A)"
Dermatomyositis Outcomes for Muscle and Skin (DMOMS) medical
"The Dermatomyositis Outcomes for Muscle and Skin (DMOMS) test is a weighted composite"
Janus kinase (JAK) inhibitor medical
"LISRAYA is a tyrosine kinase 2 (TYK2) and Janus kinase (JAK) inhibitor indicated"
A janus kinase (JAK) inhibitor is a type of medicine that blocks a family of enzymes inside cells that act like message relays for the immune system and cell growth. By interrupting those internal “phone lines,” these drugs can reduce harmful inflammation or slow certain cancers; for investors, JAK inhibitors matter because clinical trial results, regulatory approvals, safety signals, and patent position directly affect market potential and company valuation.
non-controlling interest (NCI) financial
"Only carve-out from full consolidation – removes minority shareholders’ share of earnings (P&L) and net assets (balance sheet); appears below net income and as equity component"
wholesale acquisition cost financial
"The wholesale acquisition cost of LISRAYA is $35,000 for a 30-count bottle"
Wholesale acquisition cost (WAC) is the manufacturer’s published price for a drug sold to wholesalers before discounts, rebates or other price concessions; think of it as the sticker price a maker sets for bulk buyers. Investors track WAC because it affects a company’s reported revenue potential, pricing power and profit margins, and because deviations between WAC and the actual net price can signal competitive pressure, reimbursement changes, or hidden costs.

FAQ

What did ROIV announce about LISRAYA in this 8-K?

Roivant reported that the FDA approved LISRAYA (brepocitinib) for treatment of adults with dermatomyositis and that the drug is commercially available immediately. Launch coincides with approval, roughly five weeks earlier than prior guidance of launch by the end of September 2026.

What is the price of LISRAYA reported by ROIV?

Roivant states that the wholesale acquisition cost of LISRAYA is $35,000 for a 30‑count bottle of 30 mg tablets. The company also notes that, via the My Compass Support program, eligible patients may pay as little as $0 per month for therapy.

How effective was LISRAYA in the Phase 3 VALOR trial described by ROIV?

In the Phase 3 VALOR study with 241 adults, brepocitinib 30 mg achieved a mean Total Improvement Score of 46.5 versus 31.2 for placebo, with higher rates of TIS40 and TIS60 responses and substantial steroid reductions, all with statistically significant p‑values across ranked endpoints.

What safety risks and boxed warnings for LISRAYA does ROIV highlight?

Roivant reports that LISRAYA has a boxed warning for serious infections, mortality, malignancy, major adverse cardiovascular events, and thrombosis. Additional warnings cover hypersensitivity, gastrointestinal perforations, hypoglycemia in diabetes, lab abnormalities, vaccination restrictions, and embryofetal toxicity, with several patient groups not recommended.

How large is the potential dermatomyositis market that ROIV discusses?

Roivant cites literature-based and claims analyses suggesting U.S. adult dermatomyositis prevalence in the tens of thousands, including a literature estimate of 23,000 adults and other estimates up to 70,000, indicating a substantial rare-disease population that could potentially benefit from LISRAYA.

What is ROIV’s economic interest in Priovant and brepocitinib?

Roivant states it owns 71% of Priovant as of June 30, 2026 (about 65% on a fully diluted basis) and consolidates 100% of Priovant’s financials, with non‑controlling interest adjustments. Priovant owes Pfizer tiered sub‑teens royalties in Priovant territories and expects U.S. brepocitinib exclusivity at least until 2039.

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

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 8-K
 
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
 
Date of report (Date of earliest event reported): August 28, 2026

Roivant Sciences Ltd.
(Exact name of registrant as specified in its charter)

Bermuda
001-40782
98-1173944
(State or other jurisdiction of incorporation)
(Commission File Number)
(I.R.S. Employer Identification No.)

7th Floor
50 Broadway
London SW1H 0DB
United Kingdom
(Address of principal executive offices, and Zip Code)
 
+44 207 400-3347
Registrant’s Telephone Number, Including Area Code
 
Not Applicable
(Former name or former address, if changed since last report)
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
 


Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 


Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 


Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
 
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) Securities registered pursuant to Section 12(b) of the Act:
 
Title of each class
 
Trading Symbol(s)
 
Name of each exchange on which registered
Common Shares, $0.0000000341740141 per share
 
ROIV
 
The Nasdaq Global Select Market
 
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
 


Item 8.01
Other Events.

On August 28, 2026, Roivant Sciences Ltd. (the “Company”) posted a presentation regarding the approval by the U.S. Food and Drug Administration of LISRAYA™ (brepocitinib) for the treatment of adults with dermatomyositis on the “Events & Presentations” page of its investor relations website at investor.roivant.com. A copy of the presentation is filed as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference. The contents of the Company’s website referenced in this Current Report on Form 8-K are not incorporated into this Current Report on Form 8-K.

