Generated full-year 2025 net product sales of XDEMVY® of
Providing expected XDEMVY peak sales potential of more than
Extending category-creating leadership with initiation of Phase 2 trial of TP-04 in ocular rosacea (OR) and plans to initiate a Phase 2 trial of TP-05 for Lyme disease prevention in Q2 2026
Management to host conference call today,
“XDEMVY has driven a fundamental shift in eye care,” said
Recent Business Highlights and Corporate Update
- XDEMVY is one of the best-selling prescription eye drops.
- Net product sales were
$151 .7 million and$451 .4 million for the fourth quarter and full-year 2025, respectively. - Delivered approximately 130,000 and 400,000 bottles to patients in the fourth quarter and full-year 2025, respectively.
- Maintained over 90% of commercial, Medicare, and Medicaid covered lives, and recognized a gross-to-net discount of approximately 44% and 45% in the fourth quarter and full year 2025, respectively.
- Net product sales were
- Direct-to-Consumer (DTC) campaign on streaming platforms and network television generated a positive return on investment in 2025 that continues to grow.
- Unaided awareness of Demodex blepharitis is now approximately 25% vs. 2% of patients surveyed at the beginning of the campaign.
- Unaided awareness of Demodex blepharitis is now approximately 25% vs. 2% of patients surveyed at the beginning of the campaign.
- Tarsus continues to execute on its category-creating strategy, advancing a robust pipeline.
- Initiated a Phase 2 trial of TP-04 (lotilaner sterile ophthalmic gel) for the potential treatment of ocular rosacea, with topline data expected in 1H 2027.
- Expect to initiate a Phase 2 study of TP-05, an investigational oral tablet designed to kill ticks and potentially prevent Lyme disease transmission, in Q2 2026.
- Strengthened Tarsus’ leadership with the appointment of
David E.I. Pyott , a renowned Biopharmaceutical leader and former Chief Executive Officer and Chairman ofAllergan, Inc. , to its Board of Directors.Mr. Pyott brings decades of global leadership experience spanning innovative R&D, product development, and commercial execution. He was instrumental in transforming Allergan from a focused eye care business with approximately$1 billion in revenue into a global specialty pharmaceutical and medical device leader generating more than$7 billion in revenue.
Potential Growth Drivers in 2026 and Beyond
- TP-03 (XDEMVY) for the treatment of Demodex blepharitis remains on-track for global expansion.
- In
Europe , on-track for potential approval of a preservative-free formulation in 2027. - Ongoing discussions continue with regulatory authorities in
Japan on a potential path to approval. - Our partner in Greater China, Grand Pharmaceutical Group Ltd., expects potential approval in 2026.
- In
Fourth Quarter 2025 Financial Results
- Product sales, net: were
$151.7 million compared to$66.4 million for the same period in 2024, driven by approximately 130,000 bottles of XDEMVY delivered to patients during the three months endedDecember 31, 2025 , compared to approximately 58,500 bottles delivered to patients in the prior year period, as well as an improvement in the gross-to-net discount as we secured greater payer coverage in 2025. - Cost of sales: were
$10.9 million compared to$4.9 million for the same period in 2024, due to manufacturing costs related to XDEMVY, the royalty we pay on net product sales, and amortization expense for the milestone payments made to our licensor, which is being amortized over its remaining useful life. Gross margins remained consistent at 93% for both periods. - Research and development (R&D) expenses: were
$18.0 million compared to$16.9 million for the same period in 2024. The increase was primarily due to$3.7 million of payroll and personnel-related costs,$0.7 million of early-stage programs,$0.5 million of TP-05 program spend,$0.4 million of TP-04 program spend, and$0.6 million of other indirect expenses, partially offset by$2.5 million in milestone expenses and$2.2 million in TP-03 program spend. R&D non-cash stock-based compensation expense incurred was$3.7 million , compared with$1.8 million in the same period in 2024. - Selling, general and administrative (SG&A) expenses: were
$130.7 million compared to$69.0 million for the same period in 2024. The increase was due primarily to$31.2 million of commercial and marketing costs, including direct-to-consumer advertising costs, related to our expanded promotional efforts for the commercial launch of XDEMVY,$23.9 million of patient support functions, information technology, legal, and professional expenses, and$6.6 million of payroll and personnel-related costs. SG&A non-cash stock-based compensation expense was$10.5 million , compared with$5.5 million in the same period in 2024. - Net loss: was
$8.4 million , compared to$23.1 million for the same period in 2024. Basic and diluted net loss per share was$(0.20) , compared with$(0.60) in 2024. - Cash position: As of
December 31, 2025 , cash, cash equivalents and marketable securities were$417 .3 million.
