Generated first quarter XDEMVY® net product sales of more than
Reaffirmed full-year 2026 guidance of
Nearly half of core eye care professionals are prescribing XDEMVY weekly, driven by deeper utilization, increased patient demand through Direct-to-Consumer campaign, and ongoing evidence generation
Initiated Calliope, a Phase 2 trial of TP-05, a novel investigational oral tablet for the potential prevention of Lyme disease, with topline data expected in the first half of 2027
Management to host conference call today,
“XDEMVY is driving a fundamental shift in how Demodex blepharitis is diagnosed and treated,” said
Recent Business and Clinical Highlights
- XDEMVY continues to be one of the best-selling prescription eye drops.
- Net product sales were
$145.4 million for the first quarter, a year-over-year increase of more than 85%. - Continued depth of prescribing as eye care professionals (ECPs) broaden screening and treatment across a wider range of patients.
- Net product sales were
- Direct-to-Consumer (DTC) campaign drove tremendous engagement and generated an increasingly positive and growing return on investment.
- Continued to drive millions of visitors to XDEMVY.com and increased high-value actions on the website by approximately 40% quarter-over-quarter reflecting strong patient activation and conversion.
- On track to activate approximately 20 new Key Account Leaders by Q3 2026 focusing on driving deeper utilization within high-opportunity eye care practices.
- Tarsus maintained strong engagement across key ophthalmology and optometry conferences in the first quarter, presenting numerous data sets that reinforce the clinical importance of diagnosing and treating Demodex blepharitis (DB) and expand how ECPs identify and treat DB.
- Tarsus continues to execute on its robust pipeline of category-creating potential therapeutics.
- Initiated Calliope, a Phase 2 trial evaluating TP-05, a novel investigational lotilaner-based oral prophylactic designed to kill ticks before potential disease transmission. Topline data is expected in the first half of 2027, with the potential to support a Phase 3-ready package.
- The Phase 2 trial evaluating TP-04, a lotilaner-based sterile ophthalmic gel formulation for the potential treatment of ocular rosacea, continues to progress, with topline data expected in the first half of 2027.
- TP-03 (XDEMVY) for the treatment of Demodex blepharitis expanded globally.
- Our out-license partner in
Greater China ,Grand Pharmaceuticals Group Ltd. , achieved regulatory approval in the People’sRepublic of China , triggering a$15 million milestone payment to Tarsus. - In
Europe , we remain on track to complete stability work of a preservative-free formulation in 2026 and continue to evaluate a potential path to approval. - Ongoing discussions continue with regulatory authorities in
Japan on a potential path to approval.
- Our out-license partner in
First Quarter 2026 Financial Results
- Product sales, net: were
$145.4 million compared to$78.3 million for the same period in 2025, driven by higher volume and improvements in the gross-to-net discount. - License fees and collaboration revenue: were
$16.7 million related to a$15.0 million regulatory milestone achieved under the China Out-License and$1.7 million of requiredChina withholding tax associated with this milestone. The milestone payment was recorded on a gross basis, which increased license fees and collaboration revenue by$1.7 million , with an equal offsetting amount recorded as foreign tax expense within provision for income taxes. There were no license fees and collaboration revenue in the same period in 2025. - Cost of sales: were
$9.4 million compared to$5.2 million for the same period in 2025, due to manufacturing costs related to XDEMVY, the royalty Tarsus pays 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 94% compared to 93% for the same period in 2025. - Research and development (R&D) expenses: were
$22.4 million compared to$14.4 million for the same period in 2025. The increase was primarily due to$3.7 million of payroll and personnel-related costs,$2.0 million of expense related to an upfront payment upon execution of a new in-license agreement, and$1.4 million of TP-05 program expenses, partially offset by a decrease of$0.3 million in TP-04 program expenses. R&D non-cash stock-based compensation expense incurred was$3.0 million , compared with$1.5 million in the same period in 2025. - Selling, general and administrative (SG&A) expenses: were
$136.4 million compared to$85.0 million for the same period in 2025. The increase was due primarily to$25.7 million of commercial and marketing costs, including DTC advertising costs as we continue to expand promotional efforts for XDEMVY’s commercial launch,$21.2 million of patient support functions, information technology, legal, and professional expenses, and$4.5 million of payroll and personnel-related costs. SG&A non-cash stock-based compensation expense was$8.8 million , compared with$5.3 million in the same period in 2025. - Net loss: was
$7.0 million , compared to$25.1 million for the same period in 2025. Basic and diluted net loss per share was$(0.16) , compared with$(0.64) for the same period in 2025. - Cash position: As of
March 31, 2026 , cash, cash equivalents and marketable securities were$388.7 million .