The wholesale acquisition cost of LISRAYA is $35,000 for a 30-count bottle of 30 mg tablets.

Item 9.01
Financial Statements and Exhibits.
 
(d) Exhibits.
 
Exhibit No.
 
Description of Exhibit
99.1
 
Presentation, dated August 28, 2026.
104
 
Cover Page Interactive Data File (embedded with Inline XBRL document).
 

SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
ROIVANT SCIENCES LTD.



By:
/s/ Keyur Parekh
Name: Keyur Parekh

Title: Authorized Signatory

 
Dated: August 28, 2026





Exhibit 99.1

 LISRAYA (brepocitinib) Approved for Treatment of Patients with Dermatomyositis   August 28, 2026  For investor audiences only 
 

 Forward-Looking Statements  This presentation includes forward-looking statements that are subject to substantial risks and uncertainties that could cause actual results to differ materially from those expressed or implied by such statements. All statements other than statements of historical facts contained in this presentation, including statements regarding our future results of operations and financial position, business strategy, potential uses of cash and capital allocation, research and development plans, the anticipated timing, costs, design, conduct and results of our ongoing and planned preclinical studies and clinical trials for our product and product candidates, any commercial potential of our product and product candidates following applicable regulatory approvals, where applicable, and the outcome of any pending litigation are forward-looking statements.  These forward-looking statements are based upon the current expectations and beliefs of our management as of the date of this presentation and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. Although we believe that our plans, intentions, expectations and strategies as reflected in or suggested by those forward-looking statements are reasonable, we can give no assurance that the plans, intentions, expectations or strategies will be attained or achieved. Furthermore, actual results may differ materially from those described in the forward-looking statements.  These forward-looking statements may be affected by a number of risks and uncertainties, including, but not limited to, those risks set forth in the sections captioned “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements” of our filings with the U.S. Securities and Exchange Commission, available at www.sec.gov and investor.roivant.com. We operate in a very competitive and rapidly changing environment in which new risks emerge from time to time. These forward-looking statements are based upon the current expectations and beliefs of our management as of the date of this presentation, and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. Except as required by applicable law, we assume no obligation to update publicly any forward-looking statements, whether as a result of new information, future events or otherwise.  This presentation includes data for our product and product candidates, as compared to certain other products and product candidates generated from separate, independent studies and that do not come from head-to-head analysis. Differences exist between study or trial designs and subject characteristics and caution should be exercised when comparing data across studies. Data regarding other products and product candidates is based on publicly available information.   LISRAYA (brepocitinib) is FDA-approved only for treatment of dermatomyositis in adult patients. All other indications remain investigational and subject to regulatory approval.  See important LISRAYA safety information, including boxed warning, at lisrayahcp.com/pi  Disclaimer  This presentation is intended for the investor community only; it is not intended to promote the product candidates referenced herein or otherwise influence healthcare prescribing decisions.  2  For investor audiences only 
 

 3  LISRAYA is a tyrosine kinase 2 (TYK2) and Janus kinase (JAK) inhibitor indicated for the treatment of dermatomyositis in adult patients  NOW APPROVED  See important LISRAYA safety information, including boxed warning, at lisrayahcp.com/pi  For investor audiences only 
 

 4  Nikolay Nikolov, M.D.  Director of the Office of Immunology and Inflammation in the FDA’s Center for Drug Evaluation and Research  “For too long, patients with dermatomyositis have faced a significant unmet need for effective treatments, often relying on therapies meant for other diseases. Today’s approval is a meaningful step forward, giving patients and their healthcare providers an approved oral therapy proven to help manage this rare and debilitating disease.” 
 

 5  Approval: A Litany of Firsts for Dermatomyositis…  See important LISRAYA safety information, including boxed warning, at lisrayahcp.com/pi  First targeted therapy ever approved for DM  First once daily oral therapy ever approved for DM  First therapy ever approved for steroid-sparing benefit in DM, alongside disease improvement  First therapy ever approved for DM to show statistical significance in a 52-week DM-specific trial  First ever TYK2/JAK1 inhibitor approved for any indication – a novel first-in-class approval 
 

 Failed in DM and PM  Failed in DM and PM  Failed in DM and PM  Failed in DM and PM  Failed in DM  Failed in DM and PM  Failed in DM and PM  Failed in DM, PM, and IMNM  PM: Polymyositis  IMNM: Immune-mediated necrotizing myopathy  All trademarks are the property of their respective owners  …After a Graveyard of Failed Attempts and Decades of Poor Standard of Care  6 
 