Full-Year 2025 Financial Results
- Product sales, net: were
$451.4 million compared to$180.1 million for the same period in 2024, driven by approximately 400,000 bottles of XDEMVY delivered to patients during the year endedDecember 31, 2025 , compared to approximately 163,000 bottles delivered to patients in the prior year period. - Cost of sales: were
$30.7 million compared to$12.8 million for the same period in 2024, due to manufacturing costs related to XDEMVY, the royalty we pay on net product sales, and amortization expense for the milestone payments made to our licensor, which is being amortized over its remaining useful life. Gross margins remained consistent at 93% for both periods. - R&D expenses: were
$64.3 million compared to$53.4 million in the same period in 2024. The increase was due to$8.8 million of payroll and personnel-related costs,$1.6 million of other indirect expenses,$3.3 million of early-stage programs, and$2.4 million of TP-04 program spend, partially offset by$2.5 million in milestone expenses,$2.7 million of TP-03 program spend, and$0.1 million of TP-05 program spend. R&D non-cash stock-based compensation expense incurred was$10.0 million , compared with$6.8 million in the same period in 2024. - SG&A expenses: were
$427.3 million compared to$237.3 million in the same period in 2024. The increase was due primarily to$112.6 million of commercial and marketing costs, including direct-to-consumer advertising costs, related to our expanded promotional efforts for the commercial launch of XDEMVY,$46.8 million of patient support functions, information technology, legal, and professional expenses, and$30.6 million of payroll and personnel-related costs. SG&A non-cash stock-based compensation expense incurred was$31.0 million , compared with$20.4 million in the same period in 2024. - Net loss: was
$66 .4 million, compared to$115 .6 million for the same period in 2024. Basic and diluted net loss per share was$(1.59) , compared with$(3.07) in 2024.
Conference Call and Webcast
Tarsus will host a conference call and webcast to discuss its fourth quarter and full-year 2025 financial results and business highlights today,
About XDEMVY®
XDEMVY (lotilaner ophthalmic solution) 0.25%, formerly known as TP-03, is a novel prescription eye drop designed to treat Demodex blepharitis by targeting and eradicating the root cause of the disease – Demodex mite infestation. XDEMVY was evaluated in two pivotal trials collectively involving more than 800 patients. Both trials met the primary endpoint and all secondary endpoints, with statistical significance and no serious treatment-related adverse events. Most patients found the XDEMVY eye drop to be neutral to very comfortable. The most common ocular adverse reactions observed in the studies were instillation site stinging and burning which was reported in 10% of patients. Other ocular adverse reactions reported by less than 2% of patients were chalazion/hordeolum (stye) and punctate keratitis.
XDEMVY Indication and Important Safety Information
INDICATIONS AND USAGE
XDEMVY is indicated for the treatment of Demodex blepharitis.
Most common side effects: The most common side effect in clinical trials was stinging and burning in 10% of patients. Other side effects in less than 2% of patients were chalazion/hordeolum and punctate keratitis.
For additional information, please see full prescribing information available at: https://xdemvy.com/.
About TP-03
TP-03 (lotilaner ophthalmic solution) 0.25% is a novel therapeutic designed to treat Demodex blepharitis by targeting and eradicating the root cause of disease – Demodex mite infestation. It was approved by the FDA in 2023 under the brand name XDEMVY® for the treatment of Demodex blepharitis. Lotilaner is a well characterized anti-parasitic agent that paralyzes and eradicates Demodex mites by selectively inhibiting parasite-specific gamma-aminobutyric acid-gated chloride (GABA-Cl) channels. It is a highly lipophilic molecule, which may promote its uptake in the oily sebum of the eyelash follicles where the mites reside.
About TP-04
TP-04 is an investigational sterile aqueous gel formulation of lotilaner. Tarsus is studying TP-04 for the potential treatment of ocular rosacea (OR).
About TP-05
TP-05 is an investigational oral systemic formulation of lotilaner. TP-05 is believed to be the only non-vaccine, drug-based, preventative therapeutic in development designed to kill ticks to potentially prevent Lyme disease transmission.
