– Q2 2026 net revenue of
– Amended credit facility with Hercules Capital: financial covenants reset through 2027, and outstanding principal to be reduced by a total potential reduction of
– Withdrew full-year 2026 financial guidance
“Second quarter revenue grew compared to the first quarter but came in below our expectations,” said
Business Highlights
- Heron generated total net revenue of
$37.7 million in Q2 2026 and ended the quarter with$42.7 million in cash, cash equivalents and short-term investments. - Acute Care franchise updates: Net revenue increased 43.9% year-over-year for the three months ended
June 30, 2026 and increased 38.2% year-over-year for the six months endedJune 30, 2026 . ZYNRELEF® contributed$11.1 million and$21.3 million net revenue in the three and six months endedJune 30, 2026 , respectively. APONVIE® contributed$4.2 million and$7.7 million net revenue in the three and six months endedJune 30, 2026 , respectively. - Oncology
Supportive Care franchise updates: Net revenue was$22.3 million in the three months endedJune 30, 2026 and$43.4 million in the six months endedJune 30, 2026 .
Financial Guidance for 2026
The Company is withdrawing its previously issued full-year 2026 guidance of net product sales and Adjusted EBITDA, and investors should no longer rely on that guidance. Three factors led to this decision. First, following the
| Net Revenue Performance – Three Months Ended (in thousands) (unaudited) | |||||||
| 2026 | 2025 | Percentage Change | |||||
| Acute Care | $ 15,333 | $ 10,653 | $ 4,680 | 43.9% | |||
| APONVIE | 73.6% | ||||||
| ZYNRELEF | 35.0% | ||||||
| Oncology | $ 22,333 | $ 26,547 | ($ 4,214 ) | (15.9%) | |||
| CINVANTI | ( | (9.7%) | |||||
| SUSTOL | ( | (77.5%) | |||||
| Total Net Revenue | $ 37,666 | $ 37,200 | $ 466 | 1.3% | |||
| Net Revenue Performance – Six Months Ended (in thousands) (unaudited) | |||||
| 2026 | 2025 | Percentage Change | |||
| Acute Care | $ 28,961 | $ 20,954 | $ 8,007 | 38.2% | |
| APONVIE | 62.4% | ||||
| ZYNRELEF | 31.2% | ||||
| Oncology | $ 43,416 | $ 55,149 | ($ 11,733) | (21.3%) | |
| CINVANTI | ( | (15.2%) | |||
| SUSTOL | ( | (79.3%) | |||
| Total Net Revenue | $ 72,377 | $ 76,103 | ($ 3,726) | (4.9%) | |
Conference Call and Webcast
Heron will host a conference call and live webcast on
About ZYNRELEF® for Postoperative Pain
ZYNRELEF is the first and only extended-release dual-acting local anesthetic that delivers a fixed-dose combination of the local anesthetic bupivacaine and a low dose of nonsteroidal anti-inflammatory drug meloxicam. ZYNRELEF is the first and only extended-release local anesthetic to demonstrate in Phase 3 studies significantly reduced pain and significantly increased proportion of patients requiring no opioids through the first 72 hours following surgery compared to bupivacaine solution, the current standard-of-care local anesthetic for postoperative pain control. ZYNRELEF was initially approved by the
Please see full prescribing information, including Boxed Warning, at www.ZYNRELEF.com.
About APONVIE® for Prevention of Postoperative Nausea and Vomiting (PONV) Prevention
APONVIE is a substance P/neurokinin 1 (NK1) Receptor Antagonist (RA), indicated for the prevention of post operative nausea and vomiting (PONV) in adults. Delivered via a 30-second IV push, APONVIE 32 mg was demonstrated to be bioequivalent to oral aprepitant 40 mg with rapid achievement of therapeutic drug levels. APONVIE is the same formulation as Heron's approved drug product CINVANTI. APONVIE is supplied in a single-dose vial that delivers the full 32 mg dose for PONV. APONVIE was approved by the
Please see full prescribing information at www.APONVIE.com.