 7  We are bringing LISRAYA to patients immediately – commercial launch coincides with FDA approval, ahead of prior guidance – reflecting the urgency of unmet need in DM  LISRAYA is Commercially Available Today, Ahead of Schedule  Note: My Compass Support program eligibility, terms and conditions apply  PRIOR GUIDANCE  Launch by end of September 2026  TODAY  Approved & commercially available   ~5 weeks early  Prescribing Open Today  Specialty Pharmacy Network Live   Patient Support Active  Healthcare professionals can submit LISRAYA prescriptions immediately  Limited distribution network active  My Compass Support online: coverage & financial assistance; eligible patients can pay as low as $0/month  No approved targeted therapy existed for DM until today  We are launching without delay to reach a patient community that has waited decades for a new option  
 

 8  LISRAYA Label Highlights  Note: FDA applied its own data handling rules for endpoints.  In some cases, this deviated in immaterial ways from the pre-specified data handling rules in the VALOR Statistical Analysis Plan; therefore, data in label does precisely match data as reported in scientific conferences, and journal publications, and investor materials  This summary does not include all information needed to use LISRAYA safely and effectively. Please see full Prescribing Information at lisrayahcp.com/pi  Broad Indication  Statement  Indicated broadly for adults with dermatomyositis, including patients with any level of disease severity and patients with or without active muscle disease  Flexible use as monotherapy or add-on to most non-targeted DM treatments used today; concomitant steroids, conventional DMARDs (e.g., methotrexate, mycophenolate, azathioprine), and IVIg are not restricted  Label Supports All Key Efficacy Claims  Efficacy across a wide array of DM disease manifestations  Improvements in skin disease, muscle strength, physical function, and overall disease burden, as assessed via physician-reported and patient-reported outcomes  Substantial reductions in steroid use compared to placebo  Simultaneously improves disease symptoms while reducing or eliminating steroid dependency  Safety Information Consistent with Expectations  Safety profile consistent with prior brepocitinib studies and with the approved JAK inhibitor class  As a TYK2/JAK1 inhibitor, carries a JAK-class boxed warning 
 

 9  With LISRAYA, DM Patients Saw Higher Likelihood of Both Moderate and Major Symptom Improvement – With Minimal or No Steroids  CI: confidence interval  Notes: LS mean TIS, difference and 95% CI based on an analysis of covariance model adjusted for stratification factors  Response rate (risk) differences calculated using the Cochran-Mantel-Haenszel method adjusted for stratification factors  The data presented on this slide are consistent with the FDA-approved prescribing information for LISRAYA. Minor numerical differences from the topline data previously presented in September 2025 and as published in the New England Journal of Medicine result from FDA-requested modifications to data-handling and analysis conventions.  30 mg vs. Placebo∆ 20%, CI: 5.1%, 35%  30 mg vs. Placebo∆ 23%, CI: 8.3%, 38.2%  Moderate Response (TIS 40)  Major Response (TIS 60)  Moderate Response (TIS 40)   with OCS ≤ 2.5 mg/day   30 mg vs. Placebo∆ 22%, CI: 6.7%, 37%  Minimal to no steroids   (≤ 2.5 mg/day)  DM Patients Saw Higher Likelihood of Both Moderate and Major Symptom Improvement  Steroid Reduction for Patients on ≥7.5 mg/day OCS at Baseline  Mean dose at baseline across arms: 11.4 mg/day  76% of patients were on OCS at baseline  ≤ 2.5 mg/day at Week 48 & 52  0 mg/day at Week 48 & 52  LISRAYA 30 mg (N = 81)   Placebo (N = 79)  
 

 10  Note: Additional inclusion and exclusion criteria not listed on slide  Note: Additional primary and secondary endpoint details not listed on slide  DM: dermatomyositis; QD: daily; OCS: oral corticosteroids; CDASI: Cutaneous Dermatomyositis Disease Area and Severity Index; DMOMS: Dermatomyositis Outcomes for Muscle and Skin  N=241  Adults with active DM with both muscle and skin disease  1:1:1 Randomization  Placebo  Brepocitinib 30 mg QD  Brepocitinib 15 mg QD   : The Largest Phase 3 Placebo-Controlled Study Ever Conducted in Dermatomyositis  Primary Endpoint:   Mean Total Improvement Score (TIS) at Week 52  Secondary Endpoints:   CDASI Activity Score  DMOMS  TIS ≥ 40  TIS ≥ 60  52  Week  0  Steroid taper: Mandatory OCS taper to ≤5 mg/day from week 12 to 36; recommended further tapering at investigator discretion   Results Published in Leading Peer-Reviewed Journals  Primary Phase 3 VALOR results  New England Journal of Medicine · March 2026  Skin-specific secondary endpoints  JAMA Dermatology · August 2026 
 