About
Forward-Looking Statements
Statements in this press release about future expectations, plans and prospects, as well as any other statements regarding matters that are not historical facts, may constitute “forward-looking statements.” These statements include statements regarding our 2026 financial outlook, the potential commercial success and growth of XDEMVY in Demodex blepharitis, including market size, peak net product sales potential, acceptance, demand, and adoption rate for XDEMVY; our ability to successfully continue our direct-to-consumer campaign; our ability to achieve and maintain distribution and patient access for XDEMVY and breadth of payer coverage; our ability to continue to educate the market about Demodex blepharitis; our ability to initiate planned clinical studies including the planned initiation of a Phase 2 trial for the potential prevention of Lyme disease; anticipated regulatory and development milestones including potential
| Media Contact: | |
| Sr. Director, Corporate Communications | |
| (949) 922-0801 | |
| akemp@tarsusrx.com | |
| Investor Contact: | |
| Head of Investor Relations | |
| (949) 620-3223 | |
| DNakasone@tarsusrx.com |
STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (In thousands, except share and per share amounts) | |||||||||||||||
| Three Months Ended | Year Ended | ||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Revenues: | |||||||||||||||
| Product sales, net | $ | 151,668 | $ | 66,408 | $ | 451,360 | $ | 180,059 | |||||||
| License fees and collaboration revenue | — | — | — | 2,894 | |||||||||||
| Total revenues | 151,668 | 66,408 | 451,360 | 182,953 | |||||||||||
| Operating expenses: | |||||||||||||||
| Cost of sales | 10,927 | 4,926 | 30,684 | 12,826 | |||||||||||
| Research and development | 18,035 | 16,873 | 64,322 | 53,386 | |||||||||||
| Selling, general and administrative | 130,682 | 69,030 | 427,323 | 237,310 | |||||||||||
| Total operating expenses | 159,644 | 90,829 | 522,329 | 303,522 | |||||||||||
| Loss from operations before other income (expense) | (7,976 | ) | (24,421 | ) | (70,969 | ) | (120,569 | ) | |||||||
| Other income (expense): | |||||||||||||||
| Interest income | 3,950 | 3,647 | 15,747 | 15,014 | |||||||||||
| Interest expense | (2,214 | ) | (2,312 | ) | (8,935 | ) | (7,849 | ) | |||||||
| Loss on debt extinguishment | — | — | — | (1,944 | ) | ||||||||||
| Other income (expense), net | (74 | ) | (27 | ) | (202 | ) | (206 | ) | |||||||
| Total other income, net | 1,662 | 1,308 | 6,610 | 5,015 | |||||||||||
| Loss before income taxes | (6,314 | ) | (23,113 | ) | (64,359 | ) | (115,554 | ) | |||||||
| Provision for income taxes | (2,059 | ) | — | (2,059 | ) | — | |||||||||
| Net loss | $ | (8,373 | ) | $ | (23,113 | ) | $ | (66,418 | ) | $ | (115,554 | ) | |||
| Unrealized gain (loss) on marketable securities and cash equivalents | 92 | (167 | ) | 202 | 181 | ||||||||||
| Comprehensive loss | $ | (8,281 | ) | $ | (23,280 | ) | $ | (66,216 | ) | $ | (115,373 | ) | |||
| Net loss per share, basic and diluted | $ | (0.20 | ) | $ | (0.60 | ) | $ | (1.59 | ) | $ | (3.07 | ) | |||
| Weighted-average shares outstanding, basic and diluted | 42,784,688 | 38,560,907 | 41,784,014 | 37,604,538 | |||||||||||
BALANCE SHEETS (In thousands, except share and par value amounts) | |||||||
| 2025 | 2024 | ||||||
| ASSETS | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 183,641 | $ | 94,819 | |||
| Restricted cash | 560 | — | |||||
| Marketable securities | 233,627 | 196,557 | |||||
| Accounts receivable, net | 85,057 | 46,760 | |||||
| Inventory | 4,372 | 2,620 | |||||
| Other receivables | 2,052 | 1,299 | |||||
| Prepaid expenses | 13,473 | 14,650 | |||||
| Total current assets | 522,782 | 356,705 | |||||
| Restricted cash, non-current | 2,002 | 2,562 | |||||
| Inventory, non-current | 2,532 | 2,533 | |||||
| Property and equipment, net | 11,665 | 2,314 | |||||
| Intangible assets, net | 7,366 | 8,326 | |||||
| Operating lease right-of-use assets | 10,080 | 552 | |||||
| Long-term investments | 3,870 | 3,000 | |||||
| Other assets | 1,861 | 999 | |||||
| Total assets | 562,158 | 376,991 | |||||
| LIABILITIES AND STOCKHOLDERS’ EQUITY | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ | 16,387 | $ | 9,419 | |||
| Accrued payroll and benefits | 17,779 | 15,823 | |||||
| Other accrued liabilities | 101,529 | 55,370 | |||||
| Total current liabilities | 135,695 | 80,612 | |||||
| Long-term debt, net | 72,438 | 71,845 | |||||
| Other long-term liabilities | 10,599 | — | |||||
| Total liabilities | 218,732 | 152,457 | |||||
| Commitments and contingencies | |||||||
| Stockholders’ equity: | |||||||
| Preferred stock, | — | — | |||||
| Common stock, | 6 | 6 | |||||
| Additional paid-in capital | 769,667 | 584,559 | |||||
| Accumulated other comprehensive income (loss) | 381 | 179 | |||||
| Accumulated deficit | (426,628 | ) | (360,210 | ) | |||
| Total stockholders’ equity | 343,426 | 224,534 | |||||
| Total liabilities and stockholders’ equity | $ | 562,158 | $ | 376,991 | |||
Source: 