About CINVANTI® for Chemotherapy Induced Nausea and Vomiting (CINV) Prevention
CINVANTI, in combination with other antiemetic agents, is indicated in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy (HEC) including high-dose cisplatin as a single-dose regimen, delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy (MEC) as a single-dose regimen, and nausea and vomiting associated with initial and repeat courses of MEC as a 3-day regimen. CINVANTI is an IV formulation of aprepitant, an NK1 RA. CINVANTI is the first IV formulation to directly deliver aprepitant, the active ingredient in EMEND® capsules. Aprepitant (including its prodrug, fosaprepitant) is a single-agent NK1 RA to significantly reduce nausea and vomiting in both the acute phase (0–24 hours after chemotherapy) and the delayed phase (24–120 hours after chemotherapy). The
Please see full prescribing information at www.CINVANTI.com.
About SUSTOL® for CINV Prevention
SUSTOL is indicated in combination with other antiemetics in adults for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of moderately emetogenic chemotherapy (MEC) or anthracycline and cyclophosphamide (AC) combination chemotherapy regimens. SUSTOL is an extended-release, injectable 5-hydroxytryptamine type 3 RA that utilizes Heron's Biochronomer® drug delivery technology to maintain therapeutic levels of granisetron for =5 days. The SUSTOL global Phase 3 development program was comprised of two, large, guideline-based clinical studies that evaluated SUSTOL's efficacy and safety in more than 2,000 patients with cancer. SUSTOL's efficacy in preventing nausea and vomiting was evaluated in both the acute phase (0–24 hours after chemotherapy) and delayed phase (24–120 hours after chemotherapy).
Please see full prescribing information at www.SUSTOL.com.
About Heron Therapeutics, Inc.
Heron Therapeutics, Inc. is a commercial-stage biotechnology company focused on improving the lives of patients by developing and commercializing therapeutic innovations that improve medical care. Our advanced science, patented technologies, and innovative approach to drug discovery and development have allowed us to create and commercialize a portfolio of products that aim to advance the standard-of-care for acute care and oncology patients. For more information, visit www.herontx.com.
Non-GAAP Financial Measures
To supplement our financial results presented on a GAAP basis, we have included information about certain non-GAAP financial measures. We believe the presentation of these non-GAAP financial measures, when viewed with our results under GAAP, provide analysts, investors, lenders, and other third parties with insights into how we evaluate normal operational activities, including our ability to generate cash from operations, on a comparable year-over-year basis and manage our budgeting and forecasting.
In our quarterly and annual reports, earnings press releases and conference calls, we may discuss the following financial measures that are not calculated in accordance with GAAP, to supplement our consolidated financial statements presented on a GAAP basis.
Adjusted EBITDA
Adjusted EBITDA is a non-GAAP financial measure that represents GAAP net income or loss adjusted to exclude interest expense, interest income, the benefit from or provision for income taxes, depreciation, amortization, stock-based compensation, and other adjustments to reflect changes that occur in our business but that we do not believe are indicative of ongoing operations. Adjusted EBITDA, as used by us, may be calculated differently from, and therefore may not be comparable to, similarly titled measures used by other companies.
There are several limitations related to the use of adjusted EBITDA rather than net income or loss, which is the nearest GAAP equivalent, such as: adjusted EBITDA excludes depreciation and amortization and, although these are non-cash expenses, the assets being depreciated or amortized may have to be replaced in the future, the cash requirements for which are not reflected in adjusted EBITDA; we exclude stock-based compensation expense from adjusted EBITDA although: (i) it has been, and will continue to be for the foreseeable future, a significant recurring expense for our business and an important part of our compensation strategy; and (ii) if we did not pay out a portion of our compensation in the form of stock-based compensation, the cash salary expense included in operating expenses would be higher, which would affect our cash position; adjusted EBITDA does not reflect changes in, or cash requirements for, working capital needs; adjusted EBITDA does not reflect the benefit from or provision for income taxes or the cash requirements to pay taxes; and adjusted EBITDA does not reflect historical cash expenditures or future requirements for capital expenditures or contractual commitments.