 11  VALOR Baseline Disease and Treatment Characteristics Reflect Real-World Patient Population  Brepocitinib 30 mg (N = 81)  Brepocitinib 15 mg (N = 81)  Placebo (N = 79)  Characteristic   Mean age (range) – yr   50 (21-77)  51 (23-72)  51 (20-74)  Female sex – no. (%)  65 (80%)  67 (83%)  55 (70%)  Race or ethnic group – white no. (%)  55 (68%)  57 (70%)  61 (77%)  Medical history – no. (%)  Interstitial lung disease   19 (24%)  17 (21%)  11 (14%)  Previous benign or malignant neoplasm  14 (17%)  9 (11%)  11 (14%)  Atherosclerotic cardiovascular disease  5 (6%)  0  2 (3%)  Hypertension  27 (33%)  23 (28%)  23 (29%)  Hyperlipidemia  13 (16%)  16 (20%)  17 (22%)  Diabetes mellitus  10 (12%)  10 (12%)  11 (14%)  Obesity  26 (32%)  25 (31%)  25 (32%)  Current tobacco use  7 (9%)  7 (9%)  8 (10%)  Baseline Disease Activity  PhGA-VAS (± SD)  5.3 (±1.6)  5.5 (±1.7)  5.6 (±1.7)  CDASI-A (± SD)  18.7 (±11.3)  19.5 (±11.3)  21.1 (±12.0)  MMT-8 (± SD)  121.7 (±16.4)  124.5 (±14.2)  121.6 (±17.0)  Dermatomyositis background therapy  Oral glucocorticoids no. (%)  60 (74%)  58 (72%)  64 (81%)  Daily prednisone-equivalent dose – mg (± SD)  12.2 (5.7)  10.7 (6.2)  11.3 (5.9)  ≥2 Dermatomyositis-directed therapies (%)   64 (79%)  66 (82%)  66 (84%)  History of intravenous immune globulin or rituximab  25 (31%)  24 (30%)  25 (32%)  Data as reported in NEJM publication  Notes: Scores on the Physician's Global Assessment–Visual Analogue Scale (PhGA-VAS) range from 0 to 10 cm, with higher scores indicating greater disease severity. A score of 0 to less than 4 cm indicates mild disease, a score of 4 to less than 7 cm indicates moderate disease, and a score of 7 to 10 cm indicates severe disease  Scores on the Cutaneous Dermatomyositis Disease Area and Severity Index–Activity (CDASI-A) range from 0 to 100, with higher scores indicating more severe disease activity  The Manual Muscle Test 8 (MMT-8) evaluates a set of eight designated proximal, distal, and axial muscles tested bilaterally. Scores range from 0 to 150, with lower scores indicating weaker muscles  Minor numerical differences between the topline data previously presented in September 2025 and as published in the New England Journal of Medicine compared to FDA-approved prescribing information for LISRAYA result from FDA-requested modifications to data-handling and analysis conventions. 
 

 12  Brepocitinib Demonstrated Strong Efficacy Data Across All Phase 3 Ranked Endpoints  Measurements of skin disease, muscle disease, rapidity of onset and steroid sparing; consistent dose response was also seen across endpoints  Key Endpoint  Important Features  Brepocitinib 30mg (N = 81)  Placebo  (N = 79)  P-Value  Mean TIS (Primary)  Composite endpoint, focus on muscle disease and global benefit  46.5  31.2  0.0006  CDASI-A change from baseline at Week 52   Improvement in skin disease activity  -11.7  -7.0  0.0006  DMOMS at Week 52  DM-specific muscle and skin composite measure of benefit  57.9  40.5  0.0014  TIS40 Response at Week 52  Moderate TIS response (focus on global benefit / muscle)  67.9%  44.3%  0.0040  Time to Consecutive TIS40 Response by Week 52  Time to onset of sustained benefit (particularly high bar)  85 days  168 days  0.0155  Patients achieving TIS40 Response + ≤2.5 mg OCS at Week 52  Achievement of clinical response and steroid reduction  54.3%  26.6%  0.0006  CDASI-A 40% Response with ≥4-point improvement at Week 52  Clinically meaningful skin response  61.7%  44.3%  0.0357  TIS60 Response at Week 52  Major TIS response – Highest TIS response threshold  46.1%  26.4%  0.0126  Change from baseline in HAQ-DI at Week 52   Improvement in physical and functional disability and daily living activities related to muscle strength   -0.337  -0.042  0.0035  Change from baseline in CDASI-A at Week 4  Rapid onset of skin response  -6.4  -3.5  0.0003  Data as reported in NEJM publication  Notes: Total Improvement Scores (TIS) range from 0 to 100, with higher scores indicating greater improvement from baseline  Scores on the Cutaneous Dermatomyositis Disease Area and Severity Index–Activity (CDASI-A) range from 0 to 100, with higher scores indicating more severe disease activity  The Dermatomyositis Outcomes for Muscle and Skin (DMOMS) test is a weighted composite measure of improvement in four core measures of myositis activity. Scores range from 0 to 100, with higher scores indicating greater improvement  Scores on the Health Assessment Questionnaire–Disability Index (HAQ-DI) range from 0 to 3, with 0 reflecting no disability and 3 indicating severe functional disability  Minor numerical differences between the topline data previously presented in September 2025 and as published in the New England Journal of Medicine compared to FDA-approved prescribing information for LISRAYA result from FDA-requested modifications to data-handling and analysis conventions. 
 