Conference Call and Webcast
Tarsus will host a conference call and webcast to discuss its first quarter 2026 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 involving over 800 patients with twice-daily dosing for six weeks. 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 eye lash 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 the potential commercial success and growth of XDEMVY in Demodex blepharitis, including market size, acceptance, demand, 2026 annual net sales guidance, peak sales potential, and adoption rate for XDEMVY; our ability to successfully continue our new direct-to-consumer campaign; our ability to continue to educate the market about Demodex blepharitis; 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 |
CONDENSED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (In thousands, except share and per share amounts) (unaudited) | |||||||
| Three Months Ended | |||||||
| 2026 | 2025 | ||||||
| Revenues: | |||||||
| Product sales, net | $ | 145,387 | $ | 78,335 | |||
| License fees and collaboration revenue | 16,667 | — | |||||
| Total revenues | 162,054 | 78,335 | |||||
| Operating expenses: | |||||||
| Cost of sales | 9,396 | 5,211 | |||||
| Research and development | 22,351 | 14,409 | |||||
| Selling, general and administrative | 136,429 | 84,995 | |||||
| Total operating expenses | 168,176 | 104,615 | |||||
| Loss from operations before other income (expense) | (6,122 | ) | (26,280 | ) | |||
| Other income (expense): | |||||||
| Interest income | 3,722 | 3,454 | |||||
| Interest expense | (2,128 | ) | (2,213 | ) | |||
| Other income (expense), net | (87 | ) | (81 | ) | |||
| Total other income (expense), net | 1,507 | 1,160 | |||||
| Provision for income taxes | (2,352 | ) | — | ||||
| Net loss | $ | (6,967 | ) | $ | (25,120 | ) | |
| Unrealized gain (loss) on marketable securities and cash equivalents | (679 | ) | (94 | ) | |||
| Comprehensive loss | $ | (7,646 | ) | $ | (25,214 | ) | |
| Net loss per share, basic and diluted | $ | (0.16 | ) | $ | (0.64 | ) | |
| Weighted-average shares outstanding, basic and diluted | 42,956,973 | 39,345,359 | |||||
CONDENSED BALANCE SHEETS (In thousands, except share and par value amounts) | |||||||
| (unaudited) | |||||||
| ASSETS | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 102,192 | $ | 183,641 | |||
| Restricted cash | — | 560 | |||||
| Marketable securities | 286,540 | 233,627 | |||||
| Accounts receivable, net | 100,344 | 85,057 | |||||
| Inventory | 4,572 | 4,372 | |||||
| Other receivables | 16,863 | 2,052 | |||||
| Prepaid expenses | 26,718 | 13,473 | |||||
| Total current assets | 537,229 | 522,782 | |||||
| Restricted cash, non-current | 2,001 | 2,002 | |||||
| Inventory, non-current | 2,528 | 2,532 | |||||
| Property and equipment, net | 17,672 | 11,665 | |||||
| Intangible assets, net | 7,126 | 7,366 | |||||
| Operating lease right-of-use assets | 9,994 | 10,080 | |||||
| Long-term investments | 3,870 | 3,870 | |||||
| Other assets | 715 | 1,861 | |||||
| Total assets | $ | 581,135 | $ | 562,158 | |||
| LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ | 24,131 | $ | 16,387 | |||
| Accrued payroll and benefits | 8,529 | 17,779 | |||||
| Other accrued liabilities | 110,848 | 101,529 | |||||
| Total current liabilities | 143,508 | 135,695 | |||||
| Long-term debt, net | 72,597 | 72,438 | |||||
| Other long-term liabilities | 16,079 | 10,599 | |||||
| Total liabilities | 232,184 | 218,732 | |||||
| Commitments and contingencies | |||||||
| Stockholders’ equity: | |||||||
| Preferred stock, | — | — | |||||
| Common stock, | 6 | 6 | |||||
| Additional paid-in capital | 782,838 | 769,667 | |||||
| Accumulated other comprehensive income (loss) | (298 | ) | 381 | ||||
| Accumulated deficit | (433,595 | ) | (426,628 | ) | |||
| Total stockholders’ equity | 348,951 | 343,426 | |||||
| Total liabilities and stockholders’ equity | $ | 581,135 | $ | 562,158 | |||
Source: 