For a reconciliation of such non-GAAP financial measures to the most directly comparable financial measures prepared in accordance with GAAP, please see the table titled “U.S. GAAP to Non-GAAP Reconciliation” below.
Forward-looking Statements
This news release contains "forward-looking statements" as defined by the Private Securities Litigation Reform Act of 1995. All statements contained in this news release other than statements of historical facts, including statements regarding our future results of operations and financial position, business and commercialization strategy as well as plans and objectives of management for future operations, are forward-looking statements. Heron cautions readers that forward-looking statements are based on management's expectations and assumptions as of the date of this news release and are subject to certain risks and uncertainties that could cause actual results to differ materially. Therefore, you should not place undue reliance on forward-looking statements. Examples of forward-looking statements include, among others, statements we make regarding the potential market opportunities for ZYNRELEF®, APONVIE®, CINVANTI® and SUSTOL®; revenue, any financial guidance that has been previously provided or to be provided in the future by the Company; interim financial data or prescription data, which may not necessarily be indicative of quarterly or annual results; the potential additional market opportunity for the expanded U.S. label for ZYNRELEF or inclusion of ZYNRELEF under the OPPS and the ASC payment system or launch of the ZYNRELEF VAN; our ability to establish and maintain successful commercial arrangements like our co-promotion agreement with Crosslink Network, LLC; the outcome of the Company's pending patent litigations, including potential appeals of any verdicts and the settlement described herein; whether the Company is required to write-off any additional inventory in the future; the expected future balances of Heron's cash, cash equivalents and short-term investments; the expected duration over which Heron's cash, cash equivalents and short-term investments balances will fund its operations and the risk that future equity financings may be needed; any inability or delay in achieving profitability, including as a result of regulatory developments and policy changes in the U.S. and other jurisdictions; our ability to continue as a going concern without additional funding; the ability of our common stock to meet the minimum requirements for continued listing on the Nasdaq Capital Markets; and our ability to comply with covenants in our Working Capital Facility Agreement. Important factors that could cause actual results to differ materially from those in the forward-looking statements are set forth in our most recent Annual Report on Form 10-K and any subsequent Quarterly Reports on Form 10-Q, and in our other reports filed with the Securities and Exchange Commission, including under the caption "Risk Factors." Forward-looking statements reflect our analysis only on their stated date, and Heron takes no obligation to update or revise these statements except as may be required by law.
| Consolidated Statements of Operations | |||||||||||||||||
| (in thousands, except per share amounts) | |||||||||||||||||
| (unaudited) | |||||||||||||||||
| Three Months Ended | Six Months Ended | ||||||||||||||||
| 2026 | 2025 | 2026 | 2025 | ||||||||||||||
| Net product sales | $ | 37,666 | $ | 37,200 | $ | 72,377 | $ | 76,103 | |||||||||
| Cost of product sales | 11,572 | 9,857 | 22,210 | 18,314 | |||||||||||||
| Gross profit | 26,094 | 27,343 | 50,167 | 57,789 | |||||||||||||
| Operating expenses: | |||||||||||||||||
| Research and development | 2,702 | 2,934 | 5,087 | 5,213 | |||||||||||||
| General and administrative | 11,276 | 14,471 | 23,421 | 27,173 | |||||||||||||