 13  Overview of Safety Events in the Phase 3 VALOR Study  AE: adverse event, ALT: alanine aminotransferase; AST: aspartate aminotransferase  Notes: Percentages are based on the number of unique participants with an event out of the column total. Treatment-emergent AEs are reported  Minor numerical differences between the topline data previously presented in September 2025 and as published in the New England Journal of Medicine compared to FDA-approved prescribing information for LISRAYA result from FDA-requested modifications to data-handling and analysis conventions.  Adverse Events  Brepocitinib 30 mg (N = 81)  Brepocitinib 15 mg (N = 81)  Placebo (N = 79)  number of patients (percent)  Any adverse event  73 (90%)  70 (86%)  72 (91%)  Serious adverse event   Any serious event  13 (16%)  7 (9%)  10 (13%)   Infection  8 (10%)  2 (2%)  1 (1%)  Leading to discontinuation of brepocitinib or placebo  5 (6%)  6 (7%)  9 (11%)  Leading to trial discontinuation  3 (4%)  4 (5%)  3 (4%)  Adverse events of special interest  6 (7%)  4 (5%)  10 (13%)   Cardiovascular  1 (1%)  0  2 (3%)   Thromboembolic  0  0  1 (1%)   Viral reactivation  4 (5%)  2 (2%)  4 (5%)   New or recurrent cancer  0  0  2 (3%)   Increase in ALT or AST level  1 (1%)  2 (2%)  1 (1%)  LISRAYA has a boxed warning for serious infections, mortality, malignancy, major adverse cardiovascular events, and thrombosis, consistent with the JAK inhibitor class  Data as reported in NEJM publication  See full prescribing information for complete boxed warning at lisrayahcp.com/pi 
 

 LISRAYA Can Now Benefit Tens of Thousands of Patients Across the US  Literature-Based Estimates  Priovant Claims Analysis  Other Companies Developing DM Therapies   23K1  70K  40K  52K2  51K  US ADULT PREVALENCE  37K  INCIDENCE   Literature-Based Estimates  1.1/100,0003  3.0/100,0004  1. Smoyer-Tomic et al, BMC Musculoskeletal Disorders (2012)  2. Reeder et al, Arch Dermatol (2010)  3. Kronzer et al, Arth Care Res (2021)  4. Osman et al, Sci Reports (2023)  Priovant Claims Analysis  2.2/100,000  1.4/100,000  14 
 

 15  DM Patients Struggle With Everyday Function, and Standard of Care Therapies Are Suboptimal  1. Priovant/TMA Patient Survey.   2. Myositis Journey and Burden of Disease Survey, MSU (2022).  3. Analysis by Roivant/Priovant using closed claims data from Inovalon from 2019-2024  4. Christopher-Stine et al., BMC Rheumatology (2025)  5. Christopher-Stine, et al., J Manag Care Spec Pharm (2020)  6. Bhashyam et al., Rheumatology (2023)  7. Kleitsch et al., Arch Dermatol Res (2023)  8. Goreshi et al., J AM Acad Dermatol (2011)  9. Aggarwal et al., Clin Rheumatol (2025)  10. Choy et al., Rheumatol (2002)  11. Pujades-Rodriguez et al., PLoS Med (2020)  63%  Unable to climb one flight of stairs  53%  Unable to walk more than one mile  50%  Unable to bend, kneel, or stoop  35%  Rely on mobility aids (canes, walkers, wheelchairs)  Heavily treated with polypharmacy, including chronic high-dose corticosteroids  Unhappy with existing options and frequently switching treatments  Continued symptoms, flares, and pain despite treatment  These adverse health outcomes are compounded by the toxicities of high-dose chronic steroids  High unmet need for a novel, targeted therapy that delivers sustained clinical benefit while allowing patients to reach minimal or no steroid burden  The Daily Toll on Patients1,2  Current Therapies Fall Short3-11  
 

 16  Patients Are At The Center Of Our Launch  Note: My Compass Support program eligibility, terms and conditions apply  Eligible patients may pay as little as $0 per month for LISRAYA through My Compass Support  Patients can enroll in LISRAYA My Compass Support, which offers personalized assistance from a dedicated Patient Access Liaison, including help with insurance coverage, financial assistance programs and ongoing support throughout the treatment journey  My Compass Support team and related patient services activities represent significant headcount investment at Priovant ahead of launch”  [LISRAYA  Logo]  Specialty pharmacies in limited distribution network carefully selected for expertise in providing “white glove” / high-touch support to rare disease patients 
 

 Given limited historical innovation and long-established prescribing patterns in DM,   LISRAYA adoption is expected to build gradually  Limited Distribution Network  of Specialty Pharmacies  Priovant Hub and Patient  Services Program  Distribution and dispensing workflows validated pre-launch  Hub team and systems all in place and ready for launch  Patient services team and workflows in place and ready for launch, including copay support  Early payer engagement underway ahead of anticipated launch  Value story anchored in the first innovative DM therapy in years, underpinned by strong efficacy, safety and convenience data  Field Force  Field force for launch built and trained  Payer Engagement  LISRAYA Is Ready for Launch in DM  17 
 

 Lichen Planopilaris  Ph2b/3 Initiated  Approval in DM is Only the Beginning of a Potential Multi-Indication Journey for LISRAYA, with 3 Other Pivotal Datasets Expected Over the Next 36 Months  Dermatomyositis  NDA Filed  Cutaneous Sarcoidosis  Positive Ph2 Topline Data  Non-Infectious Uveitis  Ph3 Topline Data (2H 2026)  Dermatomyositis  NDA Approved  ~70K Patients   (DM)  ~140K Patients   (DM + NIU)  ~280K Patients   (DM + NIU + CS + LPP)  Non-Infectious Uveitis  Potential sNDA Approval  Cutaneous Sarcoidosis  Ph3 Ongoing  Cutaneous Sarcoidosis  Potential sNDA Approval  Late 2026  Late 2027 / Early 2028  2028+  + Potential Additional Indications   Illustrates ~10K patients.   Note: LISRAYA (brepocitinib) is FDA-approved only for treatment of dermatomyositis in adult patients. All other indications remain investigational and subject to regulatory approval. All catalyst timings are approximate, based on current expectations and, where applicable, contingent on FDA feedback, and may be subject to change. All references are to calendar years.   18  Lichen Planopilaris  Ph2b/3 Ongoing  Lichen Planopilaris  Potential sNDA Approval  Cutaneous Sarcoidosis  Ph3 Initiated  LISRAYA’s approval today represents a landmark milestone in the treatment of DM 
 

 19  Phase 1  Phase 2  Registrational  Approved  Brepocitinib  DM  NIU  CS  LPP  IMVT-1402  D2T RA  GD  MG  CIDP  SjD  CLE  Mosliciguat  PH-ILD  High-Value Pipeline, Delivering Series of Near-Term Catalysts  Note: LISRAYA (brepocitinib) is FDA-approved only for treatment of dermatomyositis in adult patients. All other drugs and indications remain investigational and subject to regulatory approval. All catalyst timings are approximate, based on current expectations and, where applicable, contingent on FDA feedback, and may be subject to change. All references are to calendar years.  Topline data 2H 2026  Topline data 2028  Further updates 2H 2026  Topline data 2027  Topline data 2027  Topline data 2028  Topline data 2028  Topline data 2H 2026  Topline data 2H 2026  Phase 2b/3 FPFV 1Q 2026  Approved August 2026 
 

 Thank you. 
 