| Sales and marketing | 14,160 | 11,575 | 28,468 | 23,886 | |||||||||||||
| Total operating expenses | 28,138 | 28,980 | 56,976 | 56,272 | |||||||||||||
| (Loss) income from operations | (2,044 | ) | (1,637 | ) | (6,809 | ) | 1,517 | ||||||||||
| Other expense, net | (3,445 | ) | (744 | ) | (6,791 | ) | (1,263 | ) | |||||||||
| Net (loss) income | (5,489 | ) | (2,381 | ) | (13,600 | ) | 254 | ||||||||||
| Other comprehensive (loss) income: | |||||||||||||||||
| Unrealized loss on short-term investments | - | (2 | ) | (10 | ) | (14 | ) | ||||||||||
| Comprehensive (loss) income | $ | (5,489 | ) | $ | (2,383 | ) | $ | (13,610 | ) | $ | 240 | ||||||
| Basic net (loss) income per share | $ | (0.03 | ) | $ | (0.02 | ) | $ | (0.07 | ) | $ | 0.00 | ||||||
| Diluted net (loss) income per share | $ | (0.03 | ) | $ | (0.02 | ) | $ | (0.07 | ) | $ | 0.00 | ||||||
| Weighted average common shares outstanding, basic | 190,335 | 154,020 | 189,993 | 153,804 | |||||||||||||
| Weighted average common shares outstanding, diluted | 190,335 | 154,020 | 189,993 | 197,751 | |||||||||||||
| Consolidated Balance Sheets | ||||||||
| (in thousands) | ||||||||
2026 | 2025 | |||||||
| (Unaudited) | ||||||||
| ASSETS | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 20,721 | $ | 28,647 | ||||
| Short-term investments | 21,943 | 17,984 | ||||||
| Accounts receivable, net | 89,571 | 89,587 | ||||||
| Inventory, net | 90,585 | 92,746 | ||||||
| Prepaid expenses and other current assets | 7,025 | 9,102 | ||||||
| Total current assets | 229,845 | 238,066 | ||||||
| Property and equipment, net | 11,814 | 12,403 | ||||||
| Right-of-use lease asset | 5,596 | - | ||||||
| Other assets | 5,007 | 5,408 | ||||||
| Total assets | $ | 252,262 | $ | 255,877 | ||||
| LIABILITIES AND STOCKHOLDERS' EQUITY | ||||||||
| Current liabilities: | ||||||||
| Accounts payable | $ | 11,641 | $ | 8,994 | ||||
| Accrued clinical and manufacturing liabilities | 22,178 | 26,597 | ||||||
| Accrued payroll and employee liabilities | 6,632 | 9,270 | ||||||
| Other accrued liabilities | 51,494 | 51,237 | ||||||
| Current lease liability | 200 | - | ||||||
| Total current liabilities | 92,145 | 96,098 | ||||||
| Non-current notes payable, net | 108,725 | 107,899 | ||||||
| Non-current convertible notes payable, net | 33,925 | 32,739 | ||||||
| Non-current lease liability | 5,504 | - | ||||||
| Other non-current liabilities | 5,055 | 4,808 | ||||||
| Total liabilities | 245,354 | 241,544 | ||||||
| Stockholders' equity: | ||||||||
| Common stock | 1,895 | 1,883 | ||||||
| Series A convertible preferred stock | 1,050 | 1,050 | ||||||
| Additional paid-in capital | 1,957,358 | 1,951,185 | ||||||
| Accumulated other comprehensive loss | (6 | ) | 4 | |||||
| Accumulated deficit | (1,953,389 | ) | (1,939,789 | ) | ||||
| Total stockholders' equity | 6,908 | 14,333 | ||||||
| Total liabilities and stockholders' equity | $ | 252,262 | $ | 255,877 | ||||
| Adjusted EBITDA | ||||||||||||||||
| (unaudited) | ||||||||||||||||
| (in thousands) | ||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||
| 2026 | 2025 | 2026 | 2025 | |||||||||||||
| Net (loss) income | $ | (5,489 | ) | $ | (2,381 | ) | $ | (13,600 | ) | $ | 254 | |||||
| Other expense, net | 3,445 | 744 | 6,791 | 1,263 | ||||||||||||
| Inventory reserve and write-offs | 970 | 447 | 1,284 | 447 | ||||||||||||
| Project related legal expenses | 621 | - | 914 | - | ||||||||||||
| Depreciation and amortization | 452 | 611 | 981 | 1,162 | ||||||||||||
| Stock-based compensation | 3,178 | 2,797 | 6,154 | 5,308 | ||||||||||||
| Adjusted EBITDA | $ | 3,177 | $ | 2,218 | $ | 2,524 | $ | 8,434 | ||||||||
Investor Relations and Media Contact:
Executive Vice President, Chief Financial Officer
iduarte@herontx.com
858-251-4400
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