 Appendix 
 

 LISRAYA IMPORTANT SAFETY INFORMATION and INDICATION AND USAGE  WARNING: SERIOUS INFECTIONS, MORTALITY, MALIGNANCY, MAJOR ADVERSE CARDIOVASCULAR EVENTS (MACE), and THROMBOSIS  INDICATIONS AND USAGE  LISRAYA (brepocitinib) is indicated for the treatment of adults with dermatomyositis (DM).  Limitations of Use  Not recommended for use in combination with other JAK inhibitors, other TYK2 inhibitors, or biologic DMARDs.  WARNINGS and PRECAUTIONS:  Serious infections. Patients treated with LISRAYA are at increased risk of developing serious bacterial, fungal, viral, and opportunistic infections that may lead to hospitalization or death.   Reported infections with use of Janus kinase (JAK) inhibitors, including LISRAYA:   Active tuberculosis (TB), which may present with pulmonary or extrapulmonary disease. Evaluate and test patients for latent and active TB infection prior to and during LISRAYA treatment. If positive, treat for TB. Monitor all patients for active TB during treatment including patients who tested negative for a latent TB infection prior to LISRAYA treatment.   Invasive fungal infections. Patients with invasive fungal infections may present with disseminated, rather than localized, disease.   Bacterial, viral (including herpes zoster), and other infections due to opportunistic pathogens.   Avoid use of LISRAYA in patients with an active, serious infection, including localized infections. Consider the risks and benefits of LISRAYA in patients with chronic or recurrent infection prior to initiating treatment. Closely monitor patients for signs and symptoms of infection during and after treatment with LISRAYA. If a serious infection occurs, interrupt LISRAYA treatment until the infection resolves or is adequately treated.  Mortality. A higher rate of all-cause mortality, including sudden cardiovascular death, was observed with another Janus kinase (JAK) inhibitor when compared to tumor necrosis factor (TNF) blockers in patients with rheumatoid arthritis (RA) 50 years of age and older with at least one cardiovascular risk factor. LISRAYA is not approved for use in patients with RA.      Malignancy. Malignancies have occurred in patients treated with LISRAYA. A higher rate of malignancies (excluding non-melanoma skin cancer), lymphomas, and lung cancers was observed with another JAK inhibitor when compared to TNF blockers in patients with RA. LISRAYA is not approved for use in patients with RA. Patients who are current or past smokers are at additional increased risk.   Major Adverse Cardiovascular Events (MACE). Major adverse cardiovascular events (MACE) (defined as cardiovascular death, myocardial infarction, and stroke) have occurred in patients treated with LISRAYA. A higher rate of MACE was observed with another JAK inhibitor when compared to TNF blockers in patients with RA 50 years of age and older with at least one cardiovascular risk factor. LISRAYA is not approved for use in patients with RA. Patients who are current or past smokers are at additional increased risk. Discontinue LISRAYA in patients who have experienced a myocardial infarction or stroke.   Thrombosis. Thromboses, including deep venous thrombosis, pulmonary embolism, and arterial thrombosis, have occurred in patients treated for inflammatory conditions with JAK inhibitors, including LISRAYA. Many of these adverse reactions were serious and some resulted in death. A higher rate of thromboses was observed with another JAK inhibitor when compared to TNF blockers in patients with RA 50 years of age and older with at least one cardiovascular risk factor. LISRAYA is not approved for use in patients with RA. Avoid LISRAYA in patients who may be at risk of thrombosis. If symptoms of thrombosis occur, discontinue LISRAYA, promptly evaluate, and appropriately treat.  22 
 

 LISRAYA IMPORTANT SAFETY INFORMATION and INDICATION AND USAGE  WARNING: SERIOUS INFECTIONS, MORTALITY, MALIGNANCY, MAJOR ADVERSE CARDIOVASCULAR EVENTS (MACE), and THROMBOSIS  WARNINGS and PRECAUTIONS (continued):  Hypersensitivity. LISRAYA is contraindicated in patients with known hypersensitivity to brepocitinib or any of its excipients. Hypersensitivity reactions were reported in patients receiving LISRAYA. Some events were serious.   Gastrointestinal Perforations. Gastrointestinal perforation has been reported in patients treated with JAK inhibitors, including LISRAYA. Monitor LISRAYA-treated patients who may beat risk for gastrointestinal perforation.  Hypoglycemia in Patients with Diabetes. LISRAYA may cause hypoglycemia in patients with diabetes. Hypoglycemia, including severe hypoglycemia, has been reported following initiation of JAK inhibitors in patients with diabetes. During treatment with LISRAYA, consider increased monitoring of blood glucose as clinically indicated in patients with diabetes.   Laboratory Abnormalities. LISRAYA has been associated with lab abnormalities including neutropenia, lymphopenia, anemia, increases in lipid parameters, and liver enzyme elevations.  Immunizations. Avoid use of live vaccines during or immediately prior to LISRAYA therapy initiation. Prior to initiating LISRAYA treatment, update immunizations, including prophylactic varicella zoster or herpes zoster vaccinations, according to current immunization guidelines.  Embryofetal Toxicity. Based on findings in animal studies, LISRAYA may cause fetal harm when administered to a pregnant woman. Verify the pregnancy status of females of reproductive potential prior to starting treatment. Advise pregnant women and females of reproductive potential of the potential risk to the fetus. Advise females of reproductive potential to use effective contraception during treatment with LISRAYA and for 3 days following the last dose.  ADVERSE REACTIONS  The most common adverse reactions occurring in ≥5% of DM subjects and ≥2% greater than placebo were upper respiratory tract infection, headache, fatigue, urinary tract infection, nausea, bronchitis, arthralgia, diarrhea, back pain, fall, influenza, and acne.  SPECIAL POPULATIONS  Pregnancy. Based on findings in animal studies, LISRAYA may cause fetal harm when administered to a pregnant woman. Available data from LISRAYA use in pregnant women are insufficient to establish a drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes.  Lactation. There are no data on the presence of brepocitinib in human milk, the effects on the breastfed infant, or the effects on milk production.  Hepatic Impairment. LISRAYA is not recommended in patients with severe hepatic impairment.  Renal Impairment. LISRAYA is not recommended in patients with severe renal impairment.  Please see the Full Prescribing Information, including BOXED WARNING, and Medication Guide.  23 
 

 24  Priovant: Other Details  ROIV owns 71%1 of Priovant, with Pfizer owning 24%.   Ownership    Geographic   Rights    Intellectual Property    Milestones    Royalties    1. As of June 30, 2026. 65% on a fully diluted basis.  2. Includes potential patent term extension  We expect brepocitinib to have US exclusivity at least until 20392.    Priovant has commercial rights to brepocitinib in US and Japan.   Priovant is obligated to pay Pfizer mid tens-of-millions if sales exceed a mid hundreds-of-millions amount in Priovant territories. Pfizer is obligated to pay Priovant low tens-of-millions if sales exceed a mid hundreds-of-millions amount in non-Priovant territories.    Priovant is obligated to pay Pfizer tiered sub-teens royalties on annual sales in Priovant territories. Pfizer is obligated to pay Priovant tiered high single digits to sub-teens royalties on annual sales in non-Priovant territories.  
 

 Illustrative Accounting TreatmentThe information contained in these slides is provided for illustrative and educational purposes only. It is not intended to be comprehensive and is not a substitute for reviewing Roivant’s consolidated financial statements, including the notes thereto. This should not be relied upon as a complete description of Roivant's accounting policies or financial reporting. Certain items described on this slide are prospective in nature and therefore not reflected in Roivant’s consolidated financial statements.  
 

 Reflecting Consolidated Vants on Roivant Financial StatementsIllustrative Consolidation Accounting Treatment  100% CONSOLIDATED TO ROIV  Vant Product Revenue, net  ROIV books 100% of Vant net product revenue, not just ROIV's ownership %  Vant License, Milestone & Other Revenue  ROIV books 100% of Vant milestones and royalties due from partners, recognized when earned / triggered  Vant COGS  ROIV books 100% of Vant product costs; post-approval royalties payable to licensors (e.g. HanAll, Pfizer, Bayer) including amortization of capitalized milestones  Vant R&D / SG&A  ROIV books 100% of Vant cost base  Vant IPR&D  ROIV books 100% of Vant pre-approval milestones payable to licensors (e.g. HanAll, Pfizer, Bayer)  Vant Assets & Liabilities (Balance Sheet)  All Vant assets and liabilities are 100% consolidated onto the ROIV balance sheet  NCI CARVE-OUT (MINORITY SHAREHOLDERS’ SHARE)  Only carve-out from full consolidation – removes minority shareholders’ share of earnings (P&L) and net assets (balance sheet); appears below net income and as equity component  P&L: NCI  Deduct % NCI (minority) ownership of Vant net income – appears below net income to carve out minority shareholders’ allocation of earnings based on shareholders’ rights  Balance Sheet: NCI  Equity component (not a liability); updated each period for minority shareholders’ share of net assets attributable to non-ROIV holders  Cash Flow: Dividends Paid to NCI  Minority ownership % of dividends paid flows to Vant minority shareholders as Financing Outflow1  Roivant consolidates 100% of Priovant, Immunovant & Pulmovant (among others)  26  Note: Includes for illustrative purposes expected P&L components related to a potential commercial launch  1. Dividends are declared at the discretion of the Vant Board of Directors.  
 

 27  Impact of NCI on Roivant EPS  1. Basic ownership refers to percentage ownership of the issued and outstanding Vant shares, including preferred shares in certain instances. Additional allocation to NCI may be required if participating securities exist.   2. Includes allocation to securities issued by Vants, including options and share-based payments that enable holders to obtain Vant common shares. Vant EPS is calculated on a stand-alone basis and then used to determine allocation of Vant's earnings. Vant's diluted EPS is only included when the effect is dilutive (there is net income at the Vant). If Vant has a loss from continuing operations, this adjustment is omitted as the effect of including is anti-dilutive.   3. Potential common shares are only included when dilutive. The dilutive effect is computed using the treasury stock method or application of the if-converted method, as applicable. For periods of loss from continuing operations, these instruments would be excluded as effect of including is anti-dilutive.  NUMERATOR  Basic EPS  Diluted EPS  Vant consolidated net income  Vant consolidated net income  (-) NCI: allocation reflecting basic ownership1  (-) NCI: allocation reflecting basic ownership1  (-) NCI: add’l allocation to potential Vant common shares2  Net income attributable to ROIV, basic  Net income attributable to ROIV, diluted (lower)  DENOMINATOR  Basic EPS  Diluted EPS  Basic ROIV weighted average shares outstanding  Diluted ROIV weighted average shares outstanding, including potential ROIV common shares3  = basic EPS  = diluted EPS  Vant securities settled in Vant common shares have no effect on the denominator. 
